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 infectious diseases, $460,598,000: Provided, That 
of the funds available under this heading, $30,000,000 
shall be for the Advanced Molecular Detection initiative. 
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 pre-
vention and health promotion, $570,467,000: Provided, 
That funds appropriated under this account may be avail-
able for making grants under section 1509 of the PHS 
Act for not less than 21 States, tribes, or tribal organiza-
tions: Provided further, That of the funds available under 
this heading, $10,000,000 shall be available to continue 
and expand community specific extension and outreach 
programs to combat obesity in counties with the highest 
levels of obesity. 
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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, $133,510,000. 
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, $496,597,000. 
ENVIRONMENTAL HEALTH 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to environmental health, $145,580,000. 
INJURY PREVENTION AND CONTROL 
For carrying out titles II, III, and XVII of the PHS 
Act with respect to injury prevention and control, 
$211,300,000: Provided, That of the funds provided under 
this heading, $70,000,000 shall be available for an evi-
dence-based prescription drug overdose prevention pro-
gram. 
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 
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Act, and sections 20, 21, and 22 of the Occupational Safe-
ty and Health Act, with respect to occupational safety and 
health, $341,100,000. 
ENERGY EMPLOYEES OCCUPATIONAL ILLNESS 
COMPENSATION PROGRAM 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $55,358,000, to remain available until expended: Pro-
vided, That this amount shall be available consistent with 
the provision 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, $426,925,000, of which 
$128,425,000 for international HIV/AIDS shall remain 
available through September 30, 2017: 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 re-
sponse, and for expenses necessary to support activities 
related to countering potential biological, nuclear, radio-
logical, and chemical threats to civilian populations, 
$1,460,836,000, of which $610,136,000 shall remain 
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available until expended for the Strategic National Stock-
pile: Provided, That in the event the Director of the CDC 
activates the Emergency Operations Center, the Director 
of the CDC may detail CDC staff without reimbursement 
for up to 45 days to support the work of the CDC Emer-
gency Operations Center, so long as the Director provides 
a notice to the Committees on Appropriations of the 
House of Representatives and the Senate within 15 days 
of the use of this authority and a full report within 30 
days after use of this authority which includes the number 
of staff and funding level broken down by the originating 
center and number of days detailed: Provided further, 
That funds appropriated 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 preparedness emergencies. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For acquisition of real property, equipment, construc-
tion, and renovation of facilities, $10,000,000, which shall 
remain available until September 30, 2020: Provided, 
That funds previously set-aside by CDC for repair and up-
grade of the Lake Lynn Experimental Mine and Labora-
tory shall be used to acquire a replacement mine safety 
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research facility: Provided further, That in addition, the 
prior year unobligated balance of any amounts 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 
For carrying out titles II, III, XVII and XIX, and 
section 2821 of the PHS Act and for cross-cutting activi-
ties and program support for activities funded in other 
appropriations included in this Act for the Centers for 
Disease Control and Prevention, $113,500,000: Provided, 
That paragraphs (1) through (3) of subsection (b) of sec-
tion 2821 of the PHS Act shall not apply to funds appro-
priated under this heading and in all other accounts of 
the CDC: Provided further, That employees of CDC or the 
Public Health Service, both civilian and commissioned of-
ficers, detailed to States, municipalities, or other organiza-
tions under authority of section 214 of the PHS Act, or 
in overseas assignments, shall be treated as non-Federal 
employees for reporting purposes only and shall not be in-
cluded within any personnel ceiling applicable to the Agen-
cy, Service, or HHS during the period of detail or assign-
ment: Provided further, That CDC may use up to $10,000 
from amounts appropriated to CDC in this Act for official 
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reception and representation expenses when specifically 
approved by the Director of CDC: Provided further, That 
in addition, such sums as may be derived from authorized 
user fees, which shall be credited to the appropriation 
charged with the cost thereof: Provided further, That with 
respect to the previous proviso, authorized user fees from 
the Vessel Sanitation Program shall be available through 
September 30, 2017: Provided further, That of the funds 
provided in this section the Director shall support a com-
prehensive Institute of Medicine (IOM) report on the safe 
sodium intake for healthy individuals. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $5,081,812,000, of which up 
to $16,000,000 may be used for facilities repairs and im-
provements at the National Cancer Institute—Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
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 dis-
eases, and blood and blood products, $3,035,062,000. 
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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, 
$404,847,000. 
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, $1,771,388,000. 
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, 
$1,656,334,000. 
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, 
$4,512,918,000. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$2,439,437,000, of which $1,010,000,000 shall be from 
funds available under section 241 of the PHS Act: Pro-
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vided, That not less than $311,865,000 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, 
$1,305,586,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$698,108,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$675,783,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $1,518,421,000. 
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, $528,137,000. 
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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, $412,366,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $142,701,000. 
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, 
$456,012,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,050,875,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $1,512,401,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$505,551,000. 
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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, $338,360,000. 
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, 
$127,585,000. 
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, $272,493,000. 
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), $68,627,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$341,119,000: Provided, That of the amounts available for 
improvement of information systems, $4,000,000 shall be 
available until September 30, 2017: Provided further, That 
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in fiscal year 2016, 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, $643,111,000: 
Provided, That up to $9,947,000 shall be available to im-
plement section 480 of the PHS Act, relating to the Cures 
Acceleration Network: Provided further, That at least 
$480,636,000 is provided to the Clinical and Translational 
Sciences Awards program. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, NIH, $1,539,726,000, of which up to 
$30,000,000 may be used to carry out section 213 of this 
Act: Provided, That funding shall be available for the pur-
chase of not to exceed 29 passenger motor vehicles for re-
placement only: Provided further, That all funds credited 
to the NIH Management Fund shall remain available for 
one fiscal year after the fiscal year in which they are de-
posited: Provided further, That $165,000,000 shall be for 
the National Children’s Study Alternative (‘‘NCS–A’’): 
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Provided further, That NIH shall submit a spend plan on 
the NCS–A’s next phase to the Committees on Appropria-
tions of the House of Representatives and the Senate not 
later than 90 days after the date of enactment of this Act: 
Provided further, That $675,639,000 shall be available for 
the Common Fund established under section 402A(c)(1) 
of the PHS Act: Provided further, That of the funds pro-
vided, $10,000 shall be for official reception and represen-
tation expenses when specifically approved by the Director 
of the NIH: Provided further, 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 up 
to $130,000,000 of the funds provided to the Common 
Fund are available to support the trans-NIH Precision 
Medicine Initiative: Provided further, That, of the funds 
from Institute, Center, and Office of the Director accounts 
within ‘‘Department of Health and Human Services, Na-
tional Institutes of Health’’ in order to strengthen privacy 
protections for human research participants, NIH shall re-
quire investigators receiving NIH funding for new and 
competing research projects designed to generate and ana-
lyze large volumes of data derived from human research 
participants to obtain a certificate of confidentiality. 
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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 title 26, United States Code, 
for the purpose of carrying out section 402(b)(7)(B)(ii) 
of the PHS Act (relating to pediatric research), as author-
ized in the Gabriella Miller Kids First Research Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by NIH, 
including the acquisition of real property, $132,640,000, 
to remain available through September 30, 2020. 
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, and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$1,073,975,000: Provided, That notwithstanding section 
520A(f)(2) of the PHS Act, no funds appropriated for car-
rying out section 520A shall be available for carrying out 
section 1971 of the PHS Act: Provided further, That sec-
tion 520E(b)(2) of the PHS Act shall not apply to funds 
appropriated in this Act for fiscal year 2016: Provided fur-
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ther, That of the amount appropriated under this heading, 
$45,887,000 shall be for the National Child Traumatic 
Stress Initiative as described in section 582 of the PHS 
Act: Provided further, That notwithstanding section 
565(b)(1) of the PHS Act, technical assistance may be 
provided to a public entity to establish or operate a system 
of comprehensive community mental health services to 
children with a serious emotional disturbance, without re-
gard to whether the public entity receives a grant under 
section 561(a) of such Act: Provided further, That States 
shall expend at least 5 percent of the amount each receives 
for carrying out section 1911 of the PHS Act to support 
evidence-based programs that address the needs of individ-
uals with early serious mental illness, including psychotic 
disorders, regardless of the age of the individual at onset: 
Provided further, That none of the funds provided for sec-
tion 1911 of the PHS Act shall be subject to section 241 
of such Act. 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to substance abuse treatment and section 
1922(a) of the PHS Act with respect to substance abuse 
prevention, $2,196,856,000: Provided, That none of the 
funds provided for section 1921 of the PHS Act shall be 
subject to section 241 of such Act. 
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SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act 
with respect to substance abuse prevention, $190,219,000. 
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, 
$181,660,000: Provided, That, in addition, fees may be 
collected for the costs of publications, data, data tabula-
tions, 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 remain available until expended for such purposes: 
Provided further, That amounts made available in this Act 
for carrying out section 501(m) of the PHS Act shall re-
main available through September 30, 2017: Provided fur-
ther, That funds made available under this heading may 
be used to supplement program support funding provided 
under the headings ‘‘Mental Health’’, ‘‘Substance Abuse 
Treatment’’, and ‘‘Substance Abuse Prevention’’. 
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CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $243,545,410,000, 
to remain available until expended. 
For making, after May 31, 2016, payments to States 
under title XIX or in the case of section 1928 on behalf 
of States under title XIX of the Social Security Act for 
the last quarter of fiscal year 2016 for unanticipated costs 
incurred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2017, 
$115,582,502,000, to remain available until expended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
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103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $283,171,800,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, and the Clinical Labora-
tory Improvement Amendments of 1988, not to exceed 
$3,325,690,000, to be transferred from the Federal Hos-
pital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund, as authorized by 
section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 
302 of the Tax Relief and Health Care Act of 2006; and 
such sums as may be collected from authorized user fees 
and the sale of data, which shall be credited to this ac-
count and remain available until September 30, 2017: Pro-
vided, That all funds derived in accordance with 31 U.S.C. 
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9701 from organizations established under title XIII of 
the PHS Act shall be credited to and available for carrying 
out the purposes of this appropriation: Provided further, 
That the Secretary is directed to collect fees in fiscal year 
2016 from Medicare Advantage organizations pursuant to 
section 1857(e)(2) of the Social Security Act and from eli-
gible organizations with risk-sharing contracts under sec-
tion 1876 of that Act pursuant to section 1876(k)(4)(D) 
of that Act: Provided further, That none of the funds made 
available under this heading shall be used to support re-
search, demonstration, and evaluation activities: Provided 
further, That of the total amount made available under 
this heading, $2,195,823,000 shall be for Program Oper-
ations and $732,533,000 shall be for Federal Administra-
tion: Provided further, That none of the funds made avail-
able under this heading may be used to support the Center 
for Consumer Information and Insurance Oversight or ac-
tivities developed, administered, or implemented by the 
Center. 
In addition, not more than $975,917,000, shall be de-
rived from offsetting collections through the Clinical Lab-
oratory Improvement Act, Medicare Advantage, and Re-
covery Audit Contractors and shall be credited to this ac-
count and remain available until September 30, 2017: Pro-
vided, That no funds shall be derived from offsetting col-
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lections through fees collected from qualified health plans 
offered through an Exchange established under Public 
Law 111–148 to operate such an Exchange: Provided fur-
ther, That offsetting collections collected under this au-
thority by such Recovery Audit Contractors under such 
section 1893 shall be used only as additional funds to edu-
cate health care providers on how to appropriately reduce 
errors, to support the Office of Medicare Appeals to re-
duce its backlog, and to establish a process to provide edu-
cational feedback from the Office of Medicare Appeals to 
the Centers for Medicare and Medicaid Services to reduce 
the claims overturn rate from the claims that are elevated 
to the Office of Medicare Appeals. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $672,000,000, 
to remain available through September 30, 2017, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $477,120,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage under 
Part C and the Medicare Prescription Drug Program 
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under Part D of the Social Security Act and for activities 
described in section 1893(b) of such Act, of which 
$67,200,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out 
fraud and abuse activities authorized by section 
1817(k)(3) of such Act, of which $67,200,000 shall be for 
the Medicaid and Children’s Health Insurance Program 
(‘‘CHIP’’) program integrity activities, and of which 
$60,480,000 shall be for the Department of Justice to 
carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2016 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the 
funds provided by this appropriation: Provided further, 
That of the amount provided under this heading, 
$311,000,000 is provided to meet the terms of section 
251(b)(2)(C)(ii) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended, and 
$361,000,000 is additional new budget authority specified 
for purposes of section 251(b)(2)(C) of such Act: Provided 
further, That the Secretary shall support the full cost of 
the Senior Medicare Patrol program to combat health care 
fraud and abuse from the funds provided to this account. 
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ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided, titles 
I, IV–D, X, XI, XIV, and XVI of the Social Security Act 
and the Act of July 5, 1960, $3,256,743,000, to remain 
available until expended; and for such purposes for the 
first quarter of fiscal year 2017, $1,300,000,000, to re-
main available until expended. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, titles I, IV–D, X, XI, 
XIV, and XVI of the Social Security Act and the Act of 
July 5, 1960, for the last 3 months of the current fiscal 
year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) 
of section 2602 of the Low Income Home Energy Assist-
ance Act of 1981, $3,365,304,000: Provided, That all but 
$491,000,000 of this amount shall be allocated as though 
the total appropriation for such payments for fiscal year 
2016 were less than $1,975,000,000: Provided further, 
That notwithstanding section 2609A(a), of the amounts 
appropriated under section 2602(b), not more than 
$2,988,000 of such amounts may be reserved by the Sec-
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retary for technical assistance, training, and monitoring 
of program activities for compliance with internal controls, 
policies and procedures and may, in addition to the au-
thorities provided in section 2609A(a)(1), use such funds 
through contracts with private entities that do not qualify 
as nonprofit organizations. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, and for carrying 
out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims 
Protection Reauthorization Act of 2008, the Trafficking 
Victims Protection Act of 2000 (‘‘TVPA’’), section 203 
of the Trafficking Victims Protection Reauthorization Act 
of 2005, and the Torture Victims Relief Act of 1998, 
$1,429,884,000, of which $1,403,394,000 shall remain 
available through September 30, 2018 for carrying out 
such sections 414, 501, 462, and 235: Provided, That 
amounts available under this heading to carry out such 
section 203 and the TVPA shall also be available for re-
search and evaluation with respect to activities under 
those authorities: Provided further, That the limitation in 
section 206 of this Act regarding transfers increasing any 
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appropriation shall apply to transfers to appropriations 
under this heading by substituting ‘‘10 percent’’ for ‘‘3 
percent’’. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block 
Grant 
Act 
of 
1990 
(‘‘CCDBG 
Act’’), 
$2,435,000,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That, in addition to the 
amounts required to be reserved by the States under sec-
tion 658G of the CCDBG Act, $125,562,000 shall be for 
activities that improve the quality of infant and toddler 
care: Provided further, That $9,851,000 shall be for use 
by the Secretary for child care research, demonstration, 
and evaluation activities: Provided further, 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: Pro-
vided further, That all funds made available to carry out 
section 418 of the Social Security Act (42 U.S.C. 618), 
including funds appropriated for that purpose in such sec-
tion 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. 
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SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX–A of such Act shall be 10 
percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Head Start Act, 
the Child Abuse Prevention and Treatment Act, sections 
303 and 313 of the Family Violence Prevention and Serv-
ices Act, the Native American Programs Act of 1974, title 
II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (adoption opportunities), 
the Abandoned Infants Assistance Act of 1988, part B– 
1 of title IV and sections 473A, 477 (i), 1110, 1114A, 
and 1115 of the Social Security Act; for making payments 
under the Community Services Block Grant Act (‘‘CSBG 
Act’’), and the Assets for Independence Act; for necessary 
administrative expenses to carry out such Acts and titles 
I, IV, V, X, XI, XIV, XVI, and XX of the Social Security 
Act, the Act of July 5, 1960, the Low Income Home En-
ergy Assistance Act of 1981, title IV of the Immigration 
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and Nationality Act, and section 501 of the Refugee Edu-
cation Assistance Act of 1980; and for the administration 
of prior year obligations made by the Administration for 
Children and Families under the Developmental Disabil-
ities Assistance and Bill of Rights Act and the Help Amer-
ica Vote Act of 2002, $10,551,595,000, of which 
$37,943,000, to remain available through September 30, 
2017, shall be for grants to States for adoption and legal 
guardianship incentive payments, as authorized by section 
473A of the Social Security Act and may be made for 
adoptions completed before September 30, 2016: Provided, 
That $8,790,095,000 shall be for making payments under 
the Head Start Act: Provided further, That of the amount 
in the previous proviso, $8,140,095,000 shall be available 
for payments under section 640 of the Head Start Act, 
of which $42,191,000 shall be available for a cost of living 
adjustment notwithstanding section 640(a)(3)(A) of such 
Act: Provided further, That of the amount provided for 
making payments under the Head Start Act, $25,000,000 
shall be available for allocation by the Secretary to supple-
ment activities described in paragraphs (7)(B) and (9) of 
section 641(c) of such Act under the Designation Renewal 
System, established under the authority of sections 
641(c)(7), 645A(b)(12) and 645A(d) of such Act: Pro-
vided further, That amounts allocated to Head Start 
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grantees at the discretion of the Secretary to supplement 
activities pursuant to the previous proviso shall not be in-
cluded in the calculation of the ‘‘base grant’’ in subsequent 
fiscal years, as such term is used in section 640(a)(7)(A) 
of the Head Start Act: Provided further, That notwith-
standing section 640 of the Head Start Act, of the amount 
provided for making payments under the Head Start Act, 
and in addition to funds otherwise available under section 
640 for such purposes, $650,000,000 shall be available 
through March 31, 2017 for Early Head Start programs 
as described in section 645A of such Act, for conversion 
of Head Start services to Early Head Start services as 
described in section 645(a)(5)(A) of such Act, and for dis-
cretionary grants for high quality infant and toddler care 
through Early Head Start-Child Care Partnerships, to en-
tities defined as eligible under section 645A(d) of such 
Act, with such funds in this Act and Public Law 113– 
76 not included in the calculation of the ‘‘base grant’’ for 
the current or any subsequent fiscal year as such term 
is used in section 640(a)(7)(A) of the Head Start Act, 
and, notwithstanding section 645A(c)(2) of such Act, 
these funds are available to serve children under age 4: 
Provided further, That of the amount made available in 
the immediately preceding proviso, up to $11,000,000 
shall be available for the Federal costs of administration 
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and evaluation activities of the program described in such 
proviso: Provided further, That $710,383,000 shall be for 
making payments under the CSBG Act: Provided further, 
That $36,733,000 shall be for sections 680 and 
678E(b)(2) of the CSBG Act, of which not less than 
$29,883,000 shall be for section 680(a)(2) and not less 
than $6,500,000 shall be for section 680(a)(3)(B) of such 
Act: Provided further, That to the extent Community Serv-
ices Block Grant funds are distributed as grant funds by 
a State to an eligible entity as provided under the CSBG 
Act, and have not been expended by such entity, they shall 
remain with such entity for carryover into the next fiscal 
year for expenditure by such entity consistent with pro-
gram purposes: Provided further, That the Secretary shall 
establish procedures regarding the disposition of intan-
gible assets and program income that permit such assets 
acquired with, and program income derived from, grant 
funds authorized under section 680 of the CSBG Act to 
become the sole property of such grantees after a period 
of not more than 12 years after the end of the grant pe-
riod for any activity consistent with section 680(a)(2)(A) 
of the CSBG Act: Provided further, That intangible assets 
in the form of loans, equity investments and other debt 
instruments, and program income may be used by grant-
ees for any eligible purpose consistent with section 
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680(a)(2)(A) of the CSBG Act: Provided further, That 
these procedures shall apply to such grant funds made 
available after November 29, 1999: Provided further, That 
funds appropriated for section 680(a)(2) of the CSBG Act 
shall be available for financing construction and rehabili-
tation and loans or investments in private business enter-
prises owned by community development corporations: 
Provided further, That the Secretary shall issue perform-
ance standards for nonprofit organizations receiving funds 
from State and territorial grantees under the CSBG Act, 
and such States and territories shall assure the implemen-
tation of such standards prior to September 30, 2016, and 
include information on such implementation in the report 
required by section 678E(2) of such Act: Provided further, 
That section 303(a)(2)(A)(i) of the Family Violence Pre-
vention and Services Act shall not apply to amounts pro-
vided herein: Provided further, That $1,864,000 shall be 
for a human services case management system for feder-
ally declared disasters, to include a comprehensive na-
tional case management contract and Federal costs of ad-
ministering the system: Provided further, That up to 
$2,000,000 shall be for improving the Public Assistance 
Reporting Information System, including grants to States 
to support data collection for a study of the system’s effec-
tiveness. 
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PROMOTING SAFE AND STABLE FAMILIES 
For carrying out, except as otherwise provided, sec-
tion 436 of the Social Security Act, $345,000,000 and, 
for carrying out, except as otherwise provided, section 437 
of such Act, $59,765,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, $4,952,550,000. 
For carrying out, except as otherwise provided, title 
IV–E of the Social Security Act, for the first quarter of 
fiscal year 2017, $2,300,000,000. 
For carrying out, after May 31 of the current fiscal 
year, except as otherwise provided, section 474 of title IV– 
E of the Social Security Act, for the last 3 months of the 
current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary. 
ADMINISTRATION FOR COMMUNITY LIVING 
AGING AND DISABILITY SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), titles 
III and XXIX of the PHS Act, sections 1252 and 1253 
of the PHS Act, section 119 of the Medicare Improve-
ments for Patients and Providers Act of 2008, title XX– 
B of the Social Security Act, the Developmental Disabil-
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ities Assistance and Bill of Rights Act, 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 Re-
habilitation Act of 1973 , and for Department-wide coordi-
nation of policy and program activities that assist individ-
uals with disabilities, $1,892,243,000, together with 
$52,115,000 to be transferred from the Federal Hospital 
Insurance Trust Fund and the Federal Supplementary 
Medical Insurance Trust Fund to carry out section 4360 
of the Omnibus Budget Reconciliation Act of 1990: Pro-
vided, That amounts appropriated under this heading may 
be used for grants to States under section 361 of the OAA 
only for disease prevention and health promotion pro-
grams and activities which have been demonstrated 
through rigorous evaluation to be evidence-based and ef-
fective: Provided further, That notwithstanding any other 
provision of this Act, funds made available under this 
heading to carry out section 311 of the OAA may be trans-
ferred to the Secretary of Agriculture in accordance with 
such section: Provided further, That $2,000,000 shall be 
for competitive grants to support alternative financing 
programs that provide for the purchase of assistive tech-
nology devices, such as a low-interest loan fund; an inter-
est buy-down program; a revolving loan fund; a loan guar-
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antee; or an insurance program: Provided further, That 
applicants shall provide an assurance that, and informa-
tion describing the manner in which, the alternative fi-
nancing program will expand and emphasize consumer 
choice and control: Provided further, That State agencies 
and community-based disability organizations that are di-
rected by and operated for individuals with disabilities 
shall be eligible to compete: Provided further, That in addi-
tion, the unobligated balance of amounts previously made 
available for the Health Resources and Services Adminis-
tration to carry out functions under sections 1252 and 
1253 of the PHS Act shall be transferred to this account, 
except for such sums as may be necessary to provide for 
an orderly transition of such functions to the Administra-
tion for Community Living: 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 institute or pursue any 
legal action in a Federal or State court on behalf of an 
individual with a developmental disability (as defined in 
section 102(8)(A) of the Developmental Disabilities and 
Assistance and Bill of Rights Act of 2000 (20 U.S.C. 
15002(8)(A)) that is attributable to a mental impairment 
(or a combination of mental and physical impairments), 
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unless such system has first obtained written consent from 
the individual or, in the case of mental incapacitation, the 
individual’s legal guardian, to institute or pursue such 
suit. 
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 re-
search studies under section 1110 of the Social Security 
Act, $361,394,000, together with $58,028,000 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, 
$52,224,000 shall be for minority AIDS prevention and 
treatment activities: Provided further, That of the funds 
made available under this heading, $15,000,000 shall be 
to carry out section 224 of the Protecting Access to Medi-
care Act of 2014 (Public Law 113-93; 42 U.S.C. 290aa 
note): Provided further, That of the funds made available 
under this heading, $10,000,000 shall be for making com-
petitive contracts and grants to public and private entities 
for age appropriate programs that reduce teen pregnancy 
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and for the Federal costs of administering and evaluating 
such contracts and grants, and $10,000,000 shall be for 
making competitive grants which exclusively implement 
education in sexual risk avoidance (defined as voluntarily 
refraining from non-marital sexual activity): Provided fur-
ther, That funding for such competitive grants for sexual 
risk avoidance shall use medically accurate information 
referenced to peer-reviewed publications by educational, 
scientific, governmental, or health organizations; imple-
ment an evidence-based approach integrating research 
findings with practical implementation that aligns with the 
needs and desired outcomes for the intended audience; and 
teach the benefits associated with self-regulation, success 
sequencing for poverty prevention, healthy relationships, 
goal setting, and resisting sexual coercion, dating violence, 
and other youth risk behaviors 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 avoid-
ance shall be available for technical assistance and admin-
istrative costs of such programs: Provided further, That 
funds provided in this Act for embryo adoption activities 
may be used to provide to individuals adopting embryos, 
through grants and other mechanisms, medical and ad-
ministrative services deemed necessary for such adoptions: 
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Provided further, That such services shall be provided con-
sistent with 42 CFR 59.5(a)(4). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for the Office of Medicare 
Hearings and Appeals, $87,381,000, to be transferred in 
appropriate part from the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance 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 de-
velopment and advancement of interoperable health infor-
mation technology, $60,367,000. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $75,000,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary and inves-
tigating non-payment of child support cases for which non- 
payment is a Federal offense under 18 U.S.C. 228. 
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OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $38,798,000. 
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 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ 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, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies, $844,523,000, of 
which $415,000,000 shall remain available through Sep-
tember 30, 2017, for expenses necessary to support ad-
vanced research and development pursuant to section 
319L of the PHS Act, and other administrative expenses 
of the Biomedical Advanced Research and Development 
Authority: Provided, That funds provided under this head-
ing for the purpose of acquisition of security counter-
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measures shall be in addition to any other funds available 
for such purpose: Provided further, That products pur-
chased with funds provided under this heading may, at 
the discretion of the Secretary, be deposited in the Stra-
tegic National Stockpile pursuant 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 September 30, 2018. 
For expenses necessary for procuring security coun-
termeasures (as defined in section 319F–2(c)(1)(B) of the 
PHS Act), $255,000,000, to remain available until ex-
pended. 
For an additional amount for expenses necessary to 
prepare for or respond to an influenza pandemic, 
$72,000,000; of which $40,000,000 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 
owned facilities for the production of pandemic influenza 
vaccines and other biologics, if the Secretary finds such 
construction or renovation necessary to secure sufficient 
supplies of such vaccines or biologics. 
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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. 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. 
SEC. 203. 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 III. 
SEC. 204. 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 re-
port by the Secretary to the Committees on Appropria-
tions of the House of Representatives and the Senate de-
tailing the planned uses of such funds. 
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SEC. 205. Notwithstanding section 241(a) of the 
PHS Act, such portion as the Secretary shall determine, 
but not more than 2.4 percent or $1,068,000,000, which-
ever is less, 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 im-
plementation and effectiveness of programs funded in this 
title. 
(TRANSFER OF FUNDS) 
SEC. 206. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated 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: Provided, That the transfer author-
ity 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 Appropriations of the House of Rep-
resentatives and the Senate are notified at least 15 days 
in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 207. The Director of the NIH, jointly with the 
Director of the Office of AIDS Research, may transfer up 
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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. 208. Of the amounts made available in this Act 
for NIH, the amount for research related to the human 
immunodeficiency virus, as jointly determined by the Di-
rector of NIH and the Director of the Office of AIDS Re-
search, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
Research shall transfer from such account amounts nec-
essary to carry out section 2353(d)(3) of the PHS Act. 
SEC. 209. 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 decision of minors to seek family planning services and 
that it provides counseling to minors on how to resist at-
tempts to coerce minors into engaging in sexual activities. 
SEC. 210. 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 
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or the reporting of child abuse, child molestation, sexual 
abuse, rape, or incest. 
SEC. 211. 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 
Secretary denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) 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 capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care program’s coverage for such services and a Medicare 
Advantage organization described in this section shall be 
responsible for informing enrollees where to obtain infor-
mation about all Medicare covered services. 
SEC. 212. In order for HHS to carry out inter-
national health activities, including HIV/AIDS and other 
infectious disease, chronic and environmental disease, and 
other health activities abroad during fiscal year 2016: 
(1) The Secretary may exercise authority equiv-
alent to that available to the Secretary of State in 
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section 2(c) of the State Department Basic Authori-
ties Act of 1956. The Secretary shall consult with 
the Secretary of State and relevant Chief of Mission 
to ensure that the authority provided in this section 
is exercised in a manner consistent with section 207 
of the Foreign Service Act of 1980 and other appli-
cable statutes 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 co-
operate fully with the Secretary to ensure that HHS 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary is 
authorized, in consultation with the Secretary of 
State, through grant or cooperative agreement, to 
make available to public or nonprofit private institu-
tions or agencies in participating foreign countries, 
funds to acquire, lease, alter, or renovate facilities in 
those countries as necessary to conduct programs of 
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assistance for international health activities, includ-
ing activities relating to HIV/AIDS and other infec-
tious diseases, chronic and environmental diseases, 
and other health activities 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 For-
eign Service Act of 1980, and 22 U.S.C. 4081 
through 4086 and subject to such regulations pre-
scribed by the Secretary. The Secretary is further 
authorized to provide 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 per-
sonnel under section 5304 of title 5, United States 
Code if such personnel’s official duty station were in 
the District of Columbia. Leaves of absence for per-
sonnel under this subsection shall be on the same 
basis as that provided under subchapter I of chapter 
63 of title 5, United States Code, or section 903 of 
the Foreign Service Act of 1980, to individuals serv-
ing in the Foreign Service. 
SEC. 213. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of NIH (‘‘Director’’) 
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may use funds available under section 402(b)(7) or 
402(b)(12) of the PHS Act to enter into transactions 
(other than contracts, cooperative agreements, or grants) 
to carry out research identified pursuant to such section 
402(b)(7) (pertaining to the Common Fund) 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 
review 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 pro-
cedures 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. 214. Not to exceed $45,000,000 of funds appro-
priated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $3,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 215. Of the amounts made available for NIH, 
1 percent of the amount made available for National Re-
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search Service Awards (‘‘NRSA’’) shall be made available 
to the Administrator of the Health Resources and Services 
Administration to make NRSA awards for research in pri-
mary medical care to individuals affiliated with entities 
who have received grants or contracts under sections 736, 
739, or 747 of the PHS Act for health service research. 
SEC. 216. 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. 217. (a) The Secretary shall establish a publicly 
accessible Web site to provide information regarding the 
uses of funds made available under section 4002 of the 
Patient Protection and Affordable Care Act of 2010 
(‘‘ACA’’). 
(b) With respect to funds provided under section 
4002 of the ACA, the Secretary shall include on the Web 
site established under subsection (a) at a minimum the 
following information: 
(1) In the case of each transfer of funds under 
section 4002(c), a statement indicating the program 
or activity receiving funds, the operating division or 
office that will administer the funds, and the 
planned uses of the funds, to be posted not later 
than the day after the transfer is made. 
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(2) Identification (along with a link to the full 
text) of each funding opportunity announcement, re-
quest for proposals, or other announcement or solici-
tation of proposals for grants, cooperative agree-
ments, or contracts intended to be awarded using 
such funds, to be posted not later than the day after 
the announcement or solicitation is issued. 
(3) Identification of each grant, cooperative 
agreement, or contract with a value of $25,000 or 
more awarded using such funds, including the pur-
pose of the award and the identity of the recipient, 
to be posted not later than 5 days after the award 
is made. 
(4) A report detailing the uses of all funds 
transferred under section 4002(c) during the fiscal 
year, to be posted not later than 90 days after the 
end of the fiscal year. 
(c) With respect to awards made in fiscal years 2013 
through 2016, the Secretary shall also include on the Web 
site established under subsection (a), semi-annual reports 
from each entity awarded a grant, cooperative agreement, 
or contract from such funds with a value of $25,000 or 
more, summarizing the activities undertaken and identi-
fying any sub-grants or sub-contracts awarded (including 
the purpose of the award and the identity of the recipient), 
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to be posted not later than 30 days after the end of each 
6-month period. 
(d) In carrying out this section, the Secretary shall: 
(1) present the information required in sub-
section (b)(1) on a single webpage or on a single 
database; 
(2) ensure that all information required in this 
section is directly accessible from the single webpage 
or database; and 
(3) ensure that all information required in this 
section is able to be organized by program or State. 
(TRANSFER OF FUNDS) 
SEC. 218. (a) Within 45 days of enactment of this 
Act, the Secretary shall transfer funds appropriated under 
section 4002 of the Patient Protection and Affordable 
Care Act of 2010 (‘‘ACA’’) to the accounts specified, in 
the amounts specified, and for the activities specified 
under the heading ‘‘Prevention and Public Health Fund’’ 
in the committee report accompanying this 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. 
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SEC. 219. (a) The Biomedical Advanced Research 
and Development Authority (‘‘BARDA’’) may enter into 
a contract, for more than one but no more than 10 pro-
gram years, for purchase of research services or of security 
countermeasures, 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: 
(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 
requirement stated in subsection (d) of such section. 
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144 
(2) the dollar amount of Federal funds for the 
project or program; and 
(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 ben-
efits 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 arrange-
ment. 
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 
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