SEC. 110. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, approved March 4, 1913 (37 Stat. 
736, chapter 141) shall be applied as if the following text 
is part of such Act: ‘‘ 
‘‘(a) IN GENERAL.—The Secretary of Labor is au-
thorized to employ law enforcement officers or special 
agents to— 
‘‘(1) provide protection for the Secretary of 
Labor during the workday of the Secretary and dur-
ing any activity that is preliminary or postliminary 
to the performance of official duties by the Sec-
retary; 
‘‘(2) provide protection, incidental to the protec-
tion provided to the Secretary, to a member of the 
immediate family of the Secretary who is partici-
pating in an activity or event relating to the official 
duties of the Secretary; 
‘‘(3) provide continuous protection to the Sec-
retary (including during periods not described in 
paragraph (1)) and to the members of the imme-
diate family of the Secretary if there is a unique and 
articulable threat of physical harm, in accordance 
with guidelines established by the Secretary; and 
‘‘(4) provide protection to the Deputy Secretary 
of Labor or another senior officer representing the 
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Secretary of Labor at a public event if there is a 
unique and articulable threat of physical harm, in 
accordance with guidelines established by the Sec-
retary. 
‘‘(b) AUTHORITIES.—The Secretary of Labor may 
authorize a law enforcement officer or special agent em-
ployed under subsection (a), for the purpose of performing 
the duties authorized under subsection (a), to— 
‘‘(1) carry firearms; 
‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, in-
cluding identifying and mitigating potential threats 
and conducting advance work to review security mat-
ters relating to sites and events; 
‘‘(4) coordinate with local law enforcement 
agencies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Sec-
retary, in coordination with the Inspector General of 
the Department of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en-
forcement officer or special agent employed under sub-
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section (a) shall exercise any authority provided under this 
section in accordance with any— 
‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 111. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
priate, including an agreement or partnership to construct 
a new Job Corps center, all or a portion of the real prop-
erty on which the Treasure Island Job Corps Center is 
situated. Any sale or other disposition will not be subject 
to any requirement of any Federal law or regulation relat-
ing to the disposition of Federal real property, including 
but not limited to subchapter III of chapter 5 of title 40 
of the United States Code and subchapter V of chapter 
119 of title 42 of the United States Code. The net pro-
ceeds of such a sale shall be transferred to the Secretary, 
which shall be available until expended to carry out the 
Job Corps Program on Treasure Island. 
SEC. 112. Notwithstanding the Federal Assets Sale 
and Transfer Act of 2016 (Public Law 114–287), the pro-
ceeds from the sale of any Job Corps facility under such 
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Act shall be transferred to the Secretary pursuant to sec-
tion 158(g) of the WIOA. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2020’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,676,522,000: Provided, 
That no more than $1,000,000 shall be available until ex-
pended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That no more than 
$120,000,000 shall be available until expended for car-
rying out subsections (g) through (n) and (q) of section 
224 of the PHS Act, and for expenses incurred by the 
Department of Health and Human Services (referred to 
in this Act as ‘‘HHS’’) pertaining to administrative claims 
made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
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and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,244,942,000: Pro-
vided, That sections 751(j)(2) and 762(k) of the PHS Act 
and the proportional funding amounts in paragraphs (1) 
through (4) of section 756(f) of the PHS Act shall not 
apply to funds made available under this heading: Pro-
vided further, That for any program operating under sec-
tion 751 of the PHS Act on or before January 1, 2009, 
the Secretary of Health and Human Services (referred to 
in this title as the ‘‘Secretary’’) may hereafter waive any 
of the requirements contained in sections 751(d)(2)(A) 
and 751(d)(2)(B) of such Act for the full project period 
of a grant under such section: Provided further, That no 
funds shall be available for section 340G-1 of the PHS 
Act: Provided further, That fees collected for the disclosure 
of information under section 427(b) of the Health Care 
Quality 
Improvement 
Act 
of 
1986 
and 
sections 
1128E(d)(2) and 1921 of the Social Security Act shall be 
sufficient to recover the full costs of operating the pro-
grams authorized by such sections and shall remain avail-
able until expended for the National Practitioner Data 
Bank: Provided further, That funds transferred to this ac-
count to carry out section 846 and subpart 3 of part D 
of title III of the PHS Act may be used to make prior 
year adjustments to awards made under such section and 
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subpart: Provided further, That $120,000,000 shall re-
main available until expended for the purposes of pro-
viding primary health services, assigning National Health 
Service Corps (‘‘NHSC’’) members to expand the delivery 
of substance use disorder treatment services, notwith-
standing the assignment priorities and limitations under 
sections 333(a)(1)(D), 333(b), and 333A(a)(1)(B)(ii) of 
the PHS Act, and making payments under the NHSC 
Loan Repayment Program under section 338B of such 
Act: Provided further, That, within the amount made 
available in the previous proviso, $15,000,000 shall re-
main available until expended for the purposes of making 
payments under the NHSC Loan Repayment Program 
under section 338B of the PHS Act to individuals partici-
pating in such program who provide primary health serv-
ices in Indian Health Service facilities, Tribally-Operated 
638 Health Programs, and Urban Indian Health Pro-
grams (as those terms are defined by the Secretary), not-
withstanding the assignment priorities and limitations 
under section 333(b) of such Act: Provided further, That 
for purposes of the previous two provisos, section 
331(a)(3)(D) of the PHS Act shall be applied as if the 
term ‘‘primary health services’’ includes clinical substance 
use disorder treatment services, including those provided 
by masters level, licensed substance use disorder treat-
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ment counselors: Provided further, That of the funds made 
available under this heading, $20,000,000 shall be avail-
able to make grants to establish or expand optional com-
munity-based nurse practitioner fellowship programs that 
are accredited or in the accreditation process, with a pref-
erence for those in Federally Qualified Health Centers, for 
practicing postgraduate nurse practitioners in primary 
care or behavioral health. 
Of the funds made available under this heading, 
$40,000,000 shall remain available until expended for 
grants to public institutions of higher education to expand 
or support graduate education for physicians provided by 
such institutions: Provided, That, in awarding such 
grants, the Secretary shall give priority to public institu-
tions of higher education located in States with a projected 
primary care provider shortage in 2025, as determined by 
the Secretary: Provided further, That grants so awarded 
are limited to such public institutions of higher education 
in States in the top quintile of States with a projected 
primary care provider shortage in 2025, as determined by 
the Secretary: Provided further, That the minimum 
amount of a grant so awarded to such an institution shall 
be not less than $1,000,000 per year: Provided further, 
That such a grant may be awarded for a period not to 
exceed 5 years: Provided further, That such a grant award-
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ed with respect to a year to such an institution shall be 
subject to a matching requirement of non-Federal funds 
in an amount that is not less than 10 percent of the total 
amount of Federal funds provided in the grant to such 
institution with respect to such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health, title 
V of the Social Security Act, $972,751,000: Provided, 
That notwithstanding sections 502(a)(1) and 502(b)(1) of 
the Social Security Act, not more than $119,593,000 shall 
be available for carrying out special projects of regional 
and national significance pursuant to section 501(a)(2) of 
such Act and $10,276,000 shall be available for projects 
described in subparagraphs (A) through (F) of section 
501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with 
respect to the Ryan White HIV/AIDS program, 
$2,435,157,000, of which $2,009,200,000 shall remain 
available to the Secretary through September 30, 2022, 
for parts A and B of title XXVI of the PHS Act, and 
of which not less than $912,017,000 shall be for State 
AIDS Drug Assistance Programs under the authority of 
section 2616 or 311(c) of such Act: Provided, That of the 
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funds made available under this heading, $175,000,000 
shall be for the Minority AIDS Initiative under section 
2693 of such Act, of which $56,664,000 shall be allocated 
under 
subsection 
(b)(2)(A) 
of 
such 
section 
and 
$74,376,000 shall be allocated under subsection (b)(2)(C) 
of such section: Provided further, That of the funds made 
available under this heading, $70,000,000, to remain 
available until expended, shall be available to the Secretary 
for carrying out a program of grants and contracts under 
title XXVI or section 311(c) of such Act focused on ending 
the nationwide HIV/AIDS epidemic, with any grants 
issued under such section 311(c) administered in conjunc-
tion with title XXVI of the PHS Act, including the limita-
tion on administrative expenses. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $123,693,000, of 
which $122,000 shall be available until expended for facili-
ties renovations at the Gillis W. Long Hansen’s Disease 
Center. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
Coal Mine Health and Safety Act of 1969, and sections 
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711 and 1820 of the Social Security Act, $317,794,000, 
of which $59,000,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds 
made available under this heading for Medicare rural hos-
pital flexibility grants, $19,942,000 shall be available for 
the Small Rural Hospital Improvement Grant Program 
for quality improvement and adoption of health informa-
tion technology and up to $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security Act, with 
funds provided for grants under section 1820(g)(6) avail-
able for the purchase and implementation of telehealth 
services, including pilots and demonstrations on the use 
of electronic health records to coordinate rural veterans 
care between rural providers and the Department of Vet-
erans Affairs electronic health record system: Provided 
further, That notwithstanding section 338J(k) of the PHS 
Act, $12,500,000 shall be available for State Offices of 
Rural Health: Provided further, That $10,000,000 shall 
remain available through September 30, 2022, to support 
the Rural Residency Development Program. 
FAMILY PLANNING 
For carrying out the program under title X of the 
PHS Act to provide for voluntary family planning 
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projects, $400,000,000: Provided, That the Secretary shall 
carry out section 1001 of the PHS Act solely in accord-
ance with any regulations or other conditions or instruc-
tions established by the Secretary pursuant to the author-
ity under section 1006 of the PHS Act that applied as 
of January 18, 2017, to grants and contracts awarded 
under section 1001 of the PHS Act: Provided further, 
That amounts provided to said projects under such title 
shall not be expended for abortions, that all pregnancy 
counseling shall be nondirective, and that such amounts 
shall not be expended for any activity (including the publi-
cation or distribution of literature) that in any way tends 
to promote public support or opposition to any legislative 
proposal or candidate for public office. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and 
Services Administration, $155,250,000: Provided, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
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may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title 
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $11,200,000 shall be available from the Trust 
Fund to the Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
gration and Nationality Act, and section 501 of the Ref-
ugee Education Assistance Act, with respect to immuniza-
tion and respiratory diseases, $499,758,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to HIV/AIDS, viral hepatitis, 
sexually transmitted diseases, and tuberculosis prevention, 
$1,335,197,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and 
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zoonotic infectious diseases, $592,622,000: Provided, That 
of the funds made available under this heading to pay for 
the transportation, medical care, treatment, and other re-
lated costs of persons quarantined or isolated under Fed-
eral or State quarantine law, up to $1,000,000 shall re-
main available until expended. 
CHRONIC DISEASE PREVENTION AND HEALTH 
PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and 
XIX of the PHS Act with respect to chronic disease pre-
vention and health promotion, $1,080,121,000: Provided, 
That funds made available under this heading may be 
available for making grants under section 1509 of the 
PHS Act for not less than 21 States, tribes, or tribal orga-
nizations: Provided further, That of the funds made avail-
able under this heading, $15,000,000 shall be available to 
continue and expand community specific extension and 
outreach programs to combat obesity in counties with the 
highest levels of obesity: Provided further, That the pro-
portional funding requirements under section 1503(a) of 
the PHS Act shall not apply to funds made available 
under this heading. 
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BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $161,560,000. 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to health statistics, surveillance, health 
informatics, and workforce development, $603,897,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $226,350,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$697,559,000, of which $25,000,000 is provided for fire-
arm injury and mortality prevention research. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
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ty and Health Act, with respect to occupational safety and 
health, $346,300,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with 
the provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $523,621,000, of which: 
(1) $128,421,000 shall remain available through Sep-
tember 30, 2021, for international HIV/AIDS; and (2) 
$99,762,000 shall be available for global public health pro-
tection: Provided, That funds may be used for purchase 
and insurance of official motor vehicles in foreign coun-
tries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to public health preparedness and re-
sponse, and for expenses necessary to support activities 
related to countering potential biological, nuclear, radio-
logical, and chemical threats to civilian populations, 
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$880,200,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement for up to 180 days to support an 
activation of the CDC Emergency Operations Center, so 
long as the Director or Administrator, as applicable, pro-
vides a notice to the Committees on Appropriations of the 
House of Representatives and the Senate within 15 days 
of the use of this authority and a full report within 30 
days after use of this authority which includes the number 
of staff and funding level broken down by the originating 
center and number of days detailed. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$30,000,000, which shall remain available until September 
30, 2024: Provided, That in addition to the amount pro-
vided, for a new CDC research support building and all 
related material handling, utility, transportation, and per-
sonnel support infrastructure at the Chamblee campus, in-
cluding necessary acquisition of real property, equipment, 
construction, demolition, installation, activation, renova-
tion, and improvements, $225,000,000, which shall be de-
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rived by transfer from the Fund established by Public Law 
110-161, division G, title II, section 223 and shall remain 
available until September 30, 2024: Provided further, That 
funds previously set aside by CDC for repair and upgrade 
of the Lake Lynn Experimental Mine and Laboratory 
shall be used to acquire a replacement mine safety re-
search facility: Provided further, That in addition, the 
prior year unobligated balance of any amounts assigned 
to former employees in accounts of CDC made available 
for Individual Learning Accounts shall be credited to and 
merged with the amounts made available under this head-
ing to support the replacement of the mine safety research 
facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activi-
ties and program support for activities funded in other 
appropriations included in this Act for the Centers for 
Disease Control and Prevention, $163,570,000, of which 
up to $10,000,000 may be transferred to the reserve of 
the Working Capital Fund authorized under this heading 
in division F of Public Law 112–74: Provided, That para-
graphs (1) through (3) of subsection (b) of section 2821 
of the PHS Act shall not apply to funds appropriated 
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under this heading and in all other accounts of the CDC: 
Provided further, That of the amounts made available 
under this heading, $50,000,000 shall be transferred to 
and merged with the Infectious Diseases Rapid Response 
Reserve Fund established by section 231 of division B of 
Public Law 115-245: Provided further, That any funds 
made available by this Act to the Centers for Disease Con-
trol and Prevention may be used to support the purchase, 
hire, maintenance, and operation of an aircraft for use and 
support of the activities of CDC: Provided further, That 
employees of CDC or the Public Health Service, both civil-
ian and commissioned officers, detailed to States, munici-
palities, or other organizations under authority of section 
214 of the PHS Act, or in overseas assignments, shall be 
treated as non-Federal employees for reporting purposes 
only and shall not be included within any personnel ceiling 
applicable to the Agency, Service, or HHS during the pe-
riod of detail or assignment: Provided further, That CDC 
may use up to $10,000 from amounts appropriated to 
CDC in this Act for official reception and representation 
expenses when specifically approved by the Director of 
CDC: Provided further, That in addition, such sums as 
may be derived from authorized user fees, which shall be 
credited to the appropriation charged with the cost there-
of: Provided further, That with respect to the previous pro-
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viso, authorized user fees from the Vessel Sanitation Pro-
gram and the Respirator Certification Program shall be 
available through September 30, 2021. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $6,249,165,000, of which up 
to $30,000,000 may be used for facilities repairs and im-
provements at the National Cancer Institute—Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood dis-
eases, and blood and blood products, $3,658,822,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to dental and craniofacial diseases, 
$484,350,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to diabetes and digestive and kidney dis-
ease, $2,129,027,000. 
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NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$2,315,571,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to allergy and infectious diseases, 
$5,808,268,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$3,033,183,000, of which $1,146,821,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $381,573,000 is provided for 
the Institutional Development Awards program. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS 
Act with respect to child health and human development, 
$1,580,084,000. 
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NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$835,465,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$812,570,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $3,286,107,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $634,637,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $497,590,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $170,958,000. 
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NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$551,278,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,489,237,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $1,891,704,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$603,710,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $408,498,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
INTEGRATIVE HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and integrative health, 
$153,632,000. 
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NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $341,244,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $84,926,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$463,599,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2021: Provided further, That 
in fiscal year 2020, the National Library of Medicine may 
enter into personal services contracts for the provision of 
services in facilities owned, operated, or constructed under 
the jurisdiction of the National Institutes of Health (re-
ferred to in this title as ‘‘NIH’’). 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $845,783,000: 
Provided, That up to $80,000,000 shall be available to im-
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plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, NIH, $2,049,992,000: Provided, That fund-
ing shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That all funds credited to the NIH Manage-
ment Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided fur-
ther, That $165,000,000 shall be for the Environmental 
Influences on Child Health Outcomes study: Provided fur-
ther, That $617,761,000 shall be available for the Com-
mon Fund established under section 402A(c)(1) of the 
PHS Act: Provided further, That of the funds provided, 
$10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of the 
NIH: Provided further, That the Office of AIDS Research 
within the Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or ren-
ovation 
of 
facilities 
as 
provided 
for 
in 
section 
2354(a)(5)(B) of the PHS Act: Provided further, That 
$25,000,000 shall be used to carry out section 404I of 
the PHS Act (42 U.S.C. 283K), relating to biomedical and 
behavioral research facilities. 
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In addition to other funds appropriated for the Com-
mon Fund established under section 402A(c) of the PHS 
Act, $12,600,000 is appropriated to the Common Fund 
from the 10-year Pediatric Research Initiative Fund de-
scribed in section 9008 of title 26, United States Code, 
for the purpose of carrying out section 402(b)(7)(B)(ii) 
of the PHS Act (relating to pediatric research), as author-
ized in the Gabriella Miller Kids First Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$200,000,000, to remain available through September 30, 
2024. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
Act, in addition to amounts available for such purposes 
in the appropriations provided to the NIH in this Act, 
$492,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the Na-
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tional Institutes of Health to other accounts of the Na-
tional Institutes of Health solely for the purposes provided 
in such Act: Provided further, That upon a determination 
by the Director that funds transferred pursuant to the 
previous proviso are not necessary for the purposes pro-
vided, such amounts may be transferred back to the Ac-
count: Provided further, That the transfer authority pro-
vided under this heading is in addition to any other trans-
fer authority provided by law. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, the Protection and Ad-
vocacy for Individuals with Mental Illness Act, and section 
224 of the Protecting Access to Medicare Act of 2014, 
$1,622,974,000: Provided, That of the funds made avail-
able under this heading, $70,887,000 shall be for the Na-
tional Child Traumatic Stress Initiative: Provided further, 
That notwithstanding section 520A(f)(2) of the PHS Act, 
no funds appropriated for carrying out section 520A shall 
be available for carrying out section 1971 of the PHS Act: 
Provided further, That in addition to amounts provided 
herein, $21,039,000 shall be available under section 241 
of the PHS Act to supplement funds otherwise available 
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for mental health activities and to carry out subpart I of 
part B of title XIX of the PHS Act to fund section 
1920(b) technical assistance, national data, data collection 
and evaluation activities, and further that the total avail-
able under this Act for section 1920(b) activities shall not 
exceed 5 percent of the amounts appropriated for subpart 
I of part B of title XIX: Provided further, That up to 10 
percent of the amounts made available to carry out the 
Children’s Mental Health Services program may be used 
to carry out demonstration grants or contracts for early 
interventions with persons not more than 25 years of age 
at clinical high risk of developing a first episode of psy-
chosis: Provided further, That section 520E(b)(2) of the 
PHS Act shall not apply to funds appropriated in this Act 
for fiscal year 2020: Provided further, That of the total 
amount each State receives for carrying out section 1911 
of the PHS Act, the State shall expend at least 10 percent 
of such total amount to support evidence-based programs 
that address the needs of individuals with early serious 
mental illness, including psychotic disorders, regardless of 
the age at onset, and shall expend at least five percent 
of such total amount for evidence-based crisis care pro-
grams addressing the needs of individuals with serious 
mental illnesses and children with serious mental and emo-
tional disturbances: Provided further, That $150,000,000 
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shall be available until September 30, 2022, for grants to 
communities and community organizations who meet cri-
teria for Certified Community Behavioral Health Clinics 
pursuant to section 223(a) of Public Law 113–93: Pro-
vided further, That none of the funds provided for section 
1911 of the PHS Act shall be subject to section 241 of 
such Act. 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse treatment, title XIX of 
such Act with respect to substance abuse treatment and 
prevention, and section 3203 of the Support for Patients 
and Communities Act, $3,761,056,000: Provided, That 
$1,500,000,000 shall be for State Opioid Response Grants 
for carrying out activities pertaining to opioids undertaken 
by the State agency responsible for administering the sub-
stance abuse prevention and treatment block grant under 
subpart II of part B of title XIX of the PHS Act (42 
U.S.C. 300x–21 et seq.): Provided further, That of such 
amount $50,000,000 shall be made available to Indian 
Tribes or tribal organizations: Provided further, That 15 
percent of the remaining amount shall be for the States 
with the highest mortality rate related to opioid use dis-
orders: Provided further, That of the amounts provided for 
State Opioid Response Grants not more than 2 percent 
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shall be available for Federal administrative expenses, 
training, technical assistance, and evaluation: Provided 
further, That of the amount not reserved by the previous 
three provisos, the Secretary shall make allocations to 
States, territories, and the District of Columbia according 
to a formula using national survey results that the Sec-
retary determines are the most objective and reliable 
measure of drug use and drug-related deaths: Provided 
further, That the Secretary shall submit the formula meth-
odology to the Committees on Appropriations of the House 
of Representatives and the Senate not less than 15 days 
prior to publishing a Funding Opportunity Announce-
ment: Provided further, That prevention and treatment ac-
tivities funded through such grants may include education, 
treatment (including the provision of medication), behav-
ioral health services for individuals in treatment programs, 
referral to treatment services, recovery support, and med-
ical screening associated with such treatment: Provided 
further, That each State, as well as the District of Colum-
bia, shall receive not less than $4,000,000: Provided fur-
ther, That in addition to amounts provided herein, the fol-
lowing amounts shall be available under section 241 of the 
PHS Act: (1) $79,200,000 to carry out subpart II of part 
B of title XIX of the PHS Act to fund section 1935(b) 
technical assistance, national data, data collection and 
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evaluation activities, and further that the total available 
under this Act for section 1935(b) activities shall not ex-
ceed 5 percent of the amounts appropriated for subpart 
II of part B of title XIX; and (2) $2,000,000 to evaluate 
substance abuse treatment programs: Provided further, 
That none of the funds provided for section 1921 of the 
PHS Act or State Opioid Response Grants shall be subject 
to section 241 of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $212,469,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
$128,830,000: Provided, That in addition to amounts pro-
vided herein, $31,428,000 shall be available under section 
241 of the PHS Act to supplement funds available to 
carry out national surveys on drug abuse and mental 
health, to collect and analyze program data, and to con-
duct public awareness and technical assistance activities: 
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Provided further, That, in addition, fees may be collected 
for the costs of publications, data, data tabulations, and 
data analysis completed under title V of the PHS Act and 
provided to a public or private entity upon request, which 
shall be credited to this appropriation and shall remain 
available until expended for such purposes: Provided fur-
ther, That amounts made available in this Act for carrying 
out section 501(o) of the PHS Act shall remain available 
through September 30, 2021: Provided further, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Mental Health’’, ‘‘Substance Abuse Treat-
ment’’, and ‘‘Substance Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, 
part A of title XI of the Social Security Act, and section 
1013 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003, $339,809,000: Provided, 
That in addition to amounts provided herein, $18,408,000 
shall be available from amounts available under section 
241 of the PHS Act: Provided further, That section 947(c) 
of the PHS Act shall not apply in fiscal year 2020: Pro-
vided further, That in addition, amounts received from 
Freedom of Information Act fees, reimbursable and inter-
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agency agreements, and the sale of data shall be credited 
to this appropriation and shall remain available until Sep-
tember 30, 2021. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $273,188,478,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2020, for the last quarter of fiscal year 2020 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2021, $139,903,075,000, to remain 
available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
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103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $410,796,100,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $3,984,744,000, to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary Medical Insurance Trust Fund, as authorized 
by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may 
be collected from authorized user fees and the sale of data, 
which shall be credited to this account and remain avail-
able until expended: Provided, That all funds derived in 
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grants for high quality infant and toddler care 
through Early Head Start-Child Care Partnerships, 
to entities defined as eligible under section 645A(d) 
of such Act, for training and technical assistance for 
such activities, and for up to $26,000,000 in Federal 
costs of administration and evaluation; 
(4) $750,000,000 shall be available for quality 
improvement consistent with section 640(a)(5) of 
such Act; and 
(5) $8,000,000 shall be available for the pur-
poses of re-establishing the Tribal Colleges and Uni-
versities Head Start Partnership Program consistent 
with section 648(g) of such Act: 
Provided further, That the Secretary may reduce the res-
ervation of funds under section 640(a)(2)(C) of such Act 
in lieu of reducing the reservation of funds under sections 
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 
Act: Provided further, That $350,000,000 shall be avail-
able until December 31, 2020 for carrying out sections 
9212 and 9213 of the Every Student Succeeds Act: Pro-
vided further, That up to 3 percent of the funds in the 
preceding proviso shall be available for technical assist-
ance and evaluation related to grants awarded under such 
section 9212: Provided further, That $796,000,000 shall 
be for making payments under the CSBG Act: Provided 
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