Compliance Programs’’, ‘‘Office of Labor Management 
Standards’’, ‘‘Occupational Safety and Health Adminis-
tration’’, ‘‘Mine Safety and Health Administration’’, ‘‘Of-
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. Notwithstanding any other provision of 
law, the Secretary may furnish through grants, coopera-
tive agreements, contracts, and other arrangements, up to 
$2,000,000 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. 109. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, approved March 4, 1913 (37 Stat. 
736, chapter 141) shall be applied as if the following text 
is part of such Act: 
‘‘SEC. 12. SECURITY DETAIL. 
‘‘(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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00041
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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 significant 
and articulable threat of physical harm, in accord-
ance with guidelines established by the Secretary; 
and 
‘‘(4) provide protection to the Deputy Secretary 
of Labor at the Secretary’s direction in the perform-
ance of his official duties at a public event outside 
of the United States if there is a significant and 
articulable threat of physical harm and protective 
services are not provided as part of an official U.S. 
visit. 
‘‘(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— 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00042
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
‘‘(1) carry firearms; 
‘‘(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. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00043
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
SEC. 110. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
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 is 
situated. Any sale or other disposition will not be subject 
to any requirement of any Federal law or regulation relat-
ing to the disposition of Federal real property, including 
but not limited to subchapter III of chapter 5 of title 40 
of the United States Code and subchapter V of chapter 
119 of title 42 of the United States Code. The net pro-
ceeds of such a sale shall be transferred to the Secretary, 
which shall be available until expended to carry out the 
Job Corps Program on Treasure Island. 
(RESCISSION) 
SEC. 111. Of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act 
(8 U.S.C. 1356(s)(2)), $349,000,000 are hereby re-
scinded. 
SEC. 112. 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; or 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00044
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
(2) close any of the Civilian Conservation Cen-
ters, except if such closure is necessary to prevent 
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. 
SEC. 113. None of the funds made available by this 
Act may be used to implement or enforce, or take any 
actions in furtherance of, the final regulations on ‘‘Joint 
Employer Status under the Fair Labor Standards Act’’ 
published by the Department of Labor in the Federal Reg-
ister on January 16, 2020 (85 Fed. Reg. 2820 et seq.). 
SEC. 114. None of the funds made available by this 
Act may be used to develop, promulgate, issue, or imple-
ment a final rule, or take any actions in furtherance of 
the proposed rule, on ‘‘Implementing Legal Requirements 
Regarding the Equal Opportunity Clause’s Religious Ex-
emption’’ published by Department of Labor in the Fed-
eral Register on August 15, 2019 (84 Fed. Reg. 41677 
et seq.). 
SEC. 115. None of the funds made available by this 
Act may be used to implement or enforce or take any ac-
tions in furtherance of, the final rule on ‘‘Wagner-Peyser 
Act Staffing Flexibility’’ published by the Department of 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00045
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
Labor in the Federal Register on January 06, 2020 (85 
Fed. Reg. 592 et seq.). 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2021’’. 
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, $1,651,522,000: 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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00046
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,242,505,000: Pro-
vided, 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: 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 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 pro-
grams authorized by such sections and shall remain avail-
able until expended for the National Practitioner Data 
Bank: Provided further, That funds transferred to this ac-
count 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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00047
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
subpart: Provided further, That $120,000,000 shall re-
main available until expended for the purposes of pro-
viding primary health services, assigning National Health 
Service Corps (‘‘NHSC’’) members to expand the delivery 
of substance use disorder treatment services, notwith-
standing 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, within the amount made 
available in the previous proviso, $15,000,000 shall re-
main available until expended for the purposes of making 
payments under the NHSC Loan Repayment Program 
under section 338B of the PHS Act to individuals partici-
pating in such program who provide primary health serv-
ices in Indian Health Service facilities, Tribally-Operated 
638 Health Programs, and Urban Indian Health Pro-
grams (as those terms are defined by the Secretary), not-
withstanding the assignment 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 disorder treatment services, including those provided 
by masters level, licensed substance use disorder treat-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00048
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
ment counselors: Provided further, That of the funds made 
available under this heading, $5,000,000 shall be available 
to make grants to establish or expand optional commu-
nity-based nurse practitioner fellowship programs that are 
accredited or in the accreditation process, with a pref-
erence for those in Federally Qualified Health Centers, for 
practicing postgraduate nurse practitioners in primary 
care or behavioral health. 
Of the funds made available under this heading, 
$55,000,000 shall remain available until expended for 
grants to public institutions 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 institu-
tions 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 shortage 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 award-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00049
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
ed 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 and 
title V of the Social Security Act, $980,784,000: Provided, 
That notwithstanding sections 502(a)(1) and 502(b)(1) of 
the Social Security Act, not more than $127,116,000 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, 
$2,413,781,000, of which $1,970,881,000 shall remain 
available to the Secretary through September 30, 2023, 
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; and of which 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00050
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
$95,000,000, to remain available until expended, shall be 
available to the Secretary for carrying out a program 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 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, $131,093,000, of 
which $122,000 shall be available until expended for facili-
ties 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, $334,294,000, 
of which $55,609,000 from general revenues, notwith-
standing 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 available under this heading for Medicare rural hos-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00051
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
pital flexibility grants, $21,942,000 shall be available for 
the Small Rural Hospital Improvement Grant Program 
for quality improvement and adoption of health informa-
tion 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) avail-
able 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 Vet-
erans Affairs electronic health record system: Provided 
further, That notwithstanding section 338J(k) of the PHS 
Act, $12,500,000 shall be available for State Offices of 
Rural Health: Provided further, That $11,000,000 shall 
remain available through September 30, 2023, to support 
the Rural Residency Development Program: Provided fur-
ther, That $110,000,000 shall be for the Rural Commu-
nities 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 the Secretary shall 
carry out section 1001 of the PHS Act solely in accord-
ance with any regulations or other conditions or instruc-
tions established by the Secretary pursuant to the author-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00052
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
ity under section 1006 of the PHS Act that applied as 
of January 18, 2017, to grants and contracts awarded 
under section 1001 of the PHS Act: Provided further, 
That amounts provided to said projects under such title 
shall not be expended for abortions, that all pregnancy 
counseling shall be nondirective, and that such amounts 
shall not be expended for any activity (including the publi-
cation or distribution of literature) that in any way tends 
to promote public support or opposition to any legislative 
proposal or candidate for public office: Provided further, 
That for each entity that, in fiscal year 2019, received 
an award under section 1001 of the PHS Act and whose 
award was terminated or relinquished before the planned 
end of the period of performance, the Secretary shall, not 
later than 60 days after the date of enactment of this Act, 
issue a new award to such entity using funds made avail-
able herein, equal to the amount of the award that was 
terminated or relinquished and consistent with any terms 
and conditions that applied at the time that the fiscal year 
2019 award was made except as modified by this Act, but 
only if— 
(1) the Secretary has not, prior to the enact-
ment of this Act, awarded grants or contracts for 
the performance of substantially similar activities in 
the geographical areas that were served by the ter-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00053
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
minated or relinquished award, but if such grants or 
contracts awarded prior to the enactment of this Act 
would only partially replace the activities or areas 
covered by the terminated or relinquished award, the 
Secretary shall seek to restore the terminated award 
with respect to the remaining activities or areas; 
(2) the Secretary has secured assurance from 
the entity that its termination or relinquishment was 
due to its inability or unwillingness to comply with 
the provisions of the final rule titled ‘‘Compliance 
with Statutory Program Integrity Requirements’’, 
published on March 4, 2019 (84 Fed. Reg. 7714 et 
seq.); and 
(3) the Secretary has secured assurance from 
the entity that it is willing to resume project activi-
ties consistent with the terms and conditions that 
applied at the time that the terminated or relin-
quished award was made except as modified by this 
Act: 
Provided further, That the provisos under this heading are 
not intended to limit the equitable powers of the courts 
to further protect historical providers previously awarded 
grants or contracts in fiscal year 2019 or prior fiscal years 
under Title X of the PHS: Provided further, That all pa-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00054
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
tients under Title X of the PHS Act with a positive preg-
nancy test— 
(A) are given the opportunity to be pro-
vided information and counseling regarding 
each of the following options— 
(i) prenatal care and delivery; 
(ii) infant care, foster care, and adop-
tion; and 
(iii) pregnancy termination; 
(B) if a patient requests such information 
and counseling, such patient shall be provided 
with neutral, factual information and nondirec-
tive counseling on each such option, including 
referral upon request, except with respect to 
any option about which the patient indicates no 
interest in receiving such information and coun-
seling. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and 
Services Administration, $155,300,000: Provided, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00055
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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 
XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $10,200,000 shall be available from the Trust 
Fund to the Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
gration and Nationality Act, and section 501 of the Ref-
ugee Education Assistance Act, with respect to immuniza-
tion and respiratory diseases, $469,705,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of 
the PHS Act with respect to HIV/AIDS, viral hepatitis, 
sexually transmitted diseases, and tuberculosis prevention, 
$1,287,556,000. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00056
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and 
zoonotic infectious diseases, $593,972,000: Provided, That 
of the amounts made available under this heading, up to 
$1,000,000 shall remain available until expended to pay 
for the transportation, medical care, treatment, and 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, $1,049,564,000: 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 orga-
nizations: Provided further, That of the funds made avail-
able under this heading, $15,000,000 shall be available to 
continue and expand community specific extension and 
outreach programs to combat obesity in counties with the 
highest levels of obesity: Provided further, That the pro-
portional funding requirements under section 1503(a) of 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00057
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $162,810,000. 
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, $593,497,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $219,850,000, 
of which $10,000,000 shall be available until September 
30, 2023, for carrying out activities under section 2203(b) 
of the Water Infrastructure Improvements for the Nation 
Act (Public Law 114–322). 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$694,879,000, of which $25,000,000 shall be for firearm 
injury and mortality prevention research. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00058
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $344,700,000. 
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 
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, $572,843,000, of which: 
(1) $128,421,000 shall remain available through Sep-
tember 30, 2022 for international HIV/AIDS; and (2) 
$183,200,000 shall remain available through September 
30, 2023 for global public health protection: Provided, 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, 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, 
$852,200,000: 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 for up to 180 days to support an 
activation of the CDC Emergency Operations Center, so 
long as the Director or Administrator, as applicable, pro-
vides a notice to the Committees on Appropriations of the 
House of Representatives and the Senate within 15 days 
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: 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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
CDC to ensure the agency is prepared to address public 
health preparedness emergencies. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$30,000,000, which shall remain available until September 
30, 2025: Provided, That funds made available to this ac-
count in this or any prior Act that are available for the 
acquisition of real property or for construction or improve-
ment of facilities shall be available to make improvements 
on non-federally owned property, provided that any im-
provements that are not adjacent to federally owned prop-
erty do not exceed $2,500,000, and that the primary ben-
efit of such improvements accrues to CDC: Provided fur-
ther, 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 research facility: Provided further, That in addition, 
the prior year unobligated balance of any amounts as-
signed to former employees in accounts of CDC made 
available for Individual Learning Accounts shall be cred-
ited to and merged with the amounts made available under 
this heading to support the replacement of the mine safety 
research facility. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00061
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $198,570,000, of which 
up to $5,000,000 may be transferred to the reserve of the 
Working Capital Fund authorized under this heading in 
division F of Public Law 112–74: Provided, That para-
graphs (1) through (3) of subsection (b) 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, That of the amounts made available 
under this heading, $85,000,000, to remain available until 
expended, shall be available to the Director of the CDC 
for deposit in the Infectious Diseases Rapid Response Re-
serve Fund established by section 231 of division B of 
Public Law 115–245: Provided further, That employees of 
CDC or the Public Health Service, both civilian and com-
missioned 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-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00062
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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 
and the Respirator Certification Program shall be avail-
able through September 30, 2022. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $6,299,155,000, 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, $3,655,428,000. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00063
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $494,912,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $170,567,000. 
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, 
$550,063,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,474,590,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,005,303,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$611,564,000. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00066
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $407,109,000. 
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, 
$153,045,000. 
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, $343,700,000: Provided, That funds may be 
used to implement a reorganization that is presented to 
an advisory council in a public meeting and for which the 
Committees on Appropriations of the House of Represent-
atives and the Senate have been notified 30 days in ad-
vance. 
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), $86,455,000. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00067
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$460,841,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2022: Provided further, That 
in fiscal year 2021, 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, $840,051,000: 
Provided, That up to $60,000,000 shall be available to im-
plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$578,141,000 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, $2,324,548,000: Provided, That fund-
ing shall be available for the purchase of not to exceed 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00068
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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-
ther, That $631,899,000 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 
$50,000,000 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-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00069
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
sight of the NIH: Provided further, That the funds pro-
vided in the previous proviso may be transferred from one 
specified activity to another with 15 days prior approval 
of the Committees on Appropriations of the House of Rep-
resentatives and the Senate: Provided further, That the In-
spector General shall consult with the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate before submitting to the Committees an audit plan for 
fiscal years 2021 and 2022 no later than 30 days after 
the date of enactment of this Act: Provided further, That 
amounts available under this heading are also available 
to establish, operate, and support the Research Policy 
Board authorized by section 2034(f) of the 21st Century 
Cures Act. 
In addition to other funds appropriated for the Com-
mon Fund established under section 402A(c) of the PHS 
Act, $12,600,000 is appropriated to the Common Fund 
from the 10-year Pediatric Research Initiative Fund de-
scribed in section 9008 of title 26, United States Code, 
for the purpose of carrying out section 402(b)(7)(B)(ii) 
of the PHS Act (relating to pediatric research), as author-
ized in the Gabriella Miller Kids First Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00070
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, 
$1,727,974,000: Provided, That of the funds made avail-
able under this heading, $71,887,000 shall be for the Na-
tional Child Traumatic Stress Initiative: Provided further, 
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 provided 
herein, $21,039,000 shall be available under section 241 
of the PHS Act to supplement funds otherwise available 
for mental health activities and 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 avail-
able 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, $35,000,000 shall 
be available to support evidence-based crisis systems: Pro-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00072
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
vided further, That up to 10 percent of the amounts made 
available to carry out the Children’s Mental Health Serv-
ices 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 de-
veloping a first episode of psychosis: Provided further, 
That section 520E(b)(2) of the PHS Act shall not apply 
to funds appropriated in this Act for fiscal year 2021: Pro-
vided further, That States shall expend at least 10 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 
$225,000,000 shall be available until September 30, 2023 
for grants to communities and community organizations 
who meet criteria for Certified Community 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 of the funds made 
available under this heading, $19,000,000 shall be to 
carry out section 224 of the Protecting Access to Medicare 
Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 
note). 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00073
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse treatment and title XIX 
of such Act with respect to substance abuse treatment and 
prevention, and the SUPPORT for Patients and Commu-
nities 
Act, 
$3,766,556,000: 
Provided, 
That 
$1,500,000,000 shall be for State Opioid Response Grants 
for carrying out activities pertaining to opioids and stimu-
lants undertaken by the State agency responsible for ad-
ministering the substance abuse prevention and treatment 
block grant under subpart II of part B of title XIX of 
the PHS Act (42 U.S.C. 300x–21 et seq.): Provided fur-
ther, That of such amount $50,000,000 shall be made 
available to Indian Tribes or tribal organizations: Provided 
further, That 15 percent of the remaining amount shall 
be for the States with the highest mortality rate related 
to opioid use disorders: Provided further, That of the 
amounts provided for State Opioid Response Grants not 
more than 2 percent shall be available for Federal admin-
istrative expenses, training, technical assistance, and eval-
uation: Provided further, That of the amount not reserved 
by the previous three provisos, the Secretary shall make 
allocations to States, territories, and the District of Co-
lumbia according to a formula using national survey re-
sults that the Secretary determines are the most objective 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00074
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
and reliable measure of drug use and drug-related deaths: 
Provided further, That the Secretary shall submit the for-
mula methodology to the Committees on Appropriations 
of the House of Representatives and the Senate not less 
than 15 days prior to publishing a Funding Opportunity 
Announcement: Provided further, That prevention and 
treatment activities funded through such grants may in-
clude education, treatment (including the provision of 
medication), behavioral health services for individuals in 
treatment programs, referral to treatment services, recov-
ery support, and medical screening associated with such 
treatment: Provided further, That each State, as well as 
the District of Columbia, shall receive not less than 
$4,000,000: Provided further, 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 assistance, national 
data, data collection and evaluation activities, and further 
that the total available under this Act for section 1935(b) 
activities shall not exceed 5 percent of the amounts appro-
priated for subpart II of part B of title XIX; and (2) 
$2,000,000 to evaluate substance abuse treatment pro-
grams: Provided further, That none of the funds provided 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00075
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
for section 1921 of the PHS Act or State Opioid Response 
Grants 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, $209,469,000. 
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, 
$128,830,000: 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 
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-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00076
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
ther, That amounts made available in this Act for carrying 
out section 501(o) of the PHS Act shall remain available 
through September 30, 2022: 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, $143,091,000: Provided, 
That 
in 
addition 
to 
amounts 
provided 
herein, 
$199,909,000 shall be available from amounts available 
under section 241 of the PHS Act: Provided further, That 
section 947(c) of the PHS Act shall not apply in fiscal 
year 2021: Provided further, That in addition, amounts 
received from Freedom of Information Act fees, reimburs-
able and interagency agreements, and the sale of data 
shall be credited to this appropriation and shall remain 
available until September 30, 2022. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
CENTERS FOR MEDICARE & MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $313,904,098,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2021, for the last quarter of fiscal year 2021 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2022, $148,732,315,000, 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 THE 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 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00078
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $439,514,000,000. 
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 & Medicaid Services, not 
to exceed $3,984,744,000, to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary Medical Insurance Trust Fund, as authorized 
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 expended: Provided, That all funds derived in 
accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the PHS Act shall be credited 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
to and available for carrying out the purposes of this ap-
propriation: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2021 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: Provided 
further, That of the amount made available under this 
heading, $407,334,000 shall remain available until Sep-
tember 30, 2022, and shall be available for the Survey 
and Certification Program: Provided further, That 
amounts available under this heading to support quality 
improvement organizations (as defined in section 1152 of 
the Social Security Act) shall not exceed the amount spe-
cifically provided for such purpose under this heading in 
division H of the Consolidated Appropriations Act, 2018 
(Public Law 115-141). 
In addition, the Secretary shall obligate not less than 
$100,000,000 in fiscal year 2021 out of amounts collected 
through the user fees on participating health insurance 
issuers pursuant to section 156.50 of title 45, Code of 
Federal Regulations (or any successor regulations) to 
carry out the navigator program (as described in section 
1311(i) of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18031(i)), and to carry out outreach and edu-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00080
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
cational activities, for purposes of informing potential en-
rollees in qualified health plans (as defined in section 
1301(a) of such Act (42 U.S.C. 18021(a)) offered through 
an Exchange established or operated by the Secretary 
within a State, of the availability of coverage under such 
plans and financial assistance for coverage under such 
plans: Provided, That awards under such program shall 
be based solely on an entity’s demonstrated capacity to 
carry out each of the duties specified in section 1311(i)(3) 
of such Act: Provided further, That not less than 
$15,000,000 shall be obligated for national television and 
not less than $15,000,000 shall be obligated for internet 
search advertising for purposes of carrying out such out-
reach and educational activities: Provided further, That 
not less than $30,000,000 of the funds made available in 
this paragraph shall be obligated for advertising during 
the final two weeks of the open enrollment period specified 
by the Secretary pursuant to section 1311(c)(6)(B) of 
such Act occurring during 2019: Provided further, That 
no amounts collected through such user fees shall be avail-
able for expenditures for promoting health insurance cov-
erage or a group health plan (as such terms are defined 
in section 2791 of the PHS Act (42 U.S.C. 300gg-91)) 
that is not a qualified health plan. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00081
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $807,000,000, 
to remain available through September 30, 2022, 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 $615,000,000 shall be for the Cen-
ters for Medicare & Medicaid Services program integrity 
activities, of which $98,000,000 shall be for the Depart-
ment 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 
$94,000,000 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 the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2021 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the 
funds provided by this appropriation: Provided further, 
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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00082
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
$496,000,000 is additional new budget authority specified 
for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the Secretary shall provide not less than 
$20,000,000 from amounts made available under this 
heading and amounts made available for fiscal year 2021 
under section 1817(k)(3)(A) of the Social Security Act for 
the Senior Medicare Patrol program to combat health care 
fraud and abuse. 
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, $3,039,000,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2022, $1,400,000,000, 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. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00083
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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 
(42 
U.S.C. 
8621 
et 
seq.), 
$3,765,304,000: Provided, That notwithstanding section 
2609A(a) of such Act, not more than $2,988,000 may be 
reserved by the Secretary of Health and Human Services 
for technical assistance, training, and monitoring of pro-
gram activities for compliance with internal controls, poli-
cies and procedures and the Secretary may, in addition 
to the authorities provided in section 2609A(a)(1), use 
such funds through contracts with private entities that do 
not qualify as nonprofit organizations: Provided further, 
That $3,737,316,000 of the amount appropriated under 
this heading shall be allocated to each State and territory 
in amounts equal to the amount each State and territory 
was allocated in fiscal year 2020 pursuant to allocations 
made from amounts appropriated under this heading in 
title II of division A of the Further Consolidated Appro-
priations Act, 2020 (Public Law 116–94): Provided fur-
ther, That of the remaining amount made available under 
this heading that is not designated for allocation in the 
preceding two provisos, $12,500,000 shall be allocated as 
though the total appropriation for such payments for fiscal 
year 2021 was less than $1,975,000,000. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00084
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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’’), and the Tor-
ture Victims Relief Act of 1998, $1,911,201,000, of which 
$1,864,446,000 shall remain available through September 
30, 2023 for carrying out such sections 414, 501, 462, 
and 235: Provided, That amounts available under this 
heading to carry out the TVPA shall also be available for 
research and evaluation with respect to activities under 
such Act: Provided further, That not less than 
$190,000,000 shall be used for legal services, child advo-
cates, and post-release services: Provided further, That the 
contribution 
of 
funds 
requirement 
under 
section 
235(c)(6)(C)(iii) of the William Wilberforce Trafficking 
Victims Protection Reauthorization Act of 2008 shall not 
apply to funds made available under this heading. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00085
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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’’), 
$5,926,000,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That technical assistance 
under section 658I(a)(3) of such Act may be provided di-
rectly, or through the use of contracts, grants, cooperative 
agreements, or interagency agreements: Provided further, 
That all funds made available to carry out section 418 
of the Social Security Act (42 U.S.C. 618), including 
funds appropriated for that purpose in such section 418 
or any other provision of law, shall be subject to the res-
ervation of funds authority in paragraphs (4) and (5) of 
section 658O(a) of the CCDBG Act: Provided further, 
That in addition to the amounts required to be reserved 
by the Secretary under section 658O(a)(2)(A) of such Act, 
$174,780,000 shall be for Indian tribes and tribal organi-
zations. 
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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00086
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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 Every Student Succeeds Act, the Child Abuse Preven-
tion and Treatment Act, sections 303 and 313 of the 
Family Violence Prevention and Services 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), part B–1 of title IV 
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 
of the Social Security Act, and the Community Services 
Block Grant Act (‘‘CSBG Act’’); and for necessary admin-
istrative expenses to carry out titles I, IV, V, X, XI, XIV, 
XVI, and XX–A of the Social Security Act, the Act of 
July 5, 1960, the Low-Income Home Energy Assistance 
Act of 1981, the Child Care and Development Block Grant 
Act of 1990, the Assets for Independence Act, title IV of 
the Immigration and Nationality Act, and section 501 of 
the 
Refugee 
Education 
Assistance 
Act 
of 
1980, 
$13,098,181,000, of which $75,000,000, to remain avail-
able through September 30, 2022, shall be for grants to 
States for adoption and legal guardianship incentive pay-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00087
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
ments, as defined by section 473A of the Social Security 
Act and may be made for adoptions and legal 
guardianships completed before September 30, 2021: Pro-
vided, That $10,763,095,000 shall be for making pay-
ments under the Head Start Act, including for Early Head 
Start-Child Care Partnerships, and, of which, notwith-
standing section 640 of such Act: 
(1) $135,000,000 shall be available for a cost 
of living adjustment, and with respect to any con-
tinuing appropriations act, funding available for a 
cost of living adjustment shall not be construed as 
an authority or condition under this Act; 
(2) $25,000,000 shall be available for allocation 
by the Secretary to supplement activities described 
in paragraphs (7)(B) and (9) of section 641(c) of 
the Head Start Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12), and 645A(d) of such Act, 
and such funds shall not be included in the calcula-
tion of ‘‘base grant’’ in subsequent fiscal years, as 
such term is used in section 640(a)(7)(A) of such 
Act; 
(3) $15,000,000 shall be available to migrant 
and seasonal Head Start programs, in addition to 
funds made available for migrant and seasonal Head 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00088
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
Start programs under section 640(a) of the Head 
Start Act, for the purposes of quality improvement 
consistent with section 640(a)(5) of such Act except 
that any amount of the funds may be used on any 
of the activities in such section (5): Provided further, 
that funds derived from a migrant and seasonal 
Head Start program held by the Secretary as a re-
sult of recapturing, withholding, or reducing a base 
grant that were unable to be redistributed consistent 
with Section 641A(h)(6)(A)(ii) of such Act shall be 
added to the amount in the previous proviso; 
(4) $4,000,000 shall be available for the pur-
poses of the Tribal Colleges and Universities Head 
Start Partnership Program consistent with section 
648(g) of such Act; and 
(5) $19,000,000 shall be available to supple-
ment funding otherwise available for research, eval-
uation, and Federal administrative costs: 
Provided further, That the Secretary may reduce the res-
ervation of funds under section 640(a)(2)(C) of such Act 
in lieu of reducing the reservation of funds under sections 
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 
Act: Provided further, That $300,000,000 shall be avail-
able until December 31, 2021 for carrying out sections 
9212 and 9213 of the Every Student Succeeds Act: Pro-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00089
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
vided further, That up to 3 percent of the funds in the 
preceding proviso shall be available for technical assist-
ance and evaluation related to grants awarded under such 
section 9212: Provided further, That $780,383,000 shall 
be for making payments under the CSBG Act: Provided 
further, That for the purposes of carrying out the CSBG 
Act, the term ‘‘poverty line’’ as defined in section 673(2) 
of the CSBG Act means 200 percent of the poverty line 
otherwise applicable under such section (excluding the last 
sentence of such section) without regard to such section: 
Provided further, That $30,383,000 shall be for section 
680 of the CSBG Act, of which not less than $20,383,000 
shall be for section 680(a)(2) and not less than 
$10,000,000 shall be for section 680(a)(3)(B) of such Act: 
Provided 
further, 
That, 
notwithstanding 
section 
675C(a)(3) of such Act, to the extent Community Services 
Block Grant funds are distributed as grant funds by a 
State to an eligible entity as provided under such Act, and 
have not been expended by such entity, they shall remain 
with such entity for carryover into the next fiscal year for 
expenditure by such entity consistent with program pur-
poses: Provided further, That the Secretary shall establish 
procedures regarding the disposition of intangible assets 
and program income that permit such assets acquired 
with, and program income derived from, grant funds au-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00090
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
thorized under section 680 of the CSBG Act to become 
the sole property of such grantees after a period of not 
more than 12 years after the end of the grant period for 
any activity consistent with section 680(a)(2)(A) of the 
CSBG Act: Provided further, That intangible assets in the 
form of loans, equity investments and other debt instru-
ments, and program income may be used by grantees for 
any eligible purpose consistent with section 680(a)(2)(A) 
of the CSBG Act: Provided further, That these procedures 
shall apply to such grant funds made available after No-
vember 29, 1999: Provided further, That funds appro-
priated for section 680(a)(2) of the CSBG Act shall be 
available for financing construction and rehabilitation and 
loans or investments in private business enterprises owned 
by community development corporations: Provided further, 
That $185,000,000 shall be for carrying out section 
303(a) of the Family Violence Prevention and Services 
Act, of which $7,000,000 shall be allocated notwith-
standing section 303(a)(2) of such Act for carrying out 
section 309 of such Act: Provided further, That the per-
centages specified in section 112(a)(2) of the Child Abuse 
Prevention and Treatment Act shall not apply to funds 
appropriated under this heading: Provided further, That 
$1,864,000 shall be for a human services case manage-
ment system for federally declared disasters, to include a 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00091
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $7,012,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2022, $3,000,000,000. 
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 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00092
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), the 
RAISE Family Caregivers Act, the Supporting Grand-
parents Raising Grandchildren Act, titles III and XXIX 
of the PHS Act, sections 1252 and 1253 of the PHS Act, 
section 119 of the Medicare Improvements for Patients 
and Providers Act of 2008, title XX–B of the Social Secu-
rity Act, the Developmental Disabilities Assistance and 
Bill of Rights Act, parts 2 and 5 of subtitle D of title 
II of the Help America Vote Act of 2002, the Assistive 
Technology Act of 1998, titles II and VII (and section 
14 with respect to such titles) of the Rehabilitation Act 
of 1973, and for Department-wide coordination of policy 
and program activities that assist individuals with disabil-
ities, $2,225,390,000, together with $54,115,000 to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund to carry out section 4360 of the Omnibus 
Budget Reconciliation Act of 1990: Provided, That 
amounts 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 ac-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00093
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
tivities which have been demonstrated through rigorous 
evaluation to be evidence-based and effective: Provided 
further, That of amounts made available under this head-
ing to carry out sections 311, 331, and 336 of the OAA, 
up to one percent of such amounts shall be available for 
developing and implementing evidence-based practices for 
enhancing senior nutrition, including medically-tailored 
meals: Provided further, That notwithstanding any other 
provision of this Act, funds made available under this 
heading to carry out section 311 of the OAA may be trans-
ferred to the Secretary of Agriculture in accordance with 
such section: Provided further, That $2,000,000 shall be 
for competitive grants to support alternative financing 
programs that provide for the purchase of assistive tech-
nology devices, such as a low-interest loan fund; an inter-
est buy-down program; a revolving loan fund; a loan guar-
antee; or an insurance program: Provided further, That 
applicants shall provide an assurance that, and informa-
tion describing the manner in which, the alternative fi-
nancing program will expand and emphasize consumer 
choice and control: Provided further, That State agencies 
and community-based disability organizations that are di-
rected by and operated for individuals with disabilities 
shall be eligible to compete: Provided further, That none 
of the funds made available under this heading may be 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00094
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
used by an eligible system (as defined in section 102 of 
the Protection and Advocacy for Individuals with Mental 
Illness Act (42 U.S.C. 10802)) to continue to pursue any 
legal action in a Federal or State court on behalf of an 
individual or group of individuals with a developmental 
disability (as defined in section 102(8)(A) of the Develop-
mental Disabilities and Assistance and Bill of Rights Act 
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 
a mental impairment (or a combination of mental and 
physical impairments), that has as the requested remedy 
the closure of State operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, the legal guardians who have been specifically 
awarded authority by the courts to make healthcare and 
residential decisions on behalf of such individuals) who are 
affected by such action, within 90 days of instituting such 
legal action, which informs such individuals (or such legal 
guardians) of their legal rights and how to exercise such 
rights consistent with current Federal Rules of Civil Pro-
cedure: Provided further, That the limitations in the imme-
diately preceding proviso shall not apply in the case of an 
individual who is neither competent to consent nor has a 
legal guardian, nor shall the proviso apply in the case of 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00095
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
individuals who are a ward of the State or subject to pub-
lic guardianship. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, XXI, and section 229 of the PHS Act, the United 
States-Mexico Border Health Commission Act, and re-
search studies under section 1110 of the Social Security 
Act, $457,959,000, 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 the funds made 
available under this heading, $56,900,000 shall be for mi-
nority AIDS prevention and treatment activities: Provided 
further, That of the funds made available under this head-
ing, $101,000,000 shall be for making competitive grants 
to public and private entities to fund medically accurate 
and complete and age-appropriate (as those terms are de-
fined in section 513(e) of the Social Security Act (42 
U.S.C. 713(e))) programs that reduce teen pregnancy and 
that do not withhold information about the effectiveness 
and benefits of correct and consistent use of condoms and 
other contraceptives, and for the Federal costs associated 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00096
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
with administering and evaluating such grants, of which 
not more than 10 percent of the available funds shall be 
for training and technical assistance, outreach, and addi-
tional program support activities, and of the remaining 
amount 75 percent shall be for replicating programs that 
have been proven effective through rigorous evaluation to 
reduce teenage pregnancy, behavioral risk factors under-
lying teenage pregnancy, or other associated risk factors, 
and 25 percent shall be available for research and dem-
onstration grants to develop, replicate, refine, and rigor-
ously test (defined as randomized control trial, quasi-ex-
perimental design, or regression discontinuity design) ad-
ditional models and innovative strategies for preventing 
teenage pregnancy: Provided further, That amounts made 
available under this heading for programs to reduce teen 
pregnancy shall meet the requirements listed in clauses 
(ii) through (vi) of section 513(b)(2)(B) of the Social Se-
curity Act (42 U.S.C. 713(b)(2)(B)(ii)-(vi)) and shall not 
be made available by interagency agreement or otherwise 
to any agency within the Department of Health and 
Human Services other than the Office of the Secretary 
to carry out or support such programs: Provided further, 
That of the amounts provided under this heading from 
amounts available under section 241 of the PHS Act, 
$6,800,000 shall be available to carry out evaluations (in-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00097
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
cluding longitudinal evaluations) of teenage pregnancy 
prevention approaches: Provided further, That funds pro-
vided in this Act for embryo adoption activities may be 
used to provide to individuals adopting embryos, through 
grants and other mechanisms, medical and administrative 
services deemed necessary for such adoptions: Provided 
further, That such services shall be provided consistent 
with 42 CFR 59.5(a)(4): Provided further, That of the 
funds made available under this heading, $5,000,000 shall 
be for carrying out prize competitions sponsored by the 
Office of the Secretary to accelerate innovation in the pre-
vention, diagnosis, and treatment of kidney diseases (as 
authorized by section 24 of the Stevenson-Wydler Tech-
nology Innovation Act of 1980 (15 U.S.C. 3719)). Pro-
vided further, That of the funds made available under this 
heading, $3,000,000 shall be for establishing a National 
Health Care Workforce Commission (as authorized by sec-
tion 5101 of Public Law 111–148). 
MEDICARE HEARINGS AND APPEALS 
For expenses necessary for Medicare hearings and 
appeals in the Office of the Secretary, $191,881,000 shall 
remain available until September 30, 2022, to be trans-
ferred in appropriate part from the Federal Hospital In-
surance Trust Fund and the Federal Supplementary Med-
ical Insurance Trust Fund. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00098
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
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, $60,367,000. 
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, $80,000,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary and inves-
tigating non-payment of child support cases for which non- 
payment is a Federal offense under 18 U.S.C. 228: Pro-
vided further, That of the amount made available under 
this heading, $5,300,000 shall be available through Sep-
tember 30, 2022, for activities authorized under section 
3022 of the PHS Act relating to information blocking. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $38,798,000. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00099
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
100 
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, $1,077,458,000, 
of which $561,700,000 shall remain available through 
September 30, 2022, 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 
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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00100
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
101 
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, 2023: Pro-
vided further, That of the amount made available under 
this heading for policy and planning, $5,000,000 shall re-
main available until expended for implementation activi-
ties related to the National Biodefense Strategy. 
For expenses necessary for procuring security coun-
termeasures (as defined in section 319F–2(c)(1)(B) of the 
PHS Act), $735,000,000, to remain available until ex-
pended. 
For expenses necessary to carry out section 319F– 
2(a) of the PHS Act, $705,000,000, to remain available 
until expended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$310,000,000; of which $275,000,000 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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00101
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
102 
influenza vaccines and other biologics, if the Secretary 
finds such construction or renovation necessary to secure 
sufficient supplies of such vaccines or biologics. 
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 grant or other extramural mechanism, at a rate in excess 
of Executive Level II: Provided, That none of the funds 
appropriated in this title shall be used to prevent the NIH 
from paying up to 100 percent of the salary of an indi-
vidual at this rate. 
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, 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00102
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
103 
but not more than 3 percent, of any amounts appropriated 
for programs authorized under such Act shall be made 
available for the evaluation (directly, or by grants or con-
tracts) and the implementation and effectiveness of pro-
grams 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 be available only to meet 
emergency needs and 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 Represent-
atives and the Senate are notified at least 15 days in ad-
vance of any transfer. 
SEC. 206. In lieu of the timeframe specified in section 
338E(c)(2) of the PHS Act, terminations described in 
such section may occur up to 60 days after the effective 
date of a contract awarded in fiscal year 2021 under sec-
tion 338B of such Act, or at any time if the individual 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00103
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
104 
who has been awarded such contract has not received 
funds due under the contract. 
SEC. 207. 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. 208. 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. 209. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
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-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00104
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
105 
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. 210. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 211. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 212. 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 2021: 
(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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00105
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
106 
to ensure that the authority provided in this section 
is exercised in a manner consistent with section 207 
of the Foreign Service Act of 1980 and other appli-
cable statutes administered by the Department of 
State. 
(2) The Secretary is authorized to provide such 
funds by advance or reimbursement to the Secretary 
of State as may be necessary to pay the costs of ac-
quisition, lease, alteration, renovation, and manage-
ment of facilities outside of the United States for 
the use of HHS. The Department of State shall co-
operate fully with the Secretary to ensure that HHS 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary is 
authorized, in consultation with the Secretary of 
State, through grant or cooperative agreement, to 
make available to public or nonprofit private institu-
tions or agencies in participating foreign countries, 
funds to acquire, lease, alter, or renovate facilities in 
those countries as necessary to conduct programs of 
assistance for international health activities, includ-
ing activities relating to HIV/AIDS and other infec-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00106
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
107 
tious diseases, chronic and environmental diseases, 
and other health activities abroad. 
(3) The Secretary is authorized to provide to 
personnel appointed or assigned by the Secretary to 
serve abroad, allowances and benefits similar to 
those provided under chapter 9 of title I of the For-
eign Service Act of 1980, and 22 U.S.C. 4081 
through 4086 and subject to such regulations pre-
scribed by the Secretary. The Secretary is further 
authorized to provide locality-based comparability 
payments (stated as a percentage) up to the amount 
of the locality-based comparability payment (stated 
as a percentage) that would be payable to such per-
sonnel under section 5304 of title 5, United States 
Code if such personnel’s official duty station were in 
the District of Columbia. Leaves of absence for per-
sonnel under this subsection shall be on the same 
basis as that provided under subchapter I of chapter 
63 of title 5, United States Code, or section 903 of 
the Foreign Service Act of 1980, to individuals serv-
ing in the Foreign Service. 
(TRANSFER OF FUNDS) 
SEC. 213. 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 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00107
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
108 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 214. 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. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds authorized under section 402(b)(12) of the 
PHS Act to enter into transactions (other than contracts, 
cooperative agreements, or grants) to carry out research 
identified pursuant to or research and activities described 
in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer 
review procedures (including consultation with appropriate 
scientific experts) as the Director determines to be appro-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00108
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
109 
priate to obtain assessments of scientific and technical 
merit. Such procedures shall apply to such transactions 
in lieu of the peer review and advisory council review pro-
cedures that would otherwise be required under sections 
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 
and 494 of the PHS Act. 
SEC. 216. Not to exceed $45,000,000 of funds appro-
priated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $3,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for NIH, 
1 percent of the amount made available for National Re-
search Service Awards (‘‘NRSA’’) shall be made available 
to the Administrator of the Health Resources and Services 
Administration to make NRSA awards for research in pri-
mary medical care to individuals affiliated with entities 
who have received grants or contracts under sections 736, 
739, or 747 of the PHS Act, and 1 percent of the amount 
made available for NRSA shall be made available to the 
Director of the Agency for Healthcare Research and Qual-
ity to make NRSA awards for health service research. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00109
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
110 
SEC. 218. (a) The Biomedical Advanced Research 
and Development Authority (‘‘BARDA’’) may enter into 
a contract, for more than one but no more than 10 pro-
gram years, for purchase of research services or of security 
countermeasures, as that term is defined in section 319F– 
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 
if— 
(1) funds are available and obligated— 
(A) for the full period of the contract or 
for the first fiscal year in which the contract is 
in effect; and 
(B) for the estimated costs associated with 
a necessary termination of the contract; and 
(2) the Secretary determines that a multi-year 
contract will serve the best interests of the Federal 
Government by encouraging full and open competi-
tion or promoting economy in administration, per-
formance, and operation of BARDA’s programs. 
(b) A contract entered into under this section— 
(1) shall include a termination clause as de-
scribed by subsection (c) of section 3903 of title 41, 
United States Code; and 
(2) shall be subject to the congressional notice 
requirement stated in subsection (d) of such section. 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00110
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
111 
SEC. 219. (a) The Secretary shall publish in the fiscal 
year 2021 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the pur-
poses of implementing, administering, enforcing, or other-
wise carrying out the provisions of the ACA, and the 
amendments made by that Act, in the proposed fiscal year 
and each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors sup-
ported by all funds appropriated for purposes of carrying 
out the ACA (and the amendments made by that Act), 
the Secretary shall include, at a minimum, the following 
information: 
(1) For each such fiscal year, the section of 
such Act under which such funds were appropriated, 
a statement indicating the program, project, or ac-
tivity receiving such funds, the Federal operating di-
vision or office that administers such program, and 
the amount of funding received in discretionary or 
mandatory appropriations. 
(2) For each such fiscal year, the number of 
full-time equivalent employees or contracted employ-
ees assigned to each authorized and funded provision 
detailed in accordance with paragraph (1). 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00111
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
112 
(c) In carrying out this section, the Secretary may 
exclude from the report employees or contractors who— 
(1) are supported through appropriations en-
acted in laws other than the ACA and work on pro-
grams that existed prior to the passage of the ACA; 
(2) spend less than 50 percent of their time on 
activities funded by or newly authorized in the ACA; 
or 
(3) work on contracts for which FTE reporting 
is not a requirement of their contract, such as fixed- 
price contracts. 
SEC. 220. The Secretary shall publish, as part of the 
fiscal year 2022 budget of the President submitted under 
section 1105(a) of title 31, United States Code, informa-
tion that details the uses of all funds used by the Centers 
for Medicare & Medicaid Services specifically for Health 
Insurance Exchanges for each fiscal year since the enact-
ment of the ACA and the proposed uses for such funds 
for fiscal year 2022. Such information shall include, for 
each such fiscal year, the amount of funds used for each 
activity specified under the heading ‘‘Health Insurance 
Exchange Transparency’’ in the explanatory statement de-
scribed in section 4 (in the matter preceding division A 
of this consolidated Act). 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00112
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
113 
SEC. 221. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
the Federal Supplemental Medical Insurance Trust Fund, 
or transferred from other accounts funded by this Act to 
the ‘‘Centers for Medicare & Medicaid Services—Program 
Management’’ account, may be used for payments under 
section 1342(b)(1) of Public Law 111–148 (relating to 
risk corridors). 
(TRANSFER OF FUNDS) 
SEC. 222. (a) Within 45 days of enactment of this 
Act, the Secretary shall transfer funds appropriated under 
section 4002 of the ACA to the accounts specified, in the 
amounts specified, and for the activities specified under 
the heading ‘‘Prevention and Public Health Fund’’ in the 
committee report accompanying this Act. 
(b) Notwithstanding section 4002(c) of the ACA, the 
Secretary may not further transfer these amounts. 
(c) Funds transferred for activities authorized under 
section 2821 of the PHS Act shall be made available with-
out reference to section 2821(b) of such Act. 
SEC. 223. Effective during the period beginning on 
November 1, 2015 and ending January 1, 2025, any pro-
vision of law that refers (including through cross-reference 
to another provision of law) to the current recommenda-
tions of the United States Preventive Services Task Force 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00113
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
114 
with respect to breast cancer screening, mammography, 
and prevention shall be administered by the Secretary in-
volved as if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of 
such Task Force with respect to breast cancer 
screening, mammography, and prevention last issued 
before 2009; and 
(2) such recommendations last issued before 
2009 applied to any screening mammography modal-
ity under section 1861(jj) of the Social Security Act 
(42 U.S.C. 1395x(jj)). 
SEC. 224. In making Federal financial assistance, the 
provisions relating to indirect costs in part 75 of title 45, 
Code of Federal Regulations, including with respect to the 
approval of deviations from negotiated rates, shall con-
tinue to apply to the National Institutes of Health to the 
same extent and in the same manner as such provisions 
were applied in the third quarter of fiscal year 2017. None 
of the funds appropriated in this or prior Acts or otherwise 
made available to the Department of Health and Human 
Services or to any department or agency may be used to 
develop or implement a modified approach to such provi-
sions, or to intentionally or substantially expand the fiscal 
effect of the approval of such deviations from negotiated 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00114
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
115 
rates beyond the proportional effect of such approvals in 
such quarter. 
(TRANSFER OF FUNDS) 
SEC. 225. The NIH Director may transfer discre-
tionary amounts identified by the Director as funding for 
opioid addiction, opioid alternatives, pain management, 
and addiction treatment among Institutes and Centers of 
the NIH to be used for the same purpose 15 days after 
notifying the Committees on Appropriations: Provided, 
That the transfer authority provided in the previous pro-
viso is in addition to any other transfer authority provided 
by law. 
SEC. 226. (a) The Secretary shall provide to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: 
(1) Detailed monthly enrollment figures from 
the Exchanges established under the Patient Protec-
tion and Affordable Care Act of 2010 pertaining to 
enrollments during the open enrollment period; and 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under 
section 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00115
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
116 
advance of any public release of enrollment information 
or the award of such grants. 
SEC. 227. The Department of Health and Human 
Services shall provide the Committees on Appropriations 
of the House of Representatives and Senate a biannual 
report 30 days after enactment of this Act on staffing de-
scribed in the committee report accompanying this Act. 
SEC. 228. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the De-
partment of Health and Human Services shall also be 
available to pay travel and related expenses of such an 
employee or of a member of his or her family, when such 
employee is assigned to duty, in the United States or in 
a U.S. territory, during a period and in a location that 
are the subject of a determination of a public health emer-
gency under section 319 of the Public Health Service Act 
and such travel is necessary to obtain medical care for 
an illness, injury, or medical condition that cannot be ade-
quately addressed in that location at that time. For pur-
poses of this section, the term ‘‘U.S. territory’’ means 
Guam, the Commonwealth of Puerto Rico, the Northern 
Mariana Islands, the Virgin Islands, American Samoa, or 
the Trust Territory of the Pacific Islands. 
SEC. 229. The Department of Health and Human 
Services may accept donations from the private sector, 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00116
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
117 
nongovernmental organizations, and other groups inde-
pendent of the Federal Government for the care of unac-
companied alien children (as defined in section 462(g)(2) 
of the Homeland Security Act of 2002 (6 U.S.C. 
279(g)(2))) in the care of the Office of Refugee Resettle-
ment of the Administration for Children and Families, in-
cluding medical goods and services, which may include 
early childhood developmental screenings, school supplies, 
toys, clothing, and any other items intended to promote 
the wellbeing of such children. 
SEC. 230. None of the funds provided by this or any 
prior appropriations Act may be used to reverse changes 
in procedures made by operational directives issued to pro-
viders by the Office of Refugee Resettlement on December 
18, 2018, March 23, 2019, and June 10, 2019 regarding 
the Memorandum of Agreement on Information Sharing 
executed April 13, 2018. 
SEC. 231. None of the funds made available in this 
Act under the heading ‘‘Department of Health and 
Human Services—Administration for Children and Fami-
lies—Refugee and Entrant Assistance’’ may be obligated 
to a grantee or contractor to house unaccompanied alien 
children (as such term is defined in section 462(g)(2) of 
the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2)) 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00117
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
118 
in any facility that is not State-licensed for the care of 
unaccompanied alien children. 
SEC. 232. None of the funds made available in this 
Act may be used to prevent a United States Senator or 
Member of the House of Representatives from entering, 
for the purpose of conducting oversight, any facility in the 
United States used for the purpose of maintaining custody 
of, or otherwise housing, unaccompanied alien children (as 
defined in section 462(g)(2) of the Homeland Security Act 
of 2002 (6 U.S.C. 279(g)(2))). Nothing in this section 
shall be construed to require such a Senator or Member 
to provide prior notice of the intent to enter such a facility 
for such purpose. 
SEC. 233. Not later than 14 days after the date of 
enactment of this Act, and monthly thereafter, the Sec-
retary shall submit to the Committees on Appropriations 
of the House of Representatives and the Senate, and make 
publicly available online, a report with respect to children 
who were separated from their parents or legal guardians 
by the Department of Homeland Security (DHS) (regard-
less of whether or not such separation was pursuant to 
an option selected by the children, parents, or guardians), 
subsequently classified as unaccompanied alien children, 
and transferred to the care and custody of ORR during 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00118
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
119 
the previous month. Each report shall contain the fol-
lowing information: 
(1) the number and ages of children so sepa-
rated subsequent to apprehension at or between 
ports of entry, to be reported by sector where sepa-
ration occurred; 
(2) the documented cause of separation, as re-
ported by DHS when each child was referred; 
(3) the length of any such separation; 
(4) the status of any efforts undertaken by the 
Secretary to reunify such children with a parent or 
legal guardian; and 
(5) the number of any such reunifications, and 
whether the reunified families were placed in family 
detention. 
SEC. 234. None of the funds made available in this 
or any prior appropriations Act may be used to implement 
or enforce the Memorandum of Agreement Among the Of-
fice of Refugee Resettlement of the Department of Health 
and Human Services and U.S. Immigration and Customs 
Enforcement and U.S. Customs and Border Protection of 
the Department of Homeland Security Regarding Con-
sultation and Information Sharing in Unaccompanied 
Alien Children Matters, dated April 13, 2018. Nothing in 
this section shall be construed to prohibit or restrict the 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00119
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
120 
continued implementation of interagency agreements or 
coordination of policy memoranda issued prior to April 13, 
2018. 
SEC. 235. None of the funds made available in this 
Act or any other Act may be used by the Secretary of 
Health and Human Services to share information provided 
by unaccompanied alien children (as defined in section 
462(g)(2) of the Homeland Security Act of 2002 (6 
U.S.C. 279(g)(2))) during mental health or therapeutic 
services with the Department of Homeland Security or the 
Department of Justice for immigration enforcement. 
SEC. 236. To the extent practicable, and so long as 
it is appropriate and in the best interest of the child, in 
cases where the Office of Refugee Resettlement of the De-
partment of Health and Human Services is responsible for 
the care of siblings who are unaccompanied alien children 
(as defined in section 462(g)(2) of the Homeland Security 
Act of 2002 (6 U.S.C. 279(g)(2)), the Director of the Of-
fice shall place the siblings— 
(1) in the same facility; or 
(2) with the same sponsor. 
SEC. 237. The Secretary of Health and Human Serv-
ices is directed to report the death of any unaccompanied 
alien child in Office of Refugee Resettlement (ORR) cus-
tody or in the custody of any grantee on behalf of ORR 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00120
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
121 
within 24 hours, including relevant details regarding the 
circumstances of the fatality, to the Committees on Appro-
priations of the House of Representatives and the Senate. 
SEC. 238. Not later than 30 days after the date of 
enactment of this Act, the Secretary shall submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a detailed spend plan of anticipated 
uses of all funds made available under the heading ‘‘De-
partment of Health and Human Services—Administration 
for Children and Families—Refugee and Entrant Assist-
ance’’, including the following: a list of existing grants and 
contracts for both permanent and influx facilities, includ-
ing their costs, capacity, and timelines; costs for expand-
ing capacity through the use of community-based residen-
tial care placements (including long-term and transitional 
foster care and small group homes) through new or modi-
fied grants and contracts; current and planned efforts to 
expand small-scale shelters and available foster care place-
ments, including collaboration with State child welfare 
providers; influx facilities being assessed for possible use; 
costs and services to be provided for legal services, child 
advocates, and post-release services; program administra-
tion; and the average number of weekly referrals and dis-
charge rate assumed in the spend plan: Provided, That 
such plan shall be updated to reflect changes and expendi-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00121
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
122 
tures and submitted to the Committees on Appropriations 
of the House of Representatives and the Senate every 60 
days until all funds are expended or expired. 
SEC. 239. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the 
Centers for Disease Control and Prevention shall also be 
available for the primary and secondary schooling of eligi-
ble dependents of personnel stationed in a U.S. territory 
as defined in section 228 at costs not in excess of those 
paid for or reimbursed by the Department of Defense. 
SEC. 240. Amounts made available in section 238 of 
division A of Public Law 116–94 shall remain available 
until September 30, 2024, for installation expenses, in-
cluding moving expenses, relating to the Centers for Dis-
ease Control and Prevention’s Chamblee Campus. 
(RESCISSION) 
SEC. 241. Of the unobligated balances in the ‘‘Non-
recurring Expenses Fund’’ established in section 223 of 
division G of Public Law 110–161, $600,000,000 are 
hereby rescinded not later than September 30, 2021. 
SEC. 242. Funds made available in Public Law 113– 
235 to the accounts of the National Institutes of Health 
that were available for obligation through fiscal year 2015 
and were obligated for multi-year research grants shall be 
available through fiscal year 2021 for the liquidation of 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00122
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
123 
valid obligations if the Director of the National Institutes 
of Health determines the project suffered an interruption 
of activities attributable to SARS–CoV–2. 
SEC. 243. Not later than seven days after the date 
of enactment of this Act, and weekly thereafter until the 
public health emergency related to COVID-19 is no longer 
in effect, the Secretary of Health and Human Services 
shall report to the Committees on Appropriations of the 
House of Representatives and the Senate on the current 
inventory of ventilators and personal protective equipment 
in the Strategic National Stockpile, including the numbers 
of face shields, gloves, goggles and glasses, gowns, head 
covers, masks, and respirators, as well as deployment of 
ventilators and personal protective equipment during the 
previous week, reported by State and other jurisdiction: 
Provided, That after the date that a report is required 
to be submitted by the preceding proviso, amounts made 
available for ‘‘Department of Health and Human Serv-
ices—Office of the Secretary—General Departmental 
Management’’ in Public Law 116–94 for salaries and ex-
penses of the immediate Office of the Secretary shall be 
reduced by $250,000 for each day that such report has 
not been submitted: Provided further, That not later than 
the first Monday in February of fiscal year 2021 and each 
fiscal year thereafter, the Secretary shall include in the 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00123
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
124 
annual budget submission for the Department of Health 
and Human Services, and submit to the Congress, a pro-
fessional judgment budget with respect to expenditures 
necessary to maintain the minimum level of relevant sup-
plies in the Strategic National Stockpile, including in case 
of a significant pandemic, in consultation with the working 
group under section 319F(a) of the Public Health Service 
Act and the Public Health Emergency Medical Counter-
measures Enterprise established under section 2811–1 of 
such Act. 
SEC. 244. None of the funds made available by this 
Act may be used to implement, enforce, or otherwise give 
effect to the final rule entitled ‘‘Protecting Statutory Con-
science Rights in Health Care; Delegations of Authority’’ 
(84 Fed. Reg. 23170-23272, May 21, 2019). 
SEC. 245. None of the funds made available by this 
Act may be used to implement, enforce, or otherwise give 
effect to the rule entitled ‘‘Nondiscrimination in Health 
and Health Education Programs or Activities’’ published 
in the Federal Register on June 19, 2020 (85 Fed. Reg. 
37160 et seq.). 
SEC. 246. None of the funds appropriated in this Act 
or otherwise made available to the Department of Health 
and Human Services shall be used to publish the proposed 
regulation in the Budget of the United States Govern-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00124
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
125 
ment, Fiscal Year 2021 relating to the Medicaid Non-
emergency Medical Transportation benefit for Medicaid 
beneficiaries. 
SEC. 247. None of the funds made available in this 
Act may be used to Act may be used to implement, en-
force, or otherwise give effect to the revision to section 
447.10 of title 42, Code of Federal Regulations, contained 
in the final rule entitled ‘‘Medicaid Program; Reassign-
ment of Medicaid Provider Claims’’ (84 Fed. Reg. 19718 
(May 6, 2019)). 
SEC. 248. (a) None of the funds made available by 
this Act may be awarded to any organization, including 
under the Federal Foster Care program under part E of 
title IV of the Social Security Act, that does not comply 
with paragraphs (c) and (d) of section 75.300 of title 45, 
Code of Federal Regulations (prohibiting discrimination 
on the basis of age, disability, sex, race, color, national 
origin, religion, gender identity, or sexual orientation), as 
in effect on October 1, 2019. 
(b) None of the funds made available by this Act may 
be used by the Department of Health and Human Services 
to grant an exception from either such paragraph for any 
Federal grantee. 
SEC. 249. None of the funds made available by this 
Act or any other Act may be used to relocate any facility 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00125
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
126 
providing call center operations for the Centers for Medi-
care & Medicaid Services unless the Comptroller General 
has submitted to the Committees on Appropriations of the 
House of Representatives and the Senate an evaluation 
of relocation options, which shall include any impact on 
wages and benefits for employees, contractors, or sub-
contractors in connection with call center operations. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2021’’. 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I and subpart 2 of part B of 
title II of the Elementary and Secondary Education Act 
of 1965 (referred to in this Act as ‘‘ESEA’’) and section 
418A of the Higher Education Act of 1965 (referred to 
in this Act as ‘‘HEA’’), $17,258,290,000, of which 
$6,336,990,000 shall become available on July 1, 2021, 
and shall remain available through September 30, 2022, 
and of which $10,841,177,000 shall become available on 
October 1, 2021, and shall remain available through Sep-
tember 30, 2022, for academic year 2021–2022: Provided, 
That $6,459,401,000 shall be for basic grants under sec-
tion 1124 of the ESEA: Provided further, That up to 
$5,000,000 of these funds shall be available to the Sec-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00126
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
127 
retary of Education (referred to in this title as ‘‘Sec-
retary’’) on October 1, 2020, to obtain annually updated 
local educational agency-level census poverty data from 
the Bureau of the Census: Provided further, That 
$1,362,301,000 shall be for concentration grants under 
section 1124A of the ESEA: Provided further, That 
$4,371,050,000 shall be for targeted grants under section 
1125 
of 
the 
ESEA: 
Provided 
further, 
That 
$4,371,050,000 shall be for education finance incentive 
grants under section 1125A of the ESEA: Provided fur-
ther, That $220,500,000 shall be for carrying out subpart 
2 of part B of title II: Provided further, That $46,623,000 
shall be for carrying out section 418A of the HEA. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VII of the 
ESEA, $1,491,112,000, of which $1,345,242,000 shall be 
for basic support payments under section 7003(b), 
$48,316,000 shall be for payments for children with dis-
abilities under section 7003(d), $17,406,000 shall be for 
construction under section 7007(b), $75,313,000 shall be 
for Federal property payments under section 7002, and 
$4,835,000, to remain available until expended, shall be 
for facilities maintenance under section 7008: Provided, 
That for purposes of computing the amount of a payment 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00127
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
128 
for an eligible local educational agency under section 
7003(a) for school year 2020–2021, children enrolled in 
a school of such agency that would otherwise be eligible 
for payment under section 7003(a)(1)(B) of such Act, but 
due to the deployment of both parents or legal guardians, 
or a parent or legal guardian having sole custody of such 
children, or due to the death of a military parent or legal 
guardian while on active duty (so long as such children 
reside on Federal property as described in section 
7003(a)(1)(B)), are no longer eligible under such section, 
shall be considered as eligible students under such section, 
provided such students remain in average daily attendance 
at a school in the same local educational agency they at-
tended prior to their change in eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities au-
thorized by part B of title I, part A of title II, subpart 
1 of part A of title IV, part B of title IV, part B of title 
V, and parts B and C of title VI of the ESEA; the McKin-
ney-Vento Homeless Assistance Act; section 203 of the 
Educational Technical Assistance Act of 2002; the Com-
pact of Free Association Amendments Act of 2003; and 
the Civil Rights Act of 1964, $5,453,617,000, of which 
$3,623,052,000 shall become available on July 1, 2021, 
and remain available through September 30, 2022, and 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00128
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
129 
of which $1,681,441,000 shall become available on Octo-
ber 1, 2021, and shall remain available through September 
30, 2022, for academic year 2021–2022: Provided, That 
$378,000,000 shall be for part B of title I: Provided fur-
ther, That $1,262,673,000 shall be for part B of title IV: 
Provided further, That $37,897,000 shall be for part B 
of title VI, which may be used for construction, renova-
tion, and modernization of any public elementary school, 
secondary school, or structure related to a public elemen-
tary school or secondary school that serves a predomi-
nantly Native Hawaiian student body, and that the 5 per-
cent limitation in section 6205(b) of the ESEA on the use 
of funds for administrative purposes shall apply only to 
direct administrative costs: Provided further, That 
$35,953,000 shall be for part C of title VI, which shall 
be awarded on a competitive basis, and may be used for 
construction, and that the 5 percent limitation in section 
6305 of the ESEA on the use of funds for administrative 
purposes shall apply only to direct administrative costs: 
Provided further, That $52,000,000 shall be available to 
carry out section 203 of the Educational Technical Assist-
ance Act of 2002 and the Secretary shall make such ar-
rangements as determined to be necessary to ensure that 
the Bureau of Indian Education has access to services pro-
vided under this section: Provided 
further, That 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00129
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
130 
$16,699,000 shall be available to carry out the Supple-
mental Education Grants program for the Federated 
States of Micronesia and the Republic of the Marshall Is-
lands: Provided further, That the Secretary may reserve 
up to 5 percent of the amount referred to in the previous 
proviso to provide technical assistance in the implementa-
tion of these grants: Provided further, That $186,840,000 
shall be for part B of title V: Provided further, That 
$1,220,000,000 shall be available for grants under sub-
part 1 of part A of title IV. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent 
not otherwise provided, title VI, part A of the ESEA, 
$181,239,000, of which $67,993,000 shall be for subpart 
2 of part A of title VI and $7,865,000 shall be for subpart 
3 of part A of title VI: Provided, That the 5 percent limita-
tion in sections 6115(d), 6121(e), and 6133(g) of the 
ESEA on the use of funds for administrative purposes 
shall apply only to direct administrative costs. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by subparts 1, 
3 and 4 of part B of title II, and parts C, D, and E and 
subparts 1 and 4 of part F of title IV of the ESEA, 
$1,074,815,000: Provided, That $285,815,000 shall be for 
subparts 1, 3 and 4 of part B of title II and shall be made 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00130
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
131 
available without regard to sections 2201, 2231(b) and 
2241: Provided further, That $594,000,000 shall be for 
parts C, D, and E and subpart 4 of part F of title IV, 
and shall be made available without regard to sections 
4311, 4409(a), and 4601 of the ESEA: Provided further, 
That notwithstanding section 4601(b), $195,000,000 shall 
be available through December 31, 2021 for subpart 1 of 
part F of title IV, of which $110,000,000 shall be for so-
cial and emotional learning grants, and $85,000,000 shall 
be used for science, technology, engineering, arts, and 
mathematics, including computer science education 
grants. 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subparts 2 
and 3 of part F of title IV of the ESEA, $218,000,000: 
Provided, That $106,000,000 shall be available for section 
4631, of which up to $5,000,000, to remain available until 
expended, shall be for the Project School Emergency Re-
sponse to Violence (Project SERV) program: Provided fur-
ther, That $30,000,000 shall be available for section 4625: 
Provided further, That $82,000,000 shall be available 
through December 31, 2021, for section 4624. 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$797,400,000, which shall become available on July 1, 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00131
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
132 
2021, and shall remain available through September 30, 
2022, except that 6.5 percent of such amount shall be 
available on October 1, 2020, and shall remain available 
through September 30, 2022, to carry out activities under 
section 3111(c)(1)(C). 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) and the Special Olympics Sport 
and Empowerment Act of 2004, $14,092,995,000, of 
which $4,553,979,000 shall become available on July 1, 
2021, and shall remain available through September 30, 
2022, and of which $9,283,383,000 shall become available 
on October 1, 2021, and shall remain available through 
September 30, 2022, for academic year 2021–2022: Pro-
vided, That the amount for section 611(b)(2) of the IDEA 
shall be equal to the lesser of the amount available for 
that activity during fiscal year 2020, increased by the 
amount of inflation as specified in section 619(d)(2)(B) 
of the IDEA, or the percent change in the funds appro-
priated under section 611(i) of the IDEA, but not less 
than the amount for that activity during fiscal year 2020: 
Provided further, That the Secretary shall, without regard 
to section 611(d) of the IDEA, distribute to all other 
States (as that term is defined in section 611(g)(2)), sub-
ject to the third proviso, any amount by which a State’s 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00132
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
133 
allocation under section 611, from funds appropriated 
under 
this 
heading, 
is 
reduced 
under 
section 
612(a)(18)(B), according to the following: 85 percent on 
the basis of the States’ relative populations of children 
aged 3 through 21 who are of the same age as children 
with disabilities for whom the State ensures the avail-
ability of a free appropriate public education under this 
part, and 15 percent to States on the basis of the States’ 
relative populations of those children who are living in pov-
erty: Provided further, That the Secretary may not dis-
tribute any funds under the previous proviso to any State 
whose reduction in allocation from funds appropriated 
under this heading made funds available for such a dis-
tribution: Provided further, That the States shall allocate 
such funds distributed under the second proviso to local 
educational agencies in accordance with section 611(f): 
Provided further, That the amount by which a State’s allo-
cation under section 611(d) of the IDEA is reduced under 
section 612(a)(18)(B) and the amounts distributed to 
States under the previous provisos in fiscal year 2012 or 
any subsequent year shall not be considered in calculating 
the awards under section 611(d) for fiscal year 2013 or 
for any subsequent fiscal years: Provided further, That, 
notwithstanding the provision in section 612(a)(18)(B) re-
garding the fiscal year in which a State’s allocation under 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00133
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
134 
section 611(d) is reduced for failure to comply with the 
requirement of section 612(a)(18)(A), the Secretary may 
apply the reduction specified in section 612(a)(18)(B) over 
a period of consecutive fiscal years, not to exceed five, 
until the entire reduction is applied: Provided further, 
That the Secretary may, in any fiscal year in which a 
State’s allocation under section 611 is reduced in accord-
ance with section 612(a)(18)(B), reduce the amount a 
State may reserve under section 611(e)(1) by an amount 
that bears the same relation to the maximum amount de-
scribed in that paragraph as the reduction under section 
612(a)(18)(B) bears to the total allocation the State 
would have received in that fiscal year under section 
611(d) in the absence of the reduction: Provided further, 
That the Secretary shall either reduce the allocation of 
funds under section 611 for any fiscal year following the 
fiscal year for which the State fails to comply with the 
requirement of section 612(a)(18)(A) as authorized by 
section 612(a)(18)(B), or seek to recover funds under sec-
tion 452 of the General Education Provisions Act (20 
U.S.C. 1234a): Provided further, That the funds reserved 
under 611(c) of the IDEA may be used to provide tech-
nical assistance to States to improve the capacity of the 
States to meet the data collection requirements of sections 
616 and 618 and to administer and carry out other serv-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00134
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
135 
ices and activities to improve data collection, coordination, 
quality, and use under parts B and C of the IDEA: Pro-
vided further, That the Secretary may use funds made 
available for the State Personnel Development Grants pro-
gram under part D, subpart 1 of IDEA to evaluate pro-
gram performance under such subpart: Provided further, 
That States may use funds reserved for other State-level 
activities under sections 611(e)(2) and 619(f) of the IDEA 
to make subgrants to local educational agencies, institu-
tions of higher education, other public agencies, and pri-
vate non-profit organizations to carry out activities au-
thorized by those sections: Provided further, That, not-
withstanding section 643(e)(2)(A) of the IDEA, if 5 or 
fewer States apply for grants pursuant to section 643(e) 
of such Act, the Secretary shall provide a grant to each 
State in an amount equal to the maximum amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That if more than 5 States apply for grants pursuant 
to section 643(e) of the IDEA, the Secretary shall award 
funds to those States on the basis of the States’ relative 
populations of infants and toddlers except that no such 
State shall receive a grant in excess of the amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That States may use funds received under part C 
of the IDEA to make subgrants to local educational agen-
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00135
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS
136 
cies, institutions of higher education, other public agencies 
and private nonprofit organizations to carry out activities 
authorized by such part. 
REHABILITATION SERVICES 
For carrying out, to the extent not otherwise pro-
vided, the Rehabilitation Act of 1973, the Helen Keller 
National Center Act, and the Randolph-Sheppard Act, 
$3,827,500,000, of which $3,667,801,000 shall be for 
grants for vocational rehabilitation services under title I 
of the Rehabilitation Act: Provided, That the Secretary 
may use amounts provided in this Act that remain avail-
able subsequent to the reallotment of funds to States pur-
suant to section 110(b) of the Rehabilitation Act for inno-
vative activities aimed at improving the outcomes of indi-
viduals with disabilities as defined in section 7(20)(B) of 
the Rehabilitation Act, including activities aimed at im-
proving the education and post-school outcomes of chil-
dren receiving Supplemental Security Income (‘‘SSI’’) and 
their families that may result in long-term improvement 
in the SSI child recipient’s economic status and self-suffi-
ciency: Provided further, That States may award sub-
grants for a portion of the funds to other public and pri-
vate, nonprofit entities: Provided further, That any funds 
made available subsequent to reallotment for innovative 
activities aimed at improving the outcomes of individuals 
VerDate Sep 11 2014 
19:25 Jul 15, 2020
Jkt 099200
PO 00000
Frm 00136
Fmt 6652
Sfmt 6201
E:\BILLS\H7614.RH
H7614
pamtmann on DSKBC07HB2PROD with BILLS