958 
† HR 2617 EAS2 
temporary need shall be that provided in 8 CFR 
214.2(h)(6)(ii)(B). 
SEC. 112. Notwithstanding any other provision of law, 
the Secretary may furnish through grants, cooperative 
agreements, contracts, and other arrangements, up to 
$2,000,000 of excess personal property, at a value deter-
mined by the Secretary, to apprenticeship programs for the 
purpose of training apprentices in those programs. 
SEC. 113. (a) The Act entitled ‘‘An Act to create a 
Department of Labor’’, approved March 4, 1913 (37 Stat. 
736, chapter 141) shall be applied as if the following text 
is part of such Act: 
‘‘SEC. 12. SECURITY DETAIL. 
‘‘(a) IN GENERAL.—The Secretary of Labor is author-
ized to employ law enforcement officers or special agents 
to— 
‘‘(1) provide protection for the Secretary of 
Labor during the workday of the Secretary and dur-
ing any activity that is preliminary or postliminary 
to the performance of official duties by the Secretary; 
‘‘(2) provide protection, incidental to the protec-
tion provided to the Secretary, to a member of the im-
mediate family of the Secretary who is participating 
in an activity or event relating to the official duties 
of the Secretary;
959 
† HR 2617 EAS2 
‘‘(3) provide continuous protection to the Sec-
retary (including during periods not described in 
paragraph (1)) and to the members of the immediate 
family of the Secretary if there is a unique and 
articulable threat of physical harm, in accordance 
with guidelines established by the Secretary; and 
‘‘(4) provide protection to the Deputy Secretary 
of Labor or another senior officer representing the 
Secretary of Labor at a public event if there is a 
unique and articulable threat of physical harm, in 
accordance with guidelines established by the Sec-
retary. 
‘‘(b) AUTHORITIES.—The Secretary of Labor may au-
thorize a law enforcement officer or special agent employed 
under subsection (a), for the purpose of performing the du-
ties authorized under subsection (a), to— 
‘‘(1) carry firearms; 
‘‘(2) make arrests without a warrant for any of-
fense against the United States committed in the 
presence of such officer or special agent; 
‘‘(3) perform protective intelligence work, includ-
ing identifying and mitigating potential threats and 
conducting advance work to review security matters 
relating to sites and events;
960 
† HR 2617 EAS2 
‘‘(4) coordinate with local law enforcement agen-
cies; and 
‘‘(5) initiate criminal and other investigations 
into potential threats to the security of the Secretary, 
in coordination with the Inspector General of the De-
partment of Labor. 
‘‘(c) COMPLIANCE WITH GUIDELINES.—A law enforce-
ment officer or special agent employed under subsection (a) 
shall exercise any authority provided under this section in 
accordance with any— 
‘‘(1) guidelines issued by the Attorney General; 
and 
‘‘(2) guidelines prescribed by the Secretary of 
Labor.’’. 
(b) This section shall be effective on the date of enact-
ment of this Act. 
SEC. 114. The Secretary is authorized to dispose of or 
divest, by any means the Secretary determines appropriate, 
including an agreement or partnership to construct a new 
Job Corps center, all or a portion of the real property on 
which the Treasure Island Job Corps Center is situated. 
Any sale or other disposition, to include any associated con-
struction project, will not be subject to any requirement of 
any Federal law or regulation relating to the disposition 
of Federal real property or relating to Federal procurement,
961 
† HR 2617 EAS2 
including but not limited to subchapter III of chapter 5 
of title 40 of the United States Code, subchapter V of chap-
ter 119 of title 42 of the United States Code, and chapter 
33 of division C of subtitle I of title 41 of the United States 
Code. The net proceeds of such a sale shall be transferred 
to the Secretary, which shall be available until expended 
to carry out the Job Corps Program on Treasure Island. 
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 Cen-
ters, 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 re-
quirements of section 159(j) of the WIOA are met. 
(RESCISSION) 
SEC. 116. Of the unobligated funds available under 
section 286(s)(2) of the Immigration and Nationality Act 
(8 U.S.C. 1356(s)(2)), $142,000,000 are hereby perma-
nently rescinded not later than September 30, 2023. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2023’’.
962 
† HR 2617 EAS2 
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, $1,858,772,000: 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 out sub-
sections (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 Qual-
ity Improvement Act of 1986, $1,390,376,000: 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 avail-
963 
† HR 2617 EAS2 
able under this heading: Provided further, That for any pro-
gram 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 ‘‘Sec-
retary’’) may hereafter waive any of the requirements con-
tained 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 section 756(c) of the PHS Act shall 
apply to paragraphs (1) through (4) of section 756(a) of 
such Act: Provided further, That no funds shall be available 
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 ac-
count 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 sub-
part: Provided further, That $125,600,000 shall remain 
available until expended for the purposes of providing pri-
mary health services, assigning National Health Service 
Corps (‘‘NHSC’’) participants to expand the delivery of
964 
† HR 2617 EAS2 
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 Repay-
ment Program under section 338B of such Act: Provided 
further, That, within the amount made available in the pre-
vious proviso, $15,600,000 shall remain available until ex-
pended 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 facilities, 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 pro-
visos, 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 
treatment 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 proc-
965 
† HR 2617 EAS2 
ess, with a preference for those in Federally Qualified 
Health Centers, for practicing postgraduate nurse practi-
tioners in primary care or behavioral health: Provided fur-
ther, That of the funds made available under this heading, 
$10,000,000 shall remain available until expended for ac-
tivities 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 terminate 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 2023 contracts 
entered into under section 338B of the PHS Act. 
Of the funds made available under this heading, 
$60,000,000 shall remain available until expended for 
grants to public institutions of higher education to expand 
or support graduate education for physicians provided by 
such institutions, including funding for infrastructure de-
velopment, maintenance, equipment, and minor renova-
tions or alterations: Provided, That, in awarding such
966 
† HR 2617 EAS2 
grants, the Secretary shall give priority to public institu-
tions 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 Sec-
retary: 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 match-
ing 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, $1,171,430,000: Provided, 
That notwithstanding sections 502(a)(1) and 502(b)(1) of 
the Social Security Act, not more than $219,116,000 shall 
be available for carrying out special projects of regional and 
national significance pursuant to section 501(a)(2) of such
967 
† HR 2617 EAS2 
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 re-
spect 
to 
the 
Ryan 
White 
HIV/AIDS 
program, 
$2,571,041,000, of which $2,045,630,000 shall remain 
available to the Secretary through September 30, 2025, 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 $165,000,000, to remain 
available until expended, shall be available to the Secretary 
for 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 conjunc-
tion with title XXVI of the PHS Act, including the limita-
tion on administrative expenses. 
HEALTH 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, $99,009,000, of 
which $122,000 shall be available until expended for facili-
968 
† HR 2617 EAS2 
ties-related expenses of the National Hansen’s Disease Pro-
gram. 
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, $352,407,000, of which 
$64,277,000 from general revenues, 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 available 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, no less than 
$5,000,000 shall be available to award grants to public or 
non-profit private entities for the Rural Emergency Hos-
pital Technical Assistance Program, and up to $1,000,000 
shall be to carry out section 1820(g)(6) of the Social Secu-
rity Act, with funds provided for grants under section 
1820(g)(6) available for the purchase and implementation 
of telehealth services and other efforts to improve health care 
coordination for rural veterans between rural providers and 
the Department of Veterans Affairs: Provided further, That 
notwithstanding section 338J(k) of the PHS Act,
969 
† HR 2617 EAS2 
$12,500,000 shall be available for State Offices of Rural 
Health: Provided further, That $12,500,000 shall remain 
available through September 30, 2025, to support the Rural 
Residency Development Program: Provided further, That 
$145,000,000 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 literature) that 
in any way tends to promote public support or opposition 
to any legislative proposal or candidate for public office. 
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT 
For carrying out title III of the Public Health Service 
Act and for cross-cutting activities and program support 
for activities funded in other appropriations included in 
this Act for the Health Resources and Services Administra-
tion, $1,735,769,000, of which $38,050,000 shall be for ex-
penses necessary for the Office for the Advancement of Tele-
health, including grants, contracts, and cooperative agree-
ments for the advancement of telehealth activities: Provided,
970 
† HR 2617 EAS2 
That funds made available under this heading may be used 
to supplement program support funding provided under the 
headings ‘‘Primary Health Care’’, ‘‘Health Workforce’’, 
‘‘Maternal and Child Health’’, ‘‘Ryan White HIV/AIDS 
Program’’, ‘‘Health Systems’’, and ‘‘Rural Health’’: Pro-
vided further, That of the amount made available under this 
heading, $1,521,681,000 shall be used for the projects fi-
nancing the construction and renovation (including equip-
ment) of health care and other facilities, and for the projects 
financing one-time grants that support health-related ac-
tivities, including training and information technology, 
and in the amounts specified in the table titled ‘‘Commu-
nity Project Funding/Congressionally Directed Spending’’ 
included for this division in the explanatory statement de-
scribed in section 4 (in the matter preceding division A of 
this consolidated Act): Provided further, That none of the 
funds made available for projects described in the preceding 
proviso shall be subject to section 241 of the PHS Act or 
section 205 of this Act. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (the ‘‘Trust Fund’’), such sums as 
may be necessary for claims associated with vaccine-related 
injury or death with respect to vaccines administered after 
September 30, 1988, pursuant to subtitle 2 of title XXI of
971 
† HR 2617 EAS2 
the PHS Act, to remain available until expended: Provided, 
That for necessary administrative expenses, not to exceed 
$15,200,000 shall be available from the Trust Fund to the 
Secretary. 
COVERED COUNTERMEASURES PROCESS FUND 
For carrying out section 319F–4 of the PHS Act, 
$7,000,000, to remain available until expended. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
IMMUNIZATION AND RESPIRATORY DISEASES 
For carrying out titles II, III, XVII, and XXI, and 
section 2821 of the PHS Act, titles II and IV of the Immi-
gration and Nationality Act, and section 501 of the Refugee 
Education Assistance Act, with respect to immunization 
and respiratory diseases, $499,941,000. 
HIV/AIDS, VIRAL HEPATITIS, SEXUALLY TRANSMITTED 
DISEASES, AND TUBERCULOSIS PREVENTION 
For carrying out titles II, III, XVII, and XXIII of the 
PHS Act with respect to HIV/AIDS, viral hepatitis, sexu-
ally transmitted diseases, and tuberculosis prevention, 
$1,391,056,000. 
EMERGING AND ZOONOTIC INFECTIOUS DISEASES 
For carrying out titles II, III, and XVII, and section 
2821 of the PHS Act, titles II and IV of the Immigration 
and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act, with respect to emerging and zoonotic
972 
† HR 2617 EAS2 
infectious diseases, $698,772,000: Provided, That of the 
amounts made available under this heading, up to 
$1,000,000 shall remain available until expended to pay for 
the transportation, medical care, treatment, and other re-
lated costs of persons quarantined or isolated under Federal 
or State quarantine law. 
CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION 
For carrying out titles II, III, XI, XV, XVII, and XIX 
of the PHS Act with respect to chronic disease prevention 
and health promotion, $1,175,464,000: Provided, That 
funds made available under this heading may be available 
for making grants under section 1509 of the PHS Act for 
not less than 21 States, tribes, or tribal organizations: Pro-
vided further, That of the funds made available under this 
heading, $16,500,000 shall be available to continue and ex-
pand community specific extension and outreach programs 
to combat obesity in counties with the highest levels of obe-
sity: Provided further, That the proportional funding re-
quirements under section 1503(a) of the PHS Act shall not 
apply to funds made available under this heading. 
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, 
DISABILITIES AND HEALTH 
For carrying out titles II, III, XI, and XVII of the 
PHS Act with respect to birth defects, developmental dis-
abilities, disabilities and health, $205,560,000.
973 
† HR 2617 EAS2 
PUBLIC HEALTH SCIENTIFIC SERVICES 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to health statistics, surveillance, health 
informatics, and workforce development, $754,497,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $229,850,000: 
Provided, That of the amounts appropriated under this 
heading up to $4,000,000 may remain available until ex-
pended for carrying out the Vessel Sanitation Program, in 
addition to user fee collections available for such purpose: 
Provided further, That the Committees on Appropriations 
of the House of Representatives and the Senate are notified 
at least 15 days in advance of any use of funds pursuant 
to the preceding proviso. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$761,379,000. 
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND 
HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act, sections 101, 102, 103, 201, 202, 203, 301, and 501 
of the Federal Mine Safety and Health Act, section 13 of 
the Mine Improvement and New Emergency Response Act,
974 
† HR 2617 EAS2 
and sections 20, 21, and 22 of the Occupational Safety and 
Health Act, with respect to occupational safety and health, 
$362,800,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy Em-
ployees Occupational Illness Compensation Program Act, 
$55,358,000, to remain available until expended: Provided, 
That this amount shall be available consistent with the pro-
vision regarding administrative expenses in section 151(b) 
of division B, title I of Public Law 106–554. 
GLOBAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to global health, $692,843,000, of which: 
(1) $128,921,000 shall remain available through September 
30, 
2024 
for 
international 
HIV/AIDS; 
and 
(2) 
$293,200,000 shall remain available through September 30, 
2025 for global public health protection: Provided, That 
funds may be used for purchase and insurance of official 
motor vehicles in foreign countries. 
PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to public health preparedness and response, 
and for expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, and
975 
† HR 2617 EAS2 
chemical threats to civilian populations, $883,200,000: Pro-
vided, That the Director of the Centers for Disease Control 
and Prevention (referred to in this title as ‘‘CDC’’) or the 
Administrator of the Agency for Toxic Substances and Dis-
ease Registry may detail staff without reimbursement to 
support an activation of the CDC Emergency Operations 
Center, so long as the Director or Administrator, as appli-
cable, provides a notice to the Committees on Appropria-
tions of the House of Representatives and the Senate within 
15 days of the use of this authority, a full report within 
30 days after use of this authority which includes the num-
ber of staff and funding level broken down by the origi-
nating center and number of days detailed, and an update 
of such report every 180 days until staff are no longer on 
detail without reimbursement to the CDC Emergency Oper-
ations Center. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, installation, demolition, and renovation of facilities, 
$40,000,000, which shall remain available until September 
30, 2027: Provided, That funds made available to this ac-
count in this or any prior Act that are available for the 
acquisition of real property or for construction or improve-
ment of facilities shall be available to make improvements
976 
† HR 2617 EAS2 
on non-federally owned property, provided that any im-
provements that are not adjacent to federally owned prop-
erty do not exceed $2,500,000, and that the primary benefit 
of such improvements accrues to CDC: Provided further, 
That funds previously set-aside by CDC for repair and up-
grade of the Lake Lynn Experimental Mine and Laboratory 
shall be used to acquire a replacement mine safety research 
facility: Provided further, That funds made available to this 
account in this or any prior Act that are available for the 
acquisition of real property or for construction or improve-
ment of facilities in conjunction with the new replacement 
mine safety research facility shall be available to make im-
provements on non-federally owned property, provided that 
any improvements that are not adjacent to federally owned 
property do not exceed $5,000,000: Provided further, That 
in addition, the prior year unobligated balance of any 
amounts assigned to former employees in accounts of CDC 
made available for Individual Learning Accounts shall be 
credited to and merged with the amounts made available 
under this heading to support the replacement of the mine 
safety research facility. 
CDC-WIDE ACTIVITIES AND PROGRAM SUPPORT 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activities
977 
† HR 2617 EAS2 
and program support for activities funded in other appro-
priations included in this Act for the Centers for Disease 
Control and Prevention, $563,570,000, of which: (1) 
$350,000,000 shall remain available through September 30, 
2024, for public health infrastructure and capacity; and (2) 
$50,000,000 shall remain available through September 30, 
2024 for forecasting epidemics and outbreak analytics: Pro-
vided, That paragraphs (1) through (3) of subsection (b) 
of section 2821 of the PHS Act shall not apply to funds 
appropriated under this heading and in all other accounts 
of the CDC: Provided further, That of the amounts made 
available under this heading, $35,000,000, to remain avail-
able until expended, shall be available to the Director of 
the CDC for deposit in the Infectious Diseases Rapid Re-
sponse Reserve Fund established by section 231 of division 
B of Public Law 115–245: Provided further, That funds ap-
propriated under this heading may be used to support a 
contract for the operation and maintenance of an aircraft 
in direct support of activities throughout CDC to ensure 
the agency is prepared to address public health prepared-
ness emergencies: Provided further, That employees of CDC 
or the Public Health Service, both civilian and commis-
sioned officers, detailed to States, municipalities, or other 
organizations under authority of section 214 of the PHS 
Act, or in overseas assignments, shall be treated as non-
978 
† HR 2617 EAS2 
Federal employees for reporting purposes only and shall not 
be included within any personnel ceiling applicable to the 
Agency, Service, or HHS during the period of detail or as-
signment: Provided further, That CDC may use up to 
$10,000 from amounts appropriated to CDC in this Act for 
official reception and representation expenses when specifi-
cally approved by the Director of CDC: Provided further, 
That in addition, such sums as may be derived from au-
thorized user fees, which shall be credited to the appropria-
tion charged with the cost thereof: Provided further, That 
with respect to the previous proviso, authorized user fees 
from the Vessel Sanitation Program and the Respirator 
Certification Program shall be available through September 
30, 2024. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $7,104,159,000, of which up to 
$30,000,000 may be used for facilities repairs and improve-
ments at the National Cancer Institute—Frederick Feder-
ally Funded Research and Development Center in Fred-
erick, Maryland.
979 
† HR 2617 EAS2 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood diseases, 
and blood and blood products, $3,982,345,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to dental and craniofacial diseases, 
$520,163,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to diabetes and digestive and kidney dis-
ease, $2,300,721,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND 
STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$2,588,925,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to allergy and infectious diseases, 
$6,562,279,000.
980 
† HR 2617 EAS2 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$3,239,679,000, of which $1,412,482,000 shall be from funds 
available under section 241 of the PHS Act: Provided, That 
not less than $425,956,000 is provided for the Institutional 
Development Awards program. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD 
HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS 
Act with respect to child health and human development, 
$1,749,078,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$896,549,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$913,979,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $4,407,623,000.
981 
† HR 2617 EAS2 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $685,465,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $534,333,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $197,693,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$595,318,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,662,695,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $2,112,843,000.
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NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to human genome research, $663,200,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $440,627,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
INTEGRATIVE HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and integrative health, 
$170,384,000. 
NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $524,395,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $95,162,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications,
983 
† HR 2617 EAS2 
$497,548,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2024: Provided further, That 
in fiscal year 2023, the National Library of Medicine may 
enter into personal services contracts for the provision of 
services in facilities owned, operated, or constructed under 
the jurisdiction of the National Institutes of Health (re-
ferred to in this title as ‘‘NIH’’). 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to translational sciences, $923,323,000: 
Provided, That up to $70,000,000 shall be available to im-
plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$629,560,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, NIH, $2,642,914,000: Provided, That funding 
shall be available for the purchase of not to exceed 29 pas-
senger motor vehicles for replacement only: Provided fur-
ther, That all funds credited to the NIH Management Fund 
shall remain available for one fiscal year after the fiscal
984 
† HR 2617 EAS2 
year in which they are deposited: Provided further, That 
$180,000,000 shall be for the Environmental Influences on 
Child Health Outcomes study: Provided further, That 
$722,401,000 shall be available for the Common Fund es-
tablished under section 402A(c)(1) of the PHS Act: Pro-
vided further, That of the funds provided, $10,000 shall be 
for official reception and representation expenses when spe-
cifically approved by the Director of the NIH: Provided fur-
ther, That the Office of AIDS Research within the Office 
of the Director of the NIH may spend up to $8,000,000 
to make grants for construction or renovation of facilities 
as provided for in section 2354(a)(5)(B) of the PHS Act: 
Provided further, That $80,000,000 shall be used to carry 
out section 404I of the PHS Act (42 U.S.C. 283K), relating 
to biomedical and behavioral research facilities: Provided 
further, That $5,000,000 shall be transferred to and merged 
with the appropriation for the ‘‘Office of Inspector General’’ 
for oversight of grant programs and operations of the NIH, 
including agency efforts to ensure the integrity of its grant 
application evaluation and selection processes, and shall be 
in addition to funds otherwise made available for oversight 
of the NIH: Provided further, That the funds provided in 
the previous proviso may be transferred from one specified 
activity to another with 15 days prior approval of the Com-
mittees on Appropriations of the House of Representatives
985 
† HR 2617 EAS2 
and the Senate: Provided further, That the Inspector Gen-
eral shall consult with the Committees on Appropriations 
of the House of Representatives and the Senate before sub-
mitting to the Committees an audit plan for fiscal years 
2023 and 2024 no later than 30 days after the date of enact-
ment of this Act: Provided further, That amounts made 
available under this heading are also available to establish, 
operate, and support the Research Policy Board authorized 
by section 2034(f) of the 21st Century Cures Act: Provided 
further, That the funds made available under this heading 
for the Office of Research on Women’s Health shall also be 
available for making grants to serve and promote the inter-
ests of women in research, and the Director of such Office 
may, in making such grants, use the authorities available 
to NIH Institutes and Centers. 
In addition to other funds appropriated for the Com-
mon Fund established under section 402A(c) of the PHS 
Act, $12,600,000 is appropriated to the Common Fund 
from the 10-year Pediatric Research Initiative Fund de-
scribed in section 9008 of the Internal Revenue Code of 1986 
(26 U.S.C. 9008), for the purpose of carrying out section 
402(b)(7)(B)(ii) of the PHS Act (relating to pediatric re-
search), as authorized in the Gabriella Miller Kids First 
Research Act.
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† HR 2617 EAS2 
BUILDINGS AND FACILITIES 
For the study of, construction of, demolition of, renova-
tion of, and acquisition of equipment for, facilities of or 
used by NIH, including the acquisition of real property, 
$350,000,000, to remain available through September 30, 
2027. 
NIH INNOVATION ACCOUNT, CURES ACT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to carry out the purposes de-
scribed in section 1001(b)(4) of the 21st Century Cures Act, 
in addition to amounts available for such purposes in the 
appropriations provided to the NIH in this Act, 
$1,085,000,000, to remain available until expended: Pro-
vided, That such amounts are appropriated pursuant to 
section 1001(b)(3) of such Act, are to be derived from 
amounts transferred under section 1001(b)(2)(A) of such 
Act, and may be transferred by the Director of the National 
Institutes of Health to other accounts of the National Insti-
tutes of Health solely for the purposes provided in such Act: 
Provided further, That upon a determination by the Direc-
tor that funds transferred pursuant to the previous proviso 
are not necessary for the purposes provided, such amounts 
may be transferred back to the Account: Provided further, 
That the transfer authority provided under this heading is
987 
† HR 2617 EAS2 
in addition to any other transfer authority provided by 
law. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, the Protection and Advo-
cacy for Individuals with Mental Illness Act, and the SUP-
PORT for Patients and Communities Act, $2,693,507,000: 
Provided, That of the funds made available under this head-
ing, $93,887,000 shall be for the National Child Traumatic 
Stress Initiative: Provided further, That notwithstanding 
section 520A(f)(2) of the PHS Act, no funds appropriated 
for carrying out section 520A shall be available for carrying 
out section 1971 of the PHS Act: Provided further, That 
in addition to amounts provided herein, $21,039,000 shall 
be available under section 241 of the PHS Act to carry out 
subpart I of part B of title XIX of the PHS Act to fund 
section 1920(b) technical assistance, national data, data 
collection and evaluation activities, and further that the 
total available under this Act for section 1920(b) activities 
shall not exceed 5 percent of the amounts appropriated for 
subpart I of part B of title XIX: Provided further, That 
of the funds made available under this heading for subpart 
I of part B of title XIX of the PHS Act, at least 5 percent
988 
† HR 2617 EAS2 
shall be available to support evidence-based crisis systems: 
Provided further, That up to 10 percent of the amounts 
made available to carry out the Children’s Mental Health 
Services program may be used to carry out demonstration 
grants or contracts for early interventions with persons not 
more than 25 years of age at clinical high risk of developing 
a first episode of psychosis: Provided further, That section 
520E(b)(2) of the PHS Act shall not apply to funds appro-
priated in this Act for fiscal year 2023: Provided further, 
That $385,000,000 shall be available until September 30, 
2025 for grants to communities and community organiza-
tions who meet criteria for Certified Community Behavioral 
Health Clinics pursuant to section 223(a) of Public Law 
113–93: Provided further, That none of the funds provided 
for section 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, $21,420,000 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 preven-
tion, and the SUPPORT for Patients and Communities 
Act, $4,076,098,000: Provided, That $1,575,000,000 shall be
989 
† HR 2617 EAS2 
for State Opioid Response Grants for carrying out activi-
ties pertaining to opioids and stimulants undertaken by the 
State agency responsible for administering the substance 
abuse prevention and treatment block grant under subpart 
II of part B of title XIX of the PHS Act (42 U.S.C. 300x– 
21 et seq.): Provided further, That of such amount 
$55,000,000 shall be made available to Indian Tribes or 
tribal organizations: Provided further, That 15 percent of 
the remaining amount shall be for the States with the high-
est mortality rate related to opioid use disorders: Provided 
further, That in allocating the amount made available in 
the preceding proviso, the Secretary shall ensure that the 
formula avoids a significant cliff between States with simi-
lar overdose mortality rates to prevent unusually large 
funding changes in States when compared to prior year al-
locations: Provided further, That of the amounts provided 
for State Opioid Response Grants not more than 2 percent 
shall be available for Federal administrative expenses, 
training, technical assistance, and evaluation: Provided 
further, That of the amount not reserved by the previous 
four provisos, the Secretary shall make allocations to States, 
territories, and the District of Columbia according to a for-
mula using national survey results that the Secretary deter-
mines are the most objective and reliable measure of drug 
use and drug-related deaths: Provided further, That the Sec-
990 
† HR 2617 EAS2 
retary shall submit the formula methodology to the Commit-
tees on Appropriations of the House of Representatives and 
the Senate not less than 21 days prior to publishing a 
Funding Opportunity Announcement: Provided further, 
That prevention and treatment activities funded through 
such grants may include education, treatment (including 
the provision of medication), behavioral health services for 
individuals in treatment programs, referral to treatment 
services, recovery support, and medical screening associated 
with such treatment: Provided further, That each State, as 
well as the District of Columbia, shall receive not less than 
$4,000,000: Provided further, That in addition to amounts 
provided herein, the following amounts shall be available 
under section 241 of the PHS Act: (1) $79,200,000 to carry 
out subpart II of part B of title XIX of the PHS Act to 
fund section 1935(b) technical assistance, national data, 
data collection and evaluation activities, and further that 
the total available under this Act for section 1935(b) activi-
ties shall not exceed 5 percent of the amounts appropriated 
for subpart II of part B of title XIX; and (2) $2,000,000 
to evaluate substance abuse treatment programs: Provided 
further, That none of the funds provided for section 1921 
of the PHS Act or State Opioid Response Grants shall be 
subject to section 241 of such Act.
991 
† HR 2617 EAS2 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act with 
respect to substance abuse prevention, $236,879,000. 
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, $301,932,000: Pro-
vided, That of the amount made available under this head-
ing, $160,777,000 shall be used for the projects, and in the 
amounts, specified in the table titled ‘‘Community Project 
Funding/Congressionally Directed Spending’’ included for 
this division in the explanatory statement described in sec-
tion 4 (in the matter preceding division A of this consoli-
dated Act): Provided further, That none of the funds made 
available for projects described in the preceding proviso 
shall be subject to section 241 of the PHS Act or section 
205 of this Act: Provided further, That in addition to 
amounts provided 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
992 
† HR 2617 EAS2 
to conduct public awareness and technical assistance activi-
ties: Provided further, That, in addition, fees may be col-
lected for the costs of publications, data, data tabulations, 
and 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 re-
main available until expended for such purposes: Provided 
further, That amounts made available in this Act for car-
rying out section 501(o) of the PHS Act shall remain avail-
able through September 30, 2024: Provided further, That 
funds made available under this heading (other than 
amounts specified in the first proviso under this heading) 
may be used to supplement program support funding pro-
vided under the headings ‘‘Mental Health’’, ‘‘Substance 
Abuse Treatment’’, 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, $373,500,000: Provided, That 
section 947(c) of the PHS Act shall not apply in fiscal year 
2023: Provided further, That in addition, amounts received 
from Freedom of Information Act fees, reimbursable and 
interagency agreements, and the sale of data shall be cred-
993 
† HR 2617 EAS2 
ited to this appropriation and shall remain available until 
September 30, 2024. 
CENTERS FOR MEDICARE & MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $367,357,090,000, 
to remain available until expended. 
In addition, for carrying out such titles after May 31, 
2023, for the last quarter of fiscal year 2023 for unantici-
pated costs incurred for the current fiscal year, such sums 
as may be necessary, to remain available until expended. 
In addition, for carrying out such titles for the first 
quarter of fiscal year 2024, $197,580,474,000, 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 quar-
ter. 
PAYMENTS TO THE HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as provided under sections 217(g), 1844, and 
1860D–16 of the Social Security Act, sections 103(c) and 
111(d) of the Social Security Amendments of 1965, section
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† HR 2617 EAS2 
278(d)(3) of Public Law 97–248, and for administrative 
expenses incurred pursuant to section 201(g) of the Social 
Security Act, $548,130,000,000. 
In addition, for making matching payments under sec-
tion 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, the Clinical Laboratory 
Improvement Amendments of 1988, and other responsibil-
ities of the Centers for Medicare & Medicaid Services, not 
to exceed $3,669,744,000 to be transferred from the Federal 
Hospital 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 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 ex-
pended: Provided, That all funds derived in accordance 
with 31 U.S.C. 9701 from organizations established under
995 
† HR 2617 EAS2 
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 2023 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: Provided further, That of the 
amount made available under this heading, $397,334,000 
shall remain available until September 30, 2024, and shall 
be available for the Survey and Certification Program: Pro-
vided further, That amounts available under this heading 
to support quality improvement organizations (as defined 
in section 1152 of the Social Security Act) shall not exceed 
the amount specifically provided for such purpose under 
this heading in division H of the Consolidated Appropria-
tions Act, 2018 (Public Law 115–141). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $893,000,000, to 
remain available through September 30, 2024, to be trans-
ferred 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 $665,648,000 shall be for the Centers for Medicare
996 
† HR 2617 EAS2 
& Medicaid Services program integrity activities, of which 
$105,145,000 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, and of which $122,207,000 shall be for the De-
partment 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 2023 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, 
$317,000,000 is provided to meet the terms of a concurrent 
resolution on the budget in the Senate, and $576,000,000 
is additional new budget authority specified for purposes 
of a concurrent resolution on the budget in the Senate and 
section 1(h) of H. Res. 1151 (117th Congress), as engrossed 
in the House of Representatives on June 8, 2022 for addi-
tional health care fraud and abuse control activities: Pro-
vided further, That the Secretary shall provide not less than 
$35,000,000 from amounts made available under this head-
ing and amounts made available for fiscal year 2023 under 
section 1817(k)(3)(A) of the Social Security Act for the Sen-
997 
† HR 2617 EAS2 
ior Medicare Patrol program to combat health care fraud 
and abuse. 
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, $2,883,000,000, to remain 
available until expended; and for such purposes for the first 
quarter of fiscal year 2024, $1,300,000,000, 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 (42 U.S.C. 8621 et seq.), $1,500,000,000: Pro-
vided, That notwithstanding section 2609A(a) of such Act, 
not more than $9,600,000 may be reserved by the Secretary 
for technical assistance, training, and monitoring of pro-
gram activities for compliance with internal controls, poli-
998 
† HR 2617 EAS2 
cies and procedures, and to supplement funding otherwise 
available for necessary administrative expenses to carry out 
such Act, and the Secretary 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: Provided further, That all but 
$884,848,000 of the amount appropriated under this head-
ing in this Act and in the second paragraph under this 
heading in the Disaster Relief Supplemental Appropria-
tions Act, 2023 shall be allocated as though the total appro-
priation for such payments for fiscal year 2023 was less 
than $1,975,000,000: Provided further, That, after applying 
all applicable provisions of section 2604 of such Act and 
the previous proviso, each State or territory that would oth-
erwise receive an allocation, from the amount appropriated 
under this heading in this Act together with the amount 
appropriated in the second paragraph under this heading 
in the Disaster Relief Supplemental Appropriations Act, 
2023, that is less than 97 percent of the amount that it 
received under this heading for fiscal year 2022 from 
amounts appropriated in Public Law 117–103 shall have 
its allocation increased to that 97 percent level, with the 
portions of other States’ and territories’ allocations that 
would exceed 100 percent of the amounts they respectively
999 
† HR 2617 EAS2 
received in such fashion for fiscal year 2022 being ratably 
reduced. 
REFUGEE AND ENTRANT ASSISTANCE 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for refugee and entrant assist-
ance activities authorized by section 414 of the Immigration 
and Nationality Act and section 501 of the Refugee Edu-
cation 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 Re-
authorization Act of 2008, the Trafficking Victims Protec-
tion Act of 2000 (‘‘TVPA’’), and the Torture Victims Relief 
Act of 1998, $6,427,214,000, of which $6,377,459,000 shall 
remain available through September 30, 2025 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 sub-
stituting ‘‘15 percent’’ for ‘‘3 percent’’: Provided further, 
That the contribution of funds requirement under section 
235(c)(6)(C)(iii) of the William Wilberforce Trafficking 
Victims Protection Reauthorization Act of 2008 shall not
1000 
† HR 2617 EAS2 
apply to funds made available under this heading: Provided 
further, That for any month in fiscal year 2023 that the 
number of unaccompanied children referred to the Depart-
ment of Health and Human Services pursuant to section 
462 of the Homeland Security Act of 2002 and section 235 
of the William Wilberforce Trafficking Victims Protection 
Reauthorization Act of 2008 exceeds 13,000, as determined 
by the Secretary of Health and Human Services, an addi-
tional $27,000,000, to remain available until September 30, 
2024, shall be made available for obligation for every 500 
unaccompanied children above that level (including a pro 
rata amount for any increment less than 500), for carrying 
out such sections 462 and 235. 
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’’), $8,021,387,000 
shall be used to supplement, not supplant State general rev-
enue funds for child care assistance for low-income families: 
Provided, 
That 
technical 
assistance 
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 Secu-
rity Act (42 U.S.C. 618), including funds appropriated for
1001 
† HR 2617 EAS2 
that purpose in such 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 re-
quired to be reserved by the Secretary under section 
658O(a)(2)(A) of such Act, $214,960,000 shall be for Indian 
tribes and tribal organizations: Provided further, That of 
the amounts made available under this heading, the Sec-
retary may reserve up to 0.5 percent for Federal adminis-
trative expenses. 
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 sub-
paragraph for a State to carry out State programs pursu-
ant 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, 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
1002 
† HR 2617 EAS2 
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, and the Low-Income 
Home Energy Assistance Act of 1981, $14,618,437,000, of 
which $75,000,000, to remain available through September 
30, 2024, 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 adop-
tions and legal guardianships completed before September 
30, 2023: Provided, That $11,996,820,000 shall be for mak-
ing payments under the Head Start Act, including for 
Early Head Start–Child Care Partnerships, and, of which, 
notwithstanding section 640 of such Act: 
(1) $596,000,000 shall be available for a cost of 
living adjustment, and with respect to any continuing 
appropriations act, funding available for a cost of liv-
ing adjustment shall not be construed as an authority 
or condition under this Act; 
(2) $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 the 
Head Start Act under the Designation Renewal Sys-
1003 
† HR 2617 EAS2 
tem, established under the authority of sections 
641(c)(7), 645A(b)(12), and 645A(d) of such Act, and 
such funds 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; 
(3) $262,000,000 shall be available for quality 
improvement consistent with section 640(a)(5) of such 
Act except that any amount of the funds may be used 
on any of the activities in such section, of which not 
less than $13,000,000 shall be available to migrant 
and seasonal Head Start programs for such activities, 
in addition to funds made available for migrant and 
seasonal Head Start programs under any other provi-
sion of section 640(a) of such Act; 
(4) $100,000,000, in addition to funds otherwise 
available for such purposes under section 640 of the 
Head Start Act, shall be available through September 
30, 2024, for awards to eligible entities for Head 
Start and Early Head Start programs and to entities 
defined as eligible under section 645A(d) of such Act 
for high quality infant and toddler care through 
Early Head Start–Child Care Partnerships, and for 
training and technical assistance for such activities: 
Provided, That of the funds made available in this 
paragraph, up to $21,000,000 shall be available to the
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† HR 2617 EAS2 
Secretary for the administrative costs of carrying out 
this paragraph; 
(5) $8,000,000 shall be available for the Tribal 
Colleges and Universities Head Start Partnership 
Program consistent with section 648(g) of such Act; 
and 
(6) $21,000,000 shall be available to supplement 
funding otherwise available for research, evaluation, 
and Federal administrative costs: 
Provided further, That the Secretary may reduce the res-
ervation of funds under section 640(a)(2)(C) of such Act 
in lieu of reducing the reservation of funds under sections 
640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such Act: 
Provided further, That $315,000,000 shall be available until 
December 31, 2023 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 fur-
ther, That $804,383,000 shall be for making payments 
under the CSBG Act: Provided further, That for services 
furnished under the CSBG Act with funds made available 
for such purpose in this fiscal year and in fiscal year 2022, 
States may apply the last sentence of section 673(2) of the 
CSBG Act by substituting ‘‘200 percent’’ for ‘‘125 percent’’:
1005 
† HR 2617 EAS2 
Provided further, That $34,383,000 shall be for section 680 
of the CSBG Act, of which not less than $22,383,000 shall 
be for section 680(a)(2) and not less than $12,000,000 shall 
be for section 680(a)(3)(B) of such Act: Provided further, 
That, notwithstanding section 675C(a)(3) of the CSBG 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 carry-
over into the next fiscal year for expenditure by such entity 
consistent with program purposes: Provided further, That 
the Secretary shall establish procedures regarding the dis-
position of intangible assets and program income that per-
mit 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 in-
tangible 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 ap-
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† HR 2617 EAS2 
propriated 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 $240,000,000 shall be for carrying out section 303(a) 
of the Family Violence Prevention and Services Act, of 
which $7,000,000 shall be allocated notwithstanding section 
303(a)(2) of such Act for carrying out section 309 of such 
Act: Provided further, That the percentages specified in sec-
tion 112(a)(2) of the Child Abuse Prevention and Treat-
ment Act shall not apply to funds appropriated under this 
heading: Provided further, That $1,864,000 shall be for a 
human services case management system for federally de-
clared disasters, to include a comprehensive national case 
management contract and Federal costs of administering 
the system: Provided further, That up to $2,000,000 shall 
be for improving the Public Assistance Reporting Informa-
tion System, including grants to States to support data col-
lection for a study of the system’s effectiveness: Provided 
further, That $107,848,000 shall be used for the projects, 
and in the amounts, specified in the table titled ‘‘Commu-
nity Project Funding/Congressionally Directed Spending’’ 
included for this division in the explanatory statement de-
scribed in section 4 (in the matter preceding division A of 
this consolidated Act): Provided further, That none of the
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† HR 2617 EAS2 
funds made available for projects described in the preceding 
proviso shall be subject to section 241 of the PHS Act or 
section 205 of this Act. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, section 
436 of the Social Security Act, $345,000,000 and, for car-
rying out, except as otherwise provided, section 437 of such 
Act, $86,515,000: Provided, That of the funds available to 
carry out section 437, $59,765,000 shall be allocated con-
sistent with subsections (b) through (d) of such section: Pro-
vided further, That of the funds available to carry out sec-
tion 437, to assist in meeting the requirements described 
in section 471(e)(4)(C), $20,000,000 shall be for grants to 
each State, territory, and Indian tribe operating title IV– 
E plans for developing, enhancing, or evaluating kinship 
navigator programs, as described in section 427(a)(1) of 
such Act and $6,750,000, in addition to funds otherwise 
appropriated in section 476 for such purposes, shall be for 
the Family First Clearinghouse and to support evaluation 
and technical assistance relating to the evaluation of child 
and family services: Provided further, That section 
437(b)(1) shall be applied to amounts in the previous pro-
viso by substituting ‘‘5 percent’’ for ‘‘3.3 percent’’, and not-
withstanding section 436(b)(1), such reserved amounts may 
be used for identifying, establishing, and disseminating
1008 
† HR 2617 EAS2 
practices to meet the criteria specified in section 
471(e)(4)(C): Provided further, That the reservation in sec-
tion 437(b)(2) and the limitations in section 437(d) shall 
not apply to funds specified in the second proviso: Provided 
further, That the minimum grant award for kinship navi-
gator programs in the case of States and territories shall 
be $200,000, and, in the case of tribes, shall be $25,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $7,606,000,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of fis-
cal year 2024, $3,200,000,000. 
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 provided, 
the Older Americans Act of 1965 (‘‘OAA’’), the RAISE 
Family Caregivers Act, the Supporting Grandparents Rais-
ing Grandchildren Act, titles III and XXIX of the PHS
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† HR 2617 EAS2 
Act, sections 1252 and 1253 of the PHS Act, section 119 
of the Medicare Improvements for Patients and Providers 
Act of 2008, title XX–B of the Social Security Act, the De-
velopmental Disabilities Assistance and Bill of Rights Act 
of 2000, parts 2 and 5 of subtitle D of title II of the Help 
America Vote Act of 2002, the Assistive Technology Act of 
1998, titles II and VII (and section 14 with respect to such 
titles) of the Rehabilitation Act of 1973, and for Depart-
ment-wide coordination of policy and program activities 
that assist individuals with disabilities, $2,482,545,000, to-
gether with $55,242,000 to be transferred from the Federal 
Hospital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund to carry out section 
4360 of the Omnibus Budget Reconciliation Act of 1990: 
Provided, That of amounts made available under this head-
ing to carry out sections 311, 331, and 336 of the OAA, 
up to one percent of such amounts shall be available for 
developing and implementing evidence-based practices for 
enhancing senior nutrition, including medically-tailored 
meals: Provided further, That notwithstanding any other 
provision of this Act, funds made available under this head-
ing to carry out section 311 of the OAA may be transferred 
to the Secretary of Agriculture in accordance with such sec-
tion: Provided further, That up to 5 percent of the funds 
provided for adult protective services grants under section
1010 
† HR 2617 EAS2 
2042 of title XX of the Social Security Act may be used 
to make grants to Tribes and tribal organizations: Provided 
further, That $2,000,000 shall be for competitive grants to 
support alternative financing programs that provide for the 
purchase of assistive technology devices, such as a low-inter-
est loan fund; an interest buy-down program; a revolving 
loan fund; a loan guarantee; or an insurance program: Pro-
vided further, That applicants shall provide an assurance 
that, and information describing the manner in which, the 
alternative financing program will expand and emphasize 
consumer choice and control: Provided further, That State 
agencies and community-based disability organizations 
that are directed by and operated for individuals with dis-
abilities 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 phys-
ical impairments), that has as the requested remedy the clo-
1011 
† HR 2617 EAS2 
sure of State operated intermediate care facilities for people 
with intellectual or developmental disabilities, unless rea-
sonable public notice of the action has been provided to such 
individuals (or, in the case of mental incapacitation, the 
legal guardians who have been specifically awarded author-
ity by the courts to make healthcare and residential deci-
sions on behalf of such individuals) who are affected by such 
action, within 90 days of instituting such legal action, 
which informs such individuals (or such legal guardians) 
of their legal rights and how to exercise such rights con-
sistent with current Federal Rules of Civil Procedure: Pro-
vided further, That the limitations in the immediately pre-
ceding proviso shall not apply in the case of an individual 
who is neither competent to consent nor has a legal guard-
ian, nor shall the proviso apply in the case of individuals 
who are a ward of the State or subject to public guardian-
ship: Provided further, That of the amount made available 
under this heading, $41,644,000 shall be used for the 
projects, and in the amounts, specified in the table titled 
‘‘Community Project Funding/Congressionally Directed 
Spending’’ included for this division in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act): Provided further, That 
none of the funds made available for projects described in
1012 
† HR 2617 EAS2 
the preceding proviso shall be subject to section 241 of the 
PHS Act or section 205 of this Act. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, XXI, and section 229 of the PHS Act, the United 
States-Mexico Border Health Commission Act, and research 
studies under section 1110 of the Social Security Act, 
$537,144,000, together with $64,828,000 from the amounts 
available under section 241 of the PHS Act to carry out 
national health or human services research and evaluation 
activities: Provided, That of this amount, $60,000,000 shall 
be for minority AIDS prevention and treatment activities: 
Provided further, That of the funds made available under 
this heading, $101,000,000 shall be for making competitive 
contracts and grants to public and private entities to fund 
medically accurate and age appropriate programs that re-
duce teen pregnancy and for the Federal costs associated 
with administering and evaluating such contracts and 
grants, of which not more than 10 percent of the available 
funds shall be for training and technical assistance, evalua-
tion, outreach, and additional program support activities, 
and of the remaining amount 75 percent shall be for repli-
1013 
† HR 2617 EAS2 
cating programs that have been proven effective through rig-
orous evaluation to reduce teenage pregnancy, behavioral 
risk factors underlying teenage pregnancy, or other associ-
ated risk factors, and 25 percent shall be available for re-
search and demonstration grants to develop, replicate, re-
fine, and test additional models and innovative strategies 
for preventing teenage pregnancy: Provided further, That 
of the amounts provided under this heading from amounts 
available under section 241 of the PHS Act, $6,800,000 
shall be available to carry out evaluations (including longi-
tudinal evaluations) of teenage pregnancy prevention ap-
proaches: Provided further, That of the funds made avail-
able under this heading, $35,000,000 shall be for making 
competitive grants which exclusively implement education 
in sexual risk avoidance (defined as voluntarily refraining 
from non-marital sexual activity): Provided further, That 
funding for such competitive grants for sexual risk avoid-
ance shall use medically accurate information referenced to 
peer-reviewed publications by educational, scientific, gov-
ernmental, or health organizations; implement an evidence- 
based approach integrating research findings with practical 
implementation that aligns with the needs and desired out-
comes for the intended audience; and teach the benefits asso-
ciated with self-regulation, success sequencing for poverty 
prevention, healthy relationships, goal setting, and resisting
1014 
† HR 2617 EAS2 
sexual coercion, dating violence, and other youth risk behav-
iors such as underage drinking or illicit drug use without 
normalizing teen sexual activity: Provided further, That no 
more than 10 percent of the funding for such competitive 
grants for sexual risk avoidance shall be available for tech-
nical assistance and administrative costs of such programs: 
Provided further, That funds provided in this Act for em-
bryo adoption activities may be used to provide to individ-
uals adopting embryos, through grants and other mecha-
nisms, medical and administrative services deemed nec-
essary for such adoptions: Provided further, That such serv-
ices shall be provided consistent with 42 CFR 59.5(a)(4): 
Provided further, That of the funds made available under 
this heading, $5,000,000 shall be for carrying out prize 
competitions sponsored by the Office of the Secretary to ac-
celerate innovation in the prevention, diagnosis, and treat-
ment of kidney diseases (as authorized by section 24 of the 
Stevenson-Wydler Technology Innovation Act of 1980 (15 
U.S.C. 3719)). 
MEDICARE HEARINGS AND APPEALS 
For expenses necessary for Medicare hearings and ap-
peals in the Office of the Secretary, $196,000,000 shall re-
main available until September 30, 2024, to be transferred 
in appropriate part from the Federal Hospital Insurance
1015 
† HR 2617 EAS2 
Trust Fund and the Federal Supplementary Medical Insur-
ance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the devel-
opment and advancement of interoperable health informa-
tion technology, $66,238,000 shall be from amounts made 
available under section 241 of the PHS Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, including the hire of passenger motor vehicles for in-
vestigations, in carrying out the provisions of the Inspector 
General Act of 1978, $87,000,000: Provided, That of such 
amount, necessary sums shall be available for providing 
protective services to the Secretary and investigating non- 
payment of child support cases for which non-payment is 
a Federal offense under 18 U.S.C. 228: Provided further, 
That of the amount appropriated under this heading, nec-
essary sums shall be available for carrying out activities 
authorized under section 3022 of the PHS Act (42 U.S.C. 
300jj–52).
1016 
† HR 2617 EAS2 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$39,798,000. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by law, 
for payments under the Retired Serviceman’s Family Pro-
tection Plan and Survivor Benefit Plan, and for medical 
care of dependents and retired personnel under the Depend-
ents’ Medical Care Act, such amounts as may be required 
during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
For expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, chem-
ical, and cybersecurity threats to civilian populations, and 
for other public health emergencies, $1,647,569,000, of 
which $950,000,000 shall remain available through Sep-
tember 30, 2024, for expenses necessary to support advanced 
research and development pursuant to section 319L of the 
PHS Act and other administrative expenses of the Bio-
medical Advanced Research and Development Authority: 
Provided, That funds provided under this heading for the 
purpose of acquisition of security countermeasures shall be 
in addition to any other funds available for such purpose:
1017 
† HR 2617 EAS2 
Provided further, That products purchased with funds pro-
vided under this heading may, at the discretion of the Sec-
retary, be deposited in the Strategic National Stockpile pur-
suant to section 319F–2 of the PHS Act: Provided further, 
That $5,000,000 of the amounts made available to support 
emergency operations shall remain available through Sep-
tember 30, 2025: Provided further, That $75,000,000 of the 
amounts made available to support coordination of the de-
velopment, production, and distribution of vaccines, thera-
peutics, and other medical countermeasures shall remain 
available through September 30, 2024. 
For expenses necessary for procuring security counter-
measures (as defined in section 319F–2(c)(1)(B) of the PHS 
Act), $820,000,000, to remain available until expended. 
For expenses necessary to carry out section 319F–2(a) 
of the PHS Act, $965,000,000, to remain available until 
expended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$335,000,000; of which $300,000,000 shall be available 
until expended, for activities including the development and 
purchase of vaccine, antivirals, necessary medical supplies, 
diagnostics, and other surveillance tools: Provided, That 
notwithstanding section 496(b) of the PHS Act, funds may 
be used for the construction or renovation of privately
1018 
† HR 2617 EAS2 
owned facilities for the production of pandemic influenza 
vaccines and other biologics, if the Secretary finds such con-
struction or renovation necessary to secure sufficient sup-
plies of such vaccines or biologics. 
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the PHS 
Act with respect to advanced research projects for health, 
$1,500,000,000, to remain available through September 30, 
2025: Provided, That the President shall appoint in the De-
partment of Health and Human Services a director of ad-
vanced research projects for health (Director): Provided fur-
ther, That funds may be used to make or rescind appoint-
ments of scientific, medical, and professional personnel 
without regard to any provision in title 5 governing ap-
pointments under the civil service laws: Provided further, 
That funds may be used to fix the compensation of such 
personnel at a rate to be determined by the Director, up 
to the amount of annual compensation (excluding expenses) 
specified in section 102 of title 3, United States Code: Pro-
vided further, That the Director may use funds made avail-
able under this heading to make awards in the form of 
grants, contracts, cooperative agreements, and cash prizes, 
and enter into other transactions (as defined in section 
319L(a)(3) of the PHS Act): Provided further, That activi-
1019 
† HR 2617 EAS2 
ties supported with funds provided under this heading shall 
not 
be 
subject 
to 
the 
requirements 
of 
sections 
406(a)(3)(A)(ii) or 492 of the PHS Act: Provided further, 
That the Secretary may transfer the Advanced Research 
Projects Agency for Health, including the functions, per-
sonnel, missions, activities, authorities, and funds, within 
30 days of enactment of this Act to any agency or office 
of the Department of Health and Human Services, includ-
ing the National Institutes of Health: Provided further, 
That the Committees on Appropriations of the House of 
Representatives and the Senate shall be notified at least 15 
days in advance of any transfer pursuant to the preceding 
proviso. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary. 
SEC. 202. None of the funds appropriated in this title 
shall be used to pay the salary of an individual, through 
a grant or other extramural mechanism, at a rate in excess 
of Executive Level II: Provided, That none of the funds ap-
propriated in this title shall be used to prevent the NIH 
from paying up to 100 percent of the salary of an indi-
vidual at this rate.
1020 
† HR 2617 EAS2 
SEC. 203. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS Act, 
except for funds specifically provided for in this Act, or for 
other taps and assessments made by any office located in 
HHS, prior to the preparation and submission of a report 
by the Secretary to the Committees on Appropriations of 
the House of Representatives and the Senate detailing the 
planned uses of such funds. 
SEC. 204. Notwithstanding section 241(a) of the PHS 
Act, such portion as the Secretary shall determine, but not 
more than 2.5 percent, of any amounts appropriated for 
programs authorized under such Act shall be made available 
for the evaluation (directly, or by grants or contracts) and 
the implementation and effectiveness of programs funded in 
this title. 
(TRANSFER OF FUNDS) 
SEC. 205. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
current fiscal year for HHS in this Act may be transferred 
between appropriations, but no such appropriation shall be 
increased by more than 3 percent by any such transfer: Pro-
vided, That the transfer authority granted by this section 
shall not be used to create any new program or to fund 
any project or activity for which no funds are provided in
1021 
† HR 2617 EAS2 
this Act: Provided further, That the Committees on Appro-
priations of the House of Representatives and the Senate 
are notified at least 15 days in advance of any transfer. 
SEC. 206. In lieu of the timeframe specified in section 
338E(c)(2) of the PHS Act, terminations described in such 
section may occur up to 60 days after the effective date of 
a contract awarded in fiscal year 2023 under section 338B 
of such Act, or at any time if the individual who has been 
awarded such contract has not received funds due under the 
contract. 
SEC. 207. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
PHS Act unless the applicant for the award certifies to the 
Secretary that it encourages family participation in the de-
cision of minors to seek family planning services and that 
it provides counseling to minors on how to resist attempts 
to coerce minors into engaging in sexual activities. 
SEC. 208. Notwithstanding any other provision of law, 
no provider of services under title X of the PHS Act shall 
be exempt from any State law requiring notification or the 
reporting of child abuse, child molestation, sexual abuse, 
rape, or incest. 
SEC. 209. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the
1022 
† HR 2617 EAS2 
Secretary denies participation in such program to an other-
wise eligible entity (including a Provider Sponsored Orga-
nization) because the entity informs the Secretary that it 
will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capitation 
payment to such an entity (based on an actuarially sound 
estimate of the expected costs of providing the service to such 
entity’s enrollees): Provided further, That nothing in this 
section shall be construed to change the Medicare program’s 
coverage for such services and a Medicare Advantage orga-
nization described in this section shall be responsible for 
informing enrollees where to obtain information about all 
Medicare covered services. 
SEC. 210. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 211. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization.
1023 
† HR 2617 EAS2 
SEC. 212. In order for HHS to carry out international 
health activities, including HIV/AIDS and other infectious 
disease, chronic and environmental disease, and other 
health activities abroad during fiscal year 2023: 
(1) The Secretary may exercise authority equiva-
lent to that available to the Secretary of State in sec-
tion 2(c) of the State Department Basic Authorities 
Act of 1956. The Secretary shall consult with the Sec-
retary of State and relevant Chief of Mission to en-
sure that the authority provided in this section is ex-
ercised in a manner consistent with section 207 of the 
Foreign Service Act of 1980 and other applicable stat-
utes administered by the Department of State. 
(2) The Secretary is authorized to provide such 
funds by advance or reimbursement to the Secretary 
of State as may be necessary to pay the costs of ac-
quisition, lease, alteration, renovation, and manage-
ment of facilities outside of the United States for the 
use of HHS. The Department of State shall cooperate 
fully with the Secretary to ensure that HHS has se-
cure, safe, functional facilities that comply with ap-
plicable regulation governing location, setback, and 
other facilities requirements and serve the purposes 
established by this Act. The Secretary is authorized, 
in consultation with the Secretary of State, through
1024 
† HR 2617 EAS2 
grant or cooperative agreement, to make available to 
public or nonprofit private institutions or agencies in 
participating foreign countries, funds to acquire, 
lease, alter, or renovate facilities in those countries as 
necessary to conduct programs of assistance for inter-
national health activities, including activities relating 
to HIV/AIDS and other infectious diseases, chronic 
and environmental diseases, and other health activi-
ties abroad. 
(3) The Secretary is authorized to provide to 
personnel appointed or assigned by the Secretary to 
serve abroad, allowances and benefits similar to those 
provided under chapter 9 of title I of the Foreign 
Service Act of 1980, and 22 U.S.C. 4081 through 
4086 and subject to such regulations prescribed by the 
Secretary. The Secretary is further authorized to pro-
vide locality-based comparability payments (stated as 
a percentage) up to the amount of the locality-based 
comparability payment (stated as a percentage) that 
would be payable to such personnel 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 personnel under this subsection 
shall be on the same basis as that provided under sub-
chapter I of chapter 63 of title 5, United States Code,
1025 
† HR 2617 EAS2 
or section 903 of the Foreign Service Act of 1980, to 
individuals serving 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 im-
munodeficiency virus, as jointly determined by the Director 
of NIH and the Director of the Office of AIDS Research, 
shall be made available to the ‘‘Office of AIDS Research’’ 
account. The Director of the Office of AIDS Research shall 
transfer from such account amounts necessary to carry out 
section 2353(d)(3) of the PHS Act. 
SEC. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
may use funds authorized under section 402(b)(12) of the 
PHS Act to enter into transactions (other than contracts, 
cooperative agreements, or grants) to carry out research
1026 
† HR 2617 EAS2 
identified pursuant to or research and activities described 
in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer re-
view procedures (including consultation with appropriate 
scientific experts) as the Director determines to be appro-
priate to obtain assessments of scientific and technical 
merit. Such procedures shall apply to such transactions in 
lieu of the peer review and advisory council review proce-
dures that would otherwise be required under sections 
301(a)(3), 405(b)(1)(B), 405(b)(2), 406(a)(3)(A), 492, and 
494 of the PHS Act. 
SEC. 216. Not to exceed $100,000,000 of funds appro-
priated by this Act to the institutes and centers of the Na-
tional Institutes of Health may be used for alteration, re-
pair, or improvement of facilities, as necessary for the prop-
er and efficient conduct of the activities authorized herein, 
at not to exceed $5,000,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for NIH, 1 
percent of the amount made available for National Research 
Service Awards (‘‘NRSA’’) shall be made available to the 
Administrator of the Health Resources and Services Admin-
istration to make NRSA awards for research in primary 
medical care to individuals affiliated with entities who have
1027 
† HR 2617 EAS2 
received grants or contracts under sections 736, 739, or 747 
of the PHS Act, and 1 percent of the amount made avail-
able for NRSA shall be made available to the Director of 
the Agency for Healthcare Research and Quality to make 
NRSA awards for health service research. 
SEC. 218. (a) The Biomedical Advanced Research and 
Development Authority (‘‘BARDA’’) may enter into a con-
tract, for more than one but no more than 10 program 
years, for purchase of research services or of security coun-
termeasures, as that term is defined in section 319F– 
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d–6b(c)(1)(B)), 
if— 
(1) funds are available and obligated— 
(A) for the full period of the contract or for 
the first fiscal year in which the contract is in 
effect; and 
(B) for the estimated costs associated with 
a necessary termination of the contract; and 
(2) the Secretary determines that a multi-year 
contract will serve the best interests of the Federal 
Government by encouraging full and open competi-
tion or promoting economy in administration, per-
formance, and operation of BARDA’s programs. 
(b) A contract entered into under this section—
1028 
† HR 2617 EAS2 
(1) shall include a termination clause as de-
scribed by subsection (c) of section 3903 of title 41, 
United States Code; and 
(2) shall be subject to the congressional notice re-
quirement stated in subsection (d) of such section. 
SEC. 219. (a) The Secretary shall publish in the fiscal 
year 2024 budget justification and on Departmental Web 
sites information concerning the employment of full-time 
equivalent Federal employees or contractors for the purposes 
of implementing, administering, enforcing, or otherwise 
carrying out the provisions of the ACA, and the amend-
ments made by that Act, in the proposed fiscal year and 
each fiscal year since the enactment of the ACA. 
(b) With respect to employees or contractors supported 
by all funds appropriated for purposes of carrying out the 
ACA (and the amendments made by that Act), the Secretary 
shall include, at a minimum, the following information: 
(1) For each such fiscal year, the section of such 
Act under which such funds were appropriated, a 
statement indicating the program, project, or activity 
receiving such funds, the Federal operating division 
or office that administers such program, and the 
amount of funding received in discretionary or man-
datory appropriations.
1029 
† HR 2617 EAS2 
(2) For each such fiscal year, the number of full- 
time equivalent employees or contracted employees as-
signed to each authorized and funded provision de-
tailed in accordance with paragraph (1). 
(c) In carrying out this section, the Secretary may ex-
clude from the report employees or contractors who— 
(1) are supported through appropriations en-
acted in laws other than the ACA and work on pro-
grams that existed prior to the passage of the ACA; 
(2) spend less than 50 percent of their time on 
activities funded by or newly authorized in the ACA; 
or 
(3) work on contracts for which FTE reporting 
is not a requirement of their contract, such as fixed- 
price contracts. 
SEC. 220. The Secretary shall publish, as part of the 
fiscal year 2024 budget of the President submitted under 
section 1105(a) of title 31, United States Code, information 
that details the uses of all funds used by the Centers for 
Medicare & Medicaid Services specifically for Health Insur-
ance Exchanges for each fiscal year since the enactment of 
the ACA and the proposed uses for such funds for fiscal year 
2024. Such information shall include, for each such fiscal 
year, the amount of funds used for each activity specified 
under the heading ‘‘Health Insurance Exchange Trans-
1030 
† HR 2617 EAS2 
parency’’ in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated 
Act). 
SEC. 221. None of the funds made available by this 
Act from the Federal Hospital Insurance Trust Fund or 
the Federal Supplemental Medical Insurance Trust Fund, 
or transferred from other accounts funded by this Act to 
the ‘‘Centers for Medicare & Medicaid Services—Program 
Management’’ account, may be used for payments under 
section 1342(b)(1) of Public Law 111–148 (relating to risk 
corridors). 
(TRANSFER OF FUNDS) 
SEC. 222. (a) Within 45 days of enactment of this Act, 
the Secretary shall transfer funds appropriated under sec-
tion 4002 of the ACA to the accounts specified, in the 
amounts specified, and for the activities specified under the 
heading ‘‘Prevention and Public Health Fund’’ in the ex-
planatory statement described in section 4 (in the matter 
preceding division A of this consolidated Act). 
(b) Notwithstanding section 4002(c) of the ACA, the 
Secretary may not further transfer these amounts. 
(c) Funds transferred for activities authorized under 
section 2821 of the PHS Act shall be made available with-
out reference to section 2821(b) of such Act.
1031 
† HR 2617 EAS2 
SEC. 223. Effective during the period beginning on No-
vember 1, 2015 and ending January 1, 2025, any provision 
of law that refers (including through cross-reference to an-
other provision of law) to the current recommendations of 
the United States Preventive Services Task Force with re-
spect to breast cancer screening, mammography, and pre-
vention shall be administered by the Secretary involved as 
if— 
(1) such reference to such current recommenda-
tions were a reference to the recommendations of such 
Task Force with respect to breast cancer screening, 
mammography, and prevention last issued before 
2009; and 
(2) such recommendations last issued before 2009 
applied to any screening mammography modality 
under section 1861(jj) of the Social Security Act (42 
U.S.C. 1395x(jj)). 
SEC. 224. In making Federal financial assistance, the 
provisions relating to indirect costs in part 75 of title 45, 
Code of Federal Regulations, including with respect to the 
approval of deviations from negotiated rates, shall continue 
to apply to the National Institutes of Health to the same 
extent and in the same manner as such provisions were ap-
plied in the third quarter of fiscal year 2017. None of the 
funds appropriated in this or prior Acts or otherwise made
1032 
† HR 2617 EAS2 
available to the Department of Health and Human Services 
or to any department or agency may be used to develop 
or implement a modified approach to such provisions, or 
to intentionally or substantially expand the fiscal effect of 
the approval of such deviations from negotiated rates be-
yond the proportional effect of such approvals in such quar-
ter. 
(TRANSFER OF FUNDS) 
SEC. 225. The NIH Director may transfer funds for 
opioid addiction, opioid alternatives, stimulant misuse and 
addiction, pain management, and addiction treatment to 
other Institutes and Centers of the NIH to be used for the 
same purpose 15 days after notifying the Committees on 
Appropriations of the House of Representatives and the 
Senate: Provided, That the transfer authority provided in 
the previous proviso is in addition to any other transfer 
authority provided by law. 
SEC. 226. (a) The Secretary shall provide to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate: 
(1) Detailed monthly enrollment figures from the 
Exchanges established under the Patient Protection 
and Affordable Care Act of 2010 pertaining to enroll-
ments during the open enrollment period; and
1033 
† HR 2617 EAS2 
(2) Notification of any new or competitive grant 
awards, including supplements, authorized under sec-
tion 330 of the Public Health Service Act. 
(b) The Committees on Appropriations of the House 
and Senate must be notified at least 2 business days in 
advance of any public release of enrollment information or 
the award of such grants. 
SEC. 227. In addition to the amounts otherwise avail-
able for ‘‘Centers for Medicare & Medicaid Services, Pro-
gram Management’’, the Secretary of Health and Human 
Services may transfer up to $455,000,000 to such account 
from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund to 
support program management activity related to the Medi-
care Program: Provided, That except for the foregoing pur-
pose, such funds may not be used to support any provision 
of Public Law 111–148 or Public Law 111–152 (or any 
amendment made by either such Public Law) or to supplant 
any other amounts within such account. 
SEC. 228. The Department of Health and Human 
Services shall provide the Committees on Appropriations of 
the House of Representatives and Senate a biannual report 
30 days after enactment of this Act on staffing described 
in the explanatory statement described in section 4 (in the 
matter preceding division A of this consolidated Act).
1034 
† HR 2617 EAS2 
SEC. 229. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the De-
partment of Health and Human Services shall also be 
available to pay travel and related expenses of such an em-
ployee or of a member of his or her family, when such em-
ployee is assigned to duty, in the United States or in a 
U.S. territory, during a period and in a location that are 
the subject of a determination of a public health emergency 
under section 319 of the Public Health Service Act and such 
travel is necessary to obtain medical care for an illness, 
injury, or medical condition that cannot be adequately ad-
dressed in that location at that time. For purposes of this 
section, the term ‘‘U.S. territory’’ means Guam, the Com-
monwealth of Puerto Rico, the Northern Mariana Islands, 
the Virgin Islands, American Samoa, or the Trust Territory 
of the Pacific Islands. 
SEC. 230. The Department of Health and Human 
Services may accept donations from the private sector, non-
governmental organizations, and other groups independent 
of the Federal Government for the care of unaccompanied 
alien children (as defined in section 462(g)(2) of the Home-
land Security Act of 2002 (6 U.S.C. 279(g)(2))) in the care 
of the Office of Refugee Resettlement of the Administration 
for Children and Families, including medical goods and 
services, which may include early childhood developmental
1035 
† HR 2617 EAS2 
screenings, school supplies, toys, clothing, and any other 
items intended to promote the wellbeing of such children. 
SEC. 231. None of the funds made available in this 
Act under the heading ‘‘Department of Health and Human 
Services—Administration for Children and Families—Ref-
ugee and Entrant Assistance’’ may be obligated to a grantee 
or contractor to house unaccompanied alien children (as 
such term is defined in section 462(g)(2) of the Homeland 
Security Act of 2002 (6 U.S.C. 279(g)(2))) in any facility 
that is not State-licensed for the care of unaccompanied 
alien children, except in the case that the Secretary deter-
mines that housing unaccompanied alien children in such 
a facility is necessary on a temporary basis due to an influx 
of such children or an emergency, provided that— 
(1) the terms of the grant or contract for the op-
erations of any such facility that remains in oper-
ation for more than six consecutive months shall re-
quire compliance with— 
(A) the same requirements as licensed place-
ments, as listed in Exhibit 1 of the Flores Settle-
ment Agreement that the Secretary determines 
are applicable to non-State licensed facilities; 
and 
(B) staffing ratios of one (1) on-duty Youth 
Care Worker for every eight (8) children or youth
1036 
† HR 2617 EAS2 
during waking hours, one (1) on-duty Youth 
Care Worker for every sixteen (16) children or 
youth during sleeping hours, and clinician ratios 
to children (including mental health providers) 
as required in grantee cooperative agreements; 
(2) the Secretary may grant a 60-day waiver for 
a contractor’s or grantee’s non-compliance with para-
graph (1) if the Secretary certifies and provides a re-
port to Congress on the contractor’s or grantee’s good- 
faith efforts and progress towards compliance; 
(3) not more than four consecutive waivers under 
paragraph (2) may be granted to a contractor or 
grantee with respect to a specific facility; 
(4) ORR shall ensure full adherence to the moni-
toring requirements set forth in section 5.5 of its Poli-
cies and Procedures Guide as of May 15, 2019; 
(5) for any such unlicensed facility in operation 
for more than three consecutive months, ORR shall 
conduct a minimum of one comprehensive monitoring 
visit during the first three months of operation, with 
quarterly monitoring visits thereafter; and 
(6) not later than 60 days after the date of en-
actment of this Act, ORR shall brief the Committees 
on Appropriations of the House of Representatives 
and the Senate outlining the requirements of ORR for
1037 
† HR 2617 EAS2 
influx facilities including any requirement listed in 
paragraph (1)(A) that the Secretary has determined 
are not applicable to non-State licensed facilities. 
SEC. 232. In addition to the existing Congressional no-
tification for formal site assessments of potential influx fa-
cilities, the Secretary shall notify the Committees on Appro-
priations of the House of Representatives and the Senate 
at least 15 days before operationalizing an unlicensed facil-
ity, and shall (1) specify whether the facility is hard-sided 
or soft-sided, and (2) provide analysis that indicates that, 
in the absence of the influx facility, the likely outcome is 
that unaccompanied alien children will remain in the cus-
tody of the Department of Homeland Security for longer 
than 72 hours or that unaccompanied alien children will 
be otherwise placed in danger. Within 60 days of bringing 
such a facility online, and monthly thereafter, the Secretary 
shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a report detailing 
the total number of children in care at the facility, the aver-
age length of stay and average length of care of children 
at the facility, and, for any child that has been at the facil-
ity for more than 60 days, their length of stay and reason 
for delay in release. 
SEC. 233. None of the funds made available in this 
Act may be used to prevent a United States Senator or
1038 
† HR 2617 EAS2 
Member of the House of Representatives from entering, for 
the purpose of conducting oversight, any facility in the 
United States used for the purpose of maintaining custody 
of, or otherwise housing, unaccompanied alien children (as 
defined in section 462(g)(2) of the Homeland Security Act 
of 2002 (6 U.S.C. 279(g)(2))), provided that such Senator 
or Member has coordinated the oversight visit with the Of-
fice of Refugee Resettlement not less than two business days 
in advance to ensure that such visit would not interfere 
with the operations (including child welfare and child safe-
ty operations) of such facility. 
SEC. 234. Not later than 14 days after the date of en-
actment of this Act, and monthly thereafter, the Secretary 
shall submit to the Committees on Appropriations of the 
House of Representatives and the Senate, and make pub-
licly available online, a report with respect to children who 
were separated from their parents or legal guardians by the 
Department of Homeland Security (DHS) (regardless of 
whether or not such separation was pursuant to an option 
selected by the children, parents, or guardians), subse-
quently classified as unaccompanied alien children, and 
transferred to the care and custody of ORR during the pre-
vious month. Each report shall contain the following infor-
mation:
1039 
† HR 2617 EAS2 
(1) the number and ages of children so separated 
subsequent to apprehension at or between ports of 
entry, to be reported by sector where separation oc-
curred; and 
(2) the documented cause of separation, as re-
ported by DHS when each child was referred. 
SEC. 235. Funds appropriated in this Act that are 
available for salaries and expenses of employees of the Cen-
ters for Disease Control and Prevention shall also be avail-
able for the primary and secondary schooling of eligible de-
pendents of personnel stationed in a U.S. territory as de-
fined in section 229 of this Act at costs not in excess of 
those paid for or reimbursed by the Department of Defense. 
(RESCISSION) 
SEC. 236. Of the unobligated balances in the ‘‘Non-
recurring Expenses Fund’’ established in section 223 of di-
vision G of Public Law 110–161, $650,000,000 are hereby 
rescinded not later than September 30, 2023. 
SEC. 237. The Secretary of Health and Human Serv-
ices may waive penalties and administrative requirements 
in title XXVI of the Public Health Service Act for awards 
under such title from amounts provided under the heading 
‘‘Department of Health and Human Services—Health Re-
sources and Services Administration’’ in this or any other
1040 
† HR 2617 EAS2 
appropriations Act for this fiscal year, including amounts 
made available to such heading by transfer. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2023’’.
1041 
† HR 2617 EAS2 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I and subpart 2 of part B of 
title II of the Elementary and Secondary Education Act 
of 1965 (referred to in this Act as ‘‘ESEA’’) and section 
418A of the Higher Education Act of 1965 (referred to in 
this 
Act 
as 
‘‘HEA’’), 
$19,087,790,000, 
of 
which 
$8,159,490,000 shall become available on July 1, 2023, and 
shall remain available through September 30, 2024, and of 
which $10,841,177,000 shall become available on October 1, 
2023, and shall remain available through September 30, 
2024, for academic year 2023–2024: Provided, That 
$6,459,401,000 shall be for basic grants under section 1124 
of the ESEA: Provided further, That up to $5,000,000 of 
these funds shall be available to the Secretary of Education 
(referred to in this title as ‘‘Secretary’’) on October 1, 2022, 
to obtain annually updated local educational agency-level 
census poverty data from the Bureau of the Census: Pro-
vided further, That $1,362,301,000 shall be for concentra-
tion grants under section 1124A of the ESEA: Provided fur-
ther, That $5,282,550,000 shall be for targeted grants under 
section 1125 of the ESEA: Provided further, That 
$5,282,550,000 shall be for education finance incentive 
grants under section 1125A of the ESEA: Provided further,
1042 
† HR 2617 EAS2 
That $224,000,000 shall be for carrying out subpart 2 of 
part B of title II: Provided further, That $52,123,000 shall 
be for carrying out section 418A of the HEA. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VII of the 
ESEA, $1,618,112,000, of which $1,468,242,000 shall be for 
basic support payments under section 7003(b), $48,316,000 
shall be for payments for children with disabilities under 
section 7003(d), $18,406,000, to remain available through 
September 30, 2024, shall be for construction under section 
7007(b), $78,313,000 shall be for Federal property pay-
ments under section 7002, and $4,835,000, to remain avail-
able until expended, shall be for facilities maintenance 
under section 7008: Provided, That for purposes of com-
puting the amount of a payment for an eligible local edu-
cational agency under section 7003(a) for school year 2022– 
2023, children enrolled in a school of such agency that 
would otherwise be eligible for payment under section 
7003(a)(1)(B) of such Act, but due to the deployment of both 
parents or legal guardians, or a parent or legal guardian 
having sole custody of such children, or due to the death 
of a military parent or legal guardian while on active duty 
(so long as such children reside on Federal property as de-
scribed in section 7003(a)(1)(B)), are no longer eligible
1043 
† HR 2617 EAS2 
under such section, shall be considered as eligible students 
under such section, provided such students remain in aver-
age daily attendance at a school in the same local edu-
cational agency they attended prior to their change in eligi-
bility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities author-
ized by part B of title I, part A of title II, subpart 1 of 
part A of title IV, part B of title IV, part B of title V, 
and parts B and C of title VI of the ESEA; the McKinney- 
Vento Homeless Assistance Act; section 203 of the Edu-
cational Technical Assistance Act of 2002; the Compact of 
Free Association Amendments Act of 2003; and the Civil 
Rights 
Act 
of 
1964, 
$5,810,642,000, 
of 
which 
$3,952,312,000 shall become available on July 1, 2023, and 
remain available through September 30, 2024, and of which 
$1,681,441,000 shall become available on October 1, 2023, 
and shall remain available through September 30, 2024, for 
academic year 2023–2024: Provided, That $390,000,000 
shall be for part B of title I: Provided further, That 
$1,329,673,000 shall be for part B of title IV: Provided fur-
ther, That $45,897,000 shall be for part B of title VI, which 
may be used for construction, renovation, and moderniza-
tion of any public elementary school, secondary school, or 
structure related to a public elementary school or secondary
1044 
† HR 2617 EAS2 
school that serves a predominantly Native Hawaiian stu-
dent body, and that the 5 percent limitation in section 
6205(b) of the ESEA on the use of funds for administrative 
purposes shall apply only to direct administrative costs: 
Provided further, That $44,953,000 shall be for part C of 
title VI, which shall be awarded on a competitive basis, and 
may be used for construction, and that the 5 percent limita-
tion in section 6305 of the ESEA on the use of funds for 
administrative purposes shall apply only to direct adminis-
trative costs: Provided further, That $55,000,000 shall be 
available to carry out section 203 of the Educational Tech-
nical Assistance Act of 2002 and the Secretary shall make 
such arrangements as determined to be necessary to ensure 
that the Bureau of Indian Education has access to services 
provided under this section: Provided further, That 
$24,464,000 shall be available to carry out the Supple-
mental Education Grants program for the Federated States 
of Micronesia and the Republic of the Marshall Islands: 
Provided further, That the Secretary may reserve up to 5 
percent of the amount referred to in the previous proviso 
to provide technical assistance in the implementation of 
these grants: Provided further, That $215,000,000 shall be 
for part B of title V: Provided further, That $1,380,000,000 
shall be available for grants under subpart 1 of part A of 
title IV.
1045 
† HR 2617 EAS2 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent not 
otherwise provided, title VI, part A of the ESEA, 
$194,746,000, of which $72,000,000 shall be for subpart 2 
of part A of title VI and $12,365,000 shall be for subpart 
3 of part A of title VI: Provided, That the 5 percent limita-
tion in sections 6115(d), 6121(e), and 6133(g) of the ESEA 
on the use of funds for administrative purposes shall apply 
only to direct administrative costs: Provided further, That 
grants awarded under sections 6132 and 6133 of the ESEA 
with funds provided under this heading may be for a period 
of up to 5 years. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by subparts 1, 
3 and 4 of part B of title II, and parts C, D, and E and 
subparts 1 and 4 of part F of title IV of the ESEA, 
$1,253,000,000: Provided, That $286,000,000 shall be for 
subparts 1, 3 and 4 of part B of title II and shall be made 
available without regard to sections 2201, 2231(b) and 
2241: Provided further, That $683,000,000 shall be for parts 
C, D, and E and subpart 4 of part F of title IV, and shall 
be made available without regard to sections 4311, 4409(a), 
and 4601 of the ESEA: Provided further, That section 
4303(d)(3)(A)(i) shall not apply to the funds available for 
part C of title IV: Provided further, That of the funds avail-
1046 
† HR 2617 EAS2 
able for part C of title IV, the Secretary shall use not less 
than $60,000,000 to carry out section 4304, of which not 
more than $10,000,000 shall be available to carry out sec-
tion 4304(k), $140,000,000, to remain available through 
March 31, 2024, to carry out section 4305(b), and not more 
than $16,000,000 to carry out the activities in section 
4305(a)(3): Provided further, That notwithstanding section 
4601(b), $284,000,000 shall be available through December 
31, 2023 for subpart 1 of part F of title IV: Provided fur-
ther, That of the funds available for subpart 4 of part F 
of title IV, not less than $8,000,000 shall be used for con-
tinuation grants for eligible national nonprofit organiza-
tions, as described in the Applications for New Awards; As-
sistance for Arts Education Program published in the Fed-
eral Register on May 31, 2022, for activities described 
under section 4642(a)(1)(C). 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subparts 2 
and 3 of part F of title IV of the ESEA, $457,000,000, to 
remain available through December 31, 2023: Provided, 
That $216,000,000 shall be available for section 4631, of 
which up to $5,000,000, to remain available until expended, 
shall be for the Project School Emergency Response to Vio-
lence (Project SERV) program: Provided further, That
1047 
† HR 2617 EAS2 
$150,000,000 shall be available for section 4625: Provided 
further, That $91,000,000 shall be for section 4624. 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$890,000,000, which shall become available on July 1, 2023, 
and shall remain available through September 30, 2024, ex-
cept that 6.5 percent of such amount shall be available on 
October 1, 2022, and shall remain available through Sep-
tember 30, 2024, to carry out activities under section 
3111(c)(1)(C). 
SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education Act (IDEA) and the Special Olympics Sport 
and Empowerment Act of 2004, $15,453,264,000, of which 
$5,870,321,000 shall become available on July 1, 2023, and 
shall remain available through September 30, 2024, and of 
which $9,283,383,000 shall become available on October 1, 
2023, and shall remain available through September 30, 
2024, for academic year 2023–2024: Provided, That the 
amount for section 611(b)(2) of the IDEA shall be equal 
to the lesser of the amount available for that activity during 
fiscal year 2022, increased by the amount of inflation as 
specified in section 619(d)(2)(B) of the IDEA, or the per-
cent change in the funds appropriated under section 611(i) 
of the IDEA, but not less than the amount for that activity
1048 
† HR 2617 EAS2 
during fiscal year 2022: Provided further, That the Sec-
retary shall, without regard to section 611(d) of the IDEA, 
distribute to all other States (as that term is defined in 
section 611(g)(2)), subject to the third proviso, any amount 
by which a State’s allocation under section 611, from funds 
appropriated under this heading, is reduced under section 
612(a)(18)(B), according to the following: 85 percent on the 
basis of the States’ relative populations of children aged 3 
through 21 who are of the same age as children with disabil-
ities for whom the State ensures the availability of a free 
appropriate public education under this part, and 15 per-
cent to States on the basis of the States’ relative populations 
of those children who are living in poverty: Provided fur-
ther, That the Secretary may not distribute any funds 
under the previous proviso to any State whose reduction 
in allocation from funds appropriated under this heading 
made funds available for such a distribution: Provided fur-
ther, That the States shall allocate such funds distributed 
under the second proviso to local educational agencies in 
accordance with section 611(f): Provided further, That the 
amount by which a State’s allocation under section 611(d) 
of the IDEA is reduced under section 612(a)(18)(B) and 
the amounts distributed to States under the previous pro-
visos in fiscal year 2012 or any subsequent year shall not 
be considered in calculating the awards under section
1049 
† HR 2617 EAS2 
611(d) for fiscal year 2013 or for any subsequent fiscal 
years: Provided further, That, notwithstanding the provi-
sion in section 612(a)(18)(B) regarding the fiscal year in 
which a State’s allocation under section 611(d) is reduced 
for failure to comply with the requirement of section 
612(a)(18)(A), the Secretary may apply the reduction spec-
ified in section 612(a)(18)(B) over a period of consecutive 
fiscal years, not to exceed 5, until the entire reduction is 
applied: Provided further, That the Secretary may, in any 
fiscal year in which a State’s allocation under section 611 
is reduced in accordance with section 612(a)(18)(B), reduce 
the amount a State may reserve under section 611(e)(1) by 
an amount that bears the same relation to the maximum 
amount described in that paragraph as the reduction under 
section 612(a)(18)(B) bears to the total allocation the State 
would have received in that fiscal year under section 611(d) 
in the absence of the reduction: Provided further, That the 
Secretary shall either reduce the allocation of funds under 
section 611 for any fiscal year following the fiscal year for 
which the State fails to comply with the requirement of sec-
tion 612(a)(18)(A) as authorized by section 612(a)(18)(B), 
or seek to recover funds under section 452 of the General 
Education Provisions Act (20 U.S.C. 1234a): Provided fur-
ther, That the funds reserved under 611(c) of the IDEA may 
be used to provide technical assistance to States to improve
1050 
† HR 2617 EAS2 
the capacity of the States to meet the data collection re-
quirements of sections 616 and 618 and to administer and 
carry out other services and activities to improve data col-
lection, coordination, quality, and use under parts B and 
C of the IDEA: Provided further, That the Secretary may 
use funds made available for the State Personnel Develop-
ment Grants program under part D, subpart 1 of IDEA 
to evaluate program performance under such subpart: Pro-
vided further, That States may use funds reserved for other 
State-level activities under sections 611(e)(2) and 619(f) of 
the IDEA to make subgrants to local educational agencies, 
institutions of higher education, other public agencies, and 
private non-profit organizations to carry out activities au-
thorized by those sections: Provided further, That, notwith-
standing section 643(e)(2)(A) of the IDEA, if 5 or fewer 
States apply for grants pursuant to section 643(e) of such 
Act, the Secretary shall provide a grant to each State in 
an amount equal to the maximum amount described in sec-
tion 643(e)(2)(B) of such Act: Provided further, That if 
more than 5 States apply for grants pursuant to section 
643(e) of the IDEA, the Secretary shall award funds to 
those States on the basis of the States’ relative populations 
of infants and toddlers except that no such State shall re-
ceive a grant in excess of the amount described in section 
643(e)(2)(B) of such Act: Provided further, That States may
1051 
† HR 2617 EAS2 
use funds allotted under section 643(c) of the IDEA to make 
subgrants to local educational agencies, institutions of high-
er education, other public agencies, and private non-profit 
organizations to carry out activities authorized by section 
638 of IDEA: Provided further, That, notwithstanding sec-
tion 638 of the IDEA, a State may use funds it receives 
under section 633 of the IDEA to offer continued early 
intervention services to a child who previously received serv-
ices under part C of the IDEA from age 3 until the begin-
ning of the school year following the child’s third birthday 
with parental consent and without regard to the procedures 
in section 635(c) of the IDEA. 
REHABILITATION SERVICES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise provided, 
the Rehabilitation Act of 1973 and the Helen Keller Na-
tional Center Act, $4,092,906,000, of which $3,949,707,000 
shall be for grants for vocational rehabilitation services 
under title I of the Rehabilitation Act: Provided, That the 
Secretary may use amounts provided in this Act, and unob-
ligated balances from title III of the Departments of Labor, 
Health and Human Services, and Education, and Related 
Agencies Appropriations Act, 2022, (division H of Public 
Law 117–103), that remain available subsequent to the re-
allotment of funds to States pursuant to section 110(b) of
1052 
† HR 2617 EAS2 
the Rehabilitation Act for innovative activities aimed at in-
creasing competitive integrated employment as defined in 
section 7 of such Act for youth and other individuals with 
disabilities, including related Federal administrative ex-
penses, and for improving monitoring and oversight of 
grants for vocational rehabilitation services under title I 
of the Rehabilitation Act, including information technology 
modernization: Provided further, That up to 15 percent of 
the amounts available subsequent to reallotment for the ac-
tivities described in the first proviso from funds provided 
under this paragraph in this Act, may be used for evalua-
tion and technical assistance related to such activities: Pro-
vided further, That States may award subgrants for a por-
tion of the funds to other public and private, nonprofit enti-
ties: Provided further, That any funds provided in this Act 
and made available subsequent to reallotment for the pur-
poses described in the first proviso shall remain available 
until September 30, 2024: Provided further, That the Sec-
retary may transfer funds provided in this Act and made 
available subsequent to the reallotment of funds to States 
pursuant to section 110(b) of the Rehabilitation Act to ‘‘In-
stitute of Education Sciences’’ for the evaluation of out-
comes for students receiving services and supports under 
IDEA and under title I, section 504 of title V, and title 
VI of the Rehabilitation Act: Provided further, That the
1053 
† HR 2617 EAS2 
transfer authority in the preceding proviso is in addition 
to any other transfer authority in this Act. 
SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act to Promote the Education 
of the Blind of March 3, 1879, $43,431,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act of 
1986, $92,500,000: Provided, That from the total amount 
available, the Institute may at its discretion use funds for 
the endowment program as authorized under section 207 
of such Act. 
GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986, $165,361,000, of 
which up to $15,000,000, to remain available until ex-
pended, shall be for construction, as defined by section 
201(2) of such Act: Provided, That from the total amount 
available, the University may at its discretion use funds 
for the endowment program as authorized under section 207 
of such Act.
1054 
† HR 2617 EAS2 
CAREER, TECHNICAL, AND ADULT EDUCATION 
For carrying out, to the extent not otherwise provided, 
the Carl D. Perkins Career and Technical Education Act 
of 2006 (‘‘Perkins Act’’) and the Adult Education and Fam-
ily Literacy Act (‘‘AEFLA’’), $2,191,436,000, of which 
$1,400,436,000 shall become available on July 1, 2023, and 
shall remain available through September 30, 2024, and of 
which $791,000,000 shall become available on October 1, 
2023, and shall remain available through September 30, 
2024: Provided, That $25,000,000 shall be available for in-
novation and modernization grants under such section 
114(e) of the Perkins Act: Provided further, That of the 
amounts made available for AEFLA, $13,712,000 shall be 
for national leadership activities under section 242. 
STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1, 3, and 10 of part A, and 
part C of title IV of the HEA, $24,615,352,000 which shall 
remain available through September 30, 2024. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2023–2024 shall be $6,335. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses to carry out part 
D of title I, and subparts 1, 3, 9, and 10 of part A, and 
parts B, C, D, and E of title IV of the HEA, and subpart 
1 of part A of title VII of the Public Health Service Act,
1055 
† HR 2617 EAS2 
$2,033,943,000, to remain available through September 30, 
2024: Provided, That the Secretary shall allocate new stu-
dent loan borrower accounts to eligible student loan 
servicers on the basis of their past performance compared 
to all loan servicers utilizing established common metrics, 
and on the basis of the capacity of each servicer to process 
new and existing accounts: Provided further, That for stu-
dent loan contracts awarded prior to October 1, 2017, the 
Secretary shall allow student loan borrowers who are con-
solidating Federal student loans to select from any student 
loan servicer to service their new consolidated student loan: 
Provided further, That in order to promote accountability 
and high-quality service to borrowers, the Secretary shall 
not award funding for any contract solicitation for a new 
Federal student loan servicing environment, including the 
solicitation for the Federal Student Aid (FSA) Next Gen-
eration Processing and Servicing Environment, unless such 
an environment provides for the participation of multiple 
student loan servicers that contract directly with the De-
partment of Education to manage a unique portfolio of bor-
rower accounts and the full life-cycle of loans from disburse-
ment to pay-off with certain limited exceptions, and allo-
cates student loan borrower accounts to eligible student loan 
servicers based on performance: Provided further, That the 
Department shall re-allocate accounts from servicers for re-
1056 
† HR 2617 EAS2 
curring non-compliance with FSA guidelines, contractual 
requirements, and applicable laws, including for failure to 
sufficiently inform borrowers of available repayment op-
tions: Provided further, That such servicers shall be evalu-
ated based on their ability to meet contract requirements 
(including an understanding of Federal and State law), fu-
ture performance on the contracts, and history of compli-
ance with applicable consumer protections laws: Provided 
further, That to the extent FSA permits student loan serv-
icing subcontracting, FSA shall hold prime contractors ac-
countable for meeting the requirements of the contract, and 
the performance and expectations of subcontractors shall be 
accounted for in the prime contract and in the overall per-
formance of the prime contractor: Provided further, That 
FSA shall ensure that the Next Generation Processing and 
Servicing Environment, or any new Federal loan servicing 
environment, incentivize more support to borrowers at risk 
of delinquency or default: Provided further, That FSA shall 
ensure that in such environment contractors have the capac-
ity to meet and are held accountable for performance on 
service levels; are held accountable for and have a history 
of compliance with applicable consumer protection laws; 
and have relevant experience and demonstrated effective-
ness: Provided further, That the Secretary shall provide 
quarterly briefings to the Committees on Appropriations
1057 
† HR 2617 EAS2 
and Education and Labor of the House of Representatives 
and the Committees on Appropriations and Health, Edu-
cation, Labor, and Pensions of the Senate on general 
progress related to solicitations for Federal student loan 
servicing contracts: Provided further, That FSA shall 
strengthen transparency through expanded publication of 
aggregate data on student loan and servicer performance: 
Provided further, That not later than 60 days after enact-
ment of this Act, FSA shall provide to the Committees on 
Appropriations of the House of Representatives and the 
Senate a detailed spend plan of anticipated uses of funds 
made available in this account for fiscal year 2023 and pro-
vide quarterly updates on this plan (including contracts 
awarded, change orders, bonuses paid to staff, reorganiza-
tion costs, and any other activity carried out using 
amounts provided under this heading for fiscal year 2023): 
Provided further, That the FSA Next Generation Processing 
and Servicing Environment, or any new Federal student 
loan servicing environment, shall include accountability 
measures that account for the performance of the portfolio 
and contractor compliance with FSA guidelines: Provided 
further, That notwithstanding the requirements of the Fed-
eral Property and Administration Services Act of 1949, 41 
U.S.C. 3101 et seq., as amended; parts 6, 16, and 37 of 
title 48, Code of Federal Regulations; or any other procure-
1058 
† HR 2617 EAS2 
ment limitation on the period of performance, the Secretary 
may extend the period of performance for any contract 
under section 456 of the HEA for servicing activities for 
up to one year from the current date of expiration. 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise provided, 
titles II, III, IV, V, VI, VII, and VIII of the HEA, the Mu-
tual Educational and Cultural Exchange Act of 1961, and 
section 117 of the Perkins Act, $3,526,037,000, of which 
$184,000,000 shall remain available through December 31, 
2023: Provided, That notwithstanding any other provision 
of law, funds made available in this Act to carry out title 
VI of the HEA and section 102(b)(6) of the Mutual Edu-
cational and Cultural Exchange Act of 1961 may be used 
to support visits and study in foreign countries by individ-
uals who are participating in advanced foreign language 
training and international studies in areas that are vital 
to United States national security and who plan to apply 
their language skills and knowledge of these countries in 
the fields of government, the professions, or international 
development: Provided further, That of the funds referred 
to in the preceding proviso up to 1 percent may be used 
for program evaluation, national outreach, and informa-
tion dissemination activities: Provided further, That up to 
1.5 percent of the funds made available under chapter 2
1059 
† HR 2617 EAS2 
of subpart 2 of part A of title IV of the HEA may be used 
for evaluation: Provided further, That section 313(d) of the 
HEA shall not apply to an institution of higher education 
that is eligible to receive funding under section 318 of the 
HEA: Provided further, That amounts made available for 
carrying out section 419N of the HEA may be awarded not-
withstanding the limitations in section 419N(b)(2) of the 
HEA: Provided further, That of the amounts made avail-
able under this heading, $429,587,000 shall be used for the 
projects, and in the amounts, specified in the table titled 
‘‘Community Project Funding/Congressionally Directed 
Spending’’ included for this division in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act): Provided further, That 
none of the funds made available for projects described in 
the preceding proviso shall be subject to section 302 of this 
Act. 
HOWARD UNIVERSITY 
For 
partial 
support 
of 
Howard 
University, 
$354,018,000, of which not less than $3,405,000 shall be for 
a matching endowment grant pursuant to the Howard Uni-
versity Endowment Act and shall remain available until 
expended.
1060 
† HR 2617 EAS2 
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM 
For Federal administrative expenses to carry out ac-
tivities related to existing facility loans pursuant to section 
121 of the HEA, $298,000. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL 
FINANCING PROGRAM ACCOUNT 
For the cost of guaranteed loans, $20,150,000, as au-
thorized pursuant to part D of title III of the HEA, which 
shall remain available through September 30, 2024: Pro-
vided, That such costs, including the cost of modifying such 
loans, shall be as defined in section 502 of the Congressional 
Budget Act of 1974: Provided further, That these funds are 
available to subsidize total loan principal, any part of 
which is to be guaranteed, not to exceed $752,065,725: Pro-
vided further, That these funds may be used to support 
loans to public and private Historically Black Colleges and 
Universities without regard to the limitations within sec-
tion 344(a) of the HEA. 
In addition, for administrative expenses to carry out 
the Historically Black College and University Capital Fi-
nancing Program entered into pursuant to part D of title 
III of the HEA, $528,000.
1061 
† HR 2617 EAS2 
INSTITUTE OF EDUCATION SCIENCES 
For necessary expenses for the Institute of Education 
Sciences as authorized by section 208 of the Department 
of Education Organization Act and carrying out activities 
authorized by the National Assessment of Educational 
Progress Authorization Act, section 208 of the Educational 
Technical Assistance Act of 2002, and section 664 of the 
Individuals with Disabilities Education Act, $807,605,000, 
which shall remain available through September 30, 2024: 
Provided, That funds available to carry out section 208 of 
the Educational Technical Assistance Act may be used to 
link Statewide elementary and secondary data systems with 
early childhood, postsecondary, and workforce data systems, 
or to further develop such systems: Provided further, That 
up to $6,000,000 of the funds available to carry out section 
208 of the Educational Technical Assistance Act may be 
used for awards to public or private organizations or agen-
cies to support activities to improve data coordination, 
quality, and use at the local, State, and national levels. 
DEPARTMENTAL MANAGEMENT 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise provided, 
the Department of Education Organization Act, including 
rental of conference rooms in the District of Columbia and 
hire of three passenger motor vehicles, $426,907,000, of
1062 
† HR 2617 EAS2 
which up to $7,000,000, to remain available until expended, 
shall be available for relocation expenses, and for the ren-
ovation and repair of leased buildings: Provided, That, not-
withstanding any other provision of law, none of the funds 
provided by this Act or provided by previous Appropria-
tions Acts to the Department of Education available for ob-
ligation or expenditure in the current fiscal year may be 
used for any activity relating to implementing a reorga-
nization that decentralizes, reduces the staffing level, or al-
ters 
the 
responsibilities, 
structure, 
authority, 
or 
functionality of the Budget Service of the Department of 
Education, relative to the organization and operation of the 
Budget Service as in effect on January 1, 2018. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
as authorized by section 203 of the Department of Edu-
cation Organization Act, $140,000,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, as authorized by section 212 of the Department of 
Education Organization Act, $67,500,000, of which 
$3,000,000 shall remain available until expended.
1063 
† HR 2617 EAS2 
GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 302. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
Department of Education in this Act may be transferred 
between appropriations, but no such appropriation shall be 
increased by more than 3 percent by any such transfer: Pro-
vided, That the transfer authority granted by this section 
shall not be used to create any new program or to fund 
any project or activity for which no funds are provided in 
this Act: Provided further, That the Committees on Appro-
priations of the House of Representatives and the Senate 
are notified at least 15 days in advance of any transfer. 
SEC. 303. Funds appropriated in this Act and consoli-
dated for evaluation purposes under section 8601(c) of the 
ESEA shall be available from July 1, 2023, through Sep-
tember 30, 2024. 
SEC. 304. (a) An institution of higher education that 
maintains an endowment fund supported with funds appro-
priated for title III or V of the HEA for fiscal year 2023 
may use the income from that fund to award scholarships
1064 
† HR 2617 EAS2 
to 
students, 
subject 
to 
the 
limitation 
in 
section 
331(c)(3)(B)(i) of the HEA. The use of such income for such 
purposes, prior to the enactment of this Act, shall be consid-
ered to have been an allowable use of that income, subject 
to that limitation. 
(b) Subsection (a) shall be in effect until titles III and 
V of the HEA are reauthorized. 
SEC. 305. Section 114(f) of the HEA (20 U.S.C. 
1011c(f)) shall be applied by substituting ‘‘2023’’ for 
‘‘2021’’. 
SEC. 306. Section 458(a)(4) of the HEA (20 U.S.C. 
1087h(a)) shall be applied by substituting ‘‘2023’’ for 
‘‘2021’’. 
SEC. 307. Funds appropriated in this Act under the 
heading ‘‘Student Aid Administration’’ may be available 
for payments for student loan servicing to an institution 
of higher education that services outstanding Federal Per-
kins Loans under part E of title IV of the Higher Education 
Act of 1965 (20 U.S.C. 1087aa et seq.). 
(RESCISSION) 
SEC. 308. Of the amounts appropriated under section 
401(b)(7)(A)(iv)(XI) of the Higher Education Act of 1965 
(20 U.S.C. 1070a(b)(7)(A)(iv)(XI)) for fiscal year 2023, 
$75,000,000 are hereby rescinded.
1065 
† HR 2617 EAS2 
SEC. 309. Of the amounts made available in this title 
under 
the 
heading 
‘‘Student 
Aid 
Administration’’, 
$2,300,000 shall be used by the Secretary of Education to 
conduct outreach to borrowers of loans made under part D 
of title IV of the Higher Education Act of 1965 who may 
intend to qualify for loan cancellation under section 455(m) 
of such Act (20 U.S.C. 1087e(m)), to ensure that borrowers 
are meeting the terms and conditions of such loan cancella-
tion: Provided, That the Secretary shall specifically conduct 
outreach to assist borrowers who would qualify for loan can-
cellation under section 455(m) of such Act except that the 
borrower has made some, or all, of the 120 required pay-
ments under a repayment plan that is not described under 
section 455(m)(A) of such Act, to encourage borrowers to 
enroll in a qualifying repayment plan: Provided further, 
That the Secretary shall also communicate to all Direct 
Loan borrowers the full requirements of section 455(m) of 
such Act and improve the filing of employment certification 
by providing improved outreach and information such as 
outbound calls, electronic communications, ensuring promi-
nent access to program requirements and benefits on each 
servicer’s website, and creating an option for all borrowers 
to complete the entire payment certification process elec-
tronically and on a centralized website.
1066 
† HR 2617 EAS2 
SEC. 310. The Secretary may reserve not more than 
0.5 percent from any amount made available in this Act 
for an HEA program, except for any amounts made avail-
able for subpart 1 of part A of title IV of the HEA, to carry 
out rigorous and independent evaluations and to collect and 
analyze outcome data for any program authorized by the 
HEA: Provided, That no funds made available in this Act 
for the ‘‘Student Aid Administration’’ account shall be sub-
ject to the reservation under this section: Provided further, 
That any funds reserved under this section shall be avail-
able through September 30, 2025: Provided further, That 
if, under any other provision of law, funds are authorized 
to be reserved or used for evaluation activities with respect 
to a program or project, the Secretary may also reserve 
funds for such program or project for the purposes described 
in this section so long as the total reservation of funds for 
such program or project does not exceed any statutory lim-
its on such reservations: Provided further, That not later 
than 30 days prior to the initial obligation of funds re-
served under this section, the Secretary shall submit to the 
Committees on Appropriations of the Senate and the House 
of Representatives, the Committee on Health, Education, 
Labor and Pensions of the Senate, and the Committee on 
Education and Labor of the House of Representatives a 
plan that identifies the source and amount of funds reserved
1067 
† HR 2617 EAS2 
under this section, the impact on program grantees if funds 
are withheld for the purposes of this section, and the activi-
ties to be carried out with such funds. 
SEC. 311. In addition to amounts otherwise appro-
priated by this Act under the heading ‘‘Innovation and Im-
provement’’ for purposes authorized by the Elementary and 
Secondary Education Act of 1965, there are hereby appro-
priated an additional $200,443,000 which shall be used for 
the projects, and in the amounts, specified in the table titled 
‘‘Community Project Funding/Congressionally Directed 
Spending’’ included for this division in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act): Provided, That none 
of the funds made available for such projects shall be subject 
to section 302 of this Act. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 312. Of the amounts appropriated in this Act for 
‘‘Institute of Education Sciences’’, $19,000,000 shall be 
available for the Secretary of Education (‘‘the Secretary’’) 
to provide support services to the Institute of Education 
Sciences (including, but not limited to information tech-
nology services, lease or procurement of office space, human 
resource services, financial management services, financial 
systems support, budget formulation and execution, legal 
counsel, equal employment opportunity services, physical
1068 
† HR 2617 EAS2 
security, facilities management, acquisition and contract 
management, grants administration and policy, and enter-
prise risk management): Provided, That the Secretary shall 
calculate the actual amounts obligated and expended for 
such support services by using a standard Department of 
Education methodology for allocating the cost of all such 
support services: Provided further, That the Secretary may 
transfer any amounts available for IES support services in 
excess of actual amounts needed for IES support services, 
as so calculated, to the ‘‘Program Administration’’ account 
from the ‘‘Institute of Education Sciences’’ account: Pro-
vided further, That in order to address any shortfall be-
tween amounts available for IES support services and 
amounts needed for IES support services, as so calculated, 
the Secretary may transfer necessary amounts to the ‘‘Insti-
tute of Education Sciences’’ account from the ‘‘Program Ad-
ministration’’ account: Provided further, That the Commit-
tees on Appropriations of the House of Representatives and 
the Senate are notified at least 14 days in advance of any 
transfer made pursuant to this section. 
SEC. 313. The Education Amendments Act of 1972 is 
amended by striking section 802. 
(RESCISSION) 
SEC. 314. Of the unobligated balances available under 
the heading ‘‘Student Financial Assistance’’ for carrying
1069 
† HR 2617 EAS2 
out subpart 1 of part A of title IV of the HEA, $360,000,000 
are hereby rescinded. 
This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2023’’.
1070 
† HR 2617 EAS2 
TITLE IV 
RELATED AGENCIES 
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE 
BLIND OR SEVERELY DISABLED 
SALARIES AND EXPENSES 
For expenses necessary for the Committee for Purchase 
From People Who Are Blind or Severely Disabled (referred 
to in this title as ‘‘the Committee’’) established under sec-
tion 8502 of title 41, United States Code, $13,124,000: Pro-
vided, That in order to authorize any central nonprofit 
agency designated pursuant to section 8503(c) of title 41, 
United States Code, to perform requirements of the Com-
mittee as prescribed under section 51–3.2 of title 41, Code 
of Federal Regulations, the Committee shall enter into a 
written agreement with any such central nonprofit agency: 
Provided further, That such agreement shall contain such 
auditing, oversight, and reporting provisions as necessary 
to implement chapter 85 of title 41, United States Code: 
Provided further, That such agreement shall include the ele-
ments listed under the heading ‘‘Committee For Purchase 
From People Who Are Blind or Severely Disabled—Written 
Agreement Elements’’ in the explanatory statement de-
scribed in section 4 of Public Law 114–113 (in the matter 
preceding division A of that consolidated Act): Provided 
further, That any such central nonprofit agency may not
1071 
† HR 2617 EAS2 
charge a fee under section 51–3.5 of title 41, Code of Federal 
Regulations, prior to executing a written agreement with 
the Committee: Provided further, That no less than 
$3,150,000 shall be available for the Office of Inspector Gen-
eral. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
OPERATING EXPENSES 
For necessary expenses for the Corporation for Na-
tional and Community Service (referred to in this title as 
‘‘CNCS’’) to carry out the Domestic Volunteer Service Act 
of 1973 (referred to in this title as ‘‘1973 Act’’) and the 
National and Community Service Act of 1990 (referred to 
in this title as ‘‘1990 Act’’), $975,525,000, notwithstanding 
sections 
198B(b)(3), 
198S(g), 
501(a)(4)(C), 
and 
501(a)(4)(F) of the 1990 Act: Provided, That of the amounts 
provided under this heading: (1) up to 1 percent of program 
grant funds may be used to defray the costs of conducting 
grant application reviews, including the use of outside peer 
reviewers and electronic management of the grants cycle; 
(2) $19,538,000 shall be available to provide assistance to 
State commissions on national and community service, 
under section 126(a) of the 1990 Act and notwithstanding 
section 501(a)(5)(B) of the 1990 Act; (3) $37,735,000 shall 
be available to carry out subtitle E of the 1990 Act; and 
(4) $8,558,000 shall be available for expenses authorized
1072 
† HR 2617 EAS2 
under section 501(a)(4)(F) of the 1990 Act, which, notwith-
standing the provisions of section 198P shall be awarded 
by CNCS on a competitive basis: Provided further, That 
for the purposes of carrying out the 1990 Act, satisfying 
the requirements in section 122(c)(1)(D) may include a de-
termination of need by the local community. 
PAYMENT TO THE NATIONAL SERVICE TRUST 
(INCLUDING TRANSFER OF FUNDS) 
For payment to the National Service Trust established 
under subtitle D of title I of the 1990 Act, $230,000,000, 
to remain available until expended: Provided, That CNCS 
may transfer additional funds from the amount provided 
within ‘‘Operating Expenses’’ allocated to grants under sub-
title C of title I of the 1990 Act to the National Service 
Trust upon determination that such transfer is necessary 
to support the activities of national service participants 
and after notice is transmitted to the Committees on Appro-
priations of the House of Representatives and the Senate: 
Provided further, That amounts appropriated for or trans-
ferred to the National Service Trust may be invested under 
section 145(b) of the 1990 Act without regard to the require-
ment to apportion funds under 31 U.S.C. 1513(b). 
SALARIES AND EXPENSES 
For necessary expenses of administration as provided 
under section 501(a)(5) of the 1990 Act and under section
1073 
† HR 2617 EAS2 
504(a) of the 1973 Act, including payment of salaries, au-
thorized travel, hire of passenger motor vehicles, the rental 
of conference rooms in the District of Columbia, the employ-
ment of experts and consultants authorized under 5 U.S.C. 
3109, and not to exceed $2,500 for official reception and 
representation expenses, $99,686,000. 
OFFICE OF INSPECTOR GENERAL 
For necessary expenses of the Office of Inspector Gen-
eral in carrying out the Inspector General Act of 1978, 
$7,595,000. 
ADMINISTRATIVE PROVISIONS 
SEC. 401. CNCS shall make any significant changes 
to program requirements, service delivery or policy only 
through public notice and comment rulemaking. For fiscal 
year 2023, during any grant selection process, an officer 
or employee of CNCS shall not knowingly disclose any cov-
ered grant selection information regarding such selection, 
directly or indirectly, to any person other than an officer 
or employee of CNCS that is authorized by CNCS to receive 
such information. 
SEC. 402. AmeriCorps programs receiving grants 
under the National Service Trust program shall meet an 
overall minimum share requirement of 24 percent for the 
first 3 years that they receive AmeriCorps funding, and 
thereafter shall meet the overall minimum share require-
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† HR 2617 EAS2 
ment as provided in section 2521.60 of title 45, Code of 
Federal Regulations, without regard to the operating costs 
match requirement in section 121(e) or the member support 
Federal share limitations in section 140 of the 1990 Act, 
and subject to partial waiver consistent with section 
2521.70 of title 45, Code of Federal Regulations. 
SEC. 403. Donations made to CNCS under section 196 
of the 1990 Act for the purposes of financing programs and 
operations under titles I and II of the 1973 Act or subtitle 
B, C, D, or E of title I of the 1990 Act shall be used to 
supplement and not supplant current programs and oper-
ations. 
SEC. 404. In addition to the requirements in section 
146(a) of the 1990 Act, use of an educational award for 
the purpose described in section 148(a)(4) shall be limited 
to individuals who are veterans as defined under section 
101 of the Act. 
SEC. 405. For the purpose of carrying out section 
189D of the 1990 Act— 
(1) entities described in paragraph (a) of such 
section shall be considered ‘‘qualified entities’’ under 
section 3 of the National Child Protection Act of 1993 
(‘‘NCPA’’); 
(2) individuals described in such section shall be 
considered ‘‘volunteers’’ under section 3 of NCPA; and
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(3) State Commissions on National and Commu-
nity Service established pursuant to section 178 of the 
1990 Act, are authorized to receive criminal history 
record information, consistent with Public Law 92– 
544. 
SEC. 406. Notwithstanding sections 139(b), 146 and 
147 of the 1990 Act, an individual who successfully com-
pletes a term of service of not less than 1,200 hours during 
a period of not more than one year may receive a national 
service education award having a value of 70 percent of 
the value of a national service education award determined 
under section 147(a) of the Act. 
SEC. 407. Section 148(f)(2)(A)(i) of the 1990 Act shall 
be applied by substituting ‘‘an approved national service 
position’’ for ‘‘a national service program that receives 
grants under subtitle C’’. 
CORPORATION FOR PUBLIC BROADCASTING 
For payment to the Corporation for Public Broad-
casting (‘‘CPB’’), as authorized by the Communications Act 
of 1934, an amount which shall be available within limita-
tions specified by that Act, for the fiscal year 2025, 
$535,000,000: Provided, That none of the funds made avail-
able to CPB by this Act shall be used to pay for receptions, 
parties, or similar forms of entertainment for Government 
officials or employees: Provided further, That none of the
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funds made available to CPB by this Act shall be available 
or used to aid or support any program or activity from 
which any person is excluded, or is denied benefits, or is 
discriminated against, on the basis of race, color, national 
origin, religion, or sex: Provided further, That none of the 
funds made available to CPB by this Act shall be used to 
apply any political test or qualification in selecting, ap-
pointing, promoting, or taking any other personnel action 
with respect to officers, agents, and employees of CPB. 
In addition, for the costs associated with replacing and 
upgrading the public broadcasting interconnection system 
and other technologies and services that create infrastruc-
ture and efficiencies within the public media system, 
$60,000,000. 
FEDERAL MEDIATION AND CONCILIATION SERVICE 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mediation and 
Conciliation Service (‘‘Service’’) to carry out the functions 
vested in it by the Labor-Management Relations Act, 1947, 
including hire of passenger motor vehicles; for expenses nec-
essary for the Labor-Management Cooperation Act of 1978; 
and for expenses necessary for the Service to carry out the 
functions vested in it by the Civil Service Reform Act, 
$53,705,000: Provided, That notwithstanding 31 U.S.C. 
3302, fees charged, up to full-cost recovery, for special train-
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† HR 2617 EAS2 
ing activities and other conflict resolution services and tech-
nical assistance, including those provided to foreign govern-
ments and international organizations, and for arbitration 
services shall be credited to and merged with this account, 
and shall remain available until expended: Provided fur-
ther, That fees for arbitration services shall be available 
only for education, training, and professional development 
of the agency workforce: Provided further, That the Director 
of the Service is authorized to accept and use on behalf of 
the United States gifts of services and real, personal, or 
other property in the aid of any projects or functions within 
the Director’s jurisdiction. 
FEDERAL MINE SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mine Safety 
and Health Review Commission, $18,012,000. 
INSTITUTE OF MUSEUM AND LIBRARY SERVICES 
OFFICE OF MUSEUM AND LIBRARY SERVICES: GRANTS AND 
ADMINISTRATION 
For carrying out the Museum and Library Services 
Act of 1996 and the National Museum of African American 
History and Culture Act, $294,800,000.
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MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1900 of the 
Social Security Act, $9,405,000. 
MEDICARE PAYMENT ADVISORY COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1805 of the 
Social Security Act, $13,824,000, to be transferred to this 
appropriation from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund. 
NATIONAL COUNCIL ON DISABILITY 
SALARIES AND EXPENSES 
For expenses necessary for the National Council on 
Disability as authorized by title IV of the Rehabilitation 
Act of 1973, $3,850,000. 
NATIONAL LABOR RELATIONS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the National Labor Rela-
tions Board to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, and other laws, 
$299,224,000: Provided, That no part of this appropriation 
shall be available to organize or assist in organizing agri-
cultural laborers or used in connection with investigations, 
hearings, directives, or orders concerning bargaining units
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composed of agricultural laborers as referred to in section 
2(3) of the Act of July 5, 1935, and as amended by the 
Labor-Management Relations Act, 1947, and as defined in 
section 3(f) of the Act of June 25, 1938, and including in 
said definition employees engaged in the maintenance and 
operation of ditches, canals, reservoirs, and waterways 
when maintained or operated on a mutual, nonprofit basis 
and at least 95 percent of the water stored or supplied there-
by is used for farming purposes. 
ADMINISTRATIVE PROVISION 
SEC. 408. None of the funds provided by this Act or 
previous Acts making appropriations for the National 
Labor Relations Board may be used to issue any new ad-
ministrative directive or regulation that would provide em-
ployees any means of voting through any electronic means 
in an election to determine a representative for the purposes 
of collective bargaining. 
NATIONAL MEDIATION BOARD 
SALARIES AND EXPENSES 
For expenses necessary to carry out the provisions of 
the Railway Labor Act, including emergency boards ap-
pointed by the President, $15,113,000.
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OCCUPATIONAL SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Occupational Safety 
and Health Review Commission, $15,449,000. 
RAILROAD RETIREMENT BOARD 
DUAL BENEFITS PAYMENTS ACCOUNT 
For payment to the Dual Benefits Payments Account, 
authorized under section 15(d) of the Railroad Retirement 
Act of 1974, $9,000,000, which shall include amounts be-
coming available in fiscal year 2023 pursuant to section 
224(c)(1)(B) of Public Law 98–76; and in addition, an 
amount, not to exceed 2 percent of the amount provided 
herein, shall be available proportional to the amount by 
which the product of recipients and the average benefit re-
ceived exceeds the amount available for payment of vested 
dual benefits: Provided, That the total amount provided 
herein shall be credited in 12 approximately equal amounts 
on the first day of each month in the fiscal year. 
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 
ACCOUNTS 
For payment to the accounts established in the Treas-
ury for the payment of benefits under the Railroad Retire-
ment Act for interest earned on unnegotiated checks, 
$150,000, to remain available through September 30, 2024,
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† HR 2617 EAS2 
which shall be the maximum amount available for payment 
pursuant to section 417 of Public Law 98–76. 
LIMITATION ON ADMINISTRATION 
For necessary expenses for the Railroad Retirement 
Board (‘‘Board’’) for administration of the Railroad Retire-
ment Act and the Railroad Unemployment Insurance Act, 
$128,000,000, to be derived in such amounts as determined 
by the Board from the railroad retirement accounts and 
from moneys credited to the railroad unemployment insur-
ance administration fund: Provided, That notwithstanding 
section 7(b)(9) of the Railroad Retirement Act this limita-
tion may be used to hire attorneys only through the excepted 
service: Provided further, That the previous proviso shall 
not change the status under Federal employment laws of 
any attorney hired by the Railroad Retirement Board prior 
to January 1, 2013: Provided further, That notwith-
standing section 7(b)(9) of the Railroad Retirement Act, 
this limitation may be used to hire students attending 
qualifying educational institutions or individuals who have 
recently completed qualifying educational programs using 
current excepted hiring authorities established by the Office 
of Personnel Management. 
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral for audit, investigatory and review activities, as au-
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thorized by the Inspector General Act of 1978, not more 
than $14,000,000, to be derived from the railroad retire-
ment accounts and railroad unemployment insurance ac-
count. 
SOCIAL SECURITY ADMINISTRATION 
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 
For payment to the Federal Old-Age and Survivors In-
surance Trust Fund and the Federal Disability Insurance 
Trust Fund, as provided under sections 201(m) and 
1131(b)(2) of the Social Security Act, $11,000,000. 
SUPPLEMENTAL SECURITY INCOME PROGRAM 
For carrying out titles XI and XVI of the Social Secu-
rity Act, section 401 of Public Law 92–603, section 212 
of Public Law 93–66, as amended, and section 405 of Public 
Law 95–216, including payment to the Social Security 
trust funds for administrative expenses incurred pursuant 
to 
section 
201(g)(1) 
of 
the 
Social 
Security 
Act, 
$48,609,338,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State 
in the current fiscal year and not obligated by the State 
during that year shall be returned to the Treasury: Pro-
vided further, That not more than $86,000,000 shall be 
available for research and demonstrations under sections 
1110, 1115, and 1144 of the Social Security Act, and re-
main available through September 30, 2025.
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For making, after June 15 of the current fiscal year, 
benefit payments to individuals under title XVI of the So-
cial Security Act, for unanticipated costs incurred for the 
current fiscal year, such sums as may be necessary. 
For making benefit payments under title XVI of the 
Social Security Act for the first quarter of fiscal year 2024, 
$15,800,000,000, to remain available until expended. 
LIMITATION ON ADMINISTRATIVE EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses, including the hire and pur-
chase of two passenger motor vehicles, and not to exceed 
$20,000 for official reception and representation expenses, 
not more than $13,985,978,000 may be expended, as author-
ized by section 201(g)(1) of the Social Security Act, from 
any one or all of the trust funds referred to in such section: 
Provided, That not less than $2,700,000 shall be for the So-
cial Security Advisory Board: Provided further, That 
$55,000,000 shall remain available through September 30, 
2024, for activities to address the disability hearings back-
log within the Office of Hearings Operations: Provided fur-
ther, That unobligated balances of funds provided under 
this paragraph at the end of fiscal year 2023 not needed 
for fiscal year 2023 shall remain available until expended 
to invest in the Social Security Administration information 
technology and telecommunications hardware and software
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† HR 2617 EAS2 
infrastructure, including related equipment and non-pay-
roll administrative expenses associated solely with this in-
formation technology and telecommunications infrastruc-
ture: Provided further, That the Commissioner of Social Se-
curity shall notify the Committees on Appropriations of the 
House of Representatives and the Senate prior to making 
unobligated balances available under the authority in the 
previous proviso: Provided further, That reimbursement to 
the trust funds under this heading for expenditures for offi-
cial time for employees of the Social Security Administra-
tion pursuant to 5 U.S.C. 7131, and for facilities or support 
services for labor organizations pursuant to policies, regula-
tions, or procedures referred to in section 7135(b) of such 
title shall be made by the Secretary of the Treasury, with 
interest, from amounts in the general fund not otherwise 
appropriated, as soon as possible after such expenditures 
are made. 
Of the total amount made available in the first para-
graph under this heading, not more than $1,784,000,000, 
to remain available through March 31, 2024, is for the costs 
associated with continuing disability reviews under titles 
II and XVI of the Social Security Act, including work-re-
lated continuing disability reviews to determine whether 
earnings derived from services demonstrate an individual’s 
ability to engage in substantial gainful activity, for the cost
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† HR 2617 EAS2 
associated with conducting redeterminations of eligibility 
under title XVI of the Social Security Act, for the cost of 
co-operative disability investigation units, and for the cost 
associated with the prosecution of fraud in the programs 
and operations of the Social Security Administration by 
Special Assistant United States Attorneys: Provided, That, 
of such amount, $273,000,000 is provided to meet the terms 
of a concurrent resolution on the budget in the Senate, and 
$1,511,000,000 is additional new budget authority specified 
for purposes of a concurrent resolution on the budget in the 
Senate and section 1(i) of H. Res. 1151 (117th Congress), 
as engrossed in the House of Representatives on June 8, 
2022: Provided further, That, of the additional new budget 
authority described in the preceding proviso, up to 
$15,100,000 may be transferred to the ‘‘Office of Inspector 
General’’, Social Security Administration, for the cost of 
jointly operated co-operative disability investigation units: 
Provided further, That such transfer authority is in addi-
tion to any other transfer authority provided by law: Pro-
vided further, That the Commissioner shall provide to the 
Congress (at the conclusion of the fiscal year) a report on 
the obligation and expenditure of these funds, similar to 
the reports that were required by section 103(d)(2) of Public 
Law 104–121 for fiscal years 1996 through 2002: Provided 
further, That none of the funds described in this paragraph
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† HR 2617 EAS2 
shall be available for transfer or reprogramming except as 
specified in this paragraph. 
In addition, $140,000,000 to be derived from adminis-
tration fees in excess of $5.00 per supplementary payment 
collected pursuant to section 1616(d) of the Social Security 
Act or section 212(b)(3) of Public Law 93–66, which shall 
remain available until expended: Provided, That to the ex-
tent that the amounts collected pursuant to such sections 
in fiscal year 2023 exceed $140,000,000, the amounts shall 
be available in fiscal year 2024 only to the extent provided 
in advance in appropriations Acts. 
In addition, up to $1,000,000 to be derived from fees 
collected pursuant to section 303(c) of the Social Security 
Protection Act, which shall remain available until ex-
pended. 
OFFICE OF INSPECTOR GENERAL 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary for the Office of Inspector Gen-
eral in carrying out the provisions of the Inspector General 
Act of 1978, $32,000,000, together with not to exceed 
$82,665,000, to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the 
Federal Old-Age and Survivors Insurance Trust Fund and 
the Federal Disability Insurance Trust Fund: Provided, 
That $2,000,000 shall remain available until expended for
1087 
† HR 2617 EAS2 
information technology modernization, including related 
hardware and software infrastructure and equipment, and 
for administrative expenses directly associated with infor-
mation technology modernization. 
In addition, an amount not to exceed 3 percent of the 
total provided in this appropriation may be transferred 
from the ‘‘Limitation on Administrative Expenses’’, Social 
Security Administration, to be merged with this account, 
to be available for the time and purposes for which this 
account is available: Provided, That notice of such transfers 
shall be transmitted promptly to the Committees on Appro-
priations of the House of Representatives and the Senate 
at least 15 days in advance of any transfer.
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† HR 2617 EAS2 
TITLE V 
GENERAL PROVISIONS 
(TRANSFER OF FUNDS) 
SEC. 501. The Secretaries of Labor, Health and 
Human Services, and Education are authorized to transfer 
unexpended balances of prior appropriations to accounts 
corresponding to current appropriations provided in this 
Act. Such transferred balances shall be used for the same 
purpose, and for the same periods of time, for which they 
were originally appropriated. 
SEC. 502. 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. 503. (a) No part of any appropriation contained 
in this Act or transferred pursuant to section 4002 of Public 
Law 111–148 shall be used, other than for normal and rec-
ognized executive-legislative relationships, for publicity or 
propaganda purposes, for the preparation, distribution, or 
use of any kit, pamphlet, booklet, publication, electronic 
communication, radio, television, or video presentation de-
signed to support or defeat the enactment of legislation be-
fore the Congress or any State or local legislature or legisla-
tive body, except in presentation to the Congress or any 
State or local legislature itself, or designed to support or 
defeat any proposed or pending regulation, administrative
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† HR 2617 EAS2 
action, or order issued by the executive branch of any State 
or local government, except in presentation to the executive 
branch of any State or local government itself. 
(b) No part of any appropriation contained in this 
Act or transferred pursuant to section 4002 of Public Law 
111–148 shall be used to pay the salary or expenses of any 
grant or contract recipient, or agent acting for such recipi-
ent, related to any activity designed to influence the enact-
ment of legislation, appropriations, regulation, administra-
tive action, or Executive order proposed or pending before 
the Congress or any State government, State legislature or 
local legislature or legislative body, other than for normal 
and recognized executive-legislative relationships or partici-
pation by an agency or officer of a State, local or tribal 
government in policymaking and administrative processes 
within the executive branch of that government. 
(c) The prohibitions in subsections (a) and (b) shall 
include any activity to advocate or promote any proposed, 
pending or future Federal, State or local tax increase, or 
any proposed, pending, or future requirement or restriction 
on any legal consumer product, including its sale or mar-
keting, including but not limited to the advocacy or pro-
motion of gun control. 
SEC. 504. The Secretaries of Labor and Education are 
authorized to make available not to exceed $28,000 and
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$20,000, respectively, from funds available for salaries and 
expenses under titles I and III, respectively, for official re-
ception and representation expenses; the Director of the 
Federal Mediation and Conciliation Service is authorized 
to make available for official reception and representation 
expenses not to exceed $5,000 from the funds available for 
‘‘Federal Mediation and Conciliation Service, Salaries and 
Expenses’’; and the Chairman of the National Mediation 
Board is authorized to make available for official reception 
and representation expenses not to exceed $5,000 from funds 
available for ‘‘National Mediation Board, Salaries and Ex-
penses’’. 
SEC. 505. When issuing statements, press releases, re-
quests for proposals, bid solicitations and other documents 
describing projects or programs funded in whole or in part 
with Federal money, all grantees receiving Federal funds 
included in this Act, including but not limited to State and 
local governments and recipients of Federal research grants, 
shall clearly state— 
(1) the percentage of the total costs of the pro-
gram or project which will be financed with Federal 
money; 
(2) the dollar amount of Federal funds for the 
project or program; and
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† HR 2617 EAS2 
(3) percentage and dollar amount of the total 
costs of the project or program that will be financed 
by non-governmental sources. 
SEC. 506. (a) None of the funds appropriated in this 
Act, and none of the funds in any trust fund to which funds 
are appropriated in this Act, shall be expended for any 
abortion. 
(b) None of the funds appropriated in this Act, and 
none of the funds in any trust fund to which funds are 
appropriated in this Act, shall be expended for health bene-
fits coverage that includes coverage of abortion. 
(c) The term ‘‘health benefits coverage’’ means the 
package of services covered by a managed care provider or 
organization pursuant to a contract or other arrangement. 
SEC. 507. (a) The limitations established in the pre-
ceding section shall not apply to an abortion— 
(1) if the pregnancy is the result of an act of 
rape or incest; or 
(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness, 
including a life-endangering physical condition 
caused by or arising from the pregnancy itself, that 
would, as certified by a physician, place the woman 
in danger of death unless an abortion is performed.