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, $769,299,000: Provided, 
That funds appropriated under this account may be avail-
able for making grants under section 1509 of the PHS 
Act for not less than 21 States, tribes, or tribal organiza-
tions: Provided further, That of the funds available under 
this heading, $5,000,000 shall be available to continue and 
expand community specific extension and outreach pro-
grams to combat obesity in counties with the highest levels 
of obesity: Provided further, That of the funds provided 
under this heading, $90,000,000 shall be available for a 
program consisting of three-year grants of no less than 
$100,000 per year to non-governmental entities, local pub-
lic health offices, school districts, local housing authorities, 
local transportation authorities or Indian tribes to imple-
ment evidence-based chronic disease prevention strategies: 
Provided further, That applicants for grants described in 
the previous proviso shall determine the population to be 
served and shall agree to work in collaboration with multi- 
sector partners: Provided further, That the proportional 
funding requirements under section 1503(a) of the PHS 
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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, $131,587,000. 
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, $484,650,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $169,584,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$192,973,000. 
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-
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ty and Health Act, with respect to occupational safety and 
health, $220,363,000: Provided, That in addition to 
amounts provided herein, $112,000,000 shall be available 
from amounts available under section 241 of the PHS Act. 
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 
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, $498,670,000, of which 
$128,420,000 for international HIV/AIDS shall remain 
available through September 30, 2016, and of which 
$5,000,000 shall remain available through September 30, 
2016, to support national public health institutes: Pro-
vided, That funds may be used for purchase and insurance 
of official motor vehicles in foreign countries: Provided fur-
ther, That $30,000,000 provided under this heading is for 
expenses necessary to respond to Ebola outbreaks and 
other emerging infectious diseases: Provided further, That 
with respect to the previous proviso, the Director may 
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transfer these resources to any of the accounts of CDC 
for Ebola and other emerging infectious disease response 
activities: Provided further, That the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate shall be notified promptly of any transfers made under 
the authority of the previous proviso, and shall receive a 
report within 15 days of such transfers: Provided further, 
That such transfer authority shall be in addition to any 
other transfer authority provided to the Department of 
Health and Human Services. 
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, 
$1,369,025,000, of which $542,817,000 shall remain 
available until expended for the Strategic National Stock-
pile: Provided, That in the event the Director of the CDC 
activates the Emergency Operations Center, the Director 
of the CDC may detail CDC staff without reimbursement 
for up to 45 days to support the work of the CDC Emer-
gency Operations Center, so long as the Director provides 
a notice to the Committees on Appropriations of the 
House of Representatives and the Senate within 15 days 
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of the use of this authority and 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. 
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 that supplement activities fund-
ed under the headings ‘‘Immunization and Respiratory 
Diseases’’, ‘‘HIV/AIDS, Viral Hepatitis, Sexually Trans-
mitted Diseases, and Tuberculosis Prevention’’, ‘‘Emerg-
ing and Zoonotic Infectious Diseases’’, ‘‘Chronic Disease 
Prevention and Health Promotion’’, ‘‘Birth Defects, De-
velopmental Disabilities, Disabilities and Health’’, ‘‘Envi-
ronmental Health’’, ‘‘Injury Prevention and Control’’, 
‘‘National Institute for Occupational Safety and Health’’, 
‘‘Energy Employees Occupational Illness Compensation 
Program’’, ‘‘Global Health’’, ‘‘Public Health Preparedness 
and Response’’, and ‘‘Public Health Scientific Services’’, 
and for carrying out section 4001 of Public Law 111–148, 
$123,570,000, of which $10,000,000 shall be available 
until September 30, 2019, for acquisition of real property, 
equipment, construction and renovation of facilities: Pro-
vided, That paragraphs (1) through (3) of subsection (b) 
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of section 2821 of the PHS Act shall not apply to funds 
appropriated under this heading and in all other accounts 
of the CDC: Provided further,office for That funds appro-
priated under this heading and in all other accounts of 
CDC may be used to support the purchase, hire, mainte-
nance, and operation of aircraft for use and support of 
the activities of CDC: 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 overseas assignments, shall be treated 
as non-Federal employees for reporting purposes only and 
shall not be included within any personnel ceiling applica-
ble 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 reception and representation expenses 
when specifically approved by the Director of CDC: Pro-
vided further, That in addition, such sums as may be de-
rived from authorized user fees, which shall be credited 
to the appropriation charged with the cost thereof: Pro-
vided further, That with respect to the previous proviso, 
authorized user fees from the Vessel Sanitation Program 
shall be available through September 30, 2016: Provided 
further, That of the funds made available under this head-
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ing and in all other accounts of CDC, up to $1,000 per 
eligible employee of CDC shall be made available until ex-
pended for Individual Learning Accounts. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $5,033,006,000, of which up 
to $8,000,000 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, $3,040,381,000. 
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, 
$404,774,000. 
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, $1,775,538,000. 
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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, 
$1,618,183,000. 
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, 
$4,477,618,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$2,413,186,000, of which $808,200,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $275,406,000 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, 
$1,305,583,000. 
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NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$687,270,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$677,366,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $1,275,235,000. 
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, $529,375,000. 
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, $411,292,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $143,035,000. 
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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, 
$454,020,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,042,620,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $1,448,418,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$506,735,000. 
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, $334,674,000. 
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, 
$126,524,000: Provided, That these funds may be used 
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to support the transition enacted in section 223 of this 
Act. 
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, $273,131,000. 
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), $69,029,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$342,355,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2016: Provided further, That 
in fiscal year 2015, 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’’). 
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NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $655,314,000: 
Provided, That up to $29,810,000 shall be available to im-
plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$474,746,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, NIH, $1,457,414,000, of which up to 
$30,000,000 may be used to carry out section 213 of this 
Act: Provided, That funding shall be available for the pur-
chase of not to exceed 29 passenger motor vehicles for re-
placement only: Provided further, That NIH is authorized 
to collect third-party payments for the cost of clinical serv-
ices that are incurred in NIH research facilities and that 
such payments shall be credited to the NIH Management 
Fund: Provided further, That all funds credited to the 
NIH Management Fund shall remain available for one fis-
cal year after the fiscal year in which they are deposited: 
Provided further, That $165,000,000 shall be for the Na-
tional Children’s Study (‘‘NCS’’), except that not later 
than July 15, 2015, the Director shall estimate the 
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amount needed for the NCS during fiscal year 2015, and 
any funds in excess of the estimated need shall be trans-
ferred to and merged with the accounts for the various 
Institutes and Centers in proportion to their shares of 
total NIH appropriations made by this Act: Provided fur-
ther, That $564,039,000 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. 
BUILDINGS AND FACILITIES 
For the study of, construction or demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$129,385,000, to remain available through September 30, 
2019. 
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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, 
$1,047,648,000: Provided, That notwithstanding section 
520A(f)(2) of the PHS Act, no funds appropriated for car-
rying 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 percent of the amounts appropriated 
for subpart I of part B of title XIX: Provided further, That 
section 520E(b)(2) of the PHS Act shall not apply to 
funds appropriated in this Act for fiscal year 2015: Pro-
vided further, That of the amount appropriated under this 
heading, $45,887,000 shall be for the National Child 
Traumatic Stress Initiative as described in section 582 of 
the PHS Act: Provided further, That notwithstanding sec-
tion 565(b)(1) of the PHS Act, technical assistance may 
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be provided to a public entity to establish or operate a 
system of comprehensive community mental health serv-
ices to children with a serious emotional disturbance, with-
out regard to whether the public entity receives a grant 
under section 561(a) of such Act: Provided further, That 
States shall expend at least 5 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 none of the funds pro-
vided for section 1911 of the PHS Act shall be subject 
to section 241 of such Act. 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to substance abuse treatment and section 
1922(a) of the PHS Act with respect to substance abuse 
prevention, $2,063,229,000: Provided, 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 assist-
ance, national data, data collection and evaluation activi-
ties, and further that the total available under this Act 
for section 1935(b) activities shall not exceed 5 percent 
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of the amounts appropriated for subpart II of part B of 
title XIX; and (2) $2,000,000 to evaluate substance abuse 
treatment programs: Provided further, That none of the 
funds provided for section 1921 of the PHS Act shall be 
subject to section 241 of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $185,956,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
$151,909,000: Provided, That in addition to amounts pro-
vided herein, $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 collect and analyze program data, and to con-
duct public awareness and technical assistance activities: 
Provided further, That, in addition, fees may be collected 
for the costs of publications, data, data tabulations, and 
data analysis completed under title V of the PHS Act and 
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provided to a public or private entity upon request, which 
shall be credited to this appropriation and shall remain 
available until expended for such purposes: Provided fur-
ther, That amounts made available in this Act for carrying 
out section 501(m) of the PHS Act shall remain available 
through September 30, 2016: Provided further, That funds 
made available under this heading may be used to supple-
ment program support funding provided under the head-
ings ‘‘Mental Health’’, ‘‘Substance Abuse Treatment’’, 
and ‘‘Substance Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, 
part A of title XI of the Social Security Act, and section 
1013 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003, $373,295,000: Provided, 
That section 947(c) of the PHS Act shall not apply in 
fiscal year 2015: Provided further, That in addition, 
amounts received from Freedom of Information Act fees, 
reimbursable and interagency agreements, and the sale of 
data shall be credited to this appropriation and shall re-
main available until September 30, 2016. 
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CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $234,608,916,000, 
to remain available until expended. 
For making, after May 31, 2015, payments to States 
under title XIX or in the case of section 1928 on behalf 
of States under title XIX of the Social Security Act for 
the last quarter of fiscal year 2015 for unanticipated costs 
incurred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2016, 
$113,272,140,000, to remain available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
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103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $259,212,000,000. 
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 and Medicaid Services, 
not to exceed $4,175,391,000, to be transferred from the 
Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund, as author-
ized 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 September 30, 2020: Provided, That all funds 
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derived in accordance with 31 U.S.C. 9701 from organiza-
tions established under title XIII of the PHS Act shall 
be credited to and available for carrying out the purposes 
of this appropriation: Provided further, That the Secretary 
is directed to collect fees in fiscal year 2015 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $672,000,000, 
to remain available through September 30, 2016, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $451,339,000 shall be for the Cen-
ters for Medicare and Medicaid Services Program Integ-
rity Activities, including administrative costs, to conduct 
oversight activities for the Medicare program, including 
but no limited to Medicare Advantage and the Medicare 
Prescription Drug Program authorized in title XVIII of 
the Social Security Act, and for activities described in sec-
tion 1893 of such Act and for Medicaid and Children’s 
Health Insurance Program integrity activities, of which 
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$112,918,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out 
fraud and abuse activities authorized by section 
1817(k)(3) of such Act, and of which $107,743,000 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 of the amount provided under this 
heading, $311,000,000 is provided to meet the terms of 
section 251(b)(2)(C)(ii) of the Balanced Budget and 
Emergency Deficit Control Act of 1985, as amended, and 
$361,000,000 is additional new budget authority specified 
for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the report required by section 1817(k)(5) of 
the Social Security Act for fiscal year 2015 shall include 
measures of the operational efficiency and impact on 
fraud, waste, and abuse in the Medicare, Medicaid, and 
CHIP programs for the funds provided by this appropria-
tion. 
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, $2,438,523,000, to remain 
available until expended; and for such purposes for the 
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first quarter of fiscal year 2016, $1,160,000,000, to re-
main available until expended. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low Income Home Energy Assist-
ance Act of 1981, $3,471,672,000: Provided, That all but 
$497,000,000 of this amount shall be allocated as though 
the total appropriation for such payments for fiscal year 
2015 was less than $1,975,000,000: Provided further, 
That notwithstanding section 2609A(a), of the amounts 
appropriated under section 2602(b), not more than 
$2,988,000 of such amounts may be reserved by the Sec-
retary for technical assistance, training, and monitoring 
of program activities for compliance with internal controls, 
policies and procedures and may, in addition to the au-
thorities provided in section 2609A(a)(1), use such funds 
through contracts with private entities that do not qualify 
as nonprofit organizations. 
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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 
Victims Protection Act of 2000 (‘‘TVPA’’), section 203 
of the Trafficking Victims Protection Reauthorization Act 
of 2005, and the Torture Victims Relief Act of 1998, 
$2,558,129,000, of which $2,525,394,000 shall remain 
available through September 30, 2017 for carrying out 
such sections 414, 501, 462, and 235: Provided, That 
amounts available under this heading to carry out such 
section 203 and the TVPA shall also be available for re-
search and evaluation with respect to activities under 
those authorities: Provided further, That the limitation in 
section 206 of this Act on increasing any appropriation 
by more than 3 percent shall not apply to transfers to 
appropriations under this heading: Provided further, That 
a ‘‘Refugee and Entrant Assistance Contingency Fund’’ 
shall be established for which unobligated balances from 
appropriations under this heading may be deposited, to 
be available until expended for activities funded under this 
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heading: Provided further, That amounts deposited in the 
contingency fund may be available only after the Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of the planned use of funds. 
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’’), 
$2,508,246,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That $19,357,000 shall be 
available for child care resource and referral and school- 
aged child care activities, of which $996,000 shall be avail-
able to the Secretary for a competitive grant for the oper-
ation of a national toll free referral line and Web site to 
develop and disseminate child care consumer education in-
formation for parents and help parents access child care 
in their local community: Provided further, That, in addi-
tion to the amounts required to be reserved by the States 
under section 658G of the CCDBG Act, $308,827,000 
shall be reserved by the States for activities authorized 
under section 658G, of which $113,258,000 shall be for 
activities that improve the quality of infant and toddler 
care: Provided further, That $9,851,000 shall be for use 
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by the Secretary for child care research, demonstration, 
and evaluation activities: Provided further, That technical 
assistance under section 658I(a)(3) of such Act may be 
provided directly, or through the use of contracts, grants, 
cooperative agreements, or interagency agreements. 
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. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Child Abuse Prevention and Treatment Act, sections 
303 and 313 of the Family Violence Prevention and Serv-
ices Act, the Native American Programs Act of 1974, title 
II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (adoption opportunities), 
the Abandoned Infants Assistance Act of 1988, part B– 
1 of title IV and sections 413, 1110, and 1115 of the So-
cial Security Act; for making payments under the Commu-
nity Services Block Grant Act (‘‘CSBG Act’’), sections 
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473B and 477(i) of the Social Security Act, and the As-
sets for Independence Act; for necessary administrative 
expenses to carry out such Acts and titles I, IV, V, X, 
XI, XIV, XVI, and XX of the Social Security Act, the 
Act of July 5, 1960, the Low Income Home Energy As-
sistance Act of 1981, title IV of the Immigration and Na-
tionality Act, and section 501 of the Refugee Education 
Assistance Act of 1980; and for the administration of 
prior year obligations made by the Administration for 
Children and Families under the Developmental Disabil-
ities Assistance and Bill of Rights Act and the Help Amer-
ica Vote Act of 2002, $10,618,002,000, of which 
$37,943,000, to remain available through September 30, 
2016, shall be for grants to States for adoption incentive 
payments, as authorized by section 473A of the Social Se-
curity Act and may be made for adoptions completed be-
fore September 30, 2015: Provided, That subsection (b)(5) 
of such section 473A shall apply to funds appropriated 
under this heading by substituting ‘‘2014’’ for ‘‘2012’’: 
Provided further, That $8,868,389,000 shall be for mak-
ing payments under the Head Start Act: Provided further, 
That 
of 
the 
amount 
in 
the 
previous 
proviso, 
$8,278,389,000 shall be available for payments under sec-
tion 640 of the Head Start Act: Provided further, That 
of the amount provided for making payments under the 
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Head Start Act, $25,000,000 shall be available for alloca-
tion 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 amounts 
allocated to Head Start grantees at the discretion of the 
Secretary to supplement activities pursuant to the pre-
vious proviso shall not be included in the calculation of 
the ‘‘base grant’’ in subsequent fiscal years, as such term 
is used in section 640(a)(7)(A) of the Head Start Act: 
Provided further, That notwithstanding section 640 of the 
Head Start Act, of the amount provided for making pay-
ments under the Head Start Act, and in addition to funds 
otherwise available under section 640 for such purposes, 
$565,000,000 shall be available through March 31, 2016 
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, and for discretionary grants for 
high quality infant and toddler care through Early Head 
Start-Child Care Partnerships, to entities defined as eligi-
ble under section 645A(d) of such Act, and, notwith-
standing section 645A(c)(2) of such Act, these funds are 
available to serve children under age 4: Provided further, 
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That of the amount made available in the immediately pre-
ceding proviso, up to $15,000,000 shall be available for 
the Federal costs of administration and evaluation activi-
ties of the program described in such proviso: Provided 
further, That amounts provided under the seventh proviso 
under this heading in Public Law 113–76 shall not be in-
cluded in the calculation of the ‘‘base grant’’ in fiscal year 
2015, as such term is used in section 640(a)(7)(A) of the 
Head Start Act: Provided further, That $703,454,000 
shall be for making payments under the CSBG Act: Pro-
vided further, That $35,847,000 shall be for sections 680 
and 678E(b)(2) of the CSBG Act, of which not less than 
$29,585,000 shall be for section 680(a)(2) and not less 
than $5,912,000 shall be for section 680(a)(3)(B) of such 
Act: Provided further, That to the extent Community Serv-
ices Block Grant funds are distributed as grant funds by 
a State to an eligible entity as provided under the CSBG 
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 pro-
gram purposes: Provided further, That the Secretary shall 
establish procedures regarding the disposition of intan-
gible 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 
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become the sole property of such grantees after a period 
of not more than 12 years after the end of the grant pe-
riod 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 grant-
ees 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 rehabili-
tation and loans or investments in private business enter-
prises owned by community development corporations: 
Provided further, That to the extent funds appropriated 
in this Act for the Assets for Independence Act are distrib-
uted as grant funds to a qualified entity and have not been 
expended by such entity within 3 years after the date of 
award, such funds may be recaptured and, during the fis-
cal year of such recapture, reallocated among other quali-
fied entities, to remain available to such entities for 5 
years: Provided further, That notwithstanding section 
414(e) of such Act, the Secretary may award up to 
$1,000,000 to support evidence-based evaluation: Provided 
further, That section 303(a)(2)(A)(i) of the Family Vio-
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lence Prevention and Services Act shall not apply to 
amounts 
provided 
herein: 
Provided 
further, 
That 
$1,864,000 shall be for a human services case manage-
ment system for federally declared disasters, to include a 
comprehensive national case management contract and 
Federal costs of administering the system: Provided fur-
ther, That up to $2,000,000 shall be for improving the 
Public Assistance Reporting Information System, includ-
ing 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, sec-
tion 436 of the Social Security Act, $345,000,000 and for 
carrying out, except as otherwise provided, section 437 of 
such Act, $59,765,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $4,832,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2016, $2,300,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the 
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current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the OAA, titles III and XXIX of the PHS Act, sec-
tion 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, and for Department-wide 
coordination of policy and program activities that assist 
individuals with disabilities, $1,665,371,000, together 
with $52,115,000 to be transferred from the Federal Hos-
pital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund to carry out sec-
tion 4360 of the Omnibus Budget Reconciliation Act of 
1990: Provided, That amounts appropriated under this 
heading may be used for grants to States under section 
361 of the OAA only for disease prevention and health 
promotion programs and activities which have been dem-
onstrated through rigorous evaluation to be evidence- 
based and effective: Provided further, That none of the 
funds provided shall be used to carry out sections 1701 
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and 1703 of the PHS Act (with respect to chronic disease 
self-management activity grants), except that such funds 
may be used for necessary expenses associated with ad-
ministering any such grants awarded prior to the date of 
the enactment of this Act: Provided further, That notwith-
standing any other provision of this Act, funds made avail-
able under this heading to carry out section 311 of the 
OAA may be transferred to the Secretary of Agriculture 
in accordance with such section. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, XXI, and section 229 of the PHS Act, the United 
States-Mexico Border Health Commission Act, and re-
search studies under section 1110 of the Social Security 
Act, $457,629,000, together with $64,828,000 from the 
amounts available under section 241 of the PHS Act to 
carry out national health or human services research and 
evaluation activities: Provided, That of this amount, 
$53,681,000 shall be for minority AIDS prevention and 
treatment activities: Provided further, That of the funds 
made available under this heading, $104,592,000 shall be 
for making competitive contracts and grants to public and 
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private entities to fund medically accurate and age appro-
priate programs that reduce teen pregnancy and for the 
Federal costs associated with administering and evalu-
ating such contracts 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 re-
duce teenage pregnancy, behavioral risk factors underlying 
teenage pregnancy, or other associated risk factors, and 
25 percent shall be available for research and demonstra-
tion grants to develop, replicate, refine, and test additional 
models and innovative strategies for preventing teenage 
pregnancy: Provided further, That of the amounts pro-
vided 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 evalua-
tions) of teenage pregnancy prevention approaches: Pro-
vided further, That of the funds made available under this 
heading, $1,750,000 is for strengthening the Depart-
ment’s acquisition workforce capacity and capabilities: 
Provided further, That with respect to the previous pro-
viso, such funds shall be available for training, recruiting, 
retaining, and hiring members of the acquisition workforce 
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as defined by 41 U.S.C. 1703, for information technology 
in support of acquisition workforce effectiveness and for 
management solutions to improve acquisition manage-
ment. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare 
Hearings and Appeals, $90,000,000, to be transferred in 
appropriate part from the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the de-
velopment and advancement of interoperable health infor-
mation technology, $61,474,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $71,000,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary and inves-
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tigating non-payment of child support cases for which non- 
payment is a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $41,205,000. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by 
law, for payments under the Retired Serviceman’s Family 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
For expenses necessary to support activities related 
to countering potential biological, nuclear, radiological, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies, $1,030,899,000, 
of which $473,000,000 shall remain available through 
September 30, 2016, for expenses necessary to support 
advanced research and development pursuant to section 
319L of the PHS Act, and other administrative expenses 
of the Biomedical Advanced Research and Development 
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Authority: Provided, That funds provided under this head-
ing for the purpose of acquisition of security counter-
measures shall be in addition to any other funds available 
for such purpose: Provided further, That products pur-
chased with funds provided under this heading may, at 
the discretion of the Secretary, be deposited in the Stra-
tegic National Stockpile pursuant to section 319F–2 of 
the PHS Act: Provided further, That $5,000,000 of the 
amounts made available to support emergency operations 
shall remain available through September 30, 2017. 
For expenses necessary for procuring security coun-
termeasures (as defined in section 319F–2(c)(1)(B) of the 
PHS Act), $407,000,000, to remain available until ex-
pended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$130,009,000; of which $100,000,000 shall be available 
until expended, for activities including the development 
and purchase of vaccine, antivirals, necessary medical sup-
plies, diagnostics, and other surveillance tools: Provided, 
That notwithstanding section 496(b) of the PHS Act, 
funds may be used for the construction or renovation of 
privately owned facilities for the production of pandemic 
influenza vaccines and other biologics, if the Secretary 
finds such construction or renovation necessary to secure 
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sufficient supplies of such vaccines or biologics. Provided 
further, That funds provided under this paragraph are also 
available for preparing for or responding to an emerging 
infectious disease. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception 
and representation expenses when specifically approved by 
the Secretary. 
SEC. 202. None of the funds appropriated in this title 
shall be used to pay the salary of an individual, through 
a discretionary grant or other extramural mechanism, at 
a rate in excess of Executive Level II. 
SEC. 203. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS Act, 
except for funds specifically provided for in this Act, or 
for other taps and assessments made by any office located 
in HHS, prior to the preparation and submission of a re-
port by the Secretary to the Committees on Appropria-
tions of the House of Representatives and the Senate de-
tailing the planned uses of such funds. 
SEC. 204. Notwithstanding section 241(a) of the 
PHS Act, such portion as the Secretary shall determine, 
but not more than 2.5 percent, of any amounts appro-
priated for programs authorized under such Act shall be 
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made available for the evaluation (directly, or by grants 
or contracts) and the implementation and effectiveness of 
programs funded in this title. 
(TRANSFER OF FUNDS) 
SEC. 205. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for HHS in this Act 
may be transferred between appropriations, but no such 
appropriation shall be increased by more than 3 percent 
by any such transfer: Provided, That the transfer author-
ity granted by this section shall not be used to create any 
new program or to fund any project or activity for which 
no funds are provided in this Act: Provided further, That 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate are notified at least 15 days 
in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 206. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
to 3 percent among institutes and centers from the total 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
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House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 207. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 
immunodeficiency virus, as jointly determined by the Di-
rector of NIH and the Director of the Office of AIDS Re-
search, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
Research shall transfer from such account amounts nec-
essary to carry out section 2353(d)(3) of the PHS Act. 
SEC. 208. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
PHS Act unless the applicant for the award certifies to 
the Secretary that it encourages family participation in 
the decision of minors to seek family planning services and 
that it provides counseling to minors on how to resist at-
tempts to coerce minors into engaging in sexual activities. 
SEC. 209. Notwithstanding any other provision of 
law, no provider of services under title X of the PHS Act 
shall be exempt from any State law requiring notification 
or the reporting of child abuse, child molestation, sexual 
abuse, rape, or incest. 
SEC. 210. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
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used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) because the entity informs the Secretary that 
it will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care program’s coverage for such services and a Medicare 
Advantage organization described in this section shall be 
responsible for informing enrollees where to obtain infor-
mation about all Medicare covered services. 
SEC. 211. In order for HHS to carry out inter-
national health activities, including HIV/AIDS and other 
infectious disease, chronic and environmental disease, and 
other health activities abroad during fiscal year 2015: 
(1) The Secretary may exercise authority equiv-
alent to that available to the Secretary of State in 
section 2(c) of the State Department Basic Authori-
ties Act of 1956. The Secretary shall consult with 
the Secretary of State and relevant Chief of Mission 
to ensure that the authority provided in this section 
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