I 
114TH CONGRESS 
2D SESSION 
H. R. 5958 
Making supplemental appropriations for fiscal year 2016 for Zika response 
and preparedness. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 8, 2016 
Mr. CLAWSON of Florida (for himself, Mr. JOLLY, Mrs. KIRKPATRICK, and 
Ms. WILSON of Florida) introduced the following bill; which was referred 
to the Committee on Appropriations, and in addition to the Committee 
on the Budget, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
Making supplemental appropriations for fiscal year 2016 for 
Zika response and preparedness. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
That the following sums are appropriated, out of any 
money in the Treasury not otherwise appropriated, for the 
fiscal year ending September 30, 2016, and for other pur-
poses, namely: 
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TITLE I 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For an additional amount for fiscal year 2016 for 
‘‘Primary Health Care’’, $40,000,000 to remain available 
until September 30, 2017, to prevent, prepare for, and re-
spond to Zika virus, other vector-borne diseases, and re-
lated health outcomes, domestically and internationally: 
Provided, That funds appropriated in this paragraph shall 
be used to expand the delivery of primary health services 
authorized by section 330 of the Public Health Service 
(‘‘PHS’’) Act in Puerto Rico and other territories: Pro-
vided further, That such amount is designated by the Con-
gress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
HEALTH WORKFORCE 
For an additional amount for fiscal year 2016 for 
‘‘Health Workforce’’, $6,000,000 to remain available until 
September 30, 2017, to prevent, prepare for, and respond 
to Zika virus, other vector-borne diseases, and related 
health outcomes, domestically and internationally: Pro-
vided, That funds appropriated in this paragraph may, for 
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purposes of providing primary health services in areas af-
fected by Zika virus or other vector-borne diseases, be 
used to assign National Health Service Corps (‘‘NHSC’’) 
members to Puerto Rico and other Territories, notwith-
standing the assignment priorities and limitations in or 
under sections 333(a)(1)(D), 333(b), or 333A(a) of the 
PHS Act, and to make NHSC Loan Repayment Program 
awards under section 338B of such Act: Provided further, 
That for purposes of the previous proviso, section 
331(a)(3)(D) of the PHS Act shall be applied as if the 
term ‘‘primary health services’’ included health services re-
garding pediatric subspecialists: Provided further, That 
such amount is designated by the Congress as an emer-
gency requirement pursuant to section 251(b)(2)(A)(i) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
MATERNAL AND CHILD HEALTH 
For an additional amount for fiscal year 2016 for 
‘‘Maternal and Child Health’’, $5,000,000 to remain avail-
able until September 30, 2017, to prevent, prepare for, 
and respond to Zika virus, other vector-borne diseases, 
and related health outcomes, domestically and internation-
ally: Provided, That funds appropriated in this paragraph 
may be awarded for projects of regional and national sig-
nificance in Puerto Rico and other Territories authorized 
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under section 501 of the Social Security Act, notwith-
standing section 502 of such Act: Provided further, That 
such amount is designated by the Congress as an emer-
gency requirement pursuant to section 251(b)(2)(A)(i) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For an additional amount for fiscal year 2016 for 
‘‘CDC-Wide 
Activities 
and 
Program 
Support’’, 
$449,000,000, to remain available until September 30, 
2017, to prevent, prepare for, and respond to Zika virus, 
other vector-borne diseases, and related health outcomes, 
domestically and internationally; and to carry out titles 
II, III, and XVII of the PHS Act with respect to domestic 
preparedness and global health: Provided, That products 
purchased with these funds may, at the discretion of the 
Secretary of Health and Human Services, be deposited in 
the Strategic National Stockpile under section 319F–2 of 
the PHS Act: Provided further, That funds may be used 
for purchase and insurance of official motor vehicles in 
foreign countries: Provided further, That the provisions in 
section 317S of the PHS Act shall not apply to the use 
of funds appropriated in this paragraph: Provided further, 
That funds appropriated in this paragraph may be used 
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for grants for the construction, alteration, or renovation 
of non-federally owned facilities to improve preparedness 
and response capability at the State and local level: Pro-
vided further, That of the amount appropriated in this 
paragraph, $88,000,000 may be used to reimburse ac-
counts administered by the Centers for Disease Control 
and Prevention for obligations incurred for Zika virus re-
sponse prior to the enactment of this Act: Provided fur-
ther, That such amount is designated by the Congress as 
an 
emergency 
requirement 
pursuant 
to 
section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For an additional amount for fiscal year 2016 for 
‘‘National Institute of Allergy and Infectious Diseases’’, 
$200,000,000, to remain available until September 30, 
2017, to prevent, prepare for, and respond to Zika virus, 
other vector-borne diseases, and related health outcomes, 
domestically and internationally, including expenses re-
lated to carrying out section 301 and title IV of the PHS 
Act: Provided, That such amount is designated by the 
Congress as an emergency requirement pursuant to sec-
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tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
OFFICE OF THE SECRETARY 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for fiscal year 2016 for 
‘‘Public Health and Social Services Emergency Fund’’, 
$150,000,000, to remain available until September 30, 
2017, to prevent, prepare for, and respond to Zika virus, 
other vector-borne diseases, and related health outcomes, 
domestically and internationally; to develop necessary 
countermeasures and vaccines, including the development 
and purchase of vaccines, therapeutics, diagnostics, nec-
essary medical supplies, and administrative activities; for 
carrying out titles II, III, and XVII of the PHS Act with 
respect to domestic preparedness and global health; and 
for additional payments for distribution as provided for 
under the ‘‘Social Services Block Grant Program’’: Pro-
vided, That funds appropriated in this paragraph may be 
used to procure security countermeasures (as defined in 
section 319F–2(c)(1)(B) of the PHS Act, as amended by 
this Act): Provided further, That paragraphs (1) and 
(7)(C) of subsection (c) of section 319F–2 of the PHS 
Act, but no other provisions of such section, shall apply 
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to such security countermeasures procured with funds ap-
propriated in this paragraph: Provided further, That prod-
ucts purchased with funds appropriated in this paragraph 
may, at the discretion of the Secretary of Health and 
Human Services, be deposited in the Strategic National 
Stockpile under section 319F–2 of the PHS Act: Provided 
further, That countermeasures related to the Zika virus 
procured with funds appropriated in this paragraph shall 
be deemed to be security countermeasures as defined in 
section 319F–2(c)(1) of the PHS Act, and paragraph 
(7)(C), but no other provision, of such section 319F–2(c) 
shall apply to procurements of such countermeasures: Pro-
vided further, That $75,000,000 shall be transferred to 
‘‘Social Services Block Grant’’ for health services, notwith-
standing section 2005(a)(4) of the Social Security Act, in 
territories with active or local transmission cases of the 
Zika virus, as confirmed by the Centers for Disease Con-
trol and Prevention: Provided further, That the Secretary 
of Health and Human Services shall distribute funds 
transferred to the ‘‘Social Services Block Grant’’ in this 
paragraph to such territories in accordance with objective 
criteria that are made available to the public: Provided fur-
ther, That such amount is designated by the Congress as 
an 
emergency 
requirement 
pursuant 
to 
section 
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251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 501. For purposes of preventing, preparing for, 
and responding to Zika virus, other vector-borne diseases, 
and related health outcomes domestically and internation-
ally, the Secretary of Health and Human Services may 
use funds provided in this title to acquire, lease, construct, 
alter, renovate, equip, furnish, or manage facilities outside 
of the United States, as necessary to conduct such pro-
grams, in consultation with the Secretary of State, either 
directly for the use of the United States Government or 
for the use, pursuant to grants, direct assistance, or coop-
erative agreements, of public or nonprofit private institu-
tions or agencies in participating foreign countries. 
SEC. 502. Funds appropriated by this title may be 
used by the heads of the Department of Health and 
Human Services, Department of State, and the Agency 
for International Development to appoint, without regard 
to the provisions of sections 3309 through 3319 of title 
5 of the United States Code, candidates needed for posi-
tions to perform critical work relating to Zika response 
for which— 
(1) public notice has been given; and 
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(2) the Secretary of Health and Human Serv-
ices has determined that such a public health threat 
exists. 
SEC. 503. Funds appropriated in this title may be 
transferred to, and merged with, other appropriation ac-
counts under the headings ‘‘Centers for Disease Control 
and Prevention’’, ‘‘Public Health and Social Services 
Emergency Fund’’, ‘‘Health Resources and Services Ad-
ministration’’, and ‘‘National Institutes of Health’’ for the 
purposes specified in this title following consultation with 
the Office of Management and Budget: Provided, That the 
Committees on Appropriations shall be notified 10 days 
in advance of any such transfer: Provided further, That, 
upon a determination that all or part of the funds trans-
ferred from an appropriation are not necessary, such 
amounts may be transferred back to that appropriation: 
Provided further, That none of the funds made available 
by this title may be transferred pursuant to the authority 
in section 206 of division G of Public Law 113–235 or 
section 241(a) of the PHS Act. 
SEC. 504. Not later than 30 days after enactment 
of this Act, the Secretary of Health and Human Services 
shall provide a detailed spend plan of anticipated uses of 
funds made available in this title, including estimated per-
sonnel and administrative costs, to the Committees on Ap-
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propriations: Provided, That such plans shall be updated 
and submitted to the Committee on Appropriations of the 
Senate every 90 days until September 30, 2017, and every 
180 days thereafter until all funds have been fully ex-
pended. 
TITLE II 
DEPARTMENT OF STATE 
ADMINISTRATION OF FOREIGN AFFAIRS 
DIPLOMATIC AND CONSULAR PROGRAMS 
For an additional amount for fiscal year 2016 for 
‘‘Diplomatic and Consular Programs’’, $14,594,000, to re-
main available until September 30, 2017, for necessary ex-
penses to support response efforts related to the Zika virus 
and related health outcomes, other vector-borne diseases, 
or other infectious diseases: Provided, That up to 
$4,000,000 may be made available for medical evacuation 
costs of any other Department or agency of the United 
States under Chief of Mission authority, and may be 
transferred to any other appropriation of such Depart-
ment or agency for such costs: Provided further, That such 
amount is designated by the Congress as an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985. 
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EMERGENCIES IN THE DIPLOMATIC AND CONSULAR 
SERVICE 
For an additional amount for fiscal year 2016 for 
‘‘Emergencies in the Diplomatic and Consular Service’’, 
$4,000,000 for necessary expenses to support response ef-
forts related to the Zika virus and related health out-
comes, other vector-borne diseases, or other infectious dis-
eases, to remain available until expended: Provided, That 
such amount is designated by the Congress as an emer-
gency requirement pursuant to section 251(b)(2)(A)(i) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
REPATRIATION LOANS PROGRAM ACCOUNT 
For an additional amount for fiscal year 2016 for 
‘‘Repatriation Loans Program Account’’ for the cost of di-
rect loans, $1,000,000, to support response efforts related 
to the Zika virus and related health outcomes, other vec-
tor-borne diseases, or other infectious diseases, to remain 
available until expended: Provided, That such costs, in-
cluding costs of modifying such loans, shall be as defined 
in section 502 of the Congressional Budget Act of 1974: 
Provided further, That such funds are available to sub-
sidize an additional amount of gross obligations for the 
principal amount of direct loans not to exceed $1,880,406: 
Provided further, That such amount is designated by the 
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Congress as an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT 
FUNDS APPROPRIATED TO THE PRESIDENT 
OPERATING EXPENSES 
For an additional amount for fiscal year 2016 for 
‘‘Operating Expenses’’, $10,000,000, to remain available 
until September 30, 2017, for necessary expenses to sup-
port response efforts related to the Zika virus and related 
health outcomes, other vector-borne diseases, or other in-
fectious diseases: Provided, That such amount is des-
ignated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-
et and Emergency Deficit Control Act of 1985. 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
GLOBAL HEALTH PROGRAMS 
For an additional amount for fiscal year 2016 for 
‘‘Global Health Programs’’, $211,000,000, to remain 
available until expended, for necessary expenses for assist-
ance or research to prevent, treat, or otherwise respond 
to the Zika virus and related health outcomes, other vec-
tor-borne diseases, or other infectious diseases: Provided, 
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That such funds may be made available for multi-year 
funding commitments to incentivize the development of 
global health technologies, following consultation with the 
Committees on Appropriations: Provided further, That 
none of the funds appropriated in this title may be made 
available for the Grand Challenges for Development pro-
gram: Provided further, That such amount is designated 
by the Congress as an emergency requirement pursuant 
to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
INTERNATIONAL SECURITY ASSISTANCE 
DEPARTMENT OF STATE 
NONPROLIFERATION, ANTI-TERRORISM, DEMINING AND 
RELATED PROGRAMS 
For an additional amount for fiscal year 2016 for 
‘‘Nonproliferation, Anti-terrorism, Demining and Related 
Programs’’, $4,000,000, to remain available until Sep-
tember 30, 2017, for necessary expenses to support re-
sponse and research efforts related to the Zika virus and 
related health outcomes, other vector-borne diseases, or 
other infectious diseases: Provided, That such amount is 
designated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-
et and Emergency Deficit Control Act of 1985. 
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MULTILATERAL ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
INTERNATIONAL ORGANIZATIONS AND PROGRAMS 
For an additional amount for fiscal year 2016 for 
‘‘International 
Organizations 
and 
Programs’’, 
$13,500,000, to remain available until September 30, 
2017 for necessary expenses to support response and re-
search efforts related to the Zika virus and related health 
outcomes, other vector-borne diseases, or other infectious 
diseases: Provided, That section 307(a) of the Foreign As-
sistance Act of 1961 shall not apply to funds appropriated 
under this heading: Provided further, That such amount 
is designated by the Congress as an emergency require-
ment pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 505. (a) Funds appropriated by this title under 
the headings ‘‘Global Health Programs’’, ‘‘Nonprolifera-
tion, Anti-terrorism, Demining and Related Programs’’, 
‘‘International Organizations and Programs’’, and ‘‘Oper-
ating Expenses’’ may be transferred to, and merged with, 
funds appropriated by this title under such headings to 
carry out the purposes of this title. 
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(b) Funds appropriated by this title under the head-
ings ‘‘Diplomatic and Consular Programs’’, ‘‘Emergencies 
in the Diplomatic and Consular Service’’, and ‘‘Repatri-
ation Loans Program Account’’ may be transferred to, 
and merged with, funds appropriated by this title under 
such headings to carry out the purposes of this title. 
(c) The transfer authorities provided by this section 
are in addition to any other transfer authority provided 
by law. 
(d) Upon a determination that all or part of the funds 
transferred pursuant to the authorities provided by this 
section are not necessary for such purposes, such amounts 
may be transferred back to such appropriations. 
(e) No funds shall be transferred pursuant to this 
section unless at least 15 days prior to making such trans-
fer the Secretary of State or the Administrator of the 
United States Agency for International Development 
(USAID), as appropriate, notifies the Committees on Ap-
propriations in writing of the details of any such transfer. 
NOTIFICATION REQUIREMENT 
SEC. 506. Funds appropriated by this title that are 
made available to respond to the Zika virus outbreak, 
other vector-borne diseases, or other infectious diseases 
shall not be available for obligation unless the Secretary 
of State or the USAID Administrator, as appropriate, no-
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tifies the Committees on Appropriations in writing at least 
15 days in advance of such obligation. 
SPEND PLAN REQUIREMENT 
SEC. 507. Not later than 45 days after enactment 
of this Act and prior to the obligation of funds made avail-
able by this title to respond to the Zika virus outbreak, 
other vector-borne diseases, or other infectious diseases, 
the Secretary of State and the USAID Administrator, as 
appropriate, shall submit spend plans to the Committees 
on Appropriations on the anticipated uses of funds on a 
country and project basis, including estimated personnel 
and administrative costs: Provided, That such plans shall 
be updated and submitted to the Committee on Appropria-
tions every 90 days until September 30, 2017, and every 
180 days thereafter until all funds have been fully ex-
pended. 
COMPTROLLER GENERAL OVERSIGHT 
SEC. 508. Of the funds appropriated by this title, up 
to $500,000 shall be made available to the Comptroller 
General of the United States, to remain available until ex-
pended, for oversight of activities supported pursuant to 
this title with funds appropriated by this title: Provided, 
That the Secretary of State and USAID Administrator, 
as appropriate, and the Comptroller General shall consult 
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with the Committees on Appropriations prior to obligating 
such funds. 
RESCISSION 
SEC. 509. Of the unobligated balances available 
under the heading ‘‘Operating Expenses’’ in title IX of 
the Department of State, Foreign Operations, and Related 
Programs Appropriations Act, 2015 (division J of Public 
Law 113–235), $10,000,000 are rescinded: Provided, 
That such amounts are designated by the Congress as an 
emergency 
requirement 
pursuant 
to 
section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
TITLE III 
GENERAL PROVISIONS—THIS ACT 
EXTENSION OF AUTHORITIES AND PROVISIONS 
SEC. 510. Unless otherwise provided for by this Act, 
the additional amounts appropriated pursuant to this Act 
for fiscal year 2016 are subject to the requirements for 
funds contained in the Consolidated Appropriations Act, 
2016 (Public Law 114–113). 
PERSONAL SERVICE CONTRACTORS 
SEC. 511. Funds made available by this Act to sup-
port response efforts related to the Zika virus and related 
health outcomes, other vector-borne diseases, or other in-
fectious diseases may be used to enter into contracts with 
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individuals for the provision of personal services (as de-
scribed in section 104 of part 37 of title 48, Code of Fed-
eral Regulations (48 CFR 37.104)), within the United 
States and abroad, subject to prior consultation with, and 
the notification procedures of, the Committees on Appro-
priations: Provided, That such individuals may not be 
deemed employees of the United States for the purpose 
of any law administered by the Office of Personnel Man-
agement. 
DESIGNATION REQUIREMENT 
SEC. 512. Each amount designated in this Act by the 
Congress as an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985 shall be available (or 
rescinded, if applicable) only if the President subsequently 
so designates all such amounts and transmits such des-
ignations to the Congress. 
EFFECTIVE DATE 
SEC. 513. This Act shall become effective imme-
diately upon enactment. 
Æ 
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