transferred under this subsection shall be available to the 
Secretary to carry out program integrity activities directly 
or through grants, cooperative agreements, contracts and 
other arrangements with States and other appropriate en-
tities: Provided further, That funds transferred under the 
authority provided by this subsection shall be available for 
obligation through September 30, 2026. 
(TRANSFER OF FUNDS) 
SEC. 107. (a) The Secretary may reserve not more 
than 0.75 percent from each appropriation made available 
in this Act identified in subsection (b) in order to carry 
out evaluations of any of the programs or activities that 
are funded under such accounts. Any funds reserved under 
this section shall be transferred to ‘‘Departmental Man-
agement’’ for use by the Office of the Chief Evaluation 
Officer within the Department of Labor, and shall be 
available for obligation through September 30, 2026: Pro-
vided, That such funds shall only be available if the Chief 
Evaluation Officer of the Department of Labor submits 
a plan to the Committees on Appropriations of the House 
of Representatives and the Senate describing the evalua-
tions to be carried out 15 days in advance of any transfer. 
(b) The accounts referred to in subsection (a) are: 
‘‘Training and Employment Services’’, ‘‘Job Corps’’, 
‘‘Community Service Employment for Older Americans’’, 
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‘‘State Unemployment Insurance and Employment Service 
Operations’’, ‘‘Employee Benefits Security Administra-
tion’’, ‘‘Office of Workers’ Compensation Programs’’, 
‘‘Wage and Hour Division’’, ‘‘Office of Federal Contract 
Compliance Programs’’, ‘‘Office of Labor Management 
Standards’’, ‘‘Occupational Safety and Health Adminis-
tration’’, ‘‘Mine Safety and Health Administration’’, ‘‘Of-
fice of Disability Employment Policy’’, funding made 
available to the ‘‘Bureau of International Labor Affairs’’ 
and ‘‘Women’s Bureau’’ within the ‘‘Departmental Man-
agement, Salaries and Expenses’’ account, and ‘‘Veterans’ 
Employment and Training’’. 
SEC. 108. (a) Section 7 of the Fair Labor Standards 
Act of 1938 (29 U.S.C. 207) shall be applied hereafter 
as if the following text is part of such section: 
‘‘(s)(1) The provisions of this section shall not apply 
for a period of 2 years after the occurrence of a major 
disaster to any employee— 
‘‘(A) employed to adjust or evaluate claims re-
sulting from or relating to such major disaster, by 
an employer not engaged, directly or through an af-
filiate, in underwriting, selling, or marketing prop-
erty, casualty, or liability insurance policies or con-
tracts; 
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‘‘(B) who receives from such employer on aver-
age weekly compensation of not less than $591.00 
per week or any minimum weekly amount estab-
lished by the Secretary, whichever is greater, for the 
number of weeks such employee is engaged in any 
of the activities described in subparagraph (C); and 
‘‘(C) whose duties include any of the following: 
‘‘(i) interviewing insured individuals, indi-
viduals who suffered injuries or other damages 
or losses arising from or relating to a disaster, 
witnesses, or physicians; 
‘‘(ii) inspecting property damage or review-
ing factual information to prepare damage esti-
mates; 
‘‘(iii) evaluating and making recommenda-
tions regarding coverage or compensability of 
claims or determining liability or value aspects 
of claims; 
‘‘(iv) negotiating settlements; or 
‘‘(v) making recommendations regarding 
litigation. 
‘‘(2) The exemption in this subsection shall not affect 
the exemption provided by section 13(a)(1). 
‘‘(3) For purposes of this subsection— 
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‘‘(A) the term ‘major disaster’ means any dis-
aster or catastrophe declared or designated by any 
State or Federal agency or department; 
‘‘(B) the term ‘employee employed to adjust or 
evaluate claims resulting from or relating to such 
major disaster’ means an individual who timely se-
cured or secures a license required by applicable law 
to engage in and perform the activities described in 
clauses (i) through (v) of paragraph (1)(C) relating 
to a major disaster, and is employed by an employer 
that maintains worker compensation insurance cov-
erage or protection for its employees, if required by 
applicable law, and withholds applicable Federal, 
State, and local income and payroll taxes from the 
wages, salaries and any benefits of such employees; 
and 
‘‘(C) the term ‘affiliate’ means a company that, 
by reason of ownership or control of 25 percent or 
more of the outstanding shares of any class of voting 
securities of one or more companies, directly or indi-
rectly, controls, is controlled by, or is under common 
control with, another company.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
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SEC. 109. (a) FLEXIBILITY WITH RESPECT TO THE 
CROSSING OF H–2B NONIMMIGRANTS WORKING IN THE 
SEAFOOD INDUSTRY.— 
(1) IN GENERAL.—Subject to paragraph (2), if 
a petition for H–2B nonimmigrants filed by an em-
ployer in the seafood industry is granted, the em-
ployer may bring the nonimmigrants described in 
the petition into the United States at any time dur-
ing the 120-day period beginning on the start date 
for which the employer is seeking the services of the 
nonimmigrants without filing another petition. 
(2) REQUIREMENTS
FOR
CROSSINGS
AFTER 
90TH
DAY.—An employer in the seafood industry 
may not bring H–2B nonimmigrants into the United 
States after the date that is 90 days after the start 
date for which the employer is seeking the services 
of the nonimmigrants unless the employer— 
(A) completes a new assessment of the 
local labor market by— 
(i) listing job orders in local news-
papers on 2 separate Sundays; and 
(ii) posting the job opportunity on the 
appropriate Department of Labor Elec-
tronic Job Registry and at the employer’s 
place of employment; and 
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(B) offers the job to an equally or better 
qualified United States worker who— 
(i) applies for the job; and 
(ii) will be available at the time and 
place of need. 
(3) EXEMPTION FROM RULES WITH RESPECT 
TO STAGGERING.—The Secretary of Labor shall not 
consider an employer in the seafood industry who 
brings H–2B nonimmigrants into the United States 
during the 120-day period specified in paragraph (1) 
to be staggering the date of need in violation of sec-
tion 655.20(d) of title 20, Code of Federal Regula-
tions, or any other applicable provision of law. 
(b) H–2B NONIMMIGRANTS DEFINED.—In this sec-
tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad-
mitted to the United States pursuant to section 
101(a)(15)(H)(ii)(B) of the Immigration and Nationality 
Act (8 U.S.C. 1101(a)(15)(H)(ii)(B)). 
SEC. 110. The determination of prevailing wage for 
the purposes of the H–2B program shall be the greater 
of—(1) the actual wage level paid by the employer to other 
employees with similar experience and qualifications for 
such position in the same location; or (2) the prevailing 
wage level for the occupational classification of the posi-
tion in the geographic area in which the H–2B non-
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immigrant will be employed, based on the best information 
available at the time of filing the petition. In the deter-
mination of prevailing wage for the purposes of the H– 
2B program, the Secretary shall accept private wage sur-
veys even in instances where Occupational Employment 
Statistics survey data are available unless the Secretary 
determines that the methodology and data in the provided 
survey are not statistically supported. 
SEC. 111. None of the funds in this Act shall be used 
to enforce the definition of corresponding employment 
found in 20 CFR 655.5 or the three-fourths guarantee 
rule definition found in 20 CFR 655.20, or any references 
thereto. Further, for the purpose of regulating admission 
of temporary workers under the H–2B program, the defi-
nition of temporary need shall be that provided in 8 CFR 
214.2(h)(6)(ii)(B). 
SEC. 112. Notwithstanding any other provision of 
law, the Secretary may furnish through grants, coopera-
tive agreements, contracts, and other arrangements, not 
more than $450,000 of excess personal property, at a 
value determined by the Secretary, to apprenticeship pro-
grams for the purpose of training apprentices in those pro-
grams. 
SEC. 113. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, enacted March 4, 1913 (37 Stat. 
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736, chapter 141) is amended by adding at the end the 
following: 
‘‘SEC. 12. SECURITY DETAIL. 
‘‘(a) IN GENERAL.—The Secretary of Labor is au-
thorized to employ law enforcement officers or special 
agents to— 
‘‘(1) provide protection for the Secretary of 
Labor during the workday of the Secretary and dur-
ing any activity that is preliminary or postliminary 
to the performance of official duties by the Sec-
retary; 
‘‘(2) provide protection, incidental to the protec-
tion provided to the Secretary, to a member of the 
immediate family of the Secretary who is partici-
pating in an activity or event relating to the official 
duties of the Secretary; 
‘‘(3) provide continuous protection to the Sec-
retary (including during periods not described in 
paragraph (1)) and to the members of the imme-
diate family of the Secretary if there is a unique and 
articulable threat of physical harm, in accordance 
with guidelines established by the Secretary; and 
‘‘(4) provide protection to the Deputy Secretary 
of Labor or another senior officer representing the 
Secretary of Labor at a public event if there is a 
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unique and articulable threat of physical harm, in 
accordance with guidelines established by the Sec-
retary. 
‘‘(b) AUTHORITIES.—The Secretary of Labor may 
authorize a law enforcement officer or special agent em-
ployed under subsection (a), for the purpose of performing 
the duties authorized under subsection (a), to— 
‘‘(1) carry firearms; 
‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, in-
cluding identifying and mitigating potential threats 
and conducting advance work to review security mat-
ters relating to sites and events; 
‘‘(4) coordinate with local law enforcement 
agencies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Sec-
retary, in coordination with the Inspector General of 
the Department of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en-
forcement officer or special agent employed under sub-
section (a) shall exercise any authority provided under this 
section in accordance with any— 
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‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 114. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
priate, including an agreement or partnership to construct 
a new Job Corps center, all or a portion of the real prop-
erty on which the Treasure Island Job Corps Center and 
the Gary Job Corps Center are situated. Any sale or other 
disposition, to include any associated construction project, 
will not be subject to any requirement of any Federal law 
or regulation relating to the disposition of Federal real 
property or relating to Federal procurement, including but 
not limited to subchapter III of chapter 5 of title 40 of 
the United States Code, subchapter V of chapter 119 of 
title 42 of the United States Code, and chapter 33 of divi-
sion C of subtitle I of title 41 of the United States Code. 
The net proceeds of such a sale shall be transferred to 
the Secretary, which shall be available until expended for 
such project to carry out the Job Corps Program on 
Treasure Island and the Job Corps Program in and 
around San Marcos, Texas, respectively. 
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SEC. 115. None of the funds made available by this 
Act may be used to— 
(1) alter or terminate the Interagency Agree-
ment between the United States Department of 
Labor and the United States Department of Agri-
culture; or 
(2) close any of the Civilian Conservation Cen-
ters, except if such closure is necessary to prevent 
the endangerment of the health and safety of the 
students, the capacity of the program is retained, 
and the requirements of section 159(j) of the WIOA 
are met. 
(RESCISSION) 
SEC. 116. Of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act 
(8 U.S.C. 1356(s)(2)), $217,000,000 are hereby perma-
nently rescinded not later than September 30, 2025. 
SEC. 117. Any criminal charge or civil enforcement 
action alleging that an individual engaged in fraud with 
respect to compensation (as defined in section 3306 of the 
Internal Revenue Code of 1986) for purposes of deter-
mining benefits under the following statutes shall be filed 
not later than 10 years after the offense was committed: 
(1) Coronavirus Aid, Relief, and Economic Se-
curity (CARES) Act, P.L. 116-136; 
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(2) Consolidated Appropriations Act of 2021, 
P.L. 116-260; 
(3) American Rescue Plan Act of 2021, P.L. 
117-2; and 
(4) Lost Wages Assistance Program under the 
Stafford Act, (42 U.S.C. § 5121–5207). 
SEC. 118. For the 2-year period beginning on the 
date of the enactment of this Act, the Adverse Effect 
Wage Rate in effect under 20 CFR 655.120(b) shall be 
the Adverse Effect Wage Rate in effect on January 31, 
2023. 
SEC. 119. None of the funds made available by this 
Act may be used to administer, implement, or enforce— 
(1) the final rule entitled ‘‘Adverse Effect Wage 
Rate Methodology for the Temporary Employment 
of H-2A Nonimmigrants in Non-Range Occupations 
in the United States’’, (88 Fed. Reg. 12760 (effec-
tive March 30, 2023)); 
(2) 20 CFR 655.131(b) (relating to joint em-
ployer requirements); or 
(3) the final rule entitled ‘‘Improving Protec-
tions for Workers in Temporary Agricultural Em-
ployment in the United States’’, (89 Fed. Reg. 
33898 (effective June 28, 2024)). 
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SEC. 120. None of the funds made available by this 
Act may be used to administer, implement, or enforce— 
(1) the final rule entitled ‘‘Employee or Inde-
pendent Contractor Classification Under the Fair 
Labor Standards Act’’, (89 Fed. Reg. 1638 (effec-
tive March 11, 2024)); or 
(2) the final rule entitled ‘‘Defining and Delim-
iting the Exemptions for Executive, Administrative, 
Professional, Outside Sales, and Computer Employ-
ees’’, (89 Fed. Reg. 32842 (effective July 1, 2024 
SEC. 121. None of the funds made available by this 
Act may be used to administer, implement, or enforce— 
(1) the final rule entitled ‘‘Prudence and Loy-
alty in Selecting Plan Investments and Exercising 
Shareholder Rights’’, (87 Fed. Reg. 73822 (effective 
January 30, 2023)); 
(2) the final rule entitled ‘‘Retirement Security 
Rule: Definition of an Investment Advice Fidu-
ciary’’, (89 Fed. Reg. 32122 (effective September 
23, 2024)); 
(3) the final rule entitled ‘‘Amendment to Pro-
hibited Transaction Exemption 2020-02’’, (89 Fed. 
Reg. 32260 (effective September 23, 2024)); 
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(4) the final rule entitled ‘‘Amendment to Pro-
hibited Transaction Exemption 84-24’’, (89 Fed. 
Reg. 32302 (effective September 23, 2024)); or 
(5) the final rule entitled ‘‘Amendment to Pro-
hibited Transaction Exemptions 75–1, 77–4, 80–83, 
83–1, and 86–128’’, (89 Fed. Reg. 32346 (effective 
September 23, 2024)). 
SEC. 122. None of the funds made available by this 
Act may be used to administer, implement, or enforce the 
proposed rule entitled ‘‘National Apprenticeship System 
Enhancements’’, published by the Department of Labor 
in the Federal Register on January 17, 2024 (89 Fed. 
Reg. 3118). 
SEC. 123. None of the funds made available by this 
Act may be used to administer, implement, or enforce the 
proposed rule entitled ‘‘Lowering Miners’ Exposure to 
Respirable Crystalline Silica and Improving Respiratory 
Protection’’, published by the Department of Labor in the 
Federal Register on April 18, 2024 (89 Fed. Reg. 28218). 
SEC. 124. None of the funds made available by this 
Act may be used to administer, implement, or enforce the 
final rule entitled ‘‘Worker Walkaround Representative 
Designation Process’’, (89 Fed. Reg. 22558 (effective May 
31, 2024)). 
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This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2025’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,858,772,000: Provided, 
That not more than $1,000,000 shall be available until 
expended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That not more than 
$120,000,000 shall be available until expended for car-
rying out subsections (g) through (n) and (q) of section 
224 of the PHS Act, and for expenses incurred by the 
Department of Health and Human Services (referred to 
in this Act as ‘‘HHS’’) pertaining to administrative claims 
made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,342,011,000: Pro-
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vided, That section 751(j)(2) of the PHS Act and the pro-
portional funding amounts in paragraphs (1) through (4) 
of section 756(f) of the PHS Act shall not apply to funds 
made available under this heading: Provided further, That 
for any program operating under section 751 of the PHS 
Act on or before January 1, 2009, the Secretary of Health 
and Human Services (referred to in this title as the ‘‘Sec-
retary’’) may hereafter waive any of the requirements con-
tained in sections 751(d)(2)(A) and 751(d)(2)(B) of such 
Act for the full project period of a grant under such sec-
tion: Provided further, That no funds shall be available for 
section 340G–1 of the PHS Act: Provided further, That 
fees collected for the disclosure of information under sec-
tion 427(b) of the Health Care Quality Improvement Act 
of 1986 and sections 1128E(d)(2) and 1921 of the Social 
Security Act shall be sufficient to recover the full costs 
of operating the programs authorized by such sections and 
shall remain available until expended for the National 
Practitioner Data Bank: Provided further, That funds 
transferred to this account to carry out section 846 and 
subpart 3 of part D of title III of the PHS Act may be 
used to make prior year adjustments to awards made 
under such section and subpart: Provided further, That 
$130,000,000 shall remain available until expended for 
the purposes of providing primary health services, assign-
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ing National Health Service Corps (‘‘NHSC’’) partici-
pants to expand the delivery of substance use disorder 
treatment services, notwithstanding the assignment prior-
ities and limitations under sections 333(a)(1)(D), 333(b), 
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-
ments under the NHSC Loan Repayment Program under 
section 338B of such Act: Provided further, That, within 
the amount made available in the previous proviso, not 
less than 15 percent shall remain available until expended 
for the purposes of making payments under the NHSC 
Loan Repayment Program under section 338B of the 
PHS Act to individuals participating in such program who 
provide primary health services in Indian Health Service 
facilities, Tribally-Operated 638 Health Programs, and 
Urban Indian Health Programs (as those terms are de-
fined by the Secretary), notwithstanding the assignment 
priorities and limitations under section 333(b) of such Act: 
Provided further, That for purposes of the previous two 
provisos, section 331(a)(3)(D) of the PHS Act shall be 
applied as if the term ‘‘primary health services’’ includes 
clinical substance use disorder treatment services, includ-
ing those provided by masters level, licensed substance use 
disorder treatment counselors: Provided further, That of 
the funds made available under this heading, $7,000,000 
shall be available to make grants to establish, expand, or 
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maintain optional community-based nurse practitioner fel-
lowship programs that are accredited or in the accredita-
tion process, with a preference for those in Federally 
Qualified Health Centers, for practicing postgraduate 
nurse practitioners in primary care or behavioral health: 
Provided further, That of the funds made available under 
this heading, $10,000,000 shall remain available until ex-
pended for activities under section 775 of the PHS Act: 
Provided further, That the United States may recover liq-
uidated damages in an amount determined by the formula 
under section 338E(c)(1) of the PHS Act if an individual 
either fails to begin or complete the service obligated by 
a contract under section 775(b) of the PHS Act: Provided 
further, That for purposes of section 775(c)(1) of the PHS 
Act, the Secretary may include other mental and behav-
ioral health disciplines as the Secretary deems appro-
priate: Provided further, That the Secretary may termi-
nate a contract entered into under section 775 of the PHS 
Act in the same manner articulated in section 206 of this 
title for fiscal year 2025 contracts entered into under sec-
tion 338B of the PHS Act. 
Of the funds made available under this heading, 
$70,000,000 shall remain available until expended for 
grants to public institutions of higher education to expand 
or support graduate education for physicians provided by 
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such institutions, including funding for infrastructure de-
velopment, maintenance, equipment, and minor renova-
tions or alterations: Provided, That, in awarding such 
grants, the Secretary shall give priority to public institu-
tions of higher education located in States with a projected 
primary care provider shortage, as determined by the Sec-
retary: Provided further, That grants so awarded are lim-
ited to such public institutions of higher education in 
States in the top quartile of States with a projected pri-
mary care provider shortage, as determined by the Sec-
retary: Provided further, That the minimum amount of a 
grant so awarded to such an institution shall be not less 
than $3,000,000: Provided further, That such a grant may 
be awarded for a period not to exceed 5 years: Provided 
further, That such a grant awarded with respect to a year 
to such an institution shall be subject to a matching re-
quirement of non-Federal funds in an amount that is not 
more than 10 percent of the total amount of Federal funds 
provided in the grant to such institution with respect to 
such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
title V of the Social Security Act, $1,018,582,000: Pro-
vided, That notwithstanding sections 502(a)(1) and 
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502(b)(1) of the Social Security Act, not more than 
$194,268,000 shall be available for carrying out special 
projects of regional and national significance pursuant to 
section 501(a)(2) of such Act and $10,276,000 shall be 
available for projects described in subparagraphs (A) 
through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with 
respect to the Ryan White HIV/AIDS program, 
$2,381,041,000, of which $2,045,630,000 shall remain 
available to the Secretary through September 30, 2027, 
for parts A and B of title XXVI of the PHS Act, and 
of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of 
section 2616 or 311(c) of such Act. 
HEALTH SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $126,009,000, of 
which $122,000 shall be available until expended for facil-
ity renovations and other facilities-related expenses of the 
National Hansen’s Disease Program. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
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Coal Mine Health and Safety Act of 1969, and sections 
711 and 1820 of the Social Security Act, $400,907,000, 
of which $74,277,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds 
made available under this heading for Medicare rural hos-
pital flexibility grants, up to $25,942,000 shall be avail-
able for the Small Rural Hospital Improvement Grant 
Program for quality improvement and adoption of health 
information technology and no less than $5,000,000 shall 
be available to award grants to public or non-profit private 
entities for the Rural Emergency Hospital Technical As-
sistance Program: Provided further, That notwithstanding 
section 338J(k) of the PHS Act, $13,000,000 shall be 
available for State Offices of Rural Health: Provided fur-
ther, That $14,000,000 shall remain available until ex-
pended for the Rural Residency Development Program. 
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out title III of the Public Health Service 
Act and for cross-cutting activities and program support 
for activities funded in other appropriations included in 
this Act for the Health Resources and Services Adminis-
tration, $222,088,000, of which $44,550,000 shall be for 
expenses necessary for the Office for the Advancement of 
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Telehealth, including grants, contracts, and cooperative 
agreements for the advancement of telehealth activities: 
Provided, That funds made available under this heading 
may be used to supplement program support funding pro-
vided under the headings ‘‘Primary Health Care’’, 
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 
and ‘‘Rural Health’’. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title 
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $15,700,000 shall be available from the Trust 
Fund to the Secretary. 
COVERED COUNTERMEASURES PROCESS FUND 
For carrying out section 319F–4 of the PHS Act, 
$7,000,000, to remain available until expended. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, and titles II and IV of the 
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PHS Act for not less than 21 States, Tribes, or Tribal 
organizations: Provided further, That the proportional 
funding requirements under section 1503(a) of the PHS 
Act shall not apply to funds made available under this 
heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $206,060,000. 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to health statistics, surveillance, health 
informatics, and workforce development, $594,497,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $94,600,000. 
INJURY PREVENTION AND CONTROL 
For carrying out title III of the PHS Act with respect 
to rape prevention and education, and domestic violence 
and sexual violence prevention, $40,000,000. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
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of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $263,700,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with 
the provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $563,922,000, of which 
$293,200,000 shall remain available through September 
30, 2027, for global public health protection: Provided, 
That funds may be used for purchase and insurance of 
official motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, XVII, and XXVIII of 
the PHS Act with respect to public health preparedness 
and response, and for expenses necessary to support ac-
tivities related to countering potential chemical, biological, 
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radiological, and nuclear threats to civilian populations, 
$874,000,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement to support an activation of the 
CDC Emergency Operations Center, so long as the Direc-
tor or Administrator, as applicable, provides a notice to 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate within 15 days of the use of 
this authority, a full report within 30 days after use of 
this authority which includes the number of staff and 
funding level broken down by the originating center and 
number of days detailed, and an update of such report 
every 180 days until staff are no longer on detail without 
reimbursement to the CDC Emergency Operations Center. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activi-
ties and program support for activities funded in other 
appropriations included in this Act for the Centers for 
Disease Control and Prevention, $511,570,000, of which 
$360,000,000 shall remain available through September 
30, 2026, for public health infrastructure and capacity: 
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Provided, That of such amount designated for public 
health infrastructure and capacity not less than 10 per-
cent shall be made available to Indian Tribes or Tribal 
organizations: Provided further, That paragraphs (1) 
through (3) of subsection (b) of section 2821 of the PHS 
Act shall not apply to funds appropriated under this head-
ing and in all other accounts of the CDC: Provided further, 
That of the amounts made available under this heading, 
$35,000,000, to remain available until expended, shall be 
available to the Director of the CDC for deposit in the 
Infectious Diseases Rapid Response Reserve Fund estab-
lished by section 231 of division B of Public Law 115– 
245: Provided further, That funds appropriated under this 
heading may be used to support a contract for the oper-
ation and maintenance of an aircraft in direct support of 
activities throughout CDC to ensure the agency is pre-
pared to address public health preparedness emergencies: 
Provided further, That employees of CDC or the Public 
Health Service, both civilian and commissioned officers, 
detailed to States, municipalities, or other organizations 
under authority of section 214 of the PHS Act, or in over-
seas assignments, shall be treated as non-Federal employ-
ees for reporting purposes only and shall not be included 
within any personnel ceiling applicable to the Agency, 
Service, or HHS during the period of detail or assignment: 
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Provided further, That CDC may use up to $5,000 from 
amounts appropriated to CDC in this Act for official re-
ception and representation expenses when specifically ap-
proved by the Director of the CDC: Provided further, That 
in addition, such sums as may be derived from authorized 
user fees, which shall be credited to the appropriation 
charged with the cost thereof: Provided further, That with 
respect to the previous proviso, authorized user fees from 
the Vessel Sanitation Program and the Respirator Certifi-
cation Program shall be available through September 30, 
2026. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$0, which shall remain available until expended: Provided, 
That funds made available to this account in this or any 
prior Act that are available for the acquisition of real 
property or for construction or improvement of facilities 
shall be available to make improvements on non-federally 
owned property, provided that any improvements that are 
not adjacent to federally owned property do not exceed 
$2,500,000, and that the primary benefit of such improve-
ments accrues to CDC: Provided further, That funds pre-
viously set-aside by CDC for repair and upgrade of the 
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Lake Lynn Experimental Mine and Laboratory shall be 
used to acquire a replacement mine safety research facil-
ity: Provided further, That funds made available to this 
account in this or any prior Act that are available for the 
acquisition of real property or for construction or improve-
ment of facilities in conjunction with the new replacement 
mine safety research facility shall be available to make im-
provements on non-federally owned property, provided 
that any improvements that are not adjacent to federally 
owned property do not exceed $5,000,000: Provided fur-
ther, That in addition, the prior year unobligated balance 
of any amounts assigned to former employees in accounts 
of CDC made available for Individual Learning Accounts 
shall be credited to and merged with the amounts made 
available under this heading to support the replacement 
of the mine safety research facility. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $7,875,289,000, of which up 
to $45,000,000 may be used for facilities repairs and im-
provements at the National Cancer Institute—Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
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funds available under section 241 of the PHS Act: Pro-
vided, That not less than $445,956,000 is provided for the 
Institutional Development Awards program: Provided fur-
ther, That of the amounts available for improvement of 
information systems, $4,000,000 shall be available until 
September 30, 2026: Provided further, That in fiscal year 
2025, the National Library of Medicine may enter into 
personal service contracts for the provision of services in 
facilities owned, operated, or constructed under the juris-
diction of the National Institutes of Health (referred to 
in this title as ‘‘NIH’’). 
NATIONAL INSTITUTE FOR DISABILITY RELATED 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to research on human development, intel-
lectual and developmental disabilities, and deafness and 
other communication disorders, $2,317,464,000. 
NATIONAL INSTITUTE ON DEMENTIA 
For carrying out section 301 and title IV of the PHS 
Act with respect to dementia, $4,604,899,000. 
NATIONAL INSTITUTE ON SUBSTANCE USE 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol and other substance use, 
$2,281,695,000. 
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NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,210,789,000. 
NATIONAL INSTITUTE ON HEALTH SCIENCES RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to health sciences research, including re-
search into health disparities, nursing, complementary and 
integrative 
health, 
and 
environmental 
health, 
$1,931,662,000: Provided, That $95,162,000 shall be for 
the John E. Fogarty International Center. 
NATIONAL INSTITUTE ON INNOVATION AND ADVANCED 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bio-
engineering, translational sciences, advanced research 
projects for health, and other innovative research, 
$2,568,004,000: Provided, That $500,000,000 shall be for 
the Advanced Research Projects Agency for Health to re-
main available through September 30, 2027. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, $2,000,667,000: Provided, That funding 
shall be available for the purchase of not to exceed 29 pas-
senger motor vehicles for replacement only: Provided fur-
ther, That all funds credited to the NIH Management 
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Fund shall remain available for one fiscal year after the 
fiscal year in which they are deposited: Provided further, 
That of the funds provided, $5,000 shall be for official 
reception and representation expenses when specifically 
approved by the Director of the NIH: Provided further, 
That the Office of AIDS Research within the Office of 
the Director may spend up to $8,000,000 to make grants 
for construction or renovation of facilities as provided for 
in section 2354(a)(5)(B) of the PHS Act: Provided fur-
ther, That amounts made available under this heading are 
also available to establish, operate, and support the Re-
search Policy Board authorized by section 2034(f) of the 
21st Century Cures Act: Provided further, That the funds 
made available under this heading for the Office of Re-
search on Women’s Health shall also be available for mak-
ing grants to serve and promote the interests of women 
in research, and the Director of such Office may, in mak-
ing such grants, use the authorities available to NIH In-
stitutes and Centers. 
In addition to other funds appropriated for the Office 
of the Director, $12,600,000 is appropriated from the 10- 
year Pediatric Research Initiative Fund described in sec-
tion 9008 of the Internal Revenue Code of 1986 (26 
U.S.C. 9008), for the purpose of carrying out section 
402(b)(7)(B)(ii) of the PHS Act (relating to pediatric re-
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search), as authorized in the Gabriella Miller Kids First 
Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$353,671,000, to remain available until expended. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
Act, in addition to amounts available for such purposes 
in the appropriations provided to the NIH in this Act, 
$127,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the NIH 
to other accounts of the NIH solely for the purposes pro-
vided in such Act: Provided further, That upon a deter-
mination by the Director of the NIH that funds trans-
ferred pursuant to the previous proviso are not necessary 
for the purposes provided, such amounts may be trans-
ferred back to the Account: Provided further, That the 
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transfer authority provided under this heading is in addi-
tion to any other transfer authority provided by law. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, the Protection and Ad-
vocacy for Individuals with Mental Illness Act, and the 
SUPPORT 
for 
Patients 
and 
Communities 
Act, 
$2,664,107,000, of which $21,039,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That of the funds made available under this head-
ing, $100,887,000 shall be for the National Child Trau-
matic Stress Initiative: Provided further, That notwith-
standing section 520A(f)(2) of the PHS Act, no funds ap-
propriated for carrying out section 520A shall be available 
for carrying out section 1971 of the PHS Act: Provided 
further, That the total available under this Act for section 
1920(b) activities shall not exceed 5 percent of the 
amounts appropriated for subpart I of part B of title XIX: 
Provided further, That of the funds made available under 
this heading for subpart I of part B of title XIX of the 
PHS Act, at least 5 percent shall be available to support 
evidence-based crisis systems: Provided further, That up 
to 10 percent of the amounts made available to carry out 
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the Children’s Mental Health Services program may be 
used to carry out demonstration grants or contracts for 
early interventions with persons not more than 25 years 
of age at clinical high risk of developing a first episode 
of psychosis: Provided further, That section 520E(b)(2) of 
the PHS Act shall not apply to funds appropriated in this 
Act for fiscal year 2025: Provided further, That 
$385,000,000 shall be available until September 30, 2027 
for grants to communities and community organizations 
who meet criteria for Certified Community Behavioral 
Health Clinics pursuant to section 223(a) of Public Law 
113–93: Provided further, That none of the funds provided 
for section 1911 of the PHS Act shall be subject to section 
241 of such Act: Provided further, That of the funds made 
available under this heading, $21,420,000 shall be to 
carry out section 224 of the Protecting Access to Medicare 
Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 
note). 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse treatment and title XIX 
of such Act with respect to substance abuse treatment and 
prevention, section 1003 of the 21st Century Cures Act, 
and the SUPPORT for Patients and Communities Act, 
$4,516,463,000, of which $79,200,000 shall be from 
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funds available under section 241 of the PHS Act: Pro-
vided, That $1,575,000,000 shall be for carrying out sec-
tion 1003 of the 21st Century Cures Act: Provided further, 
That of such amount in the preceding proviso not less 
than 4 percent shall be made available to Indian Tribes 
or Tribal organizations: Provided further, That none of the 
funds provided for section 1921 of the PHS Act or State 
Opioid Response Grants shall be subject to section 241 
of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $203,174,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
$146,323,000, of which $31,428,000 shall be from funds 
available under section 241 of the PHS Act: Provided, 
That, in addition, fees may be collected for the costs of 
publications, data, data tabulations, and data analysis 
completed under title V of the PHS Act and provided to 
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a public or private entity upon request, which shall be 
credited to this appropriation and shall remain available 
until expended for such purposes: Provided further, That 
amounts made available in this Act for carrying out sec-
tion 501(o) of the PHS Act shall remain available through 
September 30, 2026: Provided further, That funds made 
available under this heading (other than amounts specified 
in the first proviso under this heading) may be used to 
supplement program support funding provided under the 
headings ‘‘Mental Health’’, ‘‘Substance Abuse Treat-
ment’’, and ‘‘Substance Abuse Prevention’’. 
CENTERS FOR MEDICARE & MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $383,609,399,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2025, for the last quarter of fiscal year 2025 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2026, $261,063,820,000, to remain 
available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
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in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $521,757,000,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $3,454,690,000 to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary Medical Insurance Trust Fund, as authorized 
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by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may 
be collected from authorized user fees and the sale of data, 
which shall be credited to this account and remain avail-
able until expended: Provided, That all funds derived in 
accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the PHS Act shall be credited 
to and available for carrying out the purposes of this ap-
propriation: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2025 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That of the amount made available under this 
heading, $402,334,000 shall remain available until Sep-
tember 30, 2026, and shall be available for the Survey 
and Certification Program: Provided further, That 
amounts available under this heading to support quality 
improvement organizations (as defined in section 1152 of 
the Social Security Act) shall not exceed the amount spe-
cifically provided for such purpose under this heading in 
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division H of the Consolidated Appropriations Act, 2018 
(Public Law 115–141): Provided further, That none of the 
funds made available under this heading may be used to 
prepare or issue any solicitation or award a contract that 
requires the maintenance of a labor harmony agreement 
or any substantially similar requirement. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $941,000,000, 
to remain available through September 30, 2026, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $693,511,000 shall be for the Cen-
ters for Medicare & Medicaid Services program integrity 
activities, of which $111,508,000 shall be for the Depart-
ment of Health and Human Services Office of Inspector 
General to carry out fraud and abuse activities authorized 
by section 1817(k)(3) of such Act, and of which 
$135,981,000 shall be for the Department of Justice to 
carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2025 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
VerDate Sep 11 2014 
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Jkt 049200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H9029.RH
H9029
ssavage on LAPJG3WLY3PROD with BILLS