887 
available under this heading may be used by an eligible 
system (as defined in section 102 of the Protection and Ad-
vocacy for Individuals with Mental Illness Act (42 U.S.C. 
10802)) to continue to pursue any legal action in a Federal 
or State court on behalf of an individual or group of indi-
viduals with a developmental disability (as defined in sec-
tion 102(8)(A) of the Developmental Disabilities and Assist-
ance and Bill of Rights Act of 2000 (20 U.S.C. 
15002(8)(A)) that is attributable to a mental impairment 
(or a combination of mental and physical impairments), 
that has as the requested remedy the closure of State oper-
ated intermediate care facilities for people with intellectual 
or developmental disabilities, unless reasonable public no-
tice of the action has been provided to such individuals (or, 
in the case of mental incapacitation, the legal guardians 
who have been specifically awarded authority by the courts 
to make healthcare and residential decisions on behalf of 
such individuals) who are affected by such action, within 
90 days of instituting such legal action, which informs such 
individuals (or such legal guardians) of their legal rights 
and how to exercise such rights consistent with current Fed-
eral Rules of Civil Procedure: Provided further, That the 
limitations in the immediately preceding proviso shall not 
apply in the case of an individual who is neither competent 
to consent nor has a legal guardian, nor shall the proviso
888 
apply in the case of individuals who are a ward of the State 
or subject to public guardianship. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, XXI, and section 229 of the PHS Act, the United 
States-Mexico Border Health Commission Act, and research 
studies under section 1110 of the Social Security Act, 
$456,009,000, together with $64,828,000 from the amounts 
available under section 241 of the PHS Act to carry out 
national health or human services research and evaluation 
activities: Provided, That of this amount, $53,900,000 shall 
be for minority AIDS prevention and treatment activities: 
Provided further, That of the funds made available under 
this heading, $101,000,000 shall be for making competitive 
contracts and grants to public and private entities to fund 
medically accurate and age appropriate programs that re-
duce teen pregnancy and for the Federal costs associated 
with administering and evaluating such contracts and 
grants, of which not more than 10 percent of the available 
funds shall be for training and technical assistance, evalua-
tion, outreach, and additional program support activities, 
and of the remaining amount 75 percent shall be for repli-
889 
cating programs that have been proven effective through rig-
orous evaluation to reduce teenage pregnancy, behavioral 
risk factors underlying teenage pregnancy, or other associ-
ated risk factors, and 25 percent shall be available for re-
search and demonstration grants to develop, replicate, re-
fine, and test additional models and innovative strategies 
for preventing teenage pregnancy: Provided further, That 
of the amounts provided under this heading from amounts 
available under section 241 of the PHS Act, $6,800,000 
shall be available to carry out evaluations (including longi-
tudinal evaluations) of teenage pregnancy prevention ap-
proaches: Provided further, That of the funds made avail-
able under this heading, $10,000,000 shall be for making 
competitive grants which exclusively implement education 
in sexual risk avoidance (defined as voluntarily refraining 
from non-marital sexual activity): Provided further, That 
funding for such competitive grants for sexual risk avoid-
ance shall use medically accurate information referenced to 
peer-reviewed publications by educational, scientific, gov-
ernmental, or health organizations; implement an evidence- 
based approach integrating research findings with practical 
implementation that aligns with the needs and desired out-
comes for the intended audience; and teach the benefits asso-
ciated with self-regulation, success sequencing for poverty 
prevention, healthy relationships, goal setting, and resisting
890 
sexual coercion, dating violence, and other youth risk behav-
iors such as underage drinking or illicit drug use without 
normalizing teen sexual activity: Provided further, That no 
more than 10 percent of the funding for such competitive 
grants for sexual risk avoidance shall be available for tech-
nical assistance and administrative costs of such programs: 
Provided further, That funds provided in this Act for em-
bryo adoption activities may be used to provide to individ-
uals adopting embryos, through grants and other mecha-
nisms, medical and administrative services deemed nec-
essary for such adoptions: Provided further, That such serv-
ices shall be provided consistent with 42 CFR 59.5(a)(4). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare Hear-
ings and Appeals, $107,381,000, to be transferred in appro-
priate part from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the devel-
opment and advancement of interoperable health informa-
tion technology, $60,367,000.
891 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, including the hire of passenger motor vehicles for in-
vestigations, in carrying out the provisions of the Inspector 
General Act of 1978, $75,000,000: Provided, That of such 
amount, necessary sums shall be available for providing 
protective services to the Secretary and investigating non- 
payment of child support cases for which non-payment is 
a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$38,798,000. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by law, 
for payments under the Retired Serviceman’s Family Pro-
tection Plan and Survivor Benefit Plan, and for medical 
care of dependents and retired personnel under the Depend-
ents’ Medical Care Act, such amounts as may be required 
during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
For expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, chem-
ical, and cybersecurity threats to civilian populations, and
892 
for other public health emergencies, $950,958,000, of which 
$511,700,000 shall remain available through September 30, 
2017, for expenses necessary to support advanced research 
and development pursuant to section 319L of the PHS Act 
and other administrative expenses of the Biomedical Ad-
vanced Research and Development Authority: Provided, 
That funds provided under this heading for the purpose of 
acquisition of security countermeasures shall be in addition 
to any other funds available for such purpose: Provided fur-
ther, That products purchased with funds provided under 
this heading may, at the discretion of the Secretary, be de-
posited in the Strategic National Stockpile pursuant to sec-
tion 319F–2 of the PHS Act: Provided further, That 
$5,000,000 of the amounts made available to support emer-
gency operations shall remain available through September 
30, 2018. 
For expenses necessary for procuring security counter-
measures (as defined in section 319F–2(c)(1)(B) of the PHS 
Act), $510,000,000, to remain available until expended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$72,000,000; of which $40,000,000 shall be available until 
expended, for activities including the development and pur-
chase of vaccine, antivirals, necessary medical supplies, 
diagnostics, and other surveillance tools: Provided, That
893 
notwithstanding section 496(b) of the PHS Act, funds may 
be used for the construction or renovation of privately 
owned facilities for the production of pandemic influenza 
vaccines and other biologics, if the Secretary finds such con-
struction or renovation necessary to secure sufficient sup-
plies of such vaccines or biologics. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary. 
SEC. 202. None of the funds appropriated in this title 
shall be used to pay the salary of an individual, through 
a grant or other extramural mechanism, at a rate in excess 
of Executive Level II. 
SEC. 203. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS Act, 
except for funds specifically provided for in this Act, or for 
other taps and assessments made by any office located in 
HHS, prior to the preparation and submission of a report 
by the Secretary to the Committees on Appropriations of 
the House of Representatives and the Senate detailing the 
planned uses of such funds. 
SEC. 204. Notwithstanding section 241(a) of the PHS 
Act, such portion as the Secretary shall determine, but not
894 
more than 2.5 percent, of any amounts appropriated for 
programs authorized under such Act shall be made available 
for the evaluation (directly, or by grants or contracts) and 
the implementation and effectiveness of programs funded in 
this title. 
(TRANSFER OF FUNDS) 
SEC. 205. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
current fiscal year for HHS in this Act may be transferred 
between appropriations, but no such appropriation shall be 
increased by more than 3 percent by any such transfer: Pro-
vided, That the transfer authority granted by this section 
shall not be used to create any new program or to fund 
any project or activity for which no funds are provided in 
this Act: Provided further, That the Committees on Appro-
priations of the House of Representatives and the Senate 
are notified at least 15 days in advance of any transfer. 
SEC. 206. In lieu of the timeframe specified in section 
338E(c)(2) of the PHS Act, terminations described in such 
section may occur up to 60 days after the execution of a 
contract awarded in fiscal year 2016 under section 338B 
of such Act. 
SEC. 207. None of the funds appropriated in this Act 
may be made available to any entity under title X of the
895 
PHS Act unless the applicant for the award certifies to the 
Secretary that it encourages family participation in the de-
cision of minors to seek family planning services and that 
it provides counseling to minors on how to resist attempts 
to coerce minors into engaging in sexual activities. 
SEC. 208. Notwithstanding any other provision of law, 
no provider of services under title X of the PHS Act shall 
be exempt from any State law requiring notification or the 
reporting of child abuse, child molestation, sexual abuse, 
rape, or incest. 
SEC. 209. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an other-
wise eligible entity (including a Provider Sponsored Orga-
nization) because the entity informs the Secretary that it 
will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capitation 
payment to such an entity (based on an actuarially sound 
estimate of the expected costs of providing the service to such 
entity’s enrollees): Provided further, That nothing in this 
section shall be construed to change the Medicare program’s 
coverage for such services and a Medicare Advantage orga-
nization described in this section shall be responsible for
896 
informing enrollees where to obtain information about all 
Medicare covered services. 
SEC. 210. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 211. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 212. In order for HHS to carry out international 
health activities, including HIV/AIDS and other infectious 
disease, chronic and environmental disease, and other 
health activities abroad during fiscal year 2016: 
(1) The Secretary may exercise authority equiva-
lent to that available to the Secretary of State in sec-
tion 2(c) of the State Department Basic Authorities 
Act of 1956. The Secretary shall consult with the Sec-
retary of State and relevant Chief of Mission to en-
sure that the authority provided in this section is ex-
ercised in a manner consistent with section 207 of the 
Foreign Service Act of 1980 and other applicable stat-
utes administered by the Department of State.
897 
(2) The Secretary is authorized to provide such 
funds by advance or reimbursement to the Secretary 
of State as may be necessary to pay the costs of ac-
quisition, lease, alteration, renovation, and manage-
ment of facilities outside of the United States for the 
use of HHS. The Department of State shall cooperate 
fully with the Secretary to ensure that HHS has se-
cure, safe, functional facilities that comply with ap-
plicable regulation governing location, setback, and 
other facilities requirements and serve the purposes 
established by this Act. The Secretary is authorized, 
in consultation with the Secretary of State, through 
grant or cooperative agreement, to make available to 
public or nonprofit private institutions or agencies in 
participating foreign countries, funds to acquire, 
lease, alter, or renovate facilities in those countries as 
necessary to conduct programs of assistance for inter-
national health activities, including activities relating 
to HIV/AIDS and other infectious diseases, chronic 
and environmental diseases, and other health activi-
ties abroad. 
(3) The Secretary is authorized to provide to 
personnel appointed or assigned by the Secretary to 
serve abroad, allowances and benefits similar to those 
provided under chapter 9 of title I of the Foreign
898 
Service Act of 1980, and 22 U.S.C. 4081 through 
4086 and subject to such regulations prescribed by the 
Secretary. The Secretary is further authorized to pro-
vide locality-based comparability payments (stated as 
a percentage) up to the amount of the locality-based 
comparability payment (stated as a percentage) that 
would be payable to such personnel under section 
5304 of title 5, United States Code if such personnel’s 
official duty station were in the District of Columbia. 
Leaves of absence for personnel under this subsection 
shall be on the same basis as that provided under sub-
chapter I of chapter 63 of title 5, United States Code, 
or section 903 of the Foreign Service Act of 1980, to 
individuals serving in the Foreign Service. 
(TRANSFER OF FUNDS) 
SEC. 213. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
to 3 percent among institutes and centers from the total 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer.
899 
(TRANSFER OF FUNDS) 
SEC. 214. Of the amounts made available in this Act 
for NIH, the amount for research related to the human im-
munodeficiency virus, as jointly determined by the Director 
of NIH and the Director of the Office of AIDS Research, 
shall be made available to the ‘‘Office of AIDS Research’’ 
account. The Director of the Office of AIDS Research shall 
transfer from such account amounts necessary to carry out 
section 2353(d)(3) of the PHS Act. 
SEC. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds available under section 402(b)(7) or 
402(b)(12) of the PHS Act to enter into transactions (other 
than contracts, cooperative agreements, or grants) to carry 
out research identified pursuant to such section 402(b)(7) 
(pertaining to the Common Fund) or research and activi-
ties described in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer re-
view procedures (including consultation with appropriate 
scientific experts) as the Director determines to be appro-
priate to obtain assessments of scientific and technical 
merit. Such procedures shall apply to such transactions in 
lieu of the peer review and advisory council review proce-
dures that would otherwise be required under sections
900 
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, and 
494 of the PHS Act. 
SEC. 216. Not to exceed $45,000,000 of funds appro-
priated by this Act to the institutes and centers of the Na-
tional Institutes of Health may be used for alteration, re-
pair, or improvement of facilities, as necessary for the prop-
er and efficient conduct of the activities authorized herein, 
at not to exceed $3,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for NIH, 1 
percent of the amount made available for National Research 
Service Awards (‘‘NRSA’’) shall be made available to the 
Administrator of the Health Resources and Services Admin-
istration to make NRSA awards for research in primary 
medical care to individuals affiliated with entities who have 
received grants or contracts under sections 736, 739, or 747 
of the PHS Act, and 1 percent of the amount made avail-
able for NRSA shall be made available to the Director of 
the Agency for Healthcare Research and Quality to make 
NRSA awards for health service research. 
SEC. 218. In addition to amounts provided herein, 
payments made for research organisms or substances, au-
thorized under section 301(a) of the PHS Act, shall be re-
tained and credited to the appropriations accounts of the 
Institutes and Centers of the NIH making the substance or
901 
organism available under section 301(a). Amounts credited 
to the account under this authority shall be available for 
obligation through September 30, 2017. 
SEC. 219. (a) The Biomedical Advanced Research and 
Development Authority (‘‘BARDA’’) may enter into a con-
tract, for more than one but no more than 10 program 
years, for purchase of research services or of security coun-
termeasures, as that term is defined in section 319F– 
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 
if— 
(1) funds are available and obligated— 
(A) for the full period of the contract or for 
the first fiscal year in which the contract is in 
effect; and 
(B) for the estimated costs associated with 
a necessary termination of the contract; and 
(2) the Secretary determines that a multi-year 
contract will serve the best interests of the Federal 
Government by encouraging full and open competi-
tion or promoting economy in administration, per-
formance, and operation of BARDA’s programs. 
(b) A contract entered into under this section— 
(1) shall include a termination clause as de-
scribed by subsection (c) of section 3903 of title 41, 
United States Code; and
902 
(2) shall be subject to the congressional notice re-
quirement stated in subsection (d) of such section. 
SEC. 220. (a) The Secretary shall establish a publicly 
accessible Web site to provide information regarding the 
uses of funds made available under section 4002 of the Pa-
tient Protection and Affordable Care Act of 2010 (‘‘ACA’’). 
(b) With respect to funds provided under section 4002 
of the ACA, the Secretary shall include on the Web site es-
tablished under subsection (a) at a minimum the following 
information: 
(1) In the case of each transfer of funds under 
section 4002(c), a statement indicating the program 
or activity receiving funds, the operating division or 
office that will administer the funds, and the planned 
uses of the funds, to be posted not later than the day 
after the transfer is made. 
(2) Identification (along with a link to the full 
text) of each funding opportunity announcement, re-
quest for proposals, or other announcement or solici-
tation of proposals for grants, cooperative agreements, 
or contracts intended to be awarded using such funds, 
to be posted not later than the day after the an-
nouncement or solicitation is issued. 
(3) Identification of each grant, cooperative 
agreement, or contract with a value of $25,000 or
903 
more awarded using such funds, including the pur-
pose of the award and the identity of the recipient, 
to be posted not later than 5 days after the award is 
made. 
(4) A report detailing the uses of all funds trans-
ferred under section 4002(c) during the fiscal year, to 
be posted not later than 90 days after the end of the 
fiscal year. 
(c) With respect to awards made in fiscal years 2013 
through 2016, the Secretary shall also include on the Web 
site established under subsection (a), semi-annual reports 
from each entity awarded a grant, cooperative agreement, 
or contract from such funds with a value of $25,000 or 
more, summarizing the activities undertaken and identi-
fying any sub-grants or sub-contracts awarded (including 
the purpose of the award and the identity of the recipient), 
to be posted not later than 30 days after the end of each 
6-month period. 
(d) In carrying out this section, the Secretary shall— 
(1) present the information required in sub-
section (b)(1) on a single webpage or on a single 
database; 
(2) ensure that all information required in this 
section is directly accessible from the single webpage 
or database; and
904 
(3) ensure that all information required in this 
section is able to be organized by program or State. 
(TRANSFER OF FUNDS) 
SEC. 221. (a) Within 45 days of enactment of this Act, 
the Secretary shall transfer funds appropriated under sec-
tion 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 ex-
planatory 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 with-
out reference to section 2821(b) of such Act. 
SEC. 222. (a) The Secretary shall publish in the fiscal 
year 2017 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the purposes 
of implementing, administering, enforcing, or otherwise 
carrying out the provisions of the ACA, and the amend-
ments 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
905 
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 Federal operating division 
or office that administers such program, and the 
amount of funding received in discretionary or man-
datory appropriations. 
(2) For each such fiscal year, the number of full- 
time equivalent employees or contracted employees as-
signed to each authorized and funded provision de-
tailed in accordance with paragraph (1). 
(c) In carrying out this section, the Secretary may ex-
clude from the report employees or contractors who— 
(1) are supported through appropriations en-
acted in laws other than the ACA and work on pro-
grams 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.
906 
SEC. 223. The Secretary shall publish, as part of the 
fiscal year 2017 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 In-
surance Exchanges for each fiscal year since the enactment 
of the ACA and the proposed uses for such funds for fiscal 
year 2017. Such information shall include, for each such 
fiscal year, the amount of funds used for each activity speci-
fied under the heading ‘‘Health Insurance Exchange Trans-
parency’’ in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated 
Act). 
SEC. 224. (a) The Secretary shall provide to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate: 
(1) Detailed monthly enrollment figures from the 
Exchanges established under the Patient Protection 
and Affordable Care Act of 2010 pertaining to enroll-
ments during the open enrollment period; and 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under sec-
tion 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in
907 
advance of any public release of enrollment information or 
the award of such grants. 
SEC. 225. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
the Federal Supplemental 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. 226. In addition to the amounts otherwise avail-
able for ‘‘Centers for Medicare and Medicaid Services, Pro-
gram Management’’, 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 Medi-
care Program: Provided, That except for the foregoing pur-
pose, 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. 
(RESCISSION) 
SEC. 227. The following unobligated balances of 
amounts appropriated prior to fiscal year 2007 for ‘‘De-
908 
partment of Health and Human Services, Health Resources 
and Services Administration’’ are hereby permanently re-
scinded: 
(1) $281,003 appropriated to carry out section 
1610(b) of the PHS Act; 
(2) $3,611 appropriated to carry out section 
1602(c) of the PHS Act; 
(3) $105,576 appropriated in section 167 of divi-
sion H of Public Law 108–199; and 
(4) $55,793 appropriated to carry out the Na-
tional Cord Blood Stem Cell Bank Program. 
SEC. 228. The Secretary shall include in the fiscal year 
2017 budget justification an analysis of how section 2713 
of the PHS Act will impact eligibility for discretionary 
HHS programs. 
SEC. 229. Effective during the period beginning on No-
vember 1, 2015 and ending January 1, 2018, any provision 
of law that refers (including through cross-reference to an-
other provision of law) to the current recommendations of 
the United States Preventive Services Task Force with re-
spect to breast cancer screening, mammography, and pre-
vention shall be administered by the Secretary involved as 
if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of such
909 
Task Force with respect to breast cancer screening, 
mammography, and prevention 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)). 
(TRANSFER OF FUNDS) 
SEC. 230. (a) IN GENERAL.—Subject to the succeeding 
provisions of this section, activities authorized under part 
A of title IV and section 1108(b) of the Social Security Act 
shall continue through September 30, 2016, in the manner 
authorized for fiscal year 2015, and out of any money in 
the Treasury of the United States not otherwise appro-
priated, there are hereby appropriated such sums as may 
be necessary for such purpose. Grants and payments may 
be made pursuant to this authority through September 30, 
2016 at the level provided for such activities for fiscal year 
2015, except as provided in subsection (b). 
(b) CONTINGENCY FUND.—In the case of the Contin-
gency Fund for State Welfare Programs established under 
section 403(b) of the Social Security Act— 
(1) the amount appropriated for such section 
403(b) shall be $608,000,000 for each of fiscal years 
2016 and 2017, notwithstanding section 228(b)(1) of
910 
the Department of Health and Human Services Ap-
propriations Act, 2015; 
(2) the requirement to reserve funds provided for 
in section 403(b)(2) of the Social Security Act shall 
not apply during fiscal years 2016 and 2017; and 
(3) grants and payments may only be made 
from such Fund for fiscal year 2016 after the applica-
tion of subsection (c). 
(c) CENSUS RESEARCH AND WELFARE RESEARCH.— 
Of the amount made available under subsection (b)(1) for 
section 403(b) of the Social Security Act for fiscal year 
2016— 
(1) $15,000,000 is hereby transferred to the Chil-
dren’s Research and Technical Assistance account in 
the Administration for Children and Families at the 
Department of Health and Human Services and 
made available to carry out section 413(h) of the So-
cial Security Act; and 
(2) $10,000,000 is hereby transferred and made 
available to the Bureau of the Census to conduct ac-
tivities using the Survey of Income and Program 
Participation to obtain information to enable inter-
ested parties to evaluate the impact of the amend-
ments made by title I of the Personal Responsibility 
and Work Opportunity Reconciliation Act of 1996.
911 
SEC. 231. Section 1886(m)(6) of the Social Security 
Act (42 U.S.C. 1395ww(m)(6)) is amended— 
(1) in subparagraph (A)(i) by striking ‘‘sub-
paragraph (C)’’ and inserting ‘‘subparagraphs (C) 
and (E)’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(E) TEMPORARY EXCEPTION FOR CERTAIN 
SEVERE
WOUND
DISCHARGES
FROM
CERTAIN 
LONG-TERM CARE HOSPITALS.— 
‘‘(i) IN GENERAL.—In the case of a 
discharge occurring prior to January 1, 
2017, subparagraph (A)(i) shall not apply 
(and payment shall be made to a long-term 
care hospital without regard to this para-
graph) if such discharge— 
‘‘(I) is from a long-term care hos-
pital that is— 
‘‘(aa) 
identified 
by 
the 
amendment 
made 
by 
section 
4417(a) of the Balanced Budget 
Act of 1997 (42 U.S.C. 1395ww 
note, Public Law 105–33); and 
‘‘(bb) located in a rural area 
(as 
defined 
in 
subsection
912 
(d)(2)(D)) or treated as being so 
located pursuant to subsection 
(d)(8)(E); and 
‘‘(II) the individual discharged 
has a severe wound. 
‘‘(ii) SEVERE
WOUND
DEFINED.—In 
this subparagraph, the term ‘severe wound’ 
means a stage 3 wound, stage 4 wound, 
unstageable wound, non-healing surgical 
wound, infected wound, fistula, osteomy-
elitis, or wound with morbid obesity, as 
identified in the claim from the long-term 
care hospital.’’. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2016’’. 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Sec-
ondary 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’’), 
$16,016,790,000, of which $5,127,006,000 shall become 
available on July 1, 2016, and shall remain available 
through September 30, 2017, and of which $10,841,177,000
913 
shall become available on October 1, 2016, and shall remain 
available through September 30, 2017, for academic year 
2016–2017: Provided, That $6,459,401,000 shall be for 
basic grants under section 1124 of the ESEA: Provided fur-
ther, That up to $3,984,000 of these funds shall be available 
to the Secretary of Education (referred to in this title as 
‘‘Secretary’’) on October 1, 2015, to obtain annually up-
dated 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 sec-
tion 1124A of the ESEA: Provided further, That 
$3,544,050,000 shall be for targeted grants under section 
1125 of the ESEA: Provided further, That $3,544,050,000 
shall be for education finance incentive grants under section 
1125A of the ESEA: Provided further, That funds available 
under sections 1124, 1124A, 1125 and 1125A of the ESEA 
may be used to provide homeless children and youths with 
services not ordinarily provided to other students under 
those sections, including supporting the liaison designated 
pursuant to section 722(g)(1)(J)(ii) of the McKinney-Vento 
Homeless Assistance Act, and providing transportation 
pursuant to section 722(g)(1)(J)(iii) of such Act: Provided 
further, That $450,000,000 shall be available for school im-
provement grants under section 1003(g) of the ESEA, which 
shall be allocated by the Secretary through the formula de-
914 
scribed in section 1003(g)(2) and shall be used consistent 
with the requirements of section 1003(g), except that State 
and local educational agencies may use such funds to serve 
any school eligible to receive assistance under part A of title 
I that has not made adequate yearly progress for at least 
2 years or is in the State’s lowest quintile of performance 
based on proficiency rates and, in the case of secondary 
schools, priority shall be given to those schools with gradua-
tion rates below 60 percent: Provided further, That notwith-
standing section 1003(g)(5)(C) of the ESEA, the Secretary 
may permit a State educational agency to establish an 
award period of up to 5 years for each participating local 
educational agency: Provided further, That funds available 
for school improvement grants for fiscal year 2014 and 
thereafter may be used by a local educational agency to im-
plement a whole-school reform strategy for a school using 
an evidence-based strategy that ensures whole-school reform 
is undertaken in partnership with a strategy developer of-
fering a whole-school reform program that is based on at 
least a moderate level of evidence that the program will have 
a statistically significant effect on student outcomes, includ-
ing at least one well-designed and well-implemented experi-
mental or quasi-experimental study: Provided further, That 
funds available for school improvement grants may be used 
by a local educational agency to implement an alternative
915 
State-determined school improvement strategy that has been 
established by a State educational agency with the approval 
of the Secretary: Provided further, That a local educational 
agency that is determined to be eligible for services under 
subpart 1 or 2 of part B of title VI of the ESEA may mod-
ify not more than one element of a school improvement 
grant model: Provided further, That notwithstanding sec-
tion 1003(g)(5)(A), each State educational agency may es-
tablish a maximum subgrant size of not more than 
$2,000,000 for each participating school applicable to such 
funds: Provided further, That the Secretary may reserve up 
to 5 percent of the funds available for section 1003(g) of 
the ESEA to carry out activities to build State and local 
educational agency capacity to implement effectively the 
school improvement grants program: Provided further, That 
$190,000,000 shall be available under section 1502 of the 
ESEA for a comprehensive literacy development and edu-
cation program to advance literacy skills, including pre- 
literacy skills, reading, and writing, for students from birth 
through grade 12, including limited-English-proficient stu-
dents and students with disabilities, of which one-half of 
1 percent shall be reserved for the Secretary of the Interior 
for such a program at schools funded by the Bureau of In-
dian Education, one-half of 1 percent shall be reserved for 
grants to the outlying areas for such a program, up to 5
916 
percent may be reserved for national activities, and the re-
mainder shall be used to award competitive grants to State 
educational agencies for such a program, of which a State 
educational agency may reserve up to 5 percent for State 
leadership activities, including technical assistance and 
training, data collection, reporting, and administration, 
and shall subgrant not less than 95 percent to local edu-
cational agencies or, in the case of early literacy, to local 
educational agencies or other nonprofit providers of early 
childhood education that partner with a public or private 
nonprofit organization or agency with a demonstrated 
record of effectiveness in improving the early literacy devel-
opment of children from birth through kindergarten entry 
and in providing professional development in early lit-
eracy, giving priority to such agencies or other entities serv-
ing greater numbers or percentages of disadvantaged chil-
dren: Provided further, That the State educational agency 
shall ensure that at least 15 percent of the subgranted funds 
are used to serve children from birth through age 5, 40 per-
cent are used to serve students in kindergarten through 
grade 5, and 40 percent are used to serve students in middle 
and high school including an equitable distribution of funds 
between middle and high schools: Provided further, That eli-
gible entities receiving subgrants from State educational 
agencies shall use such funds for services and activities that
917 
have the characteristics of effective literacy instruction 
through professional development, screening and assess-
ment, targeted interventions for students reading below 
grade level and other research-based methods of improving 
classroom instruction and practice: 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 VIII of the 
ESEA, $1,305,603,000, of which $1,168,233,000 shall be for 
basic support payments under section 8003(b), $48,316,000 
shall be for payments for children with disabilities under 
section 8003(d), $17,406,000 shall be for construction under 
section 8007(a), $66,813,000 shall be for Federal property 
payments under section 8002, and $4,835,000, to remain 
available until expended, shall be for facilities maintenance 
under section 8008: Provided, That for purposes of com-
puting the amount of a payment for an eligible local edu-
cational agency under section 8003(a) for school year 2015– 
2016, children enrolled in a school of such agency that 
would otherwise be eligible for payment under section 
8003(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
918 
of a military parent or legal guardian while on active duty 
(so long as such children reside on Federal property as de-
scribed in section 8003(a)(1)(B)), are no longer eligible 
under such section, shall be considered as eligible students 
under such section, provided such students remain in aver-
age daily attendance at a school in the same local edu-
cational agency they attended prior to their change in eligi-
bility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities author-
ized by parts A and B of title II, part B of title IV, parts 
A and B of title VI, and parts B and C of title VII 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, $4,433,629,000, of 
which $2,611,619,000 shall become available on July 1, 
2016, and remain available through September 30, 2017, 
and of which $1,681,441,000 shall become available on Oc-
tober 1, 2016, and shall remain available through Sep-
tember 30, 2017, for academic year 2016–2017: Provided, 
That funds made available to carry out part B of title VII 
of the ESEA may be used for construction, renovation, and 
modernization of any elementary school, secondary school, 
or structure related to an elementary school or secondary
919 
school, run by the Department of Education of the State 
of Hawaii, that serves a predominantly Native Hawaiian 
student body: Provided further, That funds made available 
to carry out part C of title VII of the ESEA shall be award-
ed on a competitive basis, and also may be used for con-
struction: Provided further, That $51,445,000 shall be 
available to carry out section 203 of the Educational Tech-
nical 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 Supple-
mental Education Grants program for the Federated States 
of Micronesia and the Republic of the Marshall Islands: 
Provided further, That the Secretary may reserve up to 5 
percent of the amount referred to in the previous proviso 
to provide technical assistance in the implementation of 
these grants: Provided further, That up to 4.0 percent of 
the funds for subpart 1 of part A of title II of the ESEA 
shall be reserved by the Secretary for competitive awards 
for teacher or principal recruitment and training or profes-
sional enhancement activities, including for civic education 
instruction, to national not-for-profit organizations, of 
which up to 8 percent may only be used for research, dis-
semination, evaluation, and technical assistance for com-
920 
petitive awards carried out under this proviso: Provided 
further, That $152,717,000 shall be to carry out part B of 
title II of the ESEA: Provided further, That none of the 
funds made available by this Act shall be used to allow 21st 
Century Community Learning Centers initiative funding 
for expanded learning time unless these activities provide 
enrichment and engaging academic activities for students 
at least 300 additional program hours before, during, or 
after the traditional school day and supplements but does 
not supplant school day requirements. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent not 
otherwise provided, title VII, part A of the ESEA, 
$143,939,000. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by part G of 
title I, subpart 5 of part A and parts C and D of title 
II, parts B, C, and D of title V of the ESEA, and section 
14007 of division A of the American Recovery and Reinvest-
ment Act of 2009, as amended, $1,181,226,000: Provided, 
That up to $120,000,000 shall be available through Decem-
ber 31, 2016 for section 14007 of division A of Public Law 
111–5, and up to 5 percent of such funds may be used for 
technical assistance and the evaluation of activities carried 
out under such section: Provided further, That the education
921 
facilities clearinghouse established through a competitive 
process in fiscal year 2013 may collect and disseminate in-
formation on effective educational practices and the latest 
research on the planning, design, financing, construction, 
improvement, operation, and maintenance of safe, healthy, 
high-performance public facilities for early learning pro-
grams, kindergarten through grade 12, and higher edu-
cation: Provided further, That $230,000,000 of the funds 
for subpart 1 of part D of title V of the ESEA shall be 
for competitive grants to local educational agencies, includ-
ing charter schools that are local educational agencies, or 
States, or partnerships of: (1) a local educational agency, 
a State, or both; and (2) at least one nonprofit organization 
to develop and implement performance-based compensation 
systems for teachers, principals, and other personnel in 
high-need schools: Provided further, That such performance- 
based compensation systems must consider gains in student 
academic achievement as well as classroom evaluations con-
ducted multiple times during each school year among other 
factors and provide educators with incentives to take on ad-
ditional responsibilities and leadership roles: Provided fur-
ther, That recipients of such grants shall demonstrate that 
such performance-based compensation systems are developed 
with the input of teachers and school leaders in the schools 
and local educational agencies to be served by the grant:
922 
Provided further, That recipients of such grants may use 
such funds to develop or improve systems and tools (which 
may be developed and used for the entire local educational 
agency or only for schools served under the grant) that 
would enhance the quality and success of the compensation 
system, such as high-quality teacher evaluations and tools 
to measure growth in student achievement: Provided fur-
ther, That applications for such grants shall include a plan 
to sustain financially the activities conducted and systems 
developed under the grant once the grant period has expired: 
Provided further, That up to 5 percent of such funds for 
competitive grants shall be available for technical assist-
ance, training, peer review of applications, program out-
reach, and evaluation activities: Provided further, That 
$250,000,000 of the funds for part D of title V of the ESEA 
shall be available through December 31, 2016 for carrying 
out, in accordance with the applicable requirements of part 
D of title V of the ESEA, a preschool development grants 
program: Provided further, That the Secretary, jointly with 
the Secretary of HHS, shall make competitive awards to 
States for activities that build the capacity within the State 
to develop, enhance, or expand high-quality preschool pro-
grams, including comprehensive services and family en-
gagement, for preschool-aged children from families at or 
below 200 percent of the Federal poverty line: Provided fur-
923 
ther, That each State may subgrant a portion of such grant 
funds to local educational agencies and other early learning 
providers (including, but not limited to, Head Start pro-
grams and licensed child care providers), or consortia there-
of, for the implementation of high-quality preschool pro-
grams for children from families at or below 200 percent 
of the Federal poverty line: Provided further, That sub-
grantees that are local educational agencies shall form 
strong partnerships with early learning providers and that 
subgrantees that are early learning providers shall form 
strong partnerships with local educational agencies, in 
order to carry out the requirements of the subgrant: Pro-
vided further, That up to 3 percent of such funds for pre-
school development grants shall be available for technical 
assistance, evaluation, and other national activities related 
to such grants: Provided further, That $10,000,000 of funds 
available under part D of title V of the ESEA shall be for 
the Full-Service Community Schools program: Provided 
further, That of the funds available for part B of title V 
of the ESEA, the Secretary shall use up to $10,000,000 to 
carry out activities under section 5205(b) and shall use not 
less than $16,000,000 for subpart 2: Provided further, That 
of the funds available for subpart 1 of part B of title V 
of the ESEA, and notwithstanding section 5205(a), the Sec-
retary shall reserve up to $100,000,000 to make multiple
924 
awards to non-profit charter management organizations 
and other entities that are not for-profit entities for the rep-
lication and expansion of successful charter school models 
and shall reserve not less than $11,000,000 to carry out the 
activities described in section 5205(a), including improving 
quality and oversight of charter schools and providing tech-
nical assistance and grants to authorized public chartering 
agencies in order to increase the number of high-performing 
charter schools: Provided further, That funds available for 
part B of title V of the ESEA may be used for grants that 
support preschool education in charter schools: Provided 
further, That each application submitted pursuant to sec-
tion 5203(a) shall describe a plan to monitor and hold ac-
countable authorized public chartering agencies through 
such activities as providing technical assistance or estab-
lishing a professional development program, which may in-
clude evaluation, planning, training, and systems develop-
ment for staff of authorized public chartering agencies to 
improve the capacity of such agencies in the State to au-
thorize, monitor, and hold accountable charter schools: Pro-
vided further, That each application submitted pursuant to 
section 5203(a) shall contain assurances that State law, 
regulations, or other policies require that: (1) each author-
ized charter school in the State operate under a legally 
binding charter or performance contract between itself and
925 
the school’s authorized public chartering agency that de-
scribes the rights and responsibilities of the school and the 
public chartering agency; conduct annual, timely, and 
independent audits of the school’s financial statements that 
are filed with the school’s authorized public chartering 
agency; and demonstrate improved student academic 
achievement; and (2) authorized public chartering agencies 
use increases in student academic achievement for all 
groups of students described in section 1111(b)(2)(C)(v) of 
the ESEA as one of the most important factors when deter-
mining to renew or revoke a school’s charter. 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by part A of 
title IV and subparts 1, 2, and 10 of part D of title V of 
the ESEA, $244,815,000: Provided, That $75,000,000 shall 
be available for subpart 2 of part A of title IV, of which 
up to $5,000,000, to remain available until expended, shall 
be for the Project School Emergency Response to Violence 
(‘‘Project SERV’’) program to provide education-related 
services to local educational agencies and institutions of 
higher education in which the learning environment has 
been disrupted due to a violent or traumatic crisis: Pro-
vided further, That $73,254,000 shall be available through 
December 31, 2016 for Promise Neighborhoods.
926 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$737,400,000, which shall become available on July 1, 2016, 
and shall remain available through September 30, 2017, ex-
cept that 6.5 percent of such amount shall be available on 
October 1, 2015, and shall remain available through Sep-
tember 30, 2017, to carry out activities under section 
3111(c)(1)(C): Provided, That the Secretary shall use esti-
mates of the American Community Survey child counts for 
the most recent 3-year period available to calculate alloca-
tions under such part. 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) and the Special Olympics Sport 
and Empowerment Act of 2004, $12,976,858,000, of which 
$3,456,259,000 shall become available on July 1, 2016, and 
shall remain available through September 30, 2017, and of 
which $9,283,383,000 shall become available on October 1, 
2016, and shall remain available through September 30, 
2017, for academic year 2016–2017: Provided, That the 
amount for section 611(b)(2) of the IDEA shall be equal 
to the lesser of the amount available for that activity during 
fiscal year 2015, increased by the amount of inflation as 
specified in section 619(d)(2)(B) of the IDEA, or the per-
cent change in the funds appropriated under section 611(i)
927 
of the IDEA, but not less than the amount for that activity 
during fiscal year 2015: Provided further, That the Sec-
retary shall, without regard to section 611(d) of the IDEA, 
distribute to all other States (as that term is defined in 
section 611(g)(2)), subject to the third proviso, any amount 
by which a State’s allocation under section 611(d), from 
funds appropriated under this heading, is reduced under 
section 612(a)(18)(B), according to the following: 85 per-
cent on the basis of the States’ relative populations of chil-
dren aged 3 through 21 who are of the same age as children 
with disabilities for whom the State ensures the availability 
of a free appropriate public education under this part, and 
15 percent to States on the basis of the States’ relative popu-
lations of those children who are living in poverty: Provided 
further, That the Secretary may not distribute any funds 
under the previous proviso to any State whose reduction 
in allocation from funds appropriated under this heading 
made funds available for such a distribution: Provided fur-
ther, That the States shall allocate such funds distributed 
under the second proviso to local educational agencies in 
accordance with section 611(f): Provided further, That the 
amount by which a State’s allocation under section 611(d) 
of the IDEA is reduced under section 612(a)(18)(B) and 
the amounts distributed to States under the previous pro-
visos in fiscal year 2012 or any subsequent year shall not
928 
be considered in calculating the awards under section 
611(d) for fiscal year 2013 or for any subsequent fiscal 
years: Provided further, That, notwithstanding the provi-
sion in section 612(a)(18)(B) regarding the fiscal year in 
which a State’s allocation under section 611(d) is reduced 
for failure to comply with the requirement of section 
612(a)(18)(A), the Secretary may apply the reduction spec-
ified in section 612(a)(18)(B) over a period of consecutive 
fiscal years, not to exceed five, until the entire reduction 
is applied: Provided further, That the Secretary may, in 
any fiscal year in which a State’s allocation under section 
611 is reduced in accordance with section 612(a)(18)(B), 
reduce the amount a State may reserve under section 
611(e)(1) by an amount that bears the same relation to the 
maximum amount described in that paragraph as the re-
duction under section 612(a)(18)(B) bears to the total allo-
cation the State would have received in that fiscal year 
under section 611(d) in the absence of the reduction: Pro-
vided further, That the Secretary shall either reduce the al-
location of funds under section 611 for any fiscal year fol-
lowing the fiscal year for which the State fails to comply 
with the requirement of section 612(a)(18)(A) as authorized 
by section 612(a)(18)(B), or seek to recover funds under sec-
tion 452 of the General Education Provisions Act (20 
U.S.C. 1234a): Provided further, That the funds reserved
929 
under 611(c) of the IDEA may be used to provide technical 
assistance to States to improve the capacity of the States 
to meet the data collection requirements of sections 616 and 
618 and to administer and carry out other services and ac-
tivities to improve data collection, coordination, quality, 
and use under parts B and C of the IDEA: Provided fur-
ther, That the level of effort a local educational agency must 
meet under section 613(a)(2)(A)(iii) of the IDEA, in the 
year after it fails to maintain effort is the level of effort 
that would have been required in the absence of that failure 
and not the LEA’s reduced level of expenditures: Provided 
further, That the Secretary may use funds made available 
for the State Personnel Development Grants program under 
part D, subpart 1 of IDEA to evaluate program perform-
ance under such subpart. 
REHABILITATION SERVICES AND DISABILITY RESEARCH 
For carrying out, to the extent not otherwise provided, 
the Rehabilitation Act of 1973 and the Helen Keller Na-
tional Center Act, $3,529,605,000, of which $3,391,770,000 
shall be for grants for vocational rehabilitation services 
under title I of the Rehabilitation Act: Provided, That the 
Secretary may use amounts provided in this Act that re-
main available subsequent to the reallotment of funds to 
States pursuant to section 110(b) of the Rehabilitation Act 
for innovative activities aimed at improving the outcomes
930 
of individuals with disabilities as defined in section 
7(20)(B) of the Rehabilitation Act, including activities 
aimed at improving the education and post-school outcomes 
of children receiving Supplemental Security Income 
(‘‘SSI’’) and their families that may result in long-term 
improvement in the SSI child recipient’s economic status 
and self-sufficiency: Provided further, That States may 
award subgrants for a portion of the funds to other public 
and private, nonprofit entities: Provided further, That any 
funds made available subsequent to reallotment for innova-
tive activities aimed at improving the outcomes of individ-
uals with disabilities shall remain available until Sep-
tember 30, 2017. 
SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act of March 3, 1879, 
$25,431,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act of 
1986, $70,016,000: Provided, That from the total amount 
available, the Institute may at its discretion use funds for 
the endowment program as authorized under section 207 
of such Act.