Corps center unless the Secretary of Labor certifies to the 
Committee on Appropriations of the House of Representa-
tives that such action will not— 
(1) increase the local youth unemployment rate; 
(2) increase rates of homelessness in the region 
served by a Job Corps Center; 
(3) shift costs to State and municipal govern-
ments or nonprofit entities for housing, education, 
or retraining of displaced students; or 
(4) negatively affect local public safety, includ-
ing increases in youth crime or incarceration. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2026’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,858,772,000: Provided, 
That no more than $1,000,000 shall be available until ex-
pended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That no more than 
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$120,000,000 shall be available until expended for car-
rying out subsections (g) through (n) and (q) of section 
224 of the PHS Act, and for expenses incurred by the 
Department of Health and Human Services (referred to 
in this Act as ‘‘HHS’’) pertaining to administrative claims 
made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,366,933,000: Pro-
vided, That section 751(j)(2) of the PHS Act and the pro-
portional 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: Provided further, That 
for any program operating under section 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 ‘‘Sec-
retary’’) may hereafter waive any of the requirements con-
tained in sections 751(d)(2)(A) and 751(d)(2)(B) of such 
Act for the full project period of a grant under such sec-
tion: Provided further, That section 756(c) of the PHS Act 
shall apply to paragraphs (1) through (4) of section 
756(a) of such Act: Provided further, That no funds shall 
be available for section 340G–1 of the PHS Act: Provided 
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further, That fees collected for the disclosure of informa-
tion under section 427(b) of the Health Care Quality Im-
provement Act of 1986 and sections 1128E(d)(2) and 
1921 of the Social Security Act shall be sufficient to re-
cover the full costs of operating the programs authorized 
by such sections and shall remain available until expended 
for the National Practitioner Data Bank: Provided further, 
That funds transferred to this account to carry out section 
846 and subpart 3 of part D of title III of the PHS Act 
may be used to make prior year adjustments to awards 
made under such section and subpart: Provided further, 
That $130,000,000 shall remain available until expended 
for the purposes of providing primary health services, as-
signing National Health Service Corps (‘‘NHSC’’) partici-
pants to expand the delivery of substance use disorder 
treatment services, notwithstanding the assignment prior-
ities and limitations under sections 333(a)(1)(D), 333(b), 
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-
ments under the NHSC Loan Repayment Program under 
section 338B of such Act: Provided further, That, within 
the amount made available in the previous proviso, not 
less than 15 percent shall remain available until expended 
for the purposes of making payments under the NHSC 
Loan Repayment Program under section 338B of the 
PHS Act to individuals participating in such program who 
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provide primary health services in Indian Health Service 
facilities, Tribally-Operated 638 Health Programs, and 
Urban Indian Health Programs (as those terms are de-
fined by the Secretary), notwithstanding 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, includ-
ing those provided by masters level, licensed substance use 
disorder treatment counselors: Provided further, That of 
the funds made available under this heading, $7,000,000 
shall be available to make grants to establish, expand, or 
maintain optional community-based nurse practitioner fel-
lowship programs that are accredited or in the accredita-
tion process, with a preference for those in Federally 
Qualified Health Centers, for practicing postgraduate 
nurse practitioners in primary care or behavioral health: 
Provided further, That of the funds made available under 
this heading, $10,000,000 shall remain available until ex-
pended for activities under section 775 of the PHS Act: 
Provided further, That the United States may recover liq-
uidated damages in an amount determined by the formula 
under section 338E(c)(1) of the PHS Act if an individual 
either fails to begin or complete the service obligated by 
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a contract under section 775(b) of the PHS Act: Provided 
further, That for purposes of section 775(c)(1) of the PHS 
Act, the Secretary may include other mental and behav-
ioral health disciplines as the Secretary deems appro-
priate: Provided further, That the Secretary may termi-
nate a contract entered into under section 775 of the PHS 
Act in the same manner articulated in section 206 of this 
title for fiscal year 2026 contracts entered into under sec-
tion 338B of the PHS Act. 
Of the funds made available under this heading, 
$75,000,000 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, including funding for infrastructure de-
velopment, maintenance, equipment, and minor renova-
tions or alterations: 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, as determined by the Sec-
retary: Provided further, That grants so awarded are lim-
ited to such public institutions of higher education in 
States in the top quartile of States with a projected pri-
mary care provider shortage, as determined by the Sec-
retary: Provided further, That the minimum amount of a 
grant so awarded to such an institution shall be not less 
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than $2,000,000 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 awarded 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 more than 10 percent of the total amount of 
Federal funds provided in the grant to such institution 
with respect to such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
title V of the Social Security Act, $985,481,000: Provided, 
That notwithstanding sections 502(a)(1) and 502(b)(1) of 
the Social Security Act, not more than $163,667,000 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, 
$2,045,630,000, which shall remain available to the Sec-
retary through September 30, 2028, for parts A and B 
of title XXVI of the PHS Act, and of which not less than 
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$900,313,000 shall be for State AIDS Drug Assistance 
Programs under the authority of section 2616 or 311(c) 
of such Act. 
HEALTH SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $122,887,000: 
Provided, That during the period covered by this Act, the 
Secretary of Health and Human Services may collect reg-
istration fees from members of the Organ Procurement 
and Transplantation Network (in this title referred to as 
‘‘OPTN’’), authorized under section 372 of the PHS Act, 
for each transplant candidate such members place on the 
list described in subsection (b)(2)(A)(i) of such section, 
including directly or through awards made under sub-
section (b)(1)(A) of such section: Provided further, That 
such fees may be credited to this account, to remain avail-
able until expended, to support the operation of the 
OPTN: Provided further, That the Secretary may dis-
tribute fees collected pursuant to the first proviso under 
this heading among the awardee or awardees described in 
subsection (b)(1)(A) of section 372 of the PHS Act as 
the Secretary determines appropriate. 
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RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
Coal Mine Health and Safety Act of 1969, and sections 
711 and 1820 of the Social Security Act, $415,407,000, 
of which $74,277,000 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, up to $23,442,000 shall be avail-
able for the Small Rural Hospital Improvement Grant 
Program for quality improvement and adoption of health 
information technology and no less than $5,000,000 shall 
be available to award grants to public or non-profit private 
entities for the Rural Emergency Hospital Technical As-
sistance Program: Provided further, That notwithstanding 
section 338J(k) of the PHS Act, $13,000,000 shall be 
available for State Offices of Rural Health: Provided fur-
ther, That $14,000,000 shall remain available through 
September 30, 2028, to support the Rural Residency De-
velopment Program: Provided further, That $145,000,000 
shall be for the Rural Communities Opioid Response Pro-
gram. 
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In addition to amounts otherwise available for the 
same purpose, $100,000,000, for making payments to eli-
gible hospitals for the maintenance of health care pro-
viders: Provided, That eligible hospitals receiving such 
payment shall meet the following criteria: (1) have no 
more than 50 inpatient beds, (2) have an established wage 
index value of less than 0.90 as determined by the Sec-
retary of Health and Human Services under section 
1886(d)(3)(E) of the Social Security Act (42 U.S.C. 
1395ww(d)(3)(E)), and (3) be located in a State in the 
top quintile of States with the highest proportion of resi-
dents living under the official poverty line, as established 
by the Director of the Office of Management and Budget 
and revised by the Secretary of Health and Human Serv-
ices in accordance with section 673(2) of the Community 
Services Block Grant Act (42 U.S.C. 9902(2)): Provided 
further, That up to 10 percent of funds made available 
in this paragraph may be used by eligible hospitals for 
administrative expenses: Provided further, That payment 
amounts to eligible hospitals shall be calculated by divid-
ing available funding equally among such eligible hos-
pitals. 
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out title III of the Public Health Service 
Act and for cross-cutting activities and program support 
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for activities funded in other appropriations included in 
this Act for the Health Resources and Services Adminis-
tration, $223,088,000, of which $45,550,000 shall be for 
expenses necessary for the Office for the Advancement of 
Telehealth, including grants, contracts, and cooperative 
agreements for the advancement of telehealth activities: 
Provided, That funds made available under this heading 
may be used to supplement program support funding pro-
vided under the headings ‘‘Primary Health Care’’, 
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 
and ‘‘Rural Health’’. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title 
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $15,200,000 shall be available from the Trust 
Fund to the Secretary. 
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CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, and titles II and IV of the 
Immigration and Nationality Act, with respect to immuni-
zation and respiratory diseases, $231,358,000. 
VIRAL HEPATITIS, SEXUALLY TRANSMITTED DISEASES, 
AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to viral hepatitis, sexually trans-
mitted 
diseases, 
and 
tuberculosis 
prevention, 
$353,000,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, and titles II and IV of the Immigra-
tion and Nationality Act, with respect to emerging and 
zoonotic infectious diseases, $777,372,000: Provided, That 
of the amounts made available under this heading, up to 
$1,000,000 shall remain available until expended to pay 
for the transportation, medical care, treatment, and other 
related costs of persons quarantined or isolated under 
Federal or State quarantine law. 
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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, $742,511,000: 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 the proportional funding 
requirements under section 1503(a) of the PHS Act shall 
not apply to funds made available under this heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $208,560,000. 
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, $604,497,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $181,850,000. 
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30, 2027 for global public health protection: Provided, 
That funds may be used for purchase and insurance of 
official motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, XVII, and XXVIII of 
the PHS Act with respect to public health preparedness 
and response, and for expenses necessary to support ac-
tivities related to countering potential chemical, biological, 
radiological, and nuclear threats to civilian populations, 
$913,200,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement to support an activation of the 
CDC Emergency Operations Center, so long as the Direc-
tor or Administrator, as applicable, provides a notice to 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate within 15 days of the use of 
this authority, 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, and an update of such report 
every 180 days until staff are no longer on detail without 
reimbursement to the CDC Emergency Operations Center. 
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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, $523,570,000, of which 
$360,000,000 shall remain available through September 
30, 2027, for public health infrastructure and capacity: 
Provided, That paragraphs (1) through (3) of subsection 
(b) of section 2821 of the PHS Act shall not apply to 
funds appropriated under this heading and in all other ac-
counts of the CDC: Provided further, That of the amounts 
made available under this heading, $35,000,000, to re-
main available until expended, shall be available to the Di-
rector of the CDC for deposit in the Infectious Diseases 
Rapid Response Reserve Fund established by section 231 
of division B of Public Law 115–245: Provided further, 
That funds appropriated under this heading may be used 
to support a contract for the operation and maintenance 
of an aircraft in direct support of activities throughout 
CDC to ensure the agency is prepared to address public 
health preparedness emergencies: Provided further, That 
employees of CDC or the Public Health Service, both civil-
ian and commissioned officers, detailed to States, munici-
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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-
viso, authorized user fees from the Vessel Sanitation Pro-
gram and the Respirator Certification Program shall be 
available through September 30, 2027. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$40,000,000, which shall remain available until expended: 
Provided, That funds made available to this account in 
this or any prior Act that are available for the acquisition 
of real property or for construction or improvement of fa-
cilities shall be available to make improvements on non- 
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federally owned property, provided that any improvements 
that are not adjacent to federally owned property do not 
exceed $2,500,000, and that the primary benefit of such 
improvements accrues to CDC: 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 funds made avail-
able to this account in this or any prior Act that are avail-
able for the acquisition of real property or for construction 
or improvement of facilities in conjunction with the new 
replacement mine safety research facility shall be available 
to make improvements on non-federally owned property, 
provided that any improvements that are not adjacent to 
federally owned property do not exceed $5,000,000: Pro-
vided 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 heading to support the 
replacement of the mine safety research facility. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $7,272,159,000, of which up 
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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, $3,990,345,000. 
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, 
$525,163,000. 
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-
eases, $2,330,721,000. 
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, 
$2,633,925,000. 
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