NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$913,979,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $4,507,623,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $685,465,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $534,333,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $197,693,000. 
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NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$595,318,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,662,695,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,187,843,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$663,200,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $440,627,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
INTEGRATIVE HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and integrative health, 
$170,384,000. 
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NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $544,395,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $95,162,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$497,548,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2027: Provided further, That 
in this fiscal year, the National Library of Medicine may 
enter into personal services contracts for the provision of 
services in facilities owned, operated, or constructed under 
the jurisdiction of the National Institutes of Health (re-
ferred to in this title as ‘‘NIH’’). 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $928,323,000: 
Provided, That $75,000,000 shall be available to imple-
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ment section 480 of the PHS Act, relating to the Cures 
Acceleration Network. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, NIH, $2,428,914,000: Provided, That fund-
ing shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That all funds credited to the NIH Manage-
ment Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided fur-
ther, That $672,401,000 shall be available for the Com-
mon Fund established under section 402A(c)(1) of the 
PHS Act: Provided further, That of the funds provided, 
$10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of the 
NIH: Provided further, That the Office of AIDS Research 
within the Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or ren-
ovation 
of 
facilities 
as 
provided 
for 
in 
section 
2354(a)(5)(B) of the PHS Act: Provided further, That 
amounts made available under this heading are also avail-
able to establish, operate, and support the Research Policy 
Board authorized by section 2034(f) of the 21st Century 
Cures Act: Provided further, That the funds made avail-
able under this heading for the Office of Research on 
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Women’s Health shall also be available for making grants 
to serve and promote the interests of women in research, 
and the Director of such Office may, in making such 
grants, use the authorities available to NIH Institutes and 
Centers. 
In addition to other funds appropriated for the Office 
of the Director, $12,600,000 is appropriated from the 10- 
year Pediatric Research Initiative Fund described in sec-
tion 9008 of the Internal Revenue Code of 1986 (26 
U.S.C. 9008), for the purpose of carrying out section 
402(b)(7)(B)(ii) of the PHS Act (relating to pediatric re-
search), as authorized in the Gabriella Miller Kids First 
Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$352,000,000, to remain available until expended. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
Act, in addition to amounts available for such purposes 
in the appropriations provided to the NIH in this Act, 
$226,000,000, to remain available until expended: Pro-
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vided, That such amounts are appropriated pursuant to 
section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the NIH 
to other accounts of the NIH solely for the purposes pro-
vided in such Act: Provided further, That upon a deter-
mination by the Director of the NIH that funds trans-
ferred pursuant to the previous proviso are not necessary 
for the purposes provided, such amounts may be trans-
ferred back to the Account: Provided further, That the 
transfer authority provided under this heading is in addi-
tion to any other transfer authority provided by law. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
For carrying out section 301 and part J of title IV 
of the PHS Act with respect to advanced research projects 
for health, $945,000,000, to remain available through 
September 30, 2028. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, the Protection and Ad-
vocacy for Individuals with Mental Illness Act, and the 
SUPPORT 
for 
Patients 
and 
Communities 
Act, 
$2,667,521,000: Provided, That of the funds made avail-
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able under this heading, $100,887,000 shall be for the Na-
tional Child Traumatic Stress Initiative: Provided further, 
That notwithstanding section 520A(f)(2) of the PHS Act, 
no funds appropriated for carrying out section 520A shall 
be available for carrying out section 1971 of the PHS Act: 
Provided further, That in addition to amounts provided 
herein, $21,039,000 shall be available under section 241 
of the PHS Act to carry out subpart I of part B of title 
XIX of the PHS Act to fund section 1920(b) technical 
assistance, national data, data collection and evaluation 
activities, and further that the total available under this 
Act for section 1920(b) activities shall not exceed 5 per-
cent of the amounts appropriated for subpart I of part 
B of title XIX: Provided further, That of the funds made 
available under this heading for subpart I of part B of 
title XIX of the PHS Act, at least 5 percent shall be avail-
able to support evidence-based crisis systems: Provided 
further, That up to 10 percent of the amounts made avail-
able to carry out the Children’s Mental Health Services 
program may be used to carry out demonstration grants 
or contracts for early interventions with persons not more 
than 25 years of age at clinical high risk of developing 
a first episode of psychosis: Provided further, That section 
520E(b)(2) of the PHS Act shall not apply to funds ap-
propriated in this Act for fiscal year 2026: Provided fur-
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ther, That $385,000,000 shall be available until Sep-
tember 30, 2028 for grants to communities and commu-
nity organizations who meet criteria for Certified Commu-
nity Behavioral Health Clinics pursuant to section 223(a) 
of Public Law 113–93: Provided further, That none of the 
funds provided for section 1911 of the PHS Act shall be 
subject to section 241 of such Act: Provided further, That 
of the funds made available under this heading, 
$26,420,000 shall be to carry out section 224 of the Pro-
tecting Access to Medicare Act of 2014 (Public Law 113– 
93; 42 U.S.C. 290aa 22 note). 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse treatment and title XIX 
of such Act with respect to substance abuse treatment and 
prevention, section 1003 of the 21st Century Cures Act, 
and the SUPPORT for Patients and Communities Act, 
$3,929,763,000: Provided, That $1,575,000,000 shall be 
for carrying out section 1003 of the 21st Century Cures 
Act: Provided further, That of such amount in the pre-
ceding proviso not less than 5 percent shall be made avail-
able to Indian Tribes or Tribal organizations: Provided 
further, That in addition to amounts provided herein, 
$79,200,000 shall be available under section 241 of the 
PHS Act to carry out subpart II of part B of title XIX 
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of the PHS Act to fund section 1935(b) technical assist-
ance, national data, data collection and evaluation activi-
ties, and further that the total available under this Act 
for section 1935(b) activities shall not exceed 5 percent 
of the amounts appropriated for subpart II of part B of 
title XIX: Provided further, That none of the funds pro-
vided for section 1921 of the PHS Act or State Opioid 
Response Grants shall be subject to section 241 of such 
Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $205,009,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
$129,895,000: Provided, That in addition to amounts pro-
vided herein, $31,428,000 shall be available under section 
241 of the PHS Act to supplement funds available to 
carry out national surveys on drug abuse and mental 
health, to collect and analyze program data, and to con-
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duct public awareness and technical assistance activities: 
Provided further, That, in addition, fees may be collected 
for the costs of publications, data, data tabulations, and 
data analysis completed under title V of the PHS Act and 
provided to a public or private entity upon request, which 
shall be credited to this appropriation and shall remain 
available until expended for such purposes: Provided fur-
ther, That amounts made available in this Act for carrying 
out section 501(o) of the PHS Act shall remain available 
through September 30, 2027: Provided further, That funds 
made available under this heading (other than amounts 
specified in the first proviso under this heading) may be 
used to supplement program support funding provided 
under the headings ‘‘Mental Health’’, ‘‘Substance Abuse 
Treatment’’, and ‘‘Substance Abuse Prevention’’. 
CENTERS FOR MEDICARE & MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $508,148,791,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2026, for the last quarter of fiscal year 2026 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
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In addition, for carrying out such titles for the first 
quarter of fiscal year 2027, $316,514,725,000, to remain 
available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $593,817,000,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
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Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $3,474,391,000 to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary Medical Insurance Trust Fund, as authorized 
by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may 
be collected from authorized user fees and the sale of data, 
which shall be credited to this account and remain avail-
able until expended: Provided, That all funds derived in 
accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the PHS Act shall be credited 
to and available for carrying out the purposes of this ap-
propriation: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2026 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That of the amount made available under this 
heading, $407,334,000 shall remain available until Sep-
tember 30, 2027, and shall be available for the Survey 
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and Certification Program: Provided further, That 
amounts available under this heading to support quality 
improvement organizations (as defined in section 1152 of 
the Social Security Act) shall not exceed the amount spe-
cifically provided for such purpose under this heading in 
division H of the Consolidated Appropriations Act, 2018 
(Public Law 115–141). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $941,000,000, 
to remain available through September 30, 2027, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $699,058,000 shall be for the Cen-
ters for Medicare & Medicaid Services program integrity 
activities, of which $108,735,000 shall be for the Depart-
ment of Health and Human Services Office of Inspector 
General to carry out fraud and abuse activities authorized 
by section 1817(k)(3) of such Act, and of which 
$133,207,000 shall be for the Department of Justice to 
carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2026 shall include measures of the oper-
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ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the 
funds provided by this appropriation: Provided further, 
That of the amount provided under this heading, 
$311,000,000 is provided to meet the terms of a concur-
rent resolution on the budget, and $630,000,000 is addi-
tional new budget authority specified for purposes of a 
concurrent resolution on the budget for additional health 
care fraud and abuse control activities: Provided further, 
That the Secretary shall provide not less than 
$35,000,000 from amounts made available under this 
heading and amounts made available for fiscal year 2026 
under section 1817(k)(3)(A) of the Social Security Act for 
the Senior Medicare Patrol program to combat health care 
fraud and abuse. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided, titles 
I, IV–D, X, XI, XIV, and XVI of the Social Security Act 
and the Act of July 5, 1960, $4,147,000,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2027, $1,800,000,000, to re-
main available until expended. 
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For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low-Income Home Energy Assist-
ance 
Act 
of 
1981 
(42 
U.S.C. 
8621 
et 
seq.), 
$4,035,000,000: Provided, That notwithstanding section 
2609A(a) of such Act, not more than $9,600,000 may be 
reserved by the Secretary for technical assistance, train-
ing, and monitoring of program activities for compliance 
with internal controls, policies and procedures, and to sup-
plement funding otherwise available for necessary admin-
istrative expenses to carry out such Act, and the Secretary 
may, in addition to the authorities provided in section 
2609A(a)(1), use such funds through contracts with pri-
vate entities that do not qualify as nonprofit organiza-
tions: Provided further, That all but $902,348,000 of the 
amount appropriated under this heading shall be allocated 
as though the total appropriation for such payments for 
fiscal year 2026 was less than $1,975,000,000: Provided 
further, That, after applying all applicable provisions of 
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section 2604 of such Act and the previous proviso, each 
State or territory that would otherwise receive an alloca-
tion that is less than 97 percent of the amount that it 
received under this heading for fiscal year 2025 from 
amounts appropriated in Public Law 119–4 shall have its 
allocation increased to that 97 percent level, with the por-
tions of other States’ and territories’ allocations that 
would exceed 100 percent of the amounts they respectively 
received in such fashion for fiscal year 2025 being ratably 
reduced. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, and for carrying 
out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims 
Protection Reauthorization Act of 2008, the Trafficking 
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-
ture Victims Relief Act of 1998, $4,292,755,000, of which 
$4,243,000,000 shall remain available through September 
30, 2028 for carrying out such sections 414, 501, 462, 
and 235: Provided, That amounts available under this 
heading to carry out the TVPA shall also be available for 
research and evaluation with respect to activities under 
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such Act: Provided further, That the contribution of funds 
requirement under section 235(c)(6)(C)(iii) of the William 
Wilberforce Trafficking Victims Protection Reauthoriza-
tion Act of 2008 shall not apply to funds made available 
under this heading: Provided further, That not more than 
7 percent of amounts made available under this heading 
shall be available for Federal administrative costs. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, sec-
tion 436 of the Social Security Act, $420,000,000 and, 
for carrying out, except as otherwise provided, section 437 
of such Act, $62,515,000: Provided, That of the funds 
available to carry out section 437, $59,765,000 shall be 
allocated consistent with subsections (b) through (d) of 
such section: Provided further, That of the funds available 
to carry out section 437, $2,750,000 shall be for the Fam-
ily First Clearinghouse and to support evaluation and 
technical assistance relating to identifying or developing 
child and family services that meet the criteria in section 
471(e)(4)(C) of such Act, in addition to funds otherwise 
appropriated to support such purposes in section 476(d): 
Provided further, That the minimum grant award for kin-
ship navigator programs in the case of States and terri-
tories shall be $200,000, and, in the case of Tribes, shall 
be $25,000. 
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PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block 
Grant 
Act 
of 
1990 
(‘‘CCDBG 
Act’’), 
$8,746,387,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That technical assistance 
under section 658I(a)(3) of such Act may be provided di-
rectly, or through the use of contracts, grants, cooperative 
agreements, or interagency agreements: Provided further, 
That all funds made available to carry out section 418 
of the Social Security Act (42 U.S.C. 618), including 
funds appropriated for that purpose in such section 418 
or any other provision of law, shall be subject to the res-
ervation of funds authority in paragraphs (4) and (5) of 
section 658O(a) of the CCDBG Act: Provided further, 
That notwithstanding the reservation requirements in any 
other provision of law, of amounts appropriated under this 
heading, not less than 6 percent shall be reserved for pay-
ments to Indian Tribes and Tribal organizations: Provided 
further, That of the amounts made available under this 
heading, the Secretary may reserve up to 0.5 percent for 
Federal administrative expenses. 
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SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX–A of such Act shall be 10 
percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Every Student Succeeds Act, the Child Abuse Preven-
tion and Treatment Act, sections 303 and 313 of the 
Family Violence Prevention and Services Act, the Native 
American Programs Act of 1974, title II of the Child 
Abuse Prevention and Treatment and Adoption Reform 
Act of 1978 (adoption opportunities), part B–1 of title IV 
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 
of the Social Security Act, and the Community Services 
Block Grant Act (‘‘CSBG Act’’); and for necessary admin-
istrative expenses to carry out titles I, IV, V, X, XI, XIV, 
XVI, and XX–A of the Social Security Act, the Act of 
July 5, 1960, and the Low-Income Home Energy Assist-
ance 
Act 
of 
1981, 
$14,480,087,000, 
of 
which 
$75,000,000, to remain available through September 30, 
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2027, shall be for grants to States for adoption and legal 
guardianship incentive payments, as defined by section 
473A of the Social Security Act and may be made for 
adoptions and legal guardianships completed before Sep-
tember 30, 2026: Provided, That $12,271,820,000 shall 
be for making payments under the Head Start Act, includ-
ing for Early Head Start–Child Care Partnerships, and, 
of which, notwithstanding section 640 of such Act: 
(1) $25,000,000 shall be available for allocation 
by the Secretary to supplement activities described 
in paragraphs (7)(B) and (9) of section 641(c) of 
the Head Start Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12), and 645A(d) of such Act, 
and such funds shall not be included in the calcula-
tion of ‘‘base grant’’ in subsequent fiscal years, as 
such term is used in section 640(a)(7)(A) of such 
Act; 
(2) $12,000,000 shall be available for the Trib-
al Colleges and Universities Head Start Partnership 
Program consistent with section 648(g) of such Act; 
(3) Not to exceed $8,000,000 shall be available 
for the Marshall Islands and Micronesia for the 
start-up and operation of Head Start services and 
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for the provision of training and technical assist-
ance; and 
(4) Up to $21,000,000 shall be available to 
supplement funding otherwise available for research, 
evaluation, and Federal administrative costs: 
Provided further, That the Secretary may reduce the res-
ervation of funds under section 640(a)(2)(C) of such Act 
in lieu of reducing the reservation of funds under sections 
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 
Act: Provided further, That $810,383,000 shall be for 
making payments under the CSBG Act: Provided further, 
That for services furnished under the CSBG Act with 
funds made available for such purpose in this fiscal year 
and in fiscal year 2025, States may apply the last sentence 
of section 673(2) of the CSBG Act by substituting ‘‘200 
percent’’ for ‘‘125 percent’’: Provided further, That 
$35,383,000 shall be for section 680 of the CSGB Act, 
of which not less than $22,383,000 shall be for section 
680(a)(2) and not less than $13,000,000 shall be for sec-
tion 680(a)(3)(B) of such Act: Provided further, That 
$240,000,000 shall be for carrying out section 303(a) of 
the Family Violence Prevention and Services Act, of which 
$12,000,000 shall be allocated notwithstanding section 
303(a)(2) of such Act for carrying out section 309 of such 
Act: Provided further, That the percentages specified in 
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section 112(a)(2) of the Child Abuse Prevention and 
Treatment Act shall not apply to funds appropriated 
under this heading: Provided further, That $1,864,000 
shall be for a human services case management system 
for federally declared disasters, to include a comprehensive 
national case management contract and Federal costs of 
administering the system: Provided further, That up to 
$2,000,000 shall be for improving the Public Assistance 
Reporting Information System, including grants to States 
to support data collection for a study of the system’s effec-
tiveness. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $6,843,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2027, $3,800,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
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ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), the 
RAISE Family Caregivers Act, the Supporting Grand-
parents Raising Grandchildren Act, titles III and XXIX 
of the PHS Act, sections 1252 and 1253 of the PHS Act, 
section 119 of the Medicare Improvements for Patients 
and Providers Act of 2008, title XX–B of the Social Secu-
rity Act, the Developmental Disabilities Assistance and 
Bill of Rights Act of 2000, parts 2 and 5 of subtitle D 
of title II of the Help America Vote Act of 2002, the As-
sistive Technology Act of 1998, titles II and VII (and sec-
tion 14 with respect to such titles) of the Rehabilitation 
Act of 1973, and for Department-wide coordination of pol-
icy and program activities that assist individuals with dis-
abilities, $2,425,190,000, together with $55,242,000 to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund to carry out section 4360 of the Omnibus 
Budget Reconciliation Act of 1990: Provided, That of 
amounts made available under this heading to carry out 
sections 311, 331, and 336 of the OAA, up to one percent 
of such amounts shall be available for developing and im-
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plementing evidence-based practices for enhancing senior 
nutrition, including medically-tailored meals: Provided fur-
ther, That notwithstanding any other provision of this Act, 
funds made available under this heading to carry out sec-
tion 311 of the OAA may be transferred to the Secretary 
of Agriculture in accordance with such section: Provided 
further, That up to 5 percent of the funds provided for 
adult protective services grants under section 2042 of title 
XX of the Social Security Act may be used to make grants 
to Tribes and Tribal organizations: Provided further, That 
$2,000,000 shall be for competitive grants to support al-
ternative financing programs that provide for the purchase 
of assistive technology devices, such as a low-interest loan 
fund; an interest buy-down program; a revolving loan 
fund; a loan guarantee; or an insurance program: Provided 
further, That applicants shall provide an assurance that, 
and information describing the manner in which, the alter-
native financing program will expand and emphasize con-
sumer choice and control: Provided further, That State 
agencies and community-based disability organizations 
that are directed by and operated for individuals with dis-
abilities shall be eligible to compete: Provided further, That 
none of the funds made available under this heading may 
be used by an eligible system (as defined in section 102 
of the Protection and Advocacy for Individuals with Men-
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tal Illness Act (42 U.S.C. 10802)) to continue to pursue 
any legal action in a Federal or State court on behalf of 
an individual or group of individuals with a developmental 
disability (as defined in section 102(8)(A) of the Develop-
mental Disabilities and Assistance and Bill of Rights Act 
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 
a mental impairment (or a combination of mental and 
physical impairments), that has as the requested remedy 
the closure of State operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, the legal guardians who have been specifically 
awarded authority by the courts to make healthcare and 
residential decisions on behalf of such individuals) who are 
affected by such action, within 90 days of instituting such 
legal action, which informs such individuals (or such legal 
guardians) of their legal rights and how to exercise such 
rights consistent with current Federal Rules of Civil Pro-
cedure: Provided further, That the limitations in the imme-
diately preceding proviso shall not apply in the case of an 
individual who is neither competent to consent nor has a 
legal guardian, nor shall the proviso apply in the case of 
individuals who are a ward of the State or subject to pub-
lic guardianship. 
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ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND 
RESPONSE 
RESEARCH, DEVELOPMENT, AND PROCUREMENT 
For carrying out title III and subtitles A and B of 
title XXVIII of the PHS Act, with respect to the research, 
development, storage, production, and procurement of 
medical countermeasures to counter potential chemical, bi-
ological, radiological, and nuclear threats to civilian popu-
lations, $3,265,000,000: Provided, That of such amount: 
(1) 
$1,100,000,000, 
to 
remain 
available 
through September 30, 2027, shall be for expenses 
necessary to support advanced research and develop-
ment, including of mRNA vaccines, pursuant to sec-
tion 319L of the PHS Act and other administrative 
expenses of the Biomedical Advanced Research and 
Development Authority; 
(2) $850,000,000, to remain available until ex-
pended, shall be for expenses necessary for pro-
curing security countermeasures (as defined in sec-
tion 319F–2(c)(1)(B) of the PHS Act); 
(3) $1,000,000,000, to remain available until 
expended, shall be for expenses necessary to carry 
out section 319F–2(a) of the PHS Act; and 
(4) $315,000,000 shall be for expenses nec-
essary to prepare for or respond to an influenza 
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pandemic, of which $280,000,000 shall remain avail-
able until expended for activities including the devel-
opment and purchase of vaccines, antivirals, nec-
essary medical supplies, diagnostics, and surveillance 
tools: Provided, That notwithstanding section 496(b) 
of the PHS Act, funds allocated under this para-
graph may be used for the construction or renova-
tion of privately owned facilities for the production 
of pandemic influenza vaccines and other biologics, 
if the Secretary finds such construction or renova-
tion necessary to secure sufficient supplies of such 
vaccines or biologics: 
Provided further, That funds provided under this heading 
for purposes of acquisition of security countermeasures 
shall be in addition to any other funds made available for 
such purposes: Provided further, That products purchased 
with funds made available under this heading may, at the 
discretion of the Secretary, be deposited in the Strategic 
National Stockpile pursuant to section 319F–2 of the 
PHS Act: Provided further, That none of the funds made 
available under this heading may be used by the Adminis-
tration for Strategic Preparedness and Response to de-
velop, acquire, or stockpile medical countermeasures, or 
to strengthen the domestic industrial base, by procuring 
or acquiring any medical equipment, pharmaceutical good, 
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139 
the basis of the States’ relative populations of children 
aged 3 through 21 who are of the same age as children 
with disabilities for whom the State ensures the avail-
ability of a free appropriate public education under this 
part, and 15 percent to States on the basis of the States’ 
relative populations of those children who are living in pov-
erty: Provided further, That the Secretary may not dis-
tribute any funds under the previous proviso to any State 
whose reduction in allocation from funds appropriated 
under this heading made funds available for such a dis-
tribution: Provided further, That the States shall allocate 
such funds distributed under the second proviso to local 
educational agencies in accordance with section 611(f): 
Provided further, That the amount by which a State’s allo-
cation under section 611(d) of the IDEA is reduced under 
section 612(a)(18)(B) and the amounts distributed to 
States under the previous provisos in fiscal year 2012 or 
any subsequent year shall not be considered in calculating 
the awards under section 611(d) for fiscal year 2013 or 
for any subsequent fiscal years: Provided further, That, 
notwithstanding the provision in section 612(a)(18)(B) re-
garding the fiscal year in which a State’s allocation under 
section 611(d) is reduced for failure to comply with the 
requirement of section 612(a)(18)(A), the Secretary may 
apply the reduction specified in section 612(a)(18)(B) over 
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141 
available for the State Personnel Development Grants pro-
gram under part D, subpart 1 of IDEA to evaluate pro-
gram performance under such subpart: Provided further, 
That States may use funds reserved for other State-level 
activities under sections 611(e)(2) and 619(f) of the IDEA 
to make subgrants to local educational agencies, institu-
tions of higher education, other public agencies, and pri-
vate non-profit organizations to carry out activities au-
thorized by those sections: Provided further, That, not-
withstanding section 643(e)(2)(A) of the IDEA, if 5 or 
fewer States apply for grants pursuant to section 643(e) 
of such Act, the Secretary shall provide a grant to each 
State in an amount equal to the maximum amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That if more than 5 States apply for grants pursuant 
to section 643(e) of the IDEA, the Secretary shall award 
funds to those States on the basis of the States’ relative 
populations of infants and toddlers except that no such 
State shall receive a grant in excess of the amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That States may use funds allotted under section 
643(c) of the IDEA to make subgrants to local edu-
cational agencies, institutions of higher education, other 
public agencies, and private non-profit organizations to 
carry out activities authorized by section 638 of IDEA: 
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