H. R. 2471—393 
SEC. 115. None of the funds made available by this Act may 
be used to— 
(1) alter or terminate the Interagency Agreement between 
the United States Department of Labor and the United States 
Department of Agriculture; or 
(2) close any of the Civilian Conservation Centers, except 
if such closure is necessary to prevent the endangerment of 
the health and safety of the students, the capacity of the 
program is retained, and the requirements of section 159(j) 
of the WIOA are met. 
SEC. 116. The paragraph under the heading ‘‘Working Capital 
Fund’’ in the Department of Labor Appropriations Act, 1958, Public 
Law 85–67, 71 Stat. 210, as amended, is further amended by 
striking the third proviso and inserting in lieu thereof ‘‘That the 
Secretary of Labor may transfer to the Working Capital Fund, 
to remain available for obligation for five fiscal years after the 
fiscal year of such transfer, annually an amount not to exceed 
$9,000,000 from unobligated balances in the Department’s salaries 
and expenses accounts made available in Public Laws 115–245, 
116–94, or 116–260, and annually an amount not to exceed 
$9,000,000 from unobligated balances in the Department’s discre-
tionary grants accounts made available in Public Laws 115–245, 
116–94, 116–260, for the acquisition of capital equipment and the 
improvement of financial management, information technology, 
infrastructure technology investment activities related to support 
systems and modernization, and other support systems: Provided 
further, That the Secretary of Labor may transfer to the Working 
Capital Fund, to remain available for obligation for five fiscal years 
after the fiscal year of such transfer, annually an amount not 
to exceed $18,000,000 from unobligated balances in the Depart-
ment’s salaries and expenses accounts made available in this Act 
and hereafter, and $18,000,000 from unobligated balances in the 
Department’s discretionary grants accounts made available in this 
Act and hereafter for the acquisition of capital equipment and 
the improvement of financial management, information technology, 
infrastructure technology investment activities related to support 
systems and modernization, and other support systems:’’. 
SEC. 117. Of the unobligated funds available under section 
286(s)(2) of the Immigration and Nationality Act (8 U.S.C. 
1356(s)(2)), $72,000,000 are hereby permanently rescinded. 
This title may be cited as the ‘‘Department of Labor Appropria-
tions Act, 2022’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
PRIMARY HEALTH CARE 
For carrying out titles II and III of the Public Health Service 
Act (referred to in this Act as the ‘‘PHS Act’’) with respect to 
primary health care and the Native Hawaiian Health Care Act 
of 1988, $1,748,772,000: Provided, That no more than $1,000,000 
shall be available until expended for carrying out the provisions 
of section 224(o) of the PHS Act: Provided further, That no more 
than $120,000,000 shall be available until expended for carrying
H. R. 2471—394 
out subsections (g) through (n) and (q) of section 224 of the PHS 
Act, and for expenses incurred by the Department of Health and 
Human Services (referred to in this Act as ‘‘HHS’’) pertaining 
to administrative claims made under such law. 
HEALTH WORKFORCE 
For carrying out titles III, VII, and VIII of the PHS Act with 
respect to the health workforce, sections 1128E and 1921 of the 
Social Security Act, and the Health Care Quality Improvement 
Act of 1986, $1,295,742,000: Provided, That section 751(j)(2) of 
the PHS Act and the proportional funding amounts in paragraphs 
(1) through (4) of section 756(f) of the PHS Act shall not apply 
to funds made available under this heading: Provided further, That 
for any program operating under section 751 of the PHS Act on 
or before January 1, 2009, the Secretary of Health and Human 
Services (referred to in this title as the ‘‘Secretary’’) may hereafter 
waive any of the requirements contained in sections 751(d)(2)(A) 
and 751(d)(2)(B) of such Act for the full project period of a grant 
under such section: Provided further, That no funds shall be avail-
able for section 340G–1 of the PHS Act: Provided further, That 
fees collected for the disclosure of information under section 427(b) 
of the Health Care Quality Improvement Act of 1986 and sections 
1128E(d)(2) and 1921 of the Social Security Act shall be sufficient 
to recover the full costs of operating the programs authorized by 
such sections and shall remain available until expended for the 
National Practitioner Data Bank: Provided further, That funds 
transferred to this account to carry out section 846 and subpart 
3 of part D of title III of the PHS Act may be used to make 
prior year adjustments to awards made under such section and 
subpart: Provided further, That $121,600,000 shall remain available 
until expended for the purposes of providing primary health serv-
ices, assigning National Health Service Corps (‘‘NHSC’’) members 
to expand the delivery of substance use disorder treatment services, 
notwithstanding the assignment priorities and limitations under 
sections 333(a)(1)(D), 333(b), and 333A(a)(1)(B)(ii) of the PHS Act, 
and making payments under the NHSC Loan Repayment Program 
under section 338B of such Act: Provided further, That, within 
the amount made available in the previous proviso, $15,600,000 
shall remain available until expended for the purposes of making 
payments under the NHSC Loan Repayment Program under section 
338B of the PHS Act to individuals participating in such program 
who provide primary health services in Indian Health Service facili-
ties, Tribally-Operated 638 Health Programs, and Urban Indian 
Health Programs (as those terms are defined by the Secretary), 
notwithstanding the assignment priorities and limitations under 
section 333(b) of such Act: Provided further, That for purposes 
of the previous two provisos, section 331(a)(3)(D) of the PHS Act 
shall be applied as if the term ‘‘primary health services’’ includes 
clinical substance use disorder treatment services, including those 
provided by masters level, licensed substance use disorder treat-
ment counselors: Provided further, That of the funds made available 
under this heading, $6,000,000 shall be available to make grants 
to establish, expand, or maintain optional community-based nurse 
practitioner fellowship programs that are accredited or in the 
accreditation process, with a preference for those in Federally Quali-
fied Health Centers, for practicing postgraduate nurse practitioners
H. R. 2471—395 
in primary care or behavioral health: Provided further, That of 
the funds made available under this heading, $5,000,000 shall 
remain available until expended for activities under section 775 
of the PHS Act: Provided further, That the United States may 
recover liquidated damages in an amount determined by the formula 
under section 338E(c)(1) of the PHS Act if an individual either 
fails to begin or complete the service obligated by a contract under 
section 775(b) of the PHS Act: Provided further, That for purposes 
of section 775(c)(1) of the PHS Act, the Secretary may include 
other mental and behavioral health disciplines as the Secretary 
deems appropriate: Provided further, That the Secretary may termi-
nate a contract entered into under section 775 of the PHS Act 
in the same manner articulated in Section 206 of this title for 
fiscal year 2022 contracts entered into under section 338B of the 
PHS Act. 
Of the funds made available under this heading, $55,000,000 
shall remain available until expended for grants to public institu-
tions of higher education to expand or support graduate education 
for physicians provided by such institutions, including funding for 
infrastructure development, maintenance, equipment, and minor 
renovations or alterations: Provided, That, in awarding such grants, 
the Secretary shall give priority to public institutions of higher 
education located in States with a projected primary care provider 
shortage in 2025, as determined by the Secretary: Provided further, 
That grants so awarded are limited to such public institutions 
of higher education in States in the top quintile of States with 
a projected primary care provider shortage in 2025, as determined 
by the Secretary: Provided further, That the minimum amount 
of a grant so awarded to such an institution shall be not less 
than $1,000,000 per year: Provided further, That such a grant 
may be awarded for a period not to exceed 5 years: Provided 
further, That such a grant awarded with respect to a year to 
such an institution shall be subject to a matching requirement 
of non-Federal funds in an amount that is not less than 10 percent 
of the total amount of Federal funds provided in the grant to 
such institution with respect to such year. 
MATERNAL AND CHILD HEALTH 
For carrying out titles III, XI, XII, and XIX of the PHS Act 
with respect to maternal and child health and title V of the Social 
Security Act, $1,018,624,000: Provided, That notwithstanding sec-
tions 502(a)(1) and 502(b)(1) of the Social Security Act, not more 
than $169,116,000 shall be available for carrying out special projects 
of regional and national significance pursuant to section 501(a)(2) 
of such Act and $10,276,000 shall be available for projects described 
in subparagraphs (A) through (F) of section 501(a)(3) of such Act. 
RYAN WHITE HIV/AIDS PROGRAM 
For carrying out title XXVI of the PHS Act with respect to 
the Ryan White HIV/AIDS program, $2,494,776,000, of which 
$2,014,698,000 shall remain available to the Secretary through 
September 30, 2024, for parts A and B of title XXVI of the PHS 
Act, and of which not less than $900,313,000 shall be for State 
AIDS Drug Assistance Programs under the authority of section 
2616 or 311(c) of such Act; and of which $125,000,000, to remain 
available until expended, shall be available to the Secretary for
H. R. 2471—396 
carrying out a program of grants and contracts under title XXVI 
or section 311(c) of such Act focused on ending the nationwide 
HIV/AIDS epidemic, with any grants issued under such section 
311(c) administered in conjunction with title XXVI of the PHS 
Act, including the limitation on administrative expenses. 
HEALTH CARE SYSTEMS 
For carrying out titles III and XII of the PHS Act with respect 
to health care systems, and the Stem Cell Therapeutic and Research 
Act of 2005, $133,093,000, of which $122,000 shall be available 
until expended for facilities-related expenses of the National 
Hansen’s Disease Program. 
RURAL HEALTH 
For carrying out titles III and IV of the PHS Act with respect 
to rural health, section 427(a) of the Federal Coal Mine Health 
and Safety Act of 1969, and sections 711 and 1820 of the Social 
Security Act, $366,112,000, of which $62,277,000 from general reve-
nues, notwithstanding section 1820(j) of the Social Security Act, 
shall be available for carrying out the Medicare rural hospital 
flexibility grants program: Provided, That of the funds made avail-
able under this heading for Medicare rural hospital flexibility 
grants, $20,942,000 shall be available for the Small Rural Hospital 
Improvement Grant Program for quality improvement and adoption 
of health information technology, up to $5,000,000 shall be available 
to establish by grant to public or non-profit private entities the 
Rural Emergency Hospital Technical Assistance Program, and up 
to $1,000,000 shall be to carry out section 1820(g)(6) of the Social 
Security Act, with funds provided for grants under section 1820(g)(6) 
available for the purchase and implementation of telehealth serv-
ices, including pilots and demonstrations on the use of electronic 
health records to coordinate rural veterans care between rural 
providers and the Department of Veterans Affairs electronic health 
record system: Provided further, That notwithstanding section 
338J(k) of the PHS Act, $12,500,000 shall be available for State 
Offices of Rural Health: Provided further, That $10,500,000 shall 
remain available through September 30, 2024, to support the Rural 
Residency 
Development 
Program: 
Provided 
further, 
That 
$135,000,000 shall be for the Rural Communities Opioids Response 
Program. 
FAMILY PLANNING 
For carrying out the program under title X of the PHS Act 
to provide for voluntary family planning projects, $286,479,000: 
Provided, That amounts provided to said projects under such title 
shall not be expended for abortions, that all pregnancy counseling 
shall be nondirective, and that such amounts shall not be expended 
for any activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support or opposi-
tion to any legislative proposal or candidate for public office.