H. R. 133—463 
ARCHITECT OF THE CAPITOL 
CAPITAL CONSTRUCTION AND OPERATIONS 
For salaries for the Architect of the Capitol, and other personal 
services, at rates of pay provided by law; for all necessary expenses 
for surveys and studies, construction, operation, and general and 
administrative support in connection with facilities and activities 
under the care of the Architect of the Capitol including the Botanic 
Garden; electrical substations of the Capitol, Senate and House 
office buildings, and other facilities under the jurisdiction of the 
Architect of the Capitol; including furnishings and office equipment; 
including not more than $5,000 for official reception and representa-
tion expenses, to be expended as the Architect of the Capitol may 
approve; for purchase or exchange, maintenance, and operation 
of a passenger motor vehicle, $127,462,000, of which $1,500,000 
shall remain available until September 30, 2025. 
CAPITOL BUILDING 
For all necessary expenses for the maintenance, care and oper-
ation of the Capitol, $34,719,000, of which $6,099,000 shall remain 
available until September 30, 2025. 
CAPITOL GROUNDS 
For all necessary expenses for care and improvement of grounds 
surrounding the Capitol, the Senate and House office buildings, 
and the Capitol Power Plant, $20,560,000, of which $7,800,000 
shall remain available until September 30, 2025. 
SENATE OFFICE BUILDINGS 
For all necessary expenses for the maintenance, care and oper-
ation of Senate office buildings; and furniture and furnishings to 
be expended under the control and supervision of the Architect 
of the Capitol, $89,615,280, of which $22,200,000 shall remain 
available until September 30, 2025. 
HOUSE OFFICE BUILDINGS 
(INCLUDING TRANSFER OF FUNDS) 
For all necessary expenses for the maintenance, care and oper-
ation of the House office buildings, $138,780,000, of which 
$14,540,000 shall remain available until September 30, 2025, and 
of which $62,000,000 shall remain available until expended for 
the restoration and renovation of the Cannon House Office Building: 
Provided, That of the amount made available under this heading, 
$9,000,000 shall be derived by transfer from the House Office 
Building Fund established under section 176(d) of the Continuing 
Appropriations Act, 2017, as added by section 101(3) of the Further 
Continuing Appropriation Act, 2017 (Public Law 114–254; 2 U.S.C. 
2001 note). 
CAPITOL POWER PLANT 
For all necessary expenses for the maintenance, care and oper-
ation of the Capitol Power Plant; lighting, heating, power (including
H. R. 133—464 
the purchase of electrical energy) and water and sewer services 
for the Capitol, Senate and House office buildings, Library of Con-
gress buildings, and the grounds about the same, Botanic Garden, 
Senate garage, and air conditioning refrigeration not supplied from 
plants in any of such buildings; heating the Government Publishing 
Office and Washington City Post Office, and heating and chilled 
water for air conditioning for the Supreme Court Building, the 
Union Station complex, the Thurgood Marshall Federal Judiciary 
Building and the Folger Shakespeare Library, expenses for which 
shall be advanced or reimbursed upon request of the Architect 
of the Capitol and amounts so received shall be deposited into 
the Treasury to the credit of this appropriation, $97,761,000, of 
which $13,700,000 shall remain available until September 30, 2025: 
Provided, That not more than $10,000,000 of the funds credited 
or to be reimbursed to this appropriation as herein provided shall 
be available for obligation during fiscal year 2021. 
LIBRARY BUILDINGS AND GROUNDS 
For all necessary expenses for the mechanical and structural 
maintenance, care and operation of the Library buildings and 
grounds, $83,446,000, of which $51,600,000 shall remain available 
until September 30, 2025. 
CAPITOL POLICE BUILDINGS, GROUNDS AND SECURITY 
For all necessary expenses for the maintenance, care and oper-
ation of buildings, grounds and security enhancements of the United 
States Capitol Police, wherever located, the Alternate Computing 
Facility, and Architect of the Capitol security operations, 
$45,993,000, of which $15,700,000 shall remain available until Sep-
tember 30, 2025: Provided, That of the amounts made available 
under this heading, $2,500,000, to remain available until expended, 
shall be for the Joint Audible Warning System. 
BOTANIC GARDEN 
For all necessary expenses for the maintenance, care and oper-
ation of the Botanic Garden and the nurseries, buildings, grounds, 
and collections; and purchase and exchange, maintenance, repair, 
and operation of a passenger motor vehicle; all under the direction 
of the Joint Committee on the Library, $20,986,000, of which 
$8,300,000 shall remain available until September 30, 2025: Pro-
vided, That, of the amount made available under this heading, 
the Architect of the Capitol may obligate and expend such sums 
as may be necessary for the maintenance, care and operation of 
the National Garden established under section 307E of the Legisla-
tive Branch Appropriations Act, 1989 (2 U.S.C. 2146), upon vouchers 
approved by the Architect of the Capitol or a duly authorized 
designee. 
CAPITOL VISITOR CENTER 
For all necessary expenses for the operation of the Capitol 
Visitor Center, $24,751,000.
H. R. 133—465 
ADMINISTRATIVE PROVISION 
NO BONUSES FOR CONTRACTORS BEHIND SCHEDULE OR OVER BUDGET 
SEC. 130. None of the funds made available in this Act for 
the Architect of the Capitol may be used to make incentive or 
award payments to contractors for work on contracts or programs 
for which the contractor is behind schedule or over budget, unless 
the Architect of the Capitol, or agency-employed designee, deter-
mines that any such deviations are due to unforeseeable events, 
government-driven scope changes, or are not significant within the 
overall scope of the project and/or program. 
LIBRARY OF CONGRESS 
SALARIES AND EXPENSES 
For all necessary expenses of the Library of Congress not 
otherwise provided for, including development and maintenance 
of the Library’s catalogs; custody and custodial care of the Library 
buildings; information technology services provided centrally; spe-
cial clothing; cleaning, laundering and repair of uniforms; preserva-
tion of motion pictures in the custody of the Library; operation 
and maintenance of the American Folklife Center in the Library; 
preparation and distribution of catalog records and other publica-
tions of the Library; hire or purchase of one passenger motor 
vehicle; and expenses of the Library of Congress Trust Fund Board 
not properly chargeable to the income of any trust fund held by 
the Board, $523,654,000, and, in addition, amounts credited to 
this appropriation during fiscal year 2021 under the Act of June 
28, 1902 (chapter 1301; 32 Stat. 480; 2 U.S.C. 150), shall remain 
available until expended: Provided, That the Library of Congress 
may not obligate or expend any funds derived from collections 
under the Act of June 28, 1902, in excess of the amount authorized 
for obligation or expenditure in appropriations Acts: Provided fur-
ther, That of the total amount appropriated, not more than $18,000 
may be expended, on the certification of the Librarian of Congress, 
in connection with official representation and reception expenses, 
including for the Overseas Field Offices: Provided further, That 
of the total amount appropriated, $9,424,000 shall remain available 
until expended for the Teaching with Primary Sources program: 
Provided further, That of the total amount appropriated, $1,384,000 
shall remain available until expended for upgrade of the Legislative 
Branch Financial Management System: Provided further, That of 
the total amount appropriated, $250,000 shall remain available 
until expended for the Surplus Books Program to promote the 
program and facilitate a greater number of donations to eligible 
entities across the United States: Provided further, That of the 
total amount appropriated, $3,720,000 shall remain available until 
expended for the Veterans History Project to continue digitization 
efforts of already collected materials, reach a greater number of 
veterans to record their stories, and promote public access to the 
Project: Provided further, That of the total amount appropriated, 
$10,000,000 shall remain available until expended for the Library’s 
Visitor Experience project, and may be obligated and expended 
only upon approval by the Subcommittee on the Legislative Branch 
of the Committee on Appropriations of the House of Representatives
H. R. 133—466 
and by the Subcommittee on the Legislative Branch of the Com-
mittee on Appropriations of the Senate: Provided further, That 
of the total amount appropriated, $4,370,000 shall remain available 
until September 30, 2025, to complete the second of three phases 
of the shelving replacement in the Law Library’s collection storage 
areas: Provided further, That of the total amount appropriated, 
$2,500,000 shall remain available until September 30, 2022, for 
the phase-out and retirement of the de-acidification preservation 
program. 
COPYRIGHT OFFICE 
SALARIES AND EXPENSES 
For all necessary expenses of the Copyright Office, $93,416,000, 
of which not more than $38,004,000, to remain available until 
expended, shall be derived from collections credited to this appro-
priation during fiscal year 2021 under sections 708(d) and 1316 
of title 17, United States Code: Provided, That the Copyright Office 
may not obligate or expend any funds derived from collections 
under such section in excess of the amount authorized for obligation 
or expenditure in appropriations Acts: Provided further, That not 
more than $6,778,000 shall be derived from collections during fiscal 
year 2021 under sections 111(d)(2), 119(b)(3), 803(e), and 1005 
of such title: Provided further, That the total amount available 
for obligation shall be reduced by the amount by which collections 
are less than $44,782,000: Provided further, That of the funds 
provided under this heading, not less than $17,100,000 is for mod-
ernization initiatives, of which $10,000,000 shall remain available 
until September 30, 2022: Provided further, That not more than 
$100,000 of the amount appropriated is available for the mainte-
nance of an ‘‘International Copyright Institute’’ in the Copyright 
Office of the Library of Congress for the purpose of training 
nationals of developing countries in intellectual property laws and 
policies: Provided further, That not more than $6,500 may be 
expended, on the certification of the Librarian of Congress, in 
connection with official representation and reception expenses for 
activities of the International Copyright Institute and for copyright 
delegations, visitors, and seminars: Provided further, That, notwith-
standing any provision of chapter 8 of title 17, United States Code, 
any amounts made available under this heading which are attrib-
utable to royalty fees and payments received by the Copyright 
Office pursuant to sections 111, 119, and chapter 10 of such title 
may be used for the costs incurred in the administration of the 
Copyright Royalty Judges program, with the exception of the costs 
of salaries and benefits for the Copyright Royalty Judges and staff 
under section 802(e). 
CONGRESSIONAL RESEARCH SERVICE 
SALARIES AND EXPENSES 
For all necessary expenses to carry out the provisions of section 
203 of the Legislative Reorganization Act of 1946 (2 U.S.C. 166) 
and to revise and extend the Annotated Constitution of the United 
States of America, $125,495,000: Provided, That no part of such 
amount may be used to pay any salary or expense in connection 
with any publication, or preparation of material therefor (except
H. R. 133—467 
the Digest of Public General Bills), to be issued by the Library 
of Congress unless such publication has obtained prior approval 
of either the Committee on House Administration of the House 
of Representatives or the Committee on Rules and Administration 
of the Senate: Provided further, That this prohibition does not 
apply to publication of non-confidential Congressional Research 
Service (CRS) products: Provided further, That a non-confidential 
CRS product includes any written product containing research or 
analysis that is currently available for general congressional access 
on the CRS Congressional Intranet, or that would be made available 
on the CRS Congressional Intranet in the normal course of business 
and does not include material prepared in response to Congressional 
requests for confidential analysis or research. 
NATIONAL LIBRARY SERVICE FOR THE BLIND AND PRINT DISABLED 
SALARIES AND EXPENSES 
For all necessary expenses to carry out the Act of March 3, 
1931 (chapter 400; 46 Stat. 1487; 2 U.S.C. 135a), $59,563,000: 
Provided, That of the total amount appropriated, $650,000 shall 
be available to contract to provide newspapers to blind and print 
disabled residents at no cost to the individual. 
ADMINISTRATIVE PROVISION 
REIMBURSABLE AND REVOLVING FUND ACTIVITIES 
SEC. 140. (a) IN
GENERAL.—For fiscal year 2021, the 
obligational authority of the Library of Congress for the activities 
described in subsection (b) may not exceed $252,552,000. 
(b) ACTIVITIES.—The activities referred to in subsection (a) are 
reimbursable and revolving fund activities that are funded from 
sources other than appropriations to the Library in appropriations 
Acts for the legislative branch. 
GOVERNMENT PUBLISHING OFFICE 
CONGRESSIONAL PUBLISHING 
(INCLUDING TRANSFER OF FUNDS) 
For authorized publishing of congressional information and the 
distribution of congressional information in any format; publishing 
of Government publications authorized by law to be distributed 
to Members of Congress; and publishing, and distribution of Govern-
ment publications authorized by law to be distributed without 
charge to the recipient, $78,000,000: Provided, That this appropria-
tion shall not be available for paper copies of the permanent edition 
of the Congressional Record for individual Representatives, Resident 
Commissioners or Delegates authorized under section 906 of title 
44, United States Code: Provided further, That this appropriation 
shall be available for the payment of obligations incurred under 
the appropriations for similar purposes for preceding fiscal years: 
Provided further, That notwithstanding the 2-year limitation under 
section 718 of title 44, United States Code, none of the funds 
appropriated or made available under this Act or any other Act 
for printing and binding and related services provided to Congress
H. R. 133—468 
under chapter 7 of title 44, United States Code, may be expended 
to print a document, report, or publication after the 27-month 
period beginning on the date that such document, report, or publica-
tion is authorized by Congress to be printed, unless Congress 
reauthorizes such printing in accordance with section 718 of title 
44, United States Code: Provided further, That unobligated or unex-
pended balances of expired discretionary funds made available 
under this heading in this Act for this fiscal year may be transferred 
to, and merged with, funds under the heading ‘‘Government Pub-
lishing Office Business Operations Revolving Fund’’ no later than 
the end of the fifth fiscal year after the last fiscal year for which 
such funds are available for the purposes for which appropriated, 
to be available for carrying out the purposes of this heading, subject 
to the approval of the Committees on Appropriations of the House 
of Representatives and the Senate: Provided further, That notwith-
standing sections 901, 902, and 906 of title 44, United States 
Code, this appropriation may be used to prepare indexes to the 
Congressional Record on only a monthly and session basis. 
PUBLIC INFORMATION PROGRAMS OF THE SUPERINTENDENT OF 
DOCUMENTS 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For expenses of the public information programs of the Office 
of Superintendent of Documents necessary to provide for the cata-
loging and indexing of Government publications in any format, 
and their distribution to the public, Members of Congress, other 
Government agencies, and designated depository and international 
exchange libraries as authorized by law, $32,300,000: Provided, 
That amounts of not more than $2,000,000 from current year appro-
priations are authorized for producing and disseminating Congres-
sional serial sets and other related publications for the preceding 
two fiscal years to depository and other designated libraries: Pro-
vided further, That unobligated or unexpended balances of expired 
discretionary funds made available under this heading in this Act 
for this fiscal year may be transferred to, and merged with, funds 
under the heading ‘‘Government Publishing Office Business Oper-
ations Revolving Fund’’ no later than the end of the fifth fiscal 
year after the last fiscal year for which such funds are available 
for the purposes for which appropriated, to be available for carrying 
out the purposes of this heading, subject to the approval of the 
Committees on Appropriations of the House of Representatives and 
the Senate. 
GOVERNMENT PUBLISHING OFFICE BUSINESS OPERATIONS 
REVOLVING FUND 
For payment to the Government Publishing Office Business 
Operations Revolving Fund, $6,700,000, to remain available until 
expended, for information technology development and facilities 
repair: Provided, That the Government Publishing Office is hereby 
authorized to make such expenditures, within the limits of funds 
available and in accordance with law, and to make such contracts 
and commitments without regard to fiscal year limitations as pro-
vided by section 9104 of title 31, United States Code, as may
H. R. 133—469 
be necessary in carrying out the programs and purposes set forth 
in the budget for the current fiscal year for the Government Pub-
lishing Office Business Operations Revolving Fund: Provided fur-
ther, That not more than $7,500 may be expended on the certifi-
cation of the Director of the Government Publishing Office in 
connection with official representation and reception expenses: Pro-
vided further, That the Business Operations Revolving Fund shall 
be available for the hire or purchase of not more than 12 passenger 
motor vehicles: Provided further, That expenditures in connection 
with travel expenses of the advisory councils to the Director of 
the Government Publishing Office shall be deemed necessary to 
carry out the provisions of title 44, United States Code: Provided 
further, That the Business Operations Revolving Fund shall be 
available for temporary or intermittent services under section 
3109(b) of title 5, United States Code, but at rates for individuals 
not more than the daily equivalent of the annual rate of basic 
pay for level V of the Executive Schedule under section 5316 of 
such title: Provided further, That activities financed through the 
Business Operations Revolving Fund may provide information in 
any format: Provided further, That the Business Operations 
Revolving Fund and the funds provided under the heading ‘‘Public 
Information Programs of the Superintendent of Documents’’ may 
not be used for contracted security services at Government Pub-
lishing Office’s passport facility in the District of Columbia. 
GOVERNMENT ACCOUNTABILITY OFFICE 
SALARIES AND EXPENSES 
For necessary expenses of the Government Accountability 
Office, including not more than $12,500 to be expended on the 
certification of the Comptroller General of the United States in 
connection with official representation and reception expenses; tem-
porary or intermittent services under section 3109(b) of title 5, 
United States Code, but at rates for individuals not more than 
the daily equivalent of the annual rate of basic pay for level IV 
of the Executive Schedule under section 5315 of such title; hire 
of one passenger motor vehicle; advance payments in foreign coun-
tries in accordance with section 3324 of title 31, United States 
Code; benefits comparable to those payable under sections 901(5), 
(6), and (8) of the Foreign Service Act of 1980 (22 U.S.C. 4081(5), 
(6), and (8)); and under regulations prescribed by the Comptroller 
General of the United States, rental of living quarters in foreign 
countries, $661,139,000: Provided, That, in addition, $31,342,000 
of payments received under sections 782, 791, 3521, and 9105 
of title 31, United States Code, shall be available without fiscal 
year limitation: Provided further, That this appropriation and 
appropriations for administrative expenses of any other department 
or agency which is a member of the National Intergovernmental 
Audit Forum or a Regional Intergovernmental Audit Forum shall 
be available to finance an appropriate share of either Forum’s 
costs as determined by the respective Forum, including necessary 
travel expenses of non-Federal participants: Provided further, That 
payments hereunder to the Forum may be credited as reimburse-
ments to any appropriation from which costs involved are initially 
financed.
H. R. 133—470 
OPEN WORLD LEADERSHIP CENTER TRUST FUND 
For a payment to the Open World Leadership Center Trust 
Fund for financing activities of the Open World Leadership Center 
under section 313 of the Legislative Branch Appropriations Act, 
2001 (2 U.S.C. 1151), $6,000,000: Provided, That funds made avail-
able to support Russian participants shall only be used for those 
engaging in free market development, humanitarian activities, and 
civic engagement, and shall not be used for officials of the central 
government of Russia. 
JOHN C. STENNIS CENTER FOR PUBLIC SERVICE TRAINING 
AND DEVELOPMENT 
For payment to the John C. Stennis Center for Public Service 
Development Trust Fund established under section 116 of the John 
C. Stennis Center for Public Service Training and Development 
Act (2 U.S.C. 1105), $430,000. 
TITLE II 
GENERAL PROVISIONS 
MAINTENANCE AND CARE OF PRIVATE VEHICLES 
SEC. 201. No part of the funds appropriated in this Act shall 
be used for the maintenance or care of private vehicles, except 
for emergency assistance and cleaning as may be provided under 
regulations relating to parking facilities for the House of Represent-
atives issued by the Committee on House Administration and for 
the Senate issued by the Committee on Rules and Administration. 
FISCAL YEAR LIMITATION 
SEC. 202. No part of the funds appropriated in this Act shall 
remain available for obligation beyond fiscal year 2021 unless 
expressly so provided in this Act. 
RATES OF COMPENSATION AND DESIGNATION 
SEC. 203. Whenever in this Act any office or position not specifi-
cally established by the Legislative Pay Act of 1929 (46 Stat. 32 
et seq.) is appropriated for or the rate of compensation or designa-
tion of any office or position appropriated for is different from 
that specifically established by such Act, the rate of compensation 
and the designation in this Act shall be the permanent law with 
respect thereto: Provided, That the provisions in this Act for the 
various items of official expenses of Members, officers, and commit-
tees of the Senate and House of Representatives, and clerk hire 
for Senators and Members of the House of Representatives shall 
be the permanent law with respect thereto. 
CONSULTING SERVICES 
SEC. 204. The expenditure of any appropriation under this 
Act for any consulting service through procurement contract, under 
section 3109 of title 5, United States Code, shall be limited to 
those contracts where such expenditures are a matter of public 
record and available for public inspection, except where otherwise
H. R. 133—471 
provided under existing law, or under existing Executive order 
issued under existing law. 
COSTS OF LBFMC 
SEC. 205. Amounts available for administrative expenses of 
any legislative branch entity which participates in the Legislative 
Branch Financial Managers Council (LBFMC) established by 
charter on March 26, 1996, shall be available to finance an appro-
priate share of LBFMC costs as determined by the LBFMC, except 
that the total LBFMC costs to be shared among all participating 
legislative branch entities (in such allocations among the entities 
as the entities may determine) may not exceed $2,000. 
LIMITATION ON TRANSFERS 
SEC. 206. None of the funds made available in this Act may 
be transferred to any department, agency, or instrumentality of 
the United States Government, except pursuant to a transfer made 
by, or transfer authority provided in, this Act or any other appro-
priation Act. 
GUIDED TOURS OF THE CAPITOL 
SEC. 207. (a) Except as provided in subsection (b), none of 
the funds made available to the Architect of the Capitol in this 
Act may be used to eliminate or restrict guided tours of the United 
States Capitol which are led by employees and interns of offices 
of Members of Congress and other offices of the House of Represent-
atives and Senate, unless through regulations as authorized by 
section 402(b)(8) of the Capitol Visitor Center Act of 2008 (2 U.S.C. 
2242(b)(8)). 
(b) At the direction of the Capitol Police Board, or at the 
direction of the Architect of the Capitol with the approval of the 
Capitol Police Board, guided tours of the United States Capitol 
which are led by employees and interns described in subsection 
(a) may be suspended temporarily or otherwise subject to restriction 
for security or related reasons to the same extent as guided tours 
of the United States Capitol which are led by the Architect of 
the Capitol. 
LIMITATION ON TELECOMMUNICATIONS EQUIPMENT PROCUREMENT 
SEC. 208. (a) None of the funds appropriated or otherwise 
made available under this Act may be used to acquire telecommuni-
cations equipment produced by Huawei Technologies Company or 
ZTE Corporation for a high or moderate impact information system, 
as defined for security categorization in the National Institute of 
Standards and Technology’s (NIST) Federal Information Processing 
Standard Publication 199, ‘‘Standards for Security Categorization 
of Federal Information and Information Systems’’ unless the agency, 
office, or other entity acquiring the equipment or system has— 
(1) reviewed the supply chain risk for the information 
systems against criteria developed by NIST to inform acquisi-
tion decisions for high or moderate impact information systems 
within the Federal Government;
H. R. 133—472 
(2) reviewed the supply chain risk from the presumptive 
awardee against available and relevant threat information pro-
vided by the Federal Bureau of Investigation and other appro-
priate agencies; and 
(3) in consultation with the Federal Bureau of Investigation 
or other appropriate Federal entity, conducted an assessment 
of any risk of cyber-espionage or sabotage associated with the 
acquisition of such telecommunications equipment for inclusion 
in a high or moderate impact system, including any risk associ-
ated with such system being produced, manufactured, or assem-
bled by one or more entities identified by the United States 
Government as posing a cyber threat, including but not limited 
to, those that may be owned, directed, or subsidized by the 
People’s Republic of China, the Islamic Republic of Iran, the 
Democratic People’s Republic of Korea, or the Russian Federa-
tion. 
(b) None of the funds appropriated or otherwise made available 
under this Act may be used to acquire a high or moderate impact 
information system reviewed and assessed under subsection (a) 
unless the head of the assessing entity described in subsection 
(a) has— 
(1) developed, in consultation with NIST and supply chain 
risk management experts, a mitigation strategy for any identi-
fied risks; 
(2) determined, in consultation with NIST and the Federal 
Bureau of Investigation, that the acquisition of such tele-
communications equipment for inclusion in a high or moderate 
impact system is in the vital national security interest of the 
United States; and 
(3) reported that determination to the Committees on 
Appropriations of the House of Representatives and the Senate 
in a manner that identifies the telecommunications equipment 
for inclusion in a high or moderate impact system intended 
for acquisition and a detailed description of the mitigation 
strategies identified in paragraph (1), provided that such report 
may include a classified annex as necessary. 
PROHIBITION ON CERTAIN OPERATIONAL EXPENSES 
SEC. 209. (a) None of the funds made available in this Act 
may be used to maintain or establish a computer network unless 
such network blocks the viewing, downloading, and exchanging 
of pornography. 
(b) Nothing in subsection (a) shall limit the use of funds nec-
essary for any Federal, State, tribal, or local law enforcement agency 
or any other entity carrying out criminal investigations, prosecution, 
or adjudication activities or other official government activities. 
PLASTIC WASTE REDUCTION 
SEC. 210. All agencies and offices funded by this division that 
contract with a food service provider or providers shall confer and 
coordinate with such food service provider or providers, in consulta-
tion with disability advocacy groups, to eliminate or reduce plastic 
waste, including waste from plastic straws, explore the use of bio-
degradable items, and increase recycling and composting opportuni-
ties.
H. R. 133—473 
JOINT CONGRESSIONAL COMMITTEE ON INAUGURAL CEREMONIES OF 
2021 
SEC. 211. There is hereby appropriated $2,000,000, for the 
same purposes and under the same authorities and conditions as 
amounts made available under the heading ‘‘Joint Items—Joint 
Congressional Committee on Inaugural Ceremonies of 2021’’ in 
division E of the Further Consolidated Appropriations Act, 2020 
(Public Law 116–94). 
CAPITOL COMPLEX HEALTH AND SAFETY 
SEC. 212. In addition to the amounts appropriated under this 
Act under the heading ‘‘Office of the Attending Physician’’, there 
is hereby appropriated to the Office of the Attending Physician 
$5,000,000, to remain available until expended, for response to 
COVID–19, including testing, subject to the same terms and condi-
tions as the amounts appropriated under such heading. 
GOVERNMENT ACCOUNTABILITY OFFICE SUPPLEMENTAL OVERSIGHT 
SEC. 213. For an additional amount for ‘‘Salaries and Expenses’’, 
$10,000,000, to remain available until expended, to prevent, prepare 
for, and respond to coronavirus, which shall be for audits and 
investigations, as authorized by this title: Provided, That not later 
than 90 days after the date of enactment of this Act, the Govern-
ment Accountability Office shall submit to the Committees on 
Appropriations of the House of Representatives and the Senate 
a spend plan specifying funding estimates and a timeline for such 
audits and investigations: Provided further, That such amount is 
designated by the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
This division may be cited as the ‘‘Legislative Branch Appro-
priations Act, 2021’’. 
DIVISION J—MILITARY CONSTRUCTION, VETERANS AF-
FAIRS, AND RELATED AGENCIES APPROPRIATIONS 
ACT, 2021 
TITLE I 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, ARMY 
For acquisition, construction, installation, and equipment of 
temporary or permanent public works, military installations, facili-
ties, and real property for the Army as currently authorized by 
law, including personnel in the Army Corps of Engineers and other 
personal services necessary for the purposes of this appropriation, 
and for construction and operation of facilities in support of the 
functions of the Commander in Chief, $628,900,000, to remain 
available until September 30, 2025: Provided, That, of this amount, 
not to exceed $147,000,000 shall be available for study, planning, 
design, architect and engineer services, and host nation support, 
as authorized by law, unless the Secretary of the Army determines 
that additional obligations are necessary for such purposes and
H. R. 133—474 
notifies the Committees on Appropriations of both Houses of Con-
gress of the determination and the reasons therefor. 
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 
For acquisition, construction, installation, and equipment of 
temporary or permanent public works, naval installations, facilities, 
and real property for the Navy and Marine Corps as currently 
authorized by law, including personnel in the Naval Facilities 
Engineering Command and other personal services necessary for 
the purposes of this appropriation, $1,716,144,000, to remain avail-
able until September 30, 2025: Provided, That, of this amount, 
not to exceed $261,710,000 shall be available for study, planning, 
design, and architect and engineer services, as authorized by law, 
unless the Secretary of the Navy determines that additional obliga-
tions are necessary for such purposes and notifies the Committees 
on Appropriations of both Houses of Congress of the determination 
and the reasons therefor. 
MILITARY CONSTRUCTION, AIR FORCE 
For acquisition, construction, installation, and equipment of 
temporary or permanent public works, military installations, facili-
ties, and real property for the Air Force as currently authorized 
by law, $616,156,000, to remain available until September 30, 2025: 
Provided, That, of this amount, not to exceed $212,556,000 shall 
be available for study, planning, design, and architect and engineer 
services, as authorized by law, unless the Secretary of the Air 
Force determines that additional obligations are necessary for such 
purposes and notifies the Committees on Appropriations of both 
Houses of Congress of the determination and the reasons therefor. 
MILITARY CONSTRUCTION, DEFENSE-WIDE 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition, construction, installation, and equipment of 
temporary or permanent public works, installations, facilities, and 
real property for activities and agencies of the Department of 
Defense (other than the military departments), as currently author-
ized by law, $2,041,909,000, to remain available until September 
30, 2025: Provided, That such amounts of this appropriation as 
may be determined by the Secretary of Defense may be transferred 
to such appropriations of the Department of Defense available for 
military construction or family housing as the Secretary may des-
ignate, to be merged with and to be available for the same purposes, 
and for the same time period, as the appropriation or fund to 
which transferred: Provided further, That, of the amount, not to 
exceed $162,076,000 shall be available for study, planning, design, 
and architect and engineer services, as authorized by law, unless 
the Secretary of Defense determines that additional obligations 
are necessary for such purposes and notifies the Committees on 
Appropriations of both Houses of Congress of the determination 
and the reasons therefor.
H. R. 133—475 
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD 
For construction, acquisition, expansion, rehabilitation, and 
conversion of facilities for the training and administration of the 
Army National Guard, and contributions therefor, as authorized 
by chapter 1803 of title 10, United States Code, and Military 
Construction Authorization Acts, $349,437,000, to remain available 
until September 30, 2025: Provided, That, of the amount, not to 
exceed $44,593,000 shall be available for study, planning, design, 
and architect and engineer services, as authorized by law, unless 
the Director of the Army National Guard determines that additional 
obligations are necessary for such purposes and notifies the Commit-
tees on Appropriations of both Houses of Congress of the determina-
tion and the reasons therefor. 
MILITARY CONSTRUCTION, AIR NATIONAL GUARD 
For construction, acquisition, expansion, rehabilitation, and 
conversion of facilities for the training and administration of the 
Air National Guard, and contributions therefor, as authorized by 
chapter 1803 of title 10, United States Code, and Military Construc-
tion Authorization Acts, $64,214,000, to remain available until Sep-
tember 30, 2025: Provided, That, of the amount, not to exceed 
$3,414,000 shall be available for study, planning, design, and 
architect and engineer services, as authorized by law, unless the 
Director of the Air National Guard determines that additional 
obligations are necessary for such purposes and notifies the Commit-
tees on Appropriations of both Houses of Congress of the determina-
tion and the reasons therefor. 
MILITARY CONSTRUCTION, ARMY RESERVE 
For construction, acquisition, expansion, rehabilitation, and 
conversion of facilities for the training and administration of the 
Army Reserve as authorized by chapter 1803 of title 10, United 
States Code, and Military Construction Authorization Acts, 
$88,337,000, to remain available until September 30, 2025: Pro-
vided, That, of the amount, not to exceed $1,218,000 shall be 
available for study, planning, design, and architect and engineer 
services, as authorized by law, unless the Chief of the Army Reserve 
determines that additional obligations are necessary for such pur-
poses and notifies the Committees on Appropriations of both Houses 
of Congress of the determination and the reasons therefor. 
MILITARY CONSTRUCTION, NAVY RESERVE 
For construction, acquisition, expansion, rehabilitation, and 
conversion of facilities for the training and administration of the 
reserve components of the Navy and Marine Corps as authorized 
by chapter 1803 of title 10, United States Code, and Military 
Construction Authorization Acts, $70,995,000, to remain available 
until September 30, 2025: Provided, That, of the amount, not to 
exceed $3,485,000 shall be available for study, planning, design, 
and architect and engineer services, as authorized by law, unless 
the Secretary of the Navy determines that additional obligations 
are necessary for such purposes and notifies the Committees on 
Appropriations of both Houses of Congress of the determination 
and the reasons therefor.
H. R. 133—476 
MILITARY CONSTRUCTION, AIR FORCE RESERVE 
For construction, acquisition, expansion, rehabilitation, and 
conversion of facilities for the training and administration of the 
Air Force Reserve as authorized by chapter 1803 of title 10, United 
States Code, and Military Construction Authorization Acts, 
$23,117,000, to remain available until September 30, 2025: Pro-
vided, That, of the amount, not to exceed $3,270,000 shall be 
available for study, planning, design, and architect and engineer 
services, as authorized by law, unless the Chief of the Air Force 
Reserve determines that additional obligations are necessary for 
such purposes and notifies the Committees on Appropriations of 
both Houses of Congress of the determination and the reasons 
therefor. 
NORTH ATLANTIC TREATY ORGANIZATION 
SECURITY INVESTMENT PROGRAM 
For the United States share of the cost of the North Atlantic 
Treaty Organization Security Investment Program for the acquisi-
tion and construction of military facilities and installations 
(including international military headquarters) and for related 
expenses for the collective defense of the North Atlantic Treaty 
Area as authorized by section 2806 of title 10, United States Code, 
and Military Construction Authorization Acts, $173,030,000, to 
remain available until expended. 
DEPARTMENT OF DEFENSE BASE CLOSURE ACCOUNT 
For deposit into the Department of Defense Base Closure 
Account, established by section 2906(a) of the Defense Base Closure 
and Realignment Act of 1990 (10 U.S.C. 2687 note), $480,447,000, 
to remain available until expended. 
FAMILY HOUSING CONSTRUCTION, ARMY 
For expenses of family housing for the Army for construction, 
including acquisition, replacement, addition, expansion, extension, 
and alteration, as authorized by law, $119,400,000, to remain avail-
able until September 30, 2025. 
FAMILY HOUSING OPERATION AND MAINTENANCE, ARMY 
For expenses of family housing for the Army for operation 
and maintenance, including debt payment, leasing, minor construc-
tion, principal and interest charges, and insurance premiums, as 
authorized by law, $352,342,000. 
FAMILY HOUSING CONSTRUCTION, NAVY AND MARINE CORPS 
For expenses of family housing for the Navy and Marine Corps 
for construction, including acquisition, replacement, addition, 
expansion, extension, and alteration, as authorized by law, 
$42,897,000, to remain available until September 30, 2025.
H. R. 133—477 
FAMILY HOUSING OPERATION AND MAINTENANCE, NAVY AND 
MARINE CORPS 
For expenses of family housing for the Navy and Marine Corps 
for operation and maintenance, including debt payment, leasing, 
minor construction, principal and interest charges, and insurance 
premiums, as authorized by law, $346,493,000. 
FAMILY HOUSING CONSTRUCTION, AIR FORCE 
For expenses of family housing for the Air Force for construc-
tion, including acquisition, replacement, addition, expansion, exten-
sion, and alteration, as authorized by law, $97,214,000, to remain 
available until September 30, 2025. 
FAMILY HOUSING OPERATION AND MAINTENANCE, AIR FORCE 
For expenses of family housing for the Air Force for operation 
and maintenance, including debt payment, leasing, minor construc-
tion, principal and interest charges, and insurance premiums, as 
authorized by law, $317,021,000. 
FAMILY HOUSING OPERATION AND MAINTENANCE, DEFENSE-WIDE 
For expenses of family housing for the activities and agencies 
of the Department of Defense (other than the military departments) 
for operation and maintenance, leasing, and minor construction, 
as authorized by law, $54,728,000. 
DEPARTMENT OF DEFENSE 
FAMILY HOUSING IMPROVEMENT FUND 
For the Department of Defense Family Housing Improvement 
Fund, $5,897,000, to remain available until expended, for family 
housing initiatives undertaken pursuant to section 2883 of title 
10, United States Code, providing alternative means of acquiring 
and improving military family housing and supporting facilities. 
DEPARTMENT OF DEFENSE 
MILITARY UNACCOMPANIED HOUSING IMPROVEMENT FUND 
For the Department of Defense Military Unaccompanied 
Housing Improvement Fund, $600,000, to remain available until 
expended, for unaccompanied housing initiatives undertaken pursu-
ant to section 2883 of title 10, United States Code, providing alter-
native means of acquiring and improving military unaccompanied 
housing and supporting facilities. 
ADMINISTRATIVE PROVISIONS 
SEC. 101. None of the funds made available in this title shall 
be expended for payments under a cost-plus-a-fixed-fee contract 
for construction, where cost estimates exceed $25,000, to be per-
formed within the United States, except Alaska, without the specific 
approval in writing of the Secretary of Defense setting forth the 
reasons therefor.
H. R. 133—1599 
‘‘(ii) PARTICIPATING PROVIDER.—The term ‘partici-
pating provider’ means, with respect to an item or 
service and a group health plan or group health insur-
ance coverage offered by a health insurance issuer, 
a physician or other health care provider who is acting 
within the scope of practice of that provider’s license 
or certification under applicable State law and who 
has a contractual relationship with the plan or issuer, 
respectively, for furnishing such item or service under 
the plan or coverage, respectively. 
‘‘(H) RECOGNIZED
AMOUNT.—The term ‘recognized 
amount’ means, with respect to an item or service furnished 
by a nonparticipating provider or nonparticipating emer-
gency facility during a year and a group health plan or 
group health insurance coverage offered by a health insur-
ance issuer— 
‘‘(i) subject to clause (iii), in the case of such item 
or service furnished in a State that has in effect a 
specified State law with respect to such plan, coverage, 
or issuer, respectively; such a nonparticipating provider 
or nonparticipating emergency facility; and such an 
item or service, the amount determined in accordance 
with such law; 
‘‘(ii) subject to clause (iii), in the case of such 
item or service furnished in a State that does not 
have in effect a specified State law, with respect to 
such plan, coverage, or issuer, respectively; such a 
nonparticipating provider or nonparticipating emer-
gency facility; and such an item or service, the amount 
that is the qualifying payment amount (as defined 
in subparagraph (E)) for such year and determined 
in accordance with rulemaking described in paragraph 
(2)) for such item or service; or 
‘‘(iii) in the case of such item or service furnished 
in a State with an All-Payer Model Agreement under 
section 1115A of the Social Security Act, the amount 
that the State approves under such system for such 
item or service so furnished. 
‘‘(I) SPECIFIED STATE LAW.—The term ‘specified State 
law’ means, with respect to a State, an item or service 
furnished by a nonparticipating provider or nonpartici-
pating emergency facility during a year and a group health 
plan or group health insurance coverage offered by a health 
insurance issuer, a State law that provides for a method 
for determining the total amount payable under such a 
plan, coverage, or issuer, respectively (to the extent such 
State law applies to such plan, coverage, or issuer, subject 
to section 514) in the case of a participant or beneficiary 
covered under such plan or coverage and receiving such 
item or service from such a nonparticipating provider or 
nonparticipating emergency facility. 
‘‘(J) STABILIZE.—The term ‘to stabilize’, with respect 
to an emergency medical condition (as defined in subpara-
graph (B)), has the meaning give in section 1867(e)(3) of 
the Social Security Act (42 U.S.C. 1395dd(e)(3)). 
‘‘(K) OUT-OF-NETWORK RATE.—The term ‘out-of-network 
rate’ means, with respect to an item or service furnished
H. R. 133—1605 
‘‘(2) AUDIT PROCESS AND REGULATIONS FOR QUALIFYING PAY-
MENT AMOUNTS.— 
‘‘(A) AUDIT PROCESS.— 
‘‘(i) IN GENERAL.—Not later than October 1, 2021, 
the Secretary, in consultation with the Secretary of 
Health and Human Services and the Secretary of 
Labor, shall establish through rulemaking a process, 
in accordance with clause (ii), under which group 
health plans are audited by the Secretary or applicable 
State authority to ensure that— 
‘‘(I) such plans are in compliance with the 
requirement of applying a qualifying payment 
amount under this section; and 
‘‘(II) such qualifying payment amount so 
applied satisfies the definition under paragraph 
(3)(E) with respect to the year involved, including 
with respect to a group health plan described in 
clause (ii) of such paragraph (3)(E). 
‘‘(ii) AUDIT
SAMPLES.—Under the process estab-
lished pursuant to clause (i), the Secretary— 
‘‘(I) shall conduct audits described in such 
clause, with respect to a year (beginning with 
2022), of a sample with respect to such year of 
claims data from not more than 25 group health 
plans; and 
‘‘(II) may audit any group health plan if the 
Secretary has received any complaint or other 
information about such plan or coverage, respec-
tively, that involves the compliance of the plan 
with either of the requirements described in sub-
clauses (I) and (II) of such clause. 
‘‘(iii) REPORTS.—Beginning for 2022, the Secretary 
shall annually submit to Congress a report on the 
number of plans and issuers with respect to which 
audits were conducted during such year pursuant to 
this subparagraph. 
‘‘(B) RULEMAKING.—Not later than July 1, 2021, the 
Secretary, in consultation with the Secretary of Labor and 
the Secretary of Health and Human Services, shall estab-
lish through rulemaking— 
‘‘(i) the methodology the group health plan shall 
use to determine the qualifying payment amount, dif-
ferentiating by large group market and small group 
market; 
‘‘(ii) the information such plan or issuer, respec-
tively, shall share with the nonparticipating provider 
or nonparticipating facility, as applicable, when 
making such a determination; 
‘‘(iii) the geographic regions applied for purposes 
of this subparagraph, taking into account access to 
items and services in rural and underserved areas, 
including health professional shortage areas, as defined 
in section 332 of the Public Health Service Act; and 
‘‘(iv) a process to receive complaints of violations 
of the requirements described in subclauses (I) and 
(II) of subparagraph (A)(i) by group health plans.
H. R. 133—1611 
‘‘(i) NONPARTICIPATING PROVIDER.—The term ‘non-
participating provider’ means, with respect to an item 
or service and a group health plan, a physician or 
other health care provider who is acting within the 
scope of practice of that provider’s license or certifi-
cation under applicable State law and who does not 
have a contractual relationship with the plan or issuer, 
respectively, for furnishing such item or service under 
the plan. 
‘‘(ii) PARTICIPATING PROVIDER.—The term ‘partici-
pating provider’ means, with respect to an item or 
service and a group health plan, a physician or other 
health care provider who is acting within the scope 
of practice of that provider’s license or certification 
under applicable State law and who has a contractual 
relationship with the plan for furnishing such item 
or service under the plan. 
‘‘(H) RECOGNIZED
AMOUNT.—The term ‘recognized 
amount’ means, with respect to an item or service furnished 
by a nonparticipating provider or nonparticipating emer-
gency facility during a year and a group health plan— 
‘‘(i) subject to clause (iii), in the case of such item 
or service furnished in a State that has in effect a 
specified State law with respect to such plan; such 
a nonparticipating provider or nonparticipating emer-
gency facility; and such an item or service, the amount 
determined in accordance with such law; 
‘‘(ii) subject to clause (iii), in the case of such 
item or service furnished in a State that does not 
have in effect a specified State law, with respect to 
such plan; such a nonparticipating provider or non-
participating emergency facility; and such an item or 
service, the amount that is the qualifying payment 
amount (as defined in subparagraph (E)) for such year 
and determined in accordance with rulemaking 
described in paragraph (2)(B)) for such item or service; 
or 
‘‘(iii) in the case of such item or service furnished 
in a State with an All-Payer Model Agreement under 
section 1115A of the Social Security Act, the amount 
that the State approves under such system for such 
item or service so furnished. 
‘‘(I) SPECIFIED STATE LAW.—The term ‘specified State 
law’ means, with respect to a State, an item or service 
furnished by a nonparticipating provider or nonpartici-
pating emergency facility during a year and a group health 
plan, a State law that provides for a method for deter-
mining the total amount payable under such a plan (to 
the extent such State law applies to such plan, subject 
to section 514) in the case of a participant or beneficiary 
covered under such plan and receiving such item or service 
from such a nonparticipating provider or nonparticipating 
emergency facility. 
‘‘(J) STABILIZE.—The term ‘to stabilize’, with respect 
to an emergency medical condition (as defined in subpara-
graph (B)), has the meaning give in section 1867(e)(3) of 
the Social Security Act (42 U.S.C. 1395dd(e)(3)).
H. R. 133—1621 
‘‘(i) shall each submit to the certified IDR entity 
with respect to such determination— 
‘‘(I) an offer for a payment amount for such 
item or service furnished by such provider or 
facility; and 
‘‘(II) such information as requested by the cer-
tified IDR entity relating to such offer; and 
‘‘(ii) may each submit to the certified IDR entity 
with respect to such determination any information 
relating to such offer submitted by either party, 
including information relating to any circumstance 
described in subparagraph (C)(ii). 
‘‘(C) CONSIDERATIONS IN DETERMINATION.— 
‘‘(i) IN GENERAL.—In determining which offer is 
the payment to be applied pursuant to this paragraph, 
the certified IDR entity, with respect to the determina-
tion for a qualified IDR item or service shall consider— 
‘‘(I) the qualifying payment amounts (as 
defined in subsection (a)(3)(E)) for the applicable 
year for items or services that are comparable 
to the qualified IDR item or service and that are 
furnished in the same geographic region (as 
defined by the Secretary for purposes of such sub-
section) as such qualified IDR item or service; 
and 
‘‘(II) subject to subparagraph (D), information 
on any circumstance described in clause (ii), such 
information 
as 
requested 
in 
subparagraph 
(B)(i)(II), and any additional information provided 
in subparagraph (B)(ii). 
‘‘(ii) ADDITIONAL CIRCUMSTANCES.—For purposes of 
clause (i)(II), the circumstances described in this clause 
are, with respect to a qualified IDR item or service 
of a nonparticipating provider, nonparticipating emer-
gency facility, group health plan, or health insurance 
issuer of group or individual health insurance coverage 
the following: 
‘‘(I) The level of training, experience, and 
quality and outcomes measurements of the pro-
vider or facility that furnished such item or service 
(such as those endorsed by the consensus-based 
entity authorized in section 1890 of the Social 
Security Act). 
‘‘(II) The market share held by the nonpartici-
pating provider or facility or that of the plan or 
issuer in the geographic region in which the item 
or service was provided. 
‘‘(III) The acuity of the individual receiving 
such item or service or the complexity of furnishing 
such item or service to such individual. 
‘‘(IV) The teaching status, case mix, and scope 
of services of the nonparticipating facility that fur-
nished such item or service. 
‘‘(V) Demonstrations of good faith efforts (or 
lack of good faith efforts) made by the nonpartici-
pating provider or nonparticipating facility or the 
plan or issuer to enter into network agreements
H. R. 133—1647 
beneficiary, or enrollee) a written notice in accordance with sub-
section (d)(1)(B), with respect to furnishing an item or service 
to such participant, beneficiary, or enrollee, shall retain such notice 
for at least a 7-year period after the date on which such item 
or service is so furnished. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The terms ‘nonparticipating provider’ and ‘participating 
provider’ have the meanings given such terms, respectively, 
in subsection (a)(3) of section 2799A–1. 
‘‘(2) The term ‘participating health care facility’ has the 
meaning given such term in subsection (b)(2) of section 2799A– 
1. 
‘‘(3) The term ‘nonparticipating facility’ means— 
‘‘(A) with respect to emergency services (as defined 
in section 2799A–1(a)(3)(C)(i)) and a group health plan 
or group or individual health insurance coverage offered 
by a health insurance issuer, an emergency department 
of a hospital, or an independent freestanding emergency 
department, that does not have a contractual relationship 
with the plan or issuer, respectively, with respect to the 
furnishing of such services under the plan or coverage, 
respectively; and 
‘‘(B) with respect to services described in section 
2799A–1(a)(3)(C)(ii) and a group health plan or group or 
individual health insurance coverage offered by a health 
insurance issuer, a hospital or an independent freestanding 
emergency department, that does not have a contractual 
relationship with the plan or issuer, respectively, with 
respect to the furnishing of such services under the plan 
or coverage, respectively. 
‘‘(4) The term ‘participating facility’ means— 
‘‘(A) with respect to emergency services (as defined 
in clause (i) of section 2799A–1(a)(3)(C)) that are not 
described in clause(ii) of such section and a group health 
plan or group or individual health insurance coverage 
offered by a health insurance issuer, an emergency depart-
ment of a hospital, or an independent freestanding emer-
gency department, that has a direct or indirect contractual 
relationship with the plan or issuer, respectively, with 
respect to the furnishing of such services under the plan 
or coverage, respectively; and 
‘‘(B) with respect to services that pursuant to clause 
(ii) of section 2799A–1(a)(3)(C), of section 9816(a)(3) of the 
Internal Revenue Code of 1986, and of section 716(a)(3) 
of the Employee Retirement Income Security Act of 1974, 
as applicable are included as emergency services (as defined 
in clause (i) of such section and a group health plan or 
group or individual health insurance coverage offered by 
a health insurance issuer, a hospital or an independent 
freestanding emergency department, that has a contractual 
relationship with the plan or coverage, respectively, with 
respect to the furnishing of such services under the plan 
or coverage, respectively.
H. R. 133—1662 
‘‘(A) IN GENERAL.—For each calendar quarter in 2022 
and each calendar quarter in a subsequent year, the Sec-
retary shall publish on the public website of the Depart-
ment of Labor— 
‘‘(i) the number of notifications submitted under 
the IDR process during such calendar quarter; 
‘‘(ii) the number of such notifications with respect 
to which a final determination was made under para-
graph (5)(A); 
‘‘(iii) the information described in subparagraph 
(B) with respect to each notification with respect to 
which such a determination was so made. 
‘‘(iv) the number of times the payment amount 
determined (or agreed to) under this subsection exceeds 
the qualifying payment amount; 
‘‘(v) the amount of expenditures made by the Sec-
retary during such calendar quarter to carry out the 
IDR process; 
‘‘(vi) the total amount of fees paid under paragraph 
(8) during such calendar quarter; and 
‘‘(vii) the total amount of compensation paid to 
certified IDR entities under paragraph (5)(E)during 
such calendar quarter. 
‘‘(B) INFORMATION WITH RESPECT TO REQUESTS.—For 
purposes of subparagraph (A), the information described 
in this subparagraph is, with respect to a notification under 
the IDR process of a nonparticipating provider, group 
health plan, or health insurance issuer offering group 
health insurance coverage— 
‘‘(i) a description of each air ambulance service 
included in such notification; 
‘‘(ii) the geography in which the services included 
in such notification were provided; 
‘‘(iii) the amount of the offer submitted under para-
graph (2) by the group health plan or health insurance 
issuer (as applicable) and by the nonparticipating pro-
vider expressed as a percentage of the qualifying pay-
ment amount; 
‘‘(iv) whether the offer selected by the certified 
IDR entity under paragraph (5) to be the payment 
applied was the offer submitted by such plan or issuer 
(as applicable) or by such provider and the amount 
of such offer so selected expressed as a percentage 
of the qualifying payment amount; 
‘‘(v) ambulance vehicle type, including the clinical 
capability level of such vehicle; 
‘‘(vi) the identity of the group health plan or health 
insurance issuer or air ambulance provider with 
respect to such notification; 
‘‘(vii) the length of time in making each determina-
tion; 
‘‘(viii) the compensation paid to the certified IDR 
entity with respect to the settlement or determination; 
and 
‘‘(ix) any other information specified by the Sec-
retary.
H. R. 133—1668 
as such provisions apply with respect to a determination 
of a certified IDR entity under section 9816(c)(5)(E), the 
notification submitted with respect to such determination, 
the items and services with respect to such notification, 
and the parties to such notification. 
‘‘(E) COSTS
OF
INDEPENDENT
DISPUTE
RESOLUTION 
PROCESS.—The provisions of section 9816(c)(5)(F) shall 
apply to a notification made under this subsection, the 
parties to such notification, and a determination under 
subparagraph (A) in the same manner and to the same 
extent such provisions apply to a notification under section 
9816(c), the parties to such notification and a determination 
made under section 9816(c)(5)(A). 
‘‘(6) TIMING OF PAYMENT.—The total plan payment required 
pursuant to subsection (a)(3), with respect to qualified IDR 
air ambulance services for which a determination is made under 
paragraph (5)(A) or with respect to air ambulance services 
for which a payment amount is determined under open negotia-
tions under paragraph (1), shall be made directly to the non-
participating provider not later than 30 days after the date 
on which such determination is made. 
‘‘(7) PUBLICATION OF INFORMATION RELATING TO THE IDR 
PROCESS.— 
‘‘(A) IN GENERAL.—For each calendar quarter in 2022 
and each calendar quarter in a subsequent year, the Sec-
retary shall publish on the public website of the Depart-
ment of the Treasury— 
‘‘(i) the number of notifications submitted under 
the IDR process during such calendar quarter; 
‘‘(ii) the number of such notifications with respect 
to which a final determination was made under para-
graph (5)(A); 
‘‘(iii) the information described in subparagraph 
(B) with respect to each notification with respect to 
which such a determination was so made. 
‘‘(iv) the number of times the payment amount 
determined (or agreed to) under this subsection exceeds 
the qualifying payment amount; 
‘‘(v) the amount of expenditures made by the Sec-
retary during such calendar quarter to carry out the 
IDR process; 
‘‘(vi) the total amount of fees paid under paragraph 
(8) during such calendar quarter; and 
‘‘(vii) the total amount of compensation paid to 
certified IDR entities under paragraph (5)(E)during 
such calendar quarter. 
‘‘(B) INFORMATION WITH RESPECT TO REQUESTS.—For 
purposes of subparagraph (A), the information described 
in this subparagraph is, with respect to a notification under 
the IDR process of a nonparticipating provider, or group 
health plan— 
‘‘(i) a description of each air ambulance service 
included in such notification; 
‘‘(ii) the geography in which the services included 
in such notification were provided;
H. R. 133—1716 
‘‘(IV)(aa) A description of all indirect compensation that 
the covered service provider, an affiliate, or a subcontractor 
reasonably expects to receive in connection with the serv-
ices described in subclause (I)— 
‘‘(AA) including compensation from a vendor to 
a brokerage firm based on a structure of incentives 
not solely related to the contract with the covered 
plan; and 
‘‘(BB) not including compensation received by an 
employee from an employer on account of work per-
formed by the employee. 
‘‘(bb) A description of the arrangement between the 
payer and the covered service provider, an affiliate, or 
a subcontractor, as applicable, pursuant to which such 
indirect compensation is paid. 
‘‘(cc) Identification of the services for which the indirect 
compensation will be received, if applicable. 
‘‘(dd) Identification of the payer of the indirect com-
pensation. 
‘‘(V) A description of any compensation that will be 
paid among the covered service provider, an affiliate, or 
a subcontractor, in connection with the services described 
in subclause (I) if such compensation is set on a transaction 
basis (such as commissions, finder’s fees, or other similar 
incentive compensation based on business placed or 
retained), including identification of the services for which 
such compensation will be paid and identification of the 
payers and recipients of such compensation (including the 
status of a payer or recipient as an affiliate or a subcon-
tractor), regardless of whether such compensation also is 
disclosed pursuant to subclause (III) or (IV). 
‘‘(VI) A description of any compensation that the cov-
ered service provider, an affiliate, or a subcontractor 
reasonably expects to receive in connection with termi-
nation of the contract or arrangement, and how any prepaid 
amounts will be calculated and refunded upon such termi-
nation. 
‘‘(iv) A covered service provider shall disclose to a respon-
sible plan fiduciary, in writing a description of the manner 
in which the compensation described in clause (iii), as 
applicable, will be received. 
‘‘(v)(I) A covered service provider shall disclose the informa-
tion required under clauses (iii) and (iv) to the responsible 
plan fiduciary not later than the date that is reasonably in 
advance of the date on which the contract or arrangement 
is entered into, and extended or renewed. 
‘‘(II) A covered service provider shall disclose any change 
to the information required under clause (iii) and (iv) as soon 
as practicable, but not later than 60 days from the date on 
which the covered service provider is informed of such change, 
unless such disclosure is precluded due to extraordinary cir-
cumstances beyond the covered service provider’s control, in 
which case the information shall be disclosed as soon as prac-
ticable.
H. R. 133—1717 
‘‘(vi)(I) Upon the written request of the responsible plan 
fiduciary or covered plan administrator, a covered service pro-
vider shall furnish any other information relating to the com-
pensation received in connection with the contract or arrange-
ment that is required for the covered plan to comply with 
the reporting and disclosure requirements under this Act. 
‘‘(II) The covered service provider shall disclose the informa-
tion required under clause (iii)(I) reasonably in advance of 
the date upon which such responsible plan fiduciary or covered 
plan administrator states that it is required to comply with 
the applicable reporting or disclosure requirement, unless such 
disclosure is precluded due to extraordinary circumstances 
beyond the covered service provider’s control, in which case 
the information shall be disclosed as soon as practicable. 
‘‘(vii) No contract or arrangement will fail to be reasonable 
under this subparagraph solely because the covered service 
provider, acting in good faith and with reasonable diligence, 
makes an error or omission in disclosing the information 
required pursuant to clause (iii) (or a change to such informa-
tion disclosed pursuant to clause (v)(II)) or clause (vi), provided 
that the covered service provider discloses the correct informa-
tion to the responsible plan fiduciary as soon as practicable, 
but not later than 30 days from the date on which the covered 
service provider knows of such error or omission. 
‘‘(viii)(I) Pursuant to subsection (a), subparagraphs (C) and 
(D) of section 406(a)(1) shall not apply to a responsible plan 
fiduciary, notwithstanding any failure by a covered service 
provider to disclose information required under clause (iii), 
if the following conditions are met: 
‘‘(aa) The responsible plan fiduciary did not know that 
the covered service provider failed or would fail to make 
required disclosures and reasonably believed that the cov-
ered service provider disclosed the information required 
to be disclosed. 
‘‘(bb) The responsible plan fiduciary, upon discovering 
that the covered service provider failed to disclose the 
required information, requests in writing that the covered 
service provider furnish such information. 
‘‘(cc) If the covered service provider fails to comply 
with a written request described in subclause (II) within 
90 days of the request, the responsible plan fiduciary noti-
fies the Secretary of the covered service provider’s failure, 
in accordance with subclauses (II) and (III). 
‘‘(II) A notice described in subclause (I)(cc) shall contain— 
‘‘(aa) the name of the covered plan; 
‘‘(bb) the plan number used for the annual report on 
the covered plan; 
‘‘(cc) the plan sponsor’s name, address, and employer 
identification number; 
‘‘(dd) the name, address, and telephone number of the 
responsible plan fiduciary; 
‘‘(ee) the name, address, phone number, and, if known, 
employer identification number of the covered service pro-
vider; 
‘‘(ff) a description of the services provided to the covered 
plan;
H. R. 133—1723 
the 2016 publication of the Department of Health and 
Human Services and the Department of Labor, entitled 
‘Warning Signs - Plan or Policy Non-Quantitative Treat-
ment Limitations (NQTLs) that Require Additional Anal-
ysis to Determine Mental Health Parity Compliance’. 
‘‘(B) EXAMPLES ILLUSTRATING COMPLIANCE AND NON-
COMPLIANCE.— 
‘‘(i) IN GENERAL.—The compliance program guid-
ance document required under this paragraph shall 
provide illustrative, de-identified examples (that do not 
disclose any protected health information or individ-
ually identifiable information) of previous findings of 
compliance and noncompliance with this section, sec-
tion 2726 of the Public Health Service Act, or section 
9812 of the Internal Revenue Code of 1986, as 
applicable, based on investigations of violations of such 
sections, including— 
‘‘(I) examples illustrating requirements for 
information disclosures and nonquantitative treat-
ment limitations; and 
‘‘(II) descriptions of the violations uncovered 
during the course of such investigations. 
‘‘(ii) NONQUANTITATIVE TREATMENT LIMITATIONS.— 
To the extent that any example described in clause 
(i) involves a finding of compliance or noncompliance 
with regard to any requirement for nonquantitative 
treatment limitations, the example shall provide suffi-
cient detail to fully explain such finding, including 
a full description of the criteria involved for approving 
medical and surgical benefits and the criteria involved 
for approving mental health and substance use dis-
order benefits. 
‘‘(iii) 
ACCESS
TO
ADDITIONAL
INFORMATION 
REGARDING
COMPLIANCE.—In developing and issuing 
the compliance program guidance document required 
under this paragraph, the Secretaries specified in 
subparagraph (A)— 
‘‘(I) shall enter into interagency agreements 
with the Inspector General of the Department of 
Health and Human Services, the Inspector General 
of the Department of Labor, and the Inspector 
General of the Department of the Treasury to 
share findings of compliance and noncompliance 
with this section, section 2726 of the Public Health 
Service Act, or section 9812 of the Internal Rev-
enue Code of 1986, as applicable; and 
‘‘(II) shall seek to enter into an agreement 
with a State to share information on findings of 
compliance and noncompliance with this section, 
section 2726 of the Public Health Service Act, or 
section 9812 of the Internal Revenue Code of 1986, 
as applicable. 
‘‘(C) RECOMMENDATIONS.—The compliance program 
guidance document shall include recommendations to 
advance compliance with this section, section 2726 of the 
Public Health Service Act, or section 9812 of the Internal 
Revenue Code of 1986, as applicable, and encourage the