192 
IT MODERNIZATION 
For necessary expenses for Department of Labor cen-
tralized infrastructure technology investment activities re-
lated to support systems and modernization, $6,889,000, 
which shall be available through September 30, 2027. 
OFFICE OF INSPECTOR GENERAL 
For salaries and expenses of the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, $91,187,000, together with not to 
exceed $5,841,000 which may be expended from the Em-
ployment Security Administration account in the Unem-
ployment Trust Fund: Provided, That not more than 
$2,000,000 of the amount provided under this heading 
may be available until expended. 
GENERAL PROVISIONS 
SEC. 101. None of the funds appropriated by this Act 
for the Job Corps shall be used to pay the salary and bo-
nuses of an individual, either as direct costs or any prora-
tion as an indirect cost, at a rate in excess of Executive 
Level II. 
(TRANSFER OF FUNDS) 
SEC. 102. 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 the Department of 
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Labor in this Act may be transferred between a program, 
project, or activity, but no such program, project, or activ-
ity 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 Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer. 
SEC. 103. In accordance with Executive Order 
13126, none of the funds appropriated or otherwise made 
available pursuant to this Act shall be obligated or ex-
pended for the procurement of goods mined, produced, 
manufactured, or harvested or services rendered, in whole 
or in part, by forced or indentured child labor in industries 
and host countries already identified by the United States 
Department of Labor prior to enactment of this Act. 
SEC. 104. Except as otherwise provided in this sec-
tion, none of the funds made available to the Department 
of Labor for grants under section 414(c) of the American 
Competitiveness and Workforce Improvement Act of 1998 
(29 U.S.C. 2916a) may be used for any purpose other 
than competitive grants for training individuals who are 
older than 16 years of age and are not currently enrolled 
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in school within a local educational agency in the occupa-
tions and industries for which employers are using H–1B 
visas to hire foreign workers, and the related activities 
necessary to support such training. 
SEC. 105. None of the funds made available by this 
Act under the heading ‘‘Employment and Training Ad-
ministration’’ shall be used by a recipient or subrecipient 
of such funds to pay the salary and bonuses of an indi-
vidual, either as direct costs or indirect costs, at a rate 
in excess of Executive Level II. This limitation shall not 
apply to vendors providing goods and services as defined 
in Office of Management and Budget Circular A–133. 
Where States are recipients of such funds, States may es-
tablish a lower limit for salaries and bonuses of those re-
ceiving salaries and bonuses from subrecipients of such 
funds, taking into account factors including the relative 
cost-of-living in the State, the compensation levels for 
comparable State or local government employees, and the 
size of the organizations that administer Federal pro-
grams involved including Employment and Training Ad-
ministration programs. 
(TRANSFER OF FUNDS) 
SEC. 106. (a) Notwithstanding section 102, the Sec-
retary may transfer funds made available to the Employ-
ment and Training Administration by this Act, either di-
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rectly or through a set-aside, for technical assistance serv-
ices to grantees to ‘‘Program Administration’’ when it is 
determined that those services will be more efficiently per-
formed by Federal employees: Provided, That this section 
shall not apply to section 171 of the WIOA. 
(b) Notwithstanding section 102, the Secretary may 
transfer not more than 0.5 percent of each discretionary 
appropriation made available to the Employment and 
Training Administration by this Act to ‘‘Program Admin-
istration’’ in order to carry out program integrity activities 
relating to any of the programs or activities that are fund-
ed under any such discretionary appropriations: Provided, 
That notwithstanding section 102 and the preceding pro-
viso, the Secretary may transfer not more than 0.5 percent 
of funds made available in paragraphs (1) and (2) of the 
‘‘Office of Job Corps’’ account to paragraph (3) of such 
account to carry out program integrity activities related 
to the Job Corps program: Provided further, That funds 
transferred under this subsection shall be available to the 
Secretary to carry out program integrity activities directly 
or through grants, cooperative agreements, contracts and 
other arrangements with States and other appropriate en-
tities: Provided further, That funds transferred under the 
authority provided by this subsection shall be available for 
obligation through September 30, 2027. 
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(TRANSFER OF FUNDS) 
SEC. 107. (a) The Secretary may reserve not more 
than 0.75 percent from each appropriation made available 
in this Act identified in subsection (b) in order to carry 
out evaluations of any of the programs or activities that 
are funded under such accounts. Any funds reserved under 
this section shall be transferred to ‘‘Departmental Man-
agement’’ for use by the Office of the Chief Evaluation 
Officer within the Department of Labor, and shall be 
available for obligation through September 30, 2027: Pro-
vided, That such funds shall only be available if the Chief 
Evaluation Officer of the Department of Labor submits 
a plan to the Committees on Appropriations of the House 
of Representatives and the Senate describing the evalua-
tions to be carried out 15 days in advance of any transfer. 
(b) The accounts referred to in subsection (a) are: 
‘‘Training and Employment Services’’, ‘‘Job Corps’’, 
‘‘Community Service Employment for Older Americans’’, 
‘‘State Unemployment Insurance and Employment Service 
Operations’’, ‘‘Employee Benefits Security Administra-
tion’’, ‘‘Office of Workers’ Compensation Programs’’, 
‘‘Wage and Hour Division’’, ‘‘Office of Federal Contract 
Compliance Programs’’, ‘‘Office of Labor Management 
Standards’’, ‘‘Occupational Safety and Health Adminis-
tration’’, ‘‘Mine Safety and Health Administration’’, ‘‘Of-
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fice of Disability Employment Policy’’, funding made 
available to the ‘‘Bureau of International Labor Affairs’’ 
and ‘‘Women’s Bureau’’ within the ‘‘Departmental Man-
agement, Salaries and Expenses’’ account, and ‘‘Veterans’ 
Employment and Training’’. 
SEC. 108. (a) Section 7 of the Fair Labor Standards 
Act of 1938 (29 U.S.C. 207) shall be applied as if the 
following text is part of such section: 
‘‘(s)(1) The provisions of this section shall not apply 
for a period of 2 years after the occurrence of a major 
disaster to any employee— 
‘‘(A) employed to adjust or evaluate claims re-
sulting from or relating to such major disaster, by 
an employer not engaged, directly or through an af-
filiate, in underwriting, selling, or marketing prop-
erty, casualty, or liability insurance policies or con-
tracts; 
‘‘(B) who receives from such employer on aver-
age weekly compensation of not less than $591.00 
per week or any minimum weekly amount estab-
lished by the Secretary, whichever is greater, for the 
number of weeks such employee is engaged in any 
of the activities described in subparagraph (C); and 
‘‘(C) whose duties include any of the following: 
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‘‘(i) interviewing insured individuals, indi-
viduals who suffered injuries or other damages 
or losses arising from or relating to a disaster, 
witnesses, or physicians; 
‘‘(ii) inspecting property damage or review-
ing factual information to prepare damage esti-
mates; 
‘‘(iii) evaluating and making recommenda-
tions regarding coverage or compensability of 
claims or determining liability or value aspects 
of claims; 
‘‘(iv) negotiating settlements; or 
‘‘(v) making recommendations regarding 
litigation. 
‘‘(2) The exemption in this subsection shall not affect 
the exemption provided by section 13(a)(1). 
‘‘(3) For purposes of this subsection— 
‘‘(A) the term ‘major disaster’ means any dis-
aster or catastrophe declared or designated by any 
State or Federal agency or department; 
‘‘(B) the term ‘employee employed to adjust or 
evaluate claims resulting from or relating to such 
major disaster’ means an individual who timely se-
cured or secures a license required by applicable law 
to engage in and perform the activities described in 
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clauses (i) through (v) of paragraph (1)(C) relating 
to a major disaster, and is employed by an employer 
that maintains worker compensation insurance cov-
erage or protection for its employees, if required by 
applicable law, and withholds applicable Federal, 
State, and local income and payroll taxes from the 
wages, salaries and any benefits of such employees; 
and 
‘‘(C) the term ‘affiliate’ means a company that, 
by reason of ownership or control of 25 percent or 
more of the outstanding shares of any class of voting 
securities of one or more companies, directly or indi-
rectly, controls, is controlled by, or is under common 
control with, another company.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 109. (a) FLEXIBILITY WITH RESPECT TO THE 
CROSSING OF H–2B NONIMMIGRANTS WORKING IN THE 
SEAFOOD INDUSTRY.— 
(1) IN GENERAL.—Subject to paragraph (2), if 
a petition for H–2B nonimmigrants filed by an em-
ployer in the seafood industry is granted, the em-
ployer may bring the nonimmigrants described in 
the petition into the United States at any time dur-
ing the 120-day period beginning on the start date 
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for which the employer is seeking the services of the 
nonimmigrants without filing another petition. 
(2) REQUIREMENTS
FOR
CROSSINGS
AFTER 
90TH
DAY.—An employer in the seafood industry 
may not bring H–2B nonimmigrants into the United 
States after the date that is 90 days after the start 
date for which the employer is seeking the services 
of the nonimmigrants unless the employer— 
(A) completes a new assessment of the 
local labor market by— 
(i) listing job orders in local news-
papers on 2 separate Sundays; and 
(ii) posting the job opportunity on the 
appropriate Department of Labor Elec-
tronic Job Registry and at the employer’s 
place of employment; and 
(B) offers the job to an equally or better 
qualified United States worker who— 
(i) applies for the job; and 
(ii) will be available at the time and 
place of need. 
(3) EXEMPTION FROM RULES WITH RESPECT 
TO STAGGERING.—The Secretary of Labor shall not 
consider an employer in the seafood industry who 
brings H–2B nonimmigrants into the United States 
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during the 120-day period specified in paragraph (1) 
to be staggering the date of need in violation of sec-
tion 655.20(d) of title 20, Code of Federal Regula-
tions, or any other applicable provision of law. 
(b) H–2B NONIMMIGRANTS DEFINED.—In this sec-
tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad-
mitted to the United States pursuant to section 
101(a)(15)(H)(ii)(B) of the Immigration and Nationality 
Act (8 U.S.C. 1101(a)(15)(H)(ii)(B)). 
SEC. 110. The determination of prevailing wage for 
the purposes of the H–2B program shall be the greater 
of—(1) the actual wage level paid by the employer to other 
employees with similar experience and qualifications for 
such position in the same location; or (2) the prevailing 
wage level for the occupational classification of the posi-
tion in the geographic area in which the H–2B non-
immigrant will be employed, based on the best information 
available at the time of filing the petition. In the deter-
mination of prevailing wage for the purposes of the H– 
2B program, the Secretary shall accept private wage sur-
veys even in instances where Occupational Employment 
Statistics survey data are available unless the Secretary 
determines that the methodology and data in the provided 
survey are not statistically supported. 
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202 
SEC. 111. None of the funds in this Act shall be used 
to enforce the definition of corresponding employment 
found in 20 CFR 655.5 or the three-fourths guarantee 
rule definition found in 20 CFR 655.20, or any references 
thereto. Further, for the purpose of regulating admission 
of temporary workers under the H–2B program, the defi-
nition of temporary need shall be that provided in 8 CFR 
214.2(h)(6)(ii)(B). 
SEC. 112. Notwithstanding any other provision of 
law, the Secretary may furnish through grants, coopera-
tive agreements, contracts, and other arrangements, up to 
$450,000 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. 113. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, approved March 4, 1913 (37 Stat. 
736, chapter 141) is amended by adding at the end the 
following new section: 
‘‘(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 
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203 
to the performance of official duties by the Sec-
retary; 
‘‘(2) provide protection, incidental to the protec-
tion provided to the Secretary, to a member of the 
immediate family of the Secretary who is partici-
pating in an activity or event relating to the official 
duties of the Secretary; 
‘‘(3) provide continuous protection to the Sec-
retary (including during periods not described in 
paragraph (1)) and to the members of the imme-
diate family of the Secretary if there is a unique and 
articulable threat of physical harm, in accordance 
with guidelines established by the Secretary; and 
‘‘(4) provide protection to the Deputy Secretary 
of Labor or another senior officer representing the 
Secretary of Labor at a public event if there is a 
unique and articulable threat of physical harm, in 
accordance with guidelines established by the Sec-
retary. 
‘‘(b) AUTHORITIES.—The Secretary of Labor may 
authorize a law enforcement officer or special agent em-
ployed under subsection (a), for the purpose of performing 
the duties authorized under subsection (a), to— 
‘‘(1) carry firearms; 
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204 
‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, in-
cluding identifying and mitigating potential threats 
and conducting advance work to review security mat-
ters relating to sites and events; 
‘‘(4) coordinate with local law enforcement 
agencies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Sec-
retary, in coordination with the Inspector General of 
the Department of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en-
forcement officer or special agent employed under sub-
section (a) shall exercise any authority provided under this 
section in accordance with any— 
‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 114. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
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priate, including an agreement or partnership to construct 
a new Job Corps center, all or a portion of the real prop-
erty on which the Treasure Island Job Corps Center and 
the Gary Job Corps Center are situated. Any sale or other 
disposition, to include any associated construction project, 
will not be subject to any requirement of any Federal law 
or regulation relating to the disposition of Federal real 
property or relating to Federal procurement, including but 
not limited to subchapter III of chapter 5 of title 40 of 
the United States Code, subchapter V of chapter 119 of 
title 42 of the United States Code, and chapter 33 of divi-
sion C of subtitle I of title 41 of the United States Code. 
The net proceeds of such a sale shall be transferred to 
the Secretary, which shall be available until expended for 
such project to carry out the Job Corps Program on 
Treasure Island and the Job Corps Program in and 
around San Marcos, Texas, respectively. 
SEC. 115. None of the funds made available by this 
Act may be used to— 
(1) alter or terminate the Interagency Agree-
ment between the United States Department of 
Labor and the United States Department of Agri-
culture; 
(2) close any of the Civilian Conservation Cen-
ters, except if such closure is necessary to prevent 
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206 
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; or 
(3) close any Job Corps Centers, except if such 
closure meets the criterion entitled ‘‘Long-Term 
Center Performance’’ or the criterion entitled ‘‘Eval-
uation of Continuing Center Operations’’ established 
by 81 FR 12529, the capacity of the program is re-
tained, and the requirements of section 159(j) of the 
WIOA are met. 
(RESCISSION) 
SEC. 116. Of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act 
(8 U.S.C. 1356(s)(2)), $206,000,000 are hereby perma-
nently rescinded not later than September 30, 2026. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2026’’. 
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TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,858,772,000: Provided, 
That no more than $1,000,000 shall be available until ex-
pended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That no more than 
$120,000,000 shall be available until expended for car-
rying out subsections (g) through (n) and (q) of section 
224 of the PHS Act, and for expenses incurred by the 
Department of Health and Human Services (referred to 
in this Act as ‘‘HHS’’) pertaining to administrative claims 
made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,413,776,000, which 
shall be for the purposes and in the amounts specified in 
the ‘‘Final Bill’’ column for Health Workforce in the ‘‘De-
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208 
partments of Labor, Health and Human Services, Edu-
cation, and Related Agencies Appropriations Act, 2026’’ 
table in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act): Provided, That section 751(j)(2) 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, 
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 sec-
tion 756(c) of the PHS Act shall apply to paragraphs (1) 
through (4) of section 756(a) of such Act: Provided fur-
ther, That no funds shall be available for section 340G– 
1 of the PHS Act: Provided further, That fees collected 
for the disclosure of information under 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 
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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 amounts made avail-
able for the National Health Service Corps (‘‘NHSC’’) 
shall remain available until expended for the purposes of 
providing primary health services, assigning NHSC par-
ticipants to expand the delivery of substance use disorder 
treatment services, notwithstanding the assignment prior-
ities and limitations under sections 333(a)(1)(D), 333(b), 
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-
ments under the NHSC Loan Repayment Program under 
section 338B of such Act: Provided further, That, within 
the amount made available for the NHSC, not less than 
13 percent 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 the PHS Act, and 
$8,000,000 shall remain available until expended for pay-
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ments to individuals participating in such program who 
provide primary health services in Maternity Care Health 
Professional Target Areas, as determined by the Sec-
retary, notwithstanding the assignment priorities and limi-
tations under section 333(b) of such Act: Provided further, 
That for purposes of the previous two provisos, section 
331(a)(3)(D) of the PHS Act shall be applied as if the 
term ‘‘primary health services’’ includes clinical substance 
use disorder treatment services, including those provided 
by masters level, licensed substance use disorder treat-
ment counselors: Provided further, That amounts made 
available for the Nurse Practitioner Optional Fellowship 
Program shall be available to make grants to establish, 
expand, or maintain optional community-based nurse 
practitioner fellowship programs that are accredited or in 
the accreditation process, with a preference for those in 
Federally Qualified Health Centers, for practicing post-
graduate nurse practitioners in primary care or behavioral 
health: Provided further, That amounts made available for 
Pediatric Specialty Loan Repayment shall remain avail-
able until expended for activities under section 775 of the 
PHS Act: Provided further, That the United States may 
recover liquidated damages in an amount determined by 
the formula under section 338E(c)(1) of the PHS Act if 
an individual either fails to begin or complete the service 
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211 
obligated by a contract under section 775(b) of the PHS 
Act: Provided further, That for purposes of section 
775(c)(1) of the PHS Act, the Secretary may include 
other mental and behavioral health disciplines as the Sec-
retary deems appropriate: Provided further, That the Sec-
retary may terminate a contract entered into under section 
775 of the PHS Act in the same manner articulated in 
section 206 of this title for fiscal year 2026 contracts en-
tered into under section 338B of the PHS Act. 
Amounts made available for Medical Student Edu-
cation shall remain available until expended for grants to 
public institutions of higher education to expand or sup-
port graduate education for physicians provided by such 
institutions, including funding for infrastructure develop-
ment, maintenance, equipment, and minor renovations or 
alterations: Provided, That, in awarding such grants, the 
Secretary shall give priority to public institutions of higher 
education located in States with a projected primary care 
provider shortage, as determined by the Secretary: Pro-
vided further, That grants so awarded are limited to such 
public institutions of higher education in States in the top 
quartile of States with a projected primary care provider 
shortage, as determined by the Secretary: Provided fur-
ther, That the minimum amount of a grant so awarded 
to such an institution shall be not less than $1,000,000 
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per year: Provided further, That such a grant may be 
awarded for a period not to exceed 5 years: Provided fur-
ther, That such a grant awarded with respect to a year 
to such an institution shall be subject to a matching re-
quirement of non-Federal funds in an amount that is not 
more than 10 percent of the total amount of Federal funds 
provided in the grant to such institution with respect to 
such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
title V of the Social Security Act, $1,181,680,000, which 
shall be for the purposes and in the amounts specified in 
the ‘‘Final Bill’’ column for Maternal and Child Health 
in the ‘‘Departments of Labor, Health and Human Serv-
ices, Education, and Related Agencies Appropriations Act, 
2026’’ table in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act): Provided, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, 
amounts made available for Special Projects of Regional 
and National Significance 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 
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demic Initiative shall remain available until expended and 
shall be available to the Secretary for carrying out a pro-
gram 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 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, $127,009,000, of 
which $122,000 shall be available until expended for facil-
ity renovations and other facilities-related expenses of the 
Hansen’s Disease Program: Provided, That during the pe-
riod covered by this Act, the Secretary of Health and 
Human Services may collect registration fees from mem-
bers of the Organ Procurement and Transplantation Net-
work (in this title referred to as ‘‘OPTN’’), authorized 
under section 372 of the PHS Act, for each transplant 
candidate such members place on the list described in sub-
section (b)(2)(A)(i) of such section, including directly or 
through awards made under subsection (b)(1)(A) of such 
section: Provided further, That such fees may be credited 
to this account, to remain available until expended, to sup-
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port the operation of the OPTN: Provided further, That 
the Secretary may distribute fees collected pursuant to the 
first proviso under this heading among the awardee or 
awardees described in subsection (b)(1)(A) of section 372 
of the PHS Act as the Secretary determines appropriate. 
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, $392,907,000, 
which shall be for the purposes and in the amounts speci-
fied, other than for ‘‘Rural Hospital Provider Assistance 
Program’’, in the ‘‘Final Bill’’ column for Rural Health 
in the ‘‘Departments of Labor, Health and Human Serv-
ices, Education, and Related Agencies Appropriations Act, 
2026’’ table in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act), of which the amounts made available for Rural 
Hospital Flexibility Grants shall come from general reve-
nues, notwithstanding section 1820(j) of the Social Secu-
rity Act: Provided, That of the funds made available under 
this paragraph for Rural Hospital Flexibility Grants, up 
to $22,942,000 shall be available for the Small Rural Hos-
pital Improvement Program for quality improvement and 
adoption of health information technology, no less than 
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$5,000,000 shall be available to award grants to public 
or non-profit private entities for the Rural Emergency 
Hospital Technical Assistance Program, 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) available for the purchase and imple-
mentation of telehealth services and other efforts to im-
prove health care coordination for rural veterans between 
rural providers and the Department of Veterans Affairs: 
Provided further, That the amounts made available for 
State Offices of Rural Health shall be available notwith-
standing section 338J(k) of the PHS Act: Provided fur-
ther, That the amounts for the Rural Residency Planning 
and Development Program shall remain available through 
September 30, 2028. 
In addition to amounts otherwise available for the 
same purpose, $25,000,000, for making payments to eligi-
ble hospitals for the maintenance of health care providers: 
Provided, That eligible hospitals receiving such payment 
shall meet the following criteria: (1) have no more than 
50 inpatient beds and (2) have an established wage index 
value of less than 0.90 as determined by the Secretary 
of 
Health 
and 
Human 
Services 
under 
section 
1886(d)(3)(E) of the Social Security Act (42 U.S.C. 
1395ww(d)(3)(E)): Provided further, That up to 10 per-
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cent of funds made available in this paragraph may be 
used by eligible hospitals for administrative expenses: Pro-
vided further, That payment amounts to eligible hospitals 
shall be calculated by dividing available funding equally 
among such eligible hospitals. 
FAMILY PLANNING 
For carrying out the program under title X of the 
PHS Act to provide for voluntary family planning 
projects, $286,479,000: 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 
public office. 
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out title III of the Public Health Service 
Act and for cross-cutting activities and program support 
for activities funded in other appropriations included in 
this Act for the Health Resources and Services Adminis-
tration, $1,076,181,000, of which $45,550,000 shall be 
for expenses necessary for the Office for the Advancement 
of Telehealth, including grants, contracts, and cooperative 
agreements for the advancement of telehealth activities: 
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Provided, That funds made available under this heading 
may be used to supplement program support funding pro-
vided under the headings ‘‘Primary Health Care’’, 
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 
and ‘‘Rural Health’’: Provided further, That of the amount 
made available under this heading, $857,793,000 shall be 
used for the projects financing the construction and ren-
ovation (including equipment) of health care and other fa-
cilities, and for the projects financing one-time grants that 
support health-related activities, including training and in-
formation technology, and in the amounts specified in the 
table titled ‘‘Community Project Funding/Congressionally 
Directed Spending’’ included for this division in the ex-
planatory statement described in section 4 (in the matter 
preceding division A of this consolidated Act): Provided 
further, 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. 
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 
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other 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, $983,830,000: 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 
organizations: Provided further, That the proportional 
funding requirements under section 1503(a) of the PHS 
Act shall not apply to funds made available under this 
heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $205,060,000. 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to health statistics, surveillance, health 
informatics, and workforce development, $724,553,000: 
Provided, That in addition to amounts provided herein, 
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$42,944,000 shall be from funds available under section 
241 of the PHS Act for health statistics. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $191,850,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$761,379,000. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $366,800,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with 
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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, $692,843,000, of which: 
(1) the amounts made available for the Global HIV/AIDS 
Program shall remain available through September 30, 
2027; and (2) the amounts made available for the Global 
Public Health Protection shall remain available through 
September 30, 2028: Provided, That funds may be used 
for purchase and insurance of official motor vehicles in 
foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, XVII, and XXVIII of 
the PHS Act with respect to public health preparedness 
and response, and for expenses necessary to support ac-
tivities related to countering potential biological, nuclear, 
radiological, and chemical threats to civilian populations, 
$913,200,000: 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 
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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, 
$40,000,000, which shall remain available until expended: 
Provided, That funds made available to this account in 
this or any prior Act that are available for the acquisition 
of real property or for construction or improvement of fa-
cilities shall be available to make improvements on non- 
federally owned property, provided that any improvements 
that are not adjacent to federally owned property do not 
exceed $2,500,000, and that the primary benefit of such 
improvements accrues to CDC: Provided further, 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 re-
search facility: Provided further, That funds made avail-
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able to this account in this or any prior Act that are avail-
able for the acquisition of real property or for construction 
or improvement of facilities in conjunction with the new 
replacement mine safety research facility shall be available 
to make improvements on non-federally owned property, 
provided that any improvements that are not adjacent to 
federally owned property do not exceed $5,000,000: Pro-
vided further, That in addition, the prior year unobligated 
balance of any amounts assigned to former employees in 
accounts of CDC made available for Individual Learning 
Accounts shall be credited to and merged with the 
amounts made available under this 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, $396,570,000: Provided, 
That the amounts made available for Public Health Infra-
structure and Capacity appropriations shall remain avail-
able through September 30, 2027: Provided further, That 
paragraphs (1) through (3) of subsection (b) of section 
2821 of the PHS Act shall not apply to funds appro-
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priated under this heading and in all other accounts of 
the CDC: Provided further, That the amounts made avail-
able for Infectious Diseases Rapid Response Reserve Fund 
appropriations shall remain available until expended and 
shall be available to the Director 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 to support a contract for the 
operation and maintenance of an aircraft in direct support 
of activities throughout CDC to ensure the agency is pre-
pared to address public health preparedness emergencies: 
Provided further, That employees of CDC or the Public 
Health Service, both civilian and commissioned officers, 
detailed to States, municipalities, or other organizations 
under authority of section 214 of the PHS Act, or in over-
seas assignments, shall be treated as non-Federal employ-
ees for reporting purposes only and shall not be included 
within any personnel ceiling applicable to the Agency, 
Service, or HHS during the period of detail or assignment: 
Provided further, That CDC may use up to $10,000 from 
amounts appropriated to CDC in this Act for official re-
ception and representation expenses when specifically ap-
proved by the Director of CDC: Provided further, That in 
addition, such sums as may be derived from authorized 
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user fees, which shall be credited to the appropriation 
charged with the cost thereof: Provided further, That with 
respect to the previous proviso, authorized user fees from 
the Vessel Sanitation Program and the Respirator Certifi-
cation Program shall be available through September 30, 
2027. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $7,352,159,000, 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, $3,990,345,000. 
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, 
$525,163,000. 
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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, $2,326,721,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$2,804,925,000. 
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, 
$6,585,279,000: 
Provided, 
That 
not 
less 
than 
$270,000,000 is provided for research to develop universal 
flu vaccines. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$3,269,679,000, of which $1,427,482,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $450,956,000 is provided for the 
Institutional Development Awards program. 
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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, 
$1,769,078,000: 
Provided, 
That 
not 
less 
than 
$63,400,000 is provided for the Implementing a Maternal 
health and Pregnancy Outcomes Vision for Everyone (IM-
PROVE) Initiative. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$896,549,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$913,979,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $4,517,623,000. 
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, $685,465,000. 
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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, $534,333,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $197,693,000. 
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, 
$595,318,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,662,695,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,189,843,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$663,200,000. 
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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, $440,627,000. 
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, 
$170,384,000. 
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, $538,395,000. 
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), $95,162,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$497,548,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2027: Provided further, That 
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in this fiscal year, 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, $942,323,000: 
Provided, That $75,000,000 shall be available to imple-
ment section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$629,560,000 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, $2,462,914,000: 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-
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ther, That $572,401,000 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 
$80,000,000 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 amounts made 
available under this heading are also available to establish, 
operate, and support the Research Policy Board author-
ized by section 2034(f) of the 21st Century Cures Act: 
Provided further, That not less than $106,480,000 is pro-
vided for the Office of Research on Women’s Health and 
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such funds shall also be available for making grants 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 Cen-
ters. 
In addition to other funds appropriated for the Office 
of the Director, $12,600,000 is appropriated from the 10- 
year Pediatric Research Initiative Fund described in sec-
tion 9008 of the Internal Revenue Code of 1986 (26 
U.S.C. 9008), for the purpose of carrying out section 
402(b)(7)(B)(ii) of the PHS Act (relating to pediatric re-
search). 
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, 
$350,000,000, to remain available until expended. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
Act, in addition to amounts available for such purposes 
in the appropriations provided to the NIH in this Act, 
$226,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
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section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the NIH 
to other accounts of the NIH solely for the purposes pro-
vided in such Act: Provided further, That upon a deter-
mination by the Director of the NIH that funds trans-
ferred pursuant to the previous proviso are not necessary 
for the purposes provided, such amounts may be trans-
ferred back to the Account: Provided further, That the 
transfer authority provided under this heading is in addi-
tion to any other transfer authority provided by law. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
For carrying out section 301 and part J of title IV 
of the PHS Act with respect to advanced research projects 
for health, $1,500,000,000, to remain available through 
September 30, 2028. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, the Protection and Ad-
vocacy for Individuals with Mental Illness Act, and the 
SUPPORT 
for 
Patients 
and 
Communities 
Act, 
$2,790,407,000: Provided, That of the funds made avail-
able under this heading, $100,887,000 shall be for the Na-
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tional Child Traumatic Stress Initiative: Provided further, 
That of the funds made available under this heading, 
$991,532,000 shall be for the Mental Health Block Grant: 
Provided further, That of the funds made available under 
this heading, $132,000,000 shall be for Children’s Mental 
Health Services: Provided further, That of the funds made 
available under this heading, $66,635,000 shall be for 
Projects for Assistance in Transition from Homelessness: 
Provided further, That of the funds made available under 
this heading, $40,000,000 shall be for Protection and Ad-
vocacy for Individuals with Mental Illness: Provided fur-
ther, 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 pro-
vided 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) tech-
nical assistance, national data, data collection and evalua-
tion activities, and further that the total available under 
this Act for section 1920(b) activities shall not exceed 5 
percent of the amounts appropriated for subpart I of part 
B of title XIX: Provided further, That of the funds made 
available under this heading for subpart I of part B of 
title XIX of the PHS Act, at least 5 percent shall be avail-
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able to support evidence-based crisis systems: Provided 
further, That up to 10 percent of the amounts made avail-
able to carry out the Children’s Mental Health Services 
program may be used to carry out demonstration grants 
or contracts for early interventions with persons not more 
than 25 years of age at clinical high risk of developing 
a first episode of psychosis: Provided further, That section 
520E(b)(2) of the PHS Act shall not apply to funds ap-
propriated in this Act for fiscal year 2026: Provided fur-
ther, That $385,500,000 shall be available until Sep-
tember 30, 2028 for grants to communities and commu-
nity organizations who meet criteria for Certified Commu-
nity 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 
the budget activities specified in the table under this head-
ing in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act) shall be funded in the amounts specified as appro-
priations in such table: Provided further, That amounts 
made available for 988 Lifeline appropriations shall be for 
the purposes described in the explanatory statement de-
scribed in section 4 (in the matter preceding division A 
of this consolidated Act): Provided further, That of the 
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