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Labor in this Act may be transferred between a program, 
project, or activity, but no such program, project, or activ-
ity 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 Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer. 
SEC. 103. In accordance with Executive Order 
13126, none of the funds appropriated or otherwise made 
available pursuant to this Act shall be obligated or ex-
pended for the procurement of goods mined, produced, 
manufactured, or harvested or services rendered, in whole 
or in part, by forced or indentured child labor in industries 
and host countries already identified by the United States 
Department of Labor prior to enactment of this Act. 
SEC. 104. Except as otherwise provided in this sec-
tion, none of the funds made available to the Department 
of Labor for grants under section 414(c) of the American 
Competitiveness and Workforce Improvement Act of 1998 
(29 U.S.C. 2916a) may be used for any purpose other 
than competitive grants for training individuals who are 
older than 16 years of age and are not currently enrolled 
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in school within a local educational agency in the occupa-
tions and industries for which employers are using H–1B 
visas to hire foreign workers, and the related activities 
necessary to support such training. 
SEC. 105. None of the funds made available by this 
Act under the heading ‘‘Employment and Training Ad-
ministration’’ shall be used by a recipient or subrecipient 
of such funds to pay the salary and bonuses of an indi-
vidual, either as direct costs or indirect costs, at a rate 
in excess of Executive Level II. This limitation shall not 
apply to vendors providing goods and services as defined 
in Office of Management and Budget Circular A–133. 
Where States are recipients of such funds, States may es-
tablish a lower limit for salaries and bonuses of those re-
ceiving salaries and bonuses from subrecipients of such 
funds, taking into account factors including the relative 
cost-of-living in the State, the compensation levels for 
comparable State or local government employees, and the 
size of the organizations that administer Federal pro-
grams involved including Employment and Training Ad-
ministration programs. 
(TRANSFER OF FUNDS) 
SEC. 106. (a) Notwithstanding section 102, the Sec-
retary may transfer funds made available to the Employ-
ment and Training Administration by this Act, either di-
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rectly or through a set-aside, for technical assistance serv-
ices to grantees to ‘‘Program Administration’’ when it is 
determined that those services will be more efficiently per-
formed by Federal employees: Provided, That this section 
shall not apply to section 171 of the WIOA. 
(b) Notwithstanding section 102, the Secretary may 
transfer not more than 0.5 percent of each discretionary 
appropriation made available to the Employment and 
Training Administration by this Act to ‘‘Program Admin-
istration’’ in order to carry out program integrity activities 
relating to any of the programs or activities that are fund-
ed under any such discretionary appropriations: Provided, 
That notwithstanding section 102 and the preceding pro-
viso, the Secretary may transfer not more than 0.5 percent 
of funds made available in paragraphs (1) and (2) of the 
‘‘Office of Job Corps’’ account to paragraph (3) of such 
account to carry out program integrity activities related 
to the Job Corps program: Provided further, That funds 
transferred under this subsection shall be available to the 
Secretary to carry out program integrity activities directly 
or through grants, cooperative agreements, contracts and 
other arrangements with States and other appropriate en-
tities: Provided further, That funds transferred under the 
authority provided by this subsection shall be available for 
obligation through September 30, 2027. 
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(TRANSFER OF FUNDS) 
SEC. 107. (a) The Secretary may reserve not more 
than 0.75 percent from each appropriation made available 
in this Act identified in subsection (b) in order to carry 
out evaluations of any of the programs or activities that 
are funded under such accounts. Any funds reserved under 
this section shall be transferred to ‘‘Departmental Man-
agement’’ for use by the Office of the Chief Evaluation 
Officer within the Department of Labor, and shall be 
available for obligation through September 30, 2027: Pro-
vided, That such funds shall only be available if the Chief 
Evaluation Officer of the Department of Labor submits 
a plan to the Committees on Appropriations of the House 
of Representatives and the Senate describing the evalua-
tions to be carried out 15 days in advance of any transfer. 
(b) The accounts referred to in subsection (a) are: 
‘‘Training and Employment Services’’, ‘‘Job Corps’’, 
‘‘Community Service Employment for Older Americans’’, 
‘‘State Unemployment Insurance and Employment Service 
Operations’’, ‘‘Employee Benefits Security Administra-
tion’’, ‘‘Office of Workers’ Compensation Programs’’, 
‘‘Wage and Hour Division’’, ‘‘Office of Federal Contract 
Compliance Programs’’, ‘‘Office of Labor Management 
Standards’’, ‘‘Occupational Safety and Health Adminis-
tration’’, ‘‘Mine Safety and Health Administration’’, ‘‘Of-
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fice of Disability Employment Policy’’, funding made 
available to the ‘‘Bureau of International Labor Affairs’’ 
and ‘‘Women’s Bureau’’ within the ‘‘Departmental Man-
agement, Salaries and Expenses’’ account, and ‘‘Veterans’ 
Employment and Training’’. 
SEC. 108. (a) Section 7 of the Fair Labor Standards 
Act of 1938 (29 U.S.C. 207) shall be applied as if the 
following text is part of such section: 
‘‘(s)(1) The provisions of this section shall not apply 
for a period of 2 years after the occurrence of a major 
disaster to any employee— 
‘‘(A) employed to adjust or evaluate claims re-
sulting from or relating to such major disaster, by 
an employer not engaged, directly or through an af-
filiate, in underwriting, selling, or marketing prop-
erty, casualty, or liability insurance policies or con-
tracts; 
‘‘(B) who receives from such employer on aver-
age weekly compensation of not less than $591.00 
per week or any minimum weekly amount estab-
lished by the Secretary, whichever is greater, for the 
number of weeks such employee is engaged in any 
of the activities described in subparagraph (C); and 
‘‘(C) whose duties include any of the following: 
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‘‘(i) interviewing insured individuals, indi-
viduals who suffered injuries or other damages 
or losses arising from or relating to a disaster, 
witnesses, or physicians; 
‘‘(ii) inspecting property damage or review-
ing factual information to prepare damage esti-
mates; 
‘‘(iii) evaluating and making recommenda-
tions regarding coverage or compensability of 
claims or determining liability or value aspects 
of claims; 
‘‘(iv) negotiating settlements; or 
‘‘(v) making recommendations regarding 
litigation. 
‘‘(2) The exemption in this subsection shall not affect 
the exemption provided by section 13(a)(1). 
‘‘(3) For purposes of this subsection— 
‘‘(A) the term ‘major disaster’ means any dis-
aster or catastrophe declared or designated by any 
State or Federal agency or department; 
‘‘(B) the term ‘employee employed to adjust or 
evaluate claims resulting from or relating to such 
major disaster’ means an individual who timely se-
cured or secures a license required by applicable law 
to engage in and perform the activities described in 
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clauses (i) through (v) of paragraph (1)(C) relating 
to a major disaster, and is employed by an employer 
that maintains worker compensation insurance cov-
erage or protection for its employees, if required by 
applicable law, and withholds applicable Federal, 
State, and local income and payroll taxes from the 
wages, salaries and any benefits of such employees; 
and 
‘‘(C) the term ‘affiliate’ means a company that, 
by reason of ownership or control of 25 percent or 
more of the outstanding shares of any class of voting 
securities of one or more companies, directly or indi-
rectly, controls, is controlled by, or is under common 
control with, another company.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 109. (a) FLEXIBILITY WITH RESPECT TO THE 
CROSSING OF H–2B NONIMMIGRANTS WORKING IN THE 
SEAFOOD INDUSTRY.— 
(1) IN GENERAL.—Subject to paragraph (2), if 
a petition for H–2B nonimmigrants filed by an em-
ployer in the seafood industry is granted, the em-
ployer may bring the nonimmigrants described in 
the petition into the United States at any time dur-
ing the 120-day period beginning on the start date 
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for which the employer is seeking the services of the 
nonimmigrants without filing another petition. 
(2) REQUIREMENTS
FOR
CROSSINGS
AFTER 
90TH
DAY.—An employer in the seafood industry 
may not bring H–2B nonimmigrants into the United 
States after the date that is 90 days after the start 
date for which the employer is seeking the services 
of the nonimmigrants unless the employer— 
(A) completes a new assessment of the 
local labor market by— 
(i) listing job orders in local news-
papers on 2 separate Sundays; and 
(ii) posting the job opportunity on the 
appropriate Department of Labor Elec-
tronic Job Registry and at the employer’s 
place of employment; and 
(B) offers the job to an equally or better 
qualified United States worker who— 
(i) applies for the job; and 
(ii) will be available at the time and 
place of need. 
(3) EXEMPTION FROM RULES WITH RESPECT 
TO STAGGERING.—The Secretary of Labor shall not 
consider an employer in the seafood industry who 
brings H–2B nonimmigrants into the United States 
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during the 120-day period specified in paragraph (1) 
to be staggering the date of need in violation of sec-
tion 655.20(d) of title 20, Code of Federal Regula-
tions, or any other applicable provision of law. 
(b) H–2B NONIMMIGRANTS DEFINED.—In this sec-
tion, the term ‘‘H–2B nonimmigrants’’ means aliens ad-
mitted to the United States pursuant to section 
101(a)(15)(H)(ii)(B) of the Immigration and Nationality 
Act (8 U.S.C. 1101(a)(15)(H)(ii)(B)). 
SEC. 110. The determination of prevailing wage for 
the purposes of the H–2B program shall be the greater 
of—(1) the actual wage level paid by the employer to other 
employees with similar experience and qualifications for 
such position in the same location; or (2) the prevailing 
wage level for the occupational classification of the posi-
tion in the geographic area in which the H–2B non-
immigrant will be employed, based on the best information 
available at the time of filing the petition. In the deter-
mination of prevailing wage for the purposes of the H– 
2B program, the Secretary shall accept private wage sur-
veys even in instances where Occupational Employment 
Statistics survey data are available unless the Secretary 
determines that the methodology and data in the provided 
survey are not statistically supported. 
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SEC. 111. 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 defi-
nition of temporary need shall be that provided in 8 CFR 
214.2(h)(6)(ii)(B). 
SEC. 112. Notwithstanding any other provision of 
law, the Secretary may furnish through grants, coopera-
tive agreements, contracts, and other arrangements, up to 
$450,000 of excess personal property, at a value deter-
mined by the Secretary, to apprenticeship programs for 
the purpose of training apprentices in those programs. 
SEC. 113. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, approved March 4, 1913 (37 Stat. 
736, chapter 141) is amended by adding at the end the 
following new section: 
‘‘(a) IN GENERAL.—The Secretary of Labor is au-
thorized to employ law enforcement officers or special 
agents to— 
‘‘(1) provide protection for the Secretary of 
Labor during the workday of the Secretary and dur-
ing any activity that is preliminary or postliminary 
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‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, in-
cluding identifying and mitigating potential threats 
and conducting advance work to review security mat-
ters relating to sites and events; 
‘‘(4) coordinate with local law enforcement 
agencies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Sec-
retary, in coordination with the Inspector General of 
the Department of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law en-
forcement officer or special agent employed under sub-
section (a) shall exercise any authority provided under this 
section in accordance with any— 
‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of en-
actment of this Act. 
SEC. 114. The Secretary is authorized to dispose of 
or divest, by any means the Secretary determines appro-
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priate, including an agreement or partnership to construct 
a new Job Corps center, all or a portion of the real prop-
erty on which the Treasure Island Job Corps Center and 
the Gary Job Corps Center are situated. Any sale or other 
disposition, to include any associated construction project, 
will not be subject to any requirement of any Federal law 
or regulation relating to the disposition of Federal real 
property or relating to Federal procurement, including but 
not limited to subchapter III of chapter 5 of title 40 of 
the United States Code, subchapter V of chapter 119 of 
title 42 of the United States Code, and chapter 33 of divi-
sion C of subtitle I of title 41 of the United States Code. 
The net proceeds of such a sale shall be transferred to 
the Secretary, which shall be available until expended for 
such project to carry out the Job Corps Program on 
Treasure Island and the Job Corps Program in and 
around San Marcos, Texas, respectively. 
SEC. 115. None of the funds made available by this 
Act may be used to— 
(1) alter or terminate the Interagency Agree-
ment between the United States Department of 
Labor and the United States Department of Agri-
culture; 
(2) close any of the Civilian Conservation Cen-
ters, except if such closure is necessary to prevent 
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the endangerment of the health and safety of the 
students, the capacity of the program is retained, 
and the requirements of section 159(j) of the WIOA 
are met; or 
(3) close any Job Corps Centers, except if such 
closure meets the criterion entitled ‘‘Long-Term 
Center Performance’’ or the criterion entitled ‘‘Eval-
uation of Continuing Center Operations’’ established 
by 81 FR 12529, the capacity of the program is re-
tained, and the requirements of section 159(j) of the 
WIOA are met. 
(RESCISSION) 
SEC. 116. Of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act 
(8 U.S.C. 1356(s)(2)), $206,000,000 are hereby perma-
nently rescinded not later than September 30, 2026. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2026’’. 
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TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) 
with respect to primary health care and the Native Hawai-
ian Health Care Act of 1988, $1,858,772,000: Provided, 
That no more than $1,000,000 shall be available until ex-
pended for carrying out the provisions of section 224(o) 
of the PHS Act: Provided further, That no more than 
$120,000,000 shall be available until expended for car-
rying out subsections (g) through (n) and (q) of section 
224 of the PHS Act, and for expenses incurred by the 
Department of Health and Human Services (referred to 
in this Act as ‘‘HHS’’) pertaining to administrative claims 
made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, sections 1128E 
and 1921 of the Social Security Act, and the Health Care 
Quality Improvement Act of 1986, $1,413,776,000, which 
shall be for the purposes and in the amounts specified in 
the ‘‘Final Bill’’ column for Health Workforce in the ‘‘De-
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partments of Labor, Health and Human Services, Edu-
cation, and Related Agencies Appropriations Act, 2026’’ 
table in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act): Provided, That section 751(j)(2) of the PHS Act and 
the proportional funding amounts in paragraphs (1) 
through (4) of section 756(f) of the PHS Act shall not 
apply to funds made available under this heading: Pro-
vided further, That for any program operating under sec-
tion 751 of the PHS Act on or before January 1, 2009, 
the Secretary of Health and Human Services (referred to 
in this title as the ‘‘Secretary’’) may hereafter waive any 
of the requirements contained in sections 751(d)(2)(A) 
and 751(d)(2)(B) of such Act for the full project period 
of a grant under such section: Provided further, That sec-
tion 756(c) of the PHS Act shall apply to paragraphs (1) 
through (4) of section 756(a) of such Act: Provided fur-
ther, That no funds shall be available for section 340G– 
1 of the PHS Act: Provided further, That fees collected 
for the disclosure of information under section 427(b) of 
the Health Care Quality Improvement Act of 1986 and 
sections 1128E(d)(2) and 1921 of the Social Security Act 
shall be sufficient to recover the full costs of operating 
the programs authorized by such sections and shall remain 
available until expended for the National Practitioner 
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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 section 
and subpart: Provided further, That amounts made avail-
able for the National Health Service Corps (‘‘NHSC’’) 
shall remain available until expended for the purposes of 
providing primary health services, assigning NHSC par-
ticipants to expand the delivery of substance use disorder 
treatment services, notwithstanding the assignment prior-
ities and limitations under sections 333(a)(1)(D), 333(b), 
and 333A(a)(1)(B)(ii) of the PHS Act, and making pay-
ments under the NHSC Loan Repayment Program under 
section 338B of such Act: Provided further, That, within 
the amount made available for the NHSC, not less than 
13 percent shall remain available until expended for the 
purposes of making payments under the NHSC Loan Re-
payment Program under section 338B of the PHS Act 
to individuals participating in such program who provide 
primary health services in Indian Health Service facilities, 
Tribally-Operated 638 Health Programs, and Urban In-
dian Health Programs (as those terms are defined by the 
Secretary), notwithstanding the assignment priorities and 
limitations under section 333(b) of the PHS Act, and 
$8,000,000 shall remain available until expended for pay-
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ments to individuals participating in such program who 
provide primary health services in Maternity Care Health 
Professional Target Areas, as determined by the Sec-
retary, notwithstanding the assignment priorities and limi-
tations under section 333(b) of such Act: Provided further, 
That for purposes of the previous two provisos, section 
331(a)(3)(D) of the PHS Act shall be applied as if the 
term ‘‘primary health services’’ includes clinical substance 
use disorder treatment services, including those provided 
by masters level, licensed substance use disorder treat-
ment counselors: Provided further, That amounts made 
available for the Nurse Practitioner Optional Fellowship 
Program shall be available to make grants to establish, 
expand, or maintain optional community-based nurse 
practitioner fellowship programs that are accredited or in 
the accreditation process, with a preference for those in 
Federally Qualified Health Centers, for practicing post-
graduate nurse practitioners in primary care or behavioral 
health: Provided further, That amounts made available for 
Pediatric Specialty Loan Repayment shall remain avail-
able until expended for activities under section 775 of the 
PHS Act: Provided further, That the United States may 
recover liquidated damages in an amount determined by 
the formula under section 338E(c)(1) of the PHS Act if 
an individual either fails to begin or complete the service 
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obligated by a contract under section 775(b) of the PHS 
Act: Provided further, That for purposes of section 
775(c)(1) of the PHS Act, the Secretary may include 
other mental and behavioral health disciplines as the Sec-
retary deems appropriate: Provided further, That the Sec-
retary may terminate a contract entered into under section 
775 of the PHS Act in the same manner articulated in 
section 206 of this title for fiscal year 2026 contracts en-
tered into under section 338B of the PHS Act. 
Amounts made available for Medical Student Edu-
cation shall remain available until expended for grants to 
public institutions of higher education to expand or sup-
port graduate education for physicians provided by such 
institutions, including funding for infrastructure develop-
ment, maintenance, equipment, and minor renovations or 
alterations: Provided, That, in awarding such grants, the 
Secretary shall give priority to public institutions of higher 
education located in States with a projected primary care 
provider shortage, as determined by the Secretary: Pro-
vided further, That grants so awarded are limited to such 
public institutions of higher education in States in the top 
quartile of States with a projected primary care provider 
shortage, as determined by the Secretary: Provided fur-
ther, That the minimum amount of a grant so awarded 
to such an institution shall be not less than $1,000,000 
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per year: Provided further, That such a grant may be 
awarded for a period not to exceed 5 years: Provided fur-
ther, That such a grant awarded with respect to a year 
to such an institution shall be subject to a matching re-
quirement of non-Federal funds in an amount that is not 
more than 10 percent of the total amount of Federal funds 
provided in the grant to such institution with respect to 
such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health and 
title V of the Social Security Act, $1,181,680,000, which 
shall be for the purposes and in the amounts specified in 
the ‘‘Final Bill’’ column for Maternal and Child Health 
in the ‘‘Departments of Labor, Health and Human Serv-
ices, Education, and Related Agencies Appropriations Act, 
2026’’ table in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act): Provided, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, 
amounts made available for Special Projects of Regional 
and National Significance 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 
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subparagraphs (A) through (F) of section 501(a)(3) of 
such Act, and the budget activities specified in the table 
under this heading in the explanatory statement described 
in section 4 (in the matter preceding division A of this 
consolidated Act) shall be funded in the amounts specified 
in such table. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with 
respect to the Ryan White HIV/AIDS program, 
$2,571,041,000, which shall be for the purposes and in 
the amounts specified in the ‘‘Final Bill’’ column for Ryan 
White HIV/AIDS Program in the ‘‘Departments of Labor, 
Health and Human Services, Education, and Related 
Agencies Appropriations Act, 2026’’ table in the explana-
tory statement described in section 4 (in the matter pre-
ceding division A of this consolidated Act), of which the 
amounts made available for Emergency Assistance (Part 
A) and Comprehensive Care Programs (Part B) shall re-
main available to the Secretary through September 30, 
2028, for parts A and B of title XXVI of the PHS Act, 
and of which the amounts made available for the AIDS 
Drug Assistance Program (ADAP) shall be for State 
AIDS Drug Assistance Programs under the authority of 
section 2616 or 311(c) of such Act; and of which the 
amounts made available for Ending the HIV/AIDS Epi-
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demic Initiative shall remain available until expended and 
shall be available to the Secretary for carrying out a pro-
gram of grants and contracts under title XXVI or section 
311(c) of such Act focused on ending the nationwide HIV/ 
AIDS epidemic, with any grants issued under such section 
311(c) administered in conjunction with title XXVI of the 
PHS Act, including the limitation on administrative ex-
penses. 
HEALTH 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, $127,009,000, of 
which $122,000 shall be available until expended for facil-
ity renovations and other facilities-related expenses of the 
Hansen’s Disease Program: Provided, That during the pe-
riod covered by this Act, the Secretary of Health and 
Human Services may collect registration fees from mem-
bers of the Organ Procurement and Transplantation Net-
work (in this title referred to as ‘‘OPTN’’), authorized 
under section 372 of the PHS Act, for each transplant 
candidate such members place on the list described in sub-
section (b)(2)(A)(i) of such section, including directly or 
through awards made under subsection (b)(1)(A) of such 
section: Provided further, That such fees may be credited 
to this account, to remain available until expended, to sup-
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port the operation of the OPTN: Provided further, That 
the Secretary may distribute fees collected pursuant to the 
first proviso under this heading among the awardee or 
awardees described in subsection (b)(1)(A) of section 372 
of the PHS Act as the Secretary determines appropriate. 
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, $392,907,000, 
which shall be for the purposes and in the amounts speci-
fied, other than for ‘‘Rural Hospital Provider Assistance 
Program’’, in the ‘‘Final Bill’’ column for Rural Health 
in the ‘‘Departments of Labor, Health and Human Serv-
ices, Education, and Related Agencies Appropriations Act, 
2026’’ table in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act), of which the amounts made available for Rural 
Hospital Flexibility Grants shall come from general reve-
nues, notwithstanding section 1820(j) of the Social Secu-
rity Act: Provided, That of the funds made available under 
this paragraph for Rural Hospital Flexibility Grants, up 
to $22,942,000 shall be available for the Small Rural Hos-
pital Improvement Program for quality improvement and 
adoption of health information technology, no less than 
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$5,000,000 shall be available to award grants to public 
or non-profit private entities for the Rural Emergency 
Hospital Technical Assistance Program, 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 imple-
mentation of telehealth services and other efforts to im-
prove health care coordination for rural veterans between 
rural providers and the Department of Veterans Affairs: 
Provided further, That the amounts made available for 
State Offices of Rural Health shall be available notwith-
standing section 338J(k) of the PHS Act: Provided fur-
ther, That the amounts for the Rural Residency Planning 
and Development Program shall remain available through 
September 30, 2028. 
In addition to amounts otherwise available for the 
same purpose, $25,000,000, for making payments to eligi-
ble hospitals for the maintenance of health care providers: 
Provided, That eligible hospitals receiving such payment 
shall meet the following criteria: (1) have no more than 
50 inpatient beds and (2) have an established wage index 
value of less than 0.90 as determined by the Secretary 
of 
Health 
and 
Human 
Services 
under 
section 
1886(d)(3)(E) of the Social Security Act (42 U.S.C. 
1395ww(d)(3)(E)): Provided further, That up to 10 per-
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cent of funds made available in this paragraph may be 
used by eligible hospitals for administrative expenses: Pro-
vided further, That payment amounts to eligible hospitals 
shall be calculated by dividing available funding equally 
among such eligible hospitals. 
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 nondirec-
tive, 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 opposition to any legislative proposal or candidate for 
public office. 
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out title III of the Public Health Service 
Act and for cross-cutting activities and program support 
for activities funded in other appropriations included in 
this Act for the Health Resources and Services Adminis-
tration, $1,076,181,000, of which $45,550,000 shall be 
for expenses necessary for the Office for the Advancement 
of Telehealth, including grants, contracts, and cooperative 
agreements for the advancement of telehealth activities: 
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Provided, That funds made available under this heading 
may be used to supplement program support funding pro-
vided under the headings ‘‘Primary Health Care’’, 
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, 
‘‘Ryan White HIV/AIDS Program’’, ‘‘Health Systems’’, 
and ‘‘Rural Health’’: Provided further, That of the amount 
made available under this heading, $857,793,000 shall be 
used for the projects financing the construction and ren-
ovation (including equipment) of health care and other fa-
cilities, and for the projects financing one-time grants that 
support health-related activities, including training and in-
formation technology, and in the amounts specified in the 
table titled ‘‘Community Project Funding/Congressionally 
Directed Spending’’ included for this division in the ex-
planatory 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 sec-
tion 241 of the PHS Act or section 205 of this Act. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-re-
lated injury or death with respect to vaccines administered 
after September 30, 1988, pursuant to subtitle 2 of title 
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XXI of the PHS Act, to remain available until expended: 
Provided, That for necessary administrative expenses, not 
to exceed $15,200,000 shall be available from the Trust 
Fund to the Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, and titles II and IV of the 
Immigration and Nationality Act, with respect to immuni-
zation and respiratory diseases, $316,901,000. 
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, 
$1,384,056,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, and titles II and IV of the Immigra-
tion and Nationality Act, with respect to emerging and 
zoonotic infectious diseases, $729,272,000: Provided, That 
of the amounts made available under this heading, up to 
$1,000,000 from amounts made available for Quarantine 
appropriations shall remain available until expended to 
pay for the transportation, medical care, treatment, and 
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other related costs of persons quarantined or isolated 
under Federal or State quarantine law. 
CHRONIC DISEASE PREVENTION AND HEALTH 
PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and 
XIX of the PHS Act with respect to chronic disease pre-
vention and health promotion, $983,830,000: Provided, 
That funds made available under this heading may be 
available for making grants under section 1509 of the 
PHS Act for not less than 21 States, Tribes, or Tribal 
organizations: 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 dis-
abilities, disabilities and health, $205,060,000. 
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, $724,553,000: 
Provided, That in addition to amounts provided herein, 
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$42,944,000 shall be from funds available under section 
241 of the PHS Act for health statistics. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $191,850,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$761,379,000. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $366,800,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with 
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the provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $692,843,000, of which: 
(1) the amounts made available for the Global HIV/AIDS 
Program shall remain available through September 30, 
2027; and (2) the amounts made available for the Global 
Public Health Protection shall remain available through 
September 30, 2028: 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, XVII, and XXVIII of 
the PHS Act with respect to public health preparedness 
and response, and for expenses necessary to support ac-
tivities related to countering potential biological, nuclear, 
radiological, and chemical threats to civilian populations, 
$913,200,000: Provided, That the Director of the Centers 
for Disease Control and Prevention (referred to in this 
title as ‘‘CDC’’) or the Administrator of the Agency for 
Toxic Substances and Disease Registry may detail staff 
without reimbursement to support an activation of the 
CDC Emergency Operations Center, so long as the Direc-
tor or Administrator, as applicable, provides a notice to 
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the Committees on Appropriations of the House of Rep-
resentatives and the Senate within 15 days of the use of 
this authority, 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, and an update of such report 
every 180 days until staff are no longer on detail without 
reimbursement to the CDC Emergency Operations Center. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$40,000,000, which shall remain available until expended: 
Provided, That funds made available to this account in 
this or any prior Act that are available for the acquisition 
of real property or for construction or improvement of fa-
cilities shall be available to make improvements on non- 
federally owned property, provided that any improvements 
that are not adjacent to federally owned property do not 
exceed $2,500,000, and that the primary benefit of such 
improvements accrues to CDC: Provided further, That 
funds previously set-aside by CDC for repair and upgrade 
of the Lake Lynn Experimental Mine and Laboratory 
shall be used to acquire a replacement mine safety re-
search facility: Provided further, That funds made avail-
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able to this account in this or any prior Act that are avail-
able for the acquisition of real property or for construction 
or improvement of facilities in conjunction with the new 
replacement mine safety research facility shall be available 
to make improvements on non-federally owned property, 
provided that any improvements that are not adjacent to 
federally owned property do not exceed $5,000,000: Pro-
vided 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 
replacement of the mine safety research facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activi-
ties and program support for activities funded in other 
appropriations included in this Act for the Centers for 
Disease Control and Prevention, $396,570,000: Provided, 
That the amounts made available for Public Health Infra-
structure and Capacity appropriations shall remain avail-
able through September 30, 2027: Provided further, That 
paragraphs (1) through (3) of subsection (b) of section 
2821 of the PHS Act shall not apply to funds appro-
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HR 7148 PCS
priated under this heading and in all other accounts of 
the CDC: Provided further, That the amounts made avail-
able for Infectious Diseases Rapid Response Reserve Fund 
appropriations shall remain available until expended and 
shall be available to the Director of the CDC for deposit 
in the Infectious Diseases Rapid Response Reserve Fund 
established by section 231 of division B of Public Law 
115–245: 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 pre-
pared to address public health preparedness emergencies: 
Provided further, That employees of CDC or the Public 
Health Service, both civilian and commissioned officers, 
detailed to States, municipalities, or other organizations 
under authority of section 214 of the PHS Act, or in over-
seas assignments, shall be treated as non-Federal employ-
ees 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 re-
ception and representation expenses when specifically ap-
proved by the Director of CDC: Provided further, That in 
addition, such sums as may be derived from authorized 
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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 Certifi-
cation Program shall be available through September 30, 
2027. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $7,352,159,000, of which up 
to $30,000,000 may be used for facilities repairs and im-
provements at the National Cancer Institute—Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood dis-
eases, and blood and blood products, $3,990,345,000. 
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, 
$525,163,000. 
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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 dis-
ease, $2,326,721,000. 
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, 
$2,804,925,000. 
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, 
$6,585,279,000: 
Provided, 
That 
not 
less 
than 
$270,000,000 is provided for research to develop universal 
flu vaccines. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$3,269,679,000, of which $1,427,482,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
vided, That not less than $450,956,000 is provided for the 
Institutional Development Awards program. 
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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, 
$1,769,078,000: 
Provided, 
That 
not 
less 
than 
$63,400,000 is provided for the Implementing a Maternal 
health and Pregnancy Outcomes Vision for Everyone (IM-
PROVE) Initiative. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$896,549,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$913,979,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $4,517,623,000. 
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, $685,465,000. 
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NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $534,333,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $197,693,000. 
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, 
$595,318,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,662,695,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,189,843,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$663,200,000. 
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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, $440,627,000. 
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, 
$170,384,000. 
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, $538,395,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $95,162,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$497,548,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2027: Provided further, That 
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in this fiscal year, the National Library of Medicine may 
enter into personal services contracts for the provision of 
services in facilities owned, operated, or constructed under 
the jurisdiction of the National Institutes of Health (re-
ferred to in this title as ‘‘NIH’’). 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $942,323,000: 
Provided, That $75,000,000 shall be available to imple-
ment section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$629,560,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, NIH, $2,462,914,000: Provided, That fund-
ing shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That all funds credited to the NIH Manage-
ment Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided fur-
ther, That $180,000,000 shall be for the Environmental 
Influences on Child Health Outcomes study: Provided fur-
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ther, That $572,401,000 shall be available for the Com-
mon Fund established under section 402A(c)(1) of the 
PHS Act: Provided further, That of the funds provided, 
$10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of the 
NIH: Provided further, That the Office of AIDS Research 
within the Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or ren-
ovation 
of 
facilities 
as 
provided 
for 
in 
section 
2354(a)(5)(B) of the PHS Act: Provided further, That 
$80,000,000 shall be used to carry out section 404I of 
the PHS Act (42 U.S.C. 283k), relating to biomedical and 
behavioral research facilities: Provided further, That 
$5,000,000 shall be transferred to and merged with the 
appropriation for the ‘‘Office of Inspector General’’ for 
oversight of grant programs and operations of the NIH, 
including agency efforts to ensure the integrity of its grant 
application evaluation and selection processes, and shall 
be in addition to funds otherwise made available for over-
sight of the NIH: Provided further, That amounts made 
available under this heading are also available to establish, 
operate, and support the Research Policy Board author-
ized by section 2034(f) of the 21st Century Cures Act: 
Provided further, That not less than $106,480,000 is pro-
vided for the Office of Research on Women’s Health and 
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HR 7148 PCS
such funds shall also be available for making grants to 
serve and promote the interests of women in research, and 
the Director of such Office may, in making such grants, 
use the authorities available to NIH Institutes and Cen-
ters. 
In addition to other funds appropriated for the Office 
of the Director, $12,600,000 is appropriated from the 10- 
year Pediatric Research Initiative Fund described in sec-
tion 9008 of the Internal Revenue Code of 1986 (26 
U.S.C. 9008), for the purpose of carrying out section 
402(b)(7)(B)(ii) of the PHS Act (relating to pediatric re-
search). 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, ren-
ovation of, and acquisition of equipment for, facilities of 
or used by NIH, including the acquisition of real property, 
$350,000,000, to remain available until expended. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures 
Act, in addition to amounts available for such purposes 
in the appropriations provided to the NIH in this Act, 
$226,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
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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 NIH 
to other accounts of the NIH solely for the purposes pro-
vided in such Act: Provided further, That upon a deter-
mination by the Director of the NIH that funds trans-
ferred pursuant to the previous proviso are not necessary 
for the purposes provided, such amounts may be trans-
ferred back to the Account: Provided further, That the 
transfer authority provided under this heading is in addi-
tion to any other transfer authority provided by law. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
For carrying out section 301 and part J of title IV 
of the PHS Act with respect to advanced research projects 
for health, $1,500,000,000, to remain available through 
September 30, 2028. 
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 Ad-
vocacy for Individuals with Mental Illness Act, and the 
SUPPORT 
for 
Patients 
and 
Communities 
Act, 
$2,790,407,000: Provided, That of the funds made avail-
able under this heading, $100,887,000 shall be for the Na-
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HR 7148 PCS
tional Child Traumatic Stress Initiative: Provided further, 
That of the funds made available under this heading, 
$991,532,000 shall be for the Mental Health Block Grant: 
Provided further, That of the funds made available under 
this heading, $132,000,000 shall be for Children’s Mental 
Health Services: Provided further, That of the funds made 
available under this heading, $66,635,000 shall be for 
Projects for Assistance in Transition from Homelessness: 
Provided further, That of the funds made available under 
this heading, $40,000,000 shall be for Protection and Ad-
vocacy for Individuals with Mental Illness: Provided fur-
ther, That notwithstanding section 520A(f)(2) of the PHS 
Act, no funds appropriated for carrying out section 520A 
shall be available for carrying out section 1971 of the PHS 
Act: Provided further, That in addition to amounts pro-
vided 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) tech-
nical assistance, national data, data collection and evalua-
tion 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 avail-
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able to support evidence-based crisis systems: Provided 
further, That up to 10 percent of the amounts made avail-
able 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 section 
520E(b)(2) of the PHS Act shall not apply to funds ap-
propriated in this Act for fiscal year 2026: Provided fur-
ther, That $385,500,000 shall be available until Sep-
tember 30, 2028 for grants to communities and commu-
nity organizations who meet criteria for Certified Commu-
nity Behavioral Health Clinics pursuant to section 223(a) 
of Public Law 113–93: Provided further, That none of the 
funds provided for section 1911 of the PHS Act shall be 
subject to section 241 of such Act: Provided further, That 
the budget activities specified in the table under this head-
ing in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act) shall be funded in the amounts specified as appro-
priations in such table: Provided further, That amounts 
made available for 988 Lifeline appropriations shall be for 
the purposes described in the explanatory statement de-
scribed in section 4 (in the matter preceding division A 
of this consolidated Act): Provided further, That of the 
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HR 7148 PCS
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, section 1003 of the 21st Century Cures Act, 
and the SUPPORT for Patients and Communities Act, 
$4,091,098,000: Provided, That $1,595,000,000 shall be 
for carrying out section 1003 of the 21st Century Cures 
Act: Provided further, That of such amount in the pre-
ceding proviso not less than 4.25 percent shall be made 
available to Indian Tribes or Tribal organizations: Pro-
vided further, That in addition to amounts provided here-
in, 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 avail-
able 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, 
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That $562,219,000 shall be for programs of regional and 
national significance, which shall be for the purposes and 
in the amounts specified in the table under this heading 
in the explanatory statement described in section 4 (in the 
matter preceding division A of this consolidated Act), 
other than amounts specified in such table as PHS Eval-
uation Funds: 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. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $240,879,000, 
which shall be for the purposes and in the amounts speci-
fied in the table under this heading in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act). 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
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$171,566,000: Provided, That of the amount made avail-
able under this heading, $54,311,000 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: Provided fur-
ther, 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 na-
tional 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 sec-
tion 501(o) of the PHS Act shall remain available through 
September 30, 2027: Provided further, That funds made 
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HR 7148 PCS
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 Treat-
ment’’, 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, $345,380,000: Provided, 
That section 947(c) of the PHS Act shall not apply in 
fiscal year 2026: 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 re-
main available until September 30, 2027. 
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, $508,148,791,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2026, for the last quarter of fiscal year 2026 for unantici-
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HR 7148 PCS
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2027, $316,514,725,000, to remain 
available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $593,817,000,000. 
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. 
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PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $3,669,744,000 to be transferred from the Fed-
eral Hospital Insurance Trust Fund and the Federal Sup-
plementary Medical Insurance Trust Fund, as authorized 
by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may 
be collected from authorized user fees and the sale of data, 
which shall be credited to this account and remain avail-
able until expended: Provided, That all funds derived in 
accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the PHS Act shall be credited 
to and available for carrying out the purposes of this ap-
propriation: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2026 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 
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pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That of the amount made available under this 
heading, $397,334,000 shall remain available until Sep-
tember 30, 2027, and shall be available for the Survey 
and Certification Program: Provided further, That 
amounts available under this heading to support quality 
improvement organizations (as defined in section 1152 of 
the Social Security Act) shall not exceed the amount spe-
cifically provided for such purpose under this heading in 
division H of the Consolidated Appropriations Act, 2018 
(Public Law 115–141). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $941,000,000, 
to remain available through September 30, 2027, 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 $699,058,000 shall be for the Cen-
ters for Medicare & Medicaid Services program integrity 
activities, of which $108,735,000 shall be for the Depart-
ment of Health and Human Services Office of Inspector 
General to carry out fraud and abuse activities authorized 
by section 1817(k)(3) of such Act, and of which 
$133,207,000 shall be for the Department of Justice to 
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HR 7148 PCS
carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2026 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the 
funds provided by this appropriation: Provided further, 
That of the amount provided under this heading, 
$311,000,000 is provided to meet the terms of a concur-
rent resolution on the budget, and $630,000,000 is addi-
tional new budget authority specified for purposes of a 
concurrent resolution on the budget 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 2026 
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, $4,147,000,000, to remain 
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HR 7148 PCS
available until expended; and for such purposes for the 
first quarter of fiscal year 2027, $1,800,000,000, to re-
main available until expended. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low-Income Home Energy Assist-
ance 
Act 
of 
1981 
(42 
U.S.C. 
8621 
et 
seq.), 
$4,045,000,000: Provided, That notwithstanding section 
2609A(a) of such Act, not more than $9,600,000 may be 
reserved by the Secretary for technical assistance, train-
ing, and monitoring of program activities for compliance 
with internal controls, policies and procedures, and to sup-
plement funding otherwise available for necessary admin-
istrative 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 pri-
vate entities that do not qualify as nonprofit organiza-
tions: Provided further, That all but $907,348,000 of the 
amount appropriated under this heading shall be allocated 
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as though the total appropriation for such payments for 
fiscal year 2026 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 alloca-
tion that is less than 97 percent of the amount that it 
received under this heading for fiscal year 2025 from 
amounts appropriated pursuant to section 1101(a)(8) of 
division A of Public Law 119–4 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 2025 being ratably reduced: 
Provided further, That by November 1 of the current year, 
the Secretary shall award to each State no less than 90 
percent of its total allotment, as calculated pursuant to 
the preceding two provisos. 
REFUGEE AND ENTRANT ASSISTANCE 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, and for carrying 
out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims 
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Protection Reauthorization Act of 2008, the Trafficking 
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-
ture Victims Relief Act of 1998, $5,163,956,000, of which 
$5,114,201,000 shall remain available through September 
30, 2028 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 appro-
priation shall apply to transfers to appropriations under 
this heading by substituting ‘‘15 percent’’ for ‘‘3 percent’’: 
Provided further, That the contribution of funds require-
ment under section 235(c)(6)(C)(iii) of the William Wil-
berforce Trafficking Victims Protection Reauthorization 
Act of 2008 shall not apply to funds made available under 
this heading: Provided further, That for any month in fis-
cal year 2026 that the number of unaccompanied children 
referred to the Department of Health and Human Serv-
ices pursuant to section 462 of the Homeland Security Act 
of 2002 and section 235 of the William Wilberforce Traf-
ficking Victims Protection Reauthorization Act of 2008 
exceeds 16,000, as determined by the Secretary of Health 
and Human Services, an additional $15,000,000, to re-
main available until September 30, 2027, shall be made 
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HR 7148 PCS
available for obligation for every 500 unaccompanied chil-
dren 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’’), 
$8,831,387,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That technical assistance 
under section 658I(a)(3) of such Act may be provided di-
rectly, or through the use of contracts, grants, cooperative 
agreements, or interagency agreements: Provided further, 
That all funds made available to carry out section 418 
of the Social Security Act (42 U.S.C. 618), including 
funds appropriated for that purpose in such section 418 
or any other provision of law, shall be subject to the res-
ervation of funds authority in paragraphs (4) and (5) of 
section 658O(a) of the CCDBG Act: Provided further, 
That notwithstanding the limitation in subparagraph (B) 
of section 658O(a)(2) of such Act, of the amounts appro-
priated under this heading, not less than 5 percent shall 
be reserved under subparagraph (A) of such section for 
payments to Indian Tribes and Tribal organizations: Pro-
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HR 7148 PCS
vided further, That of the amounts made available under 
this heading, the Secretary may reserve up to 0.5 percent 
for Federal administrative expenses: Provided further, 
That the Secretary shall award to each State its allotted 
amount no less than quarterly. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX–A of such Act shall be 10 
percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Every Student Succeeds Act, the Child Abuse Preven-
tion and Treatment Act, sections 303 and 313 of the 
Family Violence Prevention and Services Act, the Native 
American Programs Act of 1974, title II of the Child 
Abuse Prevention and Treatment and Adoption Reform 
Act of 1978 (adoption opportunities), part B–1 of title IV 
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 
of the Social Security Act, and the Community Services 
Block Grant Act (‘‘CSBG Act’’); and for necessary admin-
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istrative expenses to carry out titles I, IV, V, X, XI, XIV, 
XVI, and XX–A of the Social Security Act, the Act of 
July 5, 1960, and the Low-Income Home Energy Assist-
ance 
Act 
of 
1981, 
$14,923,390,000, 
of 
which 
$75,000,000, to remain available through September 30, 
2027, 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 Sep-
tember 30, 2026: Provided, That $12,356,820,000 shall 
be for making payments under the Head Start Act, includ-
ing for Early Head Start–Child Care Partnerships, and, 
of which, notwithstanding section 640 of such Act: 
(1) $75,000,000 shall be available for a cost of 
living adjustment, and with respect to any con-
tinuing appropriations act, funding available for a 
cost of living adjustment shall not be construed as 
an authority or condition under this Act; 
(2) $25,000,000 shall be available for allocation 
by the Secretary to supplement activities described 
in paragraphs (7)(B) and (9) of section 641(c) of 
the Head Start Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12), and 645A(d) of such Act, 
and such funds shall not be included in the calcula-
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tion of ‘‘base grant’’ in subsequent fiscal years, as 
such term is used in section 640(a)(7)(A) of such 
Act; 
(3) $10,000,000 shall be available for the Trib-
al Colleges and Universities Head Start Partnership 
Program consistent with section 648(g) of such Act; 
(4) Not to exceed $8,000,000 shall be available 
until September 30, 2027 for the Marshall Islands 
and Micronesia for the start-up and operation of 
Head Start services and for the provision of training 
and technical assistance: Provided, That an agency 
awarded these funds shall not be subject to the re-
quirements of the system for designation renewal as 
defined by section 641 of the Head Start Act, for 
this award only, prior to 24 months after the date 
of such award; and 
(5) $21,000,000 shall be available to supple-
ment funding otherwise available for research, eval-
uation, and Federal administrative costs: 
Provided further, That the Secretary may reduce the res-
ervation of funds under section 640(a)(2)(C) of such Act 
in lieu of reducing the reservation of funds under sections 
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 
Act: Provided further, That the Secretary shall award 
funding for continuation awards and new award cycles 
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that continue previous activities under existing awards no 
later than the day following the expiration of the period 
of performance: Provided further, That $315,000,000 shall 
be available until December 31, 2026 for carrying out sec-
tions 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 as-
sistance and evaluation related to grants awarded under 
such section 9212: Provided further, That $810,383,000 
shall be for making payments under the CSBG Act: Pro-
vided further, That for services furnished under the CSBG 
Act with funds made available for such purpose in this 
fiscal year and in fiscal year 2025, States may apply the 
last sentence of section 673(2) of the CSBG Act by sub-
stituting ‘‘200 percent’’ for ‘‘125 percent’’: Provided fur-
ther, That $35,383,000 shall be for section 680 of the 
CSBG Act, of which not less than $22,383,000 shall be 
for section 680(a)(2) and not less than $13,000,000 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 ex-
pended by such entity, they shall remain with such entity 
for carryover into the next fiscal year for expenditure by 
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such entity consistent with program purposes: Provided 
further, That the Secretary shall establish procedures re-
garding the disposition of intangible assets and program 
income that permit such assets acquired with, and pro-
gram 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 fur-
ther, That intangible assets in the form of loans, equity 
investments and other debt instruments, and program in-
come may be used by grantees for any eligible purpose 
consistent with section 680(a)(2)(A) of the CSBG Act: 
Provided further, That these procedures shall apply to 
such grant funds made available after 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 devel-
opment 
corporations: 
Provided 
further, 
That 
$245,000,000 shall be for carrying out section 303(a) of 
the Family Violence Prevention and Services Act, of which 
$9,500,000 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 
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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 effec-
tiveness: Provided further, That $40,801,000 shall be used 
for the projects, and in the amounts, specified in the table 
titled ‘‘Community Project Funding/Congressionally Di-
rected Spending’’ included for this division in the explana-
tory statement described in section 4 (in the matter pre-
ceding division A of this consolidated Act): Provided fur-
ther, That none of the funds made available for projects 
described in the preceding proviso shall be subject to sec-
tion 241 of the PHS Act or section 205 of this Act: Pro-
vided further, That $34,512,000 shall be for the purposes 
and in the amounts specified in the table under this head-
ing in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act). 
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PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, sec-
tion 436 of the Social Security Act, $420,000,000 and, 
for carrying out, except as otherwise provided, section 437 
of such Act, $62,515,000: 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, $2,750,000, 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 evalua-
tion of child and family services: Provided further, That 
notwithstanding section 436(b)(1), such reserved amounts 
in the preceding proviso may be used for identifying, es-
tablishing, and disseminating practices to meet the criteria 
specified in section 471(e)(4)(C). 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $6,843,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2027, $3,800,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
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HR 7148 PCS
E of the Social Security Act, for the last 3 months of the 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), the 
RAISE Family Caregivers Act, the Supporting Grand-
parents Raising Grandchildren Act, titles III and XXIX 
of the PHS Act, sections 1252 and 1253 of the PHS Act, 
section 119 of the Medicare Improvements for Patients 
and Providers Act of 2008, title XX–B of the Social Secu-
rity Act, the Developmental Disabilities Assistance and 
Bill of Rights Act of 2000, parts 2 and 5 of subtitle D 
of title II of the Help America Vote Act of 2002, the As-
sistive Technology Act of 1998, titles II and VII (and sec-
tion 14 with respect to such titles) of the Rehabilitation 
Act of 1973, and for Department-wide coordination of pol-
icy and program activities that assist individuals with dis-
abilities, $2,453,737,000, together with $55,242,000 to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund to carry out section 4360 of the Omnibus 
Budget Reconciliation Act of 1990: Provided, That of 
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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 im-
plementing evidence-based practices for enhancing senior 
nutrition, including medically-tailored meals: Provided fur-
ther, That notwithstanding any other provision of this Act, 
funds made available under this heading to carry out sec-
tion 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 protective 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 al-
ternative 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 alter-
native financing program will expand and emphasize con-
sumer choice and control: Provided further, That State 
agencies and community-based disability organizations 
that are directed by and operated for individuals with dis-
abilities shall be eligible to compete: Provided further, That 
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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 Men-
tal Illness Act (42 U.S.C. 10802)) to continue to pursue 
any legal action in a Federal or State court on behalf of 
an individual or group of individuals with a developmental 
disability (as defined in section 102(8)(A) of the Develop-
mental Disabilities and Assistance and Bill of Rights Act 
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 
a mental impairment (or a combination of mental and 
physical impairments), that has as the requested remedy 
the closure of State operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, the legal guardians who have been specifically 
awarded authority by the courts to make healthcare and 
residential decisions on behalf of such individuals) who are 
affected by such action, within 90 days of instituting such 
legal action, which informs such individuals (or such legal 
guardians) of their legal rights and how to exercise such 
rights consistent with current Federal Rules of Civil Pro-
cedure: Provided further, That the limitations in the imme-
diately preceding proviso shall not apply in the case of an 
individual who is neither competent to consent nor has a 
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legal guardian, nor shall the proviso apply in the case of 
individuals who are a ward of the State or subject to pub-
lic guardianship: Provided further, That of the amount 
made available under this heading, $13,968,000 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 ex-
planatory 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 sec-
tion 241 of the PHS Act or section 205 of this Act. 
ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND 
RESPONSE 
RESEARCH, DEVELOPMENT, AND PROCUREMENT 
For carrying out title III and subtitles A and B of 
title XXVIII of the PHS Act, with respect to the research, 
development, storage, production, and procurement of 
medical countermeasures to counter potential chemical, bi-
ological, radiological, and nuclear threats to civilian popu-
lations, $3,207,991,000: Provided, That of such amount: 
(1) 
$1,050,000,000, 
to 
remain 
available 
through September 30, 2027, shall be for expenses 
necessary to support advanced research and develop-
ment pursuant to section 319L of the PHS Act and 
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other administrative expenses of the Biomedical Ad-
vanced Research and Development Authority; 
(2) $850,000,000, to remain available until ex-
pended, shall be for expenses necessary for pro-
curing security countermeasures (as defined in sec-
tion 319F–2(c)(1)(B) of the PHS Act); 
(3) $1,000,000,000, to remain available until 
expended, shall be for expenses necessary to carry 
out section 319F–2(a) of the PHS Act; and 
(4) $307,991,000 shall be for expenses nec-
essary to prepare for or respond to an influenza 
pandemic, of which $280,000,000 shall remain avail-
able until expended for activities including the devel-
opment and purchase of vaccines, antivirals, nec-
essary medical supplies, diagnostics, and surveillance 
tools: Provided, That notwithstanding section 496(b) 
of the PHS Act, funds allocated under this para-
graph may be used for the construction or renova-
tion of privately owned facilities for the production 
of pandemic influenza vaccines and other biologics, 
if the Secretary finds such construction or renova-
tion necessary to secure sufficient supplies of such 
vaccines or biologics: 
Provided further, That funds provided under this heading 
for purposes of acquisition of security countermeasures 
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shall be in addition to any other funds made available for 
such purposes: Provided further, That products purchased 
with funds made available 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. 
OPERATIONS, PREPAREDNESS, AND EMERGENCY 
RESPONSE 
For carrying out titles III, XII, and subtitles A and 
B of title XXVIII of the PHS Act, operations and emer-
gency response activities related to countering potential 
chemical, biological, radiological, and nuclear threats and 
other public health emergencies, $484,606,000: Provided, 
That of the amounts made available under this heading, 
$5,000,000 shall remain available through September 30, 
2028, to support emergency operations: Provided further, 
That of the amounts made available under this heading, 
$10,000,000 shall remain available until September 30, 
2027, for advanced research and development, manufac-
turing, production, procurement, distribution, and the ac-
quisition, construction, alteration, or renovation of non- 
federally owned facilities for the production and purchase 
of medical countermeasures, which may include the devel-
opment, translation, and demonstration at scale of innova-
tions in manufacturing platform. 
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OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, XXI, and section 229 of the PHS Act, the United 
States-Mexico Border Health Commission Act, research 
studies under section 1110 of the Social Security Act, and 
for protection services for the Secretary, $509,144,000, 
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 activi-
ties: Provided, That of this amount, $56,000,000 shall be 
for minority AIDS prevention and treatment activities: 
Provided further, That of the funds made available under 
this heading, $101,000,000 shall be for making competi-
tive contracts and grants to public and private entities to 
fund medically accurate and age appropriate programs 
that reduce teen pregnancy and for the Federal costs asso-
ciated with administering and evaluating such contracts 
and grants, of which not more than 10 percent of the 
available funds shall be for training and technical assist-
ance, evaluation, outreach, and additional program sup-
port activities, and of the remaining amount 75 percent 
shall be for replicating programs that have been proven 
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effective through rigorous evaluation to reduce teenage 
pregnancy, behavioral risk factors underlying teenage 
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 strategies 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 eval-
uations (including longitudinal evaluations) of teenage 
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 education in sexual risk avoidance 
(defined as voluntarily refraining from non-marital sexual 
activity): Provided further, That funding for such competi-
tive grants for sexual risk avoidance shall use medically 
accurate information referenced to peer-reviewed publica-
tions by educational, scientific, governmental, or health or-
ganizations; implement an evidence-based approach inte-
grating 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 poverty prevention, 
healthy relationships, goal setting, and resisting sexual co-
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ercion, dating violence, and other youth risk behaviors 
such as underage drinking or illicit drug use without nor-
malizing 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 tech-
nical assistance and administrative costs of such pro-
grams: Provided further, That funds provided in this Act 
for embryo adoption activities may be used to provide to 
individuals adopting embryos, through grants and other 
mechanisms, medical and administrative services deemed 
necessary for such adoptions: Provided further, That such 
services shall be provided consistent with 42 CFR 
59.5(a)(4): Provided further, That of the funds made 
available under this heading, $5,000,000 shall be for car-
rying 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 Innova-
tion Act of 1980 (15 U.S.C. 3719)). 
In addition, for expenses necessary to carry out title 
II of the PHS Act to support, except as otherwise pro-
vided, activities related to safeguarding classified national 
security information and providing intelligence and na-
tional security support across the Department and to 
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counter cybersecurity threats to civilian populations, 
$108,983,000. 
In addition, for expenses necessary to prevent, pre-
pare for, or respond to an influenza pandemic, 
$7,009,000. 
MEDICARE HEARINGS AND APPEALS 
For expenses necessary for Medicare hearings and 
appeals in the Office of the Secretary, $186,155,000 shall 
remain available until September 30, 2027, to be trans-
ferred in appropriate part from the Federal Hospital In-
surance Trust Fund and the Federal Supplementary Med-
ical Insurance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the de-
velopment and advancement of interoperable health infor-
mation technology, $69,238,000, of which $35,863,000 
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 Inspec-
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tor General Act of 1978, $87,000,000: Provided, That of 
such amount, necessary sums shall be available for inves-
tigating non-payment of child support cases for which non- 
payment is a Federal offense under 18 U.S.C. 228: Pro-
vided further, That of the amount appropriated under this 
heading, necessary 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 Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
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. 
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SEC. 202. None of the funds appropriated in this title 
shall be used to pay the salary of an individual, through 
a grant or other extramural mechanism, at a rate in excess 
of Executive Level II: Provided, That none of the funds 
appropriated in this title shall be used to prevent the NIH 
from paying up to 100 percent of the salary of an indi-
vidual at this rate. 
SEC. 203. None of the funds appropriated in this or 
any other 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 appro-
priated 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 discre-
tionary funds (pursuant to the Balanced Budget and 
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Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for HHS in this Act 
may be transferred between appropriations, but no such 
appropriation shall be increased by more than 3 percent 
by any such transfer: Provided, That the transfer author-
ity granted by this section shall not be used to create any 
new program or to fund any project or activity for which 
no funds are provided in this Act: Provided further, That 
the Committees on Appropriations of the House of Rep-
resentatives 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 2026 under sec-
tion 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 at-
tempts to coerce minors into engaging in sexual activities. 
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SEC. 208. Notwithstanding any other provision of 
law, no provider of services under title X of the PHS Act 
shall be exempt from any State law requiring notification 
or the reporting of child abuse, child molestation, sexual 
abuse, rape, or incest. 
SEC. 209. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) because the entity informs the Secretary that 
it will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care program’s coverage for such services and a Medicare 
Advantage organization described in this section shall be 
responsible for informing enrollees where to obtain infor-
mation about all Medicare covered services. 
SEC. 210. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
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SEC. 211. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 212. In order for HHS to carry out inter-
national health activities, including HIV/AIDS and other 
infectious disease, chronic and environmental disease, and 
other health activities abroad during fiscal year 2026: 
(1) The Secretary may exercise authority equiv-
alent to that available to the Secretary of State in 
section 2(c) of the State Department Basic Authori-
ties Act of 1956. The Secretary shall consult with 
the Secretary of State and relevant Chief of Mission 
to ensure that the authority provided in this section 
is exercised in a manner consistent with section 207 
of the Foreign Service Act of 1980 and other appli-
cable statutes administered by the Department of 
State. 
(2) The Secretary is authorized to provide such 
funds by advance or reimbursement to the Secretary 
of State as may be necessary to pay the costs of ac-
quisition, lease, alteration, renovation, and manage-
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ment of facilities outside of the United States for 
the use of HHS. The Department of State shall co-
operate fully with the Secretary to ensure that HHS 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary is 
authorized, in consultation with the Secretary of 
State, through grant or cooperative agreement, to 
make available to public or nonprofit private institu-
tions or agencies in participating foreign countries, 
funds to acquire, lease, alter, or renovate facilities in 
those countries as necessary to conduct programs of 
assistance for international health activities, includ-
ing activities relating to HIV/AIDS and other infec-
tious diseases, chronic and environmental diseases, 
and other health activities abroad. 
(3) The Secretary is authorized to provide to 
personnel appointed or assigned by the Secretary to 
serve abroad, allowances and benefits similar to 
those provided under chapter 9 of title I of the For-
eign Service Act of 1980, and 22 U.S.C. 4081 
through 4086 and subject to such regulations pre-
scribed by the Secretary. The Secretary is further 
authorized to provide locality-based comparability 
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payments (stated as a percentage) up to the amount 
of the locality-based comparability payment (stated 
as a percentage) that would be payable to such per-
sonnel under section 5304 of title 5, United States 
Code if such personnel’s official duty station were in 
the District of Columbia. Leaves of absence for per-
sonnel under this subsection shall be on the same 
basis as that provided under subchapter I of chapter 
63 of title 5, United States Code, or section 903 of 
the Foreign Service Act of 1980, to individuals serv-
ing in the Foreign Service. 
(TRANSFER OF FUNDS) 
SEC. 213. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
to 3 percent among institutes and centers from the total 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 214. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 
immunodeficiency virus, as jointly determined by the Di-
rector of NIH and the Director of the Office of AIDS Re-
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search, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
Research shall transfer from such account amounts nec-
essary to carry out section 2353(d)(3) of the PHS Act. 
SEC. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds authorized under section 402(b)(12) of the 
PHS Act to enter into transactions (other than contracts, 
cooperative agreements, or grants) to carry out research 
identified pursuant to or research and activities described 
in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer 
review procedures (including consultation with appropriate 
scientific experts) as the Director determines to be appro-
priate to obtain assessments of scientific and technical 
merit. Such procedures shall apply to such transactions 
in lieu of the peer review and advisory council review pro-
cedures that would otherwise be required under sections 
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, 
and 494 of the PHS Act. 
(c) NOTIFICATION.—The Director shall notify the 
Committees on Appropriations of the House of Represent-
atives and the Senate not later than 15 days after the 
Director exercises the authority under subsection (a) for 
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any transaction that is expected to cost the NIH in excess 
of $100,000,000. 
SEC. 216. Not to exceed $100,000,000 of funds ap-
propriated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $5,000,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for NIH, 
1 percent of the amount made available for National Re-
search Service Awards (‘‘NRSA’’) shall be made available 
to the Administrator of the Health Resources and Services 
Administration to make NRSA awards for research in pri-
mary medical care to individuals affiliated with entities 
who have received grants or contracts under sections 736, 
739, or 747 of the PHS Act, and 1 percent of the amount 
made available for NRSA shall be made available to the 
Director of the Agency for Healthcare Research and Qual-
ity to make NRSA awards for health service research. 
SEC. 218. (a) The Biomedical Advanced Research 
and Development Authority (‘‘BARDA’’) may enter into 
a contract, for more than one but no more than 10 pro-
gram years, for purchase of research services or of security 
countermeasures, as that term is defined in section 319F– 
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2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 
if— 
(1) funds are available and obligated— 
(A) for the full period of the contract or 
for the first fiscal year in which the contract is 
in effect; and 
(B) for the estimated costs associated with 
a necessary termination of the contract; and 
(2) the Secretary determines that a multi-year 
contract will serve the best interests of the Federal 
Government by encouraging full and open competi-
tion or promoting economy in administration, per-
formance, and operation of BARDA’s programs. 
(b) A contract entered into under this section— 
(1) shall include a termination clause as de-
scribed by subsection (c) of section 3903 of title 41, 
United States Code; and 
(2) shall be subject to the congressional notice 
requirement stated in subsection (d) of such section. 
SEC. 219. (a) The Secretary shall publish in the fiscal 
year 2027 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the pur-
poses of implementing, administering, enforcing, or other-
wise carrying out the provisions of the ACA, and the 
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amendments made by that Act, in the proposed fiscal year 
and each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors sup-
ported by all funds appropriated for purposes of carrying 
out the ACA (and the amendments made by that Act), 
the Secretary shall include, at a minimum, the following 
information: 
(1) For each such fiscal year, the section of 
such Act under which such funds were appropriated, 
a statement indicating the program, project, or ac-
tivity receiving such funds, the Federal operating di-
vision or office that administers such program, and 
the amount of funding received in discretionary or 
mandatory appropriations. 
(2) For each such fiscal year, the number of 
full-time equivalent employees or contracted employ-
ees assigned to each authorized and funded provision 
detailed in accordance with paragraph (1). 
(c) In carrying out this section, the Secretary may 
exclude from the report employees or contractors who— 
(1) are supported through appropriations en-
acted in laws other than the ACA and work on pro-
grams that existed prior to the passage of the ACA; 
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(2) spend less than 50 percent of their time on 
activities funded by or newly authorized in the ACA; 
or 
(3) work on contracts for which FTE reporting 
is not a requirement of their contract, such as fixed- 
price contracts. 
SEC. 220. The Secretary shall publish, as part of the 
fiscal year 2027 budget of the President submitted under 
section 1105(a) of title 31, United States Code, informa-
tion that details the uses of all funds used by the Centers 
for Medicare & Medicaid Services specifically for Health 
Insurance Exchanges for each fiscal year since the enact-
ment of the ACA and the proposed uses for such funds 
for fiscal year 2027. Such information shall include, for 
each such fiscal year, the amount of funds used for each 
activity specified under the heading ‘‘Health Insurance 
Exchange Transparency’’ in the explanatory statement de-
scribed in section 4 (in the matter preceding division A 
of this consolidated Act). 
SEC. 221. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
the Federal Supplemental Medical Insurance Trust Fund, 
or transferred from other accounts funded by this Act to 
the ‘‘Centers for Medicare & Medicaid Services—Program 
Management’’ account, may be used for payments under 
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section 1342(b)(1) of Public Law 111–148 (relating to 
risk corridors). 
(TRANSFER OF FUNDS) 
SEC. 222. (a) Within 45 days of enactment of this 
Act, the Secretary shall transfer funds appropriated under 
section 4002 of the ACA to the accounts specified, in the 
amounts specified, and for the activities specified under 
the heading ‘‘Prevention and Public Health Fund’’ in the 
explanatory statement described in section 4 (in the mat-
ter preceding division A of this consolidated Act). 
(b) Notwithstanding section 4002(c) of the ACA, the 
Secretary may not further transfer these amounts. 
(c) Funds transferred for activities authorized under 
section 2821 of the PHS Act shall be made available with-
out reference to section 2821(b) of such Act. 
SEC. 223. Effective during the period beginning on 
November 1, 2015 and ending January 1, 2028, any pro-
vision of law that refers (including through cross-reference 
to another provision of law) to the current recommenda-
tions of the United States Preventive Services Task Force 
with respect to breast cancer screening, mammography, 
and prevention shall be administered by the Secretary in-
volved as if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of 
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such Task Force with respect to breast cancer 
screening, mammography, and prevention last issued 
before 2009; and 
(2) such recommendations last issued before 
2009 applied to any screening mammography modal-
ity under section 1861(jj) of the Social Security Act 
(42 U.S.C. 1395x(jj)). 
SEC. 224. In making Federal financial assistance, the 
provisions relating to indirect costs in part 75 of title 45, 
Code of Federal Regulations, including with respect to the 
approval of deviations from negotiated rates, shall con-
tinue to apply to the National Institutes of Health to the 
same extent and in the same manner as such provisions 
were applied in the third quarter of fiscal year 2017. None 
of the funds appropriated in this or prior Acts or otherwise 
made available to the Department of Health and Human 
Services or to any department or agency may be used to 
develop or implement a modified approach to such provi-
sions, or to intentionally or substantially expand the fiscal 
effect of the approval of such deviations from negotiated 
rates beyond the proportional effect of such approvals in 
such quarter. 
(TRANSFER OF FUNDS) 
SEC. 225. The NIH Director may transfer funds for 
opioid addiction, opioid alternatives, stimulant misuse and 
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addiction, pain management, and addiction treatment to 
other Institutes and Centers of the NIH to be used for 
the same purpose 15 days after notifying the Committees 
on Appropriations of the House of Representatives and the 
Senate: Provided, That the transfer authority provided in 
the previous proviso is in addition to any other transfer 
authority provided by law. 
SEC. 226. (a) The Secretary shall provide to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: 
(1) Detailed monthly enrollment figures from 
the Exchanges established under the Patient Protec-
tion and Affordable Care Act of 2010 pertaining to 
enrollments during the open enrollment period; and 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under 
section 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in 
advance of any public release of enrollment information 
or the award of such grants. 
SEC. 227. In addition to the amounts otherwise avail-
able for ‘‘Centers for Medicare & Medicaid Services, Pro-
gram Management’’, the Secretary of Health and Human 
Services may transfer up to $455,000,000 to such account 
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from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund to 
support program management activity related to the Medi-
care Program: Provided, That except for the foregoing 
purpose, such funds may not be used to support any provi-
sion of Public Law 111–148 or Public Law 111–152 (or 
any amendment made by either such Public Law) or to 
supplant any other amounts within such account. 
SEC. 228. The Department of Health and Human 
Services shall provide the Committees on Appropriations 
of the House of Representatives and Senate a biannual 
report 30 days after enactment of this Act on staffing de-
scribed in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated 
Act). 
SEC. 229. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the De-
partment of Health and Human Services shall also be 
available to pay travel and related expenses of such an 
employee or of a member of his or her family, when such 
employee is assigned to duty, in the United States or in 
a U.S. territory, during a period and in a location that 
are the subject of a determination of a public health emer-
gency under section 319 of the Public Health Service Act 
and such travel is necessary to obtain medical care for 
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an illness, injury, or medical condition that cannot be ade-
quately addressed in that location at that time. For pur-
poses of this section, the term ‘‘U.S. territory’’ means 
Guam, the Commonwealth of Puerto Rico, the Northern 
Mariana Islands, the Virgin Islands, American Samoa, or 
the Trust Territory of the Pacific Islands. 
SEC. 230. The Department of Health and Human 
Services may accept donations from the private sector, 
nongovernmental organizations, and other groups inde-
pendent of the Federal Government for the care of unac-
companied alien children (as defined in section 462(g)(2) 
of the Homeland Security Act of 2002 (6 U.S.C. 
279(g)(2))) in the care of the Office of Refugee Resettle-
ment of the Administration for Children and Families, in-
cluding medical goods and services, which may include 
early childhood developmental screenings, school supplies, 
toys, clothing, and any other items intended to promote 
the wellbeing of such children. 
SEC. 231. None of the funds made available in this 
Act under the heading ‘‘Department of Health and 
Human Services—Administration for Children and Fami-
lies—Refugee and Entrant Assistance’’ may be obligated 
to a grantee or contractor to house unaccompanied alien 
children (as such term is defined in section 462(g)(2) of 
the Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) 
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in any facility that is not State-licensed for the care of 
unaccompanied alien children, except in the case that the 
Secretary determines that housing unaccompanied alien 
children in such a facility is necessary on a temporary 
basis due to an influx of such children or an emergency, 
provided that— 
(1) the terms of the grant or contract for the 
operations of any such facility that remains in oper-
ation for more than six consecutive months shall re-
quire compliance with— 
(A) the same requirements as licensed 
placements, as listed in Exhibit 1 of the Flores 
Settlement Agreement that the Secretary deter-
mines are applicable to non-State licensed facili-
ties; and 
(B) staffing ratios of one (1) on-duty 
Youth Care Worker for every eight (8) children 
or youth during waking hours, one (1) on-duty 
Youth Care Worker for every sixteen (16) chil-
dren or youth during sleeping hours, and clini-
cian ratios to children (including mental health 
providers) as required in grantee cooperative 
agreements; 
(2) the Secretary may grant a 60-day waiver 
for a contractor’s or grantee’s non-compliance with 
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paragraph (1) if the Secretary certifies and provides 
a report to Congress on the contractor’s or grantee’s 
good-faith efforts and progress towards compliance; 
(3) not more than four consecutive waivers 
under paragraph (2) may be granted to a contractor 
or grantee with respect to a specific facility; 
(4) ORR shall ensure full adherence to the 
monitoring requirements set forth in section 5.5 of 
its Policies and Procedures Guide as of May 15, 
2019; 
(5) for any such unlicensed facility in operation 
for more than three consecutive months, ORR shall 
conduct a minimum of one comprehensive moni-
toring visit during the first three months of oper-
ation, with quarterly monitoring visits thereafter; 
and 
(6) not later than 60 days after the date of en-
actment of this Act, ORR shall brief the Committees 
on Appropriations of the House of Representatives 
and the Senate outlining the requirements of ORR 
for influx facilities including any requirement listed 
in paragraph (1)(A) that the Secretary has deter-
mined are not applicable to non-State licensed facili-
ties. 
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SEC. 232. In addition to the existing Congressional 
notification for formal site assessments of potential influx 
facilities, the Secretary shall notify the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate at least 15 days before operationalizing an unlicensed 
facility, and shall (1) specify whether the facility is hard- 
sided or soft-sided, and (2) provide analysis that indicates 
that, in the absence of the influx facility, the likely out-
come is that unaccompanied alien children will remain in 
the custody of the Department of Homeland Security for 
longer than 72 hours or that unaccompanied alien children 
will be otherwise placed in danger. Within 60 days of 
bringing such a facility online, and monthly thereafter, the 
Secretary shall provide to the Committees on Appropria-
tions of the House of Representatives and the Senate a 
report detailing the total number of children in care at 
the facility, the average length of stay and average length 
of care of children at the facility, and, for any child that 
has been at the facility for more than 60 days, their length 
of stay and reason for delay in release. 
SEC. 233. None of the funds made available in this 
Act may be used to prevent a United States Senator or 
Member of the House of Representatives from entering, 
for the purpose of conducting oversight, any facility in the 
United States used for the purpose of maintaining custody 
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of, or otherwise housing, unaccompanied alien children (as 
defined in section 462(g)(2) of the Homeland Security Act 
of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 
or Member has coordinated the oversight visit with the 
Office of Refugee Resettlement not less than two business 
days in advance to ensure that such visit would not inter-
fere with the operations (including child welfare and child 
safety operations) of such facility. 
SEC. 234. Not later than 14 days after the date of 
enactment of this Act, and monthly thereafter, the Sec-
retary shall submit to the Committees on Appropriations 
of the House of Representatives and the Senate, and make 
publicly available online, a report with respect to children 
who were separated from their parents or legal guardians 
by the Department of Homeland Security (DHS) (regard-
less of whether or not such separation was pursuant to 
an option selected by the children, parents, or guardians), 
subsequently classified as unaccompanied alien children, 
and transferred to the care and custody of ORR during 
the previous month. Each report shall contain the fol-
lowing information: 
(1) the number and ages of children so sepa-
rated subsequent to apprehension at or between 
ports of entry, to be reported by sector where sepa-
ration occurred; and 
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(2) the documented cause of separation, as re-
ported by DHS when each child was referred. 
SEC. 235. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the 
Centers for Disease Control and Prevention shall also be 
available for the primary and secondary schooling of eligi-
ble dependents of personnel stationed in a U.S. territory 
at costs not in excess of those paid for or reimbursed by 
the Department of Defense: Provided, That for purposes 
of this section, the term ‘‘U.S. territory’’ means Guam, 
the Commonwealth of Puerto Rico, the Northern Mariana 
Islands, the Virgin Islands, American Samoa, or the Trust 
Territory of the Pacific Islands. 
SEC. 236. Funds made available in this Act under 
each of the headings ‘‘Immunization and Respiratory Dis-
eases’’, ‘‘HIV/AIDS, Viral Hepatitis, Sexually Trans-
mitted Diseases, and Tuberculosis Prevention’’, ‘‘Emerg-
ing and Zoonotic Infectious Diseases’’, ‘‘Chronic Disease 
Prevention and Health Promotion’’, ‘‘Birth Defects, De-
velopmental Disabilities, Disabilities and Health’’, ‘‘Public 
Health Scientific Services’’, ‘‘Environmental Health’’, ‘‘In-
jury Prevention and Control’’, ‘‘National Institute for Oc-
cupational Safety and Health’’, ‘‘Global Health’’, ‘‘Public 
Health Preparedness and Response’’, and ‘‘CDC-Wide Ac-
tivities and Program Support’’ shall be for the budget ac-
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tivities, and in the amounts specified in the table under 
each such heading in the explanatory statement described 
in section 4 (in the matter preceding division A of this 
consolidated Act). 
(RESCISSION) 
SEC. 237. Of the unobligated balances in the ‘‘Non-
recurring Expenses Fund’’ established in section 223 of 
division G of Public Law 110–161, $1,826,000,000 are 
hereby rescinded not later than September 30, 2026, ex-
cept that no amounts may be rescinded from amounts that 
were previously designated by the Congress as being for 
an emergency requirement pursuant to a concurrent reso-
lution on the budget or the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
SEC. 238. The Director of the NIH shall hereafter 
require institutions that receive funds through a grant or 
cooperative agreement or other form of extramural award 
during fiscal year 2026 and in future years to complete 
any investigation undertaken due to concerns about har-
assment, bullying retaliation, or hostile working conditions 
regarding any individual identified as a principal investi-
gator or key personnel in an NIH notice of award or 
progress report even if during the course of the investiga-
tion the individual under investigation leaves their current 
position and is no longer employed by the institution. The 
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Director may hereafter decline transfer of an ongoing ex-
tramural award to a different institution if concerns about 
harassment, bullying, hostile work environment, or other 
professional misconduct on the part of a principal investi-
gator or key personnel named in the Notice of Award or 
progress report have not been resolved to the NIH’s satis-
faction. The Director of the NIH shall hereafter have the 
authority to share investigation reports, conclusions, and 
results of any investigation of individuals identified as a 
principal investigator or as key personnel in an NIH no-
tice of award or progress report due to concerns about 
harassment, bullying, retaliation, or hostile working condi-
tions on an as needed basis with any institution that re-
ceives funds through a grant or cooperative agreement or 
other form of extramural award during fiscal year 2026 
or any subsequent fiscal year. The Director may issue reg-
ulations consistent with this section. 
SEC. 239. The Department of Health and Human 
Services shall support staffing levels necessary to fulfill 
its statutory responsibilities including carrying out pro-
grams, projects, and activities funded in this title of this 
Act in a timely manner: Provided, That the Secretary shall 
submit a detailed plan and justification to the Committees 
on Appropriations of the House of Representatives and the 
Senate, and make publicly available to allow for an inde-
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pendent review not less than 60 days prior to initiating 
the execution of any reorganization moving functions, pur-
suant to any authorities otherwise provided, carried out 
by the Centers for Disease Control and Prevention to an-
other component of the Department of Health and Human 
Services, relative to how such functions are funded in this 
Act. 
SEC. 240. (a) Not to exceed the amount of funds 
made available under the heading ‘‘National Institutes of 
Health’’ in fiscal year 2025 that were obligated during fis-
cal year 2025 for more than one year of a multiyear award 
may be obligated in fiscal year 2026 from amounts made 
available under such heading in this Act for more than 
one year of a multiyear award. 
(b) A multiyear award, as the term is used in this 
section, includes multiyear awards for grants, cooperative 
agreements, contracts, and any other financial mecha-
nisms. 
SEC. 241. The Administrator of the Centers for 
Medicare & Medicaid Services shall not apply the distance 
requirements under 1820(c)(2)(B)(i)(I) of the Social Se-
curity Act (42 U.S.C. 1395i–4(c)(2)(B)(i)(I)) to any facil-
ity with a critical access hospital provider agreement that 
was designated and certified as a critical access hospital 
as of January 1, 2024, and receives a notification letter 
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from the Centers for Medicare & Medicaid Services during 
the period beginning on December 1, 2024, and ending 
on January 1, 2026, that the facility was found to be non-
compliant with such distance requirements under section 
1820(c)(2)(B)(i)(I) of the Social Security Act (42 U.S.C. 
1395i–4(c)(2)(B)(i)(I)). In the case where a provider 
agreement for such facility was terminated on or after De-
cember 1, 2024 but prior to the date of enactment of this 
Act exclusively because such facility was unable to meet 
the 
distance 
requirement 
under 
section 
1820(c)(2)(B)(i)(I) of the Social Security Act (42 U.S.C. 
1395i–4(c)(2)(B)(i)(I)), the Administrator shall provide 
for the recertification of such facility as a critical access 
hospital and reinstatement of such provider agreement. 
This provision shall not be construed to prohibit the appli-
cation of any other enforcement measures deemed nec-
essary by the Administrator, including termination of the 
provider agreement, in response to such facility’s violation 
of any Federal regulation other than the distance require-
ment. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2026’’. 
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TITLE III 
DEPARTMENT OF EDUCATION 
OFFICE OF ELEMENTARY AND SECONDARY 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’’), $19,127,790,000, of which 
$8,199,490,000 shall become available on July 1, 2026, 
and shall remain available through September 30, 2027, 
and of which $10,841,177,000 shall become available on 
October 1, 2026, and shall remain available through Sep-
tember 30, 2027, for academic year 2026–2027: 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, 2025, 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 
$5,302,550,000 shall be for targeted grants under section 
1125 
of 
the 
ESEA: 
Provided 
further, 
That 
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$5,302,550,000 shall be for education finance incentive 
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 $52,123,000 
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, $1,630,151,000, of which $1,477,000,000 shall be 
for basic support payments under section 7003(b), 
$49,316,000 shall be for payments for children with dis-
abilities under section 7003(d), $19,000,000 to remain 
available through September 30, 2027, shall be for con-
struction under section 7007(b), $80,000,000 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 2025–2026, 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 
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guardian while on active duty (so long as such children 
reside on Federal property as described in section 
7003(a)(1)(B)), are no longer eligible under such section, 
shall be considered as eligible students under such section, 
provided such students remain in average daily attendance 
at a school in the same local educational agency they at-
tended prior to their change in eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities au-
thorized by part B of title I, part A of title II, subpart 
1 of part A of title IV, part B of title IV, part B of title 
V, and parts B and C of title VI of the ESEA; the McKin-
ney-Vento Homeless Assistance Act; section 203 of the 
Educational Technical Assistance Act of 2002; and the 
Civil Rights Act of 1964, $5,781,178,000, of which 
$3,952,312,000 shall become available on July 1, 2026, 
and remain available through September 30, 2027, and 
of which $1,681,441,000 shall become available on Octo-
ber 1, 2026, and shall remain available through September 
30, 2027, for academic year 2026–2027: Provided, That 
$2,190,080,000 shall be for part A of title II of the ESEA: 
Provided further, That $380,000,000 shall be for part B 
of title I: Provided further, That $1,329,673,000 shall be 
for part B of title IV: Provided further, That $45,897,000 
shall be for part B of title VI, which may be used for 
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construction, renovation, and modernization of any public 
elementary school, secondary school, or structure related 
to a public elementary school or secondary school that 
serves a predominantly Native Hawaiian student body, 
and that the 5 percent limitation in section 6205(b) of 
the ESEA on the use of funds for administrative purposes 
shall apply only to direct administrative costs: Provided 
further, That the Secretary shall use $650,000 of funds 
made available in the preceding proviso to carry out sec-
tion 6204 of the ESEA: Provided further, That 
$44,953,000 shall be for part C of title VI, which shall 
be awarded on a competitive basis, and may be used for 
construction, and that the 5 percent limitation in section 
6305 of the ESEA on the use of funds for administrative 
purposes shall apply only to direct administrative costs: 
Provided further, That $50,000,000 shall be available to 
carry out section 203 of the Educational Technical Assist-
ance Act of 2002 and the Secretary shall make such ar-
rangements as determined to be necessary to ensure that 
the Bureau of Indian Education has access to services pro-
vided under this section: Provided 
further, 
That 
$225,000,000 shall be for part B of title V: Provided fur-
ther, That in carrying out such part B the percentage in 
section 316(b)(1)(F) of title III of division H of Public 
Law 116–260 shall be deemed 83.33 percent: Provided 
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further, That $1,380,000,000 shall be available for grants 
under subpart 1 of part A of title IV: Provided further, 
That $129,000,000 shall be for subpart B of title VII of 
the McKinney-Vento Homeless Assistance Act, which shall 
be available for expenditure by educational agencies and 
institutions for an additional fiscal year following the suc-
ceeding fiscal year provided by subsection 421(b)(1) of the 
General Education Provisions Act. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent 
not otherwise provided, title VI, part A of the ESEA, 
$196,746,000, of which $72,000,000 shall be for subpart 
2 of part A of title VI and $14,365,000 shall be for sub-
part 3 of part A of title VI: Provided, That the 5 percent 
limitation in sections 6115(d), 6121(e), and 6133(g) of 
the ESEA on the use of funds for administrative purposes 
shall apply only to direct administrative costs: Provided 
further, That grants awarded under sections 6132 and 
6133 of the ESEA with funds provided under this heading 
may be for a period of up to 5 years: Provided further, 
That the Secretary may make awards under subpart 3 of 
part A of title VI without regard to the funding limitation 
in section 6133(b)(1) of the ESEA. 
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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, 
$1,191,147,000, which shall be for the purposes and in 
the amounts specified in the ‘‘Final Bill’’ column for Inno-
vation and Improvement in the ‘‘Departments of Labor, 
Health and Human Services, Education, and Related 
Agencies Appropriations Act, 2026’’ table in the explana-
tory statement described in section 4 (in the matter pre-
ceding division A of this consolidated Act), of which the 
amounts made available for ‘‘Community Project Fund-
ing/Congressionally Directed Spending’’ are for the 
projects, and in the amounts, specified for this account 
in the table titled ‘‘Community Project Funding/Congres-
sionally Directed Spending’’ in the explanatory statement 
described in section 4 (in the matter preceding division 
A of this consolidated Act) and none of the funds made 
available for such projects shall be subject to section 302 
of this Act: Provided, That amounts for subparts 1, 3, and 
4 of part B of title II shall be made available without re-
gard to sections 2201, 2231(b), and 2241: Provided fur-
ther, That amounts for parts C, D, and E and subpart 
4 of part F of title IV shall be made available without 
regard to sections 4311, 4409(a), and 4601 of the ESEA: 
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Provided further, That section 4303(d)(3)(A)(i) shall not 
apply to the funds available for part C of title IV: Provided 
further, That of the funds available for part C of title IV, 
the Secretary shall use not less than $60,000,000 to carry 
out section 4304, not more than $140,000,000, to remain 
available through March 31, 2027, to carry out section 
4305(b), from which the amount necessary for continu-
ation grants may be available for obligation through 
March 31, 2027, and not more than $16,000,000 to carry 
out the activities in section 4305(a)(3): Provided further, 
That notwithstanding section 4601(b), $235,000,000 shall 
be available through December 31, 2026 for subpart 1 of 
part F of title IV: Provided further, That of the funds 
available for subpart 4 of part F of title IV, not less than 
$8,000,000 shall be used for grants for eligible national 
nonprofit organizations, as described in the Applications 
for New Awards; Assistance for Arts Education Program 
published in the Federal Register on May 31, 2022, for 
activities described under section 4642(a)(1)(C): Provided 
further, That the competitive preference priority described 
in such notice shall be given only to an eligible national 
nonprofit organization that previously received the com-
petitive preference priority pursuant to such notice. 
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SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subparts 2 
and 3 of part F of title IV of the ESEA, $431,000,000, 
to remain available through December 31, 2026: Provided, 
That $190,000,000 shall be available for section 4631, of 
which up to $6,000,000, to remain available until ex-
pended, shall be for the Project School Emergency Re-
sponse to Violence (Project SERV) program: Provided fur-
ther, That $150,000,000 shall be available for section 
4625: Provided further, That $91,000,000 shall be for sec-
tion 4624. 
OFFICE OF ENGLISH LANGUAGE ACQUISITION 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$890,000,000, which shall become available on July 1, 
2026, and shall remain available through September 30, 
2027, except that 6.5 percent of such amount shall be 
available on October 1, 2025, and shall remain available 
through September 30, 2027, to carry out activities under 
section 3111(c)(1)(C). 
OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE 
SERVICES 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) and the Special Olympics Sport 
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and Empowerment Act of 2004, $15,490,264,000, of 
which $5,910,321,000 shall become available on July 1, 
2026, and shall remain available through September 30, 
2027, and of which $9,283,383,000 shall become available 
on October 1, 2026, and shall remain available through 
September 30, 2027, for academic year 2026–2027: 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 2025, increased by the 
amount of inflation as specified in section 619(d)(2)(B) 
of the IDEA, or the percent change in the funds appro-
priated under section 611(i) of the IDEA, but not less 
than the amount for that activity during fiscal year 2025: 
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’ 
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relative populations of those children who are living in pov-
erty: Provided further, That the Secretary may not dis-
tribute any funds under the previous proviso to any State 
whose reduction in allocation from funds appropriated 
under this heading made funds available for such a dis-
tribution: Provided further, That the States shall allocate 
such funds distributed under the second proviso to local 
educational agencies in accordance with section 611(f): 
Provided further, That the amount by which a State’s allo-
cation under section 611(d) of the IDEA is reduced under 
section 612(a)(18)(B) and the amounts distributed to 
States under the previous provisos in fiscal year 2012 or 
any subsequent year shall not be considered in calculating 
the awards under section 611(d) for fiscal year 2013 or 
for any subsequent fiscal years: Provided further, That, 
notwithstanding the provision in section 612(a)(18)(B) re-
garding the fiscal year in which a State’s allocation under 
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 5, until 
the entire reduction is applied: Provided further, That the 
Secretary may, in any fiscal year in which a State’s alloca-
tion under section 611 is reduced in accordance with sec-
tion 612(a)(18)(B), reduce the amount a State may re-
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serve under section 611(e)(1) by an amount that bears 
the same relation to the maximum amount described in 
that 
paragraph 
as 
the 
reduction 
under 
section 
612(a)(18)(B) bears to the total allocation the State 
would have received in that fiscal year under section 
611(d) in the absence of the reduction: Provided further, 
That the Secretary shall either reduce the allocation of 
funds under section 611 for any fiscal year following the 
fiscal year for which the State fails to comply with the 
requirement of section 612(a)(18)(A) as authorized by 
section 612(a)(18)(B), or seek to recover funds under sec-
tion 452 of the General Education Provisions Act (20 
U.S.C. 1234a): Provided further, That the funds reserved 
under 611(c) of the IDEA may be used to provide tech-
nical assistance to States to improve the capacity of the 
States to meet the data collection requirements of sections 
616 and 618 and to administer and carry out other serv-
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 
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to make subgrants to local educational agencies, institu-
tions of higher education, other public agencies, and pri-
vate non-profit organizations to carry out activities au-
thorized by those sections: Provided further, That, not-
withstanding section 643(e)(2)(A) of the IDEA, if 5 or 
fewer States apply for grants pursuant to section 643(e) 
of such Act, the Secretary shall provide a grant to each 
State in an amount equal to the maximum amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That if more than 5 States apply for grants pursuant 
to section 643(e) of the IDEA, the Secretary shall award 
funds to those States on the basis of the States’ relative 
populations of infants and toddlers except that no such 
State shall receive a grant in excess of the amount de-
scribed in section 643(e)(2)(B) of such Act: Provided fur-
ther, That States may use funds allotted under section 
643(c) of the IDEA to make subgrants to local edu-
cational agencies, institutions of higher education, other 
public agencies, and private non-profit organizations to 
carry out activities authorized by section 638 of IDEA: 
Provided further, That, notwithstanding section 638 of the 
IDEA, a State may use funds it receives under section 
633 of the IDEA to offer continued early intervention 
services to a child who previously received services under 
part C of the IDEA from age 3 until the beginning of 
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the school year following the child’s third birthday with 
parental consent and without regard to the procedures in 
section 635(c) of the IDEA: Provided further, That not-
withstanding section 638 of the IDEA, a State may use 
funds appropriated under Part C of the IDEA to conduct 
child find, public awareness, and referral activities for an 
individual who is expected to become a parent of an infant 
with a disability (as that term is defined in section 
632(5)), as established by medical or other records: Pro-
vided further, That any State electing to use funds under 
the preceding proviso shall ensure that, as soon as possible 
but not later than 45 days after the child’s birth, it com-
pletes the referral and eligibility process under this part 
for that child. 
REHABILITATION SERVICES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Rehabilitation Act of 1973 and the Helen Keller 
National 
Center 
Act, 
$4,648,295,000, 
of 
which 
$4,504,096,000 shall be for grants for vocational rehabili-
tation services under title I of the Rehabilitation Act: Pro-
vided, That the Secretary may use amounts provided in 
this Act that remain available subsequent to the reallot-
ment of funds to States pursuant to section 110(b) of the 
Rehabilitation Act for innovative activities aimed at in-
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creasing competitive integrated employment as defined in 
section 7 of such Act for youth and other individuals with 
disabilities, including related Federal administrative ex-
penses, for improving monitoring and oversight of grants 
for vocational rehabilitation services under title I of the 
Rehabilitation Act, and information technology needs 
under section 15 and titles I, III, VI, and VII of the Reha-
bilitation Act: Provided further, That up to 15 percent of 
the amounts available subsequent to reallotment for the 
activities described in the first proviso from funds pro-
vided under this paragraph in this Act, may be used for 
evaluation and technical assistance related to such activi-
ties: Provided further, That any funds made available sub-
sequent to reallotment for the activities described in the 
first proviso may be provided to States and other public, 
private and nonprofit entities, including Indian Tribes and 
institutions of higher education for carrying out such ac-
tivities: Provided further, That States and other public and 
nonprofit entities, including Indian Tribes and institutions 
of higher education may award subgrants for a portion 
of the funds to other eligible entities: Provided further, 
That any funds provided in this Act and made available 
subsequent to reallotment for the purposes described in 
the first proviso shall remain available until September 30, 
2027: Provided further, That any funds provided in the 
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Full-Year Continuing Appropriations and Extensions Act, 
2025 (Public Law 119–4) and made available subsequent 
to reallotment shall remain available until September 30, 
2026: Provided further, That the Secretary may transfer 
funds provided in this Act and made available subsequent 
to the reallotment of funds to States pursuant to section 
110(b) of the Rehabilitation Act to ‘‘Institute of Edu-
cation Sciences’’ for the evaluation of outcomes for stu-
dents receiving services and supports under IDEA and 
under title I, section 504 of title V, and title VI of the 
Rehabilitation Act: Provided further, That the transfer au-
thority in the preceding proviso is in addition to any other 
transfer authority in this Act. 
SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act to Promote the Education 
of the Blind of March 3, 1879, $43,431,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act 
of 1986, $92,500,000: Provided, That from the total 
amount available, the Institute may at its discretion use 
funds for the endowment program as authorized under 
section 207 of such Act. 
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GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986, $167,361,000, of 
which up to $15,000,000, to remain available until ex-
pended, shall be for construction, as defined by section 
201(2) of such Act: Provided, That from the total amount 
available, the University may at its discretion use funds 
for the endowment program as authorized under section 
207 of such Act. 
OFFICE OF CAREER, TECHNICAL, AND ADULT 
EDUCATION 
CAREER, TECHNICAL, AND ADULT EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, the Carl D. Perkins Career and Technical Edu-
cation Act of 2006 (‘‘Perkins Act’’) and the Adult Edu-
cation 
and 
Family 
Literacy 
Act 
(‘‘AEFLA’’), 
$2,181,436,000, of which $1,390,436,000 shall become 
available on July 1, 2026, and shall remain available 
through September 30, 2027, and of which $791,000,000 
shall become available on October 1, 2026, and shall re-
main available through September 30, 2027: Provided, 
That up to $6,100,000 shall be available for innovation 
and modernization grants under such section 114(e) of the 
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Perkins Act: Provided further, That of the amounts made 
available for AEFLA, $13,712,000 shall be for national 
leadership activities under section 242. 
OFFICE OF FEDERAL STUDENT AID 
STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1 and 3 of part A, and 
part C of title IV of the HEA, $24,615,352,000 which 
shall remain available through September 30, 2027: Pro-
vided, That $22,475,352,000 shall be for subpart 1 of part 
A, $910,000,000 shall be for subpart 3 of part A, and 
$1,230,000,000 shall be for part C. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2026–2027 shall be $6,335. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses to carry out part 
D of title I, and subparts 1, 3, 9, and 10 of part A, and 
parts B, C, D, and E of title IV of the HEA, and subpart 
1 of part A of title VII of the Public Health Service Act, 
$2,058,943,000, to remain available through September 
30, 2027: Provided, That in order to promote account-
ability and high-quality service to borrowers, the Secretary 
shall not award funding for any contract solicitation for 
a new Federal student loan servicing environment unless 
such an environment provides for the participation of mul-
tiple student loan servicers that contract directly with the 
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Department of Education to manage a unique portfolio 
of borrower accounts and the full life-cycle of loans from 
disbursement to pay-off with certain limited exceptions, 
and allocates student loan borrower accounts to eligible 
student loan servicers based on performance: Provided fur-
ther, That the Department shall re-allocate accounts from 
servicers for recurring non-compliance with FSA guide-
lines, contractual requirements, and applicable laws, in-
cluding for failure to sufficiently inform borrowers of 
available repayment options: Provided further, That such 
servicers shall be evaluated based on their ability to meet 
contract requirements (including an understanding of 
Federal and State law), future performance on the con-
tracts, and history of compliance with applicable consumer 
protections laws: Provided further, That FSA shall ensure 
that the Federal loan servicing environment incentivizes 
more support to borrowers at risk of delinquency or de-
fault: Provided further, That FSA shall ensure that in 
such environment contractors have the capacity to meet 
and are held accountable for performance on service levels; 
are held accountable for and have a history of compliance 
with applicable consumer protection laws; and have rel-
evant experience and demonstrated effectiveness: Provided 
further, That the Secretary shall provide monthly briefings 
to the Committees on Appropriations and Education and 
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Workforce of the House of Representatives and the Com-
mittees on Appropriations and Health, Education, Labor, 
and Pensions of the Senate on general progress related 
to Federal student loan servicing and repayment: Provided 
further, That FSA shall strengthen transparency through 
expanded publication of aggregate data on student loan 
and servicer performance: Provided further, That the limi-
tation in section 302 of this Act regarding transfers in-
creasing any appropriation shall apply to transfers to ap-
propriations under this heading by substituting ‘‘10 per-
cent’’ for ‘‘3 percent’’ for the purposes of the continuation 
of basic operations, including student loan servicing, busi-
ness process operations, digital customer care, common 
origination and disbursement, cybersecurity activities, and 
information technology systems: Provided further, That 
not later than 45 days after enactment of this Act, FSA 
shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a detailed spend 
plan of anticipated uses of funds made available in this 
account for fiscal year 2026 and provide quarterly updates 
on this plan (including contracts awarded, change orders, 
bonuses paid to staff, reorganization costs, and any other 
activity carried out using amounts provided under this 
heading for fiscal year 2026) no later than 10 days prior 
to the start of such quarter: Provided further, That FSA 
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shall notify the Committees within 10 days of any modi-
fication of such spend plan that exceeds five percent of 
the amount appropriated under the heading ‘‘Student Aid 
Administration’’. 
OFFICE OF POSTSECONDARY EDUCATION 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, titles II, III, IV, V, VI, VII, and VIII of the HEA, 
the Mutual Educational and Cultural Exchange Act of 
1961, 
and 
section 
117 
of 
the 
Perkins 
Act, 
$3,265,598,000, of which $2,243,711,000 shall be for the 
purposes and in the amounts, other than for ‘‘Aid for In-
stitutional Development’’, specified in the ‘‘Final Bill’’ col-
umn for Higher Education in the ‘‘Departments of Labor, 
Health and Human Services, Education, and Related 
Agencies Appropriations Act, 2026’’ table in the explana-
tory statement described in section 4 (in the matter pre-
ceding division A of this consolidated Act), of which the 
amounts made available for Community Project Funding/ 
Congressionally Directed Spending are for the projects, 
and in the amounts, specified for this account in the table 
titled ‘‘Community Project Funding/Congressionally Di-
rected Spending’’ in the explanatory statement described 
in section 4 (in the matter preceding division A of this 
consolidated Act) and none of the funds made available 
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for such projects shall be subject to section 302 of this 
Act, and of which the amounts made available for part 
B of title VII of the HEA shall be for the purposes and 
in the amounts specified in the table under the heading 
‘‘Fund for the Improvement of Postsecondary Education’’ 
in the explanatory statement described in section 4 (in the 
matter preceding division A of this consolidated Act): Pro-
vided, That of the amounts provided under this heading, 
$493,331,000 shall be for carrying out part A of title III 
and title V of the HEA, of which $53,807,000 shall be 
for carrying out section 316: Provided further, That of the 
amounts provided under this heading, $528,556,000 shall 
be for carrying out part B of title III and section 723 
of the HEA, of which $6,000,000 of the amounts available 
for section 323 of the HEA shall be for grants to supple-
ment amounts awarded to part B institutions that are jun-
ior or community colleges, as defined in section 312(f) of 
the HEA: Provided further, That the supplemental funds 
described in the preceding proviso are in addition to any 
grant award that any institution may receive under section 
323 of the HEA and shall be allocated in accordance with 
the allotments specified under section 324 of such Act: 
Provided further, That notwithstanding any other provi-
sion of law, funds made available in this Act to carry out 
title VI of the HEA and section 102(b)(6) of the Mutual 
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Educational and Cultural Exchange Act of 1961 may be 
used to support visits and study in foreign countries by 
individuals who are participating in advanced foreign lan-
guage training and international studies in areas that are 
vital to United States national security and who plan to 
apply their language skills and knowledge of these coun-
tries in the fields of government, the professions, or inter-
national development: Provided further, That of the funds 
referred to in the preceding proviso up to 1 percent may 
be used for program evaluation, national outreach, and in-
formation dissemination activities: Provided further, That 
up to 1.5 percent of the funds made available under chap-
ter 2 of subpart 2 of part A of title IV of the HEA may 
be used for evaluation: Provided further, That section 
313(d) of the HEA shall not apply to an institution of 
higher education that is eligible to receive funding under 
section 318 of the HEA: Provided further, That amounts 
made available for carrying out section 419N of the HEA 
may be awarded notwithstanding the limitations in section 
419N(b)(2) of the HEA: Provided further, That activities 
authorized under sections 317(c)(2)(B), 319(c)(2)(B), and 
320(c)(2)(B) of the HEA may include construction and 
maintenance in classrooms, libraries, laboratories, and 
other instructional facilities. 
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HOWARD UNIVERSITY 
For 
partial 
support 
of 
Howard 
University, 
$254,018,000, of which not less than $3,405,000 shall be 
for a matching endowment grant pursuant to the Howard 
University Endowment Act and shall remain available 
until expended. 
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM 
For Federal administrative expenses to carry out ac-
tivities related to existing facility loans pursuant to section 
121 of the HEA, $298,000. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY 
CAPITAL FINANCING PROGRAM ACCOUNT 
For the cost of guaranteed loans, $20,150,000, as au-
thorized pursuant to part D of title III of the HEA, which 
shall remain available through September 30, 2027: Pro-
vided, That such costs, including the cost of modifying 
such loans, shall be as defined in section 502 of the Con-
gressional Budget Act of 1974: Provided further, That 
these funds are available to subsidize total loan principal, 
any part of which is to be guaranteed, not to exceed 
$500,000,000: Provided further, That these funds may be 
used to support loans to public and private Historically 
Black Colleges and Universities without regard to the limi-
tations within section 344(a) of the HEA. 
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In addition, for administrative expenses to carry out 
the Historically Black College and University Capital Fi-
nancing Program entered into pursuant to part D of title 
III of the HEA, $528,000. 
INSTITUTE OF EDUCATION SCIENCES 
For necessary expenses for the Institute of Education 
Sciences as authorized by section 208 of the Department 
of Education Organization Act and carrying out activities 
authorized by the National Assessment of Educational 
Progress Authorization Act, section 208 of the Edu-
cational Technical Assistance Act of 2002, and section 
664 of the Individuals with Disabilities Education Act, 
$789,606,000, to remain available through September 30, 
2027, which shall be for the purposes and in the amounts 
specified in the ‘‘Final Bill’’ column for Institute of Edu-
cation Sciences in the ‘‘Departments of Labor, Health and 
Human Services, Education, and Related Agencies Appro-
priations Act, 2026’’ table in the explanatory statement 
described in section 4 (in the matter preceding division 
A of this consolidated Act): Provided, That funds available 
to carry out section 208 of the Educational Technical As-
sistance Act may be used to link Statewide elementary and 
secondary data systems with early childhood, postsec-
ondary, and workforce data systems, or to further develop 
such systems: Provided further, That up to $6,000,000 of 
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the funds available to carry out section 208 of the Edu-
cational Technical Assistance Act may be used for awards 
to public or private organizations or agencies to support 
activities to improve data coordination, quality, and use 
at the local, State, and national levels. 
DEPARTMENTAL MANAGEMENT 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise pro-
vided, the Department of Education Organization Act, in-
cluding rental of conference rooms in the District of Co-
lumbia and hire of three passenger motor vehicles, 
$399,407,000: Provided, That, notwithstanding any other 
provision of law, none of the funds provided by this Act 
or provided by previous Appropriations Acts to the De-
partment of Education available for obligation or expendi-
ture in the current fiscal year may be used for any activity 
relating to implementing a reorganization that decentral-
izes, reduces the staffing level, or alters the responsibil-
ities, structure, authority, or functionality of the Budget 
Service of the Department of Education, relative to the 
organization and operation of the Budget Service as in 
effect on January 1, 2018: Provided further, That none 
of the funds provided by this Act may be used to support 
a number of non-career employees that is more than the 
number of non-career employees as of December 31, 2022: 
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Provided further, That the Department of Education shall 
support staffing levels necessary to fulfill its statutory re-
sponsibilities including carrying out programs, projects, 
and activities funded in this title of this Act in a timely 
manner. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, as authorized by section 203 of the Department 
of Education Organization Act, $140,000,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, as authorized by section 212 of the Department 
of Education Organization Act, $67,500,000, of which 
$3,000,000 shall remain available through September 30, 
2027. 
GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 302. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the Department of Education in this Act may 
be transferred between appropriations, but no such appro-
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priation shall be increased by more than 3 percent by any 
such transfer: Provided, That the transfer authority grant-
ed by this section shall not be used to create any new pro-
gram or to fund any project or activity for which no funds 
are provided in this Act: Provided further, That the Com-
mittees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer. 
SEC. 303. Funds appropriated in this Act and con-
solidated for evaluation purposes under section 8601(c) of 
the ESEA shall be available from July 1, 2026, through 
September 30, 2027. 
SEC. 304. (a) An institution of higher education that 
maintains an endowment fund supported with funds ap-
propriated for title III or V of the HEA for fiscal year 
2026 may use the income from that fund to award schol-
arships to students, subject to the limitation in section 
331(c)(3)(B)(i) of the HEA. The use of such income for 
such purposes, prior to the enactment of this Act, shall 
be considered to have been an allowable use of that in-
come, subject to that limitation. 
(b) Subsection (a) shall be in effect until titles III 
and V of the HEA are reauthorized. 
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SEC. 305. Section 114(f) of the HEA (20 U.S.C. 
1011c(f)) shall be applied by substituting ‘‘2026’’ for 
‘‘2021’’. 
SEC. 306. Section 458(a)(4) of the HEA (20 U.S.C. 
1087h(a)) shall be applied by substituting ‘‘2027’’ for 
‘‘2021’’. 
SEC. 307. Funds appropriated in this Act under the 
heading ‘‘Student Aid Administration’’ may be available 
for payments for student loan servicing to an institution 
of higher education that services outstanding Federal Per-
kins Loans under part E of title IV of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1087aa et seq.). 
SEC. 308. The Secretary may reserve not more than 
0.5 percent from any amount made available in this Act 
for an HEA program, except for any amounts made avail-
able for subpart 1 of part A of title IV of the HEA, to 
carry out rigorous and independent evaluations and to col-
lect and analyze outcome data for any program authorized 
by the HEA: Provided, That no funds made available in 
this Act for the ‘‘Student Aid Administration’’ account 
shall be subject to the reservation under this section: Pro-
vided further, That any funds reserved under this section 
shall be available through September 30, 2028: Provided 
further, That if, under any other provision of law, funds 
are authorized to be reserved or used for evaluation activi-
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ties with respect to a program or project, the Secretary 
may also reserve funds for such program or project for 
the purposes described in this section so long as the total 
reservation of funds for such program or project does not 
exceed any statutory limits on such reservations: Provided 
further, That not later than 30 days prior to the initial 
obligation of funds reserved under this section, the Sec-
retary shall submit to the Committees on Appropriations 
of the Senate and the House of Representatives, the Com-
mittee on Health, Education, Labor and Pensions of the 
Senate, and the Committee on Education and Workforce 
of the House of Representatives a plan that identifies the 
source and amount of funds reserved under this section, 
the impact on program grantees if funds are withheld for 
the purposes of this section, and the activities to be carried 
out with such funds. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 309. Of the amounts appropriated in this Act 
for ‘‘Institute of Education Sciences’’ from amounts avail-
able for Program Administration, up to $20,000,000 shall 
be available for the Secretary of Education (‘‘the Sec-
retary’’) to provide support services to the Institute of 
Education Sciences (including, but not limited to informa-
tion technology services, lease or procurement of office 
space, human resource services, financial management 
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services, financial systems support, budget formulation 
and execution, legal counsel, equal employment oppor-
tunity services, physical security, facilities management, 
acquisition and contract management, grants administra-
tion and policy, and enterprise risk management): Pro-
vided, That the Secretary shall calculate the actual 
amounts obligated and expended for such support services 
by using a standard Department of Education method-
ology for allocating the cost of all such support services: 
Provided further, That the Secretary may transfer any 
amounts available for IES support services in excess of 
actual amounts needed for IES support services, as so cal-
culated, to the ‘‘Program Administration’’ account from 
the ‘‘Institute of Education Sciences’’ account: Provided 
further, That in order to address any shortfall between 
amounts available for IES support services and amounts 
needed for IES support services, as so calculated, the Sec-
retary may transfer necessary amounts to the ‘‘Institute 
of Education Sciences’’ account from the ‘‘Program Ad-
ministration’’ account: Provided further, That the Com-
mittees on Appropriations of the House of Representatives 
and the Senate are notified at least 14 days in advance 
of any transfer made pursuant to this section. 
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(RESCISSION AND TRANSFER OF FUNDS) 
SEC. 310. Of the unobligated balances in the ‘‘De-
partment of Education Nonrecurring Expenses Fund’’ es-
tablished in section 313 of division H of Public Law 116– 
260, $160,000,000 are hereby rescinded not later than 
September 30, 2026: Provided, That from any remaining 
unobligated balances in such Fund, the Secretary may 
transfer up to $60,000,000 to ‘‘Innovation and Improve-
ment’’ to be merged with funds made available under such 
heading for carrying out activities authorized under part 
C of title IV of the ESEA. 
(RESCISSION) 
SEC. 311. Of the funds made available under the 
heading ‘‘Institute of Education Sciences’’ pursuant to 
section 1101(a)(8) of the Full-Year Continuing Appro-
priations Act, 2025 (division A of Public Law 119–4) for 
program administration, $25,000,000 are hereby perma-
nently rescinded not later than September 30, 2026. 
SEC. 312. The Secretary shall award to each State 
an amount as required under the applicable provisions of 
the ESEA, McKinney-Vento Homeless Assistance Act, 
IDEA, Perkins Act, and AEFLA for each formula grant 
program to which funds are appropriated in this Act on 
the date such funds become available for obligation. 
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This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2026’’. 
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TITLE IV 
RELATED AGENCIES 
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE 
BLIND OR SEVERELY DISABLED 
SALARIES AND EXPENSES 
For expenses necessary for the Committee for Pur-
chase From People Who Are Blind or Severely Disabled 
(referred to in this title as ‘‘the Committee’’) established 
under section 8502 of title 41, United States Code, 
$13,124,000: Provided, That in order to authorize any 
central nonprofit agency designated pursuant to section 
8503(c) of title 41, United States Code, to perform re-
quirements of the Committee as prescribed under section 
51–3.2 of title 41, Code of Federal Regulations, the Com-
mittee shall enter into a written agreement with any such 
central nonprofit agency: Provided further, That such 
agreement shall contain such auditing, oversight, and re-
porting provisions as necessary to implement chapter 85 
of title 41, United States Code: Provided further, That 
such agreement shall include the elements listed under the 
heading ‘‘Committee For Purchase From People Who Are 
Blind or Severely Disabled—Written Agreement Ele-
ments’’ in the explanatory statement described in section 
4 of Public Law 114–113 (in the matter preceding division 
A of that consolidated Act): Provided further, That any 
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such central nonprofit agency may not charge a fee under 
section 51–3.5 of title 41, Code of Federal Regulations, 
prior to executing a written agreement with the Com-
mittee: Provided further, That no less than $3,150,000 
shall be available for the Office of Inspector General. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
OPERATING EXPENSES 
For necessary expenses for the Corporation for Na-
tional and Community Service (referred to in this title as 
‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 
of 1973 (referred to in this title as ‘‘1973 Act’’) and the 
National and Community Service Act of 1990 (referred 
to in this title as ‘‘1990 Act’’), $975,525,000, which shall 
be for the purposes and in the amounts specified in the 
‘‘Final Bill’’ column for Corporation for National and 
Community Service in the ‘‘Departments of Labor, Health 
and Human Services, Education, and Related Agencies 
Appropriations Act, 2026’’ table in the explanatory state-
ment described in section 4 (in the matter preceding divi-
sion A of this consolidated Act), notwithstanding sections 
198B(b)(3), 198S(g), 501(a)(4)(C), and 501(a)(4)(F) of 
the 1990 Act: Provided, That of the amounts provided 
under this heading: (1) up to 1 percent of program grant 
funds may be used to defray the costs of conducting grant 
application reviews, including the use of outside peer re-
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viewers and electronic management of the grants cycle; (2) 
the amounts made available for State Commission Sup-
port Grants shall be available to provide assistance to 
State commissions on national and community service, 
under section 126(a) of the 1990 Act and notwithstanding 
section 501(a)(5)(B) of the 1990 Act; (3) of amounts 
made available for Innovation, Assistance, and Other Ac-
tivities, $8,558,000 shall be available for expenses author-
ized under section 501(a)(4)(F) of the 1990 Act, which, 
notwithstanding the provisions of section 198P shall be 
awarded by CNCS on a competitive basis; and (4) of 
amounts made available for Innovation, Assistance, and 
Other Activities, $6,148,000 shall be available to carry out 
sections 198(k) and 198(i) of the 1990 Act: Provided fur-
ther, That for the purposes of carrying out the 1990 Act, 
satisfying the requirements in section 122(c)(1)(D) may 
include a determination of need by the local community: 
Provided further, That CNCS shall award to each State 
their allotted amount under AmeriCorps State and Na-
tional formula grants no later than April 1, 2026 and to 
each state their allotted amount under State Service Com-
mission Support Grants and State Commission Invest-
ment Fund Grants no later than June 1, 2026: Provided 
further, That the Corporation shall support staffing levels 
necessary to fulfill its statutory responsibilities including 
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carrying out programs, projects, and activities funded in 
this title of this Act in a timely manner. 
PAYMENT TO THE NATIONAL SERVICE TRUST 
(INCLUDING TRANSFER OF FUNDS) 
For payment to the National Service Trust estab-
lished under subtitle D of title I of the 1990 Act, 
$180,000,000, to remain available until expended: Pro-
vided, That CNCS may transfer additional funds from the 
amount provided within ‘‘Operating Expenses’’ allocated 
to grants under subtitle C of title I of the 1990 Act to 
the National Service Trust upon determination that such 
transfer is necessary to support the activities of national 
service participants and after notice is transmitted to the 
Committees on Appropriations of the House of Represent-
atives and the Senate: Provided further, That amounts ap-
propriated for or transferred to the National Service Trust 
may be invested under section 145(b) of the 1990 Act 
without regard to the requirement to apportion funds 
under 31 U.S.C. 1513(b). 
SALARIES AND EXPENSES 
For necessary expenses of administration as provided 
under section 501(a)(5) of the 1990 Act and under section 
504(a) of the 1973 Act, including payment of salaries, au-
thorized travel, hire of passenger motor vehicles, the rental 
of conference rooms in the District of Columbia, the em-
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ployment of experts and consultants authorized under 5 
U.S.C. 3109, and not to exceed $2,500 for official recep-
tion and representation expenses, $89,686,000. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector 
General in carrying out the Inspector General Act of 1978, 
$8,595,000, of which $1,000,000 shall be available until 
expended. 
ADMINISTRATIVE PROVISIONS 
SEC. 401. CNCS shall make any significant changes 
to program requirements, service delivery or policy only 
through public notice and comment rulemaking. For fiscal 
year 2026, during any grant selection process, an officer 
or employee of CNCS shall not knowingly disclose any cov-
ered grant selection information regarding such selection, 
directly or indirectly, to any person other than an officer 
or employee of CNCS that is authorized by CNCS to re-
ceive such information. 
SEC. 402. AmeriCorps programs receiving grants 
under the National Service Trust program shall meet an 
overall minimum share requirement of 24 percent for the 
first 3 years that they receive AmeriCorps funding, and 
thereafter shall meet the overall minimum share require-
ment as provided in section 2521.60 of title 45, Code of 
Federal Regulations, without regard to the operating costs 
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match requirement in section 121(e) or the member sup-
port Federal share limitations in section 140 of the 1990 
Act, and subject to partial waiver consistent with section 
2521.70 of title 45, Code of Federal Regulations. 
SEC. 403. Donations made to CNCS under section 
196 of the 1990 Act for the purposes of financing pro-
grams and operations under titles I and II of the 1973 
Act or subtitle B, C, D, or E of title I of the 1990 Act 
shall be used to supplement and not supplant current pro-
grams and operations. 
SEC. 404. In addition to the requirements in section 
146(a) of the 1990 Act, use of an educational award for 
the purpose described in section 148(a)(4) shall be limited 
to individuals who are veterans as defined under section 
101 of the Act. 
SEC. 405. For the purpose of carrying out section 
189D of the 1990 Act— 
(1) entities described in paragraph (a) of such 
section shall be considered ‘‘qualified entities’’ under 
section 3 of the National Child Protection Act of 
1993 (‘‘NCPA’’); 
(2) individuals described in such section shall 
be considered ‘‘volunteers’’ under section 3 of 
NCPA; and 
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