206
‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, in-
cluding identifying and mitigating potential threats 
and conducting advance work to review security mat-
ters relating to sites and events; 
‘‘(4) coordinate with local law enforcement 
agencies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Sec-
retary, in coordination with the Inspector General of 
the Department of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en-
forcement officer or special agent employed under sub-
section (a) shall exercise any authority provided under this 
section in accordance with any—
‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 114. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
207
priate, including an agreement or partnership to construct 
a new Job Corps center, all or a portion of the real prop-
erty on which the Treasure Island Job Corps Center and 
the Gary Job Corps Center are situated. Any sale or other 
disposition, to include any associated construction project, 
will not be subject to any requirement of any Federal law 
or regulation relating to the disposition of Federal real 
property or relating to Federal procurement, including but 
not limited to subchapter III of chapter 5 of title 40 of 
the United States Code, subchapter V of chapter 119 of 
title 42 of the United States Code, and chapter 33 of divi-
sion C of subtitle I of title 41 of the United States Code. 
The net proceeds of such a sale shall be transferred to 
the Secretary, which shall be available until expended for 
such project to carry out the Job Corps Program on 
Treasure Island and the Job Corps Program in and 
around San Marcos, Texas, respectively. 
SEC. 115. None of the funds made available by this 
Act may be used to—
(1) alter or terminate the Interagency Agree-
ment between the United States Department of 
Labor and the United States Department of Agri-
culture; 
(2) close any of the Civilian Conservation Cen-
ters, except if such closure is necessary to prevent
208
the endangerment of the health and safety of the 
students, the capacity of the program is retained, 
and the requirements of section 159(j) of the WIOA 
are met; or 
(3) close any Job Corps Centers, except if such 
closure meets the criterion entitled ‘‘Long-Term 
Center Performance’’ or the criterion entitled ‘‘Eval-
uation of Continuing Center Operations’’ established 
by 81 FR 12529, the capacity of the program is re-
tained, and the requirements of section 159(j) of the 
WIOA are met. 
(RESCISSION) 
SEC. 116. Of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act 
(8 U.S.C. 1356(s)(2)), $206,000,000 are hereby perma-
nently rescinded not later than September 30, 2026. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2026’’.
209
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,858,772,000: Provided, 
That no more than $1,000,000 shall be available until ex-
pended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That no more than 
$120,000,000 shall be available until expended for car-
rying out subsections (g) through (n) and (q) of section 
224 of the PHS Act, and for expenses incurred by the 
Department of Health and Human Services (referred to 
in this Act as ‘‘HHS’’) pertaining to administrative claims 
made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,413,776,000, which 
shall be for the purposes and in the amounts specified in 
the ‘‘Final Bill’’ column for Health Workforce in the ‘‘De-
210
partments of Labor, Health and Human Services, Edu-
cation, and Related Agencies Appropriations Act, 2026’’ 
table in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act): Provided, That section 751(j)(2) of the PHS Act and 
the proportional funding amounts in paragraphs (1) 
through (4) of section 756(f) of the PHS Act shall not 
apply to funds made available under this heading: Pro-
vided further, That for any program operating under sec-
tion 751 of the PHS Act on or before January 1, 2009, 
the Secretary of Health and Human Services (referred to 
in this title as the ‘‘Secretary’’) may hereafter waive any 
of the requirements contained in sections 751(d)(2)(A) 
and 751(d)(2)(B) of such Act for the full project period 
of a grant under such section: Provided further, That sec-
tion 756(c) of the PHS Act shall apply to paragraphs (1) 
through (4) of section 756(a) of such Act: Provided fur-
ther, That no funds shall be available for section 340G–
1 of the PHS Act: Provided further, That fees collected 
for the disclosure of information under section 427(b) of 
the Health Care Quality Improvement Act of 1986 and 
sections 1128E(d)(2) and 1921 of the Social Security Act 
shall be sufficient to recover the full costs of operating 
the programs authorized by such sections and shall remain 
available until expended for the National Practitioner
211
Data Bank: Provided further, That funds transferred to 
this account to carry out section 846 and subpart 3 of 
part D of title III of the PHS Act may be used to make 
prior year adjustments to awards made under such section 
and subpart: Provided further, That amounts made avail-
able for the National Health Service Corps (‘‘NHSC’’) 
shall remain available until expended for the purposes of 
providing primary health services, assigning NHSC par-
ticipants to expand the delivery of substance use disorder 
treatment services, notwithstanding the assignment prior-
ities and limitations under sections 333(a)(1)(D), 333(b), 
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-
ments under the NHSC Loan Repayment Program under 
section 338B of such Act: Provided further, That, within 
the amount made available for the NHSC, not less than 
13 percent shall remain available until expended for the 
purposes of making payments under the NHSC Loan Re-
payment Program under section 338B of the PHS Act 
to individuals participating in such program who provide 
primary health services in Indian Health Service facilities, 
Tribally-Operated 638 Health Programs, and Urban In-
dian Health Programs (as those terms are defined by the 
Secretary), notwithstanding the assignment priorities and 
limitations under section 333(b) of the PHS Act, and 
$8,000,000 shall remain available until expended for pay-
212
ments to individuals participating in such program who 
provide primary health services in Maternity Care Health 
Professional Target Areas, as determined by the Sec-
retary, notwithstanding the assignment priorities and limi-
tations under section 333(b) of such Act: Provided further, 
That for purposes of the previous two provisos, section 
331(a)(3)(D) of the PHS Act shall be applied as if the 
term ‘‘primary health services’’ includes clinical substance 
use disorder treatment services, including those provided 
by masters level, licensed substance use disorder treat-
ment counselors: Provided further, That amounts made 
available for the Nurse Practitioner Optional Fellowship 
Program shall be available to make grants to establish, 
expand, or maintain optional community-based nurse 
practitioner fellowship programs that are accredited or in 
the accreditation process, with a preference for those in 
Federally Qualified Health Centers, for practicing post-
graduate nurse practitioners in primary care or behavioral 
health: Provided further, That amounts made available for 
Pediatric Specialty Loan Repayment shall remain avail-
able until expended for activities under section 775 of the 
PHS Act: Provided further, That the United States may 
recover liquidated damages in an amount determined by 
the formula under section 338E(c)(1) of the PHS Act if 
an individual either fails to begin or complete the service
213
obligated by a contract under section 775(b) of the PHS 
Act: Provided further, That for purposes of section 
775(c)(1) of the PHS Act, the Secretary may include 
other mental and behavioral health disciplines as the Sec-
retary deems appropriate: Provided further, That the Sec-
retary may terminate a contract entered into under section 
775 of the PHS Act in the same manner articulated in 
section 206 of this title for fiscal year 2026 contracts en-
tered into under section 338B of the PHS Act. 
Amounts made available for Medical Student Edu-
cation shall remain available until expended for grants to 
public institutions of higher education to expand or sup-
port graduate education for physicians provided by such 
institutions, including funding for infrastructure develop-
ment, maintenance, equipment, and minor renovations or 
alterations: Provided, That, in awarding such grants, the 
Secretary shall give priority to public institutions of higher 
education located in States with a projected primary care 
provider shortage, as determined by the Secretary: Pro-
vided further, That grants so awarded are limited to such 
public institutions of higher education in States in the top 
quartile of States with a projected primary care provider 
shortage, as determined by the Secretary: Provided fur-
ther, That the minimum amount of a grant so awarded 
to such an institution shall be not less than $1,000,000
214
per year: Provided further, That such a grant may be 
awarded for a period not to exceed 5 years: Provided fur-
ther, That such a grant awarded with respect to a year 
to such an institution shall be subject to a matching re-
quirement of non-Federal funds in an amount that is not 
more than 10 percent of the total amount of Federal funds 
provided in the grant to such institution with respect to 
such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
title V of the Social Security Act, $1,181,680,000, which 
shall be for the purposes and in the amounts specified in 
the ‘‘Final Bill’’ column for Maternal and Child Health 
in the ‘‘Departments of Labor, Health and Human Serv-
ices, Education, and Related Agencies Appropriations Act, 
2026’’ table in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act): Provided, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, 
amounts made available for Special Projects of Regional 
and National Significance shall be available for carrying 
out special projects of regional and national significance 
pursuant to section 501(a)(2) of such Act and 
$10,276,000 shall be available for projects described in
215
subparagraphs (A) through (F) of section 501(a)(3) of 
such Act, and the budget activities specified in the table 
under this heading in the explanatory statement described 
in section 4 (in the matter preceding division A of this 
consolidated Act) shall be funded in the amounts specified 
in such table. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with 
respect to the Ryan White HIV/AIDS program, 
$2,571,041,000, which shall be for the purposes and in 
the amounts specified in the ‘‘Final Bill’’ column for Ryan 
White HIV/AIDS Program in the ‘‘Departments of Labor, 
Health and Human Services, Education, and Related 
Agencies Appropriations Act, 2026’’ table in the explana-
tory statement described in section 4 (in the matter pre-
ceding division A of this consolidated Act), of which the 
amounts made available for Emergency Assistance (Part 
A) and Comprehensive Care Programs (Part B) shall re-
main available to the Secretary through September 30, 
2028, for parts A and B of title XXVI of the PHS Act, 
and of which the amounts made available for the AIDS 
Drug Assistance Program (ADAP) shall be for State 
AIDS Drug Assistance Programs under the authority of 
section 2616 or 311(c) of such Act; and of which the 
amounts made available for Ending the HIV/AIDS Epi-
216
demic Initiative shall remain available until expended and 
shall be available to the Secretary for carrying out a pro-
gram of grants and contracts under title XXVI or section 
311(c) of such Act focused on ending the nationwide HIV/
AIDS epidemic, with any grants issued under such section 
311(c) administered in conjunction with title XXVI of the 
PHS Act, including the limitation on administrative ex-
penses. 
HEALTH SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $127,009,000, of 
which $122,000 shall be available until expended for facil-
ity renovations and other facilities-related expenses of the 
Hansen’s Disease Program: Provided, That during the pe-
riod covered by this Act, the Secretary of Health and 
Human Services may collect registration fees from mem-
bers of the Organ Procurement and Transplantation Net-
work (in this title referred to as ‘‘OPTN’’), authorized 
under section 372 of the PHS Act, for each transplant 
candidate such members place on the list described in sub-
section (b)(2)(A)(i) of such section, including directly or 
through awards made under subsection (b)(1)(A) of such 
section: Provided further, That such fees may be credited 
to this account, to remain available until expended, to sup-
217
port the operation of the OPTN: Provided further, That 
the Secretary may distribute fees collected pursuant to the 
first proviso under this heading among the awardee or 
awardees described in subsection (b)(1)(A) of section 372 
of the PHS Act as the Secretary determines appropriate. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
Coal Mine Health and Safety Act of 1969, and sections 
711 and 1820 of the Social Security Act, $392,907,000, 
which shall be for the purposes and in the amounts speci-
fied, other than for ‘‘Rural Hospital Provider Assistance 
Program’’, in the ‘‘Final Bill’’ column for Rural Health 
in the ‘‘Departments of Labor, Health and Human Serv-
ices, Education, and Related Agencies Appropriations Act, 
2026’’ table in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act), of which the amounts made available for Rural 
Hospital Flexibility Grants shall come from general reve-
nues, notwithstanding section 1820(j) of the Social Secu-
rity Act: Provided, That of the funds made available under 
this paragraph for Rural Hospital Flexibility Grants, up 
to $22,942,000 shall be available for the Small Rural Hos-
pital Improvement Program for quality improvement and 
adoption of health information technology, no less than
218
$5,000,000 shall be available to award grants to public 
or non-profit private entities for the Rural Emergency 
Hospital Technical Assistance Program, and up to 
$1,000,000 shall be to carry out section 1820(g)(6) of the 
Social Security Act, with funds provided for grants under 
section 1820(g)(6) available for the purchase and imple-
mentation of telehealth services and other efforts to im-
prove health care coordination for rural veterans between 
rural providers and the Department of Veterans Affairs: 
Provided further, That the amounts made available for 
State Offices of Rural Health shall be available notwith-
standing section 338J(k) of the PHS Act: Provided fur-
ther, That the amounts for the Rural Residency Planning 
and Development Program shall remain available through 
September 30, 2028. 
In addition to amounts otherwise available for the 
same purpose, $25,000,000, for making payments to eligi-
ble hospitals for the maintenance of health care providers: 
Provided, That eligible hospitals receiving such payment 
shall meet the following criteria: (1) have no more than 
50 inpatient beds and (2) have an established wage index 
value of less than 0.90 as determined by the Secretary 
of 
Health 
and 
Human 
Services 
under 
section 
1886(d)(3)(E) of the Social Security Act (42 U.S.C. 
1395ww(d)(3)(E)): Provided further, That up to 10 per-
219
cent of funds made available in this paragraph may be 
used by eligible hospitals for administrative expenses: Pro-
vided further, That payment amounts to eligible hospitals 
shall be calculated by dividing available funding equally 
among such eligible hospitals. 
FAMILY PLANNING 
For carrying out the program under title X of the 
PHS Act to provide for voluntary family planning 
projects, $286,479,000: Provided, That amounts provided 
to said projects under such title shall not be expended for 
abortions, that all pregnancy counseling shall be nondirec-
tive, and that such amounts shall not be expended for any 
activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support 
or opposition to any legislative proposal or candidate for 
public office. 
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out title III of the Public Health Service 
Act and for cross-cutting activities and program support 
for activities funded in other appropriations included in 
this Act for the Health Resources and Services Adminis-
tration, $1,076,181,000, of which $45,550,000 shall be 
for expenses necessary for the Office for the Advancement 
of Telehealth, including grants, contracts, and cooperative 
agreements for the advancement of telehealth activities:
220
Provided, That funds made available under this heading 
may be used to supplement program support funding pro-
vided under the headings ‘‘Primary Health Care’’, 
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 
and ‘‘Rural Health’’: Provided further, That of the amount 
made available under this heading, $857,793,000 shall be 
used for the projects financing the construction and ren-
ovation (including equipment) of health care and other fa-
cilities, and for the projects financing one-time grants that 
support health-related activities, including training and in-
formation technology, and in the amounts specified in the 
table titled ‘‘Community Project Funding/Congressionally 
Directed Spending’’ included for this division in the ex-
planatory statement described in section 4 (in the matter 
preceding division A of this consolidated Act): Provided 
further, That none of the funds made available for projects 
described in the preceding proviso shall be subject to sec-
tion 241 of the PHS Act or section 205 of this Act. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title
221
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $15,200,000 shall be available from the Trust 
Fund to the Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, and titles II and IV of the 
Immigration and Nationality Act, with respect to immuni-
zation and respiratory diseases, $316,901,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to HIV/AIDS, viral hepatitis, 
sexually transmitted diseases, and tuberculosis prevention, 
$1,384,056,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, and titles II and IV of the Immigra-
tion and Nationality Act, with respect to emerging and 
zoonotic infectious diseases, $729,272,000: Provided, That 
of the amounts made available under this heading, up to 
$1,000,000 from amounts made available for Quarantine 
appropriations shall remain available until expended to 
pay for the transportation, medical care, treatment, and
222
other related costs of persons quarantined or isolated 
under Federal or State quarantine law. 
CHRONIC DISEASE PREVENTION AND HEALTH 
PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and 
XIX of the PHS Act with respect to chronic disease pre-
vention and health promotion, $983,830,000: Provided, 
That funds made available under this heading may be 
available for making grants under section 1509 of the 
PHS Act for not less than 21 States, Tribes, or Tribal 
organizations: Provided further, That the proportional 
funding requirements under section 1503(a) of the PHS 
Act shall not apply to funds made available under this 
heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $205,060,000. 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to health statistics, surveillance, health 
informatics, and workforce development, $724,553,000: 
Provided, That in addition to amounts provided herein,
223
$42,944,000 shall be from funds available under section 
241 of the PHS Act for health statistics. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $191,850,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$761,379,000. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $366,800,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with
224
the provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $692,843,000, of which: 
(1) the amounts made available for the Global HIV/AIDS 
Program shall remain available through September 30, 
2027; and (2) the amounts made available for the Global 
Public Health Protection shall remain available through 
September 30, 2028: Provided, That funds may be used 
for purchase and insurance of official motor vehicles in 
foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, XVII, and XXVIII of 
the PHS Act with respect to public health preparedness 
and response, and for expenses necessary to support ac-
tivities related to countering potential biological, nuclear, 
radiological, and chemical threats to civilian populations, 
$913,200,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement to support an activation of the 
CDC Emergency Operations Center, so long as the Direc-
tor or Administrator, as applicable, provides a notice to
243
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
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.