whether the public entity receives a grant under section 
561(a) of such Act: Provided further, That States shall 
expend at least 10 percent of the amount each receives 
for carrying out section 1911 of the PHS Act to support 
evidence-based programs that address the needs of individ-
uals with early serious mental illness, including psychotic 
disorders, regardless of the age of the individual at onset: 
Provided further, That none of the funds provided for sec-
tion 1911 of the PHS Act shall be subject to section 241 
of such Act: Provided further, That of the funds made 
available under this heading, $15,000,000 shall be to 
carry out section 224 of the Protecting Access to Medicare 
Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 22 
note). 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse treatment and title XIX 
of such Act with respect to substance abuse treatment and 
prevention, $2,108,202,000: Provided, That in addition to 
amounts provided herein, $81,200,000 shall be available 
under section 241 of the PHS Act to supplement funds 
otherwise available for substance abuse treatment activi-
ties and to carry out subpart II of part B of title XIX 
of the PHS Act to fund section 1935(b) technical assist-
ance, national data, data collection and evaluation activi-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
ties, and further that the total available under this Act 
for section 1935(b) activities shall not exceed 5 percent 
of the amounts appropriated for subpart II of part B of 
title XIX: Provided further, That none of the funds pro-
vided for section 1921 of the PHS Act shall be subject 
to section 241 of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $194,148,000: 
Provided, That in addition to amounts provided herein, 
$17,000,000 shall be available under section 241 of the 
PHS Act to supplement funds otherwise available for sub-
stance abuse prevention activities. 
In addition, for grants under title V of the PHS Act 
to States, political subdivisions of States, territories, 
tribes, and tribal organizations for the prevention and 
treatment of opioid abuse, including heroin abuse, and re-
lated health conditions, $500,000,000: Provided, That 
such amount shall not be subject to section 241 of the 
PHS Act: Provided further, That not more than 4 percent 
of such amount shall be available for Federal administra-
tive expenses, training, technical assistance, and evalua-
tion: Provided further, That in awarding such grants, the 
Administrator of the Substance Abuse and Mental Health 
Services Administration shall give highest priority to 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
States, political subdivisions of States, territories, tribes, 
and tribal organizations that have the highest rate of 
opioid-related overdose deaths: Provided further, That pre-
vention and treatment activities funded through such 
grants may include education, treatment (including the 
provision of medication), behavioral health services for in-
dividuals in treatment programs, referral to treatment 
services, and medical screening associated with such treat-
ment. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that 
supplement activities funded under the headings ‘‘Mental 
Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’ in carrying out titles III, V, and XIX 
of the PHS Act and the Protection and Advocacy for Indi-
viduals with Mental Illness Act in the Substance Abuse 
and 
Mental 
Health 
Services 
Administration, 
$131,458,000: Provided, That in addition to amounts pro-
vided herein, $31,428,000 shall be available under section 
241 of the PHS Act to supplement funds available to 
carry out national surveys on drug abuse and mental 
health, to collect and analyze program data, and to con-
duct public awareness and technical assistance activities: 
Provided further, That, in addition, fees may be collected 
for the costs of publications, data, data tabulations, and 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00061
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
data analysis completed under title V of the PHS Act and 
provided to a public or private entity upon request, which 
shall be credited to this appropriation and shall remain 
available until expended for such purposes: Provided fur-
ther, That amounts made available in this Act for carrying 
out section 501(m) of the PHS Act shall remain available 
through September 30, 2018: Provided further, That 
funds made available under this heading may be used to 
supplement program support funding provided under the 
headings ‘‘Mental Health’’, ‘‘Substance Abuse Treat-
ment’’, and ‘‘Substance Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, 
part A of title XI of the Social Security Act, and section 
1013 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003, $280,240,000: Provided, 
That section 947(c) of the PHS Act shall not apply in 
fiscal year 2016: Provided further, That in addition, 
amounts received from Freedom of Information Act fees, 
reimbursable and interagency agreements, and the sale of 
data shall be credited to this appropriation and shall re-
main available until September 30, 2017. 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00062
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $262,003,967,000, 
to remain available until expended. 
For making, after May 31, 2017, payments to States 
under title XIX or in the case of section 1928 on behalf 
of States under title XIX of the Social Security Act for 
the last quarter of fiscal year 2017 for unanticipated costs 
incurred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2018, 
$125,219,452,000, to remain available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00063
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $299,187,700,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, and the Clinical Labora-
tory Improvement Amendments of 1988, not to exceed 
$3,093,690,000, to be transferred from the Federal Hos-
pital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund, as authorized by 
section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 
302 of the Tax Relief and Health Care Act of 2006; and 
such sums as may be collected from authorized user fees 
and the sale of data, which shall be credited to this ac-
count and remain available until September 30, 2018: Pro-
vided, That all funds derived in accordance with 31 U.S.C. 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00064
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
9701 from organizations established under title XIII of 
the PHS Act shall be credited to and available for carrying 
out the purposes of this appropriation: Provided further, 
That the Secretary is directed to collect fees in fiscal year 
2016 from Medicare Advantage organizations pursuant to 
section 1857(e)(2) of the Social Security Act and from eli-
gible organizations with risk-sharing contracts under sec-
tion 1876 of that Act pursuant to section 1876(k)(4)(D) 
of that Act: Provided further, That none of the funds made 
available under this heading shall be used to support re-
search, demonstration, and evaluation activities: Provided 
further, That of the total amount made available under 
this heading, $1,985,823,000 shall be for Program Oper-
ations and $710,533,000 shall be for Federal Administra-
tion: Provided further, That none of the funds made avail-
able under this heading may be used to support the Center 
for Consumer Information and Insurance Oversight or ac-
tivities developed, administered, or implemented by the 
Center. 
In addition, not more than $385,438,000, shall be de-
rived from offsetting collections through the Clinical Lab-
oratory Improvement Act, Medicare Advantage, and Re-
covery Audit Contractors and shall be credited to this ac-
count and remain available until September 30, 2018: Pro-
vided, That no funds shall be derived from offsetting col-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00065
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
lections through fees collected from qualified health plans 
offered through an Exchange established under Public 
Law 111–148 to operate such an Exchange: Provided fur-
ther, That offsetting collections collected under this au-
thority by such Recovery Audit Contractors under section 
1893 of the Social Security Act shall be used only as addi-
tional funds to educate health care providers on how to 
appropriately reduce errors, to support the Office of Medi-
care Appeals to reduce its backlog, and to establish a proc-
ess to provide educational feedback from the Office of 
Medicare Appeals to the Centers for Medicare and Med-
icaid Services to reduce the claims overturn rate from the 
claims that are elevated to the Office of Medicare Appeals. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $681,000,000, 
to remain available through September 30, 2018, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $486,120,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage under 
Part C and the Medicare Prescription Drug Program 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00066
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
under Part D of the Social Security Act and for activities 
described in section 1893(b) of such Act, of which 
$67,200,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out 
fraud and abuse activities authorized by section 
1817(k)(3) of such Act, of which $67,200,000 shall be for 
the Medicaid and Children’s Health Insurance Program 
(‘‘CHIP’’) program integrity activities, and of which 
$60,480,000 shall be for the Department of Justice to 
carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2017 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the 
funds provided by this appropriation: Provided further, 
That of the amount provided under this heading, 
$311,000,000 is provided to meet the terms of section 
251(b)(2)(C)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended, and 
$370,000,000 is additional new budget authority specified 
for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the Secretary shall support the full cost of 
the Senior Medicare Patrol program to combat health care 
fraud and abuse from the funds provided to this account. 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00067
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided, titles 
I, IV–D, X, XI, XIV, and XVI of the Social Security Act 
and the Act of July 5, 1960, $3,010,631,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2018, $1,400,000,000, to re-
main available until expended. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low Income Home Energy Assist-
ance Act of 1981, $3,490,304,000: Provided, That all but 
$591,000,000 of this amount shall be allocated as though 
the total appropriation for such payments for fiscal year 
2017 was less than $1,975,000,000: Provided further, 
That notwithstanding section 2609A(a), of the amounts 
appropriated under section 2602(b), not more than 
$2,988,000 of such amounts may be reserved by the Sec-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00068
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
retary for technical assistance, training, and monitoring 
of program activities for compliance with internal controls, 
policies and procedures and may, in addition to the au-
thorities provided in section 2609A(a)(1), use such funds 
through contracts with private entities that do not qualify 
as nonprofit organizations. 
REFUGEE AND ENTRANT ASSISTANCE 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, and for carrying 
out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims 
Protection Reauthorization Act of 2008, the Trafficking 
Victims Protection Act of 2000 (‘‘TVPA’’), and the Tor-
ture Victims Relief Act of 1998, $1,674,691,000, of which 
$1,645,201,000 shall remain available through September 
30, 2019 for carrying out such sections 414, 501, 462, 
and 235: Provided, That amounts available under this 
heading to carry out the TVPA shall also be available for 
research and evaluation with respect to activities under 
such Act and for the national communications system 
under section 107(b)(1)(B)(ii) of such Act (added under 
section 603 of the Justice for Victims of Trafficking Act 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00069
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
of 2015, P.L. 114-22) to assist victims of severe forms 
of trafficking in persons: Provided further, That the limita-
tion in section 205 of this Act regarding transfers increas-
ing any appropriation shall apply to transfers to appro-
priations under this heading by substituting ‘‘10 percent’’ 
for ‘‘3 percent’’. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block 
Grant 
Act 
of 
2014 
(‘‘CCDBG 
Act’’), 
$2,801,000,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That technical assistance 
under section 658I(a)(3) of such Act may be provided di-
rectly, or through the use of contracts, grants, cooperative 
agreements, or interagency agreements: Provided further, 
That all funds made available to carry out section 418 
of the Social Security Act (42 U.S.C. 618), including 
funds appropriated for that purpose in such section 418 
or any other provision of law, shall be subject to the res-
ervation of funds authority in paragraphs (4) and (5) of 
section 658O(a) of the CCDBG Act. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00070
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX–A of such Act shall be 10 
percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Every Student Succeeds Act, the Child Abuse Preven-
tion and Treatment Act, sections 303 and 313 of the 
Family Violence Prevention and Services Act, the Native 
American Programs Act of 1974, title II of the Child 
Abuse Prevention and Treatment and Adoption Reform 
Act of 1978 (adoption opportunities), part B–1 of title IV 
and sections 429, 473A, 477(i), 1110, 1114A, and 1115 
of the Social Security Act; for making payments under the 
Community Services Block Grant Act (‘‘CSBG Act’’), and 
the Assets for Independence Act; for necessary adminis-
trative expenses to carry out titles I, IV, V, X, XI, XIV, 
XVI, and XX–A of the Social Security Act, the Act of 
July 5, 1960, the Low-Income Home Energy Assistance 
Act of 1981, title IV of the Immigration and Nationality 
Act, and section 501 of the Refugee Education Assistance 
Act of 1980; and for the administration of prior year obli-
gations made by the Administration for Children and 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00071
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
Families under the Developmental Disabilities Assistance 
and Bill of Rights Act and the Help America Vote Act 
of 2002, $11,382,896,000, of which $37,943,000, to re-
main available through September 30, 2018, shall be for 
grants to States for adoption and legal guardianship in-
centive payments, as defined by section 473A of the Social 
Security Act and may be made for adoptions completed 
before 
September 
30, 
2017: 
Provided, 
That 
$9,309,724,000 shall be for making payments under the 
Head Start Act: Provided further, That of the amount in 
the previous proviso, $8,639,724,000 shall be available for 
payments under section 640 of the Head Start Act, of 
which $131,629,000 shall be available for a cost of living 
adjustment notwithstanding section 640(a)(3)(A) of such 
Act: Provided further, That of the amount provided for 
making payments under the Head Start Act, $25,000,000 
shall be available for allocation by the Secretary to supple-
ment activities described in paragraphs (7)(B) and (9) of 
section 641(c) of such Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12) and 645A(d) of such Act: Pro-
vided further, That notwithstanding such section 640, of 
the amount provided for making payments under the 
Head Start Act, and in addition to funds otherwise avail-
able under such section 640, $645,000,000 shall be avail-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00072
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
able through March 31, 2018 for Early Head Start pro-
grams as described in section 645A of such Act, for con-
version of Head Start services to Early Head Start serv-
ices as described in section 645(a)(5)(A) of such Act, for 
discretionary grants for high quality infant and toddler 
care through Early Head Start-Child Care Partnerships, 
to entities defined as eligible under section 645A(d) of 
such Act, for training and technical assistance for such 
activities, and for up to $14,000,000 in Federal costs of 
administration and evaluation, and, notwithstanding sec-
tion 645A(c)(2) of such Act, these funds are available to 
serve children under age 4: Provided further, That funds 
described in the preceding two provisos shall not be in-
cluded in the calculation of ‘‘base grant’’ in subsequent 
fiscal years, as such term is used in section 640(a)(7)(A) 
of such Act: Provided further, That $250,000,000 shall be 
available until December 31, 2017 for carrying out sec-
tions 9212 and 9213 of the Every Student Succeeds Act: 
Provided further, That up to 3 percent of the funds in 
the previous proviso shall be available for technical assist-
ance and evaluation related to grants awarded under such 
section 9212: Provided further, That $752,383,000 shall 
be for making payments under the CSBG Act: Provided 
further, That $37,733,000 shall be for sections 680 and 
678E(b)(2) of the CSBG Act, of which not less than 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00073
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
$29,883,000 shall be for section 680(a)(2) and not less 
than $7,500,000 shall be for section 680(a)(3)(B) of such 
Act: Provided further, That, notwithstanding section 
675C(a)(3) of such Act to the extent Community Services 
Block Grant funds are distributed as grant funds by a 
State to an eligible entity as provided under such Act, and 
have not been expended by such entity, they shall remain 
with such entity for carryover into the next fiscal year for 
expenditure by such entity consistent with program pur-
poses: Provided further, That the Secretary shall establish 
procedures regarding the disposition of intangible assets 
and program income that permit such assets acquired 
with, and program income derived from, grant funds au-
thorized under section 680 of the CSBG Act to become 
the sole property of such grantees after a period of not 
more than 12 years after the end of the grant period for 
any activity consistent with section 680(a)(2)(A) of the 
CSBG Act: Provided further, That intangible assets in the 
form of loans, equity investments and other debt instru-
ments, and program income may be used by grantees for 
any eligible purpose consistent with section 680(a)(2)(A) 
of the CSBG Act: Provided further, That these procedures 
shall apply to such grant funds made available after No-
vember 29, 1999: Provided further, That funds appro-
priated for section 680(a)(2) of the CSBG Act shall be 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00074
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
available for financing construction and rehabilitation and 
loans or investments in private business enterprises owned 
by community development corporations: Provided further, 
That the Secretary shall issue performance standards for 
entities receiving funds from State and territorial grantees 
under the CSBG Act, and such States and territories shall 
assure the implementation of such standards prior to Sep-
tember 30, 2017, and include information on such imple-
mentation in the report required by section 678E(2) of 
such Act: Provided further, That, to the extent funds for 
the Assets for Independence (AFI) Act provided in this 
Act are distributed as grant funds to a qualified entity 
and have not been expended by such entity within 3 years 
after the date of the award, such funds may be recaptured 
and, during the fiscal year of such recapture, reallocated 
among other qualified entities, to remain available to such 
entities for 5 years: Provided further, That, notwith-
standing section 404(5)(A)(i) of such Act, contributions 
to an individual development account shall be allowable 
through any mechanism allowed by the financial institu-
tion at which the account is held: Provided further, That 
$1,864,000 shall be for a human services case manage-
ment system for federally declared disasters, to include a 
comprehensive national case management contract and 
Federal costs of administering the system: Provided fur-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00075
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
ther, That up to $2,000,000 shall be for improving the 
Public Assistance Reporting Information System, includ-
ing grants to States to support data collection for a study 
of the system’s effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, sec-
tion 436 of the Social Security Act, $325,000,000 and, 
for carrying out, except as otherwise provided, section 437 
of such Act, $79,765,000: Provided, That notwithstanding 
sections 438(c)(3)(A) and 436(b)(2) of such Act, 
$10,000,000 shall be available for such section 436(b)(2), 
of which no funds shall be available for carrying out sec-
tions 438(c)(3)(A)(ii) and (iii) of such Act: Provided fur-
ther, That of the funds available to carry out such section 
437, $20,000,000 shall be reserved for allotment to Indian 
tribes or tribal consortia in accordance with subsection 
(c)(1) of such section (in addition to amounts otherwise 
reserved for such purpose under subsection (b)(3) of such 
section): Provided further, That for the purposes of apply-
ing subsection (b) of such section 437, the amount appro-
priated pursuant to subsection (a) of such section for fis-
cal year 2017 shall be deemed to be $59,765,000: Pro-
vided further, That section 432(b)(2)(B) of such Act shall 
not apply to funds provided under this heading for fiscal 
year 2017: Provided further, That notwithstanding section 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00076
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
433(a) of such Act, each Indian tribe or tribal consortium 
with an approved plan shall receive an allotment of not 
less than $10,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $5,764,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2018, $2,500,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), titles 
III and XXIX of the PHS Act, sections 1252 and 1253 
of the PHS Act, section 119 of the Medicare Improve-
ments for Patients and Providers Act of 2008, title XX– 
B of the Social Security Act, the Developmental Disabil-
ities Assistance and Bill of Rights Act, parts 2 and 5 of 
subtitle D of title II of the Help America Vote Act of 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
2002, the Assistive Technology Act of 1998, titles II and 
VII (and section 14 with respect to such titles) of the Re-
habilitation Act of 1973, and for Department-wide coordi-
nation of policy and program activities that assist individ-
uals with disabilities, $1,929,160,000, together with 
$52,115,000 to be transferred from the Federal Hospital 
Insurance Trust Fund and the Federal Supplementary 
Medical Insurance Trust Fund to carry out section 4360 
of the Omnibus Budget Reconciliation Act of 1990: Pro-
vided, That amounts appropriated under this heading may 
be used for grants to States under section 361 of the OAA 
only for disease prevention and health promotion pro-
grams and activities which have been demonstrated 
through rigorous evaluation to be evidence-based and ef-
fective: Provided further, That notwithstanding any other 
provision of this Act, funds made available under this 
heading to carry out section 311 of the OAA may be trans-
ferred to the Secretary of Agriculture in accordance with 
such section: Provided further, That $2,000,000 shall be 
for competitive grants to support alternative financing 
programs that provide for the purchase of assistive tech-
nology devices, such as a low-interest loan fund; an inter-
est buy-down program; a revolving loan fund; a loan guar-
antee; or an insurance program: Provided further, That 
applicants shall provide an assurance that, and informa-
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00078
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
tion describing the manner in which, the alternative fi-
nancing program will expand and emphasize consumer 
choice and control: Provided further, That State agencies 
and community-based disability organizations that are di-
rected by and operated for individuals with disabilities 
shall be eligible to compete: Provided further, That none 
of the funds made available under this heading may be 
used by an eligible system (as defined in section 102 of 
the Protection and Advocacy for Individuals with Mental 
Illness Act (42 U.S.C. 10802)) to continue to pursue any 
legal action in a Federal or State court on behalf of an 
individual or group of individuals with a developmental 
disability (as defined in section 102(8)(A) of the Develop-
mental Disabilities and Assistance and Bill of Rights Act 
of 2000 (20 U.S.C. 15002(8)(A)) that is attributable to 
a mental impairment (or a combination of mental and 
physical impairments), that has as the requested remedy 
the closure of State operated intermediate care facilities 
for people with intellectual or developmental disabilities, 
unless reasonable public notice of the action has been pro-
vided to such individuals (or, in the case of mental inca-
pacitation, the legal guardians who have been specifically 
awarded authority by the courts to make healthcare and 
residential decisions on behalf of such individuals) who are 
affected by such action, within 90 days of instituting such 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
sonnel under section 5304 of title 5, United States 
Code if such personnel’s official duty station were in 
the District of Columbia. Leaves of absence for per-
sonnel under this subsection shall be on the same 
basis as that provided under subchapter I of chapter 
63 of title 5, United States Code, or section 903 of 
the Foreign Service Act of 1980, to individuals serv-
ing in the Foreign Service. 
(TRANSFER OF FUNDS) 
SEC. 213. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
to 3 percent among institutes and centers from the total 
amounts identified by these two Directors as funding for 
research pertaining to the human immunodeficiency virus: 
Provided, That the Committees on Appropriations of the 
House of Representatives and the Senate are notified at 
least 15 days in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 214. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 
immunodeficiency virus, as jointly determined by the Di-
rector of NIH and the Director of the Office of AIDS Re-
search, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00090
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS
157 
(RESCISSION) 
SEC. 528. Of the funds made available [for the Cen-
ter for Medicare & Medicaid Innovation] under section 
3021(a) of Public Law 111–148, $7,000,000,000 is re-
scinded. 
(RESCISSION) 
SEC. 529. Of the funds made available for fiscal year 
2017 [for the Patient-Centered Outcomes Research Trust 
Fund] under section 6301(e) of Public Law 111–148, 
$150,000,000 is rescinded. 
(RESCISSION) 
SEC. 530. Amounts deposited in the Child Enroll-
ment Contingency Fund from the appropriation to the 
Fund for the first semi-annual allotment period for fiscal 
year 2017 under section 2104(n)(2)(A)(ii) of the Social 
Security Act and the income derived from investment of 
those funds pursuant to 2104(n)(2)(C) of that Act, shall 
not be available for obligation in this fiscal year. 
(RESCISSION) 
SEC. 531. Of any available amounts appropriated 
under section 108 of Public Law 111-3, as amended, 
$541,900,000 are hereby rescinded. 
VerDate Sep 11 2014 
21:30 Jul 22, 2016
Jkt 059200
PO 00000
Frm 00157
Fmt 6652
Sfmt 6201
E:\BILLS\H5926.RH
H5926
sradovich on DSK3GMQ082PROD with BILLS