H. R. 244—385 
at the time of filing the petition. In the determination of prevailing 
wage for the purposes of the H–2B program, the Secretary shall 
accept private wage surveys even in instances where Occupational 
Employment Statistics survey data are available unless the Sec-
retary determines that the methodology and data in the provided 
survey are not statistically supported. 
SEC. 113. None of the funds in this Act shall be used to 
enforce the definition of corresponding employment found in 20 
CFR 655.5 or the three-fourths guarantee rule definition found 
in 20 CFR 655.20, or any references thereto. Further, for the 
purpose of regulating admission of temporary workers under the 
H–2B program, the definition of temporary need shall be that 
provided in 8 CFR 214.2(h)(6)(ii)(B). 
This title may be cited as the ‘‘Department of Labor Appropria-
tions Act, 2017’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health Service 
Act (referred to in this Act as the ‘‘PHS Act’’) with respect to 
primary health care and the Native Hawaiian Health Care Act 
of 1988, $1,491,522,000: Provided, That no more than $1,000,000 
shall be available until expended for carrying out the provisions 
of section 224(o) of the PHS Act: Provided further, That no more 
than $99,893,000 shall be available until expended for carrying 
out the provisions of sections 224(g)–(n) and (q) 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 administra-
tive claims made under such law: Provided further, That of funds 
provided for the Health Centers program, as defined by section 
330 of the PHS Act, by this Act or any other Act for fiscal year 
2017, not less than $100,000,000 shall be obligated in fiscal year 
2017 to support grants to expand medical services, behavioral 
health, oral health, pharmacy, or vision services. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS Act with 
respect to the health workforce, sections 1128E and 1921 of the 
Social Security Act, and the Health Care Quality Improvement 
Act of 1986, $838,695,000: Provided, That sections 747(c)(2), 
751(j)(2), 762(k), and the proportional funding amounts in para-
graphs (1) through (4) of section 756(f) of the PHS Act shall not 
apply to funds made available under this heading: Provided further, 
That for any program operating under section 751 of the PHS 
Act on or before January 1, 2009, the Secretary of Health and 
Human Services (referred to in this title as the ‘‘Secretary’’) may 
hereafter waive any of the requirements contained in sections 
751(d)(2)(A) and 751(d)(2)(B) of such Act for the full project period 
of a grant under such section: Provided further, That no funds 
shall be available for section 340G–1 of the PHS Act: Provided 
further, That fees collected for the disclosure of information under
H. R. 244—386 
section 427(b) of the Health Care Quality Improvement Act of 
1986 and sections 1128E(d)(2) and 1921 of the Social Security 
Act shall be sufficient to recover the full costs of operating the 
programs authorized by such sections and shall remain available 
until expended for the National Practitioner Data Bank: Provided 
further, That funds transferred to this account to carry out section 
846 and subpart 3 of part D of title III of the PHS Act may 
be used to make prior year adjustments to awards made under 
such sections. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the PHS Act 
with respect to maternal and child health, title V of the Social 
Security Act, and section 712 of the American Jobs Creation Act 
of 2004, $848,617,000: Provided, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, not more than 
$80,593,000 shall be available for carrying out special projects 
of regional and national significance pursuant to section 501(a)(2) 
of such Act and $10,276,000 shall be available for projects described 
in subparagraphs (A) through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with respect to 
the Ryan White HIV/AIDS program, $2,318,781,000, of which 
$1,970,881,000 shall remain available to the Secretary through 
September 30, 2019, for parts A and B of title XXVI of the PHS 
Act, and of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of section 
2616 or 311(c) of such Act. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act with respect 
to health care systems, and the Stem Cell Therapeutic and Research 
Act of 2005, $104,193,000, of which $122,000 shall be available 
until expended for facilities renovations at the Gillis W. Long 
Hansen’s Disease Center. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act with respect 
to rural health, section 427(a) of the Federal Coal Mine Health 
and Safety Act of 1969, and sections 711 and 1820 of the Social 
Security Act, $156,060,000, of which $43,609,000 from general reve-
nues, notwithstanding section 1820(j) of the Social Security Act, 
shall be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds made avail-
able under this heading for Medicare rural hospital flexibility 
grants, $14,942,000 shall be available for the Small Rural Hospital 
Improvement Grant Program for quality improvement and adoption 
of health information technology and up to $1,000,000 shall be 
to carry out section 1820(g)(6) of the Social Security Act, with 
funds provided for grants under section 1820(g)(6) available for 
the purchase and implementation of telehealth services, including 
pilots and demonstrations on the use of electronic health records 
to coordinate rural veterans care between rural providers and the
H. R. 244—387 
Department of Veterans Affairs electronic health record system: 
Provided further, That notwithstanding section 338J(k) of the PHS 
Act, $10,000,000 shall be available for State Offices of Rural Health. 
FAMILY PLANNING 
For carrying out the program under title X of the PHS Act 
to provide for voluntary family planning projects, $286,479,000: 
Provided, That amounts provided to said projects under such title 
shall not be expended for abortions, that all pregnancy counseling 
shall be nondirective, and that such amounts shall not be expended 
for any activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support or opposi-
tion to any legislative proposal or candidate for public office. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and Services 
Administration, $154,000,000: 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’’. 
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-related 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 $7,750,000 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 Immigration and 
Nationality Act, and section 501 of the Refugee Education Assist-
ance Act, with respect to immunization and respiratory diseases, 
$455,000,000. 
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, $1,117,278,000. 
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 Education Assistance Act, 
with respect to emerging and zoonotic infectious diseases, 
$532,922,000.
H. R. 244—388 
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 prevention and health 
promotion, $777,646,000: Provided, That funds appropriated under 
this account may be available for making grants under section 
1509 of the PHS Act for not less than 21 States, tribes, or tribal 
organizations: Provided further, That of the funds available under 
this heading, $10,000,000 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 proportional funding requirements under section 
1503(a) of the PHS Act shall not apply to funds made available 
under this heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, DISABILITIES AND 
HEALTH 
For carrying out titles II, III, XI, and XVII of the PHS Act 
with respect to birth defects, developmental disabilities, disabilities 
and health, $137,560,000. 
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, $489,397,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS Act with 
respect to environmental health, $163,750,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS Act with 
respect to injury prevention and control, $286,059,000: Provided, 
That of the funds provided under this heading, $112,000,000 shall 
be available for an evidence-based opioid drug overdose prevention 
program. 
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 Safety and Health Act, with respect to occupa-
tional safety and health, $335,200,000. 
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: Provided, 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.
H. R. 244—389 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS Act with 
respect to global health, $435,121,000, of which $128,421,000 for 
international HIV/AIDS shall remain available through September 
30, 2018: Provided, That funds may be used for purchase and 
insurance of official motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS Act with 
respect to public health preparedness and response, and for 
expenses necessary to support activities related to countering poten-
tial biological, nuclear, radiological, and chemical threats to civilian 
populations, $1,405,000,000, of which $575,000,000 shall remain 
available until expended for the Strategic National Stockpile: Pro-
vided, That in the event the Director of the Centers for Disease 
Control and Prevention (referred to in this title as ‘‘CDC’’) activates 
the Emergency Operations Center, the Director of the CDC may 
detail CDC staff without reimbursement for up to 90 days to support 
the work of the CDC Emergency Operations Center, so long as 
the Director provides a notice to the Committees on Appropriations 
of the House of Representatives and the Senate within 15 days 
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 
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, construction, demo-
lition, and renovation of facilities, $10,000,000, which shall remain 
available until September 30, 2021: Provided, That funds previously 
set-aside by CDC for repair and upgrade of the Lake Lynn Experi-
mental 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 assigned to 
former employees in accounts of CDC made available for Individual 
Learning Accounts shall be credited to and merged with the 
amounts made available under this heading to support the replace-
ment of the mine safety research facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out titles II, III, XVII and XIX, and section 2821 
of the PHS Act and for cross-cutting activities and program support 
for activities funded in other appropriations included in this Act 
for the Centers for Disease Control and Prevention, $113,570,000: 
Provided, That paragraphs (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 employees of CDC or the Public Health Service, both civilian
H. R. 244—390 
and commissioned officers, detailed to States, municipalities, or 
other organizations under authority of section 214 of the PHS 
Act, or in overseas assignments, shall be treated as non-Federal 
employees for reporting purposes only and shall not be included 
within any personnel ceiling applicable to the Agency, Service, 
or HHS during the period of detail or assignment: Provided further, 
That CDC may use up to $10,000 from amounts appropriated 
to CDC in this Act for official reception and representation expenses 
when specifically approved by the Director of CDC: Provided further, 
That in addition, such sums as may be derived from authorized 
user fees, which shall be credited to the appropriation charged 
with the cost thereof: Provided further, That with respect to the 
previous proviso, authorized user fees from the Vessel Sanitation 
Program and the Respirator Certification Program shall be available 
through September 30, 2018. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS Act 
with respect to cancer, $5,389,329,000, of which up to $50,000,000 
may be used for facilities repairs and improvements at the National 
Cancer Institute—Frederick Federally Funded Research and 
Development Center in Frederick, Maryland: Provided, That of 
the $5,689,329,000 provided for in direct obligations under this 
heading, $5,389,329,000 is appropriated from the general fund and 
$300,000,000 was previously appropriated for fiscal year 2017 by 
section 194 of the Continuing Appropriations Act, 2017 (division 
C of Public Law 114–223), as amended by the Further Continuing 
and Security Assistance Appropriations Act, 2017 (Public Law 114– 
254) to support cancer research pursuant to section 1001 of the 
21st Century Cures Act. 
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 diseases, and blood 
and blood products, $3,206,589,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH 
For carrying out section 301 and title IV of the PHS Act 
with respect to dental and craniofacial diseases, $425,751,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY 
DISEASES 
For carrying out section 301 and title IV of the PHS Act 
with respect to diabetes and digestive and kidney disease, 
$1,870,595,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE 
For carrying out section 301 and title IV of the PHS Act 
with respect to neurological disorders and stroke, $1,783,654,000.
H. R. 244—391 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES 
For carrying out section 301 and title IV of the PHS Act 
with respect to allergy and infectious diseases, $4,906,638,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS Act 
with respect to general medical sciences, $2,650,838,000, of which 
$824,443,000 shall be from funds available under section 241 of 
the PHS Act: Provided, That not less than $333,361,000 is provided 
for the Institutional Development Awards program. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH 
AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS Act 
with 
respect 
to 
child 
health 
and 
human 
development, 
$1,380,295,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS Act 
with respect to eye diseases and visual disorders, $732,618,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES 
For carrying out section 301 and title IV of the PHS Act 
with respect to environmental health sciences, $714,261,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS Act 
with respect to aging, $2,048,610,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN 
DISEASES 
For carrying out section 301 and title IV of the PHS Act 
with respect to arthritis and musculoskeletal and skin diseases, 
$557,851,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION 
DISORDERS 
For carrying out section 301 and title IV of the PHS Act 
with respect to deafness and other communication disorders, 
$436,875,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS Act 
with respect to nursing research, $150,273,000. 
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, $483,363,000.
H. R. 244—392 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS Act 
with respect to drug abuse, $1,090,853,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS Act 
with respect to mental health, $1,601,931,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS Act 
with respect to human genome research, $528,566,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING 
For carrying out section 301 and title IV of the PHS Act 
with respect to biomedical imaging and bioengineering research, 
$357,080,000. 
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, 
$134,689,000. 
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, 
$289,069,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty Inter-
national Center (described in subpart 2 of part E of title IV of 
the PHS Act), $72,213,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS Act 
with respect to health information communications, $407,510,000: 
Provided, That of the amounts available for improvement of 
information systems, $4,000,000 shall be available until September 
30, 2018: Provided further, That in fiscal year 2017, the National 
Library of Medicine may enter into personal services contracts 
for the provision of services in facilities owned, operated, or con-
structed under the jurisdiction of the National Institutes of Health 
(referred 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, $705,903,000: Provided, That 
up to $25,835,000 shall be available to implement section 480 
of the PHS Act, relating to the Cures Acceleration Network: Pro-
vided further, That at least $516,120,000 is provided to the Clinical 
and Translational Sciences Awards program.
H. R. 244—393 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of the Director, 
NIH, $1,665,183,000 (in addition to the $52,000,000 in the NIH 
Innovation Fund previously appropriated for fiscal year 2017 pursu-
ant to section 1001 of the 21st Century Cures Act, 2017 (division 
C of Public Law 114–254)): Provided, That funding shall be available 
for the purchase of not to exceed 29 passenger motor vehicles 
for replacement only: Provided further, That all funds credited 
to the NIH Management Fund shall remain available for one fiscal 
year after the fiscal year in which they are deposited: Provided 
further, That $165,000,000 shall be for the National Children’s 
Study Follow-on: Provided further, That $682,856,000 shall be avail-
able for the Common 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 renovation of facilities as provided for 
in section 2354(a)(5)(B) of the PHS Act: Provided further, That 
up to $190,000,000 (in addition to the $40,000,000 to support the 
Precision Medicine Initiative in the NIH Innovation Fund previously 
appropriated for fiscal year 2017 pursuant to section 1001 of the 
21st Century Cures Act by section 194 of the Continuing Appropria-
tions Act, 2017 (division C of Public Law 114–254)), of the funds 
provided herein are available to support the trans-NIH Precision 
Medicine Initiative. 
In addition to other funds appropriated for the Common 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 described 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 
authorized in the Gabriella Miller Kids First Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, renovation 
of, and acquisition of equipment for, facilities of or used by NIH, 
including the acquisition of real property, $128,863,000, to remain 
available through September 30, 2021. 
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, $1,147,998,000: Provided, That 
notwithstanding section 520A(f)(2) of the PHS Act, no funds appro-
priated 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 carry out subpart I of part B 
of title XIX of the PHS Act to fund section 1920(b) technical assist-
ance, national data, data collection and evaluation activities, and 
further that the total available under this Act for section 1920(b)
H. R. 244—394 
activities shall not exceed 5 percent of the amounts appropriated 
for subpart I of part B of title XIX: Provided further, That section 
520E(b)(2) of the PHS Act shall not apply to funds appropriated 
in this Act for fiscal year 2017: Provided further, That notwith-
standing section 565(b)(1) of the PHS Act, technical assistance 
may be provided to a public entity to establish or operate a system 
of comprehensive community mental health services to children 
with a serious emotional disturbance, without regard to whether 
the public entity receives a grant under section 561(a) of such 
Act: Provided 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 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, 
$15,000,000 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). 
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, $2,131,306,000: Pro-
vided, 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 appropriated for subpart 
II of part B of title XIX; and (2) $2,000,000 to evaluate substance 
abuse treatment programs: Provided further, That none of the funds 
provided for section 1921 of the PHS Act shall be subject to section 
241 of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act with respect 
to substance abuse prevention, $223,219,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that supple-
ment activities funded under the headings ‘‘Mental Health’’, ‘‘Sub-
stance Abuse Treatment’’, and ‘‘Substance Abuse Prevention’’ in 
carrying out titles III, V, and XIX of the PHS Act and the Protection 
and Advocacy for Individuals with Mental Illness Act in the Sub-
stance 
Abuse 
and 
Mental 
Health 
Services 
Administration, 
$116,830,000: Provided, That in addition to amounts provided 
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 conduct public awareness and technical assistance 
activities: Provided further, That, in addition, fees may be collected
H. R. 244—395 
for the costs of publications, data, data tabulations, and data anal-
ysis 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 further, That amounts made available in 
this Act for carrying out section 501(m) of the PHS Act shall 
remain available through September 30, 2018: Provided further, 
That funds made available under this heading may be used to 
supplement program support funding provided under the headings 
‘‘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, $324,000,000: Provided, That section 947(c) of the PHS 
Act shall not apply in fiscal year 2017: Provided further, That 
in addition, amounts received from Freedom of Information Act 
fees, reimbursable and interagency agreements, and the sale of 
data shall be credited to this appropriation and shall remain avail-
able until September 30, 2018. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles XI and 
XIX of the Social Security Act, $262,003,967,000, to remain avail-
able until expended. 
For making, after May 31, 2017, payments to States under 
title XIX or in the case of section 1928 on behalf of States under 
title XIX of the Social Security Act for the last quarter of fiscal 
year 2017 for unanticipated costs incurred for the current fiscal 
year, such sums as may be necessary. 
For making payments to States or in the case of section 1928 
on behalf of States under title XIX of the Social Security Act 
for the first quarter of fiscal year 2018, $125,219,452,000, to remain 
available until expended. 
Payment under such title XIX may be made for any quarter 
with respect to a State plan or plan amendment in effect during 
such quarter, if submitted in or prior to such quarter and approved 
in that or any subsequent quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance Trust Fund 
and the Federal Supplementary Medical Insurance 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 administrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $299,187,700,000. 
In addition, for making matching payments under section 1844 
and benefit payments under section 1860D–16 of the Social Security
H. R. 244—396 
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 responsibilities of the Centers for Medicare 
and Medicaid Services, not to exceed $3,669,744,000, to be trans-
ferred from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund, as author-
ized by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the PHS 
Act and section 1857(e)(2) of the Social Security Act, funds retained 
by the Secretary pursuant to section 302 of the Tax Relief and 
Health Care Act of 2006; 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 available until September 30, 
2022: Provided, That all funds derived in accordance with 31 U.S.C. 
9701 from organizations established under title XIII of the PHS 
Act shall be credited to and available for carrying out the purposes 
of this appropriation: Provided further, That the Secretary is 
directed to collect fees in fiscal year 2017 from Medicare Advantage 
organizations pursuant to section 1857(e)(2) of the Social Security 
Act and from eligible organizations with risk-sharing contracts 
under section 1876 of that Act pursuant to section 1876(k)(4)(D) 
of that Act. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $725,000,000, to remain available 
through September 30, 2018, 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 $486,936,000 shall be for the 
Medicare Integrity Program at the Centers for Medicare and Med-
icaid Services, including administrative costs, to conduct oversight 
activities for Medicare Advantage under Part C and the Medicare 
Prescription Drug Program under Part D of the Social Security 
Act and for activities described in section 1893(b) of such Act, 
of which $82,132,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out fraud 
and abuse activities authorized by section 1817(k)(3) of such Act, 
of which $82,132,000 shall be for the Medicaid and Children’s 
Health Insurance Program (‘‘CHIP’’) program integrity activities, 
and of which $73,800,000 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 required by section 
1817(k)(5) of the Social Security Act for fiscal year 2017 shall 
include measures of the operational efficiency and impact on fraud, 
waste, and abuse in the Medicare, Medicaid, and CHIP programs 
for the funds provided by this 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 $414,000,000 is additional new budget authority
H. R. 244—397 
specified for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the Secretary shall support the full cost of the Senior 
Medicare Patrol program to combat health care fraud and abuse 
from the funds provided to this account. 
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, $3,010,631,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 2018, 
$1,400,000,000, to remain available until expended. 
For carrying out, after May 31 of the current fiscal year, except 
as otherwise provided, titles I, IV–D, X, XI, XIV, and XVI of the 
Social Security Act and the Act of July 5, 1960, for the last 3 
months of the current fiscal year for unanticipated costs, incurred 
for the current fiscal year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) of section 
2602 of the Low Income Home Energy Assistance Act of 1981, 
$3,390,304,000: Provided, That all but $491,000,000 of this amount 
shall be allocated as though the total appropriation for such pay-
ments for fiscal year 2017 was less than $1,975,000,000: Provided 
further, That notwithstanding section 2609A(a), of the amounts 
appropriated under section 2602(b), not more than $2,988,000 of 
such amounts may be reserved by the Secretary for technical assist-
ance, training, and monitoring of program activities for compliance 
with internal controls, policies and procedures and 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 non-
profit organizations. 
REFUGEE AND ENTRANT ASSISTANCE 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and Nation-
ality Act and section 501 of the Refugee Education Assistance 
Act of 1980, and for carrying out section 462 of the Homeland 
Security Act of 2002, section 235 of the William Wilberforce Traf-
ficking Victims Protection Reauthorization Act of 2008, the Traf-
ficking Victims Protection Act of 2000 (‘‘TVPA’’), and the Torture 
Victims Relief Act of 1998, $1,674,691,000, of which $1,645,201,000 
shall remain available through September 30, 2019 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 the limitation in section 
205 of this Act regarding transfers increasing any appropriation 
shall apply to transfers to appropriations under this heading by 
substituting ‘‘10 percent’’ for ‘‘3 percent’’.
H. R. 244—398 
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT 
BLOCK GRANT 
For carrying out the Child Care and Development Block Grant 
Act of 2014 (‘‘CCDBG Act’’), $2,856,000,000 shall be used to supple-
ment, not supplant State general revenue funds for child care 
assistance for low-income families: Provided, That technical assist-
ance under section 658I(a)(3) of such Act may be provided directly, 
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 
reservation of funds authority in paragraphs (4) and (5) of section 
658O(a) of the CCDBG Act. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 2002 of the 
Social Security Act, $1,700,000,000: Provided, That notwithstanding 
subparagraph (B) of section 404(d)(2) of such Act, the applicable 
percent specified under such subparagraph for a State to carry 
out State programs pursuant to title XX–A of such Act shall be 
10 percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the Runaway 
and Homeless Youth Act, the Head Start Act, the Every Student 
Succeeds Act, the Child Abuse Prevention and Treatment Act, sec-
tions 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’’); 
for necessary administrative 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 2014, the Assets for Independence Act, title IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Education 
Assistance Act of 1980; and for the administration of prior year 
obligations made by the Administration for Children and Families 
under the Developmental Disabilities Assistance and Bill of Rights 
Act and the Help America Vote Act of 2002, $11,294,368,000, of 
which $37,943,000, to remain available through September 30, 2018, 
shall be for grants to States for adoption and legal guardianship 
incentive payments, as defined by section 473A of the Social Secu-
rity Act and may be made for adoptions and legal guardianships 
completed 
before 
September 
30, 
2017: 
Provided, 
That 
$9,253,095,000 shall be for making payments under the Head Start 
Act: Provided further, That of the amount in the previous proviso, 
$8,588,095,000 shall be available for payments under section 640 
of the Head Start Act, of which $80,000,000 shall be available 
for a cost of living adjustment notwithstanding section 640(a)(3)(A) 
of such Act: Provided further, That of the amount provided for 
making payments under the Head Start Act, $25,000,000 shall