H. R. 2029—384 
SEC. 226. In addition to the amounts otherwise available for 
‘‘Centers for Medicare and Medicaid Services, Program Manage-
ment’’, the Secretary of Health and Human Services may transfer 
up to $305,000,000 to such account from the Federal Hospital 
Insurance Trust Fund and the Federal Supplementary Medical 
Insurance Trust Fund to support program management activity 
related to the Medicare Program: Provided, That except for the 
foregoing purpose, such funds may not be used to support any 
provision of Public Law 111–148 or Public Law 111–152 (or any 
amendment made by either such Public Law) or to supplant any 
other amounts within such account. 
(RESCISSION) 
SEC. 227. The following unobligated balances of amounts appro-
priated prior to fiscal year 2007 for ‘‘Department of Health and 
Human Services, Health Resources and Services Administration’’ 
are hereby permanently rescinded: 
(1) $281,003 appropriated to carry out section 1610(b) of 
the PHS Act; 
(2) $3,611 appropriated to carry out section 1602(c) of the 
PHS Act; 
(3) $105,576 appropriated in section 167 of division H of 
Public Law 108–199; and 
(4) $55,793 appropriated to carry out the National Cord 
Blood Stem Cell Bank Program. 
SEC. 228. The Secretary shall include in the fiscal year 2017 
budget justification an analysis of how section 2713 of the PHS 
Act will impact eligibility for discretionary HHS programs. 
SEC. 229. Effective during the period beginning on November 
1, 2015 and ending January 1, 2018, any provision of law that 
refers (including through cross-reference to another provision of 
law) to the current recommendations of the United States Preven-
tive Services Task Force with respect to breast cancer screening, 
mammography, and prevention shall be administered by the Sec-
retary involved as if— 
(1) such reference to such current recommendations were 
a reference to the recommendations of such Task Force with 
respect to breast cancer screening, mammography, and preven-
tion last issued before 2009; and 
(2) such recommendations last issued before 2009 applied 
to any screening mammography modality under section 1861(jj) 
of the Social Security Act (42 U.S.C. 1395x(jj)). 
(TRANSFER OF FUNDS) 
SEC. 230. (a) IN GENERAL.—Subject to the succeeding provisions 
of this section, activities authorized under part A of title IV and 
section 1108(b) of the Social Security Act shall continue through 
September 30, 2016, in the manner authorized for fiscal year 2015, 
and out of any money in the Treasury of the United States not 
otherwise appropriated, there are hereby appropriated such sums 
as may be necessary for such purpose. Grants and payments may 
be made pursuant to this authority through September 30, 2016 
at the level provided for such activities for fiscal year 2015, except 
as provided in subsection (b).
H. R. 2029—385 
(b) CONTINGENCY FUND.—In the case of the Contingency Fund 
for State Welfare Programs established under section 403(b) of 
the Social Security Act— 
(1) the amount appropriated for such section 403(b) shall 
be $608,000,000 for each of fiscal years 2016 and 2017, notwith-
standing section 228(b)(1) of the Department of Health and 
Human Services Appropriations Act, 2015; 
(2) the requirement to reserve funds provided for in section 
403(b)(2) of the Social Security Act shall not apply during 
fiscal years 2016 and 2017; and 
(3) grants and payments may only be made from such 
Fund for fiscal year 2016 after the application of subsection 
(c). 
(c) CENSUS
RESEARCH
AND
WELFARE
RESEARCH.—Of the 
amount made available under subsection (b)(1) for section 403(b) 
of the Social Security Act for fiscal year 2016— 
(1) $15,000,000 is hereby transferred to the Children’s 
Research and Technical Assistance account in the Administra-
tion for Children and Families at the Department of Health 
and Human Services and made available to carry out section 
413(h) of the Social Security Act; and 
(2) $10,000,000 is hereby transferred and made available 
to the Bureau of the Census to conduct activities using the 
Survey of Income and Program Participation to obtain informa-
tion to enable interested parties to evaluate the impact of 
the amendments made by title I of the Personal Responsibility 
and Work Opportunity Reconciliation Act of 1996. 
SEC. 231. Section 1886(m)(6) of the Social Security Act (42 
U.S.C. 1395ww(m)(6)) is amended— 
(1) in subparagraph (A)(i) by striking ‘‘subparagraph (C)’’ 
and inserting ‘‘subparagraphs (C) and (E)’’; and 
(2) by adding at the end the following new subparagraph: 
‘‘(E) TEMPORARY
EXCEPTION
FOR
CERTAIN
SEVERE 
WOUND DISCHARGES FROM CERTAIN LONG-TERM CARE HOS-
PITALS.— 
‘‘(i) IN GENERAL.—In the case of a discharge occur-
ring prior to January 1, 2017, subparagraph (A)(i) shall 
not apply (and payment shall be made to a long-term 
care hospital without regard to this paragraph) if such 
discharge— 
‘‘(I) is from a long-term care hospital that is— 
‘‘(aa) identified by the amendment made 
by section 4417(a) of the Balanced Budget Act 
of 1997 (42 U.S.C. 1395ww note, Public Law 
105–33); and 
‘‘(bb) located in a rural area (as defined 
in subsection (d)(2)(D)) or treated as being 
so located pursuant to subsection (d)(8)(E); and 
‘‘(II) the individual discharged has a severe 
wound. 
‘‘(ii) SEVERE
WOUND
DEFINED.—In this subpara-
graph, the term ‘severe wound’ means a stage 3 wound, 
stage 4 wound, unstageable wound, non-healing sur-
gical wound, infected wound, fistula, osteomyelitis, or 
wound with morbid obesity, as identified in the claim 
from the long-term care hospital.’’.
H. R. 2029—386 
This title may be cited as the ‘‘Department of Health and 
Human Services Appropriations Act, 2016’’. 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Secondary Edu-
cation Act of 1965 (referred to in this Act as ‘‘ESEA’’) and section 
418A of the Higher Education Act of 1965 (referred to in this 
Act as ‘‘HEA’’), $16,016,790,000, of which $5,127,006,000 shall 
become available on July 1, 2016, and shall remain available 
through September 30, 2017, and of which $10,841,177,000 shall 
become available on October 1, 2016, and shall remain available 
through September 30, 2017, for academic year 2016–2017: Pro-
vided, That $6,459,401,000 shall be for basic grants under section 
1124 of the ESEA: Provided further, That up to $3,984,000 of 
these funds shall be available to the Secretary of Education (referred 
to in this title as ‘‘Secretary’’) on October 1, 2015, to obtain annually 
updated local educational agency-level census poverty data from 
the Bureau of the Census: Provided further, That $1,362,301,000 
shall be for concentration grants under section 1124A of the ESEA: 
Provided further, That $3,544,050,000 shall be for targeted grants 
under section 1125 of the ESEA: Provided further, That 
$3,544,050,000 shall be for education finance incentive grants under 
section 1125A of the ESEA: Provided further, That funds available 
under sections 1124, 1124A, 1125 and 1125A of the ESEA may 
be used to provide homeless children and youths with services 
not ordinarily provided to other students under those sections, 
including supporting the liaison designated pursuant to section 
722(g)(1)(J)(ii) of the McKinney-Vento Homeless Assistance Act, 
and providing transportation pursuant to section 722(g)(1)(J)(iii) 
of such Act: Provided further, That $450,000,000 shall be available 
for school improvement grants under section 1003(g) of the ESEA, 
which shall be allocated by the Secretary through the formula 
described in section 1003(g)(2) and shall be used consistent with 
the requirements of section 1003(g), except that State and local 
educational agencies may use such funds to serve any school eligible 
to receive assistance under part A of title I that has not made 
adequate yearly progress for at least 2 years or is in the State’s 
lowest quintile of performance based on proficiency rates and, in 
the case of secondary schools, priority shall be given to those schools 
with graduation rates below 60 percent: Provided further, That 
notwithstanding section 1003(g)(5)(C) of the ESEA, the Secretary 
may permit a State educational agency to establish an award period 
of up to 5 years for each participating local educational agency: 
Provided further, That funds available for school improvement 
grants for fiscal year 2014 and thereafter may be used by a local 
educational agency to implement a whole-school reform strategy 
for a school using an evidence-based strategy that ensures whole- 
school reform is undertaken in partnership with a strategy devel-
oper offering a whole-school reform program that is based on at 
least a moderate level of evidence that the program will have 
a statistically significant effect on student outcomes, including at 
least one well-designed and well-implemented experimental or
H. R. 2029—387 
quasi-experimental study: Provided further, That funds available 
for school improvement grants may be used by a local educational 
agency to implement an alternative State-determined school 
improvement strategy that has been established by a State edu-
cational agency with the approval of the Secretary: Provided further, 
That a local educational agency that is determined to be eligible 
for services under subpart 1 or 2 of part B of title VI of the 
ESEA may modify not more than one element of a school improve-
ment grant model: Provided further, That notwithstanding section 
1003(g)(5)(A), each State educational agency may establish a max-
imum subgrant size of not more than $2,000,000 for each partici-
pating school applicable to such funds: Provided further, That the 
Secretary may reserve up to 5 percent of the funds available for 
section 1003(g) of the ESEA to carry out activities to build State 
and local educational agency capacity to implement effectively the 
school improvement grants program: Provided further, That 
$190,000,000 shall be available under section 1502 of the ESEA 
for a comprehensive literacy development and education program 
to advance literacy skills, including pre-literacy skills, reading, and 
writing, for students from birth through grade 12, including limited- 
English-proficient students and students with disabilities, of which 
one-half of 1 percent shall be reserved for the Secretary of the 
Interior for such a program at schools funded by the Bureau of 
Indian Education, one-half of 1 percent shall be reserved for grants 
to the outlying areas for such a program, up to 5 percent may 
be reserved for national activities, and the remainder shall be 
used to award competitive grants to State educational agencies 
for such a program, of which a State educational agency may 
reserve up to 5 percent for State leadership activities, including 
technical assistance and training, data collection, reporting, and 
administration, and shall subgrant not less than 95 percent to 
local educational agencies or, in the case of early literacy, to local 
educational agencies or other nonprofit providers of early childhood 
education that partner with a public or private nonprofit organiza-
tion or agency with a demonstrated record of effectiveness in 
improving the early literacy development of children from birth 
through kindergarten entry and in providing professional develop-
ment in early literacy, giving priority to such agencies or other 
entities serving greater numbers or percentages of disadvantaged 
children: Provided further, That the State educational agency shall 
ensure that at least 15 percent of the subgranted funds are used 
to serve children from birth through age 5, 40 percent are used 
to serve students in kindergarten through grade 5, and 40 percent 
are used to serve students in middle and high school including 
an equitable distribution of funds between middle and high schools: 
Provided further, That eligible entities receiving subgrants from 
State educational agencies shall use such funds for services and 
activities that have the characteristics of effective literacy instruc-
tion through professional development, screening and assessment, 
targeted interventions for students reading below grade level and 
other research-based methods of improving classroom instruction 
and practice: Provided further, That $44,623,000 shall be for car-
rying out section 418A of the HEA.