II 

117TH CONGRESS 

2D SESSION S. 4659 

Making appropriations for the Departments of Labor, Health and Human 

Services, and Education, and related agencies for the fiscal year ending 

September 30, 2023, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 28, 2022 

Mrs. MURRAY introduced the following bill; which was read twice and referred 

to the Committee on Appropriations 

A BILL 

Making appropriations for the Departments of Labor, Health 

and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2023, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 That the following sums are appropriated, out of any 

4 money in the Treasury not otherwise appropriated, for the 

5 Departments of Labor, Health and Human Services, and 

6 Education, and related agencies for the fiscal year ending 

7 September 30, 2023, and for other purposes, namely: 


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1 TITLE I 

2 DEPARTMENT OF LABOR 

3 EMPLOYMENT AND TRAINING ADMINISTRATION

4 TRAINING AND EMPLOYMENT SERVICES

5 For necessary expenses of the Workforce Innovation 

6 and Opportunity Act (referred to in this Act as ‘‘WIOA’’) 

7 and the National Apprenticeship Act, $4,083,437,000, 

8 plus reimbursements, shall be available. Of the amounts 

9 provided: 

10 (1) for grants to States for adult employment 

11 and training activities, youth activities, and dis12 located worker employment and training activities, 

13 $2,959,332,000 as follows: 

14 (A) $885,649,000 for adult employment 

15 and training activities, of which $173,649,000 

16 shall be available for the period July 1, 2023 

17 through June 30, 2024, and of which 

18 $712,000,000 shall be available for the period 

19 October 1, 2023 through June 30, 2024; 

20 (B) $958,130,000 for youth activities, 

21 which shall be available for the period April 1, 

22 2023 through June 30, 2024; and 

23 (C) $1,115,553,000 for dislocated worker 

24 employment and training activities, of which 

25 $255,553,000 shall be available for the period 


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1 July 1, 2023 through June 30, 2024, and of 

2 which $860,000,000 shall be available for the 

3 period October 1, 2023 through June 30, 2024: 

4 Provided, That the funds available for allotment to 

5 outlying areas to carry out subtitle B of title I of the 

6 WIOA shall not be subject to the requirements of 

7 section 127(b)(1)(B)(ii) of such Act: Provided fur8 ther, That notwithstanding the requirements of 

9 WIOA, outlying areas may submit a single applica10 tion for a consolidated grant that awards funds that 

11 would otherwise be available to such areas to carry 

12 out the activities described in subtitle B of title I of 

13 the WIOA: Provided further, That such application 

14 shall be submitted to the Secretary of Labor (re15 ferred to in this title as ‘‘Secretary’’), at such time, 

16 in such manner and containing such information as 

17 the Secretary may require: Provided further, That 

18 outlying areas awarded a consolidated grant de19 scribed in the preceding provisos may use the funds 

20 for any of the programs and activities authorized 

21 under such subtitle B of title I of the WIOA subject 

22 to approval of the application and such reporting re23 quirements issued by the Secretary; and 

24 (2) for national programs, $1,124,105,000 as 

25 follows: 


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1 (A) $330,859,000 for the dislocated work2 ers assistance national reserve, of which 

3 $130,859,000 shall be available for the period 

4 July 1, 2023 through September 30, 2024, and 

5 of which $200,000,000 shall be available for the 

6 period October 1, 2023 through September 30, 

7 2024: Provided, That funds provided to carry 

8 out section 132(a)(2)(A) of the WIOA may be 

9 used to provide assistance to a State for state10 wide or local use in order to address cases 

11 where there have been worker dislocations 

12 across multiple sectors or across multiple local 

13 areas and such workers remain dislocated; co14 ordinate the State workforce development plan 

15 with emerging economic development needs; and 

16 train such eligible dislocated workers: Provided 

17 further, That funds provided to carry out sec18 tions 168(b) and 169(c) of the WIOA may be 

19 used for technical assistance and demonstration 

20 projects, respectively, that provide assistance to 

21 new entrants in the workforce and incumbent 

22 workers: Provided further, That notwithstanding 

23 section 168(b) of the WIOA, of the funds pro24 vided under this subparagraph, the Secretary 

25 may reserve not more than 10 percent of such 


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1 funds to provide technical assistance and carry 

2 out additional activities related to the transition 

3 to the WIOA: Provided further, That of the 

4 funds provided under this subparagraph, 

5 $120,000,000 shall be for training and employ6 ment assistance under sections 168(b), 169(c) 

7 (notwithstanding the 10 percent limitation in 

8 such section) and 170 of the WIOA as follows: 

9 (i) $50,000,000 shall be for workers 

10 in the Appalachian region, as defined by 

11 40 U.S.C. 14102(a)(1), workers in the 

12 Lower Mississippi, as defined in section 

13 4(2) of the Delta Development Act (Public 

14 Law 100–460, 102 Stat. 2246; 7 U.S.C. 

15 2009aa(2)), and workers in the region 

16 served by the Northern Border Regional 

17 Commission, as defined by 40 U.S.C. 

18 15733; 

19 (ii) $50,000,000 shall be for the pur20 pose of developing, offering, or improving 

21 educational or career training programs at 

22 community colleges, defined as public insti23 tutions of higher education, as described in 

24 section 101(a) of the Higher Education 

25 Act of 1965 and at which the associate’s 


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1 degree is primarily the highest degree 

2 awarded, with other eligible institutions of 

3 higher education, as defined in section 

4 101(a) of the Higher Education Act of 

5 1965, eligible to participate through con6 sortia, with community colleges as the lead 

7 grantee: Provided, That the Secretary shall 

8 follow the requirements for the program in 

9 House Report 116–62: Provided further, 

10 That any grant funds used for apprentice11 ships shall be used to support only appren12 ticeship programs registered under the Na13 tional Apprenticeship Act and as referred 

14 to in section 3(7)(B) of the WIOA; 

15 (iii) $10,000,000 shall be for grants 

16 for developing and implementing innovative 

17 strategies to significantly expand, stabilize, 

18 and retain direct support workers who pro19 vide home and community-based services 

20 to people with disabilities and older adults; 

21 and 

22 (iv) $10,000,000 shall be for training 

23 and employment assistance for workers in 

24 communities that have experienced job 


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1 losses due to dislocations in the coal indus2 try; 

3 (B) $60,000,000 for Native American pro4 grams under section 166 of the WIOA, which 

5 shall be available for the period July 1, 2023 

6 through June 30, 2024; 

7 (C) $96,711,000 for migrant and seasonal 

8 farmworker programs under section 167 of the 

9 WIOA, including $89,315,000 for formula 

10 grants (of which not less than 70 percent shall 

11 be for employment and training services), 

12 $6,556,000 for migrant and seasonal housing 

13 (of which not less than 70 percent shall be for 

14 permanent housing), and $840,000 for other 

15 discretionary purposes, which shall be available 

16 for the period April 1, 2023 through June 30, 

17 2024: Provided, That notwithstanding any 

18 other provision of law or related regulation, the 

19 Department of Labor shall take no action lim20 iting the number or proportion of eligible par21 ticipants receiving related assistance services or 

22 discouraging grantees from providing such serv23 ices: Provided further, That notwithstanding the 

24 definition of ‘‘eligible seasonal farmworker’’ in 

25 section 167(i)(3)(A) of the WIOA relating to an 


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1 individual being ‘‘low-income’’, an individual is 

2 eligible for migrant and seasonal farmworker 

3 programs under section 167 of the WIOA under 

4 that definition if, in addition to meeting the re5 quirements of clauses (i) and (ii) of section 

6 167(i)(3)(A), such individual is a member of a 

7 family with a total family income equal to or 

8 less than 150 percent of the poverty line; 

9 (D) $113,000,000 for YouthBuild activi10 ties as described in section 171 of the WIOA, 

11 which shall be available for the period April 1, 

12 2023 through June 30, 2024; 

13 (E) $125,000,000 for ex-offender activi14 ties, under the authority of section 169 of the 

15 WIOA, which shall be available for the period 

16 April 1, 2023 through June 30, 2024: Provided, 

17 That of this amount, $25,000,000 shall be for 

18 competitive grants to national and regional 

19 intermediaries for activities that prepare for 

20 employment young adults with criminal legal 

21 histories, young adults who have been justice 

22 system-involved, or young adults who have 

23 dropped out of school or other educational pro24 grams, with a priority for projects serving high25 crime, high-poverty areas; 


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1 (F) $6,000,000 for the Workforce Data 

2 Quality Initiative, under the authority of section 

3 169 of the WIOA, which shall be available for 

4 the period July 1, 2023 through June 30, 

5 2024; 

6 (G) $300,000,000 to expand opportunities 

7 through apprenticeships only registered under 

8 the National Apprenticeship Act and as referred 

9 to in section 3(7)(B) of the WIOA, to be avail10 able to the Secretary to carry out activities 

11 through grants, cooperative agreements, con12 tracts and other arrangements, with States and 

13 other appropriate entities, including equity 

14 intermediaries and business and labor industry 

15 partner intermediaries, which shall be available 

16 for the period July 1, 2023 through June 30, 

17 2024; and 

18 (H) $92,535,000 for carrying out Dem19 onstration and Pilot projects under section 

20 169(c) of the WIOA, which shall be available 

21 for the period April 1, 2023 through June 30, 

22 2024, in addition to funds available for such ac23 tivities under subparagraph (A) for the 

24 projects, and in the amounts, specified in the 

25 table titled ‘‘Congressionally Directed Spending 


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1 Items’’ included in the explanatory statement 

2 accompanying this Act: Provided, That such 

3 funds may be used for projects that are related 

4 to the employment and training needs of dis5 located workers, other adults, or youth: Pro6 vided further, That the 10 percent funding limi7 tation under such section shall not apply to 

8 such funds: Provided further, That section 

9 169(b)(6)(C) of the WIOA shall not apply to 

10 such funds: Provided further, That sections 102 

11 and 107 of this Act shall not apply to such 

12 funds. 

13 JOB CORPS

14 (INCLUDING TRANSFER OF FUNDS)

15 To carry out subtitle C of title I of the WIOA, includ16 ing Federal administrative expenses, the purchase and 

17 hire of passenger motor vehicles, the construction, alter18 ation, and repairs of buildings and other facilities, and the 

19 purchase of real property for training centers as author20 ized by the WIOA, $1,773,655,000, plus reimbursements, 

21 as follows: 

22 (1) $1,603,325,000 for Job Corps Operations, 

23 which shall be available for the period July 1, 2023 

24 through June 30, 2024: Provided, That the Sec25 retary may transfer up to 3 percent of such funds 


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1 for construction, rehabilitation, and acquisition of 

2 Job Corps Centers pursuant to paragraph (2): Pro3 vided further, That any funds transferred pursuant 

4 to the preceding proviso shall not be available for ob5 ligation after June 30, 2026: Provided further, That 

6 the Committees on Appropriations of the House of 

7 Representatives and the Senate are notified at least 

8 15 days in advance of any transfer; 

9 (2) $135,000,000 for construction, rehabilita10 tion and acquisition of Job Corps Centers, which 

11 shall be available for the period July 1, 2023 

12 through June 30, 2026, and which may include the 

13 acquisition, maintenance, and repair of major items 

14 of equipment: Provided, That the Secretary may 

15 transfer up to 15 percent of such funds to meet the 

16 operational needs of such centers or to achieve ad17 ministrative efficiencies pursuant to paragraph (1): 

18 Provided further, That any funds transferred pursu19 ant to the preceding proviso shall not be available 

20 for obligation after June 30, 2023: Provided further, 

21 That the Committees on Appropriations of the 

22 House of Representatives and the Senate are noti23 fied at least 15 days in advance of any transfer; and 

24 (3) $35,330,000 for necessary expenses of Job 

25 Corps, which shall be available for obligation for the 


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1 period October 1, 2022 through September 30, 

2 2023: 

3 Provided, That no funds from any other appropriation 

4 shall be used to provide meal services at or for Job Corps 

5 Centers. 

6 COMMUNITY SERVICE EMPLOYMENT FOR OLDER

7 AMERICANS

8 To carry out title V of the Older Americans Act of 

9 1965 (referred to in this Act as ‘‘OAA’’), $405,000,000, 

10 which shall be available for the period April 1, 2023 

11 through June 30, 2024, and may be recaptured and reobli12 gated in accordance with section 517(c) of the OAA. 

13 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

14 For payments during fiscal year 2023 of trade ad15 justment benefit payments and allowances under part I 

16 of subchapter B of chapter 2 of title II of the Trade Act 

17 of 1974, and section 246 of that Act; and for training, 

18 employment and case management services, allowances for 

19 job search and relocation, and related State administrative 

20 expenses under part II of subchapter B of chapter 2 of 

21 title II of the Trade Act of 1974, and including benefit 

22 payments, allowances, training, employment and case 

23 management services, and related State administration 

24 provided pursuant to section 231(a) of the Trade Adjust25 ment Assistance Extension Act of 2011, and sections 


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1 405(a) and 406 of the Trade Preferences Extension Act 

2 of 2015, $494,400,000 together with such amounts as 

3 may be necessary to be charged to the subsequent appro4 priation for payments for any period subsequent to Sep5 tember 15, 2023: Provided, That notwithstanding section 

6 502 of this Act, any part of the appropriation provided 

7 under this heading may remain available for obligation be8 yond the current fiscal year pursuant to the authorities 

9 of section 245(c) of the Trade Act of 1974 (19 U.S.C. 

10 2317(c)): Provided further, That the termination provi11 sions in sections 246(b) and 285(a) of the Trade Act of 

12 1974, as amended, including the application of those pro13 visions described in paragraphs (4) and (7) of section 

14 406(a) of the Trade Preferences Extension Act of 2015, 

15 shall not apply. 

16 STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT

17 SERVICE OPERATIONS

18 (INCLUDING TRANSFER OF FUNDS)

19 For authorized administrative expenses, 

20 $89,066,000, together with not to exceed $3,998,084,000 

21 which may be expended from the Employment Security 

22 Administration Account in the Unemployment Trust Fund 

23 (‘‘the Trust Fund’’), of which— 

24 (1) $3,184,635,000 from the Trust Fund is for 

25 grants to States for the administration of State unVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 employment insurance laws as authorized under title 

2 III of the Social Security Act (including not less 

3 than $375,000,000 to carry out reemployment serv4 ices and eligibility assessments under section 306 of 

5 such Act, any claimants of regular compensation, as 

6 defined in such section, including those who are 

7 profiled as most likely to exhaust their benefits, may 

8 be eligible for such services and assessments: Pro9 vided, That of such amount, $117,000,000 is speci10 fied for grants under section 306 of the Social Secu11 rity Act and is provided to meet the terms of a con12 current resolution on the budget, and $258,000,000 

13 is additional new budget authority specified for pur14 poses of a concurrent resolution on the budget; and 

15 $9,000,000 for continued support of the Unemploy16 ment Insurance Integrity Center of Excellence), the 

17 administration of unemployment insurance for Fed18 eral employees and for ex-service members as au19 thorized under 5 U.S.C. 8501–8523, and the admin20 istration of trade readjustment allowances, reem21 ployment trade adjustment assistance, and alter22 native trade adjustment assistance under the Trade 

23 Act of 1974 and under section 231(a) of the Trade 

24 Adjustment Assistance Extension Act of 2011, sec25 tions 405(a) and 406 of the Trade Preferences ExVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 tension Act of 2015 (except that the termination 

2 provisions in sections 246(b) and 285(a) of the 

3 Trade Act of 1974, as amended, including the appli4 cation of those provisions described in paragraphs 

5 (4) and (7) of section 406 of the Trade Preferences 

6 Extension Act of 2015, shall not apply), and shall 

7 be available for obligation by the States through De8 cember 31, 2023, except that funds used for auto9 mation shall be available for Federal obligation 

10 through December 31, 2023, and for State obliga11 tion through September 30, 2025, or, if the automa12 tion is being carried out through consortia of States, 

13 for State obligation through September 30, 2029, 

14 and for expenditure through September 30, 2030, 

15 and funds for competitive grants awarded to States 

16 for improved operations and to conduct in-person re17 employment and eligibility assessments and unem18 ployment insurance improper payment reviews and 

19 provide reemployment services and referrals to train20 ing, as appropriate, shall be available for Federal ob21 ligation through December 31, 2023 (except that 

22 funds for outcome payments pursuant to section 

23 306(f)(2) of the Social Security Act shall be avail24 able for Federal obligation through March 31, 

25 2024), and for obligation by the States through SepVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 tember 30, 2025, and funds for the Unemployment 

2 Insurance Integrity Center of Excellence shall be 

3 available for obligation by the State through Sep4 tember 30, 2024, and funds used for unemployment 

5 insurance workloads experienced through September 

6 30, 2023 shall be available for Federal obligation 

7 through December 31, 2023; 

8 (2) $36,000,000 from the Trust Fund is for na9 tional activities necessary to support the administra10 tion of the Federal-State unemployment insurance 

11 system; 

12 (3) $663,639,000 from the Trust Fund, to13 gether with $21,413,000 from the General Fund of 

14 the Treasury, is for grants to States in accordance 

15 with section 6 of the Wagner-Peyser Act, and shall 

16 be available for Federal obligation for the period 

17 July 1, 2023 through June 30, 2024; 

18 (4) $25,000,000 from the Trust Fund is for na19 tional activities of the Employment Service, includ20 ing administration of the work opportunity tax cred21 it under section 51 of the Internal Revenue Code of 

22 1986 (including assisting States in adopting or mod23 ernizing information technology for use in the proc24 essing of certification requests), and the provision of 


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1 technical assistance and staff training under the 

2 Wagner-Peyser Act; 

3 (5) $88,810,000 from the Trust Fund is for the 

4 administration of foreign labor certifications and re5 lated activities under the Immigration and Nation6 ality Act and related laws, of which $64,528,000 

7 shall be available for the Federal administration of 

8 such activities, and $24,282,000 shall be available 

9 for grants to States for the administration of such 

10 activities; and 

11 (6) $67,653,000 from the General Fund is to 

12 provide workforce information, national electronic 

13 tools, and one-stop system building under the Wag14 ner-Peyser Act and shall be available for Federal ob15 ligation for the period July 1, 2023 through June 

16 30, 2024, of which up to $9,800,000 may be used 

17 to carry out research and demonstration projects re18 lated to testing effective ways to promote greater 

19 labor force participation of people with disabilities: 

20 Provided, That the Secretary may transfer amounts 

21 made available for research and demonstration 

22 projects under this paragraph to the ‘‘Office of Dis23 ability Employment Policy’’ account for such pur24 poses: 


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1 Provided, That to the extent that the Average Weekly In2 sured Unemployment (‘‘AWIU’’) for fiscal year 2023 is 

3 projected by the Department of Labor to exceed 

4 1,778,000, an additional $28,600,000 from the Trust 

5 Fund shall be available for obligation for every 100,000 

6 increase in the AWIU level (including a pro rata amount 

7 for any increment less than 100,000) to carry out title 

8 III of the Social Security Act: Provided further, That 

9 funds appropriated in this Act that are allotted to a State 

10 to carry out activities under title III of the Social Security 

11 Act may be used by such State to assist other States in 

12 carrying out activities under such title III if the other 

13 States include areas that have suffered a major disaster 

14 declared by the President under the Robert T. Stafford 

15 Disaster Relief and Emergency Assistance Act: Provided 

16 further, That the Secretary may use funds appropriated 

17 for grants to States under title III of the Social Security 

18 Act to make payments on behalf of States for the use of 

19 the National Directory of New Hires under section 

20 453(j)(8) of such Act: Provided further, That the Sec21 retary may use funds appropriated for grants to States 

22 under title III of the Social Security Act to make pay23 ments on behalf of States to the entity operating the State 

24 Information Data Exchange System: Provided further, 

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1 tablish a national one-stop career center system, or which 

2 are used to support the national activities of the Federal3 State unemployment insurance, employment service, or 

4 immigration programs, may be obligated in contracts, 

5 grants, or agreements with States and non-State entities: 

6 Provided further, That States awarded competitive grants 

7 for improved operations under title III of the Social Secu8 rity Act, or awarded grants to support the national activi9 ties of the Federal-State unemployment insurance system, 

10 may award subgrants to other States and non-State enti11 ties under such grants, subject to the conditions applicable 

12 to the grants: Provided further, That funds appropriated 

13 under this Act for activities authorized under title III of 

14 the Social Security Act and the Wagner-Peyser Act may 

15 be used by States to fund integrated Unemployment In16 surance and Employment Service automation efforts, not17 withstanding cost allocation principles prescribed under 

18 the final rule entitled ‘‘Uniform Administrative Require19 ments, Cost Principles, and Audit Requirements for Fed20 eral Awards’’ at part 200 of title 2, Code of Federal Regu21 lations: Provided further, That the Secretary, at the re22 quest of a State participating in a consortium with other 

23 States, may reallot funds allotted to such State under title 

24 III of the Social Security Act to other States participating 

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1 ment Insurance Information Technology Support Center 

2 in order to carry out activities that benefit the administra3 tion of the unemployment compensation law of the State 

4 making the request: Provided further, That the Secretary 

5 may collect fees for the costs associated with additional 

6 data collection, analyses, and reporting services relating 

7 to the National Agricultural Workers Survey requested by 

8 State and local governments, public and private institu9 tions of higher education, and nonprofit organizations and 

10 may utilize such sums, in accordance with the provisions 

11 of 29 U.S.C. 9a, for the National Agricultural Workers 

12 Survey infrastructure, methodology, and data to meet the 

13 information collection and reporting needs of such entities, 

14 which shall be credited to this appropriation and shall re15 main available until September 30, 2024, for such pur16 poses. 

17 ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND

18 OTHER FUNDS

19 For repayable advances to the Unemployment Trust 

20 Fund as authorized by sections 905(d) and 1203 of the 

21 Social Security Act, and to the Black Lung Disability 

22 Trust Fund as authorized by section 9501(c)(1) of the In23 ternal Revenue Code of 1986; and for nonrepayable ad24 vances to the revolving fund established by section 901(e) 

25 of the Social Security Act, to the Unemployment Trust 


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1 Fund as authorized by 5 U.S.C. 8509, and to the ‘‘Federal 

2 Unemployment Benefits and Allowances’’ account, such 

3 sums as may be necessary, which shall be available for 

4 obligation through September 30, 2024. 

5 PROGRAM ADMINISTRATION

6 For expenses of administering employment and train7 ing programs, $133,287,000, together with not to exceed 

8 $60,128,000 which may be expended from the Employ9 ment Security Administration Account in the Unemploy10 ment Trust Fund. 

11 EMPLOYEE BENEFITS SECURITY ADMINISTRATION

12 SALARIES AND EXPENSES

13 For necessary expenses for the Employee Benefits 

14 Security Administration, $217,761,000, of which up to 

15 $3,000,000 shall be made available through September 30, 

16 2024, for the procurement of expert witnesses for enforce17 ment litigation. 

18 PENSION BENEFIT GUARANTY CORPORATION

19 PENSION BENEFIT GUARANTY CORPORATION FUND

20 The Pension Benefit Guaranty Corporation (‘‘Cor21 poration’’) is authorized to make such expenditures, in22 cluding financial assistance authorized by subtitle E of 

23 title IV of the Employee Retirement Income Security Act 

24 of 1974, within limits of funds and borrowing authority 

25 available to the Corporation, and in accord with law, and 


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1 to make such contracts and commitments without regard 

2 to fiscal year limitations, as provided by 31 U.S.C. 9104, 

3 as may be necessary in carrying out the program, includ4 ing associated administrative expenses, through Sep5 tember 30, 2023, for the Corporation: Provided, That 

6 none of the funds available to the Corporation for fiscal 

7 year 2023 shall be available for obligations for administra8 tive expenses in excess of $493,314,000: Provided further, 

9 That to the extent that the number of new plan partici10 pants in plans terminated by the Corporation exceeds 

11 100,000 in fiscal year 2023, an amount not to exceed an 

12 additional $9,200,000 shall be available through Sep13 tember 30, 2027, for obligations for administrative ex14 penses for every 20,000 additional terminated partici15 pants: Provided further, That obligations in excess of the 

16 amounts provided for administrative expenses in this para17 graph may be incurred and shall be available through Sep18 tember 30, 2027 for obligation for unforeseen and extraor19 dinary pre-termination or termination expenses or extraor20 dinary multiemployer program related expenses after ap21 proval by the Office of Management and Budget and noti22 fication of the Committees on Appropriations of the House 

23 of Representatives and the Senate: Provided further, That 

24 an additional amount shall be available for obligation 

25 through September 30, 2027 to the extent the CorporaVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00022 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 tion’s expenses exceed $250,000 for the provision of credit 

2 or identity monitoring to affected individuals upon suf3 fering a security incident or privacy breach, not to exceed 

4 an additional $100 per affected individual. 

5 WAGE AND HOUR DIVISION

6 SALARIES AND EXPENSES

7 For necessary expenses for the Wage and Hour Divi8 sion, including reimbursement to State, Federal, and local 

9 agencies and their employees for inspection services ren10 dered, $288,120,000. 

11 OFFICE OF LABOR-MANAGEMENT STANDARDS

12 SALARIES AND EXPENSES

13 For necessary expenses for the Office of Labor-Man14 agement Standards, $48,515,000. 

15 OFFICE OF FEDERAL CONTRACT COMPLIANCE

16 PROGRAMS

17 SALARIES AND EXPENSES

18 For necessary expenses for the Office of Federal Con19 tract Compliance Programs, $120,500,000. 

20 OFFICE OF WORKERS’ COMPENSATION PROGRAMS

21 SALARIES AND EXPENSES

22 For necessary expenses for the Office of Workers’ 

23 Compensation Programs, $127,395,000, together with 

24 $2,205,000 which may be expended from the Special Fund 


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1 in accordance with sections 39(c), 44(d), and 44(j) of the 

2 Longshore and Harbor Workers’ Compensation Act. 

3 SPECIAL BENEFITS

4 (INCLUDING TRANSFER OF FUNDS)

5 For the payment of compensation, benefits, and ex6 penses (except administrative expenses not otherwise au7 thorized) accruing during the current or any prior fiscal 

8 year authorized by 5 U.S.C. 81; continuation of benefits 

9 as provided for under the heading ‘‘Civilian War Benefits’’ 

10 in the Federal Security Agency Appropriation Act, 1947; 

11 the Employees’ Compensation Commission Appropriation 

12 Act, 1944; section 5(f) of the War Claims Act (50 U.S.C. 

13 App. 2012); obligations incurred under the War Hazards 

14 Compensation Act (42 U.S.C. 1701 et seq.); and 50 per15 cent of the additional compensation and benefits required 

16 by section 10(h) of the Longshore and Harbor Workers’ 

17 Compensation Act, $250,000,000, together with such 

18 amounts as may be necessary to be charged to the subse19 quent year appropriation for the payment of compensation 

20 and other benefits for any period subsequent to August 

21 15 of the current year, for deposit into and to assume 

22 the attributes of the Employees’ Compensation Fund es23 tablished under 5 U.S.C. 8147(a): Provided, That 

24 amounts appropriated may be used under 5 U.S.C. 8104 

25 by the Secretary to reimburse an employer, who is not the 


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1 employer at the time of injury, for portions of the salary 

2 of a re-employed, disabled beneficiary: Provided further, 

3 That balances of reimbursements unobligated on Sep4 tember 30, 2022, shall remain available until expended for 

5 the payment of compensation, benefits, and expenses: Pro6 vided further, That in addition there shall be transferred 

7 to this appropriation from the Postal Service and from 

8 any other corporation or instrumentality required under 

9 5 U.S.C. 8147(c) to pay an amount for its fair share of 

10 the cost of administration, such sums as the Secretary de11 termines to be the cost of administration for employees 

12 of such fair share entities through September 30, 2023: 

13 Provided further, That of those funds transferred to this 

14 account from the fair share entities to pay the cost of ad15 ministration of the Federal Employees’ Compensation Act, 

16 $81,752,000 shall be made available to the Secretary as 

17 follows: 

18 (1) for enhancement and maintenance of auto19 mated data processing systems operations and tele20 communications systems, $27,727,000; 

21 (2) for automated workload processing oper22 ations, including document imaging, centralized mail 

23 intake, and medical bill processing, $26,125,000; 

24 (3) for periodic roll disability management and 

25 medical review, $26,126,000; 


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1 (4) for program integrity, $1,774,000; and 

2 (5) the remaining funds shall be paid into the 

3 Treasury as miscellaneous receipts: 

4 Provided further, That the Secretary may require that any 

5 person filing a notice of injury or a claim for benefits 

6 under 5 U.S.C. 81, or the Longshore and Harbor Work7 ers’ Compensation Act, provide as part of such notice and 

8 claim, such identifying information (including Social Secu9 rity account number) as such regulations may prescribe. 

10 SPECIAL BENEFITS FOR DISABLED COAL MINERS

11 For carrying out title IV of the Federal Mine Safety 

12 and Health Act of 1977, as amended by Public Law 107– 

13 275, $36,031,000, to remain available until expended. 

14 For making after July 31 of the current fiscal year, 

15 benefit payments to individuals under title IV of such Act, 

16 for costs incurred in the current fiscal year, such amounts 

17 as may be necessary. 

18 For making benefit payments under title IV for the 

19 first quarter of fiscal year 2024, $10,250,000, to remain 

20 available until expended. 

21 ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES

22 OCCUPATIONAL ILLNESS COMPENSATION FUND

23 For necessary expenses to administer the Energy 

24 Employees Occupational Illness Compensation Program 

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1 vided, That the Secretary may require that any person fil2 ing a claim for benefits under the Act provide as part of 

3 such claim such identifying information (including Social 

4 Security account number) as may be prescribed. 

5 BLACK LUNG DISABILITY TRUST FUND

6 (INCLUDING TRANSFER OF FUNDS)

7 Such sums as may be necessary from the Black Lung 

8 Disability Trust Fund (the ‘‘Fund’’), to remain available 

9 until expended, for payment of all benefits authorized by 

10 section 9501(d)(1), (2), (6), and (7) of the Internal Rev11 enue Code of 1986; and repayment of, and payment of 

12 interest on advances, as authorized by section 9501(d)(4) 

13 of that Act. In addition, the following amounts may be 

14 expended from the Fund for fiscal year 2023 for expenses 

15 of operation and administration of the Black Lung Bene16 fits program, as authorized by section 9501(d)(5): not to 

17 exceed $42,194,000 for transfer to the Office of Workers’ 

18 Compensation Programs, ‘‘Salaries and Expenses’’; not to 

19 exceed $38,407,000 for transfer to Departmental Manage20 ment, ‘‘Salaries and Expenses’’; not to exceed $353,000 

21 for transfer to Departmental Management, ‘‘Office of In22 spector General’’; and not to exceed $356,000 for pay23 ments into miscellaneous receipts for the expenses of the 

24 Department of the Treasury. 


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1 OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

2 SALARIES AND EXPENSES

3 For necessary expenses for the Occupational Safety 

4 and Health Administration, $679,809,000, including not 

5 to exceed $121,000,000 which shall be the maximum 

6 amount available for grants to States under section 23(g) 

7 of the Occupational Safety and Health Act (the ‘‘Act’’), 

8 which grants shall be no less than 50 percent of the costs 

9 of State occupational safety and health programs required 

10 to be incurred under plans approved by the Secretary 

11 under section 18 of the Act; and, in addition, notwith12 standing 31 U.S.C. 3302, the Occupational Safety and 

13 Health Administration may retain up to $499,000 per fis14 cal year of training institute course tuition and fees, other15 wise authorized by law to be collected, and may utilize 

16 such sums for occupational safety and health training and 

17 education: Provided, That notwithstanding 31 U.S.C. 

18 3302, the Secretary is authorized, during the fiscal year 

19 ending September 30, 2023, to collect and retain fees for 

20 services provided to Nationally Recognized Testing Lab21 oratories, and may utilize such sums, in accordance with 

22 the provisions of 29 U.S.C. 9a, to administer national and 

23 international laboratory recognition programs that ensure 

24 the safety of equipment and products used by workers in 

25 the workplace: Provided further, That none of the funds 


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1 appropriated under this paragraph shall be obligated or 

2 expended to prescribe, issue, administer, or enforce any 

3 standard, rule, regulation, or order under the Act which 

4 is applicable to any person who is engaged in a farming 

5 operation which does not maintain a temporary labor 

6 camp and employs 10 or fewer employees: Provided fur7 ther, That no funds appropriated under this paragraph 

8 shall be obligated or expended to administer or enforce 

9 any standard, rule, regulation, or order under the Act with 

10 respect to any employer of 10 or fewer employees who is 

11 included within a category having a Days Away, Re12 stricted, or Transferred (‘‘DART’’) occupational injury 

13 and illness rate, at the most precise industrial classifica14 tion code for which such data are published, less than the 

15 national average rate as such rates are most recently pub16 lished by the Secretary, acting through the Bureau of 

17 Labor Statistics, in accordance with section 24 of the Act, 

18 except— 

19 (1) to provide, as authorized by the Act, con20 sultation, technical assistance, educational and train21 ing services, and to conduct surveys and studies; 

22 (2) to conduct an inspection or investigation in 

23 response to an employee complaint, to issue a cita24 tion for violations found during such inspection, and 

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1 rected within a reasonable abatement period and for 

2 any willful violations found; 

3 (3) to take any action authorized by the Act 

4 with respect to imminent dangers; 

5 (4) to take any action authorized by the Act 

6 with respect to health hazards; 

7 (5) to take any action authorized by the Act 

8 with respect to a report of an employment accident 

9 which is fatal to one or more employees or which re10 sults in hospitalization of two or more employees, 

11 and to take any action pursuant to such investiga12 tion authorized by the Act; and 

13 (6) to take any action authorized by the Act 

14 with respect to complaints of discrimination against 

15 employees for exercising rights under the Act: 

16 Provided further, That the foregoing proviso shall not 

17 apply to any person who is engaged in a farming operation 

18 which does not maintain a temporary labor camp and em19 ploys 10 or fewer employees: Provided further, That 

20 $12,787,000 shall be available for Susan Harwood train21 ing grants, of which not more than $6,500,000 is for 

22 Susan Harwood Training Capacity Building Develop23 mental grants, for program activities starting not later 

24 than September 30, 2023 and lasting for a period of 12 


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1 months: Provided further, That not less than $3,500,000 

2 shall be for Voluntary Protection Programs. 

3 MINE SAFETY AND HEALTH ADMINISTRATION

4 SALARIES AND EXPENSES

5 For necessary expenses for the Mine Safety and 

6 Health Administration, $409,551,000, including purchase 

7 and bestowal of certificates and trophies in connection 

8 with mine rescue and first-aid work, and the hire of pas9 senger motor vehicles, including up to $2,000,000 for 

10 mine rescue and recovery activities and not less than 

11 $10,537,000 for State assistance grants: Provided, That 

12 notwithstanding 31 U.S.C. 3302, not to exceed $750,000 

13 may be collected by the National Mine Health and Safety 

14 Academy for room, board, tuition, and the sale of training 

15 materials, otherwise authorized by law to be collected, to 

16 be available for mine safety and health education and 

17 training activities: Provided further, That notwithstanding 

18 31 U.S.C. 3302, the Mine Safety and Health Administra19 tion is authorized to collect and retain up to $2,499,000 

20 from fees collected for the approval and certification of 

21 equipment, materials, and explosives for use in mines, and 

22 may utilize such sums for such activities: Provided further, 

23 That the Secretary is authorized to accept lands, build24 ings, equipment, and other contributions from public and 

25 private sources and to prosecute projects in cooperation 


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1 with other agencies, Federal, State, or private: Provided 

2 further, That the Mine Safety and Health Administration 

3 is authorized to promote health and safety education and 

4 training in the mining community through cooperative 

5 programs with States, industry, and safety associations: 

6 Provided further, That the Secretary is authorized to rec7 ognize the Joseph A. Holmes Safety Association as a prin8 cipal safety association and, notwithstanding any other 

9 provision of law, may provide funds and, with or without 

10 reimbursement, personnel, including service of Mine Safe11 ty and Health Administration officials as officers in local 

12 chapters or in the national organization: Provided further, 

13 That any funds available to the Department of Labor may 

14 be used, with the approval of the Secretary, to provide 

15 for the costs of mine rescue and survival operations in the 

16 event of a major disaster. 

17 BUREAU OF LABOR STATISTICS

18 SALARIES AND EXPENSES

19 For necessary expenses for the Bureau of Labor Sta20 tistics, including advances or reimbursements to State, 

21 Federal, and local agencies and their employees for serv22 ices rendered, $655,454,000, together with not to exceed 

23 $68,000,000 which may be expended from the Employ24 ment Security Administration account in the Unemploy25 ment Trust Fund. 


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1 OFFICE OF DISABILITY EMPLOYMENT POLICY

2 SALARIES AND EXPENSES

3 (INCLUDING TRANSFER OF FUNDS)

4 For necessary expenses for the Office of Disability 

5 Employment Policy to provide leadership, develop policy 

6 and initiatives, and award grants furthering the objective 

7 of eliminating barriers to the training and employment of 

8 people with disabilities, $42,928,000, of which not less 

9 than $9,000,000 shall be for research and demonstration 

10 projects related to testing effective ways to promote great11 er labor force participation of people with disabilities: Pro12 vided, That the Secretary may transfer amounts made 

13 available under this heading for research and demonstra14 tion projects to the ‘‘State Unemployment Insurance and 

15 Employment Service Operations’’ account for such pur16 poses. 

17 DEPARTMENTAL MANAGEMENT

18 SALARIES AND EXPENSES

19 (INCLUDING TRANSFER OF FUNDS)

20 For necessary expenses for Departmental Manage21 ment, including the hire of three passenger motor vehicles, 

22 $429,672,000, together with not to exceed $308,000, 

23 which may be expended from the Employment Security 

24 Administration account in the Unemployment Trust 

25 Fund: Provided, That $83,000,000 for the Bureau of 


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1 International Labor Affairs shall be available for obliga2 tion through December 31, 2023: Provided further, That 

3 funds available to the Bureau of International Labor Af4 fairs may be used to administer or operate international 

5 labor activities, bilateral and multilateral technical assist6 ance, and microfinance programs, by or through contracts, 

7 grants, subgrants and other arrangements: Provided fur8 ther, That not less than $30,175,000 shall be for programs 

9 to combat exploitative child labor internationally and not 

10 less than $30,175,000 shall be used to implement model 

11 programs that address worker rights issues through tech12 nical assistance in countries with which the United States 

13 has free trade agreements or trade preference programs: 

14 Provided further, That the Secretary may waive the appli15 cation of section 505 of this Act to awards made from 

16 funds available to the Bureau of International Labor Af17 fairs if the Secretary determines that the waiver is nec18 essary to protect human health, safety or welfare: Pro19 vided further, That $9,564,000 shall be used for program 

20 evaluation and shall be available for obligation through 

21 September 30, 2024: Provided further, That funds avail22 able for program evaluation may be used to administer 

23 grants for the purpose of evaluation: Provided further, 

24 That grants made for the purpose of evaluation shall be 

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1 ther, That funds available for program evaluation may be 

2 transferred to any other appropriate account in the De3 partment for such purpose: Provided further, That the 

4 Committees on Appropriations of the House of Represent5 atives and the Senate are notified at least 15 days in ad6 vance of any transfer: Provided further, That the funds 

7 available to the Women’s Bureau may be used for grants 

8 to serve and promote the interests of women in the work9 force: Provided further, That of the amounts made avail10 able to the Women’s Bureau, not less than $2,500,000 

11 shall be used for grants authorized by the Women in Ap12 prenticeship and Nontraditional Occupations Act. 

13 VETERANS’ EMPLOYMENT AND TRAINING

14 Not to exceed $267,841,000 may be derived from the 

15 Employment Security Administration account in the Un16 employment Trust Fund to carry out the provisions of 

17 chapters 41, 42, and 43 of title 38, United States Code, 

18 of which— 

19 (1) $183,000,000 is for Jobs for Veterans State 

20 grants under 38 U.S.C. 4102A(b)(5) to support dis21 abled veterans’ outreach program specialists under 

22 section 4103A of such title and local veterans’ em23 ployment representatives under section 4104(b) of 

24 such title, and for the expenses described in section 

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1 iture by the States through September 30, 2025, 

2 and not to exceed 3 percent for the necessary Fed3 eral expenditures for data systems and contract sup4 port to allow for the tracking of participant and per5 formance information: Provided, That, in addition, 

6 such funds may be used to support such specialists 

7 and representatives in the provision of services to 

8 transitioning members of the Armed Forces who 

9 have participated in the Transition Assistance Pro10 gram and have been identified as in need of inten11 sive services, to members of the Armed Forces who 

12 are wounded, ill, or injured and receiving treatment 

13 in military treatment facilities or warrior transition 

14 units, and to the spouses or other family caregivers 

15 of such wounded, ill, or injured members; 

16 (2) $33,379,000 is for carrying out the Transi17 tion Assistance Program under 38 U.S.C. 4113 and 

18 10 U.S.C. 1144; 

19 (3) $48,048,000 is for Federal administration 

20 of chapters 41, 42, and 43 of title 38, and sections 

21 2021, 2021A and 2023 of title 38, United States 

22 Code: Provided, That, up to $500,000 may be used 

23 to carry out the Hire VETS Act (division O of Pub24 lic Law 115–31); and 


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1 (4) $3,414,000 is for the National Veterans’ 

2 Employment and Training Services Institute under 

3 38 U.S.C. 4109: 

4 Provided, That the Secretary may reallocate among the 

5 appropriations provided under paragraphs (1) through (4) 

6 above an amount not to exceed 3 percent of the appropria7 tion from which such reallocation is made. 

8 In addition, from the General Fund of the Treasury, 

9 $64,500,000 is for carrying out programs to assist home10 less veterans and veterans at risk of homelessness who are 

11 transitioning from certain institutions under sections 

12 2021, 2021A, and 2023 of title 38, United States Code: 

13 Provided, That notwithstanding subsections (c)(3) and (d) 

14 of section 2023, the Secretary may award grants through 

15 September 30, 2023, to provide services under such sec16 tion: Provided further, That services provided under sec17 tions 2021 or under 2021A may include, in addition to 

18 services to homeless veterans described in section 

19 2002(a)(1), services to veterans who were homeless at 

20 some point within the 60 days prior to program entry or 

21 veterans who are at risk of homelessness within the next 

22 60 days, and that services provided under section 2023 

23 may include, in addition to services to the individuals de24 scribed in subsection (e) of such section, services to vet25 erans recently released from incarceration who are at risk 


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1 of homelessness: Provided further, That notwithstanding 

2 paragraph (3) under this heading, funds appropriated in 

3 this paragraph may be used for data systems and contract 

4 support to allow for the tracking of participant and per5 formance information: Provided further, That notwith6 standing sections 2021(e)(2) and 2021A(f)(2) of title 38, 

7 United States Code, such funds shall be available for ex8 penditure pursuant to 31 U.S.C. 1553. 

9 In addition, fees may be assessed and deposited in 

10 the HIRE Vets Medallion Award Fund pursuant to sec11 tion 5(b) of the HIRE Vets Act, and such amounts shall 

12 be available to the Secretary to carry out the HIRE Vets 

13 Medallion Award Program, as authorized by such Act, and 

14 shall remain available until expended: Provided, That such 

15 sums shall be in addition to any other funds available for 

16 such purposes, including funds available under paragraph 

17 (3) of this heading: Provided further, That section 2(d) 

18 of division O of the Consolidated Appropriations Act, 2017 

19 (Public Law 115–31; 38 U.S.C. 4100 note) shall not 

20 apply. 

21 IT MODERNIZATION

22 For necessary expenses for Department of Labor cen23 tralized infrastructure technology investment activities re24 lated to support systems and modernization, $33,380,000, 

25 which shall be available through September 30, 2024. 


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1 OFFICE OF INSPECTOR GENERAL

2 For salaries and expenses of the Office of Inspector 

3 General in carrying out the provisions of the Inspector 

4 General Act of 1978, $96,757,000, together with not to 

5 exceed $5,660,000 which may be expended from the Em6 ployment Security Administration account in the Unem7 ployment Trust Fund: Provided, That not more than 

8 $2,000,000 of the amount provided under this heading 

9 may be available until expended. 

10 GENERAL PROVISIONS

11 SEC. 101. None of the funds appropriated by this Act 

12 for the Job Corps shall be used to pay the salary and bo13 nuses of an individual, either as direct costs or any prora14 tion as an indirect cost, at a rate in excess of Executive 

15 Level II. 

16 (TRANSFER OF FUNDS)

17 SEC. 102. Not to exceed 1 percent of any discre18 tionary funds (pursuant to the Balanced Budget and 

19 Emergency Deficit Control Act of 1985) which are appro20 priated for the current fiscal year for the Department of 

21 Labor in this Act may be transferred between a program, 

22 project, or activity, but no such program, project, or activ23 ity shall be increased by more than 3 percent by any such 

24 transfer: Provided, That the transfer authority granted by 

25 this section shall not be used to create any new program 


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1 or to fund any project or activity for which no funds are 

2 provided in this Act: Provided further, That the Commit3 tees on Appropriations of the House of Representatives 

4 and the Senate are notified at least 15 days in advance 

5 of any transfer. 

6 SEC. 103. In accordance with Executive Order 

7 13126, none of the funds appropriated or otherwise made 

8 available pursuant to this Act shall be obligated or ex9 pended for the procurement of goods mined, produced, 

10 manufactured, or harvested or services rendered, in whole 

11 or in part, by forced or indentured child labor in industries 

12 and host countries already identified by the United States 

13 Department of Labor prior to enactment of this Act. 

14 SEC. 104. Except as otherwise provided in this sec15 tion, none of the funds made available to the Department 

16 of Labor for grants under section 414(c) of the American 

17 Competitiveness and Workforce Improvement Act of 1998 

18 (29 U.S.C. 2916a) may be used for any purpose other 

19 than competitive grants for training individuals who are 

20 older than 16 years of age and are not currently enrolled 

21 in school within a local educational agency in the occupa22 tions and industries for which employers are using H–1B 

23 visas to hire foreign workers, and the related activities 

24 necessary to support such training. 


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1 SEC. 105. None of the funds made available by this 

2 Act under the heading ‘‘Employment and Training Ad3 ministration’’ shall be used by a recipient or subrecipient 

4 of such funds to pay the salary and bonuses of an indi5 vidual, either as direct costs or indirect costs, at a rate 

6 in excess of Executive Level II. This limitation shall not 

7 apply to vendors providing goods and services as defined 

8 in Office of Management and Budget Circular A–133. 

9 Where States are recipients of such funds, States may es10 tablish a lower limit for salaries and bonuses of those re11 ceiving salaries and bonuses from subrecipients of such 

12 funds, taking into account factors including the relative 

13 cost-of-living in the State, the compensation levels for 

14 comparable State or local government employees, and the 

15 size of the organizations that administer Federal pro16 grams involved including Employment and Training Ad17 ministration programs. 

18 (TRANSFER OF FUNDS)

19 SEC. 106. (a) Notwithstanding section 102, the Sec20 retary may transfer funds made available to the Employ21 ment and Training Administration by this Act, either di22 rectly or through a set-aside, for technical assistance serv23 ices to grantees to ‘‘Program Administration’’ when it is 

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1 formed by Federal employees: Provided, That this section 

2 shall not apply to section 171 of the WIOA. 

3 (b) Notwithstanding section 102, the Secretary may 

4 transfer not more than 0.5 percent of each discretionary 

5 appropriation made available to the Employment and 

6 Training Administration by this Act to ‘‘Program Admin7 istration’’ in order to carry out program integrity activities 

8 that lead to a reduction in improper payments or prevent 

9 the unauthorized use of funds in any of the programs or 

10 activities that are funded under any such discretionary ap11 propriations: Provided, That notwithstanding section 102 

12 and the preceding proviso, the Secretary may transfer not 

13 more than 0.5 percent of funds made available in para14 graphs (1) and (2) of the ‘‘Office of Job Corps’’ account 

15 to paragraph (3) of such account to carry out program 

16 integrity activities that lead to a reduction in improper 

17 payments or prevent the unauthorized use of funds in the 

18 Job Corps program: Provided further, That funds trans19 ferred under this subsection shall be available to the Sec20 retary to carry out program integrity activities directly or 

21 through grants, cooperative agreements, contracts and 

22 other arrangements with States and other appropriate en23 tities: Provided further, That funds transferred under the 

24 authority provided by this subsection shall be available for 

25 obligation through September 30, 2024. 


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1 (TRANSFER OF FUNDS)

2 SEC. 107. (a) The Secretary may reserve not more 

3 than 0.75 percent from each appropriation made available 

4 in this Act identified in subsection (b) in order to carry 

5 out evaluations of any of the programs or activities that 

6 are funded under such accounts. Any funds reserved under 

7 this section shall be transferred to ‘‘Departmental Man8 agement’’ for use by the Office of the Chief Evaluation 

9 Officer within the Department of Labor, and shall be 

10 available for obligation through September 30, 2024: Pro11 vided, That such funds shall only be available if the Chief 

12 Evaluation Officer of the Department of Labor submits 

13 a plan to the Committees on Appropriations of the House 

14 of Representatives and the Senate describing the evalua15 tions to be carried out 15 days in advance of any transfer. 

16 (b) The accounts referred to in subsection (a) are: 

17 ‘‘Training and Employment Services’’, ‘‘Job Corps’’, 

18 ‘‘Community Service Employment for Older Americans’’, 

19 ‘‘State Unemployment Insurance and Employment Service 

20 Operations’’, ‘‘Employee Benefits Security Administra21 tion’’, ‘‘Office of Workers’ Compensation Programs’’, 

22 ‘‘Wage and Hour Division’’, ‘‘Office of Federal Contract 

23 Compliance Programs’’, ‘‘Office of Labor Management 

24 Standards’’, ‘‘Occupational Safety and Health Adminis25 tration’’, ‘‘Mine Safety and Health Administration’’, ‘‘OfVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00043 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 fice of Disability Employment Policy’’, funding made 

2 available to the ‘‘Bureau of International Labor Affairs’’ 

3 and ‘‘Women’s Bureau’’ within the ‘‘Departmental Man4 agement, Salaries and Expenses’’ account, and ‘‘Veterans’ 

5 Employment and Training’’. 

6 SEC. 108. (a) Section 7 of the Fair Labor Standards 

7 Act of 1938 (29 U.S.C. 207) shall be applied as if the 

8 following text is part of such section: 

9 ‘‘(s)(1) The provisions of this section shall not apply 

10 for a period of 2 years after the occurrence of a major 

11 disaster to any employee— 

12 ‘‘(A) employed to adjust or evaluate claims re13 sulting from or relating to such major disaster, by 

14 an employer not engaged, directly or through an af15 filiate, in underwriting, selling, or marketing prop16 erty, casualty, or liability insurance policies or con17 tracts; 

18 ‘‘(B) who receives from such employer on aver19 age weekly compensation of not less than $591.00 

20 per week or any minimum weekly amount estab21 lished by the Secretary, whichever is greater, for the 

22 number of weeks such employee is engaged in any 

23 of the activities described in subparagraph (C); and 

24 ‘‘(C) whose duties include any of the following: 


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1 ‘‘(i) interviewing insured individuals, indi2 viduals who suffered injuries or other damages 

3 or losses arising from or relating to a disaster, 

4 witnesses, or physicians; 

5 ‘‘(ii) inspecting property damage or review6 ing factual information to prepare damage esti7 mates; 

8 ‘‘(iii) evaluating and making recommenda9 tions regarding coverage or compensability of 

10 claims or determining liability or value aspects 

11 of claims; 

12 ‘‘(iv) negotiating settlements; or 

13 ‘‘(v) making recommendations regarding 

14 litigation. 

15 ‘‘(2) The exemption in this subsection shall not affect 

16 the exemption provided by section 13(a)(1). 

17 ‘‘(3) For purposes of this subsection— 

18 ‘‘(A) the term ‘major disaster’ means any dis19 aster or catastrophe declared or designated by any 

20 State or Federal agency or department; 

21 ‘‘(B) the term ‘employee employed to adjust or 

22 evaluate claims resulting from or relating to such 

23 major disaster’ means an individual who timely se24 cured or secures a license required by applicable law 

25 to engage in and perform the activities described in 


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1 clauses (i) through (v) of paragraph (1)(C) relating 

2 to a major disaster, and is employed by an employer 

3 that maintains worker compensation insurance cov4 erage or protection for its employees, if required by 

5 applicable law, and withholds applicable Federal, 

6 State, and local income and payroll taxes from the 

7 wages, salaries and any benefits of such employees; 

8 and 

9 ‘‘(C) the term ‘affiliate’ means a company that, 

10 by reason of ownership or control of 25 percent or 

11 more of the outstanding shares of any class of voting 

12 securities of one or more companies, directly or indi13 rectly, controls, is controlled by, or is under common 

14 control with, another company.’’. 

15 (b) This section shall be effective on the date of en16 actment of this Act. 

17 SEC. 109. (a) FLEXIBILITY WITH RESPECT TO THE

18 CROSSING OF H–2B NONIMMIGRANTS WORKING IN THE

19 SEAFOOD INDUSTRY.— 

20 (1) IN GENERAL.—Subject to paragraph (2), if 

21 a petition for H–2B nonimmigrants filed by an em22 ployer in the seafood industry is granted, the em23 ployer may bring the nonimmigrants described in 

24 the petition into the United States at any time dur25 ing the 120-day period beginning on the start date 


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1 for which the employer is seeking the services of the 

2 nonimmigrants without filing another petition. 

3 (2) REQUIREMENTS FOR CROSSINGS AFTER

4 90TH DAY.—An employer in the seafood industry 

5 may not bring H–2B nonimmigrants into the United 

6 States after the date that is 90 days after the start 

7 date for which the employer is seeking the services 

8 of the nonimmigrants unless the employer— 

9 (A) completes a new assessment of the 

10 local labor market by— 

11 (i) listing job orders in local news12 papers on 2 separate Sundays; and 

13 (ii) posting the job opportunity on the 

14 appropriate Department of Labor Elec15 tronic Job Registry and at the employer’s 

16 place of employment; and 

17 (B) offers the job to an equally or better 

18 qualified United States worker who— 

19 (i) applies for the job; and 

20 (ii) will be available at the time and 

21 place of need. 

22 (3) EXEMPTION FROM RULES WITH RESPECT

23 TO STAGGERING.—The Secretary of Labor shall not 

24 consider an employer in the seafood industry who 

25 brings H–2B nonimmigrants into the United States 


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1 during the 120-day period specified in paragraph (1) 

2 to be staggering the date of need in violation of sec3 tion 655.20(d) of title 20, Code of Federal Regula4 tions, or any other applicable provision of law. 

5 (b) H–2B NONIMMIGRANTS DEFINED.—In this sec6 tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad7 mitted to the United States pursuant to section 

8 101(a)(15)(H)(ii)(B) of the Immigration and Nationality 

9 Act (8 U.S.C. 1101(a)(15)(H)(ii)(B)). 

10 SEC. 110. The determination of prevailing wage for 

11 the purposes of the H–2B program shall be the greater 

12 of—(1) the actual wage level paid by the employer to other 

13 employees with similar experience and qualifications for 

14 such position in the same location; or (2) the prevailing 

15 wage level for the occupational classification of the posi16 tion in the geographic area in which the H–2B non17 immigrant will be employed, based on the best information 

18 available at the time of filing the petition. In the deter19 mination of prevailing wage for the purposes of the H– 

20 2B program, the Secretary shall accept private wage sur21 veys even in instances where Occupational Employment 

22 Statistics survey data are available unless the Secretary 

23 determines that the methodology and data in the provided 

24 survey are not statistically supported. 


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1 SEC. 111. None of the funds in this Act shall be used 

2 to enforce the definition of corresponding employment 

3 found in 20 CFR 655.5 or the three-fourths guarantee 

4 rule definition found in 20 CFR 655.20, or any references 

5 thereto. Further, for the purpose of regulating admission 

6 of temporary workers under the H–2B program, the defi7 nition of temporary need shall be that provided in 8 CFR 

8 214.2(h)(6)(ii)(B). 

9 SEC. 112. Notwithstanding any other provision of 

10 law, the Secretary may furnish through grants, coopera11 tive agreements, contracts, and other arrangements, up to 

12 $2,000,000 of excess personal property, at a value deter13 mined by the Secretary, to apprenticeship programs for 

14 the purpose of training apprentices in those programs. 

15 SEC. 113. (a) The Act entitled ‘‘An Act to create a 

16 Department of Labor’’, approved March 4, 1913 (37 Stat. 

17 736, chapter 141) shall be applied as if the following text 

18 is part of such Act: 

19 ‘‘SEC. 12. SECURITY DETAIL. 

20 ‘‘(a) IN GENERAL.—The Secretary of Labor is au21 thorized to employ law enforcement officers or special 

22 agents to— 

23 ‘‘(1) provide protection for the Secretary of 

24 Labor during the workday of the Secretary and dur25 ing any activity that is preliminary or postliminary 


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1 to the performance of official duties by the Sec2 retary; 

3 ‘‘(2) provide protection, incidental to the protec4 tion provided to the Secretary, to a member of the 

5 immediate family of the Secretary who is partici6 pating in an activity or event relating to the official 

7 duties of the Secretary; 

8 ‘‘(3) provide continuous protection to the Sec9 retary (including during periods not described in 

10 paragraph (1)) and to the members of the imme11 diate family of the Secretary if there is a significant 

12 and articulable threat of physical harm, in accord13 ance with guidelines established by the Secretary; 

14 and 

15 ‘‘(4) provide protection to the Deputy Secretary 

16 of Labor in the performance of official duties at a 

17 public event outside of the United States if there is 

18 a significant and articulable threat of physical harm 

19 and protective services are not provided as part of 

20 an official U.S. visit. 

21 ‘‘(b) AUTHORITIES.—The Secretary of Labor may 

22 authorize a law enforcement officer or special agent em23 ployed under subsection (a), for the purpose of performing 

24 the duties authorized under subsection (a), to— 

25 ‘‘(1) carry firearms; 


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1 ‘‘(2) make arrests without a warrant for any of2 fense against the United States committed in the 

3 presence of such officer or special agent; 

4 ‘‘(3) perform protective intelligence work, in5 cluding identifying and mitigating potential threats 

6 and conducting advance work to review security mat7 ters relating to sites and events; 

8 ‘‘(4) coordinate with local law enforcement 

9 agencies; and 

10 ‘‘(5) initiate criminal and other investigations 

11 into potential threats to the security of the Sec12 retary, in coordination with the Inspector General of 

13 the Department of Labor. 

14 ‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en15 forcement officer or special agent employed under sub16 section (a) shall exercise any authority provided under this 

17 section in accordance with any— 

18 ‘‘(1) guidelines issued by the Attorney General; 

19 and 

20 ‘‘(2) guidelines prescribed by the Secretary of 

21 Labor.’’. 

22 (b) This section shall be effective on the date of en23 actment of this Act. 

24 SEC. 114. The Secretary is authorized to dispose of 

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1 priate, including an agreement or partnership to construct 

2 a new Job Corps center, all or a portion of the real prop3 erty on which the Treasure Island Job Corps Center is 

4 situated. Any sale or other disposition will not be subject 

5 to any requirement of any Federal law or regulation relat6 ing to the disposition of Federal real property, including 

7 but not limited to subchapter III of chapter 5 of title 40 

8 of the United States Code and subchapter V of chapter 

9 119 of title 42 of the United States Code. The net pro10 ceeds of such a sale shall be transferred to the Secretary, 

11 which shall be available until expended to carry out the 

12 Job Corps Program on Treasure Island. 

13 SEC. 115. None of the funds made available by this 

14 Act may be used to— 

15 (1) alter or terminate the Interagency Agree16 ment between the United States Department of 

17 Labor and the United States Department of Agri18 culture; or 

19 (2) close any of the Civilian Conservation Cen20 ters, except if such closure is necessary to prevent 

21 the endangerment of the health and safety of the 

22 students, the capacity of the program is retained, 

23 and the requirements of section 159(j) of the WIOA 

24 are met. 


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1 (RESCISSION)

2 SEC. 116. Of the unobligated funds available under 

3 section 286(s)(2) of the Immigration and Nationality Act 

4 (8 U.S.C. 1356(s)(2)), $60,000,000 are hereby perma5 nently rescinded. 

6 SEC. 117. Funds made available to the Employment 

7 and Training Administration by this Act, either directly 

8 or through a set-aside, to provide technical assistance 

9 services to grantees may also be used by the Employment 

10 and Training Administration to assist in the establishment 

11 and operation of workforce development technical assist12 ance centers, through grants, contracts, or cooperative 

13 agreements, to provide technical assistance relating to any 

14 of the activities administered by the Employment and 

15 Training Administration. 

16 This title may be cited as the‘‘Department of Labor 

17 Appropriations Act, 2023’’. 


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1 TITLE II 

2 DEPARTMENT OF HEALTH AND HUMAN 

3 SERVICES 

4 HEALTH RESOURCES AND SERVICES ADMINISTRATION

5 PRIMARY HEALTH CARE

6 For carrying out titles II and III of the Public Health 

7 Service Act (referred to in this Act as the ‘‘PHS Act’’) 

8 with respect to primary health care and the Native Hawai9 ian Health Care Act of 1988, $1,918,772,000: Provided, 

10 That no more than $1,000,000 shall be available until ex11 pended for carrying out the provisions of section 224(o) 

12 of the PHS Act: Provided further, That no more than 

13 $120,000,000 shall be available until expended for car14 rying out subsections (g) through (n) and (q) of section 

15 224 of the PHS Act, and for expenses incurred by the 

16 Department of Health and Human Services (referred to 

17 in this Act as ‘‘HHS’’) pertaining to administrative claims 

18 made under such law. 

19 HEALTH WORKFORCE

20 For carrying out titles III, VII, and VIII of the PHS 

21 Act with respect to the health workforce, sections 1128E 

22 and 1921 of the Social Security Act, and the Health Care 

23 Quality Improvement Act of 1986, $1,515,876,000: Pro24 vided, That section 751(j)(2) of the PHS Act and the pro25 portional funding amounts in paragraphs (1) through (4) 


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1 of section 756(f) of the PHS Act shall not apply to funds 

2 made available under this heading: Provided further, That 

3 for any program operating under section 751 of the PHS 

4 Act on or before January 1, 2009, the Secretary of Health 

5 and Human Services (referred to in this title as the ‘‘Sec6 retary’’) may hereafter waive any of the requirements con7 tained in sections 751(d)(2)(A) and 751(d)(2)(B) of such 

8 Act for the full project period of a grant under such sec9 tion: Provided further, That fees collected for the disclo10 sure of information under section 427(b) of the Health 

11 Care Quality Improvement Act of 1986 and sections 

12 1128E(d)(2) and 1921 of the Social Security Act shall be 

13 sufficient to recover the full costs of operating the pro14 grams authorized by such sections and shall remain avail15 able until expended for the National Practitioner Data 

16 Bank: Provided further, That funds transferred to this ac17 count to carry out section 846 and subpart 3 of part D 

18 of title III of the PHS Act may be used to make prior 

19 year adjustments to awards made under such section and 

20 subpart: Provided further, That $135,600,000 shall re21 main available until expended for the purposes of pro22 viding primary health services, assigning National Health 

23 Service Corps (‘‘NHSC’’) members to expand the delivery 

24 of substance use disorder treatment services, notwith25 standing the assignment priorities and limitations under 


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1 sections 333(a)(1)(D), 333(b), and 333A(a)(1)(B)(ii) of 

2 the PHS Act, and making payments under the NHSC 

3 Loan Repayment Program under section 338B of such 

4 Act: Provided further, That, within the amount made 

5 available in the previous proviso, $15,600,000 shall re6 main available until expended for the purposes of making 

7 payments under the NHSC Loan Repayment Program 

8 under section 338B of the PHS Act to individuals partici9 pating in such program who provide primary health serv10 ices in Indian Health Service facilities, Tribally-Operated 

11 638 Health Programs, and Urban Indian Health Pro12 grams (as those terms are defined by the Secretary), not13 withstanding the assignment priorities and limitations 

14 under section 333(b) of such Act: Provided further, That 

15 for purposes of the previous two provisos, section 

16 331(a)(3)(D) of the PHS Act shall be applied as if the 

17 term ‘‘primary health services’’ includes clinical substance 

18 use disorder treatment services, including those provided 

19 by masters level, licensed substance use disorder treat20 ment counselors: Provided further, That of the funds made 

21 available under this heading, $6,000,000 shall be available 

22 to make grants to establish, expand, or maintain optional 

23 community-based nurse practitioner fellowship programs 

24 that are accredited or in the accreditation process, with 

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1 ters, for practicing postgraduate nurse practitioners in 

2 primary care or behavioral health: Provided further, That 

3 of the funds made available under this heading, 

4 $15,000,000 shall remain available until expended for ac5 tivities under section 775 of the PHS Act: Provided fur6 ther, That the United States may recover liquidated dam7 ages in an amount determined by the formula under sec8 tion 338E(c)(1) of the PHS Act if an individual either 

9 fails to begin or complete the service obligated by a con10 tract under section 775(b) of the PHS Act: Provided fur11 ther, That for purposes of section 775(c)(1) of the PHS 

12 Act, the Secretary may include other mental and behav13 ioral health disciplines as the Secretary deems appro14 priate: Provided further, That the Secretary may termi15 nate a contract entered into under section 775 of the PHS 

16 Act in the same manner articulated in section 206 of this 

17 title for fiscal year 2023 contracts entered into under sec18 tion 338B of the PHS Act. 

19 Of the funds made available under this heading, 

20 $55,000,000 shall remain available until expended for 

21 grants to public institutions of higher education to expand 

22 or support graduate education for physicians provided by 

23 such institutions: Provided, That, in awarding such 

24 grants, the Secretary shall give priority to public institu25 tions of higher education located in States with a projected 


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1 primary care provider shortage in 2026, as determined by 

2 the Secretary: Provided further, That grants so awarded 

3 are limited to such public institutions of higher education 

4 in States in the top quintile of States with a projected 

5 primary care provider shortage in 2026, as determined by 

6 the Secretary: Provided further, That the minimum 

7 amount of a grant so awarded to such an institution shall 

8 be not less than $1,000,000 per year: Provided further, 

9 That such a grant may be awarded for a period not to 

10 exceed 5 years: Provided further, That such a grant award11 ed with respect to a year to such an institution shall be 

12 subject to a matching requirement of non-Federal funds 

13 in an amount that is not less than 10 percent of the total 

14 amount of Federal funds provided in the grant to such 

15 institution with respect to such year. 

16 MATERNAL AND CHILD HEALTH

17 For carrying out titles III, XI, XII, and XIX of the 

18 PHS Act with respect to maternal and child health and 

19 title V of the Social Security Act, $1,251,284,000: Pro20 vided, That notwithstanding sections 502(a)(1) and 

21 502(b)(1) of the Social Security Act, not more than 

22 $342,116,000 shall be available for carrying out special 

23 projects of regional and national significance pursuant to 

24 section 501(a)(2) of such Act and $10,276,000 shall be 


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1 available for projects described in subparagraphs (A) 

2 through (F) of section 501(a)(3) of such Act. 

3 RYAN WHITE HIV/AIDS PROGRAM

4 For carrying out title XXVI of the PHS Act with 

5 respect to the Ryan White HIV/AIDS program, 

6 $2,630,306,000, of which $2,014,698,000 shall remain 

7 available to the Secretary through September 30, 2025, 

8 for parts A and B of title XXVI of the PHS Act, and 

9 of which not less than $900,313,000 shall be for State 

10 AIDS Drug Assistance Programs under the authority of 

11 section 2616 or 311(c) of such Act; and of which 

12 $260,000,000, to remain available until expended, shall be 

13 available to the Secretary for carrying out a program of 

14 grants and contracts under title XXVI or section 311(c) 

15 of such Act focused on ending the nationwide HIV/AIDS 

16 epidemic, with any grants issued under such section 

17 311(c) administered in conjunction with title XXVI of the 

18 PHS Act, including the limitation on administrative ex19 penses. 

20 HEALTH CARE SYSTEMS

21 For carrying out titles III and XII of the PHS Act 

22 with respect to health care systems, and the Stem Cell 

23 Therapeutic and Research Act of 2005, $139,093,000, of 

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1 ties-related expenses of the National Hansen’s Disease 

2 Program. 

3 RURAL HEALTH

4 For carrying out titles III and IV of the PHS Act 

5 with respect to rural health, section 427(a) of the Federal 

6 Coal Mine Health and Safety Act of 1969, and sections 

7 711 and 1820 of the Social Security Act, $392,137,000, 

8 of which $62,277,000 from general revenues, notwith9 standing section 1820(j) of the Social Security Act, shall 

10 be available for carrying out the Medicare rural hospital 

11 flexibility grants program: Provided, That of the funds 

12 made available under this heading for Medicare rural hos13 pital flexibility grants, $20,942,000 shall be available for 

14 the Small Rural Hospital Improvement Grant Program 

15 for quality improvement and adoption of health informa16 tion technology, up to $5,000,000 shall be available to es17 tablish by grant to public or non-profit private entities the 

18 Rural Emergency Hospital Technical Assistance Program, 

19 and up to $1,000,000 shall be to carry out section 

20 1820(g)(6) of the Social Security Act, with funds provided 

21 for grants under section 1820(g)(6) available for the pur22 chase and implementation of telehealth services, including 

23 pilots and demonstrations on the use of electronic health 

24 records to coordinate rural veterans care between rural 

25 providers and the Department of Veterans Affairs elecVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00060 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 tronic health record system: Provided further, That not2 withstanding section 338J(k) of the PHS Act, 

3 $12,500,000 shall be available for State Offices of Rural 

4 Health: Provided further, That $12,500,000 shall remain 

5 available through September 30, 2025, to support the 

6 Rural Residency Development Program: Provided further, 

7 That $145,000,000 shall be for the Rural Communities 

8 Opioids Response Program. 

9 FAMILY PLANNING

10 For carrying out the program under title X of the 

11 PHS Act to provide for voluntary family planning 

12 projects, $512,000,000: Provided, That amounts provided 

13 to said projects under such title shall not be expended for 

14 abortions, that all pregnancy counseling shall be nondirec15 tive, and that such amounts shall not be expended for any 

16 activity (including the publication or distribution of lit17 erature) that in any way tends to promote public support 

18 or opposition to any legislative proposal or candidate for 

19 public office: Provided further, That all entities funded 

20 under this heading shall provide clinical services consistent 

21 with nationally recognized clinical standards: Provided fur22 ther, That projects funded under section 1001 of the PHS 

23 Act shall provide the full range of contraceptive products 

24 approved by the Food and Drug Administration: Provided 

25 further, That all patients served under title X of the PHS 


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1 Act with a positive pregnancy test shall be given the op2 portunity to be provided information and counseling re3 garding: (1) prenatal care and delivery; (2) infant care, 

4 foster care, and adoption; and (3) pregnancy termination: 

5 Provided further, That if such a patient requests informa6 tion specified in the preceding proviso, such patient shall 

7 be provided with neutral, factual information consistent 

8 with nationally recognized clinical standards and nondirec9 tive counseling on each such option, including upon re10 quest of a patient a referral to medical providers for the 

11 purposes of terminating a pregnancy: Provided further, 

12 That no information shall be provided under the preceding 

13 proviso, with respect to any option about which the patient 

14 indicates no interest in receiving such information and 

15 counseling. 

16 PROGRAM MANAGEMENT

17 For program support in the Health Resources and 

18 Services Administration, $1,029,152,000: Provided, That 

19 funds made available under this heading may be used to 

20 supplement program support funding provided under the 

21 headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 

22 ‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 

23 Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’: 

24 Provided further, That of the amount made available 

25 under this heading, $860,181,0000 shall be used for the 


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1 projects financing the construction and renovation (includ2 ing equipment) of health care and other facilities, and for 

3 the projects financing one-time grants that support 

4 health-related activities, including training and informa5 tion technology, and in the amounts specified in the table 

6 titled ‘‘Congressionally Directed Spending Items’’ in the 

7 explanatory statement accompanying this Act: Provided 

8 further, That none of the funds made available for projects 

9 described in the two preceding provisos shall be subject 

10 to section 241 of the PHS Act or section 205 of this Act. 

11 VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

12 For payments from the Vaccine Injury Compensation 

13 Program Trust Fund (the ‘‘Trust Fund’’), such sums as 

14 may be necessary for claims associated with vaccine-re15 lated injury or death with respect to vaccines administered 

16 after September 30, 1988, pursuant to subtitle 2 of title 

17 XXI of the PHS Act, to remain available until expended: 

18 Provided, That for necessary administrative expenses, not 

19 to exceed $20,200,000 shall be available from the Trust 

20 Fund to the Secretary. 

21 COVERED COUNTERMEASURES PROCESS FUND

22 For carrying out section 319F–4 of the PHS Act, 

23 $7,000,000, to remain available until expended. 


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1 CENTERS FOR DISEASE CONTROL AND PREVENTION

2 IMMUNIZATION AND RESPIRATORY DISEASES

3 For carrying out titles II, III, XVII, and XXI, and 

4 section 2821 of the PHS Act, titles II and IV of the Immi5 gration and Nationality Act, and section 501 of the Ref6 ugee Education Assistance Act, with respect to immuniza7 tion and respiratory diseases, $698,780,000. 

8 HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED

9 DISEASES, AND TUBERCULOSIS PREVENTION

10 For carrying out titles II, III, XVII, and XXIII of 

11 the PHS Act with respect to HIV/AIDS, viral hepatitis, 

12 sexually transmitted diseases, and tuberculosis prevention, 

13 $1,461,556,000. 

14 EMERGING AND ZOONOTIC INFECTIOUS DISEASES

15 For carrying out titles II, III, and XVII, and section 

16 2821 of the PHS Act, titles II and IV of the Immigration 

17 and Nationality Act, and section 501 of the Refugee Edu18 cation Assistance Act, with respect to emerging and 

19 zoonotic infectious diseases, $741,772,000: Provided, That 

20 of the amounts made available under this heading, up to 

21 $1,000,000 shall remain available until expended to pay 

22 for the transportation, medical care, treatment, and other 

23 related costs of persons quarantined or isolated under 

24 Federal or State quarantine law. 


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1 CHRONIC DISEASE PREVENTION AND HEALTH

2 PROMOTION

3 For carrying out titles II, III, XI, XV, XVII, and 

4 XIX of the PHS Act with respect to chronic disease pre5 vention and health promotion, $1,340,464,000: Provided, 

6 That funds made available under this heading may be 

7 available for making grants under section 1509 of the 

8 PHS Act for not less than 21 States, Tribes, or Tribal 

9 organizations: Provided further, That of the funds made 

10 available under this heading, $16,500,000 shall be avail11 able to continue and expand community specific extension 

12 and outreach programs to combat obesity in counties with 

13 the highest levels of obesity: Provided further, That the 

14 proportional funding requirements under section 1503(a) 

15 of the PHS Act shall not apply to funds made available 

16 under this heading. 

17 BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 

18 DISABILITIES AND HEALTH

19 For carrying out titles II, III, XI, and XVII of the 

20 PHS Act with respect to birth defects, developmental dis21 abilities, disabilities and health, $231,060,000. 

22 PUBLIC HEALTH SCIENTIFIC SERVICES

23 For carrying out titles II, III, and XVII of the PHS 

24 Act with respect to health statistics, surveillance, health 

25 informatics, and workforce development, $797,997,000. 


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1 ENVIRONMENTAL HEALTH

2 For carrying out titles II, III, and XVII of the PHS 

3 Act with respect to environmental health, $376,850,000: 

4 Provided, That of the amounts appropriated under this 

5 heading up to $3,000,000 may remain available until ex6 pended for carrying out the Vessel Sanitation Program, 

7 in addition to user fee collections available for such pur8 pose: Provided further, That the Committees on Appro9 priations of the House of Representatives and the Senate 

10 are notified at least 15 days in advance of any use of funds 

11 pursuant to the preceding proviso. 

12 INJURY PREVENTION AND CONTROL

13 For carrying out titles II, III, and XVII of the PHS 

14 Act with respect to injury prevention and control, 

15 $1,025,279,000. 

16 NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND

17 HEALTH

18 For carrying out titles II, III, and XVII of the PHS 

19 Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 

20 of the Federal Mine Safety and Health Act, section 13 

21 of the Mine Improvement and New Emergency Response 

22 Act, and sections 20, 21, and 22 of the Occupational Safe23 ty and Health Act, with respect to occupational safety and 

24 health, $367,300,000. 


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1 ENERGY EMPLOYEES OCCUPATIONAL ILLNESS

2 COMPENSATION PROGRAM

3 For necessary expenses to administer the Energy 

4 Employees Occupational Illness Compensation Program 

5 Act, $55,358,000, to remain available until expended: Pro6 vided, That this amount shall be available consistent with 

7 the provision regarding administrative expenses in section 

8 151(b) of division B, title I of Public Law 106–554. 

9 GLOBAL HEALTH

10 For carrying out titles II, III, and XVII of the PHS 

11 Act with respect to global health, $760,843,000, of which: 

12 (1) $128,921,000 shall remain available through Sep13 tember 30, 2024 for international HIV/AIDS; and (2) 

14 $353,200,000 shall remain available through September 

15 30, 2025 for global public health protection: Provided, 

16 That funds may be used for purchase and insurance of 

17 official motor vehicles in foreign countries. 

18 PUBLIC HEALTH PREPAREDNESS AND RESPONSE

19 For carrying out titles II, III, and XVII of the PHS 

20 Act with respect to public health preparedness and re21 sponse, and for expenses necessary to support activities 

22 related to countering potential biological, nuclear, radio23 logical, and chemical threats to civilian populations, 

24 $888,200,000: Provided, That the Director of the Centers 

25 for Disease Control and Prevention (referred to in this 


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1 title as ‘‘CDC’’) or the Administrator of the Agency for 

2 Toxic Substances and Disease Registry may detail staff 

3 without reimbursement to support an activation of the 

4 CDC Emergency Operations Center, so long as the Direc5 tor or Administrator, as applicable, provides a notice to 

6 the Committees on Appropriations of the House of Rep7 resentatives and the Senate within 15 days of the use of 

8 this authority, a full report within 30 days after use of 

9 this authority which includes the number of staff and 

10 funding level broken down by the originating center and 

11 number of days detailed, and an update of such report 

12 every 180 days until staff are no longer on detail without 

13 reimbursement to the CDC Emergency Operations Center. 

14 BUILDINGS AND FACILITIES

15 (INCLUDING TRANSFER OF FUNDS)

16 For acquisition of real property, equipment, construc17 tion, installation, demolition, and renovation of facilities, 

18 $35,000,000, which shall remain available until September 

19 30, 2027: Provided, That funds made available to this ac20 count in this or any prior Act that are available for the 

21 acquisition of real property or for construction or improve22 ment of facilities shall be available to make improvements 

23 on non-federally owned property, provided that any im24 provements that are not adjacent to federally owned prop25 erty do not exceed $2,500,000, and that the primary benVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00068 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 efit of such improvements accrues to CDC: Provided fur2 ther, That funds previously set-aside by CDC for repair 

3 and upgrade of the Lake Lynn Experimental Mine and 

4 Laboratory shall be used to acquire a replacement mine 

5 safety research facility: Provided further, That in addition, 

6 the prior year unobligated balance of any amounts as7 signed to former employees in accounts of CDC made 

8 available for Individual Learning Accounts shall be cred9 ited to and merged with the amounts made available under 

10 this heading to support the replacement of the mine safety 

11 research facility. 

12 CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT

13 (INCLUDING TRANSFER OF FUNDS)

14 For carrying out titles II, III, XVII and XIX, and 

15 section 2821 of the PHS Act and for cross-cutting activi16 ties and program support for activities funded in other 

17 appropriations included in this Act for the Centers for 

18 Disease Control and Prevention, $817,070,000, of which: 

19 (1) $600,000,000 shall remain available through Sep20 tember 30, 2024, for public health infrastructure and ca21 pacity; and (2) $50,000,000 shall remain available 

22 through September 30, 2024 for forecasting epidemics 

23 and outbreak analytics: Provided, That paragraphs (1) 

24 through (3) of subsection (b) of section 2821 of the PHS 

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1 ing and in all other accounts of the CDC: Provided further, 

2 That of the amounts made available under this heading, 

3 $35,000,000, to remain available until expended, shall be 

4 available to the Director of the CDC for deposit in the 

5 Infectious Diseases Rapid Response Reserve Fund estab6 lished by section 231 of division B of Public Law 115– 

7 245: Provided further, That funds appropriated under this 

8 heading may be used to support a contract for the oper9 ation and maintenance of an aircraft in direct support of 

10 activities throughout CDC to ensure the agency is pre11 pared to address public health preparedness emergencies: 

12 Provided further, That employees of CDC or the Public 

13 Health Service, both civilian and commissioned officers, 

14 detailed to States, municipalities, or other organizations 

15 under authority of section 214 of the PHS Act, or in over16 seas assignments, shall be treated as non-Federal employ17 ees for reporting purposes only and shall not be included 

18 within any personnel ceiling applicable to the Agency, 

19 Service, or HHS during the period of detail or assignment: 

20 Provided further, That CDC may use up to $10,000 from 

21 amounts appropriated to CDC in this Act for official re22 ception and representation expenses when specifically ap23 proved by the Director of CDC: Provided further, That in 

24 addition, such sums as may be derived from authorized 

25 user fees, which shall be credited to the appropriation 


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1 charged with the cost thereof: Provided further, That with 

2 respect to the previous proviso, authorized user fees from 

3 the Vessel Sanitation Program and the Respirator Certifi4 cation Program shall be available through September 30, 

5 2024. 

6 NATIONAL INSTITUTES OF HEALTH

7 NATIONAL CANCER INSTITUTE

8 For carrying out section 301 and title IV of the PHS 

9 Act with respect to cancer, $6,987,064,000, of which up 

10 to $30,000,000 may be used for facilities repairs and im11 provements at the National Cancer Institute—Frederick 

12 Federally Funded Research and Development Center in 

13 Frederick, Maryland. 

14 NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

15 For carrying out section 301 and title IV of the PHS 

16 Act with respect to cardiovascular, lung, and blood dis17 eases, and blood and blood products, $3,946,557,000. 

18 NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL

19 RESEARCH

20 For carrying out section 301 and title IV of the PHS 

21 Act with respect to dental and craniofacial diseases, 

22 $526,769,000. 


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1 NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND

2 KIDNEY DISEASES

3 For carrying out section 301 and title IV of the PHS 

4 Act with respect to diabetes and digestive and kidney dis5 ease, $2,290,798,000. 

6 NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS

7 AND STROKE

8 For carrying out section 301 and title IV of the PHS 

9 Act with respect to neurological disorders and stroke, 

10 $2,540,918,000. 

11 NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS

12 DISEASES

13 For carrying out section 301 and title IV of the PHS 

14 Act with respect to allergy and infectious diseases, 

15 $6,449,804,000. 

16 NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

17 For carrying out section 301 and title IV of the PHS 

18 Act with respect to general medical sciences, 

19 $3,218,237,000, of which $1,429,313,000 shall be from 

20 funds available under section 241 of the PHS Act: Pro21 vided, That not less than $423,177,000 is provided for the 

22 Institutional Development Awards program. 


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1 EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF

2 CHILD HEALTH AND HUMAN DEVELOPMENT

3 For carrying out section 301 and title IV of the PHS 

4 Act with respect to child health and human development, 

5 $1,745,682,000. 

6 NATIONAL EYE INSTITUTE

7 For carrying out section 301 and title IV of the PHS 

8 Act with respect to eye diseases and visual disorders, 

9 $890,700,000. 

10 NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH

11 SCIENCES

12 For carrying out section 301 and title IV of the PHS 

13 Act with respect to environmental health sciences, 

14 $918,276,000. 

15 NATIONAL INSTITUTE ON AGING

16 For carrying out section 301 and title IV of the PHS 

17 Act with respect to aging, $4,343,005,000. 

18 NATIONAL INSTITUTE OF ARTHRITIS AND

19 MUSCULOSKELETAL AND SKIN DISEASES

20 For carrying out section 301 and title IV of the PHS 

21 Act with respect to arthritis and musculoskeletal and skin 

22 diseases, $686,025,000. 


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1 NATIONAL INSTITUTE ON DEAFNESS AND OTHER

2 COMMUNICATION DISORDERS

3 For carrying out section 301 and title IV of the PHS 

4 Act with respect to deafness and other communication dis5 orders, $530,847,000. 

6 NATIONAL INSTITUTE OF NURSING RESEARCH

7 For carrying out section 301 and title IV of the PHS 

8 Act with respect to nursing research, $196,468,000. 

9 NATIONAL INSTITUTE ON ALCOHOL EFFECTS AND

10 ALCOHOL-ASSOCIATED DISORDERS

11 For carrying out section 301 and title IV of the PHS 

12 Act with respect to alcohol misuse, alcohol use disorder, 

13 and other alcohol-associated disorders, $591,434,000. 

14 NATIONAL INSTITUTE ON DRUGS AND ADDICTION

15 For carrying out section 301 and title IV of the PHS 

16 Act with respect to drugs and addiction, $1,684,230,000. 

17 NATIONAL INSTITUTE OF MENTAL HEALTH

18 For carrying out section 301 and title IV of the PHS 

19 Act with respect to mental health, $2,107,672,000. 

20 NATIONAL HUMAN GENOME RESEARCH INSTITUTE

21 For carrying out section 301 and title IV of the PHS 

22 Act with respect to human genome research, 

23 $658,873,000. 


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1 NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND

2 BIOENGINEERING

3 For carrying out section 301 and title IV of the PHS 

4 Act with respect to biomedical imaging and bioengineering 

5 research, $437,752,000. 

6 NATIONAL CENTER FOR COMPLEMENTARY AND

7 INTEGRATIVE HEALTH

8 For carrying out section 301 and title IV of the PHS 

9 Act with respect to complementary and integrative health, 

10 $174,305,000. 

11 NATIONAL INSTITUTE ON MINORITY HEALTH AND

12 HEALTH DISPARITIES

13 For carrying out section 301 and title IV of the PHS 

14 Act with respect to minority health and health disparities 

15 research, $534,287,000. 

16 JOHN E. FOGARTY INTERNATIONAL CENTER

17 For carrying out the activities of the John E. Fogarty 

18 International Center (described in subpart 2 of part E of 

19 title IV of the PHS Act), $89,574,000. 

20 NATIONAL LIBRARY OF MEDICINE

21 For carrying out section 301 and title IV of the PHS 

22 Act with respect to health information communications, 

23 $494,302,000: Provided, That of the amounts available for 

24 improvement of information systems, $4,000,000 shall be 

25 available until September 30, 2024: Provided further, That 


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1 in fiscal year 2023, the National Library of Medicine may 

2 enter into personal services contracts for the provision of 

3 services in facilities owned, operated, or constructed under 

4 the jurisdiction of the National Institutes of Health (re5 ferred to in this title as ‘‘NIH’’). 

6 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL

7 SCIENCES

8 For carrying out section 301 and title IV of the PHS 

9 Act with respect to translational sciences, $907,756,000: 

10 Provided, That up to $90,000,000 shall be available to im11 plement section 480 of the PHS Act, relating to the Cures 

12 Acceleration Network: Provided further, That at least 

13 $625,452,000 is provided to the Clinical and Translational 

14 Sciences Awards program. 

15 OFFICE OF THE DIRECTOR

16 (INCLUDING TRANSFER OF FUNDS)

17 For carrying out the responsibilities of the Office of 

18 the Director, NIH, $2,560,065,000: Provided, That fund19 ing shall be available for the purchase of not to exceed 

20 29 passenger motor vehicles for replacement only: Pro21 vided further, That all funds credited to the NIH Manage22 ment Fund shall remain available for one fiscal year after 

23 the fiscal year in which they are deposited: Provided fur24 ther, That $180,000,000 shall be for the Environmental 

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1 ther, That $707,401,000 shall be available for the Com2 mon Fund established under section 402A(c)(1) of the 

3 PHS Act: Provided further, That of the funds provided, 

4 $10,000 shall be for official reception and representation 

5 expenses when specifically approved by the Director of the 

6 NIH: Provided further, That the Office of AIDS Research 

7 within the Office of the Director of the NIH may spend 

8 up to $8,000,000 to make grants for construction or ren9 ovation of facilities as provided for in section 

10 2354(a)(5)(B) of the PHS Act: Provided further, That 

11 $70,000,000 shall be used to carry out section 404I of 

12 the PHS Act (42 U.S.C. 283K), relating to biomedical and 

13 behavioral research facilities: Provided further, That 

14 $5,000,000 shall be transferred to and merged with the 

15 appropriation for the ‘‘Office of Inspector General’’ for 

16 oversight of grant programs and operations of the NIH, 

17 including agency efforts to ensure the integrity of its grant 

18 application evaluation and selection processes, and shall 

19 be in addition to funds otherwise made available for over20 sight of the NIH: Provided further, That the funds pro21 vided in the previous proviso may be transferred from one 

22 specified activity to another with 15 days prior approval 

23 of the Committees on Appropriations of the House of Rep24 resentatives and the Senate: Provided further, That the In25 spector General shall consult with the Committees on ApVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00077 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 propriations of the House of Representatives and the Sen2 ate before submitting to the Committees an audit plan for 

3 fiscal years 2023 and 2024 no later than 30 days after 

4 the date of enactment of this Act: Provided further, That 

5 amounts made available under this heading are also avail6 able to establish, operate, and support the Research Policy 

7 Board authorized by section 2034(f) of the 21st Century 

8 Cures Act: Provided further, That the funds made avail9 able under this heading for the Office of Research on 

10 Women’s Health shall also be available for making grants 

11 to serve and promote the interests of women in research, 

12 and the Director of such Office may, in making such 

13 grants, use the authorities available to NIH Institutes and 

14 Centers. 

15 In addition to other funds appropriated for the Com16 mon Fund established under section 402A(c) of the PHS 

17 Act, $12,600,000 is appropriated to the Common Fund 

18 from the 10-year Pediatric Research Initiative Fund de19 scribed in section 9008 of the Internal Revenue Code of 

20 1986 (26 U.S.C. 9008), for the purpose of carrying out 

21 section 402(b)(7)(B)(ii) of the PHS Act (relating to pedi22 atric research), as authorized in the Gabriella Miller Kids 

23 First Research Act. 


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1 ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH

2 For carrying out section 301 and title IV of the PHS 

3 Act with respect to advanced research projects for health, 

4 $1,000,000,000, to remain available through September 

5 30, 2025: Provided, That the President shall appoint in 

6 the Department of Health and Human Services a director 

7 of advanced research projects for health (Director): Pro8 vided further, That funds may be used to make or rescind 

9 appointments of scientific, medical, and professional per10 sonnel without regard to any provision in title 5 governing 

11 appointments under the civil service laws: Provided fur12 ther, That funds may be used to fix the compensation of 

13 such personnel at a rate to be determined by the Director, 

14 up to the amount of annual compensation (excluding ex15 penses) specified in section 102 of title 3, United States 

16 Code: Provided further, That the Director may use funds 

17 made available under this heading to make awards in the 

18 form of grants, contracts, cooperative agreements, and 

19 cash prizes, and enter into other transactions (as defined 

20 in section 319L(a)(3) of the PHS Act): Provided further, 

21 That activities supported with funds provided under this 

22 heading shall not be subject to the requirements of section 

23 406(a)(3)(A)(ii) or 492 of the PHS Act. 


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1 BUILDINGS AND FACILITIES

2 For the study of, construction of, demolition of, ren3 ovation of, and acquisition of equipment for, facilities of 

4 or used by NIH, including the acquisition of real property, 

5 $350,000,000, to remain available through September 30, 

6 2027. 

7 NIH INNOVATION ACCOUNT, CURES ACT

8 (INCLUDING TRANSFER OF FUNDS)

9 For necessary expenses to carry out the purposes de10 scribed in section 1001(b)(4) of the 21st Century Cures 

11 Act, in addition to amounts available for such purposes 

12 in the appropriations provided to the NIH in this Act, 

13 $1,085,000,000, to remain available until expended: Pro14 vided, That such amounts are appropriated pursuant to 

15 section 1001(b)(3) of such Act, are to be derived from 

16 amounts transferred under section 1001(b)(2)(A) of such 

17 Act, and may be transferred by the Director of the Na18 tional Institutes of Health to other accounts of the Na19 tional Institutes of Health solely for the purposes provided 

20 in such Act: Provided further, That upon a determination 

21 by the Director that funds transferred pursuant to the 

22 previous proviso are not necessary for the purposes pro23 vided, such amounts may be transferred back to the Ac24 count: Provided further, That the transfer authority proVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00080 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 vided under this heading is in addition to any other trans2 fer authority provided by law. 

3 SUBSTANCE USE AND MENTAL HEALTH SERVICES

4 ADMINISTRATION

5 MENTAL HEALTH

6 For carrying out titles III, V, and XIX of the PHS 

7 Act with respect to mental health, the Protection and Ad8 vocacy for Individuals with Mental Illness Act, and the 

9 SUPPORT for Patients and Communities Act, 

10 $3,590,090,000: Provided, That of the funds made avail11 able under this heading, $111,887,000 shall be for the Na12 tional Child Traumatic Stress Initiative: Provided further, 

13 That notwithstanding section 520A(f)(2) of the PHS Act, 

14 no funds appropriated for carrying out section 520A shall 

15 be available for carrying out section 1971 of the PHS Act: 

16 Provided further, That in addition to amounts provided 

17 herein, $21,039,000 shall be available under section 241 

18 of the PHS Act to carry out subpart I of part B of title 

19 XIX of the PHS Act to fund section 1920(b) technical 

20 assistance, national data, data collection and evaluation 

21 activities, and further that the total available under this 

22 Act for section 1920(b) activities shall not exceed 5 per23 cent of the amounts appropriated for subpart I of part 

24 B of title XIX: Provided further, That of the funds made 

25 available under this heading for subpart I of part B of 


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1 title XIX of the PHS Act, at least 10 percent shall be 

2 available to support evidence-based crisis systems: Pro3 vided further, That up to 10 percent of the amounts made 

4 available to carry out the Children’s Mental Health Serv5 ices program may be used to carry out demonstration 

6 grants or contracts for early interventions with persons 

7 not more than 25 years of age at clinical high risk of de8 veloping a first episode of psychosis: Provided further, 

9 That section 520E(b)(2) of the PHS Act shall not apply 

10 to funds appropriated in this Act for fiscal year 2023: Pro11 vided further, That $385,000,000 shall be available until 

12 September 30, 2025 for grants to communities and com13 munity organizations who meet criteria for Certified Com14 munity Behavioral Health Clinics pursuant to section 

15 223(a) of Public Law 113–93: Provided further, That none 

16 of the funds provided for section 1911 of the PHS Act 

17 shall be subject to section 241 of such Act: Provided fur18 ther, That of the funds made available under this heading, 

19 $21,420,000 shall be to carry out section 224 of the Pro20 tecting Access to Medicare Act of 2014 (Public Law 113– 

21 93; 42 U.S.C. 290aa 22 note): Provided further, That not22 withstanding sections 1911(b) and 1912 of the PHS Act, 

23 amounts made available under this heading for subpart 

24 I of part B of title XIX of such Act shall also be available 

25 to support evidence-based programs that address early 


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1 intervention and prevention of mental disorders among at2 risk children and adults: Provided further, That States 

3 shall expend at least 10 percent of the amount each re4 ceives for carrying out section 1911 of the PHS Act to 

5 support evidence-based programs that address early inter6 vention and prevention of mental disorders among at-risk 

7 children and adults: Provided further, That notwith8 standing section 1912 of the PHS Act, the plan described 

9 in such section and section 1911(b) of the PHS Act shall 

10 also include the evidence-based programs described in the 

11 preceding proviso, pursuant to plan criteria established by 

12 the Secretary. 

13 SUBSTANCE USE SERVICES

14 For carrying out titles III and V of the PHS Act 

15 with respect to substance use treatment and title XIX of 

16 such Act with respect to substance use treatment and pre17 vention, and the SUPPORT for Patients and Commu18 nities Act, $4,963,889,000: Provided, That 

19 $2,025,000,000 shall be for State Opioid Response Grants 

20 for carrying out activities pertaining to opioids and stimu21 lants undertaken by the State agency responsible for ad22 ministering the substance use prevention and treatment 

23 block grant under subpart II of part B of title XIX of 

24 the PHS Act (42 U.S.C. 300x–21 et seq.): Provided fur25 ther, That of such amount $75,000,000 shall be made 


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1 available to Indian Tribes or Tribal organizations: Pro2 vided further, That 15 percent of the remaining amount 

3 shall be for the States with the highest mortality rate re4 lated to opioid use disorders: Provided further, That in al5 locating the amount made available in the preceding pro6 viso, the Secretary shall ensure that the formula avoids 

7 a significant cliff between States with similar mortality 

8 rates related to opioid use disorders to prevent unusually 

9 large funding changes in States when compared to prior 

10 year allocations: Provided further, That of the amounts 

11 provided for State Opioid Response Grants not more than 

12 2 percent shall be available for Federal administrative ex13 penses, training, technical assistance, and evaluation: Pro14 vided further, That of the amount not reserved by the pre15 vious four provisos, the Secretary shall make allocations 

16 to States, territories, and the District of Columbia accord17 ing to a formula using national survey results that the 

18 Secretary determines are the most objective and reliable 

19 measure of drug use and drug-related deaths: Provided 

20 further, That the Secretary shall submit the formula meth21 odology to the Committees on Appropriations of the House 

22 of Representatives and the Senate not less than 21 days 

23 prior to publishing a Funding Opportunity Announce24 ment: Provided further, That prevention and treatment ac25 tivities funded through such grants may include education, 


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1 treatment (including the provision of medication), behav2 ioral health services for individuals in treatment programs, 

3 referral to treatment services, recovery support, and med4 ical screening associated with such treatment: Provided 

5 further, That each State, as well as the District of Colum6 bia, shall receive not less than $5,000,000: Provided fur7 ther, That in addition to amounts provided herein, the fol8 lowing amounts shall be available under section 241 of the 

9 PHS Act: (1) $79,200,000 to carry out subpart II of part 

10 B of title XIX of the PHS Act to fund section 1935(b) 

11 technical assistance, national data, data collection and 

12 evaluation activities, and further that the total available 

13 under this Act for section 1935(b) activities shall not ex14 ceed 5 percent of the amounts appropriated for subpart 

15 II of part B of title XIX; and (2) $2,000,000 to evaluate 

16 substance use treatment programs: Provided further, That 

17 for purposes of calculating the HIV set-aside under sub18 part II of part B of title XIX, the rate of cases of HIV 

19 shall be used instead of the rate of cases of AIDS: Pro20 vided further, That each State that receives funds appro21 priated under this heading for carrying out subpart II of 

22 part B of title XIX of the PHS Act shall expend not less 

23 than 10 percent of such funds for recovery support serv24 ices: Provided further, That none of the funds provided 


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1 for section 1921 of the PHS Act or State Opioid Response 

2 Grants shall be subject to section 241 of such Act. 

3 SUBSTANCE USE PREVENTION SERVICES

4 For carrying out titles III and V of the PHS Act 

5 with respect to substance use prevention, $248,219,000. 

6 HEALTH SURVEILLANCE AND PROGRAM SUPPORT

7 For program support and cross-cutting activities that 

8 supplement activities funded under the headings ‘‘Mental 

9 Health’’, ‘‘Substance Use Services’’, and ‘‘Substance Use 

10 Prevention Services’’ in carrying out titles III, V, and XIX 

11 of the PHS Act and the Protection and Advocacy for Indi12 viduals with Mental Illness Act in the Substance Use And 

13 Mental Health Services Administration, $200,636,000: 

14 Provided, That of the amount made available under this 

15 heading, $59,941,000 shall be used for the projects, and 

16 in the amounts, specified in the table titled ‘‘Congression17 ally Directed Spending Items’’ in the explanatory state18 ment accompanying this Act: Provided further, That none 

19 of the funds made available for projects described in the 

20 preceding proviso shall be subject to section 241 of the 

21 PHS Act or section 205 of this Act: Provided further, That 

22 in addition to amounts provided herein, $31,428,000 shall 

23 be available under section 241 of the PHS Act to supple24 ment funds available to carry out national surveys on drug 

25 use and mental health, to collect and analyze program 


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1 data, and to conduct public awareness and technical as2 sistance activities: Provided further, That, in addition, fees 

3 may be collected for the costs of publications, data, data 

4 tabulations, and data analysis completed under title V of 

5 the PHS Act and provided to a public or private entity 

6 upon request, which shall be credited to this appropriation 

7 and shall remain available until expended for such pur8 poses: Provided further, That amounts made available in 

9 this Act for carrying out section 501(o) of the PHS Act 

10 shall remain available through September 30, 2024: Pro11 vided further, That funds made available under this head12 ing (other than amounts specified in the first proviso 

13 under this heading) may be used to supplement program 

14 support funding provided under the headings ‘‘Mental 

15 Health’’, ‘‘Substance Use Services’’, and ‘‘Substance Use 

16 Prevention Services’’. 

17 AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

18 HEALTHCARE RESEARCH AND QUALITY

19 For carrying out titles III and IX of the PHS Act, 

20 part A of title XI of the Social Security Act, and section 

21 1013 of the Medicare Prescription Drug, Improvement, 

22 and Modernization Act of 2003, $385,400,000: Provided, 

23 That section 947(c) of the PHS Act shall not apply in 

24 fiscal year 2023: Provided further, That in addition, 

25 amounts received from Freedom of Information Act fees, 


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1 reimbursable and interagency agreements, and the sale of 

2 data shall be credited to this appropriation and shall re3 main available until September 30, 2024. 

4 CENTERS FOR MEDICARE & MEDICAID SERVICES

5 GRANTS TO STATES FOR MEDICAID

6 For carrying out, except as otherwise provided, titles 

7 XI and XIX of the Social Security Act, $367,357,090,000, 

8 to remain available until expended. 

9 In addition, for carrying out such titles after May 31, 

10 2023, for the last quarter of fiscal year 2023 for unantici11 pated costs incurred for the current fiscal year, such sums 

12 as may be necessary, to remain available until expended. 

13 In addition, for carrying out such titles for the first 

14 quarter of fiscal year 2024, $197,580,474,000, to remain 

15 available until expended. 

16 Payment under such title XIX may be made for any 

17 quarter with respect to a State plan or plan amendment 

18 in effect during such quarter, if submitted in or prior to 

19 such quarter and approved in that or any subsequent 

20 quarter. 

21 PAYMENTS TO THE HEALTH CARE TRUST FUNDS

22 For payment to the Federal Hospital Insurance 

23 Trust Fund and the Federal Supplementary Medical In24 surance Trust Fund, as provided under sections 217(g), 

25 1844, and 1860D–16 of the Social Security Act, sections 


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1 103(c) and 111(d) of the Social Security Amendments of 

2 1965, section 278(d)(3) of Public Law 97–248, and for 

3 administrative expenses incurred pursuant to section 

4 201(g) of the Social Security Act, $548,130,000,000. 

5 In addition, for making matching payments under 

6 section 1844 and benefit payments under section 1860D– 

7 16 of the Social Security Act that were not anticipated 

8 in budget estimates, such sums as may be necessary. 

9 PROGRAM MANAGEMENT

10 For carrying out, except as otherwise provided, titles 

11 XI, XVIII, XIX, and XXI of the Social Security Act, titles 

12 XIII and XXVII of the PHS Act, the Clinical Laboratory 

13 Improvement Amendments of 1988, and other responsibil14 ities of the Centers for Medicare & Medicaid Services, not 

15 to exceed $4,186,399,000 to be transferred from the Fed16 eral Hospital Insurance Trust Fund and the Federal Sup17 plementary Medical Insurance Trust Fund, as authorized 

18 by section 201(g) of the Social Security Act; together with 

19 all funds collected in accordance with section 353 of the 

20 PHS Act and section 1857(e)(2) of the Social Security 

21 Act, funds retained by the Secretary pursuant to section 

22 1893(h) of the Social Security Act, and such sums as may 

23 be collected from authorized user fees and the sale of data, 

24 which shall be credited to this account and remain avail25 able until expended: Provided, That all funds derived in 


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1 accordance with 31 U.S.C. 9701 from organizations estab2 lished under title XIII of the PHS Act shall be credited 

3 to and available for carrying out the purposes of this ap4 propriation: Provided further, That the Secretary is di5 rected to collect fees in fiscal year 2023 from Medicare 

6 Advantage organizations pursuant to section 1857(e)(2) 

7 of the Social Security Act and from eligible organizations 

8 with risk-sharing contracts under section 1876 of that Act 

9 pursuant to section 1876(k)(4)(D) of that Act: Provided 

10 further, That of the amount made available under this 

11 heading, $473,989,000 shall remain available until Sep12 tember 30, 2024, and shall be available for the Survey 

13 and Certification Program: Provided further, That 

14 amounts available under this heading to support quality 

15 improvement organizations (as defined in section 1152 of 

16 the Social Security Act) shall not exceed the amount spe17 cifically provided for such purpose under this heading in 

18 division H of the Consolidated Appropriations Act, 2018 

19 (Public Law 115–141). 

20 HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT

21 In addition to amounts otherwise available for pro22 gram integrity and program management, $893,000,000, 

23 to remain available through September 30, 2024, to be 

24 transferred from the Federal Hospital Insurance Trust 

25 Fund and the Federal Supplementary Medical Insurance 


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1 Trust Fund, as authorized by section 201(g) of the Social 

2 Security Act, of which $668,648,000 shall be for the Cen3 ters for Medicare & Medicaid Services program integrity 

4 activities, of which $112,145,000 shall be for the Depart5 ment of Health and Human Services Office of Inspector 

6 General to carry out fraud and abuse activities authorized 

7 by section 1817(k)(3) of such Act, and of which 

8 $112,207,000 shall be for the Department of Justice to 

9 carry out fraud and abuse activities authorized by section 

10 1817(k)(3) of such Act: Provided, That the report re11 quired by section 1817(k)(5) of the Social Security Act 

12 for fiscal year 2023 shall include measures of the oper13 ational efficiency and impact on fraud, waste, and abuse 

14 in the Medicare, Medicaid, and CHIP programs for the 

15 funds provided by this appropriation: Provided further, 

16 That of the amount provided under this heading, 

17 $317,000,000 is provided to meet the terms of a concur18 rent resolution, and $576,000,000 is additional new budg19 et authority specified for purposes of a concurrent resolu20 tion on the budget for additional health care fraud and 

21 abuse control activities: Provided further, That the Sec22 retary shall provide not less than $30,000,000 from 

23 amounts made available under this heading and amounts 

24 made available for fiscal year 2023 under section 

25 1817(k)(3)(A) of the Social Security Act for the Senior 


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1 Medicare Patrol program to combat health care fraud and 

2 abuse. 

3 ADMINISTRATION FOR CHILDREN AND FAMILIES

4 PAYMENTS TO STATES FOR CHILD SUPPORT

5 ENFORCEMENT AND FAMILY SUPPORT PROGRAMS

6 For carrying out, except as otherwise provided, titles 

7 I, IV–D, X, XI, XIV, and XVI of the Social Security Act 

8 and the Act of July 5, 1960, $2,883,000,000, to remain 

9 available until expended; and for such purposes for the 

10 first quarter of fiscal year 2024, $1,300,000,000, to re11 main available until expended. 

12 For carrying out, after May 31 of the current fiscal 

13 year, except as otherwise provided, titles I, IV–D, X, XI, 

14 XIV, and XVI of the Social Security Act and the Act of 

15 July 5, 1960, for the last 3 months of the current fiscal 

16 year for unanticipated costs, incurred for the current fiscal 

17 year, such sums as may be necessary. 

18 LOW-INCOME HOME ENERGY ASSISTANCE

19 For making payments under subsections (b) and (d) 

20 of section 2602 of the Low-Income Home Energy Assist21 ance Act of 1981 (42 U.S.C. 8621 et seq.), 

22 $4,000,000,000: Provided, That notwithstanding section 

23 2609A(a) of such Act, not more than $7,300,000 may be 

24 reserved by the Secretary for technical assistance, train25 ing, and monitoring of program activities for compliance 


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1 with internal controls, policies and procedures, and to sup2 plement funding otherwise available for necessary admin3 istrative expenses to carry out such Act, and the Secretary 

4 may, in addition to the authorities provided in section 

5 2609A(a)(1), use such funds through contracts with pri6 vate entities that do not qualify as nonprofit organiza7 tions: Provided further, That all but $884,848,000 of the 

8 amount appropriated under this heading shall be allocated 

9 as though the total appropriation for such payments for 

10 fiscal year 2023 was less than $1,975,000,000: Provided 

11 further, That, after applying all applicable provisions of 

12 section 2604 of such Act and the previous proviso, each 

13 State or territory that would otherwise receive an alloca14 tion that is less than 97 percent of the amount that it 

15 received under this heading for fiscal year 2022 from 

16 amounts appropriated in Public Law 117–103 shall have 

17 its allocation increased to that 97 percent level, with the 

18 portions of other States’ and territories’ allocations that 

19 would exceed 100 percent of the amounts they respectively 

20 received in such fashion for fiscal year 2022 being ratably 

21 reduced. 

22 REFUGEE AND ENTRANT ASSISTANCE

23 (INCLUDING TRANSFER OF FUNDS)

24 For necessary expenses for refugee and entrant as25 sistance activities authorized by section 414 of the ImmiVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00093 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 gration and Nationality Act and section 501 of the Ref2 ugee Education Assistance Act of 1980, and for carrying 

3 out section 462 of the Homeland Security Act of 2002, 

4 section 235 of the William Wilberforce Trafficking Victims 

5 Protection Reauthorization Act of 2008, the Trafficking 

6 Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor7 ture Victims Relief Act of 1998, $9,370,013,000, of which 

8 $9,316,258,000 shall remain available through September 

9 30, 2025 for carrying out such sections 414, 501, 462, 

10 and 235: Provided, That amounts available under this 

11 heading to carry out the TVPA shall also be available for 

12 research and evaluation with respect to activities under 

13 such Act: Provided further, That the limitation in section 

14 205 of this Act regarding transfers increasing any appro15 priation shall apply to transfers to appropriations under 

16 this heading by substituting ‘‘15 percent’’ for ‘‘3 percent’’: 

17 Provided further, That the contribution of funds require18 ment under section 235(c)(6)(C)(iii) of the William Wil19 berforce Trafficking Victims Protection Reauthorization 

20 Act of 2008 shall not apply to funds made available under 

21 this heading: Provided further, That the Director of the 

22 Office of Refugee Resettlement, in carrying out section 

23 412(c)(1)(A) of the Immigration and Nationality Act (8 

24 U.S.C. 1522(c)(1)(A)), may allocate amounts made avail25 able under this heading for such section among the States 


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1 in a manner that accounts for the most current data avail2 able. 

3 PAYMENTS TO STATES FOR THE CHILD CARE AND

4 DEVELOPMENT BLOCK GRANT

5 For carrying out the Child Care and Development 

6 Block Grant Act of 1990 (‘‘CCDBG Act’’), 

7 $7,165,330,000 shall be used to supplement, not supplant 

8 State general revenue funds for child care assistance for 

9 low-income families: Provided, That technical assistance 

10 under section 658I(a)(3) of such Act may be provided di11 rectly, or through the use of contracts, grants, cooperative 

12 agreements, or interagency agreements: Provided further, 

13 That all funds made available to carry out section 418 

14 of the Social Security Act (42 U.S.C. 618), including 

15 funds appropriated for that purpose in such section 418 

16 or any other provision of law, shall be subject to the res17 ervation of funds authority in paragraphs (4) and (5) of 

18 section 658O(a) of the CCDBG Act: Provided further, 

19 That in addition to the amounts required to be reserved 

20 by the Secretary under section 658O(a)(2)(A) of such Act, 

21 $214,960,000 shall be for Indian Tribes and Tribal orga22 nizations: Provided further, That of the amounts made 

23 available under this heading, the Secretary may reserve 

24 up to 0.5 percent for Federal administrative expenses. 


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1 SOCIAL SERVICES BLOCK GRANT

2 For making grants to States pursuant to section 

3 2002 of the Social Security Act, $1,700,000,000: Pro4 vided, That notwithstanding subparagraph (B) of section 

5 404(d)(2) of such Act, the applicable percent specified 

6 under such subparagraph for a State to carry out State 

7 programs pursuant to title XX–A of such Act shall be 10 

8 percent. 

9 CHILDREN AND FAMILIES SERVICES PROGRAMS

10 For carrying out, except as otherwise provided, the 

11 Runaway and Homeless Youth Act, the Head Start Act, 

12 the Every Student Succeeds Act, the Child Abuse Preven13 tion and Treatment Act, sections 303 and 313 of the 

14 Family Violence Prevention and Services Act, the Native 

15 American Programs Act of 1974, title II of the Child 

16 Abuse Prevention and Treatment and Adoption Reform 

17 Act of 1978 (adoption opportunities), part B–1 of title IV 

18 and sections 429, 473A, 477(i), 1110, 1114A, and 1115 

19 of the Social Security Act, and the Community Services 

20 Block Grant Act (‘‘CSBG Act’’); and for necessary admin21 istrative expenses to carry out titles I, IV, V, X, XI, XIV, 

22 XVI, and XX–A of the Social Security Act, the Act of 

23 July 5, 1960, the Low-Income Home Energy Assistance 

24 Act of 1981, and section 2204 of the American Rescue 

25 Plan Act of 2021, $14,765,967,000, of which 


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1 $75,000,000, to remain available through September 30, 

2 2024, shall be for grants to States for adoption and legal 

3 guardianship incentive payments, as defined by section 

4 473A of the Social Security Act and may be made for 

5 adoptions and legal guardianships completed before Sep6 tember 30, 2023: Provided, That $12,036,820,000 shall 

7 be for making payments under the Head Start Act, includ8 ing for Early Head Start–Child Care Partnerships, and, 

9 of which, notwithstanding section 640 of such Act: 

10 (1) $596,000,000 shall be available for a cost 

11 of living adjustment, and with respect to any con12 tinuing appropriations Act, funding available for a 

13 cost of living adjustment shall not be construed as 

14 an authority or condition under this Act; 

15 (2) $25,000,000 shall be available for allocation 

16 by the Secretary to supplement activities described 

17 in paragraphs (7)(B) and (9) of section 641(c) of 

18 the Head Start Act under the Designation Renewal 

19 System, established under the authority of sections 

20 641(c)(7), 645A(b)(12), and 645A(d) of such Act, 

21 and such funds shall not be included in the calcula22 tion of ‘‘base grant’’ in subsequent fiscal years, as 

23 such term is used in section 640(a)(7)(A) of such 

24 Act; 


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1 (3) $262,000,000 shall be available for quality 

2 improvement consistent with section 640(a)(5) of 

3 such Act except that any amount of the funds may 

4 be used on any of the activities in such section, of 

5 which not less than $10,000,000 shall be available 

6 to migrant and seasonal Head Start programs for 

7 such activities, in addition to funds made available 

8 for migrant and seasonal Head Start programs 

9 under any other provision of section 640(a) of such 

10 Act; 

11 (4) $140,000,000, in addition to funds other12 wise available for such purposes under section 640 

13 of the Head Start Act, shall be available through 

14 September 30, 2024, for awards to eligible entities 

15 for Head Start and Early Head Start programs and 

16 to entities defined as eligible under section 645A(d) 

17 of such Act for high quality infant and toddler care 

18 through Early Head Start–Child Care Partnerships, 

19 and for training and technical assistance for such 

20 activities: Provided further, That of the funds made 

21 available in this paragraph, up to $21,000,000 shall 

22 be available to the Secretary for the administrative 

23 costs of carrying out this paragraph; 

24 (5) $8,000,000 shall be available for the Tribal 

25 Colleges and Universities Head Start Partnership 


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1 Program consistent with section 648(g) of such Act; 

2 and 

3 (6) $21,000,000 shall be available to supple4 ment funding otherwise available for research, eval5 uation, and Federal administrative costs: 

6 Provided further, That the Secretary may reduce the res7 ervation of funds under section 640(a)(2)(C) of such Act 

8 in lieu of reducing the reservation of funds under sections 

9 640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 

10 Act: Provided further, That $350,000,000 shall be avail11 able until December 31, 2023 for carrying out sections 

12 9212 and 9213 of the Every Student Succeeds Act: Pro13 vided further, That up to 3 percent of the funds in the 

14 preceding proviso shall be available for technical assist15 ance and evaluation related to grants awarded under such 

16 section 9212: Provided further, That in this fiscal year, 

17 a renewal grant awarded under section 9212(g) of Public 

18 Law 114-95 may be renewed for a period of not more than 

19 3 years: Provided further, That $806,383,000 shall be for 

20 making payments under the CSBG Act: Provided further, 

21 That for services furnished under the CSBG Act with 

22 funds made available for such purpose in this fiscal year 

23 and in fiscal year 2022, States may apply the last sentence 

24 of section 673(2) of the CSBG Act by substituting ‘‘200 

25 percent’’ for ‘‘125 percent’’: Provided further, That 


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1 $36,383,000 shall be for section 680 of the CSBG Act, 

2 of which not less than $23,383,000 shall be for section 

3 680(a)(2) and not less than $13,000,000 shall be for sec4 tion 680(a)(3)(B) of such Act: Provided further, That, not5 withstanding section 675C(a)(3) of the CSBG Act, to the 

6 extent Community Services Block Grant funds are distrib7 uted as grant funds by a State to an eligible entity as 

8 provided under such Act, and have not been expended by 

9 such entity, they shall remain with such entity for carry10 over into the next fiscal year for expenditure by such enti11 ty consistent with program purposes: Provided further, 

12 That the Secretary shall establish procedures regarding 

13 the disposition of intangible assets and program income 

14 that permit such assets acquired with, and program in15 come derived from, grant funds authorized under section 

16 680 of the CSBG Act to become the sole property of such 

17 grantees after a period of not more than 12 years after 

18 the end of the grant period for any activity consistent with 

19 section 680(a)(2)(A) of the CSBG Act: Provided further, 

20 That intangible assets in the form of loans, equity invest21 ments and other debt instruments, and program income 

22 may be used by grantees for any eligible purpose con23 sistent with section 680(a)(2)(A) of the CSBG Act: Pro24 vided further, That these procedures shall apply to such 

25 grant funds made available after November 29, 1999: ProVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00100 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 vided further, That funds appropriated for section 

2 680(a)(2) of the CSBG Act shall be available for financing 

3 construction and rehabilitation and loans or investments 

4 in private business enterprises owned by community devel5 opment corporations: Provided further, That 

6 $300,000,000 shall be for carrying out section 303(a) of 

7 the Family Violence Prevention and Services Act, of which 

8 $7,000,000 shall be allocated notwithstanding section 

9 303(a)(2) of such Act for carrying out section 309 of such 

10 Act and of which $6,750,000 shall be for necessary admin11 istrative expenses to carry out such Act and section 2204 

12 of the American Rescue Plan Act of 2021, in addition to 

13 amounts otherwise available for such purposes: Provided 

14 further, That funds made available in the preceding pro15 viso may be used for direct payments to any victim of fam16 ily violence, domestic violence, or dating violence, or to any 

17 dependent of such victim, notwithstanding section 

18 308(d)(1) of the Family Violence Prevention and Services 

19 Act: Provided further, That the percentages specified in 

20 section 112(a)(2) of the Child Abuse Prevention and 

21 Treatment Act shall not apply to funds appropriated 

22 under this heading: Provided further, That $3,000,000 

23 shall be for a human services case management system 

24 for federally declared disasters, to include a comprehensive 

25 national case management contract and Federal costs of 


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1 administering the system: Provided further, That up to 

2 $2,000,000 shall be for improving the Public Assistance 

3 Reporting Information System, including grants to States 

4 to support data collection for a study of the system’s effec5 tiveness: Provided further, That $40,480,000 shall be used 

6 for the projects, and in the amounts, specified in the table 

7 titled ‘‘Congressionally Directed Spending Items’’ in the 

8 explanatory statement accompanying this Act: Provided 

9 further, That none of the funds made available for projects 

10 described in the preceding proviso shall be subject to sec11 tion 241 of the PHS Act or section 205 of this Act. 

12 PROMOTING SAFE AND STABLE FAMILIES

13 For carrying out, except as otherwise provided, sec14 tion 436 of the Social Security Act, $345,000,000 and, 

15 for carrying out, except as otherwise provided, section 437 

16 of such Act, $94,515,000: Provided, That of the funds 

17 available to carry out section 437, $59,765,000 shall be 

18 allocated consistent with subsections (b) through (d) of 

19 such section: Provided further, That of the funds available 

20 to carry out section 437, to assist in meeting the require21 ments described in section 471(e)(4)(C), $28,000,000 

22 shall be for grants to each State, territory, and Indian 

23 Tribe operating title IV–E plans for developing, enhanc24 ing, or evaluating kinship navigator programs, as de25 scribed in section 427(a)(1) of such Act and $6,750,000, 


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1 in addition to funds otherwise appropriated in section 476 

2 for such purposes, shall be for the Family First Clearing3 house and to support evaluation and technical assistance 

4 relating to the evaluation of child and family services: Pro5 vided further, That section 437(b)(1) shall be applied to 

6 amounts in the previous proviso by substituting ‘‘5 per7 cent’’ for ‘‘3.3 percent’’, and notwithstanding section 

8 436(b)(1), such reserved amounts may be used for identi9 fying, establishing, and disseminating practices to meet 

10 the criteria specified in section 471(e)(4)(C): Provided fur11 ther, That the reservation in section 437(b)(2) and the 

12 limitations in section 437(d) shall not apply to funds spec13 ified in the second proviso: Provided further, That the min14 imum grant award for kinship navigator programs in the 

15 case of States and territories shall be $200,000, and, in 

16 the case of Tribes, shall be $25,000. 

17 PAYMENTS FOR FOSTER CARE AND PERMANENCY

18 For carrying out, except as otherwise provided, title 

19 IV–E of the Social Security Act, $7,606,000,000. 

20 For carrying out, except as otherwise provided, title 

21 IV–E of the Social Security Act, for the first quarter of 

22 fiscal year 2024, $3,200,000,000. 

23 For carrying out, after May 31 of the current fiscal 

24 year, except as otherwise provided, section 474 of title IV– 

25 E of the Social Security Act, for the last 3 months of the 


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1 current fiscal year for unanticipated costs, incurred for the 

2 current fiscal year, such sums as may be necessary. 

3 ADMINISTRATION FOR COMMUNITY LIVING

4 AGING AND DISABILITY SERVICES PROGRAMS

5 (INCLUDING TRANSFER OF FUNDS)

6 For carrying out, to the extent not otherwise pro7 vided, the Older Americans Act of 1965 (‘‘OAA’’), the 

8 RAISE Family Caregivers Act, the Supporting Grand9 parents Raising Grandchildren Act, titles III and XXIX 

10 of the PHS Act, sections 1252 and 1253 of the PHS Act, 

11 section 119 of the Medicare Improvements for Patients 

12 and Providers Act of 2008, title XX–B of the Social Secu13 rity Act, the Developmental Disabilities Assistance and 

14 Bill of Rights Act, parts 2 and 5 of subtitle D of title 

15 II of the Help America Vote Act of 2002, the Assistive 

16 Technology Act of 1998, titles II and VII (and section 

17 14 with respect to such titles) of the Rehabilitation Act 

18 of 1973, and for Department-wide coordination of policy 

19 and program activities that assist individuals with disabil20 ities, $2,461,973,000, together with $53,115,000 to be 

21 transferred from the Federal Hospital Insurance Trust 

22 Fund and the Federal Supplementary Medical Insurance 

23 Trust Fund to carry out section 4360 of the Omnibus 

24 Budget Reconciliation Act of 1990: Provided, That 

25 amounts appropriated under this heading may be used for 


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1 grants to States under section 361 of the OAA only for 

2 disease prevention and health promotion programs and ac3 tivities which have been demonstrated through rigorous 

4 evaluation to be evidence-based and effective: Provided 

5 further, That of amounts made available under this head6 ing to carry out sections 311, 331, and 336 of the OAA, 

7 up to 1 percent of such amounts shall be available for de8 veloping and implementing evidence-based practices for 

9 enhancing senior nutrition, including medically-tailored 

10 meals: Provided further, That notwithstanding any other 

11 provision of this Act, funds made available under this 

12 heading to carry out section 311 of the OAA may be trans13 ferred to the Secretary of Agriculture in accordance with 

14 such section: Provided further, That $2,000,000 shall be 

15 for competitive grants to support alternative financing 

16 programs that provide for the purchase of assistive tech17 nology devices, such as a low-interest loan fund; an inter18 est buy-down program; a revolving loan fund; a loan guar19 antee; or an insurance program: Provided further, That 

20 applicants shall provide an assurance that, and informa21 tion describing the manner in which, the alternative fi22 nancing program will expand and emphasize consumer 

23 choice and control: Provided further, That State agencies 

24 and community-based disability organizations that are di25 rected by and operated for individuals with disabilities 


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1 shall be eligible to compete: Provided further, That none 

2 of the funds made available under this heading may be 

3 used by an eligible system (as defined in section 102 of 

4 the Protection and Advocacy for Individuals with Mental 

5 Illness Act (42 U.S.C. 10802)) to continue to pursue any 

6 legal action in a Federal or State court on behalf of an 

7 individual or group of individuals with a developmental 

8 disability (as defined in section 102(8)(A) of the Develop9 mental Disabilities and Assistance and Bill of Rights Act 

10 of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 

11 a mental impairment (or a combination of mental and 

12 physical impairments), that has as the requested remedy 

13 the closure of State operated intermediate care facilities 

14 for people with intellectual or developmental disabilities, 

15 unless reasonable public notice of the action has been pro16 vided to such individuals (or, in the case of mental inca17 pacitation, the legal guardians who have been specifically 

18 awarded authority by the courts to make healthcare and 

19 residential decisions on behalf of such individuals) who are 

20 affected by such action, within 90 days of instituting such 

21 legal action, which informs such individuals (or such legal 

22 guardians) of their legal rights and how to exercise such 

23 rights consistent with current Federal Rules of Civil Pro24 cedure: Provided further, That the limitations in the imme25 diately preceding proviso shall not apply in the case of an 


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1 individual who is neither competent to consent nor has a 

2 legal guardian, nor shall the proviso apply in the case of 

3 individuals who are a ward of the State or subject to pub4 lic guardianship: Provided further, That of the amount 

5 made available under this heading, $12,006,000 shall be 

6 used for the projects, and in the amounts, specified in the 

7 table titled ‘‘Congressionally Directed Spending Items’’ in 

8 the explanatory statement accompanying this Act: Pro9 vided further, That none of the funds made available for 

10 projects described in the preceding proviso shall be subject 

11 to section 241 of the PHS Act or section 205 of this Act. 

12 OFFICE OF THE SECRETARY

13 GENERAL DEPARTMENTAL MANAGEMENT

14 For necessary expenses, not otherwise provided, for 

15 general departmental management, including hire of six 

16 passenger motor vehicles, and for carrying out titles III, 

17 XVII, XXI, and section 229 of the PHS Act, the United 

18 States-Mexico Border Health Commission Act, and re19 search studies under section 1110 of the Social Security 

20 Act, $565,394,000, together with $64,828,000 from the 

21 amounts available under section 241 of the PHS Act to 

22 carry out national health or human services research and 

23 evaluation activities: Provided, That of this amount, 

24 $60,000,000 shall be for minority AIDS prevention and 

25 treatment activities: Provided further, That of the funds 


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1 made available under this heading, $130,000,000 shall be 

2 for making competitive contracts and grants to public and 

3 private entities to fund medically accurate and age appro4 priate programs that reduce teen pregnancy and for the 

5 Federal costs associated with administering and evalu6 ating such contracts and grants, of which not more than 

7 10 percent of the available funds shall be for training and 

8 technical assistance, evaluation, outreach, and additional 

9 program support activities, and of the remaining amount 

10 75 percent shall be for replicating programs that have 

11 been proven effective through rigorous evaluation to re12 duce teenage pregnancy, behavioral risk factors underlying 

13 teenage pregnancy, or other associated risk factors, and 

14 25 percent shall be available for research and demonstra15 tion grants to develop, replicate, refine, and test additional 

16 models and innovative strategies for preventing teenage 

17 pregnancy: Provided further, That of the amounts provided 

18 under this heading from amounts available under section 

19 241 of the PHS Act, $6,800,000 shall be available to carry 

20 out evaluations (including longitudinal evaluations) of 

21 teenage pregnancy prevention approaches: Provided fur22 ther, That funds provided in this Act for embryo adoption 

23 activities may be used to provide to individuals adopting 

24 embryos, through grants and other mechanisms, medical 

25 and administrative services deemed necessary for such 


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1 adoptions: Provided further, That such services shall be 

2 provided consistent with 42 CFR 59.5(a)(4): Provided fur3 ther, That of the funds made available under this heading, 

4 $5,000,000 shall be for carrying out prize competitions 

5 sponsored by the Office of the Secretary to accelerate in6 novation in the prevention, diagnosis, and treatment of 

7 kidney diseases (as authorized by section 24 of the Steven8 son-Wydler Technology Innovation Act of 1980 (15 U.S.C. 

9 3719)). 

10 MEDICARE HEARINGS AND APPEALS

11 For expenses necessary for Medicare hearings and 

12 appeals in the Office of the Secretary, $196,000,000 shall 

13 remain available until September 30, 2024, to be trans14 ferred in appropriate part from the Federal Hospital In15 surance Trust Fund and the Federal Supplementary Med16 ical Insurance Trust Fund. 

17 OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH

18 INFORMATION TECHNOLOGY

19 For expenses necessary for the Office of the National 

20 Coordinator for Health Information Technology, including 

21 grants, contracts, and cooperative agreements for the de22 velopment and advancement of interoperable health infor23 mation technology, $74,238,000 shall be from amounts 

24 made available under section 241 of the PHS Act. 


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1 OFFICE OF INSPECTOR GENERAL

2 For expenses necessary for the Office of Inspector 

3 General, including the hire of passenger motor vehicles for 

4 investigations, in carrying out the provisions of the Inspec5 tor General Act of 1978, $87,400,000: Provided, That of 

6 such amount, necessary sums shall be available for pro7 viding protective services to the Secretary and inves8 tigating non-payment of child support cases for which non9 payment is a Federal offense under 18 U.S.C. 228: Pro10 vided further, That of the amount appropriated under this 

11 heading, necessary sums shall be available for carrying out 

12 activities authorized under section 3022 of the PHS Act 

13 (42 U.S.C. 300jj–52). 

14 OFFICE FOR CIVIL RIGHTS

15 For expenses necessary for the Office for Civil 

16 Rights, $60,250,000. 

17 RETIREMENT PAY AND MEDICAL BENEFITS FOR

18 COMMISSIONED OFFICERS

19 For retirement pay and medical benefits of Public 

20 Health Service Commissioned Officers as authorized by 

21 law, for payments under the Retired Serviceman’s Family 

22 Protection Plan and Survivor Benefit Plan, and for med23 ical care of dependents and retired personnel under the 

24 Dependents’ Medical Care Act, such amounts as may be 

25 required during the current fiscal year. 


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1 PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY

2 FUND

3 For expenses necessary to support activities related 

4 to countering potential biological, nuclear, radiological, 

5 chemical, and cybersecurity threats to civilian populations, 

6 and for other public health emergencies, $1,592,479,000, 

7 of which $818,505,000 shall remain available through 

8 September 30, 2024, for expenses necessary to support 

9 advanced research and development pursuant to section 

10 319L of the PHS Act and other administrative expenses 

11 of the Biomedical Advanced Research and Development 

12 Authority: Provided, That funds provided under this head13 ing for the purpose of acquisition of security counter14 measures shall be in addition to any other funds available 

15 for such purpose: Provided further, That products pur16 chased with funds provided under this heading may, at 

17 the discretion of the Secretary, be deposited in the Stra18 tegic National Stockpile pursuant to section 319F–2 of 

19 the PHS Act: Provided further, That $5,000,000 of the 

20 amounts made available to support emergency operations 

21 shall remain available through September 30, 2025: Pro22 vided further, That $82,801,000 of the amounts made 

23 available to support coordination of the development, pro24 duction, and distribution of vaccines, therapeutics, and 


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1 other medical countermeasures shall remain available 

2 through September 30, 2024. 

3 For expenses necessary for procuring security coun4 termeasures (as defined in section 319F–2(c)(1)(B) of the 

5 PHS Act), $790,000,000, to remain available until ex6 pended. 

7 For expenses necessary to carry out section 319F– 

8 2(a) of the PHS Act, $875,000,000, to remain available 

9 until expended. 

10 For an additional amount for expenses necessary to 

11 prepare for or respond to an influenza pandemic, 

12 $382,000,000; of which $347,000,000 shall be available 

13 until expended, for activities including the development 

14 and purchase of vaccine, antivirals, necessary medical sup15 plies, diagnostics, and other surveillance tools: Provided, 

16 That notwithstanding section 496(b) of the PHS Act, 

17 funds may be used for the construction or renovation of 

18 privately owned facilities for the production of pandemic 

19 influenza vaccines and other biologics, if the Secretary 

20 finds such construction or renovation necessary to secure 

21 sufficient supplies of such vaccines or biologics. 

22 GENERAL PROVISIONS

23 SEC. 201. Funds appropriated in this title shall be 

24 available for not to exceed $50,000 for official reception 


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1 and representation expenses when specifically approved by 

2 the Secretary. 

3 SEC. 202. None of the funds appropriated in this title 

4 shall be used to pay the salary of an individual, through 

5 a grant or other extramural mechanism, at a rate in excess 

6 of Executive Level II: Provided, That none of the funds 

7 appropriated in this title shall be used to prevent the NIH 

8 from paying up to 100 percent of the salary of an indi9 vidual at this rate. 

10 SEC. 203. None of the funds appropriated in this Act 

11 may be expended pursuant to section 241 of the PHS Act, 

12 except for funds specifically provided for in this Act, or 

13 for other taps and assessments made by any office located 

14 in HHS, prior to the preparation and submission of a re15 port by the Secretary to the Committees on Appropria16 tions of the House of Representatives and the Senate de17 tailing the planned uses of such funds. 

18 SEC. 204. Notwithstanding section 241(a) of the 

19 PHS Act, such portion as the Secretary shall determine, 

20 but not more than 2.5 percent, of any amounts appro21 priated for programs authorized under such Act shall be 

22 made available for the evaluation (directly, or by grants 

23 or contracts) and the implementation and effectiveness of 

24 programs funded in this title. 


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1 (TRANSFER OF FUNDS)

2 SEC. 205. Not to exceed 1 percent of any discre3 tionary funds (pursuant to the Balanced Budget and 

4 Emergency Deficit Control Act of 1985) which are appro5 priated for the current fiscal year for HHS in this Act 

6 may be transferred between appropriations, but no such 

7 appropriation shall be increased by more than 3 percent 

8 by any such transfer: Provided, That the transfer author9 ity granted by this section shall not be used to create any 

10 new program or to fund any project or activity for which 

11 no funds are provided in this Act: Provided further, That 

12 the Committees on Appropriations of the House of Rep13 resentatives and the Senate are notified at least 15 days 

14 in advance of any transfer. 

15 SEC. 206. In lieu of the timeframe specified in section 

16 338E(c)(2) of the PHS Act, terminations described in 

17 such section may occur up to 60 days after the effective 

18 date of a contract awarded in fiscal year 2023 under sec19 tion 338B of such Act, or at any time if the individual 

20 who has been awarded such contract has not received 

21 funds due under the contract. 

22 SEC. 207. None of the funds appropriated in this Act 

23 may be made available to any entity under title X of the 

24 PHS Act unless the applicant for the award certifies to 

25 the Secretary that it encourages family participation in 


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1 the decision of minors to seek family planning services and 

2 that it provides counseling to minors on how to resist at3 tempts to coerce minors into engaging in sexual activities. 

4 SEC. 208. Notwithstanding any other provision of 

5 law, no provider of services under title X of the PHS Act 

6 shall be exempt from any State law requiring notification 

7 or the reporting of child abuse, child molestation, sexual 

8 abuse, rape, or incest. 

9 SEC. 209. None of the funds appropriated by this Act 

10 (including funds appropriated to any trust fund) may be 

11 used to carry out the Medicare Advantage program if the 

12 Secretary denies participation in such program to an oth13 erwise eligible entity (including a Provider Sponsored Or14 ganization) because the entity informs the Secretary that 

15 it will not provide, pay for, provide coverage of, or provide 

16 referrals for abortions: Provided, That the Secretary shall 

17 make appropriate prospective adjustments to the capita18 tion payment to such an entity (based on an actuarially 

19 sound estimate of the expected costs of providing the serv20 ice to such entity’s enrollees): Provided further, That noth21 ing in this section shall be construed to change the Medi22 care program’s coverage for such services and a Medicare 

23 Advantage organization described in this section shall be 

24 responsible for informing enrollees where to obtain infor25 mation about all Medicare covered services. 


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1 SEC. 210. None of the funds made available in this 

2 title may be used, in whole or in part, to advocate or pro3 mote gun control. 

4 SEC. 211. The Secretary shall make available through 

5 assignment not more than 60 employees of the Public 

6 Health Service to assist in child survival activities and to 

7 work in AIDS programs through and with funds provided 

8 by the Agency for International Development, the United 

9 Nations International Children’s Emergency Fund or the 

10 World Health Organization. 

11 SEC. 212. In order for HHS to carry out inter12 national health activities, including HIV/AIDS and other 

13 infectious disease, chronic and environmental disease, and 

14 other health activities abroad during fiscal year 2023: 

15 (1) The Secretary may exercise authority equiv16 alent to that available to the Secretary of State in 

17 section 2(c) of the State Department Basic Authori18 ties Act of 1956. The Secretary shall consult with 

19 the Secretary of State and relevant Chief of Mission 

20 to ensure that the authority provided in this section 

21 is exercised in a manner consistent with section 207 

22 of the Foreign Service Act of 1980 and other appli23 cable statutes administered by the Department of 

24 State. 


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1 (2) The Secretary is authorized to provide such 

2 funds by advance or reimbursement to the Secretary 

3 of State as may be necessary to pay the costs of ac4 quisition, lease, alteration, renovation, and manage5 ment of facilities outside of the United States for 

6 the use of HHS. The Department of State shall co7 operate fully with the Secretary to ensure that HHS 

8 has secure, safe, functional facilities that comply 

9 with applicable regulation governing location, set10 back, and other facilities requirements and serve the 

11 purposes established by this Act. The Secretary is 

12 authorized, in consultation with the Secretary of 

13 State, through grant or cooperative agreement, to 

14 make available to public or nonprofit private institu15 tions or agencies in participating foreign countries, 

16 funds to acquire, lease, alter, or renovate facilities in 

17 those countries as necessary to conduct programs of 

18 assistance for international health activities, includ19 ing activities relating to HIV/AIDS and other infec20 tious diseases, chronic and environmental diseases, 

21 and other health activities abroad. 

22 (3) The Secretary is authorized to provide to 

23 personnel appointed or assigned by the Secretary to 

24 serve abroad, allowances and benefits similar to 

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1 eign Service Act of 1980, and 22 U.S.C. 4081 

2 through 4086 and subject to such regulations pre3 scribed by the Secretary. The Secretary is further 

4 authorized to provide locality-based comparability 

5 payments (stated as a percentage) up to the amount 

6 of the locality-based comparability payment (stated 

7 as a percentage) that would be payable to such per8 sonnel under section 5304 of title 5, United States 

9 Code if such personnel’s official duty station were in 

10 the District of Columbia. Leaves of absence for per11 sonnel under this subsection shall be on the same 

12 basis as that provided under subchapter I of chapter 

13 63 of title 5, United States Code, or section 903 of 

14 the Foreign Service Act of 1980, to individuals serv15 ing in the Foreign Service. 

16 (TRANSFER OF FUNDS)

17 SEC. 213. The Director of the NIH, jointly with the 

18 Director of the Office of AIDS Research, may transfer up 

19 to 3 percent among institutes and centers from the total 

20 amounts identified by these two Directors as funding for 

21 research pertaining to the human immunodeficiency virus: 

22 Provided, That the Committees on Appropriations of the 

23 House of Representatives and the Senate are notified at 

24 least 15 days in advance of any transfer. 


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1 (TRANSFER OF FUNDS)

2 SEC. 214. Of the amounts made available in this Act 

3 for NIH, the amount for research related to the human 

4 immunodeficiency virus, as jointly determined by the Di5 rector of NIH and the Director of the Office of AIDS Re6 search, shall be made available to the ‘‘Office of AIDS 

7 Research’’ account. The Director of the Office of AIDS 

8 Research shall transfer from such account amounts nec9 essary to carry out section 2353(d)(3) of the PHS Act. 

10 SEC. 215. (a) AUTHORITY.—Notwithstanding any 

11 other provision of law, the Director of NIH (‘‘Director’’) 

12 may use funds authorized under section 402(b)(12) of the 

13 PHS Act to enter into transactions (other than contracts, 

14 cooperative agreements, or grants) to carry out research 

15 identified pursuant to or research and activities described 

16 in such section 402(b)(12). 

17 (b) PEER REVIEW.—In entering into transactions 

18 under subsection (a), the Director may utilize such peer 

19 review procedures (including consultation with appropriate 

20 scientific experts) as the Director determines to be appro21 priate to obtain assessments of scientific and technical 

22 merit. Such procedures shall apply to such transactions 

23 in lieu of the peer review and advisory council review pro24 cedures that would otherwise be required under sections 


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1 301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 

2 and 494 of the PHS Act. 

3 SEC. 216. Not to exceed $100,000,000 of funds ap4 propriated by this Act to the institutes and centers of the 

5 National Institutes of Health may be used for alteration, 

6 repair, or improvement of facilities, as necessary for the 

7 proper and efficient conduct of the activities authorized 

8 herein, at not to exceed $5,000,000 per project. 

9 (TRANSFER OF FUNDS)

10 SEC. 217. Of the amounts made available for NIH, 

11 1 percent of the amount made available for National Re12 search Service Awards (‘‘NRSA’’) shall be made available 

13 to the Administrator of the Health Resources and Services 

14 Administration to make NRSA awards for research in pri15 mary medical care to individuals affiliated with entities 

16 who have received grants or contracts under sections 736, 

17 739, or 747 of the PHS Act, and 1 percent of the amount 

18 made available for NRSA shall be made available to the 

19 Director of the Agency for Healthcare Research and Qual20 ity to make NRSA awards for health service research. 

21 SEC. 218. (a) The Biomedical Advanced Research 

22 and Development Authority (‘‘BARDA’’) may enter into 

23 a contract, for more than one but no more than 10 pro24 gram years, for purchase of research services or of security 

25 countermeasures, as that term is defined in section 319F– 


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1 2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 

2 if— 

3 (1) funds are available and obligated— 

4 (A) for the full period of the contract or 

5 for the first fiscal year in which the contract is 

6 in effect; and 

7 (B) for the estimated costs associated with 

8 a necessary termination of the contract; and 

9 (2) the Secretary determines that a multi-year 

10 contract will serve the best interests of the Federal 

11 Government by encouraging full and open competi12 tion or promoting economy in administration, per13 formance, and operation of BARDA’s programs. 

14 (b) A contract entered into under this section— 

15 (1) shall include a termination clause as de16 scribed by subsection (c) of section 3903 of title 41, 

17 United States Code; and 

18 (2) shall be subject to the congressional notice 

19 requirement stated in subsection (d) of such section. 

20 SEC. 219. The Secretary shall publish, as part of the 

21 fiscal year 2024 budget of the President submitted under 

22 section 1105(a) of title 31, United States Code, informa23 tion that details the uses of all funds used by the Centers 

24 for Medicare & Medicaid Services specifically for Health 

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1 ment of the ACA and the proposed uses for such funds 

2 for fiscal year 2024. Such information shall include, for 

3 each such fiscal year, the amount of funds used for each 

4 activity specified under the heading ‘‘Health Insurance 

5 Exchange Transparency’’ in the explanatory statement ac6 companying this Act. 

7 SEC. 220. None of the funds made available by this 

8 Act from the Federal Hospital Insurance Trust Fund or 

9 the Federal Supplemental Medical Insurance Trust Fund, 

10 or transferred from other accounts funded by this Act to 

11 the ‘‘Centers for Medicare & Medicaid Services—Program 

12 Management’’ account, may be used for payments under 

13 section 1342(b)(1) of Public Law 111–148 (relating to 

14 risk corridors). 

15 (TRANSFER OF FUNDS)

16 SEC. 221. (a) Within 45 days of enactment of this 

17 Act, the Secretary shall transfer funds appropriated under 

18 section 4002 of the ACA to the accounts specified, in the 

19 amounts specified, and for the activities specified under 

20 the heading ‘‘Prevention and Public Health Fund’’ in the 

21 explanatory statement accompanying this Act. 

22 (b) Notwithstanding section 4002(c) of the ACA, the 

23 Secretary may not further transfer these amounts. 


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1 (c) Funds transferred for activities authorized under 

2 section 2821 of the PHS Act shall be made available with3 out reference to section 2821(b) of such Act. 

4 SEC. 222. Effective during the period beginning on 

5 November 1, 2015 and ending January 1, 2025, any pro6 vision of law that refers (including through cross-reference 

7 to another provision of law) to the current recommenda8 tions of the United States Preventive Services Task Force 

9 with respect to breast cancer screening, mammography, 

10 and prevention shall be administered by the Secretary in11 volved as if— 

12 (1) such reference to such current recommenda13 tions were a reference to the recommendations of 

14 such Task Force with respect to breast cancer 

15 screening, mammography, and prevention last issued 

16 before 2009; and 

17 (2) such recommendations last issued before 

18 2009 applied to any screening mammography modal19 ity under section 1861(jj) of the Social Security Act 

20 (42 U.S.C. 1395x(jj)). 

21 SEC. 223. In making Federal financial assistance, the 

22 provisions relating to indirect costs in part 75 of title 45, 

23 Code of Federal Regulations, including with respect to the 

24 approval of deviations from negotiated rates, shall con25 tinue to apply to the National Institutes of Health to the 


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1 same extent and in the same manner as such provisions 

2 were applied in the third quarter of fiscal year 2017. None 

3 of the funds appropriated in this or prior Acts or otherwise 

4 made available to the Department of Health and Human 

5 Services or to any department or agency may be used to 

6 develop or implement a modified approach to such provi7 sions, or to intentionally or substantially expand the fiscal 

8 effect of the approval of such deviations from negotiated 

9 rates beyond the proportional effect of such approvals in 

10 such quarter. 

11 (TRANSFER OF FUNDS)

12 SEC. 224. The NIH Director may transfer funds for 

13 opioid addiction, opioid alternatives, stimulant misuse and 

14 addiction, pain management, and addiction treatment to 

15 other Institutes and Centers of the NIH to be used for 

16 the same purpose 15 days after notifying the Committees 

17 on Appropriations of the House of Representatives and the 

18 Senate: Provided, That the transfer authority provided in 

19 the previous proviso is in addition to any other transfer 

20 authority provided by law. 

21 SEC. 225. (a) The Secretary shall provide to the 

22 Committees on Appropriations of the House of Represent23 atives and the Senate: 

24 (1) Detailed monthly enrollment figures from 

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1 tion and Affordable Care Act of 2010 pertaining to 

2 enrollments during the open enrollment period; and 

3 (2) Notification of any new or competitive grant 

4 awards, including supplements, authorized under 

5 section 330 of the Public Health Service Act. 

6 (b) The Committees on Appropriations of the House 

7 and Senate must be notified at least 2 business days in 

8 advance of any public release of enrollment information 

9 or the award of such grants. 

10 SEC. 226. Funds appropriated in this Act that are 

11 available for salaries and expenses of employees of the De12 partment of Health and Human Services shall also be 

13 available to pay travel and related expenses of such an 

14 employee or of a member of his or her family, when such 

15 employee is assigned to duty, in the United States or in 

16 a U.S. territory, during a period and in a location that 

17 are the subject of a determination of a public health emer18 gency under section 319 of the Public Health Service Act 

19 and such travel is necessary to obtain medical care for 

20 an illness, injury, or medical condition that cannot be ade21 quately addressed in that location at that time. For pur22 poses of this section, the term ‘‘U.S. territory’’ means 

23 Guam, the Commonwealth of Puerto Rico, the Northern 

24 Mariana Islands, the Virgin Islands, American Samoa, or 

25 the Trust Territory of the Pacific Islands. 


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1 SEC. 227. The Department of Health and Human 

2 Services may accept donations from the private sector, 

3 nongovernmental organizations, and other groups inde4 pendent of the Federal Government for the care of unac5 companied alien children (as defined in section 462(g)(2) 

6 of the Homeland Security Act of 2002 (6 U.S.C. 

7 279(g)(2))) in the care of the Office of Refugee Resettle8 ment of the Administration for Children and Families, in9 cluding monetary donations, medical goods and services, 

10 which may include early childhood developmental 

11 screenings, school supplies, toys, clothing, and any other 

12 items intended to promote the wellbeing of such children. 

13 SEC. 228. None of the funds made available in this 

14 Act under the heading ‘‘Department of Health and 

15 Human Services—Administration for Children and Fami16 lies—Refugee and Entrant Assistance’’ may be obligated 

17 to a grantee or contractor to house unaccompanied alien 

18 children (as such term is defined in section 462(g)(2) of 

19 the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) 

20 in any facility that is not State-licensed for the care of 

21 unaccompanied alien children, except in the case that the 

22 Secretary determines that housing unaccompanied alien 

23 children in such a facility is necessary on a temporary 

24 basis due to an influx of such children or an emergency, 

25 provided that— 


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1 (1) the terms of the grant or contract for the 

2 operations of any such facility that remains in oper3 ation for more than 6 consecutive months shall re4 quire compliance with— 

5 (A) the same requirements as licensed 

6 placements, as listed in Exhibit 1 of the Flores 

7 Settlement Agreement that the Secretary deter8 mines are applicable to non-State licensed facili9 ties; and 

10 (B) staffing ratios of one (1) on-duty 

11 Youth Care Worker for every eight (8) children 

12 or youth during waking hours, one (1) on-duty 

13 Youth Care Worker for every sixteen (16) chil14 dren or youth during sleeping hours, and clini15 cian ratios to children (including mental health 

16 providers) as required in grantee cooperative 

17 agreements; 

18 (2) the Secretary may grant a 60-day waiver 

19 for a contractor’s or grantee’s non-compliance with 

20 paragraph (1) if the Secretary certifies and provides 

21 a report to Congress on the contractor’s or grantee’s 

22 good-faith efforts and progress towards compliance; 

23 (3) not more than four consecutive waivers 

24 under paragraph (2) may be granted to a contractor 

25 or grantee with respect to a specific facility; 


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1 (4) ORR shall ensure full adherence to the 

2 monitoring requirements set forth in section 5.5 of 

3 its Policies and Procedures Guide as of May 15, 

4 2019; 

5 (5) for any such unlicensed facility in operation 

6 for more than 3 consecutive months, ORR shall con7 duct a minimum of one comprehensive monitoring 

8 visit during the first 3 months of operation, with 

9 quarterly monitoring visits thereafter; and 

10 (6) not later than 60 days after the date of en11 actment of this Act, ORR shall brief the Committees 

12 on Appropriations of the House of Representatives 

13 and the Senate outlining the requirements of ORR 

14 for influx facilities including any requirement listed 

15 in paragraph (1)(A) that the Secretary has deter16 mined are not applicable to non-State licensed facili17 ties. 

18 SEC. 229. In addition to the existing Congressional 

19 notification for formal site assessments of potential influx 

20 facilities, the Secretary shall notify the Committees on Ap21 propriations of the House of Representatives and the Sen22 ate at least 15 days before operationalizing an unlicensed 

23 facility, and shall (1) specify whether the facility is hard24 sided or soft-sided, and (2) provide analysis that indicates 

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1 come is that unaccompanied alien children will remain in 

2 the custody of the Department of Homeland Security for 

3 longer than 72 hours or that unaccompanied alien children 

4 will be otherwise placed in danger. Within 60 days of 

5 bringing such a facility online, and monthly thereafter, the 

6 Secretary shall provide to the Committees on Appropria7 tions of the House of Representatives and the Senate a 

8 report detailing the total number of children in care at 

9 the facility, the average length of stay and average length 

10 of care of children at the facility, and, for any child that 

11 has been at the facility for more than 60 days, their length 

12 of stay and reason for delay in release. 

13 SEC. 230. None of the funds made available in this 

14 Act may be used to prevent a United States Senator or 

15 Member of the House of Representatives from entering, 

16 for the purpose of conducting oversight, any facility in the 

17 United States used for the purpose of maintaining custody 

18 of, or otherwise housing, unaccompanied alien children (as 

19 defined in section 462(g)(2) of the Homeland Security Act 

20 of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 

21 or Member has coordinated the oversight visit with the 

22 Office of Refugee Resettlement not less than two business 

23 days in advance to ensure that such visit would not inter24 fere with the operations (including child welfare and child 

25 safety operations) of such facility. 


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1 SEC. 231. Not later than 14 days after the date of 

2 enactment of this Act, and monthly thereafter, the Sec3 retary shall submit to the Committees on Appropriations 

4 of the House of Representatives and the Senate, and make 

5 publicly available online, a report with respect to children 

6 who were separated from their parents or legal guardians 

7 by the Department of Homeland Security (DHS) (regard8 less of whether or not such separation was pursuant to 

9 an option selected by the children, parents, or guardians), 

10 subsequently classified as unaccompanied alien children, 

11 and transferred to the care and custody of ORR during 

12 the previous month. Each report shall contain the fol13 lowing information: 

14 (1) the number and ages of children so sepa15 rated subsequent to apprehension at or between 

16 ports of entry, to be reported by sector where sepa17 ration occurred; and 

18 (2) the documented cause of separation, as re19 ported by DHS when each child was referred. 

20 SEC. 232. Amounts made available to the Depart21 ment of Health and Human Services in this or any other 

22 Act under the heading ‘‘Administration for Children and 

23 Families—Refugee and Entrant Assistance’’ may in this 

24 fiscal year and hereafter be used to provide, including 

25 through grants, contracts, or cooperative agreements, 


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1 mental health and other supportive services, including ac2 cess to legal services, to children, parents, and legal guard3 ians who were separated at the United States-Mexico bor4 der between January 20, 2017, and January 20, 2021: 

5 Provided, That such services shall also be available to im6 mediate family members of such individuals if such family 

7 members are in the United States and in the same house8 hold: Provided further, That the Secretary of Health and 

9 Human Services may identify the children, parents, and 

10 legal guardians eligible to receive mental health and other 

11 supportive services described under this section through 

12 reference to the identified members of the classes, and 

13 their minor children, in the class-action lawsuits Ms. J.P. 

14 v. Barr and Ms. L. v. ICE: Provided further, That the Sec15 retary has sole discretion to identify the individuals who 

16 will receive services under this section due to their status 

17 as immediate family members residing in the same house18 hold of class members or class members’ minor children. 

19 SEC. 233. Funds appropriated in this Act that are 

20 available for salaries and expenses of employees of the 

21 Centers for Disease Control and Prevention shall also be 

22 available for the primary and secondary schooling of eligi23 ble dependents of personnel stationed in a U.S. territory 

24 as defined in section 226 of this Act at costs not in excess 


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1 of those paid for or reimbursed by the Department of De2 fense. 

3 (RESCISSION)

4 SEC. 234. Of the unobligated balances in the ‘‘Non5 recurring Expenses Fund’’ established in section 223 of 

6 division G of Public Law 110–161, $650,000,000 are 

7 hereby rescinded not later than September 30, 2023. 

8 SEC. 235. Of the unobligated balances available in 

9 the ‘‘Nonrecurring Expenses Fund’’ established in section 

10 223 of division G of Public Law 110–161, $37,500,000, 

11 in addition to any funds otherwise made available for such 

12 purpose in this, previous, or subsequent fiscal years, shall 

13 be available for acquisition of real property, equipment, 

14 design, construction, installation, renovation, and repair 

15 and improvement for the Centers for Disease Control and 

16 Prevention to develop the replacement Lake Lynn Experi17 mental Mine and Laboratory facility. 

18 SEC. 236. The Secretary of Health and Human Serv19 ices may waive penalties and administrative requirements 

20 in title XXVI of the Public Health Service Act for awards 

21 under such title from amounts provided under the heading 

22 ‘‘Department of Health and Human Services—Health Re23 sources and Services Administration’’ in this or any other 

24 appropriations Act for this fiscal year, including amounts 

25 made available to such heading by transfer. 


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1 SEC. 237. (a) PREMIUM PAY AUTHORITY.—If serv2 ices performed by a Department of Health and Human 

3 Services employee during a public health emergency de4 clared under section 319 of the Public Health Service Act 

5 are determined by the Secretary of Health and Human 

6 Services to be primarily related to the preparation for, pre7 vention of, or response to such public health emergency, 

8 any premium pay that is provided for such services shall 

9 be exempted from the aggregate of basic pay and premium 

10 pay calculated under section 5547(a) of title 5, United 

11 States Code, and any other provision of law limiting the 

12 aggregate amount of premium payable on a biweekly or 

13 calendar year basis. 

14 (b) OVERTIME AUTHORITY.—Any overtime that is 

15 provided for such services described in subsection (a) shall 

16 be exempted from any annual limit on the amount of over17 time payable in a calendar or fiscal year. 

18 (c) APPLICABILITY OF AGGREGATE LIMITATION ON

19 PAY.—In determining, for purposes of section 5307 of 

20 title 5, United States Code, whether an employee’s total 

21 pay exceeds the annual rate payable under such section, 

22 the Secretary of Health and Human Services shall not in23 clude pay exempted under this section. 

24 (d) LIMITATION OF PAY AUTHORITY.—Pay exempted 

25 from otherwise applicable limits under subsection (a) shall 


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1 not cause the aggregate pay earned for the calendar year 

2 in which the exempted pay is earned to exceed the rate 

3 of basic pay payable for a position at level II of the Execu4 tive Schedule under section 5313 of title 5, United States 

5 Code. 

6 (e) DANGER PAY FOR SERVICE IN PUBLIC HEALTH

7 EMERGENCIES.—The Secretary of Health and Human 

8 Services may grant a danger pay allowance under section 

9 5928 of title 5, United States Code, without regard to the 

10 conditions of the first sentence of such section, for work 

11 that is performed by a Department of Health and Human 

12 Services employee during a public health emergency de13 clared under section 319 of the Public Health Service Act 

14 that the Secretary determines is primarily related to prep15 aration for, prevention of, or response to such public 

16 health emergency and is performed under conditions that 

17 threaten physical harm or imminent danger to the health 

18 or well-being of the employee. 

19 (f) EFFECTIVE DATE.—This section shall take effect 

20 as if enacted on September 30, 2021. 

21 SEC. 238. (a) None of the funds made available by 

22 this Act may be awarded to any organization, including 

23 under the Child Welfare or Federal Foster Care programs 

24 under part B or E of title IV of the Social Security Act, 

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1 tion 75.300 of title 45, Code of Federal Regulations (pro2 hibiting discrimination on the basis of age, disability, sex, 

3 race, color, national origin, religion, gender identity, or 

4 sexual orientation), as in effect on October 1, 2019. 

5 (b) None of the funds made available by this Act may 

6 be used by the Department of Health and Human Services 

7 to grant an exception from either such paragraph for any 

8 Federal grantee. 

9 SEC. 239. Section 317G of the Public Health Service 

10 Act (42 U.S.C. 247b–8) is amended by adding at the end 

11 the following: ‘‘The Secretary may, no later than 120 days 

12 after the end of an individual’s participation in such a fel13 lowship or training program, and without regard to those 

14 provisions of title 5, United States Code, governing ap15 pointments in the competitive service, appoint a partici16 pant in such a fellowship or training program to a term 

17 or permanent position in the Centers for Disease Control 

18 and Prevention.’’. 

19 SEC. 240. (a) The Public Health Service Act (42 

20 U.S.C. 201 et seq.), the Controlled Substances Act (21 

21 U.S.C. 801 et seq.), the Comprehensive Smoking Edu22 cation Act (15 U.S.C. 1331 et seq.), the Comprehensive 

23 Addiction and Recovery Act of 2016 (Public Law 114– 

24 198), the Drug Abuse Prevention, Treatment, and Reha25 bilitation Act (21 U.S.C. 1101 et seq.), the Omnibus 


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1 Crime Control and Safe Streets Act of 1968 (34 U.S.C. 

2 10101 et seq.), and title 5 of the United States Code are 

3 each amended (including in headings)— 

4 (1) by striking ‘‘National Institute on Drug 

5 Abuse’’ each place it appears and inserting ‘‘Na6 tional Institute on Drugs and Addiction’’; and 

7 (2) by striking ‘‘National Advisory Council on 

8 Drug Abuse’’ each place it appears and inserting 

9 ‘‘National Advisory Council on Drugs and Addic10 tion’’. 

11 (b) Title IV of the Public Health Service Act (42 

12 U.S.C. 281 et seq.) is amended— 

13 (1) in section 464H(b)(5), by striking ‘‘Na14 tional Institute of Drug Abuse’’ and inserting ‘‘Na15 tional Institute on Drugs and Addiction’’; 

16 (2) in sections 464L, 464M(a), 464O, and 

17 494A, by striking ‘‘drug abuse’’ each place it ap18 pears and inserting ‘‘drug use’’; 

19 (3) in section 464L(a), by striking ‘‘treatment 

20 of drug abusers’’ and inserting ‘‘treatment of drug 

21 addiction’’; 

22 (4) in section 464M(a), by striking ‘‘prevention 

23 of such abuse’’ and inserting ‘‘prevention of such 

24 use’’; 

25 (5) in section 464N— 


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1 (A) in the section heading, by striking 

2 ‘‘DRUG ABUSE RESEARCH CENTERS’’ and insert3 ing ‘‘DRUGS AND ADDICTION RESEARCH CEN4 TERS’’; 

5 (B) in subsection (a)— 

6 (i) in matter preceding paragraph (1), 

7 by striking ‘‘National Drug Abuse Re8 search Centers’’ and inserting ‘‘National 

9 Drugs and Addiction Research Centers’’; 

10 and 

11 (ii) in paragraph (1)(C), by striking 

12 ‘‘treatment of drug abuse’’ and inserting 

13 ‘‘treatment of drug addiction’’; and 

14 (C) in subsection (c)— 

15 (i) by striking ‘‘DRUG ABUSE AND

16 ADDICTION RESEARCH’’ and inserting 

17 ‘‘DRUGS AND ADDICTION RESEARCH CEN18 TERS’’; 

19 (ii) in paragraph (1), by striking ‘‘Na20 tional Drug Abuse Treatment Clinical 

21 Trials Network’’ and inserting ‘‘National 

22 Drug Addiction Treatment Clinical Trials 

23 Network’’; and 

24 (iii) in paragraph (2)(H), by striking 

25 ‘‘reasons that individuals abuse drugs, or 


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1 refrain from abusing drugs’’ and inserting 

2 ‘‘reasons that individuals use drugs or re3 frain from using drugs’’; and 

4 (6) in section 464P— 

5 (A) in subsection (a)— 

6 (i) in paragraph (1), by striking 

7 ‘‘drug abuse treatments’’ and inserting 

8 ‘‘drug addiction treatments’’; and 

9 (ii) in paragraph (6), by striking 

10 ‘‘treatment of drug abuse’’ and inserting 

11 ‘‘treatment of drug addiction’’; and 

12 (B) in subsection (d)— 

13 (i) by striking ‘‘disease of drug 

14 abuse’’ and inserting ‘‘disease of drug ad15 diction’’; 

16 (ii) by striking ‘‘abused drugs’’ each 

17 place it appears and inserting ‘‘addictive 

18 drugs’’; and 

19 (iii) by striking ‘‘drugs of abuse’’ and 

20 inserting ‘‘drugs of addiction’’. 

21 (c) Section 464N of the Public Health Service Act 

22 (42 U.S.C. 285o–2), as amended by subsection (b)(5), is 

23 further amended by striking ‘‘drug abuse’’ each place it 

24 appears and inserting ‘‘drug use’’. 


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1 (d) Any reference in any law, regulation, map, docu2 ment, paper, or other record of the United States to the 

3 National Institute on Drug Abuse shall be considered to 

4 be a reference to the National Institute on Drugs and Ad5 diction. 

6 SEC. 241. (a) The Public Health Service Act (42 

7 U.S.C. 201 et seq.) and the Comprehensive Alcohol Abuse 

8 and Alcoholism Prevention, Treatment, and Rehabilitation 

9 Act of 1970 (42 U.S.C. 4541 et seq.) are each amended 

10 (including in headings)— 

11 (1) by striking ‘‘National Institute on Alcohol 

12 Abuse and Alcoholism’’ each place it appears and in13 serting ‘‘National Institute on Alcohol Effects and 

14 Alcohol-Associated Disorders’’; and 

15 (2) by striking ‘‘National Advisory Council on 

16 Alcohol Abuse and Alcoholism’’ each place it appears 

17 and inserting ‘‘National Advisory Council on Alcohol 

18 Effects and Alcohol-Associated Disorders’’. 

19 (b) Title IV of the Public Health Service Act (42 

20 U.S.C. 281 et seq.) is amended— 

21 (1) in section 464H— 

22 (A) in subsection (a)— 

23 (i) by striking ‘‘prevention of alcohol 

24 abuse’’ and inserting ‘‘prevention of alco25 hol misuse’’; and 


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1 (ii) by striking ‘‘treatment of alco2 holism’’ and inserting ‘‘treatment of alco3 hol-associated disorders’’; and 

4 (B) in subsection (b)— 

5 (i) in paragraph (3)— 

6 (I) in subparagraph (A), by strik7 ing ‘‘alcohol abuse and domestic vio8 lence’’ and inserting ‘‘alcohol misuse 

9 and domestic violence’’; 

10 (II) in subparagraph (D), by 

11 striking ‘‘abuse of alcohol’’ and insert12 ing ‘‘misuse of alcohol’’; 

13 (III) by amending subparagraph 

14 (E) to read as follows: 

15 ‘‘(E) the effect of social pressures, legal re16 quirements regarding the use of alcoholic bev17 erages, the cost of such beverages, and the eco18 nomic status and education of users of such 

19 beverages on the incidence of alcohol misuse, al20 cohol use disorder, and other alcohol-associated 

21 disorders,’’; and 

22 (ii) in paragraph (5), by striking ‘‘im23 pact of alcohol abuse’’ and inserting ‘‘im24 pact of alcohol misuse’’; 


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1 (2) in sections 464H(b), 464I, and 494A, by 

2 striking ‘‘alcohol abuse and alcoholism’’ each place it 

3 appears and inserting ‘‘alcohol misuse, alcohol use 

4 disorder, and other alcohol-associated disorders’’; 

5 (3) in sections 464H(b) and 464J(a), by strik6 ing ‘‘alcoholism and alcohol abuse’’ each place it ap7 pears and inserting ‘‘alcohol misuse, alcohol use dis8 order, and other alcohol-associated disorders’’; and 

9 (4) in section 464J(a)— 

10 (A) by striking ‘‘alcoholism and other alco11 hol problems’’ each place it appears and insert12 ing ‘‘alcohol misuse, alcohol use disorder, and 

13 other alcohol-associated disorders’’; 

14 (B) in the matter preceding paragraph (1), 

15 by striking ‘‘interdisciplinary research related to 

16 alcoholism’’ and inserting ‘‘interdisciplinary re17 search related to alcohol-associated disorders’’; 

18 and 

19 (C) in paragraph (1)(E), by striking ‘‘alco20 hol problems’’ each place it appears and insert21 ing ‘‘alcohol misuse, alcohol use disorder, and 

22 other alcohol-associated disorders’’. 

23 (c) Any reference in any law, regulation, map, docu24 ment, paper, or other record of the United States to the 

25 National Institute on Alcohol Abuse and Alcoholism shall 


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1 be considered to be a reference to the National Institute 

2 on Alcohol Effects and Alcohol-Associated Disorders. 

3 SEC. 242. (a) The Public Health Service Act (42 

4 U.S.C. 201 et seq.) is amended (including in headings)— 

5 (1) by striking ‘‘Substance Abuse and Mental 

6 Health Services Administration’’ each place it ap7 pears and inserting ‘‘Substance Use And Mental 

8 Health Services Administration’’; 

9 (2) by striking ‘‘Center for Substance Abuse 

10 Treatment’’ each place it appears and inserting 

11 ‘‘Center for Substance Use Services’’; and 

12 (3) by striking ‘‘Center for Substance Abuse 

13 Prevention’’ each place it appears and inserting 

14 ‘‘Center for Substance Use Prevention Services’’. 

15 (b) Title V of the Public Health Service Act (42 

16 U.S.C. 290aa et seq.) is amended— 

17 (1) in the title heading, by striking ‘‘SUB18 STANCE ABUSE AND MENTAL HEALTH 

19 SERVICES ADMINISTRATION’’ and insert20 ing ‘‘SUBSTANCE USE AND MENTAL 

21 HEALTH SERVICES ADMINISTRATION’’; 

22 (2) in section 501— 

23 (A) in the section heading, by striking 

24 ‘‘SUBSTANCE ABUSE AND MENTAL HEALTH

25 SERVICES ADMINISTRATION’’ and inserting 


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1 ‘‘SUBSTANCE USE AND MENTAL HEALTH

2 SERVICES ADMINISTRATION’’; and 

3 (B) in subsection (a), by striking ‘‘(here4 after referred to in this title as the ‘Administra5 tion’)’’ and inserting ‘‘(hereafter referred to in 

6 this title as ‘SAMHSA’ or the ‘Administra7 tion’)’’; 

8 (3) in section 507, in the section heading, by 

9 striking ‘‘CENTER FOR SUBSTANCE ABUSE TREAT10 MENT’’ and inserting ‘‘CENTER FOR SUBSTANCE USE

11 SERVICES’’; 

12 (4) in section 513(a), in the subsection heading, 

13 by striking ‘‘CENTER FOR SUBSTANCE ABUSE

14 TREATMENT’’ and inserting ‘‘CENTER FOR SUB15 STANCE USE SERVICES’’; and 

16 (5) in section 515, in the section heading, by 

17 striking ‘‘CENTER FOR SUBSTANCE ABUSE PREVEN18 TION’’ and inserting ‘‘CENTER FOR SUBSTANCE USE

19 PREVENTION SERVICES’’. 

20 (c) Section 1932(b)(3) of the Public Health Service 

21 Act (42 U.S.C. 300x–32(b)(3)) is amended in the para22 graph heading by striking ‘‘CENTER FOR SUBSTANCE

23 ABUSE PREVENTION’’ and inserting ‘‘CENTER FOR SUB24 STANCE USE PREVENTION SERVICES’’. 


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1 (d) Section 1935(b)(2) of the Public Health Service 

2 Act (42 U.S.C. 300x–35(b)(2)) is amended in the para3 graph heading by striking ‘‘CENTER FOR SUBSTANCE

4 ABUSE PREVENTION’’ and inserting ‘‘CENTER FOR SUB5 STANCE USE PREVENTION SERVICES’’. 

6 (e) Subtitle C of title IV of Public Law 99–570, as 

7 amended (25 U.S.C. 2401 et seq.) is amended (including 

8 in headings) by striking ‘‘Substance Abuse and Mental 

9 Health Services Administration’’ each place it appears and 

10 inserting ‘‘Substance Use And Mental Health Services Ad11 ministration’’. 

12 (f) The Social Security Act is amended in sections 

13 1861, 1866F, and 1945 (42 U.S.C. 1395x, 1395cc–6, 

14 1396w–4) by striking ‘‘Substance Abuse and Mental 

15 Health Services Administration’’ each place it appears and 

16 inserting ‘‘Substance Use And Mental Health Services Ad17 ministration’’. 

18 (g) Section 105(a)(7)(C)(i)(III) of the Child Abuse 

19 Prevention and Treatment Act (42 U.S.C. 

20 5106(a)(7)(C)(i)(III)) is amended by striking ‘‘Substance 

21 Abuse and Mental Health Services Administration’’ and 

22 inserting ‘‘Substance Use And Mental Health Services Ad23 ministration’’. 

24 (h)(1) Except as provided in paragraph (2), any ref25 erence in any law, regulation, map, document, paper, or 


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1 other record of the United States to the Substance Abuse 

2 and Mental Health Services Administration, the Center 

3 for Substance Abuse Treatment of such Administration, 

4 or the Center for Substance Abuse Prevention of such Ad5 ministration shall be considered to be a reference to the 

6 Substance Use And Mental Health Services Administra7 tion, the Center for Substance Use Services of such Ad8 ministration, or the Center for Substance Use Prevention 

9 Services of such Administration, respectively. 

10 (2) Paragraph (1) shall not be construed to alter or 

11 affect section 6001(d) of the 21st Century Cures Act (42 

12 U.S.C. 290aa note), providing that a reference to the Ad13 ministrator of the Substance Abuse and Mental Health 

14 Services Administration shall be construed to be a ref15 erence to the Assistant Secretary for Mental Health and 

16 Substance Use. 

17 (INCLUDING TRANSFER OF FUNDS)

18 SEC. 243. In addition to amounts otherwise appro19 priated by this Act under the heading ‘‘Office of the Sec20 retary—General Departmental Management’’ there are 

21 hereby appropriated an additional $350,000,000, to re22 main available until expended, for the Secretary to make 

23 grants to, and enter into contracts with, public or non24 profit private entities that assist individuals in accessing 

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1 pede access to such services, including by covering the 

2 costs of travel, lodging, and childcare, through hiring, and 

3 the construction and renovation (including equipment) of 

4 health care and other facilities, and by otherwise assisting 

5 providers: Provided, That the Secretary may transfer 

6 amounts made available under this section to other ac7 counts of the Department of Health and Human Services 

8 for such purposes. 

9 SEC. 244. Of the amounts made available by this Act 

10 under the heading ‘‘Department of Health and Human 

11 Services—Administration for Children and Families— 

12 Refugee and Entrant Assistance’’, $2,500,000,000 is des13 ignated by the Congress as being for an emergency re14 quirement pursuant to section 4001(a)(1) of S. Con. Res. 

15 14 (117th Congress), the concurrent resolution on the 

16 budget for fiscal year 2022, and section 1(e) of H. Res. 

17 1151 (117th Congress), as engrossed in the House of Rep18 resentatives on June 8, 2022. 

19 This title may be cited as the ‘‘Department of Health 

20 and Human Services Appropriations Act, 2023’’. 


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1 TITLE III 

2 DEPARTMENT OF EDUCATION 

3 EDUCATION FOR THE DISADVANTAGED

4 For carrying out title I and subpart 2 of part B of 

5 title II of the Elementary and Secondary Education Act 

6 of 1965 (referred to in this Act as ‘‘ESEA’’) and section 

7 418A of the Higher Education Act of 1965 (referred to 

8 in this Act as ‘‘HEA’’), $20,852,667,000, of which 

9 $9,915,490,000 shall become available on July 1, 2023, 

10 and shall remain available through September 30, 2024, 

11 and of which $10,841,177,000 shall become available on 

12 October 1, 2023, and shall remain available through Sep13 tember 30, 2024, for academic year 2023–2024: Provided, 

14 That $6,459,401,000 shall be for basic grants under sec15 tion 1124 of the ESEA: Provided further, That up to 

16 $5,000,000 of these funds shall be available to the Sec17 retary of Education (referred to in this title as ‘‘Sec18 retary’’) on October 1, 2022, to obtain annually updated 

19 local educational agency-level census poverty data from 

20 the Bureau of the Census: Provided further, That 

21 $1,362,301,000 shall be for concentration grants under 

22 section 1124A of the ESEA: Provided further, That 

23 $6,157,550,000 shall be for targeted grants under section 

24 1125 of the ESEA: Provided further, That 

25 $6,157,550,000 shall be for education finance incentive 


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1 grants under section 1125A of the ESEA: Provided fur2 ther, That of the amount available for section 1124 of the 

3 ESEA, the Secretary may reserve up to $50,000,000 for 

4 grants to States for voluntary activities designed to im5 prove State performance on effort and equity factors de6 scribed in section 1125A of the ESEA: Provided further, 

7 That $229,000,000 shall be for carrying out subpart 2 

8 of part B of title II: Provided further, That $59,000,000 

9 shall be for carrying out section 418A of the HEA: Pro10 vided further, That the Secretary may reduce, but not 

11 eliminate, the percentage of funds available for new 

12 awards for a program under such section if the Secretary 

13 determines that there are not a sufficient number of high14 quality applications for that program: Provided further, 

15 That the Committees on Appropriations of the House of 

16 Representatives and the Senate are notified at least 15 

17 days in advance of any such reduction: Provided further, 

18 That subsection (b) of section 1004 of the ESEA shall 

19 apply to amounts appropriated under this heading as if 

20 the amount specified in such subsection is the amount ap21 propriated for such purposes in division H of Public Law 

22 117–103: Provided further, That paragraph (2) of section 

23 1004(a) of the ESEA shall apply to funds available under 

24 this heading as if the amount specified for States in such 

25 paragraph is $800,000. 


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1 IMPACT AID

2 For carrying out programs of financial assistance to 

3 federally affected schools authorized by title VII of the 

4 ESEA, $1,610,112,000, of which $1,459,242,000 shall be 

5 for basic support payments under section 7003(b), 

6 $48,316,000 shall be for payments for children with dis7 abilities under section 7003(d), $18,406,000, to remain 

8 available through September 30, 2024, shall be for con9 struction under section 7007(b), $79,313,000 shall be for 

10 Federal property payments under section 7002, and 

11 $4,835,000, to remain available until expended, shall be 

12 for facilities maintenance under section 7008: Provided, 

13 That for purposes of computing the amount of a payment 

14 for an eligible local educational agency under section 

15 7003(a) for school year 2022–2023, children enrolled in 

16 a school of such agency that would otherwise be eligible 

17 for payment under section 7003(a)(1)(B) of such Act, but 

18 due to the deployment of both parents or legal guardians, 

19 or a parent or legal guardian having sole custody of such 

20 children, or due to the death of a military parent or legal 

21 guardian while on active duty (so long as such children 

22 reside on Federal property as described in section 

23 7003(a)(1)(B)), are no longer eligible under such section, 

24 shall be considered as eligible students under such section, 

25 provided such students remain in average daily attendance 


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1 at a school in the same local educational agency they at2 tended prior to their change in eligibility status. 

3 SCHOOL IMPROVEMENT PROGRAMS

4 For carrying out school improvement activities au5 thorized by part B of title I, part A of title II, subpart 

6 1 of part A of title IV, part B of title IV, part B of title 

7 V, and parts B and C of title VI of the ESEA; the McKin8 ney-Vento Homeless Assistance Act; section 203 of the 

9 Educational Technical Assistance Act of 2002; the Com10 pact of Free Association Amendments Act of 2003; and 

11 the Civil Rights Act of 1964, $5,910,843,000, of which 

12 $4,047,513,000 shall become available on July 1, 2023, 

13 and remain available through September 30, 2024, and 

14 of which $1,681,441,000 shall become available on Octo15 ber 1, 2023, and shall remain available through September 

16 30, 2024, for academic year 2023–2024: Provided, That 

17 $390,000,000 shall be for part B of title I: Provided fur18 ther, That $1,374,673,000 shall be for part B of title IV: 

19 Provided further, That $53,897,000 shall be for part B 

20 of title VI, of which not less than $10,000,000 shall be 

21 used for construction, renovation, and modernization of 

22 any public elementary school, secondary school, or struc23 ture related to a public elementary school or secondary 

24 school that serves a predominantly Native Hawaiian stu25 dent body, and that the 5 percent limitation in section 


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1 6205(b) of the ESEA on the use of funds for administra2 tive purposes shall apply only to direct administrative 

3 costs: Provided further, That $39,953,000 shall be for part 

4 C of title VI, which shall be awarded on a competitive 

5 basis, and may be used for construction, and that the 5 

6 percent limitation in section 6305 of the ESEA on the 

7 use of funds for administrative purposes shall apply only 

8 to direct administrative costs: Provided further, That 

9 $57,000,000 shall be available to carry out section 203 

10 of the Educational Technical Assistance Act of 2002 and 

11 the Secretary shall make such arrangements as deter12 mined to be necessary to ensure that the Bureau of Indian 

13 Education has access to services provided under this sec14 tion: Provided further, That $24,464,000 shall be available 

15 to carry out the Supplemental Education Grants program 

16 for the Federated States of Micronesia and the Republic 

17 of the Marshall Islands: Provided further, That the Sec18 retary may reserve up to 5 percent of the amount referred 

19 to in the previous proviso to provide technical assistance 

20 in the implementation of these grants: Provided further, 

21 That $215,840,000 shall be for part B of title V: Provided 

22 further, That $1,345,000,000 shall be available for grants 

23 under subpart 1 of part A of title IV. 


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1 INDIAN EDUCATION

2 For expenses necessary to carry out, to the extent 

3 not otherwise provided, title VI, part A of the ESEA, 

4 $194,746,000, of which $72,000,000 shall be for subpart 

5 2 of part A of title VI and $12,365,000 shall be for sub6 part 3 of part A of title VI: Provided, That not less than 

7 $5,500,000 shall be available for carrying out section 

8 6133 of the ESEA: Provided further, That the 5 percent 

9 limitation in sections 6115(d), 6121(e), and 6133(g) of 

10 the ESEA on the use of funds for administrative purposes 

11 shall apply only to direct administrative costs: Provided 

12 further, That grants awarded under sections 6132 and 

13 6133 of the ESEA with funds provided under this heading 

14 may be for a period of up to 5 years. 

15 INNOVATION AND IMPROVEMENT

16 For carrying out activities authorized by subparts 1, 

17 3 and 4 of part B of title II, and parts C, D, and E and 

18 subparts 1 and 4 of part F of title IV of the ESEA, 

19 $1,305,500,000: Provided, That $245,500,000 shall be for 

20 subparts 1, 3 and 4 of part B of title II and shall be made 

21 available without regard to sections 2201, 2231(b) and 

22 2241: Provided further, That $700,000,000 shall be for 

23 parts C, D, and E and subpart 4 of part F of title IV, 

24 and shall be made available without regard to sections 

25 4311, 4409(a), and 4601 of the ESEA: Provided further, 


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1 That section 4303(d)(3)(A)(i) shall not apply to the funds 

2 available for part C of title IV: Provided further, That of 

3 the funds available for part C of title IV, the Secretary 

4 shall use not more than $65,000,000 to carry out section 

5 4304, of which not more than $10,000,000 shall be avail6 able to carry out section 4304(k), $140,000,000, to re7 main available through March 31, 2024, to carry out sec8 tion 4305(b), and not more than $16,000,000 to carry out 

9 the activities in section 4305(a)(3): Provided further, That 

10 notwithstanding section 4601(b), $360,000,000 shall be 

11 available through December 31, 2023 for subpart 1 of 

12 part F of title IV: Provided further, That of the funds 

13 available for subpart 4 of part F of title IV, not less than 

14 $8,000,000 shall be for continuation grants for eligible na15 tional nonprofit organizations, as described in the Applica16 tions for New Awards; Assistance for Arts Education Pro17 gram published in the Federal Register on May 31, 2022, 

18 for activities described under section 4642(a)(1)(C). 

19 SAFE SCHOOLS AND CITIZENSHIP EDUCATION

20 For carrying out activities authorized by subparts 2 

21 and 3 of part F of title IV of the ESEA, $442,000,000, 

22 to remain available through December 31, 2023: Provided, 

23 That $201,000,000 shall be available for section 4631, of 

24 which up to $5,000,000, to remain available until ex25 pended, shall be for the Project School Emergency ReVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00153 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 sponse to Violence (Project SERV) program: Provided fur2 ther, That $150,000,000 shall be available for section 

3 4625: Provided further, That $91,000,000 shall be for sec4 tion 4624. 

5 ENGLISH LANGUAGE ACQUISITION

6 For carrying out part A of title III of the ESEA, 

7 $954,041,000, which shall become available on July 1, 

8 2023, and shall remain available through September 30, 

9 2024, except that 6.5 percent of such amount shall be 

10 available on October 1, 2022, and shall remain available 

11 through September 30, 2024, to carry out activities under 

12 section 3111(c)(1)(C): Provided, That the Secretary may 

13 reserve up to 2 percent of the amount made available 

14 under this heading for technical assistance. 

15 SPECIAL EDUCATION

16 For carrying out the Individuals with Disabilities 

17 Education Act (IDEA) and the Special Olympics Sport 

18 and Empowerment Act of 2004, $16,744,570,000, of 

19 which $7,071,627,000 shall become available on July 1, 

20 2023, and shall remain available through September 30, 

21 2024, and of which $9,283,383,000 shall become available 

22 on October 1, 2023, and shall remain available through 

23 September 30, 2024, for academic year 2023–2024: Pro24 vided, That the amount for section 611(b)(2) of the IDEA 

25 shall be equal to the lesser of the amount available for 


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1 that activity during fiscal year 2022, increased by the 

2 amount of inflation as specified in section 619(d)(2)(B) 

3 of the IDEA, or the percent change in the funds appro4 priated under section 611(i) of the IDEA, but not less 

5 than the amount for that activity during fiscal year 2021: 

6 Provided further, That the Secretary shall, without regard 

7 to section 611(d) of the IDEA, distribute to all other 

8 States (as that term is defined in section 611(g)(2)), sub9 ject to the third proviso, any amount by which a State’s 

10 allocation under section 611, from funds appropriated 

11 under this heading, is reduced under section 

12 612(a)(18)(B), according to the following: 85 percent on 

13 the basis of the States’ relative populations of children 

14 aged 3 through 21 who are of the same age as children 

15 with disabilities for whom the State ensures the avail16 ability of a free appropriate public education under this 

17 part, and 15 percent to States on the basis of the States’ 

18 relative populations of those children who are living in pov19 erty: Provided further, That the Secretary may not dis20 tribute any funds under the previous proviso to any State 

21 whose reduction in allocation from funds appropriated 

22 under this heading made funds available for such a dis23 tribution: Provided further, That the States shall allocate 

24 such funds distributed under the second proviso to local 

25 educational agencies in accordance with section 611(f): 


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1 Provided further, That the amount by which a State’s allo2 cation under section 611(d) of the IDEA is reduced under 

3 section 612(a)(18)(B) and the amounts distributed to 

4 States under the previous provisos in fiscal year 2012 or 

5 any subsequent year shall not be considered in calculating 

6 the awards under section 611(d) for fiscal year 2013 or 

7 for any subsequent fiscal years: Provided further, That, 

8 notwithstanding the provision in section 612(a)(18)(B) re9 garding the fiscal year in which a State’s allocation under 

10 section 611(d) is reduced for failure to comply with the 

11 requirement of section 612(a)(18)(A), the Secretary may 

12 apply the reduction specified in section 612(a)(18)(B) over 

13 a period of consecutive fiscal years, not to exceed 5, until 

14 the entire reduction is applied: Provided further, That the 

15 Secretary may, in any fiscal year in which a State’s alloca16 tion under section 611 is reduced in accordance with sec17 tion 612(a)(18)(B), reduce the amount a State may re18 serve under section 611(e)(1) by an amount that bears 

19 the same relation to the maximum amount described in 

20 that paragraph as the reduction under section 

21 612(a)(18)(B) bears to the total allocation the State 

22 would have received in that fiscal year under section 

23 611(d) in the absence of the reduction: Provided further, 

24 That the Secretary shall either reduce the allocation of 

25 funds under section 611 for any fiscal year following the 


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1 fiscal year for which the State fails to comply with the 

2 requirement of section 612(a)(18)(A) as authorized by 

3 section 612(a)(18)(B), or seek to recover funds under sec4 tion 452 of the General Education Provisions Act (20 

5 U.S.C. 1234a): Provided further, That the funds reserved 

6 under 611(c) of the IDEA may be used to provide tech7 nical assistance to States to improve the capacity of the 

8 States to meet the data collection requirements of sections 

9 616 and 618 and to administer and carry out other serv10 ices and activities to improve data collection, coordination, 

11 quality, and use under parts B and C of the IDEA: Pro12 vided further, That the Secretary may use funds made 

13 available for the State Personnel Development Grants pro14 gram under part D, subpart 1 of IDEA to evaluate pro15 gram performance under such subpart: Provided further, 

16 That States may use funds reserved for other State-level 

17 activities under sections 611(e)(2) and 619(f) of the IDEA 

18 to make subgrants to local educational agencies, institu19 tions of higher education, other public agencies, and pri20 vate non-profit organizations to carry out activities au21 thorized by those sections: Provided further, That, not22 withstanding section 643(e)(2)(A) of the IDEA, if five or 

23 fewer States apply for grants pursuant to section 643(e) 

24 of such Act, the Secretary shall provide a grant to each 

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1 scribed in section 643(e)(2)(B) of such Act: Provided fur2 ther, That if more than five States apply for grants pursu3 ant to section 643(e) of the IDEA, the Secretary shall 

4 award funds to those States on the basis of the States’ 

5 relative populations of infants and toddlers except that no 

6 such State shall receive a grant in excess of the amount 

7 described in section 643(e)(2)(B) of such Act: Provided 

8 further, That States may use funds allotted under section 

9 643(c) of the IDEA to make subgrants to local edu10 cational agencies, institutions of higher education, other 

11 public agencies, and private non-profit organizations to 

12 carry out activities authorized by section 638 of IDEA: 

13 Provided further, That, notwithstanding section 638 of the 

14 IDEA, a State may use funds it receives under section 

15 633 of the IDEA to offer continued early intervention 

16 services to a child who previously received services under 

17 part C of the IDEA from age 3 until the beginning of 

18 the school year following the child’s third birthday with 

19 parental consent and without regard to the procedures in 

20 section 635(c) of the IDEA: Provided further, That, not21 withstanding section 643(e)(1) of the IDEA, the Secretary 

22 may reserve up to $45,000,000 of the funds appropriated 

23 under part C of the IDEA to provide grants to States that 

24 are either carrying out the policy described in sections 

25 632(5)(B)(ii) and 635(c) or are serving at-risk infants and 


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1 toddlers as defined in section 632(1) and 632(5)(B)(i) in 

2 order to facilitate the implementation of such policy: Pro3 vided further, That, notwithstanding section 638 of the 

4 IDEA, any State receiving a grant under section 633 of 

5 the IDEA may reserve from its award an amount nec6 essary for use in a manner described in a State plan, ap7 proved in the State, to ensure equitable access to and par8 ticipation in part C services in the State, particularly for 

9 populations that have been traditionally underrepresented 

10 in the program: Provided further, That any State seeking 

11 to amend its eligibility criteria under section 635(a)(1) of 

12 the IDEA in such a way that would have the effect of 

13 reducing the number of infants and families who are eligi14 ble under part C must conduct the public participation 

15 under section 637(a)(8) of the IDEA at least 24 months 

16 prior to implementing such a change: Provided further, 

17 That, notwithstanding section 638 of the IDEA, a State 

18 may use funds appropriated under part C of the IDEA 

19 to conduct child find, public awareness and referral activi20 ties for an individual who is expected to become a parent 

21 of an infant with a disability (as that term is defined in 

22 section 632(5)), as established by medical or other 

23 records: Provided further, That any State electing to use 

24 funds under the preceding proviso shall ensure, that as 

25 soon as possible but not later than 45 days after the 


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1 child’s birth, it completes the referral and eligibility proc2 ess under this part for that child: Provided further, That, 

3 notwithstanding section 611 of the IDEA, the Secretary 

4 may reserve up to $5,000,000 to study issues related to 

5 the creation and implementation of a comprehensive sys6 tem of services and supports for children with disabilities 

7 from birth through age 5. 

8 REHABILITATION SERVICES

9 (INCLUDING TRANSFER OF FUNDS)

10 For carrying out, to the extent not otherwise pro11 vided, the Rehabilitation Act of 1973 and the Helen Keller 

12 National Center Act, $4,093,406,000, of which 

13 $3,949,707,000 shall be for grants for vocational rehabili14 tation services under title I of the Rehabilitation Act: Pro15 vided, That the Secretary may use amounts provided in 

16 this Act that remain available subsequent to the reallot17 ment of funds to States pursuant to section 110(b) of the 

18 Rehabilitation Act for innovative activities aimed at in19 creasing competitive integrated employment as defined in 

20 section 7 of such Act for youth and other individuals with 

21 disabilities: Provided further, That up to 15 percent of the 

22 amounts available for innovative activities described in the 

23 preceding proviso from funds provided under this para24 graph in this Act may be used for evaluation and technical 

25 assistance related to such activities: Provided further, That 


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1 States may award subgrants for a portion of the funds 

2 to other public and private, nonprofit entities: Provided 

3 further, That any funds provided in this Act and made 

4 available subsequent to reallotment for innovative activi5 ties aimed at improving the outcomes of individuals with 

6 disabilities shall remain available until September 30, 

7 2024: Provided further, That the Secretary may transfer 

8 up to $35,000,000 of the funds provided in this Act and 

9 made available subsequent to reallotment for innovative 

10 activities aimed at improving the outcomes of individuals 

11 with disabilities to ‘‘Institute of Education Sciences’’ for 

12 an evaluation of outcomes for students receiving services 

13 and supports under IDEA and section 504 accommoda14 tions: Provided further, That the transfer authority in the 

15 preceding proviso is in addition to any other transfer au16 thority in this Act. 

17 SPECIAL INSTITUTIONS FOR PERSONS WITH

18 DISABILITIES

19 AMERICAN PRINTING HOUSE FOR THE BLIND

20 For carrying out the Act to Promote the Education 

21 of the Blind of March 3, 1879, $43,431,000. 

22 NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

23 For the National Technical Institute for the Deaf 

24 under titles I and II of the Education of the Deaf Act 

25 of 1986, $92,500,000: Provided, That from the total 


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1 amount available, the Institute may at its discretion use 

2 funds for the endowment program as authorized under 

3 section 207 of such Act. 

4 GALLAUDET UNIVERSITY

5 For the Kendall Demonstration Elementary School, 

6 the Model Secondary School for the Deaf, and the partial 

7 support of Gallaudet University under titles I and II of 

8 the Education of the Deaf Act of 1986, $180,361,000, of 

9 which up to $30,000,000, to remain available until ex10 pended, shall be for construction, as defined by section 

11 201(2) of such Act: Provided, That from the total amount 

12 available, the University may at its discretion use funds 

13 for the endowment program as authorized under section 

14 207 of such Act. 

15 CAREER, TECHNICAL, AND ADULT EDUCATION

16 For carrying out, to the extent not otherwise pro17 vided, the Carl D. Perkins Career and Technical Edu18 cation Act of 2006 (‘‘Perkins Act’’) and the Adult Edu19 cation and Family Literacy Act (‘‘AEFLA’’), 

20 $2,246,436,000, of which $1,445,436,000 shall become 

21 available on July 1, 2023, and shall remain available 

22 through September 30, 2024, and of which $791,000,000 

23 shall become available on October 1, 2023, and shall re24 main available through September 30, 2024: Provided, 

25 That $60,000,000 shall be available for innovation and 


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1 modernization grants under such section 114(e) of such 

2 Act: Provided further, That of the amounts made available 

3 for AEFLA, $13,712,000 shall be for national leadership 

4 activities under section 242. 

5 STUDENT FINANCIAL ASSISTANCE

6 For carrying out subparts 1, 3, and 10 of part A, 

7 and part C of title IV of the HEA, $24,625,352,000 which 

8 shall remain available through September 30, 2024. 

9 The maximum Pell Grant for which a student shall 

10 be eligible during award year 2023–2024 shall be $6,335. 

11 STUDENT AID ADMINISTRATION

12 For Federal administrative expenses to carry out part 

13 D of title I, and subparts 1, 3, 9, and 10 of part A, and 

14 parts B, C, D, and E of title IV of the HEA, and subpart 

15 1 of part A of title VII of the Public Health Service Act, 

16 $2,594,034,000, to remain available through September 

17 30, 2024: Provided, That the Secretary shall allocate new 

18 student loan borrower accounts to eligible student loan 

19 servicers on the basis of their past performance compared 

20 to all loan servicers utilizing established common metrics, 

21 and on the basis of the capacity of each servicer to process 

22 new and existing accounts: Provided further, That for stu23 dent loan contracts awarded prior to October 1, 2017, the 

24 Secretary shall allow student loan borrowers who are con25 solidating Federal student loans to select from any stuVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00163 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 dent loan servicer to service their new consolidated student 

2 loan: Provided further, That in order to promote account3 ability and high-quality service to borrowers, the Secretary 

4 shall not award funding for any contract solicitation for 

5 a new Federal student loan servicing environment, includ6 ing the solicitation for the Federal Student Aid (FSA) 

7 Next Generation Processing and Servicing Environment, 

8 unless such an environment provides for the participation 

9 of multiple student loan servicers that contract directly 

10 with the Department of Education to manage a unique 

11 portfolio of borrower accounts and the full life-cycle of 

12 loans from disbursement to pay-off with certain limited 

13 exceptions, and allocates student loan borrower accounts 

14 to eligible student loan servicers based on performance: 

15 Provided further, That the Department shall re-allocate 

16 accounts from servicers for recurring non-compliance with 

17 FSA guidelines, contractual requirements, and applicable 

18 laws, including for failure to sufficiently inform borrowers 

19 of available repayment options: Provided further, That 

20 such servicers shall be evaluated based on their ability to 

21 meet contract requirements (including an understanding 

22 of Federal and State law), future performance on the con23 tracts, and history of compliance with applicable consumer 

24 protections laws: Provided further, That to the extent FSA 

25 permits student loan servicing subcontracting, FSA shall 


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1 hold prime contractors accountable for meeting the re2 quirements of the contract, and the performance and ex3 pectations of subcontractors shall be accounted for in the 

4 prime contract and in the overall performance of the prime 

5 contractor: Provided further, That FSA shall ensure that 

6 the Next Generation Processing and Servicing Environ7 ment, or any new Federal loan servicing environment, 

8 incentivize more support to borrowers at risk of delin9 quency or default: Provided further, That the Secretary 

10 shall ensure that all contractors in the current and future 

11 servicing environments are held accountable for perform12 ance on service levels, non-compliance with Department 

13 guidelines, non-compliance with contractual requirements, 

14 and non-compliance with applicable Federal and State 

15 consumer protection law, including for failure to suffi16 ciently inform borrowers of available repayment, forgive17 ness, or discharge options: Provided further, That FSA 

18 shall strengthen transparency through expanded publica19 tion of quarterly data on student loan discharges and for20 giveness, collections, and contractor performance and out21 comes: Provided further, That any new Federal student 

22 loan servicing environment, shall include accountability 

23 measures that account for the performance of the portfolio 

24 and contractor compliance with FSA guidelines: Provided 

25 further, That the Secretary shall not delay, prevent, or 


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1 otherwise obstruct, directly or indirectly, Federal or State 

2 law enforcement, regulation, or information collection 

3 from the Department’s contractors: Provided further, That 

4 the Secretary shall ensure that the future servicing envi5 ronment provides for a single, centralized website and 

6 phone line with U.S. Department of Education branding 

7 for all federally-held student loan borrowers to manage ac8 count information and make payments: Provided further, 

9 That, in any future servicing environment, the Secretary 

10 shall make available upon request or complaint from a 

11 borrower or Federal or State law enforcement, or upon 

12 finding of noncompliance with applicable Federal or State 

13 consumer protection laws or contractual requirements, the 

14 name and other identifying information of any contractor 

15 that interacts directly with a borrower, including the na16 ture of such interaction with the borrower: Provided fur17 ther, That the Secretary shall provide quarterly briefings 

18 to the Committees on Appropriations and Education and 

19 Labor of the House of Representatives and the Commit20 tees on Appropriations and Health, Education, Labor, and 

21 Pensions of the Senate on general progress related to so22 licitations for Federal student loan servicing contracts: 

23 Provided further, That not later than 60 days after enact24 ment of this Act, FSA shall provide to the Committees 

25 on Appropriations of the House of Representatives and the 


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1 Senate a detailed spend plan of anticipated uses of funds 

2 made available in this account for fiscal year 2023 and 

3 provide quarterly updates on this plan (including contracts 

4 awarded, change orders, bonuses paid to staff, reorganiza5 tion costs, and any other activity carried out using 

6 amounts provided under this heading for fiscal year 2023). 

7 HIGHER EDUCATION

8 For carrying out, to the extent not otherwise pro9 vided, titles II, III, IV, V, VI, VII, and VIII of the HEA, 

10 the Mutual Educational and Cultural Exchange Act of 

11 1961, and section 117 of the Perkins Act, 

12 $3,547,681,000, of which $214,000,000 shall remain 

13 available through December 31, 2023: Provided, That not14 withstanding any other provision of law, funds made avail15 able in this Act to carry out title VI of the HEA and sec16 tion 102(b)(6) of the Mutual Educational and Cultural 

17 Exchange Act of 1961 may be used to support visits and 

18 study in foreign countries by individuals who are partici19 pating in advanced foreign language training and inter20 national studies in areas that are vital to United States 

21 national security and who plan to apply their language 

22 skills and knowledge of these countries in the fields of gov23 ernment, the professions, or international development: 

24 Provided further, That of the funds referred to in the pre25 ceding proviso up to 1 percent may be used for program 


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1 evaluation, national outreach, and information dissemina2 tion activities: Provided further, That up to 1.5 percent 

3 of the funds made available under chapter 2 of subpart 

4 2 of part A of title IV of the HEA may be used for evalua5 tion: Provided further, That section 313(d) of the HEA 

6 shall not apply to an institution of higher education that 

7 is eligible to receive funding under section 318 of the 

8 HEA: Provided further, That amounts made available for 

9 carrying out section 419N of the HEA may be awarded 

10 notwithstanding the limitations in section 419N(b)(2) of 

11 the HEA: Provided further, That of the amounts made 

12 available under this heading, $218,593,000 shall be used 

13 for the projects, and in the amounts, specified in the table 

14 titled ‘‘Congressionally Directed Spending Items’’ in the 

15 explanatory statement accompanying this Act: Provided 

16 further, That none of the funds made available for projects 

17 described in the preceding proviso shall be subject to sec18 tion 302 of this Act. 

19 HOWARD UNIVERSITY

20 For partial support of Howard University, 

21 $359,018,000, of which not less than $3,405,000 shall be 

22 for a matching endowment grant pursuant to the Howard 

23 University Endowment Act and shall remain available 

24 until expended. 


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1 COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS

2 PROGRAM

3 For Federal administrative expenses to carry out ac4 tivities related to existing facility loans pursuant to section 

5 121 of the HEA, $298,000. 

6 HISTORICALLY BLACK COLLEGE AND UNIVERSITY

7 CAPITAL FINANCING PROGRAM ACCOUNT

8 For the cost of guaranteed loans, $20,150,000, as au9 thorized pursuant to part D of title III of the HEA, which 

10 shall remain available through September 30, 2024: Pro11 vided, That such costs, including the cost of modifying 

12 such loans, shall be as defined in section 502 of the Con13 gressional Budget Act of 1974: Provided further, That 

14 these funds are available to subsidize total loan principal, 

15 any part of which is to be guaranteed, not to exceed 

16 $752,065,725: Provided further, That these funds may be 

17 used to support loans to public and private Historically 

18 Black Colleges and Universities without regard to the limi19 tations within section 344(a) of the HEA. 

20 In addition, for administrative expenses to carry out 

21 the Historically Black College and University Capital Fi22 nancing Program entered into pursuant to part D of title 

23 III of the HEA, $528,000. 


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1 INSTITUTE OF EDUCATION SCIENCES

2 For necessary expenses for the Institute of Education 

3 Sciences as authorized by section 208 of the Department 

4 of Education Organization Act and carrying out activities 

5 authorized by the National Assessment of Educational 

6 Progress Authorization Act, section 208 of the Edu7 cational Technical Assistance Act of 2002, and section 

8 664 of the Individuals with Disabilities Education Act, 

9 $831,395,000, which shall remain available through Sep10 tember 30, 2024: Provided, That funds available to carry 

11 out section 208 of the Educational Technical Assistance 

12 Act may be used to link Statewide elementary and sec13 ondary data systems with early childhood, postsecondary, 

14 and workforce data systems, or to further develop such 

15 systems: Provided further, That up to $6,000,000 of the 

16 funds available to carry out section 208 of the Educational 

17 Technical Assistance Act may be used for awards to public 

18 or private organizations or agencies to support activities 

19 to improve data coordination, quality, and use at the local, 

20 State, and national levels. 

21 DEPARTMENTAL MANAGEMENT

22 PROGRAM ADMINISTRATION

23 For carrying out, to the extent not otherwise pro24 vided, the Department of Education Organization Act, in25 cluding rental of conference rooms in the District of CoVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00170 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 lumbia and hire of three passenger motor vehicles, 

2 $448,000,000, of which up to $8,000,000, to remain avail3 able until expended, shall be available for relocation ex4 penses, and for the renovation and repair of leased build5 ings: Provided, That, notwithstanding any other provision 

6 of law, none of the funds provided by this Act or provided 

7 by previous Appropriations Acts to the Department of 

8 Education available for obligation or expenditure in the 

9 current fiscal year may be used for any activity relating 

10 to implementing a reorganization that decentralizes, re11 duces the staffing level, or alters the responsibilities, 

12 structure, authority, or functionality of the Budget Service 

13 of the Department of Education, relative to the organiza14 tion and operation of the Budget Service as in effect on 

15 January 1, 2018: Provided further, That, from the amount 

16 available under this heading, the Secretary may use up 

17 to $5,000,000 to support a commission on supporting the 

18 teaching profession that addresses the pressing needs of 

19 elementary and secondary school students, public schools 

20 and the field, including improving the racial, ethnic, and 

21 linguistic diversity of the teaching profession, the recruit22 ment and retention of effective teachers, the equitable dis23 tribution of effective teachers in high-need local edu24 cational agencies and high-need schools, the provision of 

25 professional support and growth opportunities, and how 


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1 states and local educational agencies can improve com2 pensation and working conditions of educators so that 

3 their compensation is competitive with similarly educated 

4 professionals. 

5 OFFICE FOR CIVIL RIGHTS

6 For expenses necessary for the Office for Civil 

7 Rights, as authorized by section 203 of the Department 

8 of Education Organization Act, $161,300,000. 

9 OFFICE OF INSPECTOR GENERAL

10 For expenses necessary for the Office of Inspector 

11 General, as authorized by section 212 of the Department 

12 of Education Organization Act, $77,000,000, of which 

13 $3,000,000 shall remain available until expended. 

14 GENERAL PROVISIONS

15 SEC. 301. No funds appropriated in this Act may be 

16 used to prevent the implementation of programs of vol17 untary prayer and meditation in the public schools. 

18 (TRANSFER OF FUNDS)

19 SEC. 302. Not to exceed 1 percent of any discre20 tionary funds (pursuant to the Balanced Budget and 

21 Emergency Deficit Control Act of 1985) which are appro22 priated for the Department of Education in this Act may 

23 be transferred between appropriations, but no such appro24 priation shall be increased by more than 3 percent by any 

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1 ed by this section shall not be used to create any new pro2 gram or to fund any project or activity for which no funds 

3 are provided in this Act: Provided further, That the Com4 mittees on Appropriations of the House of Representatives 

5 and the Senate are notified at least 15 days in advance 

6 of any transfer. 

7 SEC. 303. Funds appropriated in this Act and con8 solidated for evaluation purposes under section 8601(c) of 

9 the ESEA shall be available from July 1, 2023, through 

10 September 30, 2024. 

11 SEC. 304. (a) An institution of higher education that 

12 maintains an endowment fund supported with funds ap13 propriated for title III or V of the HEA for fiscal year 

14 2023 may use the income from that fund to award schol15 arships to students, subject to the limitation in section 

16 331(c)(3)(B)(i) of the HEA. The use of such income for 

17 such purposes, prior to the enactment of this Act, shall 

18 be considered to have been an allowable use of that in19 come, subject to that limitation. 

20 (b) Subsection (a) shall be in effect until titles III 

21 and V of the HEA are reauthorized. 

22 SEC. 305. Section 114(f) of the HEA (20 U.S.C. 

23 1011c(f)) shall be applied by substituting ‘‘2023’’ for 

24 ‘‘2021’’. 


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1 SEC. 306. Section 458(a)(4) of the HEA (20 U.S.C. 

2 1087h(a)) shall be applied by substituting ‘‘2023’’ for 

3 ‘‘2021’’. 

4 SEC. 307. Funds appropriated in this Act under the 

5 heading ‘‘Student Aid Administration’’ may be available 

6 for payments for student loan servicing to an institution 

7 of higher education that services outstanding Federal Per8 kins Loans under part E of title IV of the Higher Edu9 cation Act of 1965 (20 U.S.C. 1087aa et seq.). 

10 (RESCISSION)

11 SEC. 308. Of the amounts appropriated under section 

12 401(b)(7)(A)(iv)(XI) of the Higher Education Act of 1965 

13 (20 U.S.C. 1070a(b)(7)(A)(iv)(XI)) for fiscal year 2023, 

14 $221,000,000 are hereby rescinded. 

15 SEC. 309. Of the amounts made available in this title 

16 under the heading ‘‘Student Aid Administration’’, 

17 $2,300,000 shall be used by the Secretary of Education 

18 to conduct outreach to borrowers of loans made under part 

19 D of title IV of the Higher Education Act of 1965 who 

20 may intend to qualify for loan cancellation under section 

21 455(m) of such Act (20 U.S.C. 1087e(m)), to ensure that 

22 borrowers are meeting the terms and conditions of such 

23 loan cancellation: Provided, That the Secretary shall spe24 cifically conduct outreach to assist borrowers who would 

25 qualify for loan cancellation under section 455(m) of such 


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1 Act except that the borrower has made some, or all, of 

2 the 120 required payments under a repayment plan that 

3 is not described under section 455(m)(A) of such Act, to 

4 encourage borrowers to enroll in a qualifying repayment 

5 plan: Provided further, That the Secretary shall also com6 municate to all Direct Loan borrowers the full require7 ments of section 455(m) of such Act and improve the fil8 ing of employment certification by providing improved out9 reach and information such as outbound calls, electronic 

10 communications, ensuring prominent access to program 

11 requirements and benefits on each servicer’s website, and 

12 creating an option for all borrowers to complete the entire 

13 payment certification process electronically and on a cen14 tralized website. 

15 SEC. 310. The Secretary may reserve not more than 

16 0.5 percent from any amount made available in this Act 

17 for an HEA program, except for any amounts made avail18 able for subpart 1 of part A of title IV of the HEA, to 

19 carry out rigorous and independent evaluations and to col20 lect and analyze outcome data for any program authorized 

21 by the HEA: Provided, That no funds made available in 

22 this Act for the ‘‘Student Aid Administration’’ account 

23 shall be subject to the reservation under this section: Pro24 vided further, That any funds reserved under this section 

25 shall be available through September 30, 2025: Provided 


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1 further, That if, under any other provision of law, funds 

2 are authorized to be reserved or used for evaluation activi3 ties with respect to a program or project, the Secretary 

4 may also reserve funds for such program or project for 

5 the purposes described in this section so long as the total 

6 reservation of funds for such program or project does not 

7 exceed any statutory limits on such reservations: Provided 

8 further, That not later than 30 days prior to the initial 

9 obligation of funds reserved under this section, the Sec10 retary shall submit to the Committees on Appropriations 

11 of the Senate and the House of Representatives, the Com12 mittee on Health, Education, Labor and Pensions of the 

13 Senate, and the Committee on Education and Labor of 

14 the House of Representatives a plan that identifies the 

15 source and amount of funds reserved under this section, 

16 the impact on program grantees if funds are withheld for 

17 the purposes of this section, and the activities to be carried 

18 out with such funds. 

19 SEC. 311. In addition to amounts otherwise appro20 priated by this Act under the heading ‘‘Innovation and 

21 Improvement’’ for purposes authorized by the Elementary 

22 and Secondary Education Act of 1965, there are hereby 

23 appropriated an additional $56,264,000 which shall be 

24 used for the projects, and in the amounts, specified in the 

25 table titled ‘‘Congressionally Directed Spending Items’’ in 


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1 the explanatory statement accompanying this Act: Pro2 vided, That none of the funds made available for such 

3 projects shall be subject to section 302 of this Act. 

4 SEC. 312. The Education Amendments Act of 1972 

5 is amended by striking section 802. 

6 SEC. 313. Of the amounts appropriated in this Act 

7 for ‘‘Institute of Education Sciences’’, $18,000,000 shall 

8 be available for the Secretary of Education (‘‘the Sec9 retary’’) to provide support services to the Institute of 

10 Education Sciences (including, but not limited to informa11 tion technology services, lease or procurement of office 

12 space, human resource services, financial management 

13 services, financial systems support, budget formulation 

14 and execution, legal counsel, equal employment oppor15 tunity services, physical security, facilities management, 

16 acquisition and contract management, grants administra17 tion and policy, and enterprise risk management): Pro18 vided, That the Secretary shall calculate the actual 

19 amounts obligated and expended for such support services 

20 by using a standard Department of Education method21 ology for allocating the cost of all such support services: 

22 Provided further, That the Secretary may transfer any 

23 amounts available for IES support services in excess of 

24 actual amounts needed for IES support services, as so cal25 culated, to the ‘‘Program Administration’’ account from 


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1 the ‘‘Institute of Education Sciences’’ account: Provided 

2 further, That in order to address any shortfall between 

3 amounts available for IES support services and amounts 

4 needed for IES support services, as so calculated, the Sec5 retary may transfer necessary amounts to the ‘‘Institute 

6 of Education Sciences’’ account from the ‘‘Program Ad7 ministration’’ account: Provided further, That the Com8 mittees on Appropriations of the House of Representatives 

9 and the Senate are notified at least 14 days in advance 

10 of any transfer made pursuant to this section. 

11 SEC. 314. (a)(1) Section 484(a)(5) of the HEA of 

12 1965 (20 U.S.C. 1091(a)(5)) is amended—(A) by insert13 ing ‘‘or a DACA recipient (as defined in subsection (u)), 

14 have temporary protected status under section 244 of the 

15 Immigration and Nationality Act (8 U.S.C. 1254a), be 

16 subject to a grant of deferred enforced departure,’’ after 

17 ‘‘a permanent resident of the United States,’’; and (B) 

18 by inserting ‘‘be’’ before ‘‘able’’. 

19 (2) Section 484(a) of such Act (20 U.S.C. 1091(a)) 

20 is amended by adding at the end the following: 

21 ‘‘(u) DACA RECIPIENT.—In this section, the term 

22 ‘DACA recipient’ means an alien (as defined in section 

23 101(a)(3) of the Immigration and Nationality Act (8 

24 U.S.C. 1101(a)(3)) who is inadmissible to the United 

25 State or deportable from the United States under the imVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00178 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 migration laws (as defined in section 101(a)(17) of such 

2 Act (8 U.S.C. 1101(a)(17)), and who the Secretary of 

3 Homeland Security has, in his or her discretion, deter4 mined should be afforded a grant of deferred action under 

5 the Deferred Action for Childhood Arrivals (DACA) pol6 icy.’’. 

7 (3) The amendments made by this subsection shall 

8 take effect on July 1, 2023. 

9 (b)(1) Subsection (n)(1)(A)(iv) of section 702 of the 

10 FAFSA Simplification Act (title VII of division FF of 

11 Public Law 116–260) is amended by striking ‘‘by adding 

12 at the end’’ and inserting ‘‘by inserting after subsection 

13 (r), as redesignated under clause (i),’’. 

14 (2) The amendment made by paragraph (1) shall 

15 take effect as if included in the enactment of the FAFSA 

16 Simplification Act (title VII of division FF of Public Law 

17 116–260). 

18 This title may be cited as the ‘‘Department of Edu19 cation Appropriations Act, 2023’’. 


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1 TITLE IV 

2 RELATED AGENCIES 

3 COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE

4 BLIND OR SEVERELY DISABLED

5 SALARIES AND EXPENSES

6 For expenses necessary for the Committee for Pur7 chase From People Who Are Blind or Severely Disabled 

8 (referred to in this title as ‘‘the Committee’’) established 

9 under section 8502 of title 41, United States Code, 

10 $13,124,000: Provided, That in order to authorize any 

11 central nonprofit agency designated pursuant to section 

12 8503(c) of title 41, United States Code, to perform re13 quirements of the Committee as prescribed under section 

14 51–3.2 of title 41, Code of Federal Regulations, the Com15 mittee shall enter into a written agreement with any such 

16 central nonprofit agency: Provided further, That such 

17 agreement shall contain such auditing, oversight, and re18 porting provisions as necessary to implement chapter 85 

19 of title 41, United States Code: Provided further, That 

20 such agreement shall include the elements listed under the 

21 heading ‘‘Committee For Purchase From People Who Are 

22 Blind or Severely Disabled—Written Agreement Ele23 ments’’ in the explanatory statement accompanying this 

24 Act: Provided further, That any such central nonprofit 

25 agency may not charge a fee under section 51–3.5 of title 


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1 41, Code of Federal Regulations, prior to executing a writ2 ten agreement with the Committee: Provided further, That 

3 no less than $3,124,000 shall be available for the Office 

4 of Inspector General. 

5 CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

6 OPERATING EXPENSES

7 For necessary expenses for the Corporation for Na8 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’’), $912,690,000, notwith13 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 pro20 vide assistance to State commissions on national and com21 munity service, under section 126(a) of the 1990 Act and 

22 notwithstanding section 501(a)(5)(B) of the 1990 Act; (3) 

23 $36,375,000 shall be available to carry out subtitle E of 

24 the 1990 Act; and (4) $8,558,000 shall be available for 

25 expenses authorized under section 501(a)(4)(F) of the 


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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 PAYMENT TO THE NATIONAL SERVICE TRUST

8 (INCLUDING TRANSFER OF FUNDS)

9 For payment to the National Service Trust estab10 lished under subtitle D of title I of the 1990 Act, 

11 $210,550,000, to remain available until expended: Pro12 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 Represent19 atives and the Senate: Provided further, That amounts ap20 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). 


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1 SALARIES AND EXPENSES

2 For necessary expenses of administration as provided 

3 under section 501(a)(5) of the 1990 Act and under section 

4 504(a) of the 1973 Act, including payment of salaries, au5 thorized travel, hire of passenger motor vehicles, the rental 

6 of conference rooms in the District of Columbia, the em7 ployment of experts and consultants authorized under 5 

8 U.S.C. 3109, and not to exceed $2,500 for official recep9 tion and representation expenses, $95,082,000. 

10 OFFICE OF INSPECTOR GENERAL

11 For necessary expenses of the Office of Inspector 

12 General in carrying out the Inspector General Act of 1978, 

13 $7,000,000. 

14 ADMINISTRATIVE PROVISIONS

15 SEC. 401. CNCS shall make any significant changes 

16 to program requirements, service delivery or policy only 

17 through public notice and comment rulemaking. For fiscal 

18 year 2023, during any grant selection process, an officer 

19 or employee of CNCS shall not knowingly disclose any cov20 ered grant selection information regarding such selection, 

21 directly or indirectly, to any person other than an officer 

22 or employee of CNCS that is authorized by CNCS to re23 ceive such information. 

24 SEC. 402. AmeriCorps programs receiving grants 

25 under the National Service Trust program shall meet an 


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1 overall minimum share requirement of 24 percent for the 

2 first 3 years that they receive AmeriCorps funding, and 

3 thereafter shall meet the overall minimum share require4 ment as provided in section 2521.60 of title 45, Code of 

5 Federal Regulations, without regard to the operating costs 

6 match requirement in section 121(e) or the member sup7 port Federal share limitations in section 140 of the 1990 

8 Act, and subject to partial waiver consistent with section 

9 2521.70 of title 45, Code of Federal Regulations. 

10 SEC. 403. Donations made to CNCS under section 

11 196 of the 1990 Act for the purposes of financing pro12 grams and operations under titles I and II of the 1973 

13 Act or subtitle B, C, D, or E of title I of the 1990 Act 

14 shall be used to supplement and not supplant current pro15 grams and operations. 

16 SEC. 404. In addition to the requirements in section 

17 146(a) of the 1990 Act, use of an educational award for 

18 the purpose described in section 148(a)(4) shall be limited 

19 to individuals who are veterans as defined under section 

20 101 of the Act. 

21 SEC. 405. For the purpose of carrying out section 

22 189D of the 1990 Act— 

23 (1) entities described in paragraph (a) of such 

24 section shall be considered ‘‘qualified entities’’ under 


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1 section 3 of the National Child Protection Act of 

2 1993 (‘‘NCPA’’); 

3 (2) individuals described in such section shall 

4 be considered ‘‘volunteers’’ under section 3 of 

5 NCPA; and 

6 (3) State Commissions on National and Com7 munity Service established pursuant to section 178 

8 of the 1990 Act, are authorized to receive criminal 

9 history record information, consistent with Public 

10 Law 92–544. 

11 SEC. 406. Notwithstanding sections 139(b), 146 and 

12 147 of the 1990 Act, CNCS may determine the number 

13 of hours required to successfully complete any term of 

14 service less than 1,700 hours, except that any reduction 

15 of the required term of service below 1,700 hours shall 

16 include a corresponding reduction in the amount of any 

17 national service educational award that may be available 

18 under subtitle D with regard to that service. 

19 SEC. 407. Section 148(f)(2)(A)(i) of the 1990 Act 

20 shall be applied by substituting ‘‘an approved national 

21 service position’’ for ‘‘a national service program that re22 ceives grants under subtitle C’’. 

23 SEC. 408. (a) Section 137(a)(5) of the 1990 Act shall 

24 be applied in fiscal year 2023 as if the following were in25 serted before the period: ‘‘, or has submitted a request 


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1 for administrative relief pursuant to the policy established 

2 in the memorandum of the Secretary of Homeland Secu3 rity dated June 15, 2012, and entitled ‘Exercising Discre4 tion with Respect to Individuals Who Came to the United 

5 States as Children’ (Deferred Action for Childhood Arriv6 als)’’. 

7 (b) Section 146(a)(3) of the 1990 Act shall be applied 

8 in fiscal year 2023 as if the following were inserted before 

9 the period: ‘‘, or has submitted a request for administra10 tive relief pursuant to the policy established in the memo11 randum of the Secretary of Homeland Security dated 

12 June 15, 2012, and entitled ‘Exercising Discretion with 

13 Respect to Individuals Who Came to the United States 

14 as Children’ (Deferred Action for Childhood Arrivals)’’. 

15 (c) Notwithstanding sections 141 and 146 of the 

16 1990 Act, or any other provision of law, a participant in 

17 a national service program carried out under the authority 

18 of the 1973 Act shall be eligible for the national service 

19 educational award described in subtitle D of title I of the 

20 1990 Act if the participant— 

21 (1) meets the criteria specified in paragraphs 

22 (1) through (4) of subsection (a) of section 137 of 

23 the 1990 Act; and 

24 (2) is a citizen or national of the United States 

25 or lawful permanent resident alien of the United 


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1 States, is able to provide evidence from the Depart2 ment of Homeland Security that he or she is in the 

3 United States for other than a temporary purpose 

4 with the intention of becoming a citizen or perma5 nent resident, or has submitted a request for admin6 istrative relief pursuant to the policy established in 

7 the memorandum of the Secretary of Homeland Se8 curity dated June 15, 2012, and entitled ‘‘Exer9 cising Discretion with Respect to Individuals Who 

10 Came to the United States as Children’’ (Deferred 

11 Action for Childhood Arrivals). 

12 SEC. 409. An individual in an approved national serv13 ice position in a program under section 152(a) of the 1990 

14 Act may upon the approval of the Director of the National 

15 Civilian Community Corps continue in a term of service 

16 for up to 180 days beyond the period otherwise specified 

17 in section 153(d), or 90 days beyond the period otherwise 

18 specified in section 154(c). 

19 SEC. 410. (a) Notwithstanding sections 139, 147, 

20 153, and 154 of the 1990 Act, the Director of the Na21 tional Civilian Community Corps may enter into agree22 ments with eligible individuals to participate in a National 

23 Civilian Community Corps program for a period of not less 

24 than 90 days and not more than 180 days. 


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1 (b) An eligible individual who enters into an agree2 ment with the Director under subsection (a) may receive 

3 an educational award equivalent to a proportional amount 

4 of the full-time national service educational award author5 ized under section 147(a) of the 1990 Act that cor6 responds to the term of service that such individual com7 pletes. 

8 (c) For purposes of this section, the term ‘‘eligible 

9 individual’’ means an individual who is at least 18 years 

10 of age and not more than 26 years of age as of the date 

11 the term of service commences. 

12 SEC. 411. In carrying out section 198(i) of the 1990 

13 Act, CNCS may make grants to, enter into cooperative 

14 agreements with, and provide other support to eligible en15 tities, without regard to the limitation on Federal share 

16 contained in section 198(i)(4) of the 1990 Act. 

17 CORPORATION FOR PUBLIC BROADCASTING

18 For payment to the Corporation for Public Broad19 casting (‘‘CPB’’), as authorized by the Communications 

20 Act of 1934, an amount which shall be available within 

21 limitations specified by that Act, for the fiscal year 2025, 

22 $565,000,000: Provided, That none of the funds made 

23 available to CPB by this Act shall be used to pay for re24 ceptions, parties, or similar forms of entertainment for 

25 Government officials or employees: Provided further, That 


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1 none of the funds made available to CPB by this Act shall 

2 be available or used to aid or support any program or ac3 tivity from which any person is excluded, or is denied ben4 efits, or is discriminated against, on the basis of race, 

5 color, national origin, religion, or sex: Provided further, 

6 That none of the funds made available to CPB by this 

7 Act shall be used to apply any political test or qualification 

8 in selecting, appointing, promoting, or taking any other 

9 personnel action with respect to officers, agents, and em10 ployees of CPB. 

11 In addition, for the costs associated with replacing 

12 and upgrading the public broadcasting interconnection 

13 system, including the costs of interconnection facilities and 

14 operations under subsections (k)(3)(A)(i)(II) and 

15 (k)(3)(A)(iv)(I) of section 396 of the Communications Act 

16 of 1934, and for other technologies and services that cre17 ate infrastructure and efficiencies within the public media 

18 system, $60,000,000: Provided, That such amount shall 

19 be in addition to any other funds available for such pur20 poses. 

21 FEDERAL MEDIATION AND CONCILIATION SERVICE

22 SALARIES AND EXPENSES

23 For expenses necessary for the Federal Mediation 

24 and Conciliation Service (‘‘Service’’) to carry out the func25 tions vested in it by the Labor-Management Relations Act, 


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1 1947, including hire of passenger motor vehicles; for ex2 penses necessary for the Labor-Management Cooperation 

3 Act of 1978; and for expenses necessary for the Service 

4 to carry out the functions vested in it by the Civil Service 

5 Reform Act, $53,705,000, of which not to exceed 

6 $1,000,000 shall remain available through September 30, 

7 2024, for assistance activities authorized by the Labor8 Management Cooperation Act of 1978: Provided, That 

9 notwithstanding 31 U.S.C. 3302, fees charged, up to full10 cost recovery, for special training activities and other con11 flict resolution services and technical assistance, including 

12 those provided to foreign governments and international 

13 organizations, and for arbitration services shall be credited 

14 to and merged with this account, and shall remain avail15 able until expended: Provided further, That fees for arbi16 tration services shall be available only for education, train17 ing, and professional development of the agency workforce: 

18 Provided further, That the Director of the Service is au19 thorized to accept and use on behalf of the United States 

20 gifts of services and real, personal, or other property in 

21 the aid of any projects or functions within the Director’s 

22 jurisdiction. 


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1 FEDERAL MINE SAFETY AND HEALTH REVIEW

2 COMMISSION

3 SALARIES AND EXPENSES

4 For expenses necessary for the Federal Mine Safety 

5 and Health Review Commission, $18,012,000. 

6 INSTITUTE OF MUSEUM AND LIBRARY SERVICES

7 OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS

8 AND ADMINISTRATION

9 For carrying out the Museum and Library Services 

10 Act of 1996 and the National Museum of African Amer11 ican History and Culture Act, $301,800,000: Provided, 

12 That notwithstanding section 210A of the Museum and 

13 Library Services Act, $20,000,000 shall be available 

14 through September 30, 2024 for the purpose of making 

15 grants to support improvements to public library and mu16 seum facilities: Provided further, That in awarding such 

17 grants, the Director of the Institute of Museum and Li18 brary Services shall give priority to public libraries and 

19 museums located or serving in rural and underserved com20 munities, including economically disadvantaged areas, as 

21 determined by the Director: Provided further, That the Di22 rector shall reserve not more than $2,000,000 of the funds 

23 described in the first proviso to conduct a comprehensive 

24 study of the physical condition of public libraries and mu25 seums in each State and outlying area. 


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1 MEDICAID AND CHIP PAYMENT AND ACCESS

2 COMMISSION

3 SALARIES AND EXPENSES

4 For expenses necessary to carry out section 1900 of 

5 the Social Security Act, $9,727,000. 

6 MEDICARE PAYMENT ADVISORY COMMISSION

7 SALARIES AND EXPENSES

8 For expenses necessary to carry out section 1805 of 

9 the Social Security Act, $13,440,000, to be transferred to 

10 this appropriation from the Federal Hospital Insurance 

11 Trust Fund and the Federal Supplementary Medical In12 surance Trust Fund. 

13 NATIONAL COUNCIL ON DISABILITY

14 SALARIES AND EXPENSES

15 For expenses necessary for the National Council on 

16 Disability as authorized by title IV of the Rehabilitation 

17 Act of 1973, $3,850,000. 

18 NATIONAL LABOR RELATIONS BOARD

19 SALARIES AND EXPENSES

20 For expenses necessary for the National Labor Rela21 tions Board to carry out the functions vested in it by the 

22 Labor-Management Relations Act, 1947, and other laws, 

23 $319,424,000: Provided, That no part of this appropria24 tion shall be available to organize or assist in organizing 

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1 tions, hearings, directives, or orders concerning bargaining 

2 units composed of agricultural laborers as referred to in 

3 section 2(3) of the Act of July 5, 1935, and as amended 

4 by the Labor-Management Relations Act, 1947, and as de5 fined in section 3(f) of the Act of June 25, 1938, and 

6 including in said definition employees engaged in the 

7 maintenance and operation of ditches, canals, reservoirs, 

8 and waterways when maintained or operated on a mutual, 

9 nonprofit basis and at least 95 percent of the water stored 

10 or supplied thereby is used for farming purposes. 

11 NATIONAL MEDIATION BOARD

12 SALARIES AND EXPENSES

13 For expenses necessary to carry out the provisions 

14 of the Railway Labor Act, including emergency boards ap15 pointed by the President, $15,113,000. 

16 OCCUPATIONAL SAFETY AND HEALTH REVIEW

17 COMMISSION

18 SALARIES AND EXPENSES

19 For expenses necessary for the Occupational Safety 

20 and Health Review Commission, $15,449,000. 

21 RAILROAD RETIREMENT BOARD

22 DUAL BENEFITS PAYMENTS ACCOUNT

23 For payment to the Dual Benefits Payments Ac24 count, authorized under section 15(d) of the Railroad Re25 tirement Act of 1974, $9,000,000, which shall include 


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1 amounts becoming available in fiscal year 2023 pursuant 

2 to section 224(c)(1)(B) of Public Law 98–76; and in addi3 tion, an amount, not to exceed 2 percent of the amount 

4 provided herein, shall be available proportional to the 

5 amount by which the product of recipients and the average 

6 benefit received exceeds the amount available for payment 

7 of vested dual benefits: Provided, That the total amount 

8 provided herein shall be credited in 12 approximately 

9 equal amounts on the first day of each month in the fiscal 

10 year. 

11 FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT

12 ACCOUNTS

13 For payment to the accounts established in the 

14 Treasury for the payment of benefits under the Railroad 

15 Retirement Act for interest earned on unnegotiated 

16 checks, $150,000, to remain available through September 

17 30, 2024, which shall be the maximum amount available 

18 for payment pursuant to section 417 of Public Law 98– 

19 76. 

20 LIMITATION ON ADMINISTRATION

21 For necessary expenses for the Railroad Retirement 

22 Board (‘‘Board’’) for administration of the Railroad Re23 tirement Act and the Railroad Unemployment Insurance 

24 Act, $135,400,000, to be derived in such amounts as de25 termined by the Board from the railroad retirement acVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00194 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 counts and from moneys credited to the railroad unem2 ployment insurance administration fund: Provided, That 

3 notwithstanding section 7(b)(9) of the Railroad Retire4 ment Act this limitation may be used to hire attorneys 

5 only through the excepted service: Provided further, That 

6 the previous proviso shall not change the status under 

7 Federal employment laws of any attorney hired by the 

8 Railroad Retirement Board prior to January 1, 2013: Pro9 vided further, That notwithstanding section 7(b)(9) of the 

10 Railroad Retirement Act, this limitation may be used to 

11 hire students attending qualifying educational institutions 

12 or individuals who have recently completed qualifying edu13 cational programs using current excepted hiring authori14 ties established by the Office of Personnel Management. 

15 LIMITATION ON THE OFFICE OF INSPECTOR GENERAL

16 For expenses necessary for the Office of Inspector 

17 General for audit, investigatory and review activities, as 

18 authorized by the Inspector General Act of 1978, not more 

19 than $13,269,000, to be derived from the railroad retire20 ment accounts and railroad unemployment insurance ac21 count. 

22 SOCIAL SECURITY ADMINISTRATION

23 PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

24 For payment to the Federal Old-Age and Survivors 

25 Insurance Trust Fund and the Federal Disability InsurVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00195 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 ance Trust Fund, as provided under sections 201(m) and 

2 1131(b)(2) of the Social Security Act, $11,000,000. 

3 SUPPLEMENTAL SECURITY INCOME PROGRAM

4 For carrying out titles XI and XVI of the Social Se5 curity Act, section 401 of Public Law 92–603, section 212 

6 of Public Law 93–66, as amended, and section 405 of 

7 Public Law 95–216, including payment to the Social Secu8 rity trust funds for administrative expenses incurred pur9 suant to section 201(g)(1) of the Social Security Act, 

10 $48,644,795,000, to remain available until expended: Pro11 vided, That any portion of the funds provided to a State 

12 in the current fiscal year and not obligated by the State 

13 during that year shall be returned to the Treasury: Pro14 vided further, That not more than $86,000,000 shall be 

15 available for research and demonstrations under sections 

16 1110, 1115, and 1144 of the Social Security Act, and re17 main available through September 30, 2025. 

18 For making, after June 15 of the current fiscal year, 

19 benefit payments to individuals under title XVI of the So20 cial Security Act, for unanticipated costs incurred for the 

21 current fiscal year, such sums as may be necessary. 

22 For making benefit payments under title XVI of the 

23 Social Security Act for the first quarter of fiscal year 

24 2024, $15,800,000,000, to remain available until ex25 pended. 


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1 LIMITATION ON ADMINISTRATIVE EXPENSES

2 (INCLUDING TRANSFER OF FUNDS)

3 For necessary expenses, including the hire and pur4 chase of two passenger motor vehicles, and not to exceed 

5 $20,000 for official reception and representation expenses, 

6 not more than $14,103,014,000 may be expended, as au7 thorized by section 201(g)(1) of the Social Security Act, 

8 from any one or all of the trust funds referred to in such 

9 section: Provided, That not less than $2,700,000 shall be 

10 for the Social Security Advisory Board: Provided further, 

11 That unobligated balances of funds provided under this 

12 paragraph at the end of fiscal year 2023 not needed for 

13 fiscal year 2023 shall remain available until expended to 

14 invest in the Social Security Administration information 

15 technology and telecommunications hardware and soft16 ware infrastructure, including related equipment and non17 payroll administrative expenses associated solely with this 

18 information technology and telecommunications infra19 structure: Provided further, That the Commissioner of So20 cial Security shall notify the Committees on Appropria21 tions of the House of Representatives and the Senate prior 

22 to making unobligated balances available under the au23 thority in the preceding proviso: Provided further, That re24 imbursement to the trust funds under this heading for ex25 penditures for official time for employees of the Social SeVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00197 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 curity Administration pursuant to 5 U.S.C. 7131, and for 

2 facilities or support services for labor organizations pursu3 ant to policies, regulations, or procedures referred to in 

4 section 7135(b) of such title shall be made by the Sec5 retary of the Treasury, with interest, from amounts in the 

6 general fund not otherwise appropriated, as soon as pos7 sible after such expenditures are made. 

8 From funds provided under the first paragraph, not 

9 more than $1,784,000,000, to remain available through 

10 March 31, 2024, is for the costs associated with con11 tinuing disability reviews under titles II and XVI of the 

12 Social Security Act, including work-related continuing dis13 ability reviews to determine whether earnings derived from 

14 services demonstrate an individual’s ability to engage in 

15 substantial gainful activity, for the cost associated with 

16 conducting redeterminations of eligibility under title XVI 

17 of the Social Security Act, for the cost of co-operative dis18 ability investigation units, and for the cost associated with 

19 the prosecution of fraud in the programs and operations 

20 of the Social Security Administration by Special Assistant 

21 United States Attorneys: Provided, That, of such amount, 

22 $273,000,000 is provided to meet the terms of a concur23 rent resolution on the budget, and $1,511,000,000 is addi24 tional new budget authority specified for purposes of a 

25 concurrent resolution on the budget: Provided further, 


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1 That, of the additional new budget authority described in 

2 the preceding proviso, up to $15,100,000 may be trans3 ferred to the ‘‘Office of Inspector General’’, Social Secu4 rity Administration, for the cost of jointly operated co-op5 erative disability investigation units: Provided further, 

6 That such transfer authority is in addition to any other 

7 transfer authority provided by law: Provided further, That 

8 the Commissioner shall provide to the Congress (at the 

9 conclusion of the fiscal year) a report on the obligation 

10 and expenditure of these funds, similar to the reports that 

11 were required by section 103(d)(2) of Public Law 104– 

12 121 for fiscal years 1996 through 2002: Provided further, 

13 That none of the funds described in this paragraph shall 

14 be available for transfer or reprogramming except as spec15 ified in this paragraph. 

16 In addition, $140,000,000 to be derived from admin17 istration fees in excess of $5.00 per supplementary pay18 ment collected pursuant to section 1616(d) of the Social 

19 Security Act or section 212(b)(3) of Public Law 93–66, 

20 which shall remain available until expended: Provided, 

21 That to the extent that the amounts collected pursuant 

22 to such sections in fiscal year 2023 exceed $140,000,000, 

23 the amounts shall be available in fiscal year 2024 only 

24 to the extent provided in advance in appropriations Acts. 


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1 In addition, up to $1,000,000 to be derived from fees 

2 collected pursuant to section 303(c) of the Social Security 

3 Protection Act, which shall remain available until ex4 pended. 

5 OFFICE OF INSPECTOR GENERAL

6 (INCLUDING TRANSFER OF FUNDS)

7 For expenses necessary for the Office of Inspector 

8 General in carrying out the provisions of the Inspector 

9 General Act of 1978, $32,000,000, together with not to 

10 exceed $82,665,000, to be transferred and expended as 

11 authorized by section 201(g)(1) of the Social Security Act 

12 from the Federal Old-Age and Survivors Insurance Trust 

13 Fund and the Federal Disability Insurance Trust Fund: 

14 Provided, That $2,000,000 shall remain available until ex15 pended for information technology modernization, includ16 ing related hardware and software infrastructure and 

17 equipment, and for administrative expenses directly asso18 ciated with information technology modernization. 

19 In addition, an amount not to exceed 3 percent of 

20 the total provided in this appropriation may be transferred 

21 from the ‘‘Limitation on Administrative Expenses’’, Social 

22 Security Administration, to be merged with this account, 

23 to be available for the time and purposes for which this 

24 account is available: Provided, That notice of such trans25 fers shall be transmitted promptly to the Committees on 


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1 Appropriations of the House of Representatives and the 

2 Senate at least 15 days in advance of any transfer. 


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1 TITLE V 

2 GENERAL PROVISIONS 

3 (TRANSFER OF FUNDS)

4 SEC. 501. The Secretaries of Labor, Health and 

5 Human Services, and Education are authorized to transfer 

6 unexpended balances of prior appropriations to accounts 

7 corresponding to current appropriations provided in this 

8 Act. Such transferred balances shall be used for the same 

9 purpose, and for the same periods of time, for which they 

10 were originally appropriated. 

11 SEC. 502. No part of any appropriation contained in 

12 this Act shall remain available for obligation beyond the 

13 current fiscal year unless expressly so provided herein. 

14 SEC. 503. (a) No part of any appropriation contained 

15 in this Act or transferred pursuant to section 4002 of 

16 Public Law 111–148 shall be used, other than for normal 

17 and recognized executive-legislative relationships, for pub18 licity or propaganda purposes, for the preparation, dis19 tribution, or use of any kit, pamphlet, booklet, publication, 

20 electronic communication, radio, television, or video pres21 entation designed to support or defeat the enactment of 

22 legislation before the Congress or any State or local legis23 lature or legislative body, except in presentation to the 

24 Congress or any State or local legislature itself, or de25 signed to support or defeat any proposed or pending reguVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00202 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 lation, administrative action, or order issued by the execu2 tive branch of any State or local government, except in 

3 presentation to the executive branch of any State or local 

4 government itself. 

5 (b) No part of any appropriation contained in this 

6 Act or transferred pursuant to section 4002 of Public Law 

7 111–148 shall be used to pay the salary or expenses of 

8 any grant or contract recipient, or agent acting for such 

9 recipient, related to any activity designed to influence the 

10 enactment of legislation, appropriations, regulation, ad11 ministrative action, or Executive order proposed or pend12 ing before the Congress or any State government, State 

13 legislature or local legislature or legislative body, other 

14 than for normal and recognized executive-legislative rela15 tionships or participation by an agency or officer of a 

16 State, local or Tribal government in policymaking and ad17 ministrative processes within the executive branch of that 

18 government. 

19 (c) The prohibitions in subsections (a) and (b) shall 

20 include any activity to advocate or promote any proposed, 

21 pending or future Federal, State or local tax increase, or 

22 any proposed, pending, or future requirement or restric23 tion on any legal consumer product, including its sale or 

24 marketing, including but not limited to the advocacy or 

25 promotion of gun control. 


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1 SEC. 504. The Secretaries of Labor and Education 

2 are authorized to make available not to exceed $28,000 

3 and $20,000, respectively, from funds available for sala4 ries and expenses under titles I and III, respectively, for 

5 official reception and representation expenses; the Direc6 tor of the Federal Mediation and Conciliation Service is 

7 authorized to make available for official reception and rep8 resentation expenses not to exceed $5,000 from the funds 

9 available for ‘‘Federal Mediation and Conciliation Service, 

10 Salaries and Expenses’’; and the Chairman of the Na11 tional Mediation Board is authorized to make available for 

12 official reception and representation expenses not to ex13 ceed $5,000 from funds available for ‘‘National Mediation 

14 Board, Salaries and Expenses’’. 

15 SEC. 505. When issuing statements, press releases, 

16 requests for proposals, bid solicitations and other docu17 ments describing projects or programs funded in whole or 

18 in part with Federal money, all grantees receiving Federal 

19 funds included in this Act, including but not limited to 

20 State and local governments and recipients of Federal re21 search grants, shall clearly state— 

22 (1) the percentage of the total costs of the pro23 gram or project which will be financed with Federal 

24 money; 


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1 (2) the dollar amount of Federal funds for the 

2 project or program; and 

3 (3) percentage and dollar amount of the total 

4 costs of the project or program that will be financed 

5 by non-governmental sources. 

6 SEC. 506. (a) None of the funds made available in 

7 this Act may be used for— 

8 (1) the creation of a human embryo or embryos 

9 for research purposes; or 

10 (2) research in which a human embryo or em11 bryos are destroyed, discarded, or knowingly sub12 jected to risk of injury or death greater than that 

13 allowed for research on fetuses in utero under 45 

14 CFR 46.204(b) and section 498(b) of the Public 

15 Health Service Act (42 U.S.C. 289g(b)). 

16 (b) For purposes of this section, the term ‘‘human 

17 embryo or embryos’’ includes any organism, not protected 

18 as a human subject under 45 CFR 46 as of the date of 

19 the enactment of this Act, that is derived by fertilization, 

20 parthenogenesis, cloning, or any other means from one or 

21 more human gametes or human diploid cells. 

22 SEC. 507. (a) None of the funds made available in 

23 this Act may be used for any activity that promotes the 

24 legalization of any drug or other substance included in 

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1 lished under section 202 of the Controlled Substances Act 

2 except for normal and recognized executive-congressional 

3 communications. 

4 (b) The limitation in subsection (a) shall not apply 

5 when there is significant medical evidence of a therapeutic 

6 advantage to the use of such drug or other substance or 

7 that federally sponsored clinical trials are being conducted 

8 to determine therapeutic advantage. 

9 SEC. 508. None of the funds made available in this 

10 Act may be obligated or expended to enter into or renew 

11 a contract with an entity if— 

12 (1) such entity is otherwise a contractor with 

13 the United States and is subject to the requirement 

14 in 38 U.S.C. 4212(d) regarding submission of an 

15 annual report to the Secretary of Labor concerning 

16 employment of certain veterans; and 

17 (2) such entity has not submitted a report as 

18 required by that section for the most recent year for 

19 which such requirement was applicable to such enti20 ty. 

21 SEC. 509. None of the funds made available in this 

22 Act may be transferred to any department, agency, or in23 strumentality of the United States Government, except 

24 pursuant to a transfer made by, or transfer authority pro25 vided in, this Act or any other appropriation Act. 


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1 SEC. 510. None of the funds made available by this 

2 Act to carry out the Library Services and Technology Act 

3 may be made available to any library covered by para4 graph (1) of section 224(f) of such Act, as amended by 

5 the Children’s Internet Protection Act, unless such library 

6 has made the certifications required by paragraph (4) of 

7 such section. 

8 SEC. 511. (a) None of the funds provided under this 

9 Act, or provided under previous appropriations Acts to the 

10 agencies funded by this Act that remain available for obli11 gation or expenditure in fiscal year 2023, or provided from 

12 any accounts in the Treasury of the United States derived 

13 by the collection of fees available to the agencies funded 

14 by this Act, shall be available for obligation or expenditure 

15 through a reprogramming of funds that— 

16 (1) creates new programs; 

17 (2) eliminates a program, project, or activity; 

18 (3) increases funds or personnel by any means 

19 for any project or activity for which funds have been 

20 denied or restricted; 

21 (4) relocates an office or employees; 

22 (5) reorganizes or renames offices; 

23 (6) reorganizes programs or activities; or 

24 (7) contracts out or privatizes any functions or 

25 activities presently performed by Federal employees; 


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1 unless the Committees on Appropriations of the House of 

2 Representatives and the Senate are consulted 15 days in 

3 advance of such reprogramming or of an announcement 

4 of intent relating to such reprogramming, whichever oc5 curs earlier, and are notified in writing 10 days in advance 

6 of such reprogramming. 

7 (b) None of the funds provided under this Act, or 

8 provided under previous appropriations Acts to the agen9 cies funded by this Act that remain available for obligation 

10 or expenditure in fiscal year 2023, or provided from any 

11 accounts in the Treasury of the United States derived by 

12 the collection of fees available to the agencies funded by 

13 this Act, shall be available for obligation or expenditure 

14 through a reprogramming of funds in excess of $500,000 

15 or 10 percent, whichever is less, that— 

16 (1) augments existing programs, projects (in17 cluding construction projects), or activities; 

18 (2) reduces by 10 percent funding for any exist19 ing program, project, or activity, or numbers of per20 sonnel by 10 percent as approved by Congress; or 

21 (3) results from any general savings from a re22 duction in personnel which would result in a change 

23 in existing programs, activities, or projects as ap24 proved by Congress; 


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1 unless the Committees on Appropriations of the House of 

2 Representatives and the Senate are consulted 15 days in 

3 advance of such reprogramming or of an announcement 

4 of intent relating to such reprogramming, whichever oc5 curs earlier, and are notified in writing 10 days in advance 

6 of such reprogramming. 

7 SEC. 512. (a) None of the funds made available in 

8 this Act may be used to request that a candidate for ap9 pointment to a Federal scientific advisory committee dis10 close the political affiliation or voting history of the can11 didate or the position that the candidate holds with re12 spect to political issues not directly related to and nec13 essary for the work of the committee involved. 

14 (b) None of the funds made available in this Act may 

15 be used to disseminate information that is deliberately 

16 false or misleading. 

17 SEC. 513. Within 45 days of enactment of this Act, 

18 each department and related agency funded through this 

19 Act shall submit an operating plan that details at the pro20 gram, project, and activity level any funding allocations 

21 for fiscal year 2023 that are different than those specified 

22 in this Act, the explanatory statement accompanying this 

23 Act or the fiscal year 2023 budget request. 

24 SEC. 514. The Secretaries of Labor, Health and 

25 Human Services, and Education shall each prepare and 


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1 submit to the Committees on Appropriations of the House 

2 of Representatives and the Senate a report on the number 

3 and amount of contracts, grants, and cooperative agree4 ments exceeding $500,000, individually or in total for a 

5 particular project, activity, or programmatic initiative, in 

6 value and awarded by the Department on a non-competi7 tive basis during each quarter of fiscal year 2023, but not 

8 to include grants awarded on a formula basis or directed 

9 by law. Such report shall include the name of the con10 tractor or grantee, the amount of funding, the govern11 mental purpose, including a justification for issuing the 

12 award on a non-competitive basis. Such report shall be 

13 transmitted to the Committees within 30 days after the 

14 end of the quarter for which the report is submitted. 

15 SEC. 515. None of the funds appropriated in this Act 

16 shall be expended or obligated by the Commissioner of So17 cial Security, for purposes of administering Social Security 

18 benefit payments under title II of the Social Security Act, 

19 to process any claim for credit for a quarter of coverage 

20 based on work performed under a social security account 

21 number that is not the claimant’s number and the per22 formance of such work under such number has formed the 

23 basis for a conviction of the claimant of a violation of sec24 tion 208(a)(6) or (7) of the Social Security Act. 


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1 SEC. 516. None of the funds appropriated by this Act 

2 may be used by the Commissioner of Social Security or 

3 the Social Security Administration to pay the compensa4 tion of employees of the Social Security Administration 

5 to administer Social Security benefit payments, under any 

6 agreement between the United States and Mexico estab7 lishing totalization arrangements between the social secu8 rity system established by title II of the Social Security 

9 Act and the social security system of Mexico, which would 

10 not otherwise be payable but for such agreement. 

11 SEC. 517. (a) None of the funds made available in 

12 this Act may be used to maintain or establish a computer 

13 network unless such network blocks the viewing, 

14 downloading, and exchanging of pornography. 

15 (b) Nothing in subsection (a) shall limit the use of 

16 funds necessary for any Federal, State, Tribal, or local 

17 law enforcement agency or any other entity carrying out 

18 criminal investigations, prosecution, or adjudication activi19 ties. 

20 SEC. 518. For purposes of carrying out Executive 

21 Order 13589, Office of Management and Budget Memo22 randum M–12–12 dated May 11, 2012, and requirements 

23 contained in the annual appropriations bills relating to 

24 conference attendance and expenditures: 


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1 (1) the operating divisions of HHS shall be con2 sidered independent agencies; and 

3 (2) attendance at and support for scientific con4 ferences shall be tabulated separately from and not 

5 included in agency totals. 

6 SEC. 519. Federal agencies funded under this Act 

7 shall clearly state within the text, audio, or video used for 

8 advertising or educational purposes, including emails or 

9 Internet postings, that the communication is printed, pub10 lished, or produced and disseminated at United States tax11 payer expense. The funds used by a Federal agency to 

12 carry out this requirement shall be derived from amounts 

13 made available to the agency for advertising or other com14 munications regarding the programs and activities of the 

15 agency. 

16 SEC. 520. (a) Federal agencies may use Federal dis17 cretionary funds that are made available in this Act to 

18 carry out up to 10 Performance Partnership Pilots. Such 

19 Pilots shall be governed by the provisions of section 526 

20 of division H of Public Law 113–76, except that in car21 rying out such Pilots section 526 shall be applied by sub22 stituting ‘‘Fiscal Year 2023’’ for ‘‘Fiscal Year 2014’’ in 

23 the title of subsection (b) and by substituting ‘‘September 

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1 pears: Provided, That such pilots shall include commu2 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 116– 

13 260, and section 523 of division H of Public Law 117– 

14 103. 

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 SEC. 521. Not later than 30 days after the end of 

20 each calendar quarter, beginning with the first month of 

21 fiscal year 2023 the Departments of Labor, Health and 

22 Human Services and Education and the Social Security 

23 Administration shall provide the Committees on Appro24 priations of the House of Representatives and Senate a 

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1 vided, That for balances that are unobligated and uncom2 mitted, committed, and obligated but unexpended, the 

3 monthly reports shall separately identify the amounts at4 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 SEC. 522. The Departments of Labor, Health and 

8 Human Services, and Education shall provide to the Com9 mittees on Appropriations of the House of Representatives 

10 and the Senate a comprehensive list of any new or com11 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 of15 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 SEC. 523. Each department and related agency fund20 ed through this Act shall provide answers to questions 

21 submitted for the record by members of the Committee 

22 within 45 business days after receipt. 

23 SEC. 524. Of amounts deposited in the Child Enroll24 ment Contingency Fund under section 2104(n)(2) of the 

25 Social Security Act and the income derived from investVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00214 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 ment of those funds pursuant to section 2104(n)(2)(C) of 

2 that Act, $14,561,000,000 shall not be available for obli3 gation in this fiscal year. 

4 SEC. 525. (a) This section applies to: (1) the Admin5 istration for Children and Families in the Department of 

6 Health and Human Services; and (2) the Chief Evaluation 

7 Office and the statistical-related cooperative and inter8 agency agreements and contracting activities of the Bu9 reau of Labor Statistics in the Department of Labor. 

10 (b) Amounts made available under this Act which are 

11 either appropriated, allocated, advanced on a reimbursable 

12 basis, or transferred to the functions and organizations 

13 identified in subsection (a) for research, evaluation, or sta14 tistical purposes shall be available for obligation through 

15 September 30, 2027: Provided, That when an office ref16 erenced in subsection (a) receives research and evaluation 

17 funding from multiple appropriations, such offices may 

18 use a single Treasury account for such activities, with 

19 funding advanced on a reimbursable basis. 

20 (c) Amounts referenced in subsection (b) that are un21 expended at the time of completion of a contract, grant, 

22 or cooperative agreement may be deobligated and shall im23 mediately become available and may be reobligated in that 

24 fiscal year or the subsequent fiscal year for the research, 


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1 evaluation, or statistical purposes for which such amounts 

2 are available. 


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1 TITLE VI 

2 EMERGENCY CORONAVIRUS RESPONSE 

3 SUPPLEMENTAL APPROPRIATIONS 

4 The following sums are appropriated, out of any 

5 money in the Treasury not otherwise appropriated, for the 

6 fiscal year ending September 30, 2022, and for other pur7 poses, namely: 

8 DEPARTMENT OF HEALTH AND HUMAN 

9 SERVICES 

10 OFFICE OF THE SECRETARY

11 PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY

12 FUND

13 (INCLUDING TRANSFER OF FUNDS)

14 For an additional amount for ‘‘Public Health and So15 cial Services Emergency Fund’’, $16,000,000,000, to re16 main available until September 30, 2026, to prevent, pre17 pare for, and respond to coronavirus or any disease with 

18 potential for creating a pandemic, including for necessary 

19 expenses with respect to the research and development, 

20 manufacturing, production, purchase, and distribution of 

21 vaccines, therapeutics, diagnostics, and medical products, 

22 services, and supplies: Provided, That of the amount pro23 vided under this heading in this title, up to 

24 $9,000,000,000 shall be available to the Biomedical Ad25 vanced Research and Development Authority for necessary 


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1 expenses of advanced research and development, manufac2 turing, production, and purchase, at the discretion of the 

3 Secretary of Health and Human Services, of vaccines, 

4 therapeutics, diagnostics, and supplies necessary for the 

5 administration of such vaccines, therapeutics, and 

6 diagnostics: Provided further, That from the amount made 

7 available under this heading in this title, not less than 

8 $750,000,000 shall be available for research and clinical 

9 trials related to research on, clinical trials for, and devel10 opment and procurement of, vaccines for emerging 

11 coronavirus variants, and to support the sustainment and 

12 expansion of vaccine manufacturing capacity, including 

13 fill-finish capacity: Provided further, That products, sup14 plies, and equipment purchased with amounts provided 

15 under this heading in this title may, at the discretion of 

16 the Secretary of Health and Human Services, be deposited 

17 in the Strategic National Stockpile under section 319F– 

18 2(a) of the Public Health Service Act: Provided further, 

19 That amounts provided under this heading in this title 

20 may be used for the construction, alteration, or renovation 

21 of non-federally owned U.S.-based facilities for the produc22 tion of vaccines, therapeutics, diagnostics, and ancillary 

23 medical supplies where the Secretary determines that such 

24 a contract is necessary to secure sufficient amounts of 

25 such supplies: Provided further, That amounts provided 


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1 under this heading in this title may be transferred to, and 

2 merged with, the fund authorized by section 319F–4, the 

3 Covered Countermeasure Process Fund, of the Public 

4 Health Service Act: Provided further, That the transfer 

5 authority provided under this heading in this title is in 

6 addition to any other transfer authority provided by law: 

7 Provided further, That the Secretary shall notify the Com8 mittees on Appropriations of the House of Representatives 

9 and the Senate at least 2 days in advance of any obligation 

10 in excess of $50,000,000, including but not limited to con11 tracts and interagency agreements, from amounts pro12 vided under this heading in this title: Provided further, 

13 That the Secretary shall provide a report to the Commit14 tees on Appropriations of the House of Representatives 

15 and the Senate not later than 30 days after the date of 

16 enactment of this Act, and every 30 days thereafter until 

17 all amounts provided under this heading in this title have 

18 been expended, detailing obligations of such amounts in 

19 excess of $20,000,000, with annotation of which Depart20 ment or agency, and component thereof is managing the 

21 contract; the current inventory of COVID–19 vaccines, 

22 therapeutics, and diagnostics; and the distribution of 

23 COVID–19 vaccines, therapeutics, and diagnostics during 

24 the previous month, reported by State and other jurisdic25 tion. 


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1 GENERAL PROVISIONS—THIS TITLE 

2 (INCLUDING TRANSFER OF FUNDS)

3 SEC. 601. Each amount appropriated or made avail4 able by this title is in addition to amounts otherwise ap5 propriated for fiscal year 2022. 

6 SEC. 602. No part of any appropriation contained in 

7 this title shall remain available for obligation beyond fiscal 

8 year 2022 unless expressly so provided herein. 

9 SEC. 603. Unless otherwise provided for by this title, 

10 the additional amounts appropriated by this title to appro11 priations accounts shall be available under the authorities 

12 and conditions applicable to such appropriations accounts 

13 for funds appropriated in fiscal year 2022. 

14 SEC. 604. Funds appropriated by this title under the 

15 heading ‘‘Public Health and Social Services Emergency 

16 Fund’’ may be transferred to, and merged with, other ap17 propriation accounts under the heading ‘‘National Insti18 tutes of Health’’ to prevent, prepare for, and respond to 

19 coronavirus: Provided, That the Committees on Appropria20 tions of the House of Representatives and the Senate shall 

21 be notified 10 days in advance of any such transfer: Pro22 vided further, That the transfer authority provided by this 

23 section is in addition to any other transfer authority pro24 vided by law: Provided further, That, upon determination 

25 that all or part of the funds transferred from an approVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00220 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 priation by this title are not necessary, such amounts may 

2 be transferred back to that appropriation: Provided fur3 ther, That none of the funds made available by this title 

4 may be transferred pursuant to the authority in section 

5 205 of the Departments of Labor, Health and Human 

6 Services, and Education, and Related Agencies Appropria7 tions Act, 2022 or section 241(a) of the Public Health 

8 Service Act. 

9 SEC. 605. Not later than 30 days after the date of 

10 enactment of this Act, the Secretary of Health and 

11 Human Services shall provide a detailed spend plan of an12 ticipated uses of funds made available in this title, includ13 ing estimated personnel and administrative costs, to the 

14 Committees on Appropriations of the House of Represent15 atives and the Senate: Provided, That such plans shall be 

16 updated and submitted to the Committees every 60 days 

17 until all funds are expended: Provided further, That the 

18 spend plans shall be accompanied by a listing of each con19 tract obligation incurred that exceeds $5,000,000 which 

20 has not previously been reported, including the amount of 

21 such obligation: Provided further, That the Committees on 

22 Appropriations of the House of Representatives and the 

23 Senate shall be briefed on obligations quarterly until all 

24 funds are expended. 


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1 SEC. 606. Not later than 60 days after the date of 

2 enactment of this Act, the Secretary of Health and 

3 Human Services shall provide biweekly obligation reports, 

4 including anticipated use of funds made available in this 

5 title, to the Committees on Appropriations of the House 

6 of Representatives and the Senate: Provided, That such 

7 reports shall be updated and submitted biweekly to the 

8 Committees until all funds are expended. 

9 SEC. 607. Not later than 30 days after the date of 

10 enactment of this Act, the Secretary of Health and 

11 Human Services shall provide monthly reports on obliga12 tions made with these supplemental funds related to: (1) 

13 research; (2) advanced development; (3) procurement; or 

14 (4) administration activities to the Committees on Appro15 priations of the House of Representatives and the Senate 

16 and the Committee on Energy and Commerce of the 

17 House of Representatives and Committee on Health, Edu18 cation, Labor, and Pensions of the Senate: Provided, That 

19 such report shall include for procurement contracts: (1) 

20 recipient; (2) total number of units purchased; (3) delivery 

21 dates; (4) any options on such contracts; and (5) location 

22 of manufactured product: Provided further, That such re23 port shall include projections of the supply of and domestic 

24 need for vaccines, therapeutics, tests, and ancillary med25 ical supplies over the next 90 days to prepare for and reVerDate Sep 11 2014 00:00 Jul 29, 2022 Jkt 029200 PO 00000 Frm 00222 Fmt 6652 Sfmt 6201 E:\BILLS\S4659.IS S4659

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1 spond to coronavirus, to the extent such information is 

2 available: Provided further, That such reports shall be up3 dated and submitted monthly to the Committees until all 

4 funds are expended. 

5 SEC. 608. This title shall become effective imme6 diately upon enactment of this Act. 

7 SEC. 609. If this Act is enacted after September 30, 

8 2022, this title shall be applied as if it were in effect on 

9 September 30, 2022. 

10 SEC. 610. Each amount made available by this title 

11 is designated by the Congress as being for an emergency 

12 requirement pursuant to section 4001(a)(1) and section 

13 4001(b) of S. Con. Res. 14 (117th Congress), the concur14 rent resolution on the budget for fiscal year 2022. 

15 SEC. 611. In this title, the term ‘‘coronavirus’’ means 

16 SARS–CoV–2 or another coronavirus with pandemic po17 tential. 

18 This Act may be cited as the ‘‘Departments of Labor, 

19 Health and Human Services, and Education, and Related 

20 Agencies Appropriations Act, 2023’’. 

Æ 


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