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United States and in Israel to meet Israel’s defense re-
quirements consistent with each nation’s laws, regulations, 
and procedures, subject to the U.S.-Israeli co-production 
agreement for SRBMD, as amended; $205,000,000 shall 
be for an upper-tier component to the Israeli Missile De-
fense Architecture, of which $120,000,000 shall be for co- 
production activities of Arrow 3 Upper Tier missiles in 
the United States and in Israel to meet Israel’s defense 
requirements consistent with each nation’s laws, regula-
tions, and procedures, subject to the U.S.-Israeli co-pro-
duction agreement for Arrow 3 Upper Tier, as amended; 
$105,000,000 shall be for testing of the upper-tier compo-
nent to the Israeli Missile Defense Architecture in the 
United States; and $82,300,000 shall be for the Arrow 
System Improvement Program including development of 
a long range, ground and airborne, detection suite: Pro-
vided further, That the transfer authority provided under 
this provision is in addition to any other transfer authority 
contained in this Act. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 8068. Of the amounts appropriated in this Act 
under the heading ‘‘Shipbuilding and Conversion, Navy’’, 
$117,542,000 shall be available until September 30, 2018, 
to fund prior year shipbuilding cost increases: Provided, 
That upon enactment of this Act, the Secretary of the 
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Navy shall transfer funds to the following appropriations 
in the amounts specified: Provided further, That the 
amounts transferred shall be merged with and be available 
for the same purposes as the appropriations to which 
transferred to: 
(1) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2012/2018: Carrier Replacement 
Program $20,000,000; 
(2) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2008/2018: DDG–51 Destroyer 
$19,436,000; 
(3) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2012/2018: Littoral Combat Ship 
$6,394,000; 
(4) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2012/2018: LHA Replacement 
$14,200,000; 
(5) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2013/2018: DDG–51 Destroyer 
$31,941,000; 
(6) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2014/2018: Litoral Combat Ship 
$20,471,000; and 
(7) Under the heading ‘‘Shipbuilding and Con-
version, Navy’’, 2015/2018: LCAC $5,100,000. 
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SEC. 8069. Funds appropriated by this Act, or made 
available by the transfer of funds in this Act, for intel-
ligence activities are deemed to be specifically authorized 
by the Congress for purposes of section 504 of the Na-
tional Security Act of 1947 (50 U.S.C. 3094) during fiscal 
year 2018 until the enactment of the Intelligence Author-
ization Act for Fiscal Year 2018. 
SEC. 8070. None of the funds provided in this Act 
shall be available for obligation or expenditure through a 
reprogramming of funds that creates or initiates a new 
program, project, or activity unless such program, project, 
or activity must be undertaken immediately in the interest 
of national security and only after written prior notifica-
tion to the congressional defense committees. 
SEC. 8071. The budget of the President for fiscal 
year 2018 submitted to the Congress pursuant to section 
1105 of title 31, United States Code, shall include sepa-
rate budget justification documents for costs of United 
States Armed Forces’ participation in contingency oper-
ations for the Military Personnel accounts, the Operation 
and Maintenance accounts, the Procurement accounts, 
and the Research, Development, Test and Evaluation ac-
counts: Provided, That these documents shall include a de-
scription of the funding requested for each contingency op-
eration, for each military service, to include all Active and 
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Reserve components, and for each appropriations account: 
Provided further, That these documents shall include esti-
mated costs for each element of expense or object class, 
a reconciliation of increases and decreases for each contin-
gency operation, and programmatic data including, but 
not limited to, troop strength for each Active and Reserve 
component, and estimates of the major weapons systems 
deployed in support of each contingency: Provided further, 
That these documents shall include budget exhibits OP– 
5 and OP–32 (as defined in the Department of Defense 
Financial Management Regulation) for all contingency op-
erations for the budget year and the two preceding fiscal 
years. 
SEC. 8072. None of the funds in this Act may be 
used for research, development, test, evaluation, procure-
ment or deployment of nuclear armed interceptors of a 
missile defense system. 
SEC. 8073. Notwithstanding any other provision of 
this Act, to reflect savings due to favorable foreign ex-
change rates, the total amount appropriated in this Act 
is hereby reduced by $289,000,000. 
SEC. 8074. None of the funds appropriated or made 
available in this Act shall be used to reduce or disestablish 
the operation of the 53rd Weather Reconnaissance Squad-
ron of the Air Force Reserve, if such action would reduce 
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the WC–130 Weather Reconnaissance mission below the 
levels funded in this Act: Provided, That the Air Force 
shall allow the 53rd Weather Reconnaissance Squadron to 
perform other missions in support of national defense re-
quirements during the non-hurricane season. 
SEC. 8075. None of the funds provided in this Act 
shall be available for integration of foreign intelligence in-
formation unless the information has been lawfully col-
lected and processed during the conduct of authorized for-
eign intelligence activities: Provided, That information 
pertaining to United States persons shall only be handled 
in accordance with protections provided in the Fourth 
Amendment of the United States Constitution as imple-
mented through Executive Order No. 12333. 
SEC. 8076. (a) None of the funds appropriated by 
this Act may be used to transfer research and develop-
ment, acquisition, or other program authority relating to 
current tactical unmanned aerial vehicles (TUAVs) from 
the Army. 
(b) The Army shall retain responsibility for and oper-
ational control of the MQ–1C Gray Eagle Unmanned Aer-
ial Vehicle (UAV) in order to support the Secretary of De-
fense in matters relating to the employment of unmanned 
aerial vehicles. 
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SEC. 8077. None of the funds appropriated by this 
Act for programs of the Office of the Director of National 
Intelligence shall remain available for obligation beyond 
the current fiscal year, except for funds appropriated for 
research and technology, which shall remain available until 
September 30, 2019. 
SEC. 8078. For purposes of section 1553(b) of title 
31, United States Code, any subdivision of appropriations 
made in this Act under the heading ‘‘Shipbuilding and 
Conversion, Navy’’ shall be considered to be for the same 
purpose as any subdivision under the heading ‘‘Ship-
building and Conversion, Navy’’ appropriations in any 
prior fiscal year, and the 1 percent limitation shall apply 
to the total amount of the appropriation. 
SEC. 8079. (a) Not later than 60 days after the date 
of enactment of this Act, the Director of National Intel-
ligence shall submit a report to the congressional intel-
ligence committees to establish the baseline for application 
of reprogramming and transfer authorities for fiscal year 
2018: Provided, That the report shall include— 
(1) a table for each appropriation with a sepa-
rate column to display the President’s budget re-
quest, adjustments made by Congress, adjustments 
due to enacted rescissions, if appropriate, and the 
fiscal year enacted level; 
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(2) a delineation in the table for each appro-
priation by Expenditure Center and project; and 
(3) an identification of items of special congres-
sional interest. 
(b) None of the funds provided for the National Intel-
ligence Program in this Act shall be available for re-
programming or transfer until the report identified in sub-
section (a) is submitted to the congressional intelligence 
committees, unless the Director of National Intelligence 
certifies in writing to the congressional intelligence com-
mittees that such reprogramming or transfer is necessary 
as an emergency requirement. 
SEC. 8080. None of the funds made available by this 
Act may be used to eliminate, restructure, or realign Army 
Contracting Command—New Jersey or make dispropor-
tionate personnel reductions at any Army Contracting 
Command—New Jersey sites without 30-day prior notifi-
cation to the congressional defense committees. 
(RESCISSION) 
SEC. 8081. Of the unobligated balances available to 
the Department of Defense, the following funds are per-
manently rescinded from the following accounts and pro-
grams in the specified amounts to reflect excess cash bal-
ances in the Department of Defense Acquisition Work-
force Development Fund: 
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From ‘‘Department of Defense Acquisition 
Workforce 
Development 
Fund, 
Defense’’, 
$10,000,000. 
SEC. 8082. None of the funds made available by this 
Act for excess defense articles, assistance under section 
333 of title 10, United States Code, or peacekeeping oper-
ations for the countries designated annually to be in viola-
tion of the standards of the Child Soldiers Prevention Act 
of 2008 (Public Law 110–457; 22 U.S.C. 2370c–1) may 
be used to support any military training or operation that 
includes child soldiers, as defined by the Child Soldiers 
Prevention Act of 2008, unless such assistance is other-
wise permitted under section 404 of the Child Soldiers 
Prevention Act of 2008. 
SEC. 8083. (a) None of the funds provided for the 
National Intelligence Program in this or any prior appro-
priations Act shall be available for obligation or expendi-
ture through a reprogramming or transfer of funds in ac-
cordance with section 102A(d) of the National Security 
Act of 1947 (50 U.S.C. 3024(d)) that— 
(1) creates a new start effort; 
(2) terminates a program with appropriated 
funding of $10,000,000 or more; 
(3) transfers funding into or out of the Na-
tional Intelligence Program; or 
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(4) transfers funding between appropriations, 
unless the congressional intelligence committees are 
notified 30 days in advance of such reprogramming 
of funds; this notification period may be reduced for 
urgent national security requirements. 
(b) None of the funds provided for the National Intel-
ligence Program in this or any prior appropriations Act 
shall be available for obligation or expenditure through a 
reprogramming or transfer of funds in accordance with 
section 102A(d) of the National Security Act of 1947 (50 
U.S.C. 3024(d)) that results in a cumulative increase or 
decrease of the levels specified in the classified annex ac-
companying the Act unless the congressional intelligence 
committees are notified 30 days in advance of such re-
programming of funds; this notification period may be re-
duced for urgent national security requirements. 
SEC. 8084. The Director of National Intelligence 
shall submit to Congress each year, at or about the time 
that the President’s budget is submitted to Congress that 
year under section 1105(a) of title 31, United States 
Code, a future-years intelligence program (including asso-
ciated annexes) reflecting the estimated expenditures and 
proposed appropriations included in that budget. Any such 
future-years intelligence program shall cover the fiscal 
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year with respect to which the budget is submitted and 
at least the four succeeding fiscal years. 
SEC. 8085. For the purposes of this Act, the term 
‘‘congressional intelligence committees’’ means the Perma-
nent Select Committee on Intelligence of the House of 
Representatives, the Select Committee on Intelligence of 
the Senate, the Subcommittee on Defense of the Com-
mittee on Appropriations of the House of Representatives, 
and the Subcommittee on Defense of the Committee on 
Appropriations of the Senate. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 8086. During the current fiscal year, not to ex-
ceed $11,000,000 from each of the appropriations made 
in title II of this Act for ‘‘Operation and Maintenance, 
Army’’, ‘‘Operation and Maintenance, Navy’’, and ‘‘Oper-
ation and Maintenance, Air Force’’ may be transferred by 
the military department concerned to its central fund es-
tablished for Fisher Houses and Suites pursuant to sec-
tion 2493(d) of title 10, United States Code. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 8087. Not to exceed $500,000,000 appropriated 
by this Act for operation and maintenance may be avail-
able for the purpose of making remittances and transfer 
to the Defense Acquisition Workforce Development Fund 
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in accordance with section 1705 of title 10, United States 
Code. 
SEC. 8088. (a) Any agency receiving funds made 
available in this Act, shall, subject to subsections (b) and 
(c), post on the public website of that agency any report 
required to be submitted by the Congress in this or any 
other Act, upon the determination by the head of the agen-
cy that it shall serve the national interest. 
(b) Subsection (a) shall not apply to a report if— 
(1) the public posting of the report com-
promises national security; or 
(2) the report contains proprietary information. 
(c) The head of the agency posting such report shall 
do so only after such report has been made available to 
the requesting Committee or Committees of Congress for 
no less than 45 days. 
SEC. 8089. (a) None of the funds appropriated or 
otherwise made available by this Act may be expended for 
any Federal contract for an amount in excess of 
$1,000,000, unless the contractor agrees not to— 
(1) enter into any agreement with any of its 
employees or independent contractors that requires, 
as a condition of employment, that the employee or 
independent contractor agree to resolve through ar-
bitration any claim under title VII of the Civil 
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Rights Act of 1964 or any tort related to or arising 
out of sexual assault or harassment, including as-
sault and battery, intentional infliction of emotional 
distress, false imprisonment, or negligent hiring, su-
pervision, or retention; or 
(2) take any action to enforce any provision of 
an existing agreement with an employee or inde-
pendent contractor that mandates that the employee 
or independent contractor resolve through arbitra-
tion any claim under title VII of the Civil Rights Act 
of 1964 or any tort related to or arising out of sex-
ual assault or harassment, including assault and 
battery, intentional infliction of emotional distress, 
false imprisonment, or negligent hiring, supervision, 
or retention. 
(b) None of the funds appropriated or otherwise 
made available by this Act may be expended for any Fed-
eral contract unless the contractor certifies that it requires 
each covered subcontractor to agree not to enter into, and 
not to take any action to enforce any provision of, any 
agreement as described in paragraphs (1) and (2) of sub-
section (a), with respect to any employee or independent 
contractor performing work related to such subcontract. 
For purposes of this subsection, a ‘‘covered subcon-
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tractor’’ is an entity that has a subcontract in excess of 
$1,000,000 on a contract subject to subsection (a). 
(c) The prohibitions in this section do not apply with 
respect to a contractor’s or subcontractor’s agreements 
with employees or independent contractors that may not 
be enforced in a court of the United States. 
(d) The Secretary of Defense may waive the applica-
tion of subsection (a) or (b) to a particular contractor or 
subcontractor for the purposes of a particular contract or 
subcontract if the Secretary or the Deputy Secretary per-
sonally determines that the waiver is necessary to avoid 
harm to national security interests of the United States, 
and that the term of the contract or subcontract is not 
longer than necessary to avoid such harm. The determina-
tion shall set forth with specificity the grounds for the 
waiver and for the contract or subcontract term selected, 
and shall state any alternatives considered in lieu of a 
waiver and the reasons each such alternative would not 
avoid harm to national security interests of the United 
States. The Secretary of Defense shall transmit to Con-
gress, and simultaneously make public, any determination 
under this subsection not less than 15 business days be-
fore the contract or subcontract addressed in the deter-
mination may be awarded. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 8090. From within the funds appropriated for 
operation and maintenance for the Defense Health Pro-
gram in this Act, up to $115,519,000, shall be available 
for transfer to the Joint Department of Defense-Depart-
ment of Veterans Affairs Medical Facility Demonstration 
Fund in accordance with the provisions of section 1704 
of the National Defense Authorization Act for Fiscal Year 
2010, Public Law 111–84: Provided, That for purposes 
of section 1704(b), the facility operations funded are oper-
ations of the integrated Captain James A. Lovell Federal 
Health Care Center, consisting of the North Chicago Vet-
erans Affairs Medical Center, the Navy Ambulatory Care 
Center, and supporting facilities designated as a combined 
Federal medical facility as described by section 706 of 
Public Law 110–417: Provided further, That additional 
funds may be transferred from funds appropriated for op-
eration and maintenance for the Defense Health Program 
to the Joint Department of Defense-Department of Vet-
erans Affairs Medical Facility Demonstration Fund upon 
written notification by the Secretary of Defense to the 
Committees on Appropriations of the House of Represent-
atives and the Senate. 
SEC. 8091. None of the funds appropriated or other-
wise made available by this Act may be used by the De-
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partment of Defense or a component thereof in contraven-
tion of the provisions of section 130h of title 10, United 
States Code. 
SEC. 8092. Appropriations available to the Depart-
ment of Defense may be used for the purchase of heavy 
and light armored vehicles for the physical security of per-
sonnel or for force protection purposes up to a limit of 
$450,000 per vehicle, notwithstanding price or other limi-
tations applicable to the purchase of passenger carrying 
vehicles. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 8093. Upon a determination by the Director of 
National Intelligence that such action is necessary and in 
the national interest, the Director may, with the approval 
of the Office of Management and Budget, transfer not to 
exceed $1,500,000,000 of the funds made available in this 
Act for the National Intelligence Program: Provided, That 
such authority to transfer may not be used unless for 
higher priority items, based on unforeseen intelligence re-
quirements, than those for which originally appropriated 
and in no case where the item for which funds are re-
quested has been denied by the Congress: Provided further, 
That a request for multiple reprogrammings of funds 
using authority provided in this section shall be made 
prior to June 30, 2017. 
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SEC. 8094. None of the funds appropriated or other-
wise made available in this or any other Act may be used 
to transfer, release, or assist in the transfer or release to 
or within the United States, its territories, or possessions 
Khalid Sheikh Mohammed or any other detainee who— 
(1) is not a United States citizen or a member 
of the Armed Forces of the United States; and 
(2) is or was held on or after June 24, 2009, 
at United States Naval Station, Guanta´namo Bay, 
Cuba, by the Department of Defense. 
SEC. 8095. (a) None of the funds appropriated or 
otherwise made available in this or any other Act may be 
used to construct, acquire, or modify any facility in the 
United States, its territories, or possessions to house any 
individual described in subsection (c) for the purposes of 
detention or imprisonment in the custody or under the ef-
fective control of the Department of Defense. 
(b) The prohibition in subsection (a) shall not apply 
to any modification of facilities at United States Naval 
Station, Guanta´namo Bay, Cuba. 
(c) An individual described in this subsection is any 
individual who, as of June 24, 2009, is located at United 
States Naval Station, Guanta´namo Bay, Cuba, and who— 
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contract, memorandum of understanding, or cooperative 
agreement with, or make a grant to, or provide a loan 
or loan guarantee to Rosoboronexport or any subsidiary 
of Rosoboronexport. 
(b) The Secretary of Defense may waive the limita-
tion in subsection (a) if the Secretary, in consultation with 
the Secretary of State and the Director of National Intel-
ligence, determines that it is in the vital national security 
interest of the United States to do so, and certifies in writ-
ing to the congressional defense committees that, to the 
best of the Secretary’s knowledge: 
(1) Rosoboronexport has ceased the transfer of 
lethal military equipment to, and the maintenance of 
existing lethal military equipment for, the Govern-
ment of the Syrian Arab Republic; 
(2) The armed forces of the Russian Federation 
have withdrawn from Crimea, other than armed 
forces present on military bases subject to agree-
ments in force between the Government of the Rus-
sian Federation and the Government of Ukraine; 
and 
(3) Agents of the Russian Federation have 
ceased taking active measures to destabilize the con-
trol of the Government of Ukraine over eastern 
Ukraine. 
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(c) The Inspector General of the Department of De-
fense shall conduct a review of any action involving 
Rosoboronexport with respect to a waiver issued by the 
Secretary of Defense pursuant to subsection (b), and not 
later than 90 days after the date on which such a waiver 
is issued by the Secretary of Defense, the Inspector Gen-
eral shall submit to the congressional defense committees 
a report containing the results of the review conducted 
with respect to such waiver. 
SEC. 8099. None of the funds made available in this 
Act may be used for the purchase or manufacture of a 
flag of the United States unless such flags are treated as 
covered items under section 2533a(b) of title 10, United 
States Code. 
SEC. 8100. (a) Of the funds appropriated in this Act 
for the Department of Defense, amounts may be made 
available, under such regulations as the Secretary of De-
fense may prescribe, to local military commanders ap-
pointed by the Secretary, or by an officer or employee des-
ignated by the Secretary, to provide at their discretion ex 
gratia payments in amounts consistent with subsection (d) 
of this section for damage, personal injury, or death that 
is incident to combat operations of the Armed Forces in 
a foreign country. 
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(b) An ex gratia payment under this section may be 
provided only if— 
(1) the prospective foreign civilian recipient is 
determined by the local military commander to be 
friendly to the United States; 
(2) a claim for damages would not be compen-
sable under chapter 163 of title 10, United States 
Code (commonly known as the ‘‘Foreign Claims 
Act’’); and 
(3) the property damage, personal injury, or 
death was not caused by action by an enemy. 
(c) NATURE OF PAYMENTS.—Any payments provided 
under a program under subsection (a) shall not be consid-
ered an admission or acknowledgement of any legal obliga-
tion to compensate for any damage, personal injury, or 
death. 
(d) AMOUNT OF PAYMENTS.—If the Secretary of De-
fense determines a program under subsection (a) to be ap-
propriate in a particular setting, the amounts of pay-
ments, if any, to be provided to civilians determined to 
have suffered harm incident to combat operations of the 
Armed Forces under the program should be determined 
pursuant to regulations prescribed by the Secretary and 
based on an assessment, which should include such factors 
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as cultural appropriateness and prevailing economic condi-
tions. 
(e) LEGAL ADVICE.—Local military commanders 
shall receive legal advice before making ex gratia pay-
ments under this subsection. The legal advisor, under reg-
ulations of the Department of Defense, shall advise on 
whether an ex gratia payment is proper under this section 
and applicable Department of Defense regulations. 
(f) WRITTEN RECORD.—A written record of any ex 
gratia payment offered or denied shall be kept by the local 
commander and on a timely basis submitted to the appro-
priate office in the Department of Defense as determined 
by the Secretary of Defense. 
(g) REPORT.—The Secretary of Defense shall report 
to the congressional defense committees on an annual 
basis the efficacy of the ex gratia payment program in-
cluding the number of types of cases considered, amounts 
offered, the response from ex gratia payment recipients, 
and any recommended modifications to the program. 
SEC. 8101. None of the funds available in this Act 
to the Department of Defense, other than appropriations 
made for necessary or routine refurbishments, upgrades 
or maintenance activities, shall be used to reduce or to 
prepare to reduce the number of deployed and non-de-
ployed strategic delivery vehicles and launchers below the 
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levels set forth in the report submitted to Congress in ac-
cordance with section 1042 of the National Defense Au-
thorization Act for Fiscal Year 2012. 
SEC. 8102. The Secretary of Defense shall post grant 
awards on a public Website in a searchable format. 
SEC. 8103. None of the funds made available by this 
Act may be used to fund the performance of a flight dem-
onstration team at a location outside of the United States: 
Provided, That this prohibition applies only if a perform-
ance of a flight demonstration team at a location within 
the United States was canceled during the current fiscal 
year due to insufficient funding. 
SEC. 8104. None of the funds made available by this 
Act may be used by the National Security Agency to— 
(1) conduct an acquisition pursuant to section 
702 of the Foreign Intelligence Surveillance Act of 
1978 for the purpose of targeting a United States 
person; or 
(2) acquire, monitor, or store the contents (as 
such term is defined in section 2510(8) of title 18, 
United States Code) of any electronic communica-
tion of a United States person from a provider of 
electronic communication services to the public pur-
suant to section 501 of the Foreign Intelligence Sur-
veillance Act of 1978. 
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SEC. 8105. None of the funds made available by this 
Act may be obligated or expended to implement the Arms 
Trade Treaty until the Senate approves a resolution of 
ratification for the Treaty. 
SEC. 8106. None of the funds made available in this 
or any other Act may be used to pay the salary of any 
officer or employee of any agency funded by this Act who 
approves or implements the transfer of administrative re-
sponsibilities or budgetary resources of any program, 
project, or activity financed by this Act to the jurisdiction 
of another Federal agency not financed by this Act unless 
explicity provided for in a Defense Appropriations Act: 
Provided, That this limitation shall not apply to transfers 
of funds expressly provided for in Defense Appropriations 
Acts, or provisions of Acts providing supplemental appro-
priations for the Department of Defense. 
SEC. 8107. None of the funds made available in this 
Act may be obligated for activities authorized under sec-
tion 1208 of the Ronald W. Reagan National Defense Au-
thorization Act for Fiscal Year 2005 (Public Law 112– 
81; 125 Stat. 1621) to initiate support for, or expand sup-
port to, foreign forces, irregular forces, groups, or individ-
uals unless the congressional defense committees are noti-
fied in accordance with the direction contained in the clas-
sified annex accompanying this Act, not less than 15 days 
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before initiating such support: Provided, That none of the 
funds made available in this Act may be used under sec-
tion 1208 for any activity that is not in support of an 
ongoing military operation being conducted by United 
States Special Operations Forces to combat terrorism: 
Provided further, That the Secretary of Defense may waive 
the prohibitions in this section if the Secretary determines 
that such waiver is required by extraordinary cir-
cumstances and, by not later than 72 hours after making 
such waiver, notifies the congressional defense committees 
of such waiver. 
SEC. 8108. None of the funds made available by this 
Act may be used with respect to Iraq in contravention of 
the War Powers Resolution (50 U.S.C. 1541 et seq.), in-
cluding for the introduction of United States armed forces 
into hostilities in Iraq, into situations in Iraq where immi-
nent involvement in hostilities is clearly indicated by the 
circumstances, or into Iraqi territory, airspace, or waters 
while equipped for combat, in contravention of the con-
gressional consultation and reporting requirements of sec-
tions 3 and 4 of such Resolution (50 U.S.C. 1542 and 
1543). 
SEC. 8109. None of the funds provided in this Act 
for the T–AO Fleet Oiler or the Towing, Salvage, and Res-
cue Ship programs shall be used to award a new contract 
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that provides for the acquisition of the following compo-
nents unless those components are manufactured in the 
United States: Auxiliary equipment (including pumps) for 
shipboard services; propulsion equipment (including en-
gines, reduction gears, and propellers); shipboard cranes; 
and spreaders for shipboard cranes. 
SEC. 8110. The amount appropriated in title II of 
this Act for ‘‘Operation and Maintenance, Army’’ is here-
by reduced by $75,000,000 to reflect excess cash balances 
in Department of Defense Working Capital Funds. 
SEC. 8111. Notwithstanding any other provision of 
this Act, to reflect savings due to lower than anticipated 
fuel costs, the total amount appropriated in title II of this 
Act is hereby reduced by $1,007,267,000. 
SEC. 8112. None of the funds made available by this 
Act may be used for Government Travel Charge Card ex-
penses by military or civilian personnel of the Department 
of Defense for gaming, or for entertainment that includes 
topless or nude entertainers or participants, as prohibited 
by Department of Defense FMR, Volume 9, Chapter 3 
and Department of Defense Instruction 1015.10 (enclo-
sure 3, 14a and 14b). 
SEC. 8113. None of the funds made available by this 
Act may be used to propose, plan for, or execute a new 
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or additional Base Realignment and Closure (BRAC) 
round. 
SEC. 8114. Of the amounts appropriated in this Act 
for ‘‘Operation and Maintenance, Navy’’, $289,255,000, 
to remain available until expended, may be used for any 
purposes related to the National Defense Reserve Fleet 
established under section 11 of the Merchant Ship Sales 
Act of 1946 (50 U.S.C. 4405): Provided, That such 
amounts are available for reimbursements to the Ready 
Reserve Force, Maritime Administration account of the 
United States Department of Transportation for pro-
grams, projects, activities, and expenses related to the Na-
tional Defense Reserve Fleet. 
SEC. 8115. None of the funds made available by this 
Act for the Joint Surveillance Target Attack Radar Sys-
tem recapitalization program may be obligated or ex-
pended for pre-milestone B activities after March 31, 
2018, except for source selection and other activities nec-
essary to enter the engineering and manufacturing devel-
opment phase. 
SEC. 8116. None of the funds made available by this 
Act may be used to carry out the closure or realignment 
of the United States Naval Station, Guanta´namo Bay, 
Cuba. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 8117. Additional readiness funds made available 
in title II of this Act for ‘‘Operation and Maintenance, 
Army’’, ‘‘Operation and Maintenance, Navy’’, ‘‘Operation 
and Maintenance, Marine Corps’’, and ‘‘Operation and 
Maintenance, Air Force’’ may be transferred to and 
merged with any appropriation of the Department of De-
fense for activities related to the Zika virus in order to 
provide health support for the full range of military oper-
ations and sustain the health of the members of the Armed 
Forces, civilian employees of the Department of Defense, 
and their families, to include: research and development, 
disease surveillance, vaccine development, rapid detection, 
vector controls and surveillance, training, and outbreak re-
sponse: Provided, That the authority provided in this sec-
tion is subject to the same terms and conditions as the 
authority provided in section 8005 of this Act. 
SEC. 8118. (a) None of the funds made available in 
this Act may be used to maintain or establish a computer 
network unless such network is designed to block access 
to pornography websites. 
(b) Nothing in subsection (a) shall limit the use of 
funds necessary for any Federal, State, tribal, or local law 
enforcement agency or any other entity carrying out crimi-
nal investigations, prosecution, or adjudication activities, 
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tive duty, reserve and National Guard personnel, 
$206,400,000 is hereby appropriated to the Department 
of Defense and made available for transfer only to military 
personnel accounts: Provided, That the transfer authority 
provided under this heading is in addition to any other 
transfer authority provided elsewhere in this Act. 
SEC. 8122. In addition to amounts provided else-
where in this Act, there is appropriated $235,000,000, for 
an additional amount for ‘‘Operation and Maintenance, 
Defense-Wide’’, to remain available until expended: Pro-
vided, That such funds shall only be available to the Sec-
retary of Defense, acting through the Office of Economic 
Adjustment of the Department of Defense, or for transfer 
to the Secretary of Education, notwithstanding any other 
provision of law, to make grants, conclude cooperative 
agreements, or supplement other Federal funds to con-
struct, renovate, repair, or expand elementary and sec-
ondary public schools on military installations in order to 
address capacity or facility condition deficiencies at such 
schools: Provided further, That in making such funds 
available, the Office of Economic Adjustment or the Sec-
retary of Education shall give priority consideration to 
those military installations with schools having the most 
serious capacity or facility condition deficiencies as deter-
mined by the Secretary of Defense: Provided further, That 
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as a condition of receiving funds under this section a local 
educational agency or State shall provide a matching share 
as described in the notice titled ‘‘Department of Defense 
Program for Construction, Renovation, Repair or Expan-
sion of Public Schools Located on Military Installations’’ 
published by the Department of Defense in the Federal 
Register on September 9, 2011 (76 Fed. Reg. 55883 et 
seq.): Provided further, That these provisions apply to 
funds provided under this section, and to funds previously 
provided by Congress to construct, renovate, repair, or ex-
pand elementary and secondary public schools on military 
installations in order to address capacity or facility condi-
tion deficiencies at such schools to the extent such funds 
remain unobligated on the date of enactment of this sec-
tion. 
SEC. 8123. None of the funds made available by this 
Act may be used to carry out the changes to the Joint 
Travel Regulations of the Department of Defense de-
scribed in the memorandum of the Per Diem Travel and 
Transportation Allowance Committee titled ‘‘UTD/CTD 
for MAP 118–13/CAP 118–13 - Flat Rate Per Diem for 
Long Term TDY’’ and dated October 1, 2014. 
SEC. 8124. In carrying out the program described in 
the memorandum on the subject of ‘‘Policy for Assisted 
Reproductive Services for the Benefit of Seriously or Se-
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verely Ill/Injured (Category II or III) Active Duty Service 
Members’’ issued by the Assistant Secretary of Defense 
for Health Affairs on April 3, 2012, and the guidance 
issued to implement such memorandum, the Secretary of 
Defense shall apply such policy and guidance, except 
that— 
(1) the limitation on periods regarding embryo 
cryopreservation and storage set forth in part III(G) 
and in part IV(H) of such memorandum shall not 
apply; and 
(2) the term ‘‘assisted reproductive technology’’ 
shall include embryo cryopreservation and storage 
without 
limitation 
on 
the 
duration 
of 
such 
cryopreservation and storage. 
TITLE IX 
OVERSEAS CONTINGENCY OPERATIONS/GLOBAL 
WAR ON TERRORISM 
MILITARY PERSONNEL 
MILITARY PERSONNEL, ARMY 
For an additional amount for ‘‘Military Personnel, 
Army’’, $2,635,317,000: Provided, That such amount is 
designated by the Congress for Overseas Contingency Op-
erations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
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MILITARY PERSONNEL, NAVY 
For an additional amount for ‘‘Military Personnel, 
Navy’’, $377,857,000: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
MILITARY PERSONNEL, MARINE CORPS 
For an additional amount for ‘‘Military Personnel, 
Marine Corps’’, $103,800,000: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
MILITARY PERSONNEL, AIR FORCE 
For an additional amount for ‘‘Military Personnel, 
Air Force’’, $912,779,000: Provided, That such amount 
is designated by the Congress for Overseas Contingency 
Operations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESERVE PERSONNEL, ARMY 
For an additional amount for ‘‘Reserve Personnel, 
Army’’, $24,942,000: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
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ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESERVE PERSONNEL, NAVY 
For an additional amount for ‘‘Reserve Personnel, 
Navy’’, $9,091,000: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESERVE PERSONNEL, MARINE CORPS 
For an additional amount for ‘‘Reserve Personnel, 
Marine Corps’’, $2,328,000: Provided, That such amount 
is designated by the Congress for Overseas Contingency 
Operations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESERVE PERSONNEL, AIR FORCE 
For an additional amount for ‘‘Reserve Personnel, 
Air Force’’, $20,569,000: Provided, That such amount is 
designated by the Congress for Overseas Contingency Op-
erations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
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NATIONAL GUARD PERSONNEL, ARMY 
For an additional amount for ‘‘National Guard Per-
sonnel, Army’’, $184,589,000: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
NATIONAL GUARD PERSONNEL, AIR FORCE 
For an additional amount for ‘‘National Guard Per-
sonnel, Air Force’’, $5,004,000: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
MILITARY PERSONNEL, NATIONAL DEFENSE 
RESTORATION FUND 
(INCLUDING TRANSFER OF FUNDS) 
In addition to amounts provided elsewhere in this 
Act, there is appropriated $1,000,000,000, for the ‘‘Mili-
tary Personnel, National Defense Restoration Fund’’: Pro-
vided, That such funds provided under this heading shall 
only be available for programs, projects and activities nec-
essary to implement the 2018 National Defense Strategy: 
Provided further, That such funds shall not be available 
for transfer until 30 days after the Secretary has sub-
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mitted, and the congressional defense committees have ap-
proved, the proposed allocation plan for the use of such 
funds to implement such strategy: Provided further, That 
such allocation plan shall include a detailed justification 
for the use of such funds and a description of how such 
investments are necessary to implement the strategy: Pro-
vided further, That the Secretary of Defense may transfer 
these funds only to military personnel accounts: Provided 
further, That the funds transferred shall be merged with 
and shall be available for the same purposes and for the 
same time period, as the appropriation to which trans-
ferred: Provided further, That none of the funds made 
available under this heading may be transferred to any 
program, project, or activity specifically limited or denied 
by this Act: Provided further, That the transfer authority 
provided under this heading is in addition to any other 
transfer authority available to the Department of Defense: 
Provided further, That such amount is designated by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
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OPERATION AND MAINTENANCE 
OPERATION AND MAINTENANCE, ARMY 
For an additional amount for ‘‘Operation and Main-
tenance, Army’’, $16,126,403,000: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, NAVY 
For an additional amount for ‘‘Operation and Main-
tenance, Navy’’, $5,875,015,000, of which up to 
$161,885,000 may be transferred to the Coast Guard 
‘‘Operating Expenses’’ account: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, MARINE CORPS 
For an additional amount for ‘‘Operation and Main-
tenance, Marine Corps’’, $1,116,640,000: Provided, That 
such amount is designated by the Congress for Overseas 
Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
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OPERATION AND MAINTENANCE, AIR FORCE 
For an additional amount for ‘‘Operation and Main-
tenance, Air Force’’, $10,266,295,000: Provided, That 
such amount is designated by the Congress for Overseas 
Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, DEFENSE-WIDE 
For an additional amount for ‘‘Operation and Main-
tenance, Defense-Wide’’, $6,944,201,000: Provided, That 
of the funds provided under this heading, not to exceed 
$900,000,000, to remain available until September 30, 
2019, shall be for payments to reimburse key cooperating 
nations for logistical, military, and other support, includ-
ing access, provided to United States military and stability 
operations in Afghanistan and to counter the Islamic 
State of Iraq and the Levant: Provided further, That such 
reimbursement payments may be made in such amounts 
as the Secretary of Defense, with the concurrence of the 
Secretary of State, and in consultation with the Director 
of the Office of Management and Budget, may determine, 
based on documentation determined by the Secretary of 
Defense to adequately account for the support provided, 
and such determination is final and conclusive upon the 
accounting officers of the United States, and 15 days fol-
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lowing notification to the appropriate congressional com-
mittees: Provided further, That funds provided under this 
heading may be used for the purpose of providing special-
ized training and procuring supplies and specialized equip-
ment and providing such supplies and loaning such equip-
ment on a non-reimbursable basis to coalition forces sup-
porting United States military and stability operations in 
Afghanistan and to counter the Islamic State of Iraq and 
the Levant, and 15 days following notification to the ap-
propriate congressional committees: Provided further, 
That funds provided under this heading may be used to 
support the Government of Jordan, in such amounts as 
the Secretary of Defense may determine, to enhance the 
ability of the armed forces of Jordan to increase or sustain 
security along its borders, upon 15 days prior written noti-
fication to the congressional defense committees outlining 
the amounts intended to be provided and the nature of 
the expenses incurred: Provided further, That of the funds 
provided under this heading, not to exceed $750,000,000, 
to remain available until September 30, 2019, shall be 
available to provide support and assistance to foreign secu-
rity forces or other groups or individuals to conduct, sup-
port, or facilitate counterterrorism, crisis response, or 
other Department of Defense security cooperation pro-
grams: Provided further, That such amount is designated 
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by the Congress for Overseas Contingency Operations/ 
Global 
War 
on 
Terrorism 
pursuant 
to 
section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, ARMY RESERVE 
For an additional amount for ‘‘Operation and Main-
tenance, Army Reserve’’, $24,699,000: Provided, That 
such amount is designated by the Congress for Overseas 
Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, NAVY RESERVE 
For an additional amount for ‘‘Operation and Main-
tenance, Navy Reserve’’, $23,980,000: Provided, That 
such amount is designated by the Congress for Overseas 
Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, MARINE CORPS 
RESERVE 
For an additional amount for ‘‘Operation and Main-
tenance, Marine Corps Reserve’’, $3,367,000: Provided, 
That such amount is designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism 
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pursuant to section 251(b)(2)(A)(ii) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, AIR FORCE RESERVE 
For an additional amount for ‘‘Operation and Main-
tenance, Air Force Reserve’’, $58,523,000: Provided, That 
such amount is designated by the Congress for Overseas 
Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, ARMY NATIONAL 
GUARD 
For an additional amount for ‘‘Operation and Main-
tenance, Army National Guard’’, $108,111,000: Provided, 
That such amount is designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism 
pursuant to section 251(b)(2)(A)(ii) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, AIR NATIONAL GUARD 
For an additional amount for ‘‘Operation and Main-
tenance, Air National Guard’’, $15,400,000: Provided, 
That such amount is designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism 
pursuant to section 251(b)(2)(A)(ii) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
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OPERATION AND MAINTENANCE, NATIONAL DEFENSE 
RESTORATION FUND 
(INCLUDING TRANSFER OF FUNDS) 
In addition to amounts provided elsewhere in this 
Act, there is appropriated $2,000,000,000, for the ‘‘Oper-
ation and Maintenance, National Defense Restoration 
Fund’’: Provided, That such funds provided under this 
heading shall only be available for programs, projects and 
activities necessary to implement the 2018 National De-
fense Strategy: Provided further, That such funds shall not 
be available for transfer until 30 days after the Secretary 
has submitted, and the congressional defense committees 
have approved, the proposed allocation plan for the use 
of such funds to implement such strategy: Provided fur-
ther, That such allocation plan shall include a detailed jus-
tification for the use of such funds and a description of 
how such investments are necessary to implement the 
strategy: Provided further, That the Secretary of Defense 
may transfer these funds only to operation and mainte-
nance accounts: Provided further, That the funds trans-
ferred shall be merged with and shall be available for the 
same purposes and for the same time period, as the appro-
priation to which transferred: Provided further, That none 
of the funds made available under this heading may be 
transferred to any program, project, or activity specifically 
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limited or denied by this Act: Provided further, That the 
transfer authority provided under this heading is in addi-
tion to any other transfer authority available to the De-
partment of Defense: Provided further, That such amount 
is designated by the Congress for Overseas Contingency 
Operations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
AFGHANISTAN SECURITY FORCES FUND 
For the ‘‘Afghanistan Security Forces Fund’’, 
$4,937,515,000 (reduced by $12,000,000), to remain 
available until September 30, 2019: Provided, That such 
funds shall be available to the Secretary of Defense, not-
withstanding any other provision of law, for the purpose 
of allowing the Commander, Combined Security Transi-
tion Command—Afghanistan, or the Secretary’s designee, 
to provide assistance, with the concurrence of the Sec-
retary of State, to the security forces of Afghanistan, in-
cluding the provision of equipment, supplies, services, 
training, facility and infrastructure repair, renovation, 
construction, and funding: Provided further, That the Sec-
retary of Defense may obligate and expend funds made 
available to the Department of Defense in this title for 
additional costs associated with existing projects pre-
viously funded with amounts provided under the heading 
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‘‘Afghanistan Infrastructure Fund’’ in prior Acts: Pro-
vided further, That such costs shall be limited to contract 
changes resulting from inflation, market fluctuation, rate 
adjustments, and other necessary contract actions to com-
plete existing projects, and associated supervision and ad-
ministration costs and costs for design during construc-
tion: Provided further, That the Secretary may not use 
more than $50,000,000 under the authority provided in 
this section: Provided further, That the Secretary shall no-
tify in advance such contract changes and adjustments in 
annual reports to the congressional defense committees: 
Provided further, That the authority to provide assistance 
under this heading is in addition to any other authority 
to provide assistance to foreign nations: Provided further, 
That contributions of funds for the purposes provided 
herein from any person, foreign government, or inter-
national organization may be credited to this Fund, to re-
main available until expended, and used for such purposes: 
Provided further, That the Secretary of Defense shall no-
tify the congressional defense committees in writing upon 
the receipt and upon the obligation of any contribution, 
delineating the sources and amounts of the funds received 
and the specific use of such contributions: Provided fur-
ther, That the Secretary of Defense shall, not fewer than 
15 days prior to obligating from this appropriation ac-
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count, notify the congressional defense committees in writ-
ing of the details of any such obligation: Provided further, 
That the Secretary of Defense shall notify the congres-
sional defense committees of any proposed new projects 
or transfer of funds between budget sub-activity groups 
in excess of $20,000,000: Provided further, That the 
United States may accept equipment procured using funds 
provided under this heading in this or prior Acts that was 
transferred to the security forces of Afghanistan and re-
turned by such forces to the United States: Provided fur-
ther, That equipment procured using funds provided under 
this heading in this or prior Acts, and not yet transferred 
to the security forces of Afghanistan or transferred to the 
security forces of Afghanistan and returned by such forces 
to the United States, may be treated as stocks of the De-
partment of Defense upon written notification to the con-
gressional defense committees: Provided further, That of 
the funds provided under this heading, not less than 
$10,000,000 shall be for recruitment and retention of 
women in the Afghanistan National Security Forces, and 
the recruitment and training of female security personnel: 
Provided further, That such amount is designated by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
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the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
COUNTER-ISIL TRAIN AND EQUIP FUND 
For the ‘‘Counter-Islamic State of Iraq and the Le-
vant Train and Equip Fund’’, $1,769,000,000, to remain 
available until September 30, 2019: Provided, That such 
funds shall be available to the Secretary of Defense in co-
ordination with the Secretary of State, to provide assist-
ance, including training; equipment; logistics support, sup-
plies, and services; stipends; infrastructure repair and ren-
ovation; and sustainment, to foreign security forces, irreg-
ular forces, groups, or individuals participating, or pre-
paring to participate in activities to counter the Islamic 
State of Iraq and the Levant, and their affiliated or asso-
ciated groups: Provided further, That these funds may be 
used in such amounts as the Secretary of Defense may 
determine to enhance the border security of nations adja-
cent to conflict areas including Jordan, Lebanon, Egypt, 
and Tunisia resulting from actions of the Islamic State 
of Iraq and the Levant: Provided further, That amounts 
made available under this heading shall be available to 
provide assistance only for activities in a country des-
ignated by the Secretary of Defense, in coordination with 
the Secretary of State, as having a security mission to 
counter the Islamic State of Iraq and the Levant, and fol-
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lowing written notification to the congressional defense 
committees of such designation: Provided further, That the 
Secretary of Defense shall ensure that prior to providing 
assistance to elements of any forces or individuals, such 
elements or individuals are appropriately vetted, including 
at a minimum, assessing such elements for associations 
with terrorist groups or groups associated with the Gov-
ernment of Iran; and receiving commitments from such 
elements to promote respect for human rights and the rule 
of law: Provided further, That the Secretary of Defense 
shall, not fewer than 15 days prior to obligating from this 
appropriation account, notify the congressional defense 
committees in writing of the details of any such obligation: 
Provided further, That the Secretary of Defense may ac-
cept and retain contributions, including assistance in-kind, 
from foreign governments, including the Government of 
Iraq and other entities, to carry out assistance authorized 
under this heading: Provided further, That contributions 
of funds for the purposes provided herein from any foreign 
government or other entity may be credited to this Fund, 
to remain available until expended, and used for such pur-
poses: Provided further, That the Secretary of Defense 
may waive a provision of law relating to the acquisition 
of items and support services or sections 40 and 40A of 
the Arms Export Control Act (22 U.S.C. 2780 and 2785) 
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if the Secretary determines that such provision of law 
would prohibit, restrict, delay or otherwise limit the provi-
sion of such assistance and a notice of and justification 
for such waiver is submitted to the congressional defense 
committees, the Committees on Appropriations and For-
eign Relations of the Senate and the Committees on Ap-
propriations and Foreign Affairs of the House of Rep-
resentatives: Provided further, That the United States may 
accept equipment procured using funds provided under 
this heading, or under the heading, ‘‘Iraq Train and Equip 
Fund’’ in prior Acts, that was transferred to security 
forces, irregular forces, or groups participating, or pre-
paring to participate in activities to counter the Islamic 
State of Iraq and the Levant and returned by such forces 
or groups to the United States, may be treated as stocks 
of the Department of Defense upon written notification 
to the congressional defense committees: Provided further, 
That equipment procured using funds provided under this 
heading, or under the heading, ‘‘Iraq Train and Equip 
Fund’’ in prior Acts, and not yet transferred to security 
forces, irregular forces, or groups participating, or pre-
paring to participate in activities to counter the Islamic 
State of Iraq and the Levant may be treated as stocks 
of the Department of Defense when determined by the 
Secretary to no longer be required for transfer to such 
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forces or groups and upon written notification to the con-
gressional defense committees: Provided further, That the 
Secretary of Defense shall provide quarterly reports to the 
congressional defense committees on the use of funds pro-
vided under this heading, including, but not limited to, 
the number of individuals trained, the nature and scope 
of support and sustainment provided to each group or in-
dividual, the area of operations for each group, and the 
contributions of other countries, groups, or individuals: 
Provided further, That such amount is designated by the 
Congress for Overseas Contingency Operations/ Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
PROCUREMENT 
AIRCRAFT PROCUREMENT, ARMY 
For an additional amount for ‘‘Aircraft Procurement, 
Army’’, $424,686,000, to remain available until Sep-
tember 30, 2020: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
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MISSILE PROCUREMENT, ARMY 
For an additional amount for ‘‘Missile Procurement, 
Army’’, $557,583,000, to remain available until Sep-
tember 30, 2020: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
PROCUREMENT OF WEAPONS AND TRACKED COMBAT 
VEHICLES, ARMY 
For an additional amount for ‘‘Procurement of Weap-
ons 
and 
Tracked 
Combat 
Vehicles, 
Army’’, 
$1,191,139,000, to remain available until September 30, 
2020: Provided, That such amount is designated by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
PROCUREMENT OF AMMUNITION, ARMY 
For an additional amount for ‘‘Procurement of Am-
munition, Army’’, $193,436,000, to remain available until 
September 30, 2020: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
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251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
OTHER PROCUREMENT, ARMY 
For an additional amount for ‘‘Other Procurement, 
Army’’, $405,575,000, to remain available until Sep-
tember 30, 2020: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
AIRCRAFT PROCUREMENT, NAVY 
For an additional amount for ‘‘Aircraft Procurement, 
Navy’’, $157,300,000, to remain available until September 
30, 2020: Provided, That such amount is designated by 
the Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
WEAPONS PROCUREMENT, NAVY 
For an additional amount for ‘‘Weapons Procure-
ment, Navy’’, $130,994,000, to remain available until 
September 30, 2020: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
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251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
NATIONAL GUARD AND RESERVE EQUIPMENT ACCOUNT 
For procurement of rotary-wing aircraft; combat, tac-
tical and support vehicles; other weapons; and other pro-
curement items for the reserve components of the Armed 
Forces, $1,000,000,000, to remain available for obligation 
until September 30, 2020: Provided, That the Chiefs of 
National Guard and Reserve components shall, not later 
than 30 days after enactment of this Act, individually sub-
mit to the congressional defense committees the mod-
ernization priority assessment for their respective Na-
tional Guard or Reserve component: Provided further, 
That none of the funds made available by this paragraph 
may be used to procure manned fixed wing aircraft, or 
procure or modify missiles, munitions, or ammunition: 
Provided further, That such amount is designated by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
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PROCUREMENT, NATIONAL DEFENSE RESTORATION 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
In addition to amounts provided elsewhere in this 
Act, there is appropriated $6,000,000,000, for the ‘‘Pro-
curement, National Defense Restoration Fund’’: Provided, 
That such funds provided under this heading shall only 
be available for programs, projects and activities necessary 
to implement the 2018 National Defense Strategy: Pro-
vided further, That such funds shall not be available for 
transfer until 30 days after the Secretary has submitted, 
and the congressional defense committees have approved, 
the proposed allocation plan for the use of such funds to 
implement such strategy: Provided further, That such allo-
cation plan shall include a detailed justification for the use 
of such funds and a description of how such investments 
are necessary to implement the strategy: Provided further, 
That the Secretary of Defense may transfer these funds 
only to procurement accounts: Provided further, That the 
funds transferred shall be merged with and shall be avail-
able for the same purposes and for the same time period, 
as the appropriation to which transferred: Provided fur-
ther, That none of the funds made available under this 
heading may be transferred to any program, project, or 
activity specifically limited or denied by this Act: Provided 
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further, That the transfer authority provided under this 
heading is in addition to any other transfer authority 
available to the Department of Defense: Provided further, 
That such amount is designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism 
pursuant to section 251(b)(2)(A)(ii) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND 
EVALUATION 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
ARMY 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Army’’, $119,368,000 (in-
creased by $6,000,000), to remain available until Sep-
tember 30, 2019: Provided, That such amount is des-
ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
NAVY 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Navy’’, $124,865,000, to re-
main available until September 30, 2019: Provided, That 
such amount is designated by the Congress for Overseas 
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Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
AIR FORCE 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Air Force’’, $144,508,000, to 
remain available until September 30, 2019: Provided, 
That such amount is designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism 
pursuant to section 251(b)(2)(A)(ii) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
DEFENSE-WIDE 
For an additional amount for ‘‘Research, Develop-
ment, 
Test 
and 
Evaluation, 
Defense-Wide’’, 
$226,096,000, to remain available until September 30, 
2019: Provided, That such amount is designated by the 
Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985. 
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RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
NATIONAL DEFENSE RESTORATION FUND 
(INCLUDING TRANSFER OF FUNDS) 
In addition to amounts provided elsewhere in this 
Act, there is appropriated $1,000,000,000, for the ‘‘Re-
search, Development, Test and Evaluation, National De-
fense Restoration Fund’’: Provided, That such funds pro-
vided under this heading shall only be available for pro-
grams, projects and activities necessary to implement the 
2018 National Defense Strategy: Provided further, That 
such funds shall not be available for transfer until 30 days 
after the Secretary has submitted, and the congressional 
defense committees have approved, the proposed allocation 
plan for the use of such funds to implement such strategy: 
Provided further, That such allocation plan shall include 
a detailed justification for the use of such funds and a 
description of how such investments are necessary to im-
plement the strategy: Provided further, That the Secretary 
of Defense may transfer these funds only to research, de-
velopment, test and evaluation accounts: Provided further, 
That the funds transferred shall be merged with and shall 
be available for the same purposes and for the same time 
period, as the appropriation to which transferred: Pro-
vided further, That none of the funds made available under 
this heading may be transferred to any program, project, 
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or activity specifically limited or denied by this Act: Pro-
vided further, That the transfer authority provided under 
this heading is in addition to any other transfer authority 
available to the Department of Defense: Provided further, 
That such amount is designated by the Congress for Over-
seas Contingency Operations/Global War on Terrorism 
pursuant to section 251(b)(2)(A)(ii) of the Balanced 
Budget and Emergency Deficit Control Act of 1985. 
REVOLVING AND MANAGEMENT FUNDS 
DEFENSE WORKING CAPITAL FUNDS 
For an additional amount for ‘‘Defense Working 
Capital Funds’’, $148,956,000: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
OTHER DEPARTMENT OF DEFENSE PROGRAMS 
DEFENSE HEALTH PROGRAM 
For an additional amount for ‘‘Defense Health Pro-
gram’’, $395,805,000, which shall be for operation and 
maintenance: Provided, That such amount is designated 
by the Congress for Overseas Contingency Operations/ 
Global 
War 
on 
Terrorism 
pursuant 
to 
section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
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DRUG INTERDICTION AND COUNTER-DRUG ACTIVITIES, 
DEFENSE 
For an additional amount for ‘‘Drug Interdiction and 
Counter-Drug Activities, Defense’’, $196,300,000: Pro-
vided, That such amount is designated by the Congress 
for Overseas Contingency Operations/Global War on Ter-
rorism pursuant to section 251(b)(2)(A)(ii) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
JOINT IMPROVISED-THREAT DEFEAT FUND 
(INCLUDING TRANSFER OF FUNDS) 
For the ‘‘Joint Improvised-Threat Defeat Fund’’, 
$483,058,000, to remain available until September 30, 
2020: Provided, That such funds shall be available to the 
Secretary of Defense, notwithstanding any other provision 
of law, for the purpose of allowing the Director of the 
Joint Improvised-Threat Defeat Organization to inves-
tigate, develop and provide equipment, supplies, services, 
training, facilities, personnel and funds to assist United 
States forces in the defeat of improvised explosive devices: 
Provided further, That the Secretary of Defense may 
transfer funds provided herein to appropriations for mili-
tary personnel; operation and maintenance; procurement; 
research, development, test and evaluation; and defense 
working capital funds to accomplish the purpose provided 
herein: Provided further, That this transfer authority is 
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in addition to any other transfer authority available to the 
Department of Defense: Provided further, That the Sec-
retary of Defense shall, not fewer than 5 days prior to 
making transfers from this appropriation, notify the con-
gressional defense committees in writing of the details of 
any such transfer: Provided further, That such amount is 
designated by the Congress for Overseas Contingency Op-
erations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
OFFICE OF THE INSPECTOR GENERAL 
For an additional amount for the ‘‘Office of the In-
spector General’’, $24,692,000: Provided, That such 
amount is designated by the Congress for Overseas Con-
tingency Operations/Global War on Terrorism pursuant to 
section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
GENERAL PROVISIONS—THIS TITLE 
SEC. 9001. Notwithstanding any other provision of 
law, funds made available in this title are in addition to 
amounts appropriated or otherwise made available for the 
Department of Defense for fiscal year 2018. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 9002. Upon the determination of the Secretary 
of Defense that such action is necessary in the national 
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interest, the Secretary may, with the approval of the Of-
fice of Management and Budget, transfer up to 
$2,500,000,000 between the appropriations or funds made 
available to the Department of Defense in this title: Pro-
vided, That the Secretary shall notify the Congress 
promptly of each transfer made pursuant to the authority 
in this section: Provided further, That the authority pro-
vided in this section is in addition to any other transfer 
authority available to the Department of Defense and is 
subject to the same terms and conditions as the authority 
provided in section 8005 of this Act. 
SEC. 9003. Supervision and administration costs and 
costs for design during construction associated with a con-
struction project funded with appropriations available for 
operation and maintenance or the ‘‘Afghanistan Security 
Forces Fund’’ provided in this Act and executed in direct 
support of overseas contingency operations in Afghani-
stan, may be obligated at the time a construction contract 
is awarded: Provided, That, for the purpose of this section, 
supervision and administration costs and costs for design 
during construction include all in-house Government costs. 
SEC. 9004. From funds made available in this title, 
the Secretary of Defense may purchase for use by military 
and civilian employees of the Department of Defense in 
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the United States Central Command area of responsi-
bility: 
(1) passenger motor vehicles up to a limit of 
$75,000 per vehicle; and 
(2) heavy and light armored vehicles for the 
physical security of personnel or for force protection 
purposes up to a limit of $450,000 per vehicle, not-
withstanding price or other limitations applicable to 
the purchase of passenger carrying vehicles. 
SEC. 9005. Not to exceed $5,000,000 of the amounts 
appropriated by this title under the heading ‘‘Operation 
and Maintenance, Army’’ may be used, notwithstanding 
any other provision of law, to fund the Commanders’ 
Emergency Response Program (CERP), for the purpose 
of enabling military commanders in Afghanistan to re-
spond to urgent, small-scale, humanitarian relief and re-
construction requirements within their areas of responsi-
bility: Provided, That each project (including any ancillary 
or related elements in connection with such project) exe-
cuted under this authority shall not exceed $2,000,000: 
Provided further, That not later than 45 days after the 
end of each 6 months of the fiscal year, the Secretary of 
Defense shall submit to the congressional defense commit-
tees a report regarding the source of funds and the alloca-
tion and use of funds during that 6-month period that 
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were made available pursuant to the authority provided 
in this section or under any other provision of law for the 
purposes described herein: Provided further, That, not 
later than 30 days after the end of each fiscal year quar-
ter, the Army shall submit to the congressional defense 
committees quarterly commitment, obligation, and expend-
iture data for the CERP in Afghanistan: Provided further, 
That, not less than 15 days before making funds available 
pursuant to the authority provided in this section or under 
any other provision of law for the purposes described here-
in for a project with a total anticipated cost for completion 
of $500,000 or more, the Secretary shall submit to the 
congressional defense committees a written notice con-
taining each of the following: 
(1) The location, nature and purpose of the 
proposed project, including how the project is in-
tended to advance the military campaign plan for 
the country in which it is to be carried out. 
(2) The budget, implementation timeline with 
milestones, and completion date for the proposed 
project, including any other CERP funding that has 
been or is anticipated to be contributed to the com-
pletion of the project. 
(3) A plan for the sustainment of the proposed 
project, including the agreement with either the host 
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nation, a non-Department of Defense agency of the 
United States Government or a third-party contrib-
utor to finance the sustainment of the activities and 
maintenance of any equipment or facilities to be pro-
vided through the proposed project. 
SEC. 9006. Funds available to the Department of De-
fense for operation and maintenance may be used, not-
withstanding any other provision of law, to provide sup-
plies, services, transportation, including airlift and sealift, 
and other logistical support to allied forces participating 
in a combined operation with the armed forces of the 
United States and coalition forces supporting military and 
stability operations in Afghanistan and to counter the Is-
lamic State of Iraq and the Levant: Provided, That the 
Secretary of Defense shall provide quarterly reports to the 
congressional defense committees regarding support pro-
vided under this section. 
SEC. 9007. None of the funds appropriated or other-
wise made available by this or any other Act shall be obli-
gated or expended by the United States Government for 
a purpose as follows: 
(1) To establish any military installation or 
base for the purpose of providing for the permanent 
stationing of United States Armed Forces in Iraq. 
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(2) To exercise United States control over any 
oil resource of Iraq. 
(3) To establish any military installation or 
base for the purpose of providing for the permanent 
stationing of United States Armed Forces in Af-
ghanistan. 
SEC. 9008. None of the funds made available in this 
Act may be used in contravention of the following laws 
enacted or regulations promulgated to implement the 
United Nations Convention Against Torture and Other 
Cruel, Inhuman or Degrading Treatment or Punishment 
(done at New York on December 10, 1984): 
(1) Section 2340A of title 18, United States 
Code. 
(2) Section 2242 of the Foreign Affairs Reform 
and Restructuring Act of 1998 (division G of Public 
Law 105–277; 112 Stat. 2681–822; 8 U.S.C. 1231 
note) and regulations prescribed thereto, including 
regulations under part 208 of title 8, Code of Fed-
eral Regulations, and part 95 of title 22, Code of 
Federal Regulations. 
(3) Sections 1002 and 1003 of the Department 
of Defense, Emergency Supplemental Appropriations 
to Address Hurricanes in the Gulf of Mexico, and 
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Pandemic Influenza Act, 2006 (Public Law 109– 
148). 
SEC. 9009. None of the funds provided for the ‘‘Af-
ghanistan Security Forces Fund’’ (ASFF) may be obli-
gated prior to the approval of a financial and activity plan 
by the Afghanistan Resources Oversight Council (AROC) 
of the Department of Defense: Provided, That the AROC 
must approve the requirement and acquisition plan for any 
service requirements in excess of $50,000,000 annually 
and any non-standard equipment requirements in excess 
of $100,000,000 using ASFF: Provided further, That the 
Department of Defense must certify to the congressional 
defense committees that the AROC has convened and ap-
proved a process for ensuring compliance with the require-
ments in the preceding proviso and accompanying report 
language for the ASFF. 
SEC. 9010. Funds made available in this title to the 
Department of Defense for operation and maintenance 
may be used to purchase items having an investment unit 
cost of not more than $250,000: Provided, That, upon de-
termination by the Secretary of Defense that such action 
is necessary to meet the operational requirements of a 
Commander of a Combatant Command engaged in contin-
gency operations overseas, such funds may be used to pur-
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chase items having an investment item unit cost of not 
more than $500,000. 
SEC. 9011. Up to $500,000,000 of funds appro-
priated by this Act for the Defense Security Cooperation 
Agency in ‘‘Operation and Maintenance, Defense-Wide’’ 
may be used to provide assistance to the Government of 
Jordan to support the armed forces of Jordan and to en-
hance security along its borders. 
SEC. 9012. None of the funds made available by this 
Act under the heading ‘‘Counter-ISIL Train and Equip 
Fund’’ may be used to procure or transfer man-portable 
air defense systems. 
SEC. 9013. For the ‘‘Ukraine Security Assistance Ini-
tiative’’, $150,000,000 is hereby appropriated, to remain 
available until September 30, 2018: Provided, That such 
funds shall be available to the Secretary of Defense, in 
coordination with the Secretary of State, to provide assist-
ance, including training; equipment; lethal weapons of a 
defensive nature; logistics support, supplies and services; 
sustainment; and intelligence support to the military and 
national security forces of Ukraine, and for replacement 
of any weapons or defensive articles provided to the Gov-
ernment of Ukraine from the inventory of the United 
States: Provided further, That the Secretary of Defense 
shall, not less than 15 days prior to obligating funds pro-
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vided under this heading, notify the congressional defense 
committees in writing of the details of any such obligation: 
Provided further, That the United States may accept 
equipment procured using funds provided under this head-
ing in this or prior Acts that was transferred to the secu-
rity forces of Ukraine and returned by such forces to the 
United States: Provided further, That equipment procured 
using funds provided under this heading in this or prior 
Acts, and not yet transferred to the military or National 
Security Forces of Ukraine or returned by such forces to 
the United States, may be treated as stocks of the Depart-
ment of Defense upon written notification to the congres-
sional defense committees: Provided further, That amounts 
made available by this section are designated by the Con-
gress for Overseas Contingency Operations/Global War on 
Terrorism pursuant to section 251(b)(2)(A)(ii) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
SEC. 9014. Funds appropriated in this title shall be 
available for replacement of funds for items provided to 
the Government of Ukraine from the inventory of the 
United States to the extent specifically provided for in sec-
tion 9013 of this Act. 
SEC. 9015. None of the funds made available by this 
Act under section 9013 for ‘‘Assistance and Sustainment 
to the Military and National Security Forces of Ukraine’’ 
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may be used to procure or transfer man-portable air de-
fense systems. 
SEC. 9016. (a) None of the funds appropriated or 
otherwise made available by this Act under the heading 
‘‘Operation and Maintenance, Defense-Wide’’ for pay-
ments under section 1233 of Public Law 110–181 for re-
imbursement to the Government of Pakistan may be made 
available unless the Secretary of Defense, in coordination 
with the Secretary of State, certifies to the congressional 
defense committees that the Government of Pakistan is— 
(1) cooperating with the United States in 
counterterrorism efforts against the Haqqani Net-
work, the Quetta Shura Taliban, Lashkar e-Tayyiba, 
Jaish-e-Mohammed, Al Qaeda, and other domestic 
and foreign terrorist organizations, including taking 
steps to end support for such groups and prevent 
them from basing and operating in Pakistan and 
carrying out cross border attacks into neighboring 
countries; 
(2) not supporting terrorist activities against 
United States or coalition forces in Afghanistan, and 
Pakistan’s military and intelligence agencies are not 
intervening extra-judicially into political and judicial 
processes in Pakistan; 
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(3) dismantling improvised explosive device 
(IED) networks and interdicting precursor chemicals 
used in the manufacture of IEDs; 
(4) preventing the proliferation of nuclear-re-
lated material and expertise; 
(5) implementing policies to protect judicial 
independence and due process of law; 
(6) issuing visas in a timely manner for United 
States visitors engaged in counterterrorism efforts 
and assistance programs in Pakistan; and 
(7) providing humanitarian organizations access 
to detainees, internally displaced persons, and other 
Pakistani civilians affected by the conflict. 
(b) The Secretary of Defense, in coordination with 
the Secretary of State, may waive the restriction in sub-
section (a) on a case-by-case basis by certifying in writing 
to the congressional defense committees that it is in the 
national security interest to do so: Provided, That if the 
Secretary of Defense, in coordination with the Secretary 
of State, exercises such waiver authority, the Secretaries 
shall report to the congressional defense committees on 
both the justification for the waiver and on the require-
ments of this section that the Government of Pakistan was 
not able to meet: Provided further, That such report may 
be submitted in classified form if necessary. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 9017. In addition to amounts otherwise made 
available in this Act, $500,000,000 is hereby appropriated 
to the Department of Defense and made available for 
transfer only to the operation and maintenance, military 
personnel, and procurement accounts, to improve the intel-
ligence, surveillance, and reconnaissance capabilities of the 
Department of Defense: Provided, That the transfer au-
thority provided in this section is in addition to any other 
transfer authority provided elsewhere in this Act: Provided 
further, That not later than 30 days prior to exercising 
the transfer authority provided in this section, the Sec-
retary of Defense shall submit a report to the congres-
sional defense committees on the proposed uses of these 
funds: Provided further, That the funds provided in this 
section may not be transferred to any program, project, 
or activity specifically limited or denied by this Act: Pro-
vided further, That amounts made available by this section 
are designated by the Congress for Overseas Contingency 
Operations/Global War on Terrorism pursuant to section 
251(b)(2)(A)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985: Provided further, That the 
authority to provide funding under this section shall termi-
nate on September 30, 2018. 
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SEC. 9018. None of the funds made available by this 
Act may be used with respect to Syria in contravention 
of the War Powers Resolution (50 U.S.C. 1541 et seq.), 
including for the introduction of United States armed or 
military forces into hostilities in Syria, into situations in 
Syria where imminent involvement in hostilities is clearly 
indicated by the circumstances, or into Syrian territory, 
airspace, or waters while equipped for combat, in con-
travention of the congressional consultation and reporting 
requirements of sections 3 and 4 of that law (50 U.S.C. 
1542 and 1543). 
(RESCISSIONS) 
SEC. 9019. Of the funds appropriated in Department 
of Defense Appropriations Acts, the following funds are 
hereby rescinded from the following accounts and pro-
grams in the specified amounts: Provided, That such 
amounts are designated by the Congress for Overseas 
Contingency Operations/Global War on Terrorism pursu-
ant to section 251(b)(2)(A)(ii) of the Balanced Budget 
and Emergency Deficit Control Act of 1985: 
‘‘Other Procurement, Air Force’’, 2017/2019, 
$25,100,000; 
‘‘Afghanistan Security Forces Fund’’, 2017/ 
2018, $100,000,000; and 
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‘‘Counter-ISIL Train and Equip Fund’’, 2017/ 
2018, $112,513,000. 
‘‘Operation and Maintenance, Defense-Wide, 
DSCA 
Coalition 
Support 
Fund’’, 
2017/2018, 
$350,000,000. 
SEC. 9020. Each amount designated in this Act by 
the Congress for Overseas Contingency Operations/Global 
War on Terrorism pursuant to section 251(b)(2)(A)(ii) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985 shall be available only if the President subse-
quently so designates all such amounts and transmits such 
designations to the Congress. 
SEC. 9021. (a) Not later than 30 days after the date 
of the enactment of this Act, the President shall submit 
to Congress a report on the United States strategy to de-
feat Al-Qaeda, the Taliban, the Islamic State of Iraq and 
Syria (ISIS), and their associated forces and co-belliger-
ents. 
(b) The report required under subsection (a) shall in-
clude the following: 
(1) An analysis of the adequacy of the existing 
legal framework to accomplish the strategy described 
in subsection (a), particularly with respect to the 
Authorization for Use of Military Force (Public Law 
107–40; 50 U.S.C. 1541 note) and the Authoriza-
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tion for Use of Military Force Against Iraq Resolu-
tion of 2002 (Public Law 107–243; 50 U.S.C. 1541 
note). 
(2) An analysis of the budgetary resources nec-
essary to accomplish the strategy described in sub-
section (a). 
(c) Not later than 30 days after the date on which 
the President submits to the appropriate congressional 
committees the report required by subsection (a), the Sec-
retary of State and the Secretary of Defense shall testify 
at any hearing held by any of the appropriate congres-
sional committees on the report and to which the Sec-
retary is invited. 
(d) In this section, the term ‘‘appropriate congres-
sional committees’’ means— 
(1) the Committee on Foreign Relations and 
the Committee on Armed Services of the Senate; and 
(2) the Committee on Foreign Affairs and the 
Committee on Armed Services of the House of Rep-
resentatives. 
SEC. 9022. (a) In addition to amounts provided else-
where in this Act, there is hereby appropriated 
$1,184,112,000, for the following accounts and programs 
in the specified amounts for costs associated with Oper-
ation Freedom’s Sentinel: 
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(1) ‘‘Military Personnel, Army’’, $48,377,000; 
(2) 
‘‘Military 
Personnel, 
Marine 
Corps’’, 
$179,000; 
(3) 
‘‘Military 
Personnel, 
Air 
Force’’, 
$1,340,000; 
(4) ‘‘Operation and Maintenance, Army’’, 
$872,491,000; 
(5) 
‘‘Operation 
and 
Maintenance, 
Navy’’, 
$76,274,000; 
(6) 
‘‘Operation 
and 
Maintenance, 
Marine 
Corps’’, $24,734,000; 
(7) ‘‘Operation and Maintenance, Defense- 
Wide’’, $81,164,000; 
(8) ‘‘Procurement of Ammunition, Navy and 
Marine Corps’’, $10,853,000, to remain available 
until September 30, 2020; 
(9) ‘‘Other Procurement, Navy’’, $31,500,000, 
to remain available until September 30, 2020; and 
(10) ‘‘Research, Development, Test and Evalua-
tion, Navy’’, $37,200,000, to remain available until 
September 30, 2019. 
(b) Amounts provided pursuant to this section are 
hereby designated by the Congress for Overseas Contin-
gency Operations/Global War on Terrorism pursuant to 
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section 251(b)(2)(A)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
TITLE X—ADDITIONAL GENERAL PROVISIONS 
REFERENCES TO ACT 
SEC. 10001. Except as expressly provided otherwise, 
any reference to ‘‘this Act’’ contained in this subdivision 
shall be treated as referring only to the provisions of this 
subdivision. 
REFERENCES TO REPORT 
SEC. 10002. Any reference to a ‘‘report accom-
panying this Act’’ contained in this subdivision shall be 
treated as a reference to House Report 115–219. The ef-
fect of such Report shall be limited to this subdivision and 
shall apply for purposes of determining the allocation of 
funds provided by, and the implementation of, this sub-
division. 
SPENDING REDUCTION ACCOUNT 
SEC. 10003. $0. 
SEC. 10004. None of the funds appropriated or other-
wise made available under the heading ‘‘Afghanistan Secu-
rity Forces Fund’’ may be used to procure uniforms for 
the Afghan National Army. 
SEC. 10005. None of the funds made available in this 
Act may be used for the closure of a biosafety level 4 lab-
oratory. 
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SEC. 10006. None of the funds made available by this 
Act may be used to provide arms, training, or other assist-
ance to the Azov Battalion. 
SEC. 10007. None of the finds made available by this 
Act may be used to purchase heavy water from Iran. 
SEC. 10008. None of the funds appropriated by this 
Act may be used to plan for, begin, continue, complete, 
process, or approve a public-private competition under the 
Office of Management and Budget Circular A-76. 
This subdivision may be cited as the ‘‘Department 
of Defense Appropriations Act, 2018’’. 
Subdivision 2—Missile Defense 
The following sums are appropriated, out of any 
money in the Treasury not otherwise appropriated, for the 
fiscal year ending September 30, 2018, and for other pur-
poses, namely: 
TITLE I—MISSILE DEFEAT AND DEFENSE 
ENHANCEMENTS 
CHAPTER 1 
DEPARTMENT OF DEFENSE 
OPERATION AND MAINTENANCE 
OPERATION AND MAINTENANCE, NAVY 
For an additional amount for ‘‘Operation and Main-
tenance, Navy’’ for necessary costs to repair damage to 
the U.S.S. John S. McCain and the U.S.S. Fitzgerald, 
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$673,500,000: Provided, 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. 
OPERATION AND MAINTENANCE, AIR FORCE 
For an additional amount for ‘‘Operation and Main-
tenance, Air Force’’ for necessary costs to detect, defeat, 
and defend against the use of ballistic missiles, 
$18,750,000: Provided, 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. 
OPERATION AND MAINTENANCE, DEFENSE-WIDE 
For an additional amount for ‘‘Operation and Main-
tenance, Defense-Wide’’ for necessary costs to detect, de-
feat, and defend against the use of ballistic missiles, 
$23,735,000: Provided, 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. 
PROCUREMENT 
MISSILE PROCUREMENT, ARMY 
For an additional amount for ‘‘Missile Procurement, 
Army’’ for necessary costs to detect, defeat, and defend 
against the use of ballistic missiles, $884,000,000, to re-
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main available until September 30, 2020: 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. 
MISSILE PROCUREMENT, AIR FORCE 
For an additional amount for ‘‘Missile Procurement, 
Air Force’’ for necessary costs to detect, defeat, and de-
fend against the use of ballistic missiles, $12,000,000 to 
remain available until September 30, 2020: Provided, 
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. 
OTHER PROCUREMENT, AIR FORCE 
For an additional amount for ‘‘Other Procurement, 
Air Force’’ for necessary costs to detect, defeat, and de-
fend against the use of ballistic missiles, $288,055,000 to 
remain available until September 30, 2020: Provided, 
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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PROCUREMENT, DEFENSE-WIDE 
For an additional amount for ‘‘Procurement, De-
fense-Wide’’ for necessary costs to detect, defeat, and de-
fend against the use of ballistic missiles, $1,239,140,000 
to remain available until September 30, 2020: Provided, 
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. 
RESEARCH, DEVELOPMENT, TEST AND 
EVALUATION 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
ARMY 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Army’’ for necessary costs to 
detect, defeat, and defend against the use of ballistic mis-
siles, $20,700,000 to remain available until September 30, 
2019: Provided, That such amount is designated 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. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
NAVY 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Navy’’ for necessary costs to 
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pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-
et and Emergency Deficit Control Act of 1985. 
CHAPTER 2 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, DEFENSE-WIDE 
For an additional amount for ‘‘Military Construction, 
Defense-Wide’’, $200,000,000, to remain available until 
September 30, 2022, to carry out construction of a missile 
field in Alaska: Provided, That such funds may be obli-
gated or expended for planning and design and military 
construction projects not otherwise authorized by law: 
Provided further, That such amount is designated 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. 
TITLE II—GENERAL PROVISIONS 
SEC. 201. Notwithstanding any other provision of 
law, funds made available in this subdivision are in addi-
tion to amounts appropriated or otherwise made available 
for the Department of Defense for fiscal year 2018. 
SEC. 202. (a) Funds made available in chapter 1 of 
title I of this subdivision shall be allocated to programs, 
projects, and activities in accordance with the detailed 
congressional budget justifications submitted by the De-
partment of Defense to accompany the Fiscal Year 2018 
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Budget Amendments requested by the President on No-
vember 6, 2017: Provided, That changes to the allocation 
of such funds shall be subject to the reprogramming re-
quirements set forth in the annual appropriations Act. 
(b) Funds made available in this chapter may be obli-
gated and expended notwithstanding sections 102 and 104 
of division D of Public Law 115-56. 
SEC. 203. Each amount designated in this subdivi-
sion by the Congress as an emergency requirement pursu-
ant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985 shall be available 
only if the President subsequently so designates all such 
amounts and transmits such designations to the Congress. 
This subdivision may be cited as the ‘‘Department 
of Defense Missile Defeat and Defense Enhancements Ap-
propriations Act, 2018’’. 
DIVISION C—CHAMPIONING 
HEALTHY KIDS ACT 
SEC. 21001. SHORT TITLE. 
This division may be cited as the ‘‘Continuing Com-
munity Health And Medical Professional Programs to Im-
prove Our Nation, Increase National Gains, and Help En-
sure Access for Little Ones, Toddlers, and Hopeful Youth 
by Keeping Insurance Delivery Stable Act of 2017’’ or the 
‘‘CHAMPIONING HEALTHY KIDS Act’’. 
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SUBDIVISION 1—CHAMPION ACT 
SEC. 21101. SHORT TITLE. 
This subdivision may be cited as the ‘‘Community 
Health And Medical Professionals Improve Our Nation 
Act of 2017’’ or the ‘‘CHAMPION Act’’. 
TITLE I—EXTENSION OF PUBLIC 
HEALTH PROGRAMS 
SEC. 21111. EXTENSION FOR COMMUNITY HEALTH CEN-
TERS, 
THE 
NATIONAL 
HEALTH 
SERVICE 
CORPS, AND TEACHING HEALTH CENTERS 
THAT OPERATE GME PROGRAMS. 
(a) COMMUNITY HEALTH CENTERS FUNDING.—Sec-
tion 10503(b)(1)(E) of the Patient Protection and Afford-
able Care Act (42 U.S.C. 254b–2(b)(1)(E)) is amended 
by striking ‘‘2017’’ and inserting ‘‘2019’’. 
(b) OTHER COMMUNITY HEALTH CENTERS PROVI-
SIONS.—Section 330 of the Public Health Service Act (42 
U.S.C. 254b) is amended— 
(1) in subsection (b)(1)(A)(ii), by striking 
‘‘abuse’’ and inserting ‘‘use disorder’’; 
(2) in subsection (b)(2)(A), by striking ‘‘abuse’’ 
and inserting ‘‘use disorder’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking subpara-
graphs (B) through (D); 
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(B) by striking ‘‘(1) IN GENERAL’’ and all 
that follows through ‘‘The Secretary’’ and in-
serting the following: 
‘‘(1) CENTERS.—The Secretary’’; and 
(C) in paragraph (1), as amended, by re-
designating clauses (i) through (v) as subpara-
graphs (A) through (E) and moving the margin 
of each of such redesignated subparagraph 2 
ems to the left; 
(4) by striking subsection (d) and inserting the 
following: 
‘‘(d) IMPROVING QUALITY OF CARE.— 
‘‘(1) SUPPLEMENTAL AWARDS.—The Secretary 
may award supplemental grant funds to health cen-
ters funded under this section to implement evi-
dence-based models for increasing access to high- 
quality primary care services, which may include 
models related to— 
‘‘(A) improving the delivery of care for in-
dividuals with multiple chronic conditions; 
‘‘(B) workforce configuration; 
‘‘(C) reducing the cost of care; 
‘‘(D) enhancing care coordination; 
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‘‘(E) expanding the use of telehealth and 
technology-enabled collaborative learning and 
capacity building models; 
‘‘(F) care integration, including integration 
of behavioral health, mental health, or sub-
stance use disorder services; and 
‘‘(G) addressing emerging public health or 
substance use disorder issues to meet the health 
needs of the population served by the health 
center. 
‘‘(2) 
SUSTAINABILITY.—In 
making 
supple-
mental awards under this subsection, the Secretary 
may consider whether the health center involved has 
submitted a plan for continuing the activities funded 
under this subsection after supplemental funding is 
expended. 
‘‘(3) SPECIAL CONSIDERATION.—The Secretary 
may give special consideration to applications for 
supplemental funding under this subsection that 
seek to address significant barriers to access to care 
in areas with a greater shortage of health care pro-
viders and health services relative to the national av-
erage.’’; 
(5) in subsection (e)(1)— 
(A) in subparagraph (B)— 
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(iv) by inserting ‘‘, which may include 
data and information systems’’ after ‘‘of 
equipment’’; 
(v) by striking the period at the end 
and inserting a semicolon; and 
(vi) by adding at the end the fol-
lowing: 
‘‘(ii) the provision of training and 
technical assistance; and 
‘‘(iii) other activities that— 
‘‘(I) reduce costs associated with 
the provision of health services; 
‘‘(II) improve access to, and 
availability of, health services provided 
to individuals served by the centers; 
‘‘(III) enhance the quality and 
coordination of health services; or 
‘‘(IV) improve the health status 
of communities.’’; 
(6) in subsection (e)(5)(B)— 
(A) in the heading of subparagraph (B), by 
striking ‘‘AND PLANS’’; and 
(B) by striking ‘‘and subparagraphs (B) 
and (C) of subsection (c)(1) to a health center 
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or to a network or plan’’ and inserting ‘‘to a 
health center or to a network’’; 
(7) in subsection (e), by adding at the end the 
following: 
‘‘(6) NEW
ACCESS
POINTS
AND
EXPANDED 
SERVICES.— 
‘‘(A) 
APPROVAL
OF
NEW
ACCESS 
POINTS.— 
‘‘(i) IN
GENERAL.—The Secretary 
may approve applications for grants under 
subparagraph (A) or (B) of paragraph (1) 
to establish new delivery sites. 
‘‘(ii) SPECIAL
CONSIDERATION.—In 
carrying out clause (i), the Secretary may 
give special consideration to applicants 
that have demonstrated the new delivery 
site will be located within a sparsely popu-
lated area, or an area which has a level of 
unmet need that is higher relative to other 
applicants. 
‘‘(iii) CONSIDERATION
OF
APPLICA-
TIONS.—In carrying out clause (i), the 
Secretary shall approve applications for 
grants in such a manner that the ratio of 
the medically underserved populations in 
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rural areas which may be expected to use 
the services provided by the applicants in-
volved to the medically underserved popu-
lations in urban areas which may be ex-
pected to use the services provided by the 
applicants is not less than two to three or 
greater than three to two. 
‘‘(iv) SERVICE AREA OVERLAP.—If in 
carrying out clause (i) the applicant pro-
poses to serve an area that is currently 
served by another health center funded 
under this section, the Secretary may con-
sider whether the award of funding to an 
additional health center in the area can be 
justified based on the unmet need for addi-
tional services within the catchment area. 
‘‘(B) APPROVAL
OF
EXPANDED
SERVICE 
APPLICATIONS.— 
‘‘(i) IN
GENERAL.—The Secretary 
may approve applications for grants under 
subparagraph (A) or (B) of paragraph (1) 
to expand the capacity of the applicant to 
provide required primary health services 
described in subsection (b)(1) or additional 
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health services described in subsection 
(b)(2). 
‘‘(ii) 
PRIORITY
EXPANSION 
PROJECTS.—In carrying out clause (i), the 
Secretary may give special consideration to 
expanded service applications that seek to 
address emerging public health or behav-
ioral health, mental health, or substance 
abuse issues through increasing the avail-
ability of additional health services de-
scribed in subsection (b)(2) in an area in 
which there are significant barriers to ac-
cessing care. 
‘‘(iii) CONSIDERATION
OF
APPLICA-
TIONS.—In carrying out clause (i), the 
Secretary shall approve applications for 
grants in such a manner that the ratio of 
the medically underserved populations in 
rural areas which may be expected to use 
the services provided by the applicants in-
volved to the medically underserved popu-
lations in urban areas which may be ex-
pected to use the services provided by such 
applicants is not less than two to three or 
greater than three to two.’’; 
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(8) in subsection (h)— 
(A) in paragraph (1), by striking ‘‘and 
children and youth at risk of homelessness’’ and 
inserting ‘‘, children and youth at risk of home-
lessness, homeless veterans, and veterans at 
risk of homelessness’’; and 
(B) in paragraph (5)— 
(i) by striking subparagraph (B); 
(ii) by redesignating subparagraph 
(C) as subparagraph (B); and 
(iii) in subparagraph (B) (as so redes-
ignated)— 
(I) in the subparagraph heading, 
by striking ‘‘ABUSE’’ and inserting 
‘‘USE DISORDER’’; and 
(II) by striking ‘‘abuse’’ and in-
serting ‘‘use disorder’’; 
(9) in subsection (k)— 
(A) in paragraph (2)— 
(i) in the paragraph heading, by in-
serting ‘‘UNMET’’ before ‘‘NEED’’; 
(ii) in the matter preceding subpara-
graph (A), by inserting ‘‘or subsection 
(e)(6)’’ after ‘‘subsection (e)(1)’’; 
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(iii) in subparagraph (A), by inserting 
‘‘unmet’’ before ‘‘need for health services’’; 
(iv) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(v) in subparagraph (C), by striking 
the period at the end and inserting ‘‘; 
and’’; and 
(vi) by adding after subparagraph (C) 
the following: 
‘‘(D) in the case of an application for a 
grant pursuant to subsection (e)(6), a dem-
onstration that the applicant has consulted with 
appropriate State and local government agen-
cies, and health care providers regarding the 
need for the health services to be provided at 
the proposed delivery site.’’; 
(B) in paragraph (3)— 
(i) in the matter preceding subpara-
graph (A), by inserting ‘‘or subsection 
(e)(6)’’ after ‘‘subsection (e)(1)(B)’’; 
(ii) in subparagraph (B), by striking 
‘‘in the catchment area of the center’’ and 
inserting ‘‘, including other health care 
providers that provide care within the 
catchment area, local hospitals, and spe-
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cialty providers in the catchment area of 
the center, to provide access to services not 
available through the health center and to 
reduce the non-urgent use of hospital 
emergency departments’’; 
(iii) in subparagraph (H)(ii), by in-
serting ‘‘who shall be directly employed by 
the center’’ after ‘‘approves the selection of 
a director for the center’’; 
(iv) in subparagraph (L), by striking 
‘‘and’’ at the end; 
(v) in subparagraph (M), by striking 
the period and inserting ‘‘; and’’; and 
(vi) by inserting after subparagraph 
(M), the following: 
‘‘(N) the center has written policies and 
procedures in place to ensure the appropriate 
use of Federal funds in compliance with appli-
cable Federal statutes, regulations, and the 
terms and conditions of the Federal award.’’; 
and 
(C) by striking paragraph (4); 
(10) in subsection (l), by adding at the end the 
following: ‘‘Funds expended to carry out activities 
under this subsection and operational support activi-
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ties under subsection (m) shall not exceed 3 percent 
of the amount appropriated for this section for the 
fiscal year involved.’’; 
(11) in subsection (q)(4), by adding at the end 
the following: ‘‘A waiver provided by the Secretary 
under this paragraph may not remain in effect for 
more than 1 year and may not be extended after 
such period. An entity may not receive more than 
one waiver under this paragraph in consecutive 
years.’’; 
(12) in subsection (r)(3)— 
(A) by striking ‘‘appropriate committees of 
Congress a report concerning the distribution of 
funds under this section’’ and inserting the fol-
lowing: ‘‘Committee on Health, Education, 
Labor, and Pensions of the Senate, and the 
Committee on Energy and Commerce of the 
House of Representatives, a report including, at 
a minimum— 
‘‘(A) the distribution of funds for carrying 
out this section’’; 
(B) by striking ‘‘populations. Such report 
shall include an assessment’’ and inserting the 
following: ‘‘populations; 
‘‘(B) an assessment’’; 
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(C) by striking ‘‘and the rationale for any 
substantial changes in the distribution of 
funds.’’ and inserting a semicolon; and 
(D) by adding at the end the following: 
‘‘(C) the distribution of awards and fund-
ing for new or expanded services in each of 
rural areas and urban areas; 
‘‘(D) the distribution of awards and fund-
ing for establishing new access points, and the 
number of new access points created; 
‘‘(E) the amount of unexpended funding 
for loan guarantees and loan guarantee author-
ity under title XVI; 
‘‘(F) the rationale for any substantial 
changes in the distribution of funds; 
‘‘(G) the rate of closures for health centers 
and access points; 
‘‘(H) the number and reason for any 
grants 
awarded 
pursuant 
to 
subsection 
(e)(1)(B); and 
‘‘(I) the number and reason for any waiv-
ers provided pursuant to subsection (q)(4).’’; 
(13) in subsection (r), by adding at the end the 
following new paragraph: 
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‘‘(5) FUNDING FOR PARTICIPATION OF HEALTH 
CENTERS IN ALL OF US RESEARCH PROGRAM.—In 
addition to any amounts made available pursuant to 
paragraph (1) of this subsection, section 402A of 
this Act, or section 10503 of the Patient Protection 
and Affordable Care Act, there is authorized to be 
appropriated, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
to the Secretary $25,000,000 for fiscal year 2018 to 
support the participation of health centers in the All 
of Us Research Program under the Precision Medi-
cine Initiative under section 498E of this Act.’’; and 
(14) by striking subsection (s). 
(c) NATIONAL HEALTH SERVICE CORPS.—Section 
10503(b)(2)(E) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 254b–2(b)(2)(E)) is amended by 
striking ‘‘2017’’ and inserting ‘‘2019’’. 
(d) TEACHING HEALTH CENTERS THAT OPERATE 
GRADUATE MEDICAL EDUCATION PROGRAMS.— 
(1) PAYMENTS.—Subsection (a) of section 
340H of the Public Health Service Act (42 U.S.C. 
256h) is amended to read as follows: 
‘‘(a) PAYMENTS.— 
‘‘(1) IN
GENERAL.—Subject to subsection 
(h)(2), the Secretary shall make payments under 
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this section for direct expenses and indirect expenses 
to qualified teaching health centers that are listed as 
sponsoring institutions by the relevant accrediting 
body for, as appropriate— 
‘‘(A) maintenance of existing approved 
graduate medical residency training programs; 
‘‘(B) expansion of existing approved grad-
uate medical residency training programs; and 
‘‘(C) establishment of new approved grad-
uate medical residency training programs. 
‘‘(2) PRIORITY.—In making payments pursuant 
to paragraph (1)(C), the Secretary shall give priority 
to qualified teaching health centers that— 
‘‘(A) serve a health professional shortage 
area with a designation in effect under section 
332 or a medically underserved community (as 
defined in section 799B); or 
‘‘(B) are located in a rural area (as de-
fined in section 1886(d)(2)(D) of the Social Se-
curity Act).’’. 
(2) FUNDING.—Subsection (g) of section 340H 
of the Public Health Service Act (42 U.S.C. 256h) 
is amended— 
(A) by striking ‘‘To carry out’’ and insert-
ing the following: 
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‘‘(1) IN GENERAL.—To carry out’’; 
(B) by striking ‘‘and $15,000,000 for the 
first quarter of fiscal year 2018’’ and inserting 
‘‘and $126,500,000 for each of fiscal years 
2018 and 2019, to remain available until ex-
pended’’; and 
(C) by adding at the end the following: 
‘‘(2) 
ADMINISTRATIVE
EXPENSES.—Of 
the 
amount made available to carry out this section for 
any fiscal year, the Secretary may not use more 
than 5 percent of such amount for the expenses of 
administering this section.’’. 
(3) ANNUAL REPORTING.—Subsection (h)(1) of 
section 340H of the Public Health Service Act (42 
U.S.C. 256h) is amended— 
(A) by redesignating subparagraph (D) as 
subparagraph (H); and 
(B) by inserting after subparagraph (C) 
the following: 
‘‘(D) The number of patients treated by 
residents described in paragraph (4). 
‘‘(E) The number of visits by patients 
treated by residents described in paragraph (4). 
‘‘(F) Of the number of residents described 
in paragraph (4) who completed their residency 
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training at the end of such residency academic 
year, the number and percentage of such resi-
dents entering primary care practice (meaning 
any of the areas of practice listed in the defini-
tion of a primary care residency program in 
section 749A). 
‘‘(G) Of the number of residents described 
in paragraph (4) who completed their residency 
training at the end of such residency academic 
year, the number and percentage of such resi-
dents who entered practice at a health care fa-
cility— 
‘‘(i) primarily serving a health profes-
sional shortage area with a designation in 
effect under section 332 or a medically un-
derserved community (as defined in section 
799B); or 
‘‘(ii) located in a rural area (as de-
fined in section 1886(d)(2)(D) of the So-
cial Security Act).’’. 
(4) REPORT ON TRAINING COSTS.—Not later 
than March 31, 2019, the Secretary of Health and 
Human Services shall submit to the Congress a re-
port on the direct graduate expenses of approved 
graduate medical residency training programs, and 
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the indirect expenses associated with the additional 
costs of teaching residents, of qualified teaching 
health centers (as such terms are used or defined in 
section 340H of the Public Health Service Act (42 
U.S.C. 256h)). 
(5) DEFINITION.—Subsection (j) of section 
340H of the Public Health Service Act (42 U.S.C. 
256h) is amended— 
(A) by redesignating paragraphs (2) and 
(3) as paragraphs (3) and (4), respectively; and 
(B) by inserting after paragraph (1) the 
following: 
‘‘(2) NEW
APPROVED
GRADUATE
MEDICAL 
RESIDENCY
TRAINING
PROGRAM.—The term ‘new 
approved graduate medical residency training pro-
gram’ means an approved graduate medical resi-
dency training program for which the sponsoring 
qualified teaching health center has not received a 
payment under this section for a previous fiscal year 
(other than pursuant to subsection (a)(1)(C)).’’. 
(6) TECHNICAL
CORRECTION.—Subsection (f) 
of section 340H (42 U.S.C. 256h) is amended by 
striking ‘‘hospital’’ each place it appears and insert-
ing ‘‘teaching health center’’. 
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(7) PAYMENTS FOR PREVIOUS FISCAL YEARS.— 
The provisions of section 340H of the Public Health 
Service Act (42 U.S.C. 256h), as in effect on the 
day before the date of enactment of this Act, shall 
continue to apply with respect to payments under 
such section for fiscal years before fiscal year 2018. 
(e) APPLICATION.—Amounts appropriated pursuant 
to this section for fiscal year 2018 or 2019 are subject 
to the requirements contained in Public Law 115–31 for 
funds for programs authorized under sections 330 through 
340 of the Public Health Service Act (42 U.S.C. 254b– 
256). 
(f) CONFORMING AMENDMENTS.—Section 3014(h) of 
title 18, United States Code, is amended— 
(1) in paragraph (1), by striking ‘‘, as amended 
by section 221 of the Medicare Access and CHIP 
Reauthorization Act of 2015,’’; and 
(2) in paragraph (4), by inserting ‘‘and section 
21111(e) of the Community Health And Medical 
Professionals Improve Our Nation Act of 2017’’ 
after ‘‘section 221(c) of the Medicare Access and 
CHIP Reauthorization Act of 2015’’. 
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SEC. 21112. EXTENSION FOR SPECIAL DIABETES PRO-
GRAMS. 
(a) SPECIAL DIABETES PROGRAM FOR TYPE I DIA-
BETES.—Section 330B(b)(2)(C) of the Public Health 
Service Act (42 U.S.C. 254c–2(b)(2)(C)) is amended by 
striking ‘‘2017’’ and inserting ‘‘2019’’. 
(b) SPECIAL DIABETES PROGRAM FOR INDIANS.— 
Subparagraph (D) of section 330C(c)(2) of the Public 
Health Service Act (42 U.S.C. 254c–3(c)(2)) is amended 
to read as follows: 
‘‘(D) $150,000,000 for each of fiscal years 
2018 and 2019.’’. 
SEC. 21113. EXTENSION FOR FAMILY-TO-FAMILY HEALTH 
INFORMATION CENTERS. 
Section 501(c) of the Social Security Act (42 U.S.C. 
701(c)) is amended— 
(1) in paragraph (1)(A)— 
(A) in clause (v), by striking ‘‘and’’ at the 
end; 
(B) in clause (vi), by striking the period at 
the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(vii) $6,000,000 for each of fiscal years 2018 
and 2019.’’; 
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(2) in paragraph (3)(C), by inserting before the 
period the following: ‘‘, and with respect to fiscal 
years 2018 and 2019, such centers shall also be de-
veloped in all territories and at least one such center 
shall be developed for Indian tribes’’; and 
(3) by amending paragraph (5) to read as fol-
lows: 
‘‘(5) For purposes of this subsection— 
‘‘(A) the term ‘Indian tribe’ has the meaning 
given such term in section 4 of the Indian Health 
Care Improvement Act (25 U.S.C. 1603); 
‘‘(B) the term ‘State’ means each of the 50 
States and the District of Columbia; and 
‘‘(C) the term ‘territory’ means Puerto Rico, 
Guam, American Samoa, the Virgin Islands, and the 
Northern Mariana Islands.’’. 
SEC. 21114. YOUTH EMPOWERMENT PROGRAM; PERSONAL 
RESPONSIBILITY EDUCATION. 
(a) YOUTH EMPOWERMENT PROGRAM.— 
(1) IN GENERAL.—Section 510 of the Social 
Security Act (42 U.S.C. 710) is amended to read as 
follows: 
‘‘SEC. 510. YOUTH EMPOWERMENT PROGRAM. 
‘‘(a) IN GENERAL.— 
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‘‘(1) ALLOTMENTS TO STATES.—For the pur-
pose described in subsection (b), the Secretary shall, 
for each of fiscal years 2018 and 2019, allot to each 
State which has transmitted an application for the 
fiscal year under section 505(a) an amount equal to 
the product of— 
‘‘(A) the amount appropriated pursuant to 
subsection (e)(1) for the fiscal year, minus the 
amount reserved under subsection (e)(2) for the 
fiscal year; and 
‘‘(B) the proportion that the number of 
low-income children in the State bears to the 
total of such numbers of children for all the 
States. 
‘‘(2) OTHER ALLOTMENTS.— 
‘‘(A) OTHER ENTITIES.—For the purpose 
described in subsection (b), the Secretary shall, 
for each of fiscal years 2018 and 2019, for any 
State which has not transmitted an application 
for the fiscal year under section 505(a), allot to 
one or more entities in the State the amount 
that would have been allotted to the State 
under paragraph (1) if the State had submitted 
such an application. 
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‘‘(B) PROCESS.—The Secretary shall select 
the recipients of allotments under subparagraph 
(A) by means of a competitive grant process 
under which— 
‘‘(i) not later than 30 days after the 
deadline for the State involved to submit 
an application for the fiscal year under 
section 505(a), the Secretary publishes a 
notice soliciting grant applications; and 
‘‘(ii) not later than 120 days after 
such deadline, all such applications must 
be submitted. 
‘‘(b) PURPOSE.— 
‘‘(1) IN GENERAL.—Except for research under 
paragraph (5) and information collection and report-
ing under paragraph (6), the purpose of an allot-
ment under subsection (a) to a State (or to another 
entity in the State pursuant to subsection (a)(2)) is 
to enable the State or other entity to implement edu-
cation exclusively on sexual risk avoidance (meaning 
voluntarily refraining from sexual activity). 
‘‘(2) REQUIRED COMPONENTS.—Education on 
sexual risk avoidance pursuant to an allotment 
under this section shall— 
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‘‘(A) ensure that the unambiguous and pri-
mary emphasis and context for each topic de-
scribed in paragraph (3) is a message to youth 
that normalizes the optimal health behavior of 
avoiding nonmarital sexual activity; 
‘‘(B) be medically accurate and complete; 
‘‘(C) be age-appropriate; and 
‘‘(D) be based on adolescent learning and 
developmental theories for the age group receiv-
ing the education. 
‘‘(3) TOPICS.—Education on sexual risk avoid-
ance pursuant to an allotment under this section 
shall address each of the following topics: 
‘‘(A) The holistic individual and societal 
benefits associated with personal responsibility, 
self-regulation, goal setting, healthy decision-
making, and a focus on the future. 
‘‘(B) The advantage of refraining from 
nonmarital sexual activity in order to improve 
the future prospects and physical and emotional 
health of youth. 
‘‘(C) The increased likelihood of avoiding 
poverty when youth attain self-sufficiency and 
emotional maturity before engaging in sexual 
activity. 
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‘‘(D) The foundational components of 
healthy relationships and their impact on the 
formation of healthy marriages and safe and 
stable families. 
‘‘(E) How other youth risk behaviors, such 
as drug and alcohol usage, increase the risk for 
teen sex. 
‘‘(F) How to resist and avoid, and receive 
help regarding, sexual coercion and dating vio-
lence, recognizing that even with consent teen 
sex remains a youth risk behavior. 
‘‘(4) CONTRACEPTION.—Education on sexual 
risk avoidance pursuant to an allotment under this 
section shall ensure that— 
‘‘(A) any information provided on contra-
ception is medically accurate and ensures that 
students understand that contraception offers 
physical risk reduction, but not risk elimination; 
and 
‘‘(B) the education does not include dem-
onstrations, simulations, or distribution of con-
traceptive devices. 
‘‘(5) RESEARCH.— 
‘‘(A) IN GENERAL.—A State or other enti-
ty receiving an allotment pursuant to subsection 
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(a) may use up to 20 percent of such allotment 
to build the evidence base for sexual risk avoid-
ance education by conducting or supporting re-
search. 
‘‘(B) REQUIREMENTS.—Any research con-
ducted or supported pursuant to subparagraph 
(A) shall be— 
‘‘(i) rigorous; 
‘‘(ii) evidence-based; and 
‘‘(iii) designed and conducted by inde-
pendent researchers who have experience 
in conducting and publishing research in 
peer-reviewed outlets. 
‘‘(6) INFORMATION COLLECTION AND REPORT-
ING.—A State or other entity receiving an allotment 
pursuant to subsection (a) shall, as specified by the 
Secretary— 
‘‘(A) collect information on the programs 
and activities funded through the allotment; 
and 
‘‘(B) submit reports to the Secretary on 
the data from such programs and activities. 
‘‘(c) NATIONAL EVALUATION.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
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‘‘(A) in consultation with appropriate State 
and local agencies, conduct one or more rig-
orous evaluations of the education funded 
through this section and associated data; and 
‘‘(B) submit a report to the Congress on 
the results of such evaluations, together with a 
summary of the information collected pursuant 
to subsection (b)(6). 
‘‘(2) CONSULTATION.—In conducting the eval-
uations required by paragraph (1), including the es-
tablishment of evaluation methodologies, the Sec-
retary shall consult with relevant stakeholders. 
‘‘(d) APPLICABILITY OF CERTAIN PROVISIONS.— 
‘‘(1) Sections 503, 507, and 508 apply to allot-
ments under subsection (a) to the same extent and 
in the same manner as such sections apply to allot-
ments under section 502(c). 
‘‘(2) Sections 505 and 506 apply to allotments 
under subsection (a) to the extent determined by the 
Secretary to be appropriate. 
‘‘(e) FUNDING.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is appropriated, out of any money in the 
Treasury not otherwise appropriated, $75,000,000 
for each of fiscal years 2018 and 2019. 
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‘‘(2) RESERVATION.—The Secretary shall re-
serve, for each of fiscal years 2018 and 2019, not 
more than 20 percent of the amount appropriated 
pursuant to paragraph (1) for administering the 
program under this section, including the conducting 
of national evaluations and the provision of technical 
assistance to the recipients of allotments.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by this subsection takes effect on October 1, 2017. 
(b) PERSONAL RESPONSIBILITY EDUCATION.— 
(1) IN GENERAL.—Section 513 of the Social 
Security Act (42 U.S.C. 713) is amended— 
(A) in subsection (a)(1)(A), by striking 
‘‘2017’’ and inserting ‘‘2019’’; and 
(B) in subsection (a)(4)— 
(i) in subparagraph (A), by striking 
‘‘2017’’ each place it appears and inserting 
‘‘2019’’; and 
(ii) in subparagraph (B)— 
(I) in the subparagraph heading, 
by striking ‘‘3-YEAR GRANTS’’ and in-
serting 
‘‘COMPETITIVE
PREP 
GRANTS’’; and 
(II) in clause (i), by striking ‘‘so-
licit applications to award 3-year 
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grants in each of fiscal years 2012 
through 2017’’ and inserting ‘‘con-
tinue through fiscal year 2019 grants 
awarded for any of fiscal years 2015 
through 2017’’; 
(C) in subsection (c)(1), by inserting after 
‘‘youth with HIV/AIDS,’’ the following: ‘‘vic-
tims of human trafficking,’’; and 
(D) in subsection (f), by striking ‘‘2017’’ 
and inserting ‘‘2019’’. 
(2) EFFECTIVE DATE.—The amendments made 
by this subsection take effect on October 1, 2017. 
TITLE II—OFFSETS 
SEC. 21201. PROVIDING FOR QUALIFIED HEALTH PLAN 
GRACE PERIOD REQUIREMENTS FOR ISSUER 
RECEIPT OF ADVANCE PAYMENTS OF COST- 
SHARING REDUCTIONS AND PREMIUM TAX 
CREDITS THAT ARE MORE CONSISTENT WITH 
STATE LAW GRACE PERIOD REQUIREMENTS. 
(a) IN GENERAL.—Section 1412(c) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18082(c)) 
is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (B)(iv)(II), by strik-
ing ‘‘a 3-month grace period’’ and inserting ‘‘a 
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grace period specified in subparagraph (C)’’; 
and 
(B) by adding at the end the following new 
subparagraphs: 
‘‘(C) GRACE PERIOD SPECIFIED.—For pur-
poses of subparagraph (B)(iv)(II), the grace pe-
riod specified in this subparagraph is— 
‘‘(i) for plan years beginning before 
January 1, 2018, a 3-month grace period; 
and 
‘‘(ii) for plan years beginning on or 
after January 1, 2018— 
‘‘(I) in the case of an Exchange 
operating in a State that has a State 
law grace period in place, such State 
law grace period; and 
‘‘(II) in the case of an Exchange 
operating in a State that does not 
have a State law grace period in 
place, a 1-month grace period. 
‘‘(D) STATE
LAW
GRACE
PERIOD.—For 
purposes of subparagraph (C), the term ‘State 
law grace period’ means, with respect to a 
State, a grace period for nonpayment of pre-
miums before discontinuing coverage that is ap-
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plicable under the State law to health insurance 
coverage offered in the individual market of the 
State.’’; and 
(2) in paragraph (3), by adding at the end the 
following new sentence: ‘‘The requirements of para-
graph (2)(B)(iv) apply to an issuer of a qualified 
health plan receiving an advanced payment under 
this paragraph in the same manner and to the same 
extent that such requirements apply to an issuer of 
a qualified health plan receiving an advanced pay-
ment under paragraph (2)(A).’’. 
(b) REPORT
ON ALIGNING GRACE PERIODS
FOR 
MEDICAID, MEDICARE, AND EXCHANGE PLANS.—Not 
later than 2 years after the date of full implementation 
of subsection (a), the Comptroller General of the United 
States shall submit to Congress a report on— 
(1) the effects on consumers of aligning grace 
periods applied under the Medicaid program under 
title XIX of the Social Security Act, under the Medi-
care program under parts C and D of title XVIII of 
such Act, and under qualified health plans offered 
on an Exchange established under title I of the Pa-
tient Protection and Affordable Care Act, including 
the extent to which such an alignment of grace peri-
ods may help to avoid enrollment status confusion 
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for individuals under such Medicaid program, Medi-
care program, and qualified health plans; and 
(2) the extent to which such an alignment of 
grace periods may reduce fraud, waste, and abuse 
under the Medicaid program. 
SEC. 21202. PREVENTION AND PUBLIC HEALTH FUND. 
Section 4002(b) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 300u–11(b)) is amended by 
striking paragraphs (3) through (8) and inserting the fol-
lowing new paragraphs: 
‘‘(3) for fiscal year 2018, $900,000,000; 
‘‘(4) for fiscal year 2019, $500,000,000; 
‘‘(5) for fiscal year 2020, $500,000,000; 
‘‘(6) for fiscal year 2021, $500,000,000; 
‘‘(7) for fiscal year 2022, $500,000,000; 
‘‘(8) for fiscal year 2023, $500,000,000; 
‘‘(9) for fiscal year 2024, $500,000,000; 
‘‘(10) for fiscal year 2025, $750,000,000; 
‘‘(11) for fiscal year 2026, $1,000,000,000; and 
‘‘(12) for fiscal year 2027 and each fiscal year 
thereafter, $2,000,000,000.’’. 
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SUBDIVISION 2—HEALTHY KIDS 
ACT 
SEC. 22001. SHORT TITLE. 
This subdivision may be cited as the ‘‘Helping Ensure 
Access for Little Ones, Toddlers, and Hopeful Youth by 
Keeping Insurance Delivery Stable Act of 2017’’ or the 
‘‘HEALTHY KIDS Act’’. 
TITLE I—CHIP EXTENSION AND 
OTHER MEDICAID AND CHIP 
PROVISIONS 
SEC. 22101. FIVE-YEAR FUNDING EXTENSION OF THE CHIL-
DREN’S HEALTH INSURANCE PROGRAM. 
(a) APPROPRIATION; TOTAL ALLOTMENT.—Section 
2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) 
is amended— 
(1) in paragraph (19), by striking ‘‘and’’; 
(2) in paragraph (20), by striking the period at 
the end and inserting a semicolon; and 
(3) by adding at the end the following new 
paragraphs: 
‘‘(21) for fiscal year 2018, $21,500,000,000; 
‘‘(22) for fiscal year 2019, $22,600,000,000; 
‘‘(23) for fiscal year 2020, $23,700,000,000; 
‘‘(24) for fiscal year 2021, $24,800,000,000; 
and 
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‘‘(25) for fiscal year 2022, for purposes of mak-
ing two semi-annual allotments— 
‘‘(A) $2,850,000,000 for the period begin-
ning on October 1, 2021, and ending on March 
31, 2022; and 
‘‘(B) $2,850,000,000 for the period begin-
ning on April 1, 2022, and ending on Sep-
tember 30, 2022.’’. 
(b) ALLOTMENTS.— 
(1) IN GENERAL.—Section 2104(m) of the So-
cial Security Act (42 U.S.C. 1397dd(m)) is amend-
ed— 
(A) in paragraph (2)— 
(i) 
in 
the 
heading, 
by 
striking 
‘‘THROUGH
2016’’ 
and 
inserting 
‘‘THROUGH 2022’’; and 
(ii) in subparagraph (B)— 
(I) in the matter preceding clause 
(i), by striking ‘‘(19)’’ and inserting 
‘‘(24)’’; 
(II) in clause (ii), in the matter 
preceding subclause (I), by inserting 
‘‘(other than fiscal year 2022)’’ after 
‘‘even-numbered fiscal year’’; and 
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(III) in clause (ii)(I), by inserting 
‘‘(or, in the case of fiscal year 2018, 
under paragraph (4))’’ after ‘‘clause 
(i)’’; 
(B) in paragraph (5)— 
(i) by striking ‘‘or (4)’’ and inserting 
‘‘(4), or (10)’’; and 
(ii) by striking ‘‘or 2017’’ and insert-
ing ‘‘, 2017, or 2022’’; 
(C) in paragraph (7)— 
(i) in subparagraph (A), by striking 
‘‘2017’’ and inserting ‘‘2022’’; 
(ii) in subparagraph (B), in the mat-
ter preceding clause (i), by inserting ‘‘(or, 
in the case of fiscal year 2018, by not later 
than the date that is 60 days after the 
date of the enactment of the HEALTHY 
KIDS Act)’’ after ‘‘before the August 31 
preceding the beginning of the fiscal year’’; 
and 
(iii) in the matter following subpara-
graph (B), by striking ‘‘or fiscal year 
2016’’ and inserting ‘‘fiscal year 2016, fis-
cal year 2018, fiscal year 2020, or fiscal 
year 2022’’; 
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(D) in paragraph (9)— 
(i) in the heading, by striking ‘‘FISCAL 
YEARS 2015 AND 2017’’ and inserting 
‘‘CERTAIN FISCAL YEARS’’; 
(ii) by striking ‘‘or (4)’’ and inserting 
‘‘, (4), or (10)’’; and 
(iii) by striking ‘‘or fiscal year 2017’’ 
and inserting ‘‘, 2017, or 2022’’; and 
(E) by adding at the end the following new 
paragraph: 
‘‘(10) FOR FISCAL YEAR 2022.— 
‘‘(A) FIRST HALF.—Subject to paragraphs 
(5) and (7), from the amount made available 
under subparagraph (A) of paragraph (25) of 
subsection (a) for the semi-annual period de-
scribed in such subparagraph, increased by the 
amount of the appropriation for such period 
under section 22101(b)(3) of the HEALTHY 
KIDS Act, the Secretary shall compute a State 
allotment for each State (including the District 
of Columbia and each commonwealth and terri-
tory) for such semi-annual period in an amount 
equal to the first half ratio (described in sub-
paragraph (D)) of the amount described in sub-
paragraph (C). 
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‘‘(B) SECOND
HALF.—Subject to para-
graphs (5) and (7), from the amount made 
available under subparagraph (B) of paragraph 
(25) of subsection (a) for the semi-annual pe-
riod described in such subparagraph, the Sec-
retary shall compute a State allotment for each 
State (including the District of Columbia and 
each commonwealth and territory) for such 
semi-annual period in an amount equal to the 
amount made available under such subpara-
graph, multiplied by the ratio of— 
‘‘(i) the amount of the allotment to 
such State under subparagraph (A); to 
‘‘(ii) the total of the amount of all of 
the allotments made available under such 
subparagraph. 
‘‘(C) FULL
YEAR
AMOUNT
BASED
ON 
GROWTH
FACTOR
UPDATED
AMOUNT.—The 
amount described in this subparagraph for a 
State is equal to the sum of— 
‘‘(i) the amount of the State allotment 
for fiscal year 2021 determined under 
paragraph (2)(B)(i); and 
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‘‘(ii) the amount of any payments 
made to the State under subsection (n) for 
fiscal year 2021, 
multiplied by the allotment increase factor 
under paragraph (6) for fiscal year 2022. 
‘‘(D) FIRST HALF RATIO.—The first half 
ratio described in this subparagraph is the ratio 
of— 
‘‘(i) the sum of— 
‘‘(I) the amount made available 
under subsection (a)(25)(A); and 
‘‘(II) the amount of the appro-
priation for such period under section 
22101(b)(3) of the HEALTHY KIDS 
Act; to 
‘‘(ii) the sum of— 
‘‘(I) the amount described in 
clause (i); and 
‘‘(II) the amount made available 
under subsection (a)(25)(B).’’. 
(2) TECHNICAL AMENDMENTS.—Section 2104 
of such Act (42 U.S.C. 1397dd) is amended— 
(A) in subsection (f)(2)(B)(ii), as amended 
by section 201 of Public Law 115-90— 
(i) in subclause (II)— 
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(I) by inserting ‘‘, as in effect be-
fore the date of enactment of the 
HEALTHY KIDS Act,’’ after ‘‘sec-
tion 2105(g)(4)(A)’’; and 
(II) by striking ‘‘such date of en-
actment’’ each place it appears and 
inserting ‘‘the date of enactment of 
Public Law 115–90’’ each such place; 
and 
(ii) in subclause (III), by inserting ‘‘, 
as in effect before the date of enactment of 
the HEALTHY KIDS Act’’ after ‘‘under 
section 2105(g)(4)’’; and 
(B) in subsection (m)(2)(A), by striking 
‘‘the allotment increase factor under paragraph 
(5)’’ each place it appears and inserting ‘‘the 
allotment increase factor under paragraph (6)’’. 
(3) ONE-TIME
APPROPRIATION
FOR
FISCAL 
YEAR 2022.—There is appropriated to the Secretary 
of Health and Human Services, out of any money in 
the 
Treasury 
not 
otherwise 
appropriated, 
$20,200,000,000 to accompany the allotment made 
for the period beginning on October 1, 2021, and 
ending on March 31, 2022, under paragraph 
(25)(A) of section 2104(a) of the Social Security Act 
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(42 U.S.C. 1397dd(a)) (as added by subsection 
(a)(3)), to remain available until expended. Such 
amount shall be used to provide allotments to States 
under paragraph (10) of section 2104(m) of such 
Act (as added by subsection (b)(1)(E)) for the first 
6 months of fiscal year 2022 in the same manner as 
allotments are provided under subsection (a)(25)(A) 
of such section 2104 and subject to the same terms 
and conditions as apply to the allotments provided 
from such subsection (a)(25)(A). 
(c) EXTENSION OF THE CHILD ENROLLMENT CON-
TINGENCY FUND.—Section 2104(n) of the Social Security 
Act (42 U.S.C. 1397dd(n)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (A)(ii)— 
(i) by striking ‘‘2010, 2011, 2012, 
2013, 2014, and 2016’’ and inserting 
‘‘2010 through 2014, 2016, and 2018 
through 2021’’; and 
(ii) by striking ‘‘fiscal year 2015 and 
fiscal year 2017’’ and inserting ‘‘fiscal 
years 2015, 2017, and 2022’’; and 
(B) in subparagraph (B)— 
(i) by striking ‘‘2010, 2011, 2012, 
2013, 2014, and 2016’’ and inserting 
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‘‘2010 through 2014, 2016, and 2018 
through 2021’’; and 
(ii) by striking ‘‘fiscal year 2015 and 
fiscal year 2017’’ and inserting ‘‘fiscal 
years 2015, 2017, and 2022’’; and 
(2) in paragraph (3)(A), in the matter pre-
ceding clause (i), by striking ‘‘or a semi-annual allot-
ment period for fiscal year 2015 or 2017’’ and in-
serting ‘‘or in any of fiscal years 2018 through 2021 
(or a semi-annual allotment period for fiscal year 
2015, 2017, or 2022)’’. 
(d) EXTENSION OF QUALIFYING STATES OPTION.— 
Section 2105(g)(4) of the Social Security Act (42 U.S.C. 
1397ee(g)(4)) is amended— 
(1) in the heading, by striking ‘‘THROUGH 
2017’’ and inserting ‘‘THROUGH 2022’’; and 
(2) in subparagraph (A), by striking ‘‘2017’’ 
and inserting ‘‘2022’’. 
(e) EXTENSION OF EXPRESS LANE ELIGIBILITY OP-
TION.—Section 1902(e)(13)(I) of the Social Security Act 
(42 U.S.C. 1396a(e)(13)(I)) is amended by striking 
‘‘2017’’ and inserting ‘‘2022’’. 
(f) ASSURANCE OF AFFORDABILITY STANDARD FOR 
CHILDREN AND FAMILIES.— 
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•HJ 124 IH 
(1) IN GENERAL.—Section 2105(d)(3) of the 
Social Security Act (42 U.S.C. 1397ee(d)(3)) is 
amended— 
(A) in the paragraph heading, by striking 
‘‘UNTIL
OCTOBER
1, 2019’’ and inserting 
‘‘THROUGH SEPTEMBER 30, 2022’’; and 
(B) in subparagraph (A), in the matter 
preceding clause (i)— 
(i) by striking ‘‘2019’’ and inserting 
‘‘2022’’; and 
(ii) by striking ‘‘The preceding sen-
tence shall not be construed as preventing 
a State during such period’’ and inserting 
‘‘During the period that begins on October 
1, 2019, and ends on September 30, 2022, 
the preceding sentence shall only apply 
with respect to children in families whose 
income does not exceed 300 percent of the 
poverty 
line 
(as 
defined 
in 
section 
2110(c)(5)) applicable to a family of the 
size involved. The preceding sentences shall 
not be construed as preventing a State 
during any such periods’’. 
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(2) 
CONFORMING
AMENDMENTS.—Section 
1902(gg)(2) of the Social Security Act (42 U.S.C. 
1396a(gg)(2)) is amended— 
(A) in the paragraph heading, by striking 
‘‘UNTIL
OCTOBER
1, 2019’’ and inserting 
‘‘THROUGH SEPTEMBER 30, 2022’’; and 
(B) by striking ‘‘September 30, 2019,’’ 
and inserting ‘‘September 30, 2022 (but during 
the period that begins on October 1, 2019, and 
ends on September 30, 2022, only with respect 
to children in families whose income does not 
exceed 300 percent of the poverty line (as de-
fined in section 2110(c)(5)) applicable to a fam-
ily of the size involved)’’. 
(g) CHIP LOOK-ALIKE PLANS.— 
(1) BLENDING RISK POOLS.—Section 2107 of 
the Social Security Act (42 U.S.C. 1397gg) is 
amended by adding at the end the following: 
‘‘(g) USE OF BLENDED RISK POOLS.— 
‘‘(1) IN GENERAL.—Nothing in this title (or 
any other provision of Federal law) shall be con-
strued as preventing a State from considering chil-
dren enrolled in a qualified CHIP look-alike pro-
gram and children enrolled in a State child health 
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plan under this title (or a waiver of such plan) as 
members of a single risk pool. 
‘‘(2) QUALIFIED CHIP LOOK-ALIKE PROGRAM.— 
In this subsection, the term ‘qualified CHIP look- 
alike program’ means a State program— 
‘‘(A) under which children who are under 
the age of 19 and are not eligible to receive 
medical assistance under title XIX or child 
health assistance under this title may purchase 
coverage through the State that provides bene-
fits that are at least identical to the benefits 
provided under the State child health plan 
under this title (or a waiver of such plan); and 
‘‘(B) that is funded exclusively through 
non-Federal funds, including funds received by 
the State in the form of premiums for the pur-
chase of such coverage.’’. 
(2) COVERAGE RULE.— 
(A) IN GENERAL.—Section 5000A(f)(1) of 
the Internal Revenue Code of 1986 is amended 
in subparagraph (A)(iii), by inserting ‘‘or under 
a qualified CHIP look-alike program (as de-
fined in section 2107(g) of the Social Security 
Act)’’ before the comma at the end. 
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(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall apply with re-
spect to taxable years beginning after December 
31, 2017. 
SEC. 22102. EXTENSION OF CERTAIN PROGRAMS AND DEM-
ONSTRATION PROJECTS. 
(a) 
CHILDHOOD
OBESITY
DEMONSTRATION 
PROJECT.—Section 1139A(e)(8) of the Social Security 
Act (42 U.S.C. 1320b–9a(e)(8)) is amended— 
(1) by striking ‘‘and $10,000,000’’ and insert-
ing ‘‘, $10,000,000’’; and 
(2) by inserting after ‘‘2017’’ the following: ‘‘, 
and $25,000,000 for the period of fiscal years 2018 
through 2022’’. 
(b) PEDIATRIC QUALITY MEASURES PROGRAM.— 
Section 1139A(i) of the Social Security Act (42 U.S.C. 
1320b–9a(i)) is amended— 
(1) by striking ‘‘Out of any’’ and inserting the 
following: 
‘‘(1) IN GENERAL.—Out of any’’; 
(2) by striking ‘‘there is appropriated for each’’ 
and inserting ‘‘there is appropriated— 
‘‘(A) for each’’; 
(3) by striking ‘‘, and there is appropriated for 
the period’’ and inserting ‘‘; 
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‘‘(B) for the period’’; 
(4) by striking ‘‘. Funds appropriated under 
this subsection shall remain available until ex-
pended.’’ and inserting ‘‘; and’’; and 
(5) by adding at the end the following: 
‘‘(C) for the period of fiscal years 2018 
through 2022, $75,000,000 for the purpose of 
carrying out this section (other than sub-
sections (e), (f), and (g)). 
‘‘(2) 
AVAILABILITY.—Funds 
appropriated 
under this subsection shall remain available until ex-
pended.’’. 
SEC. 22103. EXTENSION OF OUTREACH AND ENROLLMENT 
PROGRAM. 
(a) IN GENERAL.—Section 2113 of the Social Secu-
rity Act (42 U.S.C. 1397mm) is amended— 
(1) in subsection (a)(1), by striking ‘‘2017’’ and 
inserting ‘‘2022’’; and 
(2) in subsection (g)— 
(A) by striking ‘‘and $40,000,000’’ and in-
serting ‘‘, $40,000,000’’; and 
(B) by inserting after ‘‘2017’’ the fol-
lowing: ‘‘, and $100,000,000 for the period of 
fiscal years 2018 through 2022’’. 
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(b) MAKING ORGANIZATIONS THAT USE PARENT 
MENTORS
ELIGIBLE
TO
RECEIVE
GRANTS.—Section 
2113(f) of the Social Security Act (42 U.S.C. 1397mm(f)) 
is amended— 
(1) in paragraph (1)(E), by striking ‘‘or com-
munity-based doula programs’’ and inserting ‘‘, com-
munity-based doula programs, or parent mentors’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(5) PARENT
MENTOR.—The term ‘parent 
mentor’ means an individual who— 
‘‘(A) is a parent or guardian of at least 
one child who is an eligible child under this title 
or title XIX; and 
‘‘(B) is trained to assist families with chil-
dren who have no health insurance coverage 
with respect to improving the social deter-
minants of the health of such children, includ-
ing by providing— 
‘‘(i) education about health insurance 
coverage, including, with respect to obtain-
ing such coverage, eligibility criteria and 
application and renewal processes; 
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‘‘(ii) assistance with completing and 
submitting applications for health insur-
ance coverage; 
‘‘(iii) a liaison between families and 
representatives of State plans under title 
XIX or State child health plans under this 
title; 
‘‘(iv) guidance on identifying medical 
and dental homes and community phar-
macies for children; and 
‘‘(v) assistance and referrals to suc-
cessfully address social determinants of 
children’s health, including poverty, food 
insufficiency, and housing.’’. 
(c) EXCLUSION FROM MODIFIED ADJUSTED GROSS 
INCOME.—Section 1902(e) of the Social Security Act (42 
U.S.C. 1396a(e)) is amended— 
(1) in the first paragraph (14), relating to in-
come determined using modified adjusted gross in-
come, by adding at the end the following new sub-
paragraph: 
‘‘(J) EXCLUSION
OF
PARENT
MENTOR 
COMPENSATION
FROM
INCOME
DETERMINA-
TION.—Any nominal amount received by an in-
dividual as compensation, including a stipend, 
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for participation as a parent mentor (as defined 
in paragraph (5) of section 2113(f)) in an activ-
ity or program funded through a grant under 
such section shall be disregarded for purposes 
of determining the income eligibility of such in-
dividual for medical assistance under the State 
plan or any waiver of such plan.’’; and 
(2) by striking ‘‘(14) EXCLUSION’’ and insert-
ing ‘‘(15) EXCLUSION’’. 
SEC. 22104. EXTENSION AND REDUCTION OF ADDITIONAL 
FEDERAL FINANCIAL PARTICIPATION FOR 
CHIP. 
Section 2105(b) of the Social Security Act (42 U.S.C. 
1397ee(b)) is amended in the second sentence by inserting 
‘‘and during the period that begins on October 1, 2019, 
and ends on September 30, 2020, the enhanced FMAP 
determined for a State for a fiscal year (or for any portion 
of a fiscal year occurring during such period) shall be in-
creased by 11.5 percentage points’’ after ‘‘23 percentage 
points,’’. 
SEC. 22105. MODIFYING REDUCTIONS IN MEDICAID DSH AL-
LOTMENTS. 
Section 1923(f)(7)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(7)(A)) is amended— 
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(1) in clause (i), in the matter preceding sub-
clause (I), by striking ‘‘2018’’ and inserting ‘‘2020’’; 
and 
(2) in clause (ii), by striking subclauses (I) 
through (VIII) and inserting the following: 
‘‘(I) $4,000,000,000 for fiscal 
year 2020; and 
‘‘(II) $8,000,000,000 for each of 
fiscal years 2021 through 2025.’’. 
SEC. 22106. PUERTO RICO AND THE VIRGIN ISLANDS MED-
ICAID PAYMENTS. 
(a) INCREASED CAP.—Section 1108(g) of the Social 
Security Act (42 U.S.C. 1308(g)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (A), by inserting ‘‘(or, 
with respect to fiscal years 2018 and 2019, in-
creased by such percentage increase plus one 
percentage point)’’ after ‘‘beginning of the fis-
cal year’’; and 
(B) in subparagraph (B), by inserting 
‘‘(or, with respect to fiscal years 2018 and 
2019, increased by such percentage increase 
plus one percentage point)’’ after ‘‘percentage 
increase referred to in subparagraph (A)’’; 
(2) in paragraph (5)— 
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(A) in subparagraph (A), by striking ‘‘sub-
paragraph (B)’’ and inserting ‘‘subparagraphs 
(B), (C), (D), (E), and (F)’’; and 
(B) by adding at the end the following new 
subparagraphs: 
‘‘(C) The amount of the increase otherwise pro-
vided under subparagraph (A) for Puerto Rico shall 
be further increased by $880,000,000. 
‘‘(D)(i) For the period beginning October 1, 
2017, and ending December 31, 2019, the amount 
of the increase otherwise provided under subpara-
graph (A) for Puerto Rico shall be further increased 
by $120,000,000 if the Financial Oversight and 
Management Board for Puerto Rico established 
under section 101 of the Puerto Rico Oversight, 
Management, and Economic Stability Act (48 
U.S.C. 2121) certifies by a majority vote that Puer-
to Rico has taken reasonable and appropriate steps 
during such period to— 
‘‘(I) reduce fraud, waste, and abuse under 
the program under title XIX; 
‘‘(II) implement strategies to reduce un-
necessary, inefficient, or excessive spending 
under title XIX; 
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‘‘(III) improve the use and availability of 
Medicaid data for program operation and over-
sight; and 
‘‘(IV) improve the quality of care and pa-
tient experience for individuals enrolled under 
the program under title XIX. 
‘‘(ii) As a condition of any additional increase 
pursuant to clause (i), not later than October 1, 
2018, Puerto Rico shall submit to the Financial 
Oversight and Management Board for Puerto Rico 
a report regarding steps taken to achieve each of the 
goals described in subclauses (I) through (IV) of 
clause (i). 
‘‘(E) Payments under section 1903(a)(8) for a 
quarter of a fiscal year shall not be taken into ac-
count in applying subsection (f) (as increased in ac-
cordance with this paragraph and paragraphs (1), 
(2), (3), and (4)) to Puerto Rico or the Virgin Is-
lands for such fiscal year. 
‘‘(F)(i) For the period beginning October 1, 
2017, and ending December 31, 2019, the amount 
of the increase otherwise provided under subpara-
graph (A) for the Virgin Islands shall be further in-
creased by an amount equal to the per capita equiv-
alent of the total amount of the increase provided 
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for Puerto Rico under subparagraphs (C) and (D) 
for such period. 
‘‘(ii) For purposes of clause (i), the term ‘per 
capita equivalent’ means the ratio of— 
‘‘(I) the population of the Virgin Islands, 
as determined by the most recent census esti-
mate released by the Bureau of the Census be-
fore September 4, 2017; to 
‘‘(II) the population of Puerto Rico, as so 
determined.’’. 
(b) FEDERAL MATCH
FOR MEDICAL PERSONNEL 
AND FRAUD REDUCTION.—Section 1903(a) of the Social 
Security Act (42 U.S.C. 1396b(a)) is amended— 
(1) in paragraph (2)(A), by inserting ‘‘subject 
to paragraph (8),’’ before ‘‘an amount’’; 
(2) in paragraph (6)— 
(A) in subparagraph (B), by inserting 
‘‘subject to paragraph (8),’’ before ‘‘75 per cen-
tum’’; and 
(B) by striking at the end ‘‘plus’’; 
(3) in paragraph (7), by striking at the end the 
period and inserting ‘‘; plus’’ ; and 
(4) by adding at the end the following new 
paragraph: 
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‘‘(8) for quarters during the period beginning 
January 1, 2018, and ending December 31, 2019, 
paragraphs (2)(A) and (6) shall apply with respect 
to Puerto Rico and the Virgin Islands as if— 
‘‘(A) the reference to ‘75 per centum’ in 
paragraph (2)(A) were a reference to ‘90 per 
centum’; and 
‘‘(B) the reference to ‘75 per centum’ in 
paragraph (6)(B) were a reference to ‘90 per 
centum’.’’. 
TITLE II—OFFSETS 
SEC. 22201. MEDICAID THIRD PARTY LIABILITY PROVI-
SIONS. 
(a) MEDICAID THIRD PARTY LIABILITY.— 
(1) DELAY
OF
BIPARTISAN
BUDGET
ACT
OF 
2013 THIRD PARTY LIABILITY PROVISIONS.— 
(A) IN GENERAL.—Section 202(c) of the 
Bipartisan Budget Act of 2013 (Public Law 
113–67; 127 Stat. 1177; 42 U.S.C. 1396a 
note), as amended by section 211 of the Pro-
tecting Access to Medicare Act of 2014 (Public 
Law 113–93; 128 Stat. 1047; 42 U.S.C. 1396a 
note) and section 220 of the Medicare Access 
and CHIP Reauthorization Act of 2015 (Public 
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Law 114–10), is amended by striking ‘‘2017’’ 
and inserting ‘‘2019’’. 
(B) EFFECTIVE DATE; TREATMENT.—The 
amendment made by subparagraph (A) shall 
take effect on September 30, 2017, and shall 
apply with respect to any open claims, including 
claims generated or filed, after such date. 
(2) CLARIFICATION OF DEFINITIONS APPLICA-
BLE TO THIRD PARTY LIABILITY.— 
(A) IN GENERAL.—Section 1902 of the So-
cial Security Act (42 U.S.C. 1396a) is amended 
by adding at the end the following new sub-
section: 
‘‘(nn) RESPONSIBLE THIRD PARTY AND HEALTH IN-
SURER DEFINITIONS.—For purposes of subsection (a)(25) 
and section 1903(d)(2)(B): 
‘‘(1) RESPONSIBLE THIRD PARTY.—The term 
‘responsible third party’ means a health insurer, a 
pharmacy benefit manager to the extent the phar-
macy benefit manager provides information under 
this title for the purpose of coordinating benefits, an 
accountable care organization under section 1899, or 
any other party that is, by statute, contract, or 
agreement, legally responsible for payment of a 
claim for a health care item or service. Such term 
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does not include a party if payment by such party 
has been made or can reasonably be expected to be 
made under a workmen’s compensation law or plan 
of the United States or a State, or under an auto-
mobile or liability insurance policy or plan (including 
a self-insured plan), or under no fault insurance. 
‘‘(2) HEALTH INSURER.—The term ‘health in-
surer’ means a group health plan, as defined in sec-
tion 607(1) of the Employee Retirement Income Se-
curity Act of 1974, a self-insured plan, a fully-in-
sured plan, a service benefit plan, a medicaid man-
aged care plan under section 1903(m) or 1932, and 
any other health plan determined appropriate by the 
Secretary.’’. 
(B) CONFORMING AMENDMENTS.—Section 
1902(a)(25) of the Social Security Act (42 
U.S.C. 1396a(a)(25)) is amended— 
(i) in subparagraph (A), in the matter 
preceding clause (i), by striking ‘‘third par-
ties’’ and all that follows through ‘‘item or 
service)’’ and inserting ‘‘responsible third 
parties’’; 
(ii) in subparagraph (G), by striking 
‘‘health insurer’’ and all that follows 
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through ‘‘item or service)’’ and inserting 
‘‘responsible third party’’; 
(iii) in subparagraph (I), in the mat-
ter preceding clause (i), by striking ‘‘health 
insurers’’ and all that follows through 
‘‘item or service’’ and inserting ‘‘respon-
sible third parties’’; and 
(iv) by inserting ‘‘responsible’’ before 
‘‘third’’ each place it appears in subpara-
graphs (A)(i), (A)(ii), (C), (D), and (H). 
(3) REMOVAL OF SPECIAL TREATMENT OF CER-
TAIN TYPES OF CARE AND PAYMENTS UNDER MED-
ICAID
THIRD
PARTY
LIABILITY
RULES.—Section 
1902(a)(25) of the Social Security Act (42 U.S.C. 
1396a(a)(25)), as amended by section 202(c) of the 
Bipartisan Budget Act of 2013 (after application of 
paragraph (1)), is amended— 
(A) in subparagraph (E)— 
(i) in the matter preceding clause (i), 
by striking ‘‘prenatal or preventive’’ and 
all that follows through ‘‘State plan’’ and 
inserting ‘‘items and services provided 
under the program required under the 
State plan pursuant to paragraph (62)’’; 
and 
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(ii) in clause (i)— 
(I) by striking ‘‘such service’’ 
and inserting ‘‘such items and serv-
ices’’; and 
(II) by striking each place it ap-
pears ‘‘such services’’ and inserting 
‘‘such items and services’’ each such 
place; and 
(B) by striking subparagraph (F). 
(4) CLARIFICATION OF ROLE OF HEALTH IN-
SURERS WITH RESPECT TO THIRD PARTY LIABIL-
ITY.— 
(A) IN GENERAL.—Section 1902(a)(25) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(25)), as amended by paragraph (3), is 
further amended by inserting after subpara-
graph (E) the following new subparagraph: 
‘‘(F) that— 
‘‘(i) in the case of a State that pro-
vides medical assistance under this title 
through a contract with a health insurer, 
such contract shall specify any responsi-
bility of such health insurer (or other enti-
ty) with respect to recovery of payment 
from responsible third parties pursuant to 
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the delegation or transfer by the State to 
such insurer (or other entity) of a right de-
scribed in subparagraph (I)(ii); and 
‘‘(ii) in the case of a State that under 
a contract described in clause (i) delegates 
or transfers to a health insurer (or other 
entity) a right described in such clause, the 
State shall provide assurances to the Sec-
retary that the State laws referred to in 
subparagraph (I), with respect to each re-
sponsibility of such health insurer (or other 
entity) specified under such clause, confer 
to such health insurer (or other entity) the 
authority of the State with respect to the 
requirements 
specified 
in 
clauses 
(i) 
through (iv) of such subparagraph (I);’’. 
(B) 
TREATMENT
OF
COLLECTED 
AMOUNTS.—Section 1903(d)(2)(B) of the Social 
Security Act (42 U.S.C. 1396b(d)(2)(B)) is 
amended by adding at the end the following: 
‘‘For purposes of this subparagraph, reimburse-
ments made by a responsible third party to 
health insurers (as defined in section 1902(nn)) 
pursuant to section 1902(a)(25)(F)(ii) shall be 
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treated in the same manner as reimbursements 
made to a State under the previous sentence.’’. 
(5) INCREASING STATE FLEXIBILITY WITH RE-
SPECT
TO
THIRD
PARTY
LIABILITY.—Section 
1902(a)(25)(I) of the Social Security Act (42 U.S.C. 
1396a(a)(25)(I)) is amended— 
(A) in clause (i), by striking ‘‘medical as-
sistance under the State plan’’ and inserting 
‘‘medical assistance under a State plan (or 
under a waiver of the plan)’’; 
(B) by striking clause (ii) and inserting the 
following new clause: 
‘‘(ii) accept— 
‘‘(I) any State’s right of recovery 
and the assignment to any State of 
any right of an individual or other en-
tity to payment from the party for an 
item or service for which payment has 
been 
made 
under 
the 
respective 
State’s plan (or under a waiver of the 
plan); and 
‘‘(II) as a valid authorization of 
the responsible third party for the fur-
nishing of an item or service to an in-
dividual eligible to receive medical as-
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sistance under this title, an authoriza-
tion made on behalf of such individual 
under the State plan (or under a 
waiver of such plan) for the fur-
nishing of such item or service to such 
individual;’’; 
(C) in clause (iii)— 
(i) by striking ‘‘respond to’’ and in-
serting ‘‘not later than 60 days after re-
ceiving’’; and 
(ii) by striking ‘‘; and’’ at the end and 
inserting ‘‘, respond to such inquiry; and’’; 
and 
(D) in clause (iv), by inserting ‘‘a failure 
to obtain a prior authorization,’’ after ‘‘claim 
form,’’. 
(6) STATE
INCENTIVE
TO
PURSUE
THIRD 
PARTY LIABILITY FOR NEWLY ELIGIBLES.—Section 
1903(d)(2)(B) of the Social Security Act (42 U.S.C. 
1396b(d)(2)(B)), as amended by paragraph (4)(B), 
is further amended by adding at the end the fol-
lowing: ‘‘In the case of expenditures for medical as-
sistance provided during 2017 and subsequent years 
for individuals described in subclause (VIII) of sec-
tion 1902(a)(10)(A)(i), in determining the amount, 
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if any, of overpayment under this subparagraph with 
respect to such medical assistance, the Secretary 
shall apply the Federal medical assistance percent-
age for the State under section 1905(b), notwith-
standing the application of section 1905(y).’’. 
(b) COMPLIANCE WITH THIRD PARTY INSURANCE 
REPORTING.—Section 1905 of the Social Security Act (42 
U.S.C. 1396d) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(ee) Notwithstanding subsection (b), for any year 
beginning after 2019, if a State fails to comply with the 
requirements of section 1902(a)(25) with respect to each 
calendar quarter in such year, the Secretary may reduce 
the Federal medical assistance percentage by 0.1 percent-
age point for calendar quarters in each subsequent year 
in which the State fails to so comply.’’. 
(c) APPLICATION TO CHIP.— 
(1) IN
GENERAL.—Section 2107(e)(1) of the 
Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended— 
(A) by redesignating subparagraphs (B) 
through (R) as subparagraphs (C) through (S), 
respectively; and 
(B) by inserting after subparagraph (A) 
the following new subparagraph: 
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plans (or under waivers of such plans)) under this title, 
the Secretary shall— 
‘‘(1) publish (and update on an annual basis) 
on the public Internet website of the Centers for 
Medicare & Medicaid Services a dedicated Internet 
page containing best practices to be used in assess-
ing such liability; 
‘‘(2) monitor efforts to assess such liability and 
analyze the challenges posed by that assessment; 
‘‘(3) distribute to State agencies administering 
the State plan under this title information related to 
such efforts and challenges; and 
‘‘(4) provide guidance to such State agencies 
with respect to State oversight of efforts under a 
medicaid managed care plan under section 1903(m) 
or 1932 to assess such liability.’’. 
(e) DEVELOPMENT
OF MODEL UNIFORM FIELDS 
FOR STATES TO REPORT THIRD PARTY INFORMATION.— 
Not later than January 1, 2019, the Secretary of Health 
and Human Services shall, in consultation with the States, 
develop and make available to the States a model uniform 
reporting set of reporting fields and accompanying guid-
ance documentation that States shall use for purposes 
of— 
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(1) reporting information to the Secretary with-
in the Transformed Medicaid Statistical Information 
System (T–MSIS) (or a successor system); and 
(2) collecting information that identifies respon-
sible third parties (as defined in subsection (nn) of 
section 1902 of the Social Security Act (42 U.S.C. 
1396a), as added by subsection (a)(2)(A)) and other 
relevant information for ascertaining the legal re-
sponsibility of such third parties to pay for care and 
services available under the State plan (or under a 
waiver of the plan) under title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) or under the 
State child health plan under title XXI of such Act 
(42 U.S.C. 1397 et seq.). 
(f) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), this section and the amendments made by 
this section (other than as specified in the preceding 
provisions of this section) shall take effect on Octo-
ber 1, 2019, and shall apply to medical assistance or 
child health assistance provided on or after such 
date. 
(2) EXCEPTION
IF
STATE
LEGISLATION
RE-
QUIRED.—In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
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(42 U.S.C. 1396 et seq.), or a State child health 
plan for child health assistance under title XXI of 
such Act (42 U.S.C. 1397aa et seq.), that the Sec-
retary of Health and Human Services determines re-
quires State legislation (other than legislation appro-
priating funds) in order for the plan to meet the ad-
ditional requirement imposed by the amendments 
made under this section, such plan shall not be re-
garded as failing to comply with the requirements of 
such title solely on the basis of its failure to meet 
this additional requirement before the first day of 
the first calendar quarter beginning after the close 
of the first regular session of the State legislature 
that begins after the date of the enactment of this 
Act. For purposes of the previous sentence, in the 
case of a State that has a 2-year legislative session, 
each year of such session shall be deemed to be a 
separate regular session of the State legislature. 
SEC. 22202. TREATMENT OF LOTTERY WINNINGS AND 
OTHER LUMP-SUM INCOME FOR PURPOSES 
OF INCOME ELIGIBILITY UNDER MEDICAID. 
(a) IN GENERAL.—Section 1902 of the Social Secu-
rity Act (42 U.S.C. 1396a) is amended— 
(1) in subsection (a)(17), by striking ‘‘(e)(14), 
(e)(14)’’ and inserting ‘‘(e)(14), (e)(15)’’; and 
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(2) in subsection (e)(14), as amended by section 
303(c), by adding at the end the following new sub-
paragraph: 
‘‘(K) TREATMENT OF CERTAIN LOTTERY 
WINNINGS AND INCOME RECEIVED AS A LUMP 
SUM.— 
‘‘(i) IN GENERAL.—In the case of an 
individual who is the recipient of qualified 
lottery winnings (pursuant to lotteries oc-
curring on or after January 1, 2018) or 
qualified lump sum income (received on or 
after such date) and whose eligibility for 
medical assistance is determined based on 
the application of modified adjusted gross 
income under subparagraph (A), a State 
shall, in determining such eligibility, in-
clude such winnings or income (as applica-
ble) as income received— 
‘‘(I) in the month in which such 
winnings or income (as applicable) is 
received if the amount of such 
winnings or income is less than 
$80,000; 
‘‘(II) over a period of 2 months 
if the amount of such winnings or in-
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come (as applicable) is greater than or 
equal to $80,000 but less than 
$90,000; 
‘‘(III) over a period of 3 months 
if the amount of such winnings or in-
come (as applicable) is greater than or 
equal to $90,000 but less than 
$100,000; and 
‘‘(IV) over a period of 3 months 
plus 1 additional month for each in-
crement of $10,000 of such winnings 
or income (as applicable) received, not 
to exceed a period of 120 months (for 
winnings or income of $1,260,000 or 
more), if the amount of such winnings 
or income is greater than or equal to 
$100,000. 
‘‘(ii) COUNTING IN EQUAL INSTALL-
MENTS.—For purposes of subclauses (II), 
(III), and (IV) of clause (i), winnings or 
income to which such subclause applies 
shall be counted in equal monthly install-
ments over the period of months specified 
under such subclause. 
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‘‘(iii) HARDSHIP EXEMPTION.—An in-
dividual whose income, by application of 
clause (i), exceeds the applicable eligibility 
threshold established by the State, shall 
continue to be eligible for medical assist-
ance to the extent that the State deter-
mines, under procedures established by the 
State (in accordance with standards speci-
fied by the Secretary), that the denial of 
eligibility of the individual would cause an 
undue medical or financial hardship as de-
termined on the basis of criteria estab-
lished by the Secretary. 
‘‘(iv) NOTIFICATIONS
AND
ASSIST-
ANCE REQUIRED IN CASE OF LOSS OF ELI-
GIBILITY.—A State shall, with respect to 
an individual who loses eligibility for med-
ical assistance under the State plan (or a 
waiver of such plan) by reason of clause 
(i)— 
‘‘(I) before the date on which the 
individual loses such eligibility, inform 
the individual— 
‘‘(aa) of the individual’s op-
portunity to enroll in a qualified 
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health plan offered through an 
Exchange established under title 
I of the Patient Protection and 
Affordable Care Act during the 
special enrollment period speci-
fied in section 9801(f)(3) of the 
Internal Revenue Code of 1986 
(relating to loss of Medicaid or 
CHIP coverage); and 
‘‘(bb) of the date on which 
the individual would no longer be 
considered ineligible by reason of 
clause (i) to receive medical as-
sistance under the State plan or 
under any waiver of such plan 
and be eligible to reapply to re-
ceive such medical assistance; 
and 
‘‘(II) provide technical assistance 
to the individual seeking to enroll in 
such a qualified health plan. 
‘‘(v) QUALIFIED LOTTERY WINNINGS 
DEFINED.—In this subparagraph, the term 
‘qualified lottery winnings’ means winnings 
from a sweepstakes, lottery, or pool de-
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scribed in paragraph (3) of section 4402 of 
the Internal Revenue Code of 1986 or a 
lottery operated by a multistate or multi-
jurisdictional lottery association, including 
amounts awarded as a lump sum payment. 
‘‘(vi) QUALIFIED LUMP SUM INCOME 
DEFINED.—In this subparagraph, the term 
‘qualified lump sum income’ means income 
that is received as a lump sum from one 
of the following sources: 
‘‘(I) Monetary winnings from 
gambling (as defined by the Secretary 
and including gambling activities de-
scribed in section 1955(b)(4) of title 
18, United States Code). 
‘‘(II) Damages received, whether 
by suit or agreement and whether as 
lump sums or as periodic payments 
(other than monthly payments), on 
account of causes of action other than 
causes of action arising from personal 
physical injuries or physical sickness. 
‘‘(III) Income received as liquid 
assets from the estate (as defined in 
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section 1917(b)(4)) of a deceased in-
dividual.’’. 
(b) RULES OF CONSTRUCTION.— 
(1) INTERCEPTION OF LOTTERY WINNINGS AL-
LOWED.—Nothing in the amendment made by sub-
section (a)(2) shall be construed as preventing a 
State from intercepting the State lottery winnings 
awarded to an individual in the State to recover 
amounts paid by the State under the State Medicaid 
plan under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) for medical assistance fur-
nished to the individual. 
(2) APPLICABILITY LIMITED TO ELIGIBILITY OF 
RECIPIENT OF LOTTERY WINNINGS OR LUMP SUM 
INCOME.—Nothing in the amendment made by sub-
section (a)(2) shall be construed, with respect to a 
determination of household income for purposes of a 
determination of eligibility for medical assistance 
under the State plan under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) (or a waiver 
of such plan) made by applying modified adjusted 
gross income under subparagraph (A) of section 
1902(e)(14) of such Act (42 U.S.C. 1396a(e)(14)), 
as limiting the eligibility for such medical assistance 
of any individual that is a member of the household 
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other than the individual who received qualified lot-
tery winnings or qualified lump-sum income (as de-
fined 
in 
subparagraph 
(K) 
of 
such 
section 
1902(e)(14), as added by subsection (a)(2) of this 
section). 
SEC. 22203. ADJUSTMENTS TO MEDICARE PART B AND 
PART D PREMIUM SUBSIDIES FOR HIGHER 
INCOME INDIVIDUALS. 
(a) IN GENERAL.—Section 1839(i)(3)(C)(i)(II) of the 
Social Security Act (42 U.S.C. 1395r(i)(3)(C)(i)(II)) is 
amended, in the table, by striking the last row and insert-
ing the following new rows: 
‘‘More than $160,000 but less than $500,000 ..............
80 percent
At least $500,000 ...........................................................
100 percent.’’. 
(b) JOINT RETURNS.—Section 1839(i)(3)(C)(ii) of 
the Social Security Act (42 U.S.C. 1395r(i)(3)(C)(ii)) is 
amended by inserting before the period the following: ‘‘ex-
cept, with respect to the dollar amounts applied in the last 
row of the table under subclause (II) of such clause (and 
the second dollar amount specified in the second to last 
row of such table), clause (i) shall be applied by sub-
stituting dollar amounts which are 175 percent of such 
dollar amounts for the calendar year’’. 
(c) INFLATION ADJUSTMENT.—Section 1839(i) of 
the Social Security Act (42 U.S.C. 1395r(i)) is amended— 
(1) in paragraph (5)— 
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(A) in subparagraph (A), by striking ‘‘In 
the case’’ and inserting ‘‘Subject to subpara-
graph (C), in the case’’; 
(B) in subparagraph (B), by striking ‘‘sub-
paragraph (A)’’ and inserting ‘‘subparagraph 
(A) or (C)’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(C) TREATMENT OF ADJUSTMENTS FOR 
CERTAIN HIGHER INCOME INDIVIDUALS.— 
‘‘(i) IN GENERAL.—Subparagraph (A) 
shall not apply with respect to each dollar 
amount in paragraph (3) of $500,000. 
‘‘(ii) ADJUSTMENT BEGINNING 2027.— 
In the case of any calendar year beginning 
after 2026, each dollar amount in para-
graph (3) of $500,000 shall be increased 
by an amount equal to— 
‘‘(I) such dollar amount, multi-
plied by 
‘‘(II) the percentage (if any) by 
which the average of the Consumer 
Price Index for all urban consumers 
(United States city average) for the 
12-month period ending with August 
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