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dian Health Programs (as those terms are defined by the 
Secretary), notwithstanding the assignment priorities and 
limitations under section 333(b) of such Act: Provided fur-
ther, That for purposes of the previous two provisos, sec-
tion 331(a)(3)(D) of the PHS Act shall be applied as if 
the term ‘‘primary health services’’ includes clinical sub-
stance use disorder treatment services, including those 
provided by masters level, licensed substance use disorder 
treatment counselors: Provided further, That of the funds 
made available under this heading, $15,000,000 shall be 
available to make grants to establish or expand optional 
community-based nurse practitioner fellowship programs 
that are accredited or in the accreditation process, with 
a preference for those in Federally Qualified Health Cen-
ters, for practicing postgraduate nurse practitioners in 
primary care or behavioral health. 
Of the funds made available under this heading, 
$75,000,000 shall remain available until expended for 
grants to public institutions of higher education to expand 
or support graduate education for physicians provided by 
such institutions: Provided, That, in awarding such 
grants, the Secretary shall give priority to public institu-
tions of higher education located in States with a projected 
primary care provider shortage in 2026, as determined by 
the Secretary: Provided further, That grants so awarded 
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are limited to such public institutions of higher education 
in States in the top quintile of States with a projected 
primary care provider shortage in 2026, as determined by 
the Secretary: Provided further, That the minimum 
amount of a grant so awarded to such an institution shall 
be not less than $1,000,000 per year: Provided further, 
That such a grant may be awarded for a period not to 
exceed 5 years: Provided further, That amounts made 
available in this paragraph shall be awarded as supple-
mental grants to recipients of grants awarded for this pur-
pose in fiscal years 2020 and 2021, pursuant to the terms 
and conditions of each institution’s initial grant agree-
ment, in an amount for each institution that will result 
in every institution being awarded the same total grant 
amount over fiscal years 2020 through 2022, provided the 
institution can justify the expenditure of such funds: Pro-
vided further, That such a grant awarded with respect to 
a year to such an institution shall be subject to a matching 
requirement of non-Federal funds in an amount that is 
not less than 10 percent of the total amount of Federal 
funds provided in the grant to such institution with re-
spect to such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
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title V of the Social Security Act, $1,188,784,000: Pro-
vided, That notwithstanding sections 502(a)(1) and 
502(b)(1) of the Social Security Act, not more than 
$266,116,000 shall be available for carrying out special 
projects of regional and national significance pursuant to 
section 501(a)(2) of such Act and $10,276,000 shall be 
available for projects described in subparagraphs (A) 
through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with 
respect to the Ryan White HIV/AIDS program, 
$2,654,781,000, of which $2,087,881,000 shall remain 
available to the Secretary through September 30, 2024, 
for parts A and B of title XXVI of the PHS Act, and 
of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of 
section 2616 or 311(c) of such Act; and of which 
$190,000,000, to remain available until expended, shall be 
available to the Secretary for carrying out a program of 
grants and contracts under title XXVI or section 311(c) 
of such Act focused on ending the nationwide HIV/AIDS 
epidemic, with any grants issued under such section 
311(c) administered in conjunction with title XXVI of the 
PHS Act, including the limitation on administrative ex-
penses. 
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HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $147,093,000 (in-
creased by $1,000,000) (reduced by $1,000,000), of which 
$122,000 shall be available until expended for facilities 
renovations and other facilities-related expenses of the Na-
tional Hansen’s Disease Program. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
Coal Mine Health and Safety Act of 1969, and sections 
711 and 1820 of the Social Security Act, $400,209,000 
(increased by $5,000,000) (reduced by $5,000,000), of 
which $80,009,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds 
made available under this heading for Medicare rural hos-
pital flexibility grants, $23,242,000 shall be available for 
the Small Rural Hospital Improvement Grant Program 
for quality improvement and adoption of health informa-
tion technology and up to $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security Act, with 
funds provided for grants under section 1820(g)(6) avail-
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able for the purchase and implementation of telehealth 
services, including pilots and demonstrations on the use 
of electronic health records to coordinate rural veterans 
care between rural providers and the Department of Vet-
erans Affairs electronic health record system: Provided 
further, That notwithstanding section 338J(k) of the PHS 
Act, $13,000,000 shall be available for State Offices of 
Rural Health: Provided further, That $12,700,000 shall 
remain available through September 30, 2024, to support 
the Rural Residency Development Program. 
FAMILY PLANNING 
For carrying out the program under title X of the 
PHS Act to provide for voluntary family planning 
projects, $400,000,000: Provided, That amounts provided 
to said projects under such title shall not be expended for 
abortions, that all pregnancy counseling shall be nondirec-
tive, and that such amounts shall not be expended for any 
activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support 
or opposition to any legislative proposal or candidate for 
public office: Provided further, That all entities funded 
under this heading shall provide clinical services consistent 
with nationally recognized clinical standards: Provided fur-
ther, That projects funded under section 1001 of the PHS 
Act shall provide the full range of contraceptive methods 
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approved by the Food and Drug Administration: Provided 
further, That all patients under title X of the PHS Act 
with a positive pregnancy test shall be given the oppor-
tunity to be provided information and counseling regard-
ing (1) prenatal care and delivery; (2) infant care, foster 
care, and adoption; and (3) pregnancy termination: Pro-
vided further, That if such a patient requests information 
specified in the preceding proviso, such patient shall be 
provided with neutral, factual information and nondirec-
tive counseling on each such option, including referral 
upon request, except with respect to any option about 
which the patient indicates no interest in receiving such 
information and counseling. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and 
Services Administration, $536,407,000 (increased by 
$20,000,000) (reduced by $20,000,000): Provided, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’: 
Provided, That of the amount made available under this 
heading, $367,415,000 shall be used for the projects fi-
nancing the construction and renovation (including equip-
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ment) of health care and other facilities, and for the 
projects financing one-time grants that support activities 
funded under headings listed in the preceding proviso, and 
in the amounts, specified under the heading ‘‘Program 
Management’’ in the report accompanying this Act, and 
of which up to $4,000,000 may be used for related agency 
administrative expenses: Provided further, That none of 
the funds made available for projects described in the pre-
ceding proviso shall be subject to section 241 of the PHS 
Act or section 205 of this Act. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title 
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $16,200,000 shall be available from the Trust 
Fund to the Secretary. 
COVERED COUNTERMEASURES PROCESS FUND 
For carrying out section 319F–4 of the PHS Act, 
$5,000,000, to remain available until expended. 
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CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
gration and Nationality Act, and section 501 of the Ref-
ugee Education Assistance Act, with respect to immuniza-
tion and respiratory diseases, $531,580,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to HIV/AIDS, viral hepatitis, 
sexually transmitted diseases, and tuberculosis prevention, 
$1,501,556,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and 
zoonotic infectious diseases, $674,272,000 (reduced by 
$3,000,000) (increased by $3,000,000) (increased by 
$2,000,000) (increased by $3,000,000): Provided, That of 
the amounts made available under this heading, up to 
$1,000,000 shall remain available until expended to pay 
for the transportation, medical care, treatment, and other 
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related costs of persons quarantined or isolated under 
Federal or State quarantine law. 
CHRONIC DISEASE PREVENTION AND HEALTH 
PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and 
XIX of the PHS Act with respect to chronic disease pre-
vention and health promotion, $1,302,114,000: Provided, 
That funds made available under this heading may be 
available for making grants under section 1509 of the 
PHS Act for not less than 21 States, tribes, or tribal orga-
nizations: Provided further, That of the funds made avail-
able under this heading, $15,000,000 shall be available to 
continue and expand community specific extension and 
outreach programs to combat obesity in counties with the 
highest levels of obesity: Provided further, That the pro-
portional funding requirements under section 1503(a) of 
the PHS Act shall not apply to funds made available 
under this heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $186,810,000 (increased 
by $1,000,000) (increased by $10,000,000). 
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PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to health statistics, surveillance, health 
informatics, and workforce development, $756,997,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $326,350,000 
(increased by $1,000,000) (reduced by $1,000,000). 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$1,064,169,000 (reduced by $25,000,000) (increased by 
$25,000,000). 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $360,300,000. 
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ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with 
the provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $842,843,000, of which: 
(1) $128,421,000 shall remain available through Sep-
tember 30, 2023 for international HIV/AIDS; and (2) 
$448,200,000 shall remain available through September 
30, 2024 for global public health protection: Provided, 
That funds may be used for purchase and insurance of 
official motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to public health preparedness and re-
sponse, and for expenses necessary to support activities 
related to countering potential biological, nuclear, radio-
logical, and chemical threats to civilian populations, 
$862,200,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
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title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement to support an activation of the 
CDC Emergency Operations Center, so long as the Direc-
tor or Administrator, as applicable, provides a notice to 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate within 15 days of the use of 
this authority, a full report within 30 days after use of 
this authority which includes the number of staff and 
funding level broken down by the originating center and 
number of days detailed, and an update of such report 
every 180 days until staff are no longer on detail without 
reimbursement to the CDC Emergency Operations Center. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$55,000,000, which shall remain available until September 
30, 2026: Provided, That funds made available to this ac-
count in this or any prior Act that are available for the 
acquisition of real property or for construction or improve-
ment of facilities shall be available to make improvements 
on non-federally owned property, provided that any im-
provements that are not adjacent to federally owned prop-
erty do not exceed $2,500,000, and that the primary ben-
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efit of such improvements accrues to CDC: Provided fur-
ther, That funds previously set-aside by CDC for repair 
and upgrade of the Lake Lynn Experimental Mine and 
Laboratory shall be used to acquire a replacement mine 
safety research facility: Provided further, That in addition, 
the prior year unobligated balance of any amounts as-
signed to former employees in accounts of CDC made 
available for Individual Learning Accounts shall be cred-
ited to and merged with the amounts made available under 
this heading to support the replacement of the mine safety 
research facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activi-
ties and program support for activities funded in other 
appropriations included in this Act for the Centers for 
Disease Control and Prevention, $1,148,570,000 (reduced 
by $3,000,000), of which $1,000,000,000 shall remain 
available through September 30, 2024, for public health 
infrastructure and capacity: Provided, That paragraphs 
(1) through (3) of subsection (b) of section 2821 of the 
PHS Act shall not apply to funds appropriated under this 
heading and in all other accounts of the CDC: Provided 
further, That of the amounts made available under this 
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heading, $35,000,000, to remain available until expended, 
shall be available to the Director of the CDC for deposit 
in the Infectious Diseases Rapid Response Reserve Fund 
established by section 231 of division B of Public Law 
115–245: Provided further, That funds appropriated 
under this heading may be used to support a contract for 
the operation and maintenance of an aircraft in direct sup-
port of activities throughout CDC to ensure the agency 
is prepared to address public health preparedness emer-
gencies: Provided further, That employees of CDC or the 
Public Health Service, both civilian and commissioned of-
ficers, detailed to States, municipalities, or other organiza-
tions under authority of section 214 of the PHS Act, or 
in overseas assignments, shall be treated as non-Federal 
employees for reporting purposes only and shall not be in-
cluded within any personnel ceiling applicable to the Agen-
cy, Service, or HHS during the period of detail or assign-
ment: Provided further, That CDC may use up to $10,000 
from amounts appropriated to CDC in this Act for official 
reception and representation expenses when specifically 
approved by the Director of CDC: Provided further, That 
in addition, such sums as may be derived from authorized 
user fees, which shall be credited to the appropriation 
charged with the cost thereof: Provided further, That with 
respect to the previous proviso, authorized user fees from 
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the Vessel Sanitation Program and the Respirator Certifi-
cation Program shall be available through September 30, 
2023. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $6,798,056,000 (increased by 
$2,000,000), of which up to $30,000,000 may be used for 
facilities repairs and improvements at the National Cancer 
Institute—Frederick Federally Funded Research and De-
velopment Center in Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood dis-
eases, and blood and blood products, $3,866,828,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to dental and craniofacial diseases, 
$519,010,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to diabetes and digestive and kidney dis-
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ease, $2,237,625,000 (increased by $1,000,000) (reduced 
by $10,000,000) (increased by $10,000,000). 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$2,723,515,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to allergy and infectious diseases, 
$6,557,803,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$3,139,656,000, of which $1,271,505,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $415,000,000 is provided for 
the Institutional Development Awards program. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS 
Act with respect to child health and human development, 
$1,689,786,000. 
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NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$877,129,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$941,799,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $4,258,049,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $679,410,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $522,758,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $200,782,000. 
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NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$582,422,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,860,329,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,147,085,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$646,295,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $431,081,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
INTEGRATIVE HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and integrative health, 
$185,295,000. 
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NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $661,879,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $96,842,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$486,769,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2023: Provided further, That 
in fiscal year 2022, the National Library of Medicine may 
enter into personal services contracts for the provision of 
services in facilities owned, operated, or constructed under 
the jurisdiction of the National Institutes of Health (re-
ferred to in this title as ‘‘NIH’’). 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $897,812,000: 
Provided, That up to $60,000,000 shall be available to im-
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plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$616,183,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the 
Director, 
NIH, 
$2,667,385,000 
(reduced 
by 
$10,000,000) (increased by $10,000,000): Provided, That 
funding shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That all funds credited to the NIH Manage-
ment Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided fur-
ther, That $180,000,000 shall be for the Environmental 
Influences on Child Health Outcomes study: Provided fur-
ther, That $657,112,000 shall be available for the Com-
mon Fund established under section 402A(c)(1) of the 
PHS Act: Provided further, That of the funds provided, 
$10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of the 
NIH: Provided further, That the Office of AIDS Research 
within the Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or ren-
ovation 
of 
facilities 
as 
provided 
for 
in 
section 
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2354(a)(5)(B) of the PHS Act: Provided further, That 
$50,000,000 shall be used to carry out section 404I of 
the PHS Act (42 U.S.C. 283K), relating to biomedical and 
behavioral research facilities: Provided further, That 
$5,000,000 shall be transferred to and merged with the 
appropriation for the ‘‘Office of Inspector General’’ for 
oversight of grant programs and operations of the NIH, 
including agency efforts to ensure the integrity of its grant 
application evaluation and selection processes, and shall 
be in addition to funds otherwise made available for over-
sight of the NIH: Provided further, That the funds pro-
vided in the previous proviso may be transferred from one 
specified activity to another with 15 days prior approval 
of the Committees on Appropriations of the House of Rep-
resentatives and the Senate: Provided further, That the In-
spector General shall consult with the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate before submitting to the Committees an audit plan for 
fiscal years 2022 and 2023 no later than 30 days after 
the date of enactment of this Act: Provided further, That 
amounts made available under this heading are also avail-
able to establish, operate, and support the Research Policy 
Board authorized by section 2034(f) of the 21st Century 
Cures Act: Provided further, That the funds made avail-
able under this heading for the Office of Research on 
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Women’s Health shall also be available for making grants 
to serve and promote the interests of women in research, 
and the director of such Office may, in making such 
grants, use the authorities available to NIH Institutes and 
Centers with respect to research on the role of sex and 
gender on health. 
In addition to other funds appropriated for the Com-
mon Fund established under section 402A(c) of the PHS 
Act, $12,600,000 is appropriated to the Common Fund 
for the purpose of carrying out section 402(b)(7)(B)(ii) 
of the PHS Act (relating to pediatric research), as author-
ized in the Gabriella Miller Kids First Research Act, of 
which $3,000,000 shall be derived from the 10-year Pedi-
atric Research Initiative Fund described in section 9008 
of the Internal Revenue Code of 1986 (26 U.S.C. 9008). 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$250,000,000, to remain available through September 30, 
2026. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
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Act, in addition to amounts available for such purposes 
in the appropriations provided to the NIH in this Act, 
$496,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the Na-
tional Institutes of Health to other accounts of the Na-
tional Institutes of Health solely for the purposes provided 
in such Act: Provided further, That upon a determination 
by the Director that funds transferred pursuant to the 
previous proviso are not necessary for the purposes pro-
vided, such amounts may be transferred back to the Ac-
count: Provided further, That the transfer authority pro-
vided under this heading is in addition to any other trans-
fer authority provided by law. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to advanced research projects for health, 
$3,000,000,000, to remain available through September 
30, 2024: Provided, That such funds shall only be made 
available if legislation specifically establishing the Ad-
vanced Research Projects Agency for Health (‘‘ARPA– 
H’’) is enacted into law: Provided further, That the Direc-
tor of ARPA–H may utilize all of the authorities and proc-
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esses established under section 24 of the Stevenson- 
Wydler Technology Innovation Act of 1980 (15 U.S.C. 
3719) to support prize competitions: Provided further, 
That research funded by amounts made available under 
this heading shall not be subject to the requirements of 
sections 406(a)(3)(A)(ii) or 492 of the PHS Act: Provided 
further, That the Director of ARPA–H may enter into a 
multi-year contract, with amounts made available under 
this heading, if— 
(1) funds are available and obligated for the 
contract, for the full period of the contract or for the 
first fiscal year in which the contract is in effect, 
and for the estimated costs associated with a nec-
essary termination of the contract; 
(2) the Director determines that a multiyear 
contract will serve the best interests of the Federal 
Government in carrying out the responsibilities of 
ARPA–H; and 
(3) the contract includes a clause that provides 
that the contract shall be terminated if funds are 
not made available for the continuation of the con-
tract in a fiscal year covered by the contract; 
Provided further, That funds available for paying termi-
nation costs pursuant to the previous proviso shall remain 
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available for that purpose until the costs associated with 
termination of the contract are paid. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$3,128,256,000 (reduced by $1,000,000) (increased by 
$1,000,000) (increased by $1,000,000) (reduced by 
$1,000,000): Provided, That of the funds made available 
under this heading, $100,000,000 shall be for the Na-
tional Child Traumatic Stress Initiative: Provided further, 
That notwithstanding section 520A(f)(2) of the PHS Act, 
no funds appropriated for carrying out section 520A shall 
be available for carrying out section 1971 of the PHS Act: 
Provided further, That in addition to amounts provided 
herein, $21,039,000 shall be available under section 241 
of the PHS Act to carry out subpart I of part B of title 
XIX of the PHS Act to fund section 1920(b) technical 
assistance, national data, data collection and evaluation 
activities, and further that the total available under this 
Act for section 1920(b) activities shall not exceed 5 per-
cent of the amounts appropriated for subpart I of part 
B of title XIX: Provided further, That of the funds made 
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available under this heading for subpart I of part B of 
title XIX of the PHS Act, at least 10 percent shall be 
available to support evidence-based crisis systems: Pro-
vided further, That up to 10 percent of the amounts made 
available to carry out the Children’s Mental Health Serv-
ices program may be used to carry out demonstration 
grants or contracts for early interventions with persons 
not more than 25 years of age at clinical high risk of de-
veloping a first episode of psychosis: Provided further, 
That section 520E(b)(2) of the PHS Act shall not apply 
to funds appropriated in this Act for fiscal year 2022: Pro-
vided further, That States shall expend at least 10 percent 
of the amount each receives for carrying out section 1911 
of the PHS Act to support evidence-based programs that 
address the needs of individuals with early serious mental 
illness, including psychotic disorders, regardless of the age 
of the individual at onset: Provided further, That 
$375,000,000 shall be available until September 30, 2024 
for grants to communities and community organizations 
who meet criteria for Certified Community Behavioral 
Health Clinics pursuant to section 223(a) of Public Law 
113–93: Provided further, That none of the funds provided 
for section 1911 of the PHS Act shall be subject to section 
241 of such Act: Provided further, That of the funds made 
available under this heading, $21,420,000 shall be to 
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carry out section 224 of the Protecting Access to Medicare 
Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 
note): Provided further, That notwithstanding sections 
1911(b) and 1912 of the PHS Act, amounts made avail-
able under this heading for subpart I of part B of title 
XIX of such Act shall also be available to support evi-
dence-based programs that address early intervention and 
prevention of mental disorders among at-risk children and 
adults: Provided further, That States shall expend at least 
10 percent of the amount each receives for carrying out 
section 1911 of the PHS Act to support evidence-based 
programs that address early intervention and prevention 
of mental disorders among at-risk children and adults: 
Provided further, That notwithstanding section 1912 of 
the PHS Act, the plan described in such section and sec-
tion 1911(b) of the PHS Act shall also include the evi-
dence-based programs described in the previous proviso, 
pursuant to plan criteria established by the Secretary. 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse treatment and title XIX 
of such Act with respect to substance abuse treatment and 
prevention, and the SUPPORT for Patients and Commu-
nities Act, $5,430,743,000 (increased by $2,000,000): 
Provided, That $2,000,000,000 shall be for State Opioid 
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Response Grants for carrying out activities pertaining to 
opioids and stimulants undertaken by the State agency re-
sponsible for administering the substance abuse preven-
tion and treatment block grant under subpart II of part 
B of title XIX of the PHS Act (42 U.S.C. 300x–21 et 
seq.): Provided further, That of such amount $75,000,000 
shall be made available to Indian Tribes or tribal organiza-
tions: Provided further, That 15 percent of the remaining 
amount shall be for the States with the highest mortality 
rate related to opioid use disorders: Provided further, That 
of the amounts provided for State Opioid Response Grants 
not more than 2 percent shall be available for Federal ad-
ministrative expenses, training, technical assistance, and 
evaluation: Provided further, That of the amount not re-
served by the previous three provisos, the Secretary shall 
make allocations to States, territories, and the District of 
Columbia according to a formula using national survey re-
sults that the Secretary determines are the most objective 
and reliable measure of drug use and drug-related deaths: 
Provided further, That the Secretary shall submit the for-
mula methodology to the Committees on Appropriations 
of the House of Representatives and the Senate not less 
than 15 days prior to publishing a Funding Opportunity 
Announcement: Provided further, That prevention and 
treatment activities funded through such grants may in-
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clude education, treatment (including the provision of 
medication), behavioral health services for individuals in 
treatment programs, referral to treatment services, recov-
ery support, and medical screening associated with such 
treatment: Provided further, That each State, as well as 
the District of Columbia, shall receive not less than 
$4,000,000: Provided further, That in addition to amounts 
provided herein, the following amounts shall be available 
under section 241 of the PHS Act: (1) $79,200,000 to 
carry out subpart II of part B of title XIX of the PHS 
Act to fund section 1935(b) technical assistance, national 
data, data collection and evaluation activities, and further 
that the total available under this Act for section 1935(b) 
activities shall not exceed 5 percent of the amounts appro-
priated for subpart II of part B of title XIX; and (2) 
$2,000,000 to evaluate substance abuse treatment pro-
grams: Provided further, That each State that receives 
funds appropriated under this heading for carrying out 
subpart II of part B of title XIX of the PHS Act shall 
expend not less than 10 percent of such funds for recovery 
support services: Provided further, That none of the funds 
provided for section 1921 of the PHS Act or State Opioid 
Response Grants shall be subject to section 241 of such 
Act. 
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SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $243,503,000 
(increased by $2,500,000). 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
$212,108,000: Provided, That of the amount made avail-
able under this heading, $70,665,000 (reduced by 
$1,000,000) (increased by $1,000,000) shall be used for 
the projects, and in the amounts, specified under the head-
ing ‘‘Health Surveillance and Program Support’’ in the 
report accompanying this Act, of which $1,000,000 may 
be used for related agency administrative expenses: Pro-
vided further, That none of the funds made available for 
projects described in the preceding proviso shall be subject 
to section 241 of the PHS Act or section 205 of this Act: 
Provided further, That in addition to amounts provided 
herein, $31,428,000 shall be available under section 241 
of the PHS Act to supplement funds available to carry 
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out national surveys on drug abuse and mental health, to 
collect and analyze program data, and to conduct public 
awareness and technical assistance activities: Provided fur-
ther, That, in addition, fees may be collected for the costs 
of publications, data, data tabulations, and data analysis 
completed under title V of the PHS Act and provided to 
a public or private entity upon request, which shall be 
credited to this appropriation and shall remain available 
until expended for such purposes: Provided further, That 
amounts made available in this Act for carrying out sec-
tion 501(o) of the PHS Act shall remain available through 
September 30, 2023: Provided further, That funds made 
available under this heading (other than amounts specified 
in the first proviso under this heading) may be used to 
supplement program support funding provided under the 
headings ‘‘Mental Health’’, ‘‘Substance Abuse Treat-
ment’’, and ‘‘Substance Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, 
part A of title XI of the Social Security Act, and section 
1013 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003, $250,792,000: Provided, 
That 
in 
addition 
to 
amounts 
provided 
herein 
$129,208,000 shall be available from amounts available 
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under section 241 of the PHS Act: Provided further, That 
section 947(c) of the PHS Act shall not apply in fiscal 
year 2022: Provided further, That in addition, amounts 
received from Freedom of Information Act fees, reimburs-
able and interagency agreements, and the sale of data 
shall be credited to this appropriation and shall remain 
available until September 30, 2023. 
CENTERS FOR MEDICARE & MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $368,666,106,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2022, for the last quarter of fiscal year 2022 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2023, $165,722,018,000, to remain 
available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
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PAYMENTS TO THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $487,862,000,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $4,315,843,000, to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary Medical Insurance Trust Fund, as authorized 
by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
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Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may 
be collected from authorized user fees and the sale of data, 
which shall be credited to this account and remain avail-
able until expended: Provided, That all funds derived in 
accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the PHS Act shall be credited 
to and available for carrying out the purposes of this ap-
propriation: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2022 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That of the amount made available under this 
heading, $472,163,000 shall remain available until Sep-
tember 30, 2023, and shall be available for the Survey 
and Certification Program: Provided further, That 
amounts available under this heading to support quality 
improvement organizations (as defined in section 1152 of 
the Social Security Act) shall not exceed the amount spe-
cifically provided for such purpose under this heading in 
division H of the Consolidated Appropriations Act, 2018 
(Public Law 115–141). 
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HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $872,793,000, 
to remain available through September 30, 2023, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $650,726,000 shall be for the Cen-
ters for Medicare & Medicaid Services program integrity 
activities, of which $109,145,000 (reduced by $1,000,000) 
(increased by $1,000,000) shall be for the Department of 
Health and Human Services Office of Inspector General 
to carry out fraud and abuse activities authorized by sec-
tion 1817(k)(3) of such Act, and of which $112,922,000 
shall be for the Department of Justice to carry out fraud 
and abuse activities authorized by section 1817(k)(3) of 
such Act: Provided, That the report required by section 
1817(k)(5) of the Social Security Act for fiscal year 2022 
shall include measures of the operational efficiency and 
impact on fraud, waste, and abuse in the Medicare, Med-
icaid, and CHIP programs for the funds provided by this 
appropriation: Provided further, That of the amount pro-
vided under this heading, $317,000,000 is provided to 
meet the terms of section 1(j) of H. Res. 467 of the 117th 
Congress as engrossed in the House of Representatives on 
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June 14, 2021, and $555,793,000 is additional new budg-
et authority specified for purposes of such section 1(j): 
Provided further, That the Secretary shall provide not less 
than $30,000,000 from amounts made available under 
this heading and amounts made available for fiscal year 
2022 under section 1817(k)(3)(A) of the Social Security 
Act for the Senior Medicare Patrol program to combat 
health care fraud and abuse. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided, titles 
I, IV–D, X, XI, XIV, and XVI of the Social Security Act 
and the Act of July 5, 1960, $2,794,432,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2023, $1,300,000,000, to re-
main available until expended. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
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LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low-Income Home Energy Assist-
ance 
Act 
of 
1981 
(42 
U.S.C. 
8621 
et 
seq.), 
$3,900,304,000 (increased by $10,000,000): Provided, 
That notwithstanding section 2609A(a) of such Act, not 
more than $3,500,000 may be reserved by the Secretary 
of Health and Human Services for technical assistance, 
training, and monitoring of program activities for compli-
ance with internal controls, policies and procedures and 
the Secretary may, in addition to the authorities provided 
in section 2609A(a)(1), use such funds through contracts 
with private entities that do not qualify as nonprofit orga-
nizations: Provided further, that $3,746,804,000 of the 
amount appropriated under this heading shall be allocated 
to each State and territory in amounts equal to the 
amount each State and territory was allocated in fiscal 
year 2021 pursuant to allocations made from amounts ap-
propriated under this heading in title II of division H of 
the Consolidated Appropriations Act, 2021 (Public Law 
116–260): Provided further, That of the remaining 
amount made available under this heading that is not des-
ignated for allocation in the preceding two provisos, 
$75,000,000 shall be allocated as though the total appro-
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priation for such payments for fiscal year 2022 was less 
than $1,975,000,000. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, and for carrying 
out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims 
Protection Reauthorization Act of 2008, the Trafficking 
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-
ture Victims Relief Act of 1998, $4,504,947,000, of which 
$4,408,467,000 shall remain available through September 
30, 2024 for carrying out such sections 414, 501, 462, 
and 235 and $30,000,000 shall remain available until ex-
pended for the purposes authorized in section 238 of this 
title: Provided, That amounts available under this heading 
to carry out the TVPA shall also be available for research 
and evaluation with respect to activities under such Act: 
Provided further, That the contribution of funds require-
ment under section 235(c)(6)(C)(iii) of the William Wil-
berforce Trafficking Victims Protection Reauthorization 
Act of 2008 shall not apply to funds made available under 
this heading. 
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PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block 
Grant 
Act 
of 
1990 
(‘‘CCDBG 
Act’’), 
$7,377,000,000 (increased by $10,000,000) (reduced by 
$10,000,000) shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That technical assistance 
under section 658I(a)(3) of such Act may be provided di-
rectly, or through the use of contracts, grants, cooperative 
agreements, or interagency agreements: Provided further, 
That all funds made available to carry out section 418 
of the Social Security Act (42 U.S.C. 618), including 
funds appropriated for that purpose in such section 418 
or any other provision of law, shall be subject to the res-
ervation of funds authority in paragraphs (4) and (5) of 
section 658O(a) of the CCDBG Act: Provided further, 
That in addition to the amounts required to be reserved 
by the Secretary under section 658O(a)(2)(A) of such Act, 
$177,330,000 shall be for Indian tribes and tribal organi-
zations. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
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404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX–A of such Act shall be 10 
percent. 
In addition, $200,000,000 for carrying out a supple-
mental grant program to make grants to States to be dis-
tributed as provided for under section 2002 of the Social 
Security Act and subject to the limitations of section 2005 
of such Act: Provided, That funds appropriated in this 
paragraph are in addition to the entitlement grants au-
thorized by section 2002(a)(1) of the Social Security Act 
and shall not be available for such entitlement grants: Pro-
vided further, That such supplemental grants shall be used 
by States to make subgrants to social service agencies or 
other nonprofit organizations to provide diapers and dia-
pering supplies (including diaper wipes, diaper cream, and 
other supplies necessary to ensure that a child using a 
diaper is properly cleaned and protected from diaper rash) 
to families in need: Provided further, That such supple-
mental grants are used by States to supplement, not sup-
plant, State general revenue funds provided for such pur-
poses: Provided further, That the term ‘‘in need’’, with re-
spect to a family, means a family whose self-certified in-
come is not more than 200 percent of the Federal poverty 
line, as defined by the Office of Management and Budget 
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and revised annually in accordance with section 673(2) of 
the Omnibus Budget Reconciliation Act of 1981 applicable 
to a family of the size involved: Provided further, That not 
later than December 31, 2022, each subgrantee receiving 
funding from amounts made available in this paragraph 
shall submit a report to the applicable State on the use 
of such funds: Provided further, That each State shall in-
clude in the annual report required under section 2006 
of the Social Security Act and submitted with respect to 
fiscal year 2023 information detailing how grantees and 
subgrantees used funds made available in this paragraph 
to distribute diapers and diapering supplies to families in 
need. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Every Student Succeeds Act, the Child Abuse Preven-
tion and Treatment Act, sections 303 and 313 of the 
Family Violence Prevention and Services Act, the Native 
American Programs Act of 1974, title II of the Child 
Abuse Prevention and Treatment and Adoption Reform 
Act of 1978 (adoption opportunities), part B–1 of title IV 
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 
of the Social Security Act, and the Community Services 
Block Grant Act (‘‘CSBG Act’’); and for necessary admin-
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istrative expenses to carry out titles I, IV, V, X, XI, XIV, 
XVI, and XX–A of the Social Security Act, the Act of 
July 5, 1960, the Low-Income Home Energy Assistance 
Act of 1981, the Child Care and Development Block Grant 
Act of 1990, title IV of the Immigration and Nationality 
Act, section 501 of the Refugee Education Assistance Act 
of 1980, and section 2204 of the American Rescue Plan 
Act of 2021, $15,232,981,000 (increased by $3,900,000), 
of which $75,000,000, to remain available through Sep-
tember 30, 2023, shall be for grants to States for adoption 
and legal guardianship incentive payments, as defined by 
section 473A of the Social Security Act and may be made 
for adoptions and legal guardianships completed before 
September 30, 2022: Provided, That $12,182,095,000 
shall be for making payments under the Head Start Act, 
including for Early Head Start-Child Care Partnerships, 
and, of which, notwithstanding section 640 of such Act: 
(1) $234,000,000 shall be available for a cost 
of living adjustment, and with respect to any con-
tinuing appropriations act, funding available for a 
cost of living adjustment shall not be construed as 
an authority or condition under this Act; 
(2) $25,000,000 shall be available for allocation 
by the Secretary to supplement activities described 
in paragraphs (7)(B) and (9) of section 641(c) of 
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the Head Start Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12), and 645A(d) of such Act, 
and such funds shall not be included in the calcula-
tion of ‘‘base grant’’ in subsequent fiscal years, as 
such term is used in section 640(a)(7)(A) of such 
Act; 
(3) $750,000,000, in addition to funds other-
wise available for such purposes under section 640 
of the Head Start Act, shall be available through 
September 30, 2023, for awards to eligible entities 
for Head Start and Early Head Start programs and 
to entities defined as eligible under section 645A(d) 
of such Act for high quality infant and toddler care 
through Early Head Start - Child Care Partner-
ships, and for training and technical assistance for 
such activities: Provided further, That of the funds 
made available in this paragraph, up to $21,000,000 
shall be available to the Secretary for the adminis-
trative costs of carrying out this paragraph; 
(4) $250,000,000 shall be available for quality 
improvement consistent with paragraph (5) of sec-
tion 640(a) of such Act, except that any amount of 
such funds may be used for any of the activities de-
scribed in such section (5), of which not less than 
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$12,500,000 shall be available to migrant and sea-
sonal Head Start programs for such activities, in ad-
dition to funds made available for migrant and sea-
sonal Head Start programs under any other provi-
sion of section 640(a) of such Act; 
(5) $200,000,000 shall be available through 
September 30, 2023, of which up to 1 percent may 
be reserved for research and evaluation, and the re-
maining unreserved amount shall be available in ad-
dition to funds made available under any other pro-
vision of section 640, for award by the Secretary to 
grantees that apply for supplemental funding to in-
crease their hours of program operations and for 
training and technical assistance for such activities; 
(6) $8,000,000 shall be available for the pur-
poses of maintaining the Tribal Colleges and Univer-
sities Head Start Partnership Program consistent 
with section 648(g) of such Act; and 
(7) $21,000,000 shall be available to supple-
ment funding otherwise available for research, eval-
uation, and Federal administrative costs: 
Provided further, That the Secretary may reduce the res-
ervation of funds under section 640(a)(2)(C) of such Act 
in lieu of reducing the reservation of funds under sections 
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 
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Act: Provided further, That $450,000,000 shall be avail-
able until December 31, 2022 for carrying out sections 
9212 and 9213 of the Every Student Succeeds Act: Pro-
vided further, That up to 3 percent of the funds in the 
preceding proviso shall be available for technical assist-
ance and evaluation related to grants awarded under such 
section 9212: Provided further, That $834,000,000 shall 
be for making payments under the CSBG Act: Provided 
further, That for the purposes of carrying out the CSBG 
Act, the term ‘‘poverty line’’ as defined in section 673(2) 
of the CSBG Act means 200 percent of the poverty line 
otherwise applicable under such section (excluding the last 
sentence of such section) without regard to such section: 
Provided further, That $34,000,000 shall be for section 
680 of the CSBG Act, of which not less than $23,000,000 
shall be for section 680(a)(2) and not less than 
$11,000,000 shall be for section 680(a)(3)(B) of such Act: 
Provided 
further, 
That, 
notwithstanding 
section 
675C(a)(3) of the CSBG Act, to the extent Community 
Services Block Grant funds are distributed as grant funds 
by a State to an eligible entity as provided under such 
Act, and have not been expended by such entity, they shall 
remain with such entity for carryover into the next fiscal 
year for expenditure by such entity consistent with pro-
gram purposes: Provided further, That the Secretary shall 
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establish procedures regarding the disposition of intan-
gible assets and program income that permit such assets 
acquired with, and program income derived from, grant 
funds authorized under section 680 of the CSBG Act to 
become the sole property of such grantees after a period 
of not more than 12 years after the end of the grant pe-
riod for any activity consistent with section 680(a)(2)(A) 
of the CSBG Act: Provided further, That intangible assets 
in the form of loans, equity investments and other debt 
instruments, and program income may be used by grant-
ees for any eligible purpose consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That 
these procedures shall apply to such grant funds made 
available after November 29, 1999: Provided further, That 
funds appropriated for section 680(a)(2) of the CSBG Act 
shall be available for financing construction and rehabili-
tation and loans or investments in private business enter-
prises owned by community development corporations: 
Provided further, That $449,700,000 shall be for carrying 
out section 303(a) of the Family Violence Prevention and 
Services Act, of which $175,000,000 shall be for providing 
direct payments to any victim of family violence, domestic 
violence, or dating violence, or to any dependent of such 
victim, notwithstanding section 308(d)(1) of such Act: 
Provided further, That $7,000,000 shall be allocated, not-
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withstanding section 303(a)(2) of the Family Violence 
Prevention and Services Act, for carrying out section 309 
of such Act; and $6,750,000 shall be for necessary admin-
istrative expenses to carry out such Act and section 2204 
of the American Rescue Plan Act of 2021, in addition to 
amounts otherwise available for such purposes: Provided 
further, That the percentages specified in section 
112(a)(2) of the Child Abuse Prevention and Treatment 
Act shall not apply to funds appropriated under this head-
ing: Provided further, That $4,000,000 shall be for a 
human services case management system for federally de-
clared disasters, to include a comprehensive national case 
management contract and Federal costs of administering 
the system: Provided further, That up to $2,000,000 shall 
be for improving the Public Assistance Reporting Informa-
tion System, including grants to States to support data 
collection for a study of the system’s effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, sec-
tion 436 of the Social Security Act, $345,000,000 and, 
for carrying out, except as otherwise provided, section 437 
of such Act, $106,000,000: Provided, That of the funds 
available to carry out section 437, $60,000,000 shall be 
allocated consistent with subsections (b) through (d) of 
such section: Provided further, That of the funds available 
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to carry out section 437, to assist in meeting the require-
ments described in section 471(e)(4)(C), $30,000,000 
shall be for grants to each State, territory, and Indian 
tribe operating title IV–E plans for developing, enhancing, 
or evaluating kinship navigator programs, as described in 
section 427(a)(1) of such Act and $9,000,000, in addition 
to funds otherwise appropriated in section 476 for such 
purposes, shall be for the Family First Clearinghouse and 
to support evaluation and technical assistance relating to 
the evaluation of child and family services: Provided fur-
ther, That of the funds available to carry out section 437, 
$7,000,000 shall be for competitive grants to regional 
partnerships as described in section 437(f), and shall be 
in addition to any other funds appropriated for such pur-
poses: Provided further, That section 437(b)(1) shall be 
applied to amounts in the previous proviso by substituting 
‘‘5 percent’’ for ‘‘3.3 percent’’, and notwithstanding sec-
tion 436(b)(1), such reserved amounts may be used for 
identifying, establishing, and disseminating practices to 
meet the criteria specified in section 471(e)(4)(C): Pro-
vided further, That the reservation in section 437(b)(2) 
and the limitations in section 437(d) shall not apply to 
funds specified in the second proviso under this heading: 
Provided further, That the minimum grant award for kin-
ship navigator programs in the case of States and terri-
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tories shall be $200,000, and, in the case of tribes, shall 
be $25,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $6,963,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2023, $3,200,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), the 
RAISE Family Caregivers Act, the Supporting Grand-
parents Raising Grandchildren Act, titles III and XXIX 
of the PHS Act, sections 1252 and 1253 of the PHS Act, 
section 119 of the Medicare Improvements for Patients 
and Providers Act of 2008, title XX–B of the Social Secu-
rity Act, the Developmental Disabilities Assistance and 
Bill of Rights Act, parts 2 and 5 of subtitle D of title 
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II of the Help America Vote Act of 2002, the Assistive 
Technology Act of 1998, titles II and VII (and section 
14 with respect to such titles) of the Rehabilitation Act 
of 1973, and for Department-wide coordination of policy 
and program activities that assist individuals with disabil-
ities, $3,047,414,000, together with $57,115,000 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 
amounts appropriated under this heading may be used for 
grants to States under section 361 of the OAA only for 
disease prevention and health promotion programs and ac-
tivities which have been demonstrated through rigorous 
evaluation to be evidence-based and effective: Provided 
further, That of amounts made available under this head-
ing to carry out sections 311, 331, and 336 of the OAA, 
up to one percent of such amounts shall be available for 
developing and implementing evidence-based practices for 
enhancing senior nutrition, including medically-tailored 
meals: Provided further, That notwithstanding any other 
provision of this Act, funds made available under this 
heading to carry out section 311 of the OAA may be trans-
ferred to the Secretary of Agriculture in accordance with 
such section: Provided further, That $2,000,000 shall be 
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for competitive grants to support alternative financing 
programs that provide for the purchase of assistive tech-
nology devices, such as a low-interest loan fund; an inter-
est buy-down program; a revolving loan fund; a loan guar-
antee; or an insurance program: Provided further, That 
applicants shall provide an assurance that, and informa-
tion describing the manner in which, the alternative fi-
nancing program will expand and emphasize consumer 
choice and control: Provided further, That State agencies 
and community-based disability organizations that are di-
rected by and operated for individuals with disabilities 
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 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 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, 
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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 
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. 
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, $582,981,000 (reduced by $2,000,000) (reduced by 
$3,900,000) (reduced by $2,000,000) (reduced by 
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$2,500,000) (reduced by $1,000,000) (reduced by 
$1,000,000) (reduced by $2,000,000) (reduced by 
$5,000,000) (increased by $5,000,000) (reduced by 
$10,000,000) (reduced by $2,000,000) (reduced by 
$13,500,000) (reduced by $5,000,000) (increased by 
$10,000,000) (reduced by $10,000,000) (reduced by 
$1,000,000) (increased by $1,000,000), together with 
$74,828,000 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, $58,400,000 shall be for minority AIDS 
prevention and treatment activities: Provided further, That 
of the funds made available under this heading, 
$130,000,000 shall be for making competitive contracts 
and grants to public and private entities to fund medically 
accurate and age appropriate programs that reduce teen 
pregnancy and for the Federal costs associated with ad-
ministering and evaluating such contracts and grants, of 
which not more than 10 percent of the available funds 
shall be for training and technical assistance, evaluation, 
outreach, and additional program support activities, and 
of the remaining amount 75 percent shall be for repli-
cating programs that have been proven effective through 
rigorous evaluation to reduce teenage pregnancy, behav-
ioral risk factors underlying teenage pregnancy, or other 
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associated risk factors, and 25 percent shall be available 
for research and demonstration grants to develop, rep-
licate, refine, and test additional models and innovative 
strategies for preventing teenage pregnancy: Provided fur-
ther, 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 (in-
cluding longitudinal evaluations) of teenage pregnancy 
prevention approaches: Provided further, That funds pro-
vided in this Act for embryo adoption activities may be 
used to provide to individuals adopting embryos, through 
grants and other mechanisms, medical and administrative 
services deemed necessary for such adoptions: Provided 
further, That such services shall be provided consistent 
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 innovation in the pre-
vention, diagnosis, and treatment of kidney diseases (as 
authorized by section 24 of the Stevenson-Wydler Tech-
nology Innovation Act of 1980 (15 U.S.C. 3719)): Pro-
vided further, That notwithstanding any other provision of 
law, the Secretary may use $7,891,000 of the amounts 
appropriated under this heading to supplement funds oth-
erwise available to the Secretary for the hire and purchase 
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of electric vehicles and electric vehicle charging stations, 
and to cover other costs related to electrifying the motor 
vehicle fleet within HHS: Provided further, That electric 
chargers installed in a parking area with such funds de-
scribed in the preceding proviso shall be deemed personal 
property under the control and custody of the Department 
of Health and Human Services managing such parking 
area: Provided further, That of the funds made available 
under this heading $3,000,000 shall be for establishing 
a National Health Care Workforce Commission (as au-
thorized by section 5101 of Public Law 111–148). 
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, 2023, to be trans-
ferred in appropriate part from the Federal Hospital In-
surance Trust Fund and the Federal Supplementary Med-
ical 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 de-
velopment and advancement of interoperable health infor-
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mation technology, $86,614,000 shall be available from 
amounts available under section 241 of the PHS Act. 
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, $100,000,000: 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 $5,300,000 shall be available through September 
30, 2023, for activities authorized under section 3022 of 
the PHS Act (42 U.S.C. 300jj–52). 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $47,931,000. 
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 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
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Dependents’ 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, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies, $1,508,036,000, 
of which $823,380,000 shall remain available through 
September 30, 2023, for expenses necessary to support 
advanced research and development pursuant to section 
319L of the PHS Act and other administrative expenses 
of the Biomedical Advanced Research and Development 
Authority: Provided, That funds provided under this head-
ing for the purpose of acquisition of security counter-
measures shall be in addition to any other funds available 
for such purpose: Provided further, That products pur-
chased with funds provided under this heading may, at 
the discretion of the Secretary, be deposited in the Stra-
tegic National Stockpile pursuant to section 319F–2 of 
the PHS Act: Provided further, That $5,000,000 of the 
amounts made available to support emergency operations 
shall remain available through September 30, 2024. 
For expenses necessary for procuring security coun-
termeasures (as defined in section 319F–2(c)(1)(B) of the 
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PHS Act), $770,000,000, to remain available until ex-
pended. 
For expenses necessary to carry out section 319F– 
2(a) of the PHS Act, $905,000,000 (increased by 
$10,000,000) (reduced by $10,000,000), to remain avail-
able until expended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$335,000,000; of which $300,000,000 shall be available 
until expended, for activities including the development 
and purchase of vaccine, antivirals, necessary medical sup-
plies, diagnostics, and other surveillance tools: Provided, 
That 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 construction or renovation necessary to secure 
sufficient supplies 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 
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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. 
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 
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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 
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 2022 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 
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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 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 
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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 inter-
national health activities, including HIV/AIDS and other 
infectious disease, chronic and environmental disease, and 
other health activities abroad during fiscal year 2022: 
(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-
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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 
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 
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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 
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 
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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 
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 $45,000,000 of funds appro-
priated 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 $3,500,000 per project. 
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(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 
Administration to make NRSA awards for research in pri-
mary medical care to individuals affiliated with entities 
who have received grants or contracts under section 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 
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(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 
(2) shall be subject to the congressional notice 
requirement stated in subsection (d) of such section. 
SEC. 219. The Secretary shall publish, as part of the 
fiscal year 2023 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 2023. Such information shall include, for 
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. 220. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
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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. 221. (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. 
SEC. 222. Effective during the period beginning on 
November 1, 2015 and ending January 1, 2024, 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, 
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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)). 
SEC. 223. In making Federal financial assistance, the 
provisions relating to indirect costs in part 75 of title 45, 
Code of Federal Regulations, including with respect to the 
approval of deviations from negotiated rates, shall con-
tinue to apply to the National Institutes of Health to the 
same extent and in the same manner as such provisions 
were applied in the third quarter of fiscal year 2017. None 
of the funds appropriated in this or prior Acts or otherwise 
made available to the Department of Health and Human 
Services or to any department or agency may be used to 
develop or implement a modified approach to such provi-
sions, or to intentionally or substantially expand the fiscal 
effect of the approval of such deviations from negotiated 
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rates beyond the proportional effect of such approvals in 
such quarter. 
(TRANSFER OF FUNDS) 
SEC. 224. The NIH Director 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 Representatives and the 
Senate: Provided, That the transfer authority 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. 
(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 
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advance of any public release of enrollment information 
or the award of such grants. 
SEC. 226. 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. 227. 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. 
SEC. 228. The Department of Health and Human 
Services may accept donations from the private sector, 
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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 monetary donations, medical goods and services, 
which 
may 
include 
early 
childhood 
developmental 
screenings, school supplies, toys, clothing, and any other 
items and services intended to promote the wellbeing of 
such children. Monetary donations received by the Depart-
ment of Health and Human Services under this section 
shall be retained and credited to the Refugee and Entrant 
Assistance account and shall remain available until ex-
pended for the purposes provided by this section. 
SEC. 229. None of the funds made available in this 
Act under the heading ‘‘Department of Health and 
Human Services—Administration for Children and Fami-
lies—Refugee and Entrant Assistance’’ may be obligated 
to a grantee or contractor to house unaccompanied alien 
children (as such term is defined in section 462(g)(2) of 
the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) 
in any facility that is not State-licensed for the care of 
unaccompanied alien children, except in the case that the 
Secretary determines that housing unaccompanied alien 
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children in such a facility is necessary on a temporary 
basis due to an influx of such children or an emergency, 
provided that— 
(1) the terms of the grant or contract for the 
operations of any such facility that remains in oper-
ation for more than three consecutive months shall 
require compliance with— 
(A) the same requirements as licensed 
placements, as listed in Exhibit 1 of the Flores 
Settlement Agreement that the Secretary deter-
mines are applicable to non-State licensed facili-
ties; and 
(B) staffing ratios of one (1) on-duty 
Youth Care Worker for every eight (8) children 
or youth during waking hours, one (1) on-duty 
Youth Care Worker for every sixteen (16) chil-
dren or youth during sleeping hours, and clini-
cian ratios to children (including mental health 
providers) as required in grantee cooperative 
agreements; 
(2) the Secretary may grant a 60-day waiver 
for a contractor’s or grantee’s non-compliance with 
paragraph (1) if the Secretary certifies and provides 
a report to Congress on the contractor’s or grantee’s 
good-faith efforts and progress towards compliance; 
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(3) if the Secretary determines that a con-
tractor or grantee is not in compliance after the Sec-
retary has granted a 60-day waiver, the Secretary 
shall not permit such contractor or grantee to con-
tinue to provide services beyond a reasonable period, 
not to exceed 60 days, needed to award a contract 
or grant to a new service provider, and the incum-
bent contractor or grantee shall not be eligible to 
compete for the new contact or grant; 
(4) ORR shall ensure full adherence to the 
monitoring requirements set forth in section 5.5 of 
its Policies and Procedures Guide as of May 15, 
2019; 
(5) for any such unlicensed facility in operation 
for more than three consecutive months, ORR shall 
conduct a minimum of one comprehensive moni-
toring visit during the first three months of oper-
ation, with quarterly monitoring visits thereafter; 
and 
(6) not later than 60 days after the date of en-
actment of this Act, ORR shall brief the Committees 
on Appropriations of the House of Representatives 
and the Senate outlining the requirements of ORR 
for influx facilities including any requirement listed 
in paragraph (1)(A) that the Secretary has deter-
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mined are not applicable to non-State licensed facili-
ties. 
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 
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, 
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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))). Nothing in this section 
shall be construed to require such a Senator or Member 
to provide prior notice of the intent to enter such a facility 
for such purpose. 
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 
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 
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(2) the documented cause of separation, as re-
ported by DHS when each child was referred. 
SEC. 233. (a) None of the funds made available by 
this Act may be used to share any information pertaining 
to an unaccompanied alien child (as defined in section 
462(g)(2) of the Homeland Security Act of 2002 (6 
U.S.C. 279(g)(2))) for use or reference in any removal 
proceeding or otherwise for enforcement of the immigra-
tion laws (as defined in section 101(a)(17) of the Immi-
gration and Nationality Act (8 U.S.C. 1101(a)(17))). 
(b) Subsection (a) shall be construed to preclude the 
transmission of information described in such subsection 
to any individual, entity, or government agency with the 
knowledge or intent that the information would be re- 
transmitted or otherwise shared for a purpose prohibited 
under such subsection. 
(c) All records for which Office of Refugee Resettle-
ment policies require the written release authorization of 
the Office of Refugee Resettlement shall have the pre-
sumption of confidentiality and nondisclosure, including 
unaccompanied alien child case files, specific information 
contained in such case files, all information given to a case 
manager, therapist, clinical worker, counselor, or social 
worker by such a child during clinical or therapeutic work, 
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and other confidential information pertaining to such chil-
dren, their sponsors, or their potential sponsors. 
(d) Nothing in this section shall be construed to pro-
hibit or restrict the continued implementation of inter-
agency agreements or coordination under section 235 of 
the William Wilberforce Trafficking Victims Protection 
Reauthorization Act of 2008 (8 U.S.C. 1232) pertinent 
to a child’s placement after attaining 18 years of age. 
SEC. 234. To the extent practicable, and so long as 
it is appropriate and in the best interest of the child, in 
cases where the Office of Refugee Resettlement is respon-
sible for the care of siblings who are unaccompanied alien 
children as defined in section 462(g)(2) of the Homeland 
Security Act of 2002 (6. U.S.C. 279(g)(2)), the Director 
of the Office shall place the siblings— 
(1) in the same facility; or 
(2) with the same sponsor. 
SEC. 235. Not later than 30 days after the date of 
enactment of this Act, the Secretary shall submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a detailed spend plan of anticipated 
uses of all funds made available under the heading ‘‘De-
partment of Health and Human Services—Administration 
for Children and Families—Refugee and Entrant Assist-
ance’’, including the following: a list of existing grants and 
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contracts for both permanent and influx facilities, includ-
ing their costs, capacity, and timelines; costs for expand-
ing capacity through the use of community-based residen-
tial care placements (including long-term and transitional 
foster care and small group homes) through new or modi-
fied grants and contracts; current and planned efforts to 
expand small-scale shelters and available foster care place-
ments, including collaboration with State child welfare 
providers; influx facilities being assessed for possible use; 
costs and services to be provided for legal services, child 
advocates, and post-release services; program administra-
tion; and the average number of weekly referrals and dis-
charge rate assumed in the spend plan: Provided, That 
such plan shall be updated to reflect changes and expendi-
tures and submitted to the Committees on Appropriations 
of the House of Representatives and the Senate every 60 
days until all funds are expended or expired. 
SEC. 236. 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 227 of this Act at costs not in excess 
of those paid for or reimbursed by the Department of De-
fense. 
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(RESCISSION) 
SEC. 237. Of the unobligated balances in the ‘‘Non-
recurring Expenses Fund’’ established in section 223 of 
division G of Public Law 110–161, $500,000,000 are 
hereby rescinded not later than September 30, 2022. 
SEC. 238. The Secretary is authorized to provide, 
from funds made available in this title for such purposes, 
mental health and other supportive services, including 
through grants, contracts, or cooperative agreements, for 
children, parents, and legal guardians who were separated 
at the United States-Mexico border between January 20, 
2017, and January 20, 2021, in connection with the Zero- 
Tolerance Policy (as discussed in the Attorney General’s 
memorandum of April 6, 2018, entitled ‘‘Zero-Tolerance 
for Offenses Under 8 U.S.C. 1325(a)’’) or any other 
United States Government practice, policy, program, or 
initiative that resulted in the separation of children who 
arrived at the United States-Mexico border with their par-
ents or legal guardians during such period. The Secretary 
may identify the individuals eligible to receive such mental 
health and other supportive services under this section 
through reference to the identified members of the classes, 
and their minor children, in the class-action lawsuits Ms. 
J.P. v. Barr and Ms. L. v. ICE. 
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SEC. 239. The unobligated balances of amounts ap-
propriated or transferred to the Centers for Disease Con-
trol and Prevention under the heading ‘‘Buildings and Fa-
cilities’’ in title II of division H of the Consolidated Appro-
priations Act, 2018 (Public Law 115–141) for a biosafety 
level 4 laboratory shall also be available for the acquisition 
of real property, equipment, construction, demolition, ren-
ovation of facilities, and installation expenses, including 
moving expenses, related to such laboratory: Provided, 
That not later than September 30, 2022, the remaining 
unobligated balances of such funds are hereby rescinded, 
and an amount of additional new budget authority equiva-
lent to the amount rescinded is hereby appropriated, to 
remain available until expended, for the same purposes as 
such unobligated balances, in addition to any other 
amounts available for such purposes. 
SEC. 240. (a) PREMIUM PAY AUTHORITY.—If serv-
ices performed by a Department of Health and Human 
Services employee during a public health emergency de-
clared under section 319 of the Public Health Service Act 
are determined by the Secretary to be primarily related 
to preparation for, prevention of, or response to such pub-
lic health emergency, any premium pay that is provided 
for such services shall be exempted from the aggregate of 
basic pay and premium pay calculated under section 
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5547(a) of title 5, United States Code, and any other pro-
vision of law limiting the aggregate amount of premium 
pay payable on a biweekly or calendar year basis. 
(b) OVERTIME AUTHORITY.—Any overtime that is 
provided for such services described in subsection (a) shall 
be exempted from any annual limit on the amount of over-
time payable in a calendar or fiscal year. 
(c) APPLICABILITY OF AGGREGATE LIMITATION ON 
PAY.—In determining, for purposes of section 5307 of 
title 5, United States Code, whether an employee’s total 
pay exceeds the annual rate payable under such section, 
the Secretary shall not include pay exempted under this 
section. 
(d) LIMITATION ON PAY AUTHORITY.—Pay exempted 
from otherwise applicable limits under subsection (a) shall 
not cause the aggregate pay earned for the calendar year 
in which the exempted pay is earned to exceed the rate 
of basic pay payable for a position at level II of the Execu-
tive Schedule under section 5313 of title 5, United States 
Code. 
(e) DANGER PAY FOR SERVICE IN PUBLIC HEALTH 
EMERGENCIES.—The Secretary may grant a danger pay 
allowance under section 5928 of title 5, United States 
Code, without regard to the conditions of the first sentence 
of such section, for work that is performed by a Depart-
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ment of Health and Human Services employee during a 
public health emergency declared under section 319 of the 
Public Health Service Act that the Secretary determines 
is primarily related to preparation for, prevention of, or 
response to such public health emergency and is performed 
under conditions that threaten physical harm or imminent 
danger to the health or well-being of the employee. 
(f) EFFECTIVE DATE.—This section shall take effect 
as if enacted on September 30, 2020. 
SEC. 241. (a) None of the funds made available by 
this Act may be awarded to any organization, including 
under the Child Welfare or Federal Foster Care programs 
under part B or E of title IV of the Social Security Act, 
that does not comply with paragraphs (c) and (d) of sec-
tion 75.300 of title 45, Code of Federal Regulations (pro-
hibiting discrimination on the basis of age, disability, sex, 
race, color, national origin, religion, gender identity, or 
sexual orientation), as in effect on October 1, 2019. 
(b) None of the funds made available by this Act may 
be used by the Department of Health and Human Services 
to grant an exception from either such paragraph for any 
Federal grantee. 
SEC. 242. During this fiscal year, an Operating or 
Staff Division in HHS may enter into a reimbursable 
agreement with another major organizational unit within 
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HHS or of another agency under which the ordering agen-
cy or unit delegates to the servicing agency or unit the 
authority and funding to issue a grant or cooperative 
agreement on its behalf: Provided, That the head of the 
ordering agency or unit certifies that amounts are avail-
able and that the order is in the best interests of the 
United States Government: Provided further, That fund-
ing may be provided by way of advance or reimbursement, 
as deemed appropriate by the ordering agency or unit, 
with proper adjustments of estimated amounts provided 
in advance to be made based on actual costs: Provided fur-
ther, That an agreement made under this section obligates 
an appropriation of the ordering agency or unit, including 
for costs to administer such grant or cooperative agree-
ment, and such obligation shall be deemed to be an obliga-
tion for any purpose of law: Provided further, That an 
agreement made under this section may be performed for 
a period that extends beyond the current fiscal year. 
SEC. 243. (a) None of the funds made available by 
this Act may be used to prepare or issue any solicitation 
for a contract for the CMS Contact Center Operations 
that contemplates a total period of performance, including 
option periods, that exceeds 24 months. 
(b) None of the funds made available by this Act may 
be used to award or fund a contract for the CMS Contact 
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Center Operations with a total period of performance, in-
cluding option periods, that exceeds 24 months. 
SEC. 244. For fiscal year 2022, the notification re-
quirements described in sections 1804(a) and 1851(d) of 
the Social Security Act may be fulfilled by the Secretary 
in a manner similar to that described in paragraphs (1) 
and (2) of section 1806(c) of such Act. 
SEC. 245. Section 402A(d) of the Public Health Serv-
ice Act (42 U.S.C. 282a(d)) is amended— 
(1) in the first sentence by striking ‘‘under sub-
section (a)(1)’’ and inserting ‘‘to carry out this 
title’’; and 
(2) in the second sentence by striking ‘‘account 
under subsection (a)(1)’’. 
SEC. 246. The Secretary of Health and Human Serv-
ices may waive penalties and administrative requirements 
in title XXVI of the Public Health Service Act for awards 
under such title from amounts provided under the heading 
‘‘Department of Health and Human Services—Health Re-
sources and Services Administration’’ in this or any other 
appropriations Act for this fiscal year, including amounts 
made available to such heading by transfer. 
SEC. 247. The Director of the National Institutes of 
Health shall hereafter require institutions that receive 
funds through a grant or cooperative agreement during 
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fiscal year 2022 and in future years to notify the Director 
when individuals identified as a principal investigator or 
as key personnel in an NIH notice of award are removed 
from their position or are otherwise disciplined due to con-
cerns about harassment, bullying, retaliation, or hostile 
working conditions. The Director may issue regulations 
consistent with this section. 
SEC. 248. (a) Funds made available in Public Law 
114–113 to the accounts of the National Institutes of 
Health that were available for obligation through fiscal 
year 2016 and were obligated for multi-year research 
grants shall be available through fiscal year 2022 for the 
liquidation of valid obligations incurred in fiscal year 2016 
if the Director of the National Institutes of Health deter-
mines the project suffered an interruption of activities at-
tributable to SARS–CoV–2. 
(b)(1) Subject to paragraph (2), this section shall be-
come effective immediately upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2021, this section shall be applied as if it were in 
effect on September 30, 2021. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2022’’. 
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TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I and subpart 2 of part B of 
title II of the Elementary and Secondary 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’’), $36,756,790,000 (increased by 
$1,000,000) 
(reduced 
by 
$1,000,000), 
of 
which 
$25,813,490,000 shall become available on July 1, 2022, 
and shall remain available through September 30, 2023, 
and of which $10,841,177,000 shall become available on 
October 1, 2022, and shall remain available through Sep-
tember 30, 2023, for academic year 2022–2023: Provided, 
That $6,459,401,000 shall be for basic grants under sec-
tion 1124 of the ESEA: Provided further, That up to 
$5,000,000 of these funds shall be available to the Sec-
retary of Education (referred to in this title as ‘‘Sec-
retary’’) on October 1, 2021, to obtain annually updated 
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 
section 1124A of the ESEA: Provided further, That 
$14,107,550,000 shall be for targeted grants under sec-
tion 1125 of the ESEA: Provided further, That 
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$14,107,550,000 shall be for education finance incentive 
grants under section 1125A of the ESEA: Provided fur-
ther, That $223,000,000 shall be for carrying out subpart 
2 of part B of title II: Provided further, That $66,123,000 
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 VII of the 
ESEA, $1,552,112,000, of which $1,404,242,000 shall be 
for basic support payments under section 7003(b), 
$48,316,000 shall be for payments for children with dis-
abilities under section 7003(d), $17,406,000 shall be for 
construction under section 7007(a), $77,313,000 shall be 
for Federal property payments under section 7002, and 
$4,835,000, to remain available until expended, shall be 
for facilities maintenance under section 7008: Provided, 
That for purposes of computing the amount of a payment 
for an eligible local educational agency under section 
7003(a) for school year 2021–2022, children enrolled in 
a school of such agency that would otherwise be eligible 
for payment under section 7003(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 of a military parent or legal 
guardian while on active duty (so long as such children 
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reside on Federal property as described in section 
7003(a)(1)(B)), are no longer eligible under such section, 
shall be considered as eligible students under such section, 
provided such students remain in average daily attendance 
at a school in the same local educational agency they at-
tended prior to their change in eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities au-
thorized by part B of title I, part A of title II, subpart 
1 of part A of title IV, part B of title IV, part B of title 
V, and parts B and C of title VI of the ESEA; the McKin-
ney-Vento Homeless Assistance Act; section 203 of the 
Educational Technical Assistance Act of 2002; the Com-
pact of Free Association Amendments Act of 2003; and 
the Civil Rights Act of 1964, $5,803,539,000, of which 
$3,963,652,000 shall become available on July 1, 2022, 
and remain available through September 30, 2023, and 
of which $1,681,441,000 shall become available on Octo-
ber 1, 2022, and shall remain available through September 
30, 2023, for academic year 2022–2023: Provided, That 
$378,000,000 shall be for part B of title I: Provided fur-
ther, That $1,359,673,000 shall be for part B of title IV: 
Provided further, That $40,397,000 shall be for part B 
of title VI, which may be used for construction, renova-
tion, and modernization of any public elementary school, 
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secondary school, or structure related to a public elemen-
tary school or secondary school that serves a predomi-
nantly Native Hawaiian student body, and that the 5 per-
cent limitation in section 6205(b) of the ESEA on the use 
of funds for administrative purposes shall apply only to 
direct administrative costs: Provided further, That 
$36,453,000 shall be for part C of title VI, which shall 
be awarded on a competitive basis, and may be used for 
construction, and that the 5 percent limitation in section 
6305 of the ESEA on the use of funds for administrative 
purposes shall apply only to direct administrative costs: 
Provided further, That $52,000,000 shall be available to 
carry out section 203 of the Educational Technical Assist-
ance Act of 2002 and the Secretary shall make such ar-
rangements as determined to be necessary to ensure that 
the Bureau of Indian Education has access to services pro-
vided under this section: Provided 
further, That 
$23,021,000 shall be available to carry out the Supple-
mental Education Grants program for the Federated 
States of Micronesia and the Republic of the Marshall Is-
lands: 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 implementa-
tion of these grants: Provided further, That $192,840,000 
shall be for part B of title V: Provided further, That 
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$1,305,000,000 shall be available for grants under sub-
part 1 of part A of title IV. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent 
not otherwise provided, title VI, part A of the ESEA, 
$187,739,000, of which $67,993,000 shall be for subpart 
2 of part A of title VI and $9,365,000 shall be for subpart 
3 of part A of title VI: Provided, That the 5 percent limita-
tion in sections 6115(d), 6121(e), and 6133(g) of the 
ESEA on the use of funds for administrative purposes 
shall apply only to direct administrative costs: Provided 
further, That the Secretary may make awards under sub-
part 3 of Part A of title VI without regard to the funding 
limitation in section 6133(b)(1) of the ESEA: Provided 
further, That notwithstanding sections 6132(c)(2) and 
6133(d)(1) of such Act, the Secretary may make such 
awards for a period of up to 5 years. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by subparts 1, 
3, and 4 of part B of title II, and parts C, D, and E 
and subparts 1 and 4 of part F of title IV of the ESEA, 
$1,297,276,000 (reduced by $1,000,000) (increased by 
$1,000,000) (increased by $1,000,000): Provided, That 
$300,500,000 shall be for subparts 1, 3, and 4 of part 
B of title II and shall be made available without regard 
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to sections 2201, 2231(b) and 2241: Provided further, 
That $642,776,000 (increased by $1,000,000) shall be for 
parts C, D, and E and subpart 4 of part F of title IV, 
and shall be made available without regard to sections 
4311, 4409(a), and 4601 of the ESEA: Provided further, 
That notwithstanding section 4601(b), $254,000,000 shall 
be available through December 31, 2022 for subpart 1 of 
part F of title IV: Provided further, That $100,000,000 
shall be for competitive grants to local educational agen-
cies and State educational agencies to reduce racial and 
socioeconomic segregation across and within school dis-
tricts. 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subparts 2 
and 3 of part F of title IV of the ESEA, $1,666,000,000 
(increased by $2,000,000) (reduced by $500,000) (in-
creased by $500,000): Provided, That $1,127,000,000 
shall be available for section 4631, of which $500,000,000 
shall be for Mental Health Services Professional Dem-
onstration 
Grants; 
$500,000,000 
(increased 
by 
$2,000,000) shall be for School-Based Mental Health 
Services Grants; and up to $5,000,000, to remain avail-
able until expended, shall be for the Project School Emer-
gency Response to Violence (Project SERV) program: 
Provided further, That $443,000,000 shall be available for 
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section 4625: Provided further, That $96,000,000 shall be 
available through December 31, 2022, for section 4624: 
Provided further, That $5,000,000 of the funds made 
available in the preceding proviso shall be available for 
planning grants consistent with section 4624(d)(1) of the 
ESEA, which shall include as a required activity the needs 
analysis specified in section 4624(a)(4). 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$1,000,000,000, which shall become available on July 1, 
2022, and shall remain available through September 30, 
2023, except that 6.5 percent of such amount shall be 
available on October 1, 2021, and shall remain available 
through September 30, 2023, to carry out activities under 
section 3111(c)(1)(C). 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) and the Special Olympics Sport 
and Empowerment Act of 2004, $17,200,256,000, of 
which $7,488,516,000 shall become available on July 1, 
2022, and shall remain available through September 30, 
2023, and of which $9,283,383,000 shall become available 
on October 1, 2022, and shall remain available through 
September 30, 2023, for academic year 2022–2023: Pro-
vided, That the amount for section 611(b)(2) of the IDEA 
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shall be equal to the lesser of the amount available for 
that activity during fiscal year 2021, increased by the 
amount of inflation as specified in section 619(d)(2)(B) 
of the IDEA, or the percent change in the funds appro-
priated under section 611(i) of the IDEA, but not less 
than the amount for that activity during fiscal year 2021: 
Provided further, That the Secretary 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)), sub-
ject to the third proviso, any amount by which a State’s 
allocation under section 611, from funds appropriated 
under 
this 
heading, 
is 
reduced 
under 
section 
612(a)(18)(B), according to the following: 85 percent on 
the basis of the States’ relative populations of children 
aged 3 through 21 who are of the same age as children 
with disabilities for whom the State ensures the avail-
ability of a free appropriate public education under this 
part, and 15 percent to States on the basis of the States’ 
relative populations of those children who are living in pov-
erty: Provided further, That the Secretary may not dis-
tribute 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 dis-
tribution: Provided further, That the States shall allocate 
such funds distributed under the second proviso to local 
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educational agencies in accordance with section 611(f): 
Provided further, That the amount by which a State’s allo-
cation under section 611(d) of the IDEA is reduced under 
section 612(a)(18)(B) and the amounts distributed to 
States under the previous provisos in fiscal year 2012 or 
any subsequent year shall not 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 provision in section 612(a)(18)(B) re-
garding 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 specified in section 612(a)(18)(B) over 
a period of consecutive fiscal years, not to exceed 5, until 
the entire reduction is applied: Provided further, That the 
Secretary may, in any fiscal year in which a State’s alloca-
tion under section 611 is reduced in accordance with sec-
tion 612(a)(18)(B), reduce the amount a State may re-
serve under section 611(e)(1) by an amount that bears 
the same relation to the maximum amount described in 
that 
paragraph 
as 
the 
reduction 
under 
section 
612(a)(18)(B) bears to the total allocation the State 
would have received in that fiscal year under section 
611(d) in the absence of the reduction: Provided further, 
That the Secretary shall either reduce the allocation of 
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funds under section 611 for any fiscal year following 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 
under 611(c) of the IDEA may be used to provide tech-
nical 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 serv-
ices and activities to improve data collection, coordination, 
quality, and use under parts B and C of the IDEA: Pro-
vided further, That the Secretary may use funds made 
available for the State Personnel Development Grants pro-
gram under part D, subpart 1 of IDEA to evaluate pro-
gram performance under such subpart: Provided further, 
That States may use funds reserved for other State-level 
activities under sections 611(e)(2) and 619(f) of the IDEA 
to make subgrants to local educational agencies, institu-
tions of higher education, other public agencies, and pri-
vate non-profit organizations to carry out activities au-
thorized by those sections: Provided further, That, not-
withstanding section 643(e)(2)(A) of the IDEA, if 5 or 
fewer States apply for grants pursuant to section 643(e) 
of such Act, the Secretary shall provide a grant to each 
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State in an amount equal to the maximum amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That if more than 5 States apply for grants pursuant 
to section 643(e) of the IDEA, the Secretary shall award 
funds to those States on the basis of the States’ relative 
populations of infants and toddlers except that no such 
State shall receive a grant in excess of the amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That States may use funds allotted under section 
643(c) of the IDEA to make subgrants to local edu-
cational agencies, institutions of higher education, other 
public agencies, and private non-profit organizations to 
carry out activities authorized by section 638 of IDEA: 
Provided further, That, notwithstanding section 638 of the 
IDEA, any State receiving a grant under section 633 of 
the IDEA must reserve not less than 10 percent of its 
award for use in a manner described in a State plan, ap-
proved by the Secretary, to ensure equitable access to and 
participation in part C services in the State, particularly 
for populations that have been traditionally underrep-
resented in the program: Provided further, That, notwith-
standing section 632(4)(B) of the IDEA, a State receiving 
a grant under section 633 of the IDEA may establish a 
system of payments but may not include in that system 
family fees or out-of-pocket costs to families for early 
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intervention services: Provided further, That any State 
seeking to amend its eligibility criteria under section 
635(a)(1) of the IDEA in such a way that would have 
the effect of reducing the number of infants and families 
who are eligible under part C must conduct the public par-
ticipation under section 637(a)(8) of the IDEA at least 
24 months prior to implementing such a change: Provided 
further, That, notwithstanding section 638 of the IDEA, 
a State may use funds it receives under section 633 of 
the IDEA to offer continued early intervention services to 
a child who previously received services under part C of 
the IDEA from age 3 until the beginning of the school 
year following the child’s third birthday without regard to 
the procedures in section 635(c) of the IDEA. 
REHABILITATION SERVICES 
For carrying out, to the extent not otherwise pro-
vided, the Rehabilitation Act of 1973 and the Helen Keller 
National 
Center 
Act, 
$3,896,820,000, 
of 
which 
$3,719,121,000 shall be for grants for vocational rehabili-
tation services under title I of the Rehabilitation Act: Pro-
vided, That the Secretary may use amounts provided in 
this Act that remain available subsequent to the reallot-
ment of funds to States pursuant to section 110(b) of the 
Rehabilitation Act for innovative activities aimed at in-
creasing competitive integrated employment as defined in 
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section 7 of such Act for youth and other individuals with 
disabilities: Provided further, That States may award sub-
grants for a portion of the funds to other public and pri-
vate, nonprofit entities: Provided further, That any funds 
made available subsequent to reallotment for innovative 
activities aimed at improving the outcomes of individuals 
with disabilities shall remain available until September 30, 
2023. 
SPECIAL INSTITUTIONS FOR PERSONS WITH 
DISABILITIES 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act to Promote the Education 
of the Blind of March 3, 1879, $37,431,000. 
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, $84,500,000: 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. 
GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986, $143,361,000: 
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Provided, That from the total amount available, the Uni-
versity may at its discretion use funds for the endowment 
program as authorized under section 207 of such Act. 
CAREER, TECHNICAL, AND ADULT EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, the Carl D. Perkins Career and Technical Edu-
cation Act of 2006 (‘‘Perkins Act’’) and the Adult Edu-
cation 
and 
Family 
Literacy 
Act 
(‘‘AEFLA’’), 
$2,238,981,000, of which $1,447,981,000 shall become 
available on July 1, 2022, and shall remain available 
through September 30, 2023, and of which $791,000,000 
shall become available on October 1, 2022, and shall re-
main available through September 30, 2023: Provided, 
That $100,000,000 shall be for competitive grants for 
local educational agencies to carry out evidence-based mid-
dle and high school career and technical education innova-
tion programs: Provided further, That section 3(20) of the 
Perkins Act shall be applied as if the term ‘‘eligible insti-
tution’’ includes an apprenticeship program that is reg-
istered under the National Apprenticeship Act and accred-
ited by an agency recognized by the Secretary of Edu-
cation: Provided further, That of the amounts made avail-
able for AEFLA, $38,712,000 shall be for national leader-
ship activities under section 242. 
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STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1, 3, and 10 of part A, 
and part C of title IV of the HEA, $27,187,352,000 which 
shall remain available through September 30, 2023. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2022–2023 shall be $5,835. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses to carry out part 
D of title I, and subparts 1, 3, 9, and 10 of part A, and 
parts B, C, D, and E of title IV of the HEA, and subpart 
1 of part A of title VII of the Public Health Service Act, 
$2,053,943,000, to remain available through September 
30, 2023: Provided, That the Secretary shall allocate new 
student loan borrower accounts to eligible student loan 
servicers on the basis of their past performance compared 
to all loan servicers utilizing established common metrics, 
and on the basis of the capacity of each servicer to process 
new and existing accounts and compliance with Federal 
and State law: Provided further, That for student loan 
contracts awarded prior to October 1, 2017, the Secretary 
shall allow student loan borrowers who are consolidating 
Federal student loans to select from any student loan 
servicer to service their new consolidated student loan: 
Provided further, That in order to promote accountability 
and high-quality service to borrowers, the Secretary shall 
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not award funding for any contract solicitation for a new 
Federal student loan servicing environment, including the 
solicitation for the Federal Student Aid (FSA) Next Gen-
eration Processing and Servicing Environment, unless 
such an environment provides for the participation of mul-
tiple student loan servicers that contract directly with the 
Department of Education: Provided further, That the De-
partment shall re-allocate accounts from servicers for re-
curring non-compliance with FSA guidelines, contractual 
requirements, and Federal and State laws, including for 
failure to sufficiently inform borrowers of available repay-
ment options: Provided further, That such servicers shall 
be evaluated based on their ability to meet contract re-
quirements (including an understanding of Federal and 
State law), future performance on the contracts, and his-
tory of compliance with applicable consumer protections 
laws, including Federal and State law: Provided further, 
That to the extent FSA permits student loan servicing 
subcontracting, FSA shall hold prime contractors account-
able for meeting the requirements of the contract, and the 
performance and expectations of subcontractors shall be 
accounted for in the prime contract and in the overall per-
formance of the prime contractor: Provided further, That 
FSA shall ensure that the Next Generation Processing 
and Servicing Environment, or any new Federal loan serv-
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icing environment, incentivize more support to borrowers 
at risk of delinquency or default: Provided further, That 
FSA shall ensure that in such environment contractors 
have the capacity to meet and are held accountable for 
performance on service levels; are held accountable for and 
have a history of compliance with applicable consumer pro-
tection laws, including Federal and State law; and have 
relevant experience and demonstrated effectiveness: Pro-
vided further, That the Secretary shall provide quarterly 
briefings to the Committees on Appropriations and Edu-
cation and Labor of the House of Representatives and the 
Committees on Appropriations and Health, Education, 
Labor, and Pensions of the Senate on general progress 
related to solicitations for Federal student loan servicing 
contracts: Provided further, That FSA shall strengthen 
transparency through expanded publication of aggregate 
data on student loan and servicer performance: Provided 
further, That not later than 60 days after enactment of 
this Act, FSA shall provide to the Committees on Appro-
priations of the House of Representatives and the Senate 
a detailed spend plan of anticipated uses of funds made 
available in this account for fiscal year 2022 and provide 
quarterly updates on this plan (including contracts award-
ed, change orders, bonuses paid to staff, reorganization 
costs, and any other activity carried out using amounts 
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provided under this heading for fiscal year 2022): Pro-
vided further, That the FSA Next Generation Processing 
and Servicing Environment, or any new Federal student 
loan servicing environment, shall include accountability 
measures that account for the performance of the portfolio 
and contractor compliance with FSA guidelines. 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, titles II, III, IV, V, VI, VII, and VIII of the HEA, 
the Mutual Educational and Cultural Exchange Act of 
1961, and section 117 of the Perkins Act, $3,430,757,000 
(reduced by $10,000,000) (increased by $10,000,000) (re-
duced by $10,000,000) (increased by $10,000,000), of 
which $168,015,000 shall remain available through De-
cember 31, 2022: Provided, That notwithstanding any 
other provision of law, funds made available in this Act 
to carry out title VI of the HEA and section 102(b)(6) 
of the Mutual Educational and Cultural Exchange Act of 
1961 may be used to support visits and study in foreign 
countries by individuals who are participating in advanced 
foreign language training and international studies in 
areas that are vital to United States national security and 
who plan to apply their language skills and knowledge of 
these countries in the fields of government, the profes-
sions, or international development: Provided further, That 
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of the funds referred to in the preceding proviso up to 
1 percent may be used for program evaluation, national 
outreach, and information dissemination activities: Pro-
vided further, That up to 1.5 percent of the funds made 
available under chapter 2 of subpart 2 of part A of title 
IV of the HEA may be used for evaluation: Provided fur-
ther, That section 313(d) of the HEA shall not apply to 
an institution of higher education that is eligible to receive 
funding under section 318 of the HEA: Provided further, 
That of the amounts made available under this heading, 
$92,015,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Higher Education’’ 
in the report accompanying this Act, and of which up to 
$1,000,000 may be used for related agency administrative 
expenses: Provided further, That none of the funds made 
available for projects described in the preceding proviso 
shall be subject to section 302 of this Act. 
HOWARD UNIVERSITY 
For 
partial 
support 
of 
Howard 
University, 
$411,018,000, of which not less than $3,405,000 shall be 
for a matching endowment grant pursuant to the Howard 
University Endowment Act and shall remain available 
until expended. 
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COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM 
For Federal administrative expenses to carry out ac-
tivities related to existing facility loans pursuant to section 
121 of the HEA, $435,000. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY 
CAPITAL FINANCING PROGRAM ACCOUNT 
For the cost of guaranteed loans, $24,150,000, as au-
thorized pursuant to part D of title III of the HEA, which 
shall remain available through September 30, 2023: Pro-
vided, That such costs, including the cost of modifying 
such loans, shall be as defined in section 502 of the Con-
gressional Budget Act of 1974: Provided further, That 
these funds are available to subsidize total loan principal, 
any part of which is to be guaranteed, not to exceed 
$328,571,000: Provided further, That these funds may be 
used to support loans to public and private Historically 
Black Colleges and Universities without regard to the limi-
tations within section 344(a) of the HEA. 
In addition, for administrative expenses to carry out 
the Historically Black College and University Capital Fi-
nancing Program entered into pursuant to part D of title 
III of the HEA, $334,000. 
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INSTITUTE OF EDUCATION SCIENCES 
For carrying out activities authorized by the Edu-
cation Sciences Reform Act of 2002, the National Assess-
ment of Educational Progress Authorization Act, section 
208 of the Educational Technical Assistance Act of 2002, 
and section 664 of the Individuals with Disabilities Edu-
cation Act, $762,465,000 (reduced by $1,000,000) (in-
creased by $1,000,000), which shall remain available 
through September 30, 2023: Provided, That funds avail-
able to carry out section 208 of the Educational Technical 
Assistance Act may be used to link Statewide elementary 
and secondary data systems with early childhood, postsec-
ondary, and workforce data systems, or to further develop 
such systems: Provided further, That up to $6,000,000 of 
the funds available to carry out section 208 of the Edu-
cational Technical Assistance Act may be used for awards 
to public or private organizations or agencies to support 
activities to improve data coordination, quality, and use 
at the local, State, and national levels. 
DEPARTMENTAL MANAGEMENT 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise pro-
vided, the Department of Education Organization Act, in-
cluding rental of conference rooms in the District of Co-
lumbia and hire of three passenger motor vehicles, 
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$480,000,000 (reduced by $1,000,000) (reduced by 
$1,500,000) (reduced by $2,000,000), of which up to 
$13,000,000, to remain available until expended, shall be 
available for relocation expenses, and for the renovation 
and repair of leased buildings: Provided, That, notwith-
standing any other provision of law, none of the funds pro-
vided by this Act or provided by previous Appropriations 
Acts to the Department of Education available for obliga-
tion or expenditure in the current fiscal year may be used 
for any activity relating to implementing a reorganization 
that decentralizes, reduces the staffing level, or alters the 
responsibilities, structure, authority, or functionality of 
the Budget Service of the Department of Education, rel-
ative to the organization and operation of the Budget 
Service as in effect on January 1, 2018. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, as authorized by section 203 of the Department 
of Education Organization Act, $144,000,000 (increased 
by $1,411,000). 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, as authorized by section 212 of the Department 
of Education Organization Act, $70,115,000, of which 
$2,000,000 shall remain available until expended. 
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GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 302. 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 Department of Education in this Act may 
be transferred between appropriations, but no such appro-
priation shall be increased by more than 3 percent by any 
such transfer: Provided, 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 Appropriations of the House of Rep-
resentatives and the Senate are notified at least 15 days 
in advance of any transfer. 
SEC. 303. Funds appropriated in this Act and con-
solidated for evaluation purposes under section 8601(c) of 
the ESEA shall be available from July 1, 2022, through 
September 30, 2023. 
SEC. 304. (a) An institution of higher education that 
maintains an endowment fund supported with funds ap-
propriated for title III or V of the HEA for fiscal year 
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2022 may use the income from that fund to award schol-
arships to students, subject to the limitation in section 
331(c)(3)(B)(i) of the HEA. The use of such income for 
such purposes, prior to the enactment of this Act, shall 
be considered to have been an allowable use of that in-
come, subject to that limitation. 
(b) Subsection (a) shall be in effect until titles III 
and V of the HEA are reauthorized. 
SEC. 305. Section 114(f) of the HEA (20 U.S.C. 
1011c(f)) is amended by striking ‘‘2021’’ and inserting 
‘‘2022’’. 
SEC. 306. Section 458(a) of the HEA (20 U.S.C. 
1087h(a)) is amended in paragraph (4) by striking 
‘‘2021’’ and inserting ‘‘2022’’. 
SEC. 307. Funds appropriated in this Act under the 
heading ‘‘Student Aid Administration’’ may be available 
for payments for student loan servicing to an institution 
of higher education that services outstanding Federal Per-
kins Loans under part E of title IV of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1087aa et seq.). 
(RESCISSION) 
SEC. 308. Of the amounts appropriated under Sec-
tion 401(b)(7)(A)(iv)(XI) of the Higher Education Act of 
1965 (20 U.S.C. 1070a(b)(7)(A)(iv)(XI)) for fiscal year 
2022, $229,000,000 are hereby rescinded. 
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SEC. 309. Of the amounts made available under this 
title under the heading ‘‘Student Aid Administration’’, 
$2,300,000 shall be used by the Secretary of Education 
to conduct outreach to borrowers of loans made under part 
D of title IV of the Higher Education Act of 1965 who 
may intend to qualify for loan cancellation under section 
455(m) of such Act (20 U.S.C. 1087e(m)), to ensure that 
borrowers are meeting the terms and conditions of such 
loan cancellation: Provided, That the Secretary shall spe-
cifically conduct outreach to assist borrowers who would 
qualify for loan cancellation under section 455(m) of such 
Act except that the borrower has made some, or all, of 
the 120 required payments under a repayment plan that 
is not described under section 455(m)(A) of such Act, to 
encourage borrowers to enroll in a qualifying repayment 
plan: Provided further, That the Secretary shall also com-
municate to all Direct Loan borrowers the full require-
ments of section 455(m) of such Act and improve the fil-
ing of employment certification by providing improved out-
reach and information such as outbound calls, electronic 
communications, ensuring prominent access to program 
requirements and benefits on each servicer’s website, and 
creating an option for all borrowers to complete the entire 
payment certification process electronically and on a cen-
tralized website. 
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SEC. 310. For an additional amount for ‘‘Department 
of Education—Federal Direct Student Loan Program Ac-
count’’, $25,000,000, to remain available until expended, 
shall be for the cost, as defined under section 502 of the 
Congressional Budget Act of 1974, of the Secretary of 
Education providing loan cancellation in the same manner 
as under section 455(m) of the Higher Education Act of 
1965 (20 U.S.C. 1087e(m)), for borrowers of loans made 
under part B or D of title IV of such Act who would qual-
ify for loan cancellation under section 455(m) except 
some, or all, of the 120 required payments under section 
455(m)(1)(A) do not qualify for purposes of the program 
because they were monthly payments made on one or more 
loans prior to receiving a Federal Direct Consolidation 
Loan under section 455(g), or in accordance with grad-
uated or extended repayment plans as described under 
subparagraph (B) or (C) of section 455(d)(1) or the cor-
responding repayment plan for a consolidation loan made 
under section 455(g): Provided further, That the total loan 
volume, including outstanding principal, fees, capitalized 
interest, or accrued interest, at application that is eligible 
for such loan cancellation by such borrowers shall not ex-
ceed $75,000,000: Provided further, That the Secretary 
shall develop and make available a simple method for bor-
rowers to apply for loan cancellation under this section 
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within 60 days of enactment of this Act: Provided further, 
That the Secretary shall provide loan cancellation under 
this section to eligible borrowers on a first-come, first- 
serve basis, based on the date of application and subject 
to both the limitation on total loan volume at application 
for such loan cancellation specified in the second proviso 
and the availability of appropriations under this section: 
Provided further, That no borrower may, for the same 
service, receive a reduction of loan obligations under both 
this section and section 428J, 428K, 428L, or 460 of such 
Act: Provided further, That the Secretary shall inform all 
borrowers who have submitted and Employment Certifi-
cation Form and are in the incorrect repayment program 
about the Temporary Expanded Public Service Loan For-
giveness Program and requirement for qualification under 
the program. 
SEC. 311. None of the funds made available by this 
Act may be used in contravention of section 203 of the 
Department of Education Organization Act (20 U.S.C. 
3413). 
SEC. 312. Section 487(a) of the HEA is amended in 
paragraph (24) by striking ‘‘ten percent’’ and inserting 
‘‘fifteen percent’’. 
SEC. 313. None of the funds made available by this 
Act may be used by the Department of Education to sup-
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port an educational institution that engages in the use of 
electric shock devices and equipment for aversive condi-
tioning or disciplining of students. 
SEC. 314. None of the funds made available by this 
Act or any other Act may be awarded to a charter school 
that contracts with a for-profit entity to operate, oversee 
or manage the activities of the school. 
SEC. 315. In addition to amounts otherwise appro-
priated in this title for purposes authorized by the Ele-
mentary and Secondary Education Act of 1965, there are 
hereby appropriated an additional $88,010,000 which 
shall be used for the projects, and in the amounts specified 
under the heading ‘‘Innovation and Improvement’’ in the 
report accompanying this Act, and of which up to 
$1,000,000 may be used for related agency administrative 
expenses: Provided, That none of the funds made available 
for projects described in this section shall be subject to 
section 302 of this Act. 
SEC. 316. None of the funds appropriated by this 
title for the Department of Education shall be withheld 
from an institution of higher education solely because that 
institution is conducting or preparing to conduct research 
on marihuana as defined in 21 U.S.C. 802(16). 
SEC. 317. (a) Section 484 of the HEA (20 U.S.C. 
1091) is amended— 
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(1) in subsection (a)(5) by inserting ‘‘a DACA recipi-
ent as defined in subsection (u), have temporary protected 
status under section 244 of the Immigration and Nation-
ality Act (8 U.S.C. 1254a),’’ after ‘‘a permanent resident 
of the United States,’’; and 
(2) by adding at the end the following new subsection: 
‘‘(u) DACA RECIPIENT.—In this section, the term 
‘DACA recipient’ means an alien (as defined in section 
101(a)(3) of the Immigration and Nationality Act (8 
U.S.C. 1101(a)(3)) who is inadmissible to the United 
State or deportable from the United States under the im-
migration laws (as defined in section 101(a)(17) of the 
Immigration and Nationality Act (8 U.S.C. 1101(a)(17)) 
and who the Secretary of Homeland Security has, in his 
or her discretion, determined should be afforded a grant 
of deferred action under the Deferred Action for Child-
hood Arrivals (DACA) policy.’’. 
(b) This section, and the amendments made by this 
section, shall take effect on July 1, 2022. 
SEC. 318. Section 344(a) of the HEA (20 U.S.C. 
1066c(a)) is amended by striking ‘‘No institution of higher 
education that has received assistance under section 8 of 
the Act of March 2, 1867 (20 U.S.C. 123) shall be eligible 
to receive assistance under this part.’’. 
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This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2022’’. 
TITLE IV 
RELATED AGENCIES 
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE 
BLIND OR SEVERELY DISABLED 
SALARIES AND EXPENSES 
For expenses necessary for the Committee for Pur-
chase From People Who Are Blind or Severely Disabled 
(referred to in this title as ‘‘the Committee’’) established 
under section 8502 of title 41, United States Code, 
$12,000,000: Provided, That in order to authorize any 
central nonprofit agency designated pursuant to section 
8503(c) of title 41, United States Code, to perform re-
quirements of the Committee as prescribed under section 
51–3.2 of title 41, Code of Federal Regulations, the Com-
mittee shall enter into a written agreement with any such 
central nonprofit agency: Provided further, That such 
agreement shall contain such auditing, oversight, and re-
porting provisions as necessary to implement chapter 85 
of title 41, United States Code: Provided further, That 
such agreement shall include the elements listed under the 
heading ‘‘Committee For Purchase From People Who Are 
Blind or Severely Disabled—Written Agreement Ele-
ments’’ in the explanatory statement described in section 
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4 of Public Law 114–113 (in the matter preceding division 
A of that consolidated Act): Provided further, That any 
such central nonprofit agency may not charge a fee under 
section 51–3.5 of title 41, Code of Federal Regulations, 
prior to executing a written agreement with the Com-
mittee: Provided further, That no less than $3,000,000 
shall be available for the Office of Inspector General. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
OPERATING EXPENSES 
For necessary expenses for the Corporation for Na-
tional and Community Service (referred to in this title as 
‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 
of 1973 (referred to in this title as ‘‘1973 Act’’) and the 
National and Community Service Act of 1990 (referred 
to in this title as ‘‘1990 Act’’), $1,021,120,000, notwith-
standing sections 198B(b)(3), 198S(g), 501(a)(4)(C), and 
501(a)(4)(F) of the 1990 Act: Provided, That of the 
amounts provided under this heading: (1) up to 1 percent 
of program grant funds may be used to defray the costs 
of conducting grant application reviews, including the use 
of outside peer reviewers and electronic management of 
the grants cycle; (2) $19,538,000 shall be available to pro-
vide assistance to State commissions on national and com-
munity service, under section 126(a) of the 1990 Act and 
notwithstanding section 501(a)(5)(B) of the 1990 Act; (3) 
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$37,735,000 shall be available to carry out subtitle E of 
the 1990 Act; and (4) $6,700,000 shall be available for 
expenses authorized under section 501(a)(4)(F) of the 
1990 Act, which, notwithstanding the provisions of section 
198P shall be awarded by CNCS on a competitive basis: 
Provided further, That for the purposes of carrying out 
the 1990 Act, satisfying the requirements in section 
122(c)(1)(D) may include a determination of need by the 
local community. 
PAYMENT TO THE NATIONAL SERVICE TRUST 
(INCLUDING TRANSFER OF FUNDS) 
For payment to the National Service Trust estab-
lished under subtitle D of title I of the 1990 Act, 
$196,000,000, to remain available until expended: Pro-
vided, That CNCS may transfer additional funds from the 
amount provided within ‘‘Operating Expenses’’ allocated 
to grants under subtitle C of title I of the 1990 Act to 
the National Service Trust upon determination that such 
transfer is necessary to support the activities of national 
service participants and after notice is transmitted to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: Provided further, That amounts ap-
propriated for or transferred to the National Service Trust 
may be invested under section 145(b) of the 1990 Act 
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without regard to the requirement to apportion funds 
under 31 U.S.C. 1513(b). 
SALARIES AND EXPENSES 
For necessary expenses of administration as provided 
under section 501(a)(5) of the 1990 Act and under section 
504(a) of the 1973 Act, including payment of salaries, au-
thorized travel, hire of passenger motor vehicles, the rental 
of conference rooms in the District of Columbia, the em-
ployment of experts and consultants authorized under 5 
U.S.C. 3109, and not to exceed $2,500 for official recep-
tion and representation expenses, $91,186,000. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General in carrying out the Inspector General Act of 1978, 
$6,960,000. 
ADMINISTRATIVE PROVISIONS 
SEC. 401. CNCS shall make any significant changes 
to program requirements, service delivery or policy only 
through public notice and comment rulemaking. For fiscal 
year 2022, during any grant selection process, an officer 
or employee of CNCS shall not knowingly disclose any cov-
ered grant selection information regarding such selection, 
directly or indirectly, to any person other than an officer 
or employee of CNCS that is authorized by CNCS to re-
ceive such information. 
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SEC. 402. AmeriCorps programs receiving grants 
under the National Service Trust program shall meet an 
overall minimum share requirement of 24 percent for the 
first 3 years that they receive AmeriCorps funding, and 
thereafter shall meet the overall minimum share require-
ment as provided in section 2521.60 of title 45, Code of 
Federal Regulations, without regard to the operating costs 
match requirement in section 121(e) or the member sup-
port Federal share limitations in section 140 of the 1990 
Act, and subject to partial waiver consistent with section 
2521.70 of title 45, Code of Federal Regulations. 
SEC. 403. Donations made to CNCS under section 
196 of the 1990 Act for the purposes of financing pro-
grams and operations under titles I and II of the 1973 
Act or subtitle B, C, D, or E of title I of the 1990 Act 
shall be used to supplement and not supplant current pro-
grams and operations. 
SEC. 404. In addition to the requirements in section 
146(a) of the 1990 Act, use of an educational award for 
the purpose described in section 148(a)(4) shall be limited 
to individuals who are veterans as defined under section 
101 of the Act. 
SEC. 405. For the purpose of carrying out section 
189D of the 1990 Act— 
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(1) entities described in paragraph (a) of such 
section shall be considered ‘‘qualified entities’’ under 
section 3 of the National Child Protection Act of 
1993 (‘‘NCPA’’); 
(2) individuals described in such section shall 
be considered ‘‘volunteers’’ under section 3 of 
NCPA; and 
(3) State Commissions on National and Com-
munity Service established pursuant to section 178 
of the 1990 Act, are authorized to receive criminal 
history record information, consistent with Public 
Law 92–544. 
SEC. 406. Notwithstanding sections 139(b), 146 and 
147 of the 1990 Act, an individual who successfully com-
pletes a term of service of not less than 1,200 hours dur-
ing a period of not more than one year may receive a na-
tional service education award having a value of 70 per-
cent of the value of a national service education award 
determined under section 147(a) of the Act. 
SEC. 407. Section 148(f)(2)(A)(i) of the 1990 Act 
shall be applied by substituting ‘‘an approved national 
service position’’ for ‘‘a national service program that re-
ceives grants under subtitle C’’. 
SEC. 408. (a) Section 137(a)(5) of the 1990 Act shall 
be applied as if the following were inserted before the pe-
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riod: ‘‘, or has submitted a request for administrative re-
lief pursuant to the policy established in the memorandum 
of the Secretary of Homeland Security dated June 15, 
2012, and entitled ‘Exercising Prosecutorial Discretion 
with Respect to Individuals Who Came to the United 
States as Children’ (Deferred Action for Childhood Arriv-
als)’’. 
(b) Section 146(a)(3) of the 1990 Act shall be applied 
as if the following were inserted before the period: ‘‘, or 
has submitted a request for administrative relief pursuant 
to the policy established in the memorandum of the Sec-
retary of Homeland Security dated June 15, 2012, and 
entitled ‘Exercising Prosecutorial Discretion with Respect 
to Individuals Who Came to the United States as Children 
(Deferred Action for Childhood Arrivals)’’. 
CORPORATION FOR PUBLIC BROADCASTING 
For payment to the Corporation for Public Broad-
casting (‘‘CPB’’), as authorized by the Communications 
Act of 1934, an amount which shall be available within 
limitations specified by that Act, for the fiscal year 2024, 
$565,000,000: Provided, That none of the funds made 
available to CPB by this Act shall be used to pay for re-
ceptions, parties, or similar forms of entertainment for 
Government officials or employees: Provided further, That 
none of the funds made available to CPB by this Act shall 
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be available or used to aid or support any program or ac-
tivity from which any person is excluded, or is denied ben-
efits, or is discriminated against, on the basis of race, 
color, national origin, religion, or sex: Provided further, 
That none of the funds made available to CPB by this 
Act shall be used to apply any political test or qualification 
in selecting, appointing, promoting, or taking any other 
personnel action with respect to officers, agents, and em-
ployees of CPB. 
In addition, for the costs associated with replacing 
and upgrading the public broadcasting interconnection 
system and other technologies and services that create in-
frastructure and efficiencies within the public media sys-
tem, $20,000,000. 
FEDERAL MEDIATION AND CONCILIATION SERVICE 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mediation 
and Conciliation Service (‘‘Service’’) to carry out the func-
tions vested in it by the Labor-Management Relations Act, 
1947, including hire of passenger motor vehicles; for ex-
penses necessary for the Labor-Management Cooperation 
Act of 1978; and for expenses necessary for the Service 
to carry out the functions vested in it by the Civil Service 
Reform Act, $50,000,000: Provided, That notwithstanding 
31 U.S.C. 3302, fees charged, up to full-cost recovery, for 
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special training activities and other conflict resolution 
services and technical assistance, including those provided 
to foreign governments and international organizations, 
and for arbitration services shall be credited to and 
merged with this account, and shall remain available until 
expended: Provided further, That fees for arbitration serv-
ices shall be available only for education, training, and 
professional development of the agency workforce: Pro-
vided further, That the Director of the Service is author-
ized to accept and use on behalf of the United States gifts 
of services and real, personal, or other property in the aid 
of any projects or functions within the Director’s jurisdic-
tion. 
FEDERAL MINE SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mine Safety 
and Health Review Commission, $17,539,000. 
INSTITUTE OF MUSEUM AND LIBRARY SERVICES 
OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS 
AND ADMINISTRATION 
For carrying out the Museum and Library Services 
Act of 1996, the National Museum of African American 
History and Culture Act, and the National Museum of the 
American Latino Act, $282,000,000. 
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MEDICAID AND CHIP PAYMENT AND ACCESS 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1900 of 
the Social Security Act, $9,350,000. 
MEDICARE PAYMENT ADVISORY COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1805 of 
the Social Security Act, $13,310,000, to be transferred to 
this appropriation from the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund. 
NATIONAL COUNCIL ON DISABILITY 
SALARIES AND EXPENSES 
For expenses necessary for the National Council on 
Disability as authorized by title IV of the Rehabilitation 
Act of 1973, $3,750,000. 
NATIONAL LABOR RELATIONS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the National Labor Rela-
tions Board to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, and other laws, 
$316,925,000 of which not less than $1,000,000 shall be 
used to develop a system and procedures to conduct union 
representation elections electronically. 
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NATIONAL MEDIATION BOARD 
SALARIES AND EXPENSES 
For expenses necessary to carry out the provisions 
of the Railway Labor Act, including emergency boards ap-
pointed by the President, $15,542,000. 
OCCUPATIONAL SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Occupational Safety 
and Health Review Commission, $15,028,000. 
RAILROAD RETIREMENT BOARD 
DUAL BENEFITS PAYMENTS ACCOUNT 
For payment to the Dual Benefits Payments Ac-
count, authorized under section 15(d) of the Railroad Re-
tirement Act of 1974, $11,000,000, which shall include 
amounts becoming available in fiscal year 2022 pursuant 
to section 224(c)(1)(B) of Public Law 98–76; and in addi-
tion, an amount, not to exceed 2 percent of the amount 
provided herein, shall be available proportional to the 
amount by which the product of recipients and the average 
benefit received exceeds the amount available for payment 
of vested dual benefits: Provided, That the total amount 
provided herein shall be credited in 12 approximately 
equal amounts on the first day of each month in the fiscal 
year. 
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FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 
ACCOUNTS 
For payment to the accounts established in the 
Treasury for the payment of benefits under the Railroad 
Retirement Act for interest earned on unnegotiated 
checks, $150,000, to remain available through September 
30, 2023, which shall be the maximum amount available 
for payment pursuant to section 417 of Public Law 98– 
76. 
LIMITATION ON ADMINISTRATION 
For necessary expenses for the Railroad Retirement 
Board (‘‘Board’’) for administration of the Railroad Re-
tirement Act and the Railroad Unemployment Insurance 
Act, $130,049,000, to be derived in such amounts as de-
termined by the Board from the railroad retirement ac-
counts and from moneys credited to the railroad unem-
ployment insurance administration fund: Provided, That 
notwithstanding section 7(b)(9) of the Railroad Retire-
ment Act this limitation may be used to hire attorneys 
only through the excepted service: Provided further, That 
the previous proviso shall not change the status under 
Federal employment laws of any attorney hired by the 
Railroad Retirement Board prior to January 1, 2013: Pro-
vided further, That notwithstanding section 7(b)(9) of the 
Railroad Retirement Act, this limitation may be used to 
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hire students attending qualifying educational institutions 
or individuals who have recently completed qualifying edu-
cational programs using current excepted hiring authori-
ties established by the Office of Personnel Management. 
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General for audit, investigatory and review activities, as 
authorized by the Inspector General Act of 1978, not more 
than $12,650,000, to be derived from the railroad retire-
ment accounts and railroad unemployment insurance ac-
count. 
SOCIAL SECURITY ADMINISTRATION 
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 
For payment to the Federal Old-Age and Survivors 
Insurance Trust Fund and the Federal Disability Insur-
ance Trust Fund, as provided under sections 201(m) and 
1131(b)(2) of the Social Security Act, $11,000,000. 
SUPPLEMENTAL SECURITY INCOME PROGRAM 
For carrying out titles XI and XVI of the Social Se-
curity Act, section 401 of Public Law 92–603, section 212 
of Public Law 93–66, as amended, and section 405 of 
Public Law 95–216, including payment to the Social Secu-
rity trust funds for administrative expenses incurred pur-
suant to section 201(g)(1) of the Social Security Act, 
$46,167,573,000, to remain available until expended: Pro-
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vided, That any portion of the funds provided to a State 
in the current fiscal year and not obligated by the State 
during that year shall be returned to the Treasury: Pro-
vided further, That not more than $86,000,000 shall be 
available for research and demonstrations under sections 
1110, 1115, and 1144 of the Social Security Act, and re-
main available through September 30, 2024. 
For making, after June 15 of the current fiscal year, 
benefit payments to individuals under title XVI of the So-
cial Security Act, for unanticipated costs incurred for the 
current fiscal year, such sums as may be necessary. 
For making benefit payments under title XVI of the 
Social Security Act for the first quarter of fiscal year 
2023, $15,600,000,000, to remain available until ex-
pended. 
LIMITATION ON ADMINISTRATIVE EXPENSES 
For necessary expenses, including the hire and pur-
chase of two passenger motor vehicles, and not to exceed 
$20,000 for official reception and representation expenses, 
not more than $13,927,945,000 may be expended, as au-
thorized by section 201(g)(1) of the Social Security Act, 
from any one or all of the trust funds referred to in such 
section: Provided, That not less than $2,700,000 shall be 
for the Social Security Advisory Board: Provided further, 
That unobligated balances of funds provided under this 
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paragraph at the end of fiscal year 2022 not needed for 
fiscal year 2022 shall remain available until expended to 
invest in the Social Security Administration information 
technology and telecommunications hardware and soft-
ware infrastructure, including related equipment and non- 
payroll administrative expenses associated solely with this 
information technology and telecommunications infra-
structure: Provided further, That the Commissioner of So-
cial Security shall notify the Committees on Appropria-
tions of the House of Representatives and the Senate prior 
to making unobligated balances available under the au-
thority in the previous proviso: Provided further, That re-
imbursement to the trust funds under this heading for ex-
penditures for official time for employees of the Social Se-
curity Administration pursuant to 5 U.S.C. 7131, and for 
facilities or support services for labor organizations pursu-
ant to policies, regulations, or procedures referred to in 
section 7135(b) of such title shall be made by the Sec-
retary of the Treasury, with interest, from amounts in the 
general fund not otherwise appropriated, as soon as pos-
sible after such expenditures are made. 
Of the total amount made available in the first para-
graph under this heading, $1,708,000,000, to remain 
available through March 31, 2023, is for the costs associ-
ated with continuing disability reviews under titles II and 
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XVI of the Social Security Act, including work-related 
continuing disability reviews to determine whether earn-
ings derived from services demonstrate an individual’s 
ability to engage in substantial gainful activity, for the 
cost associated with conducting redeterminations of eligi-
bility under title XVI of the Social Security Act, for the 
cost of co-operative disability investigation units, and for 
the cost associated with the prosecution of fraud in the 
programs and operations of the Social Security Adminis-
tration by Special Assistant United States Attorneys: Pro-
vided, That, of such amount, $273,000,000 is provided to 
meet the terms of section 1(k) of H. Res. 467 of the 117th 
Congress as engrossed in the House of Representatives on 
June 14, 2021, and $1,435,000,000 is additional new 
budget authority specified for purposes of such section 
1(k): Provided further, That, of the additional new budget 
authority described in the preceding proviso, up to 
$12,100,000 may be transferred to the ‘‘Office of Inspec-
tor General’’, Social Security Administration, for the cost 
of jointly operated co-operative disability investigation 
units: Provided further, That such transfer authority is in 
addition to any other transfer authority provided by law: 
Provided further, That the Commissioner shall provide to 
the Congress (at the conclusion of the fiscal year) a report 
on the obligation and expenditure of these funds, similar 
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to the reports that were required by section 103(d)(2) of 
Public Law 104–121 for fiscal years 1996 through 2002. 
In addition, $138,000,000 to be derived from admin-
istration fees in excess of $5.00 per supplementary pay-
ment collected pursuant to section 1616(d) of the Social 
Security Act or section 212(b)(3) of Public Law 93–66, 
which shall remain available until expended: Provided, 
That to the extent that the amounts collected pursuant 
to such sections in fiscal year 2022 exceed $138,000,000, 
the amounts shall be available in fiscal year 2023 only 
to the extent provided in advance in appropriations Acts. 
In addition, up to $1,000,000 to be derived from fees 
collected pursuant to section 303(c) of the Social Security 
Protection Act, which shall remain available until ex-
pended. 
OFFICE OF INSPECTOR GENERAL 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary for the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, $32,000,000, together with not to 
exceed $80,000,000, to be transferred and expended as 
authorized by section 201(g)(1) of the Social Security Act 
from the Federal Old-Age and Survivors Insurance Trust 
Fund and the Federal Disability Insurance Trust Fund: 
Provided, That $2,000,000 shall remain available until ex-
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pended for information technology modernization, includ-
ing related hardware and software infrastructure and 
equipment, and for administrative expenses directly asso-
ciate with information technology modernization. 
In addition, an amount not to exceed 3 percent of 
the total provided in this appropriation may be transferred 
from the ‘‘Limitation on Administrative Expenses’’, Social 
Security Administration, to be merged with this account, 
to be available for the time and purposes for which this 
account is available: Provided, That notice of such trans-
fers shall be transmitted promptly to the Committees on 
Appropriations of the House of Representatives and the 
Senate at least 15 days in advance of any transfer. 
TITLE V 
GENERAL PROVISIONS 
(TRANSFER OF FUNDS) 
SEC. 501. The Secretaries of Labor, Health and 
Human Services, and Education are authorized to transfer 
unexpended balances of prior appropriations to accounts 
corresponding to current appropriations provided in this 
Act. Such transferred balances shall be used for the same 
purpose, and for the same periods of time, for which they 
were originally appropriated. 
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SEC. 502. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 503. (a) No part of any appropriation contained 
in this Act or transferred pursuant to section 4002 of 
Public Law 111–148 shall be used, other than for normal 
and recognized executive-legislative relationships, for pub-
licity or propaganda purposes, for the preparation, dis-
tribution, or use of any kit, pamphlet, booklet, publication, 
electronic communication, radio, television, or video pres-
entation designed to support or defeat the enactment of 
legislation before the Congress or any State or local legis-
lature or legislative body, except in presentation to the 
Congress or any State or local legislature itself, or de-
signed to support or defeat any proposed or pending regu-
lation, administrative action, or order issued by the execu-
tive branch of any State or local government, except in 
presentation to the executive branch of any State or local 
government itself. 
(b) No part of any appropriation contained in this 
Act or transferred pursuant to section 4002 of Public Law 
111–148 shall be used to pay the salary or expenses of 
any grant or contract recipient, or agent acting for such 
recipient, related to any activity designed to influence the 
enactment of legislation, appropriations, regulation, ad-
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ministrative action, or Executive order proposed or pend-
ing before the Congress or any State government, State 
legislature or local legislature or legislative body, other 
than for normal and recognized executive-legislative rela-
tionships or participation by an agency or officer of a 
State, local or tribal government in policymaking and ad-
ministrative processes within the executive branch of that 
government. 
(c) The prohibitions in subsections (a) and (b) shall 
include any activity to advocate or promote any proposed, 
pending or future Federal, State or local tax increase, or 
any proposed, pending, or future requirement or restric-
tion on any legal consumer product, including its sale or 
marketing, including but not limited to the advocacy or 
promotion of gun control. 
SEC. 504. The Secretaries of Labor and Education 
are authorized to make available not to exceed $28,000 
and $20,000, respectively, from funds available for sala-
ries and expenses under titles I and III, respectively, for 
official reception and representation expenses; the Direc-
tor of the Federal Mediation and Conciliation Service is 
authorized to make available for official reception and rep-
resentation expenses not to exceed $5,000 from the funds 
available for ‘‘Federal Mediation and Conciliation Service, 
Salaries and Expenses’’; and the Chairman of the Na-
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