II 
114TH CONGRESS 
2D SESSION 
H. R. 5243 
IN THE SENATE OF THE UNITED STATES 
MAY 26, 2016 
Received 
AN ACT 
Making appropriations for the fiscal year ending September 
30, 2016, to strengthen public health activities in re-
sponse to the Zika virus, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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That the following sums are appropriated, out of any 
money in the Treasury not otherwise appropriated, for the 
fiscal year ending September 30, 2016, and for other pur-
poses, namely: 
TITLE I 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘CDC-Wide Activities 
and Program Support’’, $170,000,000, which shall be-
come available upon enactment of this Act and remain 
available until September 30, 2016, to prevent, prepare 
for, and respond to Zika virus, domestically and inter-
nationally: Provided, That products purchased with such 
funds may, at the discretion of the Secretary of Health 
and Human Services, be deposited in the Strategic Na-
tional Stockpile under section 319F–2 of the Public 
Health Service (‘‘PHS’’) Act: Provided further, That such 
funds may be used for purchase and insurance of official 
motor vehicles in foreign countries: Provided further, That 
the provisions of section 317S of the PHS Act shall apply 
to the use of funds appropriated in this paragraph as de-
termined by the Director of the Centers for Disease Con-
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trol and Prevention (‘‘CDC’’) to be appropriate: Provided 
further, That funds appropriated in this paragraph may 
be transferred by the Director of CDC to other accounts 
of the CDC for the purposes provided in this paragraph: 
Provided further, That of the funds appropriated under 
this heading, up to $50,000,000 may be transferred to, 
and merged with, funds appropriated under the heading 
‘‘Health Resources and Services Administration—Mater-
nal and Child Health’’ for an additional amount for the 
Maternal and Child Health Services Block Grant Program 
only for the following activities related to patient care as-
sociated with the Zika virus: prenatal care, delivery care, 
postpartum care, newborn health assessments, and care 
for infants with special health care needs: Provided fur-
ther, That such transfer authority is in addition to any 
other transfer authority provided by law: Provided further, 
That such transferred funds may be awarded notwith-
standing section 502 of the Social Security Act: Provided 
further, That such transferred funds may be awarded for 
special projects of regional and national significance to 
States, Puerto Rico, other Territories, Indian Tribes, 
Tribal Organizations and Urban Indian Organizations au-
thorized under title V of such Act: Provided further, That 
no funding provided by a grant from funds in the fifth 
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proviso may be used to make a grant to any other organi-
zation or individual. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘National Institute of 
Allergy and Infectious Diseases’’, $230,000,000, which 
shall become available upon enactment of this Act and re-
main available until September 30, 2016, for preclinical 
and clinical development of vaccines for the Zika virus: 
Provided, That such funds may be transferred by the Di-
rector of the National Institutes of Health (‘‘NIH’’) to 
other accounts of the NIH for the purposes provided in 
this paragraph: Provided further, That such transfer au-
thority is in addition to any other transfer authority pro-
vided by law: Provided further, That such amount is des-
ignated by the Congress as an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-
et and Emergency Deficit Control Act of 1985, except that 
such amount shall be available only if the President subse-
quently so designates such amount and transmits such 
designation to the Congress. 
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OFFICE OF THE SECRETARY 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’, $103,000,000, which 
shall become available upon enactment of this Act and re-
main available until September 30, 2016, to develop nec-
essary countermeasures and vaccines, including the devel-
opment 
and 
purchase 
of 
vaccines, 
therapeutics, 
diagnostics, necessary medical supplies, and administra-
tive activities to respond to Zika virus, domestically and 
internationally: Provided, That funds appropriated in this 
paragraph may be used to procure security counter-
measures (as defined in section 319F–2(c)(1)(B) of the 
PHS Act): Provided further, That paragraphs (1) and 
(7)(C) of subsection (c) of section 319F–2 of the PHS 
Act, but no other provisions of such section, shall apply 
to such security countermeasures procured with funds ap-
propriated in this paragraph: Provided further, That prod-
ucts purchased with funds appropriated in this paragraph 
may, at the discretion of the Secretary of Health and 
Human Services, be deposited in the Strategic National 
Stockpile under section 319F–2 of the PHS Act: Provided 
further, That funds appropriated in this paragraph may 
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be transferred to the fund authorized by section 319F– 
4 of the PHS Act: Provided further, That such amount 
is designated by the Congress as an emergency require-
ment pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, ex-
cept that such amount shall be available only if the Presi-
dent subsequently so designates such amount and trans-
mits such designation to the Congress. 
GENERAL PROVISIONS—THIS TITLE 
NOTIFICATION REQUIREMENT 
SEC. 101. Funds appropriated by this title shall only 
be available for obligation if the Secretary of Health and 
Human Services notifies the Committees on Appropria-
tions in writing at least 15 days in advance of such obliga-
tion: Provided, That the requirement of this section may 
be waived if failure to do so would pose a substantial risk 
to human health or welfare: Provided further, That in case 
of any such waiver, notification to such Committees shall 
be provided as early as practicable, but in no event later 
than 3 days after taking the action to which such notifica-
tion requirement was applicable: Provided further, That 
any notification provided pursuant to such a waiver shall 
contain an explanation of the emergency circumstances. 
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REPORTING REQUIREMENT 
SEC. 102. Not later than 30 days after enactment 
of this Act the Secretary of Health and Human Services 
shall submit to the Committees on Appropriations a con-
solidated report on the proposed uses of funds appro-
priated by this title for which the obligation of funds is 
anticipated: Provided, That such report shall be updated 
and submitted to such Committees every 30 days until all 
funds have been fully expended. 
OVERSIGHT 
SEC. 103. Of the funds appropriated by this title 
under the heading ‘‘Centers for Disease Control and Pre-
vention’’, up to— 
(1) $500,000 shall be transferred to, and 
merged with, funds available under the heading ‘‘Of-
fice of Inspector General’’, and shall remain avail-
able until expended, for oversight of activities sup-
ported with funds appropriated by this title: Pro-
vided, That the transfer authority provided by this 
paragraph is in addition to any other transfer au-
thority provided by law; and 
(2) $500,000 shall be made available to the 
Comptroller General of the United States, and shall 
remain available until expended, for oversight of ac-
tivities supported with funds appropriated by the 
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title: Provided, That the Secretary of Health and 
Human Services shall consult with the Committees 
on Appropriations prior to obligating such funds. 
TITLE II 
DEPARTMENT OF STATE 
ADMINISTRATION OF FOREIGN AFFAIRS 
DIPLOMATIC AND CONSULAR PROGRAMS 
For an additional amount for ‘‘Diplomatic and Con-
sular Programs’’, $9,100,000, which shall become avail-
able upon enactment of this Act and remain available until 
September 30, 2016, for necessary expenses to support the 
cost of medical evacuations and other response efforts re-
lated to the Zika virus and health conditions directly asso-
ciated with the Zika virus: Provided, That such amount 
is designated by the Congress as an emergency require-
ment pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, ex-
cept that such amount shall be available only if the Presi-
dent subsequently so designates such amount and trans-
mits such designation to the Congress. 
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UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT 
FUNDS APPROPRIATED TO THE PRESIDENT 
OPERATING EXPENSES 
For an additional amount for ‘‘Operating Expenses’’, 
$10,000,000, which shall become available upon enact-
ment of this Act and remain available until September 30, 
2016, for necessary expenses to support response efforts 
related to the Zika virus and health conditions directly as-
sociated with the Zika virus: Provided, That such amount 
is designated by the Congress as an emergency require-
ment pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, ex-
cept that such amount shall be available only if the Presi-
dent subsequently so designates such amount and trans-
mits such designation to the Congress. 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
GLOBAL HEALTH PROGRAMS 
For an additional amount for ‘‘Global Health Pro-
grams’’, $100,000,000, which shall become available upon 
enactment of this Act and remain available until Sep-
tember 30, 2016, for vector control activities to prevent, 
prepare for, and respond to the Zika virus internationally. 
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GENERAL PROVISIONS—THIS TITLE 
TRANSFER AUTHORITIES 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 201. (a) Of the funds appropriated by this title 
under the heading ‘‘Diplomatic and Consular Programs’’, 
up to— 
(1) $1,350,000 may be made available for med-
ical evacuation costs of any other department or 
agency of the United States under Chief of Mission 
authority and may be transferred to any other ap-
propriation of such department or agency for such 
costs; and 
(2) $1,000,000 may be transferred to, and 
merged with, funds available under the heading 
‘‘Emergencies in the Diplomatic and Consular Serv-
ice’’. 
(b) The transfer authorities provided by this section 
are in addition to any other transfer authority provided 
by law. 
(c) Any amount transferred pursuant to this section 
is designated by the Congress as an emergency require-
ment pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, ex-
cept that such amount shall be available only if the Presi-
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