H. R. 1625—380 
Federal Supplementary Medical Insurance Trust Fund, as author-
ized 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 1893(h) of the Social Security 
Act, and such sums as may be collected from authorized user 
fees and the sale of data, which shall be credited to this account 
and remain available until expended: Provided, That all funds 
derived in accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the PHS Act shall be credited to and 
available for carrying out the purposes of this appropriation: Pro-
vided further, That the Secretary is directed to collect fees in 
fiscal year 2018 from Medicare Advantage organizations pursuant 
to section 1857(e)(2) of the Social Security Act and from eligible 
organizations with risk-sharing contracts under section 1876 of 
that Act pursuant to section 1876(k)(4)(D) of that Act. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $745,000,000, to remain available 
through September 30, 2019, 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 $500,368,000 shall be for the 
Medicare Integrity Program at the Centers for Medicare and Med-
icaid Services, including administrative costs, to conduct oversight 
activities for Medicare Advantage under Part C and the Medicare 
Prescription Drug Program under Part D of the Social Security 
Act and for activities described in section 1893(b) of such Act, 
of which $84,398,000 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 $84,398,000 shall be for the Medicaid and Children’s 
Health Insurance Program (‘‘CHIP’’) program integrity activities, 
and of which $75,836,000 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 required by section 
1817(k)(5) of the Social Security Act for fiscal year 2018 shall 
include measures of the operational 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 $434,000,000 is additional new budget authority 
specified for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the Secretary shall provide not less than $17,621,000 
for the Senior Medicare Patrol program to combat health care 
fraud and abuse from the funds provided to this account. 
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
H. R. 1625—381 
of July 5, 1960, $2,995,400,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 2019, 
$1,400,000,000, to remain 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 Assistance Act of 1981, 
$3,640,304,000: Provided, That all but $678,500,000 of this amount 
shall be allocated as though the total appropriation for such pay-
ments for fiscal year 2018 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 Secretary for technical assist-
ance, training, and monitoring of program activities for compliance 
with internal controls, policies and procedures and may, in addition 
to the authorities provided in section 2609A(a)(1), use such funds 
through contracts with private entities that do not qualify as non-
profit organizations. 
REFUGEE AND ENTRANT ASSISTANCE 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and Nation-
ality Act and section 501 of the Refugee Education Assistance 
Act of 1980, and for carrying out section 462 of the Homeland 
Security Act of 2002, section 235 of the William Wilberforce Traf-
ficking Victims Protection Reauthorization Act of 2008, the Traf-
ficking Victims Protection Act of 2000 (‘‘TVPA’’), and the Torture 
Victims Relief Act of 1998, $1,864,936,000, of which $1,830,446,000 
shall remain available through September 30, 2020 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: Provided further, That the limitation in section 
205 of this Act regarding transfers increasing any appropriation 
shall apply to transfers to appropriations 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 1990 (‘‘CCDBG Act’’), $5,226,000,000 shall be used to supple-
ment, not supplant State general revenue funds for child care 
assistance for low-income families: Provided, That technical assist-
ance under section 658I(a)(3) of such Act may be provided directly, 
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
H. R. 1625—382 
section 418 or any other provision of law, shall be subject to the 
reservation of funds authority in paragraphs (4) and (5) of section 
658O(a) of the CCDBG Act: Provided further, That in addition 
to the amounts required to be reserved by the Secretary under 
section 658O(a)(2)(A) of such Act, $156,780,000 shall be for Indian 
tribes and tribal organizations. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 2002 of the 
Social Security Act, $1,700,000,000: Provided, 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 Prevention and Treatment Act, sec-
tions 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, and the Community Services Block Grant Act (‘‘CSBG Act’’); 
and for necessary administrative 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, the Child Care and Development Block Grant Act 
of 1990, the Assets for Independence Act, title IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Education 
Assistance Act of 1980, $12,022,225,000, of which $75,000,000, to 
remain available through September 30, 2019, shall be for grants 
to States for adoption and legal guardianship incentive payments, 
as defined by section 473A of the Social Security Act and may 
be made for adoptions and legal guardianships completed before 
September 30, 2018: Provided, That $9,863,095,000 shall be for 
making payments under the Head Start Act: Provided further, 
That of the amount in the previous proviso, $8,823,095,000 shall 
be available for payments under section 640 of the Head Start 
Act, of which $216,000,000 shall be available for a cost of living 
adjustment notwithstanding section 640(a)(3)(A) of such Act: Pro-
vided further, That notwithstanding such section 640, of the amount 
in the second preceding proviso, $260,000,000 (of which up to one 
percent may be reserved for research and evaluation) shall be 
available through March 31, 2019 for award by the Secretary to 
grantees that apply for supplemental funding to increase their 
hours of program operations and for training and technical assist-
ance for such activities: Provided further, That of the amount pro-
vided for making payments under the Head Start Act, $25,000,000 
shall be available for allocation by the Secretary to supplement 
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: Provided further, That notwithstanding such section 
640, of the amount provided for making payments under the Head
H. R. 1625—383 
Start Act, and in addition to funds otherwise available under such 
section 640 for such purposes, $755,000,000 shall be available 
through March 31, 2019 for Early Head Start programs as described 
in section 645A of such Act, for conversion of Head Start services 
to Early Head Start services 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 $16,000,000 in Federal costs of administration and evaluation, 
and, notwithstanding section 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 included 
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, 
2018 for carrying out sections 9212 and 9213 of the Every Student 
Succeeds Act: Provided further, That up to 3 percent of the funds 
in the preceding proviso shall be available for technical assistance 
and evaluation related to grants awarded under such section 9212: 
Provided further, That $742,883,000 shall be for making payments 
under the CSBG Act: Provided further, That $28,233,000 shall 
be for sections 680 and 678E(b)(2) of the CSBG Act, of which 
not less than $19,883,000 shall be for section 680(a)(2) and not 
less than $8,000,000 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 purposes: Provided further, That the Secretary shall estab-
lish procedures regarding the disposition of intangible assets and 
program income that permit such assets acquired with, and program 
income derived from, grant funds authorized 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 instruments, 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 November 29, 1999: Provided further, That 
funds appropriated for section 680(a)(2) of the CSBG Act shall 
be available for financing construction and rehabilitation and loans 
or investments in private business enterprises owned by community 
development corporations: Provided further, That $160,000,000 shall 
be for carrying out section 303(a) of the Family Violence Prevention 
and Services Act, of which $5,000,000 shall be allocated notwith-
standing section 303(a)(2) of such Act for carrying out section 309 
of such Act: Provided further, That the percentages specified in 
section 112(a)(2) of the Child Abuse Prevention and Treatment 
Act shall not apply to funds appropriated under this heading: Pro-
vided further That $1,864,000 shall be for a human services case 
management system for federally declared disasters, to include 
a comprehensive national case management contract and Federal