I 

118TH CONGRESS 

1ST SESSION H. R. 5894 

Making appropriations for the Departments of Labor, Health and Human 

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

September 30, 2024, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 6, 2023 

Mr. ADERHOLT introduced the following bill; 

OCTOBER 25, 2023 

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, 2024, 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, 2024, 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, $2,836,808,000, 

8 plus reimbursements, shall be available. Of the amounts 

9 provided: 

10 (1) for grants to States for adult employment 

11 and training activities and dislocated worker employ12 ment and training activities, $1,807,553,000 as fol13 lows: 

14 (A) $712,000,000 for adult employment 

15 and training activities, which shall be available 

16 for the period October 1, 2024 through June 

17 30, 2025; and 

18 (B) $1,095,553,000 for dislocated worker 

19 employment and training activities, of which 

20 $235,553,000 shall be available for the period 

21 July 1, 2024 through June 30, 2025, and of 

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

23 period October 1, 2024 through June 30, 2025: 

24 Provided, That the funds available for allotment to 

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


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1 WIOA shall not be subject to the requirements of 

2 section 127(b)(1)(B)(ii) of such Act: Provided fur3 ther, That notwithstanding the requirements of 

4 WIOA, outlying areas may submit a single applica5 tion for a consolidated grant that awards funds that 

6 would otherwise be available to such areas to carry 

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

8 the WIOA: Provided further, That such application 

9 shall be submitted to the Secretary of Labor (re10 ferred to in this title as ‘‘Secretary’’), at such time, 

11 in such manner, and containing such information as 

12 the Secretary may require: Provided further, That 

13 outlying areas awarded a consolidated grant de14 scribed in the preceding provisos may use the funds 

15 for any of the programs and activities authorized 

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

17 to approval of the application and such reporting re18 quirements issued by the Secretary; and 

19 (2) for national programs, $1,029,255,000 as 

20 follows: 

21 (A) $360,859,0000 for the dislocated 

22 workers assistance national reserve, of which 

23 $160,859,000 shall be available for the period 

24 July 1, 2024 through September 30, 2025, and 

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


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1 period October 1, 2024 through September 30, 

2 2025: Provided, That funds provided to carry 

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

4 used to provide assistance to a State for state5 wide or local use in order to address cases 

6 where there have been worker dislocations 

7 across multiple sectors or across multiple local 

8 areas and such workers remain dislocated; co9 ordinate the State workforce development plan 

10 with emerging economic development needs; and 

11 train such eligible dislocated workers: Provided 

12 further, That funds provided to carry out sec13 tions 168(b) and 169(c) of the WIOA may be 

14 used for technical assistance and demonstration 

15 projects, respectively, that provide assistance to 

16 new entrants in the workforce and incumbent 

17 workers: Provided further, That notwithstanding 

18 section 168(b) of the WIOA, of the funds pro19 vided under this subparagraph, the Secretary 

20 may reserve not more than 10 percent of such 

21 funds to provide technical assistance and carry 

22 out additional activities related to the transition 

23 to the WIOA: Provided further, That of the 

24 funds provided under this subparagraph, 

25 $115,000,000 shall be for training and employVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 ment assistance under sections 168(b), 169(c) 

2 (notwithstanding the 10 percent limitation in 

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

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

5 in the Appalachian region, as defined by 

6 40 U.S.C. 14102(a)(1), workers in the 

7 Lower Mississippi, as defined in section 

8 4(2) of the Delta Development Act (Public 

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

10 2009aa(2)), and workers in the region 

11 served by the Northern Border Regional 

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

13 15733; and 

14 (ii) $65,000,000 shall be for the pur15 pose of developing, offering, or improving 

16 educational or career training programs at 

17 community colleges, defined as public insti18 tutions of higher education, as described in 

19 section 101(a) of the Higher Education 

20 Act of 1965 and at which the associate’s 

21 degree is primarily the highest degree 

22 awarded, with other eligible institutions of 

23 higher education, as defined in section 

24 101(a) of the Higher Education Act of 

25 1965, eligible to participate through conVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 sortia, with community colleges as the lead 

2 grantee; 

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, 2024 

6 through June 30, 2025; 

7 (C) $97,396,000 for migrant and seasonal 

8 farmworker programs under section 167 of the 

9 WIOA, including $90,134,000 for formula 

10 grants (of which not less than 70 percent shall 

11 be for employment and training services), 

12 $6,591,000 for migrant and seasonal housing 

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

14 permanent housing), and $671,000 for other 

15 discretionary purposes, which shall be available 

16 for the period April 1, 2024 through June 30, 

17 2025: 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) $105,000,000 for YouthBuild activi10 ties as described in section 171 of the WIOA, 

11 which shall be available for the period April 1, 

12 2024 through June 30, 2025; 

13 (E) $115,000,000 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, 2024 through June 30, 2025: Provided, 

17 That of this amount, $30,000,000 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, 2024 through June 30, 

5 2025; and 

6 (G) $285,000,000 to expand opportunities 

7 through apprenticeships, to be available to the 

8 Secretary to carry out activities through grants, 

9 cooperative agreements, contracts and other ar10 rangements, with States and other appropriate 

11 entities, including equity intermediaries and 

12 business and labor industry partner inter13 mediaries, which shall be available for the pe14 riod July 1, 2024 through June 30, 2025. 

15 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

16 For payments during fiscal year 2024 of trade ad17 justment benefit payments and allowances under part I 

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

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

20 employment and case management services, allowances for 

21 job search and relocation, and related State administrative 

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

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

24 payments, allowances, training, employment and case 

25 management services, and related State administration 


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1 provided pursuant to section 231(a) of the Trade Adjust2 ment Assistance Extension Act of 2011, sections 405(a) 

3 and 406 of the Trade Preferences Extension Act of 2015, 

4 and section 285(a) of the Trade Act of 1974, as amended, 

5 $30,700,000 together with such amounts as may be nec6 essary to be charged to the subsequent appropriation for 

7 payments for any period subsequent to September 15, 

8 2024: Provided, That notwithstanding section 502 of this 

9 Act, any part of the appropriation provided under this 

10 heading may remain available for obligation beyond the 

11 current fiscal year pursuant to the authorities of section 

12 245(c) of the Trade Act of 1974 (19 U.S.C. 2317(c)). 

13 STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT

14 SERVICE OPERATIONS

15 (INCLUDING TRANSFER OF FUNDS)

16 For authorized administrative expenses, 

17 $84,066,000, together with not to exceed $3,921,556,000 

18 which may be expended from the Employment Security 

19 Administration Account in the Unemployment Trust Fund 

20 (‘‘the Trust Fund’’), of which— 

21 (1) $3,141,635,000 from the Trust Fund is for 

22 grants to States for the administration of State un23 employment insurance laws as authorized under title 

24 III of the Social Security Act (including not less 

25 than $382,000,000 to carry out reemployment servVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 ices and eligibility assessments under section 306 of 

2 such Act, any claimants of regular compensation, as 

3 defined in such section, including those who are 

4 profiled as most likely to exhaust their benefits, may 

5 be eligible for such services and assessments: Pro6 vided, That of such amount, $117,000,000 is speci7 fied for grants under section 306 of the Social Secu8 rity Act and is provided to meet the terms of section 

9 251(b)(2)(E)(ii) of the Balanced Budget and Emer10 gency Deficit Control Act of 1985, as amended, and 

11 $265,000,000 is additional new budget authority 

12 specified for purposes of section 251(b)(2)(E)(i)(V) 

13 of such Act; and $9,000,000 for continued support 

14 of the Unemployment Insurance Integrity Center of 

15 Excellence), the administration of unemployment in16 surance for Federal employees and for ex-service 

17 members as authorized under 5 U.S.C. 8501–8523, 

18 and the administration of trade readjustment allow19 ances, reemployment trade adjustment assistance, 

20 and alternative trade adjustment assistance under 

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

22 the Trade Adjustment Assistance Extension Act of 

23 2011, sections 405(a) and 406 of the Trade Pref24 erences Extension Act of 2015, and section 285(a) 

25 of the Trade Act of 1974, as amended, and shall be 


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1 available for obligation by the States through De2 cember 31, 2024, except that funds used for auto3 mation shall be available for Federal obligation until 

4 expended, and for State obligation through Sep5 tember 30, 2026, and funds for competitive grants 

6 awarded to States for improved operations and to 

7 conduct in-person reemployment and eligibility as8 sessments and unemployment insurance improper 

9 payment reviews and provide reemployment services 

10 and referrals to training, as appropriate, shall be 

11 available for Federal obligation through December 

12 31, 2024 (except that funds for outcome payments 

13 pursuant to section 306(f)(2) of the Social Security 

14 Act shall be available for Federal obligation through 

15 March 31, 2025), and for obligation by the States 

16 through September 30, 2026, and funds for the Un17 employment Insurance Integrity Center of Excel18 lence shall be available for obligation by the State 

19 through September 30, 2025, and funds used for 

20 unemployment insurance workloads experienced 

21 through September 30, 2024 shall be available for 

22 Federal obligation through December 31, 2024; 

23 (2) $23,000,000 from the Trust Fund is for na24 tional activities necessary to support the administraVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 tion of the Federal-State unemployment insurance 

2 system; 

3 (3) $658,639,000 from the Trust Fund, to4 gether with $21,413,000 from the General Fund of 

5 the Treasury, is for grants to States in accordance 

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

7 be available for Federal obligation for the period 

8 July 1, 2024 through June 30, 2025; 

9 (4) $25,000,000 from the Trust Fund is for na10 tional activities of the Employment Service, includ11 ing administration of the work opportunity tax cred12 it under section 51 of the Internal Revenue Code of 

13 1986 (including assisting States in adopting or mod14 ernizing information technology for use in the proc15 essing of certification requests), and the provision of 

16 technical assistance and staff training under the 

17 Wagner-Peyser Act; 

18 (5) $73,282,000 from the Trust Fund is for the 

19 administration of foreign labor certifications and re20 lated activities under the Immigration and Nation21 ality Act and related laws, of which $50,000,000 

22 shall be available for the Federal administration of 

23 such activities, and $23,282,000 shall be available 

24 for grants to States for the administration of such 

25 activities; and 


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1 (6) $62,653,000 from the General Fund is to 

2 provide workforce information, national electronic 

3 tools, and one-stop system building under the Wag4 ner-Peyser Act and shall be available for Federal ob5 ligation for the period July 1, 2024 through June 

6 30, 2025, of which up to $9,800,000 may be used 

7 to carry out research and demonstration projects re8 lated to testing effective ways to promote greater 

9 labor force participation of people with disabilities: 

10 Provided, That the Secretary may transfer amounts 

11 made available for research and demonstration 

12 projects under this paragraph to the ‘‘Office of Dis13 ability Employment Policy’’ account for such pur14 poses: 

15 Provided, That to the extent that the Average Weekly In16 sured Unemployment (‘‘AWIU’’) for fiscal year 2024 is 

17 projected by the Department of Labor to exceed 

18 2,365,000, an additional $28,600,000 from the Trust 

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

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

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

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

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

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

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


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1 carrying out activities under such title III if the other 

2 States include areas that have suffered a major disaster 

3 declared by the President under the Robert T. Stafford 

4 Disaster Relief and Emergency Assistance Act: Provided 

5 further, That the Secretary may use funds appropriated 

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

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

8 the National Directory of New Hires under section 

9 453(j)(8) of such Act: Provided further, That the Sec10 retary may use funds appropriated for grants to States 

11 under title III of the Social Security Act to make pay12 ments on behalf of States to the entity operating the State 

13 Information Data Exchange System: Provided further, 

14 That funds appropriated in this Act which are used to es15 tablish a national one-stop career center system, or which 

16 are used to support the national activities of the Federal17 State unemployment insurance, employment service, or 

18 immigration programs, may be obligated in contracts, 

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

20 Provided further, That States awarded competitive grants 

21 for improved operations under title III of the Social Secu22 rity Act, or awarded grants to support the national activi23 ties of the Federal-State unemployment insurance system, 

24 may award subgrants to other States and non-State enti25 ties under such grants, subject to the conditions applicable 


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1 to the grants: Provided further, That funds appropriated 

2 under this Act for activities authorized under title III of 

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

4 be used by States to fund integrated Unemployment In5 surance and Employment Service automation efforts, not6 withstanding cost allocation principles prescribed under 

7 the final rule entitled ‘‘Uniform Administrative Require8 ments, Cost Principles, and Audit Requirements for Fed9 eral Awards’’ at part 200 of title 2, Code of Federal Regu10 lations: Provided further, That the Secretary, at the re11 quest of a State participating in a consortium with other 

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

13 III of the Social Security Act to other States participating 

14 in the consortium or to the entity operating the Unemploy15 ment Insurance Information Technology Support Center 

16 in order to carry out activities that benefit the administra17 tion of the unemployment compensation law of the State 

18 making the request: Provided further, That the Secretary 

19 may collect fees for the costs associated with additional 

20 data collection, analyses, and reporting services relating 

21 to the National Agricultural Workers Survey requested by 

22 State and local governments, public and private institu23 tions of higher education, and nonprofit organizations and 

24 may utilize such sums, in accordance with the provisions 

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


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1 Survey infrastructure, methodology, and data to meet the 

2 information collection and reporting needs of such entities, 

3 which shall be credited to this appropriation and shall re4 main available until September 30, 2025, for such pur5 poses. 

6 ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND

7 OTHER FUNDS

8 For repayable advances to the Unemployment Trust 

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

10 Social Security Act, and to the Black Lung Disability 

11 Trust Fund as authorized by section 9501(c)(1) of the In12 ternal Revenue Code of 1986; and for nonrepayable ad13 vances to the revolving fund established by section 901(e) 

14 of the Social Security Act, to the Unemployment Trust 

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

16 Unemployment Benefits and Allowances’’ account, such 

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

18 obligation through September 30, 2025. 

19 PROGRAM ADMINISTRATION

20 For expenses of administering employment and train21 ing programs, $108,900,000, together with not to exceed 

22 $54,015,000 which may be expended from the Employ23 ment Security Administration Account in the Unemploy24 ment Trust Fund. 


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1 EMPLOYEE BENEFITS SECURITY ADMINISTRATION

2 SALARIES AND EXPENSES

3 For necessary expenses for the Employee Benefits 

4 Security Administration, $152,880,000, of which up to 

5 $3,000,000 shall be made available through September 30, 

6 2025, for the procurement of expert witnesses for enforce7 ment litigation. 

8 PENSION BENEFIT GUARANTY CORPORATION

9 PENSION BENEFIT GUARANTY CORPORATION FUND

10 The Pension Benefit Guaranty Corporation (‘‘Cor11 poration’’) is authorized to make such expenditures, in12 cluding financial assistance authorized by subtitle E of 

13 title IV of the Employee Retirement Income Security Act 

14 of 1974, within limits of funds and borrowing authority 

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

16 to make such contracts and commitments without regard 

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

18 as may be necessary in carrying out the program, includ19 ing associated administrative expenses, through Sep20 tember 30, 2024, for the Corporation: Provided, That 

21 none of the funds available to the Corporation for fiscal 

22 year 2024 shall be available for obligations for administra23 tive expenses in excess of $512,900,000: Provided further, 

24 That to the extent that the number of new plan partici25 pants in plans terminated by the Corporation exceeds 


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1 100,000 in fiscal year 2024, an amount not to exceed an 

2 additional $9,200,000 shall be available through Sep3 tember 30, 2028, for obligations for administrative ex4 penses for every 20,000 additional terminated partici5 pants: Provided further, That obligations in excess of the 

6 amounts provided for administrative expenses in this para7 graph may be incurred and shall be available through Sep8 tember 30, 2028 for obligation for unforeseen and extraor9 dinary pre-termination or termination expenses or extraor10 dinary multiemployer program related expenses after ap11 proval by the Office of Management and Budget and noti12 fication of the Committees on Appropriations of the House 

13 of Representatives and the Senate: Provided further, That 

14 an additional amount shall be available for obligation 

15 through September 30, 2028 to the extent the Corpora16 tion’s costs exceed $250,000 for the provision of credit or 

17 identity monitoring to affected individuals upon suffering 

18 a security incident or privacy breach, not to exceed an ad19 ditional $100 per affected individual. 

20 WAGE AND HOUR DIVISION

21 SALARIES AND EXPENSES

22 For necessary expenses for the Wage and Hour Divi23 sion, including reimbursement to State, Federal, and local 

24 agencies and their employees for inspection services ren25 dered, $185,000,000. 


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1 OFFICE OF LABOR-MANAGEMENT STANDARDS

2 SALARIES AND EXPENSES

3 For necessary expenses for the Office of Labor-Man4 agement Standards, $48,515,000. 

5 OFFICE OF FEDERAL CONTRACT COMPLIANCE

6 PROGRAMS

7 SALARIES AND EXPENSES

8 For necessary expenses for the Office of Federal Con9 tract Compliance Programs, $83,232,000. 

10 OFFICE OF WORKERS’ COMPENSATION PROGRAMS

11 SALARIES AND EXPENSES

12 For necessary expenses for the Office of Workers’ 

13 Compensation Programs, $106,500,000, together with 

14 $2,205,000 which may be expended from the Special Fund 

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

16 Longshore and Harbor Workers’ Compensation Act. 

17 SPECIAL BENEFITS

18 (INCLUDING TRANSFER OF FUNDS)

19 For the payment of compensation, benefits, and ex20 penses (except administrative expenses not otherwise au21 thorized) accruing during the current or any prior fiscal 

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

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

24 in the Federal Security Agency Appropriation Act, 1947; 

25 the Employees’ Compensation Commission Appropriation 


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

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

3 Compensation Act (42 U.S.C. 1701 et seq.); and 50 per4 cent of the additional compensation and benefits required 

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

6 Compensation Act, $700,000,000, together with such 

7 amounts as may be necessary to be charged to the subse8 quent year appropriation for the payment of compensation 

9 and other benefits for any period subsequent to August 

10 15 of the current year, for deposit into and to assume 

11 the attributes of the Employees’ Compensation Fund es12 tablished under 5 U.S.C. 8147(a): Provided, That 

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

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

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

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

17 That balances of reimbursements unobligated on Sep18 tember 30, 2023, shall remain available until expended for 

19 the payment of compensation, benefits, and expenses: Pro20 vided further, That in addition there shall be transferred 

21 to this appropriation from the Postal Service and from 

22 any other corporation or instrumentality required under 

23 5 U.S.C. 8147(c) to pay an amount for its fair share of 

24 the cost of administration, such sums as the Secretary de25 termines to be the cost of administration for employees 


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1 of such fair share entities through September 30, 2024: 

2 Provided further, That of those funds transferred to this 

3 account from the fair share entities to pay the cost of ad4 ministration of the Federal Employees’ Compensation Act, 

5 $83,007,000 shall be made available to the Secretary as 

6 follows: 

7 (1) For enhancement and maintenance of auto8 mated data processing systems operations and tele9 communications systems, $28,153,000; 

10 (2) For automated workload processing oper11 ations, including document imaging, centralized mail 

12 intake, and medical bill processing, $26,526,000; 

13 (3) For periodic roll disability management and 

14 medical review, $26,527,000; 

15 (4) For program integrity, $1,801,000; and 

16 (5) The remaining funds shall be paid into the 

17 Treasury as miscellaneous receipts: 

18 Provided further, That the Secretary may require that any 

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

20 under 5 U.S.C. 81, or the Longshore and Harbor Work21 ers’ Compensation Act, provide as part of such notice and 

22 claim, such identifying information (including Social Secu23 rity account number) as such regulations may prescribe. 


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1 SPECIAL BENEFITS FOR DISABLED COAL MINERS

2 For carrying out title IV of the Federal Mine Safety 

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

4 275, $22,890,000, to remain available until expended. 

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

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

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

8 as may be necessary. 

9 For making benefit payments under title IV for the 

10 first quarter of fiscal year 2025, $7,000,000, to remain 

11 available until expended. 

12 ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES

13 OCCUPATIONAL ILLNESS COMPENSATION FUND

14 For necessary expenses to administer the Energy 

15 Employees Occupational Illness Compensation Program 

16 Act, $66,532,000, to remain available until expended: Pro17 vided, That the Secretary may require that any person fil18 ing a claim for benefits under the Act provide as part of 

19 such claim such identifying information (including Social 

20 Security account number) as may be prescribed. 

21 BLACK LUNG DISABILITY TRUST FUND

22 (INCLUDING TRANSFER OF FUNDS)

23 Such sums as may be necessary from the Black Lung 

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

25 until expended, for payment of all benefits authorized by 


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1 section 9501(d)(1), (2), (6), and (7) of the Internal Rev2 enue Code of 1986; and repayment of, and payment of 

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

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

5 expended from the Fund for fiscal year 2024 for expenses 

6 of operation and administration of the Black Lung Bene7 fits program, as authorized by section 9501(d)(5): not to 

8 exceed $44,059,000 for transfer to the Office of Workers’ 

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

10 exceed $41,178,000 for transfer to Departmental Manage11 ment, ‘‘Salaries and Expenses’’; not to exceed $368,000 

12 for transfer to Departmental Management, ‘‘Office of In13 spector General’’; and not to exceed $356,000 for pay14 ments into miscellaneous receipts for the expenses of the 

15 Department of the Treasury. 

16 OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

17 SALARIES AND EXPENSES

18 For necessary expenses for the Occupational Safety 

19 and Health Administration, $536,922,000, including not 

20 to exceed $120,000,000 which shall be the maximum 

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

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

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

24 of State occupational safety and health programs required 

25 to be incurred under plans approved by the Secretary 


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1 under section 18 of the Act; and, in addition, notwith2 standing 31 U.S.C. 3302, the Occupational Safety and 

3 Health Administration may retain up to $499,000 per fis4 cal year of training institute course tuition and fees, other5 wise authorized by law to be collected, and may utilize 

6 such sums for occupational safety and health training and 

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

8 3302, the Secretary is authorized, during the fiscal year 

9 ending September 30, 2024, to collect and retain fees for 

10 services provided to Nationally Recognized Testing Lab11 oratories, and may utilize such sums, in accordance with 

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

13 international laboratory recognition programs that ensure 

14 the safety of equipment and products used by workers in 

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

16 appropriated under this paragraph shall be obligated or 

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

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

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

20 operation which does not maintain a temporary labor 

21 camp and employs 10 or fewer employees: Provided fur22 ther, That no funds appropriated under this paragraph 

23 shall be obligated or expended to administer or enforce 

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

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


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•HR 5894 IH

1 included within a category having a Days Away, Re2 stricted, or Transferred (‘‘DART’’) occupational injury 

3 and illness rate, at the most precise industrial classifica4 tion code for which such data are published, less than the 

5 national average rate as such rates are most recently pub6 lished by the Secretary, acting through the Bureau of 

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

8 except— 

9 (1) to provide, as authorized by the Act, con10 sultation, technical assistance, educational and train11 ing services, and to conduct surveys and studies; 

12 (2) to conduct an inspection or investigation in 

13 response to an employee complaint, to issue a cita14 tion for violations found during such inspection, and 

15 to assess a penalty for violations which are not cor16 rected within a reasonable abatement period and for 

17 any willful violations found; 

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

19 with respect to imminent dangers; 

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

21 with respect to health hazards; 

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

23 with respect to a report of an employment accident 

24 which is fatal to one or more employees or which re25 sults in hospitalization of two or more employees, 


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1 and to take any action pursuant to such investiga2 tion authorized by the Act; and 

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

4 with respect to complaints of discrimination against 

5 employees for exercising rights under the Act: 

6 Provided further, That the foregoing proviso shall not 

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

8 which does not maintain a temporary labor camp and em9 ploys 10 or fewer employees: Provided further, That not 

10 less than $3,500,000 shall be for Voluntary Protection 

11 Programs. 

12 MINE SAFETY AND HEALTH ADMINISTRATION

13 SALARIES AND EXPENSES

14 For necessary expenses for the Mine Safety and 

15 Health Administration, $325,052,000, including purchase 

16 and bestowal of certificates and trophies in connection 

17 with mine rescue and first-aid work, and the hire of pas18 senger motor vehicles, including up to $2,000,000 for 

19 mine rescue and recovery activities and not less than 

20 $10,537,000 for State assistance grants: Provided, That 

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

22 may be collected by the National Mine Health and Safety 

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

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

25 be available for mine safety and health education and 


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•HR 5894 IH

1 training activities: Provided further, That notwithstanding 

2 31 U.S.C. 3302, the Mine Safety and Health Administra3 tion is authorized to collect and retain up to $2,499,000 

4 from fees collected for the approval and certification of 

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

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

7 That the Secretary is authorized to accept lands, build8 ings, equipment, and other contributions from public and 

9 private sources and to prosecute projects in cooperation 

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

11 further, That the Mine Safety and Health Administration 

12 is authorized to promote health and safety education and 

13 training in the mining community through cooperative 

14 programs with States, industry, and safety associations: 

15 Provided further, That the Secretary is authorized to rec16 ognize the Joseph A. Holmes Safety Association as a prin17 cipal safety association and, notwithstanding any other 

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

19 reimbursement, personnel, including service of Mine Safe20 ty and Health Administration officials as officers in local 

21 chapters or in the national organization: Provided further, 

22 That any funds available to the Department of Labor may 

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

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

25 event of a major disaster. 


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1 BUREAU OF LABOR STATISTICS

2 SALARIES AND EXPENSES

3 For necessary expenses for the Bureau of Labor Sta4 tistics, including advances or reimbursements to State, 

5 Federal, and local agencies and their employees for serv6 ices rendered, $589,952,000, together with not to exceed 

7 $68,000,000 which may be expended from the Employ8 ment Security Administration account in the Unemploy9 ment Trust Fund. 

10 OFFICE OF DISABILITY EMPLOYMENT POLICY

11 SALARIES AND EXPENSES

12 (INCLUDING TRANSFER OF FUNDS)

13 For necessary expenses for the Office of Disability 

14 Employment Policy to provide leadership, develop policy 

15 and initiatives, and award grants furthering the objective 

16 of eliminating barriers to the training and employment of 

17 people with disabilities, $43,000,000, of which not less 

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

19 projects related to testing effective ways to promote great20 er labor force participation of people with disabilities: Pro21 vided, That the Secretary may transfer amounts made 

22 available under this heading for research and demonstra23 tion projects to the ‘‘State Unemployment Insurance and 

24 Employment Service Operations’’ account for such pur25 poses. 


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1 DEPARTMENTAL MANAGEMENT

2 SALARIES AND EXPENSES

3 For necessary expenses for Departmental Manage4 ment, including the hire of three passenger motor vehicles, 

5 $200,995,000, together with not to exceed $308,000, 

6 which may be expended from the Employment Security 

7 Administration account in the Unemployment Trust 

8 Fund: Provided, That $6,211,000 shall be used for pro9 gram evaluation and shall be available for obligation 

10 through September 30, 2025: Provided further, That funds 

11 available for program evaluation may be used to admin12 ister grants for the purpose of evaluation: Provided fur13 ther, That grants made for the purpose of evaluation shall 

14 be awarded through fair and open competition. 

15 VETERANS’ EMPLOYMENT AND TRAINING

16 Not to exceed $269,841,000 may be derived from the 

17 Employment Security Administration account in the Un18 employment Trust Fund to carry out the provisions of 

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

20 of which— 

21 (1) $185,000,000 is for Jobs for Veterans State 

22 grants under 38 U.S.C. 4102A(b)(5) to support dis23 abled veterans’ outreach program specialists under 

24 section 4103A of such title and local veterans’ em25 ployment representatives under section 4104(b) of 


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1 such title, and for the expenses described in section 

2 4102A(b)(5)(C), which shall be available for expend3 iture by the States through September 30, 2026, 

4 and not to exceed 3 percent for the necessary Fed5 eral expenditures for data systems and contract sup6 port to allow for the tracking of participant and per7 formance information: Provided, That, in addition, 

8 such funds may be used to support such specialists 

9 and representatives in the provision of services to 

10 transitioning members of the Armed Forces who 

11 have participated in the Transition Assistance Pro12 gram and have been identified as in need of inten13 sive services, to members of the Armed Forces who 

14 are wounded, ill, or injured and receiving treatment 

15 in military treatment facilities or warrior transition 

16 units, and to the spouses or other family caregivers 

17 of such wounded, ill, or injured members; 

18 (2) $34,379,000 is for carrying out the Transi19 tion Assistance Program under 38 U.S.C. 4113 and 

20 10 U.S.C. 1144; 

21 (3) $47,048,000 is for Federal administration 

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

23 2021, 2021A and 2023 of title 38, United States 

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


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1 to carry out the Hire VETS Act (division O of Pub2 lic Law 115–31); and 

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

4 Employment and Training Services Institute under 

5 38 U.S.C. 4109: 

6 Provided, That the Secretary may reallocate among the 

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

8 above an amount not to exceed 3 percent of the appropria9 tion from which such reallocation is made. 

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

11 $65,500,000 is for carrying out programs to assist home12 less veterans and veterans at risk of homelessness who are 

13 transitioning from certain institutions under sections 

14 2021, 2021A, and 2023 of title 38, United States Code: 

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

16 of section 2023, the Secretary may award grants through 

17 September 30, 2024, to provide services under such sec18 tion: Provided further, That services provided under sec19 tions 2021 or under 2021A may include, in addition to 

20 services to homeless veterans described in section 

21 2002(a)(1), services to veterans who were homeless at 

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

23 veterans who are at risk of homelessness within the next 

24 60 days, and that services provided under section 2023 

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1 scribed in subsection (e) of such section, services to vet2 erans recently released from incarceration who are at risk 

3 of homelessness: Provided further, That notwithstanding 

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

5 this paragraph may be used for data systems and contract 

6 support to allow for the tracking of participant and per7 formance information: Provided further, That notwith8 standing sections 2021(e)(2) and 2021A(f)(2) of title 38, 

9 United States Code, such funds shall be available for ex10 penditure pursuant to 31 U.S.C. 1553. 

11 In addition, fees may be assessed and deposited in 

12 the HIRE Vets Medallion Award Fund pursuant to sec13 tion 5(b) of the HIRE Vets Act, and such amounts shall 

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

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

16 shall remain available until expended: Provided, That such 

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

18 such purposes, including funds available under paragraph 

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

20 of division O of the Consolidated Appropriations Act, 2017 

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

22 apply. 

23 IT MODERNIZATION

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1 lated to support systems and modernization, $27,269,000, 

2 which shall be available through September 30, 2025. 

3 OFFICE OF INSPECTOR GENERAL

4 For salaries and expenses of the Office of Inspector 

5 General in carrying out the provisions of the Inspector 

6 General Act of 1978, $91,187,000, together with not to 

7 exceed $5,841,000 which may be expended from the Em8 ployment Security Administration account in the Unem9 ployment Trust Fund: Provided, That not more than 

10 $2,000,000 of the amount provided under this heading 

11 may be available until expended. 

12 GENERAL PROVISIONS

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

14 for the Job Corps shall be used to pay the salary and bo15 nuses of an individual, either as direct costs or any prora16 tion as an indirect cost, at a rate in excess of Executive 

17 Level II. 

18 (TRANSFER OF FUNDS)

19 SEC. 102. 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 current fiscal year for the Department of 

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

24 project, or activity, but no such program, project, or activ25 ity shall be increased by more than 3 percent by any such 


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1 transfer: Provided, That the transfer authority granted by 

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

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

4 provided in this Act: Provided further, That the Commit5 tees on Appropriations of the House of Representatives 

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

7 of any transfer. 

8 SEC. 103. In accordance with Executive Order 

9 13126, none of the funds appropriated or otherwise made 

10 available pursuant to this Act shall be obligated or ex11 pended for the procurement of goods mined, produced, 

12 manufactured, or harvested or services rendered, in whole 

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

14 and host countries already identified by the United States 

15 Department of Labor prior to enactment of this Act. 

16 SEC. 104. Except as otherwise provided in this sec17 tion, none of the funds made available to the Department 

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

19 Competitiveness and Workforce Improvement Act of 1998 

20 (29 U.S.C. 2916a) may be used for any purpose other 

21 than competitive grants for training individuals who are 

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

23 in school within a local educational agency in the occupa24 tions and industries for which employers are using H–1B 


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1 visas to hire foreign workers, and the related activities 

2 necessary to support such training. 

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

4 Act under the heading ‘‘Employment and Training Ad5 ministration’’ shall be used by a recipient or subrecipient 

6 of such funds to pay the salary and bonuses of an indi7 vidual, either as direct costs or indirect costs, at a rate 

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

9 apply to vendors providing goods and services as defined 

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

11 Where States are recipients of such funds, States may es12 tablish a lower limit for salaries and bonuses of those re13 ceiving salaries and bonuses from subrecipients of such 

14 funds, taking into account factors including the relative 

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

16 comparable State or local government employees, and the 

17 size of the organizations that administer Federal pro18 grams involved including Employment and Training Ad19 ministration programs. 

20 (TRANSFER OF FUNDS)

21 SEC. 106. (a) Notwithstanding section 102, the Sec22 retary may transfer funds made available to the Employ23 ment and Training Administration by this Act, either di24 rectly or through a set-aside, for technical assistance serv25 ices to grantees to ‘‘Program Administration’’ when it is 


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1 determined that those services will be more efficiently per2 formed by Federal employees: Provided, That this section 

3 shall not apply to section 171 of the WIOA. 

4 (b) Notwithstanding section 102, the Secretary may 

5 transfer not more than 0.5 percent of each discretionary 

6 appropriation made available to the Employment and 

7 Training Administration by this Act to ‘‘Program Admin8 istration’’ in order to carry out program integrity activities 

9 relating to any of the programs or activities that are fund10 ed under any such discretionary appropriations: Provided, 

11 That funds transferred under this subsection shall be 

12 available to the Secretary to carry out program integrity 

13 activities directly or through grants, cooperative agree14 ments, contracts and other arrangements with States and 

15 other appropriate entities: Provided further, That funds 

16 transferred under the authority provided by this sub17 section shall be available for obligation through September 

18 30, 2024. 

19 (TRANSFER OF FUNDS)

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

21 than 0.75 percent from each appropriation made available 

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

23 out evaluations of any of the programs or activities that 

24 are funded under such accounts. Any funds reserved under 

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1 agement’’ for use by the Office of the Chief Evaluation 

2 Officer within the Department of Labor, and shall be 

3 available for obligation through September 30, 2024: Pro4 vided, That such funds shall only be available if the Chief 

5 Evaluation Officer of the Department of Labor submits 

6 a plan to the Committees on Appropriations of the House 

7 of Representatives and the Senate describing the evalua8 tions to be carried out 15 days in advance of any transfer. 

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

10 ‘‘Training and Employment Services’’, ‘‘State Unemploy11 ment Insurance and Employment Service Operations’’, 

12 ‘‘Employee Benefits Security Administration’’, ‘‘Office of 

13 Workers’ Compensation Programs’’, ‘‘Wage and Hour Di14 vision’’, ‘‘Office of Federal Contract Compliance Pro15 grams’’, ‘‘Office of Labor Management Standards’’, ‘‘Oc16 cupational Safety and Health Administration’’, ‘‘Mine 

17 Safety and Health Administration’’, ‘‘Office of Disability 

18 Employment Policy’’, and ‘‘Veterans’ Employment and 

19 Training’’. 

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

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

22 following text is part of such section: 

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

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

25 disaster to any employee— 


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1 ‘‘(A) employed to adjust or evaluate claims re2 sulting from or relating to such major disaster, by 

3 an employer not engaged, directly or through an af4 filiate, in underwriting, selling, or marketing prop5 erty, casualty, or liability insurance policies or con6 tracts; 

7 ‘‘(B) who receives from such employer on aver8 age weekly compensation of not less than $591.00 

9 per week or any minimum weekly amount estab10 lished by the Secretary, whichever is greater, for the 

11 number of weeks such employee is engaged in any 

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

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

14 ‘‘(i) interviewing insured individuals, indi15 viduals who suffered injuries or other damages 

16 or losses arising from or relating to a disaster, 

17 witnesses, or physicians; 

18 ‘‘(ii) inspecting property damage or review19 ing factual information to prepare damage esti20 mates; 

21 ‘‘(iii) evaluating and making recommenda22 tions regarding coverage or compensability of 

23 claims or determining liability or value aspects 

24 of claims; 

25 ‘‘(iv) negotiating settlements; or 


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1 ‘‘(v) making recommendations regarding 

2 litigation. 

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

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

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

6 ‘‘(A) the term ‘major disaster’ means any dis7 aster or catastrophe declared or designated by any 

8 State or Federal agency or department; 

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

10 evaluate claims resulting from or relating to such 

11 major disaster’ means an individual who timely se12 cured or secures a license required by applicable law 

13 to engage in and perform the activities described in 

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

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

16 that maintains worker compensation insurance cov17 erage or protection for its employees, if required by 

18 applicable law, and withholds applicable Federal, 

19 State, and local income and payroll taxes from the 

20 wages, salaries and any benefits of such employees; 

21 and 

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

23 by reason of ownership or control of 25 percent or 

24 more of the outstanding shares of any class of voting 

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1 rectly, controls, is controlled by, or is under common 

2 control with, another company.’’. 

3 (b) This section shall be effective on the date of en4 actment of this Act. 

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

6 CROSSING OF H–2B NONIMMIGRANTS WORKING IN THE

7 SEAFOOD INDUSTRY.— 

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

9 a petition for H–2B nonimmigrants filed by an em10 ployer in the seafood industry is granted, the em11 ployer may bring the nonimmigrants described in 

12 the petition into the United States at any time dur13 ing the 120-day period beginning on the start date 

14 for which the employer is seeking the services of the 

15 nonimmigrants without filing another petition. 

16 (2) REQUIREMENTS FOR CROSSINGS AFTER

17 90TH DAY.—An employer in the seafood industry 

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

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

20 date for which the employer is seeking the services 

21 of the nonimmigrants unless the employer— 

22 (A) completes a new assessment of the 

23 local labor market by— 

24 (i) listing job orders in local news25 papers on 2 separate Sundays; and 


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1 (ii) posting the job opportunity on the 

2 appropriate Department of Labor Elec3 tronic Job Registry and at the employer’s 

4 place of employment; and 

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

6 qualified United States worker who— 

7 (i) applies for the job; and 

8 (ii) will be available at the time and 

9 place of need. 

10 (3) EXEMPTION FROM RULES WITH RESPECT

11 TO STAGGERING.—The Secretary of Labor shall not 

12 consider an employer in the seafood industry who 

13 brings H–2B nonimmigrants into the United States 

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

15 to be staggering the date of need in violation of sec16 tion 655.20(d) of title 20, Code of Federal Regula17 tions, or any other applicable provision of law. 

18 (b) H–2B NONIMMIGRANTS DEFINED.—In this sec19 tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad20 mitted to the United States pursuant to section 

21 101(a)(15)(H)(ii)(B) of the Immigration and Nationality 

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

23 SEC. 110. The determination of prevailing wage for 

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

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


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1 employees with similar experience and qualifications for 

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

3 wage level for the occupational classification of the posi4 tion in the geographic area in which the H–2B non5 immigrant will be employed, based on the best information 

6 available at the time of filing the petition. In the deter7 mination of prevailing wage for the purposes of the H– 

8 2B program, the Secretary shall accept private wage sur9 veys even in instances where Occupational Employment 

10 Statistics survey data are available unless the Secretary 

11 determines that the methodology and data in the provided 

12 survey are not statistically supported. 

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

14 to enforce the definition of corresponding employment 

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

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

17 thereto. Further, for the purpose of regulating admission 

18 of temporary workers under the H–2B program, the defi19 nition of temporary need shall be that provided in 8 CFR 

20 214.2(h)(6)(ii)(B). 

21 SEC. 112. Notwithstanding any other provision of 

22 law, the Secretary may furnish through grants, coopera23 tive agreements, contracts, and other arrangements, up to 

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1 mined by the Secretary, to apprenticeship programs for 

2 the purpose of training apprentices in those programs. 

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

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

5 736, chapter 141) shall be applied as if the following text 

6 is part of such Act: 

7 ‘‘SEC. 12. SECURITY DETAIL. 

8 ‘‘(a) IN GENERAL.—The Secretary of Labor is au9 thorized to employ law enforcement officers or special 

10 agents to— 

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

12 Labor during the workday of the Secretary and dur13 ing any activity that is preliminary or postliminary 

14 to the performance of official duties by the Sec15 retary; 

16 ‘‘(2) provide protection, incidental to the protec17 tion provided to the Secretary, to a member of the 

18 immediate family of the Secretary who is partici19 pating in an activity or event relating to the official 

20 duties of the Secretary; 

21 ‘‘(3) provide continuous protection to the Sec22 retary (including during periods not described in 

23 paragraph (1)) and to the members of the imme24 diate family of the Secretary if there is a unique and 


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1 articulable threat of physical harm, in accordance 

2 with guidelines established by the Secretary; and 

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

4 of Labor or another senior officer representing the 

5 Secretary of Labor at a public event if there is a 

6 unique and articulable threat of physical harm, in 

7 accordance with guidelines established by the Sec8 retary. 

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

10 authorize a law enforcement officer or special agent em11 ployed under subsection (a), for the purpose of performing 

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

13 ‘‘(1) carry firearms; 

14 ‘‘(2) make arrests without a warrant for any of15 fense against the United States committed in the 

16 presence of such officer or special agent; 

17 ‘‘(3) perform protective intelligence work, in18 cluding identifying and mitigating potential threats 

19 and conducting advance work to review security mat20 ters relating to sites and events; 

21 ‘‘(4) coordinate with local law enforcement 

22 agencies; and 

23 ‘‘(5) initiate criminal and other investigations 

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1 retary, in coordination with the Inspector General of 

2 the Department of Labor. 

3 ‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en4 forcement officer or special agent employed under sub5 section (a) shall exercise any authority provided under this 

6 section in accordance with any— 

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

8 and 

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

10 Labor.’’. 

11 (b) This section shall be effective on the date of en12 actment of this Act. 

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

14 or divest, by any means the Secretary determines appro15 priate, including an agreement or partnership to construct 

16 a new Job Corps center, all or a portion of the real prop17 erty on which the Treasure Island Job Corps Center is 

18 situated. Any sale or other disposition, to include any as19 sociated construction project, will not be subject to any 

20 requirement of any Federal law or regulation relating to 

21 the disposition of Federal real property or relating to Fed22 eral procurement, including but not limited to subchapter 

23 III of chapter 5 of title 40 of the United States Code, 

24 subchapter V of chapter 119 of title 42 of the United 

25 States Code, and chapter 33 of division C of subtitle I 


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•HR 5894 IH

1 of title 41 of the United States Code. The net proceeds 

2 of such a sale shall be transferred to the Secretary, which 

3 shall be available until expended to carry out the Job 

4 Corps Program on Treasure Island. 

5 (RESCISSION)

6 SEC. 115. Of the unobligated funds available under 

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

8 (8 U.S.C. 1356(s)(2)), $206,000,000 are hereby perma9 nently rescinded not later than September 30, 2024. 

10 (RESCISSION)

11 SEC. 116. Of the amounts which are made available 

12 to ‘‘Employment and Training Administration—Training 

13 and Employment Services’’ on October 1, 2023 by Public 

14 Law 117–328, $712,000,000 are hereby rescinded. 

15 SEC. 117. No Federal funds may be made available 

16 to alter or affect the administration, implementation, or 

17 enforcement of the final rule entitled ‘‘Independent Con18 tractor Status Under the Fair Labor Standards Act’’ (86 

19 Fed. Reg. 1168) and dated January 7, 2021. 

20 SEC. 118. No Federal funds may be made available 

21 to administer, implement, or enforce the rule entitled 

22 ‘‘Prudence and Loyalty in Selecting Plan Investments and 

23 Exercising Shareholder Rights’’ (87 Fed. Reg. 73822) and 

24 dated December 1, 2022. 


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1 SEC. 119. No Federal funds may be made available 

2 to administer, implement, or enforce— 

3 (1) the final rule entitled ‘‘Adverse Effect Wage 

4 Rate Methodology for the Temporary Employment 

5 of H-2A Nonimmigrants in Non-Range Occupations 

6 in the United States’’ (88 Fed. Reg. 12760) and 

7 dated February 28, 2023; or 

8 (2) section 655.131(b) of title 20, Code of Fed9 eral Regulations (relating to joint employer require10 ments) as amended by the final regulations pub11 lished by the Department of Labor in the Federal 

12 Register on October 12, 2022 (87 Fed. Reg. 61660). 

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

14 Appropriations Act, 2024’’. 


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•HR 5894 IH

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, $1,858,772,000: 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: Provided further, That not less than 

19 $150,000,000 shall be obligated in fiscal year 2024 for 

20 construction and capital improvement costs. 

21 HEALTH WORKFORCE

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

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

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

25 Quality Improvement Act of 1986, $1,336,348,000: ProVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00048 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 vided, That section 751(j)(2) of the PHS Act and the pro2 portional funding amounts in paragraphs (1) through (4) 

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

4 made available under this heading: Provided further, That 

5 for any program operating under section 751 of the PHS 

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

7 and Human Services (referred to in this title as the ‘‘Sec8 retary’’) may hereafter waive any of the requirements con9 tained in sections 751(d)(2)(A) and 751(d)(2)(B) of such 

10 Act for the full project period of a grant under such sec11 tion: Provided further, That section 756(c) of the PHS Act 

12 shall apply to paragraphs (1) through (4) of section 

13 756(a) of such Act: Provided further, That no funds shall 

14 be available for section 340G–1 of the PHS Act: Provided 

15 further, That fees collected for the disclosure of informa16 tion under section 427(b) of the Health Care Quality Im17 provement Act of 1986 and sections 1128E(d)(2) and 

18 1921 of the Social Security Act shall be sufficient to re19 cover the full costs of operating the programs authorized 

20 by such sections and shall remain available until expended 

21 for the National Practitioner Data Bank: Provided further, 

22 That funds transferred to this account to carry out section 

23 846 and subpart 3 of part D of title III of the PHS Act 

24 may be used to make prior year adjustments to awards 

25 made under such section and subpart: Provided further, 


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1 That $126,000,000 shall remain available until expended 

2 for the purposes of providing primary health services, as3 signing National Health Service Corps (‘‘NHSC’’) partici4 pants to expand the delivery of substance use disorder 

5 treatment services, notwithstanding the assignment prior6 ities and limitations under sections 333(a)(1)(D), 333(b), 

7 and 333A(a)(1)(B)(ii) of the PHS Act, and making pay8 ments under the NHSC Loan Repayment Program under 

9 section 338B of such Act: Provided further, That, within 

10 the amount made available in the previous proviso, 

11 $16,000,000 shall remain available until expended for the 

12 purposes of making payments under the NHSC Loan Re13 payment Program under section 338B of the PHS Act 

14 to individuals participating in such program who provide 

15 primary health services in Indian Health Service facilities, 

16 Tribally-Operated 638 Health Programs, and Urban In17 dian Health Programs (as those terms are defined by the 

18 Secretary), notwithstanding the assignment priorities and 

19 limitations under section 333(b) of such Act: Provided fur20 ther, That for purposes of the previous two provisos, sec21 tion 331(a)(3)(D) of the PHS Act shall be applied as if 

22 the term ‘‘primary health services’’ includes clinical sub23 stance use disorder treatment services, including those 

24 provided by masters level, licensed substance use disorder 

25 treatment counselors: Provided further, That of the funds 


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1 made available under this heading, $6,000,000 shall be 

2 available to make grants to establish, expand, or maintain 

3 optional community-based nurse practitioner fellowship 

4 programs that are accredited or in the accreditation proc5 ess, with a preference for those in Federally Qualified 

6 Health Centers, for practicing postgraduate nurse practi7 tioners in primary care or behavioral health: Provided fur8 ther, That of the funds made available under this heading, 

9 $10,000,000 shall remain available until expended for ac10 tivities under section 775 of the PHS Act: Provided fur11 ther, That the United States may recover liquidated dam12 ages in an amount determined by the formula under sec13 tion 338E(c)(1) of the PHS Act if an individual either 

14 fails to begin or complete the service obligated by a con15 tract under section 775(b) of the PHS Act: Provided fur16 ther, That for purposes of section 775(c)(1) of the PHS 

17 Act, the Secretary may include other mental and behav18 ioral health disciplines as the Secretary deems appro19 priate: Provided further, That the Secretary may termi20 nate a contract entered into under section 775 of the PHS 

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

22 title for fiscal year 2024 contracts entered into under sec23 tion 338B of the PHS Act. 

24 Of the funds made available under this heading, 

25 $60,000,000 shall remain available until expended for 


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1 grants to public institutions of higher education to expand 

2 or support graduate education for physicians provided by 

3 such institutions, including funding for infrastructure de4 velopment, maintenance, equipment, and minor renova5 tions or alterations: Provided, That, in awarding such 

6 grants, the Secretary shall give priority to public institu7 tions of higher education located in States with a projected 

8 primary care provider shortage in 2030, as determined by 

9 the Secretary: Provided further, That grants so awarded 

10 are limited to such public institutions of higher education 

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

12 primary care provider shortage in 2030, as determined by 

13 the Secretary: Provided further, That the minimum 

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

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

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

17 exceed 5 years: Provided further, That such a grant award18 ed with respect to a year to such an institution shall be 

19 subject to a matching requirement of non-Federal funds 

20 in an amount that is not more than 10 percent of the 

21 total amount of Federal funds provided in the grant to 

22 such institution with respect to such year. 

23 MATERNAL AND CHILD HEALTH

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

25 PHS Act with respect to maternal and child health and 


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1 title V of the Social Security Act, $991,582,000: Provided, 

2 That notwithstanding sections 502(a)(1) and 502(b)(1) of 

3 the Social Security Act, not more than $177,268,000 shall 

4 be available for carrying out special projects of regional 

5 and national significance pursuant to section 501(a)(2) of 

6 such Act and $10,276,000 shall be available for projects 

7 described in subparagraphs (A) through (F) of section 

8 501(a)(3) of such Act. 

9 RYAN WHITE HIV/AIDS PROGRAM

10 For carrying out title XXVI of the PHS Act with 

11 respect to the Ryan White HIV/AIDS program, 

12 $2,332,535,000, of which $2,045,630,000 shall remain 

13 available to the Secretary through September 30, 2026, 

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

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

16 AIDS Drug Assistance Programs under the authority of 

17 section 2616 or 311(c) of such Act. 

18 HEALTH SYSTEMS

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

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

21 Therapeutic and Research Act of 2005, $101,009,000, of 

22 which $122,000 shall be available until expended for facil23 ity renovations and other facilities-related expenses of the 

24 National Hansen’s Disease Program: Provided, That the 

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1 tion 372(b)(1)(A) of the PHS Act shall not apply to any 

2 contracts awarded by the Secretary of Health and Human 

3 Services for the operation of the Organ Procurement and 

4 Transplantation Network. 

5 RURAL HEALTH

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

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

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

9 711 and 1820 of the Social Security Act, $402,607,000, 

10 of which $74,277,000 from general revenues, notwith11 standing section 1820(j) of the Social Security Act, shall 

12 be available for carrying out the Medicare rural hospital 

13 flexibility grants program: Provided, That of the funds 

14 made available under this heading for Medicare rural hos15 pital flexibility grants, $25,942,000 shall be available for 

16 the Small Rural Hospital Improvement Grant Program 

17 for quality improvement and adoption of health informa18 tion technology, no less than $5,000,000 shall be available 

19 to award grants to public or non-profit private entities for 

20 the Rural Emergency Hospital Technical Assistance Pro21 gram, and up to $1,000,000 shall be to carry out section 

22 1820(g)(6) of the Social Security Act, with funds provided 

23 for grants under section 1820(g)(6) available for the pur24 chase and implementation of telehealth services and other 

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1 erans between rural providers and the Department of Vet2 erans Affairs: Provided further, That notwithstanding sec3 tion 338J(k) of the PHS Act, $12,500,000 shall be avail4 able for State Offices of Rural Health: Provided further, 

5 That $12,700,000 shall remain available through Sep6 tember 30, 2026, to support the Rural Residency Develop7 ment Program. 

8 HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT

9 For carrying out title III of the Public Health Service 

10 Act and for cross-cutting activities and program support 

11 for activities funded in other appropriations included in 

12 this Act for the Health Resources and Services Adminis13 tration, $215,088,000, of which $45,050,000 shall be for 

14 expenses necessary for the Office for the Advancement of 

15 Telehealth, including grants, contracts, and cooperative 

16 agreements for the advancement of telehealth activities: 

17 Provided, That funds made available under this heading 

18 may be used to supplement program support funding pro19 vided under the headings ‘‘Primary Health Care’’, 

20 ‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 

21 ‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 

22 and ‘‘Rural Health’’. 

23 VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

24 For payments from the Vaccine Injury Compensation 

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


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•HR 5894 IH

1 may be necessary for claims associated with vaccine-re2 lated injury or death with respect to vaccines administered 

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

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

5 Provided, That for necessary administrative expenses, not 

6 to exceed $15,200,000 shall be available from the Trust 

7 Fund to the Secretary. 

8 COVERED COUNTERMEASURES PROCESS FUND

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

10 $7,000,000, to remain available until expended. 

11 CENTERS FOR DISEASE CONTROL AND PREVENTION

12 IMMUNIZATION AND RESPIRATORY DISEASES

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

14 section 2821 of the PHS Act, and titles II and IV of the 

15 Immigration and Nationality Act, with respect to immuni16 zation and respiratory diseases, $326,075,000. 

17 HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED

18 DISEASES, AND TUBERCULOSIS PREVENTION

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

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

21 sexually transmitted diseases, and tuberculosis prevention, 

22 $1,171,056,000. 

23 EMERGING AND ZOONOTIC INFECTIOUS DISEASES

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

25 2821 of the PHS Act, and titles II and IV of the ImmigraVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00056 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 tion and Nationality Act, with respect to emerging and 

2 zoonotic infectious diseases, $708,772,000: Provided, That 

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

4 $1,000,000 shall remain available until expended to pay 

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

6 related costs of persons quarantined or isolated under 

7 Federal or State quarantine law. 

8 CHRONIC DISEASE PREVENTION AND HEALTH

9 PROMOTION

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

11 XIX of the PHS Act with respect to chronic disease pre12 vention and health promotion, $797,569,000: Provided, 

13 That funds made available under this heading may be 

14 available for making grants under section 1509 of the 

15 PHS Act for not less than 21 States, tribes, or tribal orga16 nizations: Provided further, That the proportional funding 

17 requirements under section 1503(a) of the PHS Act shall 

18 not apply to funds made available under this heading. 

19 BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 

20 DISABILITIES AND HEALTH

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

22 PHS Act with respect to birth defects, developmental dis23 abilities, disabilities and health, $205,560,000. 


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1 PUBLIC HEALTH SCIENTIFIC SERVICES

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

3 Act with respect to health statistics, surveillance, health 

4 informatics, and workforce development, $654,497,000. 

5 ENVIRONMENTAL HEALTH

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

7 Act with respect to environmental health, $130,850,000: 

8 Provided, That of the amounts appropriated under this 

9 heading up to $2,600,000 may remain available until ex10 pended for carrying out the Vessel Sanitation Program, 

11 in addition to user fee collections available for such pur12 pose. 

13 INJURY PREVENTION AND CONTROL

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

15 Act with respect to injury prevention and control, 

16 $730,779,000. 

17 NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND

18 HEALTH

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

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

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

22 of the Mine Improvement and New Emergency Response 

23 Act, and sections 20, 21, and 22 of the Occupational Safe24 ty and Health Act, with respect to occupational safety and 

25 health, $247,700,000. 


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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, $370,772,000, of which 

12 $100,000,000 shall remain available through September 

13 30, 2026, for global public health protection: Provided, 

14 That funds may be used for purchase and insurance of 

15 official motor vehicles in foreign countries. 

16 PUBLIC HEALTH PREPAREDNESS AND RESPONSE

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

18 Act with respect to public health preparedness and re19 sponse, and for expenses necessary to support activities 

20 related to countering potential biological, nuclear, radio21 logical, and chemical threats to civilian populations, 

22 $735,000,000: Provided, That the Director of the Centers 

23 for Disease Control and Prevention (referred to in this 

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

25 Toxic Substances and Disease Registry may detail staff 


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1 without reimbursement to support an activation of the 

2 CDC Emergency Operations Center, so long as the Direc3 tor or Administrator, as applicable, provides a notice to 

4 the Committees on Appropriations of the House of Rep5 resentatives and the Senate within 15 days of the use of 

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

7 this authority which includes the number of staff and 

8 funding level broken down by the originating center and 

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

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

11 reimbursement to the CDC Emergency Operations Center. 

12 BUILDINGS AND FACILITIES

13 (INCLUDING TRANSFER OF FUNDS)

14 For acquisition of real property, equipment, construc15 tion, installation, demolition, and renovation of facilities, 

16 $40,000,000, which shall remain available until expended: 

17 Provided, That funds made available to this account in 

18 this or any prior Act that are available for the acquisition 

19 of real property or for construction or improvement of fa20 cilities shall be available to make improvements on non21 federally owned property, provided that any improvements 

22 that are not adjacent to federally owned property do not 

23 exceed $2,500,000, and that the primary benefit of such 

24 improvements accrues to CDC: Provided further, That 

25 funds previously set-aside by CDC for repair and upgrade 


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1 of the Lake Lynn Experimental Mine and Laboratory 

2 shall be used to acquire a replacement mine safety re3 search facility: Provided further, That funds made avail4 able to this account in this or any prior Act that are avail5 able for the acquisition of real property or for construction 

6 or improvement of facilities in conjunction with the new 

7 replacement mine safety research facility shall be available 

8 to make improvements on non-federally owned property, 

9 provided that any improvements that are not adjacent to 

10 federally owned property do not exceed $5,000,000: Pro11 vided further, That in addition, the prior year unobligated 

12 balance of any amounts assigned to former employees in 

13 accounts of CDC made available for Individual Learning 

14 Accounts shall be credited to and merged with the 

15 amounts made available under this heading to support the 

16 replacement of the mine safety research facility. 

17 CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT

18 (INCLUDING TRANSFER OF FUNDS)

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

20 section 2821 of the PHS Act and for cross-cutting activi21 ties and program support for activities funded in other 

22 appropriations included in this Act for the Centers for 

23 Disease Control and Prevention, $231,428,000: Provided, 

24 That paragraphs (1) through (3) of subsection (b) of sec25 tion 2821 of the PHS Act shall not apply to funds approVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00061 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 priated under this heading and in all other accounts of 

2 the CDC: Provided further, That of the amounts made 

3 available under this heading, $35,000,000, to remain 

4 available until expended, shall be available to the Director 

5 of the CDC for deposit in the Infectious Diseases Rapid 

6 Response Reserve Fund established by section 231 of divi7 sion B of Public Law 115–245: Provided further, That 

8 funds appropriated under this heading may be used to 

9 support a contract for the operation and maintenance of 

10 an aircraft in direct support of activities throughout CDC 

11 to ensure the agency is prepared to address public health 

12 preparedness emergencies: Provided further, That employ13 ees of CDC or the Public Health Service, both civilian and 

14 commissioned officers, detailed to States, municipalities, 

15 or other organizations under authority of section 214 of 

16 the PHS Act, or in overseas assignments, shall be treated 

17 as non-Federal employees for reporting purposes only and 

18 shall not be included within any personnel ceiling applica19 ble to the Agency, Service, or HHS during the period of 

20 detail or assignment: Provided further, That CDC may use 

21 up to $10,000 from amounts appropriated to CDC in this 

22 Act for official reception and representation expenses 

23 when specifically approved by the Director of CDC: Pro24 vided further, That in addition, such sums as may be de25 rived from authorized user fees, which shall be credited 


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1 to the appropriation charged with the cost thereof: Pro2 vided further, That with respect to the previous proviso, 

3 authorized user fees from the Vessel Sanitation Program 

4 and the Respirator Certification Program shall be avail5 able through September 30, 2025. 

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, $7,104,159,000, 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, $3,982,345,000. 

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 $520,163,000. 


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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, $2,300,721,000. 

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 $2,588,925,000. 

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 $5,062,279,000. 

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 $3,154,679,000, of which $1,327,482,000 shall be from 

20 funds available under section 241 of the PHS Act: Pro21 vided, That not less than $435,956,000 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 $1,749,078,000. 

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 $896,549,000. 

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 $913,979,000. 

15 NATIONAL INSTITUTE ON AGING

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

17 Act with respect to aging, $4,407,623,000. 

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, $685,465,000. 


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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, $534,333,000. 

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, $197,693,000. 

9 NATIONAL INSTITUTE ON ALCOHOL ABUSE AND

10 ALCOHOLISM

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

12 Act with respect to alcohol abuse and alcoholism, 

13 $595,318,000. 

14 NATIONAL INSTITUTE ON DRUG ABUSE

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

16 Act with respect to drug abuse, $1,662,695,000. 

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, $2,112,843,000. 

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 $663,200,000. 


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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, $440,627,000. 

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 $170,384,000. 

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, $524,395,000. 

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), $95,162,000. 

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 $497,548,000: Provided, That of the amounts available for 

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

25 available until September 30, 2025: Provided further, That 


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•HR 5894 IH

1 in fiscal year 2024, 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, $923,323,000: 

10 Provided, That not less than $75,000,000 shall be avail11 able to implement section 480 of the PHS Act, relating 

12 to the Cures Acceleration Network: Provided further, That 

13 at least $629,560,000 is provided to the Clinical and 

14 Translational Sciences Awards program. 

15 OFFICE OF THE DIRECTOR

16 For carrying out the responsibilities of the Office of 

17 the Director, NIH, $2,069,459,000: Provided, That fund18 ing shall be available for the purchase of not to exceed 

19 29 passenger motor vehicles for replacement only: Pro20 vided further, That all funds credited to the NIH Manage21 ment Fund shall remain available for one fiscal year after 

22 the fiscal year in which they are deposited: Provided fur23 ther, That $722,401,000 shall be available for the Com24 mon Fund established under section 402A(c)(1) of the 

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


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•HR 5894 IH

1 $10,000 shall be for official reception and representation 

2 expenses when specifically approved by the Director of the 

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

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

5 up to $8,000,000 to make grants for construction or ren6 ovation of facilities as provided for in section 

7 2354(a)(5)(B) of the PHS Act: Provided further, That 

8 $80,000,000 shall be used to carry out section 404I of 

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

10 behavioral research facilities: Provided further, That 

11 amounts made available under this heading are also avail12 able to establish, operate, and support the Research Policy 

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

14 Cures Act. 

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 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 until expended. 

6 NIH INNOVATION ACCOUNT, CURES ACT

7 (INCLUDING TRANSFER OF FUNDS)

8 For necessary expenses to carry out the purposes de9 scribed in section 1001(b)(4) of the 21st Century Cures 

10 Act, in addition to amounts available for such purposes 

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

12 $407,000,000, to remain available until expended: Pro13 vided, That such amounts are appropriated pursuant to 

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

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

16 Act, and may be transferred by the Director of the Na17 tional Institutes of Health to other accounts of the Na18 tional Institutes of Health solely for the purposes provided 

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

20 by the Director that funds transferred pursuant to the 

21 previous proviso are not necessary for the purposes pro22 vided, such amounts may be transferred back to the Ac23 count: Provided further, That the transfer authority pro24 vided under this heading is in addition to any other trans25 fer authority provided by law. 


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•HR 5894 IH

1 ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH

2 For carrying out section 301 and part J of title IV 

3 of the PHS Act with respect to advanced research projects 

4 for health, $500,000,000. 

5 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES

6 ADMINISTRATION

7 MENTAL HEALTH

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

9 Act with respect to mental health, the Protection and Ad10 vocacy for Individuals with Mental Illness Act, and the 

11 SUPPORT for Patients and Communities Act, 

12 $2,706,282,000: Provided, That of the funds made avail13 able under this heading, $93,887,000 shall be for the Na14 tional Child Traumatic Stress Initiative: Provided further, 

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

16 no funds appropriated for carrying out section 520A shall 

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

18 Provided further, That in addition to amounts provided 

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

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

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

22 assistance, national data, data collection and evaluation 

23 activities, and further that the total available under this 

24 Act for section 1920(b) activities shall not exceed 5 per25 cent of the amounts appropriated for subpart I of part 


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1 B of title XIX: Provided further, That of the funds made 

2 available under this heading for subpart I of part B of 

3 title XIX of the PHS Act, at least 5 percent shall be avail4 able to support evidence-based crisis systems: Provided 

5 further, That up to 10 percent of the amounts made avail6 able to carry out the Children’s Mental Health Services 

7 program may be used to carry out demonstration grants 

8 or contracts for early interventions with persons not more 

9 than 25 years of age at clinical high risk of developing 

10 a first episode of psychosis: Provided further, That section 

11 520E(b)(2) of the PHS Act shall not apply to funds ap12 propriated in this Act for fiscal year 2024: Provided fur13 ther, That $385,000,000 shall be available for grants to 

14 communities and community organizations who meet cri15 teria for Certified Community Behavioral Health Clinics 

16 pursuant to section 223(a) of Public Law 113–93: Pro17 vided further, That none of the funds provided for section 

18 1911 of the PHS Act shall be subject to section 241 of 

19 such Act: Provided further, That of the funds made avail20 able under this heading, $21,420,000 shall be to carry out 

21 section 224 of the Protecting Access to Medicare Act of 

22 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 note). 

23 SUBSTANCE ABUSE TREATMENT

24 For carrying out titles III and V of the PHS Act 

25 with respect to substance abuse treatment and title XIX 


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•HR 5894 IH

1 of such Act with respect to substance abuse treatment and 

2 prevention, section 1003 of the 21st Century Cures Act, 

3 and the SUPPORT for Patients and Communities Act, 

4 $3,980,103,000: Provided, That $1,583,000,000 shall be 

5 for carrying out section 1003 of the 21st Century Cures 

6 Act: Provided further, That of such amount in the pre7 ceding proviso not less than 4 percent shall be made avail8 able to Indian Tribes or tribal organizations: Provided fur9 ther, That of the amount reserved by the previous proviso, 

10 the Secretary shall award grants using data that the Sec11 retary determines to be the most objective and reliable 

12 measure of drug use and drug-related deaths: Provided 

13 further, That in addition to amounts provided herein, the 

14 following amounts shall be available under section 241 of 

15 the PHS Act: (1) $79,200,000 to carry out subpart II 

16 of part B of title XIX of the PHS Act to fund section 

17 1935(b) technical assistance, national data, data collection 

18 and evaluation activities, and further that the total avail19 able under this Act for section 1935(b) activities shall not 

20 exceed 5 percent of the amounts appropriated for subpart 

21 II of part B of title XIX; and (2) $2,000,000 to evaluate 

22 substance abuse treatment programs: Provided further, 

23 That none of the funds provided for section 1921 of the 

24 PHS Act or State Opioid Response Grants shall be subject 

25 to section 241 of such Act. 


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1 SUBSTANCE ABUSE PREVENTION

2 For carrying out titles III and V of the PHS Act 

3 with respect to substance abuse prevention, $179,602,000. 

4 HEALTH SURVEILLANCE AND PROGRAM SUPPORT

5 For program support and cross-cutting activities that 

6 supplement activities funded under the headings ‘‘Mental 

7 Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 

8 Abuse Prevention’’ in carrying out titles III, V, and XIX 

9 of the PHS Act and the Protection and Advocacy for Indi10 viduals with Mental Illness Act in the Substance Abuse 

11 and Mental Health Services Administration, 

12 $109,895,000: Provided, That in addition to amounts pro13 vided herein, $31,428,000 shall be available under section 

14 241 of the PHS Act to supplement funds available to 

15 carry out national surveys on drug abuse and mental 

16 health, to collect and analyze program data, and to con17 duct public awareness and technical assistance activities: 

18 Provided further, That, in addition, fees may be collected 

19 for the costs of publications, data, data tabulations, and 

20 data analysis completed under title V of the PHS Act and 

21 provided to a public or private entity upon request, which 

22 shall be credited to this appropriation and shall remain 

23 available until expended for such purposes: Provided fur24 ther, That amounts made available in this Act for carrying 

25 out section 501(o) of the PHS Act shall remain available 


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1 through September 30, 2025: Provided further, That funds 

2 made available under this heading (other than amounts 

3 specified in the first proviso under this heading) may be 

4 used to supplement program support funding provided 

5 under the headings ‘‘Mental Health’’, ‘‘Substance Abuse 

6 Treatment’’, and ‘‘Substance Abuse Prevention’’. 

7 CENTERS FOR MEDICARE & MEDICAID SERVICES

8 GRANTS TO STATES FOR MEDICAID

9 For carrying out, except as otherwise provided, titles 

10 XI and XIX of the Social Security Act, $406,956,850,000, 

11 to remain available until expended. 

12 In addition, for carrying out such titles after May 31, 

13 2024, for the last quarter of fiscal year 2024 for unantici14 pated costs incurred for the current fiscal year, such sums 

15 as may be necessary, to remain available until expended. 

16 In addition, for carrying out such titles for the first 

17 quarter of fiscal year 2025, $245,580,414,000, to remain 

18 available until expended. 

19 Payment under such title XIX may be made for any 

20 quarter with respect to a State plan or plan amendment 

21 in effect during such quarter, if submitted in or prior to 

22 such quarter and approved in that or any subsequent 

23 quarter. 


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1 PAYMENTS TO THE HEALTH CARE TRUST FUNDS

2 For payment to the Federal Hospital Insurance 

3 Trust Fund and the Federal Supplementary Medical In4 surance Trust Fund, as provided under sections 217(g), 

5 1844, and 1860D–16 of the Social Security Act, sections 

6 103(c) and 111(d) of the Social Security Amendments of 

7 1965, section 278(d)(3) of Public Law 97–248, and for 

8 administrative expenses incurred pursuant to section 

9 201(g) of the Social Security Act, $476,725,000,000. 

10 In addition, for making matching payments under 

11 section 1844 and benefit payments under section 1860D– 

12 16 of the Social Security Act that were not anticipated 

13 in budget estimates, such sums as may be necessary. 

14 PROGRAM MANAGEMENT

15 For carrying out, except as otherwise provided, titles 

16 XI, XVIII, XIX, and XXI of the Social Security Act, titles 

17 XIII and XXVII of the PHS Act, the Clinical Laboratory 

18 Improvement Amendments of 1988, and other responsibil19 ities of the Centers for Medicare & Medicaid Services, not 

20 to exceed $3,326,690,000 to be transferred from the Fed21 eral Hospital Insurance Trust Fund and the Federal Sup22 plementary Medical Insurance Trust Fund, as authorized 

23 by section 201(g) of the Social Security Act; together with 

24 all funds collected in accordance with section 353 of the 

25 PHS Act and section 1857(e)(2) of the Social Security 


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1 Act, funds retained by the Secretary pursuant to section 

2 1893(h) of the Social Security Act, and such sums as may 

3 be collected from authorized user fees and the sale of data, 

4 which shall be credited to this account and remain avail5 able until expended: Provided, That all funds derived in 

6 accordance with 31 U.S.C. 9701 from organizations estab7 lished under title XIII of the PHS Act shall be credited 

8 to and available for carrying out the purposes of this ap9 propriation: Provided further, That the Secretary is di10 rected to collect fees in fiscal year 2024 from Medicare 

11 Advantage organizations pursuant to section 1857(e)(2) 

12 of the Social Security Act and from eligible organizations 

13 with risk-sharing contracts under section 1876 of that Act 

14 pursuant to section 1876(k)(4)(D) of that Act: Provided 

15 further, That of the amount made available under this 

16 heading, $397,334,000 shall remain available until Sep17 tember 30, 2025, and shall be available for the Survey 

18 and Certification Program: Provided further, That 

19 amounts available under this heading to support quality 

20 improvement organizations (as defined in section 1152 of 

21 the Social Security Act) shall not exceed the amount spe22 cifically provided for such purpose under this heading in 

23 division H of the Consolidated Appropriations Act, 2018 

24 (Public Law 115–141). 


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1 HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT

2 In addition to amounts otherwise available for pro3 gram integrity and program management, $915,000,000, 

4 to remain available through September 30, 2025, to be 

5 transferred from the Federal Hospital Insurance Trust 

6 Fund and the Federal Supplementary Medical Insurance 

7 Trust Fund, as authorized by section 201(g) of the Social 

8 Security Act, of which $675,648,000 shall be for the Cen9 ters for Medicare & Medicaid Services program integrity 

10 activities, of which $100,145,000 shall be for the Depart11 ment of Health and Human Services Office of Inspector 

12 General to carry out fraud and abuse activities authorized 

13 by section 1817(k)(3) of such Act, and of which 

14 $132,207,000 shall be for the Department of Justice to 

15 carry out fraud and abuse activities authorized by section 

16 1817(k)(3) of such Act: Provided, That the report re17 quired by section 1817(k)(5) of the Social Security Act 

18 for fiscal year 2024 shall include measures of the oper19 ational efficiency and impact on fraud, waste, and abuse 

20 in the Medicare, Medicaid, and CHIP programs for the 

21 funds provided by this appropriation: Provided further, 

22 That of the amount provided under this heading, 

23 $311,000,000 is provided to meet the terms of section 

24 251(b)(2)(C)(ii) of the Balanced Budget and Emergency 

25 Deficit Control Act of 1985, as amended, and 


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•HR 5894 IH

1 $604,000,000 is additional new budget authority specified 

2 for purposes of section 251(b)(2)(C)(i)(XI) of such Act 

3 for additional health care fraud and abuse control activi4 ties: Provided further, That the Secretary shall provide not 

5 less than $35,000,000 from amounts made available under 

6 this heading and amounts made available for fiscal year 

7 2024 under section 1817(k)(3)(A) of the Social Security 

8 Act for the Senior Medicare Patrol program to combat 

9 health care fraud and abuse. 

10 ADMINISTRATION FOR CHILDREN AND FAMILIES

11 PAYMENTS TO STATES FOR CHILD SUPPORT

12 ENFORCEMENT AND FAMILY SUPPORT PROGRAMS

13 For carrying out, except as otherwise provided, titles 

14 I, IV–D, X, XI, XIV, and XVI of the Social Security Act 

15 and the Act of July 5, 1960, $3,309,000,000, to remain 

16 available until expended; and for such purposes for the 

17 first quarter of fiscal year 2025, $1,400,000,000, to re18 main available until expended. 

19 For carrying out, after May 31 of the current fiscal 

20 year, except as otherwise provided, titles I, IV–D, X, XI, 

21 XIV, and XVI of the Social Security Act and the Act of 

22 July 5, 1960, for the last 3 months of the current fiscal 

23 year for unanticipated costs, incurred for the current fiscal 

24 year, such sums as may be necessary. 


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1 LOW INCOME HOME ENERGY ASSISTANCE

2 For making payments under subsections (b) and (d) 

3 of section 2602 of the Low-Income Home Energy Assist4 ance Act of 1981 (42 U.S.C. 8621 et seq.), 

5 $4,011,000,000: Provided, That notwithstanding section 

6 2609A(a) of such Act, not more than $9,600,000 may be 

7 reserved by the Secretary for technical assistance, train8 ing, and monitoring of program activities for compliance 

9 with internal controls, policies and procedures, and to sup10 plement funding otherwise available for necessary admin11 istrative expenses to carry out such Act, and the Secretary 

12 may, in addition to the authorities provided in section 

13 2609A(a)(1), use such funds through contracts with pri14 vate entities that do not qualify as nonprofit organiza15 tions: Provided further, That all but $900,000,000 of the 

16 amount appropriated under this heading shall be allocated 

17 as though the total appropriation for such payments for 

18 fiscal year 2024 was less than $1,975,000,000: Provided 

19 further, That, after applying all applicable provisions of 

20 section 2604 of such Act and the previous proviso, each 

21 State or territory that would otherwise receive an alloca22 tion that is less than 97 percent of the amount that it 

23 received under this heading for fiscal year 2023 from 

24 amounts appropriated in Public Law 117–328 shall have 

25 its allocation increased to that 97 percent level, with the 


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•HR 5894 IH

1 portions of other States’ and territories’ allocations that 

2 would exceed 100 percent of the amounts they respectively 

3 received in such fashion for fiscal year 2023 being ratably 

4 reduced. 

5 REFUGEE AND ENTRANT ASSISTANCE

6 For necessary expenses for refugee and entrant as7 sistance activities authorized by section 414 of the Immi8 gration and Nationality Act and section 501 of the Ref9 ugee Education Assistance Act of 1980, and for carrying 

10 out section 462 of the Homeland Security Act of 2002, 

11 section 235 of the William Wilberforce Trafficking Victims 

12 Protection Reauthorization Act of 2008, the Trafficking 

13 Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor14 ture Victims Relief Act of 1998, $2,756,956,000, of which 

15 $2,707,201,000 shall remain available through September 

16 30, 2026, for carrying out such sections 414, 501, 462, 

17 and 235: Provided, That amounts available under this 

18 heading to carry out the TVPA shall also be available for 

19 research and evaluation with respect to activities under 

20 such Act: Provided further, That the contribution of funds 

21 requirement under section 235(c)(6)(C)(iii) of the William 

22 Wilberforce Trafficking Victims Protection Reauthoriza23 tion Act of 2008 shall not apply to funds made available 

24 under this heading. 


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1 PAYMENTS TO STATES FOR THE CHILD CARE AND

2 DEVELOPMENT BLOCK GRANT

3 For carrying out the Child Care and Development 

4 Block Grant Act of 1990 (‘‘CCDBG Act’’), 

5 $8,021,387,000 shall be used to supplement, not supplant 

6 State general revenue funds for child care assistance for 

7 low-income families: Provided, That technical assistance 

8 under section 658I(a)(3) of such Act may be provided di9 rectly, or through the use of contracts, grants, cooperative 

10 agreements, or interagency agreements: Provided further, 

11 That all funds made available to carry out section 418 

12 of the Social Security Act (42 U.S.C. 618), including 

13 funds appropriated for that purpose in such section 418 

14 or any other provision of law, shall be subject to the res15 ervation of funds authority in paragraphs (4) and (5) of 

16 section 658O(a) of the CCDBG Act: Provided further, 

17 That notwithstanding section 658O(a)(2) of such Act, 5 

18 percent of the amount appropriated under this heading for 

19 such Act shall be reserved under such section for Indian 

20 tribes and tribal organizations with applications approved 

21 under section 658O(c) of such Act: Provided further, That 

22 of the amounts made available under this heading, the 

23 Secretary may reserve up to 0.5 percent for Federal ad24 ministrative 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, and the Low-Income Home Energy Assist24 ance Act of 1981, $13,388,077,000, of which 

25 $75,000,000, to remain available through September 30, 


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1 2025, shall be for grants to States for adoption and legal 

2 guardianship incentive payments, as defined by section 

3 473A of the Social Security Act and may be made for 

4 adoptions and legal guardianships completed before Sep5 tember 30, 2024: Provided, That $11,246,820,000 shall 

6 be for making payments under the Head Start Act, includ7 ing for Early Head Start–Child Care Partnerships, and, 

8 of which, notwithstanding section 640 of such Act: 

9 (1) $25,000,000 shall be available for allocation 

10 by the Secretary to supplement activities described 

11 in paragraphs (7)(B) and (9) of section 641(c) of 

12 the Head Start Act under the Designation Renewal 

13 System, established under the authority of sections 

14 641(c)(7), 645A(b)(12), and 645A(d) of such Act, 

15 and such funds shall not be included in the calcula16 tion of ‘‘base grant’’ in subsequent fiscal years, as 

17 such term is used in section 640(a)(7)(A) of such 

18 Act; 

19 (2) $8,000,000 shall be available for the Tribal 

20 Colleges and Universities Head Start Partnership 

21 Program consistent with section 648(g) of such Act; 

22 and 

23 (3) up to $40,000,000 shall be available to sup24 plement funding otherwise available for research, 

25 evaluation, and Federal administrative costs: 


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1 Provided further, That notwithstanding the income eligi2 bility requirements of subsection (a) and paragraphs (1) 

3 and (2) of subsection (d) of section 645 of the Head Start 

4 Act, and of the income eligibility criteria and allowances 

5 prescribed in regulations under such Act, an Indian tribe 

6 that operates a Head Start program may, at its discretion, 

7 establish selection criteria, including criteria to prioritize 

8 children in families for which a child, a family member, 

9 or a member of the same household, is a member of an 

10 Indian tribe, to enroll children who would benefit from the 

11 Head Start program: Provided further, That the Secretary 

12 may reduce the reservation of funds under section 

13 640(a)(2)(C) of such Act in lieu of reducing the reserva14 tion of funds under sections 640(a)(2)(B), 640(a)(2)(D), 

15 and 640(a)(2)(E) of such Act: Provided further, That 

16 $804,383,000 shall be for making payments under the 

17 CSBG Act: Provided further, That $34,383,000 shall be 

18 for section 680 of the CSBG Act, of which not less than 

19 $22,383,000 shall be for section 680(a)(2) and not less 

20 than $12,000,000 shall be for section 680(a)(3)(B) of 

21 such Act: Provided further, That, notwithstanding section 

22 675C(a)(3) of the CSBG Act, to the extent Community 

23 Services Block Grant funds are distributed as grant funds 

24 by a State to an eligible entity as provided under such 

25 Act, and have not been expended by such entity, they shall 


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•HR 5894 IH

1 remain with such entity for carryover into the next fiscal 

2 year for expenditure by such entity consistent with pro3 gram purposes: Provided further, That the Secretary shall 

4 establish procedures regarding the disposition of intan5 gible assets and program income that permit such assets 

6 acquired with, and program income derived from, grant 

7 funds authorized under section 680 of the CSBG Act to 

8 become the sole property of such grantees after a period 

9 of not more than 12 years after the end of the grant pe10 riod for any activity consistent with section 680(a)(2)(A) 

11 of the CSBG Act: Provided further, That intangible assets 

12 in the form of loans, equity investments and other debt 

13 instruments, and program income may be used by grant14 ees for any eligible purpose consistent with section 

15 680(a)(2)(A) of the CSBG Act: Provided further, That 

16 these procedures shall apply to such grant funds made 

17 available after November 29, 1999: Provided further, That 

18 funds appropriated for section 680(a)(2) of the CSBG Act 

19 shall be available for financing construction and rehabili20 tation and loans or investments in private business enter21 prises owned by community development corporations: 

22 Provided further, That $240,000,000 shall be for carrying 

23 out section 303(a) of the Family Violence Prevention and 

24 Services Act, of which $7,000,000 shall be allocated not25 withstanding section 303(a)(2) of such Act for carrying 


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1 out section 309 of such Act: Provided further, That the 

2 percentages specified in section 112(a)(2) of the Child 

3 Abuse Prevention and Treatment Act shall not apply to 

4 funds appropriated under this heading: Provided further, 

5 That $1,864,000 shall be for a human services case man6 agement system for federally declared disasters, to include 

7 a comprehensive national case management contract and 

8 Federal costs of administering the system: Provided fur9 ther, That up to $2,000,000 shall be for improving the 

10 Public Assistance Reporting Information System, includ11 ing grants to States to support data collection for a study 

12 of the system’s effectiveness. 

13 PROMOTING SAFE AND STABLE FAMILIES

14 For carrying out, except as otherwise provided, sec15 tion 436 of the Social Security Act, $345,000,000 and, 

16 for carrying out, except as otherwise provided, section 437 

17 of such Act, $86,515,000: Provided, That of the funds 

18 available to carry out section 437, $59,765,000 shall be 

19 allocated consistent with subsections (b) through (d) of 

20 such section: Provided, That of the funds available to 

21 carry out section 437, to assist in meeting the require22 ments described in section 471(e)(4)(C), $20,000,000 

23 shall be for grants to each State, territory, and Indian 

24 tribe operating title IV–E plans for developing, enhancing, 

25 or evaluating kinship navigator programs, as described in 


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1 section 427(a)(1) of such Act and $6,750,000, in addition 

2 to funds otherwise appropriated in section 476 for such 

3 purposes, shall be for the Family First Clearinghouse and 

4 to support evaluation and technical assistance relating to 

5 the evaluation of child and family services: Provided fur6 ther, That section 437(b)(1) shall be applied to amounts 

7 in the previous proviso by substituting ‘‘5 percent’’ for 

8 ‘‘3.3 percent’’, and notwithstanding section 436(b)(1), 

9 such reserved amounts may be used for identifying, estab10 lishing, and disseminating practices to meet the criteria 

11 specified in section 471(e)(4)(C): Provided further, That 

12 the reservation in section 437(b)(2) and the limitations 

13 in section 437(d) shall not apply to funds specified in the 

14 second proviso: Provided further, That the minimum grant 

15 award for kinship navigator programs in the case of States 

16 and territories shall be $200,000, and, in the case of 

17 tribes, shall be $25,000. 

18 PAYMENTS FOR FOSTER CARE AND PERMANENCY

19 For carrying out, except as otherwise provided, title 

20 IV–E of the Social Security Act, $8,594,000,000. 

21 For carrying out, except as otherwise provided, title 

22 IV–E of the Social Security Act, for the first quarter of 

23 fiscal year 2025, $3,400,000,000. 

24 For carrying out, after May 31 of the current fiscal 

25 year, except as otherwise provided, section 474 of title IV– 


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1 E of the Social Security Act, for the last 3 months of the 

2 current fiscal year for unanticipated costs, incurred for the 

3 current fiscal year, such sums as may be necessary. 

4 ADMINISTRATION FOR COMMUNITY LIVING

5 AGING AND DISABILITY SERVICES PROGRAMS

6 (INCLUDING TRANSFER OF FUNDS)

7 For carrying out, to the extent not otherwise pro8 vided, the Older Americans Act of 1965 (‘‘OAA’’), the 

9 RAISE Family Caregivers Act, the Supporting Grand10 parents Raising Grandchildren Act, titles III and XXIX 

11 of the PHS Act, sections 1252 and 1253 of the PHS Act, 

12 section 119 of the Medicare Improvements for Patients 

13 and Providers Act of 2008, title XX–B of the Social Secu14 rity Act, the Developmental Disabilities Assistance and 

15 Bill of Rights Act of 2000, parts 2 and 5 of subtitle D 

16 of title II of the Help America Vote Act of 2002, the As17 sistive Technology Act of 1998, titles II and VII (and sec18 tion 14 with respect to such titles) of the Rehabilitation 

19 Act of 1973, and for Department-wide coordination of pol20 icy and program activities that assist individuals with dis21 abilities, $2,418,901,000, together with $55,242,000 to be 

22 transferred from the Federal Hospital Insurance Trust 

23 Fund and the Federal Supplementary Medical Insurance 

24 Trust Fund to carry out section 4360 of the Omnibus 

25 Budget Reconciliation Act of 1990: Provided, That of 


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1 amounts made available under this heading to carry out 

2 sections 311, 331, and 336 of the OAA, up to one percent 

3 of such amounts shall be available for developing and im4 plementing evidence-based practices for enhancing senior 

5 nutrition, including medically-tailored meals: Provided fur6 ther, That notwithstanding any other provision of this Act, 

7 funds made available under this heading to carry out sec8 tion 311 of the OAA may be transferred to the Secretary 

9 of Agriculture in accordance with such section: Provided 

10 further, That up to 5 percent of the funds provided for 

11 adult protective services grants under section 2042 of title 

12 XX of the Social Security Act may be used to make grants 

13 to Tribes and tribal organizations: Provided further, That 

14 $2,000,000 shall be for competitive grants to support al15 ternative financing programs that provide for the purchase 

16 of assistive technology devices, such as a low-interest loan 

17 fund; an interest buy-down program; a revolving loan 

18 fund; a loan guarantee; or an insurance program: Provided 

19 further, That applicants shall provide an assurance that, 

20 and information describing the manner in which, the alter21 native financing program will expand and emphasize con22 sumer choice and control: Provided further, That State 

23 agencies and community-based disability organizations 

24 that are directed by and operated for individuals with dis25 abilities shall be eligible to compete: Provided further, That 


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1 none of the funds made available under this heading may 

2 be used by an eligible system (as defined in section 102 

3 of the Protection and Advocacy for Individuals with Men4 tal Illness Act (42 U.S.C. 10802)) to continue to pursue 

5 any legal action in a Federal or State court on behalf of 

6 an individual or group of individuals with a developmental 

7 disability (as defined in section 102(8)(A) of the Develop8 mental Disabilities and Assistance and Bill of Rights Act 

9 of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 

10 a mental impairment (or a combination of mental and 

11 physical impairments), that has as the requested remedy 

12 the closure of State operated intermediate care facilities 

13 for people with intellectual or developmental disabilities, 

14 unless reasonable public notice of the action has been pro15 vided to such individuals (or, in the case of mental inca16 pacitation, the legal guardians who have been specifically 

17 awarded authority by the courts to make healthcare and 

18 residential decisions on behalf of such individuals) who are 

19 affected by such action, within 90 days of instituting such 

20 legal action, which informs such individuals (or such legal 

21 guardians) of their legal rights and how to exercise such 

22 rights consistent with current Federal Rules of Civil Pro23 cedure: Provided further, That the limitations in the imme24 diately preceding proviso shall not apply in the case of an 

25 individual who is neither competent to consent nor has a 


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1 legal guardian, nor shall the proviso apply in the case of 

2 individuals who are a ward of the State or subject to pub3 lic guardianship. 

4 ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND

5 RESPONSE

6 RESEARCH, DEVELOPMENT, AND PROCUREMENT

7 For carrying out title III and subtitles A and B of 

8 title XXVIII of the PHS Act, with respect to the research, 

9 development, storage, production, and procurement of 

10 medical countermeasures to counter potential chemical, bi11 ological, radiological, and nuclear threats to civilian popu12 lations, $3,277,991,000. Of such amount: 

13 (1) $1,100,000,000 shall be for expenses nec14 essary to support advanced research and develop15 ment pursuant to section 319L of the PHS Act and 

16 other administrative expenses of the Biomedical Ad17 vanced Research and Development Authority, to re18 main available through September 30, 2025: Pro19 vided, That funds provided under this heading for 

20 purposes of acquisition of security countermeasures 

21 shall be in addition to any other funds made avail22 able for such purposes: Provided further, That prod23 ucts purchased with funds made available under this 

24 paragraph may, at the discretion of the Secretary, 


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1 be deposited in the Strategic National Stockpile pur2 suant to section 319F–2 of the PHS Act; 

3 (2) $850,000,000 shall be for expenses nec4 essary for procuring security countermeasures (as 

5 defined in section 319F–2(c)(1)(B) of the PHS 

6 Act), to remain available until expended; 

7 (3) $1,000,000,000 shall be for expenses nec8 essary to carry out section 319F–2(a) of the PHS 

9 Act, to remain available until expended; and 

10 (4) $327,991,000 shall be for expenses nec11 essary to prepare for or respond to an influenza 

12 pandemic, of which $300,000,000 shall remain avail13 able until expended for activities including the devel14 opment and purchase of vaccines, antivirals, nec15 essary medical supplies, diagnostics, and surveillance 

16 tools: Provided, That notwithstanding section 496(b) 

17 of the PHS Act, funds allocated under this para18 graph may be used for the construction or renova19 tion of privately owned facilities for the production 

20 of pandemic influenza vaccines and other biologics, 

21 if the Secretary finds such construction or renova22 tion necessary to secure sufficient supplies of such 

23 vaccines or biologics. 


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1 OPERATIONS AND EMERGENCY RESPONSE

2 For carrying out titles III, XII, and subtitles A and 

3 B of title XXVIII of the PHS Act, operations and emer4 gency response activities related to countering potential 

5 chemical biological, radiological, and nuclear threats and 

6 other public health emergencies, $342,606,000. 

7 OFFICE OF THE SECRETARY

8 GENERAL DEPARTMENTAL MANAGEMENT

9 For necessary expenses, not otherwise provided, for 

10 general departmental management, for carrying out titles 

11 III, XVII, XXI, and section 229 of the PHS Act, the 

12 United States-Mexico Border Health Commission Act, and 

13 research studies under section 1110 of the Social Security 

14 Act, $402,341,000, together with $58,028,000 from the 

15 amounts available under section 241 of the PHS Act to 

16 carry out national health or human services research and 

17 evaluation activities: Provided, That of this amount, 

18 $28,000,000 shall be for minority AIDS prevention and 

19 treatment activities: Provided further, That of the funds 

20 made available under this heading, $40,000,000 shall be 

21 for making competitive grants which exclusively imple22 ment education in sexual risk avoidance (defined as volun23 tarily refraining from non-marital sexual activity): Pro24 vided further, That funding for such competitive grants 

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1 formation referenced to peer-reviewed publications by edu2 cational, scientific, governmental, or health organizations; 

3 implement an evidence-based approach integrating re4 search findings with practical implementation that aligns 

5 with the needs and desired outcomes for the intended au6 dience; and teach the benefits associated with self-regula7 tion, success sequencing for poverty prevention, healthy 

8 relationships, goal setting, and resisting sexual coercion, 

9 dating violence, and other youth risk behaviors such as 

10 underage drinking or illicit drug use without normalizing 

11 teen sexual activity: Provided further, That no more than 

12 10 percent of the funding for such competitive grants for 

13 sexual risk avoidance shall be available for technical assist14 ance and administrative costs of such programs: Provided 

15 further, That funds provided in this Act for embryo adop16 tion activities may be used to provide to individuals adopt17 ing embryos, through grants and other mechanisms, med18 ical and administrative services deemed necessary for such 

19 adoptions: Provided further, That such services shall be 

20 provided consistent with 42 CFR 59.5(a)(4): Provided fur21 ther, That of the funds made available under this heading, 

22 $5,000,000 shall be for carrying out prize competitions 

23 sponsored by the Office of the Secretary to accelerate in24 novation in the prevention, diagnosis, and treatment of 

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1 son-Wydler Technology Innovation Act of 1980 (15 U.S.C. 

2 3719)). 

3 MEDICARE HEARINGS AND APPEALS

4 For expenses necessary for Medicare hearings and 

5 appeals in the Office of the Secretary, $196,000,000, of 

6 which $40,000,000 shall remain available until September 

7 30, 2025, to be transferred in appropriate part from the 

8 Federal Hospital Insurance Trust Fund and the Federal 

9 Supplementary Medical Insurance Trust Fund. 

10 OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH

11 INFORMATION TECHNOLOGY

12 For expenses necessary for the Office of the National 

13 Coordinator for Health Information Technology, including 

14 grants, contracts, and cooperative agreements for the de15 velopment and advancement of interoperable health infor16 mation technology, $56,238,000 shall be from amounts 

17 made available under section 241 of the PHS Act. 

18 OFFICE OF INSPECTOR GENERAL

19 For expenses necessary for the Office of Inspector 

20 General, including the hire of passenger motor vehicles for 

21 investigations, in carrying out the provisions of the Inspec22 tor General Act of 1978, $80,000,000: Provided, That of 

23 such amount, necessary sums shall be available for pro24 viding protective services to the Secretary and inves25 tigating non-payment of child support cases for which nonVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00096 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 payment is a Federal offense under 18 U.S.C. 228: Pro2 vided further, That of the amount appropriated under this 

3 heading, necessary sums shall be available for carrying out 

4 activities authorized under section 3022 of the PHS Act 

5 (42 U.S.C. 300jj–52). 

6 OFFICE FOR CIVIL RIGHTS

7 For expenses necessary for the Office for Civil 

8 Rights, $32,000,000. 

9 RETIREMENT PAY AND MEDICAL BENEFITS FOR

10 COMMISSIONED OFFICERS

11 For retirement pay and medical benefits of Public 

12 Health Service Commissioned Officers as authorized by 

13 law, for payments under the Retired Serviceman’s Family 

14 Protection Plan and Survivor Benefit Plan, and for med15 ical care of dependents and retired personnel under the 

16 Dependents’ Medical Care Act, such amounts as may be 

17 required during the current fiscal year. 

18 GENERAL PROVISIONS

19 SEC. 201. Funds appropriated in this title shall be 

20 available for not to exceed $50,000 for official reception 

21 and representation expenses when specifically approved by 

22 the Secretary. 

23 SEC. 202. None of the funds appropriated in this title 

24 shall be used to pay the salary of an individual, through 

25 a grant or other extramural mechanism, at a rate in excess 


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1 of Executive Level II: Provided, That none of the funds 

2 appropriated in this title shall be used to prevent the NIH 

3 from paying up to 100 percent of the salary of an indi4 vidual at this rate. 

5 SEC. 203. None of the funds appropriated in this Act 

6 may be expended pursuant to section 241 of the PHS Act, 

7 except for funds specifically provided for in this Act, or 

8 for other taps and assessments made by any office located 

9 in HHS, prior to the preparation and submission of a re10 port by the Secretary to the Committees on Appropria11 tions of the House of Representatives and the Senate de12 tailing the planned uses of such funds. 

13 SEC. 204. Notwithstanding section 241(a) of the 

14 PHS Act, such portion as the Secretary shall determine, 

15 but not more than 2.5 percent, of any amounts appro16 priated for programs authorized under such Act shall be 

17 made available for the evaluation (directly, or by grants 

18 or contracts) of the implementation and effectiveness of 

19 such programs. 

20 (TRANSFER OF FUNDS)

21 SEC. 205. Not to exceed 1 percent of any discre22 tionary funds (pursuant to the Balanced Budget and 

23 Emergency Deficit Control Act of 1985) which are appro24 priated for the current fiscal year for HHS in this Act 

25 may be transferred between appropriations, but no such 


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1 appropriation shall be increased by more than 3 percent 

2 by any such transfer: Provided, That the transfer author3 ity granted by this section shall not be used to create any 

4 new program or to fund any project or activity for which 

5 no funds are provided in this Act: Provided further, That 

6 the Committees on Appropriations of the House of Rep7 resentatives and the Senate are notified at least 15 days 

8 in advance of any transfer. 

9 SEC. 206. In lieu of the timeframe specified in section 

10 338E(c)(2) of the PHS Act, terminations described in 

11 such section may occur up to 60 days after the effective 

12 date of a contract awarded in fiscal year 2024 under sec13 tion 338B of such Act, or at any time if the individual 

14 who has been awarded such contract has not received 

15 funds due under the contract. 

16 SEC. 207. None of the funds appropriated in this Act 

17 may be made available to any entity under title X of the 

18 PHS Act unless the applicant for the award certifies to 

19 the Secretary that it encourages family participation in 

20 the decision of minors to seek family planning services and 

21 that it provides counseling to minors on how to resist at22 tempts to coerce minors into engaging in sexual activities. 

23 SEC. 208. Notwithstanding any other provision of 

24 law, no provider of services under title X of the PHS Act 

25 shall be exempt from any State law requiring notification 


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1 or the reporting of child abuse, child molestation, sexual 

2 abuse, rape, or incest. 

3 SEC. 209. None of the funds appropriated by this Act 

4 (including funds appropriated to any trust fund) may be 

5 used to carry out the Medicare Advantage program if the 

6 Secretary denies participation in such program to an oth7 erwise eligible entity (including a Provider Sponsored Or8 ganization) because the entity informs the Secretary that 

9 it will not provide, pay for, provide coverage of, or provide 

10 referrals for abortions: Provided, That the Secretary shall 

11 make appropriate prospective adjustments to the capita12 tion payment to such an entity (based on an actuarially 

13 sound estimate of the expected costs of providing the serv14 ice to such entity’s enrollees): Provided further, That noth15 ing in this section shall be construed to change the Medi16 care program’s coverage for such services and a Medicare 

17 Advantage organization described in this section shall be 

18 responsible for informing enrollees where to obtain infor19 mation about all Medicare covered services. 

20 SEC. 210. None of the funds made available in this 

21 title may be used, in whole or in part, to advocate or pro22 mote gun control. 

23 SEC. 211. The Secretary shall make available through 

24 assignment not more than 60 employees of the Public 

25 Health Service to assist in child survival activities and to 


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1 work in AIDS programs through and with funds provided 

2 by the Agency for International Development, the United 

3 Nations International Children’s Emergency Fund or the 

4 World Health Organization. 

5 SEC. 212. In order for HHS to carry out inter6 national health activities, including HIV/AIDS and other 

7 infectious disease, chronic and environmental disease, and 

8 other health activities abroad during fiscal year 2024: 

9 (1) The Secretary may exercise authority equiv10 alent to that available to the Secretary of State in 

11 section 2(c) of the State Department Basic Authori12 ties Act of 1956. The Secretary shall consult with 

13 the Secretary of State and relevant Chief of Mission 

14 to ensure that the authority provided in this section 

15 is exercised in a manner consistent with section 207 

16 of the Foreign Service Act of 1980 and other appli17 cable statutes administered by the Department of 

18 State. 

19 (2) The Secretary is authorized to provide such 

20 funds by advance or reimbursement to the Secretary 

21 of State as may be necessary to pay the costs of ac22 quisition, lease, alteration, renovation, and manage23 ment of facilities outside of the United States for 

24 the use of HHS. The Department of State shall co25 operate fully with the Secretary to ensure that HHS 


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1 has secure, safe, functional facilities that comply 

2 with applicable regulation governing location, set3 back, and other facilities requirements and serve the 

4 purposes established by this Act. The Secretary is 

5 authorized, in consultation with the Secretary of 

6 State, through grant or cooperative agreement, to 

7 make available to public or nonprofit private institu8 tions or agencies in participating foreign countries, 

9 funds to acquire, lease, alter, or renovate facilities in 

10 those countries as necessary to conduct programs of 

11 assistance for international health activities, includ12 ing activities relating to HIV/AIDS and other infec13 tious diseases, chronic and environmental diseases, 

14 and other health activities abroad. 

15 (3) The Secretary is authorized to provide to 

16 personnel appointed or assigned by the Secretary to 

17 serve abroad, allowances and benefits similar to 

18 those provided under chapter 9 of title I of the For19 eign Service Act of 1980, and 22 U.S.C. 4081 

20 through 4086 and subject to such regulations pre21 scribed by the Secretary. The Secretary is further 

22 authorized to provide locality-based comparability 

23 payments (stated as a percentage) up to the amount 

24 of the locality-based comparability payment (stated 

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1 sonnel under section 5304 of title 5, United States 

2 Code if such personnel’s official duty station were in 

3 the District of Columbia. Leaves of absence for per4 sonnel under this subsection shall be on the same 

5 basis as that provided under subchapter I of chapter 

6 63 of title 5, United States Code, or section 903 of 

7 the Foreign Service Act of 1980, to individuals serv8 ing in the Foreign Service. 

9 (TRANSFER OF FUNDS)

10 SEC. 213. The Director of the NIH, jointly with the 

11 Director of the Office of AIDS Research, may transfer up 

12 to 3 percent among institutes and centers from the total 

13 amounts identified by these two Directors as funding for 

14 research pertaining to the human immunodeficiency virus: 

15 Provided, That the Committees on Appropriations of the 

16 House of Representatives and the Senate are notified at 

17 least 15 days in advance of any transfer. 

18 (TRANSFER OF FUNDS)

19 SEC. 214. Of the amounts made available in this Act 

20 for NIH, the amount for research related to the human 

21 immunodeficiency virus, as jointly determined by the Di22 rector of NIH and the Director of the Office of AIDS Re23 search, shall be made available to the ‘‘Office of AIDS 

24 Research’’ account. The Director of the Office of AIDS 


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1 Research shall transfer from such account amounts nec2 essary to carry out section 2353(d)(3) of the PHS Act. 

3 SEC. 215. (a) AUTHORITY.—Notwithstanding any 

4 other provision of law, the Director of NIH (‘‘Director’’) 

5 may use funds authorized under section 402(b)(12) of the 

6 PHS Act to enter into transactions (other than contracts, 

7 cooperative agreements, or grants) to carry out research 

8 identified pursuant to or research and activities described 

9 in such section 402(b)(12). 

10 (b) PEER REVIEW.—In entering into transactions 

11 under subsection (a), the Director may utilize such peer 

12 review procedures (including consultation with appropriate 

13 scientific experts) as the Director determines to be appro14 priate to obtain assessments of scientific and technical 

15 merit. Such procedures shall apply to such transactions 

16 in lieu of the peer review and advisory council review pro17 cedures that would otherwise be required under sections 

18 301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 

19 and 494 of the PHS Act. 

20 SEC. 216. Not to exceed $100,000,000 of funds ap21 propriated by this Act to the institutes and centers of the 

22 National Institutes of Health may be used for alteration, 

23 repair, or improvement of facilities, as necessary for the 

24 proper and efficient conduct of the activities authorized 

25 herein, at not to exceed $5,000,000 per project. 


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1 (TRANSFER OF FUNDS)

2 SEC. 217. Of the amounts made available for NIH, 

3 1 percent of the amount made available for National Re4 search Service Awards (‘‘NRSA’’) shall be made available 

5 to the Administrator of the Health Resources and Services 

6 Administration to make NRSA awards for research in pri7 mary medical care to individuals affiliated with entities 

8 who have received grants or contracts under sections 736, 

9 739, or 747 of the PHS Act, and 1 percent of the amount 

10 made available for NRSA shall be made available to the 

11 Director of the Agency for Healthcare Research and Qual12 ity to make NRSA awards for health service research. 

13 SEC. 218. (a) The Biomedical Advanced Research 

14 and Development Authority (‘‘BARDA’’) may enter into 

15 a contract, for more than one but no more than 10 pro16 gram years, for purchase of research services or of security 

17 countermeasures, as that term is defined in section 319F– 

18 2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 

19 if— 

20 (1) funds are available and obligated— 

21 (A) for the full period of the contract or 

22 for the first fiscal year in which the contract is 

23 in effect; and 

24 (B) for the estimated costs associated with 

25 a necessary termination of the contract; and 


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1 (2) the Secretary determines that a multi-year 

2 contract will serve the best interests of the Federal 

3 Government by encouraging full and open competi4 tion or promoting economy in administration, per5 formance, and operation of BARDA’s programs. 

6 (b) A contract entered into under this section— 

7 (1) shall include a termination clause as de8 scribed by subsection (c) of section 3903 of title 41, 

9 United States Code; and 

10 (2) shall be subject to the congressional notice 

11 requirement stated in subsection (d) of such section. 

12 SEC. 219. (a) The Secretary shall publish in the fiscal 

13 year 2025 budget justification and on Departmental Web 

14 sites information concerning the employment of full-time 

15 equivalent Federal employees or contractors for the pur16 poses of implementing, administering, enforcing, or other17 wise carrying out the provisions of the ACA, and the 

18 amendments made by that Act, in the proposed fiscal year 

19 and each fiscal year since the enactment of the ACA. 

20 (b) With respect to employees or contractors sup21 ported by all funds appropriated for purposes of carrying 

22 out the ACA (and the amendments made by that Act), 

23 the Secretary shall include, at a minimum, the following 

24 information: 


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1 (1) For each such fiscal year, the section of 

2 such Act under which such funds were appropriated, 

3 a statement indicating the program, project, or ac4 tivity receiving such funds, the Federal operating di5 vision or office that administers such program, and 

6 the amount of funding received in discretionary or 

7 mandatory appropriations. 

8 (2) For each such fiscal year, the number of 

9 full-time equivalent employees or contracted employ10 ees assigned to each authorized and funded provision 

11 detailed in accordance with paragraph (1). 

12 (c) In carrying out this section, the Secretary may 

13 exclude from the report employees or contractors who— 

14 (1) are supported through appropriations en15 acted in laws other than the ACA and work on pro16 grams that existed prior to the passage of the ACA; 

17 (2) spend less than 50 percent of their time on 

18 activities funded by or newly authorized in the ACA; 

19 or 

20 (3) work on contracts for which FTE reporting 

21 is not a requirement of their contract, such as fixed22 price contracts. 

23 SEC. 220. The Secretary shall publish, as part of the 

24 fiscal year 2025 budget of the President submitted under 

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1 tion that details the uses of all funds used by the Centers 

2 for Medicare & Medicaid Services specifically for Health 

3 Insurance Exchanges for each fiscal year since the enact4 ment of the ACA and the proposed uses for such funds 

5 for fiscal year 2025. Such information shall include, for 

6 each such fiscal year, the amount of funds used for each 

7 activity specified under the heading ‘‘Health Insurance 

8 Exchange Transparency’’ in the committee report accom9 panying this Act. 

10 SEC. 221. None of the funds made available by this 

11 Act from the Federal Hospital Insurance Trust Fund or 

12 the Federal Supplemental Medical Insurance Trust Fund, 

13 or transferred from other accounts funded by this Act to 

14 the ‘‘Centers for Medicare & Medicaid Services—Program 

15 Management’’ account, may be used for payments under 

16 section 1342(b)(1) of Public Law 111–148 (relating to 

17 risk corridors). 

18 (TRANSFER OF FUNDS)

19 SEC. 222. (a) Within 45 days of enactment of this 

20 Act, the Secretary shall transfer funds appropriated under 

21 section 4002 of the ACA to the accounts specified, in the 

22 amounts specified, and for the activities specified under 

23 the heading ‘‘Prevention and Public Health Fund’’ in the 

24 committee report accompanying this Act. 


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1 (b) Notwithstanding section 4002(c) of the ACA, the 

2 Secretary may not further transfer these amounts. 

3 (c) Funds transferred for activities authorized under 

4 section 2821 of the PHS Act shall be made available with5 out reference to section 2821(b) of such Act. 

6 SEC. 223. Effective during the period beginning on 

7 November 1, 2015 and ending January 1, 2025, any pro8 vision of law that refers (including through cross-reference 

9 to another provision of law) to the current recommenda10 tions of the United States Preventive Services Task Force 

11 with respect to breast cancer screening, mammography, 

12 and prevention shall be administered by the Secretary in13 volved as if— 

14 (1) such reference to such current recommenda15 tions were a reference to the recommendations of 

16 such Task Force with respect to breast cancer 

17 screening, mammography, and prevention last issued 

18 before 2009; and 

19 (2) such recommendations last issued before 

20 2009 applied to any screening mammography modal21 ity under section 1861(jj) of the Social Security Act 

22 (42 U.S.C. 1395x(jj)). 

23 (TRANSFER OF FUNDS)

24 SEC. 224. The NIH Director may transfer funds for 

25 opioid addiction, opioid alternatives, stimulant misuse and 


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1 addiction, pain management, and addiction treatment to 

2 other Institutes and Centers of the NIH to be used for 

3 the same purpose 15 days after notifying the Committees 

4 on Appropriations of the House of Representatives and the 

5 Senate: Provided, That the transfer authority provided in 

6 the previous proviso is in addition to any other transfer 

7 authority provided by law. 

8 SEC. 225. (a) The Secretary shall provide to the 

9 Committees on Appropriations of the House of Represent10 atives and the Senate: 

11 (1) Detailed monthly enrollment figures from 

12 the Exchanges established under the Patient Protec13 tion and Affordable Care Act of 2010 pertaining to 

14 enrollments during the open enrollment period; and 

15 (2) Notification of any new or competitive grant 

16 awards, including supplements, authorized under 

17 section 330 of the Public Health Service Act. 

18 (b) The Committees on Appropriations of the House 

19 and Senate must be notified at least 2 business days in 

20 advance of any public release of enrollment information 

21 or the award of such grants. 

22 SEC. 226. The Department of Health and Human 

23 Services shall provide the Committees on Appropriations 

24 of the House of Representatives and Senate a biannual 


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1 report 30 days after enactment of this Act on staffing de2 scribed in the committee report accompanying this Act. 

3 SEC. 227. Funds appropriated in this Act that are 

4 available for salaries and expenses of employees of the De5 partment of Health and Human Services shall also be 

6 available to pay travel and related expenses of such an 

7 employee or of a member of his or her family, when such 

8 employee is assigned to duty, in the United States or in 

9 a U.S. territory, during a period and in a location that 

10 are the subject of a determination of a public health emer11 gency under section 319 of the Public Health Service Act 

12 and such travel is necessary to obtain medical care for 

13 an illness, injury, or medical condition that cannot be ade14 quately addressed in that location at that time. For pur15 poses of this section, the term ‘‘U.S. territory’’ means 

16 Guam, the Commonwealth of Puerto Rico, the Northern 

17 Mariana Islands, the Virgin Islands, American Samoa, or 

18 the Trust Territory of the Pacific Islands. 

19 SEC. 228. The Department of Health and Human 

20 Services may accept donations from the private sector, 

21 nongovernmental organizations, and other groups inde22 pendent of the Federal Government for the care of unac23 companied alien children (as defined in section 462(g)(2) 

24 of the Homeland Security Act of 2002 (6 U.S.C. 

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1 ment of the Administration for Children and Families, in2 cluding medical goods and services, which may include 

3 early childhood developmental screenings, school supplies, 

4 toys, clothing, and any other items intended to promote 

5 the wellbeing of such children. 

6 SEC. 229. None of the funds made available in this 

7 Act under the heading ‘‘Department of Health and 

8 Human Services—Administration for Children and Fami9 lies—Refugee and Entrant Assistance’’ may be obligated 

10 to a grantee or contractor to house unaccompanied alien 

11 children (as such term is defined in section 462(g)(2) of 

12 the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) 

13 in any facility that is not State-licensed for the care of 

14 unaccompanied alien children, except in the case that the 

15 Secretary determines that housing unaccompanied alien 

16 children in such a facility is necessary on a temporary 

17 basis due to an influx of such children or an emergency, 

18 provided that— 

19 (1) the terms of the grant or contract for the 

20 operations of any such facility that remains in oper21 ation for more than six consecutive months shall re22 quire compliance with— 

23 (A) the same requirements as licensed 

24 placements, as listed in Exhibit 1 of the Flores 

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1 mines are applicable to non-State licensed facili2 ties; and 

3 (B) staffing ratios of one (1) on-duty 

4 Youth Care Worker for every eight (8) children 

5 or youth during waking hours, one (1) on-duty 

6 Youth Care Worker for every sixteen (16) chil7 dren or youth during sleeping hours, and clini8 cian ratios to children (including mental health 

9 providers) as required in grantee cooperative 

10 agreements; 

11 (2) the Secretary may grant a 60-day waiver 

12 for a contractor’s or grantee’s non-compliance with 

13 paragraph (1) if the Secretary certifies and provides 

14 a report to Congress on the contractor’s or grantee’s 

15 good-faith efforts and progress towards compliance; 

16 (3) not more than four consecutive waivers 

17 under paragraph (2) may be granted to a contractor 

18 or grantee with respect to a specific facility; 

19 (4) ORR shall ensure full adherence to the 

20 monitoring requirements set forth in section 5.5 of 

21 its Policies and Procedures Guide as of May 15, 

22 2019; 

23 (5) for any such unlicensed facility in operation 

24 for more than three consecutive months, ORR shall 

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1 toring visit during the first three months of oper2 ation, with quarterly monitoring visits thereafter; 

3 and 

4 (6) not later than 60 days after the date of en5 actment of this Act, ORR shall brief the Committees 

6 on Appropriations of the House of Representatives 

7 and the Senate outlining the requirements of ORR 

8 for influx facilities including any requirement listed 

9 in paragraph (1)(A) that the Secretary has deter10 mined are not applicable to non-State licensed facili11 ties. 

12 SEC. 230. In addition to the existing Congressional 

13 notification for formal site assessments of potential influx 

14 facilities, the Secretary shall notify the Committees on Ap15 propriations of the House of Representatives and the Sen16 ate at least 15 days before operationalizing an unlicensed 

17 facility, and shall (1) specify whether the facility is hard18 sided or soft-sided, and (2) provide analysis that indicates 

19 that, in the absence of the influx facility, the likely out20 come is that unaccompanied alien children will remain in 

21 the custody of the Department of Homeland Security for 

22 longer than 72 hours or that unaccompanied alien children 

23 will be otherwise placed in danger. Within 60 days of 

24 bringing such a facility online, and monthly thereafter, the 

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1 tions of the House of Representatives and the Senate a 

2 report detailing the total number of children in care at 

3 the facility, the average length of stay and average length 

4 of care of children at the facility, and, for any child that 

5 has been at the facility for more than 60 days, their length 

6 of stay and reason for delay in release. 

7 SEC. 231. None of the funds made available in this 

8 Act may be used to prevent a United States Senator or 

9 Member of the House of Representatives from entering, 

10 for the purpose of conducting oversight, any facility in the 

11 United States used for the purpose of maintaining custody 

12 of, or otherwise housing, unaccompanied alien children (as 

13 defined in section 462(g)(2) of the Homeland Security Act 

14 of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 

15 or Member has coordinated the oversight visit with the 

16 Office of Refugee Resettlement not less than two business 

17 days in advance to ensure that such visit would not inter18 fere with the operations (including child welfare and child 

19 safety operations) of such facility. 

20 SEC. 232. Not later than 14 days after the date of 

21 enactment of this Act, and monthly thereafter, the Sec22 retary shall submit to the Committees on Appropriations 

23 of the House of Representatives and the Senate, and make 

24 publicly available online, a report with respect to children 

25 who were separated from their parents or legal guardians 


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1 by the Department of Homeland Security (DHS) (regard2 less of whether or not such separation was pursuant to 

3 an option selected by the children, parents, or guardians), 

4 subsequently classified as unaccompanied alien children, 

5 and transferred to the care and custody of ORR during 

6 the previous month. Each report shall contain the fol7 lowing information: 

8 (1) the number and ages of children so sepa9 rated subsequent to apprehension at or between 

10 ports of entry, to be reported by sector where sepa11 ration occurred; and 

12 (2) the documented cause of separation, as re13 ported by DHS when each child was referred. 

14 SEC. 233. Funds appropriated in this Act that are 

15 available for salaries and expenses of employees of the 

16 Centers for Disease Control and Prevention shall also be 

17 available for the primary and secondary schooling of eligi18 ble dependents of personnel stationed in a U.S. territory 

19 as defined in section 229 of this Act at costs not in excess 

20 of those paid for or reimbursed by the Department of De21 fense. 

22 SEC. 234. Section 231 of division B of the Depart23 ment of Defense and Labor, Health and Human Services, 

24 and Education Appropriations Act, 2019 and Continuing 

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1 ed by striking ‘‘Provided further, That the Committees on 

2 Appropriations of the House of Representatives’’ and all 

3 that follows through ‘‘and all the actual obligations in4 curred to date:’’ and inserting the following: ‘‘Provided 

5 further, That the Director shall provide to the Committees 

6 on Appropriations of the House of Representatives and the 

7 Senate, at least 15 days in advance of any transfer or obli8 gation of funds made under the authority provided in this 

9 section, (1) a notification on the anticipated uses of such 

10 funds by program, project, or activity; and (2) a detailed 

11 spend plan of anticipated uses of funds, including esti12 mated personnel and administrative costs, disaggregated 

13 by program, project, or activity: Provided further, That 

14 such spend plans shall be updated to include all applicable 

15 obligations to date and unobligated amounts and sub16 mitted quarterly to such Committees on Appropriations 

17 until available funds are fully expended: Provided further, 

18 That the Director shall brief such Committees on Appro19 priations not later than 15 days after providing such a 

20 notification: Provided further, That the Director shall pro21 vide to such Committees on a monthly basis a report on 

22 all amounts available in the Reserve Fund for the current 

23 fiscal year and the preceding two fiscal years, including 

24 (1) each individual obligation above $5,000,000; (2) with 

25 respect to each such obligation, the notification to which 


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1 it relates; and (3) the total amount unobligated in the Re2 serve Fund:’’. 

3 SEC. 235. Title VIII of division B of the CARES Act 

4 (Public Law 116–136) is amended, under the heading 

5 ‘‘Department of Health and Human Services–Centers for 

6 Disease Control and Prevention–CDC-Wide Activities and 

7 Program Support’’, by striking ‘‘Provided further, That 

8 the Secretary of Health and Human Services, in consulta9 tion with the Director of the CDC, shall provide a report 

10 to the Committees on Appropriations of the House of Rep11 resentatives and the Senate every 14 days, for one year 

12 from the date from any such declaration or determination 

13 described in the third proviso of section 231 of division 

14 B of Public Law 115–245, that details commitment and 

15 obligation information for the Reserve Fund during the 

16 prior two weeks, as long as such report would detail obli17 gations in excess of $5,000,000, and upon the request by 

18 such Committees:’’. 

19 (RESCISSION)

20 SEC. 236. Of the unobligated balances in the ‘‘Non21 recurring Expenses Fund’’ established in section 223 of 

22 division G of Public Law 110–161, $1,000,000,000 are 

23 hereby rescinded not later than September 30, 2024: Pro24 vided, That from any remaining unobligated balances in 

25 such Fund, the Secretary of Health and Human Services 


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1 may transfer up to $85,000,000 to ‘‘Department of 

2 Health and Human Services—Centers for Disease Control 

3 and Prevention—Buildings and Facilities’’ to be merged 

4 with and to be available for the same time period as the 

5 appropriations to which transferred: Provided further, 

6 That, except as otherwise provided in this Act, none of 

7 the funds provided by this Act may be obligated for a new 

8 program, project, or activity using such Fund for which 

9 a notification was not submitted to the Committees on Ap10 propriations of the House of Representatives and the Sen11 ate prior to the date of enactment of this Act: Provided 

12 further, That the Secretary may obligate funds from such 

13 Fund for any program, project, or activity for which a no14 tification was submitted before the date of enactment of 

15 this Act: Provided further, That the Secretary may trans16 fer amounts into such Fund: Provided further, That any 

17 amounts transferred into such Fund are available for the 

18 purposes provided by this section or for which a notifica19 tion was submitted to such Committees on Appropriations 

20 before the date of enactment of this Act: Provided further, 

21 That the authority to transfer amounts under this section 

22 is in addition to any other transfer authority in law. 

23 SEC. 237. (a) Not later than March 16, 2023, and 

24 every 30 days thereafter, the Secretary of Health and 

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1 priations of the House of Representatives and the Com2 mittee on Appropriations of the Senate a report with re3 spect to Federal expenditures made pursuant to a covered 

4 law. Such report shall include the following (if applicable 

5 for the period covered by the report): 

6 (1) The total amount of funding made available 

7 by covered laws (and the amendments made by such 

8 laws) that has been obligated to date. 

9 (2) A list of each financial award funded, in 

10 part or in full, by covered laws (and the amendments 

11 made by such laws), including the following informa12 tion for each such award: 

13 (A) All recipients for which funding has 

14 been obligated. 

15 (B) The amount of funding that has been 

16 obligated for each recipient. 

17 (C) The type of award (such as a grant or 

18 loan). 

19 (3) The number, job title, and duties of any full 

20 time equivalent employees who have been hired using 

21 the funding made available by covered laws (and the 

22 amendments made by such laws). 

23 (4) An accounting of such funds that have not 

24 yet been obligated. 


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1 (5) The identity of any contractors that have 

2 been procured using such funding. 

3 (6) The total amount of funding awarded under 

4 a covered law that was returned to the Treasury and 

5 the specific accounts to which such funds were obli6 gated after being so returned. 

7 (7) The total amount of such funds that have 

8 been transferred out of each account established or 

9 funded under a covered law, and with respect to 

10 such transferred funds, the information specified in 

11 paragraphs (1) through (6). 

12 (b) For purposes of this section, the term ‘‘covered 

13 law’’ means— 

14 (1) section 11004 of Public Law 117–169 (commonly 

15 referred to as the ‘‘Inflation Reduction Act of 2022’’); 

16 (2) the American Rescue Plan Act (Public Law 117– 

17 2) (and the amendments made by such Act); and 

18 (3)(A) the third paragraph under the heading ‘‘Office 

19 of the Secretary—Public Health and Social Services 

20 Emergency Fund’’ of division B of the CARES Act (Pub21 lic Law 116–136); 

22 (B) the second paragraph under the heading ‘‘Office 

23 of the Secretary—Public Health and Social Services 

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1 tion Program and Health Care Enhancement Act (Public 

2 Law 116–139); and 

3 (C) the third paragraph under the heading ‘‘Office 

4 of the Secretary—Public Health and Social Services 

5 Emergency Fund’’ of the Coronavirus Response and Relief 

6 Supplemental Appropriations Act, 2021 (division M of 

7 Public Law 117–260). 

8 SEC. 238. None of the funds provided in this Act 

9 under the heading ‘‘Department of Health and Human 

10 Services—Office of the Secretary—General Departmental 

11 Management’’ may be used for employee travel. 

12 SEC. 239. None of the funds provided in this Act may 

13 be used to conduct or support research using human fetal 

14 tissue if such tissue is obtained pursuant to an induced 

15 abortion. 

16 SEC. 240. (a) IN GENERAL.—Notwithstanding any 

17 other provision of law, none of the funds made available 

18 by this Act may be made available either directly, through 

19 a State (including through managed care contracts with 

20 a State), or through any other means, to a prohibited enti21 ty. 

22 (b) PROHIBITED ENTITY.—The term ‘‘prohibited 

23 entity’’ means an entity, including its affiliates, subsidi24 aries, successors, and clinics— 


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1 (1) that, as of the date of enactment of this 

2 Act— 

3 (A) is an organization described in section 

4 501(c)(3) of the Internal Revenue Code of 1986 

5 and exempt from taxation under section 501(a) 

6 of such Code; 

7 (B) is an essential community provider de8 scribed in section 156.235 of title 45, Code of 

9 Federal Regulations (as in effect on the date of 

10 enactment of this Act), that is primarily en11 gaged in family planning services, reproductive 

12 health, and related medical care; and 

13 (C) performs, or provides any funds to any 

14 other entity that performs abortions, other than 

15 an abortion performed— 

16 (i) in the case of a pregnancy that is 

17 the result of an act of rape or incest; or 

18 (ii) in the case where a woman suffers 

19 from a physical disorder, physical injury, 

20 or physical illness that would, as certified 

21 by a physician, place the woman in danger 

22 of death unless an abortion is performed, 

23 including a life endangering physical condi24 tion caused by, or arising from, the preg25 nancy itself; and 


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1 (2) for which the total amount of Federal 

2 grants to such entity, including grants to any affili3 ates, subsidiaries, or clinics of such entity, under 

4 title X of the Public Health Service Act in fiscal 

5 year 2016 exceeded $23,000,000. 

6 (c)(1) END OF PROHIBITION.—The definition in 

7 subsection (b) shall cease to apply to an entity if such enti8 ty certifies that it, including its affiliates, subsidiaries, 

9 successors, and clinics, will not perform, and will not pro10 vide any funds to any other entity that performs, an abor11 tion as described in subsection (b)(1)(C). 

12 (2) REPAYMENT.—The Secretary of Health 

13 and Human Services shall seek repayment of any 

14 Federal assistance received by any entity that had 

15 made a certification described in paragraph (1) and 

16 subsequently violated the terms of such certification. 

17 SEC. 241. None of the funds in this Act may be used 

18 to support, administer, oversee, or issue a grant, contract, 

19 or cooperative agreement for the purposes of providing in20 formation on, promoting access to, or facilitating an abor21 tion. 

22 SEC. 242. Notwithstanding any other provision of 

23 law, no Federal funding may be made available to the 

24 EcoHealth Alliance, Inc. located in New York. 


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1 SEC. 243. None of the funds provided in this Act to 

2 the Department of Health and Human Services, or pro3 vided under a previous or subsequent appropriations Act 

4 to such department, or provided from any account in the 

5 Treasury of the United States derived by the collection 

6 of fees available to such department, may be used to en7 force the rule titled ‘‘Medicare and Medicaid Programs; 

8 Omnibus COVID-19 Health Care Staff Vaccination’’, 

9 which was issued by the Centers for Medicare and Med10 icaid Services on November 5, 2021, or any substantially 

11 similar rule. 

12 SEC. 244. None of the funds in this Act may be used 

13 to implement, administer, or enforce Executive Order 

14 13988, entitled ‘Preventing and Combating Discrimina15 tion on the Basis of Gender Identity or Sexual Orienta16 tion,’ published by the Executive Office of the President 

17 on January 25, 2021 (86 Fed. Reg. 7023). 

18 SEC. 245. Beginning on the fourth day following the 

19 date of enactment of this Act, the aggregate dollar amount 

20 appropriated under the heading ‘‘Department of Health 

21 and Human Services—Office of the Secretary—General 

22 Departmental Management’’ shall be reduced by $1,000 

23 for each day on which the Secretary of Health and Human 

24 Services fails to submit to the Congress the fiscal year 

25 2023 and 2024 Moyer Report. 


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1 SEC. 246. None of the funds appropriated under this 

2 act may be used to require any project under title X of 

3 the PHS Act to refer for abortions: Provided, That no pro4 vider of services under title X of the PHS Act shall be 

5 required to subvert or operate in conflict with any State 

6 law limiting referral for abortion/pregnancy counseling. 

7 SEC. 247. Title II of the Public Health Service Act 

8 (42 U.S.C. 202 et seq.) is amended by inserting after sec9 tion 245 the following: 

10 ‘‘SEC. 245A. CIVIL ACTION FOR CERTAIN VIOLATIONS. 

11 ‘‘(a) IN GENERAL.—A qualified party may, in a civil 

12 action, obtain appropriate relief with regard to a des13 ignated violation. 

14 ‘‘(b) DEFINITIONS.—For purposes of this section: 

15 ‘‘(1) DESIGNATED VIOLATION.—The term ‘des16 ignated violation’ means an actual or threatened vio17 lation of— 

18 ‘‘(A) section 507(d) of division H of the 

19 Consolidated Appropriations Act, 2023 (or any 

20 subsequent substantially similar provision); or 

21 ‘‘(B) any funding condition imposed by the 

22 Federal Government pursuant to such section 

23 507(d) (or such provision). 

24 ‘‘(2) QUALIFIED PARTY.—The term ‘qualified 

25 party’ means— 


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1 ‘‘(A) the Attorney General of the United 

2 States; 

3 ‘‘(B) any attorney general of a State; or 

4 ‘‘(C) any person or entity adversely af5 fected by the designated violation without re6 gard to whether such person or entity is a 

7 health care provider. 

8 ‘‘(3) STATE GOVERNMENTAL ENTITY.—The 

9 term ‘State governmental entity’ means a State, a 

10 local government within a State, and any agency or 

11 other governmental unit or subdivision of a State, or 

12 of such a local government. 

13 ‘‘(c) ADMINISTRATIVE REMEDIES NOT REQUIRED.— 

14 An action under this section may be commenced, and relief 

15 may be granted, without regard to whether the party com16 mencing the action has sought or exhausted any available 

17 administrative remedies. 

18 ‘‘(d) DEFENDANTS.—An action under this section 

19 may be maintained against a Federal agency committing 

20 a designated violation described in subsection (b)(1)(A) or 

21 any recipient or subrecipient of Federal assistance com22 mitting a designated violation described in subsection 

23 (b)(1)(B), including a State governmental entity. 

24 ‘‘(e) NATURE OF RELIEF.—In an action under this 

25 section, the court shall grant— 


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1 ‘‘(1) all appropriate relief, including injunctive 

2 relief, declaratory relief, and compensatory damages 

3 to prevent the occurrence, continuance, or repetition 

4 of the designated violation and to compensate for 

5 losses resulting from the designated violation; and 

6 ‘‘(2) to a prevailing plaintiff, reasonable attor7 neys’ fees and litigation costs. 

8 Relief in an action under this section may include money 

9 damages even if the defendant is a governmental entity. 

10 ‘‘(f) ABROGATION OF STATE IMMUNITY.—No State 

11 or governmental official that commits a designated viola12 tion shall be immune under the Tenth Amendment to the 

13 Constitution of the United States, the Eleventh Amend14 ment to the Constitution of the United States, or any 

15 other source of law, from an action under subsection (a).’’. 

16 SEC. 248. None of the funds in this Act may be used 

17 to issue or implement as a final rule the proposed rule 

18 entitled ‘‘Nondiscrimination in Health Programs and Ac19 tivities’’ published by the Department of Health and 

20 Human Services in the Federal Register on August 4, 

21 2022 (87 Fed. Reg. 47824) (relating to section 1557 of 

22 the Affordable Care Act) or any successor or substantially 

23 similar rule. 

24 This title may be cited as the ‘‘Department of Health 

25 and Human Services Appropriations Act, 2024’’. 


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1 TITLE III 

2 DEPARTMENT OF EDUCATION 

3 OFFICE OF ELEMENTARY AND SECONDARY EDUCATION

4 EDUCATION FOR THE DISADVANTAGED

5 For carrying out title I and subpart 2 of part B of 

6 title II of the Elementary and Secondary Education Act 

7 of 1965 (referred to in this Act as ‘‘ESEA’’) and section 

8 418A of the Higher Education Act of 1965 (referred to 

9 in this Act as ‘‘HEA’’), $13,055,290,000, of which 

10 $2,126,990,000 shall become available on July 1, 2024, 

11 and shall remain available through September 30, 2025, 

12 and of which $10,841,177,000 shall become available on 

13 October 1, 2024, and shall remain available through Sep14 tember 30, 2025, for academic year 2024–2025: Provided, 

15 That $1,906,901,000 shall be for basic grants under sec16 tion 1124 of the ESEA: Provided further, That up to 

17 $5,000,000 of these funds shall be available to the Sec18 retary of Education (referred to in this title as ‘‘Sec19 retary’’) on October 1, 2023, to obtain annually updated 

20 local educational agency-level census poverty data from 

21 the Bureau of the Census: Provided further, That 

22 $1,362,301,000 shall be for concentration grants under 

23 section 1124A of the ESEA: Provided further, That 

24 $4,542,550,000 shall be for targeted grants under section 

25 1125 of the ESEA: Provided further, That 


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1 $4,542,550,000 shall be for education finance incentive 

2 grants under section 1125A of the ESEA: Provided fur3 ther, That $224,000,000 shall be for carrying out subpart 

4 2 of part B of title II: Provided further, That $52,123,000 

5 shall be for carrying out section 418A of the HEA. 

6 IMPACT AID

7 For carrying out programs of financial assistance to 

8 federally affected schools authorized by title VII of the 

9 ESEA, $1,618,112,000, of which $1,468,242,000 shall be 

10 for basic support payments under section 7003(b), 

11 $48,316,000 shall be for payments for children with dis12 abilities under section 7003(d), $18,406,000 shall be for 

13 construction under section 7007(a), $78,313,000 shall be 

14 for Federal property payments under section 7002, and 

15 $4,835,000, to remain available until expended, shall be 

16 for facilities maintenance under section 7008: Provided, 

17 That for purposes of computing the amount of a payment 

18 for an eligible local educational agency under section 

19 7003(a) for school year 2023–2024, children enrolled in 

20 a school of such agency that would otherwise be eligible 

21 for payment under section 7003(a)(1)(B) of such Act, but 

22 due to the deployment of both parents or legal guardians, 

23 or a parent or legal guardian having sole custody of such 

24 children, or due to the death of a military parent or legal 

25 guardian while on active duty (so long as such children 


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1 reside on Federal property as described in section 

2 7003(a)(1)(B)), are no longer eligible under such section, 

3 shall be considered as eligible students under such section, 

4 provided such students remain in average daily attendance 

5 at a school in the same local educational agency they at6 tended prior to their change in eligibility status. 

7 SCHOOL IMPROVEMENT PROGRAMS

8 For carrying out school improvement activities au9 thorized by part B of title I, part A of title II, subpart 

10 1 of part A of title IV, part B of title IV, part B of title 

11 V, and parts B and C of title VI of the ESEA; the McKin12 ney-Vento Homeless Assistance Act; section 203 of the 

13 Educational Technical Assistance Act of 2002; the Com14 pact of Free Association Amendments Act of 2003; and 

15 the Civil Rights Act of 1964, $4,850,428,000, of which 

16 $3,053,673,000 shall become available on July 1, 2024, 

17 and remain available through September 30, 2025, and 

18 of which $1,681,441,000 shall become available on Octo19 ber 1, 2024, and shall remain available through September 

20 30, 2025, for academic year 2024–2025: Provided, That 

21 $1,329,673,000 shall be for part B of title IV: Provided 

22 further, That $45,897,000 shall be for part B of title VI, 

23 which may be used for construction, renovation, and mod24 ernization of any public elementary school, secondary 

25 school, or structure related to a public elementary school 


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1 or secondary school that serves a predominantly Native 

2 Hawaiian student body, and that the 5 percent limitation 

3 in section 6205(b) of the ESEA on the use of funds for 

4 administrative purposes shall apply only to direct adminis5 trative costs: Provided further, That $44,953,000 shall be 

6 for part C of title VI, which shall be awarded on a com7 petitive basis, and may be used for construction, and that 

8 the 5 percent limitation in section 6305 of the ESEA on 

9 the use of funds for administrative purposes shall apply 

10 only to direct administrative costs: Provided further, That 

11 $24,464,000 shall be available to carry out the Supple12 mental Education Grants program for the Federated 

13 States of Micronesia and the Republic of the Marshall Is14 lands: Provided further, That the Secretary may reserve 

15 up to 5 percent of the amount referred to in the previous 

16 proviso to provide technical assistance in the implementa17 tion of these grants: Provided further, That $215,000,000 

18 shall be for part B of title V: Provided further, That 

19 $1,380,000,000 shall be available for grants under sub20 part 1 of part A of title IV: Provided further, That not21 withstanding subsection (a)(3) of section 4103 of such 

22 Act, the Secretary may reserve not more than 1 percent 

23 under such subsection (a)(3) only for technical assistance. 


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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 the 5 percent 

7 limitation in sections 6115(d), 6121(e), and 6133(g) of 

8 the ESEA on the use of funds for administrative purposes 

9 shall apply only to direct administrative costs: Provided 

10 further, That grants awarded under sections 6132 and 

11 6133 of the ESEA with funds provided under this heading 

12 may be for a period of up to 5 years. 

13 INNOVATION AND IMPROVEMENT

14 For carrying out activities authorized by subparts 1, 

15 3, and 4 of part B of title II, and parts C, E, and subparts 

16 1 and 4 of part F of title IV of the ESEA, $737,000,000: 

17 Provided, That $3,000,000 shall be for subpart 3 of part 

18 B of title II and shall be made available without regard 

19 to sections 2201 and 2231(b): Provided further, That 

20 $450,000,000 shall be for part C of title IV, and shall 

21 be made available without regard to section 4311: Pro22 vided further, That section 4303(d)(3)(A)(i) shall not 

23 apply to the funds available for part C of title IV: Provided 

24 further, That of the funds available for part C of title IV, 

25 the Secretary shall use not less than $65,000,000 to carry 


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1 out section 4304, up to $140,000,000, to remain available 

2 through March 31, 2025, to carry out section 4305(b), 

3 and not more than $16,000,000 to carry out the activities 

4 in section 4305(a)(3): Provided further, That the Sec5 retary shall allow entities receiving grants under section 

6 4303 to use up to 10 percent of such grants for activities 

7 described in section 4303(b)(2) and up to 5 percent for 

8 the activities described in section 4303(c)(1)(C): Provided 

9 further, That entities receiving grants under section 

10 4304(k) shall not be required to meet the matching re11 quirements described in section 4304(k)(2)(C) and (D) 

12 and shall not be required to use such grants to support 

13 facilities aid programs that allocate funds on a per-pupil 

14 basis: Provided further, That notwithstanding section 

15 4601(b), $284,000,000 shall be available through Decem16 ber 31, 2024 for subpart 1 of part F of title IV. 

17 SAFE SCHOOLS AND CITIZENSHIP EDUCATION

18 For carrying out activities authorized by subparts 2 

19 and 3 of part F of title IV of the ESEA, $316,000,000, 

20 to remain available through December 31, 2024: Provided, 

21 That $216,000,000 shall be available for section 4631, of 

22 which up to $5,000,000, to remain available until ex23 pended, shall be for the Project School Emergency Re24 sponse to Violence (Project SERV) program: Provided furVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00134 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 ther, That $100,000,000 shall be available for section 

2 4625. 

3 SPECIAL EDUCATION

4 For carrying out the Individuals with Disabilities 

5 Education Act (IDEA) and the Special Olympics Sport 

6 and Empowerment Act of 2004, $15,453,264,000, of 

7 which $5,870,321,000 shall become available on July 1, 

8 2024, and shall remain available through September 30, 

9 2025, and of which $9,283,383,000 shall become available 

10 on October 1, 2024, and shall remain available through 

11 September 30, 2025, for academic year 2024–2025: Pro12 vided, That the amount for section 611(b)(2) of the IDEA 

13 shall be equal to the lesser of the amount available for 

14 that activity during fiscal year 2023, increased by the 

15 amount of inflation as specified in section 619(d)(2)(B) 

16 of the IDEA, or the percent change in the funds appro17 priated under section 611(i) of the IDEA, but not less 

18 than the amount for that activity during fiscal year 2023: 

19 Provided further, That the Secretary shall, without regard 

20 to section 611(d) of the IDEA, distribute to all other 

21 States (as that term is defined in section 611(g)(2)), sub22 ject to the third proviso, any amount by which a State’s 

23 allocation under section 611, from funds appropriated 

24 under this heading, is reduced under section 

25 612(a)(18)(B), according to the following: 85 percent on 


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1 the basis of the States’ relative populations of children 

2 aged 3 through 21 who are of the same age as children 

3 with disabilities for whom the State ensures the avail4 ability of a free appropriate public education under this 

5 part, and 15 percent to States on the basis of the States’ 

6 relative populations of those children who are living in pov7 erty: Provided further, That the Secretary may not dis8 tribute any funds under the previous proviso to any State 

9 whose reduction in allocation from funds appropriated 

10 under this heading made funds available for such a dis11 tribution: Provided further, That the States shall allocate 

12 such funds distributed under the second proviso to local 

13 educational agencies in accordance with section 611(f): 

14 Provided further, That the amount by which a State’s allo15 cation under section 611(d) of the IDEA is reduced under 

16 section 612(a)(18)(B) and the amounts distributed to 

17 States under the previous provisos in fiscal year 2012 or 

18 any subsequent year shall not be considered in calculating 

19 the awards under section 611(d) for fiscal year 2013 or 

20 for any subsequent fiscal years: Provided further, That, 

21 notwithstanding the provision in section 612(a)(18)(B) re22 garding the fiscal year in which a State’s allocation under 

23 section 611(d) is reduced for failure to comply with the 

24 requirement of section 612(a)(18)(A), the Secretary may 

25 apply the reduction specified in section 612(a)(18)(B) over 


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1 a period of consecutive fiscal years, not to exceed 5, until 

2 the entire reduction is applied: Provided further, That the 

3 Secretary may, in any fiscal year in which a State’s alloca4 tion under section 611 is reduced in accordance with sec5 tion 612(a)(18)(B), reduce the amount a State may re6 serve under section 611(e)(1) by an amount that bears 

7 the same relation to the maximum amount described in 

8 that paragraph as the reduction under section 

9 612(a)(18)(B) bears to the total allocation the State 

10 would have received in that fiscal year under section 

11 611(d) in the absence of the reduction: Provided further, 

12 That the Secretary shall either reduce the allocation of 

13 funds under section 611 for any fiscal year following the 

14 fiscal year for which the State fails to comply with the 

15 requirement of section 612(a)(18)(A) as authorized by 

16 section 612(a)(18)(B), or seek to recover funds under sec17 tion 452 of the General Education Provisions Act (20 

18 U.S.C. 1234a): Provided further, That the funds reserved 

19 under 611(c) of the IDEA may be used to provide tech20 nical assistance to States to improve the capacity of the 

21 States to meet the data collection requirements of sections 

22 616 and 618 and to administer and carry out other serv23 ices and activities to improve data collection, coordination, 

24 quality, and use under parts B and C of the IDEA: Pro25 vided further, That the Secretary may use funds made 


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1 available for the State Personnel Development Grants pro2 gram under part D, subpart 1 of IDEA to evaluate pro3 gram performance under such subpart: Provided further, 

4 That States may use funds reserved for other State-level 

5 activities under sections 611(e)(2) and 619(f) of the IDEA 

6 to make subgrants to local educational agencies, institu7 tions of higher education, other public agencies, and pri8 vate non-profit organizations to carry out activities au9 thorized by those sections: Provided further, That, not10 withstanding section 643(e)(2)(A) of the IDEA, if 5 or 

11 fewer States apply for grants pursuant to section 643(e) 

12 of such Act, the Secretary shall provide a grant to each 

13 State in an amount equal to the maximum amount de14 scribed in section 643(e)(2)(B) of such Act: Provided fur15 ther, That if more than 5 States apply for grants pursuant 

16 to section 643(e) of the IDEA, the Secretary shall award 

17 funds to those States on the basis of the States’ relative 

18 populations of infants and toddlers except that no such 

19 State shall receive a grant in excess of the amount de20 scribed in section 643(e)(2)(B) of such Act: Provided fur21 ther, That States may use funds allotted under section 

22 643(c) of the IDEA to make subgrants to local edu23 cational agencies, institutions of higher education, other 

24 public agencies, and private non-profit organizations to 

25 carry out activities authorized by section 638 of IDEA: 


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1 Provided further, That, notwithstanding section 638 of the 

2 IDEA, a State may use funds it receives under section 

3 633 of the IDEA to offer continued early intervention 

4 services to a child who previously received services under 

5 part C of the IDEA from age 3 until the beginning of 

6 the school year following the child’s third birthday with 

7 parental consent and without regard to the procedures in 

8 section 635(c) of the IDEA. 

9 REHABILITATION SERVICES

10 For carrying out, to the extent not otherwise pro11 vided, the Rehabilitation Act of 1973 and the Helen Keller 

12 National Center Act, $4,397,033,000, of which 

13 $4,253,834,000 shall be for grants for vocational rehabili14 tation services under title I of the Rehabilitation Act. 

15 SPECIAL INSTITUTIONS FOR PERSONS WITH

16 DISABILITIES

17 AMERICAN PRINTING HOUSE FOR THE BLIND

18 For carrying out the Act to Promote the Education 

19 of the Blind of March 3, 1879, $43,431,000. 

20 NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

21 For the National Technical Institute for the Deaf 

22 under titles I and II of the Education of the Deaf Act 

23 of 1986, $92,500,000: Provided, That from the total 

24 amount available, the Institute may at its discretion use 


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1 funds for the endowment program as authorized under 

2 section 207 of such Act. 

3 GALLAUDET UNIVERSITY

4 For the Kendall Demonstration Elementary School, 

5 the Model Secondary School for the Deaf, and the partial 

6 support of Gallaudet University under titles I and II of 

7 the Education of the Deaf Act of 1986, $165,361,000, of 

8 which up to $15,000,000, to remain available until ex9 pended, shall be for construction, as defined by section 

10 201(2) of such Act: Provided, That from the total amount 

11 available, the University may at its discretion use funds 

12 for the endowment program as authorized under section 

13 207 of such Act. 

14 CAREER, TECHNICAL, AND ADULT EDUCATION

15 For carrying out, to the extent not otherwise pro16 vided, the Carl D. Perkins Career and Technical Edu17 cation Act of 2006 (‘‘Perkins Act’’) and the Adult Edu18 cation and Family Literacy Act (‘‘AEFLA’’), 

19 $2,191,436,000, of which $1,400,436,000 shall become 

20 available on July 1, 2024, and shall remain available 

21 through September 30, 2025, and of which $791,000,000 

22 shall become available on October 1, 2024, and shall re23 main available through September 30, 2025: Provided, 

24 That $25,000,000 shall be available for innovation and 

25 modernization grants under such section 114(e) of the 


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1 Perkins Act: Provided further, That of the amounts made 

2 available for AEFLA, $13,712,000 shall be for national 

3 leadership activities under section 242. 

4 STUDENT FINANCIAL ASSISTANCE

5 For carrying out subparts 1 and 10 of part A of title 

6 IV of the HEA, $22,475,352,000 which shall remain 

7 available through September 30, 2025. 

8 The maximum Pell Grant for which a student shall 

9 be eligible during award year 2024–2025 shall be $6,335. 

10 STUDENT AID ADMINISTRATION

11 For Federal administrative expenses to carry out part 

12 D of title I, and subparts 1, 9, and 10 of part A, and 

13 parts B, D, and E of title IV of the HEA, and subpart 

14 1 of part A of title VII of the Public Health Service Act, 

15 $1,769,207,000, to remain available through September 

16 30, 2025: Provided, That for student loan contracts 

17 awarded prior to October 1, 2017, the Secretary shall 

18 allow student loan borrowers who are consolidating Fed19 eral student loans to select from any student loan servicer 

20 to service their new consolidated student loan: Provided 

21 further, That in order to promote accountability and high22 quality service to borrowers, the Secretary shall not award 

23 funding for any contract solicitation for a new Federal 

24 student loan servicing environment, including the solicita25 tion for the Federal Student Aid (FSA) Next Generation 


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1 Processing and Servicing Environment, unless such an en2 vironment provides for the participation of multiple stu3 dent loan servicers that contract directly with the Depart4 ment of Education to manage a unique portfolio of bor5 rower accounts and the full life-cycle of loans from dis6 bursement to pay-off with certain limited exceptions, and 

7 allocates student loan borrower accounts to eligible stu8 dent loan servicers based on performance: Provided fur9 ther, That the Secretary shall provide quarterly briefings 

10 to the Committees on Appropriations and Education and 

11 Labor of the House of Representatives and the Commit12 tees on Appropriations and Health, Education, Labor, and 

13 Pensions of the Senate on general progress related to so14 licitations for Federal student loan servicing contracts: 

15 Provided further, That not later than 60 days after enact16 ment of this Act, FSA shall provide to the Committees 

17 on Appropriations of the House of Representatives and the 

18 Senate a detailed spend plan of anticipated uses of funds 

19 made available in this account for fiscal year 2024 and 

20 provide quarterly updates on this plan (including contracts 

21 awarded, change orders, bonuses paid to staff, reorganiza22 tion costs, and any other activity carried out using 

23 amounts provided under this heading for fiscal year 2024). 


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1 HIGHER EDUCATION

2 For carrying out, to the extent not otherwise pro3 vided, titles III, IV, V, VI, VII, and VIII of the HEA, 

4 and section 117 of the Perkins Act, $2,767,239,000: Pro5 vided, That notwithstanding any other provision of law, 

6 funds made available in this Act to carry out title VI of 

7 the HEA may be used to support visits and study in for8 eign countries by individuals who are participating in ad9 vanced foreign language training and international studies 

10 in areas that are vital to United States national security 

11 and who plan to apply their language skills and knowledge 

12 of these countries in the fields of government, the profes13 sions, or international development: Provided further, That 

14 of the funds referred to in the preceding proviso up to 

15 1 percent may be used for program evaluation, national 

16 outreach, and information dissemination activities: Pro17 vided further, That up to 1.5 percent of the funds made 

18 available under chapter 2 of subpart 2 of part A of title 

19 IV of the HEA may be used for evaluation: Provided fur20 ther, That section 313(d) of the HEA shall not apply to 

21 an institution of higher education that is eligible to receive 

22 funding under section 318 of the HEA: Provided further, 

23 That of the funds made available under this Act to carry 

24 out part B of title III of the HEA, to supplement amounts 

25 otherwise available, not less than $10,000,000 shall be for 


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1 grants to part B institutions as defined under section 

2 322(2) of the HEA, that are junior or community colleges, 

3 as defined in section 312(f) of the HEA: Provided further, 

4 That funds in the preceding proviso are in addition to any 

5 grant award that any such institution may receive under 

6 section 323 of such Act and shall be allocated in accord7 ance with the allotments specified under section 324 of 

8 such Act. 

9 HOWARD UNIVERSITY

10 For partial support of Howard University, 

11 $301,693,000, of which not less than $3,405,000 shall be 

12 for a matching endowment grant pursuant to the Howard 

13 University Endowment Act and shall remain available 

14 until expended. 

15 COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS

16 PROGRAM

17 For Federal administrative expenses to carry out ac18 tivities related to existing facility loans pursuant to section 

19 121 of the HEA, $321,000. 

20 HISTORICALLY BLACK COLLEGE AND UNIVERSITY

21 CAPITAL FINANCING PROGRAM ACCOUNT

22 For the cost of guaranteed loans, $20,150,000, as au23 thorized pursuant to part D of title III of the HEA, which 

24 shall remain available through September 30, 2025: Pro25 vided, That such costs, including the cost of modifying 


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1 such loans, shall be as defined in section 502 of the Con2 gressional Budget Act of 1974: Provided further, That 

3 these funds are available to subsidize total loan principal, 

4 any part of which is to be guaranteed, not to exceed 

5 $377,340,824: Provided further, That these funds may be 

6 used to support loans to public and private Historically 

7 Black Colleges and Universities without regard to the limi8 tations within section 344(a) of the HEA. 

9 In addition, for administrative expenses to carry out 

10 the Historically Black College and University Capital Fi11 nancing Program entered into pursuant to part D of title 

12 III of the HEA, $528,000. 

13 INSTITUTE OF EDUCATION SCIENCES

14 For necessary expenses for the Institute of Education 

15 Sciences as authorized by section 208 of the Department 

16 of Education Organization Act and carrying out activities 

17 authorized by the National Assessment of Educational 

18 Progress Authorization Act, section 208 of the Edu19 cational Technical Assistance Act of 2002, and section 

20 664 of the Individuals with Disabilities Education Act, 

21 $707,372,000, which shall remain available through Sep22 tember 30, 2025. 


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1 DEPARTMENTAL MANAGEMENT

2 PROGRAM ADMINISTRATION

3 For carrying out, to the extent not otherwise pro4 vided, the Department of Education Organization Act, in5 cluding rental of conference rooms in the District of Co6 lumbia and hire of three passenger motor vehicles, 

7 $350,000,000: Provided, That none of the funds provided 

8 by this Act may be used to support a number of non-career 

9 employees that is above the number of non-career employ10 ees as of December 31, 2021. 

11 OFFICE FOR CIVIL RIGHTS

12 For expenses necessary for the Office for Civil 

13 Rights, as authorized by section 203 of the Department 

14 of Education Organization Act, $105,000,000. 

15 OFFICE OF INSPECTOR GENERAL

16 For expenses necessary for the Office of Inspector 

17 General, as authorized by section 212 of the Department 

18 of Education Organization Act, $60,000,000, of which 

19 $3,000,000 shall be available through September 30, 

20 2025. 

21 GENERAL PROVISIONS

22 SEC. 301. No funds appropriated in this Act may be 

23 used to prevent the implementation of programs of vol24 untary prayer and meditation in the public schools. 


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1 (TRANSFER OF FUNDS)

2 SEC. 302. 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 Department of Education in this Act may 

6 be transferred between appropriations, but no such appro7 priation shall be increased by more than 3 percent by any 

8 such transfer: Provided, That the transfer authority grant9 ed by this section shall not be used to create any new pro10 gram or to fund any project or activity for which no funds 

11 are provided in this Act: Provided further, That the Com12 mittees on Appropriations of the House of Representatives 

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

14 of any transfer. 

15 SEC. 303. Funds appropriated in this Act and con16 solidated for evaluation purposes under section 8601(c) of 

17 the ESEA shall be available from July 1, 2024, through 

18 September 30, 2025. 

19 SEC. 304. (a) An institution of higher education that 

20 maintains an endowment fund supported with funds ap21 propriated for title III or V of the HEA for fiscal year 

22 2024 may use the income from that fund to award schol23 arships to students, subject to the limitation in section 

24 331(c)(3)(B)(i) of the HEA. The use of such income for 

25 such purposes, prior to the enactment of this Act, shall 


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1 be considered to have been an allowable use of that in2 come, subject to that limitation. 

3 (b) Subsection (a) shall be in effect until titles III 

4 and V of the HEA are reauthorized. 

5 SEC. 305. Section 114(f) of the HEA (20 U.S.C. 

6 1011c(f)) shall be applied by substituting ‘‘2024’’ for 

7 ‘‘2021’’. 

8 SEC. 306. Section 458(a)(4) of the HEA (20 U.S.C. 

9 1087h(a)) shall be applied by substituting ‘‘2024’’ for 

10 ‘‘2021’’. 

11 SEC. 307. Funds appropriated in this Act under the 

12 heading ‘‘Student Aid Administration’’ may be available 

13 for payments for student loan servicing to an institution 

14 of higher education that services outstanding Federal Per15 kins Loans under part E of title IV of the Higher Edu16 cation Act of 1965 (20 U.S.C. 1087aa et seq.). 

17 SEC. 308. The Secretary may reserve not more than 

18 0.5 percent from any amount made available in this Act 

19 for an HEA program, except for any amounts made avail20 able for subpart 1 of part A of title IV of the HEA, to 

21 carry out rigorous and independent evaluations and to col22 lect and analyze outcome data for any program authorized 

23 by the HEA: Provided, That no funds made available in 

24 this Act for the ‘‘Student Aid Administration’’ account 

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1 vided further, That any funds reserved under this section 

2 shall be available through September 30, 2026: Provided 

3 further, That if, under any other provision of law, funds 

4 are authorized to be reserved or used for evaluation activi5 ties with respect to a program or project, the Secretary 

6 may also reserve funds for such program or project for 

7 the purposes described in this section so long as the total 

8 reservation of funds for such program or project does not 

9 exceed any statutory limits on such reservations: Provided 

10 further, That not later than 30 days prior to the initial 

11 obligation of funds reserved under this section, the Sec12 retary shall submit to the Committees on Appropriations 

13 of the Senate and the House of Representatives, the Com14 mittee on Health, Education, Labor and Pensions of the 

15 Senate, and the Committee on Education and Labor of 

16 the House of Representatives a plan that identifies the 

17 source and amount of funds reserved under this section, 

18 the impact on program grantees if funds are withheld for 

19 the purposes of this section, and the activities to be carried 

20 out with such funds. 

21 (INCLUDING TRANSFER OF FUNDS)

22 SEC. 309. Of the amounts appropriated in this Act 

23 for ‘‘Institute of Education Sciences’’, up to $19,000,000 

24 shall be available for the Secretary of Education (‘‘the 

25 Secretary’’) to provide support services to the Institute of 


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1 Education Sciences (including, but not limited to informa2 tion technology services, lease or procurement of office 

3 space, human resource services, financial management 

4 services, financial systems support, budget formulation 

5 and execution, legal counsel, equal employment oppor6 tunity services, physical security, facilities management, 

7 acquisition and contract management, grants administra8 tion and policy, and enterprise risk management): Pro9 vided, That the Secretary shall calculate the actual 

10 amounts obligated and expended for such support services 

11 by using a standard Department of Education method12 ology for allocating the cost of all such support services: 

13 Provided further, That the Secretary may transfer any 

14 amounts available for IES support services in excess of 

15 actual amounts needed for IES support services, as so cal16 culated, to the ‘‘Program Administration’’ account from 

17 the ‘‘Institute of Education Sciences’’ account: Provided 

18 further, That in order to address any shortfall between 

19 amounts available for IES support services and amounts 

20 needed for IES support services, as so calculated, the Sec21 retary may transfer necessary amounts to the ‘‘Institute 

22 of Education Sciences’’ account from the ‘‘Program Ad23 ministration’’ account: Provided further, That the Com24 mittees on Appropriations of the House of Representatives 


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1 and the Senate are notified at least 14 days in advance 

2 of any transfer made pursuant to this section. 

3 (RESCISSION)

4 SEC. 310. Of the unobligated balances in the ‘‘De5 partment of Education Nonrecurring Expenses Fund’’ es6 tablished in section 313 of division H of Public Law 116– 

7 260, $29,000,000 are hereby rescinded not later than Sep8 tember 30, 2024: Provided, That from any remaining un9 obligated balances in such Fund, the Secretary may trans10 fer up to $45,325,000 to ‘‘Howard University’’ for comple11 tion of the Howard University hospital, to remain avail12 able until expended: Provided further, That, except as oth13 erwise provided in this Act, none of the funds provided 

14 by this Act may be obligated for a new program, project, 

15 or activity using such Fund for which a notification was 

16 not submitted to the Committees on Appropriations of the 

17 House of Representatives and the Senate before the date 

18 of enactment of this Act: Provided further, That the Sec19 retary may obligate funds from such Fund for any pro20 gram, project, or activity for which a notification was sub21 mitted before the date of enactment of this Act: Provided 

22 further, That the Secretary may transfer amounts into 

23 such Fund: Provided further, That any amounts trans24 ferred into such Fund are available for the purposes pro25 vided by this section or for which a notification was subVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00151 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 mitted to such Committees on Appropriations before the 

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

3 authority to transfer amounts under this section is in ad4 dition to any other transfer authority in law. 

5 SEC. 311. (a) None of the funds made available by 

6 this title may be used to issue or implement as final rules 

7 the rules proposed by the Department of Education relat8 ing to title IX of the Education Amendments of 1972 (20 

9 5 U.S.C. 1681-1688) and described under the heading 

10 ‘‘Nondiscrimination on the Basis of Sex in Education Pro11 grams or Activities Receiving Federal Financial Assist12 ance’’ (87 Fed. Reg. 41390; published July 12, 2022). 

13 (b) None of the funds made available by this title may 

14 be used to issue or implement— 

15 (1) as final rules the rules proposed by the De16 partment of Education relating title IX of the Edu17 cation Amendments of 1972 (20 U.S.C. 1681-1688) 

18 and described under the heading ‘‘Nondiscrimination 

19 on the Basis of Sex in Education Programs or Ac20 tivities Receiving Federal Financial Assistance: Sex21 Related Eligibility Criteria for Male and Female 

22 Athletic Teams’’ (88 Fed. Reg. 22860; published 

23 April 13, 2023), or 

24 (2) any rule similar in substance to the pro25 posed rules described in paragraph (1) that relates 


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1 to eligibility criteria for participation on athletic 

2 teams. 

3 SEC. 312. None of the funds made available under 

4 this Act may be provided to any public institution of high5 er education that denies to a religious student organiza6 tion any right, benefit, or privilege that is otherwise af7 forded to other student organizations at the institution 

8 (including full access to the facilities of the institution and 

9 official recognition of the organization by the institution) 

10 because of the religious beliefs, practices, speech, leader11 ship standards, or standards of conduct of the religious 

12 student organization. 

13 (RESCISSION)

14 SEC. 313. Of the amounts which are made available 

15 to ‘‘Department of Education—Education for the Dis16 advantaged’’ on October 1, 2023 by Public Law 117–328, 

17 $8,671,399,000 are hereby rescinded. 

18 (RESCISSION)

19 SEC. 314. Of the amounts which are made available 

20 to ‘‘Department of Education—School Improvement Pro21 grams’’ on October 1, 2023 by Public Law 117–328, 

22 $1,681,441,000 are hereby rescinded. 

23 SEC. 315. None of the funds made available by this 

24 Act may be used to— 


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1 (1) implement the waivers and modifications of 

2 statutory and regulatory provisions relating to an 

3 extension of the suspension of payments on certain 

4 loans and waivers of interest on such loans under 

5 section 3513 of the CARES Act (20 U.S.C. 1001 

6 note), described by the Department of Education in 

7 the Federal Register on October 12, 2022 (87 Fed. 

8 Reg. 61513 et seq.), and most recently extended in 

9 the announcement by the Department of Education 

10 on November 22, 2022; 

11 (2) take any substantially similar action; or 

12 (3) waive any consequences of nonpayment by 

13 a borrower in repayment such as delinquency or de14 fault. 

15 SEC. 316. None of the funds made available by this 

16 Act may be used to— 

17 (1) implement the modifications of statutory 

18 and regulatory provisions relating to debt discharge 

19 described by the Department of Education in the 

20 Federal Register on October 12, 2022 (87 Fed. Reg. 

21 61514), or take any substantially similar action; 

22 (2) issue a final rule or otherwise implement 

23 the proposed rule on ‘‘Improving Income-Driven Re24 payment for the William D. Ford Federal Direct 

25 Loan Program’’ published by the Department of 


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1 Education in the Federal Register on January 11, 

2 2023 (88 Fed. Reg. 1894 et seq.), or take any sub3 stantially similar action; or 

4 (3) implement, administer, or enforce parts 

5 600, 668, and 685 of title 34, Code of Federal Reg6 ulations, (relating to borrower defense to repay7 ment), as amended by the final regulations published 

8 by the Department of Education in the Federal Reg9 ister on November 1, 2022 (87 Fed. Reg. 65904 et 

10 seq.) or take any substantially similar action. 

11 This title may be cited as the ‘‘Department of Edu12 cation Appropriations Act, 2024’’. 


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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 described in section 

24 4 of Public Law 114–113 (in the matter preceding division 

25 A of that consolidated Act): Provided further, That any 


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1 such central nonprofit agency may not charge a fee under 

2 section 51–3.5 of title 41, Code of Federal Regulations, 

3 prior to executing a written agreement with the Com4 mittee: Provided further, That no less than $3,150,000 

5 shall be available for the Office of Inspector General. 

6 CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

7 OPERATING EXPENSES

8 For necessary expenses for the Corporation for Na9 tional and Community Service (referred to in this title as 

10 ‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 

11 of 1973 (referred to in this title as ‘‘1973 Act’’) and the 

12 National and Community Service Act of 1990 (referred 

13 to in this title as ‘‘1990 Act’’), $593,347,000, notwith14 standing sections 198B(b)(3), 198S(g), 501(a)(4)(C), and 

15 501(a)(4)(F) of the 1990 Act: Provided, That of the 

16 amounts provided under this heading up to 1 percent of 

17 program grant funds may be used to defray the costs of 

18 conducting grant application reviews, including the use of 

19 outside peer reviewers and electronic management of the 

20 grants cycle: Provided further, That for the purposes of 

21 carrying out the 1990 Act, satisfying the requirements in 

22 section 122(c)(1)(D) may include a determination of need 

23 by the local community. 


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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, $60,000,000. 

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 $7,595,000. 

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 2024, 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, an individual who successfully com13 pletes a term of service of not less than 1,200 hours dur14 ing a period of not more than one year may receive a na15 tional service education award having a value of 70 per16 cent of the value of a national service education award 

17 determined under section 147(a) of the Act. 

18 (RESCISSION)

19 SEC. 407. Of the unobligated balances available in 

20 the ‘‘National Service Trust’’ established in section 102 

21 of the National and Community Service Trust Act of 

22 1993, $243,000,000 are hereby permanently rescinded, 

23 except that no amounts may be rescinded from amounts 

24 that were previously designated by the Congress as being 

25 for an emergency requirement pursuant to a concurrent 


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1 resolution on the budget or the Balanced Budget and 

2 Emergency Deficit Control Act of 1985. 

3 FEDERAL MEDIATION AND CONCILIATION SERVICE

4 SALARIES AND EXPENSES

5 For expenses necessary for the Federal Mediation 

6 and Conciliation Service (‘‘Service’’) to carry out the func7 tions vested in it by the Labor-Management Relations Act, 

8 1947, including hire of passenger motor vehicles; for ex9 penses necessary for the Labor-Management Cooperation 

10 Act of 1978; and for expenses necessary for the Service 

11 to carry out the functions vested in it by the Civil Service 

12 Reform Act, $53,705,000: Provided, That notwithstanding 

13 31 U.S.C. 3302, fees charged, up to full-cost recovery, for 

14 special training activities and other conflict resolution 

15 services and technical assistance, including those provided 

16 to foreign governments and international organizations, 

17 and for arbitration services shall be credited to and 

18 merged with this account, and shall remain available until 

19 expended: Provided further, That fees for arbitration serv20 ices shall be available only for education, training, and 

21 professional development of the agency workforce: Pro22 vided further, That the Director of the Service is author23 ized to accept and use on behalf of the United States gifts 

24 of services and real, personal, or other property in the aid 


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1 of any projects or functions within the Director’s jurisdic2 tion. 

3 FEDERAL MINE SAFETY AND HEALTH REVIEW

4 COMMISSION

5 SALARIES AND EXPENSES

6 For expenses necessary for the Federal Mine Safety 

7 and Health Review Commission, $18,012,000. 

8 INSTITUTE OF MUSEUM AND LIBRARY SERVICES

9 OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS

10 AND ADMINISTRATION

11 For carrying out the Museum and Library Services 

12 Act of 1996 and the National Museum of African Amer13 ican History and Culture Act, $294,800,000. 

14 MEDICAID AND CHIP PAYMENT AND ACCESS

15 COMMISSION

16 SALARIES AND EXPENSES

17 For expenses necessary to carry out section 1900 of 

18 the Social Security Act, $9,405,000. 

19 MEDICARE PAYMENT ADVISORY COMMISSION

20 SALARIES AND EXPENSES

21 For expenses necessary to carry out section 1805 of 

22 the Social Security Act, $13,824,000, to be transferred to 

23 this appropriation from the Federal Hospital Insurance 

24 Trust Fund and the Federal Supplementary Medical In25 surance Trust Fund. 


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1 NATIONAL COUNCIL ON DISABILITY

2 SALARIES AND EXPENSES

3 For expenses necessary for the National Council on 

4 Disability as authorized by title IV of the Rehabilitation 

5 Act of 1973, $3,850,000. 

6 NATIONAL LABOR RELATIONS BOARD

7 SALARIES AND EXPENSES

8 For expenses necessary for the National Labor Rela9 tions Board to carry out the functions vested in it by the 

10 Labor-Management Relations Act, 1947, and other laws, 

11 $200,000,000: Provided, That no part of this appropria12 tion shall be available to organize or assist in organizing 

13 agricultural laborers or used in connection with investiga14 tions, hearings, directives, or orders concerning bargaining 

15 units composed of agricultural laborers as referred to in 

16 section 2(3) of the Act of July 5, 1935, and as amended 

17 by the Labor-Management Relations Act, 1947, and as de18 fined in section 3(f) of the Act of June 25, 1938, and 

19 including in said definition employees engaged in the 

20 maintenance and operation of ditches, canals, reservoirs, 

21 and waterways when maintained or operated on a mutual, 

22 nonprofit basis and at least 95 percent of the water stored 

23 or supplied thereby is used for farming purposes. 


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1 ADMINISTRATIVE PROVISIONS

2 SEC. 408. None of the funds provided by this Act 

3 or previous Acts making appropriations for the National 

4 Labor Relations Board may be used to issue any new ad5 ministrative directive or regulation that would provide em6 ployees any means of voting through any electronic means 

7 in an election to determine a representative for the pur8 poses of collective bargaining. 

9 SEC. 409. No Federal funds may be made available 

10 to alter or affect the administration, implementation, or 

11 enforcement of the final rule entitled ‘‘Joint Employer 

12 Status Under the National Labor Relations Act’’ (86 Fed. 

13 Reg. 11184) and dated February 26, 2020. 

14 NATIONAL MEDIATION BOARD

15 SALARIES AND EXPENSES

16 For expenses necessary to carry out the provisions 

17 of the Railway Labor Act, including emergency boards ap18 pointed by the President, $15,113,000. 

19 OCCUPATIONAL SAFETY AND HEALTH REVIEW

20 COMMISSION

21 SALARIES AND EXPENSES

22 For expenses necessary for the Occupational Safety 

23 and Health Review Commission, $15,449,000. 


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1 RAILROAD RETIREMENT BOARD

2 DUAL BENEFITS PAYMENTS ACCOUNT

3 For payment to the Dual Benefits Payments Ac4 count, authorized under section 15(d) of the Railroad Re5 tirement Act of 1974, $8,000,000, which shall include 

6 amounts becoming available in fiscal year 2024 pursuant 

7 to section 224(c)(1)(B) of Public Law 98–76; and in addi8 tion, an amount, not to exceed 2 percent of the amount 

9 provided herein, shall be available proportional to the 

10 amount by which the product of recipients and the average 

11 benefit received exceeds the amount available for payment 

12 of vested dual benefits: Provided, That the total amount 

13 provided herein shall be credited in 12 approximately 

14 equal amounts on the first day of each month in the fiscal 

15 year. 

16 FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT

17 ACCOUNTS

18 For payment to the accounts established in the 

19 Treasury for the payment of benefits under the Railroad 

20 Retirement Act for interest earned on unnegotiated 

21 checks, $150,000, to remain available through September 

22 30, 2025, which shall be the maximum amount available 

23 for payment pursuant to section 417 of Public Law 98– 

24 76. 


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1 LIMITATION ON ADMINISTRATION

2 For necessary expenses for the Railroad Retirement 

3 Board (‘‘Board’’) for administration of the Railroad Re4 tirement Act and the Railroad Unemployment Insurance 

5 Act, $103,000,000, to be derived in such amounts as de6 termined by the Board from the railroad retirement ac7 counts and from moneys credited to the railroad unem8 ployment insurance administration fund: Provided, That 

9 notwithstanding section 7(b)(9) of the Railroad Retire10 ment Act this limitation may be used to hire attorneys 

11 only through the excepted service: Provided further, That 

12 the previous proviso shall not change the status under 

13 Federal employment laws of any attorney hired by the 

14 Railroad Retirement Board prior to January 1, 2013: Pro15 vided further, That notwithstanding section 7(b)(9) of the 

16 Railroad Retirement Act, this limitation may be used to 

17 hire students attending qualifying educational institutions 

18 or individuals who have recently completed qualifying edu19 cational programs using current excepted hiring authori20 ties established by the Office of Personnel Management. 

21 LIMITATION ON THE OFFICE OF INSPECTOR GENERAL

22 For expenses necessary for the Office of Inspector 

23 General for audit, investigatory and review activities, as 

24 authorized by the Inspector General Act of 1978, not more 

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1 ment accounts and railroad unemployment insurance ac2 count. 

3 SOCIAL SECURITY ADMINISTRATION

4 PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

5 For payment to the Federal Old-Age and Survivors 

6 Insurance Trust Fund and the Federal Disability Insur7 ance Trust Fund, as provided under sections 201(m) and 

8 1131(b)(2) of the Social Security Act, $10,000,000. 

9 SUPPLEMENTAL SECURITY INCOME PROGRAM

10 For carrying out titles XI and XVI of the Social Se11 curity Act, section 401 of Public Law 92–603, section 212 

12 of Public Law 93–66, as amended, and section 405 of 

13 Public Law 95–216, including payment to the Social Secu14 rity trust funds for administrative expenses incurred pur15 suant to section 201(g)(1) of the Social Security Act, 

16 $45,455,426,000, to remain available until expended: Pro17 vided, That any portion of the funds provided to a State 

18 in the current fiscal year and not obligated by the State 

19 during that year shall be returned to the Treasury: Pro20 vided further, That not more than $91,000,000 shall be 

21 available for research and demonstrations under sections 

22 1110, 1115, and 1144 of the Social Security Act, and re23 main available through September 30, 2026. 

24 For making, after June 15 of the current fiscal year, 

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1 cial Security Act, for unanticipated costs incurred for the 

2 current fiscal year, such sums as may be necessary. 

3 For making benefit payments under title XVI of the 

4 Social Security Act for the first quarter of fiscal year 

5 2025, $21,700,000,0000, to remain available until ex6 pended. 

7 LIMITATION ON ADMINISTRATIVE EXPENSES

8 (INCLUDING TRANSFER OF FUNDS)

9 For necessary expenses, including the hire and pur10 chase of two passenger motor vehicles, and not to exceed 

11 $20,000 for official reception and representation expenses, 

12 not more than $11,951,978,000 may be expended, as au13 thorized by section 201(g)(1) of the Social Security Act, 

14 from any one or all of the trust funds referred to in such 

15 section: Provided, That not less than $2,700,000 shall be 

16 for the Social Security Advisory Board: Provided further, 

17 That unobligated balances of funds provided under this 

18 paragraph at the end of fiscal year 2024 not needed for 

19 fiscal year 2024 shall remain available until expended to 

20 invest in the Social Security Administration information 

21 technology and telecommunications hardware and soft22 ware infrastructure, including related equipment and non23 payroll administrative expenses associated solely with this 

24 information technology and telecommunications infra25 structure: Provided further, That the Commissioner of SoVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00168 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 cial Security shall notify the Committees on Appropria2 tions of the House of Representatives and the Senate prior 

3 to making unobligated balances available under the au4 thority in the previous proviso: Provided further, That re5 imbursement to the trust funds under this heading for ex6 penditures for official time for employees of the Social Se7 curity Administration pursuant to 5 U.S.C. 7131, and for 

8 facilities or support services for labor organizations pursu9 ant to policies, regulations, or procedures referred to in 

10 section 7135(b) of such title shall be made by the Sec11 retary of the Treasury, with interest, from amounts in the 

12 general fund not otherwise appropriated, as soon as pos13 sible after such expenditures are made. 

14 In addition, $1,851,000,000 may be expended, as au15 thorized by section 201(g)(1) of the Social Security Act, 

16 from any one or all of the trust funds referred to in such 

17 section, to remain available through March 31, 2025, for 

18 the costs associated with continuing disability reviews 

19 under titles II and XVI of the Social Security Act, includ20 ing work-related continuing disability reviews to determine 

21 whether earnings derived from services demonstrate an in22 dividual’s ability to engage in substantial gainful activity, 

23 for the costs associated with conducting redeterminations 

24 of eligibility under title XVI of the Social Security Act, 

25 for the costs of co-operative disability investigation units, 


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1 and for the costs associated with the prosecution of fraud 

2 in the programs and operations of the Social Security Ad3 ministration by Special Assistant United States Attorneys: 

4 Provided, That, of such amount, $273,000,000 is provided 

5 to meet the terms of section 251(b)(2)(B)(ii)(III) of the 

6 Balanced Budget and Emergency Deficit Control Act of 

7 1985, as amended, and $1,578,000,000 is additional new 

8 budget authority specified for purposes of section 

9 251(b)(2)(B)(i)(XI) of such Act: Provided further, That, 

10 of the additional new budget authority described in the 

11 preceding proviso, $18,000,000 may be transferred to the 

12 ‘‘Office of Inspector General’’, Social Security Administra13 tion, for the costs of jointly operated co-operative disability 

14 investigation units: Provided further, That such transfer 

15 authority is in addition to any other transfer authority 

16 provided by law: Provided further, That the Commissioner 

17 shall provide to the Congress (at the conclusion of the fis18 cal year) a report on the obligation and expenditure of 

19 these funds, similar to the reports that were required by 

20 section 103(d)(2) of Public Law 104–121 for fiscal years 

21 1996 through 2002: Provided further, That none of the 

22 funds described in this paragraph shall be available for 

23 transfer or reprogramming except as specified in this 

24 paragraph. 


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1 In addition, $150,000,000 to be derived from admin2 istration fees in excess of $5.00 per supplementary pay3 ment collected pursuant to section 1616(d) of the Social 

4 Security Act or section 212(b)(3) of Public Law 93–66, 

5 which shall remain available until expended: Provided, 

6 That to the extent that the amounts collected pursuant 

7 to such sections in fiscal year 2024 exceed $150,000,000, 

8 the amounts shall be available in fiscal year 2025 only 

9 to the extent provided in advance in appropriations Acts. 

10 In addition, up to $1,000,000 to be derived from fees 

11 collected pursuant to section 303(c) of the Social Security 

12 Protection Act, which shall remain available until ex13 pended. 

14 OFFICE OF INSPECTOR GENERAL

15 (INCLUDING TRANSFER OF FUNDS)

16 For expenses necessary for the Office of Inspector 

17 General in carrying out the provisions of the Inspector 

18 General Act of 1978, $32,000,000, together with not to 

19 exceed $82,665,000, to be transferred and expended as 

20 authorized by section 201(g)(1) of the Social Security Act 

21 from the Federal Old-Age and Survivors Insurance Trust 

22 Fund and the Federal Disability Insurance Trust Fund: 

23 Provided, That $2,000,000 shall remain available until ex24 pended for information technology modernization, includ25 ing related hardware and software infrastructure and 


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1 equipment, and for administrative expenses directly asso2 ciated with information technology modernization. 

3 In addition, an amount not to exceed 3 percent of 

4 the total provided in this appropriation may be transferred 

5 from the ‘‘Limitation on Administrative Expenses’’, Social 

6 Security Administration, to be merged with this account, 

7 to be available for the time and purposes for which this 

8 account is available: Provided, That notice of such trans9 fers shall be transmitted promptly to the Committees on 

10 Appropriations of the House of Representatives and the 

11 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 

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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 appropriated in this 

7 Act, and none of the funds in any trust fund to which 

8 funds are appropriated in this Act, shall be expended for 

9 any abortion. 

10 (b) None of the funds appropriated in this Act, and 

11 none of the funds in any trust fund to which funds are 

12 appropriated in this Act, shall be expended for health ben13 efits coverage that includes coverage of abortion. 

14 (c) The term ‘‘health benefits coverage’’ means the 

15 package of services covered by a managed care provider 

16 or organization pursuant to a contract or other arrange17 ment. 

18 SEC. 507. (a) The limitations established in the pre19 ceding section shall not apply to an abortion— 

20 (1) if the pregnancy is the result of an act of 

21 rape or incest; or 

22 (2) in the case where a woman suffers from a 

23 physical disorder, physical injury, or physical illness, 

24 including a life-endangering physical condition 

25 caused by or arising from the pregnancy itself, that 


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1 would, as certified by a physician, place the woman 

2 in danger of death unless an abortion is performed. 

3 (b) Nothing in the preceding section shall be con4 strued as prohibiting the expenditure by a State, locality, 

5 entity, or private person of State, local, or private funds 

6 (other than a State’s or locality’s contribution of Medicaid 

7 matching funds). 

8 (c) Nothing in the preceding section shall be con9 strued as restricting the ability of any managed care pro10 vider from offering abortion coverage or the ability of a 

11 State or locality to contract separately with such a pro12 vider for such coverage with State funds (other than a 

13 State’s or locality’s contribution of Medicaid matching 

14 funds). 

15 (d)(1) None of the funds made available in this Act 

16 may be made available to a Federal agency or program, 

17 or to a State or local government, if such agency, program, 

18 or government subjects any institutional or individual 

19 health care entity to discrimination on the basis that the 

20 health care entity does not provide, pay for, provide cov21 erage of, or refer for abortions. 

22 (2) In this subsection, the term ‘‘health care entity’’ 

23 includes an individual physician or other health care pro24 fessional, a hospital, a provider-sponsored organization, a 

25 health maintenance organization, a health insurance plan, 


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1 or any other kind of health care facility, organization, or 

2 plan. 

3 SEC. 508. (a) None of the funds made available in 

4 this Act may be used for— 

5 (1) the creation of a human embryo or embryos 

6 for research purposes; or 

7 (2) research in which a human embryo or em8 bryos are destroyed, discarded, or knowingly sub9 jected to risk of injury or death greater than that 

10 allowed for research on fetuses in utero under 45 

11 CFR 46.204(b) and section 498(b) of the Public 

12 Health Service Act (42 U.S.C. 289g(b)). 

13 (b) For purposes of this section, the term ‘‘human 

14 embryo or embryos’’ includes any organism, not protected 

15 as a human subject under 45 CFR 46 as of the date of 

16 the enactment of this Act, that is derived by fertilization, 

17 parthenogenesis, cloning, or any other means from one or 

18 more human gametes or human diploid cells. 

19 SEC. 509. (a) None of the funds made available in 

20 this Act may be used for any activity that promotes the 

21 legalization of any drug or other substance included in 

22 schedule I of the schedules of controlled substances estab23 lished under section 202 of the Controlled Substances Act 

24 except for normal and recognized executive-congressional 

25 communications. 


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1 (b) The limitation in subsection (a) shall not apply 

2 when there is significant medical evidence of a therapeutic 

3 advantage to the use of such drug or other substance or 

4 that federally sponsored clinical trials are being conducted 

5 to determine therapeutic advantage. 

6 SEC. 510. None of the funds made available in this 

7 Act may be used to promulgate or adopt any final stand8 ard under section 1173(b) of the Social Security Act pro9 viding for, or providing for the assignment of, a unique 

10 health identifier for an individual (except in an individ11 ual’s capacity as an employer or a health care provider), 

12 until legislation is enacted specifically approving the 

13 standard. 

14 SEC. 511. None of the funds made available in this 

15 Act may be obligated or expended to enter into or renew 

16 a contract with an entity if— 

17 (1) such entity is otherwise a contractor with 

18 the United States and is subject to the requirement 

19 in 38 U.S.C. 4212(d) regarding submission of an 

20 annual report to the Secretary of Labor concerning 

21 employment of certain veterans; and 

22 (2) such entity has not submitted a report as 

23 required by that section for the most recent year for 

24 which such requirement was applicable to such enti25 ty. 


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1 SEC. 512. None of the funds made available in this 

2 Act may be transferred to any department, agency, or in3 strumentality of the United States Government, except 

4 pursuant to a transfer made by, or transfer authority pro5 vided in, this Act or any other appropriation Act. 

6 SEC. 513. None of the funds made available by this 

7 Act to carry out the Library Services and Technology Act 

8 may be made available to any library covered by para9 graph (1) of section 224(f) of such Act, as amended by 

10 the Children’s Internet Protection Act, unless such library 

11 has made the certifications required by paragraph (4) of 

12 such section. 

13 SEC. 514. (a) None of the funds provided under this 

14 Act, or provided under previous appropriations Acts to the 

15 agencies funded by this Act that remain available for obli16 gation or expenditure in fiscal year 2024, or provided from 

17 any accounts in the Treasury of the United States derived 

18 by the collection of fees available to the agencies funded 

19 by this Act, shall be available for obligation or expenditure 

20 through a reprogramming of funds that— 

21 (1) creates new programs; 

22 (2) eliminates a program, project, or activity; 

23 (3) increases funds or personnel by any means 

24 for any project or activity for which funds have been 

25 denied or restricted; 


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1 (4) relocates an office or employees; 

2 (5) reorganizes or renames offices; 

3 (6) reorganizes programs or activities; or 

4 (7) contracts out or privatizes any functions or 

5 activities presently performed by Federal employees; 

6 unless the Committees on Appropriations of the House of 

7 Representatives and the Senate are consulted 15 days in 

8 advance of such reprogramming or of an announcement 

9 of intent relating to such reprogramming, whichever oc10 curs earlier, and are notified in writing 10 days in advance 

11 of such reprogramming. 

12 (b) None of the funds provided under this Act, or 

13 provided under previous appropriations Acts to the agen14 cies funded by this Act that remain available for obligation 

15 or expenditure in fiscal year 2024, or provided from any 

16 accounts in the Treasury of the United States derived by 

17 the collection of fees available to the agencies funded by 

18 this Act, shall be available for obligation or expenditure 

19 through a reprogramming of funds in excess of $500,000 

20 or 10 percent, whichever is less, that— 

21 (1) augments existing programs, projects (in22 cluding construction projects), or activities; 

23 (2) reduces by 10 percent funding for any exist24 ing program, project, or activity, or numbers of per25 sonnel by 10 percent as approved by Congress; or 


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1 (3) results from any general savings from a re2 duction in personnel which would result in a change 

3 in existing programs, activities, or projects as ap4 proved by Congress; 

5 unless the Committees on Appropriations of the House of 

6 Representatives and the Senate are consulted 15 days in 

7 advance of such reprogramming or of an announcement 

8 of intent relating to such reprogramming, whichever oc9 curs earlier, and are notified in writing 10 days in advance 

10 of such reprogramming. 

11 SEC. 515. (a) None of the funds made available in 

12 this Act may be used to request that a candidate for ap13 pointment to a Federal scientific advisory committee dis14 close the political affiliation or voting history of the can15 didate or the position that the candidate holds with re16 spect to political issues not directly related to and nec17 essary for the work of the committee involved. 

18 (b) None of the funds made available in this Act may 

19 be used to disseminate information that is deliberately 

20 false or misleading. 

21 SEC. 516. Within 45 days of enactment of this Act, 

22 each department and related agency funded through this 

23 Act shall submit an operating plan that details at the pro24 gram, project, and activity level any funding allocations 

25 for fiscal year 2024 that are different than those specified 


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1 in this Act, the accompanying detailed table in the com2 mittee report accompanying this Act, or the fiscal year 

3 2024 budget request. 

4 SEC. 517. The Secretaries of Labor, Health and 

5 Human Services, and Education shall each prepare and 

6 submit to the Committees on Appropriations of the House 

7 of Representatives and the Senate a report on the number 

8 and amount of contracts, grants, and cooperative agree9 ments exceeding $500,000, individually or in total for a 

10 particular project, activity, or programmatic initiative, in 

11 value and awarded by the Department on a non-competi12 tive basis during each quarter of fiscal year 2024, but not 

13 to include grants awarded on a formula basis or directed 

14 by law. Such report shall include the name of the con15 tractor or grantee, the amount of funding, the govern16 mental purpose, including a justification for issuing the 

17 award on a non-competitive basis. Such report shall be 

18 transmitted to the Committees within 30 days after the 

19 end of the quarter for which the report is submitted. 

20 SEC. 518. None of the funds appropriated in this Act 

21 shall be expended or obligated by the Commissioner of So22 cial Security, for purposes of administering Social Security 

23 benefit payments under title II of the Social Security Act, 

24 to process any claim for credit for a quarter of coverage 

25 based on work performed under a social security account 


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1 number that is not the claimant’s number and the per2 formance of such work under such number has formed the 

3 basis for a conviction of the claimant of a violation of sec4 tion 208(a)(6) or (7) of the Social Security Act. 

5 SEC. 519. None of the funds appropriated by this Act 

6 may be used by the Commissioner of Social Security or 

7 the Social Security Administration to pay the compensa8 tion of employees of the Social Security Administration 

9 to administer Social Security benefit payments, under any 

10 agreement between the United States and Mexico estab11 lishing totalization arrangements between the social secu12 rity system established by title II of the Social Security 

13 Act and the social security system of Mexico, which would 

14 not otherwise be payable but for such agreement. 

15 SEC. 520. (a) None of the funds made available in 

16 this Act may be used to maintain or establish a computer 

17 network unless such network blocks the viewing, 

18 downloading, and exchanging of pornography. 

19 (b) Nothing in subsection (a) shall limit the use of 

20 funds necessary for any Federal, State, tribal, or local law 

21 enforcement agency or any other entity carrying out crimi22 nal investigations, prosecution, or adjudication activities. 

23 SEC. 521. For purposes of carrying out Executive 

24 Order 13589, Office of Management and Budget Memo25 randum M–12–12 dated May 11, 2012, and requirements 


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1 contained in the annual appropriations bills relating to 

2 conference attendance and expenditures: 

3 (1) the operating divisions of HHS shall be con4 sidered independent agencies; and 

5 (2) attendance at and support for scientific con6 ferences shall be tabulated separately from and not 

7 included in agency totals. 

8 SEC. 522. Federal agencies funded under this Act 

9 shall clearly state within the text, audio, or video used for 

10 advertising or educational purposes, including emails or 

11 Internet postings, that the communication is printed, pub12 lished, or produced and disseminated at United States tax13 payer expense. The funds used by a Federal agency to 

14 carry out this requirement shall be derived from amounts 

15 made available to the agency for advertising or other com16 munications regarding the programs and activities of the 

17 agency. 

18 SEC. 523. (a) Federal agencies may use Federal dis19 cretionary funds that are made available in this Act to 

20 carry out up to 10 Performance Partnership Pilots. Such 

21 Pilots shall be governed by the provisions of section 526 

22 of division H of Public Law 113–76, except that in car23 rying out such Pilots section 526 shall be applied by sub24 stituting ‘‘Fiscal Year 2024’’ for ‘‘Fiscal Year 2014’’ in 

25 the title of subsection (b) and by substituting ‘‘September 


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1 30, 2028’’ for ‘‘September 30, 2018’’ each place it ap2 pears: Provided, That such pilots shall include commu3 nities that have experienced civil unrest. 

4 (b) In addition, Federal agencies may use Federal 

5 discretionary funds that are made available in this Act to 

6 participate in Performance Partnership Pilots that are 

7 being carried out pursuant to the authority provided by 

8 section 526 of division H of Public Law 113–76, section 

9 524 of division G of Public Law 113–235, section 525 of 

10 division H of Public Law 114–113, section 525 of division 

11 H of Public Law 115–31, section 525 of division H of 

12 Public Law 115–141, section 524 of division A of Public 

13 Law 116–94, section 524 of division H of Public Law 

14 116–260, and section 523 of division H of Public Law 

15 117–103. 

16 (c) Pilot sites selected under authorities in this Act 

17 and prior appropriations Acts may be granted by relevant 

18 agencies up to an additional 5 years to operate under such 

19 authorities. 

20 SEC. 524. Not later than 30 days after the end of 

21 each calendar quarter, beginning with the first month of 

22 fiscal year 2024 the Departments of Labor, Health and 

23 Human Services and Education and the Social Security 

24 Administration shall provide the Committees on Appro25 priations of the House of Representatives and Senate a 


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1 report on the status of balances of appropriations: Pro2 vided, That for balances that are unobligated and uncom3 mitted, committed, and obligated but unexpended, the 

4 monthly reports shall separately identify the amounts at5 tributable to each source year of appropriation (beginning 

6 with fiscal year 2012, or, to the extent feasible, earlier 

7 fiscal years) from which balances were derived. 

8 SEC. 525. The Departments of Labor, Health and 

9 Human Services, and Education shall provide to the Com10 mittees on Appropriations of the House of Representatives 

11 and the Senate a comprehensive list of any new or com12 petitive grant award notifications, including supplements, 

13 issued at the discretion of such Departments not less than 

14 3 full business days before any entity selected to receive 

15 a grant award is announced by the Department or its of16 fices (other than emergency response grants at any time 

17 of the year or for grant awards made during the last 10 

18 business days of the fiscal year, or if applicable, of the 

19 program year). 

20 SEC. 526. Notwithstanding any other provision of 

21 this Act, no funds appropriated in this Act shall be used 

22 to purchase sterile needles or syringes for the hypodermic 

23 injection of any illegal drug: Provided, That such limita24 tion does not apply to the use of funds for elements of 

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1 evant State or local health department, in consultation 

2 with the Centers for Disease Control and Prevention, de3 termines that the State or local jurisdiction, as applicable, 

4 is experiencing, or is at risk for, a significant increase in 

5 hepatitis infections or an HIV outbreak due to injection 

6 drug use, and such program is operating in accordance 

7 with State and local law. 

8 SEC. 527. (a) Each department and related agency 

9 funded through this Act shall provide answers to questions 

10 submitted for the record by members of any congressional 

11 committee within 45 business days after receipt. 

12 (b) There is rescinded an amount equal to $1,000 for 

13 each day of the noncompliance period described in sub14 section (c) from an account listed in subsection (d). 

15 (c) The noncompliance period under subsection (b) 

16 means the period beginning on the first day following the 

17 failure to comply with the deadline described in subsection 

18 (a) and ending on the date on which the department or 

19 agency becomes compliant. 

20 (d) Any rescission under subsection (b) shall be from 

21 the applicable following account of the noncompliant de22 partment or agency: 

23 (1)‘‘Department of Health and Human Serv24 ices—Office of the Secretary—General Depart25 mental Management’’ 


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1 (2) ‘‘Department of Labor—Departmental 

2 Management—Salaries and Expenses’’ 

3 (3) ‘‘Department of Education—Departmental 

4 Management—Program Administration’’ 

5 SEC. 528. Of amounts deposited in the Child Enroll6 ment Contingency Fund under section 2104(n)(2) of the 

7 Social Security Act and the income derived from invest8 ment of those funds pursuant to section 2104(n)(2)(C) of 

9 that Act, $13,493,000,000 shall not be available for obli10 gation in this fiscal year. 

11 SEC. 529. (a) This section applies to: (1) the Admin12 istration for Children and Families in the Department of 

13 Health and Human Services; and (2) the Chief Evaluation 

14 Office and the statistical-related cooperative and inter15 agency agreements and contracting activities of the Bu16 reau of Labor Statistics in the Department of Labor. 

17 (b) Amounts made available under this Act which are 

18 either appropriated, allocated, advanced on a reimbursable 

19 basis, or transferred to the functions and organizations 

20 identified in subsection (a) for research, evaluation, or sta21 tistical purposes shall be available for obligation through 

22 September 30, 2028: Provided, That when an office ref23 erenced in subsection (a) receives research and evaluation 

24 funding from multiple appropriations, such offices may 


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1 use a single Treasury account for such activities, with 

2 funding advanced on a reimbursable basis. 

3 (c) Amounts referenced in subsection (b) that are un4 expended at the time of completion of a contract, grant, 

5 or cooperative agreement may be deobligated and shall im6 mediately become available and may be reobligated in that 

7 fiscal year or the subsequent fiscal year for the research, 

8 evaluation, or statistical purposes for which such amounts 

9 are available. 

10 SEC. 530. None of the funds made available by this 

11 Act may be used to carry out any program, project, or 

12 activity that promotes or advances Critical Race Theory 

13 or any concept associated with Critical Race Theory. 

14 SEC. 531. None of the funds appropriated or other15 wise made available by this Act may be made available 

16 to implement, administer, apply, enforce, or carry out Ex17 ecutive Order 13985 of January 20, 2021 (86 Fed. Reg. 

18 7009, relating to advancing racial equity and support for 

19 under-served communities through the Federal Govern20 ment), Executive Order 14035 of June 25, 2021 (86 Fed. 

21 Reg. 34593, relating to diversity, equity, inclusion, and 

22 accessibility in the federal workforce), or Executive Order 

23 14091 of February 16, 2023 (88 Fed. Reg. 10825 relating 

24 to further advancing racial equity and support for under25 served communities through the federal government). 


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1 SEC. 532. None of the funds made available by this 

2 Act may be made available to support, directly or indi3 rectly, the Wuhan Institute of Virology, or any laboratory 

4 owned or controlled by the governments of the People’s 

5 Republic of China, the Republic of Cuba, the Islamic Re6 public of Iran, The Democratic People’s Republic of 

7 Korea, the Russian Federation, the Bolivarian Republic 

8 of Venezuela under the regime of Nicola ́s Maduro Moros, 

9 or any other country determined by the Secretary of State 

10 to be a foreign adversary. 

11 SEC. 533. None of the funds made available by this 

12 Act may be used, either directly or indirectly, to conduct 

13 or support any gain-of-function research involving a poten14 tial pandemic pathogen by any country determined by the 

15 Secretary of State to be a foreign adversary including the 

16 People’s Republic of China, the Republic of Cuba, the Is17 lamic Republic of Iran, The Democratic People’s Republic 

18 of Korea, the Russian Federation, or the Bolivarian Re19 public of Venezuela under the regime of Nicola ́s Maduro 

20 Moros. 

21 SEC. 534. None of the funds made available by this 

22 Act may be used for surgical procedures or hormone thera23 pies for the purposes of gender affirming care. 

24 SEC. 535. None of the funds made available by this 

25 Act may be used to implement, administer, apply, enforce, 


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1 or carry out any diversity, equity, and inclusion office, pro2 gram, or training. 

3 SEC. 536. None of the funds made available by this 

4 Act may be used to implement, administer, or enforce Ex5 ecutive Order 14076 (Protecting Access to Reproductive 

6 Healthcare Services) or Executive Order 14079 (Securing 

7 Access to Reproductive and Other Healthcare Services). 

8 SEC. 537. (a) In general.—Notwithstanding section 

9 7 of title 1, United States Code, section 1738C of title 

10 28, United States Code, or any other provision of law, 

11 none of the funds provided by this Act, or previous appro12 priations Acts, shall be used in whole or in part to take 

13 any discriminatory action against a person, wholly or par14 tially, on the basis that such person speaks, or acts, in 

15 accordance with a sincerely held religious belief, or moral 

16 conviction, that marriage is, or should be recognized as, 

17 a union of one man and one woman. 

18 (b) Discriminatory action defined.—As used in sub19 section (a), a discriminatory action means any action 

20 taken by the Federal Government to— 

21 (1) alter in any way the Federal tax treatment 

22 of, or cause any tax, penalty, or payment to be as23 sessed against, or deny, delay, or revoke an exemp24 tion from taxation under section 501(a) of the InterVerDate Sep 11 2014 06:15 Oct 26, 2023 Jkt 049200 PO 00000 Frm 00192 Fmt 6652 Sfmt 6201 E:\BILLS\H5894.IH H5894

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1 nal Revenue Code of 1986 of, any person referred to 

2 in subsection (a); 

3 (2) disallow a deduction for Federal tax pur4 poses of any charitable contribution made to or by 

5 such person; 

6 (3) withhold, reduce the amount or funding for, 

7 exclude, terminate, or otherwise make unavailable or 

8 deny, any Federal grant, contract, subcontract, co9 operative agreement, guarantee, loan, scholarship, li10 cense, certification, accreditation, employment, or 

11 other similar position or status from or to such per12 son; 

13 (4) withhold, reduce, exclude, terminate, or oth14 erwise make unavailable or deny, any entitlement or 

15 benefit under a Federal benefit program, including 

16 admission to, equal treatment in, or eligibility for a 

17 degree from an educational program, from or to 

18 such person; or 

19 (5) withhold, reduce, exclude, terminate, or oth20 erwise make unavailable or deny access or an entitle21 ment to Federal property, facilities, educational in22 stitutions, speech fora (including traditional, limited, 

23 and nonpublic fora), or charitable fundraising cam24 paigns from or to such person. 


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1 (c) Accreditation; Licensure; Certification.—The 

2 Federal Government shall consider accredited, licensed, or 

3 certified for purposes of Federal law any person that 

4 would be accredited, licensed, or certified, respectively, for 

5 such purposes but for a determination against such person 

6 wholly or partially on the basis that the person speaks, 

7 or acts, in accordance with a sincerely held religious belief 

8 or moral conviction described in subsection (a). 

9 (RESCISSION)

10 SEC. 538. Of the unobligated balances in the ‘‘Non11 recurring Expenses Fund’’ established in section 111(a) 

12 of division B of Public Law 116–93, $11,000,000,000 are 

13 hereby permanently rescinded. 

14 (RESCISSION)

15 SEC. 539. Of the unobligated balances available in 

16 Public Law 117-169, $9,774,000,000 available under sec17 tion 10301(1)(A)(iii) as of the date of the enactment of 

18 this Act are permanently rescinded. 

19 SEC. 540. None of the funds made available by this 

20 Act may be used by the Secretaries of Labor, Health and 

21 Human Services, or Education, the Commissioner of the 

22 Social Security Administration, or the head of any other 

23 agency funded in this Act to fly or display a flag over 

24 a federal facility other than the flag of the United States; 

25 the flag of a State, territory, or the District of Columbia; 


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1 the flag of an Indian Tribal Government; the official flag 

2 of a U.S. Department or agency; or the POW/MIA flag. 

3 SPENDING REDUCTION ACCOUNT

4 SEC. 541. The amount by which the applicable alloca5 tion of new budget authority made by the Committee on 

6 Appropriations of the House of Representatives under sec7 tion 302(b) of the Congressional Budget Act of 1974 ex8 ceeds the amount of proposed new budget authority is $0. 

9 This division may be cited as the ‘‘Departments of 

10 Labor, Health and Human Services, and Education, and 

11 Related Agencies Appropriations Act, 2024’’. 

Æ 


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