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tories shall be $200,000, and, in the case of tribes, shall 
be $25,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $6,035,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of fis-
cal year 2020, $2,800,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise provided, 
the Older Americans Act of 1965 (‘‘OAA’’), titles III and 
XXIX of the PHS Act, sections 1252 and 1253 of the PHS 
Act, section 119 of the Medicare Improvements for Patients 
and Providers Act of 2008, title XX–B of the Social Secu-
rity Act, the Developmental Disabilities Assistance and Bill 
of Rights Act, parts 2 and 5 of subtitle D of title II of the 
Help America Vote Act of 2002, the Assistive Technology 
Act of 1998, titles II and VII (and section 14 with respect
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to such titles) of the Rehabilitation Act of 1973, and for 
Department-wide coordination of policy and program ac-
tivities 
that 
assist 
individuals 
with 
disabilities, 
$2,100,400,000, together with $49,115,000 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 Budget Reconcili-
ation Act of 1990: Provided, That amounts appropriated 
under this heading may be used for grants to States under 
section 361 of the OAA only for disease prevention and 
health promotion programs and activities which have been 
demonstrated through rigorous evaluation to be evidence- 
based and effective: Provided further, That of amounts made 
available under this heading to carry out sections 311, 331, 
and 336 of the OAA, up to one percent of such amounts 
shall be available for developing and implementing evi-
dence-based practices for enhancing senior nutrition: Pro-
vided further, That notwithstanding any other provision of 
this Act, funds made available under this heading to carry 
out section 311 of the OAA may be transferred to the Sec-
retary of Agriculture in accordance with such section: Pro-
vided further, That $2,000,000 shall be for competitive 
grants to support alternative financing programs that pro-
vide for the purchase of assistive technology devices, such 
as a low-interest loan fund; an interest buy-down program;
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a revolving loan fund; a loan guarantee; or an insurance 
program: Provided further, That applicants shall provide 
an assurance that, and information describing the manner 
in which, the alternative financing program will expand 
and emphasize consumer choice and control: Provided fur-
ther, That State agencies and community-based disability 
organizations that are directed by and operated for individ-
uals with disabilities shall be eligible to compete: Provided 
further, That none of the funds made available under this 
heading may be used by an eligible system (as defined in 
section 102 of the Protection and Advocacy for Individuals 
with Mental Illness Act (42 U.S.C. 10802)) to continue to 
pursue any legal action in a Federal or State court on be-
half of an individual or group of individuals with a devel-
opmental disability (as defined in section 102(8)(A) of the 
Developmental Disabilities and Assistance and Bill of 
Rights Act of 2000 (20 U.S.C. 15002(8)(A)) that is attrib-
utable to a mental impairment (or a combination of mental 
and physical impairments), that has as the requested rem-
edy the closure of State operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, the legal guardians who have been specifically 
awarded authority by the courts to make healthcare and
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residential decisions on behalf of such individuals) who are 
affected by such action, within 90 days of instituting such 
legal action, which informs such individuals (or such legal 
guardians) of their legal rights and how to exercise such 
rights consistent with current Federal Rules of Civil Proce-
dure: Provided further, That the limitations in the imme-
diately preceding proviso shall not apply in the case of an 
individual who is neither competent to consent nor has a 
legal guardian, nor shall the proviso apply in the case of 
individuals who are a ward of the State or subject to public 
guardianship. 
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, 
$480,629,000, together with $64,828,000 from the amounts 
available under section 241 of the PHS Act to carry out 
national health or human services research and evaluation 
activities: Provided, That of this amount, $53,900,000 shall 
be for minority AIDS prevention and treatment activities: 
Provided further, That of the funds made available under
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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-
duce teen pregnancy and for the Federal costs associated 
with administering and evaluating such contracts and 
grants, of which not more than 10 percent of the available 
funds shall be for training and technical assistance, evalua-
tion, outreach, and additional program support activities, 
and of the remaining amount 75 percent 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, and 25 percent shall be available for re-
search and demonstration grants to develop, replicate, re-
fine, and test additional models and innovative strategies 
for preventing teenage pregnancy: Provided further, That 
of the amounts provided under this heading from amounts 
available under section 241 of the PHS Act, $6,800,000 
shall be available to carry out evaluations (including longi-
tudinal evaluations) of teenage pregnancy prevention ap-
proaches: Provided further, That of the funds made avail-
able under this heading, $35,000,000 shall be for making 
competitive grants which exclusively implement education 
in sexual risk avoidance (defined as voluntarily refraining 
from non-marital sexual activity): Provided further, That
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funding for such competitive grants for sexual risk avoid-
ance shall use medically accurate information referenced to 
peer-reviewed publications by educational, scientific, gov-
ernmental, or health organizations; implement an evidence- 
based approach integrating research findings with practical 
implementation that aligns with the needs and desired out-
comes for the intended audience; and teach the benefits asso-
ciated with self-regulation, success sequencing for poverty 
prevention, healthy relationships, goal setting, and resisting 
sexual coercion, dating violence, and other youth risk behav-
iors such as underage drinking or illicit drug use without 
normalizing teen sexual activity: Provided further, That no 
more than 10 percent of the funding for such competitive 
grants for sexual risk avoidance shall be available for tech-
nical assistance and administrative costs of such programs: 
Provided further, That funds provided in this Act for em-
bryo adoption activities may be used to provide to individ-
uals adopting embryos, through grants and other mecha-
nisms, medical and administrative services deemed nec-
essary for such adoptions: Provided further, That such serv-
ices shall be provided consistent with 42 CFR 59.5(a)(4). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare Hear-
ings and Appeals, $182,381,000 shall remain available 
until September 30, 2020, to be transferred in appropriate
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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, $60,367,000. 
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, $80,000,000: 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. 
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,
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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, $1,026,458,000, of 
which $561,700,000 shall remain available through Sep-
tember 30, 2020, for expenses necessary to support advanced 
research and development pursuant to section 319L of the 
PHS Act and other administrative expenses of the Bio-
medical Advanced Research and Development Authority: 
Provided, That funds provided under this heading for the 
purpose of acquisition of security countermeasures shall be 
in addition to any other funds available for such purpose: 
Provided further, That products purchased with funds pro-
vided under this heading may, at the discretion of the Sec-
retary, be deposited in the Strategic National Stockpile pur-
suant 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 Sep-
tember 30, 2021.
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For expenses necessary for procuring security counter-
measures (as defined in section 319F–2(c)(1)(B) of the PHS 
Act), $735,000,000, to remain available until expended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$285,000,000; of which $250,000,000 shall be available 
until expended, for activities including the development and 
purchase of vaccine, antivirals, necessary medical supplies, 
diagnostics, and other surveillance tools: Provided, That 
notwithstanding section 496(b) of the PHS Act, funds may 
be used for the construction or renovation of privately 
owned facilities for the production of pandemic influenza 
vaccines and other biologics, if the Secretary finds such con-
struction or renovation necessary to secure sufficient sup-
plies of such vaccines or biologics. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary. 
SEC. 202. None of the funds appropriated in this title 
shall be used to pay the salary of an individual, through 
a grant or other extramural mechanism, at a rate in excess 
of Executive Level II.
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SEC. 203. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS Act, 
except for funds specifically provided for in this Act, or for 
other taps and assessments made by any office located in 
HHS, prior to the preparation and submission of a report 
by the Secretary to the Committees on Appropriations of 
the House of Representatives and the Senate detailing the 
planned uses of such funds. 
SEC. 204. Notwithstanding section 241(a) of the PHS 
Act, such portion as the Secretary shall determine, but not 
more than 2.6 percent, of any amounts appropriated for 
programs authorized under such Act shall be made available 
for the evaluation (directly, or by grants or contracts) and 
the implementation and effectiveness of programs funded in 
this title. 
(TRANSFER OF FUNDS) 
SEC. 205. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
current fiscal year for HHS in this Act may be transferred 
between appropriations, but no such appropriation shall be 
increased by more than 3 percent by any such transfer: 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
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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. 
SEC. 206. In lieu of the timeframe specified in section 
338E(c)(2) of the PHS Act, terminations described in such 
section may occur up to 60 days after the execution of a 
contract awarded in fiscal year 2019 under section 338B 
of such Act. 
SEC. 207. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
PHS Act unless the applicant for the award certifies to the 
Secretary that it encourages family participation in the 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. 
SEC. 208. Notwithstanding any other provision of law, 
no provider of services under title X of the PHS Act shall 
be exempt from any State law requiring notification or the 
reporting of child abuse, child molestation, sexual abuse, 
rape, or incest. 
SEC. 209. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an other-
wise eligible entity (including a Provider Sponsored Orga-
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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. 210. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 211. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 212. In order for HHS to carry out international 
health activities, including HIV/AIDS and other infectious
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disease, chronic and environmental disease, and other 
health activities abroad during fiscal year 2019: 
(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
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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.
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(TRANSFER OF FUNDS) 
SEC. 213. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
to 3 percent among institutes and centers from the total 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 214. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 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. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds authorized under section 402(b)(12) of the 
PHS Act to enter into transactions (other than contracts, 
cooperative agreements, or grants) to carry out research 
identified pursuant to or research and activities described 
in such section 402(b)(12).
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(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. 216. 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. 217. 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 sections 736, 739, or 747 
of the PHS Act, and 1 percent of the amount made avail-
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† HR 6157 EAS 
able 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. 218. (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 
(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
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(2) shall be subject to the congressional notice re-
quirement stated in subsection (d) of such section. 
SEC. 219. (a) The Secretary shall publish in the fiscal 
year 2020 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 ACA, and the amend-
ments made by that Act, in the proposed fiscal year and 
each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors 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: 
(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).
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(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; 
or 
(3) work on contracts for which FTE reporting 
is not a requirement of their contract, such as fixed- 
price contracts. 
SEC. 220. The Secretary shall publish, as part of the 
fiscal year 2020 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 Exchanges for each fiscal year since the enactment 
of the ACA and the proposed uses for such funds for fiscal 
year 2020. Such information shall include, for each such 
fiscal year, the amount of funds used for each activity speci-
fied under the heading ‘‘Health Insurance Exchange Trans-
parency’’ in the report accompanying this Act. 
SEC. 221. (a) The Secretary shall provide to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate:
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(1) Detailed monthly enrollment figures from the 
Exchanges established under the Patient Protection 
and Affordable Care Act of 2010 pertaining to enroll-
ments during the open enrollment period; and 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under sec-
tion 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in 
advance of any public release of enrollment information or 
the award of such grants. 
SEC. 222. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
the Federal Supplemental Medical Insurance Trust Fund, 
or transferred from other accounts funded by this Act to 
the ‘‘Centers for Medicare and Medicaid Services—Program 
Management’’ account, may be used for payments under 
section 1342(b)(1) of Public Law 111–148 (relating to risk 
corridors). 
SEC. 223. The Secretary shall include in the fiscal year 
2020 budget justification an analysis of how section 2713 
of the PHS Act will impact eligibility for discretionary 
HHS programs.
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(TRANSFER OF FUNDS) 
SEC. 224. (a) Within 45 days of enactment of this Act, 
the Secretary shall transfer funds appropriated under sec-
tion 4002 of the ACA to the accounts specified, in the 
amounts specified, and for the activities specified under the 
heading ‘‘Prevention and Public Health Fund’’ in the re-
port 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. 225. Effective during the period beginning on No-
vember 1, 2015 and ending January 1, 2021, any provision 
of law that refers (including through cross-reference to an-
other provision of law) to the current recommendations of 
the United States Preventive Services Task Force with re-
spect to breast cancer screening, mammography, and pre-
vention shall be administered by the Secretary involved as 
if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of such 
Task Force with respect to breast cancer screening, 
mammography, and prevention last issued before 
2009; and
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(2) such recommendations last issued before 2009 
applied to any screening mammography modality 
under section 1861(jj) of the Social Security Act (42 
U.S.C. 1395x(jj)). 
SEC. 226. In making Federal financial assistance, the 
provisions relating to indirect costs in part 75 of title 45, 
Code of Federal Regulations, including with respect to the 
approval of deviations from negotiated rates, shall continue 
to apply to the National Institutes of Health to the same 
extent and in the same manner as such provisions were ap-
plied in the third quarter of fiscal year 2017. None of the 
funds appropriated in this or prior Acts or otherwise made 
available to the Department of Health and Human Services 
or to any department or agency may be used to develop 
or implement a modified approach to such provisions, or 
to intentionally or substantially expand the fiscal effect of 
the approval of such deviations from negotiated rates be-
yond the proportional effect of such approvals in such quar-
ter. 
SEC. 227. 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 
from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund to
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† HR 6157 EAS 
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. 
(TRANSFER OF FUNDS) 
SEC. 228. The NIH Director may transfer funds spe-
cifically appropriated for opioid addiction, opioid alter-
natives, pain management, and addiction treatment to 
other Institutes and Centers of the NIH to be used for the 
same purpose 15 days after notifying the Committees on 
Appropriations: Provided, That the transfer authority pro-
vided in the previous proviso is in addition to any other 
transfer authority provided by law. 
SEC. 229. None of the funds made available by this 
Act to carry out the Child Care and Development Block 
Grant Act of 1990 may be provided to any child care pro-
vider if a list of providers (as mentioned in part 98 of title 
45 of the Code of Federal Regulations, applicable to the De-
partment of Health and Human Services, Administration 
of Children and Families, and in the final rule published 
in the Federal Register, Vol. 81, No. 190, on Sept. 30, 2016) 
indicates that a serious injury or death occurred at the pro-
vider due to a substantiated health or safety violation.
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(RESCISSION) 
SEC. 230. Of the unobligated balances available in the 
‘‘Nonrecurring Expenses Fund’’ established in section 223 
of division G of Public Law 110–161, $350,000,000 are 
hereby rescinded. 
SEC. 231. Not later than the 15th day of each month, 
the Department of Health and Human Services shall pro-
vide the Committees on Appropriations of the House of Rep-
resentatives and Senate a report on staffing described in 
the report accompanying this Act. 
SEC. 232. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the De-
partment of Health and Human Services shall also be 
available to pay travel and related expenses of such an em-
ployee or of a member of his or her family, when such em-
ployee is assigned to duty, in the United States or in a 
U.S. territory, during a period and in a location that are 
the subject of a determination of a public health emergency 
under section 319 of the Public Health Service Act and such 
travel is necessary to obtain medical care for an illness, 
injury, or medical condition that cannot be adequately ad-
dressed in that location at that time. For purposes of this 
section, the term ‘‘U.S. territory’’ means Guam, the Com-
monwealth of Puerto Rico, the Northern Mariana Islands,
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the Virgin Islands, American Samoa, or the Trust Territory 
of the Pacific Islands. 
SEC. 233. (a) There is appropriated under the heading 
‘‘National Institute for Occupational Safely and Health’’ 
under the heading ‘‘Centers for Disease Control and Preven-
tion’’, in addition to any other amounts made available 
under such heading, $1,000,000 to implement the Fire-
fighter Cancer Registry Act of 2018 (Public Law 115–194). 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘General 
Departmental Management’’ under the heading ‘‘Office of 
the Secretary’’ is hereby reduced by $1,000,000. 
SEC. 234. (a) There are appropriated under the head-
ing ‘‘Mental Health’’ under the heading ‘‘Substance Abuse 
and Mental Health Services’’, in addition to any other 
amounts made available under such heading and in order 
to provide additional funding for the National Suicide Pre-
vention Lifeline, $2,802,000. 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘Sub-
stance Abuse Treatment’’ under the heading ‘‘Substance 
Abuse and Mental Health Services’’ is hereby reduced by 
$2,802,000. 
SEC. 235. (a) There are appropriated under the head-
ing ‘‘Environmental Health’’ under the heading ‘‘Centers
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for Disease Control and Prevention,’’ in addition to any 
other amounts made available under such heading, 
$1,000,000 to implement section 399V–6(c) of the PHS Act. 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘National 
Institute for Occupational Safety and Health’’ under the 
heading ‘‘Centers for Disease Control and Prevention’’ is 
hereby reduced by $1,000,000. 
SEC. 236. Using amounts appropriated under this di-
vision, the Comptroller General of the United States shall, 
not later than 18 months after the date of enactment of this 
Act, conduct a review and submit a report to Congress on 
barriers to obtaining and paying for adequate medical care 
for survivors of childhood cancer. Such report shall identify 
existing barriers to the availability of complete and coordi-
nated survivorship care for survivors of childhood cancer 
and of expert pediatric palliative care, and recommenda-
tions to provide improved access and payment plans for 
childhood cancer survivorship programs and palliative 
care, including psychosocial services and coverage of such 
services. 
SEC. 237. (a) There are appropriated under the head-
ing ‘‘Emerging and Zoonotic Infectious Diseases’’ under the 
heading ‘‘Centers for Disease Control and Prevention’’, in 
addition to any other amounts made available under such
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heading and in order to provide additional funding for 
Lyme disease activities, $1,300,000. 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘Chronic 
Disease Prevention and Health Promotion’’ under the head-
ing ‘‘Centers for Disease Control and Prevention’’ is hereby 
reduced by $1,300,000. 
SEC. 238. Not later than 180 days after the enactment 
of this Act, and using funds appropriated under this title, 
the Director of the National Institute for Occupational 
Safety and Health shall submit to Congress a report that— 
(1) includes a description of those active and 
non-active coal miner populations that are currently 
covered by the Coal Workers’ Health Surveillance pro-
gram; 
(2) identifies and describes potential barriers 
that limit active and non-active coal miner participa-
tion in such program; and 
(3) describes existing or planned outreach efforts 
to improve the participation of active and non-active 
coal miners in periodic health surveillance. 
SEC. 239. Not later than November 1, 2018, the Sec-
retary shall provide, to the Committees on Appropriations 
of the Senate and the House of Representatives, the Com-
mittee on Health, Education, Labor, and Pensions of the
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Senate, and the Committee on Energy and Commerce of 
the House of Representatives, a status update on the rule-
making required under sections 3001(c)(5)(D), and 
3022(a)(3), of the PHS Act. 
STUDY ON TRAUMATIC BRAIN INJURY 
SEC. 240. (a) STUDY.—The Comptroller General of the 
United States, in meaningful consultation with experts on 
the intersections of domestic violence, disabilities, trauma, 
and mental health, shall conduct a study to evaluate the 
status of— 
(1) research on the relationship between intimate 
partner violence and traumatic brain injury experi-
enced by victims; and 
(2) public awareness and education campaigns 
related to the effects of intimate partner violence on 
victims’ brain health and its connection to traumatic 
brain injury experienced by victims. 
(b) CONTENT.—The study conducted under subsection 
(a) shall include— 
(1) a review on the outcomes of any previous re-
search, the status of existing research activities, and 
efforts to address knowledge gaps across agencies of 
the Federal Government; and 
(2) recommendations to—
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(A) encourage increased research to address 
existing knowledge gaps relating to the relation-
ship between intimate partner violence and trau-
matic brain injury experienced by victims; 
(B) increase awareness of the effects of inti-
mate partner violence on the brain health of vic-
tims for health care and other treatment pro-
viders; 
(C) 
increase 
victim 
service 
providers’ 
awareness of the effects of intimate partner vio-
lence on victims’ brain health, enhance their ca-
pacity to identify victims with traumatic brain 
injuries and provide services that support vic-
tims’ healing and recovery; and 
(D) increase awareness of the links between 
intimate partner violence and the brain health of 
victims’ for the general public. 
(c) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Comptroller General shall 
submit to the Committee on Health, Education, Labor, and 
Pensions of the Senate, the Committee on the Judiciary of 
the Senate, the Committee on Appropriations of the Senate, 
the Committee on Energy and Commerce of the House of 
Representatives, the Committee on Ways and Means of the 
House of Representatives, and the Committee on Appro-
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priations of the House of Representatives a report on the 
study conducted under subsection (a). 
SEC. 241. Not later than 1 year after the date of enact-
ment of this Act, and using funds appropriated under this 
division, the Director of the NIH shall conduct a com-
prehensive study and submit to Congress a report that— 
(1) includes a portfolio analysis of current fund-
ing levels of the NIH related to mental health and 
substance use disorder; and 
(2) identifies the process by which the NIH set 
funding priorities for mental health and substance use 
disorder programs, including how NIH takes into ac-
count newly developed public health needs, disease 
burden, emerging scientific opportunities, and sci-
entific progress. 
SEC. 242. Not later than 180 days after the date of 
enactment of this Act, the Administrator of the Substance 
Abuse and Mental Health Services Administration shall 
submit to Congress a report on agency activities related to 
medication-assisted treatment. The report submitted by the 
Administrator under this section shall include a description 
of how the agency is taking steps to overcome barriers to 
medication-assisted treatment for adolescents and young 
adults.
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SEC. 243. Out of amounts appropriated under the 
heading 
‘‘Administration 
for 
Community 
Living’’, 
$300,000 shall be available for the Secretary to establish 
the Advisory Council to Support Grandparents Raising 
Grandchildren under section 3 of the Supporting Grand-
parents Raising Grandchildren Act (Public Law 115–196). 
SEC. 244. Of the funds appropriated under the heading 
‘‘Refugee and Entrant Assistance’’ for carrying out Victims 
of Trafficking programs, the amount made available to con-
tinue carrying out the SOAR (Stop, Observe, Ask, Respond) 
to Health and Wellness Program, to train health care and 
social service providers on how to identify, treat, and re-
spond appropriately to human trafficking, shall be not less 
than the amount made available for such program in fiscal 
year 2018. 
SEC. 245. Using amounts made available under this 
title, the Assistant Secretary for Mental Health and Sub-
stance Use shall provide technical assistance to any State 
or county impacted by a volcanic eruption covered by a 
major disaster declared by the President in calendar year 
2018 in accordance with section 401 of the Robert T. Staf-
ford Disaster Relief and Emergency Assistance Act. Such 
technical assistance shall be—
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(1) to conduct a needs assessment for supporting 
the mental health of the impacted children and fami-
lies; and 
(2) to develop mental health crisis recovery plans 
for the impacted children and families. 
SEC. 246. (a) There are appropriated under the head-
ing ‘‘Birth Defects, Developmental Disabilities, Disabilities 
and Health’’ under the heading ‘‘Centers for Disease Con-
trol and Prevention’’, in addition to any other amounts 
made available under such heading and in order to provide 
additional funding for activities related to neonatal absti-
nence syndrome, $2,000,000: Provided, That funds shall 
make use of existing State biosurveillance and other surveil-
lance tools to improve voluntary, de-identified prenatal and 
newborn health data, which may include opioid-related in-
formation during pregnancy and early motherhood, to re-
duce risks associated with neonatal abstinence syndrome 
and optimize care. 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘Chronic 
Disease Prevention and Health Promotion’’ under the head-
ing ‘‘Centers for Disease Control and Prevention’’ is hereby 
reduced by $2,000,000. 
SEC. 247. (a) There are appropriated under the head-
ing ‘‘Public Health Scientific Services’’ under the heading
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‘‘Centers for Disease Control and Prevention’’, in addition 
to any other amounts made available under such heading, 
$5,000,000 to be available for the establishment of the Na-
tional Neurological Conditions Surveillance System as au-
thorized in 21st Century Cures Act (Public Law 114–255). 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘Sub-
stance Abuse and Mental Health Services Administration’’ 
is hereby reduced by $5,000,000 
SEC. 248. From amounts appropriated under this 
title, under the heading ‘‘Maternal and Child Health’’, up 
to $1,000,000 shall be used for awarding grants for the pur-
chase and implementation of telehealth services, including 
pilots and demonstrations for the use of electronic health 
records or other necessary technology and equipment (in-
cluding ultra sound machines or other technology and 
equipment that is useful for caring for pregnant women) 
to coordinate obstetric care between pregnant women living 
in rural areas and obstetric care providers. 
SEC. 249. Of the funds appropriated under the heading 
‘‘Office of the Director’’ under the heading ‘‘National Insti-
tutes of Health’’, $5,000,000 shall be transferred to and 
merged with the appropriation for the ‘‘Office of the Inspec-
tor General’’ for oversight of grant programs and operations 
of the National Institutes of Health, including agency ef-
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forts to ensure the integrity of its grant application evalua-
tion and selection processes, and shall be in addition to 
funds otherwise made available for oversight of the National 
Institutes of Health: Provided, That funds may be trans-
ferred from one specified activity to another with 15 days 
prior approval of the Committees of Appropriations of the 
House of Representatives and the Senate: Provided further, 
That the Inspector General shall consult with the House and 
Senate Committees on Appropriations before submitting to 
the Committees an audit plan for fiscal years 2019 and 
2020 no later than 30 days after the date of enactment of 
this Act. 
SEC. 250. (a) In addition to amounts appropriated 
under the heading ‘‘Children and Families Services Pro-
grams’’ under the heading ‘‘Administration for Children 
and Families’’, there is appropriated $10,000,000 for pur-
poses of carrying out title I of the Child Abuse Prevention 
and Treatment Act. 
(b) Notwithstanding any other provision of this Act, 
the total amount appropriated under the heading ‘‘Children 
and Families Services Programs’’ is hereby reduced by 
$10,000,000. 
SEC. 251. Not later than 90 days after the enactment 
of this Act, the Secretary of Health and Human Services 
shall submit a report to the Committee on Appropriations
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and the Committee on Finance of the Senate and the Com-
mittee on Appropriations and the Committee on Ways and 
Means of the House of Representatives, detailing the cir-
cumstances in which the Centers for Medicare & Medicaid 
Services may be providing Medicare or Medicaid payments 
to, or otherwise funding, entities that process genome or 
exome data in the People’s Republic of China or the Rus-
sian Federation. The report shall outline the extent to which 
payments or other funding have been provided to such enti-
ties over the past 5 years, including amounts paid to each 
entity, the implications of such payments, including 
vulnerabilities, and specific recommendations on steps to 
ensure that payments are lawful and appropriate in the 
future. In developing the report, the Secretary shall also co-
ordinate with other relevant agencies, as determined by the 
Secretary, to examine the potential effect of allowing bene-
ficiaries’ genome or exome data to be processed in the Peo-
ple’s Republic of China or the Russian Federation on 
United States national security, United States intellectual 
property protections, HIPAA privacy protections, future 
biomedical development capabilities and competitiveness, 
and global competitiveness for United States laboratories. 
SEC. 252. Of the funds made available under this Act, 
not more than $1,000,000 shall be used by the Secretary 
of Health and Human Services to issue a regulation requir-
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† HR 6157 EAS 
ing that direct-to-consumer prescription drug and biologi-
cal product advertisements include an appropriate disclo-
sure of pricing information with respect to such products. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2019’’.
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TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I and subpart 2 of part B of 
title II of the Elementary and Secondary Education Act 
of 1965 (referred to in this Act as ‘‘ESEA’’) and section 
418A of the Higher Education Act of 1965 (referred to in 
this 
Act 
as 
‘‘HEA’’), 
$16,568,790,000, 
of 
which 
$5,650,990,000 shall become available on July 1, 2019, and 
shall remain available through September 30, 2020, and of 
which $10,841,177,000 shall become available on October 1, 
2019, and shall remain available through September 30, 
2020, for academic year 2019–2020: Provided, That 
$6,459,401,000 shall be for basic grants under section 1124 
of the ESEA: Provided further, That up to $5,000,000 of 
these funds shall be available to the Secretary of Education 
(referred to in this title as ‘‘Secretary’’) on October 1, 2018, 
to obtain annually updated local educational agency-level 
census poverty data from the Bureau of the Census: Pro-
vided further, That $1,362,301,000 shall be for concentra-
tion grants under section 1124A of the ESEA: Provided fur-
ther, That $4,031,550,000 shall be for targeted grants under 
section 1125 of the ESEA: Provided further, That 
$4,031,550,000 shall be for education finance incentive 
grants under section 1125A of the ESEA: Provided further,
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† HR 6157 EAS 
That $217,000,000 shall be for carrying out subpart 2 of 
part B of title II: Provided further, That $44,623,000 shall 
be for carrying out section 418A of the HEA. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VII of the 
ESEA, $1,439,112,000, of which $1,294,242,000 shall be for 
basic support payments under section 7003(b), $48,316,000 
shall be for payments for children with disabilities under 
section 7003(d), $17,406,000, to remain available for obli-
gation through September 30, 2020, shall be for construction 
under section 7007(b), $74,313,000 shall be for Federal 
property payments under section 7002, and $4,835,000, to 
remain available until expended, shall be for facilities 
maintenance under section 7008: Provided, That for pur-
poses of computing the amount of a payment for an eligible 
local educational agency under section 7003(a) for school 
year 2018–2019, children enrolled in a school of such agen-
cy that would otherwise be eligible for payment under sec-
tion 7003(a)(1)(B) of such Act, but due to the deployment 
of both parents or legal guardians, or a parent or legal 
guardian having sole custody of such children, or due to 
the death of a military parent or legal guardian while on 
active duty (so long as such children reside on Federal prop-
erty as described in section 7003(a)(1)(B)), are no longer
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† HR 6157 EAS 
eligible under such section, shall be considered as eligible 
students under such section, provided such students remain 
in average daily attendance at a school in the same local 
educational agency they attended prior to their change in 
eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities author-
ized by part B of title I, part A of title II, subpart 1 of 
part A of title IV, part B of title IV, part B of title V, 
and parts B and C of title VI of the ESEA; the McKinney- 
Vento Homeless Assistance Act; section 203 of the Edu-
cational Technical Assistance Act of 2002; the Compact of 
Free Association Amendments Act of 2003; and the Civil 
Rights 
Act 
of 
1964, 
$5,291,967,000, 
of 
which 
$3,463,402,000 shall become available on July 1, 2019, and 
remain available through September 30, 2020, and of which 
$1,681,441,000 shall become available on October 1, 2019, 
and shall remain available through September 30, 2020, for 
academic year 2019–2020: Provided, That $378,000,000 
shall be for part B of title I: Provided further, That 
$1,211,673,000 shall be for part B of title IV: Provided fur-
ther, That $36,397,000 shall be for part B of title VI and 
may be used for construction, renovation, and moderniza-
tion of any elementary school, secondary school, or structure 
related to an elementary school or secondary school, run by
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† HR 6157 EAS 
the Department of Education of the State of Hawaii, that 
serves a predominantly Native Hawaiian student body: 
Provided further, That $35,453,000 shall be for part C of 
title VI and shall be awarded on a competitive basis, and 
also may be used for construction: Provided further, That 
$52,000,000 shall be available to carry out section 203 of 
the Educational Technical Assistance Act of 2002 and the 
Secretary shall make such arrangements as determined to 
be necessary to ensure that the Bureau of Indian Education 
has access to services provided under this section: Provided 
further, That $16,699,000 shall be available to carry out 
the Supplemental Education Grants program for the Fed-
erated States of Micronesia and the Republic of the Mar-
shall Islands: Provided further, That the Secretary may re-
serve up to 5 percent of the amount referred to in the pre-
vious proviso to provide technical assistance in the imple-
mentation of these grants: Provided further, That 
$180,840,000 shall be for part B of title V: Provided further, 
That $1,225,000,000 shall be available for grants under sub-
part 1 of part A of title IV. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent not 
otherwise provided, title VI, part A of the ESEA, 
$180,239,000, of which $67,993,000 shall be for subpart 2
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† HR 6157 EAS 
of part A of title VI and $6,865,000 shall be for subpart 
3 of part A of title VI. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by subparts 1, 
3 and 4 of part B of title II, and parts C, D, and E and 
subparts 1 and 4 of part F of title IV of the ESEA, 
$1,042,256,000: Provided, That $278,515,000 shall be for 
subparts 1, 3 and 4 of part B of title II and shall be made 
available without regard to sections 2201, 2231(b) and 
2241: Provided further, That $628,741,000 shall be for parts 
C, D, and E and subpart 4 of part F of title IV, and shall 
be made available without regard to sections 4311, 4409(a), 
and 4601 of the ESEA: Provided further, That section 
4303(d)(3)(A)(i) shall not apply to the funds available for 
part C of title IV: Provided further, That of the funds avail-
able for part C of title IV, the Secretary shall use 
$55,000,000 to carry out section 4304, of which not more 
than $10,000,000 shall be available to carry out section 
4304(k), $140,000,000, to remain available through March 
31, 2020, to carry out section 4305(b), and not more than 
$15,000,000 to carry out the activities in section 
4305(a)(3): Provided further, That notwithstanding section 
4601(b), $135,000,000 shall be available through December 
31, 2019 for subpart 1 of part F of title IV.
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† HR 6157 EAS 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subparts 2 
and 3 of part F of title IV of the ESEA, $190,754,000: Pro-
vided, That $95,000,000 shall be available for section 4631, 
of which up to $5,000,000, to remain available until ex-
pended, shall be for the Project School Emergency Response 
to Violence (‘‘Project Serve’’) program and not more than 
$10,000,000 may be for a demonstration program to test 
and evaluate innovative partnerships between institutions 
of higher education and high-needs State or local edu-
cational agencies to train school counselors, social workers, 
psychologists, or other mental health professionals qualified 
to provide school-based mental health services, with the goal 
of expanding the pipeline of these workers into low-income 
public elementary schools and secondary schools in order 
to address the shortages of mental health service profes-
sionals in such schools: Provided further, That $17,500,000 
shall be available for section 4625: Provided further, That 
$78,254,000 shall be available through December 31, 2019, 
for section 4624. 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$737,400,000, which shall become available on July 1, 2019, 
and shall remain available through September 30, 2020, ex-
cept that 6.5 percent of such amount shall be available on
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October 1, 2018, and shall remain available through Sep-
tember 30, 2020, to carry out activities under section 
3111(c)(1)(C). 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) and the Special Olympics Sport 
and Empowerment Act of 2004, $13,493,684,000, of which 
$3,970,585,000 shall become available on July 1, 2019, and 
shall remain available through September 30, 2020, and of 
which $9,283,383,000 shall become available on October 1, 
2019, and shall remain available through September 30, 
2020, for academic year 2019–2020: Provided, That the 
amount for section 611(b)(2) of the IDEA shall be equal 
to the lesser of the amount available for that activity during 
fiscal year 2018, increased by the amount of inflation as 
specified in section 619(d)(2)(B) of the IDEA, or the per-
cent change in the funds appropriated under section 611(i) 
of the IDEA, but not less than the amount for that activity 
during fiscal year 2018: Provided further, That the Sec-
retary shall, without regard to section 611(d) of the IDEA, 
distribute to all other States (as that term is defined in 
section 611(g)(2)), subject to the third proviso, any amount 
by which a State’s allocation under section 611, from funds 
appropriated under this heading, is reduced under section 
612(a)(18)(B), according to the following: 85 percent on the
287 
† HR 6157 EAS 
basis of the States’ relative populations of children aged 3 
through 21 who are of the same age as children with disabil-
ities for whom the State ensures the availability of a free 
appropriate public education under this part, and 15 per-
cent to States on the basis of the States’ relative populations 
of those children who are living in poverty: Provided fur-
ther, That the Secretary may not distribute any funds 
under the previous proviso to any State whose reduction 
in allocation from funds appropriated under this heading 
made funds available for such a distribution: Provided fur-
ther, That the States shall allocate such funds distributed 
under the second proviso to local educational agencies in 
accordance with section 611(f): Provided further, That the 
amount by which a State’s allocation under section 611(d) 
of the IDEA is reduced under section 612(a)(18)(B) and 
the amounts distributed to States under the previous pro-
visos in fiscal year 2012 or any subsequent year shall not 
be considered in calculating the awards under section 
611(d) for fiscal year 2013 or for any subsequent fiscal 
years: Provided further, That, notwithstanding the provi-
sion in section 612(a)(18)(B) regarding the fiscal year in 
which a State’s allocation under section 611(d) is reduced 
for failure to comply with the requirement of section 
612(a)(18)(A), the Secretary may apply the reduction spec-
ified in section 612(a)(18)(B) over a period of consecutive
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† HR 6157 EAS 
fiscal years, not to exceed five, until the entire reduction 
is applied: Provided further, That the Secretary may, in 
any fiscal year in which a State’s allocation under section 
611 is reduced in accordance with section 612(a)(18)(B), 
reduce the amount a State may reserve under section 
611(e)(1) by an amount that bears the same relation to the 
maximum amount described in that paragraph as the re-
duction under section 612(a)(18)(B) bears to the total allo-
cation the State would have received in that fiscal year 
under section 611(d) in the absence of the reduction: Pro-
vided further, That the Secretary shall either reduce the al-
location of funds under section 611 for any fiscal year fol-
lowing the fiscal year for which the State fails to comply 
with the requirement of section 612(a)(18)(A) as authorized 
by section 612(a)(18)(B), or seek to recover funds under sec-
tion 452 of the General Education Provisions Act (20 
U.S.C. 1234a): Provided further, That the funds reserved 
under 611(c) of the IDEA may be used to provide technical 
assistance to States to improve the capacity of the States 
to meet the data collection requirements of sections 616 and 
618 and to administer and carry out other services and ac-
tivities to improve data collection, coordination, quality, 
and use under parts B and C of the IDEA: Provided fur-
ther, That the Secretary may use funds made available for 
the State Personnel Development Grants program under
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part D, subpart 1 of IDEA to evaluate program perform-
ance under such subpart. 
REHABILITATION SERVICES 
For carrying out, to the extent not otherwise provided, 
the Rehabilitation Act of 1973 and the Helen Keller Na-
tional Center Act, $3,656,189,000, of which $3,521,990,000 
shall be for grants for vocational rehabilitation services 
under title I of the Rehabilitation Act: Provided, That the 
Secretary may use amounts provided in this Act that re-
main available subsequent to the reallotment of funds to 
States pursuant to section 110(b) of the Rehabilitation Act 
for innovative activities aimed at improving the outcomes 
of individuals with disabilities as defined in section 
7(20)(B) of the Rehabilitation Act, including activities 
aimed at improving the education and post-school outcomes 
of children receiving Supplemental Security Income 
(‘‘SSI’’) and their families that may result in long-term 
improvement in the SSI child recipient’s economic status 
and self-sufficiency: Provided further, That States may 
award subgrants for a portion of the funds to other public 
and private, nonprofit entities: Provided further, That any 
funds made available subsequent to reallotment for innova-
tive activities aimed at improving the outcomes of individ-
uals with disabilities shall remain available until Sep-
tember 30, 2020.
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SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act to promote the Education of 
the Blind of March 3, 1879, $30,431,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act of 
1986, $76,500,000: Provided, That from the total amount 
available, the Institute may at its discretion use funds for 
the endowment program as authorized under section 207 
of such Act. 
GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986, $133,000,000: Pro-
vided, That from the total amount available, the University 
may at its discretion use funds for the endowment program 
as authorized under section 207 of such Act. 
CAREER, TECHNICAL, AND ADULT EDUCATION 
For carrying out, to the extent not otherwise provided, 
the Carl D. Perkins Career and Technical Education Act 
of 2006 and the Adult Education and Family Literacy Act 
(‘‘AEFLA’’), $1,855,686,000, of which $1,064,686,000 shall 
become available on July 1, 2019, and shall remain avail-
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† HR 6157 EAS 
able 
through 
September 
30, 
2020, 
and 
of 
which 
$791,000,000 shall become available on October 1, 2019, 
and shall remain available through September 30, 2020: 
Provided, That of the amounts made available for AEFLA, 
$13,712,000 shall be for national leadership activities under 
section 242. 
STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1, 3, and 10 of part A, and 
part C of title IV of the HEA, $24,445,352,000, which shall 
remain available through September 30, 2020. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2019–2020 shall be $5,135. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses to carry out part 
D of title I, and subparts 1, 3, 9, and 10 of part A, and 
parts B, C, D, and E of title IV of the HEA, and subpart 
1 of part A of title VII of the Public Health Service Act, 
$1,678,943,000, to remain available through September 30, 
2020: Provided, That the Secretary shall allocate new stu-
dent loan borrower accounts to eligible student loan 
servicers on the basis of their performance compared to all 
loan servicers utilizing established common metrics, and on 
the basis of the capacity of each servicer to process new and 
existing accounts: Provided further, That the Secretary 
shall allow student loan borrowers who are consolidating
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Federal student loans to select from any student loan 
servicer to service their new consolidated student loan under 
the current student loan servicing contracts: Provided fur-
ther, That in order to promote accountability and high- 
quality service to borrowers, the Secretary shall not award 
funding for any contract solicitation for a new Federal stu-
dent loan servicing environment, including the solicitation 
for the FSA Next Generation Processing and Servicing En-
vironment as amended by the Department of Education on 
February 20, 2018, unless such an environment provides 
for the participation of multiple student loan servicers that 
contract directly with the Department of Education to 
manage a unique portfolio of borrower accounts and the full 
life-cycle of loans from disbursement to pay-off with certain 
limited exceptions, and allocates student loan borrower ac-
counts to eligible student loan servicers based on perform-
ance: Provided further, That such servicers described in the 
previous proviso shall be evaluated based on their ability 
to meet contract requirements, future performance on the 
contracts, and history of compliance with applicable con-
sumer protections laws: Provided further, That to the extent 
Federal Student Aid (FSA) permits student loan servicing 
subcontracting, FSA shall hold such subcontractors account-
able for meeting the requirements of the contract: Provided 
further, That FSA shall create a fee structure with contrac-
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tors that provides more support to borrowers at risk of being 
distressed: Provided further, That funds appropriated under 
this heading may be available for payments for student loan 
servicing to an institution of higher education that services 
outstanding Federal Perkins Loans under part E of title 
IV of the Higher Education Act of 1965 (20 U.S.C. 1087aa 
et seq.). 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise provided, 
titles II, III, IV, V, VI, and VII of the HEA, the Mutual 
Educational and Cultural Exchange Act of 1961, and sec-
tion 117 of the Carl D. Perkins Career and Technical Edu-
cation Act of 2006, $2,260,551,000: Provided, That notwith-
standing any other provision of law, funds made available 
in this Act to carry out title VI of the HEA and section 
102(b)(6) of the Mutual Educational and Cultural Ex-
change Act of 1961 may be used to support visits and study 
in foreign countries by individuals who are participating 
in advanced foreign language training and international 
studies in areas that are vital to United States national 
security and who plan to apply their language skills and 
knowledge of these countries in the fields of government, the 
professions, or international development: Provided further, 
That of the funds referred to in the preceding proviso up 
to 1 percent may be used for program evaluation, national
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outreach, and information dissemination activities: Pro-
vided further, That up to 1.5 percent of the funds made 
available under chapter 2 of subpart 2 of part A of title 
IV of the HEA may be used for evaluation. 
HOWARD UNIVERSITY 
For 
partial 
support 
of 
Howard 
University, 
$236,518,000, of which not less than $3,405,000 shall be for 
a matching endowment grant pursuant to the Howard Uni-
versity Endowment Act and shall remain available until 
expended. 
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM 
For Federal administrative expenses to carry out ac-
tivities related to existing facility loans pursuant to section 
121 of the HEA, $435,000. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL 
FINANCING PROGRAM ACCOUNT 
For the cost of guaranteed loans, $20,150,000, as au-
thorized pursuant to part D of title III of the HEA, which 
shall remain available through September 30, 2020: Pro-
vided, That such costs, including the cost of modifying such 
loans, shall be as defined in section 502 of the Congressional 
Budget Act of 1974: Provided further, That these funds are 
available to subsidize total loan principal, any part of 
which is to be guaranteed, not to exceed $580,000,000: Pro-
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vided further, That these funds may be used to support 
loans to public and private Historically Black Colleges and 
Universities without regard to the limitations within sec-
tion 344(a) of the HEA. 
In addition, $10,000,000 shall be made available to 
provide for the deferment of loans made under part D of 
title III of the HEA to eligible institutions that are private 
Historically Black Colleges and Universities, which apply 
for the deferment of such a loan and demonstrate financial 
need for such deferment by having a score of 2.6 or less 
on the Department of Education’s financial responsibility 
test: Provided, That during the period of deferment of such 
a loan, interest on the loan will not accrue or be capitalized, 
and the period of deferment shall be for at least a period 
of 3-fiscal years and not more than 6-fiscal years: Provided 
further, That when determining priority for such institu-
tions to receive such a deferment, the Secretary shall give 
priority to institutions that operated in a financial deficit 
for at least one of the previous 5 years according to audits 
provided to the Department, or were sanctioned for finan-
cial related reasons by the agency or association that ac-
credited such institutions: Provided further, That the Sec-
retary shall create and execute an outreach plan to work 
with States and the Capital Financing Advisory Board to 
improve outreach to States and help additional public His-
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torically Black Colleges and Universities participate in the 
program. 
In addition, for administrative expenses to carry out 
the Historically Black College and University Capital Fi-
nancing Program entered into pursuant to part D of title 
III of the HEA, $334,000. 
INSTITUTE OF EDUCATION SCIENCES 
For carrying out activities authorized by the Edu-
cation Sciences Reform Act of 2002, the National Assess-
ment of Educational Progress Authorization Act, section 
208 of the Educational Technical Assistance Act of 2002, 
and section 664 of the Individuals with Disabilities Edu-
cation Act, $615,462,000, which shall remain available 
through September 30, 2020: Provided, That funds available 
to carry out section 208 of the Educational Technical As-
sistance Act may be used to link Statewide elementary and 
secondary data systems with early childhood, postsec-
ondary, and workforce data systems, or to further develop 
such systems: Provided further, That up to $6,000,000 of 
the funds available to carry out section 208 of the Edu-
cational Technical Assistance Act may be used for awards 
to public or private organizations or agencies to support 
activities to improve data coordination, quality, and use 
at the local, State, and national levels.
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DEPARTMENTAL MANAGEMENT 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise provided, 
the Department of Education Organization Act, including 
rental of conference rooms in the District of Columbia and 
hire of three passenger motor vehicles, $430,000,000: Pro-
vided, That, notwithstanding any other provision of law, 
none of the funds provided by this Act or provided by pre-
vious Appropriations Acts to the Department of Education 
available for obligation or expenditure in the current fiscal 
year may be used for any activity relating to implementing 
a reorganization that decentralizes, reduces the staffing 
level, or alters the responsibilities, structure, authority, or 
functionality of the Budget Service of the Department of 
Education, relative to the organization and operation of the 
Budget Service as in effect on January 1, 2018. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
as authorized by section 203 of the Department of Edu-
cation Organization Act, $125,000,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, as authorized by section 212 of the Department of 
Education Organization Act, $61,143,000.
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GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 302. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
Department of Education 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. 
SEC. 303. Section 105(f)(1)(B)(ix) of the Compact of 
Free Association Amendments Act of 2003 (48 U.S.C. 
1921d(f)(1)(B)(ix)) shall be applied by substituting ‘‘2019’’ 
for ‘‘2009’’. 
SEC. 304. Funds appropriated in this Act and consoli-
dated for evaluation purposes under section 8601(c) of the 
ESEA shall be available from July 1, 2019, through Sep-
tember 30, 2020.
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SEC. 305. (a) An institution of higher education that 
maintains an endowment fund supported with funds appro-
priated for title III or V of the HEA for fiscal year 2019 
may use the income from that fund to award scholarships 
to 
students, 
subject 
to 
the 
limitation 
in 
section 
331(c)(3)(B)(i) of the HEA. The use of such income for such 
purposes, prior to the enactment of this Act, shall be consid-
ered to have been an allowable use of that income, subject 
to that limitation. 
(b) Subsection (a) shall be in effect until titles III and 
V of the HEA are reauthorized. 
SEC. 306. Section 114(f) of the HEA (20 U.S.C. 
1011c(f)) is amended by striking ‘‘2018’’ and inserting 
‘‘2019’’. 
SEC. 307. Section 458(a) of the HEA (20 U.S.C. 
1087h(a)) is amended in paragraph (4) by striking ‘‘2018’’ 
and inserting ‘‘2019’’. 
(RESCISSION) 
SEC. 308. Of the unobligated balances available under 
the heading ‘‘Student Financial Assistance’’ for carrying 
out subpart 1 of part A of title IV of the HEA, $600,000,000 
are hereby rescinded. 
SEC. 309. Section 401(b)(7)(A)(iv)(IX) of the Higher 
Education Act of 1965 (20 U.S.C. 1070a(b)(7)(A)(iv)(IX))
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† HR 6157 EAS 
is amended by striking ‘‘$1,409,000,000’’ and inserting 
‘‘$1,370,000,000’’. 
SEC. 310. (a) An institution of higher education may, 
with explicit written consent of an applicant who has com-
pleted a FAFSA under such section 483(a), provide such 
information collected from the applicant’s FAFSA as is nec-
essary to a scholarship granting organization, including a 
tribal organization (defined in section 4 of the Indian Self- 
Determination and Education Assistance Act (25 U.S.C. 
5304)), or to an organization assisting the applicant in ap-
plying for and receiving Federal, State, local, or tribal as-
sistance, that is designated by the applicant to assist the 
applicant in applying for and receiving financial assist-
ance for any component of the applicant’s cost of attendance 
(defined in section 472 of the HEA) at that institution. 
(b) An organization that receives information pursu-
ant to subsection (a) shall not sell or otherwise share such 
information. 
(c) This section shall be in effect until title IV of the 
HEA is reauthorized. 
SEC. 311. For an additional amount for ‘‘Department 
of Education—Federal Direct Student Loan Program Ac-
count’’, $350,000,000, to remain available until expended, 
shall be for the cost, as defined under section 502 of the 
Congressional Budget Act of 1974, of the Secretary of Edu-
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cation providing loan cancellation in the same manner as 
under section 455(m) of the Higher Education Act of 1965 
(20 U.S.C. 1087e(m)), for borrowers of loans made under 
part D of title IV of such Act who would qualify for loan 
cancellation under section 455(m) except some, or all, of 
the 120 required payments under section 455(m)(1)(A) do 
not qualify for purposes of the program because they were 
monthly payments made in accordance with graduated or 
extended repayment plans as described under subparagraph 
(B) or (C) of section 455(d)(1) or the corresponding repay-
ment plan for a consolidation loan made under section 
455(g) and that were less than the amount calculated under 
section 455(d)(1)(A), based on a 10-year repayment period: 
Provided, That the monthly payment made 12 months be-
fore the borrower applied for loan cancellation as described 
in the matter preceding this proviso and the most recent 
monthly payment made by the borrower at the time of such 
application were each not less than the monthly amount 
that would be calculated under, and for which the borrower 
would otherwise qualify for, clause (i) or (iv) of section 
455(m)(1)(A) regarding income-based or income-contingent 
repayment plans, with exception for a borrower who would 
have otherwise been eligible under this section but dem-
onstrates an unusual fluctuation of income over the past 
5 years: Provided further, That the total loan volume, in-
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cluding outstanding principal, fees, capitalized interest, or 
accrued interest, at application that is eligible for such loan 
cancellation 
by 
such 
borrowers 
shall 
not 
exceed 
$500,000,000: Provided further, That the Secretary shall de-
velop and make available a simple method for borrowers 
to apply for loan cancellation under this section within 60 
days of enactment of this Act: Provided further, That the 
Secretary shall provide loan cancellation under this section 
to eligible borrowers on a first-come, first-serve basis, based 
on the date of application and subject to both the limitation 
on total loan volume at application for such loan cancella-
tion specified in the second proviso and the availability of 
appropriations under this section: Provided further, That 
no borrower may, for the same service, receive a reduction 
of loan obligations under both this section and section 428J, 
428K, 428L, or 460 of such Act. 
SEC. 312. Of the amounts made available under this 
title under the heading ‘‘Student Aid Administration’’, 
$2,300,000 shall be used by the Secretary of Education to 
conduct outreach to borrowers of loans made under part D 
of title IV of the Higher Education Act of 1965 who may 
intend to qualify for loan cancellation under section 455(m) 
of such Act (20 U.S.C. 1087e(m)), to ensure that borrowers 
are meeting the terms and conditions of such loan cancella-
tion: Provided, That the Secretary shall specifically conduct
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outreach to assist borrowers who would qualify for loan can-
cellation under section 455(m) of such Act except that the 
borrower has made some, or all, of the 120 required pay-
ments under a repayment plan that is not described under 
section 455(m)(A) of such Act, to encourage borrowers to 
enroll in a qualifying repayment plan: Provided further, 
That the Secretary shall also communicate to all Direct 
Loan borrowers the full requirements of section 455(m) of 
such Act and improve the filing of employment certification 
by providing improved outreach and information such as 
outbound calls, electronic communications, ensuring promi-
nent access to program requirements and benefits on each 
servicer’s website, and creating an option for all borrowers 
to complete the entire payment certification process elec-
tronically and on a centralized website. 
SEC. 313. Using funds appropriated under the heading 
‘‘PROGRAM ADMINISTRATION’’ under the heading ‘‘DEPART-
MENTAL MANAGEMENT’’ under the heading ‘‘DEPART-
MENT OF EDUCATION’’, and not later than 180 days 
after the date of enactment of this Act, the Secretary of Edu-
cation shall submit, to the Committee on Appropriations, 
the Committee on Commerce, Science, and Transportation, 
and the Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Appropriations, 
the Committee on Science, Space, and Technology, and the
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Committee on Education and the Workforce of the House 
of Representatives, a report on how the Department of Edu-
cation is coordinating with the National Aeronautics and 
Space Administration and the National Science Founda-
tion to promote science, technology, engineering, and mathe-
matics programs that benefit students in grades pre-kinder-
garten through 12. 
SEC. 314. (a) It is the sense of the Senate that dedi-
cated funding for coding courses in kindergarten through 
grade 12 education should be a top priority. 
(b) It is the sense of the Senate that the Secretary of 
Education should use the authority granted under section 
114(e) of the Carl D. Perkins Career and Technical Edu-
cation Act of 2006, as in effect on July 1, 2019, to award 
innovation and modernization grants. The use of such inno-
vation and modernization grant funds for coding programs 
are especially important for rural and underserved areas 
that don’t have access to coding resources in order to close 
the skills gap. These grants are opportunities for rural 
America to learn to read and write code to prepare students 
for the jobs of the future. 
SEC. 315. (a) The Comptroller General of the United 
States shall conduct a study on the condition of the public 
school facilities of the United States.
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(b) In conducting the study under subsection (a), the 
Comptroller General shall study the following factors re-
lated to supporting a 21st century education: 
(1) Structural integrity. 
(2) Plumbing. 
(3) Heating, ventilation, and air conditioning 
systems. 
(4) Compliance with fire and safety codes. 
(5) Compliance with Federal laws, including the 
Americans with Disabilities Act of 1990 (42 U.S.C. 
12101 et seq.). 
(6) Lighting. 
(7) Indoor air quality. 
(8) Environmental conditions, such as exposure 
to asbestos, lead, and mold. 
(9) Physical security. 
(10) Sufficient space for instruction. 
(c) Not later than 18 months after the date of enact-
ment of this Act, the Comptroller General shall submit to 
the Committee on Appropriations and the Committee on 
Health, Education, Labor, and Pensions of the Senate, and 
the Committee on Appropriations and the Committee on 
Education and the Workforce of the House of Representa-
tives, the findings of the study under this section.
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† HR 6157 EAS 
This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2019’’.
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† HR 6157 EAS 
TITLE IV 
RELATED AGENCIES 
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE 
BLIND OR SEVERELY DISABLED 
SALARIES AND EXPENSES 
For expenses necessary for the Committee for Purchase 
From People Who Are Blind or Severely Disabled estab-
lished under section 8502 of title 41, United States Code, 
$8,250,000: Provided, That in order to authorize any cen-
tral nonprofit agency designated pursuant to section 
8503(c) of title 41, United States Code, to perform contract 
requirements of the Committee as prescribed under section 
51–3.2 of title 41, Code of Federal Regulations, the Com-
mittee shall enter into a written agreement with any such 
central nonprofit agency: Provided further, That such 
agreement entered into under the preceding proviso shall 
contain such auditing, oversight, and reporting provisions 
as necessary to implement chapter 85 of title 41, United 
States Code: Provided further, That such agreement shall 
include the elements listed under this heading in the explan-
atory statement accompanying Public Law 114–113: Pro-
vided further, That a fee may not be charged under section 
51–3.5 of title 41, Code of Federal Regulations, unless such 
fee is under the terms of the written agreement between the 
Committee and any such central nonprofit agency: Pro-
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† HR 6157 EAS 
vided further, That no less than $1,250,000 shall be avail-
able for the Office of Inspector General. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
OPERATING EXPENSES 
For necessary expenses for the Corporation for Na-
tional and Community Service (referred to in this title as 
‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 
of 1973 (referred to in this title as ‘‘1973 Act’’) and the 
National and Community Service Act of 1990 (referred to 
in this title as ‘‘1990 Act’’), $770,629,000, notwithstanding 
sections 
198B(b)(3), 
198S(g), 
501(a)(4)(C), 
and 
501(a)(4)(F) of the 1990 Act: Provided, That of the amounts 
provided under this heading: (1) up to 1 percent of program 
grant funds may be used to defray the costs of conducting 
grant application reviews, including the use of outside peer 
reviewers and electronic management of the grants cycle; 
(2) $17,538,000 shall be available to provide assistance to 
State commissions on national and community service, 
under section 126(a) of the 1990 Act and notwithstanding 
section 501(a)(5)(B) of the 1990 Act; (3) $32,000,000 shall 
be available to carry out subtitle E of the 1990 Act; and 
(4) $5,400,000 shall be available for expenses authorized 
under section 501(a)(4)(F) of the 1990 Act, which, notwith-
standing the provisions of section 198P shall be awarded 
by CNCS on a competitive basis: Provided further, That
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† HR 6157 EAS 
for the purposes of carrying out the 1990 Act, satisfying 
the requirements in section 122(c)(1)(D) may include a de-
termination of need by the local community. 
PAYMENT TO THE NATIONAL SERVICE TRUST 
(INCLUDING TRANSFER OF FUNDS) 
For payment to the National Service Trust established 
under subtitle D of title I of the 1990 Act, $198,163,000, 
to remain available until expended: Provided, That CNCS 
may transfer additional funds from the amount provided 
within ‘‘Operating Expenses’’ allocated to grants under sub-
title C of title I of the 1990 Act to the National Service 
Trust upon determination that such transfer is necessary 
to support the activities of national service participants 
and after notice is transmitted to the Committees on Appro-
priations of the House of Representatives and the Senate: 
Provided further, That amounts appropriated for or trans-
ferred to the National Service Trust may be invested under 
section 145(b) of the 1990 Act without regard to the require-
ment to apportion funds under 31 U.S.C. 1513(b). 
SALARIES AND EXPENSES 
For necessary expenses of administration as provided 
under section 501(a)(5) of the 1990 Act and under section 
504(a) of the 1973 Act, including payment of salaries, au-
thorized travel, hire of passenger motor vehicles, the rental 
of conference rooms in the District of Columbia, the employ-
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† HR 6157 EAS 
ment of experts and consultants authorized under 5 U.S.C. 
3109, and not to exceed $2,500 for official reception and 
representation expenses, $83,737,000. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector Gen-
eral in carrying out the Inspector General Act of 1978, 
$5,750,000. 
ADMINISTRATIVE PROVISIONS 
SEC. 401. CNCS shall make any significant changes 
to program requirements, service delivery or policy only 
through public notice and comment rulemaking. For fiscal 
year 2019, during any grant selection process, an officer 
or employee of CNCS shall not knowingly disclose any cov-
ered grant selection information regarding such selection, 
directly or indirectly, to any person other than an officer 
or employee of CNCS that is authorized by CNCS to receive 
such information. 
SEC. 402. AmeriCorps programs receiving grants 
under the National Service Trust program shall meet an 
overall minimum share requirement of 24 percent for the 
first 3 years that they receive AmeriCorps funding, and 
thereafter shall meet the overall minimum share require-
ment as provided in section 2521.60 of title 45, Code of 
Federal Regulations, without regard to the operating costs 
match requirement in section 121(e) or the member support
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† HR 6157 EAS 
Federal share limitations in section 140 of the 1990 Act, 
and subject to partial waiver consistent with section 
2521.70 of title 45, Code of Federal Regulations. 
SEC. 403. Donations made to CNCS under section 196 
of the 1990 Act for the purposes of financing programs and 
operations under titles I and II of the 1973 Act or subtitle 
B, C, D, or E of title I of the 1990 Act shall be used to 
supplement and not supplant current programs and oper-
ations. 
SEC. 404. In addition to the requirements in section 
146(a) of the 1990 Act, use of an educational award for 
the purpose described in section 148(a)(4) shall be limited 
to individuals who are veterans as defined under section 
101 of the Act. 
SEC. 405. For the purpose of carrying out section 
189D of the 1990 Act— 
(1) entities described in paragraph (a) of such 
section shall be considered ‘‘qualified entities’’ under 
section 3 of the National Child Protection Act of 1993 
(‘‘NCPA’’); 
(2) individuals described in such section shall be 
considered ‘‘volunteers’’ under section 3 of NCPA; and 
(3) State Commissions on National and Commu-
nity Service established pursuant to section 178 of the 
1990 Act, are authorized to receive criminal history
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† HR 6157 EAS 
record information, consistent with Public Law 92– 
544. 
SEC. 406. Notwithstanding sections 139(b), 146 and 
147 of the 1990 Act, an individual who successfully com-
pletes a term of service of not less than 1,200 hours during 
a period of not more than one year may receive a national 
service education award having a value of 70 percent of 
the value of a national service education award determined 
under section 147(a) of the Act. 
CORPORATION FOR PUBLIC BROADCASTING 
For payment to the Corporation for Public Broad-
casting (‘‘CPB’’), as authorized by the Communications Act 
of 1934, an amount which shall be available within limita-
tions specified by that Act, for the fiscal year 2021, 
$445,000,000: Provided, That none of the funds made avail-
able to CPB by this Act shall be used to pay for receptions, 
parties, or similar forms of entertainment for Government 
officials or employees: Provided further, That none of the 
funds made available to CPB by this Act shall be available 
or used to aid or support any program or activity from 
which any person is excluded, or is denied benefits, or is 
discriminated against, on the basis of race, color, national 
origin, religion, or sex: Provided further, That none of the 
funds made available to CPB by this Act shall be used to 
apply any political test or qualification in selecting, ap-
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† HR 6157 EAS 
pointing, promoting, or taking any other personnel action 
with respect to officers, agents, and employees of CPB: Pro-
vided further, That none of the funds made available to 
CPB by this Act shall be used to support the Television Fu-
ture Fund or any similar purpose. 
In addition, for the costs associated with replacing and 
upgrading the public broadcasting interconnection system 
and other technologies and services that create infrastruc-
ture and efficiencies within the public media system, 
$20,000,000. 
FEDERAL MEDIATION AND CONCILIATION SERVICE 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mediation and 
Conciliation Service (‘‘Service’’) to carry out the functions 
vested in it by the Labor-Management Relations Act, 1947, 
including hire of passenger motor vehicles; for expenses nec-
essary for the Labor-Management Cooperation Act of 1978; 
and for expenses necessary for the Service to carry out the 
functions vested in it by the Civil Service Reform Act, 
$46,650,000, including up to $900,000 to remain available 
through September 30, 2020, for activities authorized by the 
Labor-Management Cooperation Act of 1978: Provided, 
That notwithstanding 31 U.S.C. 3302, fees charged, up to 
full-cost recovery, for special training activities and other 
conflict resolution services and technical assistance, includ-
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† HR 6157 EAS 
ing those provided to foreign governments and international 
organizations, and for arbitration services shall be credited 
to and merged with this account, and shall remain avail-
able until expended: Provided further, That fees for arbitra-
tion services shall be available only for education, training, 
and professional development of the agency workforce: Pro-
vided further, That the Director of the Service is authorized 
to accept and use on behalf of the United States gifts of 
services and real, personal, or other property in the aid of 
any projects or functions within the Director’s jurisdiction. 
FEDERAL MINE SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mine Safety 
and Health Review Commission, $17,184,000. 
INSTITUTE OF MUSEUM AND LIBRARY SERVICES 
OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS AND 
ADMINISTRATION 
For carrying out the Museum and Library Services 
Act of 1996 and the National Museum of African American 
History and Culture Act, $242,000,000. 
MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1900 of the 
Social Security Act, $8,480,000.
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† HR 6157 EAS 
MEDICARE PAYMENT ADVISORY COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1805 of the 
Social Security Act, $12,545,000, to be transferred to this 
appropriation from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund. 
NATIONAL COUNCIL ON DISABILITY 
SALARIES AND EXPENSES 
For expenses necessary for the National Council on 
Disability as authorized by title IV of the Rehabilitation 
Act of 1973, $3,250,000. 
NATIONAL LABOR RELATIONS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the National Labor Rela-
tions Board to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, and other laws, 
$274,224,000: Provided, That no part of this appropriation 
shall be available to organize or assist in organizing agri-
cultural laborers or used in connection with investigations, 
hearings, directives, or orders concerning bargaining units 
composed of agricultural laborers as referred to in section 
2(3) of the Act of July 5, 1935, and as amended by the 
Labor-Management Relations Act, 1947, and as defined in 
section 3(f) of the Act of June 25, 1938, and including in
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said definition employees engaged in the maintenance and 
operation of ditches, canals, reservoirs, and waterways 
when maintained or operated on a mutual, nonprofit basis 
and at least 95 percent of the water stored or supplied there-
by is used for farming purposes. 
ADMINISTRATIVE PROVISIONS 
SEC. 407. None of the funds provided by this Act or 
previous Acts making appropriations for the National 
Labor Relations Board may be used to issue any new ad-
ministrative directive or regulation that would provide em-
ployees any means of voting through any electronic means 
in an election to determine a representative for the purposes 
of collective bargaining. 
NATIONAL MEDIATION BOARD 
SALARIES AND EXPENSES 
For expenses necessary to carry out the provisions of 
the Railway Labor Act, including emergency boards ap-
pointed by the President, $13,800,000. 
OCCUPATIONAL SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Occupational Safety 
and Health Review Commission, $13,225,000.
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RAILROAD RETIREMENT BOARD 
DUAL BENEFITS PAYMENTS ACCOUNT 
For payment to the Dual Benefits Payments Account, 
authorized under section 15(d) of the Railroad Retirement 
Act of 1974, $19,000,000, which shall include amounts be-
coming available in fiscal year 2019 pursuant to section 
224(c)(1)(B) of Public Law 98–76; and in addition, an 
amount, not to exceed 2 percent of the amount provided 
herein, shall be available proportional to the amount by 
which the product of recipients and the average benefit re-
ceived exceeds the amount available for payment of vested 
dual benefits: Provided, That the total amount provided 
herein shall be credited in 12 approximately equal amounts 
on the first day of each month in the fiscal year. 
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 
ACCOUNTS 
For payment to the accounts established in the Treas-
ury for the payment of benefits under the Railroad Retire-
ment Act for interest earned on unnegotiated checks, 
$150,000, to remain available through September 30, 2020, 
which shall be the maximum amount available for payment 
pursuant to section 417 of Public Law 98–76. 
LIMITATION ON ADMINISTRATION 
For necessary expenses for the Railroad Retirement 
Board (‘‘Board’’) for administration of the Railroad Retire-
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ment Act and the Railroad Unemployment Insurance Act, 
$123,500,000, to be derived in such amounts as determined 
by the Board from the railroad retirement accounts and 
from moneys credited to the railroad unemployment insur-
ance administration fund: Provided, That notwithstanding 
section 7(b)(9) of the Railroad Retirement Act this limita-
tion may be used to hire attorneys only through the excepted 
service: Provided further, That the previous proviso shall 
not change the status under Federal employment laws of 
any attorney hired by the Railroad Retirement Board prior 
to January 1, 2013: Provided further, That $10,000,000, 
to remain available until expended, shall be used to supple-
ment, not supplant, existing resources devoted to operations 
and improvements for the Board’s Information Technology 
Investment Initiatives. 
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral for audit, investigatory and review activities, as au-
thorized by the Inspector General Act of 1978, not more 
than $11,000,000, to be derived from the railroad retire-
ment accounts and railroad unemployment insurance ac-
count.
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SOCIAL SECURITY ADMINISTRATION 
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 
For payment to the Federal Old-Age and Survivors In-
surance Trust Fund and the Federal Disability Insurance 
Trust Fund, as provided under sections 201(m) and 
1131(b)(2) of the Social Security Act, $11,000,000. 
SUPPLEMENTAL SECURITY INCOME PROGRAM 
For carrying out titles XI and XVI of the Social Secu-
rity Act, section 401 of Public Law 92–603, section 212 
of Public Law 93–66, as amended, and section 405 of Public 
Law 95–216, including payment to the Social Security 
trust funds for administrative expenses incurred pursuant 
to 
section 
201(g)(1) 
of 
the 
Social 
Security 
Act, 
$41,390,721,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State 
in the current fiscal year and not obligated by the State 
during that year shall be returned to the Treasury: Pro-
vided further, That not more than $101,000,000 shall be 
available for research and demonstrations under sections 
1110, 1115, and 1144 of the Social Security Act, and re-
main available through September 30, 2021. 
For making, after June 15 of the current fiscal year, 
benefit payments to individuals under title XVI of the So-
cial Security Act, for unanticipated costs incurred for the 
current fiscal year, such sums as may be necessary.
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For making benefit payments under title XVI of the 
Social Security Act for the first quarter of fiscal year 2020, 
$19,700,000,000, to remain available until expended. 
LIMITATION ON ADMINISTRATIVE EXPENSES 
For necessary expenses, including the hire of two pas-
senger motor vehicles, and not to exceed $20,000 for official 
reception and representation expenses, not more than 
$12,816,945,000 may be expended, as authorized by section 
201(g)(1) of the Social Security Act, from any one or all 
of the trust funds referred to in such section: Provided, That 
not less than $2,300,000 shall be for the Social Security 
Advisory Board: Provided further, That $85,000,000 shall 
remain available until expended for information technology 
modernization, including related hardware and software 
infrastructure and equipment, and for administrative ex-
penses directly associated with information technology mod-
ernization: Provided further, That $100,000,000 shall re-
main available through September 30, 2020, for activities 
to address the disability hearings backlog within the Office 
of Hearings Operations: Provided further, That unobligated 
balances of funds provided under this paragraph at the end 
of fiscal year 2019 not needed for fiscal year 2019 shall 
remain available until expended to invest in the Social Se-
curity Administration information technology and tele-
communications hardware and software infrastructure, in-
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cluding related equipment and non-payroll administrative 
expenses associated solely with this information technology 
and telecommunications infrastructure: Provided further, 
That the Commissioner of Social Security shall notify the 
Committees on Appropriations of the House of Representa-
tives and the Senate prior to making unobligated balances 
available under the authority in the previous proviso: Pro-
vided further, That reimbursement to the trust funds under 
this heading for expenditures for official time for employees 
of the Social Security Administration pursuant to 5 U.S.C. 
7131, and for facilities or support services for labor organi-
zations pursuant to policies, regulations, or procedures re-
ferred to in section 7135(b) of such title shall be made by 
the Secretary of the Treasury, with interest, from amounts 
in the general fund not otherwise appropriated, as soon as 
possible after such expenditures are made. 
Of the total amount made available under this head-
ing, not more than $1,683,000,000, to remain available 
through March 31, 2020, is for the costs associated with con-
tinuing disability reviews under titles II and XVI of the 
Social Security Act, including work-related continuing dis-
ability reviews to determine whether earnings derived from 
services demonstrate an individual’s ability to engage in 
substantial gainful activity, for the cost associated with 
conducting redeterminations of eligibility under title XVI
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of the Social Security Act, for the cost of co-operative dis-
ability investigation units, and for the cost associated with 
the prosecution of fraud in the programs and operations 
of the Social Security Administration by Special Assistant 
United States Attorneys: Provided, That, of such amount, 
$273,000,000 is provided to meet the terms of section 
251(b)(2)(B)(ii)(III) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985, as amended, and 
$1,410,000,000 is additional new budget authority specified 
for purposes of section 251(b)(2)(B) of such Act: Provided 
further, That the Commissioner shall provide to the Con-
gress (at the conclusion of the fiscal year) a report on the 
obligation and expenditure of these funds, similar to the 
reports that were required by section 103(d)(2) of Public 
Law 104–121 for fiscal years 1996 through 2002. 
In addition, $134,000,000 to be derived from adminis-
tration fees in excess of $5.00 per supplementary payment 
collected pursuant to section 1616(d) of the Social Security 
Act or section 212(b)(3) of Public Law 93–66, which shall 
remain available until expended. To the extent that the 
amounts collected pursuant to such sections in fiscal year 
2019 exceed $134,000,000, the amounts shall be available 
in fiscal year 2020 only to the extent provided in advance 
in appropriations Acts.
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In addition, up to $1,000,000 to be derived from fees 
collected pursuant to section 303(c) of the Social Security 
Protection Act, which shall remain available until ex-
pended. 
OFFICE OF INSPECTOR GENERAL 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary for the Office of Inspector Gen-
eral in carrying out the provisions of the Inspector General 
Act of 1978, $30,000,000, together with not to exceed 
$75,500,000, to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the 
Federal Old-Age and Survivors Insurance Trust Fund and 
the Federal Disability Insurance Trust Fund. 
In addition, an amount not to exceed 3 percent of the 
total provided in this appropriation may be transferred 
from the ‘‘Limitation on Administrative Expenses’’, Social 
Security Administration, to be merged with this account, 
to be available for the time and purposes for which this 
account is available: Provided, That notice of such transfers 
shall be transmitted promptly to the Committees on Appro-
priations of the House of Representatives and the Senate 
at least 15 days in advance of any transfer.
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TITLE V 
GENERAL PROVISIONS 
(TRANSFER OF FUNDS) 
SEC. 501. The Secretaries of Labor, Health and 
Human Services, and Education are authorized to transfer 
unexpended balances of prior appropriations to accounts 
corresponding to current appropriations provided in this 
Act. Such transferred balances shall be used for the same 
purpose, and for the same periods of time, for which they 
were originally appropriated. 
SEC. 502. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 503. (a) No part of any appropriation contained 
in this Act or transferred pursuant to section 4002 of Public 
Law 111–148 shall be used, other than for normal and rec-
ognized executive-legislative relationships, for publicity or 
propaganda purposes, for the preparation, distribution, or 
use of any kit, pamphlet, booklet, publication, electronic 
communication, radio, television, or video presentation de-
signed to support or defeat the enactment of legislation be-
fore the Congress or any State or local legislature or legisla-
tive body, except in presentation to the Congress or any 
State or local legislature itself, or designed to support or 
defeat any proposed or pending regulation, administrative
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action, or order issued by the executive branch of any State 
or local government, except in presentation to the executive 
branch of any State or local government itself. 
(b) No part of any appropriation contained in this 
Act or transferred pursuant to section 4002 of Public Law 
111–148 shall be used to pay the salary or expenses of any 
grant or contract recipient, or agent acting for such recipi-
ent, related to any activity designed to influence the enact-
ment of legislation, appropriations, regulation, administra-
tive action, or Executive order proposed or pending before 
the Congress or any State government, State legislature or 
local legislature or legislative body, other than for normal 
and recognized executive-legislative relationships or partici-
pation by an agency or officer of a State, local or tribal 
government in policymaking and administrative processes 
within the executive branch of that government. 
(c) The prohibitions in subsections (a) and (b) shall 
include any activity to advocate or promote any proposed, 
pending or future Federal, State or local tax increase, or 
any proposed, pending, or future requirement or restriction 
on any legal consumer product, including its sale or mar-
keting, including but not limited to the advocacy or pro-
motion of gun control. 
SEC. 504. The Secretaries of Labor and Education are 
authorized to make available not to exceed $28,000 and
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(3) percentage and dollar amount of the total 
costs of the project or program that will be financed 
by non-governmental sources. 
SEC. 506. (a) None of the funds appropriated in this 
Act, and none of the funds in any trust fund to which funds 
are appropriated in this Act, shall be expended for any 
abortion. 
(b) None of the funds appropriated in this Act, and 
none of the funds in any trust fund to which funds are 
appropriated in this Act, shall be expended for health bene-
fits coverage that includes coverage of abortion. 
(c) The term ‘‘health benefits coverage’’ means the 
package of services covered by a managed care provider or 
organization pursuant to a contract or other arrangement. 
SEC. 507. (a) The limitations established in the pre-
ceding section shall not apply to an abortion— 
(1) if the pregnancy is the result of an act of 
rape or incest; or 
(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness, 
including a life-endangering physical condition 
caused by or arising from the pregnancy itself, that 
would, as certified by a physician, place the woman 
in danger of death unless an abortion is performed.
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SEC. 508. (a) None of the funds made available in this 
Act may be used for— 
(1) the creation of a human embryo or embryos 
for research purposes; or 
(2) research in which a human embryo or em-
bryos are destroyed, discarded, or knowingly subjected 
to risk of injury or death greater than that allowed 
for research on fetuses in utero under 45 CFR 
46.204(b) and section 498(b) of the Public Health 
Service Act (42 U.S.C. 289g(b)). 
(b) For purposes of this section, the term ‘‘human em-
bryo or embryos’’ includes any organism, not protected as 
a human subject under 45 CFR 46 as of the date of the 
enactment of this Act, that is derived by fertilization, par-
thenogenesis, cloning, or any other means from one or more 
human gametes or human diploid cells. 
SEC. 509. (a) None of the funds made available in this 
Act may be used for any activity that promotes the legaliza-
tion of any drug or other substance included in schedule 
I of the schedules of controlled substances established under 
section 202 of the Controlled Substances Act except for nor-
mal and recognized executive-congressional communica-
tions. 
(b) The limitation in subsection (a) shall not apply 
when there is significant medical evidence of a therapeutic
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advantage to the use of such drug or other substance or that 
federally sponsored clinical trials are being conducted to de-
termine therapeutic advantage. 
SEC. 510. None of the funds made available in this 
Act may be used to promulgate or adopt any final standard 
under section 1173(b) of the Social Security Act providing 
for, or providing for the assignment of, a unique health 
identifier for an individual (except in an individual’s ca-
pacity as an employer or a health care provider), until leg-
islation is enacted specifically approving the standard. 
SEC. 511. None of the funds made available in this 
Act may be obligated or expended to enter into or renew 
a contract with an entity if— 
(1) such entity is otherwise a contractor with the 
United States and is subject to the requirement in 38 
U.S.C. 4212(d) regarding submission of an annual 
report to the Secretary of Labor concerning employ-
ment of certain veterans; and 
(2) such entity has not submitted a report as re-
quired by that section for the most recent year for 
which such requirement was applicable to such entity. 
SEC. 512. None of the funds made available in this 
Act may be transferred to any department, agency, or in-
strumentality of the United States Government, except pur-
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† HR 6157 EAS 
suant to a transfer made by, or transfer authority provided 
in, this Act or any other appropriation Act. 
SEC. 513. None of the funds made available by this 
Act to carry out the Library Services and Technology Act 
may be made available to any library covered by paragraph 
(1) of section 224(f) of such Act, as amended by the Chil-
dren’s Internet Protection Act, unless such library has made 
the certifications required by paragraph (4) of such section. 
SEC. 514. (a) None of the funds provided under this 
Act, or provided under previous appropriations Acts to the 
agencies funded by this Act that remain available for obli-
gation or expenditure in fiscal year 2019, or provided from 
any accounts in the Treasury of the United States derived 
by the collection of fees available to the agencies funded by 
this Act, shall be available for obligation or expenditure 
through a reprogramming of funds that— 
(1) creates new programs; 
(2) eliminates a program, project, or activity; 
(3) increases funds or personnel by any means 
for any project or activity for which funds have been 
denied or restricted; 
(4) relocates an office or employees; 
(5) reorganizes or renames offices; 
(6) reorganizes programs or activities; or
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(7) contracts out or privatizes any functions or 
activities presently performed by Federal employees; 
unless the Committees on Appropriations of the House of 
Representatives and the Senate are consulted 15 days in 
advance of such reprogramming or of an announcement of 
intent relating to such reprogramming, whichever occurs 
earlier, and are notified in writing 10 days in advance of 
such reprogramming. 
(b) None of the funds provided under this Act, or pro-
vided under previous appropriations Acts to the agencies 
funded by this Act that remain available for obligation or 
expenditure in fiscal year 2019, or provided from any ac-
counts in the Treasury of the United States derived by the 
collection of fees available to the agencies funded by this 
Act, shall be available for obligation or expenditure through 
a reprogramming of funds in excess of $500,000 or 10 per-
cent, whichever is less, that— 
(1) augments existing programs, projects (in-
cluding construction projects), or activities; 
(2) reduces by 10 percent funding for any exist-
ing program, project, or activity, or numbers of per-
sonnel by 10 percent as approved by Congress; or 
(3) results from any general savings from a re-
duction in personnel which would result in a change
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in existing programs, activities, or projects as ap-
proved by Congress; 
unless the Committees on Appropriations of the House of 
Representatives and the Senate are consulted 15 days in 
advance of such reprogramming or of an announcement of 
intent relating to such reprogramming, whichever occurs 
earlier, and are notified in writing 10 days in advance of 
such reprogramming. 
SEC. 515. (a) None of the funds made available in this 
Act may be used to request that a candidate for appoint-
ment to a Federal scientific advisory committee disclose the 
political affiliation or voting history of the candidate or 
the position that the candidate holds with respect to polit-
ical issues not directly related to and necessary for the work 
of the committee involved. 
(b) None of the funds made available in this Act may 
be used to disseminate information that is deliberately false 
or misleading. 
SEC. 516. Within 45 days of enactment of this Act, 
each department and related agency funded through this 
Act shall submit an operating plan that details at the pro-
gram, project, and activity level any funding allocations 
for fiscal year 2019 that are different than those specified 
in this Act, the accompanying detailed table in the report
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† HR 6157 EAS 
accompanying this Act or the fiscal year 2019 budget re-
quest. 
SEC. 517. The Secretaries of Labor, Health and 
Human Services, and Education shall each prepare and 
submit to the Committees on Appropriations of the House 
of Representatives and the Senate a report on the number 
and amount of contracts, grants, and cooperative agree-
ments exceeding $500,000 in value and awarded by the De-
partment on a non-competitive basis during each quarter 
of fiscal year 2019, but not to include grants awarded on 
a formula basis or directed by law. Such report shall in-
clude the name of the contractor or grantee, the amount of 
funding, the governmental purpose, including a justifica-
tion for issuing the award on a non-competitive basis. Such 
report shall be transmitted to the Committees within 30 
days after the end of the quarter for which the report is 
submitted. 
SEC. 518. None of the funds appropriated in this Act 
shall be expended or obligated by the Commissioner of So-
cial Security, for purposes of administering Social Security 
benefit payments under title II of the Social Security Act, 
to process any claim for credit for a quarter of coverage 
based on work performed under a social security account 
number that is not the claimant’s number and the perform-
ance of such work under such number has formed the basis
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† HR 6157 EAS 
for a conviction of the claimant of a violation of section 
208(a)(6) or (7) of the Social Security Act. 
SEC. 519. None of the funds appropriated by this Act 
may be used by the Commissioner of Social Security or the 
Social Security Administration to pay the compensation of 
employees of the Social Security Administration to admin-
ister Social Security benefit payments, under any agree-
ment between the United States and Mexico establishing to-
talization arrangements between the social security system 
established by title II of the Social Security Act and the 
social security system of Mexico, which would not otherwise 
be payable but for such agreement. 
SEC. 520. Notwithstanding any other provision of this 
Act, no funds appropriated in this Act shall be used to pur-
chase sterile needles or syringes for the hypodermic injection 
of any illegal drug: Provided, That such limitation does not 
apply to the use of funds for elements of a program other 
than making such purchases if the relevant State or local 
health department, in consultation with the Centers for Dis-
ease Control and Prevention, determines that the State or 
local jurisdiction, as applicable, is experiencing, or is at 
risk for, a significant increase in hepatitis infections or an 
HIV outbreak due to injection drug use, and such program 
is operating in accordance with State and local law.
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† HR 6157 EAS 
SEC. 521. (a) None of the funds made available in this 
Act may be used to maintain or establish a computer net-
work unless such network blocks the viewing, downloading, 
and exchanging of pornography. 
(b) Nothing in subsection (a) shall limit the use of 
funds necessary for any Federal, State, tribal, or local law 
enforcement agency or any other entity carrying out crimi-
nal investigations, prosecution, or adjudication activities. 
SEC. 522. None of the funds made available under this 
or any other Act, or any prior Appropriations Act, may 
be provided to the Association of Community Organizations 
for Reform Now (ACORN), or any of its affiliates, subsidi-
aries, allied organizations, or successors. 
SEC. 523. For purposes of carrying out Executive 
Order 13589, Office of Management and Budget Memo-
randum M–12–12 dated May 11, 2012, and requirements 
contained in the annual appropriations bills relating to 
conference attendance and expenditures: 
(1) the operating divisions of HHS shall be con-
sidered independent agencies; and 
(2) attendance at and support for scientific con-
ferences shall be tabulated separately from and not 
included in agency totals. 
SEC. 524. Federal agencies funded under this Act shall 
clearly state within the text, audio, or video used for adver-
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† HR 6157 EAS 
tising or educational purposes, including emails or Internet 
postings, that the communication is printed, published, or 
produced and disseminated at U.S. taxpayer expense. The 
funds used by a Federal agency to carry out this require-
ment shall be derived from amounts made available to the 
agency for advertising or other communications regarding 
the programs and activities of the agency. 
SEC. 525. (a) Federal agencies may use Federal discre-
tionary funds that are made available in this Act to carry 
out up to 10 Performance Partnership Pilots. Such Pilots 
shall be governed by the provisions of section 526 of division 
H of Public Law 113–76, except that in carrying out such 
Pilots section 526 shall be applied by substituting ‘‘FISCAL 
YEAR 2019’’ for ‘‘FISCAL YEAR 2014’’ in the title of sub-
section (b) and by substituting ‘‘September 30, 2023’’ for 
‘‘September 30, 2018’’ each place it appears: Provided, That 
such pilots shall include communities that have experienced 
civil unrest. 
(b) In addition, Federal agencies may use Federal dis-
cretionary funds that are made available in this Act to par-
ticipate in Performance Partnership Pilots that are being 
carried out pursuant to the authority provided by section 
526 of division H of Public Law 113–76, section 524 of 
division G of Public Law 113–235, section 525 of division 
H of Public Law 114–113, section 525 of division H of Pub-
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† HR 6157 EAS 
lic Law 115–31, and section 525 of division H of Public 
Law 115–141. 
(c) Pilot sites selected under authorities in this Act and 
prior appropriations Acts may be granted by relevant agen-
cies up to an additional 5 years to operate under such au-
thorities. 
SEC. 526. Not later than 30 days after the end of each 
calendar quarter, beginning with the first month of fiscal 
year 2019, the Departments of Labor, Health and Human 
Services and Education and the Social Security Adminis-
tration shall provide the Committees on Appropriations of 
the House of Representatives and Senate a report on the 
status of balances of appropriations: Provided, That for bal-
ances that are unobligated and uncommitted, committed, 
and obligated but unexpended, the monthly reports shall 
separately identify the amounts attributable to each source 
year of appropriation (beginning with fiscal year 2012, or, 
to the extent feasible, earlier fiscal years) from which bal-
ances were derived. 
(RESCISSION) 
SEC. 527. Of any available amounts appropriated 
under section 2104(a)(22) of the Social Security Act (42 
U.S.C. 1397dd) that are unobligated as of September 25, 
2019, $3,345,000,000 are hereby rescinded as of such date.
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SEC. 528. Of the amounts deposited in the Child En-
rollment Contingency Fund for fiscal year 2019 under sec-
tion 2104(n)(2) of the Social Security Act and the income 
derived from investment of those funds pursuant to section 
2104(n)(2)(C) of that Act, $3,398,000,000 shall not be 
available for obligation in this fiscal year. 
SEC. 529. It is the sense of Congress that— 
(1) computer science education programs, includ-
ing coding academies, can provide important benefits 
to local industries and the economy and help meet in- 
demand workforce needs; and 
(2) the Department of Education and Depart-
ment of Labor should work together with industry to 
improve and expand computer science education pro-
grams and opportunities, including through appren-
ticeships. 
This division may be cited as the ‘‘Departments of 
Labor, Health and Human Services, and Education, and 
Related Agencies Appropriations Act, 2019’’. 
Attest: 
Secretary.