gation without written notification to and the prior ap-
proval of the Committees on Appropriations of both 
Houses of Congress: Provided further, That this section 
does not apply to funds appropriated to the FLAME Wild-
fire Suppression Reserve Fund or funds derived from the 
Land and Water Conservation Fund. 
Funds appropriated to the Forest Service shall be 
available for assistance to or through the Agency for Inter-
national Development in connection with forest and range-
land research, technical information, and assistance in for-
eign countries, and shall be available to support forestry 
and related natural resource activities outside the United 
States and its territories and possessions, including tech-
nical assistance, education and training, and cooperation 
with U.S., private, and international organizations. The 
Forest Service, acting for the International Program, may 
sign direct funding agreements with foreign governments 
and institutions as well as other domestic agencies (includ-
ing the U.S. Agency for International Development, the 
Department of State, and the Millennium Challenge Cor-
poration), U.S. private sector firms, institutions and orga-
nizations to provide technical assistance and training pro-
grams overseas on forestry and rangeland management. 
Funds appropriated to the Forest Service shall be 
available for expenditure or transfer to the Department 
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of the Interior, Bureau of Land Management, for removal, 
preparation, and adoption of excess wild horses and burros 
from National Forest System lands, and for the perform-
ance of cadastral surveys to designate the boundaries of 
such lands. 
None of the funds made available to the Forest Serv-
ice in this Act or any other Act with respect to any fiscal 
year shall be subject to transfer under the provisions of 
section 702(b) of the Department of Agriculture Organic 
Act of 1944 (7 U.S.C. 2257), section 442 of Public Law 
106–224 (7 U.S.C. 7772), or section 10417(b) of Public 
Law 107–171 (7 U.S.C. 8316(b)). 
None of the funds available to the Forest Service may 
be reprogrammed without the advance approval of the 
House and Senate Committees on Appropriations in ac-
cordance with the reprogramming procedures contained in 
Senate report 115-276. 
Not more than $82,000,000 of funds available to the 
Forest Service shall be transferred to the Working Capital 
Fund of the Department of Agriculture and not more than 
$14,500,000 of funds available to the Forest Service shall 
be transferred to the Department of Agriculture for De-
partment Reimbursable Programs, commonly referred to 
as Greenbook charges. Nothing in this paragraph shall 
prohibit or limit the use of reimbursable agreements re-
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quested by the Forest Service in order to obtain services 
from the Department of Agriculture’s National Informa-
tion Technology Center and the Department of Agri-
culture’s International Technology Service. 
Of the funds available to the Forest Service, up to 
$5,000,000 shall be available for priority projects within 
the scope of the approved budget, which shall be carried 
out by the Youth Conservation Corps and shall be carried 
out under the authority of the Public Lands Corps Act 
of 1993 (16 U.S.C. 1721 et seq.). 
Of the funds available to the Forest Service, $4,000 
is available to the Chief of the Forest Service for official 
reception and representation expenses. 
Pursuant to sections 405(b) and 410(b) of Public 
Law 101–593, of the funds available to the Forest Service, 
up to $3,000,000 may be advanced in a lump sum to the 
National Forest Foundation to aid conservation partner-
ship projects in support of the Forest Service mission, 
without regard to when the Foundation incurs expenses, 
for projects on or benefitting National Forest System 
lands or related to Forest Service programs: Provided, 
That of the Federal funds made available to the Founda-
tion, no more than $300,000 shall be available for admin-
istrative expenses: Provided further, That the Foundation 
shall obtain, by the end of the period of Federal financial 
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assistance, private contributions to match funds made 
available by the Forest Service on at least a one-for-one 
basis: Provided further, That the Foundation may transfer 
Federal funds to a Federal or a non-Federal recipient for 
a project at the same rate that the recipient has obtained 
the non-Federal matching funds. 
Pursuant to section 2(b)(2) of Public Law 98–244, 
up to $3,000,000 of the funds available to the Forest 
Service may be advanced to the National Fish and Wildlife 
Foundation in a lump sum to aid cost-share conservation 
projects, without regard to when expenses are incurred, 
on or benefitting National Forest System lands or related 
to Forest Service programs: Provided, That such funds 
shall be matched on at least a one-for-one basis by the 
Foundation or its sub-recipients: Provided further, That 
the Foundation may transfer Federal funds to a Federal 
or non-Federal recipient for a project at the same rate 
that the recipient has obtained the non-Federal matching 
funds. 
Funds appropriated to the Forest Service shall be 
available for interactions with and providing technical as-
sistance to rural communities and natural resource-based 
businesses for sustainable rural development purposes. 
Funds appropriated to the Forest Service shall be 
available for payments to counties within the Columbia 
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River Gorge National Scenic Area, pursuant to section 
14(c)(1) and (2), and section 16(a)(2) of Public Law 99– 
663. 
Any funds appropriated to the Forest Service may 
be used to meet the non-Federal share requirement in sec-
tion 502(c) of the Older Americans Act of 1965 (42 
U.S.C. 3056(c)(2)). 
The Forest Service shall not assess funds for the pur-
pose of performing fire, administrative, and other facilities 
maintenance and decommissioning. 
Notwithstanding any other provision of law, of any 
appropriations or funds available to the Forest Service, 
not to exceed $500,000 may be used to reimburse the Of-
fice of the General Counsel (OGC), Department of Agri-
culture, for travel and related expenses incurred as a re-
sult of OGC assistance or participation requested by the 
Forest Service at meetings, training sessions, management 
reviews, land purchase negotiations and similar matters 
unrelated to civil litigation. Future budget justifications 
for both the Forest Service and the Department of Agri-
culture should clearly display the sums previously trans-
ferred and the sums requested for transfer. 
An eligible individual who is employed in any project 
funded under title V of the Older Americans Act of 1965 
(42 U.S.C. 3056 et seq.) and administered by the Forest 
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100 
Service shall be considered to be a Federal employee for 
purposes of chapter 171 of title 28, United States Code. 
Notwithstanding any other provision of this Act, 
through the Office of Budget and Program Analysis, the 
Forest Service shall report no later than 30 business days 
following the close of each fiscal quarter all current and 
prior year unobligated balances, by fiscal year, budget line 
item and account, to the House and Senate Committees 
on Appropriations. 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
INDIAN HEALTH SERVICE 
INDIAN HEALTH SERVICES 
For expenses necessary to carry out the Act of Au-
gust 5, 1954 (68 Stat. 674), the Indian Self-Determina-
tion and Education Assistance Act, the Indian Health 
Care Improvement Act, and titles II and III of the Public 
Health Service Act with respect to the Indian Health Serv-
ice, $4,072,385,000, together with payments received dur-
ing the fiscal year pursuant to sections 231(b) and 233 
of the Public Health Service Act (42 U.S.C. 238(b), 
238b), for services furnished by the Indian Health Service: 
Provided, That funds made available to tribes and tribal 
organizations through contracts, grant agreements, or any 
other agreements or compacts authorized by the Indian 
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101 
Self-Determination and Education Assistance Act of 1975 
(25 U.S.C. 450), shall be deemed to be obligated at the 
time of the grant or contract award and thereafter shall 
remain available to the tribe or tribal organization without 
fiscal year limitation: Provided further, That $2,000,000 
shall be available for grants or contracts with public or 
private institutions to provide alcohol or drug treatment 
services to Indians, including alcohol detoxification serv-
ices: Provided further, That $964,819,000 for Purchased/ 
Referred Care, including $53,000,000 for the Indian Cat-
astrophic Health Emergency Fund, shall remain available 
until expended: Provided further, That of the funds pro-
vided, up to $36,000,000 shall remain available until ex-
pended for implementation of the loan repayment program 
under section 108 of the Indian Health Care Improvement 
Act: Provided further, That of the funds provided, 
$15,000,000 shall remain available until expended to sup-
plement funds available for operational costs at tribal clin-
ics operated under an Indian Self-Determination and Edu-
cation Assistance Act compact or contract where health 
care is delivered in space acquired through a full service 
lease, which is not eligible for maintenance and improve-
ment and equipment funds from the Indian Health Serv-
ice, and $58,000,000 shall be for costs related to or result-
ing from accreditation emergencies, of which up to 
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102 
$4,000,000 may be used to supplement amounts otherwise 
available for Purchased/Referred Care: Provided further, 
That the amounts collected by the Federal Government 
as authorized by sections 104 and 108 of the Indian 
Health Care Improvement Act (25 U.S.C. 1613a and 
1616a) during the preceding fiscal year for breach of con-
tracts shall be deposited to the Fund authorized by section 
108A of that Act (25 U.S.C. 1616a–1) and shall remain 
available until expended and, notwithstanding section 
108A(c) of that Act (25 U.S.C. 1616a–1(c)), funds shall 
be available to make new awards under the loan repay-
ment and scholarship programs under sections 104 and 
108 of that Act (25 U.S.C. 1613a and 1616a): Provided 
further, That the amounts made available within this ac-
count for the Substance Abuse and Suicide Prevention 
Program, for opioid Prevention, Treatment and Recovery 
Services, for the Domestic Violence Prevention Program, 
for the Zero Suicide Initiative, for the housing subsidy au-
thority for civilian employees, for aftercare pilot programs 
at Youth Regional Treatment Centers, to improve collec-
tions from public and private insurance at Indian Health 
Service and tribally operated facilities, and for accredita-
tion emergencies shall be allocated at the discretion of the 
Director of the Indian Health Service and shall remain 
available until expended: Provided further, That funds pro-
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103 
vided in this Act may be used for annual contracts and 
grants for which the performance period falls within 2 fis-
cal years, provided the total obligation is recorded in the 
year the funds are appropriated: Provided further, That 
the amounts collected by the Secretary of Health and 
Human Services under the authority of title IV of the In-
dian Health Care Improvement Act shall remain available 
until expended for the purpose of achieving compliance 
with the applicable conditions and requirements of titles 
XVIII and XIX of the Social Security Act, except for those 
related to the planning, design, or construction of new fa-
cilities: Provided further, That funding contained herein 
for scholarship programs under the Indian Health Care 
Improvement Act shall remain available until expended: 
Provided further, That amounts received by tribes and 
tribal organizations under title IV of the Indian Health 
Care Improvement Act shall be reported and accounted 
for and available to the receiving tribes and tribal organi-
zations until expended: Provided further, That the Bureau 
of Indian Affairs may collect from the Indian Health Serv-
ice, and from tribes and tribal organizations operating 
health facilities pursuant to Public Law 93–638, such in-
dividually identifiable health information relating to dis-
abled children as may be necessary for the purpose of car-
rying out its functions under the Individuals with Disabil-
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104 
ities Education Act (20 U.S.C. 1400 et seq.): Provided 
further, That the accreditation emergency funds may be 
used, as needed, to carry out activities typically funded 
under the Indian Health Facilities account. 
CONTRACT SUPPORT COSTS 
For payments to tribes and tribal organizations for 
contract support costs associated with Indian Self-Deter-
mination and Education Assistance Act agreements with 
the Indian Health Service for fiscal year 2019, such sums 
as may be necessary: Provided, That notwithstanding any 
other provision of law, no amounts made available under 
this heading shall be available for transfer to another 
budget account. 
INDIAN HEALTH FACILITIES 
For construction, repair, maintenance, improvement, 
and equipment of health and related auxiliary facilities, 
including quarters for personnel; preparation of plans, 
specifications, and drawings; acquisition of sites, purchase 
and erection of modular buildings, and purchases of trail-
ers; and for provision of domestic and community sanita-
tion facilities for Indians, as authorized by section 7 of 
the Act of August 5, 1954 (42 U.S.C. 2004a), the Indian 
Self-Determination Act, and the Indian Health Care Im-
provement Act, and for expenses necessary to carry out 
such Acts and titles II and III of the Public Health Serv-
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105 
ice Act with respect to environmental health and facilities 
support 
activities 
of 
the 
Indian 
Health 
Service, 
$877,504,000, to remain available until expended: Pro-
vided, That notwithstanding any other provision of law, 
funds appropriated for the planning, design, construction, 
renovation or expansion of health facilities for the benefit 
of an Indian tribe or tribes may be used to purchase land 
on which such facilities will be located: Provided further, 
That not to exceed $500,000 may be used by the Indian 
Health Service to purchase TRANSAM equipment from 
the Department of Defense for distribution to the Indian 
Health Service and tribal facilities: Provided further, That 
none of the funds appropriated to the Indian Health Serv-
ice may be used for sanitation facilities construction for 
new homes funded with grants by the housing programs 
of the United States Department of Housing and Urban 
Development: Provided further, That not to exceed 
$2,700,000 from this account and the ‘‘Indian Health 
Services’’ account may be used by the Indian Health Serv-
ice to obtain ambulances for the Indian Health Service 
and tribal facilities in conjunction with an existing inter-
agency agreement between the Indian Health Service and 
the General Services Administration: Provided further, 
That not to exceed $500,000 may be placed in a Demoli-
tion Fund, to remain available until expended, and be used 
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106 
by the Indian Health Service for the demolition of Federal 
buildings. 
ADMINISTRATIVE PROVISIONS—INDIAN HEALTH SERVICE 
Appropriations provided in this Act to the Indian 
Health Service shall be available for services as authorized 
by 5 U.S.C. 3109 at rates not to exceed the per diem rate 
equivalent to the maximum rate payable for senior-level 
positions under 5 U.S.C. 5376; hire of passenger motor 
vehicles and aircraft; purchase of medical equipment; pur-
chase of reprints; purchase, renovation and erection of 
modular buildings and renovation of existing facilities; 
payments for telephone service in private residences in the 
field, when authorized under regulations approved by the 
Secretary of Health and Human Services; uniforms or al-
lowances therefor as authorized by 5 U.S.C. 5901–5902; 
and for expenses of attendance at meetings that relate to 
the functions or activities of the Indian Health Service: 
Provided, That in accordance with the provisions of the 
Indian Health Care Improvement Act, non-Indian patients 
may be extended health care at all tribally administered 
or Indian Health Service facilities, subject to charges, and 
the proceeds along with funds recovered under the Federal 
Medical Care Recovery Act (42 U.S.C. 2651–2653) shall 
be credited to the account of the facility providing the 
service and shall be available without fiscal year limitation: 
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107 
Provided further, That notwithstanding any other law or 
regulation, funds transferred from the Department of 
Housing and Urban Development to the Indian Health 
Service shall be administered under Public Law 86–121, 
the Indian Sanitation Facilities Act and Public Law 93– 
638: Provided further, That funds appropriated to the In-
dian Health Service in this Act, except those used for ad-
ministrative and program direction purposes, shall not be 
subject to limitations directed at curtailing Federal travel 
and transportation: Provided further, That none of the 
funds made available to the Indian Health Service in this 
Act shall be used for any assessments or charges by the 
Department of Health and Human Services unless identi-
fied in the budget justification and provided in this Act, 
or approved by the House and Senate Committees on Ap-
propriations through the reprogramming process: Pro-
vided further, That notwithstanding any other provision 
of law, funds previously or herein made available to a tribe 
or tribal organization through a contract, grant, or agree-
ment authorized by title I or title V of the Indian Self- 
Determination and Education Assistance Act of 1975 (25 
U.S.C. 5321 et seq. (title I), 5381 et seq. (title V)), may 
be deobligated and reobligated to a self-determination con-
tract under title I, or a self-governance agreement under 
title V of such Act and thereafter shall remain available 
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108 
to the tribe or tribal organization without fiscal year limi-
tation: Provided further, That none of the funds made 
available to the Indian Health Service in this Act shall 
be used to implement the final rule published in the Fed-
eral Register on September 16, 1987, by the Department 
of Health and Human Services, relating to the eligibility 
for the health care services of the Indian Health Service 
until the Indian Health Service has submitted a budget 
request reflecting the increased costs associated with the 
proposed final rule, and such request has been included 
in an appropriations Act and enacted into law: Provided 
further, That with respect to functions transferred by the 
Indian Health Service to tribes or tribal organizations, the 
Indian Health Service is authorized to provide goods and 
services to those entities on a reimbursable basis, includ-
ing payments in advance with subsequent adjustment, and 
the reimbursements received therefrom, along with the 
funds received from those entities pursuant to the Indian 
Self-Determination Act, may be credited to the same or 
subsequent appropriation account from which the funds 
were originally derived, with such amounts to remain 
available until expended: Provided further, That reim-
bursements for training, technical assistance, or services 
provided by the Indian Health Service will contain total 
costs, including direct, administrative, and overhead costs 
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109 
associated with the provision of goods, services, or tech-
nical assistance: Provided further, That the Indian Health 
Service may provide to civilian medical personnel serving 
in hospitals operated by the Indian Health Service housing 
allowances equivalent to those that would be provided to 
members of the Commissioned Corps of the United States 
Public Health Service serving in similar positions at such 
hospitals: Provided further, That the appropriation struc-
ture for the Indian Health Service may not be altered 
without advance notification to the House and Senate 
Committees on Appropriations. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For necessary expenses for the National Institute of 
Environmental Health Sciences in carrying out activities 
set forth in section 311(a) of the Comprehensive Environ-
mental Response, Compensation, and Liability Act of 
1980 (42 U.S.C. 9660(a)) and section 126(g) of the 
Superfund Amendments and Reauthorization Act of 1986, 
$78,349,000. 
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110 
AGENCY FOR TOXIC SUBSTANCES AND DISEASE 
REGISTRY 
TOXIC SUBSTANCES AND ENVIRONMENTAL PUBLIC 
HEALTH 
For necessary expenses for the Agency for Toxic Sub-
stances and Disease Registry (ATSDR) in carrying out 
activities set forth in sections 104(i) and 111(c)(4) of the 
Comprehensive Environmental Response, Compensation, 
and Liability Act of 1980 (CERCLA) and section 3019 
of the Solid Waste Disposal Act, $74,691,000: Provided, 
That notwithstanding any other provision of law, in lieu 
of performing a health assessment under section 104(i)(6) 
of CERCLA, the Administrator of ATSDR may conduct 
other appropriate health studies, evaluations, or activities, 
including, without limitation, biomedical testing, clinical 
evaluations, medical monitoring, and referral to accredited 
healthcare providers: Provided further, That in performing 
any such health assessment or health study, evaluation, 
or activity, the Administrator of ATSDR shall not be 
bound by the deadlines in section 104(i)(6)(A) of 
CERCLA: Provided further, That none of the funds appro-
priated under this heading shall be available for ATSDR 
to issue in excess of 40 toxicological profiles pursuant to 
section 104(i) of CERCLA during fiscal year 2019, and 
existing profiles may be updated as necessary. 
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141 
mass for energy production does not cause con-
version of forests to non-forest use; 
(B) encourage private investment through-
out the forest biomass supply chain, including 
in— 
(i) working forests; 
(ii) harvesting operations; 
(iii) forest improvement operations; 
(iv) forest bioenergy production; 
(v) wood products manufacturing; or 
(vi) paper manufacturing; 
(C) encourage forest management to im-
prove forest health; and 
(D) recognize State initiatives to produce 
and use forest biomass. 
CLARIFICATION OF EXEMPTIONS 
SEC. 429. None of the funds made available in this 
Act may be used to require a permit for the discharge 
of dredged or fill material under the Federal Water Pollu-
tion Control Act (33 U.S.C. 1251 et seq.) for the activities 
identified in subparagraphs (A) and (C) of section 
404(f)(1) of the Act (33 U.S.C. 1344(f)(1)(A), (C)). 
SMALL REMOTE INCINERATORS 
SEC. 430. None of the funds made available in this 
Act may be used to implement or enforce the regulation 
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