H. R. 244—399 
be available for allocation by the Secretary to supplement 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: Provided further, That notwithstanding such section 640, of 
the amount provided for making payments under the Head Start 
Act, and in addition to funds otherwise available under such section 
640, $640,000,000 shall be available through March 31, 2018 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 discre-
tionary grants for high quality infant and toddler care through 
Early Head Start-Child Care Partnerships, to entities defined as 
eligible under section 645A(d) of such Act, for training and technical 
assistance for such activities, and for up to $14,000,000 in Federal 
costs of administration and evaluation, 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, 2017 for carrying out sections 
9212 and 9213 of the Every Student Succeeds Act: Provided further, 
That, in accordance with section 9212(j) of such Act, funds made 
available in the preceding proviso may be allocated to the Depart-
ment of Education to issue continuation grants on behalf of the 
Secretary: Provided further, That up to 3 percent of the funds 
in the second preceding proviso shall be available for technical 
assistance and evaluation related to grants awarded under such 
section 9212: Provided further, That $742,383,000 shall be for 
making payments under the CSBG Act: Provided further, That 
$27,733,000 shall be for sections 680 and 678E(b)(2) of the CSBG 
Act, of which not less than $19,883,000 shall be for section 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 extent Community Services Block Grant funds 
are distributed as grant funds by a State to an eligible entity 
as provided under such Act, and have not been expended by such 
entity, they shall remain with such entity for carryover into the 
next fiscal year for expenditure by such entity consistent with 
program purposes: Provided further, That the Secretary shall estab-
lish procedures regarding the disposition of intangible assets and 
program income that permit such assets acquired with, and program 
income 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 investments and other debt instruments, and 
program income may be used by grantees for any eligible purpose 
consistent with section 680(a)(2)(A) of the CSBG Act: Provided 
further, That these procedures shall apply to such grant funds 
made available after November 29, 1999: Provided 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 
development corporations: Provided further, That the Secretary
H. R. 244—400 
shall issue performance standards for entities receiving funds from 
State and territorial grantees under the CSBG Act, and such States 
and territories shall assure the implementation of such standards 
prior to September 30, 2017, and include information on such 
implementation in the report required by section 678E(a)(2) of 
such Act: Provided further, That $1,864,000 shall be for a human 
services case management system for federally declared disasters, 
to include a comprehensive 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 effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, section 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 sections 
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, $5,764,000,000. 
For carrying out, except as otherwise provided, title IV–E of 
the Social Security Act, for the first quarter of fiscal year 2018, 
$2,500,000,000. 
For carrying out, after May 31 of the current fiscal year, except 
as otherwise provided, section 474 of title IV–E of the Social Secu-
rity Act, for the last 3 months of the current fiscal year for unantici-
pated 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 provided, 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 Improvements for Patients and Providers Act of 
2008, title XX–B of the Social Security Act, the Developmental 
Disabilities 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 Rehabilitation Act of 1973, 
and for Department-wide coordination of policy and program activi-
ties that assist individuals with disabilities, $1,919,000,000, 
together with $47,115,000 to be transferred from the Federal Hos-
pital Insurance Trust Fund and the Federal Supplementary Medical 
Insurance Trust Fund to carry out section 4360 of the Omnibus 
Budget Reconciliation Act of 1990: Provided, That amounts appro-
priated under this heading may be used for grants to States under
H. R. 244—401 
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 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 implementing evidence-based practices for enhancing senior 
nutrition: Provided further, That notwithstanding any other provi-
sion of this Act, funds made available under this heading to carry 
out section 311 of the OAA may be transferred to the Secretary 
of Agriculture in accordance with such section: Provided further, 
That $2,000,000 shall be for competitive grants to support alter-
native financing programs that provide for the purchase of assistive 
technology devices, such as a low-interest loan fund; an interest 
buy-down program; a revolving loan fund; a loan guarantee; or 
an insurance program: Provided further, That applicants shall pro-
vide an assurance that, and information describing the manner 
in which, the alternative financing program will expand and empha-
size consumer choice and control: Provided further, That State 
agencies and community-based disability organizations that are 
directed by and operated for individuals with disabilities 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 Individ-
uals 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 dis-
ability (as defined in section 102(8)(A) of the Developmental Disabil-
ities 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 provided 
to such individuals (or, in the case of mental incapacitation, 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 Procedure: 
Provided further, That the limitations in the immediately preceding 
proviso shall not apply in the case of an 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 public 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 research studies under section 1110 of the 
Social Security Act, $460,629,000, together with $64,828,000 from
H. R. 244—402 
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 this amount, $53,900,000 shall be for 
minority AIDS prevention and treatment activities: Provided fur-
ther, That of the funds made available under this heading, 
$101,000,000 shall be for making competitive contracts and grants 
to public and private entities to fund medically accurate and age 
appropriate programs that reduce teen pregnancy and for the Fed-
eral costs associated with administering and evaluating such con-
tracts and grants, of which not more than 10 percent of the available 
funds shall be for training and technical assistance, evaluation, 
outreach, and additional program support activities, and of the 
remaining amount 75 percent shall be for replicating programs 
that have been proven effective through rigorous evaluation to 
reduce teenage pregnancy, behavioral risk factors underlying teen-
age pregnancy, or other associated risk factors, and 25 percent 
shall be available for research and demonstration grants to develop, 
replicate, refine, and test additional models and innovative strate-
gies for preventing teenage pregnancy: Provided further, That of 
the amounts provided under this heading from amounts available 
under section 241 of the PHS Act, $6,800,000 shall be available 
to carry out evaluations (including longitudinal evaluations) of teen-
age pregnancy prevention approaches: Provided further, That of 
the funds made available under this heading, $15,000,000 shall 
be for making competitive grants which exclusively implement edu-
cation in sexual risk avoidance (defined as voluntarily refraining 
from non-marital sexual activity): Provided further, That funding 
for such competitive grants for sexual risk avoidance shall use 
medically accurate information referenced to peer-reviewed publica-
tions by educational, scientific, governmental, or health organiza-
tions; implement an evidence-based approach integrating 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 pov-
erty prevention, healthy relationships, goal setting, and resisting 
sexual coercion, dating violence, and other youth risk behaviors 
such as underage drinking or illicit drug use without normalizing 
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 technical assistance and administrative costs 
of such programs: Provided further, That funds provided in this 
Act for embryo adoption activities may be used to provide to individ-
uals adopting embryos, through grants and other mechanisms, med-
ical and administrative services deemed necessary for such adop-
tions: Provided further, That such services shall be provided con-
sistent with 42 CFR 59.5(a)(4). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare Hearings 
and Appeals, $107,381,000, to be transferred in appropriate part 
from the Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund.