830 
OFFICE OF LABOR-MANAGEMENT STANDARDS 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Labor-Manage-
ment Standards, $39,129,000. 
OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Federal Con-
tract Compliance Programs, $104,976,000. 
OFFICE OF WORKERS’ COMPENSATION PROGRAMS 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Workers’ Com-
pensation 
Programs, 
$109,641,000, 
together 
with 
$2,142,000 which may be expended from the Special Fund 
in accordance with sections 39(c), 44(d), and 44(j) of the 
Longshore and Harbor Workers’ Compensation Act. 
SPECIAL BENEFITS 
(INCLUDING TRANSFER OF FUNDS) 
For the payment of compensation, benefits, and ex-
penses (except administrative expenses) accruing during the 
current or any prior fiscal year authorized by 5 U.S.C. 81; 
continuation of benefits as provided for under the heading 
‘‘Civilian War Benefits’’ in the Federal Security Agency 
Appropriation Act, 1947; the Employees’ Compensation 
Commission Appropriation Act, 1944; sections 4(c) and 5(f) 
of the War Claims Act of 1948; and 50 percent of the addi-
831 
tional compensation and benefits required by section 10(h) 
of the Longshore and Harbor Workers’ Compensation Act, 
$396,000,000, together with such amounts as may be nec-
essary to be charged to the subsequent year appropriation 
for the payment of compensation and other benefits for any 
period subsequent to August 15 of the current year: Pro-
vided, That amounts appropriated may be used under 5 
U.S.C. 8104 by the Secretary to reimburse an employer, 
who is not the employer at the time of injury, for portions 
of the salary of a re-employed, disabled beneficiary: Pro-
vided further, That balances of reimbursements unobligated 
on September 30, 2013, shall remain available until ex-
pended for the payment of compensation, benefits, and ex-
penses: Provided further, That in addition there shall be 
transferred to this appropriation from the Postal Service 
and from any other corporation or instrumentality required 
under 5 U.S.C. 8147(c) to pay an amount for its fair share 
of the cost of administration, such sums as the Secretary 
determines to be the cost of administration for employees 
of such fair share entities through September 30, 2014: Pro-
vided further, That of those funds transferred to this ac-
count from the fair share entities to pay the cost of adminis-
tration of the Federal Employees’ Compensation Act, 
$60,017,000 shall be made available to the Secretary as fol-
lows:
832 
(1) For enhancement and maintenance of auto-
mated data processing systems operations and tele-
communications systems, $19,499,000; 
(2) For automated workload processing oper-
ations, including document imaging, centralized mail 
intake, and medical bill processing, $22,968,000; 
(3) For periodic roll disability management and 
medical review, $16,190,000; 
(4) For program integrity, $1,360,000; and 
(5) The remaining funds shall be paid into the 
Treasury as miscellaneous receipts: 
Provided further, That the Secretary may require that any 
person filing a notice of injury or a claim for benefits under 
5 U.S.C. 81, or the Longshore and Harbor Workers’ Com-
pensation Act, provide as part of such notice and claim, 
such identifying information (including Social Security ac-
count number) as such regulations may prescribe. 
SPECIAL BENEFITS FOR DISABLED COAL MINERS 
For carrying out title IV of the Federal Mine Safety 
and Health Act of 1977, as amended by Public Law 107– 
275, $93,235,000, to remain available until expended. 
For making after July 31 of the current fiscal year, 
benefit payments to individuals under title IV of such Act, 
for costs incurred in the current fiscal year, such amounts 
as may be necessary.
833 
For making benefit payments under title IV for the 
first quarter of fiscal year 2015, $24,000,000, to remain 
available until expended. 
ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES 
OCCUPATIONAL ILLNESS COMPENSATION FUND 
For necessary expenses to administer the Energy Em-
ployees Occupational Illness Compensation Program Act, 
$55,176,000, to remain available until expended: Provided, 
That the Secretary may require that any person filing a 
claim for benefits under the Act provide as part of such 
claim such identifying information (including Social Secu-
rity account number) as may be prescribed. 
BLACK LUNG DISABILITY TRUST FUND 
(INCLUDING TRANSFER OF FUNDS) 
Such sums as may be necessary from the Black Lung 
Disability Trust Fund (the ‘‘Fund’’), to remain available 
until expended, for payment of all benefits authorized by 
section 9501(d)(1), (2), (6), and (7) of the Internal Revenue 
Code of 1986; and repayment of, and payment of interest 
on advances, as authorized by section 9501(d)(4) of that 
Act. In addition, the following amounts may be expended 
from the Fund for fiscal year 2014 for expenses of operation 
and administration of the Black Lung Benefits program, 
as authorized by section 9501(d)(5): not to exceed 
$33,033,000 for transfer to the Office of Workers’ Compensa-
834 
tion Programs, ‘‘Salaries and Expenses’’; not to exceed 
$25,365,000 for transfer to Departmental Management, 
‘‘Salaries and Expenses’’; not to exceed $327,000 for trans-
fer to Departmental Management, ‘‘Office of Inspector Gen-
eral’’; and not to exceed $356,000 for payments into mis-
cellaneous receipts for the expenses of the Department of the 
Treasury. 
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Occupational Safety 
and Health Administration, $552,247,000, including not to 
exceed $100,000,000 which shall be the maximum amount 
available for grants to States under section 23(g) of the Oc-
cupational Safety and Health Act (the ‘‘Act’’), which grants 
shall be no less than 50 percent of the costs of State occupa-
tional safety and health programs required to be incurred 
under plans approved by the Secretary under section 18 
of the Act; and, in addition, notwithstanding 31 U.S.C. 
3302, the Occupational Safety and Health Administration 
may retain up to $200,000 per fiscal year of training insti-
tute course tuition fees, otherwise authorized by law to be 
collected, and may utilize such sums for occupational safety 
and health training and education: Provided, That notwith-
standing 31 U.S.C. 3302, the Secretary is authorized, dur-
ing the fiscal year ending September 30, 2014, to collect
835 
and retain fees for services provided to Nationally Recog-
nized Testing Laboratories, and may utilize such sums, in 
accordance with the provisions of 29 U.S.C. 9a, to admin-
ister national and international laboratory recognition pro-
grams that ensure the safety of equipment and products 
used by workers in the workplace: Provided further, That 
none of the funds appropriated under this paragraph shall 
be obligated or expended to prescribe, issue, administer, or 
enforce any standard, rule, regulation, or order under the 
Act which is applicable to any person who is engaged in 
a farming operation which does not maintain a temporary 
labor camp and employs 10 or fewer employees: Provided 
further, That no funds appropriated under this paragraph 
shall be obligated or expended to administer or enforce any 
standard, rule, regulation, or order under the Act with re-
spect to any employer of 10 or fewer employees who is in-
cluded within a category having a Days Away, Restricted, 
or Transferred (‘‘DART’’) occupational injury and illness 
rate, at the most precise industrial classification code for 
which such data are published, less than the national aver-
age rate as such rates are most recently published by the 
Secretary, acting through the Bureau of Labor Statistics, 
in accordance with section 24 of the Act, except—
837 
10 or fewer employees: Provided further, That $10,687,000 
shall be available for Susan Harwood training grants. 
MINE SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for the Mine Safety and Health 
Administration, $375,887,000, including purchase and be-
stowal of certificates and trophies in connection with mine 
rescue and first-aid work, and the hire of passenger motor 
vehicles, including up to $2,000,000 for mine rescue and 
recovery activities and not less than $8,441,000 for state 
assistance grants; in addition, not to exceed $750,000 may 
be collected by the National Mine Health and Safety Acad-
emy for room, board, tuition, and the sale of training mate-
rials, otherwise authorized by law to be collected, to be 
available for mine safety and health education and training 
activities, notwithstanding 31 U.S.C. 3302; and, in addi-
tion, the Mine Safety and Health Administration may re-
tain up to $2,499,000 in this fiscal year and each fiscal 
year thereafter from fees collected for the approval and cer-
tification of equipment, materials, and explosives for use 
in mines, and may utilize such sums for such activities; 
the Secretary is authorized to accept lands, buildings, 
equipment, and other contributions from public and private 
sources and to prosecute projects in cooperation with other
838 
agencies, Federal, State, or private; the Mine Safety and 
Health Administration is authorized to promote health and 
safety education and training in the mining community 
through cooperative programs with States, industry, and 
safety associations; the Secretary is authorized to recognize 
the Joseph A. Holmes Safety Association as a principal 
safety association and, notwithstanding any other provision 
of law, may provide funds and, with or without reimburse-
ment, personnel, including service of Mine Safety and 
Health Administration officials as officers in local chapters 
or in the national organization; and any funds available 
to the Department of Labor may be used, with the approval 
of the Secretary, to provide for the costs of mine rescue and 
survival operations in the event of a major disaster: Pro-
vided, That the Secretary may transfer such sums as may 
be necessary to ‘‘Departmental Management’’ for the Office 
of the Solicitor move related to the relocation of the Mine 
Safety and Health Administration headquarters. 
BUREAU OF LABOR STATISTICS 
SALARIES AND EXPENSES 
For necessary expenses for the Bureau of Labor Statis-
tics, including advances or reimbursements to State, Fed-
eral, and local agencies and their employees for services ren-
dered, $527,212,000, together with not to exceed $65,000,000
839 
which may be expended from the Employment Security Ad-
ministration account in the Unemployment Trust Fund. 
OFFICE OF DISABILITY EMPLOYMENT POLICY 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Disability Em-
ployment Policy to provide leadership, develop policy and 
initiatives, and award grants furthering the objective of 
eliminating barriers to the training and employment of 
people with disabilities, $37,745,000. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for Departmental Management, 
including the hire of three passenger motor vehicles, 
$336,621,000, together with not to exceed $308,000, which 
may be expended from the Employment Security Adminis-
tration account in the Unemployment Trust Fund: Pro-
vided, That $64,825,000 for the Bureau of International 
Labor Affairs shall be available for obligation through De-
cember 31, 2014: Provided further, That funds available to 
the Bureau of International Labor Affairs may be used to 
administer or operate international labor activities, bilat-
eral and multilateral technical assistance, and micro-
finance programs, by or through contracts, grants, sub-
grants and other arrangements: Provided further, That not
840 
more than $58,825,000 shall be for programs to combat ex-
ploitative child labor internationally and not less than 
$6,000,000 shall be used to implement model programs that 
address worker rights issues through technical assistance in 
countries with which the United States has free trade agree-
ments or trade preference programs: Provided further, That 
$8,040,000 shall be used for program evaluation and shall 
be available for obligation through September 30, 2015: 
Provided further, That funds available for program evalua-
tion may be transferred to any other appropriate account 
in the Department for such purpose: Provided further, That 
the funds available to the Women’s Bureau may be used 
for grants to serve and promote the interests of women in 
the workforce. 
VETERANS EMPLOYMENT AND TRAINING 
Not to exceed $231,414,000 may be derived from the 
Employment Security Administration account in the Un-
employment Trust Fund to carry out the provisions of 
chapters 41, 42, and 43 of title 38, United States Code, of 
which: 
(1) $175,000,000 is for Jobs for Veterans State 
grants under 38 U.S.C. 4102A(b)(5) to support dis-
abled veterans’ outreach program specialists under 
section 4103A of such title and local veterans’ employ-
ment representatives under section 4104(b) of such
841 
title, and for the expenses described in section 
4102A(b)(5)(C), which shall be available for obliga-
tion by the States through December 31, 2014: Pro-
vided, That, in addition, such funds may be used to 
support such specialists and representatives in the 
provision of services to transitioning members of the 
Armed Forces who have participated in the Transi-
tion Assistance Program and have been identified as 
in need of intensive services, to members of the Armed 
Forces who are wounded, ill, or injured and receiving 
treatment in military treatment facilities or warrior 
transition units, and to the spouses or other family 
caregivers of such wounded, ill, or injured members; 
(2) $14,000,000 is for carrying out the Transi-
tion Assistance Program under 38 U.S.C. 4113 and 
10 U.S.C. 1144; 
(3) $39,000,000 is for Federal administration of 
chapters 41, 42, and 43 of title 38, United States 
Code; and 
(4) $3,414,000 is for the National Veterans’ Em-
ployment and Training Services Institute under 38 
U.S.C. 4109: 
Provided further, That the Secretary may reallocate among 
the appropriations provided under paragraphs (1) through
842 
(4) above an amount not to exceed 3 percent of the appro-
priation from which such reallocation is made. 
In addition, from the General Fund of the Treasury, 
$38,109,000 is for carrying out the Homeless Veterans Re-
integration Programs under 38 U.S.C. 2021. 
IT MODERNIZATION 
For necessary expenses for Department of Labor cen-
tralized infrastructure technology investment activities re-
lated to support systems and modernization, $19,778,000. 
OFFICE OF INSPECTOR GENERAL 
For salaries and expenses of the Office of Inspector 
General in carrying out the provisions of the Inspector Gen-
eral Act of 1978, $74,721,000, together with not to exceed 
$5,590,000 which may be expended from the Employment 
Security Administration account in the Unemployment 
Trust Fund. 
GENERAL PROVISIONS 
SEC. 101. None of the funds appropriated by this Act 
for the Job Corps shall be used to pay the salary and bo-
nuses of an individual, either as direct costs or any prora-
tion as an indirect cost, at a rate in excess of Executive 
Level II. 
(TRANSFER OF FUNDS) 
SEC. 102. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency
844 
agency in the occupations and industries for which employ-
ers are using H–1B visas to hire foreign workers, and the 
related activities necessary to support such training: Pro-
vided, That the preceding limitation shall not apply to 
funding provided pursuant to solicitations for grant appli-
cations issued prior to January 15, 2014. 
SEC. 105. None of the funds made available by this 
Act under the heading ‘‘Employment and Training Admin-
istration’’ shall be used by a recipient or subrecipient of 
such funds to pay the salary and bonuses of an individual, 
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 establish a lower 
limit for salaries and bonuses of those receiving salaries and 
bonuses from subrecipients of such funds, taking into ac-
count 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 programs involved including Em-
ployment and Training Administration programs. Not-
withstanding this section, the limitation on salaries for the 
Job Corps shall continue to be governed by section 101.
845 
SEC. 106. The Secretary shall take no action to amend, 
through regulatory or administration action, the definition 
established in section 667.220 of title 20 of the Code of Fed-
eral Regulations for functions and activities under title I 
of WIA, or to modify, through regulatory or administrative 
action, the procedure for redesignation of local areas as 
specified in subtitle B of title I of that Act (including ap-
plying the standards specified in section 116(a)(3)(B) of 
that Act, but notwithstanding the time limits specified in 
section 116(a)(3)(B) of that Act), until such time as legisla-
tion reauthorizing the Act is enacted. Nothing in the pre-
ceding sentence shall permit or require the Secretary to 
withdraw approval for such redesignation from a State that 
received the approval not later than October 12, 2005, or 
to revise action taken or modify the redesignation procedure 
being used by the Secretary in order to complete such redes-
ignation for a State that initiated the process of such redes-
ignation by submitting any request for such redesignation 
not later than October 26, 2005. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 107. Notwithstanding section 102, the Secretary 
may transfer funds made available to the Employment and 
Training Administration by this Act, either directly or 
through a set-aside, for technical assistance services to 
grantees to ‘‘Program Administration’’ when it is deter-
846 
mined that those services will be more efficiently performed 
by Federal employees: Provided, That this section shall not 
apply to section 173A(f)(2) of the WIA. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 108. (a) The Secretary may reserve not more 
than 0.5 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 Manage-
ment’’ for use by the Office of the Chief Evaluation Officer 
within the Department of Labor, and shall be available for 
obligation through September 30, 2015: Provided, That such 
funds shall only be available if the Chief Evaluation Officer 
of the Department of Labor submits a plan to the Commit-
tees on Appropriations of the House of Representatives and 
the Senate describing the evaluations to be carried out 15 
days in advance of any transfer. 
(b) The accounts referred to in subsection (a) are: 
‘‘Training and Employment Services’’, ‘‘Office of Job 
Corps’’, ‘‘Community Service Employment for Older Amer-
icans’’, ‘‘State Unemployment Insurance and Employment 
Service Operations’’, ‘‘Employee Benefits Security Admin-
istration’’, ‘‘Office of Workers’ Compensation Programs’’, 
‘‘Wage and Hour Division’’, ‘‘Office of Federal Contract
847 
Compliance Programs’’, ‘‘Office of Labor Management 
Standards’’, ‘‘Occupational Safety and Health Administra-
tion’’, ‘‘Mine Safety and Health Administration’’, funding 
made available to the ‘‘Bureau of International Affairs’’ 
and ‘‘Women’s Bureau’’ within the ‘‘Departmental Manage-
ment, Salaries and Expenses’’ account, and ‘‘Veterans Em-
ployment and Training’’. 
SEC. 109. None of the funds made available by this 
Act may be used to promulgate the Definition of ‘‘Fidu-
ciary’’ regulation (Regulatory Identification Number 1210– 
AB32) published by the Employee Benefits Security Admin-
istration of the Department of Labor on October 22, 2010 
(75 Fed. Reg. 65263). 
SEC. 110. (a) Of the funds appropriated under section 
272(b) of the Trade Act of 1974 for fiscal year 2014, the 
Secretary may reserve no more than 3 percent of such funds 
to conduct evaluations and provide technical assistance re-
lating to the activities carried out under section 271 of such 
Act, including activities carried out under such section sup-
ported by the appropriations provided for fiscal years 2011 
through 2013. 
(b) Institutions of higher education awarded grants 
under section 271 of the Trade Act of 1974 may award sub-
grants to other institutions of higher education that meet 
the definition of ‘‘eligible institution’’ under section
848 
271(b)(1)(A) of such Act, subject to the conditions applica-
ble to such grants. 
SEC. 111. (a) Section 5315 of title 5, United States 
Code, is amended after the item relating to the Assistant 
Secretaries of Labor by inserting ‘‘Administrator, Wage 
and Hour Division, Department of Labor.’’ 
(b) Section 5316, title 5, United States Code, is 
amended by striking ‘‘Administrator, Wage and Hour and 
Public Contracts Division, Department of Labor.’’ 
DIRECTIVE FOR THE SECRETARY OF LABOR 
SEC. 112. In an investigation by the Department of 
substantial violations related to the admission of non-
immigrants described in section 101(a)(15)(H)(ii)(a) of the 
Immigration and Nationality Act, if the employer of such 
nonimmigrants demonstrates, by a preponderance of the 
evidence, that an agent of the employer engaged in fraud 
or misrepresentation to the Department that was outside 
the scope of the authority conferred by the employer, the 
Secretary is authorized— 
(1) to exclude the employer of such non-
immigrants from debarment proceedings under sec-
tion 655.118 of title 20, Code of Federal Regulations, 
which were commenced on or after January 1, 2013; 
and
849 
(2) to initiate or continue debarment proceedings 
against the agent who engaged in such fraud or mis-
representation. 
SEC. 113. (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 during 
the 120-day period beginning on the start date for 
which the employer is seeking the services of the non-
immigrants 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 non-
immigrants 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
850 
(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 con-
sider an employer in the seafood industry who brings 
H–2B nonimmigrants into the United States during 
the 120-day period specified in paragraph (1) to be 
staggering the date of need in violation of section 
655.20(d) of title 20, Code of Federal Regulations, or 
any other applicable provision of law. 
(b) H–2B NONIMMIGRANTS DEFINED.—In this section, 
the term ‘‘H–2B nonimmigrants’’ means aliens admitted 
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)). 
(c) This section shall be in effect until September 30, 
2014.
851 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2014’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health 
Service Act (referred to in this Act as the ‘‘PHS Act’’) with 
respect to primary health care and the Native Hawaiian 
Health Care Act of 1988, $1,495,276,000: Provided, That 
no more than $40,000 shall be available until expended for 
carrying out the provisions of section 224(o) of the PHS 
Act, including associated administrative expenses and rel-
evant evaluations: Provided further, That no more than 
$94,893,000 shall be available until expended for carrying 
out the provisions of Public Law 104–73 and for expenses 
incurred by the Department of Health and Human Services 
(referred to in this Act as ‘‘HHS’’) pertaining to adminis-
trative claims made under such law: Provided further, That 
of funds provided for the Health Centers program, as de-
fined by section 330 of the PHS Act, by this Act or any 
other Act for fiscal year 2014, not less than $110,000,000 
shall be obligated in fiscal year 2014 as base grant adjust-
ments and not less than $350,000,000 shall be obligated in
852 
fiscal year 2014 to support new access points including ap-
proved and unfunded applications from fiscal year 2013, 
grants to expand medical services, behavioral health, oral 
health, pharmacy, and vision services, and costs associated 
with the HHS administration of these grants. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS 
Act with respect to the health workforce, section 1128E of 
the Social Security Act, and the Health Care Quality Im-
provement Act of 1986, $734,236,000: Provided, That sec-
tions 747(c)(2), 751(j)(2), 762(k), and the proportional 
funding amounts in paragraphs (1) through (4) of section 
756(e) of the PHS Act shall not apply to funds made avail-
able under this heading: Provided further, That for any pro-
gram operating under section 751 of the PHS Act on or 
before January 1, 2009, the Secretary may hereafter waive 
any of the requirements contained in sections 751(d)(2)(A) 
and 751(d)(2)(B) of such Act for the full project period of 
a grant under such section: Provided further, That no funds 
shall be available for section 340G–1 of the PHS Act: Pro-
vided further, That in addition to fees authorized by section 
427(b) of the Health Care Quality Improvement Act of 
1986, fees shall be collected for the full disclosure of informa-
tion under such Act sufficient to recover the full costs of 
operating the National Practitioner Data Bank and shall
853 
remain available until expended to carry out that Act: Pro-
vided further, That fees collected for the full disclosure of 
information under the ‘‘Health Care Fraud and Abuse Data 
Collection Program’’, authorized by section 1128E(d)(2) of 
the Social Security Act, shall be sufficient to recover the 
full costs of operating the program, and shall remain avail-
able until expended to carry out that Act: Provided further, 
That fees collected for the disclosure of information under 
the information reporting requirement program authorized 
by section 1921 of the Social Security Act shall be sufficient 
to recover the full costs of operating the program and shall 
remain available until expended to carry out that Act: Pro-
vided further, That funds transferred to this account to 
carry out section 846 and subpart 3 of part D of title III 
of the PHS Act may be used to make prior year adjustments 
to awards made under such sections. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the 
PHS Act with respect to maternal and child health, title 
V of the Social Security Act, and section 712 of the Amer-
ican Jobs Creation Act of 2004, $846,017,000: Provided, 
That notwithstanding sections 502(a)(1) and 502(b)(1) of 
the Social Security Act, not more than $77,093,000 shall 
be available for carrying out special projects of regional and 
national significance pursuant to section 501(a)(2) of such
854 
Act and $10,276,000 shall be available for projects described 
in paragraphs (A) through (F) of section 501(a)(3) of such 
Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with re-
spect 
to 
the 
Ryan 
White 
HIV/AIDS 
program, 
$2,293,781,000, of which $1,970,881,000 shall remain 
available to the Secretary through September 30, 2016, for 
parts A and B of title XXVI of the PHS Act, and of which 
not less than $900,313,000 shall be for State AIDS Drug 
Assistance Programs under the authority of section 2616 
or 311(c) of such Act: Provided, That in addition to 
amounts provided herein, $25,000,000 shall be available 
from amounts available under section 241 of the PHS Act 
to carry out parts A, B, C, and D of title XXVI of the PHS 
Act to fund Special Projects of National Significance under 
section 2691. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act 
with respect to health care systems, and the Stem Cell 
Therapeutic and Research Act of 2005, $103,193,000, of 
which $122,000 shall be available until expended for facili-
ties renovations at the Gillis W. Long Hansen’s Disease 
Center.
855 
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, the Cardiac Arrest Survival 
Act of 2000, and sections 711 and 1820 of the Social Secu-
rity Act, $142,335,000, of which $40,609,000 from general 
revenues, notwithstanding section 1820(j) of the Social Se-
curity Act, shall be available for carrying out the Medicare 
rural hospital flexibility grants program: Provided, That 
of the funds made available under this heading for Medicare 
rural hospital flexibility grants, $14,942,000 shall be avail-
able for the Small Rural Hospital Improvement Grant Pro-
gram for quality improvement and adoption of health infor-
mation technology and up to $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security Act, with funds 
provided for grants under section 1820(g)(6) available for 
the purchase and implementation of telehealth services, in-
cluding pilots and demonstrations on the use of electronic 
health records to coordinate rural veterans care between 
rural providers and the Department of Veterans Affairs 
electronic health record system: Provided further, That not-
withstanding section 338J(k) of the PHS Act, $9,511,000 
shall be available for State Offices of Rural Health.
856 
FAMILY PLANNING 
For carrying out the program under title X of the PHS 
Act to provide for voluntary family planning projects, 
$286,479,000: Provided, That amounts provided to said 
projects under such title shall not be expended for abortions, 
that all pregnancy counseling shall be nondirective, and 
that such amounts shall not be expended for any activity 
(including the publication or distribution of literature) that 
in any way tends to promote public support or opposition 
to any legislative proposal or candidate for public office. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and 
Services Administration, $153,061,000: Provided, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the PHS 
Act. For administrative expenses to carry out the guaran-
teed loan program, including section 709 of the PHS Act, 
$2,687,000.
857 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-related 
injury or death with respect to vaccines administered after 
September 30, 1988, pursuant to subtitle 2 of title XXI of 
the PHS Act, to remain available until expended: Provided, 
That for necessary administrative expenses, not to exceed 
$6,464,000 shall be available from the Trust Fund to the 
Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
gration and Nationality Act, and section 501 of the Refugee 
Education Assistance Act, with respect to immunization 
and respiratory diseases, $571,536,000: Provided, That in 
addition to amounts provided herein, $12,864,000 shall be 
available from amounts available under section 241 of the 
PHS Act to carry out the National Immunization Surveys. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, XXIII, and XXVI 
of the PHS Act with respect to HIV/AIDS, viral hepatitis,
858 
sexually transmitted diseases, and tuberculosis prevention, 
$1,072,834,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and zoonotic 
infectious diseases, $287,300,000: Provided, That of the 
funds provided for the Advanced Molecular Detection initia-
tive, the CDC Director shall establish and publish a five- 
year program implementation plan within 90 days of en-
actment. 
CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and XIX 
of the PHS Act with respect to chronic disease prevention 
and health promotion, $711,650,000: Provided, That funds 
appropriated under this account may be available for mak-
ing grants under section 1509 of the PHS Act for not less 
than 21 States, tribes, or tribal organizations: Provided fur-
ther, That of the funds available under this heading, 
$5,000,000 shall be available to conduct an extension and 
outreach program to combat obesity in counties with the 
highest levels of obesity: Provided further, That of the funds 
provided under this heading, $80,000,000 shall be available 
for a program consisting of three-year grants of no less than
859 
$100,000 per year to non-governmental entities, local public 
health offices, school districts, local housing authorities, 
local transportation authorities or Indian tribes to imple-
ment evidence-based chronic disease prevention strategies: 
Provided further, That applicants for grants described in 
the previous proviso shall determine the population to be 
served and shall agree to work in collaboration with multi- 
sector partners. 
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, $122,435,000. 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act 
with 
respect 
to 
health 
statistics, 
surveillance, 
informatics, and workforce development, $347,179,000: Pro-
vided, That in addition to amounts provided herein, 
$85,691,000 shall be available from amounts available 
under section 241 of the PHS Act to carry out public health 
scientific services. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $147,555,000.
860 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$142,311,000. 
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, 501, and 
514 of the Federal Mine Safety and Health Act, section 13 
of the Mine Improvement and New Emergency Response 
Act, and sections 20, 21, and 22 of the Occupational Safety 
and Health Act, with respect to occupational safety and 
health, $180,300,000: Provided, That in addition to 
amounts provided herein, $112,000,000 shall be available 
from amounts available under section 241 of the PHS Act. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy Em-
ployees Occupational Illness Compensation Program Act, 
$55,358,000, to remain available until expended: Provided, 
That this amount shall be available consistent with the pro-
vision regarding administrative expenses in section 151(b) 
of division B, title I of Public Law 106–554.
861 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $383,000,000, of which 
$114,250,000 for international HIV/AIDS shall remain 
available through September 30, 2015, and of which 
$7,500,000 shall remain available through September 30, 
2015, to support national public health institutes: Provided, 
That funds may be used for purchase and insurance of offi-
cial motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to public health preparedness and response, 
and for expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, and 
chemical threats to civilian populations, $1,323,450,000, of 
which $535,000,000 shall remain available until expended 
for the Strategic National Stockpile: Provided, That in the 
event the Director of the CDC activates the Emergency Op-
erations Center, the Director of the CDC may detail CDC 
staff without reimbursement for up to 30 days to support 
the work of the CDC Emergency Operations Center, so long 
as the Director provides a notice to the Committees on Ap-
propriations of the House of Representatives and the Senate 
within 15 days of the use of this authority and a full report 
within 30 days after use of this authority which includes
862 
the number of staff and funding level broken down by the 
originating center and number of days detailed: Provided 
further, That in the previous proviso the annual reimburse-
ment cannot exceed $3,000,000 across CDC: Provided fur-
ther, That of the funds provided for the Strategic National 
Stockpile, up to $2,000,000 shall be used to support a com-
prehensive IOM evaluation of the distribution system. 
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 activities 
and program support that supplement activities funded 
under the headings ‘‘Immunization and Respiratory Dis-
eases’’, ‘‘HIV/AIDS, Viral Hepatitis, Sexually Transmitted 
Diseases, and Tuberculosis Prevention’’, ‘‘Emerging and 
Zoonotic Infectious Diseases’’, ‘‘Chronic Disease Prevention 
and Health Promotion’’, ‘‘Birth Defects, Developmental 
Disabilities, Disabilities and Health’’, ‘‘Environmental 
Health’’, ‘‘Injury Prevention and Control’’, ‘‘National In-
stitute for Occupational Safety and Health’’, ‘‘Energy Em-
ployees Occupational Illness Compensation Program’’, 
‘‘Global Health’’, ‘‘Public Health Preparedness and Re-
sponse’’, 
and 
‘‘Public 
Health 
Scientific 
Services’’, 
$517,570,000, of which $380,000,000 shall be available 
until September 30, 2015, for business services and transfer
863 
to the Working Capital Fund, and of which $24,000,000 
shall be available until September 30, 2018, for acquisition 
of real property, equipment, construction and renovation 
of facilities: Provided, That paragraphs (1) through (3) of 
subsection (b) of section 2821 of the PHS Act shall not 
apply to funds appropriated under this heading and in all 
other accounts of the CDC: Provided further, That funds 
appropriated under this heading and in all other accounts 
of CDC may be used to support the purchase, hire, mainte-
nance, and operation of aircraft for use and support of the 
activities of CDC: Provided further, That employees of CDC 
or the Public Health Service, both civilian and commis-
sioned officers, detailed to States, municipalities, or other 
organizations under authority of section 214 of the PHS 
Act, or in overseas assignments, shall be treated as non- 
Federal employees for reporting purposes only and shall not 
be included within any personnel ceiling applicable to the 
Agency, Service, or HHS during the period of detail or as-
signment: Provided further, That CDC may use up to 
$10,000 from amounts appropriated to CDC in this Act for 
official reception and representation expenses when specifi-
cally approved by the Director of CDC: Provided further, 
That in addition, such sums as may be derived from au-
thorized user fees, which shall be credited to the appropria-
tion charged with the cost thereof: Provided further, That
864 
with respect to the previous proviso, authorized user fees 
from the Vessel Sanitation Program shall be available 
through September 30, 2015: Provided further, That of the 
funds made available under this heading and in all other 
accounts of CDC, up to $1,000 per eligible employee of CDC 
shall be made available until expended for Individual 
Learning Accounts: Provided further, That to facilitate the 
implementation of the permanent Working Capital Fund 
(‘‘WCF’’) authorized under this heading in division F of 
Public Law 112–74, on or after enactment of this Act, unob-
ligated balances of amounts appropriated for business serv-
ices for fiscal year 2013 shall be transferred to the WCF: 
Provided further, That on or after enactment of this Act, 
CDC shall transfer amounts available for business services 
to other CDC appropriations consistent with the benefit 
each appropriation received from the business services ap-
propriation in fiscal year 2013: Provided further, That once 
the WCF is implemented in fiscal year 2014, assets pur-
chased in any prior fiscal year with funds appropriated 
for or reimbursed to business services may be transferred 
to the WCF and customers billed for depreciation of those 
assets: Provided further, That CDC shall, consistent with 
the authorities provided in 42 U.S.C. 231, ensure that the 
WCF is used only for administrative support services and 
not for programmatic activities: Provided further, That
865 
CDC shall notify the Committees on Appropriations of the 
House of Representatives and the Senate not later than 15 
days prior to any transfers made with funds provided 
under this heading. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $4,923,238,000, of which up to 
$8,000,000 may be used for facilities repairs and improve-
ments at the National Cancer Institute—Frederick Feder-
ally Funded Research and Development Center in Fred-
erick, 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 diseases, 
and blood and blood products, $2,988,605,000. 
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, 
$398,650,000.
866 
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, $1,744,274,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND 
STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$1,587,982,000. 
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, 
$4,358,841,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$2,364,147,000: Provided, That not less than $273,325,000 
is provided for the Institutional Development Awards pro-
gram.
867 
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, 
$1,282,595,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$682,077,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$665,439,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $1,171,038,000. 
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, $520,053,000.
868 
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, $404,049,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $140,517,000. 
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, 
$446,025,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,025,435,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $1,446,172,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to human genome research, $497,813,000.
869 
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, $329,172,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and alternative medi-
cine, $124,296,000. 
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, $268,322,000. 
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), $67,577,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$327,723,000, of which $4,000,000 shall be available until 
September 30, 2015, for improvement of information sys-
tems: Provided, That in fiscal year 2014, the National Li-
870 
brary of Medicine may enter into personal services con-
tracts for the provision of services in facilities owned, oper-
ated, or constructed under the jurisdiction of the National 
Institutes of Health (referred to in this title as ‘‘NIH’’): 
Provided further, That in addition to amounts provided 
herein, $8,200,000 shall be available from amounts avail-
able under section 241 of the PHS Act to carry out the 
purposes of the National Information Center on Health 
Services Research and Health Care Technology established 
under section 478A of the PHS Act and related health infor-
mation services. 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $633,267,000: 
Provided, That up to $9,835,000 shall be available to imple-
ment section 480 of the PHS Act, relating to the Cures Ac-
celeration Network: Provided further, That at least 
$474,746,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, NIH, $1,400,134,000, of which up to 
$25,000,000 shall be used to carry out section 213 of this 
Act: Provided, That funding shall be available for the pur-
871 
chase of not to exceed 29 passenger motor vehicles for re-
placement only: Provided further, That NIH is authorized 
to collect third-party payments for the cost of clinical serv-
ices that are incurred in NIH research facilities and that 
such payments shall be credited to the NIH Management 
Fund: Provided further, That all funds credited to the NIH 
Management Fund shall remain available for one fiscal 
year after the fiscal year in which they are deposited: Pro-
vided further, That $165,000,000 shall be for the National 
Children’s Study (‘‘NCS’’), except that not later than July 
15, 2014, the Director shall estimate the amount needed for 
the NCS during fiscal year 2014, and any funds in excess 
of the estimated need shall be transferred to and merged 
with the accounts for the various Institutes and Centers in 
proportion to their shares of total NIH appropriations 
made by this Act: Provided further, That $533,039,000 shall 
be available for the Common Fund established under section 
402A(c)(1) of the PHS Act: Provided further, That of the 
funds provided $10,000 shall be for official reception and 
representation expenses when specifically approved by the 
Director of the NIH: Provided further, That the Office of 
AIDS Research within the Office of the Director of the NIH 
may spend up to $8,000,000 to make grants for construction 
or renovation of facilities as provided for in section 
2354(a)(5)(B) of the PHS Act.
872 
BUILDINGS AND FACILITIES 
For the study of, construction or demolition of, renova-
tion of, and acquisition of equipment for, facilities of or 
used by NIH, including the acquisition of real property, 
$128,663,000, to remain available until September 30, 
2018, of which up to $7,000,000 may be used for demolition. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$1,055,347,000: Provided, That notwithstanding section 
520A(f)(2) of the PHS Act, no funds appropriated for car-
rying out section 520A shall be available for carrying out 
section 1971 of the PHS Act: Provided further, That in ad-
dition to amounts provided herein, $21,039,000 shall be 
available under section 241 of the PHS Act to carry out 
subpart I of part B of title XIX of the PHS Act to fund 
section 1920(b) technical assistance, national data, data 
collection and evaluation activities, and further that the 
total available under this Act for section 1920(b) activities 
shall not exceed 5 percent of the amounts appropriated for 
subpart I of part B of title XIX: Provided further, That 
section 520E(b)(2) of the PHS Act shall not apply to funds
873 
appropriated under this Act for fiscal year 2014: Provided 
further, That of the amount appropriated under this head-
ing, $46,000,000 shall be for the National Child Traumatic 
Stress Initiative as described in section 582 of the PHS 
Act: Provided further, That States shall expend at least 5 
percent of the amount each receives for carrying out section 
1911 of the PHS Act to support evidence-based programs 
that address the needs of individuals with early serious 
mental illness, including psychotic disorders, regardless of 
the age of the individual at onset: Provided further, That 
none of the funds provided for section 1911 of the PHS Act 
shall be subject to section 241 of such Act. 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to substance abuse treatment and section 
1922(a) of the PHS Act with respect to substance abuse pre-
vention, $2,052,661,000: Provided, That in addition to 
amounts provided herein, the following amounts shall be 
available under section 241 of the PHS Act: (1) $79,200,000 
to carry out subpart II of part B of title XIX of the PHS 
Act to fund section 1935(b) technical assistance, national 
data, data collection and evaluation activities, and further 
that the total available under this Act for section 1935(b) 
activities shall not exceed 5 percent of the amounts appro-
priated for subpart II of part B of title XIX; and (2)
874 
$2,000,000 to evaluate substance abuse treatment programs: 
Provided further, That none of the funds provided for sec-
tion 1921 of the PHS Act shall be subject to section 241 
of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act with 
respect to substance abuse prevention, $175,631,000. 
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, $151,296,000: Pro-
vided, That in addition to amounts provided herein, 
$30,428,000 shall be available under section 241 of the PHS 
Act to supplement funds available to carry out national 
surveys on drug abuse and mental health, to collect and 
analyze program data, and to conduct public awareness 
and technical assistance activities: Provided further, That, 
in addition, fees may be collected for the costs of publica-
tions, 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
875 
appropriation and shall remain available until expended 
for such purposes: Provided further, That funds made avail-
able under this heading may be used to supplement pro-
gram support funding provided under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, 
part A of title XI of the Social Security Act, and section 
1013 of the Medicare Prescription Drug, Improvement, and 
Modernization Act of 2003, $364,008,000 shall be available 
from amounts available under section 241 of the PHS Act, 
notwithstanding subsection 947(c) of such Act: Provided, 
That in addition, amounts received from Freedom of Infor-
mation Act fees, reimbursable and interagency agreements, 
and the sale of data shall be credited to this appropriation 
and shall remain available until September 30, 2015. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $177,872,985,000, 
to remain available until expended. 
For making, after May 31, 2014, payments to States 
under title XIX or in the case of section 1928 on behalf
876 
of States under title XIX of the Social Security Act for the 
last quarter of fiscal year 2014 for unanticipated costs in-
curred for the current fiscal year, such sums as may be nec-
essary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2015, 
$103,472,323,000, 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 quar-
ter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as provided under sections 217(g), 1844, and 
1860D–16 of the Social Security Act, sections 103(c) and 
111(d) of the Social Security Amendments of 1965, section 
278(d)(3) of Public Law 97–248, and for administrative 
expenses incurred pursuant to section 201(g) of the Social 
Security Act, $255,185,000,000. 
In addition, for making matching payments under sec-
tion 1844 and benefit payments under section 1860D–16
877 
of the Social Security Act that were not anticipated in 
budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare and Medicaid Services, not 
to exceed $3,669,744,000, to be transferred from the Federal 
Hospital Insurance Trust Fund and the Federal Supple-
mentary 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 302 of the 
Tax Relief and Health Care Act of 2006; and such sums 
as may be collected from authorized user fees and the sale 
of data, which shall be credited to this account and remain 
available until September 30, 2019: Provided, That all 
funds derived in accordance with 31 U.S.C. 9701 from or-
ganizations established under title XIII of the PHS Act 
shall be credited to and available for carrying out the pur-
poses of this appropriation: Provided further, That the Sec-
retary is directed to collect fees in fiscal year 2014 from 
Medicare Advantage organizations pursuant to section
878 
1857(e)(2) of the Social Security Act and from eligible orga-
nizations with risk-sharing contracts under section 1876 of 
that Act pursuant to section 1876(k)(4)(D) of that Act: Pro-
vided further, That $22,004,000 shall be available for the 
State high-risk health insurance pool program as author-
ized by the State High Risk Pool Funding Extension Act 
of 2006. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $293,588,000, to 
remain available through September 30, 2015, to be trans-
ferred 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 $207,636,000 shall be for the Medicare Integrity 
Program at the Centers for Medicare and Medicaid Serv-
ices, including administrative costs, to conduct oversight ac-
tivities for Medicare Advantage under Part C and the Medi-
care Prescription Drug Program under Part D of the Social 
Security Act and for activities described in section 1893(b) 
of such Act, of which $28,122,000 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, of which $29,708,000 
shall be for the Medicaid and Children’s Health Insurance
879 
Program (‘‘CHIP’’) program integrity activities, and of 
which $28,122,000 shall be for the Department of Justice 
to carry out fraud and abuse activities authorized by sec-
tion 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 2014 shall include measures of the operational 
efficiency and impact on fraud, waste, and abuse in the 
Medicare, Medicaid, and CHIP programs for the funds pro-
vided by this appropriation. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT 
AND FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided under 
titles I, IV–D, X, XI, XIV, and XVI of the Social Security 
Act and the Act of July 5, 1960, $2,965,245,000, to remain 
available until expended; and for such purposes for the first 
quarter of fiscal year 2015, $1,250,000,000, to remain 
available until expended. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under ti-
tles 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.
880 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low Income Home Energy Assistance 
Act of 1981, $3,424,549,000: Provided, That all but 
$491,000,000 of this amount shall be allocated as though 
the total appropriation for such payments for fiscal year 
2014 was less than $1,975,000,000: Provided further, That 
notwithstanding section 2609A(a), of the amounts appro-
priated under section 2602(b), not more than $2,988,000 
of such amounts may be reserved by the Secretary for tech-
nical assistance, training, and monitoring of program ac-
tivities for compliance with internal controls, policies and 
procedures and may, in addition to the authorities provided 
in section 2609A(a)(1), use such funds through contracts 
with private entities that do not qualify as nonprofit orga-
nizations. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assist-
ance activities authorized by section 414 of the Immigration 
and Nationality Act and section 501 of the Refugee Edu-
cation 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 Protection Re-
authorization Act of 2008, the Trafficking Victims Protec-
tion Act of 2000 (‘‘TVPA’’), section 203 of the Trafficking
881 
Victims Protection Reauthorization Act of 2005, and the 
Torture Victims Relief Act of 1998, $1,486,095,000 of which 
$1,461,605,000 shall remain available through September 
30, 2016 for carrying out such sections 414, 501, 462, and 
235: Provided, That amounts available under this heading 
to carry out such section 203 and the TVPA shall also be 
available for research and evaluation with respect to activi-
ties under those authorities. 
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’’), $2,360,000,000 
shall be used to supplement, not supplant State general rev-
enue funds for child care assistance for low-income families: 
Provided, That $19,357,000 shall be available for child care 
resource and referral and school-aged child care activities, 
of which $996,000 shall be available to the Secretary for 
a competitive grant for the operation of a national toll free 
referral line and Web site to develop and disseminate child 
care consumer education information for parents and help 
parents access child care in their local community: Pro-
vided further, That, in addition to the amounts required 
to be reserved by the States under section 658G of the 
CCDBG Act, $296,484,000 shall be reserved by the States 
for activities authorized under section 658G, of which
882 
$108,732,000 shall be for activities that improve the quality 
of infant and toddler care: Provided further, That 
$9,851,000 shall be for use by the Secretary for child care 
research, demonstration, and evaluation activities: Pro-
vided further, That technical assistance under section 
658I(a)(3) of such Act may be provided directly, or through 
the use of contracts, grants, cooperative agreements, or 
interagency agreements. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 2002 
of the Social Security Act, $1,700,000,000: Provided, That 
notwithstanding subparagraph (B) of section 404(d)(2) of 
such Act, the applicable percent specified under such sub-
paragraph for a State to carry out State programs pursu-
ant 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 
Child Abuse Prevention 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), the Aban-
doned Infants Assistance Act of 1988, part B–1 of title IV 
and sections 413, 1110, and 1115 of the Social Security
883 
Act; for making payments under the Community Services 
Block Grant Act (‘‘CSBG Act’’), sections 473B and 477(i) 
of the Social Security Act, and the Assets for Independence 
Act; for necessary administrative expenses to carry out such 
Acts and titles I, IV, V, X, XI, XIV, XVI, and XX of the 
Social Security Act, the Act of July 5, 1960, the Low In-
come Home Energy Assistance Act of 1981, title IV of the 
Immigration and Nationality Act, and section 501 of the 
Refugee Education Assistance Act of 1980; and for the ad-
ministration of prior year obligations made by the Admin-
istration for Children and Families under the Develop-
mental Disabilities Assistance and Bill of Rights Act and 
the Help America Vote Act of 2002, $10,346,943,000, of 
which $37,943,000, to remain available through September 
30, 2015, shall be for grants to States for adoption incentive 
payments, as authorized by section 473A of the Social Secu-
rity Act and may be made for adoptions completed before 
September 30, 2014: Provided, That subsection (b)(5) of 
such section 473A shall apply to funds appropriated under 
this heading by substituting ‘‘2013’’ for ‘‘2012’’: Provided 
further, That $8,598,095,000 shall be for making payments 
under the Head Start Act: Provided further, That of the 
amount in the previous proviso, $8,073,095,000 shall be 
available for payments under section 640 of the Head Start 
Act, of which $100,000,000 shall be available for a cost of
884 
living adjustment notwithstanding section 640(a)(3)(A) of 
such Act: Provided further, That for purposes of allocating 
funds under section 640 of the Head Start Act, subsection 
(a)(2) of such section shall be applied by substituting ‘‘fiscal 
year 2012’’ for ‘‘the prior fiscal year’’ each place it appears 
in such subsection: Provided further, That of the amount 
provided for making payments under the Head Start Act, 
$25,000,000 shall be available for allocation by the Sec-
retary to supplement activities described in paragraphs 
(7)(B) and (9) of section 641(c) of such Act under the Des-
ignation Renewal System, established under the authority 
of sections 641(c)(7), 645A(b)(12) and 645A(d) of such Act: 
Provided further, That amounts allocated to Head Start 
grantees at the discretion of the Secretary to supplement 
activities pursuant to the previous proviso shall not be in-
cluded in the calculation of the ‘‘base grant’’ in subsequent 
fiscal years, as such term is used in section 640(a)(7)(A) 
of the Head Start Act: Provided further, That notwith-
standing section 640 of the Head Start Act, of the amount 
provided for making payments under the Head Start Act, 
$500,000,000 shall be available through March 31, 2015 for 
expansion of Early Head Start programs as described in 
section 645A of such Act, for conversion of Head Start serv-
ices to Early Head Start services as described in section 
645(a)(5)(A) of such Act, and for new discretionary grants
885 
for high quality infant and toddler care through Early 
Head Start-Child Care Partnerships, to entities defined as 
eligible under section 645A(d) of such Act, and, notwith-
standing section 645A(c)(2) of such Act, these funds are 
available to serve children under age 4: Provided further, 
That of the amount made available in the immediately pre-
ceding proviso, up to $10,000,000 shall be available for the 
Federal costs of administration and evaluation activities of 
the program described in such proviso: Provided further, 
That an Early Head Start agency awarded funds for an 
Early Head Start-Child Care Partnership after October 1, 
2014, shall not be subject to the requirements of the system 
for designation renewal as defined by section 641 of the 
Head Start Act, for this award only, prior to 18 months 
after the date of such award: Provided further, That 
$709,854,000 shall be for making payments under the 
CSBG Act: Provided further, That $36,204,000 shall be for 
sections 680 and 678E(b)(2) of the CSBG Act, of which not 
less than $29,883,000 shall be for section 680(a)(2) and not 
less than $5,971,000 shall be for section 680(a)(3)(B) of 
such Act: Provided further, That to the extent Community 
Services Block Grant funds are distributed as grant funds 
by a State to an eligible entity as provided under the CSBG 
Act, and have not been expended by such entity, they shall 
remain with such entity for carryover into the next fiscal
886 
year for expenditure by such entity consistent with program 
purposes: Provided further, That the Secretary shall estab-
lish procedures regarding the disposition of intangible as-
sets and program income that permit such assets acquired 
with, and program income derived from, grant funds au-
thorized 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 ac-
tivity consistent with section 680(a)(2)(A) of the CSBG Act: 
Provided further, That intangible assets in the form of 
loans, equity investments and other debt instruments, and 
program income may be used by grantees for any eligible 
purpose consistent with section 680(a)(2)(A) of the CSBG 
Act: Provided further, That these 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 in addition to 
amounts provided herein, $5,762,000 shall be available from 
amounts available under section 241 of the PHS Act to 
carry out the provisions of section 1110 of the Social Secu-
rity Act: Provided further, That section 303(a)(2)(A)(i) of 
the Family Violence Prevention and Services Act shall not
887 
apply to amounts provided herein: Provided further, That 
$1,864,000 shall be for a human services case management 
system for federally declared disasters, to include a com-
prehensive 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 Assist-
ance Reporting Information System, including grants to 
States to support data collection for a study of the system’s 
effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, section 
436 of the Social Security Act, $345,000,000 and in addi-
tion, for carrying out, except as otherwise provided, section 
437 of such Act, $59,765,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $4,806,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of fis-
cal year 2015, $2,200,000,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under sec-
tion 474 of title IV–E of the Social Security Act, for the 
last 3 months of the current fiscal year for unanticipated
888 
costs, incurred for the current fiscal year, such sums as may 
be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise provided, 
the OAA, titles III and XXIX of the PHS Act, section 119 
of the Medicare Improvements for Patients and Providers 
Act of 2008, title XX–B of the Social Security Act, the De-
velopmental Disabilities Assistance and Bill of Rights Act, 
parts 2 and 5 of subtitle D of title II of the Help America 
Vote Act of 2002, and for Department-wide coordination 
of policy and program activities that assist individuals 
with disabilities, $1,610,143,000, together with $52,115,000 
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 Budg-
et Reconciliation Act of 1990: Provided, That amounts ap-
propriated under this heading may be used for grants to 
States under section 361 of the OAA only for disease preven-
tion and health promotion programs and activities which 
have been demonstrated through rigorous evaluation to be 
evidence-based and effective: Provided further, That none of 
the funds provided shall be used to carry out sections 1701 
and 1703 of the PHS Act (with respect to chronic disease
889 
self-management activity grants), except that such funds 
may be used for necessary expenses associated with admin-
istering any such grants awarded prior to the date of the 
enactment of this Act: Provided further, That notwith-
standing any other provision of this Act, funds made avail-
able under this heading to carry out section 311 of the OAA 
may be transferred to the Secretary of Agriculture in ac-
cordance with such section. 
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, and research 
studies under section 1110 of the Social Security Act, 
$458,056,000, together with $69,211,000 from the amounts 
available under section 241 of the PHS Act to carry out 
national health or human services research and evaluation 
activities: Provided, That of this amount, $52,224,000 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 competitive 
contracts and grants to public and private entities to fund 
medically accurate and age appropriate programs that re-
890 
duce teen pregnancy and for the Federal costs associated 
with administering and evaluating such contracts and 
grants, of which not less than $72,200,000 shall be for repli-
cating programs that have been proven effective through rig-
orous evaluation to reduce teenage pregnancy, behavioral 
risk factors underlying teenage pregnancy, or other associ-
ated risk factors, of which not less than $24,000,000 shall 
be available for research and demonstration grants to de-
velop, replicate, refine, and test additional models and in-
novative strategies for preventing teenage pregnancy, and 
of which any remaining amounts shall be available for 
training and technical assistance, evaluation, outreach, and 
additional program support activities: Provided further, 
That of the amounts provided under this heading from 
amounts available under section 241 of the PHS Act, 
$8,455,000 shall be available to carry out evaluations (in-
cluding longitudinal evaluations) of teenage pregnancy pre-
vention approaches: Provided further, That of the funds 
made available under this heading, $1,750,000 is for 
strengthening the Department’s acquisition workforce ca-
pacity and capabilities: Provided further, That with respect 
to the previous proviso, such funds shall be available for 
training, recruitment, retention and hiring members of the 
acquisition workforce as defined by 41 U.S.C. 1703, and 
for information technology in support of acquisition work-
891 
force effectiveness or for management solutions to improve 
acquisition management: Provided further, That of the 
funds made available under this heading, $5,000,000 shall 
be for making competitive grants to provide abstinence edu-
cation (as defined by section 510(b)(2)(A)–(H) of the Social 
Security Act) to adolescents, and for Federal costs of admin-
istering the grant: Provided further, That grants made 
under the authority of section 510(b)(2)(A)–(H) of the So-
cial Security Act shall be made only to public and private 
entities that agree that, with respect to an adolescent to 
whom the entities provide abstinence education under such 
grant, the entities will not provide to that adolescent any 
other education regarding sexual conduct, except that, in 
the case of an entity expressly required by law to provide 
health information or services the adolescent shall not be 
precluded from seeking health information or services from 
the entity in a different setting than the setting in which 
abstinence education was provided: 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 admin-
istrative services deemed necessary for such adoptions: Pro-
vided further, That such services shall be provided con-
sistent with 42 CFR 59.5(a)(4).
892 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare Hear-
ings and Appeals, $82,381,000, to be transferred in appro-
priate part from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the devel-
opment and advancement of interoperable health informa-
tion technology, $15,556,000: Provided, That in addition 
to amounts provided herein, $44,811,000 shall be available 
from amounts available under section 241 of the PHS Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, including the hire of passenger motor vehicles for in-
vestigations, in carrying out the provisions of the Inspector 
General Act of 1978, $71,000,000: Provided, That of such 
amount, necessary sums shall be available for providing 
protective services to the Secretary and investigating non- 
payment of child support cases for which non-payment is 
a Federal offense under 18 U.S.C. 228.
893 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$38,798,000. 
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 Pro-
tection Plan and Survivor Benefit Plan, and for medical 
care of dependents and retired personnel under the Depend-
ents’ Medical Care Act, such amounts as may be required 
during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
For expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, chem-
ical, and cybersecurity threats to civilian populations, and 
for other public health emergencies, $857,290,000, of which 
$415,000,000 shall remain available through September 30, 
2015, for expenses necessary to support advanced research 
and development pursuant to section 319L of the PHS Act, 
and other administrative expenses of the Biomedical Ad-
vanced Research and Development Authority, and of which 
up to $5,000,000 shall remain available through September 
30, 2016, to support the delivery of medical counter-
measures and shall be in addition to any other amounts
894 
available for such purpose: Provided, That funds provided 
under this heading for the purpose of acquisition of security 
countermeasures shall be in addition to any other funds 
available for such purpose: Provided further, That products 
purchased with funds provided under this heading may, at 
the discretion of the Secretary, be deposited in the Strategic 
National Stockpile pursuant to section 319F–2 of the PHS 
Act: Provided further, That $5,000,000 of the amounts made 
available to support emergency operations shall remain 
available through September 30, 2016. 
For necessary expenses for procuring security counter-
measures (as defined in section 319F–2(c)(1)(B) of the PHS 
Act), $255,000,000, to remain available until expended. 
For expenses necessary to prepare for and respond to 
an influenza pandemic, $115,009,000; of which $83,000,000 
shall be available until expended, for activities including 
the development and purchase of vaccine, antivirals, nec-
essary medical supplies, diagnostics, and other surveillance 
tools: Provided further, That notwithstanding section 
496(b) of the PHS Act, funds may be used for the construc-
tion or renovation of privately owned facilities for the pro-
duction of pandemic influenza vaccines and other biologics, 
if the Secretary finds such construction or renovation nec-
essary to secure sufficient supplies of such vaccines or bio-
logics.
895 
In addition, for expenses necessary for replacement of 
building leases and associated renovation costs for Public 
Health Service agencies and other components of HHS, in-
cluding relocation and fit-out costs, $16,131,000, to remain 
available until expended. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary. 
SEC. 202. 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. 203. 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. 
SEC. 204. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS Act, 
except for funds specifically provided for in this Act, or for 
other taps and assessments made by any office located in
896 
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. 205. Notwithstanding section 241(a) of the PHS 
Act, such portion as the Secretary shall determine, but not 
more than 2.5 percent, of any amounts appropriated for 
programs authorized under such Act shall be made available 
for the evaluation (directly, or by grants or contracts) and 
the implementation and effectiveness of programs funded in 
this title. 
(TRANSFER OF FUNDS) 
SEC. 206. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
current fiscal year for HHS in this Act may be transferred 
between appropriations, but no such appropriation shall be 
increased by more than 3 percent by any such transfer: Pro-
vided, That the transfer authority granted by this section 
shall not be used to create any new program or to fund 
any project or activity for which no funds are provided in 
this Act: Provided further, That the Committees on Appro-
priations of the House of Representatives and the Senate 
are notified at least 15 days in advance of any transfer.
897 
(TRANSFER OF FUNDS) 
SEC. 207. 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. 208. Of the amounts made available in this Act 
for NIH, the amount for research related to the human im-
munodeficiency virus, as jointly determined by the Director 
of NIH and the Director of the Office of AIDS Research, 
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 necessary to carry out 
section 2353(d)(3) of the PHS Act. 
SEC. 209. 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 de-
cision of minors to seek family planning services and that 
it provides counseling to minors on how to resist attempts 
to coerce minors into engaging in sexual activities.
898 
SEC. 210. 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. 211. 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 other-
wise eligible entity (including a Provider Sponsored Orga-
nization) because the entity informs the Secretary that it 
will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capitation 
payment to such an entity (based on an actuarially sound 
estimate of the expected costs of providing the service to such 
entity’s enrollees): Provided further, That nothing in this 
section shall be construed to change the Medicare program’s 
coverage for such services and a Medicare Advantage orga-
nization described in this section shall be responsible for 
informing enrollees where to obtain information about all 
Medicare covered services. 
SEC. 212. In order for HHS to carry out international 
health activities, including HIV/AIDS and other infectious
899 
disease, chronic and environmental disease, and other 
health activities abroad during fiscal year 2014: 
(1) The Secretary may exercise authority equiva-
lent to that available to the Secretary of State in sec-
tion 2(c) of the State Department Basic Authorities 
Act of 1956. The Secretary shall consult with the Sec-
retary of State and relevant Chief of Mission to en-
sure that the authority provided in this section is ex-
ercised in a manner consistent with section 207 of the 
Foreign Service Act of 1980 and other applicable stat-
utes 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-
ment of facilities outside of the United States for the 
use of HHS. The Department of State shall cooperate 
fully with the Secretary to ensure that HHS has se-
cure, safe, functional facilities that comply with ap-
plicable regulation governing location, setback, and 
other facilities requirements and serve the purposes 
established by this Act. The Secretary is authorized, 
in consultation with the Secretary of State, through 
grant or cooperative agreement, to make available to 
public or nonprofit private institutions or agencies in
900 
participating foreign countries, funds to acquire, 
lease, alter, or renovate facilities in those countries as 
necessary to conduct programs of assistance for inter-
national health activities, including activities relating 
to HIV/AIDS and other infectious diseases, chronic 
and environmental diseases, and other health activi-
ties 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 Foreign 
Service Act of 1980, and 22 U.S.C. 4081 through 
4086 and subject to such regulations prescribed by the 
Secretary. The Secretary is further authorized to pro-
vide locality-based comparability 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 personnel 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 personnel under this subsection 
shall be on the same basis as that provided under sub-
chapter I of chapter 63 of title 5, United States Code, 
or section 903 of the Foreign Service Act of 1980, to 
individuals serving in the Foreign Service.
901 
SEC. 213. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds available under section 402(b)(7) or 
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 such section 402(b)(7) 
(pertaining to the Common Fund) or research and activi-
ties described in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer re-
view 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 proce-
dures 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. 
SEC. 214. Funds which are available for Individual 
Learning Accounts for employees of CDC and the Agency 
for Toxic Substances and Disease Registry (‘‘ATSDR’’) 
may be transferred to appropriate accounts of CDC, to be 
available only for Individual Learning Accounts: Provided, 
That such funds may be used for any individual full-time
902 
equivalent employee while such employee is employed either 
by CDC or ATSDR. 
SEC. 215. Not to exceed $45,000,000 of funds appro-
priated by this Act to the institutes and centers of the Na-
tional Institutes of Health may be used for alteration, re-
pair, or improvement of facilities, as necessary for the prop-
er and efficient conduct of the activities authorized herein, 
at not to exceed $3,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 216. Of the amounts made available for NIH, 1 
percent of the amount made available for National Research 
Service Awards (‘‘NRSA’’) shall be made available to the 
Administrator of the Health Resources and Services Admin-
istration to make NRSA awards for research in primary 
medical care to individuals affiliated with entities who have 
received grants or contracts under section 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 Quality to make NRSA awards 
for health service research. 
SEC. 217. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 218. (a) The Secretary shall establish a publicly 
accessible Web site to provide information regarding the
903 
uses of funds made available under section 4002 of the Pa-
tient Protection and Affordable Care Act of 2010 (‘‘ACA’’). 
(b) With respect to funds provided under section 4002 
of the ACA, the Secretary shall include on the Web site es-
tablished under subsection (a) at a minimum the following 
information: 
(1) In the case of each transfer of funds under 
section 4002(c), a statement indicating the program 
or activity receiving funds, the operating division or 
office that will administer the funds, and the planned 
uses of the funds, to be posted not later than the day 
after the transfer is made. 
(2) Identification (along with a link to the full 
text) of each funding opportunity announcement, re-
quest for proposals, or other announcement or solici-
tation of proposals for grants, cooperative agreements, 
or contracts intended to be awarded using such funds, 
to be posted not later than the day after the an-
nouncement or solicitation is issued. 
(3) Identification of each grant, cooperative 
agreement, or contract with a value of $25,000 or 
more awarded using such funds, including the pur-
pose of the award and the identity of the recipient, 
to be posted not later than 5 days after the award is 
made.
904 
(4) A report detailing the uses of all funds trans-
ferred under section 4002(c) during the fiscal year, to 
be posted not later than 90 days after the end of the 
fiscal year. 
(c) With respect to awards made in fiscal years 2013 
and 2014, the Secretary shall also include on the Web site 
established under subsection (a), semi-annual reports from 
each entity awarded a grant, cooperative agreement, or con-
tract from such funds with a value of $25,000 or more, sum-
marizing the activities undertaken and identifying any 
sub-grants or sub-contracts awarded (including the purpose 
of the award and the identity of the recipient), to be posted 
not later than 30 days after the end of each 6-month period. 
(d) In carrying out this section, the Secretary shall: 
(1) present the information required in sub-
section (b)(1) on a single webpage or on a single 
database; 
(2) ensure that all information required in this 
section is directly accessible from the single webpage 
or database; and 
(3) ensure that all information required in this 
section is able to be organized by program or State. 
(TRANSFER OF FUNDS) 
SEC. 219. (a) Within 45 days of enactment of this Act, 
the Secretary shall transfer funds appropriated under sec-
905 
tion 4002 of the Patient Protection and Affordable Care Act 
of 2010 (‘‘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 matter preceding 
division A of this Consolidated Act) accompanying this 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. 220. (a) The Biomedical Advanced Research and 
Development Authority (‘‘BARDA’’) may enter into a con-
tract, for more than one but no more than 10 program 
years, for purchase of research services or of security coun-
termeasures, as that term is defined in section 319F– 
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
906 
(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 re-
quirement stated in subsection (d) of such section. 
SEC. 221. (a) The Secretary shall publish in the fiscal 
year 2015 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the purposes 
of implementing, administering, enforcing, or otherwise 
carrying out the provisions of the Patient Protection and 
Affordable Care Act of 2010 (‘‘ACA’’), and the amendments 
made by that Act, in the proposed fiscal year and the 4 
prior fiscal years. 
(b) With respect to employees or contractors supported 
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:
907 
(1) For each such fiscal year, the section of such 
Act under which such funds were appropriated, a 
statement indicating the program, project, or activity 
receiving such funds, the Federal operating division 
or office that administers such program, and the 
amount of funding received in discretionary or man-
datory appropriations. 
(2) For each such fiscal year, the number of full- 
time equivalent employees or contracted employees as-
signed to each authorized and funded provision de-
tailed in accordance with paragraph (1). 
(c) In carrying out this section, the Secretary may ex-
clude 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; 
(2) spend less than 50 percent of their time on 
activities funded by or newly authorized in the ACA; 
(3) or who work on contracts for which FTE re-
porting is not a requirement of their contract, such 
as fixed-price contracts. 
SEC. 222. In addition to the amounts otherwise avail-
able for ‘‘Centers for Medicare and Medicaid Services, Pro-
gram Management’’, the Secretary of Health and Human 
Services may transfer up to $305,000,000 to such account
908 
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 pur-
pose, such funds may not be used to support any provision 
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. 223. 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 execution of a 
contract awarded in fiscal year 2014 under section 338B 
of such Act. 
SEC. 224. The Secretary shall publish, as part of the 
fiscal year 2015 budget of the President submitted under 
section 1105(a) of title 31, United States Code, information 
that details the uses of all funds used by the Centers for 
Medicare and Medicaid Services specifically for Health In-
surance Marketplaces for each fiscal year since the enact-
ment of the Patient Protection and Affordable Care Act 
(Public Law 111–148) and the proposed uses for such funds 
for fiscal year 2015. Such information shall include, for 
each such fiscal year— 
(1) the section(s) of such Act under which such 
funds were appropriated or used;
909 
(2) the program, project, or activity for which 
such funds were used; 
(3) the amount of funds that were used for the 
Health Insurance Marketplaces within each such pro-
gram, project, or activity; and 
(4) the milestones completed for data hub 
functionality and implementation readiness. 
SEC. 225. Activities authorized under part A of title 
IV and section 1108(b) of the Social Security Act (except 
for activities authorized in section 403(b)) shall continue 
through September 30, 2014, in the manner authorized for 
fiscal year 2013, and out of any money in the Treasury 
of the United States not otherwise appropriated, there are 
hereby appropriated such sums as may be necessary for 
such purpose. 
SEC. 226. The Secretary shall include in the fiscal year 
2016 budget justification an analysis of how section 2713 
of the PHS Act will impact eligibility for discretionary 
HHS programs. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2014’’.
910 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Sec-
ondary 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’’), 
$15,552,693,000, of which $4,625,762,000 shall become 
available on July 1, 2014, and shall remain available 
through September 30, 2015, and of which $10,841,177,000 
shall become available on October 1, 2014, and shall remain 
available through September 30, 2015, for academic year 
2014–2015: Provided, That $6,459,401,000 shall be for 
basic grants under section 1124 of the ESEA: Provided fur-
ther, That up to $3,984,000 of these funds shall be available 
to the Secretary of Education (referred to in this title as 
‘‘Secretary’’) on October 1, 2013, to obtain annually up-
dated 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 sec-
tion 1124A of the ESEA: Provided further, That 
$3,281,550,000 shall be for targeted grants under section 
1125 of the ESEA: Provided further, That $3,281,550,000 
shall be for education finance incentive grants under section 
1125A of the ESEA: Provided further, That funds available
911 
under sections 1124, 1124A, 1125 and 1125A of the ESEA 
may be used to provide homeless children and youths with 
services not ordinarily provided to other students under 
those sections, including supporting the liaison designated 
pursuant to section 722(g)(1)(J)(ii) of the McKinney-Vento 
Homeless Assistance Act, and providing transportation 
pursuant to section 722(g)(1)(J)(iii) of such Act: Provided 
further, That $880,000 shall be to carry out sections 1501 
and 
1503 
of 
the 
ESEA: 
Provided 
further, 
That 
$505,756,000 shall be available for school improvement 
grants under section 1003(g) of the ESEA, which shall be 
allocated by the Secretary through the formula described in 
section 1003(g)(2) and shall be used consistent with the re-
quirements of section 1003(g), except that State and local 
educational agencies may use such funds to serve any school 
eligible to receive assistance under part A of title I that 
has not made adequate yearly progress for at least 2 years 
or is in the State’s lowest quintile of performance based on 
proficiency rates and, in the case of secondary schools, pri-
ority shall be given to those schools with graduation rates 
below 60 percent: Provided further, That notwithstanding 
section 1003(g)(5)(C) of the ESEA, the Secretary may per-
mit a State educational agency to establish an award pe-
riod of up to 5 years for each participating local edu-
cational agency: Provided further, That funds available for
912 
school improvement grants may be used by a local edu-
cational agency to implement a whole-school reform strat-
egy for a school using an evidence-based strategy that en-
sures whole-school reform is undertaken in partnership with 
a strategy developer offering a whole-school reform program 
that is based on at least a moderate level of evidence that 
the program will have a statistically significant effect on 
student outcomes, including more than one well-designed or 
well-implemented 
experimental 
or 
quasi-experimental 
study: Provided further, That funds available for school im-
provement grants may be used by a local educational agen-
cy to implement an alternative State-determined school im-
provement strategy that has been established by a State edu-
cational agency with the approval of the Secretary: Pro-
vided further, That a local educational agency that is deter-
mined to be eligible for services under subpart 1 or 2 of 
part B of title VI of the ESEA may modify not more than 
one element of a school improvement grant model: Provided 
further, That notwithstanding section 1003(g)(5)(A), each 
State educational agency may establish a maximum 
subgrant size of not more than $2,000,000 for each partici-
pating school applicable to such funds: Provided further, 
That the Secretary may reserve up to 5 percent of the funds 
available for section 1003(g) of the ESEA to carry out ac-
tivities to build State and local educational agency capacity
913 
to implement effectively the school improvement grants pro-
gram: Provided further, That $158,000,000 shall be avail-
able under section 1502 of the ESEA for a comprehensive 
literacy development and education program to advance lit-
eracy skills, including pre-literacy skills, reading, and writ-
ing, for students from birth through grade 12, including 
limited-English-proficient students and students with dis-
abilities, of which one-half of 1 percent shall be reserved 
for the Secretary of the Interior for such a program at 
schools funded by the Bureau of Indian Education, one-half 
of 1 percent shall be reserved for grants to the outlying areas 
for such a program, up to 5 percent may be reserved for 
national activities, and the remainder shall be used to 
award competitive grants to State educational agencies for 
such a program, of which a State educational agency may 
reserve up to 5 percent for State leadership activities, in-
cluding technical assistance and training, data collection, 
reporting, and administration, and shall subgrant not less 
than 95 percent to local educational agencies or, in the case 
of early literacy, to local educational agencies or other non-
profit providers of early childhood education that partner 
with a public or private nonprofit organization or agency 
with a demonstrated record of effectiveness in improving 
the early literacy development of children from birth 
through kindergarten entry and in providing professional
914 
development in early literacy, giving priority to such agen-
cies or other entities serving greater numbers or percentages 
of disadvantaged children: Provided further, That the State 
educational agency shall ensure that at least 15 percent of 
the subgranted funds are used to serve children from birth 
through age 5, 40 percent are used to serve students in kin-
dergarten through grade 5, and 40 percent are used to serve 
students in middle and high school including an equitable 
distribution of funds between middle and high schools: Pro-
vided further, That eligible entities receiving subgrants from 
State educational agencies shall use such funds for services 
and activities that have the characteristics of effective lit-
eracy instruction through professional development, screen-
ing and assessment, targeted interventions for students 
reading below grade level and other research-based methods 
of improving classroom instruction and practice. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VIII of the 
ESEA, $1,288,603,000, of which $1,151,233,000 shall be for 
basic support payments under section 8003(b), $48,316,000 
shall be for payments for children with disabilities under 
section 8003(d), $17,406,000 shall be for construction under 
section 8007(a), $66,813,000 shall be for Federal property 
payments under section 8002, and $4,835,000, to remain
915 
available until expended, shall be for facilities maintenance 
under section 8008: Provided, That for purposes of com-
puting the amount of a payment for an eligible local edu-
cational agency under section 8003(a) for school year 2013– 
2014, children enrolled in a school of such agency that 
would otherwise be eligible for payment under section 
8003(a)(1)(B) of such Act, but due to the deployment of both 
parents or legal guardians, or a parent or legal guardian 
having sole custody of such children, or due to the death 
of a military parent or legal guardian while on active duty 
(so long as such children reside on Federal property as de-
scribed in section 8003(a)(1)(B)), are no longer eligible 
under such section, shall be considered as eligible students 
under such section, provided such students remain in aver-
age daily attendance at a school in the same local edu-
cational agency they attended prior to their change in eligi-
bility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities author-
ized by parts A and B of title II, part B of title IV, parts 
A and B of title VI, and parts B and C of title VII of 
the ESEA; the McKinney-Vento Homeless Assistance Act; 
section 203 of the Educational Technical Assistance Act of 
2002; the Compact of Free Association Amendments Act of 
2003; and the Civil Rights Act of 1964, $4,397,391,000, of
916 
which $2,580,358,000 shall become available on July 1, 
2014, and remain available through September 30, 2015, 
and of which $1,681,441,000 shall become available on Oc-
tober 1, 2014, and shall remain available through Sep-
tember 30, 2015, for academic year 2014–2015: Provided, 
That funds made available to carry out part B of title VII 
of the ESEA may be used for construction, renovation, and 
modernization of any elementary school, secondary school, 
or structure related to an elementary school or secondary 
school, run by the Department of Education of the State 
of Hawaii, that serves a predominantly Native Hawaiian 
student body: Provided further, That funds made available 
to carry out part C of title VII of the ESEA shall be award-
ed on a competitive basis, and also may be used for con-
struction: Provided further, That $48,445,000 shall be 
available to carry out section 203 of the Educational Tech-
nical Assistance Act of 2002: Provided further, That 
$16,699,000 shall be available to carry out the Supple-
mental Education Grants program for the Federated States 
of Micronesia and the Republic of the Marshall Islands: 
Provided further, That up to 5 percent of the amount re-
ferred to in the previous proviso may be reserved by the 
Federated States of Micronesia and the Republic of the Mar-
shall Islands to administer the Supplemental Education 
Grants programs and to obtain technical assistance, over-
917 
sight and consultancy services in the administration of 
these grants and to reimburse the United States Depart-
ments of Labor, Health and Human Services, and Edu-
cation for such services: Provided further, That up to 2 per-
cent of the funds for subpart 1 of part A of title II of the 
ESEA shall be reserved by the Secretary for competitive 
awards for teacher or principal recruitment and training 
or professional enhancement activities to national not-for- 
profit organizations, of which up to 10 percent may be used 
for related research, dissemination, evaluation, technical as-
sistance, and outreach activities: Provided further, That 
$149,717,000 shall be to carry out part B of title II of the 
ESEA. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent not 
otherwise provided, title VII, part A of the ESEA, 
$123,939,000. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by part G of 
title I, subpart 5 of part A and parts C and D of title 
II, parts B, C, and D of title V of the ESEA, and sections 
14006 and 14007 of division A of the American Recovery 
and Reinvestment Act of 2009, as amended, $1,181,317,000: 
Provided, That $250,000,000 shall be available through De-
cember 31, 2014 for awards to States, in accordance with
918 
the applicable requirements of section 14006 of division A 
of Public Law 111–5, as amended: Provided further, That 
the Secretary, jointly with the Secretary of HHS, shall use 
all funds made available under the immediately preceding 
proviso to make competitive awards in accordance with 
such section 14006 to States for improving early childhood 
care and education, except that, notwithstanding sections 
14006(a) and 14005(d)(6) of such division, such awards 
may be limited to activities that build the capacity within 
the State to develop, enhance, or expand high-quality pre-
school programs, including comprehensive services and fam-
ily engagement, for preschool-aged children from families 
at or below 200 percent of the Federal poverty line: Pro-
vided further, That each State may subgrant a portion of 
such grant funds to local educational agencies and other 
early learning providers (including but not limited to Head 
Start programs and licensed child care providers), or con-
sortia thereof, for the implementation of high-quality pre-
school programs for children from families at or below 200 
percent of the Federal poverty line: Provided further, That 
subgrantees that are local educational agencies shall form 
strong partnerships with early learning providers and that 
subgrantees that are early learning providers shall form 
strong partnerships with local educational agencies, in 
order to carry out the requirements of the subgrant: Pro-
919 
vided further, That, notwithstanding the second proviso, up 
to 3 percent of such funds for improving early childhood 
care and education shall be available for technical assist-
ance, evaluation, and other national activities related to 
such grants: Provided further, That not later than 30 days 
prior to the announcement of a competition under such sec-
tion 14006 pursuant to the requirements of this Act, the 
Secretary shall submit a report outlining the proposed com-
petition and priorities to the Committees on Appropria-
tions of the House of Representatives and the Senate: Pro-
vided further, That the Secretary shall administer State 
grants for improving early childhood care and education 
under such section jointly with the Secretary of HHS on 
such terms as such Secretaries set forth in an interagency 
agreement: Provided further, That up to $141,602,000 shall 
be available through December 31, 2014 for section 14007 
of division A of Public Law 111–5, and up to 5 percent 
of such funds may be used for technical assistance and the 
evaluation of activities carried out under such section: Pro-
vided further, That the Secretary may renew a grant made 
under section 14007 for additional 1-year periods, for fiscal 
year 2014 and thereafter, if the grantee is meeting its per-
formance targets, up to a total award period of 6 years: 
Provided further, That the education facilities clearinghouse 
established through a competitive award process in fiscal
939 
was eligible for assistance under this section for the 
fiscal year preceding the year of the consolidation, 
if— 
(A) for fiscal years 2006 through 2013 the 
local educational agency notified the Secretary 
not later than 30 days after the date of enact-
ment of this Act; and 
(B) for fiscal year 2014 the local edu-
cational agency includes the designation in its 
application under section 8005 or any timely 
amendment to such application. 
(c) AMOUNT.—A local educational agency eligible 
under subsection (b) shall receive a foundation payment as 
provided for under subparagraphs (A) and (B) of subsection 
(h)(1), as in effect on the date of enactment of this Act, 
except that the foundation payment shall be calculated 
based on the most recent payment received by the local edu-
cational agency based on its former common status. 
SEC. 310. The Secretary of Education shall— 
(1) modify the Free Application for Federal Stu-
dent Aid described in section 483 of the HEA so that 
the Free Application for Federal Student Aid con-
tains an individual box for the purpose of identifying 
students who are foster youth or were in the foster 
care system; and