114 
(5) for any such influx facility in operation for 
more than three consecutive months, ORR shall con-
duct a minimum of one comprehensive monitoring 
visit during the first three months of operation, with 
quarterly monitoring visits thereafter. 
SEC. 235. Not later than 14 days after the date of 
enactment of this Act, and weekly thereafter, the Sec-
retary of Health and Human Services shall submit to the 
Committees on Appropriations of the House of Represent-
atives 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) (regardless 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 the Office of Refugee Resettlement of the 
Department of Health and Human Services (ORR) during 
the previous week. Each report shall contain the following 
information: 
(1) The number and ages of children so sepa-
rated at or between ports of entry, to be reported by 
sector where separation occurred. 
(2) The documented cause of separation, as re-
ported by DHS when each child was referred. 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00114
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
115 
(3) The custody status of the parents or legal 
guardians from whom the child was separated. 
SEC. 236. (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 subsections (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). 
(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 subsection for any 
Federal grantee. 
SEC. 237. Funds appropriated under this Act, any 
previous appropriations Act, or the Patient Protection and 
Affordable Care Act that are available for salaries and ex-
penses of employees of the Department of Health and 
Human Services shall also remain available for obligation 
for the primary and secondary schooling of eligible de-
pendents of HHS personnel stationed in the Common-
wealth of Puerto Rico, the Commonwealth of the Northern 
Mariana Islands, and other territories or possessions of 
the United States at costs not in excess of those paid for 
or reimbursed by the Department of Defense. 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00115
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
116 
SEC. 238. None of the funds made available by this 
Act may be used to implement, enforce, or otherwise give 
effect to the revision to section 447.10 of title 42, Code 
of Federal Regulations, contained in the proposed rule en-
titled ‘‘Medicaid Program; Reassignment of Medicaid Pro-
vider Claims’’ (83 Fed. Reg. 32252 (July 12, 2018)). 
SEC. 239. None of the funds appropriated in this bill 
or otherwise made available to the Department of Health 
and Human Services shall be used to publish the proposed 
regulation in the Fall 2018 Unified Agenda of Regulatory 
and Deregulatory Actions relating to the Medicaid Non-
emergency Medical Transportation benefit for Medicaid 
beneficiaries expected to be published for comment in May 
2019 and promulgated in Fall 2019 (RIN: 0938–AT81). 
SEC. 240. None of the funds made available by this 
Act may be used to finalize, implement, or enforce the rule 
entitled ‘‘Protecting Statutory Conscience Rights in 
Health Care; Delegations of Authority’’ issued by the De-
partment of Health and Human Services (RIN 0945– 
AA10). 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2020’’. 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00116
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
117 
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’’), $17,563,802,000, of which 
$6,638,625,000 shall become available on July 1, 2020, 
and shall remain available through September 30, 2021, 
and of which $10,841,177,000 shall become available on 
October 1, 2020, and shall remain available through Sep-
tember 30, 2021, for academic year 2020–2021: 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-
retary of Education (referred to in this title as ‘‘Sec-
retary’’) on October 1, 2019, 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 
$4,519,050,000 shall be for targeted grants under section 
1125 
of 
the 
ESEA: 
Provided 
further, 
That 
$4,519,050,000 shall be for education finance incentive 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00117
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
118 
grants under section 1125A of the ESEA: Provided fur-
ther, That $224,000,000 shall be for carrying out subpart 
2 of part B of title II: Provided further, That $50,000,000 
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, $1,498,112,000, of which $1,351,242,000 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(a), $76,313,000 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 
for an eligible local educational agency under section 
7003(a) for school year 2019–2020, 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 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00118
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
119 
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, $6,016,470,000, of which 
$4,174,902,000 shall become available on July 1, 2020, 
and remain available through September 30, 2021, and 
of which $1,681,441,000 shall become available on Octo-
ber 1, 2020, and shall remain available through September 
30, 2021, for academic year 2020-2021: Provided, That 
$378,000,000 shall be for part B of title I: Provided fur-
ther, That $1,321,673,000 shall be for part B of title IV: 
Provided further, That $40,000,000 shall be for part B 
of title VI and may be used for construction, renovation, 
and modernization of any elementary school, secondary 
school, or structure related to an elementary school or sec-
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00119
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
120 
ondary school, run by the Department of Education of the 
State of Hawaii, that serves a predominantly Native Ha-
waiian student body: Provided further, That $36,453,000 
shall be for part C of title VI and shall be awarded on 
a competitive basis, and also may be used for construction: 
Provided further, That $60,400,000 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 
$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 $180,840,000 
shall be for part B of title V: Provided further, That 
$1,320,000,000 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, 
$186,374,000, of which $67,993,000 shall be for subpart 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00120
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
121 
2 of part A of title VI and $13,000,000 shall be for sub-
part 3 of part A of title VI. 
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, 
$1,223,815,000: Provided, That $304,815,000 shall be for 
subparts 1, 3 and 4 of part B of title II and shall be made 
available without regard to sections 2201, 2231(b) and 
2241: Provided further, That $619,000,000 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), $300,000,000 shall 
be available through December 31, 2020 for subpart 1 of 
part F of title IV, of which $170,000,000 shall be for so-
cial and emotional learning grants, and $125,000,000 
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, $240,000,000: 
Provided, That $120,000,000 shall be available for section 
4631, of which up to $10,000,000, to remain available 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00121
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
122 
until expended, shall be for the Project School Emergency 
Response to Violence (Project SERV) program: Provided 
further, That $40,000,000 shall be available for section 
4625: Provided further, That $80,000,000 shall be avail-
able through December 31, 2020, for section 4624. 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$980,000,000, which shall become available on July 1, 
2020, and shall remain available through September 30, 
2021, except that 6.5 percent of such amount shall be 
available on October 1, 2019, and shall remain available 
through September 30, 2021, 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, $14,523,544,000, of 
which $4,975,709,000 shall become available on July 1, 
2020, and shall remain available through September 30, 
2021, and of which $9,283,383,000 shall become available 
on October 1, 2020, and shall remain available through 
September 30, 2021, for academic year 2020–2021: 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 2019, increased by the 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00122
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
123 
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 2019: 
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 
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-
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00123
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
124 
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 
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 
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00124
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS
125 
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-
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-
VerDate Sep 11 2014 
01:41 May 16, 2019
Jkt 089200
PO 00000
Frm 00125
Fmt 6652
Sfmt 6201
E:\BILLS\H2740.RH
H2740
pbinns on DSK79D2C42PROD with BILLS