H. R. 3547—359 
This title may be cited as the ‘‘Department of Labor Appropria-
tions Act, 2014’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health Service 
Act (referred to in this Act as the ‘‘PHS Act’’) with respect to 
primary health care and the Native Hawaiian Health Care Act 
of 1988, $1,495,276,000: Provided, That no more than $40,000 shall 
be available until expended for carrying out the provisions of section 
224(o) of the PHS Act, including associated administrative expenses 
and relevant evaluations: Provided further, That no more than 
$94,893,000 shall be available until expended for carrying out the 
provisions of Public Law 104–73 and for expenses incurred by 
the Department of Health and Human Services (referred to in 
this Act as ‘‘HHS’’) pertaining to administrative claims made under 
such law: Provided further, That of funds provided for the Health 
Centers program, as defined by section 330 of the PHS Act, by 
this Act or any other Act for fiscal year 2014, not less than 
$110,000,000 shall be obligated in fiscal year 2014 as base grant 
adjustments and not less than $350,000,000 shall be obligated 
in fiscal year 2014 to support new access points including approved 
and unfunded applications from fiscal year 2013, grants to expand 
medical services, behavioral health, oral health, pharmacy, and 
vision services, and costs associated with the HHS administration 
of these grants. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS Act with 
respect to the health workforce, section 1128E of the Social Security 
Act, and the Health Care Quality Improvement Act of 1986, 
$734,236,000: Provided, That sections 747(c)(2), 751(j)(2), 762(k), 
and the proportional funding amounts in paragraphs (1) through 
(4) of section 756(e) of the PHS Act shall not apply to funds 
made available under this heading: Provided further, That for any 
program operating under section 751 of the PHS Act on or before 
January 1, 2009, the Secretary may hereafter waive any of the 
requirements contained in sections 751(d)(2)(A) and 751(d)(2)(B) 
of such Act for the full project period of a grant under such section: 
Provided further, That no funds shall be available for section 340G– 
1 of the PHS Act: Provided further, That in addition to fees author-
ized by section 427(b) of the Health Care Quality Improvement 
Act of 1986, fees shall be collected for the full disclosure of informa-
tion under such Act sufficient to recover the full costs of operating 
the National Practitioner Data Bank and shall remain available 
until expended to carry out that Act: Provided further, That fees 
collected for the full disclosure of information under the ‘‘Health 
Care Fraud and Abuse Data Collection Program’’, authorized by 
section 1128E(d)(2) of the Social Security Act, shall be sufficient 
to recover the full costs of operating the program, and shall remain 
available until expended to carry out that Act: Provided further,
H. R. 3547—360 
That fees collected for the disclosure of information under the 
information reporting requirement program authorized by section 
1921 of the Social Security Act shall be sufficient to recover the 
full costs of operating the program and shall remain available 
until expended to carry out that Act: Provided further, That funds 
transferred to this account to carry out section 846 and subpart 
3 of part D of title III of the PHS Act may be used to make 
prior year adjustments to awards made under such sections. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the PHS Act 
with respect to maternal and child health, title V of the Social 
Security Act, and section 712 of the American Jobs Creation Act 
of 2004, $846,017,000: Provided, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, not more than 
$77,093,000 shall be available for carrying out special projects 
of regional and national significance pursuant to section 501(a)(2) 
of such Act and $10,276,000 shall be available for projects described 
in paragraphs (A) through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with respect to 
the Ryan White HIV/AIDS program, $2,293,781,000, of which 
$1,970,881,000 shall remain available to the Secretary through 
September 30, 2016, for parts A and B of title XXVI of the PHS 
Act, and of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of section 
2616 or 311(c) of such Act: Provided, That in addition to amounts 
provided herein, $25,000,000 shall be available from amounts avail-
able under section 241 of the PHS Act to carry out parts A, B, 
C, and D of title XXVI of the PHS Act to fund Special Projects 
of National Significance under section 2691. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act with respect 
to health care systems, and the Stem Cell Therapeutic and Research 
Act of 2005, $103,193,000, of which $122,000 shall be available 
until expended for facilities renovations at the Gillis W. Long 
Hansen’s Disease Center. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act with respect 
to rural health, section 427(a) of the Federal Coal Mine Health 
and Safety Act, the Cardiac Arrest Survival Act of 2000, and sec-
tions 711 and 1820 of the Social Security Act, $142,335,000, of 
which $40,609,000 from general revenues, notwithstanding section 
1820(j) of the Social Security Act, shall be available for carrying 
out the Medicare rural hospital flexibility grants program: Provided, 
That of the funds made available under this heading for Medicare 
rural hospital flexibility grants, $14,942,000 shall be available for 
the Small Rural Hospital Improvement Grant Program for quality 
improvement and adoption of health information technology and 
up to $1,000,000 shall be to carry out section 1820(g)(6) of the 
Social Security Act, with funds provided for grants under section
H. R. 3547—361 
1820(g)(6) available for the purchase and implementation of tele-
health services, including pilots and demonstrations on the use 
of electronic health records to coordinate rural veterans care 
between rural providers and the Department of Veterans Affairs 
electronic health record system: Provided further, That notwith-
standing section 338J(k) of the PHS Act, $9,511,000 shall be avail-
able for State Offices of Rural Health. 
FAMILY PLANNING 
For carrying out the program under title X of the PHS Act 
to provide for voluntary family planning projects, $286,479,000: 
Provided, That amounts provided to said projects under such title 
shall not be expended for abortions, that all pregnancy counseling 
shall be nondirective, and that such amounts shall not be expended 
for any activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support or opposi-
tion to any legislative proposal or candidate for public office. 
PROGRAM MANAGEMENT 
For program support in the Health Resources and Services 
Administration, $153,061,000: Provided, That funds made available 
under this heading may be used to supplement program support 
funding provided under the headings ‘‘Primary Health Care’’, 
‘‘Health Workforce’’, ‘‘Maternal and Child Health’’, ‘‘Ryan White 
HIV/AIDS Program’’, ‘‘Health Care Systems’’, and ‘‘Rural Health’’. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT 
Such sums as may be necessary to carry out the purpose 
of the program, as authorized by title VII of the PHS Act. For 
administrative expenses to carry out the guaranteed loan program, 
including section 709 of the PHS Act, $2,687,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation Program 
Trust Fund (the ‘‘Trust Fund’’), such sums as may be necessary 
for claims associated with vaccine-related injury or death with 
respect to vaccines administered after September 30, 1988, pursuant 
to subtitle 2 of title XXI of the PHS Act, to remain available 
until expended: Provided, That for necessary administrative 
expenses, not to exceed $6,464,000 shall be available from the 
Trust Fund to the Secretary. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and section 
2821 of the PHS Act, titles II and IV of the Immigration and 
Nationality Act, and section 501 of the Refugee Education Assist-
ance Act, with respect to immunization and respiratory diseases, 
$571,536,000: Provided, That in addition to amounts provided 
herein, $12,864,000 shall be available from amounts available under 
section 241 of the PHS Act to carry out the National Immunization 
Surveys.
H. R. 3547—362 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED DISEASES, AND 
TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, XXIII, and XXVI of the 
PHS Act with respect to HIV/AIDS, viral hepatitis, sexually trans-
mitted diseases, and tuberculosis prevention, $1,072,834,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 2821 
of the PHS Act, titles II and IV of the Immigration and Nationality 
Act, and section 501 of the Refugee Education Assistance Act, 
with respect to emerging and zoonotic infectious diseases, 
$287,300,000: Provided, That of the funds provided for the Advanced 
Molecular Detection initiative, the CDC Director shall establish 
and publish a five-year program implementation plan within 90 
days of enactment. 
CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and XIX of the 
PHS Act with respect to chronic disease prevention and health 
promotion, $711,650,000: Provided, That funds appropriated under 
this account may be available for making grants under section 
1509 of the PHS Act for not less than 21 States, tribes, or tribal 
organizations: Provided further, That of the funds available under 
this heading, $5,000,000 shall be available to conduct an extension 
and outreach program to combat obesity in counties with the highest 
levels of obesity: Provided further, That of the funds provided under 
this heading, $80,000,000 shall be available for a program consisting 
of three-year grants of no less than $100,000 per year to non- 
governmental entities, local public health offices, school districts, 
local housing authorities, local transportation authorities or Indian 
tribes to implement evidence-based chronic disease prevention 
strategies: Provided further, That applicants for grants described 
in the previous proviso shall determine the population to be served 
and shall agree to work in collaboration with multi-sector partners. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, DISABILITIES AND 
HEALTH 
For carrying out titles II, III, XI, and XVII of the PHS Act 
with respect to birth defects, developmental disabilities, disabilities 
and health, $122,435,000. 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS Act with 
respect to health statistics, surveillance, informatics, and workforce 
development, $347,179,000: Provided, That in addition to amounts 
provided herein, $85,691,000 shall be available from amounts avail-
able under section 241 of the PHS Act to carry out public health 
scientific services. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS Act with 
respect to environmental health, $147,555,000.