abilities, $2,415,167,000, together with $55,242,000 to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund to carry out section 4360 of the Omnibus 
Budget Reconciliation Act of 1990: Provided, That of 
amounts made available under this heading to carry out 
sections 311, 331, and 336 of the OAA, up to one percent 
of such amounts shall be available for developing and im-
plementing evidence-based practices for enhancing senior 
nutrition, including medically-tailored meals: Provided fur-
ther, That notwithstanding any other provision of this Act, 
funds made available under this heading to carry out sec-
tion 311 of the OAA may be transferred to the Secretary 
of Agriculture in accordance with such section: Provided 
further, That up to 5 percent of the funds provided for 
adult protective services grants under section 2042 of title 
XX of the Social Security Act may be used to make grants 
to Tribes and Tribal organizations: Provided further, That 
$2,000,000 shall be for competitive grants to support al-
ternative financing programs that provide for the purchase 
of assistive technology devices, such as a low-interest loan 
fund; an interest buy-down program; a revolving loan 
fund; a loan guarantee; or an insurance program: Provided 
further, That applicants shall provide an assurance that, 
and information describing the manner in which, the alter-
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native financing program will expand and emphasize con-
sumer choice and control: Provided further, That State 
agencies and community-based disability organizations 
that are directed by and operated for individuals with dis-
abilities shall be eligible to compete: Provided further, That 
none of the funds made available under this heading may 
be used by an eligible system (as defined in section 102 
of the Protection and Advocacy for Individuals with Men-
tal 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 individuals with a developmental 
disability (as defined in section 102(8)(A) of the Develop-
mental Disabilities and Assistance 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 operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, 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 
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guardians) of their legal rights and how to exercise such 
rights consistent with current Federal Rules of Civil Pro-
cedure: Provided further, That the limitations in the imme-
diately 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 apply in the case of 
individuals who are a ward of the State or subject to pub-
lic guardianship. 
ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND 
RESPONSE 
RESEARCH, DEVELOPMENT, AND PROCUREMENT 
For carrying out title III and subtitles A and B of 
title XXVIII of the PHS Act, with respect to the research, 
development, storage, production, and procurement of 
medical countermeasures to counter potential chemical, bi-
ological, radiological, and nuclear threats to civilian popu-
lations, $3,277,991,000: Provided, That of such amount: 
(1) 
$1,100,000,000, 
to 
remain 
available 
through September 30, 2026, shall be for expenses 
necessary to support advanced research and develop-
ment pursuant to section 319L of the PHS Act and 
other administrative expenses of the Biomedical Ad-
vanced Research and Development Authority; 
(2) $850,000,000, to remain available until ex-
pended, shall be for expenses necessary for pro-
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curing security countermeasures (as defined in sec-
tion 319F–2(c)(1)(B) of the PHS Act); 
(3) $1,000,000,000, to remain available until 
expended, shall be for expenses necessary to carry 
out section 319F–2(a) of the PHS Act; and 
(4) $327,991,000 shall be for expenses nec-
essary to prepare for or respond to an influenza 
pandemic, of which $300,000,000 shall remain avail-
able until expended for activities including the devel-
opment and purchase of vaccines, antivirals, nec-
essary medical supplies, diagnostics, and surveillance 
tools: Provided, That notwithstanding section 496(b) 
of the PHS Act, funds allocated under this para-
graph may be used for the construction or renova-
tion of privately owned facilities for the production 
of pandemic influenza vaccines and other biologics, 
if the Secretary finds such construction or renova-
tion necessary to secure sufficient supplies of such 
vaccines or biologics: 
Provided further, That funds provided under this heading 
for purposes of acquisition of security countermeasures 
shall be in addition to any other funds made available for 
such purposes: Provided further, That products purchased 
with funds made available under this heading may, at the 
discretion of the Secretary, be deposited in the Strategic 
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National Stockpile pursuant to section 319F–2 of the 
PHS Act: Provided further, That none of the funds made 
available under this heading may be used by the Adminis-
tration for Strategic Preparedness and Response to de-
velop, acquire, or stockpile medical countermeasures, or 
to strengthen the domestic industrial base, by procuring 
or acquiring any medical equipment, pharmaceutical good, 
or service produced by a Chinese-owned company. 
OPERATIONS, PREPAREDNESS, AND EMERGENCY 
RESPONSE 
For carrying out titles III, XII, and subtitles A and 
B of title XXVIII of the PHS Act, operations and emer-
gency response activities related to countering potential 
chemical, biological, radiological, and nuclear threats and 
other public health emergencies, $352,606,000. 
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 re-
search studies under section 1110 of the Social Security 
Act, $350,172,000, of which $58,028,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
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vided, That of this amount, $45,000,000 shall be for mi-
nority AIDS prevention and treatment activities: Provided 
further, That of the funds made available under this head-
ing, $40,000,000 shall be for making competitive grants 
which exclusively implement education in sexual risk 
avoidance (defined as voluntarily refraining from non-mar-
ital sexual activity): Provided further, That funding for 
such competitive grants for sexual risk avoidance shall use 
medically accurate information referenced to peer-re-
viewed publications by educational, scientific, govern-
mental, or health organizations; implement an evidence- 
based approach integrating research findings with prac-
tical implementation that aligns with the needs and de-
sired outcomes for the intended audience; and teach the 
benefits associated with self-regulation, success sequenc-
ing for poverty prevention, healthy relationships, goal set-
ting, and resisting sexual coercion, dating violence, and 
other youth risk behaviors such as underage drinking or 
illicit drug use without normalizing teen sexual activity: 
Provided further, That not more than 10 percent of the 
funding for such competitive grants for sexual risk avoid-
ance shall be available for technical assistance and admin-
istrative costs of such programs: Provided further, That 
funds provided in this Act for embryo adoption activities 
may be used to provide to individuals adopting embryos, 
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through grants and other mechanisms, medical and ad-
ministrative services deemed necessary for such adoptions: 
Provided further, That such services shall be provided con-
sistent with 42 CFR 59.5(a)(4): Provided further, That 
of the funds made available under this heading, 
$5,000,000 shall be for carrying out prize competitions 
sponsored by the Office of the Secretary to accelerate in-
novation in the prevention, diagnosis, and treatment of 
kidney diseases (as authorized by section 24 of the Steven-
son-Wydler Technology Innovation Act of 1980 (15 U.S.C. 
3719)). 
In addition, for expenses necessary to carry out title 
II of the PHS Act to support, except as otherwise pro-
vided, activities related to safeguarding classified national 
security information and providing intelligence and na-
tional security support across the Department and to 
counter cybersecurity threats to civilian populations, 
$109,983,000. 
In addition, for expenses necessary to prevent, pre-
pare for, or respond to an influenza pandemic, 
$7,009,000. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $39,798,000. 
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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 de-
velopment and advancement of interoperable health infor-
mation technology, $69,238,000, of which $59,238,000 
shall be from funds available under section 241 of the 
PHS Act. 
MEDICARE HEARINGS AND APPEALS 
For expenses necessary for Medicare hearings and 
appeals in the Office of the Secretary, $196,000,000 shall 
remain available until September 30, 2026, to be trans-
ferred in appropriate part from the Federal Hospital In-
surance Trust Fund and the Federal Supplementary Med-
ical Insurance Trust Fund. 
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 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
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OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $87,000,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary and inves-
tigating non-payment of child support cases for which non- 
payment is a Federal offense under 18 U.S.C. 228: Pro-
vided further, That of the amount appropriated under this 
heading, necessary sums shall be available for carrying out 
activities authorized under section 3022 of the PHS Act 
(42 U.S.C. 300jj–52). 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $25,000 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: Provided, That none of the funds 
appropriated in this title shall be used to prevent the NIH 
from paying up to 100 percent of the salary of an indi-
vidual at this rate. 
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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 re-
port by the Secretary to the Committees on Appropria-
tions of the House of Representatives and the Senate de-
tailing 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 more than 2.5 percent, of any amounts appro-
priated 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 discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated 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: Provided, That the transfer author-
ity granted by this section shall not be used to create any 
new program or to fund any project or activity for which 
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100 
no funds are provided in this Act: Provided further, That 
the Committees on Appropriations of the House of Rep-
resentatives 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 effective 
date of a contract awarded in fiscal year 2025 under sec-
tion 338B of such Act, or at any time if the individual 
who has been awarded such contract has not received 
funds due under the contract. 
SEC. 207. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
PHS Act unless the applicant for the award certifies to 
the Secretary that it encourages family participation in 
the decision of minors to seek family planning services and 
that it provides counseling to minors on how to resist at-
tempts 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 
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101 
used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) 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 capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care program’s coverage for such services and a Medicare 
Advantage organization described in this section shall be 
responsible for informing enrollees where to obtain infor-
mation 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. 
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102 
SEC. 212. In order for HHS to carry out inter-
national health activities, including HIV/AIDS and other 
infectious disease, chronic and environmental disease, and 
other health activities abroad during fiscal year 2025: 
(1) The Secretary may exercise authority equiv-
alent to that available to the Secretary of State in 
section 2(c) of the State Department Basic Authori-
ties Act of 1956. The Secretary shall consult with 
the Secretary of State and relevant Chief of Mission 
to ensure that the authority provided in this section 
is exercised in a manner consistent with section 207 
of the Foreign Service Act of 1980 and other appli-
cable statutes administered by the Department of 
State. 
(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 co-
operate fully with the Secretary to ensure that HHS 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary is 
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103 
authorized, in consultation with the Secretary of 
State, through grant or cooperative agreement, to 
make available to public or nonprofit private institu-
tions 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 international health activities, includ-
ing activities relating to HIV/AIDS and other infec-
tious diseases, chronic and environmental diseases, 
and other health activities 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 For-
eign Service Act of 1980, and 22 U.S.C. 4081 
through 4086 and subject to such regulations pre-
scribed by the Secretary. The Secretary is further 
authorized to provide 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 per-
sonnel 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 per-
sonnel under this subsection shall be on the same 
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104 
basis as that provided under subchapter I of chapter 
63 of title 5, United States Code, or section 903 of 
the Foreign Service Act of 1980, to individuals serv-
ing 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. 
(TRANSFER OF FUNDS) 
SEC. 214. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 
immunodeficiency virus, as jointly determined by the Di-
rector of NIH and the Director of the Office of AIDS Re-
search, 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 nec-
essary 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 authorized under section 402(b)(12) of the 
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105 
PHS Act to enter into transactions (other than contracts, 
cooperative agreements, or grants) to carry out research 
identified pursuant to or research and activities described 
in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer 
review 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 pro-
cedures that would otherwise be required under sections 
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 $100,000,000 of funds ap-
propriated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $5,000,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for NIH, 
1 percent of the amount made available for National Re-
search Service Awards (‘‘NRSA’’) shall be made available 
to the Administrator of the Health Resources and Services 
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106 
Administration to make NRSA awards for research in pri-
mary 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 available for NRSA shall be made available to the 
Director of the Agency for Healthcare Research and Qual-
ity to make NRSA awards for health service research. 
SEC. 218. (a) The Biomedical Advanced Research 
and Development Authority (‘‘BARDA’’) may enter into 
a contract, for more than one but no more than 10 pro-
gram years, for purchase of research services or of security 
countermeasures, 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. 
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(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 
(2) shall be subject to the congressional notice 
requirement stated in subsection (d) of such section. 
SEC. 219. (a) The Secretary shall publish in the fiscal 
year 2026 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the pur-
poses of implementing, administering, enforcing, or other-
wise carrying out the provisions of the ACA, and the 
amendments made by that Act, in the proposed fiscal year 
and each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors sup-
ported by all funds appropriated for purposes of carrying 
out the ACA (and the amendments made by that Act), 
the Secretary shall include, at a minimum, the following 
information: 
(1) For each such fiscal year, the section of 
such Act under which such funds were appropriated, 
a statement indicating the program, project, or ac-
tivity receiving such funds, the Federal operating di-
vision or office that administers such program, and 
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the amount of funding received in discretionary or 
mandatory appropriations. 
(2) For each such fiscal year, the number of 
full-time equivalent employees or contracted employ-
ees assigned to each authorized and funded provision 
detailed in accordance with paragraph (1). 
(c) In carrying out this section, the Secretary may 
exclude from the report employees or contractors who— 
(1) are supported through appropriations 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. 
SEC. 220. The Secretary shall publish, as part of the 
fiscal year 2026 budget of the President submitted under 
section 1105(a) of title 31, United States Code, informa-
tion that details the uses of all funds used by the Centers 
for Medicare & Medicaid Services specifically for Health 
Insurance Exchanges for each fiscal year since the enact-
ment of the ACA and the proposed uses for such funds 
for fiscal year 2026. Such information shall include, for 
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109 
each such fiscal year, the amount of funds used for each 
activity specified under the heading ‘‘Health Insurance 
Exchange Transparency’’ in the report accompanying this 
Act. 
SEC. 221. 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 & Medicaid Services—Program 
Management’’ account, may be used for payments under 
section 1342(b)(1) of Public Law 111–148 (relating to 
risk corridors). 
(TRANSFER OF FUNDS) 
SEC. 222. (a) Within 45 days of enactment of this 
Act, the Secretary shall transfer funds appropriated under 
section 4002 of the ACA to the accounts specified, in the 
amounts specified, and for the activities specified under 
the heading ‘‘Prevention and Public Health Fund’’ in the 
report accompanying this 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. 
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SEC. 223. Effective during the period beginning on 
November 1, 2015 and ending January 1, 2027, any pro-
vision of law that refers (including through cross-reference 
to another provision of law) to the current recommenda-
tions of the United States Preventive Services Task Force 
with respect to breast cancer screening, mammography, 
and prevention shall be administered by the Secretary in-
volved as if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of 
such 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 modal-
ity under section 1861(jj) of the Social Security Act 
(42 U.S.C. 1395x(jj)). 
(TRANSFER OF FUNDS) 
SEC. 224. The Director of the NIH may transfer 
funds for opioid addiction, opioid alternatives, stimulant 
misuse and addiction, pain management, and addiction 
treatment to other Institutes and Centers of the NIH to 
be used for the same purpose 15 days after notifying the 
Committees on Appropriations of the House of Represent-
atives and the Senate: Provided, That the transfer author-
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ity provided in the previous proviso is in addition to any 
other transfer authority provided by law. 
SEC. 225. (a) The Secretary shall provide to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: 
(1) Detailed monthly enrollment figures from 
the Exchanges established under the Patient Protec-
tion and Affordable Care Act of 2010 pertaining to 
enrollments during the open enrollment period; and 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under 
section 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in 
advance of any public release of enrollment information 
or the award of such grants. 
SEC. 226. In addition to the amounts otherwise avail-
able for ‘‘Centers for Medicare & Medicaid Services, Pro-
gram Management’’, the Secretary of Health and Human 
Services may transfer up to $455,000,000 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 
purpose, such funds may not be used to support any provi-
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sion 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. 
SEC. 227. The Department of Health and Human 
Services shall provide the Committees on Appropriations 
of the House of Representatives and Senate a biannual 
report 30 days after enactment of this Act on staffing de-
scribed in the report accompanying this Act. 
SEC. 228. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the De-
partment of Health and Human Services shall also be 
available to pay travel and related expenses of such an 
employee or of a member of his or her family, when such 
employee is assigned to duty, in the United States or in 
a U.S. territory, during a period and in a location that 
are the subject of a determination of a public health emer-
gency under section 319 of the Public Health Service Act 
and such travel is necessary to obtain medical care for 
an illness, injury, or medical condition that cannot be ade-
quately addressed in that location at that time. For pur-
poses of this section, the term ‘‘U.S. territory’’ means 
Guam, the Commonwealth of Puerto Rico, the Northern 
Mariana Islands, the Virgin Islands, American Samoa, or 
the Trust Territory of the Pacific Islands. 
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SEC. 229. The Department of Health and Human 
Services may accept donations from the private sector, 
nongovernmental organizations, and other groups inde-
pendent of the Federal Government for the care of unac-
companied alien children (as defined in section 462(g)(2) 
of the Homeland Security Act of 2002 (6 U.S.C. 
279(g)(2))) in the care of the Office of Refugee Resettle-
ment of the Administration for Children and Families, in-
cluding medical goods and services, which may include 
early childhood developmental screenings, school supplies, 
toys, clothing, and any other items intended to promote 
the wellbeing of such children. 
SEC. 230. In addition to the existing Congressional 
notification for formal site assessments of potential influx 
facilities, the Secretary shall notify the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate at least 15 days before operationalizing an unlicensed 
facility, and shall (1) specify whether the facility is hard- 
sided or soft-sided, and (2) provide analysis that indicates 
that, in the absence of the influx facility, the likely out-
come is that unaccompanied alien children will remain in 
the custody of the Department of Homeland Security for 
longer than 72 hours or that unaccompanied alien children 
will be otherwise placed in danger. Within 60 days of 
bringing such a facility online, and monthly thereafter, the 
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Secretary shall provide to the Committees on Appropria-
tions of the House of Representatives and the Senate a 
report detailing the total number of children in care at 
the facility, the average length of stay and average length 
of care of children at the facility, and, for any child that 
has been at the facility for more than 60 days, their length 
of stay and reason for delay in release. 
SEC. 231. None of the funds made available in this 
Act may be used to prevent a United States Senator or 
Member of the House of Representatives from entering, 
for the purpose of conducting oversight, any facility in the 
United States used for the purpose of maintaining custody 
of, or otherwise housing, unaccompanied alien children (as 
defined in section 462(g)(2) of the Homeland Security Act 
of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 
or Member has coordinated the oversight visit with the 
Office of Refugee Resettlement not less than two business 
days in advance to ensure that such visit would not inter-
fere with the operations (including child welfare and child 
safety operations) of such facility. 
SEC. 232. Not later than 14 days after the date of 
enactment of this Act, and monthly thereafter, the Sec-
retary shall submit to the Committees on Appropriations 
of the House of Representatives and the Senate, and make 
publicly available online, a report with respect to children 
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who were separated from their parents or legal guardians 
by the Department of Homeland Security (DHS) (regard-
less of whether or not such separation was pursuant to 
an option selected by the children, parents, or guardians), 
subsequently classified as unaccompanied alien children, 
and transferred to the care and custody of ORR during 
the previous month. Each report shall contain the fol-
lowing information: 
(1) the number and ages of children so sepa-
rated subsequent to apprehension at or between 
ports of entry, to be reported by sector where sepa-
ration occurred; and 
(2) the documented cause of separation, as re-
ported by DHS when each child was referred. 
SEC. 233. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the 
Centers for Disease Control and Prevention shall also be 
available for the primary and secondary schooling of eligi-
ble dependents of personnel stationed in a U.S. territory 
as defined in section 228 of this Act at costs not in excess 
of those paid for or reimbursed by the Department of De-
fense. 
SEC. 234. The Community Services Block Grant Act 
(42 U.S.C. 9901 et seq.) is amended— 
(1) in section 675C(a)— 
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(A) in paragraph (2) by striking ‘‘, subject 
to paragraph (3)’’; and 
(B) by striking paragraph (3); and 
(2) in section 680(a)(2) by adding at the end 
the following: 
‘‘(F) USES OF FUNDS.—Funds made avail-
able to carry out this paragraph may be used 
for financing construction and rehabilitation, 
and for loans or investments, in private busi-
ness enterprises, including those owned by com-
munity development corporations. 
‘‘(G) OWNERSHIP OF INTANGIBLE PROP-
ERTY AND EARNINGS.—The Secretary shall es-
tablish procedures regarding the disposition of 
intangible assets and program income that per-
mit such assets acquired with, and program in-
come derived from, grants made under this 
paragraph, to become the sole property of the 
grantees after a period of not more than 12 
years after the end of the .grant period for any 
activity consistent with subsection (a)(2)(A). 
‘‘(H) USE
OF
INTANGIBLE
ASSETS.—In-
tangible assets in the form of loans, equity in-
vestments and other debt instruments, and pro-
gram income may be used by grantees for any 
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eligible purpose consistent with subsection 
(a)(2)(A).’’. 
(RESCISSION AND INCLUDING TRANSFER OF FUNDS) 
SEC. 235. Of the unobligated balances in the ‘‘Non-
recurring Expenses Fund’’ established in section 223 of 
division G of Public Law 110–161, $2,352,000,000 are 
hereby rescinded not later than September 30, 2025, ex-
cept that no amounts may be rescinded from amounts that 
were previously designated by the Congress as being for 
an emergency requirement pursuant to a concurrent reso-
lution on the budget or the Balanced Budget and Emer-
gency Deficit Control Act of 1985: Provided, That from 
any remaining unobligated balances in such Fund, the 
Secretary may transfer up to $20,000,000 to ‘‘General 
Departmental Management’’ for cybersecurity: Provided 
further, That, except as otherwise provided in this section, 
not more than $200,000,000 of any remaining unobligated 
balances available in such Fund may be obligated pursu-
ant to such section 223 of division G of Public Law 110- 
161: Provided further, That the Secretary may obligate 
funds from such Fund for any program, project, or activ-
ity for which a notification was submitted before the date 
of enactment of this Act: Provided further, That the Sec-
retary may transfer amounts into such Fund: Provided 
further, That any amounts transferred into such Fund are 
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available for the purposes provided by this section or for 
which a notification was submitted to such Committees on 
Appropriations before the date of enactment of this Act: 
Provided further, That the authority to transfer amounts 
under this section is in addition to any other transfer au-
thority in law. 
SEC. 236. The Director of the NIH shall hereafter 
have the authority to share investigation reports, conclu-
sions, and results of any investigation of individuals identi-
fied as a principal investigator or as key personnel in an 
NIH notice of award or progress report due to concerns 
about harassment, bullying, retaliation, or hostile working 
conditions on an as needed basis with any institution that 
receives funds through a grant or cooperative agreement 
or other form of extramural award during fiscal year 2025 
or any subsequent fiscal year. The Director may issue reg-
ulations consistent with this section. 
SEC. 237. None of the funds made available by this 
Act to the National Institutes of Health may be used for 
facilities and administration costs (as defined in section 
200.414 of title 2, Code of Federal Regulations) that ex-
ceed 30 percent of an award to an applicable educational 
institution that is an organization subject to taxation 
under section 4968 of the Internal Revenue Code of 1986. 
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SEC. 238. None of the funds provided in this Act may 
be used to conduct or support research using human fetal 
tissue if such tissue is obtained pursuant to an induced 
abortion. 
SEC. 239. (a) None of the funds appropriated in this 
Act, and none of the funds in any trust fund to which 
funds are appropriated in this Act, shall be made available 
to a hospital or any other entity that administers any post-
graduate physician training program, or any other pro-
gram of training in the health professions, that provides 
training in the performance of, or assisting in the perform-
ance of, induced abortions, or in counseling or referrals 
for such abortions, if such program— 
(1) provides or requires such training for any 
participant in such program without the participant 
first voluntarily electing to opt in to undergo such 
training; or 
(2) subjects any participant in such program to 
discrimination on the basis that the participant does 
not— 
(A) voluntarily elect to opt in to undergo 
such training; or 
(B) perform, assist in the performance of, 
or provide counseling or referrals for, such 
abortions. 
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