H. R. 1625—392 
(b) A contract entered into under this section— 
(1) shall include a termination clause as described by sub-
section (c) of section 3903 of title 41, United States Code; 
and 
(2) shall be subject to the congressional notice requirement 
stated in subsection (d) of such section. 
SEC. 219. (a) The Secretary shall publish in the fiscal year 
2020 budget justification and on Departmental Web sites informa-
tion concerning the employment of full-time equivalent Federal 
employees or contractors for the purposes of implementing, admin-
istering, enforcing, or otherwise carrying out the provisions of the 
ACA, and the amendments made by that Act, in the proposed 
fiscal year and each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors supported by all 
funds appropriated for purposes of carrying out the ACA (and 
the amendments made by that Act), the Secretary shall include, 
at a minimum, the following information: 
(1) For each such fiscal year, the section of such Act under 
which such funds were appropriated, a statement indicating 
the program, project, or activity receiving such funds, the Fed-
eral operating division or office that administers such program, 
and the amount of funding received in discretionary or manda-
tory appropriations. 
(2) For each such fiscal year, the number of full-time 
equivalent employees or contracted employees assigned to each 
authorized and funded provision detailed in accordance with 
paragraph (1). 
(c) In carrying out this section, the Secretary may exclude 
from the report employees or contractors who— 
(1) are supported through appropriations enacted in laws 
other than the ACA and work on programs that existed prior 
to the passage of the ACA; 
(2) spend less than 50 percent of their time on activities 
funded by or newly authorized in the ACA; or 
(3) work on contracts for which FTE reporting is not a 
requirement of their contract, such as fixed-price contracts. 
SEC. 220. The Secretary shall publish, as part of the fiscal 
year 2020 budget of the President submitted under section 1105(a) 
of title 31, United States Code, information that details the uses 
of all funds used by the Centers for Medicare and Medicaid Services 
specifically for Health Insurance Exchanges for each fiscal year 
since the enactment of the ACA and the proposed uses for such 
funds for fiscal year 2020. Such information shall include, for each 
such fiscal year, the amount of funds used for each activity specified 
under the heading ‘‘Health Insurance Exchange Transparency’’ in 
the explanatory statement described in section 4 (in the matter 
preceding division A of this consolidated Act). 
SEC. 221. (a) The Secretary shall provide to the Committees 
on Appropriations of the House of Representatives and the Senate: 
(1) 
Detailed 
monthly 
enrollment 
figures 
from 
the 
Exchanges established under the Patient Protection and Afford-
able Care Act of 2010 pertaining to enrollments during the 
open enrollment period; and 
(2) Notification of any new or competitive grant awards, 
including supplements, authorized under section 330 of the 
Public Health Service Act.
H. R. 1625—393 
(b) The Committees on Appropriations of the House and Senate 
must be notified at least 2 business days in advance of any public 
release of enrollment information or the award of such grants. 
SEC. 222. None of the funds made available by this Act from 
the Federal Hospital Insurance Trust Fund or the Federal Supple-
mental Medical Insurance Trust Fund, or transferred from other 
accounts funded by this Act to the ‘‘Centers for Medicare and 
Medicaid Services—Program Management’’ account, may be used 
for payments under section 1342(b)(1) of Public Law 111–148 
(relating to risk corridors). 
SEC. 223. The Secretary shall include in the fiscal year 2020 
budget justification an analysis of how section 2713 of the PHS 
Act will impact eligibility for discretionary HHS programs. 
(TRANSFER OF FUNDS) 
SEC. 224. (a) Within 45 days of enactment of this Act, the 
Secretary shall transfer funds appropriated under section 4002 
of the ACA to the accounts specified, in the amounts specified, 
and for the activities specified under the heading ‘‘Prevention and 
Public Health Fund’’ in the explanatory statement described in 
section 4 (in the matter preceding division A of this consolidated 
Act). 
(b) Notwithstanding section 4002(c) of the ACA, the Secretary 
may not further transfer these amounts. 
(c) Funds transferred for activities authorized under section 
2821 of the PHS Act shall be made available without reference 
to section 2821(b) of such Act. 
SEC. 225. Effective during the period beginning on November 
1, 2015 and ending January 1, 2020, any provision of law that 
refers (including through cross-reference to another provision of 
law) to the current recommendations of the United States Preven-
tive Services Task Force with respect to breast cancer screening, 
mammography, and prevention shall be administered by the Sec-
retary involved as if— 
(1) such reference to such current recommendations were 
a reference to the recommendations of such Task Force with 
respect to breast cancer screening, mammography, and preven-
tion last issued before 2009; and 
(2) such recommendations last issued before 2009 applied 
to any screening mammography modality under section 1861(jj) 
of the Social Security Act (42 U.S.C. 1395x(jj)). 
SEC. 226. In making Federal financial assistance, the provisions 
relating to indirect costs in part 75 of title 45, Code of Federal 
Regulations, including with respect to the approval of deviations 
from negotiated rates, shall continue to apply to the National 
Institutes of Health to the same extent and in the same manner 
as such provisions were applied in the third quarter of fiscal year 
2017. None of the funds appropriated in this or prior Acts or 
otherwise made available to the Department of Health and Human 
Services or to any department or agency may be used to develop 
or implement a modified approach to such provisions, or to inten-
tionally or substantially expand the fiscal effect of the approval 
of such deviations from negotiated rates beyond the proportional 
effect of such approvals in such quarter.
H. R. 1625—394 
SEC. 227. In addition to the amounts otherwise available for 
‘‘Centers for Medicare and Medicaid Services, Program Manage-
ment’’, the Secretary of Health and Human Services may transfer 
up to $305,000,000 to such account from the Federal Hospital 
Insurance Trust Fund and the Federal Supplementary Medical 
Insurance Trust Fund to support program management activity 
related to the Medicare Program: Provided, That except for the 
foregoing purpose, such funds may not be used to support any 
provision of Public Law 111–148 or Public Law 111–152 (or any 
amendment made by either such Public Law) or to supplant any 
other amounts within such account. 
(TRANSFER OF FUNDS) 
SEC. 228. The NIH Director may transfer funds specifically 
appropriated for opioid addiction, opioid alternatives, pain manage-
ment, and addiction treatment to other Institutes and Centers 
of the NIH to be used for the same purpose 15 days after notifying 
the Committees on Appropriations: Provided, That the transfer 
authority provided in the previous proviso is in addition to any 
other transfer authority provided by law. 
SEC. 229. None of the funds made available by this Act to 
carry out the Child Care and Development Block Grant Act of 
1990 may be provided to any child care provider if a list of providers 
(as mentioned in part 98 of title 45 of the Code of Federal Regula-
tions, applicable to the Department of Health and Human Services, 
Administration of Children and Families, and in the final rule 
published in the Federal Register, Vol. 81, No. 190, on Sept. 30, 
2016) indicates that a serious injury or death occurred at the 
provider due to a substantiated health or safety violation. 
This title may be cited as the ‘‘Department of Health and 
Human Services Appropriations Act, 2018’’. 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I and subpart 2 of part B of title II 
of the Elementary and Secondary Education Act of 1965 (referred 
to in this Act as ‘‘ESEA’’) and section 418A of the Higher Education 
Act of 1965 (referred to in this Act as ‘‘HEA’’), $16,443,790,000, 
of which $5,525,990,000 shall become available on July 1, 2018, 
and shall remain available through September 30, 2019, and of 
which $10,841,177,000 shall become available on October 1, 2018, 
and shall remain available through September 30, 2019, for aca-
demic year 2018–2019: Provided, That $6,459,401,000 shall be for 
basic grants under section 1124 of the ESEA: Provided further, 
That up to $5,000,000 of these funds shall be available to the 
Secretary of Education (referred to in this title as ‘‘Secretary’’) 
on October 1, 2017, to obtain annually updated local educational 
agency-level census poverty data from the Bureau of the Census: 
Provided further, That $1,362,301,000 shall be for concentration 
grants under section 1124A of the ESEA: Provided further, That 
$3,969,050,000 shall be for targeted grants under section 1125 
of the ESEA: Provided further, That $3,969,050,000 shall be for 
education finance incentive grants under section 1125A of the
H. R. 1625—395 
ESEA: Provided further, That $217,000,000 shall be for carrying 
out subpart 2 of part B of title II: Provided further, That $44,623,000 
shall be for carrying out section 418A of the HEA. 
IMPACT AID 
For carrying out programs of financial assistance to federally 
affected schools authorized by title VII of the ESEA, $1,414,112,000, 
of which $1,270,242,000 shall be for basic support payments under 
section 7003(b), $48,316,000 shall be for payments for children 
with disabilities under section 7003(d), $17,406,000 shall be for 
construction under section 7007(a), $73,313,000 shall be for Federal 
property payments under section 7002, and $4,835,000, to remain 
available until expended, shall be for facilities maintenance under 
section 7008: Provided, That for purposes of computing the amount 
of a payment for an eligible local educational agency under section 
7003(a) for school year 2017–2018, children enrolled in a school 
of such agency that would otherwise be eligible for payment under 
section 7003(a)(1)(B) of such Act, but due to the deployment of 
both parents or legal guardians, or a parent or legal guardian 
having sole custody of such children, or due to the death of a 
military parent or legal guardian while on active duty (so long 
as such children reside on Federal property as described in section 
7003(a)(1)(B)), are no longer eligible under such section, shall be 
considered as eligible students under such section, provided such 
students remain in average daily attendance at a school in the 
same local educational agency they attended prior to their change 
in eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities authorized by 
part B of title I, part A of title II, subpart 1 of part A of title 
IV, part B of title IV, part B of title V, and parts B and C 
of title VI of the ESEA; the McKinney-Vento Homeless Assistance 
Act; section 203 of the Educational Technical Assistance Act of 
2002; the Compact of Free Association Amendments Act of 2003; 
and the Civil Rights Act of 1964, $5,158,467,000, of which 
$3,329,902,000 shall become available on July 1, 2018, and remain 
available through September 30, 2019, and of which $1,681,441,000 
shall become available on October 1, 2018, and shall remain avail-
able through September 30, 2019, for academic year 2018–2019: 
Provided, That $378,000,000 shall be for part B of title I: Provided 
further, That $1,211,673,000 shall be for part B of title IV: Provided 
further, That $36,397,000 shall be for part B of title VI and may 
be used for construction, renovation, and modernization of any 
elementary school, secondary school, or structure related to an 
elementary school or secondary school, run by the Department 
of Education of the State of Hawaii, that serves a predominantly 
Native Hawaiian student body: Provided further, That $35,453,000 
shall be for part C of title VI and shall be awarded on a competitive 
basis, and also may be used for construction: Provided further, 
That $52,000,000 shall be available to carry out section 203 of 
the Educational Technical Assistance Act of 2002 and the Secretary 
shall make such arrangements as determined to be necessary to 
ensure that the Bureau of Indian Education has access to services 
provided under this section: Provided further, That $16,699,000 
shall be available to carry out the Supplemental Education Grants