H. R. 2617—407 
including the acquisition of real property, $350,000,000, to remain 
available through September 30, 2027. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes described 
in section 1001(b)(4) of the 21st Century Cures Act, in addition 
to amounts available for such purposes in the appropriations pro-
vided to the NIH in this Act, $1,085,000,000, to remain available 
until expended: Provided, That such amounts are appropriated 
pursuant to section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such Act, and 
may be transferred by the Director of the National Institutes of 
Health to other accounts of the National Institutes of Health solely 
for the purposes provided in such Act: Provided further, That upon 
a determination by the Director that funds transferred pursuant 
to the previous proviso are not necessary for the purposes provided, 
such amounts may be transferred back to the Account: Provided 
further, That the transfer authority provided under this heading 
is in addition to any other transfer authority provided by law. 
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, the Protection and Advocacy for Individ-
uals with Mental Illness Act, and the SUPPORT for Patients and 
Communities Act, $2,693,507,000: Provided, That of the funds made 
available under this heading, $93,887,000 shall be for the National 
Child Traumatic Stress Initiative: Provided further, That notwith-
standing 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 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) 
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, at least 5 percent shall be available 
to support evidence-based crisis systems: Provided further, That 
up to 10 percent of the amounts made available to carry out the 
Children’s Mental Health Services 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 
developing a first episode of psychosis: Provided further, That sec-
tion 520E(b)(2) of the PHS Act shall not apply to funds appropriated 
in this Act for fiscal year 2023: Provided further, That $385,000,000 
shall be available until September 30, 2025 for grants to commu-
nities 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
H. R. 2617—408 
241 of such Act: Provided further, That of the funds made available 
under this heading, $21,420,000 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, and the SUPPORT 
for Patients and Communities Act, $4,076,098,000: Provided, That 
$1,575,000,000 shall be for State Opioid Response Grants for car-
rying out activities pertaining to opioids and stimulants undertaken 
by the State agency responsible for administering 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 further, That of such amount $55,000,000 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 in allocating the amount made available 
in the preceding proviso, the Secretary shall ensure that the formula 
avoids a significant cliff between States with similar overdose mor-
tality rates to prevent unusually large funding changes in States 
when compared to prior year allocations: Provided further, That 
of the amounts provided for State Opioid Response Grants not 
more than 2 percent shall be available for Federal administrative 
expenses, training, technical assistance, and evaluation: Provided 
further, That of the amount not reserved by the previous four 
provisos, the Secretary shall make allocations to States, territories, 
and the District of Columbia according to a formula using national 
survey results that the Secretary determines are the most objective 
and reliable measure of drug use and drug-related deaths: Provided 
further, That the Secretary shall submit the formula methodology 
to the Committees on Appropriations of the House of Representa-
tives and the Senate not less than 21 days prior to publishing 
a Funding Opportunity Announcement: Provided further, That 
prevention and treatment activities funded through such grants 
may include education, treatment (including the provision of medi-
cation), behavioral health services for individuals in treatment pro-
grams, referral to treatment services, recovery 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 
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 or State Opioid Response Grants shall be subject to section 
241 of such Act.
H. R. 2617—409 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act with respect 
to substance abuse prevention, $236,879,000. 
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, 
$301,932,000: Provided, That of the amount made available under 
this heading, $160,777,000 shall be used for the projects, and in 
the amounts, specified in the table titled ‘‘Community Project 
Funding/Congressionally Directed Spending’’ included for this divi-
sion in the explanatory statement described in section 4 (in the 
matter preceding division A of this consolidated Act): Provided 
further, That none of the funds made available for projects described 
in the preceding proviso shall be subject to section 241 of the 
PHS Act or section 205 of this Act: Provided further, 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 aware-
ness 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 further, 
That amounts made available in this Act for carrying out section 
501(o) of the PHS Act shall remain available through September 
30, 2024: Provided further, That funds made available under this 
heading (other than amounts specified in the first proviso 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, $373,500,000: Provided, That section 947(c) of the PHS 
Act shall not apply in fiscal year 2023: 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, 2024.
H. R. 2617—410 
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, $367,357,090,000, to remain avail-
able until expended. 
In addition, for carrying out such titles after May 31, 2023, 
for the last quarter of fiscal year 2023 for unanticipated 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 2024, $197,580,474,000, 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 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, $548,130,000,000. 
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 responsibilities of the Centers for Medicare 
& Medicaid Services, not to exceed $3,669,744,000 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; 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 available 
until expended: 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 2023 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) of the Social 
Security Act and from eligible organizations with risk-sharing con-
tracts under section 1876 of that Act pursuant to section 
1876(k)(4)(D) of that Act: Provided further, That of the amount
H. R. 2617—411 
made available under this heading, $397,334,000 shall remain avail-
able until September 30, 2024, and shall be available for the Survey 
and Certification Program: Provided further, That amounts avail-
able under this heading to support quality improvement organiza-
tions (as defined in section 1152 of the Social Security Act) shall 
not exceed the amount specifically provided for such purpose under 
this heading in division H of the Consolidated Appropriations Act, 
2018 (Public Law 115–141). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $893,000,000, to remain available 
through September 30, 2024, 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 $665,648,000 shall be for the 
Centers for Medicare & Medicaid Services program integrity activi-
ties, of which $105,145,000 shall be for the Department of Health 
and Human Services Office of Inspector General to carry out fraud 
and abuse activities authorized by section 1817(k)(3) of such Act, 
and of which $122,207,000 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 2023 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, $317,000,000 
is provided to meet the terms of a concurrent resolution on the 
budget in the Senate, and $576,000,000 is additional new budget 
authority specified for purposes of a concurrent resolution on the 
budget in the Senate and section 1(h) of H. Res. 1151 (117th 
Congress), as engrossed in the House of Representatives on June 
8, 2022 for additional health care fraud and abuse control activities: 
Provided further, That the Secretary shall provide not less than 
$35,000,000 from amounts made available under this heading and 
amounts made available for fiscal year 2023 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, $2,883,000,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 2024, 
$1,300,000,000, 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.
H. R. 2617—412 
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 (42 
U.S.C. 8621 et seq.), $1,500,000,000: Provided, That notwith-
standing section 2609A(a) of such Act, not more than $9,600,000 
may be reserved by the Secretary for technical assistance, training, 
and monitoring of program activities for compliance with internal 
controls, policies and procedures, and to supplement funding other-
wise available for necessary administrative expenses to carry out 
such Act, 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 all but $884,848,000 of the amount appro-
priated under this heading in this Act and in the second paragraph 
under this heading in the Disaster Relief Supplemental Appropria-
tions Act, 2023 shall be allocated as though the total appropriation 
for such payments for fiscal year 2023 was less than $1,975,000,000: 
Provided further, That, after applying all applicable provisions of 
section 2604 of such Act and the previous proviso, each State 
or territory that would otherwise receive an allocation, from the 
amount appropriated under this heading in this Act together with 
the amount appropriated in the second paragraph under this 
heading in the Disaster Relief Supplemental Appropriations Act, 
2023, that is less than 97 percent of the amount that it received 
under this heading for fiscal year 2022 from amounts appropriated 
in Public Law 117–103 shall have its allocation increased to that 
97 percent level, with the portions of other States’ and territories’ 
allocations that would exceed 100 percent of the amounts they 
respectively received in such fashion for fiscal year 2022 being 
ratably reduced. 
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, $6,427,214,000, of which $6,377,459,000 
shall remain available through September 30, 2025 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 ‘‘15 percent’’ for ‘‘3 percent’’: Provided further, That 
the contribution of funds requirement under section 235(c)(6)(C)(iii) 
of the William Wilberforce Trafficking Victims Protection Reauthor-
ization Act of 2008 shall not apply to funds made available under 
this heading: Provided further, That for any month in fiscal year 
2023 that the number of unaccompanied children referred to the 
Department of Health and Human Services pursuant to section
H. R. 2617—413 
462 of the Homeland Security Act of 2002 and section 235 of 
the William Wilberforce Trafficking Victims Protection Reauthoriza-
tion Act of 2008 exceeds 13,000, as determined by the Secretary 
of Health and Human Services, an additional $27,000,000, to remain 
available until September 30, 2024, shall be made available for 
obligation for every 500 unaccompanied children above that level 
(including a pro rata amount for any increment less than 500), 
for carrying out such sections 462 and 235. 
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’’), $8,021,387,000 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: Provided further, That in addition 
to the amounts required to be reserved by the Secretary under 
section 658O(a)(2)(A) of such Act, $214,960,000 shall be for Indian 
tribes and tribal organizations: Provided further, That of the 
amounts made available under this heading, the Secretary may 
reserve up to 0.5 percent for Federal administrative expenses. 
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’’); 
and 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, and the Low-Income Home Energy Assist-
ance Act of 1981, $14,618,437,000, of which $75,000,000, to remain 
available through September 30, 2024, shall be for grants to States 
for adoption and legal guardianship incentive payments, as defined 
by section 473A of the Social Security Act and may be made for 
adoptions and legal guardianships completed before September 30,
H. R. 2617—414 
2023: Provided, That $11,996,820,000 shall be for making payments 
under the Head Start Act, including for Early Head Start–Child 
Care Partnerships, and, of which, notwithstanding section 640 of 
such Act: 
(1) $596,000,000 shall be available for a cost of living 
adjustment, and with respect to any continuing 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 calculation 
of ‘‘base grant’’ in subsequent fiscal years, as such term is 
used in section 640(a)(7)(A) of such Act; 
(3) $262,000,000 shall be available for 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, of which not less than $13,000,000 shall be 
available to migrant and seasonal Head Start programs for 
such activities, in addition to funds made available for migrant 
and seasonal Head Start programs under any other provision 
of section 640(a) of such Act; 
(4) $100,000,000, in addition to funds otherwise available 
for such purposes under section 640 of the Head Start Act, 
shall be available through September 30, 2024, for awards 
to eligible entities for Head Start and Early Head Start pro-
grams and to entities defined as eligible under section 645A(d) 
of such Act for high quality infant and toddler care through 
Early Head Start–Child Care Partnerships, and for training 
and technical assistance for such activities: Provided, That 
of the funds made available in this paragraph, up to 
$21,000,000 shall be available to the Secretary for the adminis-
trative costs of carrying out this paragraph; 
(5) $8,000,000 shall be available for the Tribal Colleges 
and Universities Head Start Partnership Program consistent 
with section 648(g) of such Act; and 
(6) $21,000,000 shall be available to supplement funding 
otherwise available for research, evaluation, and Federal 
administrative costs: 
Provided further, That the Secretary may reduce the reservation 
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 $315,000,000 
shall be available until December 31, 2023 for carrying out sections 
9212 and 9213 of the Every Student Succeeds Act: Provided further, 
That up to 3 percent of the funds in the preceding proviso shall 
be available for technical assistance and evaluation related to grants 
awarded under such section 9212: Provided further, That 
$804,383,000 shall be for making payments under the CSBG Act: 
Provided further, That for services furnished under the CSBG Act 
with funds made available for such purpose in this fiscal year 
and in fiscal year 2022, States may apply the last sentence of 
section 673(2) of the CSBG Act by substituting ‘‘200 percent’’ for 
‘‘125 percent’’: Provided further, That $34,383,000 shall be for sec-
tion 680 of the CSBG Act, of which not less than $22,383,000
H. R. 2617—415 
shall be for section 680(a)(2) and not less than $12,000,000 shall 
be for section 680(a)(3)(B) of such Act: Provided further, That, 
notwithstanding section 675C(a)(3) of the CSBG 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 expendi-
ture by such entity consistent with program purposes: 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 authorized 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 invest-
ments and other debt instruments, 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 proce-
dures shall apply to such grant funds made available after 
November 29, 1999: Provided further, That funds appropriated for 
section 680(a)(2) of the CSBG Act shall be available for financing 
construction and rehabilitation and loans or investments in private 
business enterprises owned by community development corpora-
tions: Provided further, That $240,000,000 shall be for carrying 
out section 303(a) of the Family Violence Prevention and Services 
Act, of which $7,000,000 shall be allocated notwithstanding section 
303(a)(2) of such Act for carrying out section 309 of such Act: 
Provided further, That the percentages 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 management system 
for federally declared disasters, to include a comprehensive national 
case management contract and Federal costs of administering the 
system: Provided further, That up to $2,000,000 shall be for 
improving the Public Assistance Reporting Information System, 
including grants to States to support data collection for a study 
of the system’s effectiveness: Provided further, That $107,848,000 
shall be used for the projects, and in the amounts, specified in 
the table titled ‘‘Community Project Funding/Congressionally 
Directed Spending’’ included for this division in the explanatory 
statement described in section 4 (in the matter preceding division 
A of this consolidated Act): Provided further, That none of the 
funds made available for projects described in the preceding proviso 
shall be subject to section 241 of the PHS Act or section 205 
of this Act. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, section 436 
of the Social Security Act, $345,000,000 and, for carrying out, 
except as otherwise provided, section 437 of such Act, $86,515,000: 
Provided, That of the funds available to carry out section 437, 
$59,765,000 shall be allocated consistent with subsections (b) 
through (d) of such section: Provided further, That of the funds 
available to carry out section 437, to assist in meeting the require-
ments described in section 471(e)(4)(C), $20,000,000 shall be for
H. R. 2617—416 
grants to each State, territory, and Indian tribe operating title 
IV–E plans for developing, enhancing, or evaluating kinship navi-
gator programs, as described in section 427(a)(1) of such Act and 
$6,750,000, in addition to funds otherwise appropriated in section 
476 for such purposes, shall be for the Family First Clearinghouse 
and to support evaluation and technical assistance relating to the 
evaluation of child and family services: Provided further, That sec-
tion 437(b)(1) shall be applied to amounts in the previous proviso 
by substituting ‘‘5 percent’’ for ‘‘3.3 percent’’, and notwithstanding 
section 436(b)(1), such reserved amounts may be used for identi-
fying, establishing, and disseminating practices to meet the criteria 
specified in section 471(e)(4)(C): Provided further, That the reserva-
tion in section 437(b)(2) and the limitations in section 437(d) shall 
not apply to funds specified in the second proviso: Provided further, 
That the minimum grant award for kinship navigator programs 
in the case of States and territories shall be $200,000, and, in 
the case of tribes, shall be $25,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title IV–E of 
the Social Security Act, $7,606,000,000. 
For carrying out, except as otherwise provided, title IV–E of 
the Social Security Act, for the first quarter of fiscal year 2024, 
$3,200,000,000. 
For carrying out, after May 31 of the current fiscal year, except 
as otherwise provided, section 474 of title IV–E of the Social Secu-
rity Act, for the last 3 months of the current fiscal year for unantici-
pated costs, incurred for the current fiscal year, such sums as 
may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise provided, the 
Older Americans Act of 1965 (‘‘OAA’’), the RAISE Family Caregivers 
Act, the Supporting Grandparents 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 Security Act, 
the Developmental Disabilities Assistance and Bill of Rights Act 
of 2000, 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 Rehabilita-
tion Act of 1973, and for Department-wide coordination of policy 
and program activities that assist individuals with disabilities, 
$2,482,545,000, together with $55,242,000 to be transferred from 
the Federal Hospital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund to carry out section 4360 
of the Omnibus Budget Reconciliation Act of 1990: Provided, That 
of amounts made available under this heading 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-tai-
lored meals: Provided further, That notwithstanding any other
H. R. 2617—417 
provision of this Act, funds made available under this heading 
to carry out section 311 of the OAA may be transferred to the 
Secretary of Agriculture in accordance with such section: Provided 
further, That up to 5 percent of the funds provided for adult protec-
tive services grants under section 2042 of title XX of the Social 
Security Act may be used to make grants to Tribes and tribal 
organizations: Provided further, That $2,000,000 shall be for 
competitive grants to support alternative financing programs that 
provide for the purchase of assistive technology devices, such as 
a low-interest loan fund; an interest buy-down program; a revolving 
loan fund; a loan guarantee; or an insurance program: Provided 
further, That applicants shall provide an assurance that, and 
information describing the manner in which, the alternative 
financing program will expand and emphasize consumer choice 
and control: Provided further, That State agencies and community- 
based disability organizations that are directed by and operated 
for individuals with disabilities shall be eligible to compete: Pro-
vided further, That none of the funds made available under this 
heading may be 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 Developmental Disabilities and Assist-
ance 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 provided to such individuals 
(or, in the case of mental incapacitation, 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 Procedure: Provided 
further, That the limitations in the immediately 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 individuals who are a ward of the State or subject 
to public guardianship: Provided further, That of the amount made 
available under this heading, $41,644,000 shall be used for the 
projects, and in the amounts, specified in the table titled ‘‘Commu-
nity Project Funding/Congressionally Directed Spending’’ included 
for this division in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated Act): 
Provided further, That none of the funds made available for projects 
described in the preceding proviso shall be subject to section 241 
of the PHS Act or section 205 of this Act. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for general 
departmental management, including hire of six passenger motor
H. R. 2617—418 
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 research studies under section 1110 of the 
Social Security Act, $537,144,000, together with $64,828,000 from 
the amounts available under section 241 of the PHS Act to carry 
out national health or human services research and evaluation 
activities: Provided, That of this amount, $60,000,000 shall be for 
minority AIDS prevention and treatment activities: Provided fur-
ther, That of the funds made available under this heading, 
$101,000,000 shall be for making competitive contracts and grants 
to public and private entities to fund medically accurate and age 
appropriate programs that reduce teen pregnancy and for the Fed-
eral costs associated with administering and evaluating such con-
tracts and grants, of which not more than 10 percent of the available 
funds shall be for training and technical assistance, evaluation, 
outreach, and additional program support activities, and of the 
remaining amount 75 percent shall be for replicating programs 
that have been proven effective through rigorous evaluation to 
reduce teenage pregnancy, behavioral risk factors underlying teen-
age pregnancy, or other associated risk factors, and 25 percent 
shall be available for research and demonstration grants to develop, 
replicate, refine, and test additional models and innovative strate-
gies for preventing teenage pregnancy: 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 (including longitudinal evaluations) of teen-
age pregnancy prevention approaches: Provided further, That of 
the funds made available under this heading, $35,000,000 shall 
be for making competitive grants which exclusively implement edu-
cation in sexual risk avoidance (defined as voluntarily refraining 
from non-marital sexual activity): Provided further, That funding 
for such competitive grants for sexual risk avoidance shall use 
medically accurate information referenced to peer-reviewed publica-
tions by educational, scientific, governmental, or health organiza-
tions; implement an evidence-based approach integrating research 
findings with practical implementation that aligns with the needs 
and desired outcomes for the intended audience; and teach the 
benefits associated with self-regulation, success sequencing for pov-
erty prevention, healthy relationships, goal setting, and resisting 
sexual coercion, dating violence, and other youth risk behaviors 
such as underage drinking or illicit drug use without normalizing 
teen sexual activity: Provided further, That no more than 10 percent 
of the funding for such competitive grants for sexual risk avoidance 
shall be available for technical assistance and administrative costs 
of such programs: Provided further, That funds provided in this 
Act for embryo adoption activities may be used to provide to individ-
uals adopting embryos, through grants and other mechanisms, med-
ical and administrative services deemed necessary for such adop-
tions: Provided further, That such services shall be provided con-
sistent 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 prevention, diagnosis, and treatment 
of kidney diseases (as authorized by section 24 of the Stevenson- 
Wydler Technology Innovation Act of 1980 (15 U.S.C. 3719)).
H. R. 2617—419 
MEDICARE HEARINGS AND APPEALS 
For expenses necessary for Medicare hearings and appeals in 
the Office of the Secretary, $196,000,000 shall remain available 
until September 30, 2024, to be transferred in appropriate part 
from the Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION 
TECHNOLOGY 
For expenses necessary for the Office of the National Coordi-
nator for Health Information Technology, including grants, con-
tracts, and cooperative agreements for the development and 
advancement of interoperable health information technology, 
$66,238,000 shall be from amounts made available under section 
241 of the PHS Act. 
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 Inspector General Act of 
1978, $87,000,000: Provided, That of such amount, necessary sums 
shall be available for providing protective services to the Secretary 
and investigating non-payment of child support cases for which 
non-payment is a Federal offense under 18 U.S.C. 228: Provided 
further, That of the amount appropriated under this heading, nec-
essary sums shall be available for carrying out activities authorized 
under section 3022 of the PHS Act (42 U.S.C. 300jj–52). 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$39,798,000. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED 
OFFICERS 
For retirement pay and medical benefits of Public Health 
Service Commissioned Officers as authorized by law, for payments 
under the Retired Serviceman’s Family Protection Plan and Sur-
vivor Benefit Plan, and for medical 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 coun-
tering potential biological, nuclear, radiological, chemical, and 
cybersecurity threats to civilian populations, and for other public 
health emergencies, $1,647,569,000, of which $950,000,000 shall 
remain available through September 30, 2024, for expenses nec-
essary 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 heading for the purpose 
of acquisition of security countermeasures shall be in addition to 
any other funds available for such purpose: Provided further, That
H. R. 2617—420 
products purchased with funds provided under this heading may, 
at the discretion of the Secretary, be deposited in the Strategic 
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, 2025: Provided further, That $75,000,000 of the 
amounts made available to support coordination of the development, 
production, and distribution of vaccines, therapeutics, and other 
medical countermeasures shall remain available through September 
30, 2024. 
For expenses necessary for procuring security countermeasures 
(as defined in section 319F–2(c)(1)(B) of the PHS Act), $820,000,000, 
to remain available until expended. 
For expenses necessary to carry out section 319F–2(a) of the 
PHS Act, $965,000,000, to remain available until expended. 
For an additional amount for expenses necessary to prepare 
for or respond to an influenza pandemic, $335,000,000; of which 
$300,000,000 shall be available until expended, for activities 
including the development and purchase of vaccine, antivirals, nec-
essary medical supplies, diagnostics, and other surveillance tools: 
Provided, That notwithstanding section 496(b) of the PHS Act, 
funds may be used for the construction or renovation of privately 
owned facilities for the production of pandemic influenza vaccines 
and other biologics, if the Secretary finds such construction or 
renovation necessary to secure sufficient supplies of such vaccines 
or biologics. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the PHS Act 
with 
respect 
to 
advanced 
research 
projects 
for 
health, 
$1,500,000,000, to remain available through September 30, 2025: 
Provided, That the President shall appoint in the Department of 
Health and Human Services a director of advanced research projects 
for health (Director): Provided further, That funds may be used 
to make or rescind appointments of scientific, medical, and profes-
sional personnel without regard to any provision in title 5 governing 
appointments under the civil service laws: Provided further, That 
funds may be used to fix the compensation of such personnel at 
a rate to be determined by the Director, up to the amount of 
annual compensation (excluding expenses) specified in section 102 
of title 3, United States Code: Provided further, That the Director 
may use funds made available under this heading to make awards 
in the form of grants, contracts, cooperative agreements, and cash 
prizes, and enter into other transactions (as defined in section 
319L(a)(3) of the PHS Act): Provided further, That activities sup-
ported with funds provided under this heading shall not be subject 
to the requirements of sections 406(a)(3)(A)(ii) or 492 of the PHS 
Act: Provided further, That the Secretary may transfer the 
Advanced Research Projects Agency for Health, including the func-
tions, personnel, missions, activities, authorities, and funds, within 
30 days of enactment of this Act to any agency or office of the 
Department of Health and Human Services, including the National 
Institutes of Health: Provided further, That the Committees on 
Appropriations of the House of Representatives and the Senate
H. R. 2617—421 
shall be notified at least 15 days in advance of any transfer pursuant 
to the preceding proviso. 
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 individual 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 report by the Secretary to the 
Committees on Appropriations of the House of Representatives and 
the Senate detailing the planned uses of such funds. 
SEC. 204. Notwithstanding section 241(a) of the PHS Act, such 
portion as the Secretary shall determine, but not more than 2.5 
percent, of any amounts appropriated for programs authorized 
under such Act shall be made available for the evaluation (directly, 
or by grants or contracts) and the implementation and effectiveness 
of programs funded in this title. 
(TRANSFER OF FUNDS) 
SEC. 205. Not to exceed 1 percent of any discretionary funds 
(pursuant to the Balanced Budget and Emergency Deficit Control 
Act of 1985) which are appropriated 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 authority granted 
by this section shall not be used to create any new program or 
to fund any project or activity for which no funds are provided 
in this Act: Provided further, That the Committees on Appropria-
tions of the House of Representatives and the Senate are notified 
at least 15 days in advance 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 2023 under section 338B of such Act, or at any time 
if the individual 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 attempts to coerce minors into engaging 
in sexual activities. 
SEC. 208. Notwithstanding any other provision of law, no pro-
vider 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.
H. R. 2617—422 
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 participa-
tion in such program to an otherwise eligible entity (including 
a Provider Sponsored Organization) 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 capitation 
payment to such an entity (based on an actuarially sound estimate 
of the expected costs of providing the service to such entity’s 
enrollees): Provided further, That nothing in this section shall be 
construed to change the Medicare program’s coverage for such serv-
ices and a Medicare Advantage organization described in this sec-
tion shall be responsible for informing enrollees where to obtain 
information 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 promote gun control. 
SEC. 211. The Secretary shall make available through assign-
ment 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 Emer-
gency Fund or the World Health Organization. 
SEC. 212. In order for HHS to carry out international health 
activities, including HIV/AIDS and other infectious disease, chronic 
and environmental disease, and other health activities abroad 
during fiscal year 2023: 
(1) The Secretary may exercise authority equivalent to 
that available to the Secretary of State in section 2(c) of the 
State Department Basic Authorities Act of 1956. The Secretary 
shall consult with the Secretary of State and relevant Chief 
of Mission to ensure that the authority provided in this section 
is exercised in a manner consistent with section 207 of the 
Foreign Service Act of 1980 and other applicable 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 acquisition, lease, alteration, 
renovation, and management of facilities outside of the United 
States for the use of HHS. The Department of State shall 
cooperate fully with the Secretary to ensure that HHS has 
secure, safe, functional facilities that comply with applicable 
regulation governing location, setback, 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 institutions 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, 
including activities relating to HIV/AIDS and other infectious 
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, allow-
ances and benefits similar to those provided under chapter 
9 of title I of the Foreign Service Act of 1980, and 22 U.S.C.
H. R. 2617—1628 
shall be the powers, remedies, and procedures this division 
provides to the Commission, the Attorney General, or any per-
son, respectively, alleging an unlawful employment practice 
in violation of this division against an employee described in 
section 102(3)(A) except as provided in paragraphs (2) and 
(3) of this subsection. 
(2) COSTS AND FEES.—The powers, remedies, and proce-
dures provided in subsections (b) and (c) of section 722 of 
the Revised Statutes (42 U.S.C. 1988) shall be the powers, 
remedies, and procedures this division provides to the Commis-
sion, the Attorney General, or any person alleging such practice. 
(3) DAMAGES.—The powers, remedies, and procedures pro-
vided in section 1977A of the Revised Statutes (42 U.S.C. 
1981a), including the limitations contained in subsection (b)(3) 
of such section 1977A, shall be the powers, remedies, and 
procedures this division provides to the Commission, the 
Attorney General, or any person alleging such practice (not 
an employment practice specifically excluded from coverage 
under section 1977A(a)(1) of the Revised Statutes (42 U.S.C. 
1981a(a)(1))). 
(b) EMPLOYEES COVERED BY CONGRESSIONAL ACCOUNTABILITY 
ACT OF 1995.— 
(1) IN GENERAL.—The powers, remedies, and procedures 
provided in the Congressional Accountability Act of 1995 (2 
U.S.C. 1301 et seq.) for the purposes of addressing allegations 
of violations of section 201(a)(1) of such Act (2 U.S.C. 1311(a)(1)) 
shall be the powers, remedies, and procedures this division 
provides to address an allegation of an unlawful employment 
practice in violation of this division against an employee 
described in section 102(3)(B), except as provided in paragraphs 
(2) and (3) of this subsection. 
(2) COSTS AND FEES.—The powers, remedies, and proce-
dures provided in subsections (b) and (c) of section 722 of 
the Revised Statutes (42 U.S.C. 1988) for the purposes of 
addressing allegations of such a violation shall be the powers, 
remedies, and procedures this division provides to address 
allegations of such practice. 
(3) DAMAGES.—The powers, remedies, and procedures pro-
vided in section 1977A of the Revised Statutes (42 U.S.C. 
1981a), including the limitations contained in subsection (b)(3) 
of such section 1977A, for purposes of addressing allegations 
of such a violation, shall be the powers, remedies, and proce-
dures this division provides to address any allegation of such 
practice (not an employment practice specifically excluded from 
coverage under section 1977A(a)(1) of the Revised Statutes 
(42 U.S.C. 1981a(a)(1))). 
(c) EMPLOYEES COVERED BY CHAPTER 5 OF TITLE 3, UNITED 
STATES CODE.— 
(1) IN GENERAL.—The powers, remedies, and procedures 
provided in chapter 5 of title 3, United States Code, to the 
President, the Commission, the Merit Systems Protection 
Board, or any person alleging a violation of section 411(a)(1) 
of such title shall be the powers, remedies, and procedures 
this division provides to the President, the Commission, the 
Board, or any person, respectively, alleging an unlawful employ-
ment practice in violation of this division against an employee
H. R. 2617—1629 
described in section 102(3)(C), except as provided in paragraphs 
(2) and (3) of this subsection. 
(2) COSTS AND FEES.—The powers, remedies, and proce-
dures provided in subsections (b) and (c) of section 722 of 
the Revised Statutes (42 U.S.C. 1988) shall be the powers, 
remedies, and procedures this division provides to the Presi-
dent, the Commission, the Board, or any person alleging such 
practice. 
(3) DAMAGES.—The powers, remedies, and procedures pro-
vided in section 1977A of the Revised Statutes (42 U.S.C. 
1981a), including the limitations contained in subsection (b)(3) 
of such section 1977A, shall be the powers, remedies, and 
procedures this division provides to the President, the Commis-
sion, the Board, or any person alleging such practice (not an 
employment practice specifically excluded from coverage under 
section 1977A(a)(1) of the Revised Statutes (42 U.S.C. 
1981a(a)(1))). 
(d) EMPLOYEES COVERED BY GOVERNMENT EMPLOYEE RIGHTS 
ACT OF 1991.— 
(1) IN GENERAL.—The powers, remedies, and procedures 
provided in sections 302 and 304 of the Government Employee 
Rights Act of 1991 (42 U.S.C. 2000e–16b; 2000e–16c) to the 
Commission or any person alleging a violation of section 
302(a)(1) of such Act (42 U.S.C. 2000e–16b(a)(1)) shall be the 
powers, remedies, and procedures this division provides to the 
Commission or any person, respectively, alleging an unlawful 
employment practice in violation of this division against an 
employee described in section 102(3)(D), except as provided 
in paragraphs (2) and (3) of this subsection. 
(2) COSTS AND FEES.—The powers, remedies, and proce-
dures provided in subsections (b) and (c) of section 722 of 
the Revised Statutes (42 U.S.C. 1988) shall be the powers, 
remedies, and procedures this division provides to the Commis-
sion or any person alleging such practice. 
(3) DAMAGES.—The powers, remedies, and procedures pro-
vided in section 1977A of the Revised Statutes (42 U.S.C. 
1981a), including the limitations contained in subsection (b)(3) 
of such section 1977A, shall be the powers, remedies, and 
procedures this division provides to the Commission or any 
person alleging such practice (not an employment practice 
specifically excluded from coverage under section 1977A(a)(1) 
of the Revised Statutes (42 U.S.C. 1981a(a)(1))). 
(e) EMPLOYEES COVERED BY SECTION 717 OF THE CIVIL RIGHTS 
ACT OF 1964.— 
(1) IN GENERAL.—The powers, remedies, and procedures 
provided in section 717 of the Civil Rights Act of 1964 (42 
U.S.C. 2000e–16) to the Commission, the Attorney General, 
the Librarian of Congress, or any person alleging a violation 
of that section shall be the powers, remedies, and procedures 
this division provides to the Commission, the Attorney General, 
the Librarian of Congress, or any person, respectively, alleging 
an unlawful employment practice in violation of this division 
against an employee described in section 102(3)(E), except as 
provided in paragraphs (2) and (3) of this subsection. 
(2) COSTS AND FEES.—The powers, remedies, and proce-
dures provided in subsections (b) and (c) of section 722 of 
the Revised Statutes (42 U.S.C. 1988) shall be the powers,
H. R. 2617—1644 
or 6701 of title 49, United States Code, to satisfy 
a non-Federal share requirement applicable to such 
a project; and 
‘‘(ii) in the case of a project eligible for credit 
assistance under the TIFIA program under chapter 
6 of title 23, United States Code— 
‘‘(I) to satisfy a non-Federal share requirement 
applicable to such a project; and 
‘‘(II) to repay a loan provided under such pro-
gram. 
‘‘(B) LIMITATIONS; APPLICATION OF REQUIREMENTS.— 
‘‘(i) LIMITATION
ON
AMOUNTS
TO
BE
USED
FOR 
INFRASTRUCTURE PROJECTS.— 
‘‘(I) IN
GENERAL.—The total amount that a 
metropolitan city, nonentitlement unit of local 
government, or county may use from a payment 
made under this section for uses described in 
subparagraph (A) shall not exceed the greater of— 
‘‘(aa) $10,000,000; and 
‘‘(bb) 30 percent of such payment. 
‘‘(II) RULE
OF
APPLICATION.—The spending 
limitation under subclause (I) shall not apply to 
any use of funds permitted under paragraph (1), 
and any such use of funds shall be disregarded 
for purposes of applying such spending limitation. 
‘‘(ii) LIMITATION ON OPERATING EXPENSES.—Funds 
provided under a payment made under this section 
shall not be used for operating expenses of a project 
described in clauses (xx) through (xxiv) of section 
602(c)(5)(B). 
‘‘(iii) APPLICATION OF REQUIREMENTS.—Except as 
otherwise determined by the Secretary or the head 
of a Federal agency to which the Secretary has dele-
gated authority pursuant to clause (iv) or provided 
in this section— 
‘‘(I) the requirements of section 60102 of the 
Infrastructure Investment and Jobs Act shall apply 
to funds provided under a payment made under 
this section that are used pursuant to subpara-
graph (A) for a project described in clause (xxvi) 
of section 602(c)(5)(B) that relates to broadband 
infrastructure; and 
‘‘(II) the requirements of titles 23, 40, and 
49 of the United States Code, title I of the Housing 
and Community Development Act of 1974 (42 
U.S.C. 5301 et seq.), and the National Environ-
mental Policy Act of 1969 (42 U.S.C. 4321 et. seq) 
shall apply to funds provided under a payment 
made under this section that are used for projects 
described in section 602(c)(5)(B). 
‘‘(iv) OVERSIGHT.—The Secretary may delegate 
oversight and administration of the requirements 
described in clause (iii) to the appropriate Federal 
agency. 
‘‘(v) SUPPLEMENT, NOT SUPPLANT.—Amounts from 
a payment made under this section that are used by 
a metropolitan city, nonentitlement unit of local