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fined in section 101 of the Higher Education Act of 
1965 (20 U.S.C. 1001). 
(2) BRANCH CAMPUS.— 
(A) IN GENERAL.—The term ‘‘branch cam-
pus’’, with respect to a school of medicine or os-
teopathic medicine, means an additional loca-
tion of such school that is geographically apart 
and independent of the main campus, at which 
the school offers at least 50 percent of the pro-
gram leading to a degree of doctor of medicine 
or doctor of osteopathy that is offered at the 
main campus. 
(B) INDEPENDENCE
FROM
MAIN
CAM-
PUS.—For purposes of subparagraph (A), the 
location of a school described in such subpara-
graph shall be considered to be independent of 
the main campus described in such subpara-
graph if the location— 
(i) is permanent in nature; 
(ii) offers courses in educational pro-
grams leading to a degree, certificate, or 
other recognized educational credential; 
(iii) has its own faculty and adminis-
trative or supervisory organization; and 
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(iv) has its own budgetary and hiring 
authority. 
SEC. 31008. FUNDING FOR SCHOOLS OF NURSING IN UN-
DERSERVED AREAS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $500,000,000, to remain available until ex-
pended, for purposes of making awards to schools of nurs-
ing (as defined in section 801 of the Public Health Service 
Act (42 U.S.C. 296)) to enhance and modernize nursing 
education programs and increase the number of faculty 
and students at such schools. 
(b) USE OF FUNDS.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, taking into consideration equitable dis-
tribution of awards among the geographical regions of the 
United States and the capacity of a school of nursing to 
provide care in underserved areas, shall use amounts ap-
propriated by subsection (a) to award grants for purposes 
of— 
(1) recruiting, enrolling, and retaining students 
at such school, with a priority for students from dis-
advantaged backgrounds (including racial or ethnic 
groups underrepresented in the nursing workforce), 
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individuals from rural and underserved areas, low-in-
come individuals, and first generation college stu-
dents (as defined in section 402A(h)(3) of the High-
er Education Act of 1965 (20 U.S.C. 1070a– 
11(h)(3))); 
(2) creating, supporting, or modernizing edu-
cational programs and curricula at such school; 
(3) retaining current faculty, and hiring new 
faculty, with an emphasis on faculty from racial or 
ethnic groups that are underrepresented in the nurs-
ing workforce; 
(4) modernizing infrastructure at such school, 
including audiovisual or other equipment, personal 
protective equipment, simulation and augmented re-
ality resources, telehealth technologies, and virtual 
and physical laboratories; 
(5) partnering with a health care facility, nurse- 
managed health clinic, or community health center, 
in order to provide educational opportunities for the 
purpose of establishing or expanding clinical edu-
cation; 
(6) enhancing and expanding nursing programs 
that prepare nurse researchers and scientists; 
(7) establishing nurse-led intradisciplinary and 
interprofessional educational partnerships; or 
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(8) other activities that the Secretary deter-
mines will further the development, improvement, 
and expansion of schools of nursing. 
SEC. 31009. FUNDING FOR PALLIATIVE CARE AND HOSPICE 
EDUCATION AND TRAINING. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $25,000,000, to remain available until ex-
pended, to support the establishment or operation of pro-
grams that— 
(1) support training of health professionals in 
palliative and hospice care (including through 
traineeships or fellowships); and 
(2) foster patient and family engagement, inte-
gration of palliative and hospice care with primary 
care and other appropriate specialties, and collabora-
tion with community partners to address gaps in 
health care for individuals in need of palliative or 
hospice care. 
(b) USE OF FUNDS.—The Secretary shall, giving pri-
ority to applicants proposing to carry out programs or ac-
tivities that demonstrate coordination with other Federal 
or State programs and are expected to substantially ben-
efit rural populations, medically underserved populations, 
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medically underserved communities, Indian Tribes or 
Tribal organizations, or Urban Indian organizations, use 
amounts appropriated by subsection (a) to carry out a pro-
gram to award grants or contracts to entities defined in 
paragraph (1), (3), or (4) of section 799B of the Public 
Health Service Act (42 U.S.C. 295p) or section 801(2) 
of such Act (42 U.S.C. 296) for purposes of carrying out 
the following activities: 
(1) Clinical training on providing integrated 
palliative and hospice care and primary care delivery 
services. 
(2) Interprofessional or interdisciplinary train-
ing to practitioners from multiple disciplines and 
specialties, including training on the provision of 
care to individuals with palliative or hospice care 
needs. 
(3) Establishing or maintaining training-related 
community-based programs for individuals with pal-
liative or hospice care needs and caregivers to im-
prove quality of life, and where appropriate, health 
outcomes for individuals who have palliative or hos-
pice care needs. 
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SEC. 31010. FUNDING FOR PALLIATIVE MEDICINE PHYSI-
CIAN TRAINING. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $20,000,000, to remain available until ex-
pended, to carry out a program to award grants and con-
tracts to accredited schools of medicine, schools of osteo-
pathic medicine, teaching hospitals, and graduate medical 
education programs for the purpose of providing support 
for projects that fund the training of physicians or special-
ists who plan to teach or practice palliative medicine. 
(b) USE OF FUNDS.—Amounts made available to an 
awardee pursuant to subsection (a) shall be used to— 
(1) provide training in interprofessional or 
interdisciplinary 
team-based 
palliative 
medicine 
through a variety of service rotations, such as rota-
tions with respect to consultation services or acute 
and chronic care services, and rotations in other 
health care settings, including extended care facili-
ties, ambulatory care and comprehensive evaluation 
units, hospices, home care, and community care pro-
grams; 
(2) develop specific performance-based meas-
ures to evaluate the competency of trainees; and 
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(3) provide training in interprofessional or 
interdisciplinary, team-based palliative medicine. 
(c) GRADUATE MEDICAL EDUCATION PROGRAM DE-
FINED.—In this section, the term ‘‘graduate medical edu-
cation program’’ means a program sponsored by an ac-
credited school of medicine, an accredited school of osteo-
pathic medicine, a hospital, or a public or private institu-
tion that— 
(1) offers postgraduate medical training in the 
specialties and subspecialties of medicine; and 
(2) has been accredited by— 
(A) the Accreditation Council for Graduate 
Medical Education; or 
(B) the American Osteopathic Association 
through its Committee on Postdoctoral Train-
ing (or a successor committee). 
SEC. 31011. FUNDING FOR PALLIATIVE CARE AND HOSPICE 
ACADEMIC CAREER AWARDS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$20,000,000, to remain available until expended, to estab-
lish a program, consistent with section 753(b) of the Pub-
lic Health Service Act (42 U.S.C. 294c(b)), including 
paragraphs (5)(A) and (5)(B) of such section 753(b) con-
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cerning the amount and duration of awards, respectively, 
except that such program shall be to provide awards to 
accredited schools of medicine, osteopathic medicine, nurs-
ing, social work, psychology, allied health, dentistry, or 
chaplaincy applying on behalf of board-certified or board- 
eligible individuals in hospice and palliative medicine that 
have an early-career junior (non-tenured) faculty appoint-
ment at an accredited school of medicine, or osteopathic 
medicine, nursing, social work, psychology, allied health, 
dentistry, or chaplaincy, to promote the academic career 
development of individuals as hospice and palliative care 
specialists. 
SEC. 31012. FUNDING FOR HOSPICE AND PALLIATIVE NURS-
ING. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $20,000,000, to remain available until ex-
pended, to establish a program to award grants and con-
tracts to accredited schools of nursing, health care facili-
ties, programs leading to certification as a certified nurse 
assistant, partnerships of such schools and facilities, or 
partnerships of such programs and facilities to develop 
and implement, in coordination with other hospice and 
palliative care programs administered by the Department 
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of Health and Human Services, programs and initiatives 
to train and educate individuals in providing interprofes-
sional, interdisciplinary, team-based palliative care in 
health-related educational, hospital, hospice, home, or 
long-term care settings. 
(b) USE OF FUNDS.—Amounts made available to an 
awardee pursuant to subsection (a) shall be used to— 
(1) provide training to individuals who will pro-
vide palliative care in health-related educational, 
hospital, home, hospice, or long-term care settings; 
(2) develop and disseminate curricula relating 
to palliative care in health-related educational, hos-
pital, home, hospice, or long-term care settings; 
(3) train faculty members in palliative care in 
health-related educational, hospital, home, hospice, 
or long-term care settings; and 
(4) provide continuing education to individuals 
who provide palliative care in health-related edu-
cational, home, hospice, or long-term care settings. 
SEC. 31013. FUNDING FOR DISSEMINATION OF PALLIATIVE 
CARE INFORMATION. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
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appropriated, $5,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, after consulta-
tion with appropriate medical and other health profes-
sional societies and palliative care and hospice stake-
holders, shall use amounts appropriated by subsection (a) 
to award grants or contracts to public and nonprofit pri-
vate entities to disseminate information to inform pa-
tients, families, caregivers, direct care workers, and health 
professionals about the benefits of palliative care through-
out the continuum of care for patients with serious or life- 
threatening illness. Such awareness campaign shall in-
clude— 
(1) information, resources, communication, and 
education materials about palliative care for patients 
and families facing serious or life-threatening ill-
nesses; 
(2) information regarding hospice and palliative 
care services, including information on how such 
services may— 
(A) incorporate age-friendly, patient-cen-
tered, and family-centered support throughout 
the continuum of care for serious and life- 
threatening illness; 
(B) anticipate, prevent, and treat pain; 
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(C) optimize quality of life; and 
(D) facilitate and support the goals and 
values of patients and families; 
(3) materials that explain the role of profes-
sionals trained in hospice and palliative care in pro-
viding team-based care for patients and families 
throughout the continuum of care for serious or life- 
threatening illness; and 
(4) materials for specific populations, including 
patients with serious or life-threatening illness who 
are among medically underserved populations (as de-
fined in section 330(b)(3) of the Public Health Serv-
ice Act (42 U.S.C. 254b(b)(3)) and families of such 
patients or health professionals serving medically un-
derserved populations. 
PART 2—PANDEMIC PREPAREDNESS 
SEC. 31021. FUNDING FOR LABORATORY ACTIVITIES AT 
THE CENTERS FOR DISEASE CONTROL AND 
PREVENTION. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $1,400,000,000 to remain available until ex-
pended, for purposes of carrying out activities consistent 
with subsection (b). 
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(b) USE OF FUNDS.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall use amounts made available pursuant to 
subsection (a) for the following activities: 
(1) Supporting renovation, improvement, expan-
sion, and modernization of State and local public 
health laboratory infrastructure (as the term ‘‘lab-
oratory’’ is defined in section 353 of the Public 
Health Service Act (42 U.S.C. 263a)), including— 
(A) the improvement and enhancement of 
testing and response capacity; 
(B) improvements and expansion of the 
Laboratory Response Network for rapid out-
break detection; 
(C) the improvement and expansion of 
genomic 
sequencing 
capabilities 
to 
detect 
emerging diseases and variant strains; and 
(D) the improvement and expansion of bio-
safety and biosecurity capacity. 
(2) Enhancing the capacity of the laboratories 
of the Centers for Disease Control and Prevention 
as described in subparagraphs (A) through (D) of 
paragraph (1). 
(3) Enhancing the ability of the Centers for 
Disease Control and Prevention to monitor and exer-
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cise oversight over the biosafety and biosecurity of 
State and local public health laboratories. 
SEC. 31022. FUNDING FOR PUBLIC HEALTH AND PRE-
PAREDNESS RESEARCH, DEVELOPMENT, AND 
COUNTERMEASURE CAPACITY. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $1,300,000,000, to carry out activities to 
prepare for, and respond to, public health emergencies de-
clared under section 319 of the Public Health Service Act 
(42 U.S.C. 247d), as described in subsection (b), to re-
main available until expended. 
(b) USE OF FUNDS.—The Secretary, acting through 
the Assistant Secretary for Preparedness and Response, 
shall use amounts made available pursuant to subsection 
(a)— 
(1) to support surge capacity, including through 
construction, expansion, or modernization of facili-
ties, to respond to a public health emergency, and 
for development, procurement, and domestic manu-
facture of drugs, active pharmaceutical ingredients, 
vaccines and other biological products, diagnostic 
technologies and products, medical devices (including 
personal protective equipment), vials, syringes, nee-
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dles, and other components or supplies for the Stra-
tegic National Stockpile under section 319F–2 of 
the Public Health Service Act (42 U.S.C. 247d–6b); 
(2) to support expanded vaccine production ca-
pacity and capabilities, including by developing or 
acquiring new technology and expanding manufac-
turing capacity through construction, expansion, or 
modernization of facilities; 
(3) to support activities to mitigate supply 
chain risks and enhance supply chain elasticity and 
resilience for critical drugs, active pharmaceutical in-
gredients, and supplies (including essential medi-
cines, medical countermeasures, and supplies in 
shortage or at risk of shortage), drug and vaccine 
raw materials, and other supplies, as the Secretary 
determines appropriate, including construction, ex-
pansion, or modernization of facilities, adoption of 
advanced manufacturing processes, and other activi-
ties to support domestic manufacturing of such sup-
plies; 
(4) to support activities conducted by the Bio-
medical Advanced Research and Development Au-
thority for advanced research, standards develop-
ment, and domestic manufacturing capacity for 
drugs, including essential medicines, diagnostics, 
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vaccines, therapeutics, and personal protective equip-
ment; and 
(5) to support increased biosafety and biosecu-
rity in research on infectious diseases, including by 
modernization or improvement of facilities. 
SEC. 31023. FUNDING FOR INFRASTRUCTURE MODERNIZA-
TION AND INNOVATION AT THE FOOD AND 
DRUG ADMINISTRATION. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
to remain available until expended, with respect to improv-
ing and modernizing infrastructure at the Food and Drug 
Administration and enhancing food and medical product 
safety— 
(1) $150,000,000 for improving technological 
infrastructure, including through developing inte-
grated systems and improving the interoperability of 
information technology systems; and 
(2) $150,000,000 for modernizing laboratory 
infrastructure of, or used by, the Food and Drug 
Administration, including modernization of facilities 
related to, and supporting, such laboratory infra-
structure, including through planning for, and the 
construction, repair, improvement, extension, alter-
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ation, demolition, and purchase of, fixed equipment 
or facilities. 
PART 3—MATERNAL MORTALITY 
SEC. 31031. FUNDING FOR LOCAL ENTITIES ADDRESSING 
SOCIAL 
DETERMINANTS 
OF 
MATERNAL 
HEALTH. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $100,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to community-based organizations, Indian 
Tribes and Tribal organizations, Urban Indian organiza-
tions, Native Hawaiian organizations, or other nonprofit 
organizations working with a community-based organiza-
tion, or consortia of any such entities, operating in areas 
with high rates of adverse maternal health outcomes or 
with significant racial or ethnic disparities in maternal 
health outcomes. 
(b) USE OF FUNDING.—Amounts made available by 
subsection (a) shall be used for the following activities: 
(1) Addressing social determinants of health, 
including social determinants of maternal health, for 
pregnant and postpartum individuals and elimi-
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nating racial and ethnic disparities in maternal 
health outcomes by— 
(A) hiring, training, or retaining staff; 
(B) developing or distributing culturally 
and linguistically appropriate resources for so-
cial services programs; 
(C) offering programs and resources to ad-
dress social determinants of health; 
(D) conducting demonstration projects to 
address social determinants of health; 
(E) establishing a culturally and linguis-
tically appropriate resource center that provides 
multiple social services programs in a single lo-
cation; and 
(F) 
consulting 
with 
pregnant 
and 
postpartum individuals to conduct an assess-
ment of the activities conducted under this sec-
tion. 
(2) Promoting evidence-based health literacy 
and pregnancy, childbirth, and parenting education 
for pregnant and postpartum individuals, and indi-
viduals seeking to become pregnant. 
(3) Providing support from perinatal health 
workers, including clinical and community-based 
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staff members that provide direct care and support 
services to pregnant and postpartum individuals. 
(4) Providing culturally congruent, linguistically 
appropriate, 
and 
trauma-informed 
training 
to 
perinatal health workers, including clinical and com-
munity-based staff members that provide direct care 
and support services to pregnant and postpartum in-
dividuals. 
(c) TECHNICAL ASSISTANCE.—Using amounts made 
available under subsection (a), the Secretary shall— 
(1) conduct outreach to eligible entities to apply 
for grants or contracts under subsection (a); and 
(2) provide technical assistance, including 
through a grant or contract, to eligible entities re-
ceiving funding pursuant to subsection (a). 
SEC. 31032. FUNDING FOR THE OFFICE OF MINORITY 
HEALTH. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $75,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to community-based organizations operating in 
areas with high rates of adverse maternal health outcomes 
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or with significant racial or ethnic disparities in maternal 
health outcomes. 
(b) USE OF FUNDS.—The Secretary, acting through 
the Deputy Assistant Secretary for Minority Health, shall 
use amounts made available under subsection (a) to award 
grants for the following activities: 
(1) Addressing social determinants of health, 
including social determinants of maternal health, for 
pregnant and postpartum individuals and elimi-
nating racial and ethnic disparities in maternal 
health outcomes by— 
(A) hiring, training, or retaining staff; 
(B) developing or distributing culturally 
and linguistically appropriate resources for so-
cial services programs; 
(C) offering programs and resources to ad-
dress social determinants of health; 
(D) conducting demonstration projects to 
address social determinants of health; 
(E) establishing a culturally and linguis-
tically appropriate resource center that provides 
multiple social services programs in a single lo-
cation; and 
(F) 
consulting 
with 
pregnant 
and 
postpartum individuals to conduct an assess-
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ment of the activities conducted under this sec-
tion. 
(2) Promoting evidence-based health literacy 
and pregnancy, childbirth, and parenting education 
for pregnant and postpartum individuals, and indi-
viduals seeking to become pregnant. 
(3) Providing support from perinatal health 
workers, including clinical and community-based 
staff members that provide direct care and support 
services to pregnant and postpartum individuals. 
(4) Providing culturally congruent, linguistically 
appropriate, 
and 
trauma-informed 
training 
to 
perinatal health workers, including clinical and com-
munity-based staff members that provide direct care 
and support services to pregnant and postpartum in-
dividuals. 
(c) TECHNICAL ASSISTANCE.—Using amounts made 
available under subsection (a), the Secretary shall— 
(1) conduct outreach to eligible entities to apply 
for grants or contracts under subsection (a); and 
(2) provide technical assistance, including 
through a grant or contract, to eligible entities re-
ceiving funding pursuant to subsection (a). 
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SEC. 31033. FUNDING TO GROW AND DIVERSIFY THE NURS-
ING 
WORKFORCE 
IN 
MATERNAL 
AND 
PERINATAL HEALTH. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $170,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to accredited schools of nursing for the purpose 
of growing and diversifying the perinatal nursing work-
force, including through improving the capacity and sup-
ply of health care providers. 
(b) USES OF FUNDS.— 
(1) AWARDEES.—Prioritizing students and reg-
istered nurses who plan to practice or currently 
practice in an underserved area, amounts made 
available to awardees by subsection (a) shall, con-
sistent with section 846 of the Public Health Service 
Act (42 U.S.C. 297n), be used for the following ac-
tivities: 
(A) Providing scholarships to students, in-
cluding those from racial and ethnic groups 
underrepresented in the health professions, 
seeking to become nurse practitioners whose 
education includes a focus on maternal and 
perinatal health. 
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(B) Providing scholarships to students 
seeking to become clinical nurse specialists 
whose education includes a focus on maternal 
and perinatal health. 
(C) Providing scholarships to students 
seeking to become certified nurse midwives. 
(D) Providing scholarships to registered 
nurses seeking certification as an obstetrics and 
gynecology registered nurse. 
(2) SECRETARY.—The Secretary shall use 
amounts made available pursuant to subsection (a) 
for the following activities: 
(A) Developing and implementing strate-
gies to recruit and retain a diverse pool of stu-
dents seeking to enter careers focused on ma-
ternal and perinatal health. 
(B) Developing partnerships with practice 
settings in an underserved area for the clinical 
placements of students at the schools receiving 
such grants. 
(C) Developing curriculum for students 
seeking to enter careers focused on maternal 
and perinatal health that includes training pro-
grams on bias, racism, discrimination, providing 
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culturally competent care, or trauma-informed 
care. 
SEC. 
31034. 
FUNDING 
FOR 
PERINATAL 
QUALITY 
COLLABORATIVES. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000, to remain available until expended, for car-
rying out a program to establish or support perinatal qual-
ity collaboratives to improve perinatal care and perinatal 
health outcomes for pregnant and postpartum individuals 
and their infants. 
SEC. 31035. FUNDING TO GROW AND DIVERSIFY THE DOULA 
WORKFORCE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $50,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to health professions schools, academic health 
centers, State or local governments, territories, Indian 
Tribes and Tribal organizations, Urban Indian organiza-
tions, Native Hawaiian organizations, or other appropriate 
public or private nonprofit entities (or consortia of any 
such entities, including entities promoting multidisci-
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plinary approaches), to establish or expand programs to 
grow and diversify the doula workforce, including through 
improving the capacity and supply of health care pro-
viders. 
(b) USE OF FUNDS.—Amounts made available by 
subsection (a) shall be used for the following activities: 
(1) Establishing programs that provide edu-
cation and training to individuals seeking appro-
priate training or certification as doulas. 
(2) Expanding the capacity of existing pro-
grams described in paragraph (1), for the purpose of 
increasing the number of students enrolled in such 
programs, including by awarding scholarships for 
students who agree to work in underserved commu-
nities after receiving such education and training. 
(3) Developing and implementing strategies to 
recruit and retain students from underserved com-
munities, particularly from demographic groups ex-
periencing high rates of maternal mortality and se-
vere maternal morbidity, including racial and ethnic 
minority groups, into programs described in para-
graphs (1) and (2). 
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SEC. 31036. FUNDING TO GROW AND DIVERSIFY THE MA-
TERNAL MENTAL HEALTH AND SUBSTANCE 
USE DISORDER TREATMENT WORKFORCE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $75,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to health professions schools, academic health 
centers, State or local governments, territories, Indian 
Tribes and Tribal organizations, Urban Indian organiza-
tions, Native Hawaiian organizations, or other appropriate 
public or private nonprofit entities (or consortia of any 
such entities, including entities promoting multidisci-
plinary approaches), to establish or expand programs to 
grow and diversify the maternal mental health and sub-
stance use disorder treatment workforce, including 
through improving the capacity and supply of health care 
providers. 
(b) USE OF FUNDS.—Amounts made available by 
subsection (a) shall be used for the following activities: 
(1) Establishing programs that provide edu-
cation and training to individuals seeking appro-
priate licensing or certification as mental health or 
substance use disorder treatment providers who plan 
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to specialize in maternal mental health conditions or 
substance use disorders. 
(2) Expanding the capacity of existing pro-
grams described in paragraph (1), for the purposes 
of increasing the number of students enrolled in 
such programs, including by awarding scholarships 
for students. 
(3) Developing and implementing strategies to 
recruit and retain students from underserved com-
munities into programs described in paragraphs (1) 
and (2). 
SEC. 31037. FUNDING FOR MATERNAL MENTAL HEALTH EQ-
UITY GRANT PROGRAMS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $100,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to community-based organizations, Indian 
Tribes and Tribal organizations, Urban Indian organiza-
tions, Native Hawaiian organizations, health care pro-
viders, accredited medical schools, accredited schools of 
nursing, teaching hospitals, accredited midwifery pro-
grams, physician assistant education programs, residency 
or fellowship programs, or other nonprofit organizations, 
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schools, or programs determined appropriate by the Sec-
retary, or consortia of any such entities, to address mater-
nal mental health conditions and substance use disorders 
with respect to pregnant, lactating, and postpartum indi-
viduals in areas with high rates of adverse maternal health 
outcomes or with significant racial or ethnic disparities in 
maternal health outcomes. 
(b) USE OF FUNDS.—Amounts made available pursu-
ant to subsection (a), prioritizing community-based orga-
nizations, shall be for the following activities: 
(1) Establishing or expanding maternity care 
programs to improve— 
(A) the integration of mental health and 
substance use disorder treatment services into 
primary care settings where pregnant individ-
uals regularly receive health care services; and 
(B) the coordination between such primary 
care settings and mental health and substance 
use disorder professionals who treat maternal 
mental health conditions and substance use dis-
orders. 
(2) Establishing or expanding programs that 
improve maternal mental health and substance use 
disorder treatment from the preconception through 
the postpartum periods, with a focus on individuals 
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from racial and ethnic minority groups with high 
rates of maternal mortality and morbidity. 
(3) Establishing or expanding programs to pre-
vent suicide or self-harm among pregnant, lactating, 
and postpartum individuals. 
(4) Establishing or expanding programs to pro-
vide education and training to maternity care pro-
viders, with respect to identifying potential warning 
signs for maternal mental health conditions or sub-
stance use disorders in pregnant, lactating, and 
postpartum individuals, with a focus on individuals 
from racial and ethnic minority groups and offering 
referrals to mental health substance use disorder 
treatment professionals. 
(5) Raising awareness of, and addressing stig-
ma associated with, maternal mental health condi-
tions and substance use disorders, with a focus on 
pregnant, lactating, and postpartum individuals 
from racial and ethnic minority groups. 
(6) Carrying out other evidence-based or evi-
dence-informed programs to address maternal men-
tal health conditions and substance use disorders for 
pregnant and postpartum individuals from racial 
and ethnic minority groups. 
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SEC. 31038. FUNDING FOR EDUCATION AND TRAINING AT 
HEALTH PROFESSIONS SCHOOLS TO IDEN-
TIFY AND ADDRESS HEALTH RISKS ASSOCI-
ATED WITH CLIMATE CHANGE. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $85,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to accredited medical schools, accredited schools 
of nursing, teaching hospitals, accredited midwifery pro-
grams, physician assistant education programs, residency 
or fellowship programs, or other schools or programs de-
termined appropriate by the Secretary, or consortia of any 
such entities, to support the development and integration 
of education and training programs for identifying and ad-
dressing health risks associated with climate change for 
pregnant, lactating, and postpartum individuals. 
(b) USE OF FUNDS.—Amounts made available by 
subsection (a) shall be used for developing, integrating, 
and implementing curriculum and continuing education 
that focuses on the following: 
(1) Identifying health risks associated with cli-
mate 
change 
for 
pregnant, 
lactating, 
and 
postpartum individuals and individuals with the in-
tent to become pregnant. 
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(2) How health risks associated with climate 
change affect pregnant, lactating, and postpartum 
individuals and individuals with the intent to become 
pregnant. 
(3) Racial and ethnic disparities in exposure to, 
and the effects of, health risks associated with cli-
mate 
change 
for 
pregnant, 
lactating, 
and 
postpartum individuals and individuals with the in-
tent to become pregnant. 
(4) Patient counseling and mitigation strategies 
relating to health risks associated with climate 
change for pregnant, lactating, and postpartum indi-
viduals. 
(5) Relevant services and support for pregnant, 
lactating, and postpartum individuals relating to 
health risks associated with climate change and 
strategies for ensuring such individuals have access 
to such services and support. 
(6) Implicit and explicit bias, racism, and dis-
crimination in providing care to pregnant, lactating, 
and postpartum individuals and individuals with the 
intent to become pregnant. 
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SEC. 31039. FUNDING FOR MINORITY-SERVING INSTITU-
TIONS TO STUDY MATERNAL MORTALITY, SE-
VERE MATERNAL MORBIDITY, AND ADVERSE 
MATERNAL HEALTH OUTCOMES. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $50,000,000, to remain available until ex-
pended for carrying out a program to award grants or con-
tracts to minority-serving institutions described in section 
371 of the Higher Education Act of 1965 (20 U.S.C. 
1067q) to study maternal mortality, severe maternal mor-
bidity, and maternal health outcomes. 
(b) USE OF FUNDS.—Amounts made available to an 
awardee under subsection (a) shall be used for the purpose 
specified in such subsection, including the following activi-
ties: 
(1) Developing and implementing systematic 
processes of listening to the stories of pregnant and 
postpartum individuals from racial and ethnic mi-
nority groups, and perinatal health workers sup-
porting such individuals, to fully understand the 
causes of, and inform potential solutions to, the ma-
ternal mortality and severe maternal morbidity crisis 
within their respective communities. 
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(2) Assessing the potential causes of relatively 
low rates of maternal mortality among Hispanic in-
dividuals and foreign-born Black women. 
(3) Assessing differences in rates of adverse 
maternal health outcomes among subgroups identi-
fying as Hispanic. 
(4) Conducting research on maternal morbidity 
and mortality, with a focus on health disparities. 
(c) TECHNICAL ASSISTANCE.—Using amounts made 
available by subsection (a), the Secretary shall conduct 
outreach to minority-serving institutions (as described in 
section 371 of the Higher Education Act of 1965 (20 
U.S.C. 1067q))— 
(1) to inform and raise awareness of the avail-
ability funding through a grant or contract awarded 
pursuant to this section; 
(2) to provide technical assistance, including 
through a grant or contract, on the application proc-
ess for grants or contracts awarded pursuant to sub-
section (a); and 
(3) to promote capacity building to eligible enti-
ties for grant applications pursuant to subsection 
(a). 
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SEC. 31040. FUNDING FOR IDENTIFICATION OF MATERNITY 
CARE 
HEALTH 
PROFESSIONAL 
TARGET 
AREAS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$25,000,000, to remain available until expended, for car-
rying out section 332(k) of the Public Health Service Act 
(42 U.S.C. 254e(k)). 
SEC. 31041. FUNDING FOR MATERNAL MORTALITY REVIEW 
COMMITTEES TO PROMOTE REPRESENTA-
TIVE COMMUNITY ENGAGEMENT. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000, to remain available until expended, for car-
rying out section 317K(d) of the Public Health Service 
Act (42 U.S.C. 247b–12(d)) to promote community en-
gagement in maternal mortality review committees to in-
crease the diversity of a committee’s membership with re-
spect to race and ethnicity, location, and professional 
background. 
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SEC. 
31042. 
FUNDING 
FOR 
THE 
SURVEILLANCE 
FOR 
EMERGING THREATS TO MOTHERS AND BA-
BIES. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $100,000,000, to remain available until ex-
pended, for carrying out section 317C of the Public Health 
Service Act (42 U.S.C. 247b–4) with respect to conducting 
surveillance for emerging threats to mothers and babies. 
(b) USE OF FUNDS.—Amounts made available by 
subsection (a) shall be used for the following activities: 
(1) Expanding the Surveillance for Emerging 
Threats to Mothers and Babies activities of the Cen-
ters for Disease Control and Prevention. 
(2) Working with public health, clinical, and 
community-based organizations to provide timely, 
continually updated, evidence-based guidance to fam-
ilies and health care providers on ways to reduce 
risk to pregnant and postpartum individuals and 
their newborns and tailor interventions to improve 
their long-term health. 
(3) Partnering with more State, Tribal, terri-
torial, and local public health programs in the collec-
tion and analysis of clinical data on the impact of 
COVID–19 on pregnant and postpartum patients 
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and their newborns, particularly among patients 
from racial and ethnic minority groups. 
(4) Establishing regionally based centers of ex-
cellence to offer medical, public health, and other 
knowledge (in coordination with State and Tribal 
public health authorities) to ensure that commu-
nities, especially communities with large populations 
of individuals from racial and ethnic minority 
groups, can help pregnant and postpartum individ-
uals and newborns get the care and support they 
need. 
SEC. 31043. FUNDING FOR ENHANCING REVIEWS AND SUR-
VEILLANCE TO ELIMINATE MATERNAL MOR-
TALITY PROGRAM. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $30,000,000, to remain available until ex-
pended, for carrying out the Enhancing Reviews and Sur-
veillance to Eliminate Maternal Mortality program estab-
lished under section 317K of the Public Health Service 
Act (42 U.S.C. 247b–12). 
(b) USE OF FUNDS.—Amounts made available by 
subsection (a) shall be used for the following activities: 
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(1) Expanding the Enhancing Reviews and Sur-
veillance to Eliminate Maternal Mortality program 
(commonly known as the ‘‘ERASE MM program’’) 
of the Centers for Disease Control and Prevention. 
(2) Expanding partnerships with States, terri-
tories, Indian Tribes, and Tribal organizations to 
support Maternal Mortality Review Committees. 
(3) Providing technical assistance to existing 
maternal mortality review committees. 
SEC. 31044. FUNDING FOR THE PREGNANCY RISK ASSESS-
MENT MONITORING SYSTEM. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $15,000,000, to remain available until ex-
pended, for carrying out section 317K of the Public 
Health Service Act (42 U.S.C. 247b–12) with respect to 
the Pregnancy Risk Assessment Monitoring System. 
(b) USE OF FUNDS.—Amounts made available by 
subsection (a) shall be used for the following activities: 
(1) Supporting COVID–19 supplements to the 
Pregnancy Risk Assessment Monitoring System 
questionnaire. 
(2) Conducting a rapid assessment of COVID– 
19 awareness, impact on care and experiences, and 
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use of preventive measures among pregnant, labor-
ing and birthing, and postpartum individuals. 
(3) Supporting the transition of the question-
naire described in paragraph (1) to an electronic 
platform and expanding the distribution of the ques-
tionnaire to a larger population, with a special focus 
on reaching underrepresented communities. 
SEC. 31045. FUNDING FOR THE NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$15,000,000, to remain available until expended, con-
sistent with the child health and human development ac-
tivities of the Eunice Kennedy Shriver National Institute 
of Child Health and Human Development described in sec-
tion 448 of the Public Health Service Act (42 U.S.C. 
285g), to conduct or support research for interventions to 
mitigate the effects of COVID–19 on pregnant, lactating, 
and postpartum individuals, with a particular focus on in-
dividuals from racial and ethnic minority groups. 
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SEC. 31046. FUNDING FOR EXPANDING THE USE OF TECH-
NOLOGY-ENABLED COLLABORATIVE LEARN-
ING AND CAPACITY BUILDING MODELS FOR 
PREGNANT AND POSTPARTUM INDIVIDUALS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $30,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to community-based organizations, Indian 
Tribes and Tribal organizations, Urban Indian organiza-
tions, health care providers, accredited medical schools, 
accredited schools of nursing, teaching hospitals, accred-
ited midwifery programs, physician assistant education 
programs, residency or fellowship programs, or other 
schools or programs determined appropriate by the Sec-
retary, or consortia of any such entities, that are operating 
in underserved areas with high rates of adverse maternal 
health outcomes or significant racial and ethnic disparities 
in maternal health outcomes, to evaluate, develop, and ex-
pand the use of technology-enabled collaborative learning 
and capacity building models (as defined in section 330N 
of the Public Health Service Act (42 U.S.C. 254c–20)). 
(b) USE OF FUNDS.— 
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(1) AWARDEES.—A recipient of a grant or con-
tract awarded pursuant to subsection (a) shall use 
such amounts to— 
(A) train maternal health care providers, 
students, staff of community-based organiza-
tions, and other entities described in subsection 
(a) through the use and expansion of tech-
nology-enabled collaborative learning and capac-
ity building models, including hardware and 
software that— 
(i) enables distance learning and tech-
nical support; and 
(ii) supports the secure exchange of 
electronic health information; and 
(B) conduct evaluations on the use of tech-
nology-enabled collaborative learning and capac-
ity building models to improve maternal health 
outcomes. 
(2) SECRETARY.—The Secretary shall use 
amounts made available pursuant to subsection (a) 
to provide technical assistance to recipients of grants 
awarded pursuant to subsection (a) on the develop-
ment, use, and sustainability of technology-enabled 
collaborative learning and capacity building models 
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to expand access to maternal health services pro-
vided by such entities. 
SEC. 31047. FUNDING FOR PROMOTING EQUITY IN MATER-
NAL HEALTH OUTCOMES THROUGH DIGITAL 
TOOLS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $30,000,000, to remain available until ex-
pended, for carrying out a program to award grants or 
contracts to community-based organizations, Indian 
Tribes and Tribal organizations, Urban Indian organiza-
tions, health care providers, accredited medical schools, 
accredited schools of nursing, teaching hospitals, accred-
ited midwifery programs, physician assistant education 
programs, residency or fellowship programs, or other 
schools or programs determined appropriate by the Sec-
retary, or consortia of any such entities, that are operating 
in underserved areas with high rates of adverse maternal 
health outcomes or significant racial and ethnic disparities 
in maternal health outcomes to reduce racial and ethnic 
disparities in maternal health outcomes by increasing ac-
cess to digital tools related to maternal health care. 
(b) USE OF FUNDS.—Amounts made available to an 
awardee pursuant to subsection (a) shall be used for the 
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purpose specified in such subsection, including for increas-
ing access to telehealth technologies (as defined in section 
330I of the Public Health Service Act (42 U.S.C. 254c– 
14)) and digital tools that could improve maternal health 
outcomes, such as wearable technologies, patient portals, 
telehealth services, and web-based and mobile phone appli-
cations, digital health services, secure text messaging, on-
line provider communities, mobile clinical decision support 
services, and clinical tools to increase diagnostic accuracy. 
(c) TECHNICAL ASSISTANCE.—Using amounts made 
available under subsection (a), the Secretary shall provide 
technical assistance, including through a grant or con-
tract, to eligible entities receiving funding pursuant to 
subsection (a) on the development, use, evaluation, and 
post-grant sustainability of digital tools designed to pro-
mote equity and reduce disparities in maternal health out-
comes. 
SEC. 31048. FUNDING FOR ANTIDISCRIMINATION AND BIAS 
TRAINING. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $50,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
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(b) USE OF FUNDS.—The Secretary shall, with a 
focus on maternal health providers, use amounts appro-
priated under subsection (a) to carry out a program to 
award competitive grants or contracts to national non-
profit organizations focused on improving health equity, 
accredited schools of medicine or nursing, and other health 
professional training programs to develop, disseminate, re-
view, research, and evaluate training for health profes-
sionals and all staff who interact with patients to reduce 
discrimination and bias in the provision of health care, 
with a focus on maternal health care. 
PART 4—OTHER PUBLIC HEALTH INVESTMENTS 
SEC. 31051. FUNDING FOR MENTAL HEALTH AND SUB-
STANCE USE DISORDER PROFESSIONALS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000, to remain available until expended, for pur-
poses of carrying out section 597 of the Public Health 
Service Act (42 U.S.C. 290ll). 
SEC. 31052. FUNDING TO SUPPORT PEER RECOVERY SPE-
CIALISTS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
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$25,000,000, to remain available until expended, to carry 
out section 509 of the Public Health Service Act (42 
U.S.C. 290bb–2) with respect to strengthening recovery 
community organizations and their statewide network of 
recovery stakeholders. 
SEC. 31053. FUNDING FOR PROJECT AWARE. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$15,000,000, to remain available until expended, for car-
rying out section 520A of the Public Health Service Act 
(42 U.S.C. 290bb–32) with respect to advancing wellness 
and resiliency in education. 
SEC. 31054. FUNDING FOR THE NATIONAL SUICIDE PRE-
VENTION LIFELINE. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$75,000,000, to remain available until expended, for ad-
vancing infrastructure for the National Suicide Prevention 
Lifeline program under section 520E–3 of the Public 
Health Service Act (42 U.S.C. 290bb–36c) in order to ex-
pand existing capabilities for response in a manner that 
avoids duplicating existing capabilities for text-based crisis 
support. 
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SEC. 31055. FUNDING FOR COMMUNITY VIOLENCE AND 
TRAUMA INTERVENTIONS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary, for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated $2,500,000,000, to remain available until ex-
pended, for the purposes described in subsection (b): 
(b) USE
OF
FUNDING.—The Secretary, acting 
through the Director of the Centers for Disease Control 
and Prevention, and in consultation with the Assistant 
Secretary for Mental Health and Substance Use, the Ad-
ministrator of the Health Resources and Services Admin-
istration, the Deputy Assistant Secretary for Minority 
Health, and the Assistant Secretary for the Administra-
tion for Children and Families, shall use amounts appro-
priated by subsection (a) to support public health-based 
interventions to reduce community violence and trauma, 
taking into consideration the needs of communities with 
high rates of, and prevalence of risk factors associated 
with, violence-related injuries and deaths, by— 
(1) awarding competitive grants or contracts to 
local governmental entities, States, territories, In-
dian Tribes and Tribal organizations, Urban Indian 
organizations, hospitals and community health cen-
ters, nonprofit community-based organizations, cul-
turally specific organizations, victim services pro-
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viders, or other entities as determined by the Sec-
retary (or consortia of such entities) to support evi-
dence-informed, culturally competent, and develop-
mentally appropriate strategies to reduce community 
violence, including outreach and conflict mediation, 
hospital-based violence intervention, violence inter-
ruption, and services for victims and individuals and 
communities at risk for experiencing violence, such 
as trauma-informed mental health care and coun-
seling, social-emotional learning and school-based 
mental health services, workforce development serv-
ices, and other services that prevent or mitigate the 
impact of trauma, build appropriate skills, or pro-
mote resilience; and 
(2) supporting training, technical assistance, re-
search, evaluation, public health surveillance sys-
tems, data collection, and coordination among rel-
evant stakeholders, to facilitate support for strate-
gies to reduce community violence and ensure safe 
and healthy communities. 
(c) SUPPLEMENT NOT SUPPLANT.—Amounts appro-
priated under this section shall be used to supplement and 
not supplant any Federal, State, or local funding other-
wise made available for the purposes described in this sec-
tion. 
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(d) EXPENDITURE REQUIREMENT.—All expenditures 
made pursuant to subsection (a) shall be made on or be-
fore September 30, 2031. 
SEC. 31056. FUNDING FOR THE NATIONAL CHILD TRAU-
MATIC STRESS NETWORK. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$5,000,000, to remain available until expended, for car-
rying out section 582 of the Public Health Service Act 
(42 U.S.C. 290hh–1) with respect to addressing the prob-
lem of high-risk or medically underserved persons who ex-
perience violence-related stress. 
SEC. 31057. FUNDING FOR HIV HEALTH CARE SERVICES 
PROGRAMS. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$75,000,000, to remain available until expended, for nec-
essary expenses for modifications to existing contracts, 
and supplements to existing grants and cooperative agree-
ments under sections 2601, 2611, 2651, 2671, and 
2692(a) of the Public Health Service Act (42 U.S. Code 
300ff–11, 300ff–21, 300ff–51, 300ff–71, 300ff–111). 
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SEC. 31058. FUNDING FOR CLINICAL SERVICES DEM-
ONSTRATION PROJECT. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$60,000,000, to remain available until expended, to, act-
ing through the Administrator of the Health Resources 
and Services Administration, carry out a program to 
award grants or contracts to public and private nonprofit 
clinics for the provision of clinical services, pursuant to 
a demonstration project under section 318(b)(2) of the 
Public Health Service Act (42 U.S.C. 247c(b)(2)). 
SEC. 31059. FUNDING TO SUPPORT THE LIFESPAN RESPITE 
CARE PROGRAM. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated, 
$5,000,000, to remain available until expended, for car-
rying out sections 2902, 2903, and 2904 of the Public 
Health Service Act (42 U.S.C. 300ii–1, 300ii–2, 300ii– 
3). 
SEC. 31060. FUNDING TO INCREASE RESEARCH CAPACITY 
AT CERTAIN INSTITUTIONS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
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appropriated, $75,000,000, to remain available until ex-
pended, for the purposes described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, acting through 
the Director of the National Institutes of Health, shall use 
amounts made available under subsection (a) to— 
(1) maintain and expand programs to increase 
research capacity at minority-serving institutions (as 
described in section 371 of the Higher Education 
Act of 1965 (20 U.S.C. 1067q)), including by sup-
porting the Path to Excellence and Innovation pro-
gram of the National Institutes of Health; 
(2) support centers of excellence under sections 
464z–4 and 736 of the Public Health Service Act 
(42 U.S.C. 285t–1, 293); 
(3) support efforts to diversify the national sci-
entific workforce and expand recruitment and reten-
tion of individuals who are— 
(A) underrepresented in the biomedical, 
clinical, behavioral, and social sciences; and 
(B) from disadvantaged backgrounds; and 
(4) support and expand the activities of the Sci-
entific Workforce Diversity Office of the National 
Institutes of Health. 
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SEC. 31061. FUNDING FOR RESEARCH RELATED TO DEVEL-
OPMENTAL DELAYS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $10,000,000, to remain available until ex-
pended, for the purpose described in subsection (b). 
(b) USE OF FUNDS.—The Secretary, acting through 
the Director of the National Institutes of Health, shall use 
amounts appropriated by subsection (a) to conduct or sup-
port research related to developmental delays, including 
speech and language delays in infants and toddlers, char-
acterizing speech and language development and outcomes 
in infants and toddlers through early adolescence. Such 
research shall include studies, including longitudinal stud-
ies, conducted or supported by the National Institute on 
Deafness and Other Communication Disorders, the Eu-
nice Kennedy Shriver National Institute of Child Health 
and Human Development, and other relevant institutes 
and centers of the National Institutes of Health. 
(c) SUPPLEMENT, NOT SUPPLANT.—Amounts made 
available to carry out this section shall be used to supple-
ment and not supplant other Federal, State, and local 
public funds expended to conduct or support research re-
lated to developmental delays, including speech and lan-
guage delays, in infants, toddlers, and children. 
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SEC. 31062. SUPPLEMENTAL FUNDING FOR THE WORLD 
TRADE CENTER HEALTH PROGRAM. 
(a) IN GENERAL.—Title XXXIII of the Public 
Health Service Act is amended by adding at the end the 
following: 
‘‘SEC. 3352. SUPPLEMENTAL FUND. 
‘‘(a) IN GENERAL.—There is established a fund to 
be known as the World Trade Center Health Program 
Supplemental Fund (referred to in this section as the 
‘Supplemental Fund’), consisting of amounts deposited 
into the Supplemental Fund under subsection (b). 
‘‘(b) AMOUNT.—Out of any money in the Treasury 
not otherwise appropriated, there is appropriated for fiscal 
year 2022, $2,860,000,000, for deposit into the Supple-
mental Fund, which amounts shall remain available 
through fiscal year 2031. 
‘‘(c) USE OF FUNDS.—Amounts deposited into the 
Supplemental Fund under subsection (b) shall be avail-
able, without further appropriation and without regard to 
any spending limitation under section 3351(c), to the 
WTC Program Administrator as needed at the discretion 
of such Administrator for carrying out any provision in 
this title, including sections 3303 and 3341(c). 
‘‘(d) RETURN OF FUNDS.—Any amounts that remain 
in the Supplemental Fund on September 30, 2031, shall 
be deposited into the Treasury as miscellaneous receipts.’’. 
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(b) CONFORMING AMENDMENTS.—Title XXXIII of 
the Public Health Service Act is amended— 
(1) in section 3311(a)(4)(B)(i)(II) (42 U.S.C. 
300mm–21(a)(4)(B)(i)(II)), by striking ‘‘section 
3351’’ and inserting ‘‘sections 3351 and 3352’’; 
(2) in section 3321(a)(3)(B)(i)(II) (42 U.S.C. 
300mm–31(a)(3)(B)(i)(II)), by striking ‘‘section 
3351’’ and inserting ‘‘sections 3351 and 3352’’; 
(3) in section 3331 (42 U.S.C. 300mm–41)— 
(A) in subsection (a), by inserting ‘‘and 
the World Trade Center Health Program Sup-
plemental Fund’’ before the period at the end; 
and 
(B) in subsection (d)— 
(i) in paragraph (1)(B), by inserting 
‘‘(excluding 
any 
expenditures 
from 
amounts in the World Trade Center 
Health Program Supplemental Fund under 
section 3352)’’ before the period at the 
end; and 
(ii) in paragraph (2), in the flush text 
following subparagraph (C), by inserting 
‘‘(excluding 
any 
expenditures 
from 
amounts in the World Trade Center 
Health Program Supplemental Fund under 
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section 3352)’’ before the period at the 
end; and 
(4) in section 3351(b) (42 U.S.C. 300mm– 
61(b))— 
(A) in paragraph (2), by inserting ‘‘or as 
available from the World Trade Center Health 
Program Supplemental Fund under section 
3352’’ before the period at the end; and 
(B) in paragraph (3), by inserting ‘‘or as 
available from the World Trade Center Health 
Program Supplemental Fund under section 
3352’’ before the period at the end. 
PART 5—NATIVE HAWAIIAN PROVISIONS 
SEC. 31071. NATIVE HAWAIIAN HEALTH CARE SYSTEMS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $50,000,000, to remain available until Sep-
tember 30, 2031, for the Secretary, not later than 180 
days after the date of enactment of this Act, to award 
grants to, or enter into contracts with, Papa Ola Lokahi 
to support services described in section 6(c) of the Native 
Hawaiian Health Care Improvement Act (42 U.S.C. 
11705(c)) in accordance with this section. 
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(b) USE OF FUNDS.—Amounts made available to an 
awardee pursuant to subsection (a) shall be used for— 
(1) the purchase, construction, alteration, ren-
ovation, or equipping of health facilities; 
(2) maintenance and improvement projects; 
(3) information technology, telehealth infra-
structure, electric health records systems, and med-
ical equipment; and 
(4) awarding grants to, or entering into con-
tracts with, Native Hawaiian health care systems 
(directly, or through subgrants or subcontracts) to 
support services described in section 6(c) of the Na-
tive Hawaiian Health Care Improvement Act (42 
U.S.C. 11705(c)), on the condition that such grants 
or contracts may only be used for the purposes and 
uses described in paragraphs (1) through (3). 
(c) WAIVER
OF
CERTAIN
RESTRICTIONS.—Sub-
sections (e) and (f)(4) of section 6 of the Native Hawaiian 
Health Care Improvement Act (42 U.S.C. 11705(e), 
11705(f)(4)) shall not apply to grants (or subgrants) 
made using amounts made available under subsection (a). 
(d) DEFINITIONS.—In this section: 
(1) NATIVE
HAWAIIAN
HEALTH
CARE
SYS-
TEM.—The term ‘‘Native Hawaiian health care sys-
tem’’ has the meaning given the term in section 12 
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of the Native Hawaiian Health Care Improvement 
Act (42 U.S.C. 11711). 
(2) PAPA OLA LOKAHI.—The term ‘‘Papa Ola 
Lokahi’’ has the meaning given the term in section 
12 of the Native Hawaiian Health Care Improve-
ment Act (42 U.S.C. 11711). 
SEC. 31072. NATIVE HAWAIIAN HEALTH IMPROVEMENT 
GRANTS. 
(a) IN GENERAL.—In addition to amounts otherwise 
available, there is appropriated to the Secretary for fiscal 
year 2022, out of any money in the Treasury not otherwise 
appropriated, $224,000,000, to remain available until 
September 30, 2031, to award grants to eligible Native 
Hawaiian entities to improve the health status of Native 
Hawaiians, including by providing to Native Hawaiians 
comprehensive health promotion services, disease preven-
tion services, and primary health services, as described in 
section 6(c) of the Native Hawaiian Health Care Improve-
ment Act (42 U.S.C. 11705(c)). 
(b) DEFINITION
OF ELIGIBLE NATIVE HAWAIIAN 
ENTITY.—In this section, the term ‘‘eligible Native Ha-
waiian entity’’ means— 
(1) Papa Ola Lokahi (as defined in section 12 
of the Native Hawaiian Health Care Improvement 
Act (42 U.S.C. 11711)); 
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(2) a Native Hawaiian health care system (as 
defined in section 12 of that Act (42 U.S.C. 
11711)); 
(3) a Native Hawaiian organization (as defined 
in section 12 of that Act (42 U.S.C. 11711)); 
(4) a consortium of 2 or more entities described 
in paragraphs (1) through (3); and 
(5) a consortium that contains at least 1 entity 
described in any of paragraphs (1) through (3). 
SEC. 31073. NATIVE HAWAIIAN HEALTH CARE SYSTEMS LI-
ABILITY COVERAGE. 
(a) IN GENERAL.—Subject to subsections (b) and (c), 
the Secretary shall apply section 102(d) of the Indian Self- 
Determination and Education Assistance Act (25 U.S.C. 
5321(d)) to— 
(1) a Native Hawaiian health care system that 
receives a grant from or enters into a contract with 
the Secretary under section 6 of the Native Hawai-
ian Health Care Improvement Act (42 U.S.C. 
11705) to the same extent as section 102(d) of the 
Indian Self-Determination and Education Assistance 
Act (25 U.S.C. 5321(d)) applies to an Indian Tribe, 
a Tribal organization, and an Indian contractor that 
carries out a contract, grant agreement, or coopera-
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tive agreement, as applicable, under section 102 or 
103 of that Act (25 U.S.C. 5321, 5322); and 
(2) the employees of a Native Hawaiian health 
care system that receives a grant from or enters into 
a contract with the Secretary under section 6 of the 
Native Hawaiian Health Care Improvement Act (42 
U.S.C. 11705) to the same extent as section 102(d) 
of the Indian Self-Determination and Education As-
sistance Act (25 U.S.C. 5321(d)) applies to the em-
ployees of an Indian Tribe, a Tribal organization, or 
an Indian contractor that carries out a contract, 
grant agreement, or cooperative agreement, as appli-
cable, under section 102 or 103 of that Act (25 
U.S.C. 5321, 5322). 
(b) EFFECTIVE DATE.—For purposes of subsection 
(a), each reference to December 22, 1987, and the ref-
erence to the date of enactment of the Indian Self-Deter-
mination and Education Assistance Act Amendments of 
1990 contained in section 102(d) of the Indian Self-Deter-
mination and Education Assistance Act (25 U.S.C. 
5321(d)) shall be deemed to be a reference to the date 
of enactment of this section. 
(c) SUNSET.—This section shall cease to have force 
or effect on October 1, 2031. 
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Subtitle J—Next Generation 9–1–1 
SEC. 31101. DEPLOYMENT OF NEXT GENERATION 9–1–1. 
(a) APPROPRIATION.— 
(1) IN GENERAL.—In addition to amounts oth-
erwise available, there is appropriated to the Assist-
ant Secretary for fiscal year 2022, out of any money 
in 
the 
Treasury 
not 
otherwise 
appropriated, 
$470,000,000, to remain available until September 
30, 2030, to make grants to eligible entities for im-
plementing and maintaining Next Generation 9–1–1 
in accordance with subsection (b). 
(2) ADMINISTRATIVE EXPENSES.—In addition 
to amounts otherwise available, there is appropriated 
to the Assistant Secretary for fiscal year 2022, out 
of any money in the Treasury not otherwise appro-
priated, $20,000,000, to remain available until Sep-
tember 30, 2030, to administer this section. 
(b) USE OF FUNDS.—An eligible entity may use 
grant funds received under this section for— 
(1) reasonable costs associated with planning, 
implementation, and development activities, includ-
ing such activities related to the grant application; 
(2) deployment, operation, and maintenance of 
interoperable and reliable Next Generation 9–1–1, 
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including ensuring the cybersecurity of Next Genera-
tion 9–1–1; and 
(3) training of personnel related to Next Gen-
eration 9–1–1. 
(c) CLAWBACK.—The Assistant Secretary shall re-
cover some or all of the grant funds made available to 
an eligible entity under this section if— 
(1) the eligible entity uses the funds for any 
other purpose than those set forth in subsection (b); 
(2) the eligible entity fails to establish a fund-
ing mechanism for Next Generation 9–1–1 sufficient 
to cover operations, maintenance, and upgrade costs 
within 3 years of the establishment of the grant pro-
gram; 
(3) the eligible entity engages in the diversion 
of any 9–1–1 fee or charge imposed by the eligible 
entity; or 
(4) the eligible entity uses funds to purchase, 
rent, lease, or otherwise obtain covered communica-
tions equipment or services (as defined in section 9 
of the Secure and Trusted Communications Net-
works Act of 2019 (47 U.S.C. 1608)). 
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SEC. 31102. ESTABLISHMENT OF NEXT GENERATION 9–1–1 
CYBERSECURITY CENTER. 
In addition to amounts otherwise available, there is 
appropriated to the National Telecommunications and In-
formation Administration for fiscal year 2022, out of any 
money in the Treasury not otherwise appropriated, 
$9,000,000, to remain available until September 30, 2030, 
for the establishment of a Next Generation 9–1–1 Cyber-
security Center to coordinate with State, local, and re-
gional governments on the sharing of cybersecurity infor-
mation about, the analysis of cybersecurity threats to, and 
strategies to detect and prevent cybersecurity intrusions 
relating to, Next Generation 9–1–1. 
SEC. 31103. PUBLIC SAFETY NEXT GENERATION 9–1–1 ADVI-
SORY BOARD. 
In addition to amounts otherwise available, there is 
appropriated to the National Telecommunications and In-
formation Administration for fiscal year 2022, out of any 
money in the Treasury not otherwise appropriated, 
$1,000,000, to remain available until September 30, 2030, 
to establish a 16-member Public Safety Next Generation 
9–1–1 Advisory Board, consisting of public safety officials 
and 9–1–1 professionals from diverse backgrounds and 
with the necessary technical expertise, to provide rec-
ommendations to the Assistant Secretary with respect to 
carrying out the duties and responsibilities of the Assist-
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ant Secretary related to Next Generation 9–1–1, including 
with respect to the grant program established under sec-
tion 31101. 
SEC. 31104. DEFINITIONS. 
In this subtitle: 
(1) 9–1–1 FEE OR CHARGE.—The term ‘‘9–1– 
1 fee or charge’’ has the meaning given the term in 
section 6(f)(3)(D) of the Wireless Communications 
and Public Safety Act of 1999 (47 U.S.C. 615a– 
1(f)(3)(D)). 
(2) ASSISTANT SECRETARY.—The term ‘‘Assist-
ant Secretary’’ means the Assistant Secretary of 
Commerce for Communications and Information. 
(3) COMMONLY
ACCEPTED
STANDARDS.—The 
term ‘‘commonly accepted standards’’ means the 
technical standards followed by the communications 
industry for network, device, and Internet Protocol 
connectivity that— 
(A) ensure interoperability by enabling 
emergency communications centers to receive, 
process, and analyze all types of 9–1–1 requests 
for emergency assistance (including multimedia 
and data) and share such requests with other 
emergency communications centers and emer-
gency response providers without the need for 
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proprietary interfaces and regardless of juris-
diction, equipment, device, software, service 
provider, or any other factor; and 
(B) are developed and approved by a 
standards development organization that is ac-
credited by a United States or international 
standards body through a process— 
(i) that is consensus-based and open 
for participation, provides conflict resolu-
tion, and invites comment; and 
(ii) through which standards are made 
publicly available once approved. 
(4) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means a State or a Tribal organization that 
has— 
(A) named a single point of contact to co-
ordinate the implementation of Next Generation 
9–1–1; and 
(B) developed and submitted a plan for the 
coordination and implementation of Next Gen-
eration 9–1–1 consistent with any requirements 
of the Assistant Secretary. 
(5) NEXT
GENERATION
9–1–1.—The term 
‘‘Next Generation 9–1–1’’ means an interoperable, 
secure, Internet Protocol-based system that— 
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(A) employs commonly accepted standards; 
(B) enables emergency communications 
centers to receive, process, and analyze all types 
of 9–1–1 requests for emergency assistance; 
(C) acquires and integrates additional in-
formation useful to handling 9–1–1 requests for 
emergency assistance; 
(D) supports sharing information related 
to 9–1–1 requests for emergency assistance 
among emergency communications centers and 
emergency response providers without the need 
for proprietary interfaces and regardless of ju-
risdiction, equipment, device, software, service 
provider, or any other factor; and 
(E) ensures reliability by enabling ongoing 
operation, including through the use of geo-di-
verse device and network agnostic elements that 
provide more than 1 physical route between end 
points with no common points where a single 
failure at that point would cause the operation 
of Next Generation 9–1–1 to fail. 
(6) STATE.—The term ‘‘State’’ means any 
State of the United States, the District of Columbia, 
Puerto Rico, American Samoa, Guam, the United 
States Virgin Islands, the Northern Mariana Is-
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lands, and any other territory or possession of the 
United States. 
Subtitle K—Other Matters Related 
to Connectivity 
SEC. 31201. OUTREACH. 
In addition to amounts otherwise available, there is 
appropriated to the Federal Communications Commission 
for fiscal year 2022, out of any money in the Treasury 
not otherwise appropriated, $100,000,000, to remain 
available until September 30, 2031, to conduct outreach 
and provide education to the public regarding the 
broadband and communications affordability programs of 
the Federal Communications Commission to raise aware-
ness about the programs and help consumers access the 
programs. 
SEC. 31202. FUTURE OF TELECOMMUNICATIONS COUNCIL. 
In addition to amounts otherwise available, there is 
appropriated to the Secretary of Commerce for fiscal year 
2022, out of any money in the Treasury not otherwise ap-
propriated, $7,000,000, to remain available until Sep-
tember 30, 2031, to establish a council of 14 members 
in coordination with the Committee on Commerce, 
Science, and Transportation of the Senate, the Committee 
on Energy and Commerce of the House of Representa-
tives, the Deputy Secretary of Commerce, the Assistant 
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Secretary of Commerce for Communications and Informa-
tion, the Under Secretary of Commerce for Standards and 
Technology, the Chair of the Federal Communications 
Commission, the Director of the National Science Founda-
tion, the Majority Leader of the Senate, and the Speaker 
of the House of Representatives, to be known as the ‘‘Fu-
ture of Telecommunications Council’’, to advise Congress 
on the development and adoption of 6G and other ad-
vanced wireless communications technologies, including 
ensuring equity in access to those technologies for commu-
nities of color and rural communities. 
SEC. 31203. AFFORDABILITY. 
(a) DEFINITIONS.—In this section: 
(1) BROADBAND; BROADBAND
SERVICE.—The 
term ‘‘broadband’’ or ‘‘broadband service’’ has the 
meaning given the term ‘‘broadband internet access 
service’’ in section 8.1 of title 47, Code of Federal 
Regulations, or any successor regulation. 
(2) COVERED BROADBAND SERVICE.—The term 
‘‘covered broadband service’’ means broadband serv-
ice being delivered through a broadband network 
that can easily scale speeds over time to— 
(A) meet the evolving connectivity needs of 
households and businesses; and 
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(B) support the deployment of 5G, suc-
cessor wireless technologies, and other advanced 
services. 
(3) 
COVERED
PUBLIC-PRIVATE
PARTNER-
SHIP.—The term ‘‘covered public-private partner-
ship’’ means a partnership between— 
(A) a State, 1 or more political subdivi-
sions of a State, a utility (including a utility co-
operative), a public utility district, a nonprofit 
organization, a regional planning council, or an 
economic development authority; and 
(B) a provider of covered broadband serv-
ice. 
(4) STATE.—The term ‘‘State’’ means any 
State of the United States, the District of Columbia, 
Puerto Rico, American Samoa, Guam, the United 
States Virgin Islands, the Northern Mariana Is-
lands, and any other territory or possession of the 
United States. 
(b) FUNDING.— 
(1) PILOT PROJECTS.—In addition to amounts 
otherwise available, there is appropriated to the Na-
tional Telecommunications and Information Admin-
istration for fiscal year 2022, out of any money in 
the 
Treasury 
not 
otherwise 
appropriated, 
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$280,000,000, to remain available until September 
30, 2031, for grants to covered public-private part-
nerships for pilot projects to increase access to af-
fordable covered broadband service in urban commu-
nities, including communities of color and for low- 
and middle-income consumers, through long-term so-
lutions for such affordability. 
(2) ADMINISTRATION.—In addition to amounts 
otherwise available, there is appropriated to the Na-
tional Telecommunications and Information Admin-
istration for fiscal year 2022, out of any money in 
the 
Treasury 
not 
otherwise 
appropriated, 
$15,000,000, to remain available until September 
30, 2031, to administer this section. 
(3) ADVISORY
COMMITTEE.—In addition to 
amounts otherwise available, there is appropriated to 
the National Telecommunications and Information 
Administration for fiscal year 2022, out of any 
money in the Treasury not otherwise appropriated, 
$5,000,000, to remain available until September 30, 
2031, to establish an advisory committee of 12 
members consisting of experts on broadband afford-
ability from diverse backgrounds, to be known as the 
‘‘Affordable Urban and Suburban Broadband Advi-
sory Committee’’, to advise the National Tele-
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communications and Information Administration, 
the Federal Communications Commission, and Con-
gress on ways to make broadband more affordable 
for urban and suburban broadband subscribers, in-
cluding for communities of color and low- and mid-
dle-income consumers, through long-term solutions 
for such affordability. 
SEC. 31204. ACCESS TO DEVICES. 
(a) DEFINITIONS.—In this section: 
(1) ASSISTANT SECRETARY.—The term ‘‘Assist-
ant Secretary’’ means the Assistant Secretary of 
Commerce for Communications and Information. 
(2) CONNECTED
DEVICE.—The term ‘‘con-
nected device’’ means any of the following devices 
that meets minimum standards established by the 
Assistant Secretary: 
(A) A WiFi-enabled desktop computer. 
(B) A WiFi-enabled laptop computer. 
(C) A WiFi-enabled tablet computer. 
(D) Any similar WiFi-enabled device (ex-
cept for a telephone or smartphone). 
(3) CONNECTED
DEVICE
DISTRIBUTION
PRO-
GRAM.—The term ‘‘connected device distribution 
program’’ means a program approved by the Assist-
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ant Secretary that makes available connected devices 
for free or at a low cost to an eligible household. 
(4) ELIGIBLE HOUSEHOLD.—The term ‘‘eligible 
household’’ means a household in which— 
(A) at least one member of the household 
meets the qualifications for the Lifeline pro-
gram of the Federal Communications Commis-
sion, except that a household shall be deemed to 
meet the income component of those qualifica-
tions if the household’s income is at or below 
200 percent of the Federal Poverty Guidelines 
for a household of that size; 
(B) at least one member of the household 
has applied for and been approved to receive 
benefits under the free and reduced price lunch 
program or the school breakfast program; 
(C) at least one member of the household 
has received a Federal Pell Grant in the current 
award year, if such award is verifiable through 
the National Verifier or National Lifeline Ac-
countability Database or a connected device dis-
tribution program verifies eligibility; or 
(D) at least one member of the household 
receives assistance through the special supple-
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mental nutritional program for women, infants, 
and children. 
(b) CONNECTED DEVICE GRANT PROGRAM.— 
(1) APPROPRIATIONS.— 
(A) IN GENERAL.—In addition to amounts 
otherwise available, there is appropriated to the 
Assistant Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise ap-
propriated, $475,000,000, to remain available 
until September 30, 2031, for the awarding of 
grants to connected device distribution pro-
grams in accordance with this section. 
(B) ADMINISTRATION.—In addition to 
amounts otherwise available, there is appro-
priated to the Assistant Secretary for fiscal 
year 2022, out of any money in the Treasury 
not otherwise appropriated, $20,000,000, to re-
main available until September 30, 2031, to ad-
minister this section, including providing tech-
nical assistance to a connected device distribu-
tion program. 
(C) OUTREACH.—In addition to amounts 
otherwise available, there is appropriated to the 
Assistant Secretary for fiscal year 2022, out of 
any money in the Treasury not otherwise ap-
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propriated, $5,000,000, to remain available 
until September 30, 2031, to conduct outreach 
related to the availability of grants under this 
section. 
(2) USE OF FUNDS.— 
(A) IN GENERAL.—A connected device dis-
tribution program shall use grant funds re-
ceived under this section for— 
(i) the reasonable purchase or refur-
bishment cost of connected devices for dis-
tribution to eligible households consistent 
with this section; and 
(ii) 
the 
reasonable 
administrative 
costs associated with the distribution of 
connected devices described in clause (i). 
(B) LIMITATION.—A connected device dis-
tribution program may use grant funds received 
under this section to provide not more than— 
(i) 1 connected device to an eligible 
household that includes not more than 2 
members over the age of 6; or 
(ii) 2 connected devices to an eligible 
household that includes not fewer than 3 
members over the age of 6. 
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(3) CLAWBACK.—If a connected device distribu-
tion program is found to have used grant funds 
awarded under this section in a manner not per-
mitted under this section or is found to have other-
wise violated a requirement under this section, the 
Assistant Secretary shall recover from the program 
some or all of the grant funds awarded to the pro-
gram. 
Subtitle L—Distance Learning 
SEC. 31301. ADDITIONAL SUPPORT FOR DISTANCE LEARN-
ING. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Emergency 
Connectivity Fund established under subsection (c)(1) of 
section 7402 of the American Rescue Plan Act of 2021 
(Public Law 117–2) for fiscal year 2022, out of any money 
in 
the 
Treasury 
not 
otherwise 
appropriated, 
$300,000,000, to remain available until September 30, 
2030, to provide support under the covered regulations 
promulgated under subsection (a) of that section, except 
that that amount shall be used to provide support under 
the covered regulations for costs incurred after the date 
of enactment of this Act but before June 30, 2030, regard-
less of whether those costs are incurred during a COVID– 
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19 emergency period (as defined in subsection (d) of that 
section). 
(b) LIMITATION.—None of the funds appropriated 
under subsection (a) may be used to purchase, rent, lease, 
or otherwise obtain any covered communications equip-
ment or service (as defined in section 9 of the Secure and 
Trusted Communications Networks Act of 2019 (47 
U.S.C. 1608)). 
Subtitle M—Manufacturing Supply 
Chain and Tourism 
SEC. 31401. MANUFACTURING SUPPLY CHAIN RESILIENCE. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2022, out of any money in 
the Treasury not otherwise appropriated, $5,000,000,000, 
to remain available until September 30, 2026, to the Of-
fice of the Secretary of Commerce, to support the resil-
ience of manufacturing supply chains affecting interstate 
commerce and related administrative costs, by— 
(1) mapping and monitoring manufacturing 
supply chains; 
(2) facilitating and supporting the establish-
ment of voluntary standards, guidelines, and best 
practices relevant to the resilience of manufacturing 
supply chains; 
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(3) identifying, accelerating, promoting, dem-
onstrating, and deploying technological advances for 
manufacturing supply chains; and 
(4) providing grants, loans, and loan guarantees 
to maintain and improve manufacturing supply 
chain resiliency. 
SEC. 
31402. 
DESTINATION 
MARKETING 
ORGANIZATION 
GRANT PROGRAM TO PROMOTE SAFE DOMES-
TIC TRAVEL. 
(a) GRANTS FOR DOMESTIC MARKETING ORGANIZA-
TIONS.—In addition to amounts otherwise available, there 
is appropriated for fiscal year 2022, out of any money in 
the Treasury not otherwise appropriated, $47,500,000, to 
remain available until September 30, 2024, to the Sec-
retary of Commerce to award grants to destination mar-
keting organizations, including public or public-private en-
tities that perform the functions of a destination mar-
keting organization as determined by the Secretary, to 
conduct marketing activities to promote domestic travel 
within the United States, including with respect to current 
travel requirements and safe travel practices, with pref-
erence to destination marketing organizations promoting 
a town, city, State, or region where the civilian labor force 
in the accommodation, leisure, and hospitality sector has 
suffered, and continues to suffer, significant job losses as 
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a result of the COVID–19 pandemic, as determined by 
the Secretary. 
(b) 
ADMINISTRATIVE
COSTS.—In 
addition 
to 
amounts otherwise available, there is appropriated for fis-
cal year 2022, out of any money in the Treasury not other-
wise appropriated, $1,500,000, to remain available until 
September 30, 2027, to the Secretary of Commerce for 
administrative costs associated with providing grants 
under subsection (a). 
(c) DATA ON DOMESTIC TRAVEL AND TOURISM.— 
In addition to amounts otherwise available, there is appro-
priated for fiscal year 2022, out of any money in the 
Treasury not otherwise appropriated, $1,000,000, to re-
main available until September 30, 2027, to the Secretary 
of Commerce to collect data on domestic travel and tour-
ism in the United States, including the impact of the 
COVID–19 pandemic on domestic travel and tourism. 
Subtitle N—FTC Privacy 
Enforcement 
SEC. 31501. FEDERAL TRADE COMMISSION FUNDING FOR A 
PRIVACY BUREAU AND RELATED EXPENSES. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2022, out of any money in 
the Treasury not otherwise appropriated, $500,000,000, 
to remain available until September 30, 2029, to the Fed-
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eral Trade Commission to create and operate a bureau, 
including by hiring and retaining technologists, user expe-
rience designers, and other experts as the Commission 
considers appropriate, to accomplish its work related to 
unfair or deceptive acts or practices relating to privacy, 
data security, identity theft, data abuses, and related mat-
ters. 
SEC. 31502. FEDERAL TRADE COMMISSION. 
Section 5(m)(1)(A) of the Federal Trade Commission 
Act (15 U.S.C. 45(m)(1)(A)) is amended— 
(1) by inserting ‘‘this Act’s prohibition of unfair 
or deceptive acts or practices or’’ after ‘‘violates’’ the 
first place it appears; and 
(2) by inserting ‘‘a violation of this Act or’’ 
after ‘‘unfair or deceptive and’’. 
Subtitle O—Department of 
Commerce Inspector General 
SEC. 31601. FUNDING FOR THE OFFICE OF INSPECTOR GEN-
ERAL OF THE DEPARTMENT OF COMMERCE. 
In addition to amounts otherwise available, there is 
appropriated for fiscal year 2022, out of any money in 
the Treasury not otherwise appropriated, $5,000,000, to 
remain available until September 30, 2030, to the Office 
of Inspector General of the Department of Commerce for 
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oversight of activities supported with funds appropriated 
to the Department of Commerce in this Act. 
TITLE IV—COMMITTEE ON 
FINANCIAL SERVICES 
Subtitle 
A—Creating 
and 
Pre-
serving 
Affordable, 
Equitable 
and Accessible Housing for the 
21st Century 
SEC. 40001. PUBLIC HOUSING INVESTMENTS. 
(a) APPROPRIATION.—In addition to amounts other-
wise made available, there is appropriated to the Secretary 
of Housing and Urban Development (in this section re-
ferred to as the ‘‘Secretary’’) for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated— 
(1) $10,000,000,000, to remain available until 
September 30, 2031, for the Capital Fund under 
section 9(d) of the United States Housing Act of 
1937 (42 U.S.C. 1437g(d)) pursuant to the same 
formula as in fiscal year 2021, to be made available 
within 60 days of the date of the enactment of this 
Act; 
(2) $53,000,000,000, to remain available until 
September 30, 2026, for eligible activities under sec-
tion 9(d)(1) of the United States Housing Act of 
1937 (42 U.S.C. 1437g(d)(1)) for priority invest-
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ments as determined by the Secretary to repair, re-
place, or construct properties assisted under such 
section 9; 
(3) $1,200,000,000, to remain available until 
September 30, 2026, for competitive grants under 
section 24 of the United States Housing Act of 1937 
(42 U.S.C. 1437v) (in this section referred to as 
‘‘section 24’’), under the terms and conditions in 
subsection (b), for transformation, rehabilitation, 
and replacement housing needs of public and as-
sisted housing, and to transform neighborhoods of 
poverty into functioning, sustainable mixed-income 
neighborhoods; 
(4) $750,000,000, to remain available until 
September 30, 2031, for the costs to the Secretary 
of administering and overseeing the implementation 
of this section and the Public Housing Capital Fund 
and the section 24 grant program generally, includ-
ing information technology, financial reporting, re-
search and evaluation, other cross-program costs in 
support of programs administered by the Secretary 
in this title, and other costs; and 
(5) $50,000,000, to remain available until Sep-
tember 30, 2031, to make new awards or increase 
prior awards to existing technical assistance pro-
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viders to provide an increase in capacity building 
and technical assistance available to entities eligible 
for funding for activities or projects consistent with 
this section. 
(b) TERMS
AND CONDITIONS
FOR SECTION 24 
GRANTS.—Grants awarded under subsection (a)(3) shall 
be subject to terms and conditions determined by the Sec-
retary, which shall include the following: 
(1) USE.—Grant funds may be used for resi-
dent and community services, community develop-
ment and revitalization, and affordable housing 
needs in the community. 
(2) APPLICANTS.—Eligible recipients of grants 
shall include lead applicants and joint applicants, as 
follows: 
(A) LEAD APPLICANTS.—A lead applicant 
shall be a local government, a public housing 
agency, or an owner of an assisted housing 
property. 
(B) JOINT APPLICANTS.—A nonprofit or-
ganization or a for-profit developer may apply 
jointly as a joint applicant with such public en-
tities specified in subparagraph (A). A local 
government must be a joint applicant with an 
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owner of an assisted housing property specified 
in subparagraph (A). 
(3) PERIOD
OF
AFFORDABILITY.—Grantees 
shall commit to a period of affordability determined 
by the Secretary of not fewer than 20 years, but the 
Secretary may specify a period of affordability that 
is fewer than 20 years with respect to homeowner-
ship units developed with section 24 grants. 
(4) ENVIRONMENTAL
REVIEW.—For purposes 
of environmental review, a grantee shall be treated 
as a public housing agency under section 26 of the 
United States Housing Act of 1937 (42 U.S.C. 
1437x). 
(5) LOW-INCOME
AND
AFFORDABLE
HOUS-
ING.—Amounts made available under this section 
shall be used for low-income housing (as such term 
is defined under section 3(b) of the United States 
Housing Act of 1937 (42 U.S.C. 1437a(b))), HUD- 
assisted housing, and affordable housing, which shall 
be housing for which the owner of the project shall 
record an affordability use restriction approved by 
the Secretary for households earning up to 120 per-
cent of the area median income and is subject to the 
period of affordability under paragraph (3) of this 
subsection. 
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(c) OTHER
TERMS
AND
CONDITIONS.—Grants 
awarded under this section shall be subject to the fol-
lowing terms and conditions: 
(1) LIMITATION.—Amounts provided pursuant 
to this section may not be used for operating costs 
or rental assistance. 
(2) DEVELOPMENT OF NEW UNITS.—Paragraph 
(3) of section 9(g) of the United States Housing Act 
of 1937 (42 U.S.C. 1437g(g)(3)) shall not apply to 
new funds made available under this section. 
(3) HEALTH
AND
SAFETY.—Amounts made 
available under this section shall be used to address 
health, safety, and environmental hazards, including 
lead, fire, carbon monoxide, mold, asbestos, radon, 
pest infestation, and other hazards as defined by the 
Secretary. 
(4) ENERGY EFFICIENCY AND RESILIENCE.— 
Amounts made available under this section shall ad-
vance improvements to energy and water efficiency 
or climate and disaster resilience in housing assisted 
under this section. 
(5) RECAPTURE.—If the Secretary recaptures 
funding allocated by formula from a public housing 
agency under subsection (a)(1), such recaptured 
amounts shall be added to the amounts available 
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under subsection (a)(2), and shall be obligated by 
the Secretary prior to the expiration of such funds. 
(6) SUPPLEMENTATION OF FUNDS.—The Sec-
retary shall ensure that amounts provided pursuant 
to this section shall serve to supplement and not 
supplant other amounts generated by a recipient of 
such amounts or amounts provided by other Federal, 
State, or local sources. 
(7) WAIVERS
AND
ALTERNATIVE
REQUIRE-
MENTS.—The Secretary may waive or specify alter-
native requirements for subsections (d)(1), (d)(2), 
(e), and (j) of section 9 of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437g) and associated 
regulations in connection with the use of amounts 
made available under this section other than require-
ments related to tenant rights and protections, fair 
housing, nondiscrimination, labor standards, and the 
environment, upon a finding that the waiver or alter-
native requirement is necessary to facilitate the use 
of amounts made available under this section. 
(d) IMPLEMENTATION.—The Secretary shall have au-
thority to issue such regulations or notices, or other guid-
ance, forms, instructions, and publications to carry out the 
programs, projects, or activities authorized under this sec-
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tion to ensure that such programs, projects, or activities 
are completed in a timely and effective manner. 
SEC. 40002. INVESTMENTS IN AFFORDABLE AND ACCES-
SIBLE HOUSING PRODUCTION. 
(a) APPROPRIATION.—In addition to amounts other-
wise made available, there is appropriated to the Secretary 
of Housing and Urban Development (in this section re-
ferred to as the ‘‘Secretary’’) for fiscal year 2022, out of 
any money in the Treasury not otherwise appropriated— 
(1) $9,925,000,000, to remain available until 
September 30, 2026, for activities and assistance for 
the HOME Investment Partnerships Program (in 
this section referred to as the ‘‘HOME program’’), 
as authorized under sections 241 through 242, 244 
through 253, 255 through 256, and 281 through 
290 of the Cranston-Gonzalez National Affordable 
Housing Act (42 U.S.C. 12741-12742, 42 U.S.C. 
12744–12753, 42 U.S.C. 12755–12756, 42 U.S.C. 
12831–12840) (in this section referred to as 
‘‘NAHA’’), subject to the terms and conditions para-
graph (1)(A) of subsection (b); 
(2) $14,925,000,000, to remain available until 
September 30, 2026, for activities and assistance for 
the HOME Investment Partnerships Program, as 
authorized under sections 241 through 242, 244 
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through 253, 255 through 256, and 281 through 
290 of the Cranston-Gonzalez National Affordable 
Housing Act (42 U.S.C. 12741–12742, 42 U.S.C. 
12744–12753, 42 U.S.C. 12755–12756, 42 U.S.C. 
12831–12840), subject to the terms and conditions 
in paragraphs (1)(B) and (2) of subsection (b); 
(3) $50,000,000, to remain available until Sep-
tember 30, 2031, to make new awards or increase 
prior awards to existing technical assistance pro-
viders to provide an increase in capacity building 
and technical assistance available to any grantees 
implementing activities or projects consistent with 
this section; and 
(4) $100,000,000, to remain available until 
September 30, 2031, for the costs to the Secretary 
of administering and overseeing the implementation 
of this section and the HOME and Housing Trust 
Fund programs generally, including information 
technology, financial reporting, research and evalua-
tions, and other cross-program costs in support of 
programs administered by the Secretary in this title, 
and other costs. 
(b) TERMS AND CONDITIONS.— 
(1) FORMULAS.— 
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(A) The Secretary shall allocate amounts 
made available under subsection (a)(1) pursu-
ant to section 217 of NAHA (42 U.S.C. 12747) 
to grantees that received allocations pursuant 
to that same formula in fiscal year 2021 and 
shall make such allocations within 60 days of 
the enactment of this Act. 
(B) The Secretary shall allocate amounts 
made available under subsection (a)(2) pursu-
ant to the formula specified in section 
1338(c)(3) of the Federal Housing Enterprises 
Financial Safety and Soundness Act of 1992 
(12 U.S.C. 4568(c)(3)) to grantees that re-
ceived Housing Trust Fund allocations pursu-
ant to that same formula in fiscal year 2021 
and shall make such allocations within 60 days 
of the date of the enactment of this Act. 
(2) ELIGIBLE ACTIVITIES.—Other than as pro-
vided in paragraph (5) of this subsection, funds 
made available under subsection (a)(2) may only be 
used for eligible activities described in subpara-
graphs (A) through (B)(i) of section 1338(c)(7) of 
the Federal Housing Enterprises Financial Safety 
and Soundness Act of 1992 (12 U.S.C. 4568(c)(7)), 
except that not more than 10 percent of funds made 
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available may be used for activities under such sub-
paragraph (B)(i). 
(3) FUNDING
RESTRICTIONS.—The commit-
ment requirements in section 218(g) (42 U.S.C. 
12748(g)) of NAHA, the matching requirements in 
section 220 (42 U.S.C. 12750) of NAHA, and the 
set-aside for housing developed, sponsored, or owned 
by community housing development organizations re-
quired in section 231 of NAHA (42 U.S.C. 12771) 
shall not apply for amounts made available under 
this section. 
(4) REALLOCATION.—For funds provided under 
paragraphs (1) and (2) of subsection (a), the Sec-
retary may recapture certain amounts remaining 
available to a grantee under this section or amounts 
declined by a grantee, and reallocate such amounts 
to other grantees under that paragraph to ensure 
fund expenditure, geographic diversity, and avail-
ability of funding to communities within the State 
from which the funds have been recaptured. 
(5) ADMINISTRATION.— Notwithstanding sub-
sections (c) and (d)(1) of section 212 of NAHA (42 
U.S.C. 12742), grantees may use not more than 15 
percent of their allocations under this section for ad-
ministrative and planning costs. 
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(c) WAIVERS.—The Secretary may waive or specify 
alternative requirements for any provision of the Cran-
ston-Gonzalez National Affordable Housing Act specified 
in subsection (a)(1) or (a)(2) or regulation for the admin-
istration of the amounts made available under this section 
other than requirements related to tenant rights and pro-
tections, fair housing, nondiscrimination, labor standards, 
and the environment, upon a finding that the waiver or 
alternative requirement is necessary to facilitate the use 
of amounts made available under this section. 
(d) IMPLEMENTATION.—The Secretary shall have au-
thority to issue such regulations, notices, or other guid-
ance, forms, instructions, and publications to carry out the 
programs, projects, or activities authorized under this sec-
tion to ensure that such programs, projects, or activities 
are completed in a timely and effective manner. 
SEC. 40003. HOUSING INVESTMENT FUND. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated for fiscal year 2022, 
out of any money in the Treasury not otherwise appro-
priated, to remain available until September 30, 2026— 
(1) $740,000,000 to the Department of the 
Treasury to establish the Housing Investment Fund 
established by this section within the Community 
Development Financial Institutions Fund (in this 
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section referred to as the ‘‘CDFI Fund’’) to make 
grants to increase investment in the development, 
preservation, rehabilitation, financing, or purchase 
of affordable housing primarily for low-, very-low, 
and extremely low-income families who are renters, 
and for homeowners with incomes up to 120 percent 
of the area median income, and for economic devel-
opment and community facilities related to such 
housing and to further fair housing; and 
(2) $10,000,000 for the costs to the CDFI 
Fund of administering and overseeing the implemen-
tation of this section, including information tech-
nology, financial reporting, research and evaluations, 
and other costs. 
(b) ELIGIBLE GRANTEES.—A grant under this sec-
tion may be made, pursuant to such requirements as the 
CDFI Fund shall establish, only to— 
(1) a CDFI Fund certified community develop-
ment financial institution, as such term is defined in 
section 103 of the Riegle Community Development 
and Regulatory Improvement Act of 1994 (12 
U.S.C. 4702); 
(2) a nonprofit organization having as one of its 
principal purposes the creation, development, or 
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preservation of affordable housing, including a sub-
sidiary of a public housing authority; or 
(3) a consortium comprised of certified commu-
nity development financial institutions, eligible non-
profit housing organizations, or a combination of 
both. 
(c) ELIGIBLE
USES.—Eligible uses for grant 
amounts awarded from the Housing Investment Fund 
pursuant to this section shall— 
(1) be reasonably expected to result in eligible 
affordable housing activities that support or sustain 
affordable housing funded by a grant under this sec-
tion and capital from other public and private 
sources; and 
(2) include activities— 
(A) to provide loan loss reserves; 
(B) to capitalize an acquisition fund to ac-
quire residential, industrial, or commercial 
property and land for the purpose of the preser-
vation, development, or rehabilitation of afford-
able housing, including to support the creation, 
preservation, or rehabilitation of resident-owned 
manufactured housing communities; 
(C) to capitalize an affordable housing 
fund, for development, preservation, rehabilita-
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tion, or financing of affordable housing and eco-
nomic development activities, including commu-
nity facilities, if part of a mixed-use project, or 
activities described in this paragraph related to 
transit-oriented development, which may also be 
designated as a focus of such a fund; 
(D) to capitalize an affordable housing 
mortgage fund, to facilitate the origination of 
mortgages to buyers that may experience sig-
nificant barriers to accessing affordable mort-
gage credit, including mortgages having low 
original principal obligations; 
(E) for risk-sharing loans; 
(F) to provide loan guarantees; and 
(G) to fund rental housing operations. 
(d) IMPLEMENTATION.—The CDFI Fund shall have 
the authority to issue such regulations, notice, or other 
guidance, forms, instructions, and publications to carry 
out the programs, projects, or activities authorized under 
this section to ensure that such programs, projects, or ac-
tivities are completed in a timely and effective manner. 
SEC. 40004. SECTION 811 SUPPORTIVE HOUSING FOR PEO-
PLE WITH DISABILITIES. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
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Housing and Urban Development (in this section referred 
to as the ‘‘Secretary’’) for fiscal year 2022, out of any 
money in the Treasury not otherwise appropriated— 
(1) $450,000,000 for capital advances, includ-
ing amendments to capital advance contracts, for 
supportive housing for persons with disabilities, as 
authorized by section 811(b)(2) of the Cranston- 
Gonzalez National Affordable Housing Act (42 
U.S.C. 8013(b)(2)) (in this section referred to as the 
‘‘Act’’), and subject to subsections (a) through 
(h)(4), (h)(6) through (i)(1)(C), and (i)(2) through 
(m) of such section 811 (42 U.S.C. 8013(a)-42 
U.S.C. 8013(h)(4), 42 U.S.C. 8013(h)(6)-42 U.S.C. 
8013(i)(1)(C), 42 U.S.C. 8013(i)(2)-42 U.S.C. 
8013(m)), and for project rental assistance for sup-
portive housing for persons with disabilities under 
section 811(d)(2) of the Act and for project assist-
ance contracts pursuant to section 202(h) of the 
Housing Act of 1959 (Public Law 86–372; 73 Stat. 
667), for project rental assistance to State housing 
finance agencies and other appropriate entities as 
authorized under section 811(b)(3) of the Act, for 
State housing finance agencies; 
(2) $7,500,000 for providing technical assist-
ance to support State-level efforts to integrate hous-
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ing assistance and voluntary supportive services for 
residents of housing receiving such assistance, which 
funding may also be used to provide technical assist-
ance to applicants and potential applicants to under-
stand program requirements and develop effective 
applications, and the Secretary may use amounts 
made available under this paragraph to increase 
prior awards to existing technical assistance pro-
viders to provide an immediate increase in capacity 
building and technical assistance; and 
(3) $42,500,000 for the costs to the Secretary 
of administering and overseeing the implementation 
of this section and the Supportive Housing for Per-
sons with Disabilities program generally, including 
information technology, financial reporting, research 
and evaluations, other cross-program costs in sup-
port of programs administered by the Secretary in 
this title, and other costs. 
Amounts appropriated by this section shall remain avail-
able until September 30, 2031. 
(b) LIMITATIONS ON COSTS.—When awarding grants 
under paragraph (1) of subsection (a), the Secretary shall 
establish and assess reasonable development cost limita-
tions by market area for various types and sizes of sup-
portive housing for persons with disabilities. The Sec-
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retary shall not count owner or sponsor contributions of 
other funding or assistance against the overall cost of a 
project. 
(c) OCCUPANCY STANDARDS.—The owner or sponsor 
of housing assisted with funds provided under this section 
may, with the approval of the Secretary, limit occupancy 
with the housing to persons with disabilities who can ben-
efit from the supportive services offered in connection with 
the housing. 
(d) WAIVERS.—The Secretary may waive or specify 
alternative requirements for subsection (c) or (bb) of sec-
tion 8 of the United States Housing Act of 1937 (42 
U.S.C. 1437f (c), 1437f(bb)) upon a finding that the waiv-
er or alternative requirement is necessary to facilitate the 
use of amounts made available under this section. 
(e) IMPLEMENTATION.—The Secretary shall have au-
thority to issue such regulations, notices, or other guid-
ance, forms, instructions, and publications to carry out the 
programs, projects, or activities authorized under this sec-
tion to ensure that such programs, projects, or activities 
are completed in a timely and effective manner. 
SEC. 40005. SECTION 202 SUPPORTIVE HOUSING FOR THE 
ELDERLY PROGRAM. 
(a) APPROPRIATION.—In addition to amounts other-
wise available, there is appropriated to the Secretary of 
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Housing and Urban Development (in this section referred 
to as the ‘‘Secretary’’) for fiscal year 2022, out of any 
money in the Treasury not otherwise appropriated— 
(1) $450,000,000 for the Supportive Housing 
for the Elderly Program authorized under section 
202 of the Housing Act of 1959, and subject to sub-
sections (a) through (g), (h)(2) through (h)(5), and 
(i) through (m) of such section 202 (12 U.S.C. 
1701q(a)-12 
U.S.C. 
1701q(g), 
U.S.C. 
1701q(h)(2)-12 U.S.C. 1701q(h)(5), 12 U.S.C. 
1701q(i)-12 U.S.C. 1701q(m)) (in this section re-
ferred to as the ‘‘Act’’), which shall be used— 
(A) for capital advance awards in accord-
ance with section 202(c)(1) of the Act to recipi-
ents that are eligible under the Act; 
(B) for new section 8 project-based rental 
assistance contracts under section 8(b) of the 
United States Housing Act of 1937 Act (42 
U.S.C. 1437f(b)), subject to subsection (c) of 
this section, with the Secretary setting the 
terms of such project-based rental assistance 
contracts, including the duration and provisions 
regarding rent setting and rent adjustment, to 
support the capital advance projects funded 
under this section; and 
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(1) AUTHORITY.—Notwithstanding section 8(a) 
the Act (42 U.S.C. 1437f(a)), the Secretary may use 
amounts made available under this section to pro-
vide assistance payments with respect to newly con-
structed housing, existing housing, or substantially 
rehabilitated non-housing structures for use as new 
multifamily housing in accordance with this section 
and the provisions of section 8 of the Act. In addi-
tion, the Secretary may use amounts made available 
under this section for performance-based contract 
administrators for section 8 project-based assistance, 
for carrying out this section and section 8 of the 
Act. 
(2) PROJECT-BASED
RENTAL
ASSISTANCE.— 
The Secretary may make assistance payments using 
amounts made available under this section pursuant 
to contracts with owners or prospective owners who 
agree to construct housing, to substantially rehabili-
tate existing housing, to substantially rehabilitate 
non-housing structures for use as new multifamily 
housing, or to attach the assistance to newly con-
structed housing in which some or all of the units 
shall be available for occupancy by very low-income 
families in accordance with the provisions of section 
8 of the Act. In awarding contracts pursuant to this 
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(3) 
FIRST-GENERATION
HOMEBUYER.—The 
term ‘‘first-generation homebuyer’’ means a home-
buyer that, as attested by the homebuyer, is— 
(A) an individual— 
(i) whose parents or legal guardians 
do not, or did not at the time of their 
death, to the best of the individual’s knowl-
edge, have any present ownership interest 
in a residence in any State or ownership of 
chattel, excluding ownership of heir prop-
erty; and 
(ii) whose spouse, or domestic partner 
has not, during the 3-year period ending 
upon acquisition of the eligible home to be 
acquired using such assistance, have any 
present ownership interest in a residence 
in any State, excluding ownership of heir 
property or ownership of chattel, whether 
the individual is a co-borrower on the loan 
or not; or 
(B) an individual who has at any time 
been placed in foster care or institutional care 
whose spouse or domestic partner has not, dur-
ing the 3-year period ending upon acquisition of 
the eligible home to be acquired using such as-
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SEC. 50003. NONPROFIT SECURITY GRANT PROGRAM. 
(a) HIGH-RISK
URBAN
AREAS.—In addition to 
amounts otherwise available, there is appropriated, out of 
any money in the Treasury not otherwise appropriated, 
$50,000,000, to remain available until September 30, 
2031, to the Administrator of Federal Emergency Man-
agement Agency for the Nonprofit Security Grant Pro-
gram for grants to nonprofits under the Urban Area Secu-
rity Initiative. 
(b) OTHER AREAS.—In addition to amounts other-
wise available, there is appropriated, out of any money in 
the Treasury not otherwise appropriated, $50,000,000, to 
remain available until September 30, 2031, to the Admin-
istrator of the Federal Emergency Management Agency 
for the Nonprofit Security Grant Program for grants to 
nonprofits under the State Homeland Security Grant Pro-
gram. 
(c) LIMITATION.—The Administrator of the Federal 
Emergency Management Agency may not use amounts ap-
propriated under this section for activities under the Na-
tional Flood Insurance Act of 1968 or a function of the 
Federal Emergency Management Agency relating to that 
Act. 
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(2) by redesignating paragraphs (4) through 
(7) as paragraphs (3) through (6), respectively; and 
(3) by adding at the end the following: 
‘‘(7) UNDERSERVED
COMMUNITY.—The term 
‘underserved community’ has the meaning given that 
term in section 247.’’. 
SEC. 133402. GROUP ELIGIBILITY REQUIREMENTS. 
Section 292 of the Trade Act of 1974 (19 U.S.C. 
2401a) is amended— 
(1) in subsection (c)— 
(A) in paragraph (1)— 
(i) by striking ‘‘85 percent of’’ each 
place it appears; and 
(ii) in subparagraph (D), by adding 
‘‘and’’ at the end; 
(B) in paragraph (2), by striking ‘‘(2)’’ 
and inserting ‘‘(2)(A)(i)’’; 
(C) by redesignating paragraph (3) as 
clause (ii) of paragraph (2)(A) (as designated 
by subparagraph (B)); 
(D) in clause (ii) of paragraph (2)(A) (as 
redesignated by subparagraph (C))— 
(i) by striking ‘‘importantly’’; and 
(ii) by striking the period at the end 
and inserting ‘‘; or’’ ; and 
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under subsection (f)(1)(D) for a price that does not 
exceed— 
‘‘(A) in the case of any qualified residence 
not described in subparagraph (B), (C), or (D), 
the amount equal to the product of 4 multiplied 
by the median family income for the applicable 
area (as determined pursuant to the most re-
cent census data available as of the date of the 
contract for such sale), 
‘‘(B) in the case of a house comprised of 
2 residential units, 125 percent of the amount 
described in subparagraph (A), 
‘‘(C) in the case of a house comprised of 
3 residential units, 150 percent of the amount 
described in subparagraph (A), or 
‘‘(D) in the case of a house comprised of 
4 residential units, 175 percent of the amount 
described in subparagraph (A). 
‘‘(2) 
QUALIFIED
HOMEOWNER.—The 
term 
‘qualified homeowner’ means, with respect to a 
qualified residence, an individual— 
‘‘(A) who owns and uses such qualified res-
idence as the principal residence of such indi-
vidual, and 
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