1706 
HOUSING FOR THE ELDERLY 
For capital advances, including amendments to cap-
ital advance contracts, for housing for the elderly, as au-
thorized by section 202 of the Housing Act of 1959 (12 
U.S.C. 1701q), for project rental assistance for the elderly 
under section 202(c)(2) of such Act, including amendments 
to contracts for such assistance and renewal of expiring con-
tracts for such assistance for up to a 5-year term, for senior 
preservation rental assistance contracts, including renew-
als, as authorized by section 811(e) of the American Home-
ownership and Economic Opportunity Act of 2000 (12 
U.S.C. 1701q note), and for supportive services associated 
with the housing, $1,033,000,000 to remain available until 
September 30, 2025: Provided, That of the amount made 
available under this heading, up to $125,000,000 shall be 
for service coordinators and the continuation of existing 
congregate service grants for residents of assisted housing 
projects: Provided further, That any funding for existing 
service coordinators under the preceding proviso shall be 
provided within 120 days of enactment of this Act: Provided 
further, That amounts made available under this heading 
shall be available for Real Estate Assessment Center inspec-
tions and inspection-related activities associated with sec-
tion 202 projects: Provided further, That the Secretary may 
waive the provisions of section 202 governing the terms and
1707 
conditions of project rental assistance, except that the ini-
tial contract term for such assistance shall not exceed 5 
years in duration: Provided further, That upon request of 
the Secretary, project funds that are held in residual re-
ceipts accounts for any project subject to a section 202 
project rental assistance contract, and that upon termi-
nation of such contract are in excess of an amount to be 
determined by the Secretary, shall be remitted to the De-
partment and deposited in this account, to remain available 
until September 30, 2025: Provided further, That amounts 
deposited in this account pursuant to the preceding proviso 
shall be available, in addition to the amounts otherwise pro-
vided by this heading, for the purposes authorized under 
this heading: Provided further, That unobligated balances, 
including recaptures and carryover, remaining from funds 
transferred to or appropriated under this heading shall be 
available for the current purposes authorized under this 
heading in addition to the purposes for which such funds 
originally were appropriated: Provided further, That of the 
total amount made available under this heading, up to 
$10,000,000 shall be used to expand the supply of intergen-
erational dwelling units (as such term is defined in section 
202 of the Legacy Act of 2003 (12 U.S.C. 1701q note)) for 
elderly caregivers raising children: Provided further, That 
for the purposes of the preceding proviso the Secretary may
1708 
waive, or specify alternative requirements for, any provi-
sion of section 202 of the Housing Act of 1959 (12 U.S.C. 
1701q) in order to facilitate the development of such units, 
except for requirements related to fair housing, non-
discrimination, labor standards, and the environment: Pro-
vided further, That of the total amount made available 
under this heading, up to $6,000,000 shall be used by the 
Secretary to support preservation transactions of housing 
for the elderly originally developed with a capital advance 
and assisted by a project rental assistance contract under 
the provisions of section 202(c) of the Housing Act of 1959. 
HOUSING FOR PERSONS WITH DISABILITIES 
For capital advances, including amendments to cap-
ital advance contracts, for supportive housing for persons 
with disabilities, as authorized by section 811 of the Cran-
ston-Gonzalez National Affordable Housing Act (42 U.S.C. 
8013), for project rental assistance for supportive housing 
for persons with disabilities under section 811(d)(2) of such 
Act, for project assistance contracts pursuant to subsection 
(h) of section 202 of the Housing Act of 1959, as added 
by section 205(a) of the Housing and Community Develop-
ment Amendments of 1978 (Public Law 95–557: 92 Stat. 
2090), including amendments to contracts for such assist-
ance and renewal of expiring contracts for such assistance 
for up to a 1-year term, for project rental assistance to
1709 
State housing finance agencies and other appropriate enti-
ties as authorized under section 811(b)(3) of the Cranston- 
Gonzalez National Affordable Housing Act, and for sup-
portive services associated with the housing for persons with 
disabilities as authorized by section 811(b)(1) of such Act, 
$352,000,000, to remain available until September 30, 
2025: Provided, That amounts made available under this 
heading shall be available for Real Estate Assessment Cen-
ter inspections and inspection-related activities associated 
with section 811 projects: Provided further, That, upon the 
request of the Secretary, project funds that are held in resid-
ual receipts accounts for any project subject to a section 
811 project rental assistance contract, and that upon termi-
nation of such contract are in excess of an amount to be 
determined by the Secretary, shall be remitted to the De-
partment and deposited in this account, to remain available 
until September 30, 2025: Provided further, That amounts 
deposited in this account pursuant to the preceding proviso 
shall be available in addition to the amounts otherwise pro-
vided by this heading for the purposes authorized under this 
heading: Provided further, That unobligated balances, in-
cluding recaptures and carryover, remaining from funds 
transferred to or appropriated under this heading shall be 
used for the current purposes authorized under this heading
1710 
in addition to the purposes for which such funds originally 
were appropriated. 
HOUSING COUNSELING ASSISTANCE 
For contracts, grants, and other assistance excluding 
loans, as authorized under section 106 of the Housing and 
Urban Development Act of 1968, as amended, $57,500,000, 
to remain available until September 30, 2023, including 
up to $4,500,000 for administrative contract services: Pro-
vided, That funds shall be used for providing counseling 
and advice to tenants and homeowners, both current and 
prospective, with respect to property maintenance, finan-
cial management or literacy, and such other matters as 
may be appropriate to assist them in improving their hous-
ing conditions, meeting their financial needs, and fulfilling 
the responsibilities of tenancy or homeownership; for pro-
gram administration; and for housing counselor training: 
Provided further, That for purposes of awarding grants 
from amounts provided under this heading, the Secretary 
may enter into multiyear agreements, as appropriate, sub-
ject to the availability of annual appropriations. 
PAYMENT TO MANUFACTURED HOUSING FEES TRUST FUND 
For necessary expenses as authorized by the National 
Manufactured Housing Construction and Safety Standards 
Act of 1974 (42 U.S.C. 5401 et seq.), up to $14,000,000, 
to remain available until expended, of which $14,000,000
1711 
shall be derived from the Manufactured Housing Fees Trust 
Fund (established under section 620(e) of such Act (42 
U.S.C. 5419(e)): Provided, That not to exceed the total 
amount appropriated under this heading shall be available 
from the general fund of the Treasury to the extent nec-
essary to incur obligations and make expenditures pending 
the receipt of collections to the Fund pursuant to section 
620 of such Act: Provided further, That the amount made 
available under this heading from the general fund shall 
be reduced as such collections are received during fiscal year 
2022 so as to result in a final fiscal year 2022 appropria-
tion from the general fund estimated at zero, and fees pur-
suant to such section 620 shall be modified as necessary 
to ensure such a final fiscal year 2022 appropriation: Pro-
vided further, That for the dispute resolution and installa-
tion programs, the Secretary may assess and collect fees 
from any program participant: Provided further, That such 
collections shall be deposited into the Trust Fund, and the 
Secretary, as provided herein, may use such collections, as 
well as fees collected under section 620 of such Act, for nec-
essary expenses of such Act: Provided further, That, not-
withstanding the requirements of section 620 of such Act, 
the Secretary may carry out responsibilities of the Sec-
retary under such Act through the use of approved service
1712 
providers that are paid directly by the recipients of their 
services. 
FEDERAL HOUSING ADMINISTRATION 
MUTUAL MORTGAGE INSURANCE PROGRAM ACCOUNT 
New commitments to guarantee single family loans in-
sured under the Mutual Mortgage Insurance Fund shall not 
exceed $400,000,000,000, to remain available until Sep-
tember 30, 2023: Provided, That during fiscal year 2022, 
obligations to make direct loans to carry out the purposes 
of section 204(g) of the National Housing Act, as amended, 
shall not exceed $1,000,000: Provided further, That the fore-
going amount in the preceding proviso shall be for loans 
to nonprofit and governmental entities in connection with 
sales of single family real properties owned by the Secretary 
and formerly insured under the Mutual Mortgage Insurance 
Fund: Provided further, That for administrative contract 
expenses 
of 
the 
Federal 
Housing 
Administration, 
$150,000,000, to remain available until September 30, 
2023: Provided further, That to the extent guaranteed loan 
commitments exceed $200,000,000,000 on or before April 1, 
2022, an additional $1,400 for administrative contract ex-
penses shall be available for each $1,000,000 in additional 
guaranteed loan commitments (including a pro rata 
amount for any amount below $1,000,000), but in no case 
shall funds made available by this proviso exceed
1713 
$30,000,000: Provided further, That notwithstanding the 
limitation in the first sentence of section 255(g) of the Na-
tional Housing Act (12 U.S.C. 1715z–20(g)), during fiscal 
year 2022 the Secretary may insure and enter into new 
commitments to insure mortgages under section 255 of the 
National Housing Act only to the extent that the net credit 
subsidy cost for such insurance does not exceed zero. 
GENERAL AND SPECIAL RISK PROGRAM ACCOUNT 
New commitments to guarantee loans insured under 
the General and Special Risk Insurance Funds, as author-
ized by sections 238 and 519 of the National Housing Act 
(12 U.S.C. 1715z–3 and 1735c), shall not exceed 
$30,000,000,000 in total loan principal, any part of which 
is to be guaranteed, to remain available until September 
30, 2023: Provided, That during fiscal year 2022, gross ob-
ligations for the principal amount of direct loans, as au-
thorized by sections 204(g), 207(l), 238, and 519(a) of the 
National Housing Act, shall not exceed $1,000,000, which 
shall be for loans to nonprofit and governmental entities 
in connection with the sale of single family real properties 
owned by the Secretary and formerly insured under such 
Act.
1714 
GOVERNMENT NATIONAL MORTGAGE ASSOCIATION 
GUARANTEES OF MORTGAGE–BACKED SECURITIES LOAN 
GUARANTEE PROGRAM ACCOUNT 
New commitments to issue guarantees to carry out the 
purposes of section 306 of the National Housing Act, as 
amended 
(12 
U.S.C. 
1721(g)), 
shall 
not 
exceed 
$900,000,000,000, to remain available until September 30, 
2023: Provided, That $33,500,000, to remain available 
until September 30, 2023, shall be for necessary salaries 
and expenses of the Government National Mortgage Associa-
tion: Provided further, That to the extent that guaranteed 
loan commitments exceed $155,000,000,000 on or before 
April 1, 2022, an additional $100 for necessary salaries 
and expenses shall be available until expended for each 
$1,000,000 in additional guaranteed loan commitments 
(including a pro rata amount for any amount below 
$1,000,000), but in no case shall funds made available by 
this proviso exceed $3,000,000: Provided further, That re-
ceipts from Commitment and Multiclass fees collected pur-
suant to title III of the National Housing Act (12 U.S.C. 
1716 et seq.) shall be credited as offsetting collections to this 
account.
1715 
POLICY DEVELOPMENT AND RESEARCH 
RESEARCH AND TECHNOLOGY 
For contracts, grants, and necessary expenses of pro-
grams of research and studies relating to housing and 
urban problems, not otherwise provided for, as authorized 
by title V of the Housing and Urban Development Act of 
1970 (12 U.S.C. 1701z–1 et seq.), including carrying out 
the functions of the Secretary of Housing and Urban Devel-
opment under section 1(a)(1)(i) of Reorganization Plan No. 
2 of 1968, and for technical assistance, $125,400,000, to re-
main available until September 30, 2023: Provided, That 
with respect to amounts made available under this heading, 
notwithstanding section 203 of this title, the Secretary may 
enter into cooperative agreements with philanthropic enti-
ties, other Federal agencies, State or local governments and 
their agencies, Indian Tribes, tribally designated housing 
entities, or colleges or universities for research projects: Pro-
vided further, That with respect to the preceding proviso, 
such partners to the cooperative agreements shall contribute 
at least a 50 percent match toward the cost of the project: 
Provided further, That for non-competitive agreements en-
tered into in accordance with the preceding two provisos, 
the Secretary shall comply with section 2(b) of the Federal 
Funding Accountability and Transparency Act of 2006 
(Public Law 109–282, 31 U.S.C. note) in lieu of compliance
1716 
with section 102(a)(4)(C) of the Department of Housing 
and Urban Development Reform Act of 1989 (42 U.S.C. 
3545(a)(4)(C)) with respect to documentation of award de-
cisions: Provided further, That prior to obligation of tech-
nical assistance funding, the Secretary shall submit a plan 
to the House and Senate Committees on Appropriations on 
how the Secretary will allocate funding for this activity at 
least 30 days prior to obligation: Provided further, That 
none of the funds provided under this heading may be avail-
able for the doctoral dissertation research grant program: 
Provided further, That an additional $20,000,000, to re-
main available until September 30, 2024, shall be for com-
petitive grants to nonprofit or governmental entities to pro-
vide legal assistance (including assistance related to pre-
trial activities, trial activities, post-trial activities and al-
ternative dispute resolution) at no cost to eligible low-in-
come tenants at risk of or subject to eviction: Provided fur-
ther, That in awarding grants under the preceding proviso, 
the Secretary shall give preference to applicants that in-
clude a marketing strategy for residents of areas with high 
rates of eviction, have experience providing no-cost legal as-
sistance to low-income individuals, including those with 
limited English proficiency or disabilities, and have suffi-
cient capacity to administer such assistance, and may select 
unfunded or partially funded eligible applicants identified
1717 
in the previous competition: Provided further, That the Sec-
retary shall ensure, to the extent practicable, that the pro-
portion of eligible tenants living in rural areas who will 
receive legal assistance with grant funds made available 
under this heading is not less than the overall proportion 
of eligible tenants who live in rural areas. 
FAIR HOUSING AND EQUAL OPPORTUNITY 
FAIR HOUSING ACTIVITIES 
For contracts, grants, and other assistance, not other-
wise provided for, as authorized by title VIII of the Civil 
Rights Act of 1968 (42 U.S.C. 3601 et seq.), and section 
561 of the Housing and Community Development Act of 
1987 (42 U.S.C. 3616a), $85,000,000, to remain available 
until September 30, 2023: Provided, That notwithstanding 
section 3302 of title 31, United States Code, the Secretary 
may assess and collect fees to cover the costs of the Fair 
Housing Training Academy, and may use such funds to 
develop on-line courses and provide such training: Provided 
further, That none of the funds made available under this 
heading may be used to lobby the executive or legislative 
branches of the Federal Government in connection with a 
specific contract, grant, or loan: Provided further, That of 
the funds made available under this heading, $1,000,000 
shall be available to the Secretary for the creation and pro-
motion of translated materials and other programs that
1718 
support the assistance of persons with limited English pro-
ficiency in utilizing the services provided by the Depart-
ment of Housing and Urban Development. 
OFFICE OF LEAD HAZARD CONTROL AND HEALTHY 
HOMES 
LEAD HAZARD REDUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For the Lead Hazard Reduction Program, as author-
ized by section 1011 of the Residential Lead-Based Paint 
Hazard Reduction Act of 1992 (42 U.S.C. 4852), and for 
related activities and assistance, $415,000,000, to remain 
available until September 30, 2024: Provided, That the 
amounts made available under this heading are provided 
as follows: 
(1) $290,000,000 shall be for the award of grants 
pursuant to such section 1011, of which not less than 
$95,000,000 shall be provided to areas with the high-
est lead-based paint abatement needs; 
(2) $90,000,000 shall be for the Healthy Homes 
Initiative, pursuant to sections 501 and 502 of the 
Housing and Urban Development Act of 1970, which 
shall include research, studies, testing, and dem-
onstration efforts, including education and outreach 
concerning lead-based paint poisoning and other 
housing-related diseases and hazards, and mitigating
1719 
housing-related health and safety hazards in housing 
of low-income families, of which— 
(A) $5,000,000 of such amounts shall be for 
the implementation of projects in up to five com-
munities that are served by both the Healthy 
Homes Initiative and the Department of Energy 
weatherization programs to demonstrate whether 
the coordination of Healthy Homes remediation 
activities with weatherization activities achieves 
cost savings and better outcomes in improving 
the safety and quality of homes; and 
(B) $15,000,000 of such amounts shall be 
for grants to experienced non-profit organiza-
tions, States, local governments, or public hous-
ing agencies for safety and functional home 
modification repairs and renovations to meet the 
needs of low-income elderly homeowners to enable 
them to remain in their primary residence: Pro-
vided, That of the total amount made available 
under this subparagraph no less than $5,000,000 
shall be available to meet such needs in commu-
nities with substantial rural populations; 
(3) $5,000,000 shall be for the award of grants 
and contracts for research pursuant to sections 1051
1720 
and 1052 of the Residential Lead-Based Paint Haz-
ard Reduction Act of 1992 (42 U.S.C. 4854, 4854a); 
(4) Up to $2,000,000 in total of the amounts 
made available under paragraphs (2) and (3) may be 
transferred to the heading ‘‘Research and Technology’’ 
for the purposes of conducting research and studies 
and for use in accordance with the provisos under 
that heading for non-competitive agreements; 
(5) $25,000,000 shall be for a lead-risk assess-
ment demonstration for public housing agencies to 
conduct lead hazard screenings or lead-risk assess-
ments during housing quality standards inspections 
of units in which a family receiving assistance under 
section 8(o) of the U.S. Housing Act of 1937 (42 
U.S.C. 1437f(o)) resides or expects to reside, and has 
or expects to have a child under age 6 residing in the 
unit, while preserving rental housing availability and 
affordability; and 
(6) $5,000,000 shall be for grants for a radon 
testing and mitigation safety demonstration program 
(the radon demonstration) in public housing: Pro-
vided, That the testing method, mitigation method, or 
action level used under the radon demonstration shall 
be as specified by applicable state or local law, if such 
law is more protective of human health or the envi-
1721 
ronment than the method or level specified by the Sec-
retary: 
Provided further, That for purposes of environmental re-
view, pursuant to the National Environmental Policy Act 
of 1969 (42 U.S.C. 4321 et seq.) and other provisions of 
law that further the purposes of such Act, a grant under 
the Healthy Homes Initiative, or the Lead Technical Stud-
ies program, or other demonstrations or programs under 
this heading or under prior appropriations Acts for such 
purposes under this heading, or under the heading ‘‘Hous-
ing for the Elderly’’ under prior Appropriations Acts, shall 
be considered to be funds for a special project for purposes 
of section 305(c) of the Multifamily Housing Property Dis-
position Reform Act of 1994: Provided further, That each 
applicant for a grant or cooperative agreement under this 
heading shall certify adequate capacity that is acceptable 
to the Secretary to carry out the proposed use of funds pur-
suant to a notice of funding opportunity: Provided further, 
That amounts made available under this heading, except 
for amounts in paragraphs (2)(B) for home modification 
repairs and renovations, in this or prior appropriations 
Acts, still remaining available, may be used for any pur-
pose under this heading notwithstanding the purpose for 
which such amounts were appropriated if a program com-
1722 
petition is undersubscribed and there are other program 
competitions under this heading that are oversubscribed. 
INFORMATION TECHNOLOGY FUND 
For Department-wide and program-specific informa-
tion technology systems and infrastructure, $323,200,000, 
to remain available until September 30, 2024, of which up 
to $40,000,000 shall be for development, modernization, and 
enhancement projects, including planning for such projects: 
Provided, That not more than 10 percent of the funds made 
available under this heading for development, moderniza-
tion, and enhancement may be obligated until the Secretary 
submits and the House and Senate Committees on Appro-
priations approve a plan that— 
(1) identifies for each development, moderniza-
tion, and enhancement project to be funded from 
available balances, including carryover— 
(A) plain language summaries of the project 
scope; 
(B) the estimated total project cost; and 
(C) key milestones to be met; and 
(2) identifies for each major modernization 
project— 
(A) the functional and performance capa-
bilities to be delivered and the mission benefits 
to be realized;
1723 
(B) the estimated life-cycle cost; 
(C) key milestones to be met through the 
project end date, including any identified system 
decommissioning; 
(D) a description of the procurement strat-
egy and governance structure for the project and 
the number of HUD staff and contractors sup-
porting the project; and 
(E) certification from the Chief Information 
Officer that each project is compliant with the 
Department’s enterprise architecture, life-cycle 
management and capital planning and invest-
ment control requirements: 
Provided further, That not later than 30 days after 
the end of each quarter, the Secretary shall submit an 
updated report to the Committees on Appropriations 
of the House of Representatives and the Senate sum-
marizing the status, cost and plan for all moderniza-
tion projects; and for each major modernization 
project with an approved project plan, identifying— 
(1) results and actual expenditures of the prior 
quarter; 
(2) any variances in cost, schedule (including 
procurement), or functionality from the previously
1724 
approved project plan, reasons for such variances and 
estimated impact on total life-cycle costs; and 
(3) risks and mitigation strategies associated 
with ongoing work. 
OFFICE OF INSPECTOR GENERAL 
For necessary salaries and expenses of the Office of In-
spector General in carrying out the Inspector General Act 
of 1978, as amended, $140,000,000: Provided, That the In-
spector General shall have independent authority over all 
personnel issues within this office. 
GENERAL PROVISIONS—DEPARTMENT OF HOUSING AND 
URBAN DEVELOPMENT 
(INCLUDING TRANSFER OF FUNDS) 
(INCLUDING RESCISSIONS) 
SEC. 201. Fifty percent of the amounts of budget au-
thority, or in lieu thereof 50 percent of the cash amounts 
associated with such budget authority, that are recaptured 
from projects described in section 1012(a) of the Stewart 
B. McKinney Homeless Assistance Amendments Act of 1988 
(42 U.S.C. 1437f note) shall be rescinded or in the case of 
cash, shall be remitted to the Treasury, and such amounts 
of budget authority or cash recaptured and not rescinded 
or remitted to the Treasury shall be used by State housing 
finance agencies or local governments or local housing agen-
cies with projects approved by the Secretary of Housing and
1725 
Urban Development for which settlement occurred after 
January 1, 1992, in accordance with such section. Notwith-
standing the previous sentence, the Secretary may award 
up to 15 percent of the budget authority or cash recaptured 
and not rescinded or remitted to the Treasury to provide 
project owners with incentives to refinance their project at 
a lower interest rate. 
SEC. 202. None of the funds made available by this 
Act may be used during fiscal year 2022 to investigate or 
prosecute under the Fair Housing Act any otherwise lawful 
activity engaged in by one or more persons, including the 
filing or maintaining of a nonfrivolous legal action, that 
is engaged in solely for the purpose of achieving or pre-
venting action by a Government official or entity, or a 
court of competent jurisdiction. 
SEC. 203. Except as explicitly provided in law, any 
grant, cooperative agreement or other assistance made pur-
suant to title II of this Act shall be made on a competitive 
basis and in accordance with section 102 of the Department 
of Housing and Urban Development Reform Act of 1989 
(42 U.S.C. 3545). 
SEC. 204. Funds of the Department of Housing and 
Urban Development subject to the Government Corporation 
Control Act or section 402 of the Housing Act of 1950 shall 
be available, without regard to the limitations on adminis-
1726 
trative expenses, for legal services on a contract or fee basis, 
and for utilizing and making payment for services and fa-
cilities of the Federal National Mortgage Association, Gov-
ernment National Mortgage Association, Federal Home 
Loan Mortgage Corporation, Federal Financing Bank, Fed-
eral Reserve banks or any member thereof, Federal Home 
Loan banks, and any insured bank within the meaning of 
the Federal Deposit Insurance Corporation Act, as amended 
(12 U.S.C. 1811–1). 
SEC. 205. Unless otherwise provided for in this Act 
or through a reprogramming of funds, no part of any ap-
propriation for the Department of Housing and Urban De-
velopment shall be available for any program, project or 
activity in excess of amounts set forth in the budget esti-
mates submitted to Congress. 
SEC. 206. Corporations and agencies of the Depart-
ment of Housing and Urban Development which are subject 
to the Government Corporation Control Act are hereby au-
thorized to make such expenditures, within the limits of 
funds and borrowing authority available to each such cor-
poration or agency and in accordance with law, and to 
make such contracts and commitments without regard to 
fiscal year limitations as provided by section 104 of such 
Act as may be necessary in carrying out the programs set 
forth in the budget for 2022 for such corporation or agency
1727 
except as hereinafter provided: Provided, That collections 
of these corporations and agencies may be used for new loan 
or mortgage purchase commitments only to the extent ex-
pressly provided for in this Act (unless such loans are in 
support of other forms of assistance provided for in this or 
prior appropriations Acts), except that this proviso shall 
not apply to the mortgage insurance or guaranty operations 
of these corporations, or where loans or mortgage purchases 
are necessary to protect the financial interest of the United 
States Government. 
SEC. 207. The Secretary shall provide quarterly re-
ports to the House and Senate Committees on Appropria-
tions regarding all uncommitted, unobligated, recaptured 
and excess funds in each program and activity within the 
jurisdiction of the Department and shall submit additional, 
updated budget information to these Committees upon re-
quest. 
SEC. 208. None of the funds made available by this 
title may be used for an audit of the Government National 
Mortgage Association that makes applicable requirements 
under the Federal Credit Reform Act of 1990 (2 U.S.C. 661 
et seq.). 
SEC. 209. (a) Notwithstanding any other provision of 
law, subject to the conditions listed under this section, for 
fiscal years 2022 and 2023, the Secretary of Housing and
1728 
Urban Development may authorize the transfer of some or 
all project-based assistance, debt held or insured by the Sec-
retary and statutorily required low-income and very low- 
income use restrictions if any, associated with one or more 
multifamily housing project or projects to another multi-
family housing project or projects. 
(b) PHASED TRANSFERS.—Transfers of project-based 
assistance under this section may be done in phases to ac-
commodate the financing and other requirements related to 
rehabilitating or constructing the project or projects to 
which the assistance is transferred, to ensure that such 
project or projects meet the standards under subsection (c). 
(c) The transfer authorized in subsection (a) is subject 
to the following conditions: 
(1) NUMBER AND BEDROOM SIZE OF UNITS.— 
(A) For occupied units in the transferring 
project: The number of low-income and very low- 
income units and the configuration (i.e., bed-
room size) provided by the transferring project 
shall be no less than when transferred to the re-
ceiving project or projects and the net dollar 
amount of Federal assistance provided to the 
transferring project shall remain the same in the 
receiving project or projects.
1729 
(B) For unoccupied units in the transfer-
ring project: The Secretary may authorize a re-
duction in the number of dwelling units in the 
receiving project or projects to allow for a recon-
figuration of bedroom sizes to meet current mar-
ket demands, as determined by the Secretary and 
provided there is no increase in the project-based 
assistance budget authority. 
(2) The transferring project shall, as determined 
by the Secretary, be either physically obsolete or eco-
nomically nonviable, or be reasonably expected to be-
come economically nonviable when complying with 
state or Federal requirements for community integra-
tion and reduced concentration of individuals with 
disabilities. 
(3) The receiving project or projects shall meet or 
exceed applicable physical standards established by 
the Secretary. 
(4) The owner or mortgagor of the transferring 
project shall notify and consult with the tenants re-
siding in the transferring project and provide a cer-
tification of approval by all appropriate local govern-
mental officials. 
(5) The tenants of the transferring project who 
remain eligible for assistance to be provided by the re-
1730 
ceiving project or projects shall not be required to va-
cate their units in the transferring project or projects 
until new units in the receiving project are available 
for occupancy. 
(6) The Secretary determines that this transfer is 
in the best interest of the tenants. 
(7) If either the transferring project or the re-
ceiving project or projects meets the condition speci-
fied in subsection (d)(2)(A), any lien on the receiving 
project resulting from additional financing obtained 
by the owner shall be subordinate to any FHA-in-
sured mortgage lien transferred to, or placed on, such 
project by the Secretary, except that the Secretary 
may waive this requirement upon determination that 
such a waiver is necessary to facilitate the financing 
of acquisition, construction, and/or rehabilitation of 
the receiving project or projects. 
(8) If the transferring project meets the require-
ments of subsection (d)(2), the owner or mortgagor of 
the receiving project or projects shall execute and 
record either a continuation of the existing use agree-
ment or a new use agreement for the project where, 
in either case, any use restrictions in such agreement 
are of no lesser duration than the existing use restric-
tions.
1731 
(9) The transfer does not increase the cost (as de-
fined in section 502 of the Congressional Budget Act 
of 1974 (2 U.S.C. 661a)) of any FHA-insured mort-
gage, except to the extent that appropriations are pro-
vided in advance for the amount of any such in-
creased cost. 
(d) For purposes of this section— 
(1) the terms ‘‘low-income’’ and ‘‘very low-in-
come’’ shall have the meanings provided by the statute 
and/or regulations governing the program under 
which the project is insured or assisted; 
(2) the term ‘‘multifamily housing project’’ 
means housing that meets one of the following condi-
tions— 
(A) housing that is subject to a mortgage 
insured under the National Housing Act; 
(B) housing that has project-based assist-
ance attached to the structure including projects 
undergoing mark to market debt restructuring 
under the Multifamily Assisted Housing Reform 
and Affordability Housing Act; 
(C) housing that is assisted under section 
202 of the Housing Act of 1959 (12 U.S.C. 
1701q);
1732 
(D) housing that is assisted under section 
202 of the Housing Act of 1959 (12 U.S.C. 
1701q), as such section existed before the enact-
ment of the Cranston-Gonzales National Afford-
able Housing Act; 
(E) housing that is assisted under section 
811 of the Cranston-Gonzales National Afford-
able Housing Act (42 U.S.C. 8013); or 
(F) housing or vacant land that is subject 
to a use agreement; 
(3) the term ‘‘project-based assistance’’ means— 
(A) assistance provided under section 8(b) 
of the United States Housing Act of 1937 (42 
U.S.C. 1437f(b)); 
(B) assistance for housing constructed or 
substantially rehabilitated pursuant to assistance 
provided under section 8(b)(2) of such Act (as 
such section existed immediately before October 
1, 1983); 
(C) rent supplement payments under sec-
tion 101 of the Housing and Urban Development 
Act of 1965 (12 U.S.C. 1701s); 
(D) interest reduction payments under sec-
tion 236 and/or additional assistance payments
1733 
under section 236(f)(2) of the National Housing 
Act (12 U.S.C. 1715z–1); 
(E) assistance payments made under sec-
tion 202(c)(2) of the Housing Act of 1959 (12 
U.S.C. 1701q(c)(2)); and 
(F) assistance payments made under section 
811(d)(2) of the Cranston-Gonzalez National Af-
fordable Housing Act (42 U.S.C. 8013(d)(2)); 
(4) the term ‘‘receiving project or projects’’ 
means the multifamily housing project or projects to 
which some or all of the project-based assistance, debt, 
and statutorily required low-income and very low-in-
come use restrictions are to be transferred; 
(5) the term ‘‘transferring project’’ means the 
multifamily housing project which is transferring 
some or all of the project-based assistance, debt, and 
the statutorily required low-income and very low-in-
come use restrictions to the receiving project or 
projects; and 
(6) the term ‘‘Secretary’’ means the Secretary of 
Housing and Urban Development. 
(e) RESEARCH REPORT.—The Secretary shall conduct 
an evaluation of the transfer authority under this section, 
including the effect of such transfers on the operational effi-
1734 
ciency, contract rents, physical and financial conditions, 
and long-term preservation of the affected properties. 
SEC. 210. (a) No assistance shall be provided under 
section 8 of the United States Housing Act of 1937 (42 
U.S.C. 1437f) to any individual who— 
(1) is enrolled as a student at an institution of 
higher education (as defined under section 102 of the 
Higher Education Act of 1965 (20 U.S.C. 1002)); 
(2) is under 24 years of age; 
(3) is not a veteran; 
(4) is unmarried; 
(5) does not have a dependent child; 
(6) is not a person with disabilities, as such 
term is defined in section 3(b)(3)(E) of the United 
States 
Housing 
Act 
of 
1937 
(42 
U.S.C. 
1437a(b)(3)(E)) and was not receiving assistance 
under such section 8 as of November 30, 2005; 
(7) is not a youth who left foster care at age 14 
or older and is at risk of becoming homeless; and 
(8) is not otherwise individually eligible, or has 
parents who, individually or jointly, are not eligible, 
to receive assistance under section 8 of the United 
States Housing Act of 1937 (42 U.S.C. 1437f). 
(b) For purposes of determining the eligibility of a per-
son to receive assistance under section 8 of the United States
1735 
Housing Act of 1937 (42 U.S.C. 1437f), any financial as-
sistance (in excess of amounts received for tuition and any 
other required fees and charges) that an individual receives 
under the Higher Education Act of 1965 (20 U.S.C. 1001 
et seq.), from private sources, or from an institution of high-
er education (as defined under section 102 of the Higher 
Education Act of 1965 (20 U.S.C. 1002)), shall be consid-
ered income to that individual, except for a person over the 
age of 23 with dependent children. 
SEC. 211. The funds made available for Native Alas-
kans under paragraph (1) under the heading ‘‘Native Amer-
ican Programs’’ in title II of this Act shall be allocated to 
the same Native Alaskan housing block grant recipients that 
received funds in fiscal year 2005, and only such recipients 
shall be eligible to apply for funds made available under 
paragraph (2) of such heading. 
SEC. 212. Notwithstanding any other provision of law, 
in fiscal year 2022, in managing and disposing of any mul-
tifamily property that is owned or has a mortgage held by 
the Secretary of Housing and Urban Development, and dur-
ing the process of foreclosure on any property with a con-
tract for rental assistance payments under section 8 of the 
United States Housing Act of 1937 (42 U.S.C. 1437f) or 
any other Federal programs, the Secretary shall maintain 
any rental assistance payments under section 8 of the
1736 
United States Housing Act of 1937 and other programs that 
are attached to any dwelling units in the property. To the 
extent the Secretary determines, in consultation with the 
tenants and the local government that such a multifamily 
property owned or having a mortgage held by the Secretary 
is not feasible for continued rental assistance payments 
under such section 8 or other programs, based on consider-
ation of (1) the costs of rehabilitating and operating the 
property and all available Federal, State, and local re-
sources, including rent adjustments under section 524 of the 
Multifamily Assisted Housing Reform and Affordability 
Act of 1997 (in this section ‘‘MAHRAA’’) (42 U.S.C. 1437f 
note), and (2) environmental conditions that cannot be rem-
edied in a cost-effective fashion, the Secretary may, in con-
sultation with the tenants of that property, contract for 
project-based rental assistance payments with an owner or 
owners of other existing housing properties, or provide other 
rental assistance. The Secretary shall also take appropriate 
steps to ensure that project-based contracts remain in effect 
prior to foreclosure, subject to the exercise of contractual 
abatement remedies to assist relocation of tenants for immi-
nent major threats to health and safety after written notice 
to and informed consent of the affected tenants and use of 
other available remedies, such as partial abatements or re-
ceivership. After disposition of any multifamily property
1737 
described in this section, the contract and allowable rent 
levels on such properties shall be subject to the requirements 
under section 524 of MAHRAA. 
SEC. 213. Public housing agencies that own and oper-
ate 400 or fewer public housing units may elect to be exempt 
from any asset management requirement imposed by the 
Secretary in connection with the operating fund rule: Pro-
vided, That an agency seeking a discontinuance of a reduc-
tion of subsidy under the operating fund formula shall not 
be exempt from asset management requirements. 
SEC. 214. With respect to the use of amounts provided 
in this Act and in future Acts for the operation, capital 
improvement, and management of public housing as au-
thorized by sections 9(d) and 9(e) of the United States 
Housing Act of 1937 (42 U.S.C. 1437g(d),(e)), the Secretary 
shall not impose any requirement or guideline relating to 
asset management that restricts or limits in any way the 
use of capital funds for central office costs pursuant to 
paragraph (1) or (2) of section 9(g) of the United States 
Housing Act of 1937 (42 U.S.C. 1437g(g)(1), (2)): Provided, 
That a public housing agency may not use capital funds 
authorized under section 9(d) for activities that are eligible 
under section 9(e) for assistance with amounts from the op-
erating fund in excess of the amounts permitted under 
paragraph (1) or (2) of section 9(g).
1738 
SEC. 215. No official or employee of the Department 
of Housing and Urban Development shall be designated as 
an allotment holder unless the Office of the Chief Financial 
Officer has determined that such allotment holder has im-
plemented an adequate system of funds control and has re-
ceived training in funds control procedures and directives. 
The Chief Financial Officer shall ensure that there is a 
trained allotment holder for each HUD appropriation 
under the accounts ‘‘Executive Offices’’, ‘‘Administrative 
Support Offices’’, ‘‘Program Offices’’, ‘‘Government Na-
tional Mortgage Association—Guarantees of Mortgage- 
Backed Securities Loan Guarantee Program Account’’, and 
‘‘Office of Inspector General’’ within the Department of 
Housing and Urban Development. 
SEC. 216. The Secretary shall, for fiscal year 2022, 
notify the public through the Federal Register and other 
means, as determined appropriate, of the issuance of a no-
tice of the availability of assistance or notice of funding 
opportunity (NOFO) for any program or discretionary 
fund administered by the Secretary that is to be competi-
tively awarded. Notwithstanding any other provision of 
law, for fiscal year 2022, the Secretary may make the 
NOFO available only on the Internet at the appropriate 
Government website or through other electronic media, as 
determined by the Secretary.
1739 
SEC. 217. Payment of attorney fees in program-related 
litigation shall be paid from the individual program office 
and Office of General Counsel salaries and expenses appro-
priations. 
SEC. 218. The Secretary is authorized to transfer up 
to 10 percent or $5,000,000, whichever is less, of funds ap-
propriated for any office under the headings ‘‘Administra-
tive Support Offices’’ or ‘‘Program Offices’’ to any other 
such office under such headings: Provided, That no appro-
priation for any such office under such headings shall be 
increased or decreased by more than 10 percent or 
$5,000,000, whichever is less, without prior written ap-
proval of the House and Senate Committees on Appropria-
tions: Provided further, That the Secretary shall provide no-
tification to such Committees 3 business days in advance 
of any such transfers under this section up to 10 percent 
or $5,000,000, whichever is less. 
SEC. 219. (a) Any entity receiving housing assistance 
payments shall maintain decent, safe, and sanitary condi-
tions, as determined by the Secretary, and comply with any 
standards under applicable State or local laws, rules, ordi-
nances, or regulations relating to the physical condition of 
any property covered under a housing assistance payment 
contract.
1740 
(b) The Secretary shall take action under subsection 
(c) when a multifamily housing project with a contract 
under section 8 of the United States Housing Act of 1937 
(42 U.S.C. 1437f) or a contract for similar project-based 
assistance— 
(1) receives a Uniform Physical Condition 
Standards (UPCS) score of 60 or less; or 
(2) fails to certify in writing to the Secretary 
within 3 days that all Exigent Health and Safety de-
ficiencies identified by the inspector at the project 
have been corrected. 
Such requirements shall apply to insured and non-
insured projects with assistance attached to the units under 
section 8 of the United States Housing Act of 1937 (42 
U.S.C. 1437f), but shall not apply to such units assisted 
under section 8(o)(13) of such Act (42 U.S.C. 1437f(o)(13)) 
or to public housing units assisted with capital or operating 
funds under section 9 of the United States Housing Act of 
1937 (42 U.S.C. 1437g). 
(c)(1) Within 15 days of the issuance of the Real Es-
tate Assessment Center (‘‘REAC’’) inspection, the Secretary 
shall provide the owner with a Notice of Default with a 
specified timetable, determined by the Secretary, for cor-
recting all deficiencies. The Secretary shall provide a copy 
of the Notice of Default to the tenants, the local government,
1741 
any mortgagees, and any contract administrator. If the 
owner’s appeal results in a UPCS score of 60 or above, the 
Secretary may withdraw the Notice of Default. 
(2) At the end of the time period for correcting all defi-
ciencies specified in the Notice of Default, if the owner fails 
to fully correct such deficiencies, the Secretary may— 
(A) require immediate replacement of project 
management with a management agent approved by 
the Secretary; 
(B) impose civil money penalties, which shall be 
used solely for the purpose of supporting safe and 
sanitary conditions at applicable properties, as des-
ignated by the Secretary, with priority given to the 
tenants of the property affected by the penalty; 
(C) abate the section 8 contract, including par-
tial abatement, as determined by the Secretary, until 
all deficiencies have been corrected; 
(D) pursue transfer of the project to an owner, 
approved by the Secretary under established proce-
dures, who will be obligated to promptly make all re-
quired repairs and to accept renewal of the assistance 
contract if such renewal is offered; 
(E) transfer the existing section 8 contract to an-
other project or projects and owner or owners;
1742 
(F) pursue exclusionary sanctions, including 
suspensions or debarments from Federal programs; 
(G) seek judicial appointment of a receiver to 
manage the property and cure all project deficiencies 
or seek a judicial order of specific performance requir-
ing the owner to cure all project deficiencies; 
(H) work with the owner, lender, or other related 
party to stabilize the property in an attempt to pre-
serve the property through compliance, transfer of 
ownership, or an infusion of capital provided by a 
third-party that requires time to effectuate; or 
(I) take any other regulatory or contractual rem-
edies available as deemed necessary and appropriate 
by the Secretary. 
(d) The Secretary shall take appropriate steps to en-
sure that project-based contracts remain in effect, subject 
to the exercise of contractual abatement remedies to assist 
relocation of tenants for major threats to health and safety 
after written notice to the affected tenants. To the extent 
the Secretary determines, in consultation with the tenants 
and the local government, that the property is not feasible 
for continued rental assistance payments under such section 
8 or other programs, based on consideration of— 
(1) the costs of rehabilitating and operating the 
property and all available Federal, State, and local
1743 
resources, including rent adjustments under section 
524 of the Multifamily Assisted Housing Reform and 
Affordability Act of 1997 (‘‘MAHRAA’’); and 
(2) environmental conditions that cannot be 
remedied in a cost-effective fashion, the Secretary 
may contract for project-based rental assistance pay-
ments with an owner or owners of other existing hous-
ing properties, or provide other rental assistance. 
(e) The Secretary shall report semi-annually on all 
properties covered by this section that are assessed through 
the Real Estate Assessment Center and have UPCS physical 
inspection scores of less than 60 or have received an unsatis-
factory management and occupancy review within the past 
36 months. The report shall include— 
(1) identification of the enforcement actions 
being taken to address such conditions, including im-
position of civil money penalties and termination of 
subsidies, and identification of properties that have 
such conditions multiple times; 
(2) identification of actions that the Department 
of Housing and Urban Development is taking to pro-
tect tenants of such identified properties; and 
(3) any administrative or legislative rec-
ommendations to further improve the living condi-
1744 
tions at properties covered under a housing assistance 
payment contract. 
The first report shall be submitted to the Senate and 
House Committees on Appropriations not later than 30 
days after the enactment of this Act, and the second report 
shall be submitted within 180 days of the transmittal of 
the first report. 
SEC. 220. None of the funds made available by this 
Act, or any other Act, for purposes authorized under section 
8 (only with respect to the tenant-based rental assistance 
program) and section 9 of the United States Housing Act 
of 1937 (42 U.S.C. 1437 et seq.), may be used by any public 
housing agency for any amount of salary, including bo-
nuses, for the chief executive officer of which, or any other 
official or employee of which, that exceeds the annual rate 
of basic pay payable for a position at level IV of the Execu-
tive Schedule at any time during any public housing agen-
cy fiscal year 2022. 
SEC. 221. None of the funds made available by this 
Act and provided to the Department of Housing and Urban 
Development may be used to make a grant award unless 
the Secretary notifies the House and Senate Committees on 
Appropriations not less than 3 full business days before any 
project, State, locality, housing authority, Tribe, nonprofit
1745 
organization, or other entity selected to receive a grant 
award is announced by the Department or its offices. 
SEC. 222. None of the funds made available in this 
Act shall be used by the Federal Housing Administration, 
the Government National Mortgage Association, or the De-
partment of Housing and Urban Development to insure, 
securitize, or establish a Federal guarantee of any mortgage 
or mortgage backed security that refinances or otherwise re-
places a mortgage that has been subject to eminent domain 
condemnation or seizure, by a State, municipality, or any 
other political subdivision of a State. 
SEC. 223. None of the funds made available by this 
Act may be used to terminate the status of a unit of general 
local government as a metropolitan city (as defined in sec-
tion 102 of the Housing and Community Development Act 
of 1974 (42 U.S.C. 5302)) with respect to grants under sec-
tion 106 of such Act (42 U.S.C. 5306). 
SEC. 224. Amounts made available by this Act that 
are appropriated, allocated, advanced on a reimbursable 
basis, or transferred to the Office of Policy Development and 
Research of the Department of Housing and Urban Devel-
opment and functions thereof, for research, evaluation, or 
statistical purposes, and that are unexpended at the time 
of completion of a contract, grant, or cooperative agreement, 
may be deobligated and shall immediately become available
1746 
and may be reobligated in that fiscal year or the subsequent 
fiscal year for the research, evaluation, or statistical pur-
poses for which the amounts are made available to that Of-
fice subject to reprogramming requirements in section 405 
of this Act. 
SEC. 225. None of the funds provided in this Act or 
any other Act may be used for awards, including perform-
ance, special act, or spot, for any employee of the Depart-
ment of Housing and Urban Development subject to admin-
istrative discipline (including suspension from work), in 
this fiscal year, but this prohibition shall not be effective 
prior to the effective date of any such administrative dis-
cipline or after any final decision over-turning such dis-
cipline. 
SEC. 226. With respect to grant amounts awarded 
under the heading ‘‘Homeless Assistance Grants’’ for fiscal 
years 2015 through 2022 for the Continuum of Care (CoC) 
program as authorized under subtitle C of title IV of the 
McKinney-Vento Homeless Assistance Act, costs paid by 
program income of grant recipients may count toward 
meeting the recipient’s matching requirements, provided the 
costs are eligible CoC costs that supplement the recipient’s 
CoC program. 
SEC. 227. (a) From amounts made available under 
this title under the heading ‘‘Homeless Assistance Grants’’,
1747 
the Secretary may award 1-year transition grants to recipi-
ents of funds for activities under subtitle C of the McKin-
ney-Vento Homeless Assistance Act (42 U.S.C. 11381 et 
seq.) to transition from one Continuum of Care program 
component to another. 
(b) In order to be eligible to receive a transition grant, 
the funding recipient must have the consent of the con-
tinuum of care and meet standards determined by the Sec-
retary. 
SEC. 228. The Promise Zone designations and Promise 
Zone Designation Agreements entered into pursuant to such 
designations, made by the Secretary in prior fiscal years, 
shall remain in effect in accordance with the terms and con-
ditions of such agreements. 
SEC. 229. None of the funds made available by this 
Act may be used to establish and apply review criteria, in-
cluding rating factors or preference points, for participa-
tion in or coordination with EnVision Centers, in the eval-
uation, selection, and award of any funds made available 
and requiring competitive selection under this Act, except 
with respect to any such funds otherwise authorized for En-
Vision Center purposes under this Act. 
SEC. 230. None of the amounts made available in this 
Act may be used to consider Family Self-Sufficiency per-
formance measures or performance scores in determining
1748 
funding awards for programs receiving Family Self-Suffi-
ciency program coordinator funding provided in this Act. 
SEC. 231. Any public housing agency designated as a 
Moving to Work agency pursuant to section 239 of division 
L of Public Law 114–113 (42 U.S.C. 1437f note; 129 Stat. 
2897) may, upon such designation, use funds (except for 
special purpose funding, including special purpose vouch-
ers) previously allocated to any such public housing agency 
under section 8 or 9 of the United States Housing Act of 
1937, including any reserve funds held by the public hous-
ing agency or funds held by the Department of Housing 
and Urban Development, pursuant to the authority for use 
of section 8 or 9 funding provided under such section and 
section 204 of title II of the Departments of Veterans Affairs 
and Housing and Urban Development and Independent 
Agencies Appropriations Act, 1996 (Public Law 104–134; 
110 Stat. 1321–28), notwithstanding the purposes for which 
such funds were appropriated. 
SEC. 232. None of the amounts made available by this 
Act may be used to prohibit any public housing agency 
under receivership or the direction of a Federal monitor 
from applying for, receiving, or using funds made available 
under the heading ‘‘Public Housing Fund’’ for competitive 
grants to evaluate and reduce lead-based paint hazards in 
this Act or that remain available and not awarded from
1749 
prior Acts, or be used to prohibit a public housing agency 
from using such funds to carry out any required work pur-
suant to a settlement agreement, consent decree, voluntary 
agreement, or similar document for a violation of the Lead 
Safe Housing or Lead Disclosure Rules. 
SEC. 233. None of the funds made available by this 
title may be used to issue rules or guidance in contravention 
of section 1210 of Public Law 115–254 (132 Stat. 3442) 
or section 312 of the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5155). 
SEC. 234. Funds made available in the Consolidated 
and Further Continuing Appropriations Act, 2015 (Public 
Law 113–235) for the ‘‘Choice Neighborhoods Initiative’’ 
that were available for obligation through fiscal year 2017 
are to remain available through fiscal year 2023 for the 
liquidation of valid obligations incurred in fiscal years 
2015 through 2017. 
SEC. 235. None of the funds made available by this 
Act may be used by the Department of Housing and Urban 
Development to direct a grantee to undertake specific 
changes to existing zoning laws as part of carrying out the 
final rule entitled ‘‘Affirmatively Furthering Fair Hous-
ing’’ (80 Fed. Reg. 42272 (July 16, 2015)) or the notice 
entitled ‘‘Affirmatively Furthering Fair Housing Assess-
ment Tool’’ (79 Fed. Reg. 57949 (September 26, 2014)).
1750 
SEC. 236. The language under the heading ‘‘Rental As-
sistance Demonstration’’ in the Department of Housing and 
Urban Development Appropriations Act, 2012 (Public Law 
112–55), as most recently amended by Public Law 115– 
141, is further amended— 
(1) after the seventeenth proviso, by inserting the 
following new proviso: ‘‘Provided further, That con-
versions of assistance under the following provisos 
herein shall be considered as the ‘Second Component’ 
and shall be authorized for fiscal year 2012 and 
thereafter:’’; 
(2) by striking the nineteenth proviso, as reor-
dered above, and inserting the following four provisos: 
‘‘Provided further, That owners of properties assisted 
under section 101 of the Housing and Urban Develop-
ment Act of 1965, section 236(f)(2) of the National 
Housing Act, or section 8(e)(2) of the United States 
Housing Act of 1937, for which an event after October 
1, 2006 has caused or results in the termination of 
rental assistance or affordability restrictions and the 
issuance of tenant protection vouchers under section 
8(o) of the Act shall be eligible, subject to require-
ments established by the Secretary, for conversion of 
assistance available for such vouchers or assistance 
contracts to assistance under a long term project-
1751 
based subsidy contract under section 8 of the Act: 
Provided further, That owners of properties with a 
project rental assistance contract under section 
202(c)(2) of the Housing Act of 1959 shall be eligible, 
subject to requirements established by the Secretary, 
including but not limited to the subordination, re-
structuring, or both, of any capital advance docu-
mentation, including any note, mortgage, use agree-
ment or other agreements, evidencing or securing a 
capital advance previously provided by the Secretary 
under section 202(c)(1) of the Housing Act of 1959 as 
necessary to facilitate the conversion of assistance 
while maintaining the affordability period and the 
designation of the property as serving elderly persons, 
and tenant consultation procedures, for conversion of 
assistance available for such assistance contracts to 
assistance under a long term project-based subsidy 
contract under section 8 of the Act: Provided further, 
That owners of properties with a project rental assist-
ance contract under section 811(d)(2) of the Cran-
ston-Gonzalez National Affordable Housing Act, shall 
be eligible, subject to requirements established by the 
Secretary, including but not limited to the subordina-
tion, restructuring, or both, of any capital advance 
documentation, including any note, mortgage, use
1752 
agreement or other agreements, evidencing or securing 
a capital advance previously provided by the Sec-
retary under section 811(d)(2) of the Cranston-Gon-
zalez National Affordable Housing Act as necessary to 
facilitate the conversion of assistance while maintain-
ing the affordability period and the designation of the 
property as serving persons with disabilities, and ten-
ant consultation procedures, for conversion of assist-
ance contracts to assistance under a long term 
project-based subsidy contract under section 8 of the 
Act: Provided further, That long term project-based 
subsidy contracts under section 8 of the Act which are 
established under this Second Component shall have a 
term of no less than 20 years, with rent adjustments 
only by an operating cost factor established by the 
Secretary, which shall be eligible for renewal under 
section 524 of the Multifamily Assisted Housing Re-
form and Affordability Act of 1997 (42 U.S.C. 1437f 
note), or, subject to agreement of the administering 
public housing agency, to assistance under section 
8(o)(13) of the Act, to which the limitation under sub-
section (B) of section 8(o)(13) of the Act shall not 
apply and for which the Secretary may waive or alter 
the provisions of subparagraphs (C) and (D) of sec-
tion 8(o)(13) of the Act:’’;
1753 
(3) after the twenty-third proviso, as reordered 
above, by inserting the following new proviso: ‘‘Pro-
vided further, That the Secretary may waive or alter 
the requirements of section 8(c)(1)(A) of the Act for 
contracts provided to properties converting assistance 
from section 202(c)(2) of the Housing Act of 1959 or 
section 811(d)(2) of the Cranston-Gonzalez National 
Affordable Housing Act as necessary to ensure the on-
going provision and coordination of services or to 
avoid a reduction in project subsidy:’’; and 
(4) in the twenty-ninth proviso, as reordered 
above, by— 
(A) striking ‘‘heading ‘Housing for the El-
derly’ ’’ and inserting ‘‘headings ‘Housing for the 
Elderly’ and ‘Housing for Persons with Disabil-
ities’ ’’; and 
(B) inserting ‘‘or section 811 project rental 
assistance contract’’ after ‘‘section 202 project 
rental assistance contract’’. 
SEC. 237. For fiscal year 2022, if the Secretary deter-
mines or has determined, for any prior formula grant allo-
cation administered by the Secretary through the Offices of 
Public and Indian Housing, Community Planning and De-
velopment, or Housing, that a recipient received an alloca-
tion greater than the amount such recipient should have
1754 
received for a formula allocation cycle pursuant to applica-
ble statutes and regulations, the Secretary may adjust for 
any such funding error in the next applicable formula allo-
cation cycle by (a) offsetting each such recipient’s formula 
allocation (if eligible for a formula allocation in the next 
applicable formula allocation cycle) by the amount of any 
such funding error, and (b) reallocating any available bal-
ances that are attributable to the offset to the recipient or 
recipients that would have been allocated additional funds 
in the formula allocation cycle in which any such error oc-
curred (if such recipient or recipients are eligible for a for-
mula allocation in the next applicable formula allocation 
cycle) in an amount proportionate to such recipient’s eligi-
bility under the next applicable formula allocation cycle: 
Provided, That all offsets and reallocations from such avail-
able balances shall be recorded against funds available for 
the next applicable formula allocation cycle: Provided fur-
ther, That the term ‘‘next applicable formula allocation 
cycle’’ means the first formula allocation cycle for a pro-
gram that is reasonably available for correction following 
such a Secretarial determination: Provided further, That 
if, upon request by a recipient and giving consideration to 
all Federal resources available to the recipient for the same 
grant purposes, the Secretary determines that the offset in 
the next applicable formula allocation cycle would critically
1755 
impair the recipient’s ability to accomplish the purpose of 
the formula grant, the Secretary may adjust for the funding 
error across two or more formula allocation cycles. 
SEC. 238. Of the unobligated balances available to the 
Department of Housing and Urban Development from title 
II of division L of the Consolidated Appropriations Act of 
2021 (Public Law 116–260), the following funds are hereby 
rescinded from the following accounts in the specified 
amounts— 
(1) ‘‘Management and Administration—Execu-
tive Offices’’, $4,000,000; and 
(2) ‘‘Management and Administration—Admin-
istrative Support Offices’’, $25,000,000. 
SEC. 239. The Secretary may, upon a finding that a 
waiver or alternative requirement is necessary to facilitate 
the use of funds made available in paragraph (8) under 
the heading ‘‘Tenant-Based Rental Assistance’’ in the 
Transportation, Housing and Urban Development, and Re-
lated Agencies Appropriations Act, 2021 (Public Law 116– 
260), waive or specify alternative requirements, other than 
requirements related to tenant rights and protections, rent 
setting, fair housing, nondiscrimination, labor standards, 
and the environment, for— 
(1) section 214(d)(2) of the Housing and Com-
munity Development Act of 1980 (42 U.S.C.
1756 
1436a(d)(2)), and regulatory provisions related to the 
timing of when documentation verifying eligibility 
must be obtained; 
(2) section 576(a), (b), and (c) of the Quality 
Housing and Work Responsibility Act of 1998 (42 
U.S.C. 13661(a), (b), and (c)), and regulatory provi-
sions related to the verification of eligibility, eligi-
bility requirements, and the admissions process; 
(3) section 8(o)(6)(A) of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437f(o)(6)(A)) and regu-
latory provisions related to the administration of 
waiting lists, local preferences, and the initial term 
and extensions of tenant-based vouchers; 
(4) section 8(o)(7)(A) of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437f(o)(7)(A)) and regu-
latory provisions related to the initial lease term; 
(5) section 8(o)(8) of the United States Housing 
Act of 1937 (42 U.S.C. 1437f(o)(8)) and regulatory 
provisions related to related to the timing of the ini-
tial inspection of a unit to allow for pre-inspections; 
(6) section 8(o)(13)(J) of the United States 
Housing Act of 1937 (42 U.S.C. 1437f(o)(13)(J)) and 
regulatory provisions related to the selection of ten-
ants for project-based assistance;
1757 
(7) section 8(r)(B)(i) of the United States Hous-
ing Act of 1937 (42 U.S.C. 1437f(r)(B)(i)) and regu-
latory provisions related to portability moves by non- 
resident applicants; 
(8) section 16(b) of the United States Housing 
Act of 1937 (42 U.S.C. 1437n(b)) and regulatory pro-
visions related to the eligibility and targeting of fami-
lies for tenant-based assistance; and 
(9) regulatory provisions related to the establish-
ment of payment standards. 
This title may be cited as the ‘‘Department of Housing 
and Urban Development Appropriations Act, 2022’’.
1758 
TITLE III 
RELATED AGENCIES 
ACCESS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the Access Board, as author-
ized by section 502 of the Rehabilitation Act of 1973 (29 
U.S.C. 792), $9,750,000: Provided, That, notwithstanding 
any other provision of law, there may be credited to this 
appropriation funds received for publications and training 
expenses. 
FEDERAL MARITIME COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses of the Federal Maritime Com-
mission as authorized by section 201(d) of the Merchant 
Marine Act, 1936, as amended (46 U.S.C. 46107), including 
services as authorized by section 3109 of title 5, United 
States Code; hire of passenger motor vehicles as authorized 
by section 1343(b) of title 31, United States Code; and uni-
forms or allowances therefore, as authorized by sections 
5901 and 5902 of title 5, United States Code, $32,869,000: 
Provided, That not to exceed $3,500 shall be for official re-
ception and representation expenses.
1759 
NATIONAL RAILROAD PASSENGER CORPORATION 
OFFICE OF INSPECTOR GENERAL 
SALARIES AND EXPENSES 
For necessary expenses of the Office of Inspector Gen-
eral for the National Railroad Passenger Corporation to 
carry out the provisions of the Inspector General Act of 
1978 (5 U.S.C. App. 3), $26,248,000: Provided, That the 
Inspector General shall have all necessary authority, in car-
rying out the duties specified in such Act, to investigate 
allegations of fraud, including false statements to the Gov-
ernment under section 1001 of title 18, United States Code, 
by any person or entity that is subject to regulation by the 
National Railroad Passenger Corporation: Provided fur-
ther, That the Inspector General may enter into contracts 
and other arrangements for audits, studies, analyses, and 
other services with public agencies and with private per-
sons, subject to the applicable laws and regulations that 
govern the obtaining of such services within the National 
Railroad Passenger Corporation: Provided further, That the 
Inspector General may select, appoint, and employ such of-
ficers and employees as may be necessary for carrying out 
the functions, powers, and duties of the Office of Inspector 
General, subject to the applicable laws and regulations that 
govern such selections, appointments, and employment 
within the National Railroad Passenger Corporation: Pro-
1760 
vided further, That concurrent with the President’s budget 
request for fiscal year 2023, the Inspector General shall sub-
mit to the House and Senate Committees on Appropriations 
a budget request for fiscal year 2023 in similar format and 
substance to budget requests submitted by executive agencies 
of the Federal Government. 
NATIONAL TRANSPORTATION SAFETY BOARD 
SALARIES AND EXPENSES 
For necessary expenses of the National Transportation 
Safety Board, including hire of passenger motor vehicles 
and aircraft; services as authorized by section 3109 of title 
5, United States Code, but at rates for individuals not to 
exceed the per diem rate equivalent to the rate for a GS– 
15; uniforms, or allowances therefor, as authorized by sec-
tions 5901 and 5902 of title 5, United States Code, 
$121,400,000, of which not to exceed $2,000 may be used 
for official reception and representation expenses: Provided, 
That the amounts made available to the National Transpor-
tation Safety Board in this Act include amounts necessary 
to make lease payments on an obligation incurred in fiscal 
year 2001 for a capital lease.
1761 
NEIGHBORHOOD REINVESTMENT CORPORATION 
PAYMENT TO THE NEIGHBORHOOD REINVESTMENT 
CORPORATION 
For payment to the Neighborhood Reinvestment Cor-
poration for use in neighborhood reinvestment activities, as 
authorized by the Neighborhood Reinvestment Corporation 
Act (42 U.S.C. 8101–8107), $163,000,000: Provided, That 
an additional $3,000,000, to remain available until Sep-
tember 30, 2025, shall be for the promotion and development 
of shared equity housing models. 
SURFACE TRANSPORTATION BOARD 
SALARIES AND EXPENSES 
For necessary expenses of the Surface Transportation 
Board, including services authorized by section 3109 of title 
5, United States Code, $39,152,000: Provided, That, not-
withstanding any other provision of law, not to exceed 
$1,250,000 from fees established by the Surface Transpor-
tation Board shall be credited to this appropriation as off-
setting collections and used for necessary and authorized 
expenses under this heading: Provided further, That the 
amounts made available under this heading from the gen-
eral fund shall be reduced on a dollar-for-dollar basis as 
such offsetting collections are received during fiscal year 
2022, to result in a final appropriation from the general 
fund estimated at not more than $37,902,000.
1762 
UNITED STATES INTERAGENCY COUNCIL ON 
HOMELESSNESS 
OPERATING EXPENSES 
For necessary expenses, including payment of salaries, 
authorized travel, hire of passenger motor vehicles, the rent-
al of conference rooms, and the employment of experts and 
consultants under section 3109 of title 5, United States 
Code, of the United States Interagency Council on Home-
lessness in carrying out the functions pursuant to title II 
of the McKinney-Vento Homeless Assistance Act, as amend-
ed, $3,800,000.
1763 
TITLE IV 
GENERAL PROVISIONS—THIS ACT 
SEC. 401. None of the funds in this Act shall be used 
for the planning or execution of any program to pay the 
expenses of, or otherwise compensate, non-Federal parties 
intervening in regulatory or adjudicatory proceedings fund-
ed in this Act. 
SEC. 402. None of the funds appropriated in this Act 
shall remain available for obligation beyond the current fis-
cal year, nor may any be transferred to other appropria-
tions, unless expressly so provided herein. 
SEC. 403. The expenditure of any appropriation under 
this Act for any consulting service through a procurement 
contract pursuant to section 3109 of title 5, United States 
Code, shall be limited to those contracts where such expendi-
tures are a matter of public record and available for public 
inspection, except where otherwise provided under existing 
law, or under existing Executive order issued pursuant to 
existing law. 
SEC. 404. (a) None of the funds made available in this 
Act may be obligated or expended for any employee training 
that— 
(1) does not meet identified needs for knowledge, 
skills, and abilities bearing directly upon the perform-
ance of official duties;
1764 
(2) contains elements likely to induce high levels 
of emotional response or psychological stress in some 
participants; 
(3) does not require prior employee notification 
of the content and methods to be used in the training 
and written end of course evaluation; 
(4) contains any methods or content associated 
with religious or quasi-religious belief systems or 
‘‘new age’’ belief systems as defined in Equal Employ-
ment Opportunity Commission Notice N–915.022, 
dated September 2, 1988; or 
(5) is offensive to, or designed to change, partici-
pants’ personal values or lifestyle outside the work-
place. 
(b) Nothing in this section shall prohibit, restrict, or 
otherwise preclude an agency from conducting training 
bearing directly upon the performance of official duties. 
SEC. 405. Except as otherwise provided in this Act, 
none of the funds provided in this Act, provided by previous 
appropriations Acts to the agencies or entities funded in 
this Act that remain available for obligation or expenditure 
in fiscal year 2022, or provided from any accounts in the 
Treasury derived by the collection of fees and available to 
the agencies funded by this Act, shall be available for obliga-
1765 
tion or expenditure through a reprogramming of funds 
that— 
(1) creates a new program; 
(2) eliminates a program, project, or activity; 
(3) increases funds or personnel for any pro-
gram, project, or activity for which funds have been 
denied or restricted by the Congress; 
(4) proposes to use funds directed for a specific 
activity by either the House or Senate Committees on 
Appropriations for a different purpose; 
(5) augments existing programs, projects, or ac-
tivities in excess of $5,000,000 or 10 percent, which-
ever is less; 
(6) reduces existing programs, projects, or activi-
ties by $5,000,000 or 10 percent, whichever is less; or 
(7) creates, reorganizes, or restructures a branch, 
division, office, bureau, board, commission, agency, 
administration, or department different from the 
budget justifications submitted to the Committees on 
Appropriations or the table accompanying the explan-
atory statement described in section 4 (in the matter 
preceding division A of this consolidated Act), which-
ever is more detailed, unless prior approval is re-
ceived from the House and Senate Committees on Ap-
propriations:
1766 
Provided, That not later than 60 days after the date of en-
actment of this Act, each agency funded by this Act shall 
submit a report to the Committees on Appropriations of the 
Senate and of the House of Representatives to establish the 
baseline for application of reprogramming and transfer au-
thorities for the current fiscal year: Provided further, That 
the report shall include— 
(A) a table for each appropriation with a 
separate column to display the prior year en-
acted level, the President’s budget request, adjust-
ments made by Congress, adjustments due to en-
acted rescissions, if appropriate, and the fiscal 
year enacted level; 
(B) a delineation in the table for each ap-
propriation and its respective prior year enacted 
level by object class and program, project, and 
activity as detailed in this Act, the table accom-
panying the explanatory statement described in 
section 4 (in the matter preceding division A of 
this consolidated Act), accompanying reports of 
the House and Senate Committee on Appropria-
tions, or in the budget appendix for the respec-
tive appropriations, whichever is more detailed, 
and shall apply to all items for which a dollar
1767 
amount is specified and to all programs for 
which new budget (obligational) authority is 
provided, as well as to discretionary grants and 
discretionary grant allocations; and 
(C) an identification of items of special con-
gressional interest. 
SEC. 406. Except as otherwise specifically provided by 
law, not to exceed 50 percent of unobligated balances re-
maining available at the end of fiscal year 2022 from ap-
propriations made available for salaries and expenses for 
fiscal year 2022 in this Act, shall remain available through 
September 30, 2023, for each such account for the purposes 
authorized: Provided, That a request shall be submitted to 
the House and Senate Committees on Appropriations for 
approval prior to the expenditure of such funds: Provided 
further, That these requests shall be made in compliance 
with reprogramming guidelines under section 405 of this 
Act. 
SEC. 407. No funds in this Act may be used to support 
any Federal, State, or local projects that seek to use the 
power of eminent domain, unless eminent domain is em-
ployed only for a public use: Provided, That for purposes 
of this section, public use shall not be construed to include 
economic development that primarily benefits private enti-
ties: Provided further, That any use of funds for mass tran-
1768 
sit, railroad, airport, seaport or highway projects, as well 
as utility projects which benefit or serve the general public 
(including energy-related, communication-related, water-re-
lated and wastewater-related infrastructure), other struc-
tures designated for use by the general public or which have 
other common-carrier or public-utility functions that serve 
the general public and are subject to regulation and over-
sight by the government, and projects for the removal of an 
immediate threat to public health and safety or brownfields 
as defined in the Small Business Liability Relief and 
Brownfields Revitalization Act (Public Law 107–118) shall 
be considered a public use for purposes of eminent domain. 
SEC. 408. 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-
suant to a transfer made by, or transfer authority provided 
in, this Act or any other appropriations Act. 
SEC. 409. No funds appropriated pursuant to this Act 
may be expended by an entity unless the entity agrees that 
in expending the assistance the entity will comply with sec-
tions 2 through 4 of the Act of March 3, 1933 (41 U.S.C. 
8301–8305, popularly known as the ‘‘Buy American Act’’). 
SEC. 410. No funds appropriated or otherwise made 
available under this Act shall be made available to any per-
1769 
son or entity that has been convicted of violating the Buy 
American Act (41 U.S.C. 8301–8305). 
SEC. 411. None of the funds made available in this 
Act may be used for first-class airline accommodations in 
contravention of sections 301–10.122 and 301–10.123 of 
title 41, Code of Federal Regulations. 
SEC. 412. None of the funds made available in this 
Act may be used to send or otherwise pay for the attendance 
of more than 50 employees of a single agency or department 
of the United States Government, who are stationed in the 
United States, at any single international conference unless 
the relevant Secretary reports to the House and Senate 
Committees on Appropriations at least 5 days in advance 
that such attendance is important to the national interest: 
Provided, That for purposes of this section the term ‘‘inter-
national conference’’ shall mean a conference occurring out-
side of the United States attended by representatives of the 
United States Government and of foreign governments, 
international organizations, or nongovernmental organiza-
tions. 
SEC. 413. None of the funds appropriated or otherwise 
made available under this Act may be used by the Surface 
Transportation Board to charge or collect any filing fee for 
rate or practice complaints filed with the Board in an 
amount in excess of the amount authorized for district court
1770 
civil suit filing fees under section 1914 of title 28, United 
States Code. 
SEC. 414. (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. 415. (a) None of the funds made available in this 
Act may be used to deny an Inspector General funded under 
this Act timely access to any records, documents, or other 
materials available to the department or agency over which 
that Inspector General has responsibilities under the In-
spector General Act of 1978 (5 U.S.C. App.), or to prevent 
or impede that Inspector General’s access to such records, 
documents, or other materials, under any provision of law, 
except a provision of law that expressly refers to the Inspec-
tor General and expressly limits the Inspector General’s 
right of access. 
(b) A department or agency covered by this section 
shall provide its Inspector General with access to all such 
records, documents, and other materials in a timely man-
ner.
1771 
(c) Each Inspector General shall ensure compliance 
with statutory limitations on disclosure relevant to the in-
formation provided by the establishment over which that In-
spector General has responsibilities under the Inspector 
General Act of 1978 (5 U.S.C. App.). 
(d) Each Inspector General covered by this section 
shall report to the Committees on Appropriations of the 
House of Representatives and the Senate within 5 calendar 
days any failures to comply with this requirement. 
SEC. 416. None of the funds appropriated or otherwise 
made available by this Act may be used to pay award or 
incentive fees for contractors whose performance has been 
judged to be below satisfactory, behind schedule, over budget, 
or has failed to meet the basic requirements of a contract, 
unless the Agency determines that any such deviations are 
due to unforeseeable events, government-driven scope 
changes, or are not significant within the overall scope of 
the project and/or program unless such awards or incentive 
fees are consistent with 16.401(e)(2) of the Federal Acquisi-
tion Regulations. 
SEC. 417. Within the amounts appropriated in this 
Act, funding shall be allocated in the amounts specified for 
those projects and purposes delineated in the table titled 
‘‘Community Project Funding/Congressionally Directed 
Spending’’ included in the explanatory statement described
1772 
in section 4 (in the matter preceding division A of this con-
solidated Act). 
SEC. 418. None of the funds made available by this 
Act to the Department of Transportation may be used in 
contravention of section 306108 of title 54, United States 
Code. 
SEC. 419. No part of any appropriation contained in 
this Act shall be available to pay the salary for any person 
filling a position, other than a temporary position, formerly 
held by an employee who has left to enter the Armed Forces 
of the United States and has satisfactorily completed his 
or her period of active military or naval service, and has 
within 90 days after his or her release from such service 
or from hospitalization continuing after discharge for a pe-
riod of not more than 1 year, made application for restora-
tion to his or her former position and has been certified 
by the Office of Personnel Management as still qualified to 
perform the duties of his or her former position and has 
not been restored thereto. 
SEC. 420. (a) None of the funds made available by this 
Act may be used to approve a new foreign air carrier per-
mit under sections 41301 through 41305 of title 49, United 
States Code, or exemption application under section 40109 
of that title of an air carrier already holding an air opera-
tors certificate issued by a country that is party to the U.S.-
1773 
E.U.-Iceland-Norway Air Transport Agreement where such 
approval would contravene United States law or Article 17 
bis of the U.S.-E.U.-Iceland-Norway Air Transport Agree-
ment. 
(b) Nothing in this section shall prohibit, restrict or 
otherwise preclude the Secretary of Transportation from 
granting a foreign air carrier permit or an exemption to 
such an air carrier where such authorization is consistent 
with the U.S.-E.U.-Iceland-Norway Air Transport Agree-
ment and United States law. 
SEC. 421. Section 1105(e)(5)(A) of the Intermodal 
Surface Transportation Efficiency Act of 1991 (Public Law 
102–240; 105 Stat. 2032; 109 Stat. 597; 118 Stat. 293; 133 
Stat. 3018) is amended, in the first sentence, by inserting 
‘‘clauses (i) and (iv) of subsection (c)(38)(A),’’ after ‘‘sub-
section (c)(37),’’. 
SEC. 422. The remaining unobligated balances, as of 
September 30, 2022, from amounts made available to the 
Department of Transportation under the heading ‘‘Federal 
Transit Administration—Capital Investment Grants’’ in 
division G of the Consolidated Appropriations Act, 2019 
(Public Law 116–6) are hereby rescinded, and an amount 
of additional new budget authority equivalent to the 
amount rescinded is hereby appropriated on September 30, 
2022, for an additional amount for fiscal year 2022, to re-
1774 
main available until September 30, 2023, and shall be 
available for the same purposes and under the same au-
thorities for which such amounts were originally provided 
in Public Law 116–6. 
SEC. 423. The second proviso under the heading ‘‘De-
partment of Transportation—Office of the Secretary—Na-
tional Infrastructure Investments’’ in title VIII of division 
J of Public Law 117–58 is amended— 
(1) by striking ‘‘to remain until September’’ and 
inserting ‘‘to remain available until September’’; and 
(2) by striking ‘‘to remain available September’’ 
and inserting ‘‘to remain available until September’’: 
Provided, That amounts repurposed pursuant to this sec-
tion that were previously designated by the Congress as an 
emergency requirement pursuant to section 4112(a) of H. 
Con. Res. 71 (115th Congress), the concurrent resolution on 
the budget for fiscal year 2018, and to section 251(b) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985 are designated by the Congress as an emergency 
requirement pursuant to section 4001(a)(1) and section 
4001(b) of S. Con. Res. 14 (117th Congress), the concurrent 
resolution on the budget for fiscal year 2022. 
SEC. 424. The matter preceding the first proviso under 
the heading ‘‘Department of Transportation—Office of the 
Secretary—National Culvert Removal, Replacement, and
1775 
Restoration Grants’’ in title VIII of division J of Public 
Law 117–58 is amended by striking ‘‘section 6203’’ and 
inserting 
‘‘section 
6703’’: 
Provided, 
That 
amounts 
repurposed pursuant to this section that were previously 
designated by the Congress as an emergency requirement 
pursuant to section 4112(a) of H. Con. Res. 71 (115th Con-
gress), the concurrent resolution on the budget for fiscal year 
2018, and to section 251(b) of the Balanced Budget and 
Emergency Deficit Control Act of 1985 are designated by 
the Congress as an emergency requirement pursuant to sec-
tion 4001(a)(1) and section 4001(b) of S. Con. Res. 14 
(117th Congress), the concurrent resolution on the budget 
for fiscal year 2022. 
SEC. 425. Section 801 of title VIII of division J of 
Public Law 117–58 is amended— 
(1) in subsection (a), by striking ‘‘the programs 
administered by the Office of Multimodal Infrastruc-
ture and Freight may be transferred to an ‘Office of 
Multimodal Infrastructure and Freight’ account, to 
remain available until expended, for the necessary ex-
penses of award, administration, or oversight of any 
discretionary financial assistance programs funded 
under this title in this Act or division A of this Act: 
Provided,’’ and inserting ‘‘the programs administered 
by the Office of the Secretary may be transferred to
1776 
an ‘Operational Support’ account, to remain avail-
able until expended, for the necessary expenses of (1) 
coordination of the implementation of any division of 
this Act or (2) the award, administration, or over-
sight of any financial assistance programs funded 
under this title in this Act or divisions A, B, C, or 
G of this Act: Provided, That amounts transferred 
pursuant to the authority in this section are available 
in addition to amounts otherwise available for such 
purposes: Provided further,’’; and 
(2) in subsection (b)— 
(A) in the matter preceding paragraph (1) 
and in paragraph (6), by striking ‘‘Office of 
Multimodal Infrastructure and Freight’’ and in-
serting ‘‘Office of the Secretary’’; and 
(B) in paragraph (5), by striking ‘‘section 
6203’’ and inserting ‘‘section 6703’’: 
Provided, That amounts repurposed pursuant to this sec-
tion that were previously designated by the Congress as an 
emergency requirement pursuant to section 4112(a) of H. 
Con. Res. 71 (115th Congress), the concurrent resolution on 
the budget for fiscal year 2018, and to section 251(b) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985 are designated by the Congress as an emergency 
requirement pursuant to section 4001(a)(1) and section
1777 
4001(b) of S. Con. Res. 14 (117th Congress), the concurrent 
resolution on the budget for fiscal year 2022. 
SEC. 426. The heading ‘‘Department of Transpor-
tation—Federal Highway Administration—Highway In-
frastructure Program’’ in title VIII of division J of Public 
Law 117–58 is amended by striking ‘‘Program’’ and insert-
ing ‘‘Programs’’: Provided, That amounts repurposed pur-
suant to this section that were previously designated by the 
Congress as an emergency requirement pursuant to section 
4112(a) of H. Con. Res. 71 (115th Congress), the concurrent 
resolution on the budget for fiscal year 2018, and to section 
251(b) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985 are designated by the Congress as an emer-
gency requirement pursuant to section 4001(a)(1) and sec-
tion 4001(b) of S. Con. Res. 14 (117th Congress), the con-
current resolution on the budget for fiscal year 2022. 
SEC. 427. The matter under the heading ‘‘Department 
of Transportation—Federal Highway Administration— 
Highway Infrastructure Program’’ in title VIII of division 
J of Public Law 117–58 is amended— 
(1) in the third proviso, by striking ‘‘adminis-
trations’’ and inserting ‘‘administration’’; 
(2) in the fourth proviso, by inserting ‘‘and shall 
remain available until expended’’ after ‘‘in the same 
account’’;
1778 
(3) in paragraph (1), by striking ‘‘construction 
program: Provided further,’’ and inserting ‘‘construc-
tion program: Provided,’’; 
(4) in the ninth proviso in paragraph (2)— 
(A) by striking ‘‘withdrawn from a State 
under the preceding proviso’’ and inserting 
‘‘withdrawn from a State under the sixth proviso 
of this paragraph in this Act’’; 
(B) by striking ‘‘within the State under the 
preceding proviso’’ and inserting ‘‘within the 
State under such proviso’’; 
(C) by striking ‘‘withdrawn under the pre-
ceding proviso’’ and inserting ‘‘withdrawn under 
such proviso’’; 
(D) by striking ‘‘under the second proviso 
under this paragraph’’ and inserting ‘‘under the 
second proviso of this paragraph’’; and 
(E) by striking ‘‘withheld or withdrawn 
under the preceding proviso:’’ and inserting 
‘‘withheld or withdrawn under the sixth proviso 
of this paragraph in this Act:’’; 
(5) in the sixteenth proviso in paragraph (2), by 
striking ‘‘publically accessible’’ and inserting ‘‘pub-
licly accessible’’ each place it appears;
1779 
(6) in the twenty-first proviso in paragraph (2), 
by striking ‘‘twenty-fourth proviso’’ and inserting 
‘‘twenty-sixth proviso’’; 
(7) in the twenty-fourth proviso in paragraph 
(2), by striking ‘‘nineteenth proviso’’ and inserting 
‘‘twenty-first proviso’’; 
(8) in the thirtieth proviso in paragraph (2), by 
striking ‘‘previous proviso’’ and inserting ‘‘preceding 
proviso’’; 
(9) in the fourth proviso in paragraph (9)— 
(A) by striking ‘‘third proviso in this’’ and 
inserting ‘‘third proviso of this’’; and 
(B) by striking ‘‘under this heading:’’ and 
inserting ‘‘under this paragraph in this Act:’’; 
and 
(10) in the fifth proviso in paragraph (9), by 
striking ‘‘in this paragraph in this Act’’ and insert-
ing ‘‘in this paragraph of this Act’’: 
Provided, That amounts repurposed pursuant to this sec-
tion that were previously designated by the Congress as an 
emergency requirement pursuant to section 4112(a) of H. 
Con. Res. 71 (115th Congress), the concurrent resolution on 
the budget for fiscal year 2018, and to section 251(b) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985 are designated by the Congress as an emergency
1780 
requirement pursuant to section 4001(a)(1) and section 
4001(b) of S. Con. Res. 14 (117th Congress), the concurrent 
resolution on the budget for fiscal year 2022. 
SEC. 428. The matter under the heading ‘‘Department 
of Transportation—Federal Railroad Administration— 
Northeast Corridor Grants to the National Railroad Pas-
senger Corporation’’ in title VIII of division J of Public 
Law 117–58 is amended— 
(1) in the third proviso, by striking ‘‘shall be 
made available for’’ and inserting ‘‘shall be made 
available for appropriate costs required for’’; and 
(2) in the seventh proviso, by striking ‘‘the cap-
ital costs of’’ and inserting ‘‘the costs of’’: 
Provided, That amounts repurposed pursuant to this sec-
tion that were previously designated by the Congress as an 
emergency requirement pursuant to section 4112(a) of H. 
Con. Res. 71 (115th Congress), the concurrent resolution on 
the budget for fiscal year 2018, and to section 251(b) of 
the Balanced Budget and Emergency Deficit Control Act 
of 1985 are designated by the Congress as an emergency 
requirement pursuant to section 4001(a)(1) and section 
4001(b) of S. Con. Res. 14 (117th Congress), the concurrent 
resolution on the budget for fiscal year 2022. 
SEC. 429. The matter under the heading ‘‘Department 
of Transportation—Federal Railroad Administration—Na-
1781 
tional Network Grants to the National Railroad Passenger 
Corporation’’ in title VIII of division J of Public Law 117– 
58 is amended in the second proviso, by striking ‘‘under 
this heading in this Act shall be made available for’’ and 
inserting ‘‘under this heading in this Act shall be made 
available for appropriate costs required for’’: Provided, 
That amounts repurposed pursuant to this section that were 
previously designated by the Congress as an emergency re-
quirement pursuant to section 4112(a) of H. Con. Res. 71 
(115th Congress), the concurrent resolution on the budget 
for fiscal year 2018, and to section 251(b) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 are des-
ignated by the Congress as an emergency requirement pur-
suant to section 4001(a)(1) and section 4001(b) of S. Con. 
Res. 14 (117th Congress), the concurrent resolution on the 
budget for fiscal year 2022. 
SEC. 430. The matter preceding the first proviso under 
the heading ‘‘Department of Transportation—Federal Rail-
road Administration—Federal-State Partnership for Inter-
city Passenger Rail Grants’’ in title VIII of division J of 
Public Law 117–58 is amended by inserting ‘‘in’’ before 
‘‘section 24911’’: Provided, That amounts repurposed pur-
suant to this section that were previously designated by the 
Congress as an emergency requirement pursuant to section 
4112(a) of H. Con. Res. 71 (115th Congress), the concurrent
1782 
resolution on the budget for fiscal year 2018, and to section 
251(b) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985 are designated by the Congress as an emer-
gency requirement pursuant to section 4001(a)(1) and sec-
tion 4001(b) of S. Con. Res. 14 (117th Congress), the con-
current resolution on the budget for fiscal year 2022. 
SEC. 431. The eighth proviso under the heading ‘‘De-
partment of Transportation—Pipeline and Hazardous Ma-
terials Safety Administration—Natural Gas Distribution 
Infrastructure Safety and Modernization Grant Program’’ 
in title VIII of division J of Public Law 117–58 is amended 
by striking ‘‘transferred pursuant to the authority in this 
section in each of fiscal years 2022 through 2026’’ and in-
serting ‘‘in the preceding proviso’’: Provided, That amounts 
repurposed pursuant to this section that were previously 
designated by the Congress as an emergency requirement 
pursuant to section 4112(a) of H. Con. Res. 71 (115th Con-
gress), the concurrent resolution on the budget for fiscal year 
2018, and to section 251(b) of the Balanced Budget and 
Emergency Deficit Control Act of 1985 are designated by 
the Congress as an emergency requirement pursuant to sec-
tion 4001(a)(1) and section 4001(b) of S. Con. Res. 14 
(117th Congress), the concurrent resolution on the budget 
for fiscal year 2022.
1783 
SEC. 432. (a) Funds previously made available in 
chapter 9 of title X of the Disaster Relief Appropriations 
Act, 2013 (Public Law 113–2, division A; 127 Stat. 36) 
under the heading ‘‘Department of Housing and Urban De-
velopment—Community Planning and Development— 
Community Development Fund’’ that were available for ob-
ligation through fiscal year 2017 are to remain available 
through fiscal year 2025 for the liquidation of valid obliga-
tions incurred in fiscal years 2013 through 2017. 
(b) EMERGENCY.—Amounts repurposed pursuant to 
this section that were previously designated by the Congress 
as an emergency requirement pursuant to the Balanced 
Budget and Emergency Deficit Control Act of 1985 are des-
ignated by the Congress as an emergency requirement pur-
suant to section 4001(a)(1) and section 4001(b) of S. Con. 
Res. 14 (117th Congress), the concurrent resolution on the 
budget for fiscal year 2022. 
SEC. 433. Any obligated balances from amounts made 
available for project-based vouchers under the heading ‘‘Per-
manent Supportive Housing’’ in chapter 6 of title III of 
Public Law 110–252 may be used for tenant-based rental 
assistance under section 8(o) of the United States Housing 
Act of 1937 (42 U.S.C. 1437f(o)).
1784 
This division may be cited as the ‘‘Transportation, 
Housing and Urban Development, and Related Agencies 
Appropriations Act, 2022’’.
1785 
DIVISION N—UKRAINE SUPPLEMENTAL 
APPROPRIATIONS ACT, 2022 
TITLE I 
DEPARTMENT OF AGRICULTURE 
FOREIGN AGRICULTURAL SERVICE 
FOOD FOR PEACE TITLE II GRANTS 
For an additional amount for ‘‘Food for Peace Title 
II Grants’’, $100,000,000, to remain available until ex-
pended. 
TITLE II 
DEPARTMENT OF COMMERCE 
BUREAU OF INDUSTRY AND SECURITY 
OPERATIONS AND ADMINISTRATION 
For an additional amount for ‘‘Operations and Ad-
ministration’’, $22,100,000, to remain available until Sep-
tember 30, 2024, to respond to the situation in Ukraine and 
for related expenses: Provided, That the Bureau of Industry 
and Security shall submit a spending plan to the Commit-
tees on Appropriations of the House of Representatives and 
the Senate within 45 days after the date of enactment of 
this Act: Provided further, That amounts provided under 
this heading in this Act may not be used to increase the 
number of permanent positions: Provided further, That 
amounts made available under this heading in this Act may 
be used to appoint such temporary personnel as may be
1786 
necessary without regard to the provisions of title 5, United 
States Code, governing appointments in the competitive 
service: Provided further, That the Secretary of Commerce 
is authorized to appoint such temporary personnel, after 
serving continuously for one year, to positions in the Bu-
reau of Industry and Security in the same manner that 
competitive service employees with competitive status are 
considered for transfer, reassignment, or promotion to such 
positions and an individual appointed under this provision 
shall become a career-conditional employee, unless the em-
ployee has already completed the service requirements for 
career tenure. 
DEPARTMENT OF JUSTICE 
LEGAL ACTIVITIES 
SALARIES AND EXPENSES, GENERAL LEGAL ACTIVITIES 
For an additional amount for ‘‘Salaries and Expenses, 
General Legal Activities’’, $9,700,000, to remain available 
until September 30, 2023, to respond to the situation in 
Ukraine and for related expenses: Provided, That amounts 
provided under this heading in this Act may not be used 
to increase the number of permanent positions. 
SALARIES AND EXPENSES, UNITED STATES ATTORNEYS 
For an additional amount for ‘‘Salaries and Expenses, 
United States Attorneys’’, $5,000,000, to remain available 
until September 30, 2023, to respond to the situation in
1787 
Ukraine and for related expenses: Provided, That amounts 
provided under this heading in this Act may not be used 
to increase the number of permanent positions. 
NATIONAL SECURITY DIVISION 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $1,100,000, to remain available until September 
30, 2023, to respond to the situation in Ukraine and for 
related expenses: Provided, That amounts provided under 
this heading in this Act may not be used to increase the 
number of permanent positions. 
FEDERAL BUREAU OF INVESTIGATION 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $43,600,000, to remain available until September 
30, 2023, to respond to the situation in Ukraine and for 
related expenses. 
TITLE III 
DEPARTMENT OF DEFENSE 
MILITARY PERSONNEL 
MILITARY PERSONNEL, ARMY 
For an additional amount for ‘‘Military Personnel, 
Army’’, $130,377,000, to remain available until September 
30, 2022, to respond to the situation in Ukraine and for 
related expenses.
1788 
MILITARY PERSONNEL, NAVY 
For an additional amount for ‘‘Military Personnel, 
Navy’’, $11,645,000, to remain available until September 
30, 2022, to respond to the situation in Ukraine and for 
related expenses. 
MILITARY PERSONNEL, MARINE CORPS 
For an additional amount for ‘‘Military Personnel, 
Marine Corps’’, $3,079,000, to remain available until Sep-
tember 30, 2022, to respond to the situation in Ukraine and 
for related expenses. 
MILITARY PERSONNEL, AIR FORCE 
For an additional amount for ‘‘Military Personnel, 
Air Force’’, $50,396,000, to remain available until Sep-
tember 30, 2022, to respond to the situation in Ukraine and 
for related expenses. 
OPERATION AND MAINTENANCE 
OPERATION AND MAINTENANCE, ARMY 
For an additional amount for ‘‘Operation and Mainte-
nance, Army’’, $1,113,234,000, to remain available until 
September 30, 2022, to respond to the situation in Ukraine 
and for related expenses. 
OPERATION AND MAINTENANCE, NAVY 
For an additional amount for ‘‘Operation and Mainte-
nance, Navy’’, $202,797,000, to remain available until Sep-
1789 
tember 30, 2022, to respond to the situation in Ukraine and 
for related expenses. 
OPERATION AND MAINTENANCE, MARINE CORPS 
For an additional amount for ‘‘Operation and Mainte-
nance, Marine Corps’’, $21,440,000, to remain available 
until September 30, 2022, to respond to the situation in 
Ukraine and for related expenses. 
OPERATION AND MAINTENANCE, AIR FORCE 
For an additional amount for ‘‘Operation and Mainte-
nance, Air Force’’, $415,442,000, to remain available until 
September 30, 2022, to respond to the situation in Ukraine 
and for related expenses. 
OPERATION AND MAINTENANCE, SPACE FORCE 
For an additional amount for ‘‘Operation and Mainte-
nance, Space Force’’, $800,000, to remain available until 
September 30, 2022, to respond to the situation in Ukraine 
and for related expenses. 
OPERATION AND MAINTENANCE, DEFENSE-WIDE 
For an additional amount for ‘‘Operation and Mainte-
nance, Defense-Wide’’, $311,583,000, to remain available 
until September 30, 2022, to respond to the situation in 
Ukraine and for related expenses.
1790 
PROCUREMENT 
OTHER PROCUREMENT, AIR FORCE 
For an additional amount for ‘‘Other Procurement, 
Air Force’’, $213,693,000, to remain available until Sep-
tember 30, 2024, to respond to the situation in Ukraine and 
for related expenses. 
PROCUREMENT, DEFENSE-WIDE 
For an additional amount for ‘‘Procurement, Defense- 
Wide’’, $14,259,000, to remain available until September 
30, 2024, to respond to the situation in Ukraine and for 
related expenses. 
RESEARCH, DEVELOPMENT, TEST AND 
EVALUATION 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, NAVY 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Navy’’, $31,100,000, to remain 
available until September 30, 2023, to respond to the situa-
tion in Ukraine and for related expenses. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, AIR 
FORCE 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Air Force’’, $47,500,000, to re-
main available until September 30, 2023, to respond to the 
situation in Ukraine and for related expenses.
1791 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
DEFENSE-WIDE 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Defense-Wide’’, $51,745,000, to 
remain available until September 30, 2023, to respond to 
the situation in Ukraine and for related expenses. 
REVOLVING AND MANAGEMENT FUNDS 
DEFENSE WORKING CAPITAL FUNDS 
For an additional amount for ‘‘Defense Working Cap-
ital Funds’’, $409,000,000, to remain available until Sep-
tember 30, 2022, to respond to the situation in Ukraine and 
for related expenses. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 2301. In addition to amounts provided elsewhere 
in this title, there is appropriated $3,500,000,000, for an 
additional amount for ‘‘Operation and Maintenance, De-
fense-Wide’’, to remain available until September 30, 2023, 
which may be transferred to accounts under the headings 
‘‘Operation and Maintenance’’ and ‘‘Procurement’’, for re-
placement of defense articles from the stocks of the Depart-
ment of Defense, and for reimbursement for defense services 
of the Department of Defense and military education and 
training, provided to the Government of Ukraine: Provided, 
That the Secretary of Defense shall notify the congressional
1792 
defense committees of the details of such transfers not less 
than 30 days before any such transfer: Provided further, 
That the funds transferred pursuant to this section shall 
be merged with and available for the same purposes and 
for the same time period as the appropriations to which 
the funds are transferred: Provided further, That upon a 
determination that all or part of the funds transferred from 
this appropriation are not necessary for the purposes pro-
vided herein, such amounts may be transferred back and 
merged with this appropriation: Provided further, That the 
transfer authority provided in this section is in addition 
to any other transfer authority provided by law. 
SEC. 2302. The Inspector General of the Department 
of Defense shall carry out reviews of the activities of the 
Department of Defense to execute funds appropriated in 
this Act, including assistance provided to Ukraine: Pro-
vided, That the Inspector General shall provide to the con-
gressional defense committees a written report not later 
than 120 days after the date of enactment of this Act.
1793 
TITLE IV 
DEPARTMENT OF ENERGY 
ENERGY PROGRAMS 
DEPARTMENTAL ADMINISTRATION 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Departmental Admin-
istration’’, $30,000,000, to remain available until expended, 
to respond to the situation in Ukraine and for related ex-
penses: Provided, That funds appropriated under this head-
ing in this Act may be transferred to, and merged with, 
other appropriation accounts of the Department of Energy, 
to respond to the situation in Ukraine and for related ex-
penses: Provided further, That upon a determination that 
all or part of the funds transferred pursuant to the author-
ity provided under this heading are not necessary for such 
purposes, such amounts may be transferred back to this ap-
propriation. 
TITLE V 
DEPARTMENT OF THE TREASURY 
DEPARTMENTAL OFFICES 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $17,000,000, to remain available until September 
30, 2023, to respond to the situation in Ukraine and for 
related expenses.
1794 
OFFICE OF TERRORISM AND FINANCIAL INTELLIGENCE 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $25,000,000, to remain available until September 
30, 2023, to respond to the situation in Ukraine and for 
related expenses. 
FINANCIAL CRIMES ENFORCEMENT NETWORK 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $19,000,000, to remain available until September 
30, 2023, to respond to the situation in Ukraine and for 
related expenses. 
TITLE VI 
DEPARTMENT OF STATE AND RELATED AGENCY 
DEPARTMENT OF STATE 
ADMINISTRATION OF FOREIGN AFFAIRS 
DIPLOMATIC PROGRAMS 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for ‘‘Diplomatic Pro-
grams’’, $125,000,000, to remain available until September 
30, 2024, to respond to the situation in Ukraine and in 
countries impacted by the situation in Ukraine: Provided, 
That up to $15,000,000 may be transferred to, and merged 
with, funds available under the heading ‘‘Emergencies in 
the Diplomatic and Consular Service’’: Provided further,
1795 
That up to $50,000,000 may be transferred to, and merged 
with, funds available under the heading ‘‘Capital Invest-
ment Fund’’ for cybersecurity and related information tech-
nology investments: Provided further, That funds appro-
priated under this heading in this Act shall be made avail-
able, as appropriate, to enhance the capacity of the Depart-
ment of State to identify the assets of Russian and other 
oligarchs related to the situation in Ukraine, and to coordi-
nate with the Department of the Treasury in seizing or 
freezing such assets. 
OFFICE OF INSPECTOR GENERAL 
For an additional amount for ‘‘Office of Inspector 
General’’, $4,000,000, to remain available until September 
30, 2024. 
RELATED AGENCY 
UNITED STATES AGENCY FOR GLOBAL MEDIA 
INTERNATIONAL BROADCASTING OPERATIONS 
For an additional amount for ‘‘International Broad-
casting Operations’’, $25,000,000, to remain available until 
September 30, 2024, to respond to the situation in Ukraine 
and in countries impacted by the situation in Ukraine, in-
cluding to enhance the capacity of Radio Free Europe/ 
Radio Liberty, Voice of America, and other United States 
broadcasting entities and independent grantee organiza-
tions.
1796 
UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT 
FUNDS APPROPRIATED TO THE PRESIDENT 
OPERATING EXPENSES 
For an additional amount for ‘‘Operating Expenses’’, 
$25,000,000, to remain available until September 30, 2024, 
to respond to the situation in Ukraine and in countries im-
pacted by the situation in Ukraine. 
OFFICE OF INSPECTOR GENERAL 
For an additional amount for ‘‘Office of Inspector 
General’’, $4,000,000, to remain available until September 
30, 2024. 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
INTERNATIONAL DISASTER ASSISTANCE 
For an additional amount for ‘‘International Disaster 
Assistance’’, $2,650,000,000, to remain available until ex-
pended, to respond to humanitarian needs in Ukraine and 
in countries impacted by the situation in Ukraine, includ-
ing the provision of emergency food and shelter, and for 
assistance for other vulnerable populations and commu-
nities. 
TRANSITION INITIATIVES 
For an additional amount for ‘‘Transition Initia-
tives’’, $120,000,000, to remain available until expended,
1797 
for assistance for Ukraine and countries impacted by the 
situation in Ukraine. 
ECONOMIC SUPPORT FUND 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for ‘‘Economic Support 
Fund’’, $647,000,000, to remain available until September 
30, 2024, for assistance for Ukraine and countries impacted 
by the situation in Ukraine, including direct financial sup-
port: Provided, That funds appropriated under this heading 
in this Act may be made available notwithstanding any 
other provision of law that restricts assistance to foreign 
countries. 
ASSISTANCE FOR EUROPE, EURASIA AND CENTRAL ASIA 
For an additional amount for ‘‘Assistance for Europe, 
Eurasia and Central Asia’’, $1,120,000,000, to remain 
available until September 30, 2024, for assistance and re-
lated programs for Ukraine and other countries identified 
in section 3 of the FREEDOM Support Act (22 U.S.C. 
5801) and section 3(c) of the Support for East European 
Democracy (SEED) Act of 1989 (22 U.S.C. 5402(c))). 
DEPARTMENT OF STATE 
MIGRATION AND REFUGEE ASSISTANCE 
For an additional amount for ‘‘Migration and Refugee 
Assistance’’, $1,400,000,000, to remain available until ex-
1798 
pended, to assist refugees from Ukraine and for additional 
support for other vulnerable populations and communities. 
INTERNATIONAL SECURITY ASSISTANCE 
DEPARTMENT OF STATE 
INTERNATIONAL NARCOTICS CONTROL AND LAW 
ENFORCEMENT 
For an additional amount for ‘‘International Nar-
cotics Control and Law Enforcement’’, $30,000,000, to re-
main available until September 30, 2024, for assistance for 
Ukraine and countries impacted by the situation in 
Ukraine. 
FUNDS APPROPRIATED TO THE PRESIDENT 
FOREIGN MILITARY FINANCING PROGRAM 
For an additional amount for ‘‘Foreign Military Fi-
nancing Program’’, $650,000,000, to remain available until 
September 30, 2024, for assistance for Ukraine and coun-
tries impacted by the situation in Ukraine. 
GENERAL PROVISIONS—THIS TITLE 
(INCLUDING TRANSFERS OF FUNDS) 
SEC. 2601. During fiscal year 2022, section 506(a)(1) 
of the Foreign Assistance Act of 1961 (22 U.S.C. 
2318(a)(1)) 
shall 
be 
applied 
by 
substituting 
‘‘$3,000,000,000’’ for ‘‘$100,000,000’’. 
SEC. 
2602. 
During 
fiscal 
year 
2022, 
section 
614(a)(4)(A)(ii) of the Foreign Assistance Act of 1961 (22
1799 
U.S.C. 
2364) 
shall 
be 
applied 
by 
substituting 
‘‘$500,000,000’’ 
for 
‘‘$250,000,000’’ 
and 
section 
614(a)(4)(C) 
shall 
be 
applied 
by 
substituting 
‘‘$100,000,000’’ 
for 
‘‘$50,000,000’’, 
by 
substituting 
‘‘$500,000,000’’ 
for 
‘‘$250,000,000’’, 
by 
substituting 
‘‘$750,000,000’’ for ‘‘$500,000,000’’, and by substituting 
‘‘$1,250,000,000’’ for ‘‘$1,000,000,000’’. 
SEC. 2603. During fiscal year 2022, the President may 
transfer excess defense articles to Ukraine and to allies and 
partners in Europe pursuant to section 516 of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2321j) without regard 
to the notification requirement in section 516(f)(1) of such 
Act and the monetary limitation in section 516(g) of such 
Act: Provided, That not later than 30 days after such a 
transfer has occurred, the President shall report to the ap-
propriate congressional committees on the items trans-
ferred, pursuant to the specifications in section 516(f) of 
such Act. 
SEC. 2604. (a) Funds appropriated by this title under 
the headings ‘‘International Disaster Assistance’’ and ‘‘Mi-
gration and Refugee Assistance’’ may be transferred to, and 
merged with, funds appropriated by this title under such 
headings to respond to humanitarian needs in Ukraine and 
in countries impacted by the situation in Ukraine and for
1800 
other assistance for vulnerable populations and commu-
nities. 
(b) Funds appropriated by this title under the head-
ings ‘‘Transition Initiatives’’, ‘‘Economic Support Fund’’, 
‘‘Assistance for Europe, Eurasia and Central Asia’’, and 
‘‘International Narcotics Control and Law Enforcement’’ 
may be transferred to, and merged with, funds available 
under such headings and with funds available under the 
headings ‘‘Complex Crises Fund’’ and ‘‘Nonproliferation, 
Anti-terrorism, Demining and Related Programs’’ for as-
sistance for Ukraine and countries impacted by the situa-
tion in Ukraine and to respond to humanitarian needs. 
(c) Funds appropriated by this title under the heading 
‘‘Economic Support Fund’’ may be transferred to, and 
merged with, funds available under the heading ‘‘Diplo-
matic Programs’’ for activities related to public engage-
ment, messaging, and countering disinformation. 
(d) The transfer authorities provided by this title are 
in addition to any other transfer authority provided by 
law. 
(e) The exercise of the transfer authorities provided by 
this title shall be subject to prior consultation with the Com-
mittees on Appropriations. 
(f) Upon a determination that all or part of the funds 
transferred pursuant to the authorities provided under this
1801 
title are not necessary for such purposes, such amounts may 
be transferred back to such appropriations. 
SEC. 2605. Funds appropriated by this title under the 
headings ‘‘Diplomatic Programs’’, ‘‘International Broad-
casting Operations’’, ‘‘Operating Expenses’’, ‘‘International 
Disaster Assistance’’, ‘‘Transition Initiatives’’, ‘‘Economic 
Support Fund’’, ‘‘Assistance for Europe, Eurasia and Cen-
tral Asia’’, ‘‘Migration and Refugee Assistance’’, ‘‘Inter-
national Narcotics Control and Law Enforcement’’ and 
‘‘Foreign Military Financing Program’’ may be used to re-
imburse accounts administered by the Department of State, 
United States Agency for Global Media, and the United 
States Agency for International Development for obligations 
incurred related to the situation in Ukraine and in coun-
tries impacted by the situation in Ukraine under such head-
ings prior to the date of enactment of this Act. 
SEC. 2606. (a) During fiscal year 2022, direct loans 
under section 23 of the Arms Export Control Act may be 
made available for Ukraine and North Atlantic Treaty Or-
ganization (NATO) allies, notwithstanding section 23(c)(1) 
of the Arms Export Control Act, gross obligations for the 
principal amounts of which shall not exceed $4,000,000,000: 
Provided, That funds made available under the heading 
‘‘Foreign Military Financing Program’’ in this title and 
unobligated balances of funds made available under such
1802 
heading in prior Acts making appropriations for the De-
partment of State, foreign operations, and related programs 
may be made available for the costs, as defined in section 
502 of the Congressional Budget Act of 1974, of such loans: 
Provided further, That such costs, including the cost of 
modifying such loans, shall be as defined in section 502 of 
the Congressional Budget Act of 1974 and may include the 
costs of selling, reducing, or cancelling any amounts owed 
to the United States or any agency of the United States: 
Provided further, That the Government of the United States 
may charge fees for such loans, which shall be collected from 
borrowers in accordance with section 502(7) of the Congres-
sional Budget Act of 1974: Provided further, That no funds 
made available by this or any other appropriations Act for 
this fiscal year or prior fiscal years may be used for pay-
ment of any fees associated with such loans: Provided fur-
ther, That such loans shall be repaid in not more than 12 
years, including a grace period of up to one year on repay-
ment of principal: Provided further, That notwithstanding 
section 23(c)(1) of the Arms Export Control Act, interest 
for such loans may be charged at a rate determined by the 
Secretary of State, except that such rate may not be less 
than the prevailing interest rate on marketable Treasury 
securities of similar maturity: Provided further, That 
amounts made available under this subsection for such costs
1803 
shall not be considered assistance for the purposes of provi-
sions of law limiting assistance to a country. 
(b) Funds made available under the heading ‘‘Foreign 
Military Financing Program’’ in this title and unobligated 
balances of funds made available under such heading in 
prior Acts making appropriations for the Department of 
State, foreign operations, and related programs may be 
made available, notwithstanding the third proviso under 
such heading, for the costs of loan guarantees under section 
24 of the Arms Export Control Act for Ukraine and NATO 
allies, which are authorized to be provided: Provided, That 
such funds are available to subsidize gross obligations for 
the principal amount of commercial loans, and total loan 
principal, any part of which is to be guaranteed, not to 
exceed $4,000,000,000: Provided further, That no loan guar-
antee with respect to any one borrower may exceed 80 per-
cent of the loan principal: Provided further, That any loan 
guaranteed under this subsection may not be subordinated 
to another debt contracted by the borrower or to any other 
claims against the borrower in the case of default: Provided 
further, That repayment in United States dollars of any 
loan guaranteed under this subsection shall be required 
within a period not to exceed 12 years after the loan agree-
ment is signed: Provided further, That the Government of 
the United States may charge fees for such loan guarantees,
1804 
as may be determined, notwithstanding section 24 of the 
Arms Export Control Act, which shall be collected from bor-
rowers or third parties on behalf of such borrowers in ac-
cordance with section 502(7) of the Congressional Budget 
Act of 1974: Provided further, That amounts made avail-
able under this subsection for the costs of such guarantees 
shall not be considered assistance for the purposes of provi-
sions of law limiting assistance to a country. 
(c) Funds made available pursuant to the authorities 
of this section shall be subject to prior consultation with 
the appropriate congressional committees, and the regular 
notification procedures of the Committees on Appropria-
tions. 
SEC. 2607. Not later than 30 days after the date of 
enactment of this Act, the Secretary of State and Adminis-
trator of the United States Agency for International Devel-
opment shall jointly submit a report to the Committees on 
Appropriations on the proposed uses of funds appropriated 
by this title: Provided, That the United States Agency for 
Global Media Chief Executive Officer shall submit a sepa-
rate report not later than 30 days after the date of enact-
ment of this Act for funds appropriated under the heading 
‘‘International Broadcasting Operations’’: Provided fur-
ther, That such reports shall be updated and submitted to 
the Committees on Appropriations every 60 days thereafter
1805 
until September 30, 2024, and every 120 days thereafter 
until all funds have been expended. 
TITLE VII 
GENERAL PROVISIONS—THIS ACT 
SEC. 2701. Each amount appropriated or made avail-
able by this Act is in addition to amounts otherwise appro-
priated for the fiscal year involved. 
SEC. 2702. 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. 2703. Unless otherwise provided for by this Act, 
the additional amounts appropriated by this Act to appro-
priations accounts shall be available under the authorities 
and conditions applicable to such appropriations accounts 
for fiscal year 2022. 
SEC. 2704. (a) Not later than 90 days after the date 
of the enactment of this Act, the Secretary of State and the 
Secretary of Defense shall submit to the appropriate con-
gressional committees and congressional Leadership a re-
port that includes the following: 
(1) a description of United States Government 
assistance provided to the security forces of the Gov-
ernment of Ukraine for the purpose of supporting the 
Ukrainian people as they defend their territorial in-
1806 
tegrity and sovereignty, and to counter ongoing Rus-
sian aggression, including: 
(A) an assessment of Ukrainian security re-
quirements and capabilities gaps the assistance 
seeks to fill; and 
(B) formal requests from the Government of 
Ukraine for specific defense articles and services 
as of the date of enactment; 
(2) a description, to the extent practicable, of 
other assistance, including lethal assistance, Ukraine 
has received since December 1, 2021, from foreign 
governments; 
(3) a description of United States Government 
diplomatic efforts to end Russia’s aggression against 
Ukraine and to restore Ukraine’s sovereignty; 
(4) a detailed description of United States Gov-
ernment policies aimed at supporting North Atlantic 
Treaty Organization (NATO) allies and other Euro-
pean partners threatened by the government of the 
Russian Federation and its proxies and increased 
strain from the humanitarian crisis; and 
(5) a plan to replenish stocks of U.S. origin de-
fense articles transferred by NATO or its member 
states to Ukraine.
1807 
(b) The report required by subsection (a) shall be sub-
mitted in unclassified form but may contain a classified 
annex, if necessary. 
(c) Every 90 days after the release of the first report 
to the appropriate congressional committees, the Secretary 
of State and the Secretary of Defense shall submit to the 
appropriate congressional committees and congressional 
Leadership a report that includes: 
(1) a detailed description of defense articles 
transferred or scheduled to be transferred by the 
United States to the Government of Ukraine; and 
(2) a detailed description of U.S. origin defense 
articles transferred by NATO or its member states 
under U.S. authorization to the Government of 
Ukraine during the reporting period. 
(d) For purposes of this section, the term ‘‘appropriate 
congressional committees’’ means the House Committees on 
Foreign Affairs, Armed Services, and Appropriations and 
the Senate Committees on Foreign Relations, Armed Serv-
ices, and Appropriations. 
SEC. 2705. Each amount provided by this division is 
designated by the Congress as being for an emergency re-
quirement pursuant to section 4001(a)(1) and section 
4001(b) of S. Con. Res. 14 (117th Congress), the concurrent 
resolution on the budget for fiscal year 2022.
1808 
This division may be cited as the ‘‘Ukraine Supple-
mental Appropriations Act, 2022’’.
1809 
DIVISION O—EXTENSIONS AND 
TECHNICAL CORRECTIONS 
TITLE I—FLOOD INSURANCE 
SEC. 101. NATIONAL FLOOD INSURANCE PROGRAM EXTEN-
SION. 
(a) FINANCING.—Section 1309(a) of the National 
Flood Insurance Act of 1968 (42 U.S.C. 4016(a)) is amend-
ed by striking ‘‘September 30, 2021’’ and inserting ‘‘Sep-
tember 30, 2022’’. 
(b) PROGRAM EXPIRATION.—Section 1319 of the Na-
tional Flood Insurance Act of 1968 (42 U.S.C. 4026) is 
amended by striking ‘‘September 30, 2021’’ and inserting 
‘‘September 30, 2022’’. 
TITLE II—IMMIGRATION 
EXTENSIONS 
SEC. 201. E-VERIFY. 
Section 401(b) of the Illegal Immigration Reform and 
Immigrant Responsibility Act of 1996 (8 U.S.C. 1324a 
note) shall be applied by substituting ‘‘September 30, 2022’’ 
for ‘‘September 30, 2015’’. 
SEC. 202. NON-MINISTER RELIGIOUS WORKERS. 
Subclauses (II) and (III) of section 101(a)(27)(C)(ii) 
of the Immigration and Nationality Act (8 U.S.C. 
1101(a)(27)(C)(ii)) shall be applied by substituting ‘‘Sep-
tember 30, 2022’’ for ‘‘September 30, 2015’’.
1810 
SEC. 203. RURAL HEALTHCARE WORKERS. 
Subclauses 220(c) of the Immigration and Nationality 
Technical Corrections Act of 1994 (8 U.S.C. 1182 note) 
shall be applied by substituting ‘‘September 30, 2022’’ for 
‘‘September 30, 2015’’. 
SEC. 204. H–2B SUPPLEMENTAL VISAS EXEMPTION. 
Notwithstanding the numerical limitation set forth in 
section 214(g)(1)(B) of the Immigration and Nationality 
Act (8 U.S.C. 1184(g)(1)(B)), the Secretary of Homeland 
Security, after consultation with the Secretary of Labor, 
and upon the determination that the needs of American 
businesses cannot be satisfied in fiscal year 2022 with 
United States workers who are willing, qualified, and able 
to perform temporary nonagricultural labor, may increase 
the total number of aliens who may receive a visa under 
section 101(a)(15)(H)(ii)(b) of such Act (8 U.S.C. 
1101(a)(15)(H)(ii)(b)) in such fiscal year above such limi-
tation by not more than the highest number of H–2B non-
immigrants who participated in the H–2B returning work-
er program in any fiscal year in which returning workers 
were exempt from such numerical limitation.
1811 
TITLE III—LIVESTOCK 
REPORTING EXTENSION 
SEC. 301. LIVESTOCK MANDATORY REPORTING EXTENSION. 
(a) IN GENERAL.—Section 260 of the Agricultural 
Marketing Act of 1946 (7 U.S.C. 1636i) is amended by 
striking ‘‘2020’’ and inserting ‘‘2022’’. 
(b) CONFORMING AMENDMENT.—Section 942 of the 
Livestock Mandatory Reporting Act of 1999 (7 U.S.C. 1635 
note; Public Law 106–78) is amended by striking ‘‘2020’’ 
and inserting ‘‘2022’’. 
TITLE IV—TVPA EXTENSION 
SEC. 401. EXTENSION OF ADDITIONAL SPECIAL ASSESS-
MENT. 
Section 3014(a) of title 18, United States Code, is 
amended by striking ‘‘March 11, 2022’’ and inserting ‘‘Sep-
tember 11, 2022’’. 
TITLE V—BUDGETARY EFFECTS 
SEC. 501. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budgetary 
effects of this division and each succeeding division shall 
not be entered on either PAYGO scorecard maintained pur-
suant to section 4(d) of the Statutory Pay-As-You-Go Act 
of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary ef-
fects of this division and each succeeding division shall not
1812 
be entered on any PAYGO scorecard maintained for pur-
poses of section 4106 of H. Con. Res. 71 (115th Congress). 
(c) CLASSIFICATION OF BUDGETARY EFFECTS.—Not-
withstanding Rule 3 of the Budget Scorekeeping Guidelines 
set forth in the joint explanatory statement of the committee 
of conference accompanying Conference Report 105–217 
and section 250(c)(8) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985, the budgetary effects of 
this division and each succeeding division shall not be esti-
mated— 
(1) for purposes of section 251 of such Act; 
(2) for purposes of an allocation to the Com-
mittee on Appropriations pursuant to section 302(a) 
of the Congressional Budget Act of 1974; and 
(3) for purposes of paragraph (4)(C) of section 
3 of the Statutory Pay-As-You-Go Act of 2010 as 
being included in an appropriation Act.
1813 
DIVISION P—HEALTH 
PROVISIONS 
TITLE I—PUBLIC HEALTH 
Subtitle A—National Disaster 
Medical System 
SEC. 101. EXTENSION OF AUTHORITY TO MAKE CERTAIN AP-
POINTMENTS FOR NATIONAL DISASTER MED-
ICAL SYSTEM. 
Section 2812(c)(4)(B) of the Public Health Service Act 
(42 U.S.C. 300hh–11(c)(4)(B)) is amended by striking 
‘‘March 11, 2022’’ and inserting ‘‘September 30, 2023’’. 
Subtitle B—Synthetic Nicotine 
SEC. 111. FDA AUTHORITY OVER PRODUCTS CONTAINING 
NICOTINE. 
(a) TOBACCO PRODUCT DEFINED.—Section 201(rr) of 
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
321(rr)) is amended— 
(1) in subparagraph (1), by inserting ‘‘, or con-
taining nicotine from any source,’’ after ‘‘from to-
bacco’’; and 
(2) by adding at the end the following: 
‘‘(5) The term ‘tobacco product’ does not mean an arti-
cle that is a food under paragraph (f), if such article con-
tains no nicotine, or no more than trace amounts of natu-
rally occurring nicotine.’’.
1814 
(b) APPLICABILITY TO CERTAIN PRODUCTS.—Section 
901(b) of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 387a(b)) is amended by adding at the end the fol-
lowing: ‘‘This chapter shall also apply to any tobacco prod-
uct containing nicotine that is not made or derived from 
tobacco.’’. 
(c) EFFECTIVE DATE.—The amendments made by sub-
sections (a) and (b) shall take effect 30 days after the date 
of enactment of this Act. 
(d) SUBMISSION OF APPLICATIONS FOR PREVIOUSLY 
MARKETED PRODUCTS.— 
(1) TRANSITION PERIOD FOR ALL PRODUCTS.— 
With respect to a tobacco product that contains nico-
tine from any source other than tobacco and that was 
being marketed in the United States within 30 days 
after the date of enactment of this Act, such product 
shall not be considered to be in violation of section 
910 of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 387j) (relating to applications for review of 
certain tobacco products) during the 60-day period 
following the date of enactment of this Act. 
(2) SUBMISSION OF APPLICATIONS.— 
(A) IN GENERAL.—As a condition for con-
tinuing to market a product described in para-
graph (1) after the 60-day period specified in
1815 
such paragraph, during the 30-day period begin-
ning on the effective date specified in subsection 
(c), the manufacturer shall submit a new tobacco 
product application under section 910(b) of the 
Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 387j(b)) with respect to such product. 
(B) TRANSITION PERIOD.—Except as pro-
vided in subparagraph (C), with respect to a to-
bacco product for which an application is sub-
mitted as described in subparagraph (A), the 
manufacturer of such product may continue to 
market such product during the 90-day period 
beginning on the effective date specified in sub-
section (c). 
(C) EXCEPTION.—If the Secretary of Health 
and Human Services previously denied an ap-
plication under section 910(c)(2) of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 
387j(c)(2)), refused to file an application under 
section 910(b) of such Act, or withdrew an order 
under section 910(d) of such Act for a previous 
version of a tobacco product that used nicotine 
made or derived from tobacco, such product is 
not eligible for continued marketing under sub-
paragraph (B).
1816 
(3) END OF TRANSITION PERIOD.—Beginning on 
the date that is 90 days after the effective date speci-
fied in subsection (c), a tobacco product described in 
paragraph (1) (including such a tobacco product that 
is the subject of a pending application under section 
910 of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 387j)) is in violation of such section 910 if 
such tobacco product does not have an order in effect 
under subsection (c)(1)(A)(i) of such section. 
(e) APPLICABILITY OF EXISTING REQUIREMENTS FOR 
TOBACCO PRODUCTS.—Effective 30 days after the date of 
enactment of this Act, with respect to any regulation pro-
mulgated or related guidance issued, in whole or part, 
under the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
301 et seq.) before the date that is 30 days after such date 
of enactment, the term ‘‘tobacco product’’ shall have the 
meaning of, and shall be deemed amended to reflect the 
meaning of, such term as defined in section 201(rr) of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321(rr)), 
as amended by subsection (a). Products that are tobacco 
products under such section 201(rr), as so amended, shall 
be subject to all requirements of regulations for tobacco 
products. The Secretary of Health and Human Services 
shall publish a notice in the Federal Register to update the
1817 
Code of Federal Regulations to reflect such deemed amend-
ment to existing regulations and guidance. 
(f) TECHNICAL ACHIEVABILITY.—Section 907(b)(1) of 
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
387g(b)(1)) is amended by inserting before the period at 
the end the following: ‘‘, including with regard to any dif-
ferences related to the technical achievability of compliance 
with such standard for products in the same class con-
taining nicotine not made or derived from tobacco and 
products containing nicotine made or derived from to-
bacco’’. 
SEC. 112. REPORTING ON TOBACCO REGULATION ACTIVI-
TIES. 
(a) IN GENERAL.—For fiscal year 2022 and each sub-
sequent fiscal year for which fees are collected under section 
919 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
387s), the Secretary of Health and Human Services shall, 
not later than 180 days after the end of the fiscal year, 
prepare and submit to the Committee on Energy and Com-
merce and the Committee on Appropriations of the House 
of Representatives, and the Committee on Health, Edu-
cation, Labor, and Pensions and the Committee on Appro-
priations of the Senate, an annual report that contains the 
information required under subsection (b).
1818 
(b) REQUIRED INFORMATION.—Each report submitted 
under subsection (a) shall contain the following information 
for the previous fiscal year: 
(1) Total annual user fee collections. 
(2) Total amount of fees obligated. 
(3) The amount of unobligated carryover balance 
from fees collected. 
(4) The amount obligated by the Center for To-
bacco Products for each of the following activities: 
(A) Compliance and enforcement. 
(B) Public education campaigns. 
(C) Scientific research and research infra-
structure. 
(D) Communications. 
(E) Leadership, management oversight, and 
administrative services. 
(F) Related overhead activities. 
(5) The numbers of applications, categorized by 
class of tobacco product and review pathway under 
sections 905, 910, and 911 of the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 387e; 387j; 387k), that 
were— 
(A) submitted; 
(B) pending; 
(C) accepted;
1819 
(D) refused to file; 
(E) withdrawn; 
(F) denied; 
(G) authorized for marketing under an 
order; 
(H) issued a deficiency letter or environ-
mental information request letter; or 
(I) referred to the Tobacco Products Sci-
entific Advisory Committee. 
(6) The number and titles of draft and final 
guidance documents and proposed and final regula-
tions issued on topics related to the process for the re-
view of tobacco product applications, whether such 
regulations and guidance documents were issued as 
required by statute or by other legal or regulatory re-
quirements, and whether the issuance met the dead-
lines set forth by the applicable statute or other re-
quirements. 
(7) The number and titles of public meetings re-
lated to the review of tobacco product applications by 
the Center for Tobacco Products or other offices or 
centers within the Food and Drug Administration. 
(8) The number of pre-submission meetings relat-
ing to applications under section 910 of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 387j), in-
1820 
cluding the number of meeting requests received, the 
number of meetings held, and the median amount of 
time between when such meeting requests were made 
and when the requests were granted or denied. 
(9) The number of full-time equivalent employees 
funded pursuant to fees collected under section 919 of 
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
387s), including identification of the centers and of-
fices within the Food and Drug Administration in 
which such positions are located. 
(10) The number of inspections and investiga-
tions conducted at domestic and foreign establish-
ments required to register under section 905 of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
387e). 
(11) The total number of compliance and en-
forcement actions issued or taken with respect to to-
bacco products, including warning letters, civil money 
penalties, no-tobacco-sale orders, and other enforce-
ment actions (including seizures, injunctions, and 
criminal prosecution). 
(c) PUBLIC AVAILABILITY.—The Secretary of Health 
and Human Services shall make the reports required under 
this section available to the public on the website of the Food 
and Drug Administration.
1821 
(d) LIMITATIONS.—Reporting under this section shall 
include best estimates for any reporting category for which 
the Food and Drug Administration does not have precise 
calculations. Such best estimates shall be accompanied with 
an explanatory statement for why the Food and Drug Ad-
ministration does not have access to, or cannot calculate, 
the exact figure and a date by which the Food and Drug 
Administration will update its internal accounting proce-
dures to allow for such reporting. If a category is success-
fully reported by the Food and Drug Administration with 
regard to another type of user fee but is provided a best 
estimate by the Center for Tobacco Products, the explana-
tory statement shall include information regarding how the 
Food and Drug Administration will align systems and 
apply learning across the agency to allow for accurate re-
porting. 
Subtitle C—Drug Discount Program 
SEC. 121. ELIGIBILITY EXCEPTION FOR THE DRUG DIS-
COUNT PROGRAM DUE TO THE COVID–19 PUB-
LIC HEALTH EMERGENCY. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, in the case of a hospital described in subsection 
(b) that, with respect to cost reporting periods that begin 
during fiscal year 2020 or a subsequent fiscal year, but do 
not end after December 31, 2022, does not meet the applica-
1822 
ble requirement for the disproportionate share adjustment 
percentage described in subsection (c) by reason of the 
COVID–19 public health emergency, but otherwise meets the 
requirements for being a covered entity under subparagraph 
(L), (M), or (O) of subsection (a)(4) of section 340B of the 
Public Health Service Act (42 U.S.C. 256b) and is in com-
pliance with all other requirements of the program under 
such section, shall be deemed a covered entity for purposes 
of such section for the period— 
(1) beginning on the date of the enactment of 
this Act (or, if later, with the first of such cost report-
ing periods for which the hospital does not so meet 
such applicable requirement for the disproportionate 
share adjustment percentage, but otherwise meets all 
other such requirements for being such a covered enti-
ty and of such program); and 
(2) ending with the last of such cost reporting 
periods (ending not later than December 31, 2022) for 
which the hospital does not so meet such applicable 
requirement for the disproportionate share adjustment 
percentage, but otherwise meets all other such require-
ments for being such a covered entity and of such pro-
gram. 
(b) HOSPITALS.—A hospital described in this sub-
section is an entity that, on the day before the first day
1823 
of the COVID–19 public health emergency, was a covered 
entity described in subparagraph (L), (M), or (O) of sub-
section (a)(4) of section 340B of the Public Health Service 
Act participating in the drug discount program under such 
section. 
(c) APPLICABLE
REQUIREMENT
FOR
DISPROPOR-
TIONATE SHARE ADJUSTMENT PERCENTAGE.—The appli-
cable requirement for the disproportionate share adjustment 
percentage described in this subsection is— 
(1) in the case of a hospital described in sub-
section (a) that otherwise meets the requirements 
under subparagraph (L) or (M) of section 340B(a)(4) 
of the Public Health Service Act, the requirement 
under subparagraph (L)(ii) of such section; and 
(2) in the case of a hospital described in sub-
section (a) that otherwise meets the requirements 
under subparagraph (O) of such section 340B(a)(4), 
the requirement with respect to the disproportionate 
share adjustment percentage described in such sub-
paragraph (O). 
(d) SELF-ATTESTATION.— 
(1) IN GENERAL.—A hospital described in sub-
section (a) that fails to meet the applicable require-
ment for the disproportionate share adjustment per-
centage described in subsection (c) shall, within 30
1824 
days of such failure, or in the case of a hospital where 
such failure occurred prior to the date of enactment 
of this Act but after the start of the COVID-19 public 
health emergency, within 30 days of the date of enact-
ment, provide to the Secretary of Health and Human 
Services an attestation that contains information on 
any actions taken by or other impact on such hospital 
in response to or as a result of the COVID-19 public 
health emergency that may have impacted the ability 
to meet the applicable requirement for the dispropor-
tionate share adjustment percentage described in sub-
section (c). 
(2) PAPERWORK REDUCTION ACT.—Chapter 35 
of title 44, United States Code, shall not apply to the 
collection of information provided pursuant to this 
subsection. 
(e) DEFINITIONS.—In this section: 
(1) COVERED ENTITY.—The term ‘‘covered enti-
ty’’ has the meaning given such term in section 
340B(a)(4) of the Public Health Service Act (42 
U.S.C. 256b(a)(4)). 
(2) COVID–19 PUBLIC
HEALTH
EMERGENCY.— 
The term ‘‘COVID–19 public health emergency’’ 
means the public health emergency declared by the 
Secretary of Health and Human Services under sec-
1825 
tion 319 of the Public Health Service Act (42 U.S.C. 
247d) on January 31, 2020, with respect to COVID– 
19 (or any renewal of such declaration). 
Subtitle D—Maternal Health 
Quality Improvement 
CHAPTER 1—IMPROVEMENTS TO 
MATERNAL HEALTH CARE 
SEC. 131. INNOVATION FOR MATERNAL HEALTH. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by inserting after section 330N of 
such Act, the following: 
‘‘SEC. 330O. INNOVATION FOR MATERNAL HEALTH. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with experts representing a variety of clinical specialties, 
State, Tribal, or local public health officials, researchers, 
epidemiologists, statisticians, and community organiza-
tions, shall establish or continue a program to award com-
petitive grants to eligible entities for the purpose of— 
‘‘(1) identifying, developing, or disseminating 
best practices to improve maternal health care quality 
and outcomes, improve maternal and infant health, 
and eliminate preventable maternal mortality and se-
vere maternal morbidity, which may include— 
‘‘(A) information on evidence-based prac-
tices to improve the quality and safety of mater-
1826 
nal health care in hospitals and other health care 
settings of a State or health care system by ad-
dressing topics commonly associated with health 
complications or risks related to prenatal care, 
labor care, birthing, and postpartum care; 
‘‘(B) best practices for improving maternal 
health care based on data findings and reviews 
conducted by a State maternal mortality review 
committee that address topics of relevance to 
common complications or health risks related to 
prenatal 
care, 
labor 
care, 
birthing, 
and 
postpartum care; and 
‘‘(C) information on addressing deter-
minants of health that impact maternal health 
outcomes for women before, during, and after 
pregnancy; 
‘‘(2) collaborating with State maternal mortality 
review committees to identify issues for the develop-
ment and implementation of evidence-based practices 
to improve maternal health outcomes and reduce pre-
ventable maternal mortality and severe maternal 
morbidity, consistent with section 317K; 
‘‘(3) providing technical assistance and sup-
porting the implementation of best practices identi-
1827 
fied in paragraph (1) to entities providing health 
care services to pregnant and postpartum women; and 
‘‘(4) identifying, developing, and evaluating new 
models of care that improve maternal and infant 
health outcomes, which may include the integration of 
community-based services and clinical care. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible for a grant 
under subsection (a), an entity shall— 
‘‘(1) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require; and 
‘‘(2) demonstrate in such application that the 
entity is capable of carrying out data-driven mater-
nal safety and quality improvement initiatives in the 
areas of obstetrics and gynecology or maternal health. 
‘‘(c) REPORT.—Not later than September 30, 2025, 
and every 2 years thereafter, the Secretary shall submit a 
report to Congress on the practices described in paragraphs 
(1) and (2) of subsection (a). Such report shall include a 
description of the extent to which such practices reduced 
preventable maternal mortality and severe maternal mor-
bidity, and whether such practices improved maternal and 
infant health. The Secretary shall disseminate information 
on such practices, as appropriate.
1828 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$9,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 132. TRAINING FOR HEALTH CARE PROVIDERS. 
Title VII of the Public Health Service Act is amended 
by striking section 763 (42 U.S.C. 294p) and inserting the 
following: 
‘‘SEC. 763. TRAINING FOR HEALTH CARE PROVIDERS. 
‘‘(a) GRANT PROGRAM.—The Secretary shall establish 
a program to award grants to accredited schools of 
allopathic medicine, osteopathic medicine, and nursing, 
and other health professional training programs for the 
training of health care professionals to improve the provi-
sion of prenatal care, labor care, birthing, and postpartum 
care for racial and ethnic minority populations, including 
with respect to perceptions and biases that may affect the 
approach to, and provision of, care. 
‘‘(b) ELIGIBILITY.—To be eligible for a grant under 
subsection (a), an entity described in such subsection shall 
submit to the Secretary an application at such time, in 
such manner, and containing such information as the Sec-
retary may require. 
‘‘(c) REPORTING REQUIREMENTS.— 
‘‘(1) PERIODIC GRANTEE REPORTS.—Each entity 
awarded a grant under this section shall periodically
1829 
submit to the Secretary a report on the status of ac-
tivities conducted using the grant, including a de-
scription of the impact of such training on patient 
outcomes, as applicable. 
‘‘(2) REPORT
TO
CONGRESS.—Not later than 
September 30, 2026, the Secretary shall submit a re-
port to Congress on the activities conducted using 
grants under subsection (a) and any best practices 
identified and disseminated under subsection (d). 
‘‘(d) BEST PRACTICES.—The Secretary may identify 
and disseminate best practices for the training described in 
subsection (a). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$5,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 133. STUDY ON IMPROVING TRAINING FOR HEALTH 
CARE PROVIDERS. 
Not later than 2 years after date of enactment of this 
Act, the Secretary of Health and Human Services shall, 
through a contract with an independent research organiza-
tion, conduct a study and make recommendations for ac-
credited schools of allopathic medicine, osteopathic medi-
cine, and nursing, and other health professional training 
programs on best practices related to training to improve 
the provision of prenatal care, labor care, birthing, and
1830 
postpartum care for racial and ethnic minority popu-
lations, including with respect to perceptions and biases 
that may affect the approach to, and provision of, care. 
SEC. 134. INTEGRATED SERVICES FOR PREGNANT AND 
POSTPARTUM WOMEN. 
(a) GRANTS.—Title III of the Public Health Service 
Act (42 U.S.C. 241 et seq.) is amended by inserting after 
section 330O of such Act, as added by section 131, the fol-
lowing: 
‘‘SEC. 330P. INTEGRATED SERVICES FOR PREGNANT AND 
POSTPARTUM WOMEN. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
for the purpose of establishing or operating evidence-based 
or innovative, evidence-informed programs to deliver inte-
grated health care services to pregnant and postpartum 
women to optimize the health of women and their infants, 
including to reduce adverse maternal health outcomes, preg-
nancy-related deaths, and related health disparities (includ-
ing such disparities associated with racial and ethnic mi-
nority populations), and, as appropriate, by addressing 
issues researched under subsection (b)(2) of section 317K. 
‘‘(b) INTEGRATED SERVICES
FOR PREGNANT
AND 
POSTPARTUM WOMEN.— 
‘‘(1) ELIGIBILITY.—To be eligible to receive a 
grant under subsection (a), a State, Indian Tribe, or
1831 
Tribal organization (as such terms are defined in sec-
tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act) shall work with relevant stake-
holders that coordinate care to develop and carry out 
the program, including— 
‘‘(A) State, Tribal, and local agencies re-
sponsible for Medicaid, public health, social serv-
ices, mental health, and substance use disorder 
treatment and services; 
‘‘(B) health care providers who serve preg-
nant and postpartum women; and 
‘‘(C) community-based health organizations 
and health workers, including providers of home 
visiting services and individuals representing 
communities with disproportionately high rates 
of maternal mortality and severe maternal mor-
bidity, and including those representing racial 
and ethnic minority populations. 
‘‘(2) TERMS.— 
‘‘(A) PERIOD.—A grant awarded under 
subsection (a) shall be made for a period of 5 
years. Any supplemental award made to a 
grantee under subsection (a) may be made for a 
period of less than 5 years.
1832 
‘‘(B) PRIORITIES.—In awarding grants 
under subsection (a), the Secretary shall— 
‘‘(i) give priority to States, Indian 
Tribes, and Tribal organizations that have 
the highest rates of maternal mortality and 
severe maternal morbidity relative to other 
such States, Indian Tribes, or Tribal orga-
nizations, respectively; and 
‘‘(ii) shall consider health disparities 
related to maternal mortality and severe 
maternal morbidity, including such dispari-
ties associated with racial and ethnic mi-
nority populations. 
‘‘(C) EVALUATION.—The Secretary shall re-
quire grantees to evaluate the outcomes of the 
programs supported under the grant. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) REPORT ON GRANT OUTCOMES AND DISSEMINA-
TION OF BEST PRACTICES.— 
(1) REPORT.—Not later than February 1, 2027, 
the Secretary of Health and Human Services shall 
submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee
1833 
on Energy and Commerce of the House of Representa-
tives a report that describes— 
(A) the outcomes of the activities supported 
by the grants awarded under the amendments 
made by this section on maternal and child 
health; 
(B) best practices and models of care used 
by recipients of grants under such amendments; 
and 
(C) obstacles identified by recipients of 
grants under such amendments, and strategies 
used by such recipients to deliver care, improve 
maternal and child health, and reduce health 
disparities. 
(2) DISSEMINATION OF BEST PRACTICES.—Not 
later than August 1, 2027, the Secretary of Health 
and Human Services shall disseminate information 
on best practices and models of care used by recipi-
ents of grants under the amendments made by this 
section (including best practices and models of care 
relating to the reduction of health disparities, includ-
ing such disparities associated with racial and ethnic 
minority populations, in rates of maternal mortality 
and severe maternal morbidity) to relevant stake-
holders, which may include health providers, medical
1834 
schools, nursing schools, relevant State, Tribal, and 
local agencies, and the general public. 
SEC. 135. MATERNAL VACCINATION AWARENESS. 
In carrying out the public awareness initiative related 
to vaccinations pursuant to section 313 of the Public Health 
Service Act (42 U.S.C. 245), the Secretary of Health and 
Human Services shall take into consideration the impor-
tance of increasing awareness and knowledge of the safety 
and effectiveness of vaccines to prevent disease in pregnant 
and postpartum women and in infants and the need to im-
prove vaccination rates in communities and populations 
with low rates of vaccination. 
CHAPTER 2—RURAL MATERNAL AND OB-
STETRIC MODERNIZATION OF SERV-
ICES 
SEC. 141. IMPROVING RURAL MATERNAL AND OBSTETRIC 
CARE DATA. 
(a) MATERNAL MORTALITY AND MORBIDITY ACTIVI-
TIES.—Section 301(e) of the Public Health Service Act (42 
U.S.C. 241) is amended by inserting ‘‘, preventable mater-
nal mortality and severe maternal morbidity,’’ after ‘‘deliv-
ery’’. 
(b) 
OFFICE
OF
WOMEN’S
HEALTH.—Section 
310A(b)(1) of the Public Health Service Act (42 U.S.C. 
242s(b)(1)) is amended by striking ‘‘and sociocultural con-
1835 
texts,’’ and inserting ‘‘sociocultural (including among 
American Indians, Native Hawaiians, and Alaska Na-
tives), and geographical contexts,’’. 
(c) SAFE MOTHERHOOD.—Section 317K of the Public 
Health Service Act (42 U.S.C. 247b–12) is amended— 
(1) in subsection (a)(2)(A), by inserting ‘‘, in-
cluding improving disaggregation of data (in a man-
ner consistent with applicable State and Federal pri-
vacy laws)’’ before the period; and 
(2) in subsection (b)(2)— 
(A) in subparagraph (L), by striking ‘‘and’’ 
at the end; 
(B) by redesignating subparagraph (M) as 
subparagraph (N); and 
(C) by inserting after subparagraph (L) the 
following: 
‘‘(M) an examination of the relationship be-
tween maternal health and obstetric services in 
rural areas and outcomes in delivery and 
postpartum care; and’’. 
(d) OFFICE OF RESEARCH ON WOMEN’S HEALTH.— 
Section 486(d)(4)(A)(iv) of the Public Health Service Act 
(42 U.S.C. 287d(d)(4)(A)(iv)) is amended by inserting ‘‘, 
including preventable maternal mortality and severe mater-
nal morbidity’’ before the semicolon.
1836 
SEC. 142. RURAL OBSTETRIC NETWORK GRANTS. 
The Public Health Service Act is amended by inserting 
after section 330A–1 of such Act (42 U.S.C. 254c–1a) the 
following: 
‘‘SEC. 330A–2. RURAL OBSTETRIC NETWORK GRANTS. 
‘‘(a) PROGRAM ESTABLISHED.—The Secretary shall 
award grants or cooperative agreements to eligible entities 
to establish collaborative improvement and innovation net-
works (referred to in this section as ‘rural obstetric net-
works’) to improve maternal and infant health outcomes 
and reduce preventable maternal mortality and severe ma-
ternal morbidity by improving maternity care and access 
to care in rural areas, frontier areas, maternity care health 
professional target areas, or jurisdictions of Indian Tribes 
and Tribal organizations. 
‘‘(b) USE OF FUNDS.—Grants or cooperative agree-
ments awarded pursuant to this section shall be used for 
the establishment or continuation of collaborative improve-
ment and innovation networks to improve maternal and 
infant health outcomes and reduce preventable maternal 
mortality and severe maternal morbidity by improving pre-
natal care, labor care, birthing, and postpartum care serv-
ices in rural areas. Rural obstetric networks established in 
accordance with this section may— 
‘‘(1) develop a network to improve coordination 
and increase access to maternal health care and assist
1838 
and ethnic minority populations and underserved 
populations in such areas described in subsection (a). 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITIES.—The term ‘eligible en-
tities’ means entities providing prenatal care, labor 
care, birthing, and postpartum care services in rural 
areas, frontier areas, or medically underserved areas, 
or to medically underserved populations or Indian 
Tribes or Tribal organizations. 
‘‘(2) FRONTIER AREA.—The term ‘frontier area’ 
means a frontier county, as defined in section 
1886(d)(3)(E)(iii)(III) of the Social Security Act. 
‘‘(3) INDIAN TRIBES; TRIBAL ORGANIZATION.— 
The terms ‘Indian Tribe’ and ‘Tribal organization’ 
have the meanings given the terms ‘Indian tribe’ and 
‘tribal organization’ in section 4 of the Indian Self- 
Determination and Education Assistance Act. 
‘‘(4) MATERNITY CARE HEALTH PROFESSIONAL 
TARGET AREA.—The term ‘maternity care health pro-
fessional target area’ has the meaning described in 
section 332(k)(2). 
‘‘(d) REPORT TO CONGRESS.—Not later than Sep-
tember 30, 2026, the Secretary shall submit to Congress a 
report on activities supported by grants awarded under this 
section, including—
1839 
‘‘(1) a description of activities conducted pursu-
ant to paragraphs (1) through (6) of subsection (b); 
and 
‘‘(2) an analysis of the effects of rural obstetric 
networks on improving maternal and infant health 
outcomes. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section 
$3,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 143. TELEHEALTH NETWORK AND TELEHEALTH RE-
SOURCE CENTERS GRANT PROGRAMS. 
Section 330I of the Public Health Service Act (42 
U.S.C. 254c–14) is amended— 
(1) in subsection (f)(3), by adding at the end the 
following: 
‘‘(M) Providers of prenatal, labor care, 
birthing, and postpartum care services, includ-
ing hospitals that operate obstetric care units.’’; 
and 
(2) in subsection (h)(1)(B), by striking ‘‘or pre-
natal care for high-risk pregnancies’’ and inserting 
‘‘prenatal 
care, 
labor 
care, 
birthing 
care, 
or 
postpartum care’’.
1840 
SEC. 144. RURAL MATERNAL AND OBSTETRIC CARE TRAIN-
ING DEMONSTRATION. 
Subpart 1 of part E of title VII of the Public Health 
Service Act (42 U.S.C. 294n et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 764. RURAL MATERNAL AND OBSTETRIC CARE TRAIN-
ING DEMONSTRATION. 
‘‘(a) IN GENERAL.—The Secretary shall award grants 
to accredited schools of allopathic medicine, osteopathic 
medicine, and nursing, and other appropriate health profes-
sional training programs, to establish a training dem-
onstration program to support— 
‘‘(1) training for physicians, medical residents, 
fellows, nurse practitioners, physician assistants, 
nurses, certified nurse midwives, relevant home vis-
iting workforce professionals and paraprofessionals, 
or other professionals who meet relevant State train-
ing and licensing requirements, as applicable, to re-
duce preventable maternal mortality and severe ma-
ternal morbidity by improving prenatal care, labor 
care, birthing, and postpartum care in rural commu-
nity-based settings; and 
‘‘(2) developing recommendations for such train-
ing programs. 
‘‘(b) APPLICATION.—To be eligible to receive a grant 
under subsection (a), an entity shall submit to the Secretary
1841 
an application at such time, in such manner, and con-
taining such information as the Secretary may require. 
‘‘(c) ACTIVITIES.— 
‘‘(1) TRAINING
FOR
HEALTH
CARE
PROFES-
SIONALS.— A recipient of a grant under subsection 
(a)— 
‘‘(A) shall use the grant funds to plan, de-
velop, and operate a training program to pro-
vide prenatal care, labor care, birthing, and 
postpartum care in rural areas; and 
‘‘(B) may use the grant funds to provide 
additional support for the administration of the 
program or to meet the costs of projects to estab-
lish, maintain, or improve faculty development, 
or departments, divisions, or other units nec-
essary to implement such training. 
‘‘(2) TRAINING PROGRAM REQUIREMENTS.—The 
recipient of a grant under subsection (a) shall ensure 
that training programs carried out under the grant 
are evidence-based and address improving prenatal 
care, labor care, birthing, and postpartum care in 
rural areas, and such programs may include training 
on topics such as— 
‘‘(A) maternal mental health, including 
perinatal depression and anxiety;
1842 
‘‘(B) substance use disorders; 
‘‘(C) social determinants of health that af-
fect individuals living in rural areas; and 
‘‘(D) improving the provision of prenatal 
care, labor care, birthing, and postpartum care 
for racial and ethnic minority populations, in-
cluding with respect to perceptions and biases 
that may affect the approach to, and provision 
of, care. 
‘‘(d) EVALUATION AND REPORT.— 
‘‘(1) EVALUATION.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
evaluate the outcomes of the demonstration pro-
gram under this section. 
‘‘(B) DATA SUBMISSION.—Recipients of a 
grant under subsection (a) shall submit to the 
Secretary performance metrics and other related 
data in order to evaluate the program for the re-
port described in paragraph (2). 
‘‘(2) REPORT
TO
CONGRESS.—Not later than 
January 1, 2026, the Secretary shall submit to Con-
gress a report that includes— 
‘‘(A) an analysis of the effects of the dem-
onstration program under this section on the 
quality, quantity, and distribution of maternal
1843 
health care services, including prenatal care, 
labor care, birthing, and postpartum care serv-
ices, and the demographics of the recipients of 
those services; 
‘‘(B) an analysis of maternal and infant 
health outcomes (including quality of care, mor-
bidity, and mortality) before and after imple-
mentation of the program in the communities 
served by entities participating in the dem-
onstration; and 
‘‘(C) recommendations on whether the dem-
onstration program should be continued. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section 
$5,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle E—Fentanyl Scheduling 
Extension 
SEC. 
151. 
EXTENSION 
OF 
TEMPORARY 
ORDER 
FOR 
FENTANYL-RELATED SUBSTANCES. 
Effective as if included in the enactment of the Tem-
porary Reauthorization and Study of the Emergency 
Scheduling of Fentanyl Analogues Act (Public Law 116– 
114), section 2 of such Act is amended by striking ‘‘March 
15, 2022’’ and inserting ‘‘December 31, 2022’’.
1844 
Subtitle F—Drug-Free Communities 
SEC. 161. WAIVER OF FEDERAL FUND LIMITATION FOR THE 
DRUG-FREE COMMUNITIES SUPPORT PRO-
GRAM. 
(a) IN GENERAL.—Subject to subsection (b), if the Ad-
ministrator of the Drug-Free Communities Support Pro-
gram determines that, as a result of the public health emer-
gency declared pursuant to section 319 of the Public Health 
Service Act (42 U.S.C. 247d) with respect to COVID–19, 
an eligible coalition is unable to raise the amount of non- 
Federal funds, including in-kind contributions, agreed to 
be raised by the coalition for fiscal year 2020, 2021, or 2022 
under an agreement entered into with the Administrator 
pursuant to paragraph (1)(A) or (3) of section 1032(b) of 
the Anti-Drug Abuse Act of 1988 (21 U.S.C. 1532(b)), the 
Administrator may, notwithstanding such paragraphs, pro-
vide to the eligible coalition the grant or renewal grant, as 
applicable, for that fiscal year only in an amount— 
(1) with respect to an initial grant or renewal 
grant described under paragraph (1)(A) or (3)(A) of 
such section, that exceeds the amount of non-Federal 
funds raised by the eligible coalition, including in- 
kind contributions, for that fiscal year; 
(2) with respect to a renewal grant described 
under paragraph (3)(D)(i) of such section, that ex-
1845 
ceeds 125 percent of the amount of non-Federal funds 
raised by the eligible coalition, including in-kind con-
tributions, for that fiscal year; and 
(3) with respect to a renewal grant described 
under paragraph (3)(D)(ii) of such section, that ex-
ceeds 150 percent of the amount of non-Federal funds 
raised by the eligible coalition, including in-kind con-
tributions, for that fiscal year. 
(b) LIMITATION.—The Administrator may not provide 
a grant or renewal grant to an eligible coalition in an 
amount exceeding the amount of funds initially agreed to 
be provided by the Administrator under the applicable 
agreement. 
TITLE II—MEDICAID 
SEC. 201. CERTAIN MEDICAID EXTENSIONS FOR TERRI-
TORIES. 
(a) EXTENDING INCREASED FMAP.—Section 1905(ff) 
of the Social Security Act (42 U.S.C. 1396d(ff)) is amend-
ed— 
(1) in paragraph (2), by inserting ‘‘and for the 
period beginning January 1, 2022, and ending De-
cember 13, 2022’’ after ‘‘and ending December 3, 
2021,’’ and 
(2) in paragraph (3), by striking ‘‘March 11, 
2022’’ and inserting ‘‘December 13, 2022’’.
1846 
(b) EXTENDING ADDITIONAL INCREASE FOR PUERTO 
RICO.—Section 1108(g) of the Social Security Act (42 
U.S.C. 1308(g)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(10) ADDITIONAL INCREASE FOR PUERTO RICO 
FOR FISCAL YEAR 2022.— 
‘‘(A) IN
GENERAL.—Notwithstanding the 
preceding provisions of this subsection, the total 
amount certified for Puerto Rico for fiscal year 
2022 under this subsection shall be increased by 
$200,000,000 if the Secretary certifies that, with 
respect to such fiscal year, Puerto Rico’s State 
plan under title XIX (or a waiver of such plan) 
establishes a reimbursement floor, implemented 
through a directed payment arrangement plan, 
for physician services that are covered under the 
Medicare part B fee schedule in the Puerto Rico 
locality established under section 1848(b) that is 
not less than 70 percent of the payment that 
would apply to such services if they were fur-
nished under part B of title XVIII during such 
fiscal year. 
‘‘(B) APPLICATION TO MANAGED CARE.—In 
certifying whether Puerto Rico has established a 
reimbursement floor under a directed payment
1847 
arrangement plan that satisfies the requirements 
of subparagraph (A) for fiscal year 2022, the 
Secretary shall— 
‘‘(i) disregard payments made under 
sub-capitated arrangements for services such 
as primary care case management; and 
‘‘(ii) if the reimbursement floor for 
physician services applicable under a man-
aged care contract satisfies the requirements 
of subparagraph (A) for the fiscal year in 
which the contract is entered into or re-
newed, such reimbursement floor shall be 
deemed to satisfy such requirements for the 
subsequent fiscal year.’’. 
(c) PUERTO RICO REPORT ON PROCUREMENT PROC-
ESSES AND STANDARDS USED FOR CONTRACTING UNDER 
THE MEDICAID PROGRAM.— 
(1) REPORT REQUIRED.—Not later than Decem-
ber 1, 2022, the agency responsible for administering 
Puerto Rico’s Medicaid program under title XIX of 
the Social Security Act (42 U.S.C. 1396 et seq.) shall 
submit to Congress a report on the procurement proc-
esses and standards used for selecting contracts under 
Puerto Rico’s Medicaid program.
1848 
(2) INFORMATION IN REPORT.—The report re-
quired under paragraph (1) shall include the fol-
lowing: 
(A) A detailed description of the procure-
ment processes and standards used for selecting 
contracts under Puerto Rico’s Medicaid program 
under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.), for contracts in effect as of 
the date of the enactment of this subsection. 
(B) The number of contracts, and a descrip-
tion of such contracts, for an amount greater 
than $150,000 as of the date of the enactment of 
this subsection. 
(C) Differences between the procurement 
processes and standards for selecting contracts in 
place as of the date of the enactment of this sub-
section, and the Federal procurement standards 
(as described in sections 75.327, 75.328, and 
75.329 of title 45, Code of Federal Regulations) 
as of such date. 
SEC. 202. INCREASING STATE FLEXIBILITY WITH RESPECT 
TO THIRD PARTY LIABILITY. 
(a) IN GENERAL.—Section 1902(a)(25)(I) of the Social 
Security Act (42 U.S.C. 1396a(a)(25)(I)) is amended— 
(1) by amending clause (ii) to read as follows:
1849 
‘‘(ii)(I) accept the State’s right of re-
covery and the assignment to the State of 
any right of an individual or other entity 
to payment from the party for an item or 
service for which payment has been made 
under the State plan (or under a waiver of 
such plan); and 
‘‘(II) in the case of a responsible third 
party (other than the original medicare fee- 
for-service program under parts A and B of 
title XVIII, a Medicare Advantage plan of-
fered by a Medicare Advantage organization 
under part C of such title, a reasonable cost 
reimbursement plan under section 1876, a 
health care prepayment plan under section 
1833, or a prescription drug plan offered by 
a PDP sponsor under part D of such title) 
that requires prior authorization for an 
item or service furnished to an individual 
eligible to receive medical assistance under 
this title, accept authorization provided by 
the State that the item or service is covered 
under the State plan (or waiver of such 
plan) for such individual, as if such author-
ization were the prior authorization made
1850 
by the third party for such item or serv-
ice;’’; 
(2) in clause (iii)— 
(A) by striking ‘‘respond to any inquiry’’ 
and inserting ‘‘not later than 60 days after re-
ceiving any inquiry’’; and 
(B) by striking ‘‘; and’’ at the end and in-
serting ‘‘, respond to such inquiry; and’’; and 
(3) in clause (iv)— 
(A) by striking ‘‘or a failure’’ and inserting 
‘‘a failure’’; and 
(B) by inserting after ‘‘the basis of the 
claim’’ the following: ‘‘, or in the case of a re-
sponsible third party (other than the original 
medicare fee-for-service program under parts A 
and B of title XVIII, a Medicare Advantage plan 
offered by a Medicare Advantage organization 
under part C of such title, a reasonable cost re-
imbursement plan under section 1876, a health 
care prepayment plan under section 1833, or a 
prescription drug plan offered by a PDP sponsor 
under part D of such title) a failure to obtain 
a prior authorization for the item or service for 
which the claim is being submitted’’; 
(b) EFFECTIVE DATE.—
1851 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section shall 
apply beginning on January 1, 2024. 
(2) EXCEPTION
IF
STATE
LEGISLATION
RE-
QUIRED.—In the case of a State plan for medical as-
sistance under title XIX of the Social Security Act 
that the Secretary of Health and Human Services de-
termines requires State legislation (other than legisla-
tion appropriating funds) in order for the plan to 
meet the additional requirement imposed by the 
amendments made under this section, the State plan 
shall not be regarded as failing to comply with the re-
quirements of such title solely on the basis of its fail-
ure to meet this additional requirement before the 
first day of the first calendar quarter beginning after 
the close of the first regular session of the State legis-
lature that begins after the date of the enactment of 
this Act. For purposes of the previous sentence, in the 
case of a State that has a 2-year legislative session, 
each year of such session shall be deemed to be a sepa-
rate regular session of the State legislature.
1852 
TITLE III—MEDICARE 
Subtitle A—Telehealth Flexibility 
Extensions 
SEC. 301. REMOVING GEOGRAPHIC REQUIREMENTS AND EX-
PANDING ORIGINATING SITES FOR TELE-
HEALTH SERVICES. 
(a) IN GENERAL.—Section 1834(m) of the Social Secu-
rity Act (42 U.S.C. 1395m(m)) is amended— 
(1) in paragraph (4)(C)— 
(A) in clause (i), in the matter preceding 
subclause (I), by inserting ‘‘clause (iii) and’’ 
after ‘‘Except as provided in’’; and 
(B) by adding at the end the following new 
clause: 
‘‘(iii) EXPANDING
ACCESS
TO
TELE-
HEALTH
SERVICES.—With respect to tele-
health services identified in subparagraph 
(F)(i) as of the date of the enactment of this 
clause that are furnished during the 151- 
day period beginning on the first day after 
the end of the emergency period described in 
section 1135(g)(1)(B), the term ‘originating 
site’ means any site in the United States at 
which the eligible telehealth individual is lo-
cated at the time the service is furnished via
1853 
a telecommunications system, including the 
home of an individual.’’; and 
(2) in paragraph (7)(A), by inserting ‘‘or, for 
the period for which clause (iii) of paragraph (4)(C) 
applies, at any site described in such clause’’ before 
the period at the end. 
(b) NO FACILITY FEE
FOR NEW SITES.—Section 
1834(m)(2)(B) of the Social Security Act (42 U.S.C. 
1395m(m)(2)(B)) is amended— 
(1) in clause (i), in the matter preceding sub-
clause (I), by striking ‘‘clause (ii)’’ and inserting 
‘‘clauses (ii) and (iii)’’; and 
(2) by adding at the end the following new 
clause: 
‘‘(iii) NO
FACILITY
FEE
FOR
NEW 
SITES.—With respect to telehealth services 
identified in paragraph (4)(F)(i) as of the 
date of the enactment of this clause that are 
furnished during the 151-day period begin-
ning on the first day after the end of the 
emergency period described in section 
1135(g)(1)(B), a facility fee shall only be 
paid under this subparagraph to an origi-
nating site that is described in paragraph
1854 
(4)(C)(ii) (other than subclause (X) of such 
paragraph).’’. 
SEC. 302. EXPANDING PRACTITIONERS ELIGIBLE TO FUR-
NISH TELEHEALTH SERVICES. 
Section 1834(m) of the Social Security Act (42 U.S.C. 
1395m(m)) is amended— 
(1) in paragraph (1), by striking ‘‘(described in 
section 1842(b)(18)(C))’’ and inserting ‘‘(as defined 
in paragraph (4)(E))’’; and 
(2) in paragraph (4)(E), by inserting ‘‘and, for 
the 151-day period beginning on the first day after 
the end of the emergency period described in section 
1135(g)(1)(B), shall include a qualified occupational 
therapist (as such term is used in section 1861(g)), a 
qualified physical therapist (as such term is used in 
section 1861(p)), a qualified speech-language patholo-
gist (as defined in section 1861(ll)(4)(A)), and a 
qualified 
audiologist 
(as 
defined 
in 
section 
1861(ll)(4)(B))’’ after ‘‘section 1842(b)(18)(C)’’. 
SEC. 303. EXTENDING TELEHEALTH SERVICES FOR FEDER-
ALLY 
QUALIFIED 
HEALTH 
CENTERS 
AND 
RURAL HEALTH CLINICS. 
Section 1834(m)(8) of the Social Security Act (42 
U.S.C. 1395m(m)(8)) is amended—
1855 
(1) in the header, by striking ‘‘DURING EMER-
GENCY PERIOD’’; 
(2) in subparagraph (A), in the matter preceding 
clause (i), by inserting ‘‘and, during the 151-day pe-
riod beginning on the first day after the end of such 
emergency period’’ after ‘‘During the emergency pe-
riod described in section 1135(g)(1)(B)’’; and 
(3) in subparagraph (B)(i), by striking ‘‘such 
emergency period’’ and inserting ‘‘the periods for 
which subparagraph (A) applies’’. 
SEC. 
304. 
DELAYING 
THE 
IN-PERSON 
REQUIREMENTS 
UNDER MEDICARE FOR MENTAL HEALTH 
SERVICES 
FURNISHED 
THROUGH 
TELE-
HEALTH AND TELECOMMUNICATIONS TECH-
NOLOGY. 
(a) DELAY IN REQUIREMENTS FOR MENTAL HEALTH 
SERVICES FURNISHED THROUGH TELEHEALTH.—Section 
1834(m)(7)(B)(i) of the Social Security Act (42 U.S.C. 
1395m(m)(7)(B)(i)) is amended, in the matter preceding 
subclause (I), by inserting ‘‘on or after the day that is the 
152nd day after the end of the emergency period described 
in section 1135(g)(1)(B))’’ after ‘‘telehealth services fur-
nished’’.
1856 
(b) MENTAL HEALTH VISITS FURNISHED BY RURAL 
HEALTH CLINICS.—Section 1834(y) of the Social Security 
Act (42 U.S.C. 1395m(y)) is amended— 
(1) in the heading, by striking ‘‘ATTENDING 
PHYSICIAN’’ and inserting ‘‘CERTAIN’’; 
(2) by striking ‘‘HOSPICE PATIENTS.—In the 
case of’’ and inserting ‘‘HOSPICE PATIENTS.— 
‘‘(1) ATTENDING PHYSICIAN SERVICES FOR HOS-
PICE PATIENTS.—In the case of’’; and 
(3) by adding at the end the following new para-
graph: 
‘‘(2) MENTAL
HEALTH
VISITS
FURNISHED
VIA 
TELECOMMUNICATIONS TECHNOLOGY.—In the case of 
mental health visits furnished via interactive, real- 
time, audio and video telecommunications technology 
or audio-only interactions, the in-person mental 
health visit requirements established under section 
405.2463(b)(3) of title 42 of the Code of Federal Regu-
lations (or a successor regulation) shall not apply 
prior to the day that is the 152nd day after the end 
of 
the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B)).’’. 
(c) MENTAL HEALTH VISITS FURNISHED BY FEDER-
ALLY QUALIFIED HEALTH CENTERS.—Section 1834(o)(4)
1857 
of the Social Security Act (42 U.S.C. 1395m(o)(4)) is 
amended— 
(1) in the heading, by striking ‘‘ATTENDING PHY-
SICIAN’’ and inserting ‘‘CERTAIN’’; 
(2) by striking ‘‘HOSPICE PATIENTS.—In the case 
of’’ and inserting ‘‘HOSPICE PATIENTS.— 
‘‘(A) ATTENDING PHYSICIAN SERVICES FOR 
HOSPICE PATIENTS.—In the case of’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(B) MENTAL HEALTH VISITS FURNISHED 
VIA
TELECOMMUNICATIONS
TECHNOLOGY.—In 
the case of mental health visits furnished via 
interactive, real-time, audio and video tele-
communications technology or audio-only inter-
actions, the in-person mental health visit re-
quirements 
established 
under 
section 
405.2463(b)(3) of title 42 of the Code of Federal 
Regulations (or a successor regulation) shall not 
apply prior to the day that is the 152nd day 
after the end of the emergency period described 
in section 1135(g)(1)(B)).’’.
1858 
SEC. 305. ALLOWING FOR THE FURNISHING OF AUDIO-ONLY 
TELEHEALTH SERVICES. 
Section 1834(m) of the Social Security Act (42 U.S.C. 
1395m(m)) is amended— 
(1) in paragraph (1), in the first sentence, by 
striking ‘‘paragraph (8)’’ and inserting ‘‘paragraphs 
(8) and (9)’’; and 
(2) by adding at the end the following new para-
graph: 
‘‘(9) TREATMENT
OF
TELEHEALTH
SERVICES 
FURNISHED
USING
AUDIO-ONLY
TELECOMMUNI-
CATIONS TECHNOLOGY.—The Secretary shall continue 
to provide coverage and payment under this part for 
telehealth services identified in paragraph (4)(F)(i) as 
of the date of the enactment of this paragraph that 
are furnished via an audio-only telecommunications 
system during the 151-day period beginning on the 
first day after the end of the emergency period de-
scribed in section 1135(g)(1)(B). For purposes of the 
previous sentence, the term ‘telehealth service’ means 
a telehealth service identified as of the date of the en-
actment of this paragraph by a HCPCS code (and 
any succeeding codes) for which the Secretary has not 
applied the requirements of paragraph (1) and the 
first sentence of section 410.78(a)(3) of title 42, Code
1859 
of Federal Regulations, during such emergency pe-
riod.’’. 
SEC. 306. USE OF TELEHEALTH TO CONDUCT FACE-TO-FACE 
ENCOUNTER PRIOR TO RECERTIFICATION OF 
ELIGIBILITY FOR HOSPICE CARE DURING 
EMERGENCY PERIOD. 
Section 1814(a)(7)(D)(i)(II) of the Social Security Act 
(42 U.S.C. 1395f(a)(7)(D)(i)(II)) is amended by inserting 
‘‘, and during the 151-day period beginning on the first 
day after the end of such emergency period’’ after ‘‘section 
1135(g)(1)(B)’’. 
SEC. 307. EXTENSION OF EXEMPTION FOR TELEHEALTH 
SERVICES. 
(a) IN
GENERAL.—Subparagraph (E) of section 
223(c)(2) of the Internal Revenue Code of 1986 is amended 
by inserting ‘‘or in the case of months beginning after 
March 31, 2022, and before January 1, 2023,’’ after ‘‘De-
cember 31, 2021,’’. 
(b) CERTAIN COVERAGE DISREGARDED.—Clause (ii) 
of section 223(c)(1)(B) of the Internal Revenue Code of 1986 
is amended by inserting ‘‘, or in the case of months begin-
ning after March 31, 2022, and before January 1, 2023,’’ 
after ‘‘December 31, 2021’’.
1860 
(c) EFFECTIVE DATE.—The amendments made by this 
section shall take effect on the date of the enactment of this 
Act. 
SEC. 308. REPORTS ON TELEHEALTH UTILIZATION. 
(a) MEDPAC REPORT.— 
(1) STUDY.— 
(A) IN GENERAL.—The Medicare Payment 
Advisory Commission (in this subsection referred 
to as the ‘‘Commission’’) shall conduct a study 
on the expansions of telehealth services (as de-
fined in section 1834(m)(4)(F) of the Social Se-
curity Act (42 U.S.C. 1395m(m)(4)(F)) under 
the Medicare program under title XVIII of such 
Act as a result of the COVID-19 public health 
emergency described in section 1135(g)(1)(B) of 
such Act (42 U.S.C. 1320b–5(g)(1)(B)) and the 
amendments made by sections 301 through 306 
of this title. 
(B) ANALYSIS.—The study under subpara-
graph (A) shall include at least an analysis of 
each of the following: 
(i) The utilization of telehealth services 
under the Medicare program, which may 
include analysis by service, provider type, 
geographic area (including analysis of the
1861 
provision of telehealth services by clinicians 
located in different States than the Medi-
care beneficiary receiving such services to 
the extent that reliable data are available), 
and beneficiary type (including reason of 
entitlement and such beneficiaries who are 
also enrolled under a State plan under title 
XIX of the Social Security Act). 
(ii) Medicare program expenditures on 
telehealth services. 
(iii) Medicare payment policy for tele-
health services and alternative approaches 
to such payment policy, including for feder-
ally qualified health centers and rural 
health clinics. 
(iv) The implications of expanded 
Medicare coverage of telehealth services on 
beneficiary access to care and the quality of 
care, to the extent reliable data are avail-
able. 
(v) Other areas determined appro-
priate by the Commission. 
(2) REPORT.—Not later than June 15, 2023, the 
Commission shall submit to Congress a report con-
taining the results of the study conducted under para-
1862 
graph (1), together with recommendations for legisla-
tive and administrative action as the Commission de-
termines appropriate. 
(b) PUBLICATION OF DATA.—Beginning July 1, 2022, 
the Secretary of Health and Human Services shall post on 
the public website of the Centers for Medicare & Medicaid 
Services on a quarterly basis data with respect to Medicare 
claims for telemedicine services, including data on utiliza-
tion and beneficiary characteristics. 
(c) OFFICE OF THE INSPECTOR GENERAL REPORT.— 
Not later than June 15, 2023, the Inspector General of the 
Department of Health and Human Services shall submit 
to Congress a report on program integrity risks associated 
with Medicare telehealth services. Such report shall include 
recommendations to prevent waste, fraud, and abuse under 
the Medicare program as appropriate. 
SEC. 309. PROGRAM INSTRUCTION AUTHORITY. 
Notwithstanding any other provision of law, the Sec-
retary of Health and Human Services may implement the 
provisions of, including amendments made by, sections 301 
through 306 through program instruction or otherwise.
1863 
Subtitle B—Additional Medicare 
Provisions 
SEC. 311. REVISION OF THE TIMING OF MEDPAC REPORT 
ON AMBULANCE COST DATA. 
Section 1834(l)(17)(F)(i) of the Social Security Act 
(42 U.S.C. 1395m(l)(17)(F)(i)) is amended by striking 
‘‘Not later than March 15, 2023, and as determined nec-
essary by the Medicare Payment Advisory Commission 
thereafter’’ and inserting ‘‘Not later than the second June 
15th following the date on which the Secretary transmits 
data for the first representative sample of providers and 
suppliers of ground ambulance services to the Medicare 
Payment Advisory Commission, and as determined nec-
essary by such Commission thereafter,’’. 
SEC. 312. ADJUSTING CALCULATION OF HOSPICE CAP 
AMOUNT UNDER MEDICARE. 
Section 1814(i)(2)(B) of the Social Security Act (42 
U.S.C. 1395f(i)(2)(B)) is amended— 
(1) in clause (ii), by striking ‘‘2030’’ and insert-
ing ‘‘2031’’; and 
(2) in clause (iii), by striking ‘‘2030’’ and in-
serting ‘‘2031’’.
1864 
SEC. 313. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 1395iii(b)(1)) is amended by striking ‘‘$99,000,000’’ 
and inserting ‘‘$5,000,000’’. 
TITLE IV—HUMAN SERVICES 
SEC. 401. EXTENSION OF TEMPORARY ASSISTANCE FOR 
NEEDY FAMILIES AND RELATED PROGRAMS. 
Activities authorized by part A of title IV (other than 
under section 403(c) or 418) and section 1108(b) of the So-
cial Security Act shall continue through September 30, 
2022, in the manner authorized for fiscal year 2021, and 
out of any money in the Treasury of the United States not 
otherwise appropriated, there are hereby appropriated such 
sums as may be necessary for such purpose. 
DIVISION Q—CONSUMER 
PROTECTION 
TITLE I—FRAUD AND SCAM 
REDUCTION 
SEC. 101. SHORT TITLE. 
This title may be cited as the ‘‘Fraud and Scam Re-
duction Act’’. 
Subtitle A—Preventing Consumer 
Scams Directed at Seniors 
SEC. 111. SHORT TITLE. 
This subtitle may be cited as the ‘‘Stop Senior Scams 
Act’’.
1865 
SEC. 112. SENIOR SCAMS PREVENTION ADVISORY GROUP. 
(a) ESTABLISHMENT.—There is established a Senior 
Scams Prevention Advisory Group (in this subtitle referred 
to as the ‘‘Advisory Group’’). 
(b) MEMBERS.—The Advisory Group shall be com-
posed of stakeholders such as the following individuals or 
the designees of those individuals: 
(1) The Chairman of the Federal Trade Commis-
sion. 
(2) The Secretary of the Treasury. 
(3) The Attorney General. 
(4) The Director of the Bureau of Consumer Fi-
nancial Protection. 
(5) Representatives from each of the following 
sectors, including trade associations, to be selected by 
the Federal Trade Commission: 
(A) Retail. 
(B) Gift cards. 
(C) Telecommunications. 
(D) Wire-transfer services. 
(E) Senior peer advocates. 
(F) Consumer advocacy organizations with 
efforts focused on preventing seniors from becom-
ing the victims of scams. 
(G) Financial services, including institu-
tions that engage in digital currency.
1866 
(H) Prepaid cards. 
(6) A member of the Board of Governors of the 
Federal Reserve System. 
(7) A prudential regulator, as defined in section 
1002 of the Consumer Financial Protection Act of 
2010 (12 U.S.C. 5481). 
(8) The Director of the Financial Crimes En-
forcement Network. 
(9) Any other Federal, State, or local agency, in-
dustry representative, consumer advocate, or entity, 
as determined by the Federal Trade Commission. 
(c) NO COMPENSATION FOR MEMBERS.—A member of 
the Advisory Group shall serve without compensation in ad-
dition to any compensation received for the service of the 
member as an officer or employee of the United States, if 
applicable. 
(d) DUTIES.— 
(1) IN GENERAL.—The Advisory Group shall— 
(A) collect information on the existence, use, 
and success of educational materials and pro-
grams for retailers, financial services, and wire- 
transfer companies, which— 
(i) may be used as a guide to educate 
employees on how to identify and prevent 
scams that affect seniors; and
1867 
(ii) includes— 
(I) useful information for retail-
ers, financial services, and wire trans-
fer companies for the purpose described 
in clause (i); 
(II) training for employees on 
ways to identify and prevent senior 
scams; 
(III) best practices for keeping 
employees up to date on current scams; 
(IV) the most effective signage and 
placement in retail locations to warn 
seniors about scammers’ use of gift 
cards, prepaid cards, and wire transfer 
services; 
(V) suggestions on effective col-
laborative community education cam-
paigns; 
(VI) available technology to assist 
in identifying possible scams at the 
point of sale; and 
(VII) 
other 
information 
that 
would be helpful to retailers, wire 
transfer companies, financial institu-
1868 
tions, and their employees as they work 
to prevent fraud affecting seniors; and 
(B) based on the findings in subparagraph 
(A)— 
(i) identify inadequacies, omissions, or 
deficiencies in those educational materials 
and programs for the categories listed in 
subparagraph (A) and their execution in 
reaching employees to protect older adults; 
and 
(ii) create model materials, best prac-
tices guidance, or recommendations to fill 
those inadequacies, omissions, or defi-
ciencies that may be used by industry and 
others to help protect older adults from 
scams. 
(2) ENCOURAGED USE.—The Chairman of the 
Federal Trade Commission shall— 
(A) make the materials or guidance created 
by the Federal Trade Commission described in 
paragraph (1) publicly available; and 
(B) encourage the use and distribution of 
the materials created under this subsection to 
prevent scams affecting seniors by governmental 
agencies and the private sector.
1869 
(e) REPORTS.—Section 101(c)(2) of the Elder Abuse 
Prevention and Prosecution Act (34 U.S.C. 21711(c)(2)) is 
amended— 
(1) in subparagraph (A)(iv), by striking the pe-
riod at the end and inserting a semicolon; 
(2) in subparagraph (B), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(C) with respect to the report by the Fed-
eral Trade Commission, in relevant years, in-
cluding information on— 
‘‘(i) the newly created materials, guid-
ance, or recommendations of the Senior 
Scams Prevention Advisory Group estab-
lished under section 112 of the Stop Senior 
Scams Act and any relevant views or con-
siderations made by members of the Advi-
sory Group that were not included in the 
Advisory Group’s model materials or con-
sidered an official recommendation by the 
Advisory Group; 
‘‘(ii) the Senior Scams Prevention Ad-
visory Group’s findings about senior scams 
and industry educational materials and 
programs; and
1870 
‘‘(iii) any recommendations on ways 
stakeholders can continue to work together 
to reduce scams affecting seniors.’’. 
(f) TERMINATION.—This subtitle, and the amendments 
made by this subtitle, ceases to be effective on the date that 
is 5 years after the date of enactment of this Act. 
Subtitle B—Senior Fraud Advisory 
Office 
SEC. 121. SHORT TITLE. 
This subtitle may be cited as the ‘‘Seniors Fraud Pre-
vention Act of 2022’’. 
SEC. 122. OFFICE FOR THE PREVENTION OF FRAUD TAR-
GETING SENIORS. 
(a) ESTABLISHMENT OF ADVISORY OFFICE.—The Fed-
eral Trade Commission (in this section referred to as the 
‘‘Commission’’) shall establish an office within the Bureau 
of Consumer Protection for the purpose of advising the 
Commission on the prevention of fraud targeting seniors 
and to assist the Commission with the following: 
(1) OVERSIGHT.—The advisory office shall mon-
itor the market for mail, television, internet, tele-
marketing, and recorded message telephone call (in 
this section referred to as ‘‘robocall’’) fraud targeting 
seniors and shall coordinate with other relevant agen-
cies regarding the requirements of this section.
1871 
(2) CONSUMER
EDUCATION.—The Commission, 
through the advisory office and in consultation with 
the Attorney General, the Secretary of Health and 
Human Services, the Postmaster General, the Chief 
Postal Inspector for the United States Postal Inspec-
tion Service, and other relevant agencies, shall— 
(A) disseminate to seniors and families and 
caregivers of seniors general information on 
mail, television, internet, telemarketing, and 
robocall fraud targeting seniors, including de-
scriptions of the most common fraud schemes; 
(B) disseminate to seniors and families and 
caregivers of seniors information on reporting 
complaints of fraud targeting seniors either to 
the national toll-free telephone number estab-
lished by the Commission for reporting such 
complaints, or to the Consumer Sentinel Net-
work, operated by the Commission, where such 
complaints will become immediately available to 
appropriate law enforcement agencies, including 
the Federal Bureau of Investigation and the at-
torneys general of the States; 
(C) in response to a specific request about 
a particular entity or individual, provide pub-
licly available information of any enforcement
1872 
action taken by the Commission for mail, tele-
vision, internet, telemarketing, and robocall 
fraud against such entity; and 
(D) maintain a website to serve as a re-
source for information for seniors and families 
and caregivers of seniors regarding mail, tele-
vision, internet, telemarketing, robocall, and 
other identified fraud targeting seniors. 
(3) COMPLAINTS.—The Commission, through the 
advisory office and in consultation with the Attorney 
General, shall establish procedures to— 
(A) log and acknowledge the receipt of com-
plaints by individuals who believe they have been 
a victim of mail, television, internet, tele-
marketing, and robocall fraud in the Consumer 
Sentinel Network, and shall make those com-
plaints immediately available to Federal, State, 
and local law enforcement authorities; and 
(B) provide to individuals described in sub-
paragraph (A), and to any other persons, spe-
cific and general information on mail, television, 
internet, telemarketing, and robocall fraud, in-
cluding descriptions of the most common schemes 
using such methods of communication.
1873 
(b) COMMENCEMENT.—The Commission shall com-
mence carrying out the requirements of this section not later 
than 1 year after the date of enactment of this Act. 
(c) USE OF EXISTING FUNDS.—No additional funds 
are authorized to be appropriated to carry out this section 
and the Commission shall carry out this section using 
amounts otherwise made available to the Commission. 
TITLE 
II—NICHOLAS 
AND 
ZACHARY 
BURT 
MEMORIAL 
CARBON 
MONOXIDE 
POI-
SONING PREVENTION ACT OF 
2022 
SEC. 201. SHORT TITLE. 
This title may be cited as the ‘‘Nicholas and Zachary 
Burt Memorial Carbon Monoxide Poisoning Prevention Act 
of 2022’’. 
SEC. 202. FINDINGS AND SENSE OF CONGRESS. 
(a) FINDINGS.—Congress finds the following: 
(1) Carbon monoxide is a colorless, odorless gas 
produced by burning any fuel. Exposure to unhealthy 
levels of carbon monoxide can lead to carbon mon-
oxide poisoning, a serious health condition that could 
result in death. 
(2) Unintentional carbon monoxide poisoning 
from motor vehicles and improper operation of fuel-
1874 
burning appliances, such as furnaces, water heaters, 
portable generators, and stoves, annually kills more 
than 400 individuals and sends approximately 15,000 
individuals to hospital emergency rooms for treat-
ment. 
(3) Research shows that installing carbon mon-
oxide alarms close to the sleeping areas in residential 
homes and other dwelling units can help avoid fatali-
ties. 
(b) SENSE OF CONGRESS.—It is the sense of Congress 
that Congress should promote the installation of carbon 
monoxide alarms in residential homes and dwelling units 
across the United States in order to promote the health and 
public safety of citizens throughout the United States. 
SEC. 203. DEFINITIONS. 
In this title: 
(1) CARBON MONOXIDE ALARM.—The term ‘‘car-
bon monoxide alarm’’ means a device or system 
that— 
(A) detects carbon monoxide; and 
(B) is intended to sound an alarm at a car-
bon monoxide concentration below a concentra-
tion that could cause a loss of the ability to react 
to the dangers of carbon monoxide exposure.
1875 
(2) 
COMMISSION.—The 
term 
‘‘Commission’’ 
means the Consumer Product Safety Commission. 
(3) COMPLIANT CARBON MONOXIDE ALARM.—The 
term ‘‘compliant carbon monoxide alarm’’ means a 
carbon monoxide alarm that complies with the most 
current version of— 
(A) the Standard for Single and Multiple 
Station Carbon Monoxide Alarms of the Amer-
ican National Standards Institute and UL 
(ANSI/UL 2034), or any successor standard; and 
(B) the Standard for Gas and Vapor Detec-
tors and Sensors of the American National 
Standards Institute and UL (ANSI/UL 2075), 
or any successor standard. 
(4) 
DWELLING
UNIT.—The 
term 
‘‘dwelling 
unit’’— 
(A) means a room or suite of rooms used for 
human habitation; and 
(B) includes— 
(i) a single family residence; 
(ii) each living unit of a multiple fam-
ily residence, including an apartment 
building; and 
(iii) each living unit in a mixed use 
building.