147 
(2) geographic concentrations of types and 
prevalence of pediatric cancers within each such 
State, in accordance with Centers for Disease Con-
trol and Prevention guidelines; and 
(3) an update on current activities related to 
pediatric cancer, including with respect to carrying 
out section 399V–6 of the Public Health Service Act 
(42 U.S.C. 280g–17). 
(b) SUPPORT FOR STATES WITH HIGH INCIDENCE 
OF PEDIATRIC CANCER.—Using funds appropriated under 
the heading ‘‘Toxic Substances and Environmental Public 
Health’’ for the Agency for Toxic Substances and Disease 
Registry, the Secretary of Health and Human Services 
may conduct public outreach, in collaboration with State 
departments of health, particularly in the 10 States with 
the highest age-adjusted incidence rate of cancer among 
persons aged 20 years or younger, to improve awareness 
by residents, clinicians, and others, as appropriate, of pos-
sible contributing factors to pediatric cancer, including en-
vironmental exposures, in a manner that is complementary 
of, and does not conflict with, ongoing pediatric cancer- 
related activities supported by the Department of Health 
and Human Services. 
(c) PRIVACY.—The Secretary of Health and Human 
Services shall ensure that all information with respect to 
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patients that is contained in the reports under this section 
is de-identified and protects personal privacy of such pa-
tients in accordance with applicable Federal and State pri-
vacy law. 
EXPLANATORY STATEMENT 
SEC. 436. The explanatory statement regarding divi-
sion A of H.R. 21, printed in the Congressional Record 
on January 3, 2019, and submitted by the Chair of the 
Committee on Appropriations, shall have the same effect 
with respect to allocation of funds and implementation of 
this Act as if it were a joint explanatory statement of a 
committee of conference. 
COMPENSATION FOR FEDERAL EMPLOYEES FURLOUGHED 
DURING A GOVERNMENT SHUTDOWN 
SEC. 437. (a) Employees furloughed as a result of 
any lapse in appropriations beginning on or about Decem-
ber 22, 2018 and ending on the date of enactment of this 
Act shall be compensated at their standard rate of com-
pensation, for the period of such lapse in appropriations, 
as soon as practicable after such lapse in appropriations 
ends. 
(b) For purposes of this section, ‘‘employees’’ means 
any Federal employees whose salaries and expenses are 
provided in this Act. 
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(c) All obligations incurred in anticipation of the ap-
propriations made and authority granted by this Act for 
the purposes of maintaining the essential level of activity 
to protect life and property and bringing about orderly ter-
mination of Government functions, and for purposes as 
otherwise authorized by law, are hereby ratified and ap-
proved if otherwise in accord with the provisions of this 
Act. 
STATES, TERRITORIES, POSSESSIONS AND OTHER FED-
ERAL
GRANTEES
IMPACTED
BY
A
GOVERNMENT 
SHUTDOWN 
SEC. 438. (a) If a State (or another Federal grantee) 
used State funds (or the grantee’s non-Federal funds) to 
continue carrying out a Federal program or furloughed 
State employees (or the grantee’s employees) whose com-
pensation is advanced or reimbursed in whole or in part 
by the Federal Government— 
(1) such furloughed employees shall be com-
pensated at their standard rate of compensation for 
such period; 
(2) the State (or such other grantee) shall be 
reimbursed for expenses that would have been paid 
by the Federal Government during such period had 
appropriations been available, including the cost of 
compensating such furloughed employees, together 
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with interest thereon calculated under section 
6503(d) of title 31, United States Code; and 
(3) the State (or such other grantee) may use 
funds available to the State (or the grantee) under 
such Federal program to reimburse such State (or 
the grantee), together with interest thereon cal-
culated under section 6503(d) of title 31, United 
States Code. 
(b) For purposes of this section, the term ‘‘State’’ 
and the term ‘‘grantee,’’ including United States terri-
tories and possessions, shall have the meaning given such 
terms under the applicable Federal program under sub-
section (a). In addition, ‘‘to continue carrying out a Fed-
eral program’’ means the continued performance by a 
State or other Federal grantee, during the period of a 
lapse in appropriations, of a Federal program that the 
State or such other grantee had been carrying out prior 
to the period of the lapse in appropriations. 
(c) The authority under this section applies with re-
spect to any period in fiscal year 2019 (not limited to peri-
ods beginning or ending after the date of the enactment 
of this Act) during which there occurs a lapse in appro-
priations with respect to any department or agency of the 
Federal Government receiving funding in this Act which, 
but for such lapse in appropriations, would have paid, or 
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made reimbursement relating to, any of the expenses re-
ferred to in this section with respect to the program in-
volved. Payments and reimbursements under this author-
ity shall be made only to the extent and in amounts pro-
vided in advance in appropriations Acts. 
This Act may be cited as the ‘‘Department of the In-
terior, Environment, and Related Agencies Appropriations 
Act, 2019’’. 
Æ 
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