HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $100,518,000. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
Coal Mine Health and Safety Act of 1969, and sections 
711 and 1820 of the Social Security Act, $156,060,000, 
of which $43,609,000 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, $14,942,000 shall be available for 
the Small Rural Hospital Improvement Grant Program 
for quality improvement and adoption of health informa-
tion technology and up to $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security Act, with 
funds provided for grants under section 1820(g)(6) avail-
able for the purchase and implementation of telehealth 
services, including pilots and demonstrations on the use 
of electronic health records to coordinate rural veterans 
care between rural providers and the Department of Vet-
erans Affairs electronic health record system: Provided 
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further, That notwithstanding section 338J(k) of the PHS 
Act, $10,000,000 shall be available for State Offices of 
Rural Health. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and 
Services Administration, $151,993,000: Provided, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’. 
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 $8,250,000 shall be available from the Trust 
Fund to the Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
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gration and Nationality Act, and section 501 of the Ref-
ugee Education Assistance Act, with respect to immuniza-
tion and respiratory diseases, $470,700,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to HIV/AIDS, viral hepatitis, 
sexually transmitted diseases, and tuberculosis prevention, 
$1,117,278,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and 
zoonotic infectious diseases, $499,522,000. 
CHRONIC DISEASE PREVENTION AND HEALTH 
PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and 
XIX of the PHS Act with respect to chronic disease pre-
vention and health promotion, $703,696,000: Provided, 
That funds appropriated under this account may be avail-
able for making grants under section 1509 of the PHS 
Act for not less than 21 States, tribes, or tribal organiza-
tions: Provided further, That of the funds available under 
this heading, $10,000,000 shall be available to continue 
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and expand community specific extension and outreach 
programs to combat obesity in counties with the highest 
levels of obesity: 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, $137,560,000. 
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, $328,697,000: 
Provided, That in addition to amounts provided herein, 
$150,700,000 shall be available from amounts available 
under section 241 of the PHS Act to carry out Public 
Health Scientific Services. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $142,750,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
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$286,059,000: Provided, That of the funds provided under 
this heading, $112,000,000 shall be available for an evi-
dence-based opioid drug overdose prevention program. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $325,200,000. 
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, $435,121,000, of which 
$128,421,000 for international HIV/AIDS shall remain 
available through September 30, 2019: Provided, That 
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funds may be used for purchase and insurance of official 
motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to public health preparedness and re-
sponse, and for expenses necessary to support activities 
related to countering potential biological, nuclear, radio-
logical, and chemical threats to civilian populations, 
$1,450,000,000, of which $600,000,000 shall remain 
available until expended for the Strategic National Stock-
pile: Provided, That in the event the Director of the Cen-
ters for Disease Control and Prevention (referred to in 
this title as ‘‘CDC’’) activates the Emergency Operations 
Center, the Director of the CDC may detail CDC staff 
without reimbursement for up to 90 days to support the 
work of the CDC Emergency Operations Center, so long 
as the Director provides a notice to the Committees on 
Appropriations of the House of Representatives and the 
Senate within 15 days of the use of this authority and 
a full report within 30 days after use of this authority 
which includes the number of staff and funding level bro-
ken down by the originating center and number of days 
detailed: Provided further, That funds appropriated under 
this heading may be used to support a contract for the 
operation and maintenance of an aircraft in direct support 
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of activities throughout CDC to ensure the agency is pre-
pared to address public health preparedness emergencies. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, demolition, and renovation of facilities, $10,000,000, 
to remain available until September 30, 2022: Provided, 
That funds previously set-aside by CDC for repair and up-
grade of the Lake Lynn Experimental Mine and Labora-
tory shall be used to acquire a replacement mine safety 
research facility: Provided further, 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 head-
ing to support the replacement of the mine safety research 
facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
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, $103,570,000: Provided, 
That paragraphs (1) through (3) of subsection (b) of sec-
tion 2821 of the PHS Act shall not apply to funds appro-
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priated under this heading and in all other accounts of 
the CDC: Provided further, That employees of CDC or the 
Public Health Service, both civilian and commissioned of-
ficers, detailed to States, municipalities, or other organiza-
tions under authority of section 214 of the PHS Act, or 
in overseas assignments, shall be treated as non-Federal 
employees for reporting purposes only and shall not be in-
cluded within any personnel ceiling applicable to the Agen-
cy, Service, or HHS during the period of detail or assign-
ment: Provided further, That CDC may use up to $10,000 
from amounts appropriated to CDC in this Act for official 
reception and representation expenses when specifically 
approved by the Director of CDC: Provided further, That 
in addition, such sums as may be derived from authorized 
user fees, which shall be credited to the appropriation 
charged with the cost thereof: Provided further, That with 
respect to the previous proviso, authorized user fees from 
the Vessel Sanitation Program and the Respirator Certifi-
cation Program shall be available through September 30, 
2019. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $5,471,181,000, of which up 
to $10,000,000 may be used for facilities repairs and im-
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provements at the National Cancer Institute—Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood dis-
eases, and blood and blood products, $3,256,521,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to dental and craniofacial diseases, 
$432,363,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to diabetes and digestive and kidney dis-
ease, $1,899,733,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$1,810,011,000. 
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NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to allergy and infectious diseases, 
$5,005,813,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$2,713,775,000, of which $824,443,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $373,361,000 is provided for 
the Institutional Development Awards program. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS 
Act with respect to child health and human development, 
$1,401,727,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$743,881,000. 
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NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$725,387,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $2,458,733,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $566,515,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $443,624,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $152,599,000. 
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NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$490,796,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,107,497,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $1,625,461,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$536,774,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $362,506,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
INTEGRATIVE HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and integrative health, 
$136,741,000. 
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NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $293,583,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $73,353,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$413,848,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2019: Provided further, That 
in fiscal year 2018, the National Library of Medicine may 
enter into personal services contracts for the provision of 
services in facilities owned, operated, or constructed under 
the jurisdiction of the National Institutes of Health (re-
ferred to in this title as ‘‘NIH’’). 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $718,867,000: 
Provided, That up to $25,835,000 shall be available to im-
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plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$526,120,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, NIH, $1,705,248,000: Provided, That fund-
ing shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That all funds credited to the NIH Manage-
ment Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided fur-
ther, That $165,000,000 shall be for the National Chil-
dren’s 
Study 
Follow-on: 
Provided 
further, 
That 
$682,980,000 shall be available for the Common Fund es-
tablished under section 402A(c)(1) of the PHS Act: Pro-
vided further, That of the funds provided, $10,000 shall 
be for official reception and representation expenses when 
specifically approved by the Director of the NIH: Provided 
further, That the Office of AIDS Research within the Of-
fice of the Director of the NIH 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. 
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In addition to other funds appropriated for the Com-
mon Fund established under section 402A(c) of the PHS 
Act, $12,600,000 is appropriated to the Common Fund 
from the 10-year Pediatric Research Initiative Fund de-
scribed in section 9008 of title 26, United States Code, 
for the purpose of carrying out section 402(b)(7)(B)(ii) 
of the PHS Act (relating to pediatric research), as author-
ized in the Gabriella Miller Kids First Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction or demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$128,863,000, to remain available through September 30, 
2022. 
NIH INNOVATION ACCOUNT 
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, 
$496,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
section 1001(b)(3) of such Act and are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act: Provided further, That of the amount appropriated 
under this heading, $300,000,000 shall be transferred to 
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the ‘‘National Cancer Institute’’ account for the purposes 
described 
in 
section 
1001(b)(4)(C) 
of 
such 
Act, 
$43,000,000 shall be transferred to the ‘‘National Insti-
tute of Neurological Disorders and Stroke’’ account for 
the purposes described in section 1001(b)(4)(B) of such 
Act, and $43,000,000 shall be transferred to the ‘‘Na-
tional Institute of Mental Health’’ account for the pur-
poses described in section 1001(b)(4)(B) of such Act: Pro-
vided further, That remaining amounts may be transferred 
by the Director of the NIH to any accounts of the NIH: 
Provided further, That upon a determination by the Direc-
tor that funds transferred pursuant to any of the previous 
provisos are not necessary for the purposes provided, such 
amounts may be transferred back to this account: Pro-
vided further, That the transfer authority provided under 
this heading is in addition 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, and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$928,668,000: Provided, That notwithstanding section 
520A(f)(2) of the PHS Act, no funds appropriated for car-
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rying out section 520A shall be available for carrying out 
section 1971 of the PHS Act: Provided further, That in 
addition to amounts provided herein, $21,039,000 shall be 
available under section 241 of the PHS Act to carry out 
subpart I of part B of title XIX of the PHS Act to fund 
section 1920(b) technical assistance, national data, data 
collection and evaluation activities, and further that the 
total available under this Act for section 1920(b) activities 
shall not exceed 5 percent of the amounts appropriated 
for subpart I of part B of title XIX: Provided further, That 
States shall expend at least 10 percent of the amount each 
receives for carrying out section 1911 of the PHS Act to 
support evidence-based programs that address the needs 
of individuals with early serious mental illness, including 
psychotic disorders, regardless of the age of the individual 
at onset: Provided further, That none of the funds pro-
vided 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, $15,000,000 
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 
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