H. R. 6157—87 
information technology, infrastructure technology investment activi-
ties related to support systems and modernization, and other sup-
port systems, and to remain available until expended: Provided 
further, That the Secretary of Labor may transfer to the Working 
Capital Fund, to remain available for obligation for five fiscal years 
after the fiscal year of such transfer, annually an amount not 
to exceed $9,000,000 from unobligated balances in the Department’s 
salaries and expenses accounts made available in this Act and 
hereafter, and annually an amount not to exceed $9,000,000 from 
unobligated balances in the Department’s discretionary grants 
accounts made available in this Act and hereafter, for the acquisi-
tion of capital equipment and the improvement of financial manage-
ment, information technology, infrastructure technology investment 
activities related to support systems and modernization, and other 
support systems: Provided further, That none of the funds trans-
ferred pursuant to the preceding proviso shall be available unless 
the Chief Information Officer of the Department of Labor has sub-
mitted a plan, approved by the Office of Management and Budget, 
describing the amounts to be transferred by account, the planned 
use of funds, including descriptions of projects, project status, 
including any scheduled delays and cost overruns, financial expendi-
tures, planned activities, and expected benefits, to the Committees 
on Appropriations of the House of Representatives and the Senate 
by July 31 of the calendar year prior to the fiscal year in which 
the transfer will occur: Provided further, That the Working Capital 
Fund may receive reimbursements from entities or persons for 
use of Departmental facilities, including associated utilities and 
security services, and such reimbursements shall be credited to 
and merged with the Working Capital Fund: Provided further, 
That pursuant to section 11319 of title 40, United States Code, 
the Secretary shall ensure that the Department’s Chief Information 
Officer shall, at a minimum, be a principal advisor to the Secretary 
and a member on any board or governance structure of the Depart-
ment responsible for advising and setting Department-wide informa-
tion technology budgets: Provided further, That none of the funds 
available for information technology modernization under this sec-
tion or under the heading ‘IT Modernization’ shall be used for 
information technology modernization projects unless an experi-
enced project manager, employed by the Department of Labor, 
is assigned oversight responsibility, including but not limited to, 
ensuring such projects are completed within established timeframes 
and budgets.’’. 
(b) The following provisions are repealed: 
(1) The heading ‘‘Working Capital Fund’’ and the paragraph 
thereunder in Public Law 91–204, title I, 84 Stat. 26 (1970); 
and 
(2) The heading ‘‘Working Capital Fund’’ and the paragraph 
thereunder in the Department of Labor, Health and Human 
Services, and Education, and Related Agencies Appropriations 
Act, 1994, Public Law 103–112, title I, 107 Stat. 1088 (1993). 
(RESCISSION) 
SEC. 118. (a) That of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act (8 U.S.C. 
1356(s)(2)), $8,250,000 are permanently rescinded.
H. R. 6157—88 
(b) For an additional amount for ‘‘Employment and Training 
Administration—State Unemployment Insurance and Employment 
Service Operations’’, $8,250,000, to remain available until Sep-
tember 30, 2019, for processing applications for foreign labor certifi-
cations, including activities related to wage determinations and 
associated tasks, submitted by employers to employ nonimmigrants 
as described in section 6(d)(2) of the Joint Resolution entitled ‘‘A 
Joint Resolution to approve the ‘Covenant To Establish a Common-
wealth of the Northern Mariana Islands in a Political Union with 
the United States of America’, and for other purposes’’, as amended 
by section 3 of the Northern Mariana Islands U.S. Workforce Act 
of 2018 (Public Law 115–218). 
This title may be cited as the ‘‘Department of Labor Appropria-
tions Act, 2019’’. 
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 Hawaiian Health Care Act 
of 1988, $1,626,522,000 (in addition to the $4,000,000,000 previously 
appropriated to the Community Health Center Fund for fiscal year 
2019): Provided, That no more than $1,000,000 shall be available 
until expended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That no more than $120,000,000 
shall be available until expended for carrying out subsections (g) 
through (n) and (q) of section 224 of the PHS Act, and for expenses 
incurred by the Department of Health and Human Services 
(referred to in this Act as ‘‘HHS’’) pertaining to administrative 
claims made under such law: Provided further, That of funds pro-
vided for the Health Centers program, as defined by section 330 
of the PHS Act, by this Act or any other Act for fiscal year 2019, 
not less than $200,000,000 shall be obligated in fiscal year 2019 
for improving quality of care or expanded service grants under 
section 330 of the PHS Act to support and enhance behavioral 
health, mental health, or substance use disorder services. 
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, $1,096,695,000: Provided, That sections 751(j)(2) and 
762(k) of the PHS Act and the proportional funding amounts in 
paragraphs (1) through (4) of section 756(f) of the PHS Act shall 
not apply to funds made available under this heading: Provided 
further, That for any program operating under section 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 no funds
H. R. 6157—89 
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 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 $105,000,000 shall 
remain available until expended for the purposes of providing pri-
mary health services, assigning National Health Service Corps 
(‘‘NHSC’’) members to expand the delivery of substance use disorder 
treatment services, notwithstanding the assignment priorities and 
limitations under sections 333(a)(1)(D), 333(b), and 333A(a)(1)(B)(ii) 
of the PHS Act, and making payments under the NHSC Loan 
Repayment Program under section 338B of such Act: Provided 
further, That, in addition to amounts otherwise made available 
in the previous proviso, $15,000,000 shall remain available until 
expended for the purposes of making payments under the NHSC 
Loan Repayment 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 Indian Health Programs (as those 
terms are defined by the Secretary), notwithstanding the assign-
ment priorities and limitations 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 dis-
order treatment services, including those provided by masters level, 
licensed substance use disorder treatment counselors. 
Of the funds made available under this heading, $25,000,000 
shall remain available until expended for grants to public institu-
tions of higher education to expand or support graduate education 
for physicians provided by such institutions: Provided, That, in 
awarding such grants, the Secretary shall give priority to public 
institutions of higher education located in States with a projected 
primary care provider shortage in 2025, as determined by the 
Secretary: Provided further, That grants so awarded are limited 
to such public institutions of higher education in States in the 
top quintile of States with a projected primary care provider short-
age in 2025, as determined by the Secretary: Provided further, 
That the minimum amount of a grant so awarded to such an 
institution shall be not less than $1,000,000 per year: Provided 
further, That such a grant may be awarded for a period not to 
exceed 5 years: Provided further, That such a grant awarded with 
respect to a year to such an institution shall be subject to a 
matching requirement of non-Federal funds in an amount that 
is not less than 10 percent of the total amount of Federal funds 
provided in the grant to such institution with 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, title V of the Social
H. R. 6157—90 
Security Act, and section 712 of the American Jobs Creation Act 
of 2004, $926,789,000: Provided, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, not more than 
$109,593,000 shall be available for carrying out special projects 
of regional and national significance pursuant to section 501(a)(2) 
of such Act and $10,276,000 shall be available for projects described 
in subparagraphs (A) through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with respect to 
the Ryan White HIV/AIDS program, $2,318,781,000, of which 
$1,970,881,000 shall remain available to the Secretary through 
September 30, 2021, for parts A and B of title XXVI of the PHS 
Act, and of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of section 
2616 or 311(c) of such Act. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act with respect 
to health care systems, and the Stem Cell Therapeutic and Research 
Act of 2005, $115,193,000, of which $122,000 shall be available 
until expended for facilities renovations at the Gillis W. Long 
Hansen’s Disease Center. 
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, $317,794,000, of which $53,609,000 from general reve-
nues, notwithstanding section 1820(j) of the Social Security Act, 
shall be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds made avail-
able under this heading for Medicare rural hospital flexibility 
grants, $19,942,000 shall be available for the Small Rural Hospital 
Improvement Grant Program for quality improvement and adoption 
of health information technology and up to $1,000,000 shall be 
to carry out section 1820(g)(6) of the Social Security Act, with 
funds provided for grants under section 1820(g)(6) available for 
the purchase and implementation of telehealth services, including 
pilots and demonstrations on the use of electronic health records 
to coordinate rural veterans care between rural providers and the 
Department of Veterans Affairs electronic health record system: 
Provided further, That notwithstanding section 338J(k) of the PHS 
Act, $10,000,000 shall be available for State Offices of Rural Health: 
Provided further, That $10,000,000 shall remain available through 
September 30, 2021, to support the Rural Residency Development 
Program: Provided further, That $120,000,000 shall be for the Rural 
Communities Opioids Response Program. 
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