757 
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-
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-
758 
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. 
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.
759 
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 
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-
760 
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 (reduced by $12,500,000) (increased by 
$12,500,000) (increased by $231,330,000): Provided, 
That notwithstanding section 520A(f)(2) of the PHS Act, 
no funds appropriated for carrying 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 per-
cent 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 car-
rying out section 1911 of the PHS Act to support evi-
761 
dence-based programs that address the needs of individ-
uals with early serious mental illness, including psychotic 
disorders, regardless of the age of the individual at onset: 
Provided further, That none of the funds provided for sec-
tion 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 
of such Act with respect to substance abuse treatment and 
prevention, $2,130,306,000: Provided, That in addition to 
amounts provided herein, $81,200,000 shall be available 
under section 241 of the PHS Act to supplement funds 
otherwise available for substance abuse treatment activi-
ties and to carry out subpart II of part B of title XIX 
of the PHS Act to fund section 1935(b) technical assist-
ance, national data, data collection and evaluation activi-
ties, and further that the total available under this Act 
for section 1935(b) activities shall not exceed 5 percent 
of the amounts appropriated for subpart II of part B of 
title XIX: Provided further, That none of the funds pro-
762 
vided for section 1921 of the PHS Act 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, $165,373,000. 
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, 
$108,922,000: Provided, That in addition to amounts pro-
vided herein, $23,426,000 shall be available under section 
241 of the PHS Act to supplement funds available to 
carry out national surveys on drug abuse and mental 
health, to collect and analyze program data, and to con-
duct public awareness and technical assistance activities: 
Provided further, 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 a public or private entity upon request, which 
shall be credited to this appropriation and shall remain 
available until expended for such purposes: Provided fur-
763 
ther, That amounts made available in this Act for carrying 
out section 501(o) of the PHS Act shall remain available 
through September 30, 2019: Provided further, That funds 
made available under this heading may be used to supple-
ment program support funding provided under the head-
ings ‘‘Mental Health’’, ‘‘Substance Abuse Treatment’’, 
and ‘‘Substance Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, 
part A of title XI of the Social Security Act, and section 
1013 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003, $300,000,000: Provided, 
That section 947(c) of the PHS Act shall not apply in 
fiscal year 2018: Provided further, That in addition, 
amounts received from Freedom of Information Act fees, 
reimbursable and interagency agreements, and the sale of 
data shall be credited to this appropriation and shall re-
main available until September 30, 2019. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $284,798,384,000, 
to remain available until expended.
764 
For making, after May 31, 2018, payments to States 
under title XIX or in the case of section 1928 on behalf 
of States under title XIX of the Social Security Act for 
the last quarter of fiscal year 2018 for unanticipated costs 
incurred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2019, 
$134,847,759,000, 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 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO 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, $323,497,300,000.
765 
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, and the Clinical Labora-
tory Improvement Amendments of 1988, not to exceed 
$3,451,141,000, to be transferred from the Federal Hos-
pital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund, as authorized 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 no funds shall be de-
rived from offsetting collections through fees collected 
from qualified health plans offered through an Exchange 
established under Public Law 111–148 to operate such an 
Exchange: Provided further, That all funds derived in ac-
cordance with 31 U.S.C. 9701 from organizations estab-
766 
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 2018 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. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $745,000,000, 
to remain available through September 30, 2019, 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 $486,936,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage under 
Part C and the Medicare Prescription Drug Program 
under Part D of the Social Security Act and for activities 
described in section 1893(b) of such Act, of which 
$82,132,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out 
fraud and abuse activities authorized by section
767 
1817(k)(3) of such Act, of which $82,132,000 shall be for 
the Medicaid and Children’s Health Insurance Program 
(‘‘CHIP’’) program integrity activities, and of which 
$93,800,000 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 2018 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the 
funds provided by this appropriation: Provided further, 
That of the amount provided under this heading, 
$311,000,000 is provided to meet the terms of section 
251(b)(2)(C)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended, and 
$434,000,000 is additional new budget authority specified 
for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the Secretary shall support the Senior Medi-
care Patrol program to combat health care fraud and 
abuse from the funds provided to this account. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided, titles 
I, IV–D, X, XI, XIV, and XVI of the Social Security Act
768 
and the Act of July 5, 1960, $2,995,400,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2019, $1,400,000,000, to re-
main available until expended. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low Income Home Energy Assist-
ance Act of 1981, $3,390,304,000: Provided, That all but 
$491,000,000 of this amount shall be allocated as though 
the total appropriation for such payments for fiscal year 
2018 was less than $1,975,000,000: Provided further, 
That notwithstanding section 2609A(a), of the amounts 
appropriated under section 2602(b), not more than 
$2,988,000 of such amounts may be reserved by the Sec-
retary for technical assistance, training, and monitoring 
of program activities for compliance with internal controls, 
policies and procedures and may, in addition to the au-
thorities provided in section 2609A(a)(1), use such funds
769 
through contracts with private entities that do not qualify 
as nonprofit organizations. 
REFUGEE AND ENTRANT ASSISTANCE 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, and for carrying 
out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims 
Protection Reauthorization Act of 2008, the Trafficking 
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-
ture Victims Relief Act of 1998, $1,022,811,000, of which 
$993,321,000 shall remain available through September 
30, 2020 for carrying out such sections 414, 501, 462, 
and 235: Provided, That amounts available under this 
heading to carry out the TVPA shall also be available for 
research and evaluation with respect to activities under 
such Act: Provided further, That the limitation in section 
205 of this Act regarding transfers increasing any appro-
priation shall apply to transfers to appropriations under 
this heading by substituting ‘‘10 percent’’ for ‘‘3 percent’’.
770 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block 
Grant 
Act 
of 
2014 
(‘‘CCDBG 
Act’’), 
$2,860,000,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That technical assistance 
under section 658I(a)(3) of such Act may be provided di-
rectly, or through the use of contracts, grants, cooperative 
agreements, or interagency agreements: Provided further, 
That all funds made available to carry out section 418 
of the Social Security Act (42 U.S.C. 618), including 
funds appropriated for that purpose in such section 418 
or any other provision of law, shall be subject to the res-
ervation of funds authority in paragraphs (4) and (5) of 
section 658O(a) of the CCDBG Act. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX–A of such Act shall be 10 
percent.
771 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Every Student Succeeds Act, the Child Abuse Preven-
tion and Treatment Act, sections 303 and 313 of the 
Family Violence Prevention and Services Act, the Native 
American Programs Act of 1974, title II of the Child 
Abuse Prevention and Treatment and Adoption Reform 
Act of 1978 (adoption opportunities), part B–1 of title IV 
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 
of the Social Security Act, and the Community Services 
Block Grant Act (‘‘CSBG Act’’); for necessary administra-
tive expenses to carry out titles I, IV, V, X, XI, XIV, XVI, 
and XX–A of the Social Security Act, the Act of July 5, 
1960, the Low-Income Home Energy Assistance Act of 
1981, the Child Care and Development Block Grant Act 
of 2014, the Assets for Independence Act, title IV of the 
Immigration and Nationality Act, and section 501 of the 
Refugee 
Education 
Assistance 
Act 
of 
1980, 
$11,181,500,000 (reduced by $1,000,000) (increased by 
$1,000,000) (reduced by $5,000,000) (increased by 
$5,000,000), of which $37,943,000, to remain available 
through September 30, 2019, shall be for grants to States 
for adoption and legal guardianship incentive payments, 
as defined by section 473A of the Social Security Act and
772 
may be made for adoptions and legal guardianships com-
pleted before September 30, 2018: Provided, That 
$9,275,000,000 shall be for making payments under the 
Head Start Act: Provided further, That of the amount in 
the previous proviso, $8,610,000,000 shall be available for 
payments under section 640 of the Head Start Act, of 
which $21,905,000 shall be available for a cost of living 
adjustment notwithstanding section 640(a)(3)(A) of such 
Act: Provided further, That of the amount provided for 
making payments under the Head Start Act, $25,000,000 
shall be available for allocation by the Secretary to supple-
ment activities described in paragraphs (7)(B) and (9) of 
section 641(c) of such Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12) and 645A(d) of such Act: Pro-
vided further, That notwithstanding such section 640, of 
the amount provided for making payments under the 
Head Start Act, and in addition to funds otherwise avail-
able under such section 640 for such purposes, 
$640,000,000 shall be available through March 31, 2019 
for Early Head Start programs as described in section 
645A of such Act, for conversion of Head Start services 
to Early Head Start services as described in section 
645(a)(5)(A) of such Act, for discretionary grants for high 
quality infant and toddler care through Early Head Start-
773 
Child Care Partnerships, to entities defined as eligible 
under section 645A(d) of such Act, for training and tech-
nical assistance for such activities, and for up to 
$14,000,000 in Federal costs of administration and eval-
uation, and, notwithstanding section 645A(c)(2) of such 
Act, these funds are available to serve children under age 
4: Provided further, That funds described in the preceding 
two provisos shall not be included in the calculation of 
‘‘base grant’’ in subsequent fiscal years, as such term is 
used in section 640(a)(7)(A) of such Act: Provided further, 
That $250,000,000 shall be available until December 31, 
2018 for carrying out sections 9212 and 9213 of the 
Every Student Succeeds Act: Provided further, That up 
to 3 percent of the funds in the preceding proviso shall 
be available for technical assistance and evaluation related 
to grants awarded under such section 9212: Provided fur-
ther, That $617,500,000 shall be for making payments 
under the CSBG Act: Provided further, That $17,850,000 
shall be for sections 680 and 678E(b)(2) of the CSBG 
Act, of which not less than $10,000,000 shall be for sec-
tion 680(a)(2) and not less than $7,500,000 shall be for 
section 680(a)(3)(B) of such Act: Provided further, That, 
notwithstanding section 675C(a)(3) of such Act, to the ex-
tent Community Services Block Grant funds are distrib-
uted as grant funds by a State to an eligible entity as
774 
provided under such Act, and have not been expended by 
such entity, they shall remain with such entity for carry-
over into the next fiscal year for expenditure by such enti-
ty consistent with program purposes: Provided further, 
That the Secretary shall establish procedures regarding 
the disposition of intangible assets and program income 
that permit such assets acquired with, and program in-
come derived from, grant funds authorized under section 
680 of the CSBG Act to become the sole property of such 
grantees after a period of not more than 12 years after 
the end of the grant period for any activity consistent with 
section 680(a)(2)(A) of the CSBG Act: Provided further, 
That intangible assets in the form of loans, equity invest-
ments and other debt instruments, and program income 
may be used by grantees for any eligible purpose con-
sistent with section 680(a)(2)(A) of the CSBG Act: Pro-
vided further, That these procedures shall apply to such 
grant funds made available after November 29, 1999: Pro-
vided further, That funds appropriated for section 
680(a)(2) of the CSBG Act shall be available for financing 
construction and rehabilitation and loans or investments 
in private business enterprises owned by community devel-
opment corporations: Provided further, That $1,864,000 
shall be for a human services case management system 
for federally declared disasters, to include a comprehensive
775 
national case management contract and Federal costs of 
administering the system: Provided further, That up to 
$2,000,000 shall be for improving the Public Assistance 
Reporting Information System, including grants to States 
to support data collection for a study of the system’s effec-
tiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, sec-
tion 436 of the Social Security Act, $325,000,000 and, 
for carrying out, except as otherwise provided, section 437 
of such Act, $59,765,000: Provided, That notwithstanding 
sections 438(c)(3)(A) and 436(b)(2) of such Act, 
$10,000,000 shall be available for such section 436(b)(2), 
of which no funds shall be available for carrying out sec-
tions 438(c)(3)(A)(ii) and (iii) of such Act. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $6,225,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2019, $2,700,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the
776 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), titles 
III and XXIX of the PHS Act, sections 1252 and 1253 
of the PHS Act, section 119 of the Medicare Improve-
ments for Patients and Providers Act of 2008, title XX– 
B of the Social Security Act, the Developmental Disabil-
ities Assistance and Bill of Rights Act, parts 2 and 5 of 
subtitle D of title II of the Help America Vote Act of 
2002, the Assistive Technology Act of 1998, titles II and 
VII (and section 14 with respect to such titles) of the Re-
habilitation Act of 1973, and for Department-wide coordi-
nation of policy and program activities that assist individ-
uals with disabilities, $2,237,224,000 (increased by 
$14,232,847): Provided, That amounts appropriated 
under this heading may be used for grants to States under 
section 361 of the OAA only for disease prevention and 
health promotion programs and activities which have been 
demonstrated through rigorous evaluation to be evidence- 
based and effective: Provided further, That of the amounts 
provided under this heading, $300,000,000 shall be avail-
777 
able for carrying out title V of the OAA: Provided further, 
That with respect to the previous proviso, such funds shall 
be available through June 30, 2019, and may be recap-
tured and reobligated in accordance with section 517(c) 
of the OAA: Provided further, That of amounts made 
available under this heading to carry out sections 311, 
331, and 336 of the OAA, up to one percent of such 
amounts shall be available for developing and imple-
menting evidence-based practices for enhancing senior nu-
trition: Provided further, That notwithstanding any other 
provision of this Act, funds made available under this 
heading to carry out section 311 of the OAA may be trans-
ferred to the Secretary of Agriculture in accordance with 
such section: Provided further, That $2,000,000 shall be 
for competitive grants to support alternative financing 
programs that provide for the purchase of assistive tech-
nology devices, such as a low-interest loan fund; an inter-
est buy-down program; a revolving loan fund; a loan guar-
antee; or an insurance program: Provided further, That 
applicants shall provide an assurance that, and informa-
tion describing the manner in which, the alternative fi-
nancing program will expand and emphasize consumer 
choice and control: Provided further, That State agencies 
and community-based disability organizations that are di-
rected by and operated for individuals with disabilities
778 
shall be eligible to compete: Provided further, That none 
of the funds made available under this heading may be 
used by an eligible system (as defined in section 102 of 
the Protection and Advocacy for Individuals with Mental 
Illness Act (42 U.S.C. 10802)) to continue to pursue any 
legal action in a Federal or State court on behalf of an 
individual or group of individuals with a developmental 
disability (as defined in section 102(8)(A) of the Develop-
mental Disabilities and Assistance and Bill of Rights Act 
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 
a mental impairment (or a combination of mental and 
physical impairments), that has as the requested remedy 
the closure of State operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, the legal guardians who have been specifically 
awarded authority by the courts to make healthcare and 
residential decisions on behalf of such individuals) who are 
affected by such action, within 90 days of instituting such 
legal action, which informs such individuals (or such legal 
guardians) of their legal rights and how to exercise such 
rights consistent with current Federal Rules of Civil Pro-
cedure: Provided further, That the limitations in the imme-
diately preceding proviso shall not apply in the case of an
779 
individual who is neither competent to consent nor has a 
legal guardian, nor shall the proviso apply in the case of 
individuals who are a ward of the State or subject to pub-
lic guardianship. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, XXI, and section 229 of the PHS Act, the United 
States-Mexico Border Health Commission Act, and re-
search studies under section 1110 of the Social Security 
Act, $292,881,000 (reduced by $3,000,000) (reduced by 
$300,000) 
(reduced 
by 
$1,000,000) 
(reduced 
by 
$1,000,000) (reduced by $3,819,000) (reduced by 
$24,800,000) (reduced by $219,620,000) (reduced by 
$2,000,000) (increased by $2,000,000), together with 
$57,465,000 from the amounts available under section 
241 of the PHS Act to carry out national health or human 
services research and evaluation activities: Provided, That 
of the funds made available under this heading, 
$20,000,000 shall be for making competitive grants which 
exclusively implement education in sexual risk avoidance 
(defined as voluntarily refraining from non-marital sexual 
activity): Provided further, That funding for such competi-
780 
tive grants for sexual risk avoidance shall use medically 
accurate information referenced to peer-reviewed publica-
tions by educational, scientific, governmental, or health or-
ganizations; implement an evidence-based approach inte-
grating research findings with practical implementation 
that aligns with the needs and desired outcomes for the 
intended audience; and teach the benefits associated with 
self-regulation, success sequencing for poverty prevention, 
healthy relationships, goal setting, and resisting sexual co-
ercion, dating violence, and other youth risk behaviors 
such as underage drinking or illicit drug use without nor-
malizing teen sexual activity: Provided further, That no 
more than 10 percent of the funding for such competitive 
grants for sexual risk avoidance shall be available for tech-
nical assistance and administrative costs of such pro-
grams: Provided further, That funds provided in this Act 
for embryo adoption activities may be used to provide to 
individuals adopting embryos, through grants and other 
mechanisms, medical and administrative services deemed 
necessary for such adoptions: Provided further, That such 
services shall be provided consistent with 42 CFR 
59.5(a)(4).
781 
STATE RESPONSE TO THE OPIOID ABUSE CRISIS 
ACCOUNT, CURES ACT 
For necessary expenses to carry out the purposes de-
scribed under section 1003(c) of the 21st Century Cures 
Act, $500,000,000, to remain available until expended: 
Provided, That such amounts are appropriated pursuant 
to section 1003(b)(3) of the 21st Century Cures Act, are 
to be derived from amounts transferred under section 
1003(b)(2)(A) of such Act, and may be transferred by the 
Secretary of Health and Human Services to other ac-
counts of the Department solely for the purposes provided 
in such Act: Provided further, That such transfer authority 
is in addition to any other transfer authority provided by 
law. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare 
Hearings and Appeals, $112,381,000, to be transferred in 
appropriate part from the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund: Provided, That of amounts the Sec-
retary retains for adjudications related to Recovery Audit 
Contractor (RAC) appeals under section 1893(h)(1)(c) of 
the Social Security Act, $5,000,000 shall be used as addi-
tional funds for the necessary expenses of the Office of 
Medicare Hearings and Appeals and the Departmental
782 
Appeals Board to process RAC-related appeals, and to es-
tablish a process to provide educational feedback from 
such Office and Board to the Centers for Medicare and 
Medicaid Services to reduce the claims overturn rate from 
the claims that are reviewed by such Office or Board. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the de-
velopment and advancement of interoperable health infor-
mation technology, $38,381,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $80,000,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary and inves-
tigating non-payment of child support cases for which non- 
payment is a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $38,798,000.
783 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by 
law, for payments under the Retired Serviceman’s Family 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related 
to countering potential biological, nuclear, radiological, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies, $959,258,000, of 
which $520,000,000 shall remain available through Sep-
tember 30, 2019, for expenses necessary to support ad-
vanced research and development pursuant to section 
319L of the PHS Act and other administrative expenses 
of the Biomedical Advanced Research and Development 
Authority: Provided, That funds provided under this head-
ing for the purpose of acquisition of security counter-
measures shall be in addition to any other funds available 
for such purpose: Provided further, That products pur-
784 
chased with funds provided under this heading may, at 
the discretion of the Secretary, be deposited in the Stra-
tegic National Stockpile pursuant to section 319F–2 of 
the PHS Act: Provided further, That $5,000,000 of the 
amounts made available to support emergency operations 
shall remain available through September 30, 2020. 
For expenses necessary for procuring security coun-
termeasures (as defined in section 319F–2(c)(1)(B) of the 
PHS Act), $530,000,000, to remain available until ex-
pended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$250,000,000, of which $210,000,000 shall be available 
until expended, for activities including the development 
and purchase of vaccine, antivirals, necessary medical sup-
plies, diagnostics, and other surveillance tools: Provided, 
That notwithstanding section 496(b) of the PHS Act, 
funds may be used for the construction or renovation of 
privately owned facilities for the production of pandemic 
influenza vaccines and other biologics, if the Secretary 
finds such construction or renovation necessary to secure 
sufficient supplies of such vaccines or biologics: Provided 
further, That the limitation in section 205 of this Act re-
garding transfers increasing any appropriation shall apply
785 
to transfers to appropriations under this heading by sub-
stituting ‘‘10 percent’’ for ‘‘3 percent’’. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception 
and representation expenses when specifically approved by 
the Secretary. 
SEC. 202. None of the funds appropriated in this title 
shall be used to pay the salary of an individual, through 
a grant or other extramural mechanism, at a rate in excess 
of Executive Level II. 
SEC. 203. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS Act, 
except for funds specifically provided for in this Act, or 
for other taps and assessments made by any office located 
in HHS, prior to the preparation and submission of a re-
port by the Secretary to the Committees on Appropria-
tions of the House of Representatives and the Senate de-
tailing the planned uses of such funds. 
SEC. 204. Notwithstanding section 241(a) of the 
PHS Act, such portion as the Secretary shall determine, 
but not more than 2.4 percent, of any amounts appro-
priated for programs authorized under such Act shall be 
made available for the evaluation (directly, or by grants
786 
or contracts) and the implementation and effectiveness of 
programs funded in this title. 
(TRANSFER OF FUNDS) 
SEC. 205. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for HHS in this Act 
may be transferred between appropriations, but no such 
appropriation shall be increased by more than 3 percent 
by any such transfer: Provided, That the transfer author-
ity granted by this section shall not be used to create any 
new program or to fund any project or activity for which 
no funds are provided in this Act: Provided further, That 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate are notified at least 15 days 
in advance of any transfer. 
SEC. 206. In lieu of the timeframe specified in section 
338E(c)(2) of the PHS Act, terminations described in 
such section may occur up to 60 days after the execution 
of a contract awarded in fiscal year 2018 under section 
338B of such Act. 
SEC. 207. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
PHS Act unless the applicant for the award certifies to 
the Secretary that it encourages family participation in
787 
the decision of minors to seek family planning services and 
that it provides counseling to minors on how to resist at-
tempts to coerce minors into engaging in sexual activities. 
SEC. 208. Notwithstanding any other provision of 
law, no provider of services under title X of the PHS Act 
shall be exempt from any State law requiring notification 
or the reporting of child abuse, child molestation, sexual 
abuse, rape, or incest. 
SEC. 209. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) because the entity informs the Secretary that 
it will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care program’s coverage for such services and a Medicare 
Advantage organization described in this section shall be 
responsible for informing enrollees where to obtain infor-
mation about all Medicare covered services.
788 
SEC. 210. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 211. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 212. In order for HHS to carry out inter-
national health activities, including HIV/AIDS and other 
infectious disease, chronic and environmental disease, and 
other health activities abroad during fiscal year 2018: 
(1) The Secretary may exercise authority equiv-
alent to that available to the Secretary of State in 
section 2(c) of the State Department Basic Authori-
ties Act of 1956. The Secretary shall consult with 
the Secretary of State and relevant Chief of Mission 
to ensure that the authority provided in this section 
is exercised in a manner consistent with section 207 
of the Foreign Service Act of 1980 and other appli-
cable statutes administered by the Department of 
State.
789 
(2) The Secretary is authorized to provide such 
funds by advance or reimbursement to the Secretary 
of State as may be necessary to pay the costs of ac-
quisition, lease, alteration, renovation, and manage-
ment of facilities outside of the United States for 
the use of HHS. The Department of State shall co-
operate fully with the Secretary to ensure that HHS 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary is 
authorized, in consultation with the Secretary of 
State, through grant or cooperative agreement, to 
make available to public or nonprofit private institu-
tions or agencies in participating foreign countries, 
funds to acquire, lease, alter, or renovate facilities in 
those countries as necessary to conduct programs of 
assistance for international health activities, includ-
ing activities relating to HIV/AIDS and other infec-
tious diseases, chronic and environmental diseases, 
and other health activities abroad. 
(3) The Secretary is authorized to provide to 
personnel appointed or assigned by the Secretary to 
serve abroad, allowances and benefits similar to 
those provided under chapter 9 of title I of the For-
790 
eign Service Act of 1980, and 22 U.S.C. 4081 
through 4086 and subject to such regulations pre-
scribed by the Secretary. The Secretary is further 
authorized to provide locality-based comparability 
payments (stated as a percentage) up to the amount 
of the locality-based comparability payment (stated 
as a percentage) that would be payable to such per-
sonnel under section 5304 of title 5, United States 
Code if such personnel’s official duty station were in 
the District of Columbia. Leaves of absence for per-
sonnel under this subsection shall be on the same 
basis as that provided under subchapter I of chapter 
63 of title 5, United States Code, or section 903 of 
the Foreign Service Act of 1980, to individuals serv-
ing in the Foreign Service. 
(TRANSFER OF FUNDS) 
SEC. 213. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
to 3 percent among institutes and centers from the total 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer.
791 
(TRANSFER OF FUNDS) 
SEC. 214. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 
immunodeficiency virus, as jointly determined by the Di-
rector of NIH and the Director of the Office of AIDS Re-
search, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
Research shall transfer from such account amounts nec-
essary to carry out section 2353(d)(3) of the PHS Act. 
SEC. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds authorized under section 402(b)(12) of the 
PHS Act to enter into transactions (other than contracts, 
cooperative agreements, or grants) to carry out research 
identified pursuant to or research and activities described 
in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer 
review procedures (including consultation with appropriate 
scientific experts) as the Director determines to be appro-
priate to obtain assessments of scientific and technical 
merit. Such procedures shall apply to such transactions 
in lieu of the peer review and advisory council review pro-
cedures that would otherwise be required under sections
792 
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 
and 494 of the PHS Act. 
SEC. 216. Not to exceed $45,000,000 of funds appro-
priated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $3,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for NIH, 
1 percent of the amount made available for National Re-
search Service Awards (‘‘NRSA’’) shall be made available 
to the Administrator of the Health Resources and Services 
Administration to make NRSA awards for research in pri-
mary medical care to individuals affiliated with entities 
who have received grants or contracts under sections 736, 
739, or 747 of the PHS Act, and 1 percent of the amount 
made available for NRSA shall be made available to the 
Director of the Agency for Healthcare Research and Qual-
ity to make NRSA awards for health service research. 
SEC. 218. (a) The Biomedical Advanced Research 
and Development Authority (‘‘BARDA’’) may enter into 
a contract, for more than one but no more than 10 pro-
gram years, for purchase of research services or of security 
countermeasures, as that term is defined in section 319F–
793 
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 
if— 
(1) funds are available and obligated— 
(A) for the full period of the contract or 
for the first fiscal year in which the contract is 
in effect; and 
(B) for the estimated costs associated with 
a necessary termination of the contract; and 
(2) the Secretary determines that a multi-year 
contract will serve the best interests of the Federal 
Government by encouraging full and open competi-
tion or promoting economy in administration, per-
formance, and operation of BARDA’s programs. 
(b) A contract entered into under this section— 
(1) shall include a termination clause as de-
scribed by subsection (c) of section 3903 of title 41, 
United States Code; and 
(2) shall be subject to the congressional notice 
requirement stated in subsection (d) of such section. 
SEC. 219. (a) The Secretary shall establish a publicly 
accessible Web site to provide information regarding the 
uses of funds made available under section 4002 of the 
Patient Protection and Affordable Care Act of 2010 
(‘‘ACA’’).
794 
(b) With respect to funds provided under section 
4002 of the ACA, the Secretary shall include on the Web 
site established under subsection (a) at a minimum the 
following information: 
(1) In the case of each transfer of funds under 
section 4002(c), a statement indicating the program 
or activity receiving funds, the operating division or 
office that will administer the funds, and the 
planned uses of the funds, to be posted not later 
than the day after the transfer is made. 
(2) Identification (along with a link to the full 
text) of each funding opportunity announcement, re-
quest for proposals, or other announcement or solici-
tation of proposals for grants, cooperative agree-
ments, or contracts intended to be awarded using 
such funds, to be posted not later than the day after 
the announcement or solicitation is issued. 
(3) Identification of each grant, cooperative 
agreement, or contract with a value of $25,000 or 
more awarded using such funds, including the pur-
pose of the award and the identity of the recipient, 
to be posted not later than 5 days after the award 
is made. 
(4) A report detailing the uses of all funds 
transferred under section 4002(c) during the fiscal
795 
year, to be posted not later than 90 days after the 
end of the fiscal year. 
(c) With respect to awards made in fiscal years 2013 
through 2018, the Secretary shall also include on the Web 
site established under subsection (a), semi-annual reports 
from each entity awarded a grant, cooperative agreement, 
or contract from such funds with a value of $25,000 or 
more, summarizing the activities undertaken and identi-
fying any sub-grants or sub-contracts awarded (including 
the purpose of the award and the identity of the recipient), 
to be posted not later than 30 days after the end of each 
6-month period. 
(d) In carrying out this section, the Secretary shall— 
(1) present the information required in sub-
section (b)(1) on a single webpage or on a single 
database; 
(2) ensure that all information required in this 
section is directly accessible from the single webpage 
or database; and 
(3) ensure that all information required in this 
section is able to be organized by program or State. 
SEC. 220. (a) The Secretary shall publish in the fiscal 
year 2019 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the pur-
796 
poses of implementing, administering, enforcing, or other-
wise carrying out the provisions of the ACA, and the 
amendments made by that Act, in the proposed fiscal year 
and each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors sup-
ported by all funds appropriated for purposes of carrying 
out the ACA (and the amendments made by that Act), 
the Secretary shall include, at a minimum, the following 
information: 
(1) For each such fiscal year, the section of 
such Act under which such funds were appropriated, 
a statement indicating the program, project, or ac-
tivity receiving such funds, the Federal operating di-
vision or office that administers such program, and 
the amount of funding received in discretionary or 
mandatory appropriations. 
(2) For each such fiscal year, the number of 
full-time equivalent employees or contracted employ-
ees assigned to each authorized and funded provision 
detailed in accordance with paragraph (1). 
(c) In carrying out this section, the Secretary may 
exclude from the report employees or contractors who— 
(1) are supported through appropriations en-
acted in laws other than the ACA and work on pro-
grams that existed prior to the passage of the ACA;
797 
(2) spend less than 50 percent of their time on 
activities funded by or newly authorized in the ACA; 
or 
(3) work on contracts for which FTE reporting 
is not a requirement of their contract, such as fixed- 
price contracts. 
SEC. 221. The Secretary shall publish, as part of the 
fiscal year 2019 budget of the President submitted under 
section 1105(a) of title 31, United States Code, informa-
tion that details the uses of all funds used by the Centers 
for Medicare and Medicaid Services specifically for Health 
Insurance Exchanges for each fiscal year since the enact-
ment of the ACA and the proposed uses for such funds 
for fiscal year 2019. Such information shall include, for 
each such fiscal year, the amount of funds used for each 
activity specified under the heading ‘‘Health Insurance 
Exchange Transparency’’ in the committee report accom-
panying this Act. 
SEC. 222. (a) The Secretary shall provide to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: 
(1) Detailed monthly enrollment figures from 
the Exchanges established under the Patient Protec-
tion and Affordable Care Act of 2010 pertaining to 
enrollments during the open enrollment period; and
798 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under 
section 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in 
advance of any public release of enrollment information 
or the award of such grants. 
SEC. 223. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
the Federal Supplemental Medical Insurance Trust Fund, 
or transferred from other accounts funded by this Act to 
the ‘‘Centers for Medicare and Medicaid Services—Pro-
gram Management’’ account, may be used for payments 
under section 1342(b)(1) of Public Law 111–148 (relating 
to risk corridors). 
SEC. 224. The Secretary shall include in the fiscal 
year 2019 budget justification an analysis of how section 
2713 of the PHS Act will impact eligibility for discre-
tionary HHS programs. 
(TRANSFER OF FUNDS) 
SEC. 225. (a) Within 45 days of enactment of this 
Act, the Secretary shall transfer funds appropriated under 
section 4002 of the ACA to the accounts specified, in the 
amounts specified, and for the activities specified under
799 
the heading ″Prevention and Public Health Fund″ in the 
committee report accompanying this Act. 
(b) Notwithstanding section 4002(c) of the ACA, the 
Secretary may not further transfer these amounts. 
(c) Funds transferred for activities authorized under 
section 2821 of the PHS Act shall be made available with-
out reference to section 2821(b) of such Act. 
SEC. 226. None of the funds appropriated in this Act 
may be used to carry out title X of the PHS Act. 
SEC. 227. Effective during the period beginning on 
November 1, 2015 and ending January 1, 2020, any pro-
vision of law that refers (including through cross-reference 
to another provision of law) to the current recommenda-
tions of the United States Preventive Services Task Force 
with respect to breast cancer screening, mammography, 
and prevention shall be administered by the Secretary in-
volved as if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of 
such Task Force with respect to breast cancer 
screening, mammography, and prevention last issued 
before 2009; and 
(2) such recommendations last issued before 
2009 applied to any screening mammography modal-
800 
ity under section 1861(jj) of the Social Security Act 
(42 U.S.C. 1395x(jj)). 
SEC. 228. In making Federal financial assistance, the 
NIH shall continue to apply the provisions relating to indi-
rect costs in part 75 of title 45, Code of Federal Regula-
tions, including with respect to the approval of deviations 
from negotiated rates, to the same extent and in the same 
manner as the NIH applied such provisions in the third 
quarter of fiscal year 2017. None of the funds appro-
priated by this Act may be used by the NIH to develop 
or implement a modified approach to such provisions, or 
to intentionally or substantially expand the fiscal effect of 
the approval of such deviations from negotiated rates be-
yond the proportional effect of such approvals in such 
quarter. 
SEC. 229. None of the funds appropriated in this Act 
may be used to implement, further, enforce, or advance 
the Navigators program as provided under section 1311(i) 
of Public Law 111–148 and title I and subtitle B of title 
II of Public Law 111–152. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2018’’.
801 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I and subpart 2 of part B of 
title II of the Elementary and Secondary Education Act 
of 1965 (referred to in this Act as ‘‘ESEA’’) and section 
418A of the Higher Education Act of 1965 (referred to 
in this Act as ‘‘HEA’’), $15,953,790,000, of which 
$5,035,990,000 shall become available on July 1, 2018, 
and shall remain available through September 30, 2019, 
and of which $10,841,177,000 shall become available on 
October 1, 2018, and shall remain available through Sep-
tember 30, 2019, for academic year 2018–2019: Provided, 
That $6,459,401,000 shall be for basic grants under sec-
tion 1124 of the ESEA: Provided further, That up to 
$5,000,000 of these funds shall be available to the Sec-
retary of Education (referred to in this title as ‘‘Sec-
retary’’) on October 1, 2017, to obtain annually updated 
local educational agency-level census poverty data from 
the Bureau of the Census: Provided further, That 
$1,362,301,000 shall be for concentration grants under 
section 1124A of the ESEA: Provided further, That 
$3,819,050,000 shall be for targeted grants under section 
1125 
of 
the 
ESEA: 
Provided 
further, 
That 
$3,819,050,000 shall be for education finance incentive
802 
grants under section 1125A of the ESEA: Provided fur-
ther, That $27,000,000 shall be for carrying out subpart 
2 of part B of title II: Provided further, That $44,623,000 
shall be for carrying out section 418A of the HEA. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VII of the 
ESEA, $1,333,603,000, of which $1,194,233,000 shall be 
for basic support payments under section 7003(b), 
$48,316,000 shall be for payments for children with dis-
abilities under section 7003(d), $17,406,000, to remain 
available for obligation through September 30, 2019, shall 
be for construction under section 7007(b), $68,813,000 
shall be for Federal property payments under section 
7002, and $4,835,000, to remain available until expended, 
shall be for facilities maintenance under section 7008: 
Provided, That for purposes of computing the amount of 
a payment for an eligible local educational agency under 
section 7003(a) for school year 2017–2018, children en-
rolled in a school of such agency that would otherwise be 
eligible for payment under section 7003(a)(1)(B) of such 
Act, but due to the deployment of both parents or legal 
guardians, or a parent or legal guardian having sole cus-
tody of such children, or due to the death of a military 
parent or legal guardian while on active duty (so long as
803 
such children reside on Federal property as described in 
section 7003(a)(1)(B)), are no longer eligible under such 
section, shall be considered as eligible students under such 
section, provided such students remain in average daily 
attendance at a school in the same local educational agen-
cy they attended prior to their change in eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities au-
thorized by part B of title I, subpart 1 of part A of title 
IV, part B of title IV, part B of title V, and parts B and 
C of title VI of the ESEA; the McKinney-Vento Homeless 
Assistance Act; section 203 of the Educational Technical 
Assistance Act of 2002; the Compact of Free Association 
Amendments Act of 2003; and the Civil Rights Act of 
1964, $2,261,072,000 (increased by $8,900,000) (in-
creased by $100,000,000), of which $2,121,940,000 (in-
creased by $8,900,000) (increased by $100,000,000) shall 
become available on July 1, 2018, and remain available 
through September 30, 2019, for academic year 2018– 
2019: Provided, That $369,100,000 (increased by 
$8,900,000) shall be for part B of title I: Provided further, 
That $1,000,000,000 (increased by $100,000,000) shall 
be for part B of title IV: Provided further, That 
$33,397,000 shall be for part B of title VI and may be 
used for construction, renovation, and modernization of
804 
any elementary school, secondary school, or structure re-
lated to an elementary school or secondary school, run by 
the Department of Education of the State of Hawaii, that 
serves a predominantly Native Hawaiian student body: 
Provided further, That $32,453,000 shall be for part C 
of title VI and shall be awarded on a competitive basis, 
and also may be used for construction: Provided further, 
That $50,000,000 shall be available to carry out section 
203 of the Educational Technical Assistance Act of 2002 
and the Secretary shall make such arrangements as deter-
mined to be necessary to ensure that the Bureau of Indian 
Education has access to services provided under this sec-
tion: Provided further, That $16,699,000 shall be available 
to carry out the Supplemental Education Grants program 
for the Federated States of Micronesia and the Republic 
of the Marshall Islands: Provided further, That the Sec-
retary may reserve up to 5 percent of the amount referred 
to in the previous proviso to provide technical assistance 
in the implementation of these grants: Provided further, 
That $175,840,000 shall be for part B of title V: Provided 
further, 
That 
$500,000,000 
(increased 
by 
$1,150,000,000) (reduced by $1,150,000,000) shall be 
available for grants under subpart 1 of part A of title IV.
805 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent 
not otherwise provided, title VI, part A of the ESEA, 
$164,939,000, of which $57,993,000 shall be for subpart 
2 of part A of title VI and $6,565,000 shall be for subpart 
3 of part A of title VI. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by subparts 1, 
3 and 4 of part B of title II, and parts C and D and 
subpart 4 of part F of title IV of the ESEA, $747,904,000 
(increased by $10,000,000). 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subparts 2 
and 3 of part F of title IV of the ESEA, $138,000,000: 
Provided, That $68,000,000 shall be available for section 
4631, of which up to $5,000,000, to remain available until 
expended, shall be for the Project School Emergency Re-
sponse to Violence (‘‘Project SERV’’) program: Provided 
further, That $10,000,000 shall be available for section 
4625: Provided further, That $60,000,000 shall be avail-
able through December 31, 2018, for section 4624: Pro-
vided further, That section 4623(b) of the ESEA shall 
apply to funds appropriated for Promise Neighborhoods 
under this heading in prior appropriations acts.
806 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$737,400,000, which shall become available on July 1, 
2018, and shall remain available through September 30, 
2019, except that 6.5 percent of such amount shall be 
available on October 1, 2017, and shall remain available 
through September 30, 2019, to carry out activities under 
section 3111(c)(1)(C). 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) $13,251,691,000, of which 
$1,864,818,000 shall become available on July 1, 2018, 
and shall remain available through September 30, 2019, 
and of which $11,164,824,000 shall become available on 
October 1, 2018, and shall remain available through Sep-
tember 30, 2019, for academic year 2018–2019: Provided, 
That the amount for section 611(b)(2) of the IDEA shall 
be equal to the lesser of the amount available for that ac-
tivity during fiscal year 2016, increased by the amount 
of inflation as specified in section 619(d)(2)(B) of the 
IDEA, or the percent change in the funds appropriated 
under section 611(i) of the IDEA, but not less than the 
amount for that activity during fiscal year 2016: Provided 
further, That the Secretary shall, without regard to section 
611(d) of the IDEA, distribute to all other States (as that
807 
term is defined in section 611(g)(2)), subject to the third 
proviso, any amount by which a State’s allocation under 
section 611, from funds appropriated under this heading, 
is reduced under section 612(a)(18)(B), according to the 
following: 85 percent on the basis of the States’ relative 
populations of children aged 3 through 21 who are of the 
same age as children with disabilities for whom the State 
ensures the availability of a free appropriate public edu-
cation under this part, and 15 percent to States on the 
basis of the States’ relative populations of those children 
who are living in poverty: Provided further, That the Sec-
retary may not distribute any funds under the previous 
proviso to any State whose reduction in allocation from 
funds appropriated under this heading made funds avail-
able for such a distribution: Provided further, That the 
States shall allocate such funds distributed under the sec-
ond proviso to local educational agencies in accordance 
with section 611(f): Provided further, That the amount by 
which a State’s allocation under section 611(d) of the 
IDEA is reduced under section 612(a)(18)(B) and the 
amounts distributed to States under the previous provisos 
in fiscal year 2012 or any subsequent year shall not be 
considered in calculating the awards under section 611(d) 
for fiscal year 2013 or for any subsequent fiscal years: 
Provided further, That, notwithstanding the provision in
808 
section 612(a)(18)(B) regarding the fiscal year in which 
a State’s allocation under section 611(d) is reduced for 
failure to comply with the requirement of section 
612(a)(18)(A), the Secretary may apply the reduction 
specified in section 612(a)(18)(B) over a period of con-
secutive fiscal years, not to exceed five, until the entire 
reduction is applied: Provided further, That the Secretary 
may, in any fiscal year in which a State’s allocation under 
section 611 is reduced in accordance with section 
612(a)(18)(B), reduce the amount a State may reserve 
under section 611(e)(1) by an amount that bears the same 
relation to the maximum amount described in that para-
graph as the reduction under section 612(a)(18)(B) bears 
to the total allocation the State would have received in 
that fiscal year under section 611(d) in the absence of the 
reduction: Provided further, That the Secretary shall ei-
ther reduce the allocation of funds under section 611 for 
any fiscal year following the fiscal year for which the State 
fails to comply with the requirement of section 
612(a)(18)(A) as authorized by section 612(a)(18)(B), or 
seek to recover funds under section 452 of the General 
Education Provisions Act (20 U.S.C. 1234a): Provided 
further, That the funds reserved under 611(c) of the 
IDEA may be used to provide technical assistance to 
States to improve the capacity of the States to meet the
809 
data collection requirements of sections 616 and 618 and 
to administer and carry out other services and activities 
to improve data collection, coordination, quality, and use 
under parts B and C of the IDEA: Provided further, That 
the Secretary may use funds made available for the State 
Personnel Development Grants program under part D, 
subpart 1 of IDEA to evaluate program performance 
under such subpart. 
REHABILITATION SERVICES 
For carrying out, to the extent not otherwise pro-
vided, the Rehabilitation Act of 1973 and the Helen Keller 
National 
Center 
Act, 
$3,562,582,000, 
of 
which 
$3,452,931,000 shall be for grants for vocational rehabili-
tation services under title I of the Rehabilitation Act: Pro-
vided, That the Secretary may use amounts provided in 
this Act that remain available subsequent to the reallot-
ment of funds to States pursuant to section 110(b) of the 
Rehabilitation Act for innovative activities aimed at im-
proving the outcomes of individuals with disabilities as de-
fined in section 7(20)(B) of the Rehabilitation Act, includ-
ing activities aimed at improving the education and post- 
school outcomes of children receiving Supplemental Secu-
rity Income (‘‘SSI’’) and their families that may result 
in long-term improvement in the SSI child recipient’s eco-
nomic status and self-sufficiency: Provided further, That
810 
States may award subgrants for a portion of the funds 
to other public and private, nonprofit entities: Provided 
further, That any funds made available subsequent to real-
lotment for innovative activities aimed at improving the 
outcomes of individuals with disabilities shall remain avail-
able until September 30, 2019. 
SPECIAL INSTITUTIONS FOR PERSONS WITH 
DISABILITIES 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act to promote the Education 
of the Blind of March 3, 1879, $26,431,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act 
of 1986, $70,016,000: Provided, That from the total 
amount available, the Institute may at its discretion use 
funds for the endowment program as authorized under 
section 207 of such Act. 
GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986, $128,000,000: 
Provided, That from the total amount available, the Uni-
811 
versity may at its discretion use funds for the endowment 
program as authorized under section 207 of such Act. 
CAREER, TECHNICAL, AND ADULT EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, the Carl D. Perkins Career and Technical Edu-
cation Act of 2006 and the Adult Education and Family 
Literacy Act (‘‘AEFLA’’), $1,720,686,000, of which 
$929,686,000 shall become available on July 1, 2018, and 
shall remain available through September 30, 2019, and 
of which $791,000,000 shall become available on October 
1, 2018, and shall remain available through September 30, 
2019: Provided, That of the amounts made available for 
AEFLA, $13,712,000 shall be for national leadership ac-
tivities under section 242. 
STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1, 3, and 10 of part A, 
and part C of title IV of the HEA, $24,198,210,000, 
which shall remain available through September 30, 2019. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2018–2019 shall be $4,860. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses to carry out part 
D of title I, and subparts 1, 3, 9, and 10 of part A, and 
parts B, C, D, and E of title IV of the HEA, and subpart 
1 of part A of title VII of the Public Health Service Act,
812 
$1,697,711,000, to remain available through September 
30, 2019. 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, titles III, IV, V, VI, and VII of the HEA, and sec-
tion 117 of the Carl D. Perkins Career and Technical 
Education Act of 2006, $2,038,126,000: Provided, That 
notwithstanding any other provision of law, funds made 
available in this Act to carry out title VI of the HEA may 
be used to support visits and study in foreign countries 
by individuals who are participating in advanced foreign 
language training and international studies in areas that 
are vital to United States national security and who plan 
to apply their language skills and knowledge of these coun-
tries in the fields of government, the professions, or inter-
national development: Provided further, That of the funds 
referred to in the preceding proviso up to 1 percent may 
be used for program evaluation, national outreach, and in-
formation dissemination activities: Provided further, That 
up to 1.5 percent of the funds made available under chap-
ter 2 of subpart 2 of part A of title IV of the HEA may 
be used for evaluation. 
HOWARD UNIVERSITY 
For 
partial 
support 
of 
Howard 
University, 
$221,821,000, of which not less than $3,405,000 shall be
813 
for a matching endowment grant pursuant to the Howard 
University Endowment Act and shall remain available 
until expended. 
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM 
For Federal administrative expenses to carry out ac-
tivities related to existing facility loans pursuant to section 
121 of the HEA, $434,000. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY 
CAPITAL FINANCING PROGRAM ACCOUNT 
For the cost of guaranteed loans, $20,112,000, as au-
thorized pursuant to part D of title III of the HEA, which 
shall remain available through September 30, 2019: Pro-
vided, That such costs, including the cost of modifying 
such loans, shall be as defined in section 502 of the Con-
gressional Budget Act of 1974: Provided further, That 
these funds are available to subsidize total loan principal, 
any part of which is to be guaranteed, not to exceed 
$313,513,000: Provided further, That these funds may be 
used to support loans to public and private Historically 
Black Colleges and Universities without regard to the limi-
tations within section 344(a) of the HEA. 
In addition, for administrative expenses to carry out 
the Historically Black College and University Capital Fi-
814 
nancing Program entered into pursuant to part D of title 
III of the HEA, $333,000. 
INSTITUTE OF EDUCATION SCIENCES 
For carrying out activities authorized by the Edu-
cation Sciences Reform Act of 2002, the National Assess-
ment of Educational Progress Authorization Act, section 
208 of the Educational Technical Assistance Act of 2002, 
and section 664 of the Individuals with Disabilities Edu-
cation Act, $605,267,000, which shall remain available 
through September 30, 2019: Provided, That funds avail-
able to carry out section 208 of the Educational Technical 
Assistance Act may be used to link Statewide elementary 
and secondary data systems with early childhood, postsec-
ondary, and workforce data systems, or to further develop 
such systems: Provided further, That up to $6,000,000 of 
the funds available to carry out section 208 of the Edu-
cational Technical Assistance Act may be used for awards 
to public or private organizations or agencies to support 
activities to improve data coordination, quality, and use 
at the local, State, and national levels. 
DEPARTMENTAL MANAGEMENT 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise pro-
vided, the Department of Education Organization Act, in-
cluding rental of conference rooms in the District of Co-
815 
lumbia and hire of three passenger motor vehicles, 
$431,000,000 (reduced by $14,232,847) (reduced by 
$8,900,000) (reduced by $10,000,000) (reduced by 
$11,710,000) (reduced by $100,000,000). 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, as authorized by section 203 of the Department 
of Education Organization Act, $108,500,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, as authorized by section 212 of the Department 
of Education Organization Act, $59,256,000. 
GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used for the transportation of students or teachers (or for 
the purchase of equipment for such transportation) in 
order to overcome racial imbalance in any school or school 
system, or for the transportation of students or teachers 
(or for the purchase of equipment for such transportation) 
in order to carry out a plan of racial desegregation of any 
school or school system. 
SEC. 302. None of the funds contained in this Act 
shall be used to require, directly or indirectly, the trans-
portation of any student to a school other than the school 
which is nearest the student’s home, except for a student
816 
requiring special education, to the school offering such 
special education, in order to comply with title VI of the 
Civil Rights Act of 1964. For the purpose of this section 
an indirect requirement of transportation of students in-
cludes the transportation of students to carry out a plan 
involving the reorganization of the grade structure of 
schools, the pairing of schools, or the clustering of schools, 
or any combination of grade restructuring, pairing, or 
clustering. The prohibition described in this section does 
not include the establishment of magnet schools. 
SEC. 303. No funds appropriated in this Act may be 
used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 304. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the Department of Education in this Act may 
be transferred between appropriations, but no such appro-
priation shall be increased by more than 3 percent by any 
such transfer: Provided, That the transfer authority 
granted by this section shall not be used to create any 
new program or to fund any project or activity for which 
no funds are provided in this Act: Provided further, That 
the Committees on Appropriations of the House of Rep-
817 
resentatives and the Senate are notified at least 15 days 
in advance of any transfer. 
SEC. 305. Section 105(f)(1)(B)(ix) of the Compact 
of Free Association Amendments Act of 2003 (48 U.S.C. 
1921d(f)(1)(B)(ix)) shall be applied by substituting 
‘‘2018’’ for ‘‘2017’’. 
SEC. 306. Funds appropriated in this Act and con-
solidated for evaluation purposes under section 8601(c) of 
the ESEA shall be available from July 1, 2018, through 
September 30, 2019. 
SEC. 307. (a) An institution of higher education that 
maintains an endowment fund supported with funds ap-
propriated for title III or V of the HEA for fiscal year 
2018 may use the income from that fund to award schol-
arships to students, subject to the limitation in section 
331(c)(3)(B)(i) of the HEA. The use of such income for 
such purposes, prior to the enactment of this Act, shall 
be considered to have been an allowable use of that in-
come, subject to that limitation. 
(b) Subsection (a) shall be in effect until titles III 
and V of the HEA are reauthorized. 
SEC. 308. Section 114(f) of the HEA (20 U.S.C. 
1011c(f)) is amended by striking ‘‘2017’’ and inserting 
‘‘2018’’.
818 
SEC. 309. Section 458(a) of the HEA (20 U.S.C. 
1087h(a)) is amended in paragraph (4) by striking 
‘‘2017’’ and inserting ‘‘2018’’. 
(RESCISSION) 
SEC. 310. Of the unobligated balances available from 
Public Law 114–113 under the heading ‘‘Student Finan-
cial Assistance’’ for carrying out subpart 1 of part A of 
title IV of the HEA, $3,270,844,000 are hereby rescinded. 
This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2018’’. 
TITLE IV 
RELATED AGENCIES 
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE 
BLIND OR SEVERELY DISABLED 
SALARIES AND EXPENSES 
For expenses necessary for the Committee for Pur-
chase From People Who Are Blind or Severely Disabled 
established under section 8502 of title 41, United States 
Code, $8,000,000: Provided, That in order to authorize 
any central nonprofit agency designated pursuant to sec-
tion 8503(c) of title 41, United States Code, to perform 
contract requirements of the Committee as prescribed 
under section 51–3.2 of title 41, Code of Federal Regula-
tions, the Committee shall enter into a written agreement 
with any such central nonprofit agency: Provided further,
819 
That such agreement shall contain such auditing, over-
sight, and reporting provisions as necessary to implement 
chapter 85 of title 41, United States Code: Provided fur-
ther, That such agreement shall include the elements listed 
under this heading in the explanatory statement accom-
panying Public Law 114–113: Provided further, That any 
such central nonprofit agency may not charge a fee under 
section 51–3.5 of title 41, Code of Federal Regulations, 
unless such fee is under the terms of the written agree-
ment between the Committee and any such central non-
profit agency: Provided further, That no less than 
$1,250,000 shall be available for the Office of Inspector 
General to remain available through September 30, 2019. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
OPERATING EXPENSES 
For necessary expenses for the Corporation for Na-
tional and Community Service (referred to in this title as 
‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 
of 1973 (referred to in this title as ‘‘1973 Act’’) and the 
National and Community Service Act of 1990 (referred 
to in this title as ‘‘1990 Act’’), $736,029,000, notwith-
standing sections 198B(b)(3), 198S(g), 501(a)(4)(C), and 
501(a)(4)(F) of the 1990 Act: Provided, That of the 
amounts provided under this heading: (1) up to 1 percent 
of program grant funds may be used to defray the costs
820 
of conducting grant application reviews, including the use 
of outside peer reviewers and electronic management of 
the grants cycle; (2) $16,538,000 shall be available to pro-
vide assistance to State commissions on national and com-
munity service, under section 126(a) of the 1990 Act and 
notwithstanding section 501(a)(5)(B) of the 1990 Act; (3) 
$30,000,000 shall be available to carry out subtitle E of 
the 1990 Act; and (4) $3,800,000 shall be available for 
expenses authorized under section 501(a)(4)(F) of the 
1990 Act, which, notwithstanding the provisions of section 
198P shall be awarded by CNCS on a competitive basis: 
Provided further, That for the purposes of carrying out 
the 1990 Act, satisfying the requirements in section 
122(c)(1)(D) may include a determination of need by the 
local community. 
PAYMENT TO THE NATIONAL SERVICE TRUST 
(INCLUDING TRANSFER OF FUNDS) 
For payment to the National Service Trust estab-
lished under subtitle D of title I of the 1990 Act, 
$206,842,000, to remain available until expended: Pro-
vided, That CNCS may transfer additional funds from the 
amount provided within ‘‘Operating Expenses’’ allocated 
to grants under subtitle C of title I of the 1990 Act to 
the National Service Trust upon determination that such 
transfer is necessary to support the activities of national
821 
service participants and after notice is transmitted to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: Provided further, That amounts ap-
propriated for or transferred to the National Service Trust 
may be invested under section 145(b) of the 1990 Act 
without regard to the requirement to apportion funds 
under 31 U.S.C. 1513(b). 
SALARIES AND EXPENSES 
For necessary expenses of administration as provided 
under section 501(a)(5) of the 1990 Act and under section 
504(a) of the 1973 Act, including payment of salaries, au-
thorized travel, hire of passenger motor vehicles, the rental 
of conference rooms in the District of Columbia, the em-
ployment of experts and consultants authorized under 5 
U.S.C. 3109, and not to exceed $2,500 for official recep-
tion and representation expenses, $81,737,000. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General in carrying out the Inspector General Act of 1978, 
$5,750,000. 
ADMINISTRATIVE PROVISIONS 
SEC. 401. CNCS shall make any significant changes 
to program requirements, service delivery or policy only 
through public notice and comment rulemaking. For fiscal 
year 2018, during any grant selection process, an officer
822 
or employee of CNCS shall not knowingly disclose any cov-
ered grant selection information regarding such selection, 
directly or indirectly, to any person other than an officer 
or employee of CNCS that is authorized by CNCS to re-
ceive such information. 
SEC. 402. AmeriCorps programs receiving grants 
under the National Service Trust program shall meet an 
overall minimum share requirement of 24 percent for the 
first 3 years that they receive AmeriCorps funding, and 
thereafter shall meet the overall minimum share require-
ment as provided in section 2521.60 of title 45, Code of 
Federal Regulations, without regard to the operating costs 
match requirement in section 121(e) or the member sup-
port Federal share limitations in section 140 of the 1990 
Act, and subject to partial waiver consistent with section 
2521.70 of title 45, Code of Federal Regulations. 
SEC. 403. Donations made to CNCS under section 
196 of the 1990 Act for the purposes of financing pro-
grams and operations under titles I and II of the 1973 
Act or subtitle B, C, D, or E of title I of the 1990 Act 
shall be used to supplement and not supplant current pro-
grams and operations. 
SEC. 404. In addition to the requirements in section 
146(a) of the 1990 Act, use of an educational award for 
the purpose described in section 148(a)(4) shall be limited
823 
to individuals who are veterans as defined under section 
101 of the Act. 
SEC. 405. For the purpose of carrying out section 
189D of the 1990 Act— 
(1) entities described in paragraph (a) of such 
section shall be considered ‘‘qualified entities’’ under 
section 3 of the National Child Protection Act of 
1993 (‘‘NCPA’’); 
(2) individuals described in such section shall 
be considered ‘‘volunteers’’ under section 3 of 
NCPA; and 
(3) State Commissions on National and Com-
munity Service established pursuant to section 178 
of the 1990 Act, are authorized to receive criminal 
history record information, consistent with Public 
Law 92–544. 
CORPORATION FOR PUBLIC BROADCASTING 
For payment to the Corporation for Public Broad-
casting (‘‘CPB’’), as authorized by the Communications 
Act of 1934, an amount which shall be available within 
limitations specified by that Act, for the fiscal year 2020, 
$445,000,000: Provided, That none of the funds made 
available to CPB by this Act shall be used to pay for re-
ceptions, parties, or similar forms of entertainment for 
Government officials or employees: Provided further, That
824 
none of the funds made available to CPB by this Act shall 
be available or used to aid or support any program or ac-
tivity from which any person is excluded, or is denied ben-
efits, or is discriminated against, on the basis of race, 
color, national origin, religion, or sex: Provided further, 
That none of the funds made available to CPB by this 
Act shall be used to apply any political test or qualification 
in selecting, appointing, promoting, or taking any other 
personnel action with respect to officers, agents, and em-
ployees of CPB: Provided further, That none of the funds 
made available to CPB by this Act shall be used to support 
the Television Future Fund or any similar purpose. 
FEDERAL MEDIATION AND CONCILIATION SERVICE 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mediation 
and Conciliation Service (‘‘Service’’) to carry out the func-
tions vested in it by the Labor-Management Relations Act, 
1947, including hire of passenger motor vehicles; for ex-
penses necessary for the Labor-Management Cooperation 
Act of 1978; and for expenses necessary for the Service 
to carry out the functions vested in it by the Civil Service 
Reform Act, $46,650,000, including up to $900,000 to re-
main available through September 30, 2019, for activities 
authorized by the Labor-Management Cooperation Act of 
1978: Provided, That notwithstanding 31 U.S.C. 3302,
825 
fees charged, up to full-cost recovery, for special training 
activities and other conflict resolution services and tech-
nical assistance, including those provided to foreign gov-
ernments and international organizations, and for arbitra-
tion services shall be credited to and merged with this ac-
count, and shall remain available until expended: Provided 
further, That fees for arbitration services shall be available 
only for education, training, and professional development 
of the agency workforce: Provided further, That the Direc-
tor of the Service is authorized to accept and use on behalf 
of the United States gifts of services and real, personal, 
or other property in the aid of any projects or functions 
within the Director’s jurisdiction. 
FEDERAL MINE SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mine Safety 
and Health Review Commission, $17,134,000. 
INSTITUTE OF MUSEUM AND LIBRARY SERVICES 
OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS 
AND ADMINISTRATION 
For carrying out the Museum and Library Services 
Act of 1996 and the National Museum of African Amer-
ican History and Culture Act, $231,000,000.
826 
MEDICAID AND CHIP PAYMENT AND ACCESS 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1900 of 
the Social Security Act, $7,500,000. 
MEDICARE PAYMENT ADVISORY COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1805 of 
the Social Security Act, $12,175,000, to be transferred to 
this appropriation from the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund. 
NATIONAL COUNCIL ON DISABILITY 
SALARIES AND EXPENSES 
For expenses necessary for the National Council on 
Disability as authorized by title IV of the Rehabilitation 
Act of 1973, $3,200,000. 
NATIONAL LABOR RELATIONS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the National Labor Rela-
tions Board to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, and other laws, 
$249,000,000: Provided, That no part of this appropria-
tion shall be available to organize or assist in organizing 
agricultural laborers or used in connection with investiga-
827 
tions, hearings, directives, or orders concerning bargaining 
units composed of agricultural laborers as referred to in 
section 2(3) of the Act of July 5, 1935, and as amended 
by the Labor-Management Relations Act, 1947, and as de-
fined in section 3(f) of the Act of June 25, 1938, and 
including in said definition employees engaged in the 
maintenance and operation of ditches, canals, reservoirs, 
and waterways when maintained or operated on a mutual, 
nonprofit basis and at least 95 percent of the water stored 
or supplied thereby is used for farming purposes. 
ADMINISTRATIVE PROVISIONS 
SEC. 406. None of the funds provided by this Act 
or previous Acts making appropriations for the National 
Labor Relations Board may be used to issue any new ad-
ministrative directive or regulation that would provide em-
ployees any means of voting through any electronic means 
in an election to determine a representative for the pur-
poses of collective bargaining. 
SEC. 407. (a) None of the funds made available by 
this Act may be used to enforce the National Labor Rela-
tions Act (29 U.S.C. 152) against any Indian Tribe, in-
cluding any enterprise or institution owned and operated 
by an Indian Tribe and located on its Indian lands. 
(b) For purposes of this section—
828 
(1) the term ‘‘Indian Tribe’’ means any Indian 
Tribe, band, nation, pueblo, Native Alaskan group, 
or other organized group or community which is rec-
ognized as eligible for the special programs and serv-
ices provided by the United States to Indians be-
cause of their status as Indians; 
(2) the term ‘‘Indian’’ means any individual 
who is a member of an Indian Tribe; and 
(3) the term ‘‘Indian lands’ ’’ means— 
(A) all lands within the limits of any In-
dian reservation; 
(B) any lands title to which is either held 
in trust by the United States for the benefit of 
any Indian Tribe or individual or held by any 
Indian Tribe or individual subject to restriction 
by the United States against alienation; and 
(C) any lands in the State of Oklahoma 
that are within the boundaries of a former res-
ervation (as defined by the Secretary of the In-
terior) of a federally recognized Indian Tribe. 
SEC. 408. None of the funds made available by this 
Act may be used to issue, enforce, or litigate any adminis-
trative directive, regulation, representation issue, or unfair 
labor practice proceeding, or any other administrative 
complaint, charge, claim, or proceeding based on the
829 
standard for determining whether entities are ‘‘joint em-
ployers’’ set forth by the National Labor Relations Board 
in Browning-Ferris Industries of California, Inc., 362 
NLRB No. 186 (August 27, 2015). 
SEC. 409. None of the funds made available by this 
Act may be used to— 
(1) implement, create, apply, or enforce through 
prosecution, adjudication, rulemaking, or the issuing 
of any interpretation, opinion, certification, decision, 
or policy, any standard for initial bargaining unit 
determinations that conflicts with the standard ar-
ticulated in the majority opinion in Wheeling Island 
Gaming Inc. and United Food and Commercial 
Workers International Union, Local 23, 355 NLRB 
127 (August 27, 2010) (including the majority opin-
ion in footnote 2), except for unit determinations 
governed by section 103.30 of title 34, Code of Fed-
eral Regulations, for employers covered by such sec-
tion; or 
(2) implement, create, apply, or enforce through 
prosecution, adjudication, rulemaking, or the issuing 
of any interpretation, opinion, certification, decision, 
or policy, any standard for initial bargaining unit 
determinations that utilize the overwhelming com-
munity of interest test except in accretion cases.
830 
NATIONAL MEDIATION BOARD 
SALARIES AND EXPENSES 
For expenses necessary to carry out the provisions 
of the Railway Labor Act, including emergency boards ap-
pointed by the President, $13,500,000. 
OCCUPATIONAL SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Occupational Safety 
and Health Review Commission, $12,875,000. 
RAILROAD RETIREMENT BOARD 
DUAL BENEFITS PAYMENTS ACCOUNT 
For payment to the Dual Benefits Payments Ac-
count, authorized under section 15(d) of the Railroad Re-
tirement Act of 1974, $22,000,000, which shall include 
amounts becoming available in fiscal year 2018 pursuant 
to section 224(c)(1)(B) of Public Law 98–76; and in addi-
tion, an amount, not to exceed 2 percent of the amount 
provided herein, shall be available proportional to the 
amount by which the product of recipients and the average 
benefit received exceeds the amount available for payment 
of vested dual benefits: Provided, That the total amount 
provided herein shall be credited in 12 approximately 
equal amounts on the first day of each month in the fiscal 
year.
831 
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 
ACCOUNTS 
For payment to the accounts established in the 
Treasury for the payment of benefits under the Railroad 
Retirement Act for interest earned on unnegotiated 
checks, $150,000, to remain available through September 
30, 2019, which shall be the maximum amount available 
for payment pursuant to section 417 of Public Law 98– 
76. 
LIMITATION ON ADMINISTRATION 
For necessary expenses for the Railroad Retirement 
Board (‘‘Board’’) for administration of the Railroad Re-
tirement Act and the Railroad Unemployment Insurance 
Act, $113,500,000, to be derived in such amounts as de-
termined by the Board from the railroad retirement ac-
counts and from moneys credited to the railroad unem-
ployment insurance administration fund: Provided, That 
notwithstanding section 7(b)(9) of the Railroad Retire-
ment Act this limitation may be used to hire attorneys 
only through the excepted service: Provided further, That 
the previous proviso shall not change the status under 
Federal employment laws of any attorney hired by the 
Railroad Retirement Board prior to January 1, 2013.
832 
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General for audit, investigatory and review activities, as 
authorized by the Inspector General Act of 1978, not more 
than $10,000,000, to be derived from the railroad retire-
ment accounts and railroad unemployment insurance ac-
count. 
SOCIAL SECURITY ADMINISTRATION 
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 
For payment to the Federal Old-Age and Survivors 
Insurance Trust Fund and the Federal Disability Insur-
ance Trust Fund, as provided under sections 201(m) and 
1131(b)(2) of the Social Security Act, $11,400,000. 
SUPPLEMENTAL SECURITY INCOME PROGRAM 
For carrying out titles XI and XVI of the Social Se-
curity Act, section 401 of Public Law 92–603, section 212 
of Public Law 93–66, as amended, and section 405 of 
Public Law 95–216, including payment to the Social Secu-
rity trust funds for administrative expenses incurred pur-
suant to section 201(g)(1) of the Social Security Act, 
$38,591,635,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State 
in the current fiscal year and not obligated by the State 
during that year shall be returned to the Treasury: Pro-
vided further, That not more than $101,000,000 shall be
833 
available for research and demonstrations under sections 
1110, 1115, and 1144 of the Social Security Act, and re-
main available through September 30, 2020. 
For making, after June 15 of the current fiscal year, 
benefit payments to individuals under title XVI of the So-
cial Security Act, for unanticipated costs incurred for the 
current fiscal year, such sums as may be necessary. 
For making benefit payments under title XVI of the 
Social Security Act for the first quarter of fiscal year 
2019, $19,500,000,000, to remain available until ex-
pended. 
LIMITATION ON ADMINISTRATIVE EXPENSES 
For necessary expenses, including the hire of two pas-
senger motor vehicles, and not to exceed $20,000 for offi-
cial reception and representation expenses, not more than 
$12,273,945,000 may be expended, as authorized by sec-
tion 201(g)(1) of the Social Security Act, from any one 
or all of the trust funds referred to in such section: Pro-
vided, That not less than $2,300,000 shall be for the So-
cial Security Advisory Board: Provided further, That unob-
ligated balances of funds provided under this paragraph 
at the end of fiscal year 2018 not needed for fiscal year 
2018 shall remain available until expended to invest in the 
Social Security Administration information technology 
and telecommunications hardware and software infra-
834 
structure, including related equipment and non-payroll ad-
ministrative expenses associated solely with this informa-
tion technology and telecommunications infrastructure: 
Provided further, That the Commissioner of Social Secu-
rity shall notify the Committees on Appropriations of the 
House of Representatives and the Senate prior to making 
unobligated balances available under the authority in the 
previous proviso: Provided further, That reimbursement to 
the trust funds under this heading for expenditures for 
official time for employees of the Social Security Adminis-
tration pursuant to 5 U.S.C. 7131, and for facilities or 
support services for labor organizations pursuant to poli-
cies, regulations, or procedures referred to in section 
7135(b) of such title shall be made by the Secretary of 
the Treasury, with interest, from amounts in the general 
fund not otherwise appropriated, as soon as possible after 
such expenditures are made. 
Of the total amount made available under this head-
ing, not more than $1,735,000,000, to remain available 
through March 31, 2019, is for the costs associated with 
continuing disability reviews under titles II and XVI of 
the Social Security Act, including work-related continuing 
disability reviews to determine whether earnings derived 
from services demonstrate an individual’s ability to engage 
in substantial gainful activity, for the cost associated with
835 
conducting redeterminations of eligibility under title XVI 
of the Social Security Act, for the cost of co-operative dis-
ability investigation units, and for the cost associated with 
the prosecution of fraud in the programs and operations 
of the Social Security Administration by Special Assistant 
United States Attorneys: Provided, That, of such amount, 
$273,000,000 is provided to meet the terms of section 
251(b)(2)(B)(ii)(III) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985, as amended, and 
$1,462,000,000 is additional new budget authority speci-
fied for purposes of section 251(b)(2)(B) of such Act: Pro-
vided further, That the Commissioner shall provide to the 
Congress (at the conclusion of the fiscal year) a report 
on the obligation and expenditure of these funds, similar 
to the reports that were required by section 103(d)(2) of 
Public Law 104–121 for fiscal years 1996 through 2002. 
In addition, $118,000,000 to be derived from admin-
istration fees in excess of $5.00 per supplementary pay-
ment collected pursuant to section 1616(d) of the Social 
Security Act or section 212(b)(3) of Public Law 93–66, 
which shall remain available until expended. To the extent 
that the amounts collected pursuant to such sections in 
fiscal year 2018 exceed $118,000,000, the amounts shall 
be available in fiscal year 2019 only to the extent provided 
in advance in appropriations Acts.
836 
In addition, up to $1,000,000 to be derived from fees 
collected pursuant to section 303(c) of the Social Security 
Protection Act, which shall remain available until ex-
pended. 
OFFICE OF INSPECTOR GENERAL 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary for the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, $30,000,000, together with not to 
exceed $75,500,000, to be transferred and expended as 
authorized by section 201(g)(1) of the Social Security Act 
from the Federal Old-Age and Survivors Insurance Trust 
Fund and the Federal Disability Insurance Trust Fund. 
In addition, an amount not to exceed 3 percent of 
the total provided in this appropriation may be transferred 
from the ‘‘Limitation on Administrative Expenses’’, Social 
Security Administration, to be merged with this account, 
to be available for the time and purposes for which this 
account is available: Provided, That notice of such trans-
fers shall be transmitted promptly to the Committees on 
Appropriations of the House of Representatives and the 
Senate at least 15 days in advance of any transfer.
837 
TITLE V 
GENERAL PROVISIONS 
(TRANSFER OF FUNDS) 
SEC. 501. The Secretaries of Labor, Health and 
Human Services, and Education are authorized to transfer 
unexpended balances of prior appropriations to accounts 
corresponding to current appropriations provided in this 
Act. Such transferred balances shall be used for the same 
purpose, and for the same periods of time, for which they 
were originally appropriated. 
SEC. 502. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 503. (a) No part of any appropriation contained 
in this Act or transferred pursuant to section 4002 of 
Public Law 111–148 shall be used, other than for normal 
and recognized executive-legislative relationships, for pub-
licity or propaganda purposes, for the preparation, dis-
tribution, or use of any kit, pamphlet, booklet, publication, 
electronic communication, radio, television, or video pres-
entation designed to support or defeat the enactment of 
legislation before the Congress or any State or local legis-
lature or legislative body, except in presentation to the 
Congress or any State or local legislature itself, or de-
signed to support or defeat any proposed or pending regu-
838 
lation, administrative action, or order issued by the execu-
tive branch of any State or local government, except in 
presentation to the executive branch of any State or local 
government itself. 
(b) No part of any appropriation contained in this 
Act or transferred pursuant to section 4002 of Public Law 
111–148 shall be used to pay the salary or expenses of 
any grant or contract recipient, or agent acting for such 
recipient, related to any activity designed to influence the 
enactment of legislation, appropriations, regulation, ad-
ministrative action, or Executive order proposed or pend-
ing before the Congress or any State government, State 
legislature or local legislature or legislative body, other 
than for normal and recognized executive-legislative rela-
tionships or participation by an agency or officer of a 
State, local or tribal government in policymaking and ad-
ministrative processes within the executive branch of that 
government. 
(c) The prohibitions in subsections (a) and (b) shall 
include any activity to advocate or promote any proposed, 
pending or future Federal, State or local tax increase, or 
any proposed, pending, or future requirement or restric-
tion on any legal consumer product, including its sale or 
marketing, including but not limited to the advocacy or 
promotion of gun control.
839 
SEC. 504. The Secretaries of Labor and Education 
are authorized to make available not to exceed $28,000 
and $20,000, respectively, from funds available for sala-
ries and expenses under titles I and III, respectively, for 
official reception and representation expenses; the Direc-
tor of the Federal Mediation and Conciliation Service is 
authorized to make available for official reception and rep-
resentation expenses not to exceed $5,000 from the funds 
available for ‘‘Federal Mediation and Conciliation Service, 
Salaries and Expenses’’; and the Chairman of the Na-
tional Mediation Board is authorized to make available for 
official reception and representation expenses not to ex-
ceed $5,000 from funds available for ‘‘National Mediation 
Board, Salaries and Expenses’’. 
SEC. 505. When issuing statements, press releases, 
requests for proposals, bid solicitations and other docu-
ments describing projects or programs funded in whole or 
in part with Federal money, all grantees receiving Federal 
funds included in this Act, including but not limited to 
State and local governments and recipients of Federal re-
search grants, shall clearly state— 
(1) the percentage of the total costs of the pro-
gram or project which will be financed with Federal 
money;
840 
(2) the dollar amount of Federal funds for the 
project or program; and 
(3) percentage and dollar amount of the total 
costs of the project or program that will be financed 
by non-governmental sources. 
SEC. 506. (a) None of the funds appropriated in this 
Act, and none of the funds in any trust fund to which 
funds are appropriated in this Act, shall be expended for 
any abortion. 
(b) None of the funds appropriated in this Act, and 
none of the funds in any trust fund to which funds are 
appropriated in this Act, shall be expended for health ben-
efits coverage that includes coverage of abortion. 
(c) The term ‘‘health benefits coverage’’ means the 
package of services covered by a managed care provider 
or organization pursuant to a contract or other arrange-
ment. 
SEC. 507. (a) The limitations established in the pre-
ceding section shall not apply to an abortion— 
(1) if the pregnancy is the result of an act of 
rape or incest; or 
(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness, 
including a life-endangering physical condition 
caused by or arising from the pregnancy itself, that
841 
would, as certified by a physician, place the woman 
in danger of death unless an abortion is performed. 
(b) Nothing in the preceding section shall be con-
strued as prohibiting the expenditure by a State, locality, 
entity, or private person of State, local, or private funds 
(other than a State’s or locality’s contribution of Medicaid 
matching funds). 
(c) Nothing in the preceding section shall be con-
strued as restricting the ability of any managed care pro-
vider from offering abortion coverage or the ability of a 
State or locality to contract separately with such a pro-
vider for such coverage with State funds (other than a 
State’s or locality’s contribution of Medicaid matching 
funds). 
(d)(1) None of the funds made available in this Act 
may be made available to a Federal agency or program, 
or to a State or local government, if such agency, program, 
or government subjects any institutional or individual 
health care entity to discrimination on the basis that the 
health care entity does not provide, pay for, provide cov-
erage of, or refer for abortions. 
(2) In this subsection, the term ‘‘health care entity’’ 
includes an individual physician or other health care pro-
fessional, a hospital, a provider-sponsored organization, a 
health maintenance organization, a health insurance plan,
842 
or any other kind of health care facility, organization, or 
plan. 
SEC. 508. (a) None of the funds made available in 
this Act may be used for— 
(1) the creation of a human embryo or embryos 
for research purposes; or 
(2) research in which a human embryo or em-
bryos are destroyed, discarded, or knowingly sub-
jected to risk of injury or death greater than that 
allowed for research on fetuses in utero under 45 
CFR 46.204(b) and section 498(b) of the Public 
Health Service Act (42 U.S.C. 289g(b)). 
(b) For purposes of this section, the term ‘‘human 
embryo or embryos’’ includes any organism, not protected 
as a human subject under 45 CFR 46 as of the date of 
the enactment of this Act, that is derived by fertilization, 
parthenogenesis, cloning, or any other means from one or 
more human gametes or human diploid cells. 
SEC. 509. (a) None of the funds made available in 
this Act may be used for any activity that promotes the 
legalization of any drug or other substance included in 
schedule I of the schedules of controlled substances estab-
lished under section 202 of the Controlled Substances Act 
except for normal and recognized executive-congressional 
communications.
843 
(b) The limitation in subsection (a) shall not apply 
when there is significant medical evidence of a therapeutic 
advantage to the use of such drug or other substance or 
that federally sponsored clinical trials are being conducted 
to determine therapeutic advantage. 
SEC. 510. None of the funds made available in this 
Act may be used to promulgate or adopt any final stand-
ard under section 1173(b) of the Social Security Act pro-
viding for, or providing for the assignment of, a unique 
health identifier for an individual (except in an individ-
ual’s capacity as an employer or a health care provider), 
until legislation is enacted specifically approving the 
standard. 
SEC. 511. None of the funds made available in this 
Act may be obligated or expended to enter into or renew 
a contract with an entity if— 
(1) such entity is otherwise a contractor with 
the United States and is subject to the requirement 
in 38 U.S.C. 4212(d) regarding submission of an 
annual report to the Secretary of Labor concerning 
employment of certain veterans; and 
(2) such entity has not submitted a report as 
required by that section for the most recent year for 
which such requirement was applicable to such enti-
ty.
844 
SEC. 512. None of the funds made available in this 
Act may be transferred to any department, agency, or in-
strumentality of the United States Government, except 
pursuant to a transfer made by, or transfer authority pro-
vided in, this Act or any other appropriation Act. 
SEC. 513. None of the funds made available by this 
Act to carry out the Library Services and Technology Act 
may be made available to any library covered by para-
graph (1) of section 224(f) of such Act, as amended by 
the Children’s Internet Protection Act, unless such library 
has made the certifications required by paragraph (4) of 
such section. 
SEC. 514. (a) None of the funds provided under this 
Act, or provided under previous appropriations Acts to the 
agencies funded by this Act that remain available for obli-
gation or expenditure in fiscal year 2018, or provided from 
any accounts in the Treasury of the United States derived 
by the collection of fees available to the agencies funded 
by this Act, shall be available for obligation or expenditure 
through a reprogramming of funds that— 
(1) creates new programs; 
(2) eliminates a program, project, or activity; 
(3) increases funds or personnel by any means 
for any project or activity for which funds have been 
denied or restricted;
845 
(4) relocates an office or employees; 
(5) reorganizes or renames offices; 
(6) reorganizes programs or activities; or 
(7) contracts out or privatizes any functions or 
activities presently performed by Federal employees; 
unless the Committees on Appropriations of the House of 
Representatives and the Senate are consulted 15 days in 
advance of such reprogramming or of an announcement 
of intent relating to such reprogramming, whichever oc-
curs earlier, and are notified in writing 10 days in advance 
of such reprogramming. 
(b) None of the funds provided under this Act, or 
provided under previous appropriations Acts to the agen-
cies funded by this Act that remain available for obligation 
or expenditure in fiscal year 2018, or provided from any 
accounts in the Treasury of the United States derived by 
the collection of fees available to the agencies funded by 
this Act, shall be available for obligation or expenditure 
through a reprogramming of funds in excess of $500,000 
or 10 percent, whichever is less, that— 
(1) augments existing programs, projects (in-
cluding construction projects), or activities; 
(2) reduces by 10 percent funding for any exist-
ing program, project, or activity, or numbers of per-
sonnel by 10 percent as approved by Congress; or
846 
(3) results from any general savings from a re-
duction in personnel which would result in a change 
in existing programs, activities, or projects as ap-
proved by Congress; 
unless the Committees on Appropriations of the House of 
Representatives and the Senate are consulted 15 days in 
advance of such reprogramming or of an announcement 
of intent relating to such reprogramming, whichever oc-
curs earlier, and are notified in writing 10 days in advance 
of such reprogramming. 
SEC. 515. (a) None of the funds made available in 
this Act may be used to request that a candidate for ap-
pointment to a Federal scientific advisory committee dis-
close the political affiliation or voting history of the can-
didate or the position that the candidate holds with re-
spect to political issues not directly related to and nec-
essary for the work of the committee involved. 
(b) None of the funds made available in this Act may 
be used to disseminate information that is deliberately 
false or misleading. 
SEC. 516. Within 45 days of enactment of this Act, 
each department and related agency funded through this 
Act shall submit an operating plan that details at the pro-
gram, project, and activity level any funding allocations 
for fiscal year 2018 that are different than those specified
847 
in this Act, the accompanying detailed table in the com-
mittee report accompanying this Act, or the fiscal year 
2018 budget request. 
SEC. 517. The Secretaries of Labor, Health and 
Human Services, and Education shall each prepare and 
submit to the Committees on Appropriations of the House 
of Representatives and the Senate a report on the number 
and amount of contracts, grants, and cooperative agree-
ments exceeding $500,000 in value and awarded by the 
Department on a non-competitive basis during each quar-
ter of fiscal year 2018, but not to include grants awarded 
on a formula basis or directed by law. Such report shall 
include the name of the contractor or grantee, the amount 
of funding, the governmental purpose, including a jus-
tification for issuing the award on a non-competitive basis. 
Such report shall be transmitted to the Committees within 
30 days after the end of the quarter for which the report 
is submitted. 
SEC. 518. None of the funds appropriated in this Act 
shall be expended or obligated by the Commissioner of So-
cial Security, for purposes of administering Social Security 
benefit payments under title II of the Social Security Act, 
to process any claim for credit for a quarter of coverage 
based on work performed under a social security account 
number that is not the claimant’s number and the per-
848 
formance of such work under such number has formed the 
basis for a conviction of the claimant of a violation of sec-
tion 208(a)(6) or (7) of the Social Security Act. 
SEC. 519. None of the funds appropriated by this Act 
may be used by the Commissioner of Social Security or 
the Social Security Administration to pay the compensa-
tion of employees of the Social Security Administration 
to administer Social Security benefit payments, under any 
agreement between the United States and Mexico estab-
lishing totalization arrangements between the social secu-
rity system established by title II of the Social Security 
Act and the social security system of Mexico, which would 
not otherwise be payable but for such agreement. 
SEC. 520. Notwithstanding any other provision of 
this Act, no funds appropriated in this Act shall be used 
to purchase sterile needles or syringes for the hypodermic 
injection of any illegal drug: Provided, That such limita-
tion does not apply to the use of funds for elements of 
a program other than making such purchases if the rel-
evant State or local health department, in consultation 
with the Centers for Disease Control and Prevention, de-
termines that the State or local jurisdiction, as applicable, 
is experiencing, or is at risk for, a significant increase in 
hepatitis infections or an HIV outbreak due to injection
849 
drug use, and such program is operating in accordance 
with State and local law. 
SEC. 521. (a) None of the funds made available in 
this Act may be used to maintain or establish a computer 
network unless such network blocks the viewing, 
downloading, and exchanging of pornography. 
(b) Nothing in subsection (a) shall limit the use of 
funds necessary for any Federal, State, tribal, or local law 
enforcement agency or any other entity carrying out crimi-
nal investigations, prosecution, or adjudication activities. 
SEC. 522. None of the funds made available under 
this or any other Act, or any prior Appropriations Act, 
may be provided to the Association of Community Organi-
zations for Reform Now (ACORN), or any of its affiliates, 
subsidiaries, allied organizations, or successors. 
SEC. 523. For purposes of carrying out Executive 
Order No. 13589, Office of Management and Budget 
Memorandum M–12–12 dated May 11, 2012, and require-
ments contained in the annual appropriations bills relating 
to conference attendance and expenditures: 
(1) the operating divisions of HHS shall be con-
sidered independent agencies; and 
(2) attendance at and support for scientific con-
ferences shall be tabulated separately from and not 
included in agency totals.
850 
SEC. 524. Federal agencies funded under this Act 
shall clearly state within the text, audio, or video used for 
advertising or educational purposes, including emails or 
Internet postings, that the communication is printed, pub-
lished, or produced and disseminated at U.S. taxpayer ex-
pense. The funds used by a Federal agency to carry out 
this requirement shall be derived from amounts made 
available to the agency for advertising or other commu-
nications regarding the programs and activities of the 
agency. 
SEC. 525. (a) Federal agencies may use Federal dis-
cretionary funds that are made available in this Act to 
carry out up to 10 Performance Partnership Pilots. Such 
Pilots shall be governed by the provisions of section 526 
of division H of Public Law 113–76, except that in car-
rying out such Pilots section 526 shall be applied by sub-
stituting ‘‘FISCAL YEAR 2018’’ for ‘‘FISCAL YEAR 2014’’ 
in the title of subsection (b) and by substituting ‘‘Sep-
tember 30, 2022’’ for ‘‘September 30, 2018’’ each place 
it appears: Provided, That such pilots shall include com-
munities that have experienced civil unrest. 
(b) In addition, Federal agencies may use Federal 
discretionary funds that are made available in this Act to 
participate in Performance Partnership Pilots that are 
being carried out pursuant to the authority provided by
851 
section 526 of division H of Public Law 113–76, section 
524 of division G of Public Law 113–235, and section 525 
of division H of Public Law 114–113. 
(c) Pilot sites selected under authorities in this Act 
and prior appropriations Acts may be granted by relevant 
agencies up to an additional 5 years to operate under such 
authorities. 
SEC. 526. Not later than 30 days after the end of 
each calendar quarter, beginning with the first quarter of 
fiscal year 2013, the Departments of Labor, Health and 
Human Services and Education and the Social Security 
Administration shall provide the Committees on Appro-
priations of the House of Representatives and Senate a 
quarterly report on the status of balances of appropria-
tions: Provided, That for balances that are unobligated 
and uncommitted, committed, and obligated but unex-
pended, the quarterly reports shall separately identify the 
amounts attributable to each source year of appropriation 
(beginning with fiscal year 2012, or, to the extent feasible, 
earlier fiscal years) from which balances were derived. 
SEC. 527. None of the funds made available in this 
Act may be used to implement, administer, enforce, or fur-
ther any provision of Public Law 111–148 or title I or 
subtitle B of title II of Public Law 111–152 and the 
amendment made by such provision: Provided, That funds
852 
in this Act may be used to implement, administer, enforce, 
or further the rate setting process for calendar year 2018 
and fiscal year 2019 for Medicare under title XVIII of 
the Social Security Act: Provided further, That funds in 
this Act may be used to implement, administer, enforce, 
or further the final rules for the provisions of (and amend-
ments made by) sections 2501(c), 2501(d), and 2503 of 
Public Law 111–148, as amended by sections 1206(a) and 
1101(c) of Public Law 111–152, insofar as each respective 
rule relates to calendar year 2018. 
SEC. 528. None of the funds made available by this 
Act may be used to conduct or support research using 
human fetal tissue if such tissue is obtained pursuant to 
an induced abortion. 
SEC. 529 (a) IN GENERAL.—Notwithstanding any 
other provision of law, none of the funds made available 
by this Act may be made available either directly, through 
a State (including through managed care contracts with 
a State), or through any other means, to a prohibited enti-
ty. 
(b) PROHIBITED ENTITY.—The term ‘‘prohibited en-
tity’’ means an entity, including its affiliates, subsidiaries, 
successors, and clinics— 
(1) that, as of the date of enactment of this 
Act—
853 
(A) is an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 
and exempt from taxation under section 501(a) 
of such Code; 
(B) is an essential community provider de-
scribed in section 156.235 of title 45, Code of 
Federal Regulations (as in effect on the date of 
enactment of this Act), that is primarily en-
gaged in family planning services, reproductive 
health, and related medical care; and 
(C) performs, or provides any funds to any 
other entity that performs abortions, other than 
an abortion performed— 
(i) in the case of a pregnancy that is 
the result of an act of rape or incest; or 
(ii) in the case where a woman suffers 
from a physical disorder, physical injury, 
or physical illness that would, as certified 
by a physician, place the woman in danger 
of death unless an abortion is performed, 
including a life endangering physical condi-
tion caused by, or arising from, the preg-
nancy itself; and 
(2) for which the total amount of Federal 
grants to such entity, including grants to any affili-
854 
ates, subsidiaries, or clinics of such entity, under 
title X of the Public Health Service Act in fiscal 
year 2016 exceeded $23,000,000. 
(c)(1) END OF PROHIBITION.—The definition in sub-
section (b) shall cease to apply to an entity if such entity 
certifies that it, including its affiliates, subsidiaries, suc-
cessors, and clinics, will not perform, and will not provide 
any funds to any other entity that performs, an abortion 
as described in subsection (b)(1)(C). 
(2) REPAYMENT.—The Secretary of Health and 
Human Services shall seek repayment of any Federal as-
sistance received by any entity that had made a certifi-
cation described in paragraph (1) and subsequently vio-
lated the terms of such certification. 
(RESCISSION) 
SEC. 530. Of the unobligated balances in the ‘‘Non-
recurring expenses fund’’ established in section 223 of di-
vision G of Public Law 110–161 $560,000,000 is re-
scinded. 
(RESCISSION) 
SEC. 531. Of the funds made available for fiscal year 
2018 under section 3403 of Public Law 111–148, 
$15,000,000 are rescinded. 
SEC. 532. Amounts deposited in the Child Enroll-
ment Contingency Fund prior to the beginning of fiscal
855 
year 2018 under section 2104(n)(2) of the Social Security 
Act and the income derived from investment of those 
funds pursuant to section 2104(n)(2)(C) of that Act, shall 
not be available for obligation in this fiscal year. 
(RESCISSION) 
SEC. 533. Of the unobligated balances of amounts ap-
propriated under section 1101(g) of Public Law 111–148 
(42 U.S.C. 18001(g)), $323,000,000 is rescinded. 
(RESCISSION) 
SEC. 534. Of the funds made available for purposes 
of carrying out section 2105(a)(3) of the Social Security 
Act, $88,613,000 are hereby rescinded. 
(RESCISSION) 
SEC. 535. Of any available amounts appropriated 
under section 301(b)(3) of Public Law 114–10, 
$3,945,905,000 are hereby rescinded. 
SEC. 536. (a) This section may be cited as the ‘‘Con-
science Protection Act of 2017’’. 
(b) Congress finds as follows: 
(1) Thomas Jefferson stated a conviction com-
mon to our Nation’s founders when he declared in 
1809 that ‘‘[n]o provision in our Constitution ought 
to be dearer to man than that which protects the 
rights of conscience against the enterprises of the 
civil authority’’.
856 
(2) In 1973, the Supreme Court concluded that 
the government must leave the abortion decision ‘‘to 
the medical judgment of the pregnant woman’s at-
tending physician’’, recognizing that a physician may 
choose not to participate in abortion. Roe v. Wade, 
410 U.S. 113, 164 (1973). The Court cited with ap-
proval a policy that ‘‘neither physician, hospital, nor 
hospital personnel shall be required to perform any 
act violative of personally-held moral principles’’, 
410 U.S. at 143 n. 38, and cited State laws uphold-
ing this principle. Doe v. Bolton, 410 U.S. 179, 
197–8 (1973). 
(3) Congress’s enactments to protect this right 
of conscience in health care include the Church 
amendment of 1973 (42 U.S.C. 300a–7), the Coats/ 
Snowe amendment of 1996 (42 U.S.C. 238n), and 
the Weldon amendment approved by Congresses and 
Presidents of both parties every year since 2004. 
(4) None of these laws explicitly provides a 
‘‘private right of action’’ so victims of discrimination 
can defend their conscience rights in court, and ad-
ministrative enforcement by the Department of 
Health and Human Services Office for Civil Rights 
has been lax, at times allowing cases to languish for 
years without resolution.
857 
(5) Defying the Federal Weldon amendment, 
California’s Department of Managed Health Care 
has mandated coverage for all elective abortions in 
all health plans under its jurisdiction. Other States 
such as New York and Washington have taken or 
considered similar action, and some States may go 
farther to require all physicians and hospitals to pro-
vide or facilitate abortions. On June 21, 2016, the 
Obama Administration concluded a nearly two-year 
investigation of this matter by determining that 
California’s decision to require insurance plans 
under the California Department for Managed 
Health Care authority to cover all legal abortion 
services did not violate the Weldon amendment. 
Until the new Administration is able to reverse this 
finding, individuals will have to choose between ig-
noring their conscience or forgoing health care cov-
erage. 
(6) The vast majority of medical professionals 
do not perform abortions, with 86 percent of ob/gyns 
unwilling to provide them in a recent study (Obstet-
rics & Gynecology, Sept. 2011) and the great major-
ity of hospitals choosing to do so in rare cases or not 
at all.
858 
(7) A health care provider’s decision not to par-
ticipate in an abortion, like Congress’s decision not 
to fund most abortions, erects no new barrier to 
those seeking to perform or undergo abortions but 
leaves each party free to act as he or she wishes. 
(8) Such protection poses no conflict with other 
Federal laws, such as the law requiring emergency 
stabilizing treatment for a pregnant woman and her 
unborn child when either is in distress (Emergency 
Medical Treatment and Active Labor Act). As the 
previous Administration has said, these areas of law 
have operated side by side for many years and both 
should be fully enforced (76 Fed. Reg. 9968–77 
(2011) at 9973). 
(9) Reaffirming longstanding Federal policy on 
conscience rights and providing a right of action in 
cases where it is violated allows longstanding and 
widely supported Federal laws to work as intended. 
(c) Title II of the Public Health Service Act (42 
U.S.C. 202 et seq.) is amended by inserting after section 
245 the following:
859 
‘‘SEC. 245A. PROHIBITING GOVERNMENTAL DISCRIMINA-
TION AGAINST PROVIDERS OF HEALTH SERV-
ICES THAT ARE NOT INVOLVED IN ABORTION. 
‘‘(a) IN GENERAL.—Notwithstanding any other law, 
the Federal Government, and any State or local govern-
ment that receives Federal financial assistance, may not 
penalize, retaliate against, or otherwise discriminate 
against a health care provider on the basis that the pro-
vider does not— 
‘‘(1) perform, refer for, pay for, or otherwise 
participate in abortion; 
‘‘(2) provide or sponsor abortion coverage; or 
‘‘(3) facilitate or make arrangements for any of 
the activities specified in this subsection. 
‘‘(b) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed— 
‘‘(1) to prevent any health care provider from 
voluntarily electing to participate in abortions or 
abortion referrals; 
‘‘(2) to prevent any health care provider from 
voluntarily electing to provide or sponsor abortion 
coverage or health benefits coverage that includes 
abortion; 
‘‘(3) to prevent an accrediting agency, the Fed-
eral Government, or a State or local government 
from establishing standards of medical competency
860 
applicable only to those who have knowingly, volun-
tarily, and specifically elected to perform abortions, 
or from enforcing contractual obligations applicable 
only to those who, as part of such contract, know-
ingly, voluntarily, and specifically elect to provide 
abortions; 
‘‘(4) to affect, or be affected by, section 1867 
of the Social Security Act (42 U.S.C. 1395dd, com-
monly referred to as the ‘Emergency Medical Treat-
ment and Active Labor Act’); or 
‘‘(5) to supersede any law enacted by any State 
for the purpose of regulating insurance, except as 
specified in subsection (a). 
‘‘(c) ADMINISTRATION.—The Secretary shall des-
ignate the Director of the Office for Civil Rights of the 
Department of Health and Human Services— 
‘‘(1) to receive complaints alleging a violation of 
this section, section 245 of this Act, or any of sub-
sections (b) through (e) of section 401 of the Health 
Programs Extension Act of 1973; and 
‘‘(2) to pursue the investigation of such com-
plaints in coordination with the Attorney General. 
‘‘(d) DEFINITIONS.—For purposes of this section: 
‘‘(1) FEDERAL
FINANCIAL
ASSISTANCE.—The 
term ‘Federal financial assistance’ means Federal
861 
payments to cover the cost of health care services or 
benefits, or other Federal payments, grants, or loans 
to promote or otherwise facilitate health-related ac-
tivities. 
‘‘(2) HEALTH
CARE
PROVIDER.—The term 
‘health care provider’ means— 
‘‘(A) an individual physician, nurse, or 
other health care professional; 
‘‘(B) a hospital, health system, or other 
health care facility or organization (including a 
party to a proposed merger or other collabo-
rative arrangement relating to health services, 
and an entity resulting therefrom); 
‘‘(C) a provider-sponsored organization, an 
accountable care organization, or a health 
maintenance organization; 
‘‘(D) a social services provider that pro-
vides or authorizes referrals for health care 
services; 
‘‘(E) a program of training in the health 
professions or an applicant to or participant in 
such a program; 
‘‘(F) an issuer of health insurance cov-
erage; or
862 
‘‘(G) a group health plan or student health 
plan, or a sponsor or administrator thereof. 
‘‘(3) STATE OR LOCAL GOVERNMENT THAT RE-
CEIVES
FEDERAL
FINANCIAL
ASSISTANCE.—The 
term ‘State or local government that receives Fed-
eral financial assistance’ includes every agency and 
other governmental unit and subdivision of a State 
or local government, if such State or local govern-
ment, or any agency or governmental unit or sub-
division thereof, receives Federal financial assist-
ance. 
‘‘SEC. 245B. CIVIL ACTION FOR CERTAIN VIOLATIONS. 
‘‘(a) IN GENERAL.—A qualified party may, in a civil 
action, obtain appropriate relief with regard to a des-
ignated violation. 
‘‘(b) DEFINITIONS.—For purposes of this section: 
‘‘(1) QUALIFIED PARTY.—The term ‘qualified 
party’ means— 
‘‘(A) the Attorney General of the United 
States; or 
‘‘(B) any person or entity adversely af-
fected by the designated violation. 
‘‘(2) DESIGNATED VIOLATION.—The term ‘des-
ignated violation’ means an actual or threatened vio-
lation of—
863 
‘‘(A) section 245 or 245A of this Act; or 
‘‘(B) any of subsections (b) through (e) of 
section 401 of the Health Programs Extension 
Act of 1973 regarding an objection to abortion. 
‘‘(c) ADMINISTRATIVE REMEDIES NOT REQUIRED.— 
An action under this section may be commenced, and relief 
may be granted, without regard to whether the party com-
mencing the action has sought or exhausted available ad-
ministrative remedies. 
‘‘(d) DEFENDANTS IN ACTIONS UNDER THIS SEC-
TION MAY INCLUDE GOVERNMENTAL ENTITIES AS WELL 
AS OTHERS.— 
‘‘(1) IN GENERAL.—An action under this sec-
tion may be maintained against, among others, a 
party that is a Federal or State governmental entity. 
Relief in an action under this section may include 
money damages even if the defendant is such a gov-
ernmental entity. 
‘‘(2) DEFINITION.—For the purposes of this 
subsection, the term ‘State governmental entity’ 
means a State, a local government within a State, 
and any agency or other governmental unit or sub-
division of a State or of such a local government. 
‘‘(e) NATURE OF RELIEF.—In an action under this 
section, the court shall grant—
864 
‘‘(1) all necessary equitable and legal relief, in-
cluding, where appropriate, declaratory relief and 
compensatory damages, to prevent the occurrence, 
continuance, or repetition of the designated violation 
and to compensate for losses resulting from the des-
ignated violation; and 
‘‘(2) to a prevailing plaintiff, reasonable attor-
neys’ fees and litigation expenses as part of the 
costs.’’. 
SEC. 537. None of the funds made available by this 
Act may be used to implement, administer, or enforce the 
rule entitled ‘‘Establishing a Minimum Wage for Contrac-
tors’’ published by the Department of Labor in the Fed-
eral Register on October 7, 2014 (79 Fed. Reg. 60634), 
with respect to Federal contracts, permits, or other con-
tract-like instruments entered into with the Federal Gov-
ernment in connection with Federal property or lands, spe-
cifically related to offering seasonal recreational services 
or seasonal recreation equipment rental for the general 
public: Provided, That this section shall not apply to lodg-
ing and food services associated with seasonal recreation 
services. 
REFERENCES TO ACT 
SEC. 538. Except as expressly provided otherwise, 
any reference to ‘‘this Act’’ contained in this division shall
865 
be treated as referring only to the provisions of this divi-
sion. 
REFERENCE TO REPORT 
SEC. 539. Any reference to a ‘‘report accompanying 
this Act’’ contained in this division shall be treated as a 
reference to House Report 115–244. The effect of such 
Report shall be limited to this division and shall apply for 
purposes of determining the allocation of funds provided 
by, and the implementation of, this division. 
SPENDING REDUCTION ACCOUNT 
SEC. 540. $0. 
SEC. 541. For ‘‘Health Resources and Services Ad-
ministration—Health Workforce’’ for establishing and 
carrying out the training demonstration grant program, 
as authorized by section 760 of the Public Health Service 
Act (42 U.S.C. 294k), there is hereby appropriated 
$10,000,000, and the amount otherwise provided by this 
Act for ‘‘Health Resources and Services Administration— 
Program Management’’ is hereby reduced by $11,750,000. 
SEC. 542. None of the funds made available by this 
Act to carry out the Child Care Development Block Grant 
Act of 1990 may be distributed to any child care provider 
if a localized list of providers (as mentioned in part 98 
of title 45 of the Code of Federal Regulations, applicable 
to the Department of Health and Human Services, Ad-
866 
ministration of Children and Families, and in the final 
rule published in the Federal Register, Vol. 81, No. 190, 
on Sept. 30, 2016) indicates that a serious injury or death 
occurred at the provider due to a substantiated health or 
safety violation. 
SEC. 543. For ‘‘Health Resources and Services Ad-
ministration–Rural Health’’ to carry out section 427(a) of 
the Federal Coal Mine Safety and Health Act of 1969, 
there is hereby appropriated, and the amount otherwise 
provided by this Act for ‘‘Health Resources and Services 
Administration–Program Management’’ is hereby reduced 
by, $2,734,000. 
SEC. 544. For ‘‘Substance Abuse and Mental Health 
Services Administration—Mental Health’’ for carrying out 
the Strengthening Community Crisis Response Systems 
grant program, as authorized by section 520F of the Pub-
lic Health Service Act (42 U.S.C. 290bb–37), there is 
hereby appropriated, and the amount otherwise provided 
by this Act for ‘‘Substance Abuse and Mental Health 
Services Administration—Health Surveillance and Pro-
gram Support’’ is hereby reduced by, $10,000,000. 
SEC. 545. For ‘‘Substance Abuse and Mental Health 
Services Administration–Substance Abuse Treatment’’ for 
the Controlled Substance Monitoring Program, as author-
ized by section 399O of the Public Health Service Act (42
867 
U.S.C. 280g–3), there is hereby appropriated, and the 
amount otherwise provided by this Act for ‘‘Office of the 
Secretary—General Departmental Management’’ is here-
by reduced by, $10,000,000. 
SEC. 546. No funds made available by this Act may 
be used to undertake any activities to prepare for or facili-
tate the transfer of responsibilities or functions from the 
Office of Federal Contract Compliance Programs of the 
Department of Labor to the Equal Employment Oppor-
tunity Commission. 
SEC. 547. For ‘‘Health Resources and Services Ad-
ministration—Maternal and Child Health’’ for estab-
lishing and carrying out grants to eligible entities to de-
velop, maintain, or enhance infant and early childhood 
mental health promotion, intervention, and treatment pro-
grams for children up to 12 years of age, as authorized 
by section 399Z–2 of the Public Health Service Act (42 
U.S.C. 280h–6) there is hereby appropriated, and the 
amount otherwise provided by this Act for ‘‘Health Re-
sources and Services Administration—Program Manage-
ment’’ is hereby reduced by, $5,000,000. 
SEC. 548. For ‘‘Health Resources and Services Ad-
ministration—Maternal and Child Health’’ for carrying 
out the Pediatric Mental Health Care Access grant pro-
gram, as authorized by section 330M of the Public Health
868 
Service Act (42 U.S.C. 254c–19), there is hereby appro-
priated, and the amount otherwise provided by this Act 
for ‘‘Health Resources and Services Administration—Pro-
gram Management’’ is hereby reduced by, $9,000,000. 
SEC. 549. None of the funds made available by this 
Act may be used to implement, administer, or enforce the 
final rule on ‘‘Representation—Case Procedures’’ pub-
lished in the Federal Register by the National Labor Rela-
tions Board on December 15, 2014 (79 Fed. Reg. 74308 
et seq.) or any rule of the same substance. 
SEC. 550. None of the funds made available by this 
Act may be used to implement, administer, or enforce the 
final regulations on ‘‘Improve Tracking of Workplace In-
juries and Illnesses’’ published by the Department of 
Labor in the Federal Register on May 12, 2016 (81 Fed. 
Reg. 29624 et seq.). 
This division may be cited as the ‘‘Departments of 
Labor, Health and Human Services, and Education, and 
Related Agencies Appropriations Act, 2018’’. 
DIVISION 
G—DEPARTMENT 
OF 
STATE, 
FOREIGN OPERATIONS, AND RELATED 
PROGRAMS 
APPROPRIATIONS 
ACT, 
2018 
The following sums are appropriated, out of any 
money in the Treasury not otherwise appropriated, for the
869 
Department of State, foreign operations, and related pro-
grams for the fiscal year ending September 30, 2018, and 
for other purposes, namely: 
TITLE I 
DEPARTMENT OF STATE AND RELATED 
AGENCY 
DEPARTMENT OF STATE 
ADMINISTRATION OF FOREIGN AFFAIRS 
DIPLOMATIC AND CONSULAR PROGRAMS 
For necessary expenses of the Department of State 
and the Foreign Service not otherwise provided for, 
$5,449,289,000, of which up to $610,000,000 may remain 
available until September 30, 2019, and of which up to 
$1,380,752,000 may remain available until expended for 
Worldwide Security Protection: Provided, That funds 
made available under this heading shall be allocated in ac-
cordance with paragraphs (1) through (4) as follows: 
(1) HUMAN
RESOURCES.—For necessary ex-
penses for training, human resources management, 
and salaries, including employment without regard 
to civil service and classification laws of persons on 
a temporary basis (not to exceed $700,000), as au-
thorized by section 801 of the United States Infor-
mation and Educational Exchange Act of 1948,
870 
$2,522,390,000, of which up to $476,879,000 is for 
Worldwide Security Protection. 
(2) OVERSEAS PROGRAMS.—For necessary ex-
penses for the regional bureaus of the Department 
of State and overseas activities as authorized by law, 
$1,260,517,000. 
(3) DIPLOMATIC POLICY AND SUPPORT.—For 
necessary expenses for the functional bureaus of the 
Department of State, including representation to 
certain international organizations in which the 
United States participates pursuant to treaties rati-
fied pursuant to the advice and consent of the Sen-
ate or specific Acts of Congress, general administra-
tion, and arms control, nonproliferation and disar-
mament activities as authorized, $740,052,000 (re-
duced by $10,000,000) (increased by $10,000,000). 
(4) SECURITY PROGRAMS.—For necessary ex-
penses for security activities, $926,330,000, of which 
up to $903,873,000 is for Worldwide Security Pro-
tection. 
(5) FEES AND PAYMENTS COLLECTED.—In ad-
dition to amounts otherwise made available under 
this heading— 
(A) as authorized by section 810 of the 
United States Information and Educational Ex-
871 
change Act, not to exceed $5,000,000, to re-
main available until expended, may be credited 
to this appropriation from fees or other pay-
ments received from English teaching, library, 
motion pictures, and publication programs and 
from fees from educational advising and coun-
seling and exchange visitor programs; and 
(B) not to exceed $15,000, which shall be 
derived from reimbursements, surcharges, and 
fees for use of Blair House facilities. 
(6) TRANSFER, REPROGRAMMING, AND OTHER 
MATTERS.— 
(A) Notwithstanding any other provision of 
this Act, funds may be reprogrammed within 
and between paragraphs (1) through (4) under 
this heading subject to section 7015 of this Act. 
(B) Of the amount made available under 
this heading, not to exceed $10,000,000 may be 
transferred to, and merged with, funds made 
available by this Act under the heading ‘‘Emer-
gencies in the Diplomatic and Consular Serv-
ice’’, to be available only for emergency evacu-
ations and rewards, as authorized. 
(C) Funds appropriated under this heading 
are available for acquisition by exchange or pur-
872 
chase of passenger motor vehicles as authorized 
by law and, pursuant to section 1108(g) of title 
31, United States Code, for the field examina-
tion of programs and activities in the United 
States funded from any account contained in 
this title. 
(D) Funds appropriated under this head-
ing may be made available for Conflict Sta-
bilization Operations and for related reconstruc-
tion and stabilization assistance to prevent or 
respond to conflict or civil strife in foreign 
countries or regions, or to enable transition 
from such strife. 
(E) Funds appropriated under this head-
ing in this Act that are designated for World-
wide Security Protection shall continue to be 
made available for support of security-related 
training at sites in existence prior to the enact-
ment of this Act. 
CAPITAL INVESTMENT FUND 
For necessary expenses of the Capital Investment 
Fund, as authorized, $15,000,000, to remain available 
until expended.
873 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General, $73,869,000, notwithstanding section 209(a)(1) 
of the Foreign Service Act of 1980 (Public Law 96–465), 
as it relates to post inspections: Provided, That of the 
funds appropriated under this heading, $13,060,000 may 
remain available until September 30, 2019. 
EDUCATIONAL AND CULTURAL EXCHANGE PROGRAMS 
For expenses of educational and cultural exchange 
programs, as authorized, $590,900,000, to remain avail-
able until expended, of which not less than $236,000,000 
shall be for the Fulbright Program and not less than 
$111,360,000 shall be for Citizen Exchange Program, in-
cluding $4,125,000 for the Congress-Bundestag Youth 
Exchange: Provided, That fees or other payments received 
from, or in connection with, English teaching, educational 
advising and counseling programs, and exchange visitor 
programs as authorized may be credited to this account, 
to remain available until expended: Provided further, That 
any substantive modifications from the prior fiscal year 
to programs funded by this Act under this heading shall 
be subject to prior consultation with, and the regular noti-
fication procedures of, the Committees on Appropriations.
874 
REPRESENTATION EXPENSES 
For 
representation 
expenses 
as 
authorized, 
$7,000,000. 
PROTECTION OF FOREIGN MISSIONS AND OFFICIALS 
For expenses, not otherwise provided, to enable the 
Secretary of State to provide for extraordinary protective 
services, as authorized, $30,890,000, to remain available 
until September 30, 2019. 
EMBASSY SECURITY, CONSTRUCTION, AND MAINTENANCE 
For necessary expenses for carrying out the Foreign 
Service Buildings Act of 1926 (22 U.S.C. 292 et seq.), 
preserving, maintaining, repairing, and planning for build-
ings that are owned or directly leased by the Department 
of State, renovating, in addition to funds otherwise avail-
able, the Harry S Truman Building, and carrying out the 
Diplomatic Security Construction Program as authorized, 
$754,459,000, to remain available until expended, of 
which not to exceed $25,000 may be used for domestic 
and overseas representation expenses as authorized: Pro-
vided, That none of the funds appropriated in this para-
graph shall be available for acquisition of furniture, fur-
nishings, or generators for other departments and agen-
cies of the United States Government. 
In addition, for the costs of worldwide security up-
grades, acquisition, and construction as authorized,
875 
$1,488,237,000, to remain available until expended: Pro-
vided, That not later than 45 days after enactment of this 
Act, the Secretary of State shall submit to the Committees 
on Appropriations the proposed allocation of funds made 
available under this heading and the actual and antici-
pated proceeds of sales for all projects in fiscal year 2018. 
EMERGENCIES IN THE DIPLOMATIC AND CONSULAR 
SERVICE 
For necessary expenses to enable the Secretary of 
State to meet unforeseen emergencies arising in the Diplo-
matic and Consular Service, as authorized, $7,885,000, to 
remain available until expended, of which not to exceed 
$1,000,000 may be transferred to, and merged with, funds 
appropriated by this Act under the heading ‘‘Repatriation 
Loans Program Account’’, subject to the same terms and 
conditions. 
REPATRIATION LOANS PROGRAM ACCOUNT 
For the cost of direct loans, $1,300,000, as author-
ized: Provided, That such costs, including the cost of 
modifying such loans, shall be as defined in section 502 
of the Congressional Budget Act of 1974: Provided fur-
ther, That such funds are available to subsidize gross obli-
gations for the principal amount of direct loans not to ex-
ceed $2,440,856.
876 
PAYMENT TO THE AMERICAN INSTITUTE IN TAIWAN 
For necessary expenses to carry out the Taiwan Rela-
tions Act (Public Law 96–8), $30,557,000. 
INTERNATIONAL CENTER, WASHINGTON, DISTRICT OF 
COLUMBIA 
Not to exceed $1,806,600 shall be derived from fees 
collected from other executive agencies for lease or use of 
facilities at the International Center in accordance with 
section 4 of the International Center Act (Public Law 90– 
553), and, in addition, as authorized by section 5 of such 
Act, $743,000, to be derived from the reserve authorized 
by such section, to be used for the purposes set out in 
that section. 
PAYMENT TO THE FOREIGN SERVICE RETIREMENT AND 
DISABILITY FUND 
For payment to the Foreign Service Retirement and 
Disability Fund, as authorized, $158,900,000. 
INTERNATIONAL ORGANIZATIONS 
CONTRIBUTIONS TO INTERNATIONAL ORGANIZATIONS 
For necessary expenses, not otherwise provided for, 
to meet annual obligations of membership in international 
multilateral organizations, pursuant to treaties ratified 
pursuant to the advice and consent of the Senate, conven-
tions or specific Acts of Congress, $1,074,645,000 (re-
duced by $10,000,000): Provided, That the Secretary of
877 
State shall, at the time of the submission of the Presi-
dent’s budget to Congress under section 1105(a) of title 
31, United States Code, transmit to the Committees on 
Appropriations the most recent biennial budget prepared 
by the United Nations for the operations of the United 
Nations: Provided further, That the Secretary of State 
shall notify the Committees on Appropriations at least 15 
days in advance (or in an emergency, as far in advance 
as is practicable) of any United Nations action to increase 
funding for any United Nations program without identi-
fying an offsetting decrease elsewhere in the United Na-
tions budget: Provided further, That not later than June 
1, 2018, and 30 days after the end of fiscal year 2018, 
the Secretary of State shall report to the Committees on 
Appropriations any credits attributable to the United 
States, including from the United Nations Tax Equali-
zation Fund, and provide updated fiscal year 2018 and 
fiscal year 2019 assessment costs including offsets from 
available credits and updated foreign currency exchange 
rates: Provided further, That any such credits shall only 
be available for United States assessed contributions to 
the United Nations regular budget, and the Committees 
on Appropriations shall be notified when such credits are 
applied to any assessed contribution, including any pay-
ment of arrearages: Provided further, That any notifica-
878 
tion regarding funds appropriated or otherwise made 
available under this heading in this Act or prior Acts mak-
ing appropriations for the Department of State, foreign 
operations, and related programs submitted pursuant to 
section 7015 of this Act, section 34 of the State Depart-
ment Basic Authorities Act of 1956 (22 U.S.C. 2706), or 
any operating plan submitted pursuant to section 7076 
of this Act, shall include an estimate of all known credits 
currently attributable to the United States and provide 
updated assessment costs, including offsets from available 
credits and updated foreign currency exchange rates: Pro-
vided further, That any payment of arrearages under this 
heading shall be directed to activities that are mutually 
agreed upon by the United States and the respective inter-
national organization and shall be subject to the regular 
notification procedures of the Committees on Appropria-
tions: Provided further, That none of the funds appro-
priated under this heading shall be available for a United 
States contribution to an international organization for 
the United States share of interest costs made known to 
the United States Government by such organization for 
loans incurred on or after October 1, 1984, through exter-
nal borrowings.
879 
CONTRIBUTIONS FOR INTERNATIONAL PEACEKEEPING 
ACTIVITIES 
For necessary expenses to pay assessed and other ex-
penses of international peacekeeping activities directed to 
the maintenance or restoration of international peace and 
security, $529,909,000, of which 15 percent shall remain 
available until September 30, 2019: Provided, That none 
of the funds made available by this Act shall be obligated 
or expended for any new or expanded United Nations 
peacekeeping mission unless, at least 15 days in advance 
of voting for such mission in the United Nations Security 
Council (or in an emergency as far in advance as is prac-
ticable), the Committees on Appropriations are notified of: 
(1) the estimated cost and duration of the mission, the 
objectives of the mission, the national interest that will 
be served, and the exit strategy; and (2) the sources of 
funds, including any reprogrammings or transfers, that 
will be used to pay the cost of the new or expanded mis-
sion, and the estimated cost in future fiscal years: Pro-
vided further, That none of the funds appropriated under 
this heading may be made available for obligation unless 
the Secretary of State certifies and reports to the Commit-
tees on Appropriations on a peacekeeping mission-by-mis-
sion basis that the United Nations is implementing effec-
tive policies and procedures to prevent United Nations em-
880 
ployees, contractor personnel, and peacekeeping troops 
serving in such mission from trafficking in persons, ex-
ploiting victims of trafficking, or committing acts of sexual 
exploitation and abuse or other violations of human rights, 
and to bring to justice individuals who engage in such acts 
while participating in such mission, including prosecution 
in their home countries and making information about 
such prosecutions publicly available on the Web site of the 
United Nations: Provided further, That the Secretary of 
State shall work with the United Nations and foreign gov-
ernments contributing peacekeeping troops to implement 
effective vetting procedures to ensure that such troops 
have not violated human rights: Provided further, That 
funds shall be available for peacekeeping expenses unless 
the Secretary of State determines that United States man-
ufacturers and suppliers are not being given opportunities 
to provide equipment, services, and material for United 
Nations peacekeeping activities equal to those being given 
to foreign manufacturers and suppliers: Provided further, 
That none of the funds appropriated or otherwise made 
available under this heading may be used for any United 
Nations peacekeeping mission that will involve United 
States Armed Forces under the command or operational 
control of a foreign national, unless the President’s mili-
tary advisors have submitted to the President a rec-
881 
ommendation that such involvement is in the national in-
terest of the United States and the President has sub-
mitted to Congress such a recommendation: Provided fur-
ther, That not later than June 1, 2018, and 30 days after 
the end of fiscal year 2018, the Secretary of State shall 
report to the Committees on Appropriations any credits 
attributable to the United States, including those resulting 
from United Nations peacekeeping missions or the United 
Nations Tax Equalization Fund, and provide updated fis-
cal year 2018 and fiscal year 2019 assessment costs in-
cluding offsets from available credits: Provided further, 
That any such credits shall only be available for United 
States assessed contributions to United Nations peace-
keeping missions, and the Committees on Appropriations 
shall be notified when such credits are applied to any as-
sessed contribution, including any payment of arrearages: 
Provided further, That any notification regarding funds 
appropriated or otherwise made available under this head-
ing in this Act or prior Acts making appropriations for 
the Department of State, foreign operations, and related 
programs submitted pursuant to section 7015 of this Act, 
section 34 of the State Department Basic Authorities Act 
of 1956 (22 U.S.C. 2706), or any operating plan sub-
mitted pursuant to section 7076 of this Act, shall include 
an estimate of all known credits currently attributable to
882 
the United States and provide updated assessment costs, 
including offsets from available credits: Provided further, 
That any payment of arrearages with funds appropriated 
by this Act shall be subject to the regular notification pro-
cedures of the Committees on Appropriations: Provided 
further, That the Secretary of State shall work with the 
United Nations and members of the United Nations Secu-
rity Council to evaluate and prioritize peacekeeping mis-
sions, and to consider a draw down when mission goals 
have been substantially achieved. 
INTERNATIONAL COMMISSIONS 
For necessary expenses, not otherwise provided for, 
to meet obligations of the United States arising under 
treaties, or specific Acts of Congress, as follows: 
INTERNATIONAL BOUNDARY AND WATER COMMISSION, 
UNITED STATES AND MEXICO 
For necessary expenses for the United States Section 
of the International Boundary and Water Commission, 
United States and Mexico, and to comply with laws appli-
cable to the United States Section, including not to exceed 
$6,000 for representation expenses; as follows: 
SALARIES AND EXPENSES 
For salaries and expenses, not otherwise provided for, 
$44,748,000.
883 
CONSTRUCTION 
For detailed plan preparation and construction of au-
thorized projects, $27,900,000, to remain available until 
expended, as authorized. 
AMERICAN SECTIONS, INTERNATIONAL COMMISSIONS 
For necessary expenses, not otherwise provided, for 
the International Joint Commission and the International 
Boundary Commission, United States and Canada, as au-
thorized by treaties between the United States and Can-
ada or Great Britain, and the Border Environment Co-
operation Commission as authorized by the North Amer-
ican Free Trade Agreement Implementation Act (Public 
Law 103–182), $12,184,000: Provided, That of the 
amount provided under this heading for the International 
Joint Commission, up to $500,000 may remain available 
until September 30, 2019, and $9,000 may be made avail-
able for representation expenses. 
INTERNATIONAL FISHERIES COMMISSIONS 
For necessary expenses for international fisheries 
commissions, not otherwise provided for, as authorized by 
law, $34,176,000: Provided, That the United States share 
of such expenses may be advanced to the respective com-
missions pursuant to section 3324 of title 31, United 
States Code.
884 
RELATED AGENCY 
BROADCASTING BOARD OF GOVERNORS 
INTERNATIONAL BROADCASTING OPERATIONS 
For necessary expenses to enable the Broadcasting 
Board of Governors (BBG), as authorized, to carry out 
international communication activities, and to make and 
supervise grants for radio, Internet, and television broad-
casting to the Middle East, $764,936,000: Provided, That 
in addition to amounts otherwise available for such pur-
poses, up to $34,935,000 of the amount appropriated 
under this heading may remain available until expended 
for satellite transmissions and Internet freedom programs, 
of which not less than $13,800,000 shall be for Internet 
freedom programs: Provided further, That of the total 
amount appropriated under this heading, not to exceed 
$35,000 may be used for representation expenses, of 
which $10,000 may be used for such expenses within the 
United States as authorized, and not to exceed $30,000 
may be used for representation expenses of Radio Free 
Europe/Radio Liberty: Provided further, That the BBG 
shall notify the Committees on Appropriations within 15 
days of any determination by the BBG that any of its 
broadcast entities, including its grantee organizations, 
provides an open platform for international terrorists or 
those who support international terrorism, or is in viola-
885 
tion of the principles and standards set forth in sub-
sections (a) and (b) of section 303 of the United States 
International Broadcasting Act of 1994 (22 U.S.C. 6202) 
or the entity’s journalistic code of ethics: Provided further, 
That significant modifications to BBG broadcast hours 
previously justified to Congress, including changes to 
transmission platforms (shortwave, medium wave, sat-
ellite, Internet, and television), for all BBG language serv-
ices shall be subject to the regular notification procedures 
of the Committees on Appropriations: Provided further, 
That in addition to funds made available under this head-
ing, and notwithstanding any other provision of law, up 
to $5,000,000 in receipts from advertising and revenue 
from business ventures, up to $500,000 in receipts from 
cooperating international organizations, and up to 
$1,000,000 in receipts from privatization efforts of the 
Voice of America and the International Broadcasting Bu-
reau, shall remain available until expended for carrying 
out authorized purposes. 
BROADCASTING CAPITAL IMPROVEMENTS 
For the purchase, rent, construction, repair, preser-
vation, and improvement of facilities for radio, television, 
and digital transmission and reception; the purchase, rent, 
and installation of necessary equipment for radio, tele-
vision, and digital transmission and reception, including
886 
to Cuba, as authorized; and physical security worldwide, 
in addition to amounts otherwise available for such pur-
poses, $4,791,000, to remain available until expended, as 
authorized. 
RELATED PROGRAMS 
THE ASIA FOUNDATION 
For a grant to The Asia Foundation, as authorized 
by The Asia Foundation Act (22 U.S.C. 4402), 
$15,810,000, to remain available until expended. 
UNITED STATES INSTITUTE OF PEACE 
For necessary expenses of the United States Institute 
of Peace, as authorized by the United States Institute of 
Peace Act (22 U.S.C. 4601 et seq.), $35,300,000, to re-
main available until September 30, 2019, which shall not 
be used for construction activities. 
CENTER FOR MIDDLE EASTERN-WESTERN DIALOGUE 
TRUST FUND 
For necessary expenses of the Center for Middle 
Eastern-Western Dialogue Trust Fund, as authorized by 
section 633 of the Departments of Commerce, Justice, and 
State, the Judiciary, and Related Agencies Appropriations 
Act, 2004 (22 U.S.C. 2078), the total amount of the inter-
est and earnings accruing to such Fund on or before Sep-
tember 30, 2018, to remain available until expended.
887 
EISENHOWER EXCHANGE FELLOWSHIP PROGRAM 
For necessary expenses of Eisenhower Exchange Fel-
lowships, Incorporated, as authorized by sections 4 and 
5 of the Eisenhower Exchange Fellowship Act of 1990 (20 
U.S.C. 5204–5205), all interest and earnings accruing to 
the Eisenhower Exchange Fellowship Program Trust 
Fund on or before September 30, 2018, to remain avail-
able until expended: Provided, That none of the funds ap-
propriated herein shall be used to pay any salary or other 
compensation, or to enter into any contract providing for 
the payment thereof, in excess of the rate authorized by 
section 5376 of title 5, United States Code; or for pur-
poses which are not in accordance with section 200 of title 
2 of the Code of Federal Regulations, including the re-
strictions on compensation for personal services. 
ISRAELI ARAB SCHOLARSHIP PROGRAM 
For necessary expenses of the Israeli Arab Scholar-
ship Program, as authorized by section 214 of the Foreign 
Relations Authorization Act, Fiscal Years 1992 and 1993 
(22 U.S.C. 2452), all interest and earnings accruing to 
the Israeli Arab Scholarship Fund on or before September 
30, 2018, to remain available until expended. 
NATIONAL ENDOWMENT FOR DEMOCRACY 
For grants made by the Department of State to the 
National Endowment for Democracy, as authorized by the
888 
National Endowment for Democracy Act (22 U.S.C. 
4412), $170,000,000, to remain available until expended, 
of which $117,500,000 shall be allocated in the traditional 
and customary manner, including for the core institutes, 
and $52,500,000 shall be for democracy programs. 
OTHER COMMISSIONS 
COMMISSION FOR THE PRESERVATION OF AMERICA’S 
HERITAGE ABROAD 
SALARIES AND EXPENSES 
For necessary expenses for the Commission for the 
Preservation of America’s Heritage Abroad, $675,000, as 
authorized by chapter 3123 of title 54, United States 
Code: Provided, That the Commission may procure tem-
porary, intermittent, and other services notwithstanding 
paragraph (3) of section 312304(b) of such chapter: Pro-
vided further, That such authority shall terminate on Oc-
tober 1, 2018: Provided further, That the Commission 
shall notify the Committees on Appropriations prior to ex-
ercising such authority. 
UNITED STATES COMMISSION ON INTERNATIONAL 
RELIGIOUS FREEDOM 
SALARIES AND EXPENSES 
For necessary expenses for the United States Com-
mission on International Religious Freedom, as authorized 
by title II of the International Religious Freedom Act of
889 
1998 (22 U.S.C. 6431 et seq.), $4,500,000, to remain 
available until September 30, 2019, including not more 
than $4,000 for representation expenses. 
COMMISSION ON SECURITY AND COOPERATION IN 
EUROPE 
SALARIES AND EXPENSES 
For necessary expenses of the Commission on Secu-
rity and Cooperation in Europe, as authorized by Public 
Law 94–304, $2,579,000, including not more than $4,000 
for representation expenses, to remain available until Sep-
tember 30, 2019. 
CONGRESSIONAL-EXECUTIVE COMMISSION ON THE 
PEOPLE’S REPUBLIC OF CHINA 
SALARIES AND EXPENSES 
For necessary expenses of the Congressional-Execu-
tive Commission on the People’s Republic of China, as au-
thorized by title III of the U.S.-China Relations Act of 
2000 (22 U.S.C. 6911 et seq.), $2,000,000, including not 
more than $3,000 for representation expenses, to remain 
available until September 30, 2019. 
UNITED STATES-CHINA ECONOMIC AND SECURITY 
REVIEW COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses of the United States-China 
Economic and Security Review Commission, as authorized
890 
by section 1238 of the Floyd D. Spence National Defense 
Authorization Act for Fiscal Year 2001 (22 U.S.C. 7002), 
$3,500,000, including not more than $4,000 for represen-
tation expenses, to remain available until September 30, 
2019: Provided, That the authorities, requirements, limi-
tations, and conditions contained in the second through 
sixth provisos under this heading in the Department of 
State, Foreign Operations, and Related Programs Appro-
priations Act, 2010 (division F of Public Law 111–117) 
shall continue in effect during fiscal year 2018 and shall 
apply to funds appropriated under this heading as if in-
cluded in this Act. 
TITLE II 
UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT 
FUNDS APPROPRIATED TO THE PRESIDENT 
OPERATING EXPENSES 
For necessary expenses to carry out the provisions 
of section 667 of the Foreign Assistance Act of 1961, 
$1,133,906,000, of which up to $170,085,000 may remain 
available until September 30, 2019: Provided, That none 
of the funds appropriated under this heading and under 
the heading ‘‘Capital Investment Fund’’ in this title may 
be made available to finance the construction (including 
architect and engineering services), purchase, or long-term
891 
lease of offices for use by the United States Agency for 
International Development, unless the USAID Adminis-
trator has identified such proposed use of funds in a re-
port submitted to the Committees on Appropriations at 
least 15 days prior to the obligation of funds for such pur-
poses: Provided further, That contracts or agreements en-
tered into with funds appropriated under this heading may 
entail commitments for the expenditure of such funds 
through the following fiscal year: Provided further, That 
the authority of sections 610 and 109 of the Foreign As-
sistance Act of 1961 may be exercised by the Secretary 
of State to transfer funds appropriated to carry out chap-
ter 1 of part I of such Act to ‘‘Operating Expenses’’ in 
accordance with the provisions of those sections: Provided 
further, That of the funds appropriated or made available 
under this heading, not to exceed $250,000 may be avail-
able for representation and entertainment expenses, of 
which not to exceed $5,000 may be available for entertain-
ment expenses, and not to exceed $100,500 shall be for 
official residence expenses, for USAID during the current 
fiscal year. 
CAPITAL INVESTMENT FUND 
For necessary expenses for overseas construction and 
related costs, and for the procurement and enhancement 
of information technology and related capital investments,
892 
pursuant to section 667 of the Foreign Assistance Act of 
1961, $174,985,000, to remain available until expended: 
Provided, That this amount is in addition to funds other-
wise available for such purposes: Provided further, That 
funds appropriated under this heading shall be available 
subject to the regular notification procedures of the Com-
mittees on Appropriations. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses to carry out the provisions 
of section 667 of the Foreign Assistance Act of 1961, 
$69,000,000, of which up to $10,350,000 may remain 
available until September 30, 2019, for the Office of In-
spector General of the United States Agency for Inter-
national Development. 
TITLE III 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
For necessary expenses to enable the President to 
carry out the provisions of the Foreign Assistance Act of 
1961, and for other purposes, as follows: 
GLOBAL HEALTH PROGRAMS 
For necessary expenses to carry out the provisions 
of chapters 1 and 10 of part I of the Foreign Assistance 
Act of 1961, for global health activities, in addition to 
funds 
otherwise 
available 
for 
such 
purposes,
893 
$2,651,000,000, to remain available until September 30, 
2019, and which shall be apportioned directly to the 
United States Agency for International Development: Pro-
vided, That this amount shall be made available for train-
ing, equipment, and technical assistance to build the ca-
pacity of public health institutions and organizations in 
developing countries, and for such activities as: (1) child 
survival and maternal health programs; (2) immunization 
and oral rehydration programs; (3) other health, nutrition, 
water and sanitation programs which directly address the 
needs of mothers and children, and related education pro-
grams; (4) assistance for children displaced or orphaned 
by causes other than AIDS; (5) programs for the preven-
tion, treatment, control of, and research on HIV/AIDS, 
tuberculosis, polio, malaria, and other infectious diseases 
including neglected tropical diseases, and for assistance to 
communities severely affected by HIV/AIDS, including 
children infected or affected by AIDS; (6) disaster pre-
paredness training for health crises; (7) programs to pre-
vent, prepare for, and respond to, unanticipated and 
emerging global health threats; and (8) family planning/ 
reproductive health: Provided further, That funds appro-
priated under this paragraph may be made available for 
a United States contribution to the GAVI Alliance and 
the United Nations Children’s Fund: Provided further,
894 
That none of the funds made available in this Act nor 
any unobligated balances from prior appropriations Acts 
may be made available to any organization or program 
which, as determined by the President of the United 
States, supports or participates in the management of a 
program of coercive abortion or involuntary sterilization: 
Provided further, That any determination made under the 
previous proviso must be made not later than 6 months 
after the date of enactment of this Act, and must be ac-
companied by the evidence and criteria utilized to make 
the determination: Provided further, That none of the 
funds made available under this Act may be used to pay 
for the performance of abortion as a method of family 
planning or to motivate or coerce any person to practice 
abortions: Provided further, That nothing in this para-
graph shall be construed to alter any existing statutory 
prohibitions against abortion under section 104 of the 
Foreign Assistance Act of 1961: Provided further, That 
none of the funds made available under this Act may be 
used to lobby for or against abortion: Provided further, 
That in order to reduce reliance on abortion in developing 
nations, funds shall be available only to voluntary family 
planning projects which offer, either directly or through 
referral to, or information about access to, a broad range 
of family planning methods and services, and that any
895 
such voluntary family planning project shall meet the fol-
lowing requirements: (1) service providers or referral 
agents in the project shall not implement or be subject 
to quotas, or other numerical targets, of total number of 
births, number of family planning acceptors, or acceptors 
of a particular method of family planning (this provision 
shall not be construed to include the use of quantitative 
estimates or indicators for budgeting and planning pur-
poses); (2) the project shall not include payment of incen-
tives, bribes, gratuities, or financial reward to: (A) an indi-
vidual in exchange for becoming a family planning accep-
tor; or (B) program personnel for achieving a numerical 
target or quota of total number of births, number of fam-
ily planning acceptors, or acceptors of a particular method 
of family planning; (3) the project shall not deny any right 
or benefit, including the right of access to participate in 
any program of general welfare or the right of access to 
health care, as a consequence of any individual’s decision 
not to accept family planning services; (4) the project shall 
provide family planning acceptors comprehensible infor-
mation on the health benefits and risks of the method cho-
sen, including those conditions that might render the use 
of the method inadvisable and those adverse side effects 
known to be consequent to the use of the method; and 
(5) the project shall ensure that experimental contracep-
896 
tive drugs and devices and medical procedures are pro-
vided only in the context of a scientific study in which 
participants are advised of potential risks and benefits; 
and, not less than 60 days after the date on which the 
USAID Administrator determines that there has been a 
violation of the requirements contained in paragraph (1), 
(2), (3), or (5) of this proviso, or a pattern or practice 
of violations of the requirements contained in paragraph 
(4) of this proviso, the Administrator shall submit to the 
Committees on Appropriations a report containing a de-
scription of such violation and the corrective action taken 
by the Agency: Provided further, That in awarding grants 
for natural family planning under section 104 of the For-
eign Assistance Act of 1961 no applicant shall be discrimi-
nated against because of such applicant’s religious or con-
scientious commitment to offer only natural family plan-
ning; and, additionally, all such applicants shall comply 
with the requirements of the previous proviso: Provided 
further, That for purposes of this or any other Act author-
izing or appropriating funds for the Department of State, 
foreign operations, and related programs, the term ‘‘moti-
vate’’, as it relates to family planning assistance, shall not 
be construed to prohibit the provision, consistent with 
local law, of information or counseling about all pregnancy 
options: Provided further, That information provided
897 
about the use of condoms as part of projects or activities 
that are funded from amounts appropriated by this Act 
shall be medically accurate and shall include the public 
health benefits and failure rates of such use. 
In addition, for necessary expenses to carry out the 
provisions of the Foreign Assistance Act of 1961 for the 
prevention, treatment, and control of, and research on, 
HIV/AIDS, $5,670,000,000, to remain available until 
September 30, 2022, which shall be apportioned directly 
to the Department of State: Provided, That funds appro-
priated under this paragraph may be made available, not-
withstanding any other provision of law, except for the 
United States Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Act of 2003 (Public Law 108–25), 
as amended, for a United States contribution to the Global 
Fund to Fight AIDS, Tuberculosis and Malaria (Global 
Fund), and shall be expended at the minimum rate nec-
essary to make timely payment for projects and activities: 
Provided further, That up to 5 percent of the aggregate 
amount of funds made available to the Global Fund in 
fiscal year 2018 may be made available to USAID for 
technical assistance related to the activities of the Global 
Fund, subject to the regular notification procedures of the 
Committees on Appropriations: Provided further, That of 
the funds appropriated under this paragraph, up to
898 
$17,000,000 may be made available, in addition to 
amounts otherwise available for such purposes, for admin-
istrative expenses of the Office of the United States Global 
AIDS Coordinator. 
DEVELOPMENT ASSISTANCE 
For necessary expenses to carry out the provisions 
of sections 103, 105, 106, 214, and sections 251 through 
255, and chapter 10 of part I of the Foreign Assistance 
Act of 1961, $2,780,971,000, to remain available until 
September 30, 2019. 
INTERNATIONAL DISASTER ASSISTANCE 
For necessary expenses to carry out the provisions 
of section 491 of the Foreign Assistance Act of 1961 for 
international disaster relief, rehabilitation, and recon-
struction assistance, $1,033,483,000, to remain available 
until expended. 
TRANSITION INITIATIVES 
For necessary expenses for international disaster re-
habilitation and reconstruction assistance administered by 
the Office of Transition Initiatives, United States Agency 
for International Development, pursuant to section 491 of 
the Foreign Assistance Act of 1961, $30,000,000, to re-
main available until expended, to support transition to de-
mocracy and long-term development of countries in crisis: 
Provided, That such support may include assistance to de-
899 
velop, strengthen, or preserve democratic institutions and 
processes, revitalize basic infrastructure, and foster the 
peaceful resolution of conflict: Provided further, That the 
USAID Administrator shall submit a report to the Com-
mittees on Appropriations at least 5 days prior to begin-
ning a new program of assistance: Provided further, That 
if the Secretary of State determines that it is important 
to the national interest of the United States to provide 
transition assistance in excess of the amount appropriated 
under this heading, up to $15,000,000 of the funds appro-
priated by this Act to carry out the provisions of part I 
of the Foreign Assistance Act of 1961 may be used for 
purposes of this heading and under the authorities appli-
cable to funds appropriated under this heading: Provided 
further, That funds made available pursuant to the pre-
vious proviso shall be made available subject to prior con-
sultation with the Committees on Appropriations. 
DEVELOPMENT CREDIT AUTHORITY 
For the cost of direct loans and loan guarantees pro-
vided by the United States Agency for International De-
velopment, as authorized by sections 256 and 635 of the 
Foreign Assistance Act of 1961, up to $50,000,000 may 
be derived by transfer from funds appropriated by this Act 
to carry out part I of such Act and under the heading 
‘‘Assistance for Europe, Eurasia and Central Asia’’: Pro-
900 
vided, That funds provided under this paragraph and 
funds provided as a gift that are used for purposes of this 
paragraph pursuant to section 635(d) of the Foreign As-
sistance Act of 1961 shall be made available only for 
micro- and small enterprise programs, urban programs, 
and other programs which further the purposes of part 
I of such Act: Provided further, That funds provided as 
a gift that are used for purposes of this paragraph shall 
be subject to prior consultation with, and the regular noti-
fication procedures of, the Committees on Appropriations: 
Provided further, That such costs, including the cost of 
modifying such direct and guaranteed loans, shall be as 
defined in section 502 of the Congressional Budget Act 
of 1974, as amended: Provided further, That funds made 
available by this paragraph may be used for the cost of 
modifying any such guaranteed loans under this Act or 
prior Acts making appropriations for the Department of 
State, foreign operations, and related programs, and funds 
used for such cost, including if the cost results in a nega-
tive subsidy, shall be subject to the regular notification 
procedures of the Committees on Appropriations: Provided 
further, That the provisions of section 107A(d) (relating 
to general provisions applicable to the Development Credit 
Authority) of the Foreign Assistance Act of 1961, as con-
tained in section 306 of H.R. 1486 as reported by the
901 
House Committee on International Relations on May 9, 
1997, shall be applicable to direct loans and loan guaran-
tees provided under this heading, except that the principal 
amount of loans made or guaranteed under this heading 
with respect to any single country shall not exceed 
$300,000,000: Provided further, That these funds are 
available to subsidize total loan principal, any portion of 
which is to be guaranteed, of up to $1,750,000,000. 
In addition, for administrative expenses to carry out 
credit programs administered by USAID, $9,120,000, of 
which up to $1,300,000 may remain available until Sep-
tember 30, 2019. 
ECONOMIC SUPPORT FUND 
For necessary expenses to carry out the provisions 
of chapter 4 of part II of the Foreign Assistance Act of 
1961, $1,041,761,000, to remain available until Sep-
tember 30, 2019. 
DEMOCRACY FUND 
For necessary expenses to carry out the provisions 
of the Foreign Assistance Act of 1961 for the promotion 
of democracy globally, including to carry out the purposes 
of section 502(b)(3) and (5) of Public Law 98–164 (22 
U.S.C. 4411), $145,375,000, to remain available until 
September 30, 2019, which shall be made available for the 
Human Rights and Democracy Fund of the Bureau of De-
902 
mocracy, Human Rights, and Labor, Department of 
State: Provided, That funds appropriated under this head-
ing that are made available to the National Endowment 
for Democracy and its core institutes are in addition to 
amounts otherwise available by this Act for such purposes: 
Provided further, That the Assistant Secretary for Democ-
racy, Human Rights, and Labor, Department of State, 
shall consult with the Committees on Appropriations prior 
to the obligation of funds appropriated under this para-
graph. 
For an additional amount for such purposes, 
$65,125,000, to remain available until September 30, 
2019, which shall be made available for the Bureau for 
Democracy, Conflict, and Humanitarian Assistance, 
United States Agency for International Development. 
ASSISTANCE FOR EUROPE, EURASIA AND CENTRAL ASIA 
For necessary expenses to carry out the provisions 
of the Foreign Assistance Act of 1961, the FREEDOM 
Support Act (Public Law 102–511), and the Support for 
Eastern European Democracy (SEED) Act of 1989 (Pub-
lic Law 101–179), $691,571,000 (reduced by $1,500,000) 
(increased by $1,500,000), to remain available until Sep-
tember 30, 2019, which shall be available, notwithstanding 
any other provision of law, except section 7070 of this Act, 
for assistance and related programs for countries identi-
903 
fied in section 3 of Public Law 102–511 and section 3(c) 
of Public Law 101–179, in addition to funds otherwise 
available for such purposes: Provided, That funds appro-
priated by this Act under the headings ‘‘Global Health 
Programs’’ and ‘‘Economic Support Fund’’ that are made 
available for assistance for such countries shall be admin-
istered in accordance with the responsibilities of the coor-
dinator designated pursuant to section 102 of Public Law 
102–511 and section 601 of Public Law 101–179: Pro-
vided further, That funds appropriated under this heading 
shall be considered to be economic assistance under the 
Foreign Assistance Act of 1961 for purposes of making 
available the administrative authorities contained in that 
Act for the use of economic assistance. 
DEPARTMENT OF STATE 
MIGRATION AND REFUGEE ASSISTANCE 
For necessary expenses not otherwise provided for, 
to enable the Secretary of State to carry out the provisions 
of section 2(a) and (b) of the Migration and Refugee As-
sistance Act of 1962, and other activities to meet refugee 
and migration needs; salaries and expenses of personnel 
and dependents as authorized by the Foreign Service Act 
of 1980; allowances as authorized by sections 5921 
through 5925 of title 5, United States Code; purchase and 
hire of passenger motor vehicles; and services as author-
904 
ized by section 3109 of title 5, United States Code, 
$877,802,000, to remain available until expended, of 
which not less than $35,000,000 shall be made available 
to respond to small-scale emergency humanitarian require-
ments, and $7,500,000 shall be made available for refu-
gees resettling in Israel. 
INDEPENDENT AGENCIES 
PEACE CORPS 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the provisions 
of the Peace Corps Act (22 U.S.C. 2501 et seq.), including 
the purchase of not to exceed five passenger motor vehicles 
for administrative purposes for use outside of the United 
States, $398,221,000, of which $5,500,000 is for the Of-
fice of Inspector General, to remain available until Sep-
tember 30, 2019: Provided, That the Director of the Peace 
Corps may transfer to the Foreign Currency Fluctuations 
Account, as authorized by section 16 of the Peace Corps 
Act (22 U.S.C. 2515), an amount not to exceed 
$5,000,000: Provided further, That funds transferred pur-
suant to the previous proviso may not be derived from 
amounts made available for Peace Corps overseas oper-
ations: Provided further, That of the funds appropriated 
under this heading, not to exceed $104,000 may be avail-
able for representation expenses, of which not to exceed
905 
$4,000 may be made available for entertainment expenses: 
Provided further, That any decision to open, close, signifi-
cantly reduce, or suspend a domestic or overseas office or 
country program shall be subject to prior consultation 
with, and the regular notification procedures of, the Com-
mittees on Appropriations, except that prior consultation 
and regular notification procedures may be waived when 
there is a substantial security risk to volunteers or other 
Peace Corps personnel, pursuant to section 7015(e) of this 
Act: Provided further, That none of the funds appropriated 
under this heading shall be used to pay for abortions: Pro-
vided further, That notwithstanding the previous proviso, 
section 614 of division E of Public Law 113–76 shall 
apply to funds appropriated under this heading. 
MILLENNIUM CHALLENGE CORPORATION 
For necessary expenses to carry out the provisions 
of the Millennium Challenge Act of 2003 (22 U.S.C. 7701 
et seq.) (MCA), $697,600,000, to remain available until 
expended: Provided, That up to 5 percent of the funds 
appropriated under this heading may be made available 
to carry out the purposes of section 616 of the MCA for 
fiscal year 2018: Provided further, That section 605(e) of 
the MCA shall apply to funds appropriated under this 
heading: Provided further, That funds appropriated under 
this heading may be made available for a Millennium Chal-
906 
lenge Compact entered into pursuant to section 609 of the 
MCA only if such Compact obligates, or contains a com-
mitment to obligate subject to the availability of funds and 
the mutual agreement of the parties to the Compact to 
proceed, the entire amount of the United States Govern-
ment funding anticipated for the duration of the Compact: 
Provided further, That the Millennium Challenge Corpora-
tion (MCC) Chief Executive Officer shall notify the Com-
mittees on Appropriations not later than 15 days prior to 
commencing negotiations for any country compact or 
threshold country program; signing any such compact or 
threshold program; or terminating or suspending any such 
compact or threshold program: Provided further, That 
funds appropriated under this heading by this Act and 
prior Acts making appropriations for the Department of 
State, foreign operations, and related programs that are 
available to implement section 609(g) of the MCA shall 
be subject to the regular notification procedures of the 
Committees on Appropriations: Provided further, That no 
country should be eligible for a threshold program after 
such country has completed a country compact: Provided 
further, That any funds that are deobligated from a Mil-
lennium Challenge Compact shall be subject to the regular 
notification procedures of the Committees on Appropria-
tions prior to re-obligation: Provided further, That not-
907 
withstanding section 606(a)(2) of the MCA, a country 
shall be a candidate country for purposes of eligibility for 
assistance for the fiscal year if the country has a per cap-
ita income equal to or below the World Bank’s lower mid-
dle income country threshold for the fiscal year and is 
among the 75 lowest per capita income countries as identi-
fied by the World Bank; and the country meets the re-
quirements of section 606(a)(1)(B) of the MCA: Provided 
further, That notwithstanding section 606(b)(1) of the 
MCA, in addition to countries described in the preceding 
proviso, a country shall be a candidate country for pur-
poses of eligibility for assistance for the fiscal year if the 
country has a per capita income equal to or below the 
World Bank’s lower middle income country threshold for 
the fiscal year and is not among the 75 lowest per capita 
income countries as identified by the World Bank; and the 
country meets the requirements of section 606(a)(1)(B) 
of the MCA: Provided further, That any MCC candidate 
country under section 606 of the MCA with a per capita 
income that changes in the fiscal year such that the coun-
try would be reclassified from a low income country to a 
lower middle income country or from a lower middle in-
come country to a low income country shall retain its can-
didacy status in its former income classification for the 
fiscal year and the 2 subsequent fiscal years: Provided fur-
908 
ther, That publication in the Federal Register of a notice 
of availability of a copy of a Compact on the MCC Web 
site shall be deemed to satisfy the requirements of section 
610(b)(2) of the MCA for such Compact: Provided further, 
That none of the funds made available by this Act or prior 
Acts making appropriations for the Department of State, 
foreign operations, and related programs shall be available 
for a threshold program in a country that is not currently 
a candidate country. 
In addition, for the administrative expenses of the 
MCC, $102,400,000, of which up to $15,360,000 may re-
main available until September 30, 2019: Provided, That 
of the funds appropriated under this paragraph, not to 
exceed $100,000 may be available for representation and 
entertainment expenses, of which not to exceed $5,000 
may be available for entertainment expenses. 
INTER-AMERICAN FOUNDATION 
For necessary expenses to carry out the functions of 
the Inter-American Foundation in accordance with the 
provisions of section 401 of the Foreign Assistance Act 
of 1969, $11,250,000, to remain available until September 
30, 2019: Provided, That of the funds appropriated under 
this heading, not to exceed $1,000 may be available for 
representation expenses.
909 
UNITED STATES AFRICAN DEVELOPMENT FOUNDATION 
For necessary expenses to carry out title V of the 
International Security and Development Cooperation Act 
of 1980 (Public Law 96–533), $15,000,000, to remain 
available until September 30, 2019, of which not to exceed 
$1,000 may be available for representation expenses: Pro-
vided, That funds made available to grantees may be in-
vested pending expenditure for project purposes when au-
thorized by the Board of Directors of the United States 
African Development Foundation (USADF): Provided fur-
ther, That interest earned shall be used only for the pur-
poses for which the grant was made: Provided further, 
That notwithstanding section 505(a)(2) of the African De-
velopment Foundation Act (22 U.S.C. 290h–3(a)(2)), in 
exceptional circumstances the Board of Directors of the 
USADF may waive the $250,000 limitation contained in 
that section with respect to a project and a project may 
exceed the limitation by up to 10 percent if the increase 
is due solely to foreign currency fluctuation: Provided fur-
ther, That the USADF shall submit a report to the appro-
priate congressional committees after each time such waiv-
er authority is exercised: Provided further, That the 
USADF may make rent or lease payments in advance 
from appropriations available for such purpose for offices, 
buildings, grounds, and quarters in Africa as may be nec-
910 
essary to carry out its functions: Provided further, That 
the USADF may maintain bank accounts outside the 
United States Treasury and retain any interest earned on 
such accounts, in furtherance of the purposes of the Afri-
can Development Foundation Act: Provided further, That 
the USADF may not withdraw any appropriation from the 
Treasury prior to the need of spending such funds for pro-
gram purposes. 
DEPARTMENT OF THE TREASURY 
INTERNATIONAL AFFAIRS TECHNICAL ASSISTANCE 
For necessary expenses to carry out the provisions 
of section 129 of the Foreign Assistance Act of 1961, 
$25,455,000 (increased by $4,545,000), of which 
$3,182,000 may remain available until September 30, 
2019. 
TITLE IV 
INTERNATIONAL SECURITY ASSISTANCE 
DEPARTMENT OF STATE 
INTERNATIONAL NARCOTICS CONTROL AND LAW 
ENFORCEMENT 
For necessary expenses to carry out section 481 of 
the Foreign Assistance Act of 1961, $848,139,000 (in-
creased by $10,000,000), to remain available until Sep-
tember 30, 2019: Provided, That the Department of State 
may use the authority of section 608 of the Foreign As-
911 
sistance Act of 1961, without regard to its restrictions, 
to receive excess property from an agency of the United 
States Government for the purpose of providing such 
property to a foreign country or international organization 
under chapter 8 of part I of such Act, subject to the reg-
ular notification procedures of the Committees on Appro-
priations: Provided further, That section 482(b) of the 
Foreign Assistance Act of 1961 shall not apply to funds 
appropriated under this heading, except that any funds 
made available notwithstanding such section shall be sub-
ject to the regular notification procedures of the Commit-
tees on Appropriations: Provided further, That funds ap-
propriated under this heading shall be made available to 
support training and technical assistance for foreign law 
enforcement, corrections, and other judicial authorities, 
utilizing regional partners: Provided further, That funds 
made available under this heading that are transferred to 
another department, agency, or instrumentality of the 
United States Government pursuant to section 632(b) of 
the Foreign Assistance Act of 1961 valued in excess of 
$5,000,000, and any agreement made pursuant to section 
632(a) of such Act, shall be subject to the regular notifica-
tion procedures of the Committees on Appropriations.
912 
NONPROLIFERATION, ANTI-TERRORISM, DEMINING AND 
RELATED PROGRAMS 
For necessary expenses for nonproliferation, anti-ter-
rorism, demining and related programs and activities, 
$617,873,000 (reduced by $10,000,000) (increased by 
$10,000,000), to remain available until September 30, 
2019, to carry out the provisions of chapter 8 of part II 
of the Foreign Assistance Act of 1961 for anti-terrorism 
assistance, chapter 9 of part II of the Foreign Assistance 
Act of 1961, section 504 of the FREEDOM Support Act, 
section 23 of the Arms Export Control Act, or the Foreign 
Assistance Act of 1961 for demining activities, the clear-
ance of unexploded ordnance, the destruction of small 
arms, and related activities, notwithstanding any other 
provision of law, including activities implemented through 
nongovernmental and international organizations, and sec-
tion 301 of the Foreign Assistance Act of 1961 for a 
United States contribution to the Comprehensive Nuclear 
Test Ban Treaty Preparatory Commission, and for a vol-
untary contribution to the International Atomic Energy 
Agency (IAEA): Provided, That the Secretary of State 
shall inform the appropriate congressional committees of 
information regarding any separate arrangements relating 
to the ‘‘Road-map for the Clarification of Past and 
Present Outstanding Issues Regarding Iran’s Nuclear