(1) prior authorization; 
(2) step-therapy or other utilization controls; 
(3) frequency limits more restrictive than one 
screening annually; or 
(4) documentation requirements beyond those 
included in recent evidence-based clinical guidelines. 
SEC. 602. ELIGIBLE INDIVIDUALS. 
An eligible individual is an adult who— 
(1) is 50 to 80 years old; and 
(2) is determined by a treating health care pro-
fessional to be at increased risk for lung cancer 
based on personal, environmental, or familial risk 
factors. 
SEC. 603. IMPLEMENTATION. 
The Secretary of Health and Human Services, the 
Secretary of Defense, the Secretary of Veterans Affairs, 
and the Director of the Office of Personnel Management 
shall issue implementing regulations within 180 days of 
enactment and ensure program-wide compliance. 
TITLE VII 
SEC. 701. IMPLEMENTATION OF GAO RECOMMENDATIONS. 
The Administrator of the Federal Emergency Man-
agement Agency and the Secretary of Housing and Urban 
Development shall take such actions as may be necessary 
to implement the priority recommendations of the Comp-
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troller General of the United States contained in the re-
port published on November 15, 2022, and titled ‘‘Dis-
aster Recovery: Actions Needed to Improve the Federal 
Approach’’ (GAO–23–104956). 
TITLE VIII 
SEC. 801. UPDATING THE PROCESS FOR PAYING SALARIES 
OF THE HOUSE OF REPRESENTATIVES. 
Section 116(a) of the Legislative Branch Appropria-
tions Act, 2002 (2 U.S.C. 4551) is amended— 
(1) by striking ‘‘The usual day’’ and inserting 
‘‘(1) Except as provided in paragraph (2), the usual 
day’’; and 
(2) by adding at the end the following: 
‘‘(2) When the House of Representatives next up-
grades its payroll system, if directed by the Committee on 
House Administration of the House of Representatives, 
the Chief Administrative Officer may pay salaries in or 
under the House of Representatives twice per month, or 
on the basis of such other schedule, as such Committee 
may promulgate by regulation.’’. 
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TITLE IX 
SECTION 901. ADMINISTRATION OF NEXT GENERATION 
WARNING SYSTEM GRANT PROGRAM. 
(a) IN GENERAL.—The Administrator of the Federal 
Emergency Management Agency shall take such actions 
as may be necessary to— 
(1) assume responsibility for administering the 
Next Generation Warning System grant program; 
(2) not later than 180 days after the date of 
enactment of this Act, disburse all funds made avail-
able for fiscal year 2022 to carry out such program 
under the heading ‘‘Protection, Preparedness, Re-
sponse, and Recovery—Federal Emergency Manage-
ment Agency—Federal Assistance’’ of title III of the 
Consolidated Appropriations Act, 2022 (Public Law 
117–103) that are obligated as of the date of enact-
ment of this Act; and 
(3) begin the process of awarding grants under 
the Next Generation Warning System grant program 
with funds made available to carry out such pro-
gram— 
(A) for fiscal year 2023 under the heading 
‘‘Protection, Preparedness, Response, and Re-
covery—Federal Emergency Management Agen-
cy—Federal Assistance’’ of title III of the Con-
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solidated Appropriations Act, 2023 (Public Law 
117–328); and 
(B) for fiscal year 2024 under the heading 
‘‘Protection, Preparedness, Response, and Re-
covery—Federal Emergency Management Agen-
cy—Federal Assistance’’ of title III of the Fur-
ther Consolidated Appropriations Act, 2024 
(Public Law 118–47). 
(b) COMMUNICATIONS RESEARCH
AND DEVELOP-
MENT.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, the Secretary, 
in consultation with other relevant Federal agencies 
and departments, State, local, Tribal, and territorial 
governments, and relevant owners and operators of 
critical infrastructure, as appropriate, shall, to the 
extent practicable, carry out research and develop-
ment to support and improve the— 
(A) accessibility of emergency warning sys-
tems; 
(B) resiliency and security of emergency 
warning systems; and 
(C) other matters as the Secretary deter-
mines appropriate. 
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(2) RESEARCH AND DEVELOPMENT REPORT.— 
Not later than 2 years after the date of the enact-
ment of this Act, the Secretary shall submit to the 
Committee on Homeland Security of the House of 
Representatives and the Committee on Homeland 
Security and Governmental Affairs of the Senate a 
report on the research and development activities 
carried out pursuant to paragraph (1). 
(c) DEFINITIONS.—In this section: 
(1) NEXT
GENERATION
WARNING
SYSTEM 
GRANT PROGRAM DEFINED.—The term ‘‘Next Gen-
eration Warning System grant program’’ means the 
grant program authorized pursuant to title III of the 
Consolidated Appropriations Act, 2022 (Public Law 
117–103) under the heading ‘‘Protection, Prepared-
ness, Response, and Recovery—Federal Emergency 
Management Agency—Federal Assistance’’. 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Homeland Security, acting through 
the Under Secretary for Science and Technology. 
TITLE X 
SEC. 1001. HEARINGS. 
(a) IN GENERAL.—Each standing committee of the 
House of Representatives shall hold a hearing on the im-
plementation of this Act within one year of enactment. 
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(b) EXERCISE OF RULEMAKING AUTHORITY.—Sub-
section (a) is enacted— 
(1) as an exercise of rulemaking power of the 
House of Representatives, and, as such, shall be con-
sidered as part of the rules of the House, and such 
rules shall supersede any other rule of the House 
only to the extent that rule is inconsistent therewith; 
and 
(2) with full recognition of the constitutional 
right of either House to change such rules (so far 
as relating to the procedure in such House) at any 
time, in the same manner, and to the same extent 
as in the case of any other rule of the House. 
TITLE XI 
SEC. 1101. CODE OF OFFICIAL CONDUCT. 
In rule XXIII of the Rules of the House of Rep-
resentatives, strike clause 18 and insert the following: 
‘‘18.(a) A Member, Delegate, or Resident Commis-
sioner may not engage in a sexual relationship with any 
employee of the House who works under the supervision 
of the Member, Delegate, or Resident Commissioner, or 
who is an employee of a committee on which the Member, 
Delegate, or Resident Commissioner serves. This para-
graph does not apply with respect to any relationship be-
tween two people who are married to each other. 
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‘‘(b) A Member, Delegate, Resident Commissioner, 
officer, or employee of the House may not engage in un-
welcome sexual advances or conduct towards another 
Member, Delegate, Resident Commissioner, officer, or em-
ployee of the House. 
‘‘(c) In this clause, the term ‘employee’ includes an 
applicant for employment, a paid or unpaid intern (includ-
ing an applicant for an internship), a detailee, and an indi-
vidual participating in a fellowship program.’’. 
TITLE XII 
SEC. 1201. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go-Act of 2010, 
shall be determined by reference to the latest statement 
titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 
Act, submitted for printing in the Congressional Record 
by the Chairman of the House Budget Committee, pro-
vided that such statement has been submitted prior to the 
vote on passage. 
TITLE XIII 
SEC. 1301. APPROPRIATIONS. 
The following sums are hereby appropriated, out of 
any money in the Treasury not otherwise appropriated, 
for the fiscal year ending September 30, 2027, and for 
other purposes, namely: 
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DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For an additional amount for necessary expenses for 
carrying out section 301 and title IV of the Public Health 
Service Act with respect to dental and craniofacial dis-
eases, $1,000,000. 
ANIMAL AND PLANT HEALTH INSPECTION 
SERVICE 
SALARIES AND EXPENSES 
For an additional amount for the Animal and Plant 
Health 
Inspection 
Service 
salaries 
and 
expenses, 
$1,000,000. 
UNITED STATES TAX COURT 
SALARIES AND EXPENSES 
For an additional amount for necessary expenses, 
$1,000,000, to remain available until expended. 
DEPARTMENT OF DEFENSE 
OPERATION AND MAINTENANCE, SPACE FORCE 
For an additional amount of expenses, not otherwise 
provided for, necessary for the operations and mainte-
nance of the Space Force, as authorized by law, 
$1,000,000. 
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DEPARTMENT OF THE INTERIOR 
NORTH AMERICAN WETLANDS CONSERVATION FUND 
For an additional amount of expenses necessary to 
carry out the provisions of the North American Wetlands 
Conservation Act (16 U.S.C. 4401 et seq.), $1,000,000, 
to remain available until expended. 
FEDERAL RAILROAD ADMINISTRATION 
SAFETY AND OPERATIONS 
For an additional amount of expenses necessary of 
the Federal Railroad Administration, $1,000,000. 
Æ 
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