Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023
Bill: H.R.8295 | Sponsor: Rep. DeLauro, Rosa L. (D-CT)
Policy area: Economics and Public Finance

Summary:
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023
This bill provides FY2023 appropriations to the Departments of Labor, Health and Human Services, and Education; and related agencies.
The bill provides appropriations to the Department of Labor for
The bill provides appropriations to the Department of Health and Human Services for
The bill provides appropriations to the Department of Education for
The bill also provides appropriations to several related agencies, including
The bill also sets forth requirements and restrictions for using funds provided by this and other appropriations acts.


Making appropriations for the Departments of Labor, Health and Human 
   Services, and Education, and related agencies for the fiscal year 
           ending September 30, 2023, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, That the following sums 
are appropriated, out of any money in the Treasury not otherwise 
appropriated, for the Departments of Labor, Health and Human Services, 
and Education, and related agencies for the fiscal year ending 
September 30, 2023, and for other purposes, namely:

                                TITLE I

                          DEPARTMENT OF LABOR

                 EMPLOYMENT AND TRAINING ADMINISTRATION

                    training and employment services

    For necessary expenses of the Workforce Innovation and Opportunity 
Act (referred to in this Act as ``WIOA'') and the National 
Apprenticeship Act, $4,597,632,000, plus reimbursements, shall be 
available. Of the amounts provided:
            (1) for grants to States for adult employment and training 
        activities, youth activities, and dislocated worker employment 
        and training activities, $3,135,332,000 as follows:
                    (A) $940,649,000 for adult employment and training 
                activities, of which $228,649,000 shall be available 
                for the period July 1, 2023 through June 30, 2024, and 
                of which $712,000,000 shall be available for the period 
                October 1, 2023 through June 30, 2024;
                    (B) $1,033,130,000 for youth activities, which 
                shall be available for the period April 1, 2023 through 
                June 30, 2024; and
                    (C) $1,161,553,000 for dislocated worker employment 
                and training activities, of which $301,553,000 shall be 
                available for the period July 1, 2023 through June 30, 
                2024, and of which $860,000,000 shall be available for 
                the period October 1, 2023 through June 30, 2024:
          Provided, That the funds available for allotment to outlying 
        areas to carry out subtitle B of title I of the WIOA shall not 
        be subject to the requirements of section 127(b)(1)(B)(ii) of 
        such Act:  Provided further, That notwithstanding the 
        requirements of WIOA, outlying areas may submit a single 
        application for a consolidated grant that awards funds that 
        would otherwise be available to such areas to carry out the 
        activities described in subtitle B of title I of the WIOA:  
        Provided further, That such application shall be submitted to 
        the Secretary at such time, in such manner, and containing such 
        information, as the Secretary may require:  Provided further, 
        That outlying areas awarded a consolidated grant described in 
        the preceding provisos may use the funds for any of the 
        programs and activities authorized under such subtitle B of 
        title I of the WIOA subject to approval of the application and 
        such reporting requirements issued by the Secretary; and
            (2) for national programs, $1,462,300,000 as follows:
                    (A) $457,386,000 for the dislocated workers 
                assistance national reserve, of which $257,386,000 
                shall be available for the period July 1, 2023 through 
                September 30, 2024, and of which $200,000,000 shall be 
                available for the period October 1, 2023 through 
                September 30, 2024:  Provided, That funds provided to 
                carry out section 132(a)(2)(A) of the WIOA may be used 
                to provide assistance to a State for statewide or local 
                use in order to address cases where there have been 
                worker dislocations across multiple sectors or across 
                multiple local areas and such workers remain 
                dislocated; coordinate the State workforce development 
                plan with emerging economic development needs; and 
                train such eligible dislocated workers:  Provided 
                further, That funds provided to carry out sections 
                168(b) and 169(c) of the WIOA may be used for technical 
                assistance and demonstration projects, respectively, 
                that provide assistance to new entrants in the 
                workforce and incumbent workers:  Provided further, 
                That notwithstanding section 168(b) of the WIOA, of the 
                funds provided under this subparagraph, the Secretary 
                of Labor (referred to in this title as ``Secretary'') 
                may reserve not more than 10 percent of such funds to 
                provide technical assistance and carry out additional 
                activities related to the transition to the WIOA:  
                Provided further, That of the funds provided under this 
                subparagraph, $195,000,000 shall be for training and 
                employment assistance under sections 168(b), 169(c) 
                (notwithstanding the 10 percent limitation in such 
                section) and 170 of the WIOA as follows:
                            (i) $45,000,000 shall be for workers in the 
                        Appalachian region, as defined by 40 U.S.C. 
                        14102(a)(1), workers in the Lower Mississippi, 
                        as defined in section 4(2) of the Delta 
                        Development Act (Public Law 100-460, 102 Stat. 
                        2246; 7 U.S.C. 2009aa(2)), and workers in the 
                        region served by the Northern Border Regional 
                        Commission, as defined by 40 U.S.C. 15733; and
                            (ii) $100,000,000 shall be for the purpose 
                        of developing, offering, or improving 
                        educational or career training programs at 
                        community colleges, defined as public 
                        institutions of higher education, as described 
                        in section 101(a) of the Higher Education Act 
                        of 1965 and at which the associate's degree is 
                        primarily the highest degree awarded, with 
                        other eligible institutions of higher 
                        education, as defined in section 101(a) of the 
                        Higher Education Act of 1965, eligible to 
                        participate through consortia, with community 
                        colleges as the lead grantee:  Provided, That 
                        the Secretary shall follow the requirements for 
                        the program in House Report 116-62:  Provided 
                        further, That any grant funds used for 
                        apprenticeships shall be used to support only 
                        apprenticeship programs registered under the 
                        National Apprenticeship Act and as referred to 
                        in section 3(7)(B) of the WIOA;
                            (iii) $50,000,000 shall be for training and 
                        employment assistance for workers in 
                        communities that have experienced job losses 
                        due to dislocations in industries related to 
                        fossil fuel extraction or energy production;
                    (B) $63,800,000 for Native American programs under 
                section 166 of the WIOA, which shall be available for 
                the period July 1, 2023 through June 30, 2024;
                    (C) $105,000,000 for migrant and seasonal 
                farmworker programs under section 167 of the WIOA, 
                including $97,125,000 for formula grants (of which not 
                less than 70 percent shall be for employment and 
                training services), $7,140,000 for migrant and seasonal 
                housing (of which not less than 70 percent shall be for 
                permanent housing), and $735,000 for other 
                discretionary purposes, which shall be available for 
                the period April 1, 2023 through June 30, 2024:  
                Provided, That notwithstanding any other provision of 
                law or related regulation, the Department of Labor 
                shall take no action limiting the number or proportion 
                of eligible participants receiving related assistance 
                services or discouraging grantees from providing such 
                services:  Provided further, That notwithstanding the 
                definition of ``eligible seasonal farmworker'' in 
                section 167(i)(3)(A) of the WIOA relating to an 
                individual being ``low-income'', an individual is 
                eligible for migrant and seasonal farmworker programs 
                under section 167 of the WIOA under that definition if, 
                in addition to meeting the requirements of clauses (i) 
                and (ii) of section 167(i)(3)(A), such individual is a 
                member of a family with a total family income equal to 
                or less than 150 percent of the poverty line;
                    (D) $145,000,000 for YouthBuild activities as 
                described in section 171 of the WIOA, which shall be 
                available for the period April 1, 2023 through June 30, 
                2024;
                    (E) $150,000,000 for ex-offender activities, under 
                the authority of section 169 of the WIOA, which shall 
                be available for the period April 1, 2023 through June 
                30, 2024:  Provided, That of this amount, $50,000,000 
                shall be for competitive grants to national and 
                regional intermediaries for activities that prepare for 
                employment young adults with criminal legal histories, 
                young adults who have been justice system-involved, or 
                young adults who have dropped out of school or other 
                educational programs, with a priority for projects 
                serving high-crime, high-poverty areas;
                    (F) $6,000,000 for the Workforce Data Quality 
                Initiative, under the authority of section 169 of the 
                WIOA, which shall be available for the period July 1, 
                2023 through June 30, 2024;
                    (G) $303,000,000 to expand opportunities through 
                apprenticeships only registered under the National 
                Apprenticeship Act and as referred to in section 
                3(7)(B) of the WIOA, to be available to the Secretary 
                to carry out activities through grants, cooperative 
                agreements, contracts and other arrangements, with 
                States and other appropriate entities, including equity 
                intermediaries and business and labor industry partner 
                intermediaries, which shall be available for the period 
                July 1, 2023 through June 30, 2024;
                    (H) $75,000,000 for a National Youth Employment 
                Program, under the authority of section 169 of the 
                WIOA, including the expansion of summer and year-round 
                job opportunities for disadvantaged youth, which shall 
                be available for the period April 1, 2023 through June 
                30, 2024;
                    (I) $10,000,000 for a national training program for 
                veterans, members of the armed forces who are 
                separating from active duty, and the spouses of 
                veterans and such members, focused on training related 
                to employment in clean energy sectors and occupations, 
                under the authority of section 169 of the WIOA, which 
                shall be available for the period July 1, 2023 through 
                June 30, 2024;
                    (J) $15,000,000 for employment and training 
                activities for youth related to high-quality employment 
                opportunities in industry sectors or occupations 
                related to climate resilience or mitigation, to be 
                provided through the award of grants, contracts, or 
                cooperative agreements to State or local public 
                agencies or private nonprofit entities and which may 
                include paid work experiences in public agencies or 
                private nonprofit entities, pre-apprenticeship and 
                registered apprenticeship programs, including but not 
                limited to work experiences and programs offered in 
                public agencies notwithstanding section 194(10) of the 
                WIOA, and other appropriate activities in coordination 
                with climate resilience or mitigation activities 
                undertaken by other federal agencies, under the 
                authority of section 169 of the WIOA, which shall be 
                available for the period July 1, 2023 through June 30, 
                2024; and
                    (K) $132,114,000 for carrying out Demonstration and 
                Pilot projects under section 169(c) of the WIOA, which 
                shall be available for the period April 1, 2023 through 
                June 30, 2024, in addition to funds available for such 
                activities under subparagraph (A) for the projects, and 
                in the amounts, specified in the table titled ``Labor, 
                HHS, Education Incorporation of Community Project 
                Funding Items'' in the report accompanying this Act:  
                Provided, That such funds may be used for projects that 
                are related to the employment and training needs of 
                dislocated workers, other adults, or youth:  Provided 
                further, That the 10 percent funding limitation under 
                such section of the WIOA shall not apply to such funds: 
                 Provided further, That section 169(b)(6)(C) of the 
                WIOA shall not apply to such funds:  Provided further, 
                That sections 102 and 107 of this Act shall not apply 
                to such funds.

                               job corps

                     (including transfer of funds)

    To carry out subtitle C of title I of the WIOA, including Federal 
administrative expenses, the purchase and hire of passenger motor 
vehicles, the construction, alteration, and repairs of buildings and 
other facilities, and the purchase of real property for training 
centers as authorized by the WIOA, $1,798,655,000, plus reimbursements, 
as follows:
            (1) $1,627,325,000 for Job Corps Operations, which shall be 
        available for the period July 1, 2023 through June 30, 2024;
            (2) $133,000,000 for construction, rehabilitation and 
        acquisition of Job Corps Centers, which shall be available for 
        the period July 1, 2023 through June 30, 2026, and which may 
        include the acquisition, maintenance, and repair of major items 
        of equipment:  Provided, That the Secretary may transfer up to 
        15 percent of such funds to meet the operational needs of such 
        centers or to achieve administrative efficiencies:  Provided 
        further, That any funds transferred pursuant to the preceding 
        provision shall not be available for obligation after June 30, 
        2023:  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 transfer; and
            (3) $38,330,000 for necessary expenses of Job Corps, which 
        shall be available for obligation for the period October 1, 
        2022 through September 30, 2023:
  Provided, That no funds from any other appropriation shall be used to 
provide meal services at or for Job Corps centers.

            community service employment for older americans

    To carry out title V of the Older Americans Act of 1965 (referred 
to in this Act as ``OAA''), $450,000,000, which shall be available for 
the period April 1, 2023 through June 30, 2024, and may be recaptured 
and reobligated in accordance with section 517(c) of the OAA.

              federal unemployment benefits and allowances

    For payments during fiscal year 2023 of trade adjustment benefit 
payments and allowances under part I of subchapter B of chapter 2 of 
title II of the Trade Act of 1974, and section 246 of that Act; and for 
training, employment and case management services, allowances for job 
search and relocation, and related State administrative expenses under 
part II of subchapter B of chapter 2 of title II of the Trade Act of 
1974, and including benefit payments, allowances, training, employment 
and case management services, and related State administration provided 
pursuant to section 231(a) of the Trade Adjustment Assistance Extension 
Act of 2011, and sections 405(a) and 406 of the Trade Preferences 
Extension Act of 2015, $494,400,000 together with such amounts as may 
be necessary to be charged to the subsequent appropriation for payments 
for any period subsequent to September 15, 2023:  Provided, That 
notwithstanding section 502 of this Act, any part of the appropriation 
provided under this heading may remain available for obligation beyond 
the current fiscal year pursuant to the authorities of section 245(c) 
of the Trade Act of 1974 (19 U.S.C. 2317(c)): Provided further, That 
the termination provisions in sections 246(b) and 285(a) of the Trade 
Act of 1974, as amended, including the application of those provisions 
described in paragraphs (4) and (7) of section 406(a) of the Trade 
Preferences Extension Act of 2015, shall not apply.

     state unemployment insurance and employment service operations

                     (including transfer of funds)

    For authorized administrative expenses, $89,066,000, together with 
not to exceed $4,124,894,000 which may be expended from the Employment 
Security Administration Account in the Unemployment Trust Fund (``the 
Trust Fund''), of which--
            (1) $3,184,635,000 from the Trust Fund is for grants to 
        States for the administration of State unemployment insurance 
        laws as authorized under title III of the Social Security Act 
        (including not less than $375,000,000 to carry out reemployment 
        services and eligibility assessments under section 306 of such 
        Act, any claimants of regular compensation, as defined in such 
        section, including those who are profiled as most likely to 
        exhaust their benefits, may be eligible for such services and 
        assessments:  Provided, That of such amount, $117,000,000 is 
        specified for grants under section 306 of the Social Security 
        Act and is provided to meet the terms of section 1(j)(2) of H. 
        Res. 1151 (117th Congress), as engrossed in the House of 
        Representatives on June 8, 2022, and $258,000,000 is additional 
        new budget authority specified for purposes of section 1(j) of 
        such resolution; and $9,000,000 for continued support of the 
        Unemployment Insurance Integrity Center of Excellence), the 
        administration of unemployment insurance for Federal employees 
        and for ex-service members as authorized under 5 U.S.C. 8501-
        8523, and the administration of trade readjustment allowances, 
        reemployment trade adjustment assistance, and alternative trade 
        adjustment assistance under the Trade Act of 1974 and under 
        section 231(a) of the Trade Adjustment Assistance Extension Act 
        of 2011, and sections 405(a) and 406 of the Trade Preferences 
        Extension Act of 2015 (except that the termination provisions 
        in sections 246(b) and 285(a) of the Trade Act of 1974, as 
        amended, including the application of those provisions 
        described in paragraphs (4) and (7) of section 406 of the Trade 
        Preferences Extension Act of 2015, shall not apply), and shall 
        be available for obligation by the States through December 31, 
        2023, except that funds used for automation shall be available 
        for Federal obligation through December 31, 2023, and for State 
        obligation through September 30, 2025, or, if the automation is 
        being carried out through consortia of States, for State 
        obligation through September 30, 2029, and for expenditure 
        through September 30, 2030, and funds for competitive grants 
        awarded to States for improved operations and to conduct in-
        person reemployment and eligibility assessments and 
        unemployment insurance improper payment reviews and provide 
        reemployment services and referrals to training, as 
        appropriate, shall be available for Federal obligation through 
        December 31, 2023 (except that funds for outcome payments 
        pursuant to section 306(f)(2) of the Social Security Act shall 
        be available for Federal obligation through March 31, 2024), 
        and for obligation by the States through September 30, 2025, 
        and funds for the Unemployment Insurance Integrity Center of 
        Excellence shall be available for obligation by the State 
        through September 30, 2024, and funds used for unemployment 
        insurance workloads experienced through September 30, 2023 
        shall be available for Federal obligation through December 31, 
        2023;
            (2) $118,000,000 from the Trust Fund is for national 
        activities necessary to support the administration of the 
        Federal-State unemployment insurance system;
            (3) $702,449,000 from the Trust Fund, together with 
        $21,413,000 from the General Fund of the Treasury, is for 
        grants to States in accordance with section 6 of the Wagner-
        Peyser Act, and shall be available for Federal obligation for 
        the period July 1, 2023 through June 30, 2024;
            (4) $25,000,000 from the Trust Fund is for national 
        activities of the Employment Service, including administration 
        of the work opportunity tax credit under section 51 of the 
        Internal Revenue Code of 1986 (including assisting States in 
        adopting or modernizing information technology for use in the 
        processing of certification requests), and the provision of 
        technical assistance and staff training under the Wagner-Peyser 
        Act;
            (5) $94,810,000 from the Trust Fund is for the 
        administration of foreign labor certifications and related 
        activities under the Immigration and Nationality Act and 
        related laws, of which $68,528,000 shall be available for the 
        Federal administration of such activities, and $26,282,000 
        shall be available for grants to States for the administration 
        of such activities; and
            (6) $67,653,000 from the General Fund is to provide 
        workforce information, national electronic tools, and one-stop 
        system building under the Wagner-Peyser Act and shall be 
        available for Federal obligation for the period July 1, 2023 
        through June 30, 2024, of which up to $9,800,000 may be used to 
        carry out research and demonstration projects related to 
        testing effective ways to promote greater labor force 
        participation of people with disabilities:  Provided, That the 
        Secretary may transfer amounts made available for research and 
        demonstration projects under this paragraph to the ``Office of 
        Disability Employment Policy'' account for such purposes:
  Provided, That to the extent that the Average Weekly Insured 
Unemployment (``AWIU'') for fiscal year 2023 is projected by the 
Department of Labor to exceed 1,778,000, an additional $28,600,000 from 
the Trust Fund shall be available for obligation for every 100,000 
increase in the AWIU level (including a pro rata amount for any 
increment less than 100,000) to carry out title III of the Social 
Security Act:  Provided further, That funds appropriated in this Act 
that are allotted to a State to carry out activities under title III of 
the Social Security Act may be used by such State to assist other 
States in carrying out activities under such title III if the other 
States include areas that have suffered a major disaster declared by 
the President under the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act:  Provided further, That the Secretary may use 
funds appropriated for grants to States under title III of the Social 
Security Act to make payments on behalf of States for the use of the 
National Directory of New Hires under section 453(j)(8) of such Act:  
Provided further, That the Secretary may use funds appropriated for 
grants to States under title III of the Social Security Act to make 
payments on behalf of States to the entity operating the State 
Information Data Exchange System:  Provided further, That funds 
appropriated in this Act which are used to establish a national one-
stop career center system, or which are used to support the national 
activities of the Federal-State unemployment insurance, employment 
service, or immigration programs, may be obligated in contracts, 
grants, or agreements with States and non-State entities:  Provided 
further, That States awarded competitive grants for improved operations 
under title III of the Social Security Act, or awarded grants to 
support the national activities of the Federal-State unemployment 
insurance system, may award subgrants to other States and non-State 
entities under such grants, subject to the conditions applicable to the 
grants:  Provided further, That funds appropriated under this Act for 
activities authorized under title III of the Social Security Act and 
the Wagner-Peyser Act may be used by States to fund integrated 
Unemployment Insurance and Employment Service automation efforts, 
notwithstanding cost allocation principles prescribed under the final 
rule entitled ``Uniform Administrative Requirements, Cost Principles, 
and Audit Requirements for Federal Awards'' at part 200 of title 2, 
Code of Federal Regulations:  Provided further, That the Secretary, at 
the request of a State participating in a consortium with other States, 
may reallot funds allotted to such State under title III of the Social 
Security Act to other States participating in the consortium or to the 
entity operating the Unemployment Insurance Information Technology 
Support Center in order to carry out activities that benefit the 
administration of the unemployment compensation law of the State making 
the request:  Provided further, That the Secretary may collect fees for 
the costs associated with additional data collection, analyses, and 
reporting services relating to the National Agricultural Workers Survey 
requested by State and local governments, public and private 
institutions of higher education, and nonprofit organizations and may 
utilize such sums, in accordance with the provisions of 29 U.S.C. 9a, 
for the National Agricultural Workers Survey infrastructure, 
methodology, and data to meet the information collection and reporting 
needs of such entities, which shall be credited to this appropriation 
and shall remain available until September 30, 2024, for such purposes.

        advances to the unemployment trust fund and other funds

    For repayable advances to the Unemployment Trust Fund as authorized 
by sections 905(d) and 1203 of the Social Security Act, and to the 
Black Lung Disability Trust Fund as authorized by section 9501(c)(1) of 
the Internal Revenue Code of 1986; and for nonrepayable advances to the 
revolving fund established by section 901(e) of the Social Security 
Act, to the Unemployment Trust Fund as authorized by 5 U.S.C. 8509, and 
to the ``Federal Unemployment Benefits and Allowances'' account, such 
sums as may be necessary, which shall be available for obligation 
through September 30, 2024.

                         program administration

    For expenses of administering employment and training programs, 
$144,465,000, together with not to exceed $64,735,000which may be 
expended from the Employment Security Administration Account in the 
Unemployment Trust Fund: Provided, That funds made available for the 
Office of Apprenticeship shall be used only for the administration of 
apprenticeship programs registered under the National Apprenticeship 
Act and as referred to in section 3(7)(B) of the WIOA and to provide 
for the full and adequate staffing of the Federal Office of 
Apprenticeship and each of the State Offices of Apprenticeship.

               Employee Benefits Security Administration

                         salaries and expenses

    For necessary expenses for the Employee Benefits Security 
Administration, $233,867,000, of which up to $3,000,000 shall be made 
available through September 30, 2024, for the procurement of expert 
witnesses for enforcement litigation.

                  Pension Benefit Guaranty Corporation

               pension benefit guaranty corporation fund

    The Pension Benefit Guaranty Corporation (``Corporation'') is 
authorized to make such expenditures, including financial assistance 
authorized by subtitle E of title IV of the Employee Retirement Income 
Security Act of 1974, within limits of funds and borrowing authority 
available to the Corporation, and in accord with law, and to make such 
contracts and commitments without regard to fiscal year limitations, as 
provided by 31 U.S.C. 9104, as may be necessary in carrying out the 
program, including associated administrative expenses, through 
September 30, 2023, for the Corporation:  Provided, That none of the 
funds available to the Corporation for fiscal year 2023 shall be 
available for obligations for administrative expenses in excess of 
$493,314,000:  Provided further, That to the extent that the number of 
new plan participants in plans terminated by the Corporation exceeds 
100,000 in fiscal year 2023, an amount not to exceed an additional 
$9,200,000 shall be available through September 30, 2027, for 
obligations for administrative expenses for every 20,000 additional 
terminated participants:  Provided further, That obligations in excess 
of the amounts provided for administrative expenses in this paragraph 
may be incurred and shall be available through September 30, 2027 for 
obligation for unforeseen and extraordinary pre-termination or 
termination expenses or extraordinary multiemployer program related 
expenses after approval by the Office of Management and Budget and 
notification of the Committees on Appropriations of the House of 
Representatives and the Senate:  Provided further, That an additional 
amount shall be available for obligation through September 30, 2027 to 
the extent the Corporation's costs exceed $250,000 for the provision of 
credit or identity monitoring to affected individuals upon suffering a 
security incident or privacy breach, not to exceed an additional $100 
per affected individual.

                         Wage and Hour Division

                         salaries and expenses

    For necessary expenses for the Wage and Hour Division, including 
reimbursement to State, Federal, and local agencies and their employees 
for inspection services rendered, $312,678,000:  Provided, That the 
Secretary of Labor shall use funds made available under this heading to 
establish a national hotline to support domestic workers.

                  Office of Labor-management Standards

                         salaries and expenses

    For necessary expenses for the Office of Labor-Management 
Standards, $45,937,000.

             Office of Federal Contract Compliance Programs

                         salaries and expenses

    For necessary expenses for the Office of Federal Contract 
Compliance Programs, $147,051,000.

                Office of Workers' Compensation Programs

                         salaries and expenses

    For necessary expenses for the Office of Workers' Compensation 
Programs, $143,772,000, together with $2,205,000 which may be expended 
from the Special Fund in accordance with sections 39(c), 44(d), and 
44(j) of the Longshore and Harbor Workers' Compensation Act.

                            special benefits

                     (including transfer of funds)

    For the payment of compensation, benefits, and expenses (except 
administrative expenses not otherwise authorized) accruing during the 
current or any prior fiscal year authorized by 5 U.S.C. 81; 
continuation of benefits as provided for under the heading ``Civilian 
War Benefits'' in the Federal Security Agency Appropriation Act, 1947; 
the Employees' Compensation Commission Appropriation Act, 1944; section 
5(f) of the War Claims Act (50 U.S.C. App. 2012); obligations incurred 
under the War Hazards Compensation Act (42 U.S.C. 1701 et seq.); and 50 
percent of the additional compensation and benefits required by section 
10(h) of the Longshore and Harbor Workers' Compensation Act, 
$250,000,000, together with such amounts as may be necessary to be 
charged to the subsequent year appropriation for the payment of 
compensation and other benefits for any period subsequent to August 15 
of the current year, for deposit into and to assume the attributes of 
the Employees' Compensation Fund established under 5 U.S.C. 8147(a):  
Provided, That amounts appropriated may be used under 5 U.S.C. 8104 by 
the Secretary to reimburse an employer, who is not the employer at the 
time of injury, for portions of the salary of a re-employed, disabled 
beneficiary:  Provided further, That balances of reimbursements 
unobligated on September 30, 2022, shall remain available until 
expended for the payment of compensation, benefits, and expenses:  
Provided further, That in addition there shall be transferred to this 
appropriation from the Postal Service and from any other corporation or 
instrumentality required under 5 U.S.C. 8147(c) to pay an amount for 
its fair share of the cost of administration, such sums as the 
Secretary determines to be the cost of administration for employees of 
such fair share entities through September 30, 2023:  Provided further, 
That of those funds transferred to this account from the fair share 
entities to pay the cost of administration of the Federal Employees' 
Compensation Act, $81,752,000 shall be made available to the Secretary 
as follows:
            (1) For enhancement and maintenance of automated data 
        processing systems operations and telecommunications systems, 
        $27,727,000;
            (2) For automated workload processing operations, including 
        document imaging, centralized mail intake, and medical bill 
        processing, $26,125,000;
            (3) For periodic roll disability management and medical 
        review, $26,125,000;
            (4) For program integrity, $1,774,000; and
            (5) The remaining funds shall be paid into the Treasury as 
        miscellaneous receipts:
  Provided further, That the Secretary may require that any person 
filing a notice of injury or a claim for benefits under 5 U.S.C. 81, or 
the Longshore and Harbor Workers' Compensation Act, provide as part of 
such notice and claim, such identifying information (including Social 
Security account number) as such regulations may prescribe.

               special benefits for disabled coal miners

    For carrying out title IV of the Federal Mine Safety and Health Act 
of 1977, as amended by Public Law 107-275, $36,031,000, to remain 
available until expended.
    For making after July 31 of the current fiscal year, benefit 
payments to individuals under title IV of such Act, for costs incurred 
in the current fiscal year, such amounts as may be necessary.
    For making benefit payments under title IV for the first quarter of 
fiscal year 2024, $10,250,000, to remain available until expended.

    administrative expenses, energy employees occupational illness 
                           compensation fund

    For necessary expenses to administer the Energy Employees 
Occupational Illness Compensation Program Act, $64,564,000, to remain 
available until expended:  Provided, That the Secretary may require 
that any person filing a claim for benefits under the Act provide as 
part of such claim such identifying information (including Social 
Security account number) as may be prescribed.

                    black lung disability trust fund

                     (including transfer of funds)

    Such sums as may be necessary from the Black Lung Disability Trust 
Fund (the ``Fund''), to remain available until expended, for payment of 
all benefits authorized by section 9501(d)(1), (2), (6), and (7) of the 
Internal Revenue Code of 1986; and repayment of, and payment of 
interest on advances, as authorized by section 9501(d)(4) of that Act. 
In addition, the following amounts may be expended from the Fund for 
fiscal year 2023 for expenses of operation and administration of the 
Black Lung Benefits program, as authorized by section 9501(d)(5): not 
to exceed $42,194,000 for transfer to the Office of Workers' 
Compensation Programs, ``Salaries and Expenses''; not to exceed 
$38,407,000 for transfer to Departmental Management, ``Salaries and 
Expenses''; not to exceed $353,000 for transfer to Departmental 
Management, ``Office of Inspector General''; and not to exceed $356,000 
for payments into miscellaneous receipts for the expenses of the 
Department of the Treasury.

             Occupational Safety and Health Administration

                         salaries and expenses

    For necessary expenses for the Occupational Safety and Health 
Administration, $712,015,000, including not to exceed $121,075,000 
which shall be the maximum amount available for grants to States under 
section 23(g) of the Occupational Safety and Health Act (the ``Act''), 
which grants shall be no less than 50 percent of the costs of State 
occupational safety and health programs required to be incurred under 
plans approved by the Secretary under section 18 of the Act; and, in 
addition, notwithstanding 31 U.S.C. 3302, the Occupational Safety and 
Health Administration may retain up to $499,000 per fiscal year of 
training institute course tuition and fees, otherwise authorized by law 
to be collected, and may utilize such sums for occupational safety and 
health training and education:  Provided, That notwithstanding 31 
U.S.C. 3302, the Secretary is authorized, during the fiscal year ending 
September 30, 2023, to collect and retain fees for services provided to 
Nationally Recognized Testing Laboratories, and may utilize such sums, 
in accordance with the provisions of 29 U.S.C. 9a, to administer 
national and international laboratory recognition programs that ensure 
the safety of equipment and products used by workers in the workplace:  
Provided further, That $14,287,000 shall be available for Susan Harwood 
training grants, of which not more than $6,500,000 is for Susan Harwood 
Training Capacity Building Developmental grants, for program activities 
starting not later than September 30, 2023 and lasting for a period of 
12 months:  Provided further, That not less than $3,500,000 shall be 
for Voluntary Protection Programs.

                 Mine Safety and Health Administration

                         salaries and expenses

    For necessary expenses for the Mine Safety and Health 
Administration, $403,816,000, including purchase and bestowal of 
certificates and trophies in connection with mine rescue and first-aid 
work, and the hire of passenger motor vehicles, including up to 
$2,000,000 for mine rescue and recovery activities and not less than 
$10,537,000 for State assistance grants:  Provided, That 
notwithstanding 31 U.S.C. 3302, not to exceed $750,000 may be collected 
by the National Mine Health and Safety Academy for room, board, 
tuition, and the sale of training materials, otherwise authorized by 
law to be collected, to be available for mine safety and health 
education and training activities:  Provided further, That 
notwithstanding 31 U.S.C. 3302, the Mine Safety and Health 
Administration is authorized to collect and retain up to $2,499,000 
from fees collected for the approval and certification of equipment, 
materials, and explosives for use in mines, and may utilize such sums 
for such activities:  Provided further, That the Secretary is 
authorized to accept lands, buildings, equipment, and other 
contributions from public and private sources and to prosecute projects 
in cooperation with other agencies, Federal, State, or private:  
Provided further, That the Mine Safety and Health Administration is 
authorized to promote health and safety education and training in the 
mining community through cooperative programs with States, industry, 
and safety associations:  Provided further, That the Secretary is 
authorized to recognize the Joseph A. Holmes Safety Association as a 
principal safety association and, notwithstanding any other provision 
of law, may provide funds and, with or without reimbursement, 
personnel, including service of Mine Safety and Health Administration 
officials as officers in local chapters or in the national 
organization:  Provided further, That any funds available to the 
Department of Labor may be used, with the approval of the Secretary, to 
provide for the costs of mine rescue and survival operations in the 
event of a major disaster.

                       Bureau of Labor Statistics

                         salaries and expenses

    For necessary expenses for the Bureau of Labor Statistics, 
including advances or reimbursements to State, Federal, and local 
agencies and their employees for services rendered, $658,334,000, 
together with not to exceed $68,000,000 which may be expended from the 
Employment Security Administration account in the Unemployment Trust 
Fund.

                 Office of Disability Employment Policy

                         salaries and expenses

                     (including transfer of funds)

    For necessary expenses for the Office of Disability Employment 
Policy to provide leadership, develop policy and initiatives, and award 
grants furthering the objective of eliminating barriers to the training 
and employment of people with disabilities, $58,566,000, of which not 
less than $9,000,000 shall be for research and demonstration projects 
related to testing effective ways to promote greater labor force 
participation of people with disabilities:  Provided, That the 
Secretary may transfer amounts made available under this heading for 
research and demonstration projects to the ``State Unemployment 
Insurance and Employment Service Operations'' account for such 
purposes.

                        Departmental Management

                         salaries and expenses

                     (including transfer of funds)

    For necessary expenses for Departmental Management, including the 
hire of three passenger motor vehicles, $498,609,000, together with not 
to exceed $308,000, which may be expended from the Employment Security 
Administration account in the Unemployment Trust Fund:  Provided, That 
$101,325,000 for the Bureau of International Labor Affairs shall be 
available for obligation through December 31, 2023:  Provided further, 
That funds available to the Bureau of International Labor Affairs may 
be used to administer or operate international labor activities, 
bilateral and multilateral technical assistance, and microfinance 
programs, by or through contracts, grants, subgrants and other 
arrangements:  Provided further, That not less than $40,500,000 shall 
be for programs to combat exploitative child labor internationally and 
not less than $40,500,000 shall be used to implement model programs 
that address worker rights issues through technical assistance in 
countries with which the United States has free trade agreements or 
trade preference programs: Provided further, That the Secretary of 
Labor may waive the application of section 505 of this Act to awards 
made from funds available to the Bureau of International Labor Affairs 
if the Secretary determines that the waiver is necessary to protect 
human health, safety, or welfare:  Provided further, That $10,351,000 
shall be used for program evaluation and shall be available for 
obligation through September 30, 2024:  Provided further, That funds 
available for program evaluation may be used to administer grants for 
the purpose of evaluation:  Provided further, That grants made for the 
purpose of evaluation shall be awarded through fair and open 
competition:  Provided further, That funds available for program 
evaluation may be transferred to any other appropriate account in the 
Department 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 transfer:  Provided 
further, That the funds available to the Women's Bureau may be used for 
grants to serve and promote the interests of women in the workforce:  
Provided further, That of the amounts made available to the Women's 
Bureau, not less than $7,500,000 shall be used for grants authorized by 
the Women in Apprenticeship and Nontraditional Occupations Act.

                   veterans' employment and training

    Not to exceed $268,341,000 may be derived from the Employment 
Security Administration account in the Unemployment Trust Fund to carry 
out the provisions of chapters 41, 42, and 43 of title 38, United 
States Code, of which--
            (1) $183,000,000 is for Jobs for Veterans State grants 
        under 38 U.S.C. 4102A(b)(5) to support disabled veterans' 
        outreach program specialists under section 4103A of such title 
        and local veterans' employment representatives under section 
        4104(b) of such title, and for the expenses described in 
        section 4102A(b)(5)(C), which shall be available for 
        expenditure by the States through September 30, 2025, and not 
        to exceed 3 percent for the necessary Federal expenditures for 
        data systems and contract support to allow for the tracking of 
        participant and performance information:  Provided, That, in 
        addition, such funds may be used to support such specialists 
        and representatives in the provision of services to 
        transitioning members of the Armed Forces who have participated 
        in the Transition Assistance Program and have been identified 
        as in need of intensive services, to members of the Armed 
        Forces who are wounded, ill, or injured and receiving treatment 
        in military treatment facilities or warrior transition units, 
        and to the spouses or other family caregivers of such wounded, 
        ill, or injured members, and to Gold Star spouses;
            (2) $32,379,000 is for carrying out the Transition 
        Assistance Program under 38 U.S.C. 4113 and 10 U.S.C. 1144;
            (3) $49,548,000 is for Federal administration of chapters 
        41, 42, and 43 of title 38, and sections 2021, 2021A and 2023 
        of title 38, United States Code:  Provided, That, up to 
        $500,000 may be used to carry out the Hire VETS Act (division O 
        of Public Law 115-31); and
            (4) $3,414,000 is for the National Veterans' Employment and 
        Training Services Institute under 38 U.S.C. 4109:
  Provided, That the Secretary may reallocate among the appropriations 
provided under paragraphs (1) through (4) above an amount not to exceed 
3 percent of the appropriation from which such reallocation is made.
    In addition, from the General Fund of the Treasury, $70,500,000 is 
for carrying out programs to assist homeless veterans and veterans at 
risk of homelessness who are transitioning from certain institutions 
under sections 2021, 2021A, and 2023 of title 38, United States Code:  
Provided, That notwithstanding subsections (c)(3) and (d) of section 
2023, the Secretary may award grants through September 30, 2023, to 
provide services under such section:  Provided further, That services 
provided under sections 2021 or under 2021A may include, in addition to 
services to homeless veterans described in section 2002(a)(1), services 
to veterans who were homeless at some point within the 60 days prior to 
program entry or veterans who are at risk of homelessness within the 
next 60 days, and that services provided under section 2023 may 
include, in addition to services to the individuals described in 
subsection (e) of such section, services to veterans recently released 
from incarceration who are at risk of homelessness:  Provided further, 
That notwithstanding paragraph (3) under this heading, funds 
appropriated in this paragraph may be used for data systems and 
contract support to allow for the tracking of participant and 
performance information:  Provided further, That notwithstanding 
sections 2021(e)(2) and 2021A(f)(2) of title 38, United States Code, 
such funds shall be available for expenditure pursuant to 31 U.S.C. 
1553.
    In addition, fees may be assessed and deposited in the HIRE Vets 
Medallion Award Fund pursuant to section 5(b) of the HIRE Vets Act, and 
such amounts shall be available to the Secretary to carry out the HIRE 
Vets Medallion Award Program, as authorized by such Act, and shall 
remain available until expended:  Provided, That such sums shall be in 
addition to any other funds available for such purposes, including 
funds available under paragraph (3) of this heading:  Provided further, 
That section 2(d) of division O of the Consolidated Appropriations Act, 
2017 (Public Law 115-31; 38 U.S.C. 4100 note ) shall not apply.

                            it modernization

    For necessary expenses for Department of Labor centralized 
infrastructure technology investment activities related to support 
systems and modernization, $38,269,000, which shall be available 
through September 30, 2024.

                      office of inspector general

    For salaries and expenses of the Office of Inspector General in 
carrying out the provisions of the Inspector General Act of 1978, 
$93,187,000, together with not to exceed $5,841,000 which may be 
expended from the Employment Security Administration account in the 
Unemployment Trust Fund.

                           General Provisions

    Sec. 101.  None of the funds appropriated by this Act for the Job 
Corps shall be used to pay the salary and bonuses of an individual, 
either as direct costs or any proration as an indirect cost, at a rate 
in excess of Executive Level II.

                          (transfer of funds)

    Sec. 102.  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 the 
Department of Labor in this Act may be transferred between a program, 
project, or activity, but no such program, project, or activity shall 
be increased by more than 3 percent by any such transfer:  Provided, 
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 Appropriations of the House of Representatives and the 
Senate are notified at least 15 days in advance of any transfer.
    Sec. 103.  In accordance with Executive Order 13126, none of the 
funds appropriated or otherwise made available pursuant to this Act 
shall be obligated or expended for the procurement of goods mined, 
produced, manufactured, or harvested or services rendered, in whole or 
in part, by forced or indentured child labor in industries and host 
countries already identified by the United States Department of Labor 
prior to enactment of this Act.
    Sec. 104.  Except as otherwise provided in this section, none of 
the funds made available to the Department of Labor for grants under 
section 414(c) of the American Competitiveness and Workforce 
Improvement Act of 1998 (29 U.S.C. 2916a) may be used for any purpose 
other than competitive grants for training individuals who are older 
than 16 years of age and are not currently enrolled in school within a 
local educational agency in the occupations and industries for which 
employers are using H-1B visas to hire foreign workers, and the related 
activities necessary to support such training.
    Sec. 105.  None of the funds made available by this Act under the 
heading ``Employment and Training Administration'' shall be used by a 
recipient or subrecipient of such funds to pay the salary and bonuses 
of an individual, either as direct costs or indirect costs, at a rate 
in excess of Executive Level II. This limitation shall not apply to 
vendors providing goods and services as defined in Office of Management 
and Budget Circular A-133. Where States are recipients of such funds, 
States may establish a lower limit for salaries and bonuses of those 
receiving salaries and bonuses from subrecipients of such funds, taking 
into account factors including the relative cost-of-living in the 
State, the compensation levels for comparable State or local government 
employees, and the size of the organizations that administer Federal 
programs involved including Employment and Training Administration 
programs.

                           (transfer of funds)

    Sec. 106. (a) Notwithstanding section 102, the Secretary may 
transfer funds made available to the Employment and Training 
Administration by this Act, either directly or through a set-aside, for 
technical assistance services to grantees to ``Program Administration'' 
when it is determined that those services will be more efficiently 
performed by Federal employees:  Provided, That this section shall not 
apply to section 171 of the WIOA.
    (b) Notwithstanding section 102, the Secretary may transfer not 
more than 0.5 percent of each discretionary appropriation made 
available to the Employment and Training Administration by this Act to 
``Program Administration'' in order to carry out program integrity 
activities relating to any of the programs or activities that are 
funded under any such discretionary appropriations:  Provided, That 
notwithstanding section 102 and the preceding proviso, the Secretary 
may transfer not more than 0.5 percent of funds made available in 
paragraphs (1) and (2) of the ``Office of Job Corps'' account to 
paragraph (3) of such account to carry out program integrity activities 
related to the Job Corps program:  Provided further, That funds 
transferred under this subsection shall be available to the Secretary 
to carry out program integrity activities directly or through grants, 
cooperative agreements, contracts and other arrangements with States 
and other appropriate entities:  Provided further, That funds 
transferred under the authority provided by this subsection shall be 
available for obligation through September 30, 2024.

                          (transfer of funds)

    Sec. 107. (a) The Secretary may reserve not more than 0.75 percent 
from each appropriation made available in this Act identified in 
subsection (b) in order to carry out evaluations of any of the programs 
or activities that are funded under such accounts. Any funds reserved 
under this section shall be transferred to ``Departmental Management'' 
for use by the Office of the Chief Evaluation Officer within the 
Department of Labor, and shall be available for obligation through 
September 30, 2024:  Provided, That such funds shall only be available 
if the Chief Evaluation Officer of the Department of Labor submits a 
plan to the Committees on Appropriations of the House of 
Representatives and the Senate describing the evaluations to be carried 
out 15 days in advance of any transfer.
    (b) The accounts referred to in subsection (a) are: ``Training and 
Employment Services'', ``Job Corps'', ``Community Service Employment 
for Older Americans'', ``State Unemployment Insurance and Employment 
Service Operations'', ``Employee Benefits Security Administration'', 
``Office of Workers' Compensation Programs'', ``Wage and Hour 
Division'', ``Office of Federal Contract Compliance Programs'', 
``Office of Labor Management Standards'', ``Occupational Safety and 
Health Administration'', ``Mine Safety and Health Administration'', 
``Office of Disability Employment Policy'', funding made available to 
the ``Bureau of International Labor Affairs'' and ``Women's Bureau'' 
within the ``Departmental Management, Salaries and Expenses'' account, 
and ``Veterans' Employment and Training''.
    Sec. 108.  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 determined by the Secretary, to apprenticeship 
programs for the purpose of training apprentices in those programs.
    Sec. 109. (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 authorized to employ 
law enforcement officers or special agents to--
            ``(1) provide protection for the Secretary of Labor during 
        the workday of the Secretary and during any activity that is 
        preliminary or postliminary to the performance of official 
        duties by the Secretary;
            ``(2) provide protection, incidental to the protection 
        provided to the Secretary, to a member of the immediate family 
        of the Secretary who is participating in an activity or event 
        relating to the official duties of the Secretary;
            ``(3) provide continuous protection to the Secretary 
        (including during periods not described in paragraph (1)) and 
        to the members of the immediate family of the Secretary if 
        there is a significant and articulable threat of physical harm, 
        in accordance with guidelines established by the Secretary; and
            ``(4) provide protection to the Deputy Secretary of Labor 
        in the performance of official duties at a public event outside 
        of the United States if there is a significant and articulable 
        threat of physical harm and protective services are not 
        provided as part of an official U.S. visit.
    ``(b) Authorities.--The Secretary of Labor may authorize a law 
enforcement officer or special agent employed under subsection (a), for 
the purpose of performing the duties authorized under subsection (a), 
to--
            ``(1) carry firearms;
            ``(2) make arrests without a warrant for any offense 
        against the United States committed in the presence of such 
        officer or special agent;
            ``(3) perform protective intelligence work, including 
        identifying and mitigating potential threats and conducting 
        advance work to review security matters relating to sites and 
        events;
            ``(4) coordinate with local law enforcement agencies; and
            ``(5) initiate criminal and other investigations into 
        potential threats to the security of the Secretary, in 
        coordination with the Inspector General of the Department of 
        Labor.
    ``(c) Compliance With Guidelines.--A law enforcement 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 enactment of 
this Act.
    Sec. 110.  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 will not be subject to any 
requirement of any Federal law or regulation relating to the 
disposition of Federal real property, including but not limited to 
subchapter III of chapter 5 of title 40 of the United States Code and 
subchapter V of chapter 119 of title 42 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. 111.  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 Centers, 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 requirements of section 159(j) of the WIOA 
        are met.
    Sec. 112.  None of the funds made available by this Act may be used 
to implement or enforce the final rule entitled ``Wagner-Peyser Act 
Staffing Flexibility'' published by the Department of Labor in the 
Federal Register on January 6, 2020.
    Sec. 113.  None of the funds made available by this Act may be used 
to implement or enforce subpart B of part 29 of title 29, Code of 
Federal Regulations (relating to Standards Recognition Entities of 
Industry Recognized Apprenticeship Programs).
    This title may be cited as the ``Department of Labor Appropriations 
Act, 2023''.

                                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, 
$1,946,772,000:  Provided, That $50,000,000 shall be available for the 
purpose of making grants to support school-based health centers as 
authorized under section 399Z-1 of the PHS Act (42 U.S.C. 280h-5):  
Provided further, 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 subsections (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 Quality Improvement Act of 1986, 
$1,543,566,000:  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 available 
under this heading:  Provided further, That for any program 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 ``Secretary'') may hereafter waive any of the requirements 
contained 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 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 account 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 subpart:  Provided further, That $155,600,000 shall 
remain available until expended for the purposes of providing primary 
health services, assigning National Health Service Corps (``NHSC'') 
participants to expand the delivery of 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 Repayment Program under 
section 338B of such Act:  Provided further, That, within the amount 
made available in the preceding proviso, $15,600,000 shall remain 
available until expended 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 within the amount made available in the sixth proviso under this 
heading, $10,000,000 shall remain available until expended for the 
purposes of making loan repayment awards to mental and behavioral 
health providers, including peer support specialists, in accordance 
with section 338B of the PHS Act, notwithstanding the assignment 
priorities and limitations under sections 333(a)(1)(D), 333(b), 
333A(a)(1)(B)(ii), and 334 of the PHS Act:  Provided further, That for 
purposes of the preceding three provisos, 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, and services provided by certified peer support 
specialists:  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 process, with a preference for those in Federally 
Qualified Health Centers, for practicing postgraduate nurse 
practitioners in primary care or behavioral health:  Provided further, 
That of the funds made available under this heading, $15,000,000 shall 
remain available until expended for activities 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 
development, maintenance, equipment, and minor renovations or 
alterations:  Provided, That, in awarding such grants, the Secretary 
shall give priority to public institutions of higher education located 
in States with a projected primary care provider shortage in 2026, 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 2026, as determined by the Secretary:  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 matching 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, $1,201,296,000:  Provided, That notwithstanding sections 502(a)(1) 
and 502(b)(1) of the Social Security Act, not more than $277,416,000 
shall be available for carrying out special projects of regional and 
national significance pursuant to section 501(a)(2) of such 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 respect to the Ryan 
White HIV/AIDS program, $2,694,776,000, of which $2,076,562,000 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 
$250,000,000, 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 conjunction with title XXVI of the PHS Act, 
including the limitation 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 facilities-related expenses of the National Hansen's Disease 
Program.

                              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, 
$375,675,000, of which $68,500,000 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, up to $5,000,000 shall be available to award grants to 
public or non-profit private entities for the Rural Emergency Hospital 
Technical Assistance Program, and up to $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security 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 electronic health record system:  
Provided further, That notwithstanding section 338J(k) of the PHS Act, 
$12,500,000 shall be available for State Offices of Rural Health:  
Provided further, That $12,700,000 shall remain available through 
September 30, 2025, to support the Rural Residency Development Program: 
 Provided further, That $160,000,000 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, $500,000,000:  
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:  Provided further, 
That all entities funded under this heading shall provide clinical 
services consistent with nationally recognized clinical standards:  
Provided further, That projects funded under section 1001 of the PHS 
Act shall provide a broad range of contraceptive products approved and 
cleared by the Food and Drug Administration:  Provided further, That 
all patients served under title X of the PHS Act with a positive 
pregnancy test shall be given the opportunity to be provided 
information and counseling regarding: (1) prenatal care and delivery; 
(2) infant care, foster care, and adoption; and (3) pregnancy 
termination:  Provided further, That if such a patient requests 
information specified in the preceding proviso, such patient shall be 
provided with neutral, factual information and nondirective counseling 
on each such option, including referral upon request, except with 
respect to any option about which the patient indicates no interest in 
receiving such information and counseling.

                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 Administration, $934,857,000, of which $37,050,000 shall be 
for expenses necessary for the Office for the Advancement of 
Telehealth, including grants, contracts, and cooperative agreements for 
the advancement of telehealth activities:  Provided, 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'':  Provided further, 
That of the amount made available under this heading, $726,569,000 
shall be used for the projects financing the construction and 
renovation (including equipment) of health care and other facilities, 
and for the projects financing one-time grants that support health-
related activities, including training and information technology, and 
in the amounts specified in the table titled ``Labor, HHS, Education 
Incorporation of Community Project Funding Items'' in the report 
accompanying this Act:  Provided further, That of the funds made 
available in the preceding proviso, up to $6,000,000 may be used for 
related agency administrative expenses:  Provided further, That none of 
the funds made available for projects described in the two preceding 
provisos 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 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 Immigration and Nationality Act, 
and section 501 of the Refugee Education Assistance Act, with respect 
to immunization and respiratory diseases, $663,805,000.

     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, sexually transmitted 
diseases, and tuberculosis prevention, $1,463,556,000.

               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 Education Assistance Act, with respect to 
emerging and zoonotic infectious diseases, $747,272,000:  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 related 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, 
$1,346,964,000:  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:  Provided 
further, That of the funds made available under this heading, 
$16,500,000 shall be available to continue and expand community 
specific extension and outreach programs to combat obesity in counties 
with the highest levels of obesity:  Provided further, That the 
proportional funding requirements 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 disabilities, disabilities and 
health, $225,060,000.

                   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, $867,497,000.

                          environmental health

    For carrying out titles II, III, and XVII of the PHS Act with 
respect to environmental health, $311,850,000:  Provided, That of the 
amounts appropriated under this heading up to $4,000,000 may remain 
available until expended for carrying out the Vessel Sanitation 
Program, in addition to amounts otherwise available for such purposes:  
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, $897,779,000.

         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, and sections 20, 21, and 22 of the Occupational Safety 
and Health Act, with respect to occupational safety and health, 
$363,300,000.

       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:  Provided, 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, $757,843,000, of which: (1) $128,921,000 
shall remain available through September 30, 2024 for international 
HIV/AIDS; and (2) $353,200,000 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 chemical threats to civilian 
populations, $882,200,000:  Provided, 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 
Disease Registry may detail staff without reimbursement to support an 
activation of the CDC Emergency Operations Center, so long as the 
Director or Administrator, as applicable, 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, 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, and an update of such report every 180 days 
until staff are no longer on detail without reimbursement to the CDC 
Emergency Operations Center.

                        buildings and facilities

                     (including transfer of funds)

    For acquisition of real property, equipment, construction, 
installation, demolition, and renovation of facilities, $55,000,000, 
which shall remain available until September 30, 2027:  Provided, 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 
improvement of facilities shall be available to make improvements on 
non-federally owned property, provided that any improvements that are 
not adjacent to federally owned property 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 upgrade 
of the Lake Lynn Experimental Mine and Laboratory shall be used to 
acquire a replacement mine safety research facility:  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 and program support for 
activities funded in other appropriations included in this Act for the 
Centers for Disease Control and Prevention, $958,570,000, of which: (1) 
$750,000,000 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:  Provided, 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 available until expended, shall be 
available to the Director of the CDC for deposit in the Infectious 
Diseases Rapid Response Reserve Fund established by section 231 of 
division B of Public Law 115-245:  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:  Provided further, That 
employees of CDC or the Public Health Service, both civilian and 
commissioned 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-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 assignment:  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 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 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, $7,162,579,000, of which up to $30,000,000 may be 
used for facilities repairs and improvements 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 diseases, and blood and 
blood products, $3,943,702,000.

         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, $526,051,000.

    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 disease, $2,283,489,000.

        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, $2,608,590,000.

         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, $6,642,608,000.

             national institute of general medical sciences

    For carrying out section 301 and title IV of the PHS Act with 
respect to general medical sciences, $3,200,157,000, of which 
$1,420,700,000 shall be from funds available under section 241 of the 
PHS Act:  Provided, That not less than $423,076,000 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, $1,756,630,000.

                         national eye institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to eye diseases and visual disorders, $891,186,000.

          national institute of environmental health sciences

    For carrying out section 301 and title IV of the PHS Act with 
respect to environmental health sciences, $878,750,000.

                      national institute on aging

    For carrying out section 301 and title IV of the PHS Act with 
respect to aging, $4,443,196,000.

 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, 
$676,395,000.

    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 disorders, $531,136,000.

                 national institute of nursing research

    For carrying out section 301 and title IV of the PHS Act with 
respect to nursing research, $208,571,000.

 national institute on alcohol effects and alcohol-associated disorders

    For carrying out section 301 and title IV of the PHS Act with 
respect to alcohol misuse, alcohol use disorder, and other alcohol-
associated disorders, $591,757,000.

               national institute on drugs and addiction

    For carrying out section 301 and title IV of the PHS Act with 
respect to drugs and addiction, $1,712,832,000.

                  national institute of mental health

    For carrying out section 301 and title IV of the PHS Act with 
respect to mental health, $2,203,775,000.

                national human genome research institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to human genome research, $659,233,000.

      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, 
$437,991,000.

        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, $164,395,000.

      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, 
$505,292,000.

                  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), $99,622,000.

                      national library of medicine

    For carrying out section 301 and title IV of the PHS Act with 
respect to health information communications, $494,572,000:  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 (referred 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, $901,678,000:  Provided, That up to 
$60,000,000 shall be available to implement section 480 of the PHS Act, 
relating to the Cures Acceleration Network:  Provided further, That at 
least $626,059,000 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, $2,537,213,000:  Provided, That funding shall be 
available for the purchase of not to exceed 29 passenger motor vehicles 
for replacement 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 deposited:  Provided further, That 
$180,000,000 shall be for the Environmental Influences on Child Health 
Outcomes study:  Provided further, That $678,151,000 shall be available 
for the Common Fund established under section 402A(c)(1) of the PHS 
Act:  Provided further, That of the funds provided, $10,000 shall be 
for official reception and representation 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 $70,000,000 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 Committees on Appropriations of the House of 
Representatives and the Senate:  Provided further, That the Inspector 
General shall consult with the Committees on Appropriations of the 
House of Representatives and the Senate before submitting to the 
Committees an audit plan for fiscal years 2023 and 2024 no later than 
30 days after the date of enactment 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 interests 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 Common 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 described 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 research), as 
authorized in the Gabriella Miller Kids First Research Act.

                        buildings and facilities

    For the study of, construction of, demolition of, renovation of, 
and acquisition of equipment for, facilities of or used by NIH, 
including the acquisition of real property, $300,000,000, to remain 
available through September 30, 2027.

                   nih innovation account, cures act

                     (including transfer of funds)

    For necessary expenses to carry out the purposes described 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:  Provided, 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 Institutes of Health solely for the 
purposes provided in such Act:  Provided further, That upon a 
determination by the Director 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 in addition to 
any other transfer authority provided by law.

        Substance Use 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 Advocacy for Individuals with 
Mental Illness Act, and the SUPPORT for Patients and Communities Act, 
$3,774,152,000:  Provided, That of the funds made available under this 
heading, $150,000,000 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 10 
percent 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 appropriated 
in this Act for fiscal year 2023:  Provided further, That States shall 
expend at least 10 percent of the amount each receives for carrying out 
section 1911 of the PHS Act to support evidence-based programs that 
address the needs of individuals with early serious mental illness, 
including psychotic disorders, regardless of the age of the individual 
at onset:  Provided further, That $400,000,000 shall be available until 
September 30, 2025 for grants to communities and community 
organizations 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):  
Provided further, That notwithstanding sections 1911(b) and 1912 of the 
PHS Act, amounts made available under this heading for subpart I of 
part B of title XIX of such Act shall also be available to support 
evidence-based programs that address early intervention and prevention 
of mental disorders among at-risk children and adults:  Provided 
further , That States shall expend at least 10 percent of the amount 
each receives for carrying out section 1911 of the PHS Act to support 
evidence-based programs that address early intervention and prevention 
of mental disorders among at-risk children and adults:  Provided 
further, That notwithstanding section 1912 of the PHS Act, the plan 
described in such section and section 1911(b) of the PHS Act shall also 
include the evidence-based programs described in the previous proviso, 
pursuant to plan criteria established by the Secretary.

                         substance use services

    For carrying out titles III and V of the PHS Act with respect to 
substance use treatment and title XIX of such Act with respect to 
substance use treatment and prevention, and the SUPPORT for Patients 
and Communities Act, $4,744,848,000:  Provided, That $1,775,000,000 
shall be for State Opioid Response Grants for carrying out activities 
pertaining to opioids and stimulants undertaken by the State agency 
responsible for administering the substance use 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 $65,000,000 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 highest mortality rate related 
to opioid use disorders:  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 three provisos, the Secretary shall make 
allocations to States, territories, and the District of Columbia 
according to a formula using national survey results that the Secretary 
determines are the most objective and reliable measure of drug use and 
drug-related deaths:  Provided further, That the Secretary shall submit 
the formula methodology to the Committees 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 
$4,500,000:  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) activities 
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 use 
treatment programs:  Provided further, That for purposes of calculating 
the HIV set-aside under subpart II of part B of title XIX, the rate of 
cases of HIV shall be used instead of the rate of cases of AIDS:  
Provided further, That each State that receives funds appropriated 
under this heading in this Act for carrying out subpart II of part B of 
title XIX of the PHS Act shall expend not less than 10 percent of such 
funds for recovery support services:  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.

                   substance use prevention services

    For carrying out titles III and V of the PHS Act with respect to 
substance use prevention, $248,434,000.

                health surveillance and program support

    For program support and cross-cutting activities that supplement 
activities funded under the headings ``Mental Health'', ``Substance Use 
Services'', and ``Substance Use Prevention Services'' in carrying out 
titles III, V, and XIX of the PHS Act and the Protection and Advocacy 
for Individuals with Mental Illness Act in the Substance Use And Mental 
Health Services Administration, $257,279,000:  Provided, That of the 
amount made available under this heading, $110,952,000 shall be used 
for the projects, and in the amounts, specified in the table titled 
``Labor, HHS, Education Incorporation of Community Project Funding 
Items'' in the report accompanying this 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 use and mental health, to collect and analyze program data, and 
to conduct public awareness and technical assistance activities:  
Provided further, That, in addition, fees may be collected 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 remain available until expended for such 
purposes:  Provided further, That amounts made available in this Act 
for carrying out section 501(o) of the PHS Act shall remain available 
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 provided under the headings ``Mental Health'', ``Substance Use 
Services'', and ``Substance Use Prevention Services''.

               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, 
$385,000,000:  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 credited 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 unanticipated 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 quarter.

                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 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 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, the Clinical Laboratory Improvement Amendments of 1988, and 
other responsibilities of the Centers for Medicare & Medicaid Services, 
not to exceed $4,346,985,000 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; together with all funds collected in accordance with 
section 353 of the PHS Act and section 1857(e)(2) of the Social 
Security Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may be collected 
from authorized user fees and the sale of data, which shall be credited 
to this account and remain available until expended:  Provided, That 
all funds derived in accordance with 31 U.S.C. 9701 from organizations 
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 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, $494,261,000 
shall remain available until September 30, 2024, and shall be available 
for the Survey and Certification Program:  Provided 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 Appropriations 
Act, 2018 (Public Law 115-141).

              health care fraud and abuse control account

    In addition to amounts otherwise available for program integrity 
and program management, $899,000,000, to remain available through 
September 30, 2024, 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 $667,181,000 shall be for the Centers for Medicare & Medicaid 
Services program integrity activities, of which $109,612,000 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 
Department of Justice to carry out fraud and abuse activities 
authorized by section 1817(k)(3) of such Act:  Provided, That the 
report required by section 1817(k)(5) of the Social Security Act for 
fiscal year 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, $323,000,000 
is provided to meet the terms of section 1(h)(2) of H. Res. 1151 (117th 
Congress), as engrossed in the House of Representatives on June 8, 
2022, and $576,000,000 is additional new budget authority specified for 
purposes of such section 1(h) of such resolution:  Provided further, 
That the Secretary shall provide not less than $35,000,000 from amounts 
made available under this heading and amounts made available for fiscal 
year 2023 under section 1817(k)(3)(A) of the Social Security Act for 
the Senior 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.), $4,000,000,000:  Provided, That notwithstanding section 2609A(a) 
of such Act, not more than $6,399,000 may be reserved by the Secretary 
for technical assistance, training, and monitoring of program 
activities for compliance with internal controls, policies 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 authorities provided in section 2609A(a)(1), use 
such funds through contracts with private entities that do not qualify 
as nonprofit organizations:  Provided further, That $3,795,704,000 of 
the amount appropriated under this heading shall be allocated to each 
State and territory in amounts equal to the amount each State and 
territory was allocated in fiscal year 2022 pursuant to allocations 
made from amounts appropriated under this heading in title II of 
division H of the Consolidated Appropriations Act, 2022 (Public Law 
117-103):  Provided further, That $100,000,000 of the amount 
appropriated under this heading shall be allocated as though the total 
appropriation for such payments for fiscal year 2023 was less than 
$1,975,000,000.

                     refugee and entrant assistance

    For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and Nationality 
Act and section 501 of the Refugee Education Assistance Act of 1980, 
and for carrying out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims Protection 
Reauthorization Act of 2008, the Trafficking Victims Protection Act of 
2000 (``TVPA''), and the Torture Victims Relief Act of 1998, 
$7,979,346,000, of which $7,924,346,000 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 
contribution of funds requirement under section 235(c)(6)(C)(iii) of 
the William Wilberforce Trafficking Victims Protection Reauthorization 
Act of 2008 shall not apply to funds made available under this heading: 
Provided further, That the Director of the Office of Refugee 
Resettlement, in carrying out section 412(c)(1)(A) of the Immigration 
and Nationality Act (8 U.S.C. 1522(c)(1)(A)), may allocate amounts made 
available under this heading for such section among the States in a 
manner that accounts for the most current data available.

   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''), $7,165,330,000 shall be used to supplement, not 
supplant State general revenue funds for child care assistance for low-
income families:  Provided, That technical assistance under section 
658I(a)(3) of such Act may be provided directly, or through the use of 
contracts, grants, cooperative agreements, or interagency agreements:  
Provided further, That all funds made available to carry out section 
418 of the Social Security Act (42 U.S.C. 618), including funds 
appropriated for that purpose in such section 418 or any other 
provision of law, shall be subject to the reservation of funds 
authority in paragraphs (4) and (5) of section 658O(a) of the CCDBG 
Act:  Provided further, That in addition to the amounts required to be 
reserved by the Secretary under section 658O(a)(2)(A) of such Act, 
$184,960,000 shall be for Indian tribes and tribal organizations: 
Provided further, That of the amounts made available under this 
heading, the Secretary may reserve up to 0.5 percent for Federal 
administrative 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 subparagraph for a State to carry out 
State programs pursuant to title XX-A of such Act shall be 10 percent.

                children and families services programs

    For carrying out, except as otherwise provided, the Runaway and 
Homeless Youth Act, the Head Start Act, the Every Student Succeeds Act, 
the Child Abuse Prevention and Treatment Act, sections 303 and 313 of 
the Family Violence Prevention and Services Act, the Native American 
Programs Act of 1974, title II of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (adoption opportunities), 
part B-1 of title IV and sections 429, 473A, 477(i), 1110, 1114A, and 
1115 of the Social Security Act, the Community Services Block Grant Act 
(``CSBG Act''), Grants to Support Culturally Specific Populations, and 
Grants to Support Survivors of Sexual Assault; 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, $15,167,344,000, 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 adoptions and legal guardianships completed 
before September 30, 2023:  Provided, That $12,396,820,000 shall be for 
making 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 living 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 System, 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 provision of 
        section 640(a) of such Act;
            (4) $500,000,000, 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 further, 
        That of the funds made available in this paragraph, up to 
        $21,000,000 shall be available to the 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 reservation 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 $350,000,000 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 further, That $834,383,000 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, States may apply the last sentence of 
section 673(2) of the CSBG Act by substituting ``200 percent'' for 
``125 percent'':  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 
carryover into the next fiscal year for expenditure by such entity 
consistent with program purposes:  Provided further, That the Secretary 
shall establish procedures regarding the disposition of intangible 
assets and program income that permit such assets acquired with, and 
program income derived from, grant funds authorized under section 680 
of the CSBG Act to become the sole property of such grantees after a 
period of not more than 12 years after the end of the grant period for 
any activity consistent with section 680(a)(2)(A) of the CSBG Act:  
Provided further, That intangible assets in the form of loans, equity 
investments and other debt instruments, and program income may be used 
by grantees for any eligible purpose consistent with section 
680(a)(2)(A) of the CSBG Act:  Provided further, That these procedures 
shall apply to such grant funds made available after November 29, 1999: 
 Provided further, That funds appropriated for section 680(a)(2) of the 
CSBG Act shall be available for financing construction and 
rehabilitation and loans or investments in private business enterprises 
owned by community development corporations:  Provided further, That 
$300,000,000 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 funds made 
available in the preceding proviso may be used for direct payments to 
any victim of family violence, domestic violence, or dating violence, 
or to any dependent of such victim, notwithstanding section 308(d)(1) 
of the Family Violence Prevention and Services Act:  Provided further, 
That the percentages specified in section 112(a)(2) of the Child Abuse 
Prevention and Treatment Act shall not apply to funds appropriated 
under this heading:  Provided further, That $2,364,000 shall be for a 
human services case management system for federally declared 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 
Information System, including grants to States to support data 
collection for a study of the system's effectiveness:  Provided 
further, That $69,167,000 shall be used for the projects, and in the 
amounts, specified in the table titled ``Labor, HHS, Education 
Incorporation of Community Project Funding Items'' included in the 
report accompanying this 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.

                   promoting safe and stable families

    For carrying out, except as otherwise provided, section 436 of the 
Social Security Act, $345,000,000 and, for carrying out, except as 
otherwise provided, section 437 of such Act, $82,515,000:  Provided, 
That of the funds available to carry out section 437, $59,765,000 shall 
be allocated consistent with subsections (b) through (d) of such 
section:  Provided further, That of the funds available to carry out 
section 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 $2,750,000, 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 proviso by substituting ``5 percent'' for ``3.3 percent'', and 
notwithstanding section 436(b)(1), such reserved amounts may be used 
for identifying, establishing, and disseminating practices to meet the 
criteria specified in section 471(e)(4)(C):  Provided further, That the 
reservation in section 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 navigator 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 fiscal 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 Raising Grandchildren Act, titles III and XXIX 
of the PHS 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 Developmental 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 Department-
wide coordination of policy and program activities that assist 
individuals with disabilities, $2,860,008,000, together with 
$58,115,000 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:  Provided, That of amounts made available under this heading 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 heading to 
carry out section 311 of the OAA may be transferred to the Secretary of 
Agriculture in accordance with such section: Provided further, That up 
to 5 percent of the funds provided for adult protective services grants 
under section 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-interest loan fund; an interest buy-
down program; a revolving loan fund; a loan guarantee; or an insurance 
program:  Provided 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 disabilities shall be eligible to compete:  Provided 
further, That none of the funds made available under this heading may 
be used by an eligible system (as defined in section 102 of the 
Protection and Advocacy for Individuals with Mental Illness Act (42 
U.S.C. 10802)) to continue to pursue any legal action in a Federal or 
State court on behalf of an individual or group of individuals with a 
developmental disability (as defined in section 102(8)(A) of the 
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), that 
has as the requested remedy the closure of State operated intermediate 
care facilities for people with intellectual or developmental 
disabilities, unless reasonable public notice of the action has been 
provided to such individuals (or, in the case of mental incapacitation, 
the legal guardians who have been specifically awarded authority by the 
courts to make healthcare and residential decisions on behalf of such 
individuals) who are affected by such action, within 90 days of 
instituting such legal action, which informs such individuals (or such 
legal guardians) of their legal rights and how to exercise such rights 
consistent with current Federal Rules of Civil Procedure:  Provided 
further, That the limitations in the immediately preceding proviso 
shall not apply in the case of an individual who is neither competent 
to consent nor has a legal guardian, nor shall the proviso apply in the 
case of individuals who are a ward of the State or subject to public 
guardianship:  Provided further, That of the amount made available 
under this heading, $30,446,000 shall be used for the projects, and in 
the amounts, specified in the table titled ``Labor, HHS, Education 
Incorporation of Community Project Funding Items'' included in the 
report accompanying this 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.

                        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, 
$563,894,000, together with $75,728,000 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, $130,000,000 shall be for making competitive contracts 
and grants to public and private entities to fund medically accurate 
and age appropriate programs that reduce 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, 
evaluation, outreach, and additional program support activities, and of 
the remaining amount 75 percent shall be for replicating programs that 
have been proven effective through rigorous evaluation to reduce 
teenage pregnancy, behavioral risk factors underlying teenage 
pregnancy, or other associated risk factors, and 25 percent shall be 
available for research and demonstration grants to develop, replicate, 
refine, 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, $7,700,000 shall be available to carry out evaluations 
(including longitudinal evaluations) of teenage pregnancy prevention 
approaches:  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 
administrative services deemed necessary for such adoptions:  Provided 
further, That such services 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 accelerate innovation in 
the prevention, diagnosis, and treatment of kidney diseases (as 
authorized by section 24 of the Stevenson-Wydler Technology Innovation 
Act of 1980 (15 U.S.C. 3719)):  Provided further, That the Secretary 
may use $5,000,000 of the amounts appropriated under this heading to 
supplement funds otherwise available to the Secretary for the hire and 
purchase of electric vehicles and electric vehicle charging stations, 
and to cover other costs related to electrifying the motor vehicle 
fleet within HHS.

                     medicare hearings and appeals

    For expenses necessary for Medicare hearings and appeals in the 
Office of the Secretary, $196,000,000 shall remain available until 
September 30, 2024, to be transferred in appropriate part from the 
Federal Hospital Insurance Trust Fund and the Federal Supplementary 
Medical Insurance 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 development and advancement of 
interoperable health information technology, $86,614,000 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 General, 
including the hire of passenger motor vehicles for investigations, in 
carrying out the provisions of the Inspector General Act of 1978, 
$94,400,000:  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, necessary sums shall be 
available for carrying out activities authorized under section 3022 of 
the PHS Act (42 U.S.C. 300jj-52).

                        office for civil rights

    For expenses necessary for the Office for Civil Rights, 
$49,798,000.

     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 medical 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, $1,662,356,000, of which $845,005,000 shall remain 
available through September 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 Biomedical 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:  Provided further, That products purchased with funds 
provided under this heading may, at the discretion of the Secretary, be 
deposited in the Strategic 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, 2025:  Provided further, That $132,801,000 of the 
amounts made available to support coordination of the development, 
production, and distribution of vaccines, therapeutics, and other 
medical countermeasures shall remain available through September 30, 
2024.
    For expenses necessary for procuring security countermeasures (as 
defined in section 319F-2(c)(1)(B) of the PHS Act), $800,000,000, to 
remain available until expended.
    For expenses necessary to carry out section 319F-2(a) of the PHS 
Act, $855,000,000, to remain available until expended.
    For an additional amount for expenses necessary to prepare for or 
respond to an influenza pandemic, $382,000,000; of which $347,000,000 
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.

              advanced research projects agency for health

    For carrying out section 301 and title IV of the PHS Act with 
respect to advanced research projects for health, $2,750,000,000, to 
remain available through September 30, 2025:  Provided, That the 
President shall appoint in the Department of Health and Human Services 
a director of advanced research projects for health (Director):  
Provided further, That funds may be used to make or rescind 
appointments of scientific, medical, and professional personnel without 
regard to any provision in title 5 governing appointments 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:  Provided 
further, That the Director may use funds made available 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).

                           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 appropriated in this title shall be 
used to prevent the NIH from paying up to 100 percent of the salary of 
an individual at this rate.
    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:  Provided, 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 Appropriations 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 decision 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 Secretary denies participation in 
such program to an otherwise eligible entity (including a Provider 
Sponsored Organization) 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 
organization 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 promote 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.
    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 equivalent to that 
        available to the Secretary of State in section 2(c) of the 
        State Department Basic Authorities 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 applicable 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 acquisition, lease, alteration, 
        renovation, and management 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 
        secure, safe, functional facilities that comply with applicable 
        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 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 international 
        health activities, including activities relating to HIV/AIDS 
        and other infectious 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 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 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 
        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 subchapter I 
        of chapter 63 of title 5, United States Code, 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 immunodeficiency 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 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 review procedures (including 
consultation with appropriate scientific experts) as the Director 
determines to be appropriate 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 procedures 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 appropriated 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 $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 Administration to make NRSA awards for research in primary 
medical care to individuals affiliated with entities who have received 
grants or contracts under sections 736, 739, or 747 of the PHS Act, and 
1 percent of the amount made available 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 contract, for more than one but 
no more than 10 program 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 competition or promoting economy in 
        administration, performance, and operation of BARDA's programs.
    (b) A contract entered into under this section--
            (1) shall include a termination clause as described 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.
    Sec. 219.  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 Insurance 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 Transparency'' in the report accompanying this Act.
    Sec. 220.  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. 221. (a) Within 45 days of enactment of this Act, the 
Secretary shall transfer funds appropriated under section 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 explanatory 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 without reference to section 
2821(b) of such Act.
    Sec. 222. (a) In General.--Effective during the period beginning on 
November 1, 2015 and ending January 1, 2025, any provision of law that 
refers (including through cross-reference to another provision of law) 
to the current recommendations of the United States Preventive Services 
Task Force with respect to breast cancer screening, mammography, and 
prevention shall be administered by the Secretary involved as if--
            (1) such reference to such current recommendations 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)).
    (b) Clarifying the Definition of ``Screening Mammography''.--
Section 1861 (jj) of the Social Security Act (42 U.S.C. 1395x(jj)) is 
amended by inserting ``, including any digital modality (such as 
screening breast tomosynthesis) of such a procedure,'' after 
``radiological procedure''.
    Sec. 223.  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 applied in the third quarter of fiscal year 2017. None of the 
funds appropriated in this or prior Acts or otherwise made 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 beyond 
the proportional effect of such approvals in such quarter.

                           (transfer of funds)

    Sec. 224.  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. 225. (a) The Secretary shall provide to the Committees 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 enrollments during the open 
        enrollment period; and
            (2) Notification of any new or competitive grant awards, 
        including supplements, authorized under section 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. 226.  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 the date of 
enactment of this Act on staffing described in report accompanying this 
Act.
    Sec. 227.  Funds appropriated in this Act that are available for 
salaries and expenses of employees of the Department of Health and 
Human Services shall also be available to pay travel and related 
expenses of such an employee or of a member of his or her family, when 
such employee 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 addressed in that location at that time. For purposes of 
this section, the term ``U.S. territory'' means Guam, the Commonwealth 
of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, 
American Samoa, or the Trust Territory of the Pacific Islands.
    Sec. 228.  The Department of Health and Human Services may accept 
donations from the private sector, nongovernmental 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 
Homeland 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 monetary donations, medical goods and services, 
which may include early childhood developmental screenings, school 
supplies, toys, clothing, and any other items or services intended to 
promote the wellbeing of such children. Monetary donations received by 
the Department of Health and Human Services under this section shall be 
retained and credited to the Refugee and Entrant Assistance account and 
shall remain available until expended for the purposes provided by this 
section.
    Sec. 229.  None of the funds made available in this Act under the 
heading ``Department of Health and Human Services--Administration for 
Children and Families--Refugee 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 determines 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 operations 
        of any such facility that remains in operation for more than 
        three consecutive months shall require compliance with--
                    (A) the same requirements as licensed placements, 
                as listed in Exhibit 1 of the Flores Settlement 
                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 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 paragraph (1) if 
        the Secretary certifies and provides a report to Congress on 
        the contractor's or grantee's good-faith efforts and progress 
        towards compliance;
            (3) if the Secretary determines that a contractor or 
        grantee is not in compliance after the Secretary has granted a 
        60-day waiver, the Secretary shall not permit such contractor 
        or grantee to continue to provide services beyond a reasonable 
        period, not to exceed 60 days, needed to award a contract or 
        grant to a new service provider, and the incumbent contractor 
        or grantee shall not be eligible to compete for the new 
        contract or grant;
            (4) ORR shall ensure full adherence to the monitoring 
        requirements set forth in section 5.5 of its Policies 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 enactment of 
        this Act, ORR shall brief the Committees on Appropriations of 
        the House of Representatives and the Senate outlining the 
        requirements of ORR for influx facilities including any 
        requirement listed in paragraph (1)(A) that the Secretary has 
        determined are not applicable to non-State licensed facilities.
    Sec. 230.  In addition to the existing Congressional notification 
for formal site assessments of potential influx facilities, the 
Secretary shall notify the Committees on Appropriations of the House of 
Representatives and the Senate at least 15 days before operationalizing 
an unlicensed facility, 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 custody 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 average length of stay 
and average length of care of children at the facility, and, for any 
child that has been at the facility for more than 60 days, their length 
of stay and reason for delay in release.
    Sec. 231.  None of the funds made available in this Act may be used 
to prevent a United States Senator or 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))). Nothing in this section shall be construed to 
require such a Senator or Member to provide prior notice of the intent 
to enter such a facility for such purpose.
    Sec. 232.  Not later than 14 days after the date of enactment 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 publicly 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), subsequently classified as unaccompanied alien 
children, and transferred to the care and custody of ORR during the 
previous month. Each report shall contain the following information:
            (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 occurred; and
            (2) the documented cause of separation, as reported by DHS 
        when each child was referred.
    Sec. 233. (a) None of the funds made available by this Act may be 
used to share any information pertaining to an unaccompanied alien 
child (as defined in section 462(g)(2) of the Homeland Security Act of 
2002 (6 U.S.C. 279(g)(2))) for use or reference in any removal 
proceeding or otherwise for enforcement of the immigration laws (as 
defined in section 101(a)(17) of the Immigration and Nationality Act (8 
U.S.C. 1101(a)(17))).
    (b) Subsection (a) shall be construed to preclude the transmission 
of information described in such subsection to any individual, entity, 
or government agency with the knowledge or intent that the information 
would be retransmitted or otherwise shared for a purpose prohibited 
under such subsection.
    (c) All records for which Office of Refugee Resettlement policies 
require the written release authorization of the Office of Refugee 
Resettlement shall have the presumption of confidentiality and 
nondisclosure, including unaccompanied alien child case files, specific 
information contained in such case files, all information given to a 
case manager, therapist, clinical worker, counselor, or social worker 
by such a child during clinical or therapeutic work, and other 
confidential information pertaining to such children, their sponsors, 
or their potential sponsors.
    (d) Nothing in this section shall be construed to prohibit or 
restrict the continued implementation of interagency agreements or 
coordination under section 235 of the William Wilberforce Trafficking 
Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232) 
pertinent to a child's placement after attaining 18 years of age.
    Sec. 234.  To the extent practicable, and so long as it is 
appropriate and in the best interest of the child, in cases where the 
Office of Refugee Resettlement is responsible for the care of siblings 
who are unaccompanied alien children (as defined in section 462(g)(2)) 
of the Homeland Security Act of 2002 (6. U.S.C. 279(g)(2)), the 
Director of the Office shall place the siblings--
            (1) in the same facility; or
            (2) with the same sponsor.
    Sec. 235.  Not later than 30 days after the date of enactment of 
this Act, the Secretary shall submit to the Committees on 
Appropriations of the House of Representatives and the Senate a 
detailed spend plan of anticipated uses of all funds made available 
under the heading ``Department of Health and Human Services--
Administration for Children and Families--Refugee and Entrant 
Assistance'', including the following: a list of existing grants and 
contracts for both permanent and influx facilities, including their 
costs, capacity, and timelines; costs for expanding capacity through 
the use of community-based residential care placements (including long-
term and transitional foster care and small group homes) through new or 
modified grants and contracts; current and planned efforts to expand 
small-scale shelters and available foster care placements, including 
collaboration with State child welfare providers; influx facilities 
being assessed for possible use; costs and services to be provided for 
legal services, child advocates, and post-release services; program 
administration; and the average number of weekly referrals and 
discharge rate assumed in the spend plan:  Provided, That such plan 
shall be updated to reflect changes and expenditures and submitted to 
the Committees on Appropriations of the House of Representatives and 
the Senate every 60 days until all funds are expended or expired.
    Sec. 236.  Amounts made available to the Department of Health and 
Human Services in this or any other Act under the heading 
``Administration for Children and Families--Refugee and Entrant 
Assistance'' may in this fiscal year and hereafter be used to provide, 
including through grants, contracts, or cooperative agreements, mental 
health and other supportive services, including access to legal 
services, to children, parents, and legal guardians who were separated 
at the United States-Mexico border between January 20, 2017, and 
January 20, 2021:  Provided, That such services shall also be available 
to immediate family members of such individuals if such family members 
are in the United States and in the same household:  Provided further, 
That amounts made available to the Department of Health and Human 
Services for refugee and entrant assistance activities in any other 
provision of law may be used to carry out the purposes of this section: 
 Provided further, That the Secretary of Health and Human Services may 
identify the children, parents, and legal guardians eligible to receive 
mental health and other supportive services described under this 
section through reference to the identified members of the classes, and 
their minor children, in the class-action lawsuits Ms. J.P. v. Barr and 
Ms. L. v. ICE:  Provided further, the Secretary has sole discretion to 
identify the individuals who will receive services under this section 
due to their status as immediate family members residing in the same 
household of class members or class members' minor children, and such 
identification shall not be subject to judicial review.
    Sec. 237.  Funds appropriated in this Act that are available for 
salaries and expenses of employees of the Centers for Disease Control 
and Prevention shall also be available for the primary and secondary 
schooling of eligible dependents of personnel stationed in a U.S. 
territory as defined in section 227 of this Act at costs not in excess 
of those paid for or reimbursed by the Department of Defense.

                              (rescission)

    Sec. 238.  Of the unobligated balances in the ``Nonrecurring 
Expenses Fund'' established in section 223 of division G of Public Law 
110-161, $500,000,000 are hereby rescinded not later than September 30, 
2023.
    Sec. 239.  The Secretary of Health and Human Services 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 
Resources and Services Administration'' in this or any other 
appropriations Act for this fiscal year, including amounts made 
available to such heading by transfer.
    Sec. 240. (a) None of the funds made available by this Act may be 
awarded to any organization, including under the Child Welfare or 
Federal Foster Care programs under part B or E of title IV of the 
Social Security Act, that does not comply with paragraphs (c) and (d) 
of section 75.300 of title 45, Code of Federal Regulations (prohibiting 
discrimination on the basis of age, disability, sex, race, color, 
national origin, religion, gender identity, or sexual orientation), as 
in effect on October 1, 2019.
    (b) None of the funds made available by this Act may be used by the 
Department of Health and Human Services to grant an exception from 
either such paragraph for any Federal grantee.
    Sec. 241. (a) Premium Pay Authority.--If services performed by a 
Department of Health and Human Services employee during a public health 
emergency declared under section 319 of the Public Health Service Act 
are determined by the Secretary of Health and Human Services to be 
primarily related to preparation for, prevention of, or response to 
such public health emergency, any premium pay that is provided for such 
services shall be exempted from the aggregate of basic pay and premium 
pay calculated under section 5547(a) of title 5, United States Code, 
and any other provision of law limiting the aggregate amount of premium 
pay payable on a biweekly or calendar year basis.
    (b) Overtime Authority.--Any overtime that is provided for such 
services described in subsection (a) shall be exempted from any annual 
limit on the amount of overtime payable in a calendar or fiscal year.
    (c) Applicability of Aggregate Limitation on Pay.--In determining, 
for purposes of section 5307 of title 5, United States Code, whether an 
employee's total pay exceeds the annual rate payable under such 
section, the Secretary of Health and Human Services shall not include 
pay exempted under this section.
    (d) Limitation of Pay Authority.--Pay exempted from otherwise 
applicable limits under subsection (a) shall not cause the aggregate 
pay earned for the calendar year in which the exempted pay is earned to 
exceed the rate of basic pay payable for a position at level II of the 
Executive Schedule under section 5313 of title 5, United States Code.
    (e) Danger Pay for Service in Public Health Emergencies.--The 
Secretary of Health and Human Services may grant a danger pay allowance 
under section 5928 of title 5, United States Code, without regard to 
the conditions of the first sentence of such section, for work that is 
performed by a Department of Health and Human Services employee during 
a public health emergency declared under section 319 of the Public 
Health Service Act that the Secretary determines is primarily related 
to preparation for, prevention of, or response to such public health 
emergency and is performed under conditions that threaten physical harm 
or imminent danger to the health or well-being of the employee.
    (f) Effective Date.--This section shall take effect as if enacted 
on September 30, 2021.
    Sec. 242. (a) The Public Health Service Act (42 U.S.C. 201 et 
seq.), the Controlled Substances Act (21 U.S.C. 801 et seq.), the 
Comprehensive Smoking Education Act (15 U.S.C. 1331 et seq.), the 
Comprehensive Addiction and Recovery Act of 2016 (Public Law 114-198), 
Public Law 92-255, as amended (21 U.S.C. 1101 et seq.), the Omnibus 
Crime Control and Safe Streets Act of 1968 (34 U.S.C. 10101 et seq.), 
and title 5 of the United States Code are each amended (including in 
headings)--
            (1) by striking ``National Institute on Drug Abuse'' each 
        place it appears and inserting ``National Institute on Drugs 
        and Addiction''; and
            (2) by striking ``National Advisory Council on Drug Abuse'' 
        each place it appears and inserting ``National Advisory Council 
        on Drugs and Addiction''.
    (b) Title IV of the Public Health Service Act (42 U.S.C. 281 et 
seq.) is amended--
            (1) in section 464H(b)(5), by striking ``National Institute 
        of Drug Abuse'' and inserting ``National Institute on Drugs and 
        Addiction'';
            (2) in sections 464L, 464M(a), 464O, and 494A, by striking 
        ``drug abuse'' each place it appears and inserting ``drug 
        use'';
            (3) in section 464L(a), by striking ``treatment of drug 
        abusers'' and inserting ``treatment of drug addiction'';
            (4) in section 464M(a), by striking ``prevention of such 
        abuse'' and inserting ``prevention of such use'';
            (5) in section 464N--
                    (A) in the section heading, by striking ``drug 
                abuse research centers'' and inserting ``drugs and 
                addiction research centers'';
                    (B) in subsection (a)--
                            (i) in matter preceding paragraph (1), by 
                        striking ``National Drug Abuse Research 
                        Centers'' and inserting ``National Drugs and 
                        Addiction Research Centers''; and
                            (ii) in paragraph (1)(C), by striking 
                        ``treatment of drug abuse'' and inserting 
                        ``treatment of drug addiction''; and
                    (C) in subsection (c)--
                            (i) in the subsection heading, by striking 
                        ``Drug Abuse and Addition Research'' and 
                        inserting ``Drugs and Addiction Research 
                        Centers'';
                            (ii) in paragraph (1), by striking 
                        ``National Drug Abuse Treatment Clinical Trials 
                        Network'' and inserting ``National Drug 
                        Addiction Treatment Clinical Trials Network''; 
                        and
                            (iii) in paragraph (2)(H), by striking 
                        ``reasons that individuals abuse drugs, or 
                        refrain from abusing drugs'' and inserting 
                        ``reasons that individuals use drugs or refrain 
                        from using drugs''; and
            (6) in section 464P--
                    (A) in subsection (a)--
                            (i) in paragraph (1), by striking ``drug 
                        abuse treatments'' and inserting ``drug 
                        addiction treatments''; and
                            (ii) in paragraph (6), by striking 
                        ``treatment of drug abuse'' and inserting 
                        ``treatment of drug addiction''; and
                    (B) in subsection (d)--
                            (i) by striking ``disease of drug abuse'' 
                        and inserting ``disease of drug addiction'';
                            (ii) by striking ``abused drugs'' each 
                        place it appears and inserting ``addictive 
                        drugs''; and
                            (iii) by striking ``drugs of abuse'' and 
                        inserting ``drugs of addiction''.
    (c) Section 464N of the Public Health Service Act (42 U.S.C. 285o-
2), as amended by subsection (b)(5), is further amended by striking 
``drug abuse'' each place it appears and inserting ``drug use''.
    (d) Any reference in any law, regulation, map, document, paper, or 
other record of the United States to the National Institute on Drug 
Abuse shall be considered to be a reference to the National Institute 
on Drugs and Addiction.
    Sec. 243. (a) The Public Health Service Act (42 U.S.C. 201 et seq.) 
and Public Law 91-616, as amended (42 U.S.C. 4541 et seq.) are each 
amended (including in headings)--
            (1) by striking ``National Institute on Alcohol Abuse and 
        Alcoholism'' each place it appears and inserting ``National 
        Institute on Alcohol Effects and Alcohol-Associated 
        Disorders''; and
            (2) by striking ``National Advisory Council on Alcohol 
        Abuse and Alcoholism'' each place it appears and inserting 
        ``National Advisory Council on Alcohol Effects and Alcohol-
        Associated Disorders''.
    (b) Title IV of the Public Health Service Act (42 U.S.C. 281 et 
seq.) is amended--
            (1) in section 464H--
                    (A) in subsection (a)--
                            (i) by striking ``prevention of alcohol 
                        abuse'' and inserting ``prevention of alcohol 
                        misuse''; and
                            (ii) by striking ``treatment of 
                        alcoholism'' and inserting ``treatment of 
                        alcohol-associated disorders''; and
                    (B) in subsection (b)--
                            (i) in paragraph (3)--
                                    (I) in subparagraph (A), by 
                                striking ``alcohol abuse and domestic 
                                violence'' and inserting ``alcohol 
                                misuse and domestic violence'';
                                    (II) in subparagraph (D), by 
                                striking ``abuse of alcohol'' and 
                                inserting ``misuse of alcohol''; and
                                    (III) by amending subparagraph (E) 
                                to read as follows:
                    ``(E) the effect of social pressures, legal 
                requirements regarding the use of alcoholic beverages, 
                the cost of such beverages, and the economic status and 
                education of users of such beverages on the incidence 
                of alcohol misuse, alcohol use disorder, and other 
                alcohol-associated disorders,''; and
                            (ii) in paragraph (5), by striking ``impact 
                        of alcohol abuse'' and inserting ``impact of 
                        alcohol misuse'';
            (2) in sections 464H(b), 464I, and 494A, by striking 
        ``alcohol abuse and alcoholism'' each place it appears and 
        inserting ``alcohol misuse, alcohol use disorder, and other 
        alcohol-associated disorders'';
            (3) in sections 464H(b) and 464J(a), by striking 
        ``alcoholism and alcohol abuse'' each place it appears and 
        inserting ``alcohol misuse, alcohol use disorder, and other 
        alcohol-associated disorders''; and
            (4) in section 464J(a)--
                    (A) by striking ``alcoholism and other alcohol 
                problems'' each place it appears and inserting 
                ``alcohol misuse, alcohol use disorder, and other 
                alcohol-associated disorders'';
                    (B) in the matter preceding paragraph (1), by 
                striking ``interdisciplinary research relating to 
                alcoholism'' and inserting ``interdisciplinary research 
                relating to alcohol-associated disorders''; and
                    (C) in paragraph (1)(E), by striking ``alcohol 
                problems'' each place it appears and inserting 
                ``alcohol misuse, alcohol use disorder, and other 
                alcohol-associated disorders''.
    (c) Any reference in any law, regulation, map, document, paper, or 
other record of the United States to the National Institute on Alcohol 
Abuse and Alcoholism shall be considered to be a reference to the 
National Institute on Alcohol Effects and Alcohol-Associated Disorders.
    Sec. 244. (a) The Public Health Service Act (42 U.S.C. 201 et seq.) 
is amended (including in headings)--
            (1) by striking ``Substance Abuse and Mental Health 
        Services Administration'' each place it appears and inserting 
        ``Substance Use And Mental Health Services Administration'';
            (2) by striking ``Center for Substance Abuse Treatment'' 
        each place it appears and inserting ``Center for Substance Use 
        Services''; and
            (3) by striking ``Center for Substance Abuse Prevention'' 
        each place it appears and inserting ``Center for Substance Use 
        Prevention Services''.
    (b) Title V of the Public Health Service Act (42 U.S.C. 290aa et 
seq.) is amended--
            (1) in the title heading, by striking ``SUBSTANCE ABUSE AND 
        MENTAL HEALTH SERVICES ADMINISTRATION'' and inserting 
        ``SUBSTANCE USE AND MENTAL HEALTH SERVICES ADMINISTRATION'';
            (2) in section 501--
                    (A) in the section heading, by striking ``substance 
                abuse and mental health services administration'' and 
                inserting ``substance use and mental health services 
                administration''; and
                    (B) in subsection (a), by striking ``(hereafter 
                referred to in this title as the `Administration')'' 
                and inserting ``(hereafter referred to in this title as 
                `SAMHSA' or the `Administration')'';
            (3) in section 507, in the section heading, by striking 
        ``center for substance abuse treatment'' and inserting ``center 
        for substance use services'';
            (4) in section 513(a), in the subsection heading, by 
        striking ``Center for Substance Abuse Treatment'' and inserting 
        ``Center for Substance Use Services''; and
            (5) in section 515, in the section heading, by striking 
        ``center for substance abuse prevention'' and inserting 
        ``center for substance use prevention services''.
    (c) Section 1932(b)(3) of the Public Health Service Act (42 U.S.C. 
300x-32(b)(3)) is amended in the paragraph heading by striking ``center 
for substance abuse prevention'' and inserting ``center for substance 
use prevention services''.
    (d) Section 1935(b)(2) of the Public Health Service Act (42 U.S.C. 
300x-35(b)(2)) is amended in the paragraph heading by striking ``center 
for substance abuse prevention'' and inserting ``center for substance 
use prevention services''.
    (e) Subtitle C of title IV of Public Law 99-570, as amended (25 
U.S.C. 2401 et seq.) is amended (including in headings) by striking 
``Substance Abuse and Mental Health Services Administration'' each 
place it appears and inserting ``Substance Use And Mental Health 
Services Administration''.
    (f) The Social Security Act is amended in sections 1861, 1866F, and 
1945 (42 U.S.C. 1395x, 1395cc-6, 1396w-4) by striking ``Substance Abuse 
and Mental Health Services Administration'' each place it appears and 
inserting ``Substance Use And Mental Health Services Administration''.
    (g) Section 105(a)(7)(C)(i)(III) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106(a)(7)(C)(i)(III)) is amended by striking 
``Substance Abuse and Mental Health Services Administration'' and 
inserting ``Substance Use And Mental Health Services Administration''.
    (h)(1) Except as provided in paragraph (2), any reference in any 
law, regulation, map, document, paper, or other record of the United 
States to the Substance Abuse and Mental Health Services 
Administration, the Center for Substance Abuse Treatment of such 
Administration, or the Center for Substance Abuse Prevention of such 
Administration shall be considered to be a reference to the Substance 
Use And Mental Health Services Administration, the Center for Substance 
Use Services of such Administration, or the Center for Substance Use 
Prevention Services of such Administration, respectively.
    (2) Paragraph (1) shall not be construed to alter or affect section 
6001(d) of the 21st Century Cures Act (42 U.S.C. 290aa note), providing 
that a reference to the Administrator of the Substance Abuse and Mental 
Health Services Administration shall be construed to be a reference to 
the Assistant Secretary for Mental Health and Substance Use.
    Sec. 245.  For fiscal year 2023, the notification requirements 
described in sections 1804(a) and 1851(d) of the Social Security Act 
may be fulfilled by the Secretary in a manner similar to that described 
in paragraphs (1) and (2) of section 1806(c) of such Act.
    Sec. 246. (a) Funds made available in Public Law 115-31 to the 
accounts of the National Institutes of Health that were available for 
obligation through fiscal year 2017 and were obligated for multi-year 
research grants shall be available through fiscal year 2023 for the 
liquidation of valid obligations incurred in fiscal year 2017 if the 
Director of the National Institutes of Health determines the project 
suffered an interruption of activities attributable to SARS-CoV-2.
    (b)(1) Subject to paragraph (2), this section shall become 
effective immediately upon enactment of this Act.
            (2) If this Act is enacted after September 30, 2022, this 
        section shall be applied as if it were in effect on September 
        30, 2022.
    Sec. 247.  Section 317G of the Public Health Service Act (42 U.S.C. 
247b-8) is amended by adding at the end the following: ``The Secretary 
may, no later than 120 days after the end of an individual's 
participation in such a fellowship or training program, and without 
regard to those provisions of title 5, United States Code, governing 
appointments in the competitive service, appoint a participant in such 
a fellowship or training program to a term or permanent position in the 
Centers for Disease Control and Prevention.''.

termination of suspension of entries and imports from designated places 
                    related to the covid-19 pandemic

    Sec. 248.  (a) In General.--An order of suspension issued under 
section 362 of the Public Health Service Act (42 U.S.C. 265) as a 
result of the public health emergency relating to the Coronavirus 
Disease 2019 (COVID-19) pandemic declared under section 319 of such Act 
(42 U.S.C. 247d) on January 31, 2020, and any continuation of such 
declaration (including the continuation described in Proclamation 9994 
on February 24, 2021), shall be lifted not earlier than 60 days after 
the date on which the Surgeon General provides written notification to 
the appropriate authorizing and appropriating committees of Congress 
that such public health emergency declaration (including the 
continuation described in Proclamation 9994 on February 24, 2021) have 
been terminated.
    (b) Procedures During 60-day Termination Window.--
            (1) Plan.--Not later than 30 days after the date on which a 
        written notification is provided under subsection (a) with 
        respect to an order of suspension, the Surgeon General, in 
        consultation with the Secretary of Homeland Security, and the 
        head of any other Federal agency, State, local or Tribal 
        government, or nongovernmental organization that has a role in 
        managing outcomes associated with the suspension, as determined 
        by the Surgeon General (or the designee of the Surgeon 
        General), shall develop and submit to the appropriate 
        committees of Congress, a plan to address any possible influx 
        of entries or imports, as defined in such order of suspension, 
        related to the termination of such order.
            (2) Failure to submit.--If a plan under paragraph (1) is 
        not submitted to the appropriate committees of Congress within 
        the 30-day period described in such paragraph, not later than 7 
        days after the expiration of such 30-day period, the Secretary 
        shall notify the appropriate committees of Congress, in 
        writing, of the status of preparing such a plan and the timing 
        for submission as required under paragraph (1). The termination 
        of order related to such plan shall be delayed until that date 
        that is 30 days after the date on which such plan is submitted 
        to such committees.
    This title may be cited as the ``Department of Health and Human 
Services Appropriations Act, 2023''.

                               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''), $21,260,551,000, of which 
$10,306,490,000 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:  Provided further, That up to 
$50,000,000 of these funds shall be available to the Secretary for 
grants to States for voluntary activities designed to improve State 
funding formula equity and increase support for high-poverty school 
districts:  Provided further, That $1,362,301,000 shall be for 
concentration grants under section 1124A of the ESEA:  Provided 
further, That $6,357,550,000 shall be for targeted grants under section 
1125 of the ESEA:  Provided further, That $6,357,550,000 shall be for 
education finance incentive grants under section 1125A of the ESEA:  
Provided further, That $18,761,000 shall be for competitive grants to 
support strong partnerships, which may include those among State 
educational agencies, local educational agencies and child welfare 
agencies, to create and implement innovative strategies for improving 
the education of foster children and youth under part D of title I of 
the ESEA:  Provided further, That the Secretary may reserve up to 3 
percent of the amount in the preceding proviso to provide technical 
assistance in the implementation of these grants:  Provided further, 
That $223,000,000 shall be for carrying out subpart 2 of part B of 
title II:  Provided further, That $58,123,000 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, $1,614,112,000, 
of which $1,464,242,000 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), $17,406,000, to remain available 
through September 30, 2024, shall be for construction under section 
7007(b), $79,313,000 shall be for Federal property payments under 
section 7002, and $4,835,000, to remain available until expended, shall 
be for facilities maintenance under section 7008:  Provided, That for 
purposes of computing the amount of a payment for an eligible local 
educational 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 described in 
section 7003(a)(1)(B)), are no longer eligible under such section, 
shall be considered as eligible students under such section, provided 
such students remain in average daily attendance at a school in the 
same local educational agency they attended prior to their change in 
eligibility status.

                      School Improvement Programs

    For carrying out school improvement activities authorized 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 
Educational Technical Assistance Act of 2002; the Compact of Free 
Association Amendments Act of 2003; and the Civil Rights Act of 1964, 
$5,905,642,000, of which $4,060,312,000 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 $1,409,673,000 shall be for part B of title IV:  
Provided further, That $40,897,000 shall be for part B of title VI, 
which may be used for construction, renovation, and modernization of 
any public elementary school, secondary school, or structure related to 
a public elementary school or secondary school that serves a 
predominantly Native Hawaiian student 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 $37,953,000 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 limitation in section 6305 of the 
ESEA on the use of funds for administrative purposes shall apply only 
to direct administrative costs:  Provided further, That $54,000,000 
shall be available to carry out section 203 of the Educational 
Technical 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 
Supplemental 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 $195,000,000 
shall be for part B of title V:  Provided further, That $1,355,000,000 
shall be available for grants under subpart 1 of part A of title IV.

                            Indian Education

    For expenses necessary to carry out, to the extent not otherwise 
provided, title VI, part A of the ESEA, $195,246,000, of which 
$72,000,000 shall be for subpart 2 of part A of title VI and 
$12,865,000 shall be for subpart 3 of part A of title VI:  Provided, 
That the 5 percent limitation 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:  Provided 
further, That the Secretary may make awards under subpart 3 of part A 
of title VI without regard to the funding limitation in section 
6133(b)(1) of the ESEA.

                       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, $1,330,500,000:  Provided, That $194,000,000 
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 $652,500,000 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 
notwithstanding section 4601(b), $384,000,000 shall be available 
through December 31, 2023 for subpart 1 of part F of title IV:  
Provided further, That of the funds available for subpart 4 of part F 
of title I not less than $8,000,000 shall be for continuation grants 
for eligible national nonprofit organizations, as described in the 
Applications for New Awards; Assistance for Arts Education Program--
Arts in Education National Program published in the Federal Register on 
May 7, 2018, for activities described under section 4642(a)(1)(C): 
Provided further, That $100,000,000 shall be for competitive grants to 
local educational agencies and State educational agencies to reduce 
racial and socioeconomic segregation across and within school 
districts.

                 Safe Schools and Citizenship Education

    For carrying out activities authorized by subparts 2 and 3 of part 
F of title IV of the ESEA, $1,708,000,000, to remain available through 
December 31, 2023:  Provided, That $1,134,000,000 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 
Violence (Project SERV) program:  Provided further, That $468,000,000 
shall be available for section 4625:  Provided further, That 
$96,000,000 shall be for section 4624:  Provided further, That 
$10,000,000 shall be for grants to local educational agencies to 
provide integrated student supports designed to improve student social, 
emotional, physical, and mental health and academic outcomes.

                      English Language Acquisition

    For carrying out part A of title III of the ESEA, $1,000,000,000, 
which shall become available on July 1, 2023, and shall remain 
available through September 30, 2024, except that 6.5 percent of such 
amount shall be available on October 1, 2022, and shall remain 
available through September 30, 2024, to carry out activities under 
section 3111(c)(1)(C):  Provided, That the Secretary may reserve up to 
2 percent of such amount for technical assistance and capacity 
building.

                           Special Education

    For carrying out the Individuals with Disabilities Education Act 
(IDEA), section 773 of the HEA, and the Special Olympics Sport and 
Empowerment Act of 2004, $17,760,679,000, of which $8,036,736,000 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 percent change in the funds appropriated under section 
611(i) of the IDEA, but not less than the amount for that activity 
during fiscal year 2022:  Provided further, That the Secretary 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 disabilities for whom the 
State ensures the availability of a free appropriate public education 
under this part, and 15 percent to States on the basis of the States' 
relative populations of those children who are living in poverty:  
Provided further, 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 further, 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 provisos in fiscal year 2012 or any 
subsequent year shall not be considered in calculating the awards under 
section 611(d) for fiscal year 2013 or for any subsequent fiscal years: 
 Provided further, That, notwithstanding the provision 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 specified 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 section 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 
further, That the funds reserved under 611(c) of the IDEA may be used 
to provide technical assistance to States to improve the capacity of 
the States to meet the data collection requirements of sections 616 and 
618 and to administer and carry out other services and activities to 
improve data collection, 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 Development Grants program under 
part D, subpart 1 of IDEA to evaluate program performance under such 
subpart:  Provided 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 authorized by those sections:  
Provided further, That, notwithstanding 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 section 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 
receive a grant in excess of the amount described in section 
643(e)(2)(B) of such Act:  Provided further, That States may use funds 
allotted under section 643(c) 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 
authorized by section 638 of IDEA:  Provided further, That, 
notwithstanding section 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 services under 
part C of the IDEA from age 3 until the beginning 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:  Provided 
further, That, notwithstanding section 638 of the IDEA, any State 
receiving a grant under section 633 of the IDEA must reserve not less 
than ten percent of its award for use in a manner described in a State 
plan, approved by the Secretary, to ensure equitable access to and 
participation in part C services in the State, particularly for 
populations that have been traditionally underrepresented in the 
program:  Provided further, That, notwithstanding section 632(4)(B) of 
the IDEA, a State receiving a grant under section 633 of the IDEA may 
establish a system of payments but may not include in that system 
family fees or out-of-pocket costs to families for early intervention 
services:  Provided further, That any State seeking to amend its 
eligibility criteria under section 635(a)(1) of the IDEA in such a way 
that would have the effect of reducing the number of infants and 
families who are eligible under part C must conduct the public 
participation under section 637(a)(8) of the IDEA at least 24 months 
prior to implementing such a change:  Provided further, That, 
notwithstanding section 638 of the IDEA, a State may use funds 
appropriated under part C of the IDEA to conduct child find, public 
awareness and referral activities for an individual who is expected to 
become a parent of an infant with a disability (as that term is defined 
in section 632(5) of the IDEA), as established by medical or other 
records.

                        Rehabilitation Services

    For carrying out, to the extent not otherwise provided, the 
Rehabilitation Act of 1973 and the Helen Keller National Center Act, 
$4,104,906,000, 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 
that remain available subsequent to the reallotment of funds to States 
pursuant to section 110(b) of the Rehabilitation Act for innovative 
activities aimed at increasing competitive integrated employment as 
defined in section 7 of such Act for youth and other individuals with 
disabilities:  Provided further, That up to 15 percent of the amounts 
made available by this or prior Acts for innovative activities as 
described in the preceding proviso may be used for evaluation and 
technical assistance related to such activities:  Provided further, 
That States may award subgrants for a portion of the funds to other 
public and private, nonprofit entities:  Provided further, That any 
funds made available subsequent to reallotment for innovative 
activities aimed at improving the outcomes of individuals with 
disabilities shall remain available until September 30, 2024.

           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, $91,500,000:  
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, $156,361,000:  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.

                 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 Family Literacy Act (``AEFLA''), 
$2,214,981,000, of which $1,423,981,000 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 
$50,000,000 shall be for competitive grants to consortia of local 
educational agencies, institutions of higher education, and employers 
to pilot evidence-based strategies to increase the integration and 
alignment of the last two years of high school and the first two years 
of postsecondary education to improve postsecondary and career outcomes 
for all students:  Provided further, That section 3(20) of the Perkins 
Act shall be applied as if the term ``eligible institution'' includes 
an apprenticeship program that is registered under the National 
Apprenticeship Act and accredited by an agency recognized by the United 
States Department of Education:  Provided further, That of the amounts 
made available for AEFLA, $18,712,000 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, $24,639,234,000 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, $2,579,034,000, to remain available through 
September 30, 2024:  Provided, That student loan servicers and 
contractors shall be evaluated based on their ability to meet contract 
requirements (including an understanding of Federal and State law), 
future performance on the contracts, and history of compliance with 
applicable consumer protections laws:  Provided further, That to the 
extent Federal Student Aid (FSA) permits student loan servicing 
subcontracting, FSA shall hold prime contractors accountable 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 performance of the prime contractor:  
Provided further, That FSA shall ensure that contractors have the 
capacity 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 effectiveness.

                            Higher Education

     For carrying out, to the extent not otherwise provided, titles II, 
III, IV, V, VI, VII, and VIII of the HEA, the Mutual Educational and 
Cultural Exchange Act of 1961, and section 117 of the Perkins Act, 
$3,959,485,000, of which $520,000,000 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 Educational and Cultural 
Exchange Act of 1961 may be used to support visits and study in foreign 
countries by individuals 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 information 
dissemination activities:  Provided further, That up to 1.5 percent of 
the funds made available under chapter 2 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 notwithstanding the limitations 
in section 419N(b)(2) of the HEA:  Provided further, That of the 
amounts made available under this heading, $209,301,000 shall be used 
for the projects, and in the amounts, specified in the table titled 
``Labor, HHS, Education Incorporation of Community Project Funding 
Items'' in the report accompanying this 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, $394,018,000, of which 
not less than $3,405,000 shall be for a matching endowment grant 
pursuant to the Howard University Endowment Act and shall remain 
available until expended.

         College Housing and Academic Facilities Loans Program

    For Federal administrative expenses to carry out activities 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 authorized 
pursuant to part D of title III of the HEA, which shall remain 
available through September 30, 2024:  Provided, 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:  
Provided 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 section 344(a) of the HEA.
    In addition, for administrative expenses to carry out the 
Historically Black College and University Capital Financing Program 
entered into pursuant to part D of title III of the HEA, $528,000.

                    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, $844,075,000, 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 agencies 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, $462,500,000, of which up to $17,500,000, to 
remain available until expended, shall be available for relocation 
expenses, and for the renovation and repair of leased buildings:  
Provided, That, notwithstanding any other provision of law, none of the 
funds provided by this Act or provided by previous Appropriations Acts 
to the Department of Education available for obligation or expenditure 
in the current fiscal year may be used for any activity relating to 
implementing a reorganization that decentralizes, reduces the staffing 
level, or alters 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 Education Organization 
Act, $151,300,000.

                      office of inspector general

    For expenses necessary for the Office of Inspector General, as 
authorized by section 212 of the Department of Education Organization 
Act, $76,452,000, of which $2,000,000 shall remain available until 
expended.

                           General Provisions

    Sec. 301.  No funds appropriated in this Act may be used to prevent 
the implementation of programs of voluntary 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:  Provided, 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 Appropriations 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 consolidated for 
evaluation purposes under section 8601(c) of the ESEA shall be 
available from July 1, 2023, through September 30, 2024.
    Sec. 304. (a) An institution of higher education that maintains an 
endowment fund supported with funds appropriated for title III or V of 
the HEA for fiscal year 2023 may use the income from that fund to award 
scholarships 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 considered 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 ``2022''.
    Sec. 306.  Section 458(a)(4) of the HEA (20 U.S.C. 1087h(a)) shall 
be applied by substituting ``2023'' for ``2022''.
    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 Perkins 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, $221,000,000 are hereby 
rescinded.
    Sec. 309.  Of the amounts made available under 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 cancellation:  Provided, That the 
Secretary shall specifically conduct outreach to assist borrowers who 
would qualify for loan cancellation under section 455(m) of such Act 
except that the borrower has made some, or all, of the 120 required 
payments 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 prominent 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 electronically and on a centralized website.
    Sec. 310.  In addition to amounts otherwise made available, the 
unobligated balances of amounts made available in fiscal year 2018 and 
each fiscal year thereafter for the Temporary Expanded Public Service 
Loan Forgiveness (TEPSLF) program carried out by the Department of 
Education, shall be made available in accordance with the following:
            (1) Except as provided in paragraphs (2) and (3), 
        notwithstanding the terms and conditions for such program 
        required under such appropriations Acts, such program shall be 
        carried out in the same manner, and with the same terms and 
        conditions, as the Limited PSLF Waiver program carried out by 
        the Department of Education beginning on October 6, 2021, and 
        authorized by the Higher Education Relief Opportunities for 
        Students Act of 2003 (20 U.S.C. 1098bb), except that--
                    (A) the application and consolidation deadlines 
                under the Limited PSLF Waiver program shall not apply 
                to the TEPSLF program; and
                    (B) a loan made under part B or E of title 22 IV of 
                the Higher Education Act of 1965 (other than an 
                excepted PLUS loan or an excepted consolidation loan 
                (as such terms are defined in section 493C(a) of such 
                Act of 1965)) shall be eligible for forgiveness under 
                the TEPSLF program in the same manner and with the same 
                conditions as a Federal Direct Loan, and a borrower of 
                such a loan made under part B or E may receive credit 
                under such program for any repayment on such loan that 
                would otherwise qualify under the TEPSLF program (in 
                accordance with this section), without consolidating 
                such loan into a Federal Direct Consolidation Loan.
            (2) The limitation relating to the total loan volume, 
        including outstanding principal, fees, capitalized interest, or 
        accrued interest, applicable with respect to amounts initially 
        made available in fiscal year 2018 and each fiscal year 
        thereafter shall continue to apply with respect to the 
        corresponding unobligated balance from each such fiscal year.
            (3) The Secretary shall provide loan forgiveness under this 
        section to eligible borrowers on a first come, first-serve 
        basis, based on the date of application and subject to both the 
        limitation on total loan volume at application for such loan 
        forgiveness specified and the availability of appropriations.
    Sec. 311.  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 available 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 subject to the reservation under 
this section:  Provided further, That any funds reserved under this 
section shall be available 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 limits on such reservations:  Provided 
further, That not later than 30 days prior to the initial obligation of 
funds reserved 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 under this section, the impact on program grantees if funds 
are withheld for the purposes of this section, and the activities to be 
carried out with such funds.
    Sec. 312.  In addition to amounts otherwise appropriated by this 
Act under the heading ``Innovation and Improvement'' for purposes 
authorized by the Elementary and Secondary Education Act of 1965, there 
are hereby appropriated an additional $154,108,000 which shall be used 
for the projects, and in the amounts, specified in the table titled 
``Labor, HHS, Education Incorporation of Community Project Funding 
Items'' in the report accompanying this Act:  Provided, That none of 
the funds made available for such projects shall be subject to section 
302 of this Act.
    Sec. 313.  None of the funds made available under part C of title 
IV of the ESEA may be awarded to a charter school that enters into a 
contract with a for-profit management organization under which the 
management organization and its related entities exercises full or 
substantial administrative control over the charter school, except that 
this proviso does not limit the ability of a charter school to contract 
with a for-profit entity for discrete purposes other than managing or 
operating the charter school, such as providing food services or 
payroll services.
    Sec. 314.  None of the funds appropriated by this title for the 
Department of Education shall be withheld from an institution of higher 
education solely because that institution is conducting or preparing to 
conduct research on marihuana as defined in 21 U.S.C. 802(16).
    Sec. 315.  None of the funds made available by this Act may be used 
by the Department of Education to support an educational institution 
that engages in the use of electric shock devices and equipment for 
aversive conditioning or disciplining of students.
    Sec. 316.  Section 487(a) of the HEA is amended in paragraph (24) 
by the striking ``ten percent'' and ``fifteen percent''.
    Sec. 317.  (a)(1) Section 484(a)(5) of the HEA of 1965 (20 U.S.C. 
1091(a)(5)) is amended--
            
                    (A) by inserting ``or a DACA recipient (as defined 
                in subsection (u)), have temporary protected status 
                under section 244 of the Immigration and Nationality 
                Act (8 U.S.C. 1254a),'' after ``a permanent resident of 
                the United States,''; and
                    (B) by inserting ``be'' after ``able''.
            (2) Section 484(a) of such Act (20 U.S.C. 1091(a)) is 
        amended by adding at the end the following:
                    ``(u) DACA RECIPIENT.--In this section, the term 
                `DACA recipient' means an alien (as defined in section 
                101(a)(3) of the Immigration and Nationality Act (8 
                U.S.C. 1101(a)(3)) who is inadmissible to the United 
                State or deportable from the United States under the 
                immigration laws (as defined in section 101(a)(17) of 
                such Act (8 U.S.C. 1101(a)(17)), and who the Secretary 
                of Homeland Security has, in his or her discretion, 
                determined should be afforded a grant of deferred 
                action under the Deferred Action for Childhood Arrivals 
                (DACA) policy.''.
            (3) The amendments made by this subsection shall take 
        effect on July 1, 2023.
            (b)(1) Subsection (n)(1)(A)(iv) of section 702 of the FAFSA 
        Simplification Act (title VII of division FF of Public Law 116-
        260) is amended by striking ``by adding at the end'' and 
        inserting ``by inserting after subsection (r), as redesignated 
        under clause (i),''.
            (2) The amendment made by paragraph (1) shall take effect 
        as if included in the enactment of the FAFSA Simplification Act 
        (title VII of division FF of Public Law 116-260).
    Sec. 318.  Section 344(a) of the HEA (20 U.S.C. 1066(c)(a)) is 
amended by striking ``No institution of higher education that has 
received assistance under section 8 of the Act of March 2, 1867 (20 
U.S.C. 123) shall be eligible to receive assistance under this part.''.
    
    This title may be cited as the ``Department of Education 
Appropriations Act, 2023''.

                                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 section 8502 of title 41, United States 
Code, $13,124,000:  Provided, 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 Committee 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 
elements listed under the heading ``Committee For Purchase From People 
Who Are Blind or Severely Disabled--Written Agreement Elements'' in the 
explanatory statement described 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 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 $3,124,000 shall be available for the Office of 
Inspector General.

             Corporation for National and Community Service

                           operating expenses

    For necessary expenses for the Corporation for National 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''), $947,829,000 , 
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) $6,558,000 shall be 
available for expenses authorized under section 501(a)(4)(F) of the 
1990 Act, which, notwithstanding 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 determination 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, $235,000,000, to remain 
available until expended:  Provided, That CNCS may transfer additional 
funds from the amount provided within ``Operating Expenses'' allocated 
to grants under subtitle 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 Appropriations of the House 
of Representatives and the Senate:  Provided further, That amounts 
appropriated for or transferred to the National Service Trust may be 
invested under section 145(b) of the 1990 Act without regard to the 
requirement 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 504(a) of the 1973 Act, 
including payment of salaries, authorized travel, hire of passenger 
motor vehicles, the rental of conference rooms in the District of 
Columbia, the employment of experts and consultants authorized under 5 
U.S.C. 3109, and not to exceed $2,500 for official reception and 
representation expenses, $109,686,000.

                      office of inspector general

    For necessary expenses of the Office of Inspector General in 
carrying out the Inspector General Act of 1978, $8,121,000.

                       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 covered 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 
requirement 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 
operations.
    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
            (3) State Commissions on National and Community 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 completes 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''.
    Sec. 408. (a) Section 137(a)(5) of the 1990 Act shall be applied in 
fiscal year 2022 as if the following were inserted before the period: 
``, or has submitted a request for administrative relief pursuant to 
the policy established in the memorandum of the Secretary of Homeland 
Security date June 15, 2012, and entitled `Exercising Prosecutorial 
Discretion with Respect to Individuals Who Came to the United States as 
Children' (Deferred Action for Childhood Arrivals)''.
    (b) Section 146(a)(3) of the 1990 Act shall be applied in fiscal 
year 2022 as if the following were inserted before the period: ``, or 
has submitted a request for administrative relief pursuant to the 
policy established in the memorandum of the Secretary of Homeland 
Security dated June 15, 2012, and entitled `Exercising Discretion with 
Respect to Individuals Who Came to the United States as Children 
(Deferred Action for Childhood Arrivals)''.
    Sec. 409.  An individual in an approved national service position 
in a program under section 152(a) of the 1990 Act may upon the approval 
of the Director of the National Civilian Community Corps continue in a 
term of service for up to 180 days beyond the period otherwise 
specified in section 153(d), or 90 days beyond the period otherwise 
specified in section 154(c).
    Sec. 410. (a) Notwithstanding sections 139, 147, 153, and 154 of 
the 1990 Act, the Director of the National Civilian Community Corps may 
enter into agreements with eligible individuals to participate in a 
National Civilian Community Corps program for a period of not less than 
90 days and not more than 180 days.
    (b) An eligible individual who enters into an agreement with the 
Director under subsection (a) may receive an educational award 
equivalent to a proportional amount of the full-time national service 
educational award authorized under section 147(a) of the 1990 Act that 
corresponds to the term of service that such individual completes.
    (c) For purposes of this section, the term ``eligible individual'' 
means an individual who is at least 18 years of age and not more than 
26 years of age as of the date the term of service commences.

                  Corporation for Public Broadcasting

    For payment to the Corporation for Public Broadcasting (``CPB''), 
as authorized by the Communications Act of 1934, an amount which shall 
be available within limitations specified by that Act, for the fiscal 
year 2025, $565,000,000:  Provided, That none of the funds made 
available 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 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, appointing, 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, including the costs of 
interconnection facilities and operations under subsections 
(k)(3)(A)(i)(II) and (k)(3)(A)(iv)(I) of section 396 of the 
Communications Act of 1934, and for other technologies and services 
that create infrastructure and efficiencies within the public media 
system, $60,000,000:  Provided, That such amounts shall be in addition 
to any other amounts otherwise available for such purposes.

               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 necessary 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 training activities and 
other conflict resolution services and technical assistance, including 
those provided to foreign governments and international organizations, 
and for arbitration services shall be credited to and merged with this 
account, and shall remain available until expended:  Provided further, 
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, 
$280,000,000.

            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 Relations Board to 
carry out the functions vested in it by the Labor-Management Relations 
Act, 1947, and other laws, $319,424,000, of which not less that 
$1,000,000 shall be used to develop a system and procedures to conduct 
union representation elections electronically.

                        National Mediation Board

                         salaries and expenses

    For expenses necessary to carry out the provisions of the Railway 
Labor Act, including emergency boards appointed by the President, 
$15,113,000.

            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 becoming 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 received 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 Treasury for the 
payment of benefits under the Railroad Retirement Act for interest 
earned on unnegotiated checks, $150,000, to remain available through 
September 30, 2023, 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 Retirement Act and the 
Railroad Unemployment Insurance Act, $131,666,000, to be derived in 
such amounts as determined by the Board from the railroad retirement 
accounts and from moneys credited to the railroad unemployment 
insurance administration fund:  Provided, That notwithstanding section 
7(b)(9) of the Railroad Retirement Act this limitation 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 notwithstanding 
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 General for 
audit, investigatory and review activities, as authorized by the 
Inspector General Act of 1978, not more than $13,269,000, to be derived 
from the railroad retirement accounts and railroad unemployment 
insurance account.

                     Social Security Administration

                payments to social security trust funds

    For payment to the Federal Old-Age and Survivors Insurance 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 Security 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, 
$48,713,576,000, to remain available until expended:  Provided, 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:  Provided 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 remain available through 
September 30, 2025.
    For making, after June 15 of the current fiscal year, benefit 
payments to individuals under title XVI of the Social 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

    For necessary expenses, including the hire and purchase of two 
passenger motor vehicles and charging or fueling infrastructure for 
zero emission passenger motor vehicles, and not to exceed $20,000 for 
official reception and representation expenses, not more than 
$14,300,945,000 may be expended, as authorized 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 Social Security Advisory Board:  Provided further, 
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 infrastructure, including related equipment and non-
payroll administrative expenses associated solely with this information 
technology and telecommunications infrastructure:  Provided further, 
That the Commissioner of Social Security 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 official time for 
employees of the Social Security Administration pursuant to 5 U.S.C. 
7131, and for facilities or support services for labor organizations 
pursuant to policies, regulations, 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 paragraph under 
this heading, not more than $1,799,000,000, 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-related continuing disability reviews to determine whether 
earnings derived from services demonstrate an individual's ability to 
engage in substantial gainful activity, for the cost 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, $288,000,000 is provided to meet the terms of 
section 1(i)(2)(C) of H. Res. 1151 (117th Congress) as engrossed in the 
House of Representatives on June 8, 2022, and $1,511,000,000 is 
additional new budget authority specified for purposes of section 1(i) 
of such resolution:  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 addition to any other transfer authority provided by 
law:  Provided 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.
    In addition, $140,000,000 to be derived from administration 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 extent 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 expended.

                      office of inspector general

                     (including transfer of funds)

    For expenses necessary for the Office of Inspector General in 
carrying out the provisions of the Inspector General Act of 1978, 
$33,000,000, together with not to exceed $84,500,000, 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 information technology 
modernization, including related hardware and software infrastructure 
and equipment, and for administrative expenses directly associated with 
information 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 
Appropriations of the House of Representatives and the Senate at least 
15 days in advance of any transfer.

                                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 recognized 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 designed to support or defeat the enactment of legislation 
before the Congress or any State or local legislature or legislative 
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 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 recipient, related to any activity designed to 
influence the enactment of legislation, appropriations, regulation, 
administrative 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 participation 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 marketing, including but not limited to the 
advocacy or promotion of gun control.
    Sec. 504.  The Secretaries of Labor and Education are authorized to 
make available not to exceed $28,000 and $20,000, respectively, from 
funds available for salaries and expenses under titles I and III, 
respectively, for official reception 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 Expenses''.
    Sec. 505.  When issuing statements, press releases, requests 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 program or 
        project which will be financed with Federal money;
            (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 made available in this Act may be 
used for--
            (1) the creation of a human embryo or embryos for research 
        purposes; or
            (2) research in which a human embryo or embryos are 
        destroyed, discarded, or knowingly subjected to risk of injury 
        or death greater than that allowed for research on fetuses in 
        utero under 45 CFR 46.204(b) and section 498(b) of the Public 
        Health Service Act (42 U.S.C. 289g(b)).
    (b) For purposes of this section, the term ``human embryo or 
embryos'' includes any organism, not protected as a human subject under 
45 CFR 46 as of the date of the enactment of this Act, that is derived 
by fertilization, parthenogenesis, cloning, or any other means from one 
or more human gametes or human diploid cells.
    Sec. 507. (a) None of the funds made available in this Act may be 
used for any activity that promotes the legalization of any drug or 
other substance included in schedule I of the schedules of controlled 
substances established under section 202 of the Controlled Substances 
Act except for normal and recognized executive-congressional 
communications.
    (b) The limitation in subsection (a) shall not apply when there is 
significant medical evidence of a therapeutic advantage to the use of 
such drug or other substance or that federally sponsored clinical 
trials are being conducted to determine therapeutic advantage.
    Sec. 508.  None of the funds made available in this Act may be 
obligated or expended to enter into or renew a contract with an entity 
if--
            (1) such entity is otherwise a contractor with the United 
        States and is subject to the requirement in 38 U.S.C. 4212(d) 
        regarding submission of an annual report to the Secretary of 
        Labor concerning employment of certain veterans; and
            (2) such entity has not submitted a report as required by 
        that section for the most recent year for which such 
        requirement was applicable to such entity.
    Sec. 509.  None of the funds made available in this Act may be 
transferred to any department, agency, or instrumentality of the United 
States Government, except pursuant to a transfer made by, or transfer 
authority provided in, this Act or any other appropriation Act.
    Sec. 510.  None of the funds made available by this Act to carry 
out the Library Services and Technology Act may be made available to 
any library covered by paragraph (1) of section 224(f) of such Act, as 
amended by the Children's Internet Protection Act, unless such library 
has made the certifications required by paragraph (4) of such section.
    Sec. 511. (a) None of the funds provided under this Act, or 
provided under previous appropriations Acts to the agencies funded by 
this Act that remain available for obligation or expenditure in fiscal 
year 2023, or provided from any accounts in the Treasury of the United 
States derived by the collection of fees available to the agencies 
funded by this Act, shall be available for obligation or expenditure 
through a reprogramming of funds that--
            (1) creates new programs;
            (2) eliminates a program, project, or activity;
            (3) increases funds or personnel by any means for any 
        project or activity for which funds have been denied or 
        restricted;
            (4) relocates an office or employees;
            (5) reorganizes or renames offices;
            (6) reorganizes programs or activities; or
            (7) contracts out or privatizes any functions or activities 
        presently performed by Federal employees;
unless the Committees on Appropriations of the House of Representatives 
and the Senate are consulted 15 days in advance of such reprogramming 
or of an announcement of intent relating to such reprogramming, 
whichever occurs earlier, and are notified in writing 10 days in 
advance of such reprogramming.
    (b) None of the funds provided under this Act, or provided under 
previous appropriations Acts to the agencies funded by this Act that 
remain available for obligation or expenditure in fiscal year 2023, or 
provided from any accounts in the Treasury of the United States derived 
by the collection of fees available to the agencies funded by this Act, 
shall be available for obligation or expenditure through a 
reprogramming of funds in excess of $500,000 or 10 percent, whichever 
is less, that--
            (1) augments existing programs, projects (including 
        construction projects), or activities;
            (2) reduces by 10 percent funding for any existing program, 
        project, or activity, or numbers of personnel by 10 percent as 
        approved by Congress; or
            (3) results from any general savings from a reduction in 
        personnel which would result in a change in existing programs, 
        activities, or projects as approved by Congress;
unless the Committees on Appropriations of the House of Representatives 
and the Senate are consulted 15 days in advance of such reprogramming 
or of an announcement of intent relating to such reprogramming, 
whichever occurs earlier, and are notified in writing 10 days in 
advance of such reprogramming.
    Sec. 512. (a) None of the funds made available in this Act may be 
used to request that a candidate for appointment to a Federal 
scientific advisory committee disclose the political affiliation or 
voting history of the candidate or the position that the candidate 
holds with respect to political issues not directly related to and 
necessary for the work of the committee involved.
    (b) None of the funds made available in this Act may be used to 
disseminate information that is deliberately false or misleading.
    Sec. 513.  Within 45 days of enactment of this Act, each department 
and related agency funded through this Act shall submit an operating 
plan that details at the program, project, and activity level any 
funding allocations for fiscal year 2023 that are different than those 
specified in this Act, the report accompanying this Act or the fiscal 
year 2023 budget request.
    Sec. 514.  The Secretaries of Labor, Health and Human Services, and 
Education shall each prepare and submit to the Committees on 
Appropriations of the House of Representatives and the Senate a report 
on the number and amount of contracts, grants, and cooperative 
agreements exceeding $500,000, individually or in total for a 
particular project, activity, or programmatic initiative, in value and 
awarded by the Department on a non-competitive basis during each 
quarter of fiscal year 2023, but not to include grants awarded on a 
formula basis or directed by law. Such report shall include the name of 
the contractor or grantee, the amount of funding, the governmental 
purpose, including a justification for issuing the award on a non-
competitive basis. Such report shall be transmitted to the Committees 
within 30 days after the end of the quarter for which the report is 
submitted.
    Sec. 515.  None of the funds appropriated in this Act shall be 
expended or obligated by the Commissioner of Social Security, for 
purposes of administering Social Security benefit payments under title 
II of the Social Security Act, to process any claim for credit for a 
quarter of coverage based on work performed under a social security 
account number that is not the claimant's number and the performance of 
such work under such number has formed the basis for a conviction of 
the claimant of a violation of section 208(a)(6) or (7) of the Social 
Security Act.
    Sec. 516.  None of the funds appropriated by this Act may be used 
by the Commissioner of Social Security or the Social Security 
Administration to pay the compensation of employees of the Social 
Security Administration to administer Social Security benefit payments, 
under any agreement between the United States and Mexico establishing 
totalization arrangements between the social security system 
established by title II of the Social Security Act and the social 
security system of Mexico, which would not otherwise be payable but for 
such agreement.
    Sec. 517. (a) None of the funds made available in this Act may be 
used to maintain or establish a computer network unless such network 
blocks the viewing, downloading, and exchanging of pornography.
    (b) Nothing in subsection (a) shall limit the use of funds 
necessary for any Federal, State, tribal, or local law enforcement 
agency or any other entity carrying out criminal investigations, 
prosecution, or adjudication activities.
    Sec. 518.  For purposes of carrying out Executive Order 13589, 
Office of Management and Budget Memorandum M-12-12 dated May 11, 2012, 
and requirements contained in the annual appropriations bills relating 
to conference attendance and expenditures:
            (1) the operating divisions of HHS shall be considered 
        independent agencies; and
            (2) attendance at and support for scientific conferences 
        shall be tabulated separately from and not included in agency 
        totals.
    Sec. 519.  Federal agencies funded under this Act shall clearly 
state within the text, audio, or video used for advertising or 
educational purposes, including emails or Internet postings, that the 
communication is printed, published, or produced and disseminated at 
United States taxpayer expense. The funds used by a Federal agency to 
carry out this requirement shall be derived from amounts made available 
to the agency for advertising or other communications regarding the 
programs and activities of the agency.
    Sec. 520. (a) Federal agencies may use Federal discretionary funds 
that are made available in this Act to carry out up to 10 Performance 
Partnership Pilots. Such Pilots shall be governed by the provisions of 
section 526 of division H of Public Law 113-76, except that in carrying 
out such Pilots section 526 shall be applied by substituting ``Fiscal 
Year 2023'' for ``Fiscal Year 2014'' in the title of subsection (b) and 
by substituting ``September 30, 2027'' for ``September 30, 2018'' each 
place it appears:  Provided, That such pilots shall include communities 
that have experienced civil unrest.
    (b) In addition, Federal agencies may use Federal discretionary 
funds that are made available in this Act to participate in Performance 
Partnership Pilots that are being carried out pursuant to the authority 
provided by section 526 of division H of Public Law 113-76, section 524 
of division G of Public Law 113-235, section 525 of division H of 
Public Law 114-113, section 525 of division H of Public Law 115-31, 
section 525 of division H of Public Law 115-141, section 524 of 
division A of Public Law 116-94, section 524 of division H of Public 
Law 116-260, and section 523 of division H of Public Law 117-103.
    (c) Pilot sites selected under authorities in this Act and prior 
appropriations Acts may be granted by relevant agencies up to an 
additional 5 years to operate under such authorities.
    Sec. 521.  Not later than 30 days after the end of each calendar 
quarter, beginning with the first month of fiscal year 2023 the 
Departments of Labor, Health and Human Services and Education and the 
Social Security Administration shall provide the Committees on 
Appropriations of the House of Representatives and Senate a report on 
the status of balances of appropriations:  Provided, That for balances 
that are unobligated and uncommitted, committed, and obligated but 
unexpended, the monthly reports shall separately identify the amounts 
attributable to each source year of appropriation (beginning with 
fiscal year 2012, or, to the extent feasible, earlier fiscal years) 
from which balances were derived.
    Sec. 522.  The Departments of Labor, Health and Human Services, and 
Education shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a comprehensive list of any new 
or competitive grant award notifications, including supplements, issued 
at the discretion of such Departments not less than 3 full business 
days before any entity selected to receive a grant award is announced 
by the Department or its offices (other than emergency response grants 
at any time of the year or for grant awards made during the last 10 
business days of the fiscal year, or if applicable, of the program 
year).
    Sec. 523.  Each department and related agency funded through this 
Act shall provide answers to questions submitted for the record by 
members of the Committee within 45 business days after receipt.
    Sec. 524.  Of amounts deposited in the Child Enrollment Contingency 
Fund under section 2104(n)(2) of the Social Security Act and the income 
derived from investment of those funds pursuant to section 
2104(n)(2)(C) of that Act, $14,861,000,000 shall not be available for 
obligation in this fiscal year.
    Sec. 525. (a) This section applies to: (1) the Administration for 
Children and Families in the Department of Health and Human Services; 
and (2) The Chief Evaluation Office and the statistical-related 
cooperative and interagency agreements and contracting activities of 
the Bureau of Labor Statistics in the Department of Labor.
    (b) Amounts made available under this Act which are either 
appropriated, allocated, advanced on a reimbursable basis, or 
transferred to the functions and organizations identified in subsection 
(a) for research, evaluation, or statistical purposes shall be 
available for obligation through September 30, 2027:  Provided, That 
when an office referenced in subsection (a) receives research and 
evaluation funding from multiple appropriations, such offices may use a 
single Treasury account for such activities, with funding advanced on a 
reimbursable basis.
    (c) Amounts referenced in subsection (b) that are unexpended at the 
time of completion of a contract, grant, or cooperative agreement may 
be deobligated and shall immediately become available and may be 
reobligated in that fiscal year or the subsequent fiscal year for the 
research, evaluation, or statistical purposes for which such amounts 
are available.
    Sec. 526.  None of the funds made available by this Act may be made 
available to the Wuhan Institute of Virology, or any other laboratory 
located in a country determined by the Secretary of State to be a 
foreign adversary, including China, Russia, North Korea, and Iran.
    Sec. 527.  None of the funds made available by this Act may be used 
to purchase, procure, or distribute pipes or similar cylindrical 
objects for use in smoking or inhaling any controlled substance in 
schedule I of the Controlled Substances Act (21 U.S.C. 801 et seq.).
    This Act may be cited as the ``Departments of Labor, Health and 
Human Services, and Education, and Related Agencies Appropriations Act, 
2023''.
                                                 Union Calendar No. 311

117th CONGRESS

  2d Session

                               H. R. 8295

                          [Report No. 117-403]

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