172 
SEC. 526. Not later than 30 days after the end of 
each calendar quarter, beginning with the first quarter of 
fiscal year 2013, the Departments of Labor, Health and 
Human Services, and Education shall provide the Com-
mittees on Appropriations of the House of Representatives 
and Senate a quarterly report on the status of balances 
of appropriations: Provided, That for balances that are un-
obligated and uncommitted, committed, and obligated but 
unexpended, the quarterly reports shall separately identify 
the amounts attributable to each source year of appropria-
tion (beginning with fiscal year 2012, or, to the extent 
feasible, earlier fiscal years) from which balances were de-
rived. 
SEC. 527. None of the funds made available in this 
Act may be used to implement, administer, enforce, or fur-
ther any provision of Public Law 111–148 or title I or 
subtitle B of title II of Public Law 111–152 and the 
amendment made by such provision: Provided, That funds 
in this Act may be used to implement, administer, enforce, 
or further the rate setting process for calendar year 2019 
and fiscal year 2020 for Medicare under title XVIII of 
the Social Security Act: Provided further, That funds in 
this Act may be used to implement, administer, enforce, 
or further the final rules for the provisions of (and amend-
ments made by) sections 2501(c), 2501(d), and 2503 of 
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173 
Public Law 111–148, as amended by sections 1206(a) and 
1101(c) of Public Law 111–152, insofar as each respective 
rule relates to calendar year 2019. 
SEC. 528. None of the funds appropriated in this Act 
may be used to implement, further, enforce, or advance 
the Navigators program as provided under section 1311(i) 
of Public Law 111-148 and title I and subtitle B of title 
II of Public Law 111-152. 
(RESCISSION) 
SEC. 529. Of any available amounts appropriated 
under section 2104(a)(22) of the Social Security Act (42 
U.S.C. 1397dd) that are unobligated as of September 25, 
2019, $3,345,000,000 are hereby rescinded as of such 
date. 
(RESCISSION) 
SEC. 530. Of the funds unobligated balances in the 
‘‘Nonrecurring expenses fund’’ established by section 223 
of division G of Public Law 110-161 $400,000,000 is re-
scinded. 
(RESCISSION) 
SEC. 531. Of the amounts deposited in the Child En-
rollment Contingency Fund prior to the beginning of fiscal 
year 2019 under section 2104(n)(2) of the Social Security 
Act, $3,378,613,000 are permanently rescinded. 
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174 
SEC. 532. None of the funds made available by this 
Act may be used to conduct or support research using 
human fetal tissue if such tissue is obtained pursuant to 
an induced abortion. 
SEC. 533. (a) IN GENERAL.—Notwithstanding any 
other provision of law, none of the funds made available 
by this Act may be made available either directly, through 
a State (including through managed care contracts with 
a State), or through any other means, to a prohibited enti-
ty. 
(b) PROHIBITED ENTITY.—The term ‘‘prohibited 
entity’’ means an entity, including its affiliates, subsidi-
aries, successors, and clinics— 
(1) that, as of the date of enactment of this 
Act— 
(A) is an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 
and exempt from taxation under section 501(a) 
of such Code; 
(B) is an essential community provider de-
scribed in section 156.235 of title 45, Code of 
Federal Regulations (as in effect on the date of 
enactment of this Act), that is primarily en-
gaged in family planning services, reproductive 
health, and related medical care; and 
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(C) performs, or provides any funds to any 
other entity that performs abortions, other than 
an abortion performed— 
(i) in the case of a pregnancy that is 
the result of an act of rape or incest; or 
(ii) in the case where a woman suffers 
from a physical disorder, physical injury, 
or physical illness that would, as certified 
by a physician, place the woman in danger 
of death unless an abortion is performed, 
including a life endangering physical condi-
tion caused by, or arising from, the preg-
nancy itself; and 
(2) for which the total amount of Federal 
grants to such entity, including grants to any affili-
ates, subsidiaries, or clinics of such entity, under 
title X of the Public Health Service Act in fiscal 
year 2016 exceeded $23,000,000. 
(c)(1) END OF PROHIBITION.—The definition in 
subsection (b) shall cease to apply to an entity if such enti-
ty certifies that it, including its affiliates, subsidiaries, 
successors, and clinics, will not perform, and will not pro-
vide any funds to any other entity that performs, an abor-
tion as described in subsection (b)(1)(C). 
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(2) REPAYMENT.—The Secretary of Health 
and Human Services shall seek repayment of any 
Federal assistance received by any entity that had 
made a certification described in paragraph (1) and 
subsequently violated the terms of such certification. 
SEC. 534. (a) This section may be cited as the ‘‘Con-
science Protection Act of 2018’’. 
(b) Congress finds as follows: 
(1) Thomas Jefferson stated a conviction com-
mon to our Nation’s founders when he declared in 
1809 that ‘‘[n]o provision in our Constitution ought 
to be dearer to man than that which protects the 
rights of conscience against the enterprises of the 
civil authority’’. 
(2) In 1973, the Supreme Court concluded that 
the government must leave the abortion decision ‘‘to 
the medical judgment of the pregnant woman’s at-
tending physician’’, recognizing that a physician may 
choose not to participate in abortion. Roe v. Wade, 
410 U.S. 113, 164 (1973). The Court cited with ap-
proval a policy that ‘‘neither physician, hospital, nor 
hospital personnel shall be required to perform any 
act violative of personally-held moral principles’’, 
410 U.S. at 143 n. 38, and cited State laws uphold-
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