SEC. 108. Notwithstanding any other provision of 
law, the Secretary may furnish through grants, coopera-
tive agreements, contracts, and other arrangements, up to 
$2,000,000 of excess personal property, at a value deter-
mined by the Secretary, to apprenticeship programs for 
the purpose of training apprentices in those programs. 
SEC. 109. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, approved March 4, 1913 (37 Stat. 
736, chapter 141) shall be applied as if the following text 
is part of such Act: 
‘‘SEC. 12. SECURITY DETAIL. 
‘‘(a) IN GENERAL.—The Secretary of Labor is au-
thorized to employ law enforcement officers or special 
agents to— 
‘‘(1) provide protection for the Secretary of 
Labor during the workday of the Secretary and dur-
ing any activity that is preliminary or postliminary 
to the performance of official duties by the Sec-
retary; 
‘‘(2) provide protection, incidental to the protec-
tion provided to the Secretary, to a member of the 
immediate family of the Secretary who is partici-
pating in an activity or event relating to the official 
duties of the Secretary; 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00041
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
‘‘(3) provide continuous protection to the Sec-
retary (including during periods not described in 
paragraph (1)) and to the members of the imme-
diate family of the Secretary if there is a significant 
and articulable threat of physical harm, in accord-
ance with guidelines established by the Secretary; 
and 
‘‘(4) provide protection to the Deputy Secretary 
of Labor in the performance of official duties at a 
public event outside of the United States if there is 
a significant and articulable threat of physical harm 
and protective services are not provided as part of 
an official U.S. visit. 
‘‘(b) AUTHORITIES.—The Secretary of Labor may 
authorize a law enforcement officer or special agent em-
ployed under subsection (a), for the purpose of performing 
the duties authorized under subsection (a), to— 
‘‘(1) carry firearms; 
‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, in-
cluding identifying and mitigating potential threats 
and conducting advance work to review security mat-
ters relating to sites and events; 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00042
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
‘‘(4) coordinate with local law enforcement 
agencies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Sec-
retary, in coordination with the Inspector General of 
the Department of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en-
forcement officer or special agent employed under sub-
section (a) shall exercise any authority provided under this 
section in accordance with any— 
‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 110. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
priate, including an agreement or partnership to construct 
a new Job Corps center, all or a portion of the real prop-
erty on which the Treasure Island Job Corps Center is 
situated. Any sale or other disposition will not be subject 
to any requirement of any Federal law or regulation relat-
ing to the disposition of Federal real property, including 
but not limited to subchapter III of chapter 5 of title 40 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00043
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
of the United States Code and subchapter V of chapter 
119 of title 42 of the United States Code. The net pro-
ceeds of such a sale shall be transferred to the Secretary, 
which shall be available until expended to carry out the 
Job Corps Program on Treasure Island. 
SEC. 111. None of the funds made available by this 
Act may be used to— 
(1) alter or terminate the Interagency Agree-
ment between the United States Department of 
Labor and the United States Department of Agri-
culture; or 
(2) close any of the Civilian Conservation Cen-
ters, except if such closure is necessary to prevent 
the endangerment of the health and safety of the 
students, the capacity of the program is retained, 
and the requirements of section 159(j) of the WIOA 
are met. 
SEC. 112. Notwithstanding any other provision of 
law, not to exceed $36,000,000 of the unobligated bal-
ances available to the Secretary of Labor in fiscal year 
2022 (other than the amounts specified in subparagraph 
(2)(J) under the heading ‘‘Employment and Training— 
Training and Employment Services’’) may be transferred 
to the Department’s Working Capital Fund for the acqui-
sition of capital equipment, the improvement and imple-
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00044
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
mentation of Department financial management, informa-
tion technology, infrastructure technology investment ac-
tivities related to support systems and modernization, and 
other support systems necessary for the delivery of finan-
cial, administrative, and information technology services 
of primary benefit to the agencies and programs of the 
Department of Labor: Provided, That any funds so trans-
ferred shall remain available for obligation for five fiscal 
years after the fiscal year of such transfer: Provided fur-
ther, That no funds may be transferred pursuant to this 
section unless the Chief Information Officer of the Depart-
ment of Labor submits a plan to the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate describing the amounts to be transferred by account; 
the planned use of funds, including descriptions of 
projects; project status, including any scheduled delays 
and cost overruns; financial expenditures; planned activi-
ties; and expected benefits: Provided further, That the 
transfer authority provided in this section shall be in addi-
tion to any other transfer authority provided by law. 
SEC. 113. (a) Section 118(a) of division BB of the 
Consolidated Appropriations Act, 2021 (Public Law 116- 
260) is amended by— 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00045
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
(1) inserting ‘‘and in addition to amounts oth-
erwise available for such purposes,’’ before ‘‘there 
are appropriated’’; and 
(2) striking ‘‘expended through’’. 
(b) The amendments made by this section shall take 
effect as if included in the enactment of the Consolidated 
Appropriations Act, 2021. 
SEC. 114. None of the funds made available by this 
Act may be used to implement or enforce the final rule 
entitled ‘‘Wagner-Peyser Act Staffing Flexibility’’ pub-
lished by the Department of Labor in the Federal Register 
on January 6, 2020. 
SEC. 115. None of the funds made available by this 
Act may be used to implement or enforce Subpart B of 
29 CFR Part 29 (29 CFR 29.20 through 29 CFR 29.31 
(Industry Recognized Apprenticeship Programs)). 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2022’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00046
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,831,772,000: Provided, 
That $25,000,000 shall be available for the purpose of 
making grants to support school-based health centers as 
authorized under section 399Z-1 of the PHS Act (42 
U.S.C. 280h-5): Provided further, That no more than 
$1,000,000 shall be available until expended for carrying 
out the provisions of section 224(o) of the PHS Act: Pro-
vided further, That no more than $120,000,000 shall be 
available until expended for carrying out subsections (g) 
through (n) and (q) of section 224 of the PHS Act, and 
for expenses incurred by the Department of Health and 
Human Services (referred to in this Act as ‘‘HHS’’) per-
taining to administrative claims made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,564,876,000: Pro-
vided, That sections 751(j)(2) and 762(k) of the PHS Act 
and the proportional funding amounts in paragraphs (1) 
through (4) of section 756(f) of the PHS Act shall not 
apply to funds made available under this heading: Pro-
vided further, That for any program operating under sec-
tion 751 of the PHS Act on or before January 1, 2009, 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00047
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
the Secretary of Health and Human Services (referred to 
in this title as the ‘‘Secretary’’) may hereafter waive any 
of the requirements contained in sections 751(d)(2)(A) 
and 751(d)(2)(B) of such Act for the full project period 
of a grant under such section: Provided further, That fees 
collected for the disclosure of information under section 
427(b) of the Health Care Quality Improvement Act of 
1986 and sections 1128E(d)(2) and 1921 of the Social 
Security Act shall be sufficient to recover the full costs 
of operating the programs authorized by such sections and 
shall remain available until expended for the National 
Practitioner Data Bank: Provided further, That funds 
transferred to this account to carry out section 846 and 
subpart 3 of part D of title III of the PHS Act may be 
used to make prior year adjustments to awards made 
under such section and subpart: Provided further, That 
$185,000,000 shall remain available until expended for 
the purposes of providing primary health services, assign-
ing National Health Service Corps (‘‘NHSC’’) members 
to expand the delivery of substance use disorder treatment 
services, notwithstanding the assignment priorities and 
limitations under sections 333(a)(1)(D), 333(b), and 
333A(a)(1)(B)(ii) of the PHS Act, and making payments 
under the NHSC Loan Repayment Program under section 
338B of such Act: Provided further, That, within the 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00048
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
amount 
made 
available 
in 
the 
previous 
proviso, 
$15,000,000 shall remain available until expended for the 
purposes of making payments under the NHSC Loan Re-
payment Program under section 338B of the PHS Act 
to individuals participating in such program who provide 
primary health services in Indian Health Service facilities, 
Tribally-Operated 638 Health Programs, and Urban In-
dian Health Programs (as those terms are defined by the 
Secretary), notwithstanding the assignment priorities and 
limitations under section 333(b) of such Act: Provided fur-
ther, That for purposes of the previous two provisos, sec-
tion 331(a)(3)(D) of the PHS Act shall be applied as if 
the term ‘‘primary health services’’ includes clinical sub-
stance use disorder treatment services, including those 
provided by masters level, licensed substance use disorder 
treatment counselors: Provided further, That of the funds 
made available under this heading, $15,000,000 shall be 
available to make grants to establish or expand optional 
community-based nurse practitioner fellowship programs 
that are accredited or in the accreditation process, with 
a preference for those in Federally Qualified Health Cen-
ters, for practicing postgraduate nurse practitioners in 
primary care or behavioral health. 
Of the funds made available under this heading, 
$75,000,000 shall remain available until expended for 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00049
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
grants to public institutions of higher education to expand 
or support graduate education for physicians provided by 
such institutions: Provided, That, in awarding such 
grants, the Secretary shall give priority to public institu-
tions of higher education located in States with a projected 
primary care provider shortage in 2026, as determined by 
the Secretary: Provided further, That grants so awarded 
are limited to such public institutions of higher education 
in States in the top quintile of States with a projected 
primary care provider shortage in 2026, as determined by 
the Secretary: Provided further, That the minimum 
amount of a grant so awarded to such an institution shall 
be not less than $1,000,000 per year: Provided further, 
That such a grant may be awarded for a period not to 
exceed 5 years: Provided further, That amounts made 
available in this paragraph shall be awarded as supple-
mental grants to recipients of grants awarded for this pur-
pose in fiscal years 2020 and 2021, pursuant to the terms 
and conditions of each institution’s initial grant agree-
ment, in an amount for each institution that will result 
in every institution being awarded the same total grant 
amount over fiscal years 2020 through 2022, provided the 
institution can justify the expenditure of such funds: Pro-
vided further, That such a grant awarded with respect to 
a year to such an institution shall be subject to a matching 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00050
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
requirement of non-Federal funds in an amount that is 
not less than 10 percent of the total amount of Federal 
funds provided in the grant to such institution with re-
spect to such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
title V of the Social Security Act, $1,188,784,000: Pro-
vided, That notwithstanding sections 502(a)(1) and 
502(b)(1) of the Social Security Act, not more than 
$266,116,000 shall be available for carrying out special 
projects of regional and national significance pursuant to 
section 501(a)(2) of such Act and $10,276,000 shall be 
available for projects described in subparagraphs (A) 
through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with 
respect to the Ryan White HIV/AIDS program, 
$2,654,781,000, of which $2,087,881,000 shall remain 
available to the Secretary through September 30, 2024, 
for parts A and B of title XXVI of the PHS Act, and 
of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of 
section 2616 or 311(c) of such Act; and of which 
$190,000,000, to remain available until expended, shall be 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00051
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
available to the Secretary for carrying out a program of 
grants and contracts under title XXVI or section 311(c) 
of such Act focused on ending the nationwide HIV/AIDS 
epidemic, with any grants issued under such section 
311(c) administered in conjunction with title XXVI of the 
PHS Act, including the limitation on administrative ex-
penses. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $147,093,000, of 
which $122,000 shall be available until expended for facili-
ties renovations and other facilities-related expenses of the 
National Hansen’s Disease Program. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act 
with respect to rural health, section 427(a) of the Federal 
Coal Mine Health and Safety Act of 1969, and sections 
711 and 1820 of the Social Security Act, $400,209,000, 
of which $80,009,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds 
made available under this heading for Medicare rural hos-
pital flexibility grants, $23,242,000 shall be available for 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00052
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
the Small Rural Hospital Improvement Grant Program 
for quality improvement and adoption of health informa-
tion technology and up to $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security Act, with 
funds provided for grants under section 1820(g)(6) avail-
able for the purchase and implementation of telehealth 
services, including pilots and demonstrations on the use 
of electronic health records to coordinate rural veterans 
care between rural providers and the Department of Vet-
erans Affairs electronic health record system: Provided 
further, That notwithstanding section 338J(k) of the PHS 
Act, $13,000,000 shall be available for State Offices of 
Rural Health: Provided further, That $12,700,000 shall 
remain available through September 30, 2024, to support 
the Rural Residency Development Program. 
FAMILY PLANNING 
For carrying out the program under title X of the 
PHS Act to provide for voluntary family planning 
projects, $400,000,000: Provided, That amounts provided 
to said projects under such title shall not be expended for 
abortions, that all pregnancy counseling shall be nondirec-
tive, and that such amounts shall not be expended for any 
activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support 
or opposition to any legislative proposal or candidate for 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00053
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
public office: Provided further, That all entities funded 
under this heading shall provide clinical services consistent 
with nationally recognized clinical standards: Provided fur-
ther, That projects funded under section 1001 of the PHS 
Act shall provide the full range of contraceptive methods 
approved by the Food and Drug Administration: Provided 
further, That all patients under title X of the PHS Act 
with a positive pregnancy test shall be given the oppor-
tunity to be provided information and counseling regard-
ing (1) prenatal care and delivery; (2) infant care, foster 
care, and adoption; and (3) pregnancy termination: Pro-
vided further, That if such a patient requests information 
specified in the preceding proviso, such patient shall be 
provided with neutral, factual information and nondirec-
tive counseling on each such option, including referral 
upon request, except with respect to any option about 
which the patient indicates no interest in receiving such 
information and counseling. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and 
Services Administration, $536,407,000: Provided, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00054
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’: 
Provided, That of the amount made available under this 
heading, $367,415,000 shall be used for the projects fi-
nancing the construction and renovation (including equip-
ment) of health care and other facilities, and for the 
projects financing one-time grants that support activities 
funded under headings listed in the preceding proviso, and 
in the amounts, specified under the heading ‘‘Program 
Management’’ in the report accompanying this Act, and 
of which up to $4,000,000 may be used for related agency 
administrative expenses: Provided further, That none of 
the funds made available for projects described in the pre-
ceding proviso shall be subject to section 241 of the PHS 
Act or section 205 of this Act. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title 
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $16,200,000 shall be available from the Trust 
Fund to the Secretary. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00055
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
COVERED COUNTERMEASURES PROCESS FUND 
For carrying out section 319F-4 of the PHS Act, 
$5,000,000, to remain available until expended. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
gration and Nationality Act, and section 501 of the Ref-
ugee Education Assistance Act, with respect to immuniza-
tion and respiratory diseases, $531,580,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to HIV/AIDS, viral hepatitis, 
sexually transmitted diseases, and tuberculosis prevention, 
$1,501,556,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and 
zoonotic infectious diseases, $674,272,000: Provided, That 
of the amounts made available under this heading, up to 
$1,000,000 shall remain available until expended to pay 
for the transportation, medical care, treatment, and other 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00056
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
related costs of persons quarantined or isolated under 
Federal or State quarantine law. 
CHRONIC DISEASE PREVENTION AND HEALTH 
PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and 
XIX of the PHS Act with respect to chronic disease pre-
vention and health promotion, $1,302,114,000: Provided, 
That funds made available under this heading may be 
available for making grants under section 1509 of the 
PHS Act for not less than 21 States, tribes, or tribal orga-
nizations: Provided further, That of the funds made avail-
able under this heading, $15,000,000 shall be available to 
continue and expand community specific extension and 
outreach programs to combat obesity in counties with the 
highest levels of obesity: Provided further, That the pro-
portional funding requirements under section 1503(a) of 
the PHS Act shall not apply to funds made available 
under this heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $186,810,000. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00057
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
vided, That this amount shall be available consistent with 
the provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $842,843,000, of which: 
(1) $128,421,000 shall remain available through Sep-
tember 30, 2023 for international HIV/AIDS; and (2) 
$448,200,000 shall remain available through September 
30, 2024 for global public health protection: Provided, 
That funds may be used for purchase and insurance of 
official motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to public health preparedness and re-
sponse, and for expenses necessary to support activities 
related to countering potential biological, nuclear, radio-
logical, and chemical threats to civilian populations, 
$862,200,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement to support an activation of the 
CDC Emergency Operations Center, so long as the Direc-
tor or Administrator, as applicable, provides a notice to 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
the Committees on Appropriations of the House of Rep-
resentatives and the Senate within 15 days of the use of 
this authority, a full report within 30 days after use of 
this authority which includes the number of staff and 
funding level broken down by the originating center and 
number of days detailed, and an update of such report 
every 180 days until staff are no longer on detail without 
reimbursement to the CDC Emergency Operations Center. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$55,000,000, which shall remain available until September 
30, 2026: Provided, That funds made available to this ac-
count in this or any prior Act that are available for the 
acquisition of real property or for construction or improve-
ment of facilities shall be available to make improvements 
on non-federally owned property, provided that any im-
provements that are not adjacent to federally owned prop-
erty do not exceed $2,500,000, and that the primary ben-
efit of such improvements accrues to CDC: Provided fur-
ther, That funds previously set-aside by CDC for repair 
and upgrade of the Lake Lynn Experimental Mine and 
Laboratory shall be used to acquire a replacement mine 
safety research facility: Provided further, That in addition, 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
the prior year unobligated balance of any amounts as-
signed to former employees in accounts of CDC made 
available for Individual Learning Accounts shall be cred-
ited to and merged with the amounts made available under 
this heading to support the replacement of the mine safety 
research facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activi-
ties and program support for activities funded in other 
appropriations included in this Act for the Centers for 
Disease Control and Prevention, $1,148,570,000, of which 
$1,000,000,000 shall remain available through September 
30, 2024, for public health infrastructure and capacity: 
Provided, That paragraphs (1) through (3) of subsection 
(b) of section 2821 of the PHS Act shall not apply to 
funds appropriated under this heading and in all other ac-
counts of the CDC: Provided further, That of the amounts 
made available under this heading, $35,000,000, to re-
main available until expended, shall be available to the Di-
rector of the CDC for deposit in the Infectious Diseases 
Rapid Response Reserve Fund established by section 231 
of division B of Public Law 115–245: Provided further, 
That funds appropriated under this heading may be used 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00061
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
to support a contract for the operation and maintenance 
of an aircraft in direct support of activities throughout 
CDC to ensure the agency is prepared to address public 
health preparedness emergencies: Provided further, That 
employees of CDC or the Public Health Service, both civil-
ian and commissioned officers, detailed to States, munici-
palities, or other organizations under authority of section 
214 of the PHS Act, or in overseas assignments, shall be 
treated as non-Federal employees for reporting purposes 
only and shall not be included within any personnel ceiling 
applicable to the Agency, Service, or HHS during the pe-
riod of detail or assignment: Provided further, That CDC 
may use up to $10,000 from amounts appropriated to 
CDC in this Act for official reception and representation 
expenses when specifically approved by the Director of 
CDC: Provided further, That in addition, such sums as 
may be derived from authorized user fees, which shall be 
credited to the appropriation charged with the cost there-
of: Provided further, That with respect to the previous pro-
viso, authorized user fees from the Vessel Sanitation Pro-
gram and the Respirator Certification Program shall be 
available through September 30, 2023. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00062
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $6,798,056,000, of which up 
to $30,000,000 may be used for facilities repairs and im-
provements at the National Cancer Institute—Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood dis-
eases, and blood and blood products, $3,866,828,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to dental and craniofacial diseases, 
$519,010,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to diabetes and digestive and kidney dis-
ease, $2,237,625,000. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00063
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$2,723,515,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to allergy and infectious diseases, 
$6,557,803,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$3,139,656,000, of which $1,271,505,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $415,000,000 is provided for 
the Institutional Development Awards program. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS 
Act with respect to child health and human development, 
$1,689,786,000. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00064
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$877,129,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$941,799,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $4,258,049,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $679,410,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $522,758,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $200,782,000. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00065
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$582,422,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,860,329,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,147,085,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$646,295,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $431,081,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
INTEGRATIVE HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and integrative health, 
$185,295,000. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00066
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $661,879,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $96,842,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$486,769,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2023: Provided further, That 
in fiscal year 2022, 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, $897,812,000: 
Provided, That up to $60,000,000 shall be available to im-
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00067
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$616,183,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, NIH, $2,667,385,000: 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 $180,000,000 shall be for the Environmental 
Influences on Child Health Outcomes study: Provided fur-
ther, That $657,112,000 shall be available for the Com-
mon Fund established under section 402A(c)(1) of the 
PHS Act: Provided 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 Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or ren-
ovation 
of 
facilities 
as 
provided 
for 
in 
section 
2354(a)(5)(B) of the PHS Act: Provided further, That 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00068
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
$50,000,000 shall be used to carry out section 404I of 
the PHS Act (42 U.S.C. 283K), relating to biomedical and 
behavioral research facilities: Provided further, That 
$5,000,000 shall be transferred to and merged with the 
appropriation for the ‘‘Office of Inspector General’’ for 
oversight of grant programs and operations of the NIH, 
including agency efforts to ensure the integrity of its grant 
application evaluation and selection processes, and shall 
be in addition to funds otherwise made available for over-
sight of the NIH: Provided further, That the funds pro-
vided in the previous proviso may be transferred from one 
specified activity to another with 15 days prior approval 
of the Committees on Appropriations of the House of Rep-
resentatives and the Senate: Provided further, That the In-
spector General shall consult with the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate before submitting to the Committees an audit plan for 
fiscal years 2022 and 2023 no later than 30 days after 
the date of enactment of this Act: Provided further, That 
amounts made available under this heading are also avail-
able to establish, operate, and support the Research Policy 
Board authorized by section 2034(f) of the 21st Century 
Cures Act: Provided further, That the funds made avail-
able under this heading for the Office of Research on 
Women’s Health shall also be available for making grants 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00069
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
to serve and promote the interests of women in research, 
and the director of such Office may, in making such 
grants, use the authorities available to NIH Institutes and 
Centers with respect to research on the role of sex and 
gender on health. 
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 
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, of 
which $3,000,000 shall be derived from the 10-year Pedi-
atric Research Initiative Fund described in section 9008 
of the Internal Revenue Code of 1986 (26 U.S.C. 9008). 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$250,000,000, to remain available through September 30, 
2026. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
Act, in addition to amounts available for such purposes 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00070
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the Na-
tional Institutes of Health to other accounts of the Na-
tional Institutes of Health solely for the purposes provided 
in such Act: Provided further, That upon a determination 
by the Director that funds transferred pursuant to the 
previous proviso are not necessary for the purposes pro-
vided, such amounts may be transferred back to the Ac-
count: Provided further, That the transfer authority pro-
vided under this heading is in addition to any other trans-
fer authority provided by law. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to advanced research projects for health, 
$3,000,000,000, to remain available through September 
30, 2024: Provided, That such funds shall only be made 
available if legislation specifically establishing the Ad-
vanced Research Projects Agency for Health (‘‘ARPA-H’’) 
is enacted into law: Provided further, That the Director 
of ARPA-H may utilize all of the authorities and processes 
established under section 24 of the Stevenson-Wydler 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00071
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
Technology Innovation Act of 1980 (15 U.S.C. 3719) to 
support prize competitions: Provided further, That re-
search funded by amounts made available under this head-
ing shall not be subject to the requirements of sections 
406(a)(3)(A)(ii) or 492 of the PHS Act: Provided further, 
That the Director of ARPA-H may enter into a multi- 
year contract, with amounts made available under this 
heading, if— 
(1) funds are available and obligated for the 
contract, for the full period of the contract or for the 
first fiscal year in which the contract is in effect, 
and for the estimated costs associated with a nec-
essary termination of the contract; 
(2) the Director determines that a multiyear 
contract will serve the best interests of the Federal 
Government in carrying out the responsibilities of 
ARPA-H; and 
(3) the contract includes a clause that provides 
that the contract shall be terminated if funds are 
not made available for the continuation of the con-
tract in a fiscal year covered by the contract; 
Provided further, That funds available for paying termi-
nation costs pursuant to the previous proviso shall remain 
available for that purpose until the costs associated with 
termination of the contract are paid. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00072
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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, 
$3,128,256,000: Provided, That of the funds made avail-
able under this heading, $100,000,000 shall be for the Na-
tional Child Traumatic Stress Initiative: Provided further, 
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 of the funds made 
available under this heading for subpart I of part B of 
title XIX of the PHS Act, at least 10 percent shall be 
available to support evidence-based crisis systems: Pro-
vided further, That up to 10 percent of the amounts made 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00073
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
available to carry out the Children’s Mental Health Serv-
ices program may be used to carry out demonstration 
grants or contracts for early interventions with persons 
not more than 25 years of age at clinical high risk of de-
veloping a first episode of psychosis: Provided further, 
That section 520E(b)(2) of the PHS Act shall not apply 
to funds appropriated in this Act for fiscal year 2022: Pro-
vided further, That States shall expend at least 10 percent 
of the amount each receives for carrying out section 1911 
of the PHS Act to support evidence-based programs that 
address the needs of individuals with early serious mental 
illness, including psychotic disorders, regardless of the age 
of the individual at onset: Provided further, That 
$375,000,000 shall be available until September 30, 2024 
for grants to communities and community organizations 
who meet criteria for Certified Community Behavioral 
Health Clinics pursuant to section 223(a) of Public Law 
113–93: Provided further, That none of the funds provided 
for section 1911 of the PHS Act shall be subject to section 
241 of such Act: Provided further, That of the funds made 
available under this heading, $21,420,000 shall be to 
carry out section 224 of the Protecting Access to Medicare 
Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 
note): Provided further, That notwithstanding sections 
1911(b) and 1912 of the PHS Act, amounts made avail-
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00074
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
able under this heading for subpart I of part B of title 
XIX of such Act shall also be available to support evi-
dence-based programs that address early intervention and 
prevention of mental disorders among at-risk children and 
adults: Provided further, That States shall expend at least 
10 percent of the amount each receives for carrying out 
section 1911 of the PHS Act to support evidence-based 
programs that address early intervention and prevention 
of mental disorders among at-risk children and adults: 
Provided further, That notwithstanding section 1912 of 
the PHS Act, the plan described in such section and sec-
tion 1911(b) of the PHS Act shall also include the evi-
dence-based programs described in the previous proviso, 
pursuant to plan criteria established by the Secretary. 
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, and the SUPPORT for Patients and Commu-
nities 
Act, 
$5,430,743,000: 
Provided, 
That 
$2,000,000,000 shall be for State Opioid Response Grants 
for carrying out activities pertaining to opioids and stimu-
lants undertaken by the State agency responsible for ad-
ministering the substance abuse prevention and treatment 
block grant under subpart II of part B of title XIX of 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00075
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
the PHS Act (42 U.S.C. 300x–21 et seq.): Provided fur-
ther, That of such amount $75,000,000 shall be made 
available to Indian Tribes or tribal organizations: Provided 
further, That 15 percent of the remaining amount shall 
be for the States with the highest mortality rate related 
to opioid use disorders: Provided further, That of the 
amounts provided for State Opioid Response Grants not 
more than 2 percent shall be available for Federal admin-
istrative expenses, training, technical assistance, and eval-
uation: Provided further, That of the amount not reserved 
by the previous three provisos, the Secretary shall make 
allocations to States, territories, and the District of Co-
lumbia according to a formula using national survey re-
sults that the Secretary determines are the most objective 
and reliable measure of drug use and drug-related deaths: 
Provided further, That the Secretary shall submit the for-
mula methodology to the Committees on Appropriations 
of the House of Representatives and the Senate not less 
than 15 days prior to publishing a Funding Opportunity 
Announcement: Provided further, That prevention and 
treatment activities funded through such grants may in-
clude education, treatment (including the provision of 
medication), behavioral health services for individuals in 
treatment programs, referral to treatment services, recov-
ery support, and medical screening associated with such 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00076
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
treatment: Provided further, That each State, as well as 
the District of Columbia, shall receive not less than 
$4,000,000: Provided further, That in addition to amounts 
provided herein, the following amounts shall be available 
under section 241 of the PHS Act: (1) $79,200,000 to 
carry out subpart II of part B of title XIX of the PHS 
Act to fund section 1935(b) technical assistance, national 
data, data collection and evaluation activities, and further 
that the total available under this Act for section 1935(b) 
activities shall not exceed 5 percent of the amounts appro-
priated for subpart II of part B of title XIX; and (2) 
$2,000,000 to evaluate substance abuse treatment pro-
grams: Provided further, That each State that receives 
funds appropriated under this heading for carrying out 
subpart II of part B of title XIX of the PHS Act shall 
expend not less than 10 percent of such funds for recovery 
support services: Provided further, That none of the funds 
provided for section 1921 of the PHS Act or State Opioid 
Response Grants shall be subject to section 241 of such 
Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $243,503,000. 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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, 
$212,108,000: Provided, That of the amount made avail-
able under this heading, $70,665,000 shall be used for the 
projects, and in the amounts, specified under the heading 
‘‘Health Surveillance and Program Support’’ in the report 
accompanying this Act, of which $1,000,000 may be used 
for related agency administrative expenses: Provided fur-
ther, That none of the funds made available for projects 
described in the preceding proviso shall be subject to sec-
tion 241 of the PHS Act or section 205 of this Act: Pro-
vided further, That in addition to amounts provided here-
in, $31,428,000 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 col-
lect and analyze program data, and to conduct public 
awareness and technical assistance activities: Provided fur-
ther, That, in addition, fees may be collected for the costs 
of publications, data, data tabulations, and data analysis 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00078
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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 further, That 
amounts made available in this Act for carrying out sec-
tion 501(o) of the PHS Act shall remain available through 
September 30, 2023: Provided further, That funds made 
available under this heading (other than amounts specified 
in the first proviso under this heading) may be used to 
supplement program support funding provided under the 
headings ‘‘Mental Health’’, ‘‘Substance Abuse Treat-
ment’’, and ‘‘Substance Abuse Prevention’’. 
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, $250,792,000: Provided, 
That 
in 
addition 
to 
amounts 
provided 
herein 
$129,208,000 shall be available from amounts available 
under section 241 of the PHS Act: Provided further, That 
section 947(c) of the PHS Act shall not apply in fiscal 
year 2022: Provided further, That in addition, amounts 
received from Freedom of Information Act fees, reimburs-
able and interagency agreements, and the sale of data 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
shall be credited to this appropriation and shall remain 
available until September 30, 2023. 
CENTERS FOR MEDICARE & MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $368,666,106,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2022, for the last quarter of fiscal year 2022 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2023, $165,722,018,000, 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 THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00080
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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, $487,862,000,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $4,315,843,000, to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary 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 all funds derived in 
accordance with 31 U.S.C. 9701 from organizations estab-
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00081
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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 2022 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That of the amount made available under this 
heading, $472,163,000 shall remain available until Sep-
tember 30, 2023, and shall be available for the Survey 
and Certification Program: Provided further, That 
amounts available under this heading to support quality 
improvement organizations (as defined in section 1152 of 
the Social Security Act) shall not exceed the amount spe-
cifically provided for such purpose under this heading in 
division H of the Consolidated Appropriations Act, 2018 
(Public Law 115–141). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $872,793,000, 
to remain available through September 30, 2023, 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 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00082
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
Security Act, of which $650,726,000 shall be for the Cen-
ters for Medicare & Medicaid Services program integrity 
activities, of which $109,145,000 shall be for the Depart-
ment of Health and Human Services Office of Inspector 
General to carry out fraud and abuse activities authorized 
by section 1817(k)(3) of such Act, and of which 
$112,922,000 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 2022 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, 
$317,000,000 is provided to meet the terms of section 1(j) 
of H. Res. 467 of the 117th Congress as engrossed in the 
House of Representatives on June 14, 2021, and 
$555,793,000 is additional new budget authority specified 
for purposes of such section 1(j): Provided further, That 
the Secretary shall provide not less than $30,000,000 
from amounts made available under this heading and 
amounts made available for fiscal year 2022 under section 
1817(k)(3)(A) of the Social Security Act for the Senior 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00083
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
Medicare Patrol program to combat health care fraud and 
abuse. 
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 
and the Act of July 5, 1960, $2,794,432,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2023, $1,300,000,000, 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 
(42 
U.S.C. 
8621 
et 
seq.), 
$3,900,304,000: Provided, That notwithstanding section 
2609A(a) of such Act, not more than $3,500,000 may be 
reserved by the Secretary of Health and Human Services 
for technical assistance, training, and monitoring of pro-
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00084
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
gram activities for compliance with internal controls, poli-
cies and procedures and the Secretary may, in addition 
to the authorities provided in section 2609A(a)(1), use 
such funds through contracts with private entities that do 
not qualify as nonprofit organizations: Provided further, 
that $3,746,804,000 of the amount appropriated under 
this heading shall be allocated to each State and territory 
in amounts equal to the amount each State and territory 
was allocated in fiscal year 2021 pursuant to allocations 
made from amounts appropriated under this heading in 
title II of division H of the Consolidated Appropriations 
Act, 2021 (Public Law 116–260): Provided further, That 
of the remaining amount made available under this head-
ing that is not designated for allocation in the preceding 
two provisos, $75,000,000 shall be allocated as though the 
total appropriation for such payments for fiscal year 2022 
was less than $1,975,000,000. 
REFUGEE AND ENTRANT ASSISTANCE 
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 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00085
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-
ture Victims Relief Act of 1998, $4,504,947,000, of which 
$4,408,467,000 shall remain available through September 
30, 2024 for carrying out such sections 414, 501, 462, 
and 235 and $30,000,000 shall remain available until ex-
pended for the purposes authorized in section 238 of this 
title: 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 contribution of funds require-
ment under section 235(c)(6)(C)(iii) of the William Wil-
berforce Trafficking Victims Protection Reauthorization 
Act of 2008 shall not apply to funds made available under 
this heading. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block 
Grant 
Act 
of 
1990 
(‘‘CCDBG 
Act’’), 
$7,377,000,000 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 
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00086
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS
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: Provided further, 
That in addition to the amounts required to be reserved 
by the Secretary under section 658O(a)(2)(A) of such Act, 
$177,330,000 shall be for Indian tribes and tribal organi-
zations. 
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. 
In addition, $200,000,000 for carrying out a supple-
mental grant program to make grants to States to be dis-
tributed as provided for under section 2002 of the Social 
Security Act and subject to the limitations of section 2005 
of such Act: Provided, That funds appropriated in this 
paragraph are in addition to the entitlement grants au-
thorized by section 2002(a)(1) of the Social Security Act 
and shall not be available for such entitlement grants: Pro-
VerDate Sep 11 2014 
02:38 Jul 20, 2021
Jkt 019200
PO 00000
Frm 00087
Fmt 6652
Sfmt 6201
E:\BILLS\H4502.RH
H4502
kjohnson on DSK79L0C42PROD with BILLS