161 
‘‘(e) CONTINUED APPLICATION OF NONDISCRIMINA-
TION RULES.—Nothing in this section shall be construed 
to permit a health insurance issuer, group health plan, or 
other health care provider to act in a manner inconsistent 
with subparagraph (B) or (D) of section 1302(b)(4).’’. 
(2) CLERICAL AMENDMENT.—The table of con-
tents of the Patient Protection and Affordable Care 
Act (Public Law 111–148) is amended— 
(A) by striking the following items: 
‘‘1563. Conforming amendments. 
‘‘1563. Sense of the Senate promoting fiscal responsibility.’’; 
and 
(B) by inserting after the item relating to 
the section 1563 relating to small business pro-
curement the following items: 
‘‘1564. Conforming amendments. 
‘‘1565. Sense of the Senate promoting fiscal responsibility. 
‘‘1566. Respecting conscience rights in health coverage.’’. 
(d) ABORTION NONDISCRIMINATION
FOR HEALTH 
CARE PROVIDERS.—Section 245 of the Public Health 
Service Act (42 U.S.C. 238n) is amended— 
(1) in the section heading, by striking ‘‘AND 
LICENSING OF PHYSICIANS’’ and inserting ‘‘, LI-
CENSING, AND PRACTICE OF PHYSICIANS AND 
OTHER HEALTH CARE ENTITIES’’; 
(2) in subsection (a), by amending paragraph 
(1) to read as follows: 
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162 
‘‘(1) the entity refuses— 
‘‘(A) to undergo training in the perform-
ance of induced abortions; 
‘‘(B) to require or provide such training; 
‘‘(C) to perform, participate in, provide 
coverage of, or pay for induced abortions; or 
‘‘(D) to provide referrals for such training 
or such abortions;’’; 
(3) in subsection (b)(1), by striking ‘‘stand-
ards’’ and inserting ‘‘standard’’; 
(4) in subsection (c), by amending paragraphs 
(1) and (2) to read as follows: 
‘‘(1) The term ‘financial assistance’, with re-
spect to a government program, means governmental 
payments to cover the cost of health care services or 
benefits, or other Federal payments, grants, or loans 
to promote or otherwise facilitate health-related ac-
tivities. 
‘‘(2) The term ‘health care entity’ includes an 
individual physician or other health professional, a 
postgraduate physician training program, a partici-
pant in a program of training in the health profes-
sions, a hospital, a provider-sponsored organization 
as defined in section 1855(d) of the Social Security 
Act, a health maintenance organization, an account-
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163 
able care organization, an issuer of health insurance 
coverage, any other kind of health care facility, orga-
nization, or plan, and an entity that provides or au-
thorizes referrals for health care services.’’; 
(5) by adding at the end of subsection (c) the 
following new paragraph: 
‘‘(4) The term ‘State or local government that 
receives Federal financial assistance’ includes any 
agency or other governmental unit of a State or 
local government if such government receives Fed-
eral financial assistance.’’; 
(6) by redesignating subsection (c) as sub-
section (d); and 
(7) by inserting after subsection (b) the fol-
lowing new subsection: 
‘‘(c) ADMINISTRATION.—The Secretary shall des-
ignate the Director of the Office for Civil Rights of the 
Department of Health and Human Services— 
‘‘(1) to receive complaints alleging a violation of 
this section, section 1566 of the Patient Protection 
and Affordable Care Act, or any of subsections (b) 
through (e) of section 401 of the Health Programs 
Extension Act of 1973; and 
‘‘(2) to pursue the investigation of such com-
plaints, in coordination with the Attorney General.’’. 
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164 
(e) REMEDIES FOR VIOLATIONS OF FEDERAL CON-
SCIENCE LAWS.—Title II of the Public Health Service Act 
(42 U.S.C. 202 et seq.) is amended by inserting after sec-
tion 245 the following: 
‘‘SEC. 245A. CIVIL ACTION FOR CERTAIN VIOLATIONS. 
‘‘(a) IN GENERAL.—A qualified party may, in a civil 
action, obtain appropriate relief with regard to a des-
ignated violation. 
‘‘(b) DEFINITIONS.—In this section— 
‘‘(1) the term ‘qualified party’ means— 
‘‘(A) the Attorney General; or 
‘‘(B) any person or entity adversely af-
fected by the designated violation; and 
‘‘(2) the term ‘designated violation’ means an 
actual or threatened violation of section 245 of this 
Act, section 1566 of the Patient Protection and Af-
fordable Care Act, or any of subsections (b) through 
(e) of section 401 of the Health Programs Extension 
Act of 1973. 
‘‘(c) ADMINISTRATIVE REMEDIES NOT REQUIRED.— 
An action under this section may be commenced, and relief 
may be granted, without regard to whether the party com-
mencing the action has sought or exhausted available ad-
ministrative remedies. 
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165 
‘‘(d) DEFENDANTS IN ACTIONS UNDER THIS SEC-
TION MAY INCLUDE GOVERNMENTAL ENTITIES AS WELL 
AS OTHERS.— 
‘‘(1) IN GENERAL.—An action under this sec-
tion may be maintained against, among others, a 
party that is a Federal or State governmental entity. 
Relief in an action under this section may include 
money damages even if the defendant is such a gov-
ernmental entity. 
‘‘(2) DEFINITION.—For the purposes of this 
subsection, the term ‘State governmental entity’ 
means a State, a local government within a State, 
or any agency or other governmental unit or author-
ity of a State or of such a local government. 
‘‘(e) NATURE OF RELIEF.—The court shall grant— 
‘‘(1) all necessary equitable and legal relief, in-
cluding, where appropriate, declaratory relief and 
compensatory damages, to prevent the occurrence, 
continuance, or repetition of the designated violation 
and to compensate for losses resulting from the des-
ignated violation; and 
‘‘(2) to a prevailing plaintiff, reasonable attor-
neys’ fees and litigation expenses as part of the 
costs.’’. 
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166 
SPENDING REDUCTION ACCOUNT 
SEC. 531. The amount by which the applicable alloca-
tion of new budget authority made by the Committee on 
Appropriations of the House of Representatives under sec-
tion 302(b) of the Congressional Budget Act of 1974 ex-
ceeds the amount of proposed new budget authority is $0. 
This Act may be cited as the ‘‘Departments of Labor, 
Health and Human Services, and Education, and Related 
Agencies Appropriations Act, 2016’’. 
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Union Calendar No. 145 
114TH CONGRESS 
1ST SESSION 
H. R. 3020 
[Report No. 114–195] 
A BILL 
Making appropriations for the Departments of 
Labor, Health and Human Services, and Edu-
cation, and related agencies for the fiscal year 
ending September 30, 2016, and for other pur-
poses. 
JULY 10, 2015 
Committed to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
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