[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6470 Reported in House (RH)]

<DOC>





                                                 Union Calendar No. 667
115th CONGRESS
  2d Session
                                H. R. 6470

                          [Report No. 115-862]

 Making appropriations for the Departments of Labor, Health and Human 
   Services, and Education, and related agencies for the fiscal year 
           ending September 30, 2019, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 23, 2018

Mr. Cole, from the Committee on Appropriations, reported the following 
 bill; which was committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed

_______________________________________________________________________

                                 A BILL


 
 Making appropriations for the Departments of Labor, Health and Human 
   Services, and Education, and related agencies for the fiscal year 
           ending September 30, 2019, 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, 2019, 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 Second Chance Act of 
2007, $3,474,341,000, 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, $2,789,832,000 as follows:
                    (A) $845,556,000 for adult employment and training 
                activities, of which $133,556,000 shall be available 
                for the period July 1, 2019 through June 30, 2020, and 
                of which $712,000,000 shall be available for the period 
                October 1, 2019 through June 30, 2020;
                    (B) $903,416,000 for youth activities, which shall 
                be available for the period April 1, 2019 through June 
                30, 2020; and
                    (C) $1,040,860,000 for dislocated worker employment 
                and training activities, of which $180,860,000 shall be 
                available for the period July 1, 2019 through June 30, 
                2020, and of which $860,000,000 shall be available for 
                the period October 1, 2019 through June 30, 2020:
          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 section 189(i)(3)(A)(ii) of 
        the WIOA shall be applied in fiscal year 2019 by striking ``of 
        sections 8 through 10'' and ``(29 U.S.C. 49g through 49i)'', 
        and by inserting ``the colocation of employment service offices 
        with one-stop centers, the designation of a cooperating State 
        agency, the establishment and maintenance of a national system 
        of public employment service offices'' after ``veterans,''; and
            (2) for national programs, $684,509,000 as follows:
                    (A) $200,000,000 for the dislocated workers 
                assistance national reserve, which shall be available 
                through September 30, 2020:  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 of the funds provided under this 
                subparagraph, $30,000,000 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 for workers in counties 
                identified by the most recent United States Census 
                Bureau data available as having poverty rates for all 
                ages above 30 percent;
                    (B) $55,000,000 for Native American programs under 
                section 166 of the WIOA, which shall be available for 
                the period July 1, 2019 through June 30, 2020;
                    (C) $87,896,000 for migrant and seasonal farmworker 
                programs under section 167 of the WIOA, including 
                $81,447,000 for formula grants (of which not less than 
                70 percent shall be for employment and training 
                services), $5,922,000 for migrant and seasonal housing 
                (of which not less than 70 percent shall be for 
                permanent housing), and $527,000 for other 
                discretionary purposes, which shall be available for 
                the period July 1, 2019 through June 30, 2020:  
                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;
                    (D) $92,534,000 for YouthBuild activities as 
                described in section 171 of the WIOA, which shall be 
                available for the period April 1, 2019 through June 30, 
                2020;
                    (E) $93,079,000 for ex-offender activities, under 
                the authority of section 169 of the WIOA and section 
                212 of the Second Chance Act of 2007, which shall be 
                available for the period April 1, 2019 through June 30, 
                2020:  Provided, That of this amount, $25,000,000 shall 
                be for competitive grants to national and regional 
                intermediaries for activities that prepare young ex-
                offenders and school dropouts for employment, 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, 
                2019 through June 30, 2020; and
                    (G) $150,000,000 to expand apprenticeship 
                opportunities, to be available to the Secretary to 
                carry out activities through grants, cooperative 
                agreements, contracts and other arrangements, with 
                States and other appropriate entities, which shall be 
                available for the period April 1, 2019 through June 30, 
                2020.

                               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, $1,718,655,000, plus reimbursements, 
as follows:
            (1) $1,603,325,000 for Job Corps Operations, which shall be 
        available for the period July 1, 2019 through June 30, 2020;
            (2) $83,000,000 for construction, rehabilitation and 
        acquisition of Job Corps Centers, which shall be available for 
        the period July 1, 2019 through June 30, 2022, 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, 
        2020:  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) $32,330,000 for necessary expenses of Job Corps, which 
        shall be available for obligation for the period October 1, 
        2018 through September 30, 2019:
  Provided, That no funds from any other appropriation shall be used to 
provide meal services at or for Job Corps centers: Provided further, 
That notwithstanding section 144(a)(1) of the WIOA, the Secretary may 
prioritize the enrollment of applicants who are at least 20 years old 
into the Job Corps program.

            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''), $400,000,000, which shall be available for 
the period April 1, 2019 through June 30, 2020, 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 2019 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 section 405(a) of the Trade Preferences Extension Act 
of 2015, $790,000,000 together with such amounts as may be necessary to 
be charged to the subsequent appropriation for payments for any period 
subsequent to September 15, 2019:  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)).

     state unemployment insurance and employment service operations

    For authorized administrative expenses, $84,066,000, together with 
not to exceed $3,176,216,000 which may be expended from the Employment 
Security Administration Account in the Unemployment Trust Fund (``the 
Trust Fund''), of which:
            (1) $2,515,816,000 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 $150,000,000 to conduct in-person 
        reemployment and eligibility assessments and unemployment 
        insurance improper payment reviews, and to provide reemployment 
        services and referrals to training as appropriate, for 
        claimants of unemployment insurance for ex-service members 
        under 5 U.S.C. 8521 et. seq. and for claimants of regular 
        unemployment compensation, including those who are profiled as 
        most likely to exhaust their benefits in each State: Provided, 
        That of the amount provided under this heading, $117,000,000 is 
        provided to meet the terms of section 251(b)(2)(E)(ii) of the 
        Balanced Budget and Emergency Deficit Control Act of 1985, as 
        amended, and $33,000,000 is additional new budget authority 
        specified for purposes of section 251(b)(2)(E) of such Act; 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 
        section 405(a) of the Trade Preferences Extension Act of 2015, 
        and shall be available for obligation by the States through 
        December 31, 2019, except that funds used for automation shall 
        be available for Federal obligation through December 31, 2019, 
        and for State obligation through September 30, 2021, or, if the 
        automation is being carried out through consortia of States, 
        for State obligation through September 30, 2024, and for 
        expenditure through September 30, 2025, 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, 2019, and for obligation by the States through 
        September 30, 2021, and funds for the Unemployment Insurance 
        Integrity Center of Excellence shall be available for 
        obligation by the State through September 30, 2020, and funds 
        used for unemployment insurance workloads experienced through 
        September 30, 2019 shall be available for Federal obligation 
        through December 31, 2019;
            (2) $13,897,000 from the Trust Fund is for national 
        activities necessary to support the administration of the 
        Federal-State unemployment insurance system;
            (3) $564,375,000 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, 2019 through June 30, 2020: Provided, That 
        notwithstanding the funding allocation in section 7 of the 
        Wagner-Peyser Act, States may use up to 100 percent of the 
        funds allotted to the State under section 6 of such Act to 
        carry out the activities described in section 7(a) of such Act;
            (4) $19,818,000 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, and the provision of technical 
        assistance and staff training under the Wagner-Peyser Act;
            (5) $62,310,000 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 $48,028,000 shall be available for the 
        Federal administration of such activities, and $14,282,000 
        shall be available for grants to States for the administration 
        of such activities; and
            (6) $62,653,000 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, 2019 
        through June 30, 2020:
  Provided, That to the extent that the Average Weekly Insured 
Unemployment (``AWIU'') for fiscal year 2019 is projected by the 
Department of Labor to exceed 2,030,000, 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 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 Unemployment Insurance Integrity Center of Excellence:  
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, 2020, 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, 2020.

                         program administration

    For expenses of administering employment and training programs, 
$108,674,000, together with not to exceed $49,982,000 which may be 
expended from the Employment Security Administration Account in the 
Unemployment Trust Fund.

               Employee Benefits Security Administration

                         salaries and expenses

    For necessary expenses for the Employee Benefits Security 
Administration, $180,600,000, of which up to $3,000,000 shall be made 
available through September 30, 2020, 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, 2019, for the Corporation:  Provided, That none of the 
funds available to the Corporation for fiscal year 2019 shall be 
available for obligations for administrative expenses in excess of 
$445,363,000:  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 2019, an amount not to exceed an additional 
$9,200,000 shall be available through September 30, 2020, for 
obligation for administrative expenses for every 20,000 additional 
terminated participants:  Provided further, That obligations in excess 
of the amounts provided in this paragraph may be incurred for 
unforeseen and extraordinary pretermination 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.

                         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, $225,500,000.

                  Office of Labor-management Standards

                         salaries and expenses

    For necessary expenses for the Office of Labor-Management 
Standards, $42,187,000.

             Office of Federal Contract Compliance Programs

                         salaries and expenses

    For necessary expenses for the Office of Federal Contract 
Compliance Programs, $99,476,000.

                Office of Workers' Compensation Programs

                         salaries and expenses

    For necessary expenses for the Office of Workers' Compensation 
Programs, $115,424,000, together with $2,177,000 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) 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, $230,000,000, 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, 2018, 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, 2019:  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, 
$74,777,000 shall be made available to the Secretary as follows:
            (1) For enhancement and maintenance of automated data 
        processing systems operations and telecommunications systems, 
        $24,540,000;
            (2) For automated workload processing operations, including 
        document imaging, centralized mail intake, and medical bill 
        processing, $22,968,000;
            (3) For periodic roll disability management and medical 
        review, $25,535,000;
            (4) For program integrity, $1,734,000; 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, $10,319,000, 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 2020, $14,000,000, 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, $59,098,000, 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 2019 for expenses of operation and administration of the 
Black Lung Benefits program, as authorized by section 9501(d)(5): not 
to exceed $38,246,000 for transfer to the Office of Workers' 
Compensation Programs, ``Salaries and Expenses''; not to exceed 
$31,994,000 for transfer to Departmental Management, ``Salaries and 
Expenses''; not to exceed $330,000 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, $545,250,000, including not to exceed $100,850,000 
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, 2019, 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 none of the funds appropriated under this 
paragraph shall be obligated or expended to prescribe, issue, 
administer, or enforce any standard, rule, regulation, or order under 
the Act which is applicable to any person who is engaged in a farming 
operation which does not maintain a temporary labor camp and employs 10 
or fewer employees:  Provided further, That no funds appropriated under 
this paragraph shall be obligated or expended to administer or enforce 
any standard, rule, regulation, or order under the Act with respect to 
any employer of 10 or fewer employees who is included within a category 
having a Days Away, Restricted, or Transferred (``DART'') occupational 
injury and illness rate, at the most precise industrial classification 
code for which such data are published, less than the national average 
rate as such rates are most recently published by the Secretary, acting 
through the Bureau of Labor Statistics, in accordance with section 24 
of the Act, except --
            (1) to provide, as authorized by the Act, consultation, 
        technical assistance, educational and training services, and to 
        conduct surveys and studies;
            (2) to conduct an inspection or investigation in response 
        to an employee complaint, to issue a citation for violations 
        found during such inspection, and to assess a penalty for 
        violations which are not corrected within a reasonable 
        abatement period and for any willful violations found;
            (3) to take any action authorized by the Act with respect 
        to imminent dangers;
            (4) to take any action authorized by the Act with respect 
        to health hazards;
            (5) to take any action authorized by the Act with respect 
        to a report of an employment accident which is fatal to one or 
        more employees or which results in hospitalization of two or 
        more employees, and to take any action pursuant to such 
        investigation authorized by the Act; and
            (6) to take any action authorized by the Act with respect 
        to complaints of discrimination against employees for 
        exercising rights under the Act:
  Provided further, That the foregoing proviso shall not apply to any 
person who is engaged in a farming operation which does not maintain a 
temporary labor camp and employs 10 or fewer employees:  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, $367,589,000, 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 amounts 
available for State assistance grants may be used for the purchase and 
maintenance of new equipment required by the final rule entitled 
``Lowering Miners' Exposure to Respirable Coal Mine Dust, Including 
Continuous Personal Dust Monitors'' published by the Department of 
Labor in the Federal Register on May 1, 2014 (79 Fed. Reg. 24813 et 
seq.), for operators that demonstrate financial need as determined by 
the Secretary:  Provided further, 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, $547,000,000, 
together with not to exceed $65,000,000 which may be expended from the 
Employment Security Administration account in the Unemployment Trust 
Fund.

                 Office of Disability Employment Policy

                         salaries and expenses

    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, $38,203,000.

                        Departmental Management

                         salaries and expenses

                     (including transfer of funds)

    For necessary expenses for Departmental Management, including the 
hire of three passenger motor vehicles, $270,136,000, together with not 
to exceed $308,000, which may be expended from the Employment Security 
Administration account in the Unemployment Trust Fund:  Provided, That 
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 and other arrangements; and manage grants that were 
awarded prior to December 31, 2018:  Provided further, That $8,040,000 
shall be used for program evaluation and shall be available for 
obligation through September 30, 2020:  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, $994,000 shall be used for grants authorized by the Women in 
Apprenticeship and Nontraditional Occupations Act.

                    veterans employment and training

    Not to exceed $249,662,000 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) $180,000,000 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 obligation 
        by the States through December 31, 2019, 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;
            (2) $23,000,000 is for carrying out the Transition 
        Assistance Program under 38 U.S.C. 4113 and 10 U.S.C. 1144: 
        Provided, That not more than $3,500,000 shall be used by the 
        Secretary, in consultation with the Secretary of Defense and 
        the Secretary of the Veterans Affairs, to carry out a pilot 
        project designed to prepare transitioning service members to 
        qualify for, and to assist in placing them in, apprenticeship 
        programs, as an additional training opportunity under 
        subsection (f) of 10 U.S.C. 1144, including the costs of 
        federal administration and evaluation of such pilot, and that 
        the funds shall remain available for the pilot through 
        September 30, 2020;
            (3) $43,248,000 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 division O of Public Law 115-31 
        (``HIRE Vets Act''); 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, $50,000,000 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, 2019, to 
provide services under such section:  Provided further, That services 
provided under section 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. 
Sec.  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, as 
amended herein, 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, $29,169,000, which shall be available 
through September 30, 2020.

                      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, 
$83,487,000, together with not to exceed $5,660,000 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 the authority provided by this subsection shall be 
available for obligation through September 30, 2020.

                          (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, 2020:  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. (a) Section 7 of the Fair Labor Standards Act of 1938 (29 
U.S.C. 207) shall be applied as if the following text is part of such 
section:
    ``(s)(1) The provisions of this section shall not apply for a 
period of 2 years after the occurrence of a major disaster to any 
employee--
            ``(A) employed to adjust or evaluate claims resulting from 
        or relating to such major disaster, by an employer not engaged, 
        directly or through an affiliate, in underwriting, selling, or 
        marketing property, casualty, or liability insurance policies 
        or contracts;
            ``(B) who receives from such employer on average weekly 
        compensation of not less than $591.00 per week or any minimum 
        weekly amount established by the Secretary, whichever is 
        greater, for the number of weeks such employee is engaged in 
        any of the activities described in subparagraph (C); and
            ``(C) whose duties include any of the following:
                    ``(i) interviewing insured individuals, individuals 
                who suffered injuries or other damages or losses 
                arising from or relating to a disaster, witnesses, or 
                physicians;
                    ``(ii) inspecting property damage or reviewing 
                factual information to prepare damage estimates;
                    ``(iii) evaluating and making recommendations 
                regarding coverage or compensability of claims or 
                determining liability or value aspects of claims;
                    ``(iv) negotiating settlements; or
                    ``(v) making recommendations regarding litigation.
    ``(2) The exemption in this subsection shall not affect the 
exemption provided by section 13(a)(1).
    ``(3) For purposes of this subsection--
            ``(A) the term `major disaster' means any disaster or 
        catastrophe declared or designated by any State or Federal 
        agency or department;
            ``(B) the term `employee employed to adjust or evaluate 
        claims resulting from or relating to such major disaster' means 
        an individual who timely secured or secures a license required 
        by applicable law to engage in and perform the activities 
        described in clauses (i) through (v) of paragraph (1)(C) 
        relating to a major disaster, and is employed by an employer 
        that maintains worker compensation insurance coverage or 
        protection for its employees, if required by applicable law, 
        and withholds applicable Federal, State, and local income and 
        payroll taxes from the wages, salaries and any benefits of such 
        employees; and
            ``(C) the term `affiliate' means a company that, by reason 
        of ownership or control of 25 percent or more of the 
        outstanding shares of any class of voting securities of one or 
        more companies, directly or indirectly, controls, is controlled 
        by, or is under common control with, another company.''.
    (b) This section shall be effective on the date of enactment of 
this Act.

                              (rescission)

    Sec. 109.  Of the funds made available under the heading 
``Employment and Training Administration-Training and Employment 
Services'' in division H of Public Law 115-141, $200,000,000 is 
rescinded, to be derived from the amount made available in paragraph 
(2)(A) under such heading for the period October 1, 2018, through 
September 30, 2019.
    Sec. 110. (a) Flexibility With Respect to the Crossing of H-2B 
Nonimmigrants Working in the Seafood Industry .--
            (1) In general.--Subject to paragraph (2), if a petition 
        for H-2B nonimmigrants filed by an employer in the seafood 
        industry is granted, the employer may bring the nonimmigrants 
        described in the petition into the United States at any time 
        during the 120-day period beginning on the start date for which 
        the employer is seeking the services of the nonimmigrants 
        without filing another petition.
            (2) Requirements for crossings after 90th day.--An employer 
        in the seafood industry may not bring H-2B nonimmigrants into 
        the United States after the date that is 90 days after the 
        start date for which the employer is seeking the services of 
        the nonimmigrants unless the employer--
                    (A) completes a new assessment of the local labor 
                market by--
                            (i) listing job orders in local newspapers 
                        on 2 separate Sundays; and
                            (ii) posting the job opportunity on the 
                        appropriate Department of Labor Electronic Job 
                        Registry and at the employer's place of 
                        employment; and
                    (B) offers the job to an equally or better 
                qualified United States worker who--
                            (i) applies for the job; and
                            (ii) will be available at the time and 
                        place of need.
            (3) Exemption from rules with respect to staggering.--The 
        Secretary of Labor shall not consider an employer in the 
        seafood industry who brings H-2B nonimmigrants into the United 
        States during the 120-day period specified in paragraph (1) to 
        be staggering the date of need in violation of section 
        655.20(d) of title 20, Code of Federal Regulations, or any 
        other applicable provision of law.
    (b) H-2B Nonimmigrants Defined.--In this section, the term ``H-2B 
nonimmigrants'' means aliens admitted to the United States pursuant to 
section 101(a)(15)(H)(ii)(B) of the Immigration and Nationality Act (8 
U.S.C. 1101(a)(15)(H)(ii)(B)).
    Sec. 111 . (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 unique and articulable threat of physical harm, in 
        accordance with guidelines established by the Secretary; and
            ``(4) provide protection to the Deputy Secretary of Labor 
        or another senior officer representing the Secretary of Labor 
        at a public event if there is a unique and articulable threat 
        of physical harm, in accordance with guidelines established by 
        the Secretary.
    ``(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. 112.  (a) The paragraph under the heading "Working Capital 
Fund" in the Department of Labor Appropriations Act, 1958, Public Law 
85-67, 71 Stat. 210, as amended, is further amended by striking all of 
the text that appears after "for expenses necessary for the maintenance 
and operation of" and inserting "a comprehensive program of centralized 
services which the Secretary of Labor may prescribe and deem 
appropriate and advantageous to provide on a reimbursable basis: 
Provided, That such fund may receive advances and reimbursements from 
funds available to bureaus, offices, and agencies for which such 
centralized services are performed at rates which will return in full 
all expenses of operation, including reserves for accrued annual leave, 
worker's compensation, depreciation of capitalized equipment and 
amortization of human resources software and systems (either acquired 
or donated): Provided further, That the Secretary of Labor may transfer 
annually an amount not to exceed $9,000,000 from unobligated balances 
in the Department's salaries and expenses accounts, to the unobligated 
balance of the Working Capital Fund, to be merged with such Fund and 
used for the acquisition of capital equipment and the improvement of 
financial management, information technology and other support systems, 
and to remain available for obligation for an additional five fiscal 
years: Provided further, That such fund may receive reimbursements from 
entities or persons for use of Departmental facilities, including 
associated utilities and security services, and such reimbursements 
shall be credited to and merged with this fund: Provided further, That 
none of the funds shall be available unless the Chief Information 
Officer of the Department of Labor has submitted a plan, approved by 
the Office of Management and Budget, describing the amounts to be 
transferred by account, the planned use of funds, including 
descriptions of projects, project status, including any scheduled 
delays and cost overruns, financial expenditures, planned activities, 
and expected benefits, to the Committees on Appropriations of the House 
of Representatives and the Senate by July 31 of the calendar year prior 
to the fiscal year in which the transfer will occur: Provided further, 
That pursuant to section 11319 of title 40, United States Code, the 
Secretary shall ensure that the Department's Chief Information Officer 
shall, at a minimum, be a principal advisor to the Secretary and a 
member on any board or governance structure of the Department 
responsible for advising and setting Department-wide information 
technology budgets: Provided further, That none of the funds available 
for information technology modernization under this section or under 
the heading ``IT Modernization'' shall be used for information 
technology modernization projects unless an experienced project 
manager, employed by the Department of Labor, is assigned oversight 
responsibility, including but not limited to, ensuring such projects 
are completed within established timeframes and budgets''--
    (b) The following provisions are repealed:
            (1) The heading "Working Capital Fund" and the paragraph 
        thereunder in Public Law 91-204, Title I, 84 Stat. 26 (1970); 
        and
            (2) The heading "Working Capital Fund" and the paragraph 
        thereunder in the Department of Labor, Health and Human 
        Services, and Education, and Related Agencies Appropriations 
        Act, 1994, Public Law 103-112, Title I, 107 Stat. 1088 (1993).
    This title may be cited as the ``Department of Labor Appropriations 
Act, 2019''.

                                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, 
$1,526,522,000 (in addition to the $4,000,000,000 previously 
appropriated to the Community Health Center Fund for fiscal year 2019): 
 Provided, That no more than $1,000,000 shall be available until 
expended for carrying out the provisions of section 224(o) of the PHS 
Act:  Provided further, That no more than $114,893,000 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:  
Provided further, That of funds provided for the Health Centers 
program, as defined by section 330 of the PHS Act, by this Act or any 
other Act for fiscal year 2019, not less than $200,000,000 shall be 
obligated in fiscal year 2019 for improving quality of care or expanded 
service grants under section 330 of the PHS Act to support and enhance 
behavioral health, mental health, or substance use disorder services.

                            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, 
$1,244,006,000:  Provided, That sections 751(j)(2) and 762(k) of the 
PHS Act and the proportional funding amounts in paragraphs (1) through 
(4) of section 756(f) of such 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 no funds shall be available for section 340G-1 of the PHS Act:  
Provided further, That fees collected for the disclosure of information 
under section 427(b) of the Health Care Quality Improvement Act of 1986 
and sections 1128E(d)(2) and 1921 of the Social Security Act shall be 
sufficient to recover the full costs of operating the programs 
authorized by such sections and shall remain available until expended 
for the National Practitioner Data Bank:  Provided further, That funds 
transferred to this 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 $85,000,000 shall remain available until expended for the 
purposes of providing primary health services, assigning National 
Health Service Corps (``NHSC'') members 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, in addition to amounts otherwise made available 
in the previous proviso, $20,000,000 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 
for purposes of the previous two 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 a licensed substance use disorder treatment counselor 
with a master degree.
    Of the funds made available under this heading, $200,000,000 shall 
remain available until expended for grants to public institutions of 
higher education to expand or support existing graduate education for 
health care professionals provided by such institutions: Provided, That 
funds shall be prioritized to public institutions of higher education 
in States with a projected primary care provider shortage in 2025, as 
determined by the Secretary: Provided further, That grants so awarded 
are limited to such public institutions of higher education in States 
in the top quartile of States with a primary care provider shortage, as 
determined by the Secretary: Provided further, That the maximum amount 
of a grant awarded to such an institution shall not be more than 
$10,000,000 per year: Provided further, That such grants may be awarded 
for a period of up to 5 years.

                       maternal and child health

    For carrying out titles III, XI, XII, and XIX of the PHS Act with 
respect to maternal and child health, title V of the Social Security 
Act, and section 712 of the American Jobs Creation Act of 2004, 
$893,089,000:  Provided, That notwithstanding sections 502(a)(1) and 
502(b)(1) of the Social Security Act, not more than $85,393,000 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, $2,318,781,000, of which $1,970,881,000 shall 
remain available to the Secretary through September 30, 2021, 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.

                          health care 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, $121,693,000, of which $122,000 shall be available until expended 
for facilities renovations at the Gillis W. Long Hansen's Disease 
Center.

                              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, 
$281,294,000, of which $59,609,000 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, $25,942,000 
shall be available for the Small Rural Hospital Improvement Grant 
Program for quality improvement and adoption of health information 
technology 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, including pilots and demonstrations on the use 
of electronic health records to coordinate rural veterans care between 
rural providers and the Department of Veterans Affairs electronic 
health record system:  Provided further, That notwithstanding section 
338J(k) of the PHS Act, $11,000,000 shall be available for State 
Offices of Rural Health:  Provided further, That $10,000,000 shall 
remain available through September 30, 2021, to support the Rural 
Residency Development Program:  Provided further, That $82,500,000 
shall remain available through September 30, 2023, for the Rural 
Communities Opioids Response Program.

                           program management

    For program support in the Health Resources and Services 
Administration, $155,000,000:  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 Care Systems'', and ``Rural Health''.

             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 
$9,200,000 shall be available from the Trust Fund to the Secretary.

               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, $484,055,000.

     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, $1,147,278,000.

               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, $562,572,000.

            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, 
$910,746,000:  Provided, That funds appropriated under this heading may 
be used 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, 
$15,000,000 shall be available to continue and expand community 
specific extension and outreach programs to combat obesity in counties 
with the highest levels of obesity:  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, $150,560,000.

                   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, $495,397,000.

                          environmental health

    For carrying out titles II, III, and XVII of the PHS Act with 
respect to environmental health, $184,350,000.

                     injury prevention and control

    For carrying out titles II, III, and XVII of the PHS Act with 
respect to injury prevention and control, $690,559,000.

         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, 
$339,200,000.

       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, $488,621,000, of which $128,421,000 for 
International HIV/AIDS shall remain available through September 30, 
2020:  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, $860,000,000:  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 for up to 180 
days 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 and a full report within 30 days after use of this authority 
which includes the number of staff and funding level broken down by the 
originating center and number of days detailed:  Provided further, That 
funds appropriated under this heading may be used to support a contract 
for the operation and maintenance of an aircraft in direct support of 
activities throughout CDC to ensure the agency is prepared to address 
public health preparedness emergencies.

                        buildings and facilities

                     (including transfer of funds)

    For acquisition of real property, equipment, construction, 
demolition, and renovation of facilities, $30,000,000, to remain 
available until September 30, 2023:  Provided , 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

    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, $438,570,000:  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 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, 2020.

                     National Institutes of Health

                       national cancer institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to cancer, $5,736,037,000, 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, $3,423,604,000.

         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, $453,082,000.

    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, $1,994,333,000.

        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, $2,171,280,000.

         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, $5,368,029,000.

             national institute of general medical sciences

    For carrying out section 301 and title IV of the PHS Act with 
respect to general medical sciences, $2,818,667,000, of which 
$922,871,000 shall be from funds available under section 241 of the PHS 
Act:  Provided, That not less than $365,575,000 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, $1,469,346,000.

                         national eye institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to eye diseases and visual disorders, $781,540,000.

          national institute of environmental health sciences

    For carrying out section 301 and title IV of the PHS Act with 
respect to environmental health sciences, $760,113,000.

                      national institute on aging

    For carrying out section 301 and title IV of the PHS Act with 
respect to aging, $3,005,831,000.

 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, 
$593,663,000.

    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, $465,467,000.

                 national institute of nursing research

    For carrying out section 301 and title IV of the PHS Act with 
respect to nursing research, $159,920,000.

           national institute on alcohol abuse and alcoholism

    For carrying out section 301 and title IV of the PHS Act with 
respect to alcohol abuse and alcoholism, $515,658,000.

                    national institute on drug abuse

    For carrying out section 301 and title IV of the PHS Act with 
respect to drug abuse, $1,400,126,000.

                  national institute of mental health

    For carrying out section 301 and title IV of the PHS Act with 
respect to mental health, $1,732,731,000.

                national human genome research institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to human genome research, $563,531,000.

      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, 
$382,384,000.

        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, $143,882,000.

      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, 
$306,821,000.

                  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), $76,637,000.

                      national library of medicine

    For carrying out section 301 and title IV of the PHS Act with 
respect to health information communications, $433,671,000:  Provided, 
That of the amounts available for improvement of information systems, 
$4,000,000 shall be available until September 30, 2020:  Provided 
further, That in fiscal year 2019, 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, $751,219,000:  Provided, That up to 
$30,000,000 shall be available to implement section 480 of the PHS Act, 
relating to the Cures Acceleration Network:  Provided further, That at 
least $542,771,000 is provided to the Clinical and Translational 
Sciences Awards program.

                         office of the director

    For carrying out the responsibilities of the Office of the 
Director, NIH, $1,902,828,000:  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 
$165,000,000 shall be for the Environmental Influences on Child Health 
Outcomes Study Follow-on:  Provided further, That $595,139,000 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.
    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, 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 or demolition of, renovation of, and 
acquisition of equipment for, facilities of or used by NIH, including 
the acquisition of real property, $200,000,000, to remain available 
through September 30, 2023.

                         nih innovation account

                     (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, $711,000,000, to remain available until expended:  
Provided, That such amounts are appropriated pursuant to section 
1001(b)(3) of such Act, and are to be derived from amounts transferred 
under section 1001(b)(2)(A) of such Act: Provided further, That of the 
amount appropriated under this heading, $400,000,000 shall be 
transferred to the National Cancer Institute for the purposes described 
in section 1001(b)(4)(C) of such Act, $57,500,000 shall be transferred 
to the National Institute of Neurological Disorders and Stroke for the 
purposes described in section 1001(b)(4)(B) of such Act, and 
$57,500,000 shall be transferred to the National Institute of Mental 
Health for the purposes described in section 1001(b)(4)(B) of such Act: 
Provided further, That remaining amounts may be transferred by the 
Director of the NIH to any accounts of the NIH:  Provided further, That 
upon a determination by the Director that funds transferred pursuant to 
any of the previous provisos 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 Abuse and Mental Health Services Administration

                             mental health

    For carrying out titles III, V, and XIX of the PHS Act with respect 
to mental health, and the Protection and Advocacy for Individuals with 
Mental Illness Act, $1,393,471,000:  Provided, 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 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 2019:  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 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, $15,000,000 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 of the funds made available 
under this heading, $63,887,000 shall be for the National Child 
Traumatic Stress Initiative, of which $10,000,000 shall be available 
for grants to partners in the National Child Traumatic Stress Network 
for behavioral health services and counseling for minors who were 
separated from their parents or family units and subsequently 
classified as unaccompanied alien children and transferred to the 
custody of the Department of Health and Human Services' Office of 
Refugee Resettlement: Provided further, That pursuant to the preceding 
proviso, the Department of Health and Human Services shall not share 
with any other Federal agency any personally identifiable information 
or data relating to such minors receiving such services and counseling 
from partners receiving such grants: Provided further, That the 
Department of Health and Human Services may agree to a memorandum of 
understanding with the Department of Homeland Security to allow 
grantees to provide behavioral health services and counseling to 
families in the custody of the Department of Homeland Security.

                       substance abuse treatment

    For carrying out titles III and V of the PHS Act with respect to 
substance abuse treatment and title XIX of such Act with respect to 
substance abuse treatment and prevention, $3,772,306,000:  Provided, 
That $1,000,000,000 shall be for State Opioid Response Grants for 
carrying out activities pertaining to opioids undertaken by the State 
agency responsible for administering the substance abuse prevention and 
treatment block grant under subpart II of part B of title XIX of the 
PHS Act (42 U.S.C. 300x-21 et seq.):  Provided further, That of such 
amount $50,000,000 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 30 days prior to 
publishing a Funding Opportunity Announcement:  Provided further, That 
prevention and treatment activities funded through such grants may 
include education, treatment (including the provision of medication), 
behavioral health services for individuals in treatment programs, 
referral to treatment services, recovery support, and medical screening 
associated with such treatment:  Provided further, That each State, as 
well as the District of Columbia, shall receive not less than 
$4,000,000:  Provided further, That in addition to amounts provided 
herein, the following amounts shall be available under section 241 of 
the PHS Act: (1) $79,200,000 to carry out subpart II of part B of title 
XIX of the PHS Act to fund section 1935(b) technical assistance, 
national data, data collection and evaluation activities, and further 
that the total available under this Act for section 1935(b) 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 abuse 
treatment programs:  Provided further, That none of the funds provided 
for section 1921 of the PHS Act or State Opioid Response Grants shall 
be subject to section 241 of such Act.

                       substance abuse prevention

    For carrying out titles III and V of the PHS Act with respect to 
substance abuse prevention, $19,954,000: Provided, That in addition to 
amounts provided herein, $228,765,000 shall be available under section 
241 of the PHS Act to supplement funds otherwise available for 
substance abuse prevention activities.

                health surveillance and program support

    For program support and cross-cutting activities that supplement 
activities funded under the headings ``Mental Health'',``Substance 
Abuse Treatment'', and ``Substance Abuse Prevention'' in carrying out 
titles III, V, and XIX of the PHS Act and the Protection and Advocacy 
for Individuals with Mental Illness Act in the Substance Abuse and 
Mental Health Services Administration, $133,830,000:  Provided, That in 
addition to amounts provided herein, $31,428,000 shall be available 
under section 241 of the PHS Act to supplement funds available to carry 
out national surveys on drug abuse and mental health, to collect and 
analyze program data, and 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, 2020:  Provided further, That funds made 
available under this heading may be used to supplement program support 
funding provided under the headings ``Mental Health'', ``Substance 
Abuse Treatment'', and ``Substance Abuse Prevention''.

               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, 
$334,000,000:  Provided, That section 947(c) of the PHS Act shall not 
apply in fiscal year 2018:  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, 2020.

                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, $276,236,212,000, to remain available until 
expended.
    For making, after May 31, 2019, payments to States under title XIX 
or in the case of section 1928 on behalf of States under title XIX of 
the Social Security Act for the last quarter of fiscal year 2019 for 
unanticipated costs incurred for the current fiscal year, such sums as 
may be necessary.
    For making payments to States or in the case of section 1928 on 
behalf of States under title XIX of the Social Security Act for the 
first quarter of fiscal year 2020, $137,931,797,000, 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, 
$378,343,800,000.
    In addition, for making matching payments under section 1844 and 
benefit payments under section 1860D-16 of the Social Security Act that 
were not anticipated in budget estimates, such sums as may be 
necessary.

                           program management

    For carrying out, except as otherwise provided, titles XI, XVIII, 
XIX, and XXI of the Social Security Act, titles XIII and XXVII of the 
PHS Act, the and Clinical Laboratory Improvement Amendments of 1988, 
not to exceed $3,502,024,000, 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 further, 
That no funds shall be derived from offsetting collections through fees 
collected from qualified heath plans offered through an Exchange 
established under Public Law 111-148 to operate such an Exchange:  
Provided further, 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 2019 from Medicare Advantage 
organizations pursuant to section 1857(e)(2) of the Social Security Act 
and from eligible organizations with risk-sharing contracts under 
section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act.

              health care fraud and abuse control account

    In addition to amounts otherwise available for program integrity 
and program management, $765,000,000, to remain available through 
September 30, 2020, 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 $599,389,000 shall be for the Centers for Medicare & Medicaid 
Services program integrity activities, of which $87,230,000 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 $78,381,000 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 2019 shall include measures of the operational efficiency 
and impact on fraud, waste, and abuse in the Medicare, Medicaid, and 
CHIP programs for the funds provided by this appropriation:  Provided 
further, That of the amount provided under this heading, $311,000,000 
is provided to meet the terms of section 251(b)(2)(C)(ii) of the 
Balanced Budget and Emergency Deficit Control Act of 1985, as amended, 
and $454,000,000 is additional new budget authority specified for 
purposes of section 251(b)(2)(C) of such Act:  Provided further, That 
the Secretary shall provide not less than $17,621,000 for the Senior 
Medicare Patrol program to combat health care fraud and abuse from the 
funds provided to this account.

                Administration for Children and Families

  payments to states for child support enforcement and family support 
                                programs

    For carrying out, except as otherwise provided, titles I, IV-D, X, 
XI, XIV, and XVI of the Social Security Act and the Act of July 5, 
1960, $2,922,247,000, to remain available until expended; and for such 
purposes for the first quarter of fiscal year 2020, $1,400,000,000, to 
remain available until expended.
    For carrying out, after May 31 of the current fiscal year, except 
as otherwise provided, titles I, IV-D, X, XI, XIV, and XVI of the 
Social Security Act and the Act of July 5, 1960, for the last 3 months 
of the current fiscal year for unanticipated costs, incurred for the 
current fiscal year, such sums as may be necessary.

                   low income home energy assistance

    For making payments under subsections (b) and (d) of section 2602 
of the Low Income Home Energy Assistance Act of 1981, $3,640,304,000:  
Provided, That all but $678,500,000 of this amount shall be allocated 
as though the total appropriation for such payments for fiscal year 
2019 was less than $1,975,000,000:  Provided further, That 
notwithstanding section 2609A(a), of the amounts appropriated under 
section 2602(b), not more than $2,988,000 of such amounts may be 
reserved by the Secretary for technical assistance, training, and 
monitoring of program activities for compliance with internal controls, 
policies and procedures and may, in addition to the authorities 
provided in section 2609A(a)(1), use such funds through contracts with 
private entities that do not qualify as nonprofit organizations.

                     refugee and entrant assistance

                     (including transfer of funds)

    For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and 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, 
$1,864,936,000, of which $1,830,446,000 shall remain available through 
September 30, 2021, for carrying out such sections 414, 501, 462, and 
235:  Provided, That amounts available under this heading to carry out 
the TVPA shall also be available for research and evaluation with 
respect to activities under such Act:  Provided further, That the 
limitation in section 205 of this Act regarding transfers increasing 
any appropriation shall apply to transfers to appropriations under this 
heading by substituting ``10 percent'' for ``3 percent''.

   payments to states for the child care and development block grant

    For carrying out the Child Care and Development Block Grant Act of 
1990 (``CCDBG Act''), $5,226,000,000 shall be used to 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, 
$156,780,000 shall be for Indian tribes and tribal organizations: 
Provided further, That, in addition to the amounts reserved under 
section 658O(a)(5) of the CCDBG Act, $100,000,000 shall be for carrying 
out a program of competitive grants to States, territories, tribes, 
local governments, and public entities, to develop, implement, and 
evaluate models of providing care for working families in rural 
communities, families needing child care on an emergency basis, or 
families with non-traditional work hours.

                      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, and the Community Services Block Grant 
Act (``CSBG Act''); and for necessary administrative expenses to carry 
out titles I, IV, V, X, XI, XIV, XVI, and XX-A of the Social Security 
Act, the Act of July 5, 1960, the Low-Income Home Energy Assistance Act 
of 1981, the Child Care and Development Block Grant Act of 1990, the 
Assets for Independence Act, title IV of the Immigration and 
Nationality Act, and section 501 of the Refugee Education Assistance 
Act of 1980, $12,122,225,000, of which $80,000,000, to remain available 
through September 30, 2020, 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, 2019:  Provided, That 
$9,913,095,000 shall be for making payments under the Head Start Act:  
Provided further, That of the amount in the previous proviso, 
$9,108,095,000 shall be available for payments under section 640 of the 
Head Start Act, of which $25,000,000 shall be available for a cost of 
living adjustment notwithstanding section 640(a)(3)(A) of such Act:  
Provided further, That of the amount provided for making payments under 
the Head Start Act, $25,000,000 shall be available for allocation by 
the Secretary to supplement activities described in paragraphs (7)(B) 
and (9) of section 641(c) of such Act under the Designation Renewal 
System, established under the authority of sections 641(c)(7), 
645A(b)(12) and 645A(d) of such Act:  Provided further, That 
notwithstanding such section 640, of the amount provided for making 
payments under the Head Start Act, and in addition to funds otherwise 
available under such section 640 for such purposes, $780,000,000 shall 
be available through March 31, 2020, for Early Head Start programs as 
described in section 645A of such Act, for conversion of Head Start 
services to Early Head Start services as described in section 
645(a)(5)(A) of such Act, for discretionary grants for high quality 
infant and toddler care through Early Head Start-Child Care 
Partnerships, to entities defined as eligible under section 645A(d) of 
such Act, for training and technical assistance for such activities, 
and for up to $16,000,000 in Federal costs of administration and 
evaluation, and, notwithstanding section 645A(c)(2) of such Act, these 
funds are available to serve children under age 4:  Provided further, 
That funds described in the preceding two provisos shall not be 
included in the calculation of ``base grant'' in subsequent fiscal 
years, as such term is used in section 640(a)(7)(A) of such Act:  
Provided further, That $250,000,000 shall be 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 $779,883,000 
shall be for making payments under the CSBG Act:  Provided further, 
That $30,233,000 shall be for sections 680 and 678E(b)(2) of the CSBG 
Act, of which not less than $19,883,000 shall be for section 680(a)(2) 
and not less than $10,000,000 shall be for section 680(a)(3)(B) of such 
Act:  Provided further, That, notwithstanding section 675C(a)(3) of 
such Act, to the extent Community Services Block Grant funds are 
distributed as grant funds by a State to an eligible entity as provided 
under such Act, and have not been expended by such entity, they shall 
remain with such entity for carryover into the next fiscal year for 
expenditure by such entity consistent with program purposes:  Provided 
further, That the Secretary shall 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 $160,000,000 shall be for 
carrying out section 303(a) of the Family Violence Prevention and 
Services Act, of which $5,000,000 shall be allocated notwithstanding 
section 303(a)(2) of such Act for carrying out section 309 of such Act: 
 Provided further, That the percentages specified in section 112(a)(2) 
of the Child Abuse Prevention and Treatment Act shall not apply to 
funds appropriated under this heading:  Provided further That 
$1,864,000 shall be for a human services case management system for 
federally declared disasters, to include a comprehensive national case 
management contract and Federal 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.

                   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, $59,765,000.

                payments for foster care and permanency

    For carrying out, except as otherwise provided, title IV-E of the 
Social Security Act, $6,035,000,000.
    For carrying out, except as otherwise provided, title IV-E of the 
Social Security Act, for the first quarter of fiscal year 2020, 
$2,800,000,000.
    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''), 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, 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, $2,137,617,000, together with $49,115,000 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 
amounts appropriated under this heading may be used for grants to 
States under section 361 of the OAA only for disease prevention and 
health promotion programs and activities which have been demonstrated 
through rigorous evaluation to be evidence-based and effective:  
Provided further, 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:  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 $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.

                        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, 
$379,845,000, together with $53,445,000 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, $53,900,000 shall be for minority AIDS prevention and treatment 
activities:  Provided further , That of the funds made available under 
this heading, $30,000,000 shall be for making competitive grants which 
exclusively implement education in sexual risk avoidance (defined as 
voluntarily refraining from non-marital sexual activity):  Provided 
further, That funding for such competitive grants for sexual risk 
avoidance shall use medically accurate information referenced to peer-
reviewed publications by educational, scientific, governmental, or 
health organizations; implement an evidence-based approach integrating 
research findings with practical implementation that aligns with the 
needs and desired outcomes for the intended audience; and teach the 
benefits associated with self-regulation, success sequencing for 
poverty prevention, healthy relationships, goal setting, and resisting 
sexual coercion, dating violence, and other youth risk behaviors such 
as underage drinking or illicit drug use without normalizing teen 
sexual activity:  Provided further, That no more than 10 percent of the 
funding for such competitive grants for sexual risk avoidance shall be 
available for technical assistance and administrative costs of such 
programs:  Provided further, That funds provided in this Act for embryo 
adoption activities may be used to provide to individuals adopting 
embryos, through grants and other mechanisms, medical and 
administrative services deemed necessary for such adoptions:  Provided 
further, That such services shall be provided consistent with 42 CFR 
59.5(a)(4).

                office of medicare hearings and appeals

    For expenses necessary for the Office of Medicare Hearings and 
Appeals, $172,381,000 shall remain available until September 30, 2020, 
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, $42,705,000.

                      office of inspector general

    For expenses necessary for the Office of Inspector General, 
including the hire of passenger motor vehicles for investigations, in 
carrying out the provisions of the Inspector General Act of 1978, 
$80,000,000:  Provided, That of such amount, necessary sums shall be 
available for providing protective services to the Secretary and 
investigating non-payment of child support cases for which non-payment 
is a Federal offense under 18 U.S.C. 228.

                        office for civil rights

    For expenses necessary for the Office for Civil Rights, 
$38,798,000.

     retirement pay and medical benefits for commissioned officers

    For retirement pay and medical benefits of Public Health Service 
Commissioned Officers as authorized by law, for payments under the 
Retired Serviceman's Family Protection Plan and Survivor Benefit Plan, 
and for 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, $1,783,128,000, of which $586,700,000 shall remain 
available through September 30, 2020, 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 and $710,000,000 shall remain 
available until expended for the Strategic National Stockpile:  
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, 2021.
    For expenses necessary for procuring security countermeasures (as 
defined in section 319F-2(c)(1)(B) of the PHS Act), $780,000,000, to 
remain available until expended.
    For an additional amount for expenses necessary to prepare for or 
respond to an influenza pandemic, $250,000,000; of which $215,000,000 
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.

                           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.
    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 execution of a contract awarded in fiscal year 2019 
under section 338B of such Act.
    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 2019:
            (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)(7) or 402(b)(12) of the PHS Act to enter into 
transactions (other than contracts, cooperative agreements, or grants) 
to carry out research identified pursuant to such section 402(b)(7) 
(pertaining to the Common Fund) or research and activities described in 
such section 402(b)(12).
    (b) Peer Review.--In entering into transactions under subsection 
(a), the Director may utilize such peer review procedures (including 
consultation with appropriate scientific experts) as the Director 
determines to be 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 $45,000,000 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 $3,500,000 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. (a) The Secretary shall publish in the fiscal year 2020 
budget justification and on Departmental Web sites information 
concerning the employment of full-time equivalent Federal employees or 
contractors for the purposes of implementing, administering, enforcing, 
or otherwise carrying out the provisions of the ACA, and the amendments 
made by that Act, in the proposed fiscal year and each fiscal year 
since the enactment of the ACA.
    (b) With respect to employees or contractors supported by all funds 
appropriated for purposes of carrying out the ACA (and the amendments 
made by that Act), the Secretary shall include, at a minimum, the 
following information:
            (1) For each such fiscal year, the section of such Act 
        under which such funds were appropriated, a statement 
        indicating the program, project, or activity receiving such 
        funds, the Federal operating division or office that 
        administers such program, and the amount of funding received in 
        discretionary or mandatory appropriations.
            (2) For each such fiscal year, the number of full-time 
        equivalent employees or contracted employees assigned to each 
        authorized and funded provision detailed in accordance with 
        paragraph (1).
    (c) In carrying out this section, the Secretary may exclude from 
the report employees or contractors who--
            (1) are supported through appropriations enacted in laws 
        other than the ACA and work on programs that existed prior to 
        the passage of the ACA;
            (2) spend less than 50 percent of their time on activities 
        funded by or newly authorized in the ACA; or
            (3) work on contracts for which FTE reporting is not a 
        requirement of their contract, such as fixed-price contracts.
    Sec. 220.  The Secretary shall publish, as part of the fiscal year 
2020 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 and 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 2020. 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 committee report accompanying 
the Act.
    Sec. 221.  None of the funds made available by this Act from the 
Federal Hospital Insurance Trust Fund or the Federal Supplemental 
Medical Insurance Trust Fund, or transferred from other accounts funded 
by this Act to the ``Centers for Medicare & Medicaid Services--Program 
Management'' account, may be used for payments under section 1342(b)(1) 
of Public Law 111-148 (relating to risk corridors).

                          (transfer of funds)

    Sec. 222. (a) Within 45 days of enactment of this Act, the 
Secretary shall transfer funds appropriated under 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 committee report accompanying the 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. 223.  Effective during the period beginning on November 1, 
2015 and ending January 1, 2021, 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)).
    Sec. 224.  In making Federal financial assistance, the provisions 
relating to indirect costs in part 75 of title 45, Code of Federal 
Regulations, including with respect to the approval of deviations from 
negotiated rates, shall continue to apply to the National Institutes of 
Health to the same extent and in the same manner as such provisions 
were 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. 225.  The NIH Director may transfer funds specifically 
appropriated for opioid addiction, opioid alternatives, 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:  Provided, That the transfer authority 
provided in the previous proviso is in addition to any other transfer 
authority provided by law.

                          (transfer of funds)

    Sec. 226. (a) The Secretary may reserve not more than 0.25 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 such funds 
reserved under this section may be transferred to ``Children and 
Families Services Programs'' for use by the Assistant Secretary for the 
Administration for Children and Families to remain available until 
expended: Provided, That such funds shall only be available if such 
Assistant Secretary 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 such transfer.
    (b) The accounts referred to in subsection (a) are: ``Low Income 
Home Energy Assistance'', ``Refugee and Entrant Assistance'', 
``Payments to States for the Child Care and Development Block Grant'', 
and ``Children and Families Services Programs''.
    Sec. 227.  None of the funds appropriated in this Act may be used 
to carry out title X of the PHS Act.

                     (including transfer of funds)

    Sec. 228.  There is established in the Treasury a reserve fund to 
be known as the ``Infectious Diseases Rapid Response Reserve Fund'' 
(the ``Reserve Fund''): Provided, That of the funds provided under the 
heading ``CDC-Wide Activities and Program Support'', $325,000,000, to 
remain available until expended, shall be available to the Director of 
the CDC for deposit in the Reserve Fund: Provided further, That amounts 
in the Reserve Fund shall be for carrying out titles II, III, and XVII 
of the PHS Act to prevent, prepare for, or respond to an infectious 
disease emergency, including, in connection with such activities, to 
purchase or lease and provide for the insurance of passenger motor 
vehicles for official use in foreign countries: Provided further, That 
amounts in the Reserve Fund may only be provided for an infectious 
disease emergency if the infectious disease emergency (1) is declared 
by the Secretary of Health and Human Services under section 319 of the 
PHS Act to be a public health emergency; or (2) as determined by the 
Secretary, has significant potential to imminently occur and potential, 
on occurrence, to affect national security or the health and security 
of United States citizens, domestically or internationally: Provided 
further, That amounts in the Reserve Fund may be transferred by the 
Director of the CDC to other accounts of the CDC, to accounts of the 
NIH, or to the Public Health and Social Services Emergency Fund, to be 
merged with such accounts or Fund for the purposes provided in this 
section: Provided further, That the Committees on Appropriations of the 
House of Representatives and the Senate shall be notified at least 15 
days prior to any transfer or obligation made under the authority 
provided in this section, including notification on the anticipated 
uses of such funds by program, project, or activity: Provided further, 
That the Committees on Appropriations of the House of Representatives 
and the Senate shall receive a report not later than 30 days after the 
end of each quarter in a fiscal year on the unobligated balances in the 
Reserve Fund and all actual obligations incurred for that fiscal year, 
including obligations by program, project, or activity: Provided 
further, That amounts in the Reserve Fund shall be in addition to 
amounts otherwise available to the Department of Health and Human 
Services for the purposes provided in this section: Provided further, 
That the transfer authorities in this section are in addition to any 
transfer authority otherwise available to the Department of Health and 
Human Services: Provided further, That products purchased using amounts 
in the Reserve Fund may, at the discretion of the Secretary of Health 
and Human Services, be deposited in the Strategic National Stockpile 
under section 319F-2 of the PHS Act: Provided further, That this 
section shall be in effect as of the date of the enactment of this Act 
through each fiscal year hereafter.
    Sec. 229.  None of the funds made available by this Act may be used 
to support the Monograph Programme of the International Agency for 
Research on Cancer (referred to in this title as ``IARC'') unless, 
within 90 days of enactment of this Act, the NIH provides to the 
Committee on Appropriations and the Committee on Science, Space, and 
Technology of the House of Representatives a report describing that 
grants, contracts, or cooperative agreement awards to IARC will 
require: 1) a transparent review process for Monograph Programme 
assessments in which drafts and revisions are publicly available 
online; 2) a process to address conflicts of interest in the selection 
of individuals involved with Monograph Programme assessments; 3) use of 
the best available science in developing Monograph Programme assessment 
conclusions; and 4) summaries of relevant and significant studies and 
reports that do not support assessments conclusions.
    Sec. 230.  Effective during the period beginning on the date of the 
enactment of this Act and ending December 31, 2022, for the purposes of 
any provision of law, the recommendations of the United States 
Preventive Service Task Force regarding cervical cancer screening with 
a combination of cytology and human papillomavirus testing for women 
age 30 to 65 (issued in March 2012) shall be considered the most 
current recommendations of the United States Preventive Service Task 
Force for such cervical cancer screening. Any final recommendation 
regarding cervical cancer screening described in the preceding sentence 
issued by the United States Preventive Service Task Force that is based 
on the draft recommendation for such screening issued by the United 
States Preventive Service Task Force in 2017 shall have no force or 
effect under any provision of law.
    Sec. 231.  Section 9(jj)(7) of the Small Business Act (15 U.S.C. 
638(jj)(7)) is amended by striking ``fiscal year 2017'' and inserting 
``fiscal year 2019''.
    Sec. 232.  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 medical goods and services, school supplies, toys, 
clothing, and any other items intended to promote the wellbeing of such 
children.
    Sec. 233.  Not later than 30 days after the last day of each 
calendar quarter (beginning with the first calendar quarter beginning 
on or after the date of the enactment of this Act), the Secretary shall 
submit to Congress a report on, with respect to children who were 
separated from their parents or legal guardians by the Department of 
Homeland Security and subsequently classified as unaccompanied alien 
children and transferred to the custody of the HHS' Office of Refugee 
Resettlement--
            (1) the number of children so separated;
            (2) the length of any such separation;
            (3) the status of any efforts undertaken by the Secretary 
        to reunify such children with a parent or legal guardian; and
            (4) the number of any such reunifications.
    Sec. 234.  The Secretary shall submit to the Congress a plan to 
promptly facilitate the reunification of all children separated from 
their parents or family units and placed in the custody of the Office 
of Refugee Resettlement: Provided, That the funds made available in 
this title under the heading ``Office of the Secretary--general 
departmental management'' shall be reduced by $100,000 for each day 
after August 1, 2018, that such reunification plan has not been 
submitted to the Congress and such funds shall be rescinded in the 
amount of each such reduction: Provided further, That no portion of the 
reduction required by the preceding proviso shall be taken from any of 
the specific line items listed below the ``General Departmental 
Management, Federal Funds'' line in the table at the end of the 
committee report accompanying this Act.
    Sec. 235.  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 of the Department of Health and Human 
Services 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. 236.  Beginning with April 2018, the Secretary shall submit to 
Congress a monthly report on, with respect to children who were 
separated from their parents or legal guardians by the Department of 
Homeland Security and subsequently classified as unaccompanied alien 
children and transferred to the custody of the HHS' Office of Refugee 
Resettlement--
            (1) the number and ages of children so separated at or 
        between ports of entry;
            (2) the length of any such separation;
            (3) the status of any efforts undertaken by the Secretary 
        to reunify such children with a parent or legal guardian; and
            (4) the number of any such reunifications, and whether the 
        reunified families were placed in family detention.
    This title may be cited as the ``Department of Health and Human 
Services Appropriations Act, 2019''.

                               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''), $16,443,790,000, of which 
$5,525,990,000 shall become available on July 1, 2019, and shall remain 
available through September 30, 2020, and of which $10,841,177,000 
shall become available on October 1, 2019, and shall remain available 
through September 30, 2020, for academic year 2019-2020:  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, 2018, to obtain annually updated local 
educational agency-level census poverty data from the Bureau of the 
Census:  Provided further, That $1,362,301,000 shall be for 
concentration grants under section 1124A of the ESEA:  Provided 
further, That $3,969,050,000 shall be for targeted grants under section 
1125 of the ESEA:  Provided further, That $3,969,050,000 shall be for 
education finance incentive grants under section 1125A of the ESEA:  
Provided further, That $217,000,000 shall be for carrying out subpart 2 
of part B of title II:  Provided further, That $44,623,000 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, $1,466,112,000, 
of which $1,320,242,000 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 shall be for 
construction under section 7007(a), $75,313,000 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 2018-2019, 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, 
$5,258,467,000, of which $3,429,902,000 shall become available on July 
1, 2019, and remain available through September 30, 2020, and of which 
$1,681,441,000 shall become available on October 1, 2019, and shall 
remain available through September 30, 2020, for academic year 2019-
2020:  Provided, That $378,000,000 shall be for part B of title I:  
Provided further, That $1,211,673,000 shall be for part B of title IV:  
Provided further, That $36,397,000 shall be for part B of title VI and 
may be used for construction, renovation, and modernization of any 
elementary school, secondary school, or structure related to an 
elementary school or secondary school, run by the Department of 
Education of the State of Hawaii, that serves a predominantly Native 
Hawaiian student body:  Provided further, That $35,453,000 shall be for 
part C of title VI and shall be awarded on a competitive basis, and 
also may be used for construction:  Provided further, That $52,000,000 
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 $16,699,000 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 $180,840,000 
shall be for part B of title V:  Provided further, That $1,200,000,000 
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, $180,239,000, of which 
$67,993,000 shall be for subpart 2 of part A of title VI and $6,865,000 
shall be for subpart 3 of part A of title VI.

                       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, $1,058,441,000.

                 Safe Schools and Citizenship Education

    For carrying out activities authorized by subparts 2 and 3 of part 
F of title IV of the ESEA, $185,754,000:  Provided, That $90,000,000 
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 $17,500,000 shall be available for section 4625:  
Provided further, That $78,254,000 shall be available through December 
31, 2019, for section 4624:  Provided further, That section 4623(b) of 
the ESEA shall apply to funds appropriated for Promise Neighborhoods 
under this heading in prior appropriations acts.

                      English Language Acquisition

    For carrying out part A of title III of the ESEA, $737,400,000, 
which shall become available on July 1, 2019, and shall remain 
available through September 30, 2020, except that 6.5 percent of such 
amount shall be available on October 1, 2018, and shall remain 
available through September 30, 2020, to carry out activities under 
section 3111(c)(1)(C).

                           Special Education

    For carrying out the Individuals with Disabilities Education Act 
(IDEA), $13,422,651,000, of which $3,709,465,000 shall become available 
on July 1, 2019, and shall remain available through September 30, 2020, 
and of which $9,483,383,000 shall become available on October 1, 2019, 
and shall remain available through September 30, 2020, for academic 
year 2019-2020:  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 2018, 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 2018:  
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 five, 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.

                        Rehabilitation Services

    For carrying out, to the extent not otherwise provided, the 
Rehabilitation Act of 1973 and the Helen Keller National Center Act, 
$3,657,689,000, of which $3,521,990,000 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 improving the outcomes of individuals with 
disabilities as defined in section 7(20)(B) of the Rehabilitation Act, 
including activities aimed at improving the education and post-school 
outcomes of children receiving Supplemental Security Income (``SSI'') 
and their families that may result in long-term improvement in the SSI 
child recipient's economic status and self-sufficiency:  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, 2020.

           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, $28,431,000.

               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, $75,000,000:  
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, $134,361,000:  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 and the Adult 
Education and Family Literacy Act (``AEFLA''), $1,945,265,000, of which 
$1,154,265,000 shall become available on July 1, 2019, and shall remain 
available through September 30, 2020, and of which $791,000,000 shall 
become available on October 1, 2019, and shall remain available through 
September 30, 2020:  Provided, That of the amounts made available for 
AEFLA, $13,712,000 shall be for national leadership activities under 
section 242.

                      Student Financial Assistance

    For carrying out subparts 1, 3, and 10 of part A, and part C of 
title IV of the HEA, $24,445,352,000, which shall remain available 
through September 30, 2020.
    The maximum Pell Grant for which a student shall be eligible during 
award year 2019-2020 shall be $5,035.

                       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, $1,678,943,000, to remain available through 
September 30, 2020.

                            Higher Education

    For carrying out, to the extent not otherwise provided, titles II, 
III, IV, V, VI, and VII of the HEA, the Mutual Educational and Cultural 
Exchange Act of 1961, and section 117 of the Carl D. Perkins Career and 
Technical Education Act of 2006, $2,300,551,000:  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.

                           Howard University

    For partial support of Howard University, $232,518,000, 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, 
$448,000.

  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, 2020:  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 $580,000,000:  
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, $10,000,000 shall be made available to provide for the 
deferment of loans made under part D of title III of the HEA to 
eligible institutions that are private Historically Black Colleges and 
Universities, which apply for the deferment of such a loan and 
demonstrate financial need for such deferment by having a score of 2.6 
or less on the Department of Education's financial responsibility test: 
Provided, That during the period of deferment of such a loan, interest 
on the loan will not accrue or be capitalized, and the period of 
deferment shall be for at least a period of 3-fiscal years and not more 
than 6-fiscal years: Provided further, That when determining priority 
for such institutions to receive such a deferment, the Secretary shall 
give priority to institutions that operated in a financial deficit for 
at least one of the previous 5 years according to the audits provided 
to the Department, or were sanctioned for financial reasons by the 
agency or association that accredited such institutions.
    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, $339,000.

                    Institute of Education Sciences

    For carrying out activities authorized by the Education Sciences 
Reform Act of 2002, 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, $613,462,000, which shall remain available through 
September 30, 2020:  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, $432,506,000:  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, $117,000,000.

                      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, $61,143,000.

                           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.  Section 105(f)(1)(B)(ix) of the Compact of Free 
Association Amendments Act of 2003 (48 U.S.C. 1921d(f)(1)(B)(ix)) shall 
be applied by substituting ``2019'' for ``2018''.
    Sec. 304.  Funds appropriated in this Act and consolidated for 
evaluation purposes under section 8601(c) of the ESEA shall be 
available from July 1, 2019, through September 30, 2020.
    Sec. 305. (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 2019 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. 306.  Section 114(f) of the HEA (20 U.S.C. 1011c(f)) is 
amended by striking ``2018'' and inserting ``2019''.
    Sec. 307.  Section 458(a) of the HEA (20 U.S.C. 1087h(a)) is 
amended in paragraph (4) by striking ``2018'' and inserting ``2019''.
    Sec. 308.  From amounts appropriated for the servicing of Federal 
student loans, the Secretary of Education may make payments for student 
loan servicing to an institution of higher education that services 
outstanding Federal Perkins Loans.
    Sec. 309. (a) Section 455(f) of the Higher Education Act of 1965 
(20 U.S.C. 1087e(f)) is amended--
            (1) by redesignating paragraphs (3) and (4) as paragraphs 
        (4) and (5), respectively; and
            (2) by inserting after paragraph (2) the following:
            ``(3) Deferment for borrowers receiving cancer treatment.--
                    ``(A) Effect on principal and interest.--A borrower 
                of a loan made under this part who meets the 
                requirements of subparagraph (B) shall be eligible for 
                a deferment, during which periodic installments of 
                principal need not be paid, and interest shall not 
                accrue.
                    ``(B) Eligibility.--A borrower of a loan made under 
                this part shall be eligible for a deferment during--
                            ``(i) any period in which such borrower is 
                        receiving treatment for cancer; and
                            ``(ii) the 6 months after such period.
                    ``(C) Applicability.--This paragraph shall apply 
                with respect to loans--
                            ``(i) made on or after the date of the 
                        enactment of this paragraph; or
                            ``(ii) in repayment on the date of the 
                        enactment of this paragraph.''.
    (b) Section 427(a)(2)(C) of the Higher Education Act of 1965 (20 
U.S.C. 1077(a)(2)(C)) is amended--
            (1) in clause (ii), by striking ``; or'' and inserting a 
        semicolon;
            (2) in clause (iii), by inserting ``or'' after the 
        semicolon; and
            (3) by inserting after clause (iii) the following:
                            ``(iv) in which the borrower is receiving 
                        treatment for cancer and the 6 months after 
                        such period.''.
    (c) Section 428(b)(1)(M) of the Higher Education Act of 1965 (20 
U.S.C. 1078(b)(1)(M)) is amended--
            (1) in clause (iii), by striking ``or (II); or'' and 
        inserting a ``or (II);'';
            (2) in clause (iv), by inserting ``or'' after the 
        semicolon; and
            (3) by adding at the end the following:
                            ``(v) during which the borrower is 
                        receiving treatment for cancer and the 6 months 
                        after such period;''.
    (d) Section 464(c)(2) of the Higher Education Act of 1965 (20 
U.S.C. 1087dd(c)(2)) is amended--
            (1) in subparagraph (A)--
                    (A) in clause (iv), by striking ``; or'' and 
                inserting a semicolon;
                    (B) in clause (v), by inserting ``or'' after the 
                semicolon; and
                    (C) by inserting after clause (v) the following:
                    ``(vi) during which the borrower is receiving 
                treatment for cancer and the 6 months after such 
                period;''.
    (e) Section 428H(e)(2) of the Higher Education Act of 1965 (20 
U.S.C. 1078-8(e)(2)) is amended--
            (1) in subparagraph (A), by striking ``Interest'' and 
        inserting, ``Except as provided in subparagraph (C), 
        interest''; and
            (2) by adding at the end the following:
            ``(C) Interest shall not accrue on a loan deferred under 
        section 428(b)(1)(M)(v) or 427(a)(2)(C)(iv).''.
    (f) The amendments made by this Act shall apply with respect to 
loans--
            (1) made on or after the date of the enactment of this Act; 
        or
            (2) in repayment on the date of the enactment of this Act.
    Sec. 310. (a) No performance bonus shall be paid to an employee of 
the Office of Federal Student Aid of the Department of Education unless 
the employee meets the performance targets established by the Secretary 
of Education under subsection (b).
    (b) The Secretary of Education shall establish performance targets 
for employees of the Office of Federal Student Aid of the Department of 
Education. The performance targets shall be based on the following 
factors:
            (1) Customer service, contractor compliance with applicable 
        Federal consumer protection laws, minimizing improper payments, 
        portfolio resolution, collection rates, and overall current 
        repayment status of the portfolio of Federal student loans; and
            (2) the optimal use of qualified large and small business 
        contractors to help the Office achieve, at minimum, the average 
        portfolio resolution percentage achieved by the Office for the 
        period of fiscal years 2015 through 2018.
    (c) Not later than 60 days after the date of the enactment of this 
Act, the Secretary of Education shall submit to the appropriate 
congressional committees a report that includes--
            (1) the performance targets established by the Secretary 
        under subsection (b);
            (2) the rationale for such targets; and
            (3) the Office of Federal Student Aid's historical 
        performance in meeting such targets, if known.
    (d) Not later than 180 days after the date of the enactment of this 
Act, the Secretary of Education shall submit to the appropriate 
congressional committees a report that assesses the performance of the 
Office of Federal Student Aid in meeting the performance targets 
established by the Secretary under subsection (b).
    (e) In this section:
            (1) The term ``appropriate congressional committees'' 
        means--
                    (A) the Committees on Appropriations of the House 
                of Representatives and the Senate; and
                    (B) each committee of the House of Representatives 
                or the Senate with jurisdiction over the Office of 
                Federal Student Aid of the Department of Education.
            (2) The term ``Federal student loan'' means a loan made 
        under part D of title IV of the Higher Education Act of 1965 
        (20 U.S.C. 1087a et seq.).
            (3) The term ``portfolio resolution'' means the proportion 
        of the total value of recoveries from defaulted Federal student 
        loans, not including consolidations, compared with the total 
        value of newly defaulted Federal student loans for each fiscal 
        quarter.
    This title may be cited as the ``Department of Education 
Appropriations Act, 2019''.

                                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 established under section 8502 of 
title 41, United States Code, $8,250,000:  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 $1,250,000 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''), $767,629,000, 
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) $17,538,000 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) $32,000,000 shall be available to 
carry out subtitle E of the 1990 Act; and (4) $5,400,000 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, $206,842,000, 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, $83,737,000.

                      office of inspector general

    For necessary expenses of the Office of Inspector General in 
carrying out the Inspector General Act of 1978, $5,750,000.

                       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 2018, 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.

                  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 2021, $445,000,000:  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:  Provided further, That none of the funds made 
available to CPB by this Act shall be used to support the Television 
Future Fund or any similar purpose.
    In addition, for the costs associated with replacing and upgrading 
the public broadcasting interconnection system and other technologies 
and services that create infrastructure and efficiencies within the 
public media system, $20,000,000.

               Federal Mediation and Conciliation Service

                         salaries and expenses

    For expenses necessary for the Federal Mediation and Conciliation 
Service (``Service'') to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, including hire of passenger motor 
vehicles; for expenses 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, 
$46,800,000, including up to $400,000 to remain available through 
September 30, 2020, for activities authorized by the Labor-Management 
Cooperation Act of 1978:  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, $17,124,000.

                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, 
$240,000,000.

            Medicaid and Chip Payment and Access Commission

                         salaries and expenses

    For expenses necessary to carry out section 1900 of the Social 
Security Act, $8,480,000.

                  Medicare Payment Advisory Commission

                         salaries and expenses

     For expenses necessary to carry out section 1805 of the Social 
Security Act, $13,045,000, 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, $3,250,000.

                     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, $261,325,000:  Provided, That no part of 
this appropriation shall be available to organize or assist in 
organizing agricultural laborers or used in connection with 
investigations, hearings, directives, or orders concerning bargaining 
units composed of agricultural laborers as referred to in section 2(3) 
of the Act of July 5, 1935, and as amended by the Labor-Management 
Relations Act, 1947, and as defined in section 3(f) of the Act of June 
25, 1938, and including in said definition employees engaged in the 
maintenance and operation of ditches, canals, reservoirs, and waterways 
when maintained or operated on a mutual, nonprofit basis and at least 
95 percent of the water stored or supplied thereby is used for farming 
purposes.

                       administrative provisions

    Sec. 407.  None of the funds provided by this Act or previous Acts 
making appropriations for the National Labor Relations Board may be 
used to issue any new administrative directive or regulation that would 
provide employees any means of voting through any electronic means in 
an election to determine a representative for the purposes of 
collective bargaining.
    Sec. 408.  None of the funds made available by this Act may be used 
to issue, enforce, or litigate any administrative directive, 
regulation, representation issue, or unfair labor practice proceeding, 
or any other administrative complaint, charge, claim, or proceeding 
based on the standard for determining whether entities are ``joint 
employers'' set forth by the National Labor Relations Board in 
Browning-Ferris Industries of California, Inc., 362 NLRB No. 186 
(August 27, 2015).
    Sec. 409. (a) None of the funds made available by this Act may be 
used to enforce the National Labor Relations Act (29 U.S.C. 152) 
against any Indian Tribe, including any enterprise or institution owned 
and operated by an Indian Tribe and located on its Indian lands.
    (b) For purposes of this section--
            (1) the term ``Indian Tribe'' means any Indian Tribe, band, 
        nation, pueblo, Native Alaskan group, or other organized group 
        or community which is recognized as eligible for the special 
        programs and services provided by the United States to Indians 
        because of their status as Indians;
            (2) the term ``Indian'' means any individual who is a 
        member of an Indian Tribe; and
            (3) the term ``Indian lands''' means--
                    (A) all lands within the limits of any Indian 
                reservation;
                    (B) any lands title to which is either held in 
                trust by the United States for the benefit of any 
                Indian Tribe or individual or held by any Indian Tribe 
                or individual subject to restriction by the United 
                States against alienation; and
                    (C) any lands in the State of Oklahoma that are 
                within the boundaries of a former reservation (as 
                defined by the Secretary of the Interior) of a 
                federally recognized Indian Tribe.

                        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, 
$13,510,000.

            Occupational Safety and Health Review Commission

                         salaries and expenses

    For expenses necessary for the Occupational Safety and Health 
Review Commission, $12,975,000.

                       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, $19,000,000, 
which shall include amounts becoming available in fiscal year 2019 
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, 2020, 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, $126,000,000, to be derived in 
such amounts as determined by the Board from the railroad retirement 
accounts and from moneys credited to the railroad unemployment 
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 $12,500,000, to 
remain available until expended, shall be used to supplement, not 
supplant, existing resources devoted to operations and improvements for 
the Board's Information Technology Investment Initiatives.

             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 $8,500,000, 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, 
$41,251,000,000, 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 $101,000,000 shall 
be available for research and demonstrations under sections 1110, 1115, 
and 1144 of the Social Security Act, and remain available through 
September 30, 2021.
    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 2020, $19,700,000,000, to 
remain available until expended.

                 limitation on administrative expenses

    For necessary expenses, including the hire of two passenger motor 
vehicles, and not to exceed $20,000 for official reception and 
representation expenses, not more than $12,422,045,000 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 $2,400,000 shall be for the Social Security Advisory 
Board:  Provided further, That $100,000,000 shall remain available 
through September 30, 2020, for activities to address the disability 
hearings backlog within the Office of Hearings Operations:  Provided 
further, That unobligated balances of funds provided under this 
paragraph at the end of fiscal year 2019 not needed for fiscal year 
2019 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 $1,683,000,000, to remain available through 
March 31, 2020, 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, $273,000,000 is provided to meet the terms of 
section 251(b)(2)(B)(ii)(III) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended, and $1,410,000,000 is 
additional new budget authority specified for purposes of section 
251(b)(2)(B) of such Act: Provided further, That, of the additional new 
budget authority described in the preceding proviso, up to $10,000,000 
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, $134,000,000 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. To the extent that 
the amounts collected pursuant to such sections in fiscal year 2019 
exceed $134,000,000, the amounts shall be available in fiscal year 2020 
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, 
$31,000,000, together with not to exceed $77,500,000, 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.
    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 appropriated in this Act, and none 
of the funds in any trust fund to which funds are appropriated in this 
Act, shall be expended for any abortion.
    (b) None of the funds appropriated in this Act, and none of the 
funds in any trust fund to which funds are appropriated in this Act, 
shall be expended for health benefits coverage that includes coverage 
of abortion.
    (c) The term ``health benefits coverage'' means the package of 
services covered by a managed care provider or organization pursuant to 
a contract or other arrangement.
    Sec. 507. (a) The limitations established in the preceding section 
shall not apply to an abortion--
            (1) if the pregnancy is the result of an act of rape or 
        incest; or
            (2) in the case where a woman suffers from a physical 
        disorder, physical injury, or physical illness, including a 
        life-endangering physical condition caused by or arising from 
        the pregnancy itself, that would, as certified by a physician, 
        place the woman in danger of death unless an abortion is 
        performed.
    (b) Nothing in the preceding section shall be construed as 
prohibiting the expenditure by a State, locality, entity, or private 
person of State, local, or private funds (other than a State's or 
locality's contribution of Medicaid matching funds).
    (c) Nothing in the preceding section shall be construed as 
restricting the ability of any managed care provider from offering 
abortion coverage or the ability of a State or locality to contract 
separately with such a provider for such coverage with State funds 
(other than a State's or locality's contribution of Medicaid matching 
funds).
    (d)(1) None of the funds made available in this Act may be made 
available to a Federal agency or program, or to a State or local 
government, if such agency, program, or government subjects any 
institutional or individual health care entity to discrimination on the 
basis that the health care entity does not provide, pay for, provide 
coverage of, or refer for abortions.
    (2) In this subsection, the term ``health care entity'' includes an 
individual physician or other health care professional, a hospital, a 
provider-sponsored organization, a health maintenance organization, a 
health insurance plan, or any other kind of health care facility, 
organization, or plan.
    Sec. 508. (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. 509. (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. 510.  None of the funds made available in this Act may be used 
to promulgate or adopt any final standard under section 1173(b) of the 
Social Security Act providing for, or providing for the assignment of, 
a unique health identifier for an individual (except in an individual's 
capacity as an employer or a health care provider), until legislation 
is enacted specifically approving the standard.
    Sec. 511.  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. 512.  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. 513.  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. 514. (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 2019, 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 2019, 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. 515. (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. 516.  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 2019 that are different than those 
specified in this Act, the accompanying detailed table in the Committee 
report accompanying this Act, or the fiscal year 2019 budget request.
    Sec. 517.  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 in value and awarded by the Department on 
a non-competitive basis during each quarter of fiscal year 2019, 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. 518.  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. 519.  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. 520.  Notwithstanding any other provision of this Act, no 
funds appropriated in this Act shall be used to purchase sterile 
needles or syringes for the hypodermic injection of any illegal drug:  
Provided, That such limitation does not apply to the use of funds for 
elements of a program other than making such purchases if the relevant 
State or local health department, in consultation with the Centers for 
Disease Control and Prevention, determines that the State or local 
jurisdiction, as applicable, is experiencing, or is at risk for, a 
significant increase in hepatitis infections or an HIV outbreak due to 
injection drug use, and such program is operating in accordance with 
State and local law: Provided further, That none of the funds 
appropriated in this Act may be used for the operation of a supervised 
drug consumption facility that permits the consumption onsite of any 
substance listed in the schedule I of section 202 of the Controlled 
Substances Act (21 U.S.C. 812).
    Sec. 521. (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. 522.  None of the funds made available under this or any other 
Act, or any prior Appropriations Act, may be provided to the 
Association of Community Organizations for Reform Now (ACORN), or any 
of its affiliates, subsidiaries, allied organizations, or successors.
    Sec. 523.  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. 524.  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 
U.S. 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. 525. (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 2019'' for ``Fiscal Year 2014'' in the title of subsection (b) and 
by substituting ``September 30, 2023'' 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, and 
section 525 of division H of Public Law 115-141.
    (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. 526.  Not later than 30 days after the end of each calendar 
quarter, beginning with the first quarter of fiscal year 2013, the 
Departments of Labor, Health and Human Services, and Education shall 
provide the Committees on Appropriations of the House of 
Representatives and Senate a quarterly report on the status of balances 
of appropriations:  Provided, That for balances that are unobligated 
and uncommitted, committed, and obligated but unexpended, the quarterly 
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. 527.  None of the funds made available in this Act may be used 
to implement, administer, enforce, or further any provision of Public 
Law 111-148 or title I or subtitle B of title II of Public Law 111-152 
and the amendment made by such provision: Provided, That funds in this 
Act may be used to implement, administer, enforce, or further the rate 
setting process for calendar year 2019 and fiscal year 2020 for 
Medicare under title XVIII of the Social Security Act: Provided 
further, That funds in this Act may be used to implement, administer, 
enforce, or further the final rules for the provisions of (and 
amendments made by) sections 2501(c), 2501(d), and 2503 of Public Law 
111-148, as amended by sections 1206(a) and 1101(c) of Public Law 111-
152, insofar as each respective rule relates to calendar year 2019.
    Sec. 528.  None of the funds appropriated in this Act may be used 
to implement, further, enforce, or advance the Navigators program as 
provided under section 1311(i) of Public Law 111-148 and title I and 
subtitle B of title II of Public Law 111-152.

                              (rescission)

    Sec. 529.  Of any available amounts appropriated under section 
2104(a)(22) of the Social Security Act (42 U.S.C. 1397dd) that are 
unobligated as of September 25, 2019, $3,345,000,000 are hereby 
rescinded as of such date.

                              (rescission)

    Sec. 530.  Of the funds unobligated balances in the ``Nonrecurring 
expenses fund'' established by section 223 of division G of Public Law 
110-161 $400,000,000 is rescinded.

                              (rescission)

    Sec. 531.  Of the amounts deposited in the Child Enrollment 
Contingency Fund prior to the beginning of fiscal year 2019 under 
section 2104(n)(2) of the Social Security Act, $3,378,613,000 are 
permanently rescinded.
    Sec. 532.  None of the funds made available by this Act may be used 
to conduct or support research using human fetal tissue if such tissue 
is obtained pursuant to an induced abortion.
    Sec. 533. (a) IN GENERAL.--Notwithstanding any other provision of 
law, none of the funds made available by this Act may be made available 
either directly, through a State (including through managed care 
contracts with a State), or through any other means, to a prohibited 
entity.
    (b) PROHIBITED ENTITY.--The term ``prohibited entity'' means an 
entity, including its affiliates, subsidiaries, successors, and 
clinics--
            (1) that, as of the date of enactment of this Act--
                    (A) is an organization described in section 
                501(c)(3) of the Internal Revenue Code of 1986 and 
                exempt from taxation under section 501(a) of such Code;
                    (B) is an essential community provider described in 
                section 156.235 of title 45, Code of Federal 
                Regulations (as in effect on the date of enactment of 
                this Act), that is primarily engaged in family planning 
                services, reproductive health, and related medical 
                care; and
                    (C) performs, or provides any funds to any other 
                entity that performs abortions, other than an abortion 
                performed--
                            (i) in the case of a pregnancy that is the 
                        result of an act of rape or incest; or
                            (ii) in the case where a woman suffers from 
                        a physical disorder, physical injury, or 
                        physical illness that would, as certified by a 
                        physician, place the woman in danger of death 
                        unless an abortion is performed, including a 
                        life endangering physical condition caused by, 
                        or arising from, the pregnancy itself; and
            (2) for which the total amount of Federal grants to such 
        entity, including grants to any affiliates, subsidiaries, or 
        clinics of such entity, under title X of the Public Health 
        Service Act in fiscal year 2016 exceeded $23,000,000.
    (c)(1) END OF PROHIBITION.--The definition in subsection (b) shall 
cease to apply to an entity if such entity certifies that it, including 
its affiliates, subsidiaries, successors, and clinics, will not 
perform, and will not provide any funds to any other entity that 
performs, an abortion as described in subsection (b)(1)(C).
            (2) REPAYMENT.--The Secretary of Health and Human Services 
        shall seek repayment of any Federal assistance received by any 
        entity that had made a certification described in paragraph (1) 
        and subsequently violated the terms of such certification.
    Sec. 534. (a) This section may be cited as the ``Conscience 
Protection Act of 2018''.
    (b) Congress finds as follows:
            (1) Thomas Jefferson stated a conviction common to our 
        Nation's founders when he declared in 1809 that ``[n]o 
        provision in our Constitution ought to be dearer to man than 
        that which protects the rights of conscience against the 
        enterprises of the civil authority''.
            (2) In 1973, the Supreme Court concluded that the 
        government must leave the abortion decision ``to the medical 
        judgment of the pregnant woman's attending physician'', 
        recognizing that a physician may choose not to participate in 
        abortion. Roe v. Wade, 410 U.S. 113, 164 (1973). The Court 
        cited with approval a policy that ``neither physician, 
        hospital, nor hospital personnel shall be required to perform 
        any act violative of personally-held moral principles'', 410 
        U.S. at 143 n. 38, and cited State laws upholding this 
        principle. Doe v. Bolton, 410 U.S. 179, 197-8 (1973).
            (3) Congress's enactments to protect this right of 
        conscience in health care include the Church amendment of 1973 
        (42 U.S.C. 300a-7), the Coats/Snowe amendment of 1996 (42 
        U.S.C. 238n), and the Weldon amendment approved by Congresses 
        and Presidents of both parties every year since 2004.
            (4) None of these laws explicitly provides a ``private 
        right of action'' so victims of discrimination can defend their 
        conscience rights in court, and administrative enforcement by 
        the Department of Health and Human Services Office for Civil 
        Rights has been lax, at times allowing cases to languish for 
        years without resolution.
            (5) Defying the Federal Weldon amendment, California's 
        Department of Managed Health Care has mandated coverage for all 
        elective abortions in all health plans under its jurisdiction. 
        Other States such as New York and Washington have taken or 
        considered similar action, and some States may go farther to 
        require all physicians and hospitals to provide or facilitate 
        abortions. On June 21, 2016, the Obama Administration concluded 
        a nearly two-year investigation of this matter by determining 
        that California's decision to require insurance plans under the 
        California Department for Managed Health Care authority to 
        cover all legal abortion services did not violate the Weldon 
        amendment. Until the new Administration is able to reverse this 
        finding, individuals will have to choose between ignoring their 
        conscience or forgoing health care coverage.
            (6) The vast majority of medical professionals do not 
        perform abortions, with 86 percent of ob/gyns unwilling to 
        provide them in a recent study (Obstetrics & Gynecology, Sept. 
        2011) and the great majority of hospitals choosing to do so in 
        rare cases or not at all.
            (7) A health care provider's decision not to participate in 
        an abortion, like Congress's decision not to fund most 
        abortions, erects no new barrier to those seeking to perform or 
        undergo abortions but leaves each party free to act as he or 
        she wishes.
            (8) Such protection poses no conflict with other Federal 
        laws, such as the law requiring emergency stabilizing treatment 
        for a pregnant woman and her unborn child when either is in 
        distress (Emergency Medical Treatment and Active Labor Act). As 
        the previous Administration has said, these areas of law have 
        operated side by side for many years and both should be fully 
        enforced (76 Fed. Reg. 9968-77 (2011) at 9973).
            (9) Reaffirming longstanding Federal policy on conscience 
        rights and providing a right of action in cases where it is 
        violated allows longstanding and widely supported Federal laws 
        to work as intended.
    (c) Title II of the Public Health Service Act (42 U.S.C. 202 et 
seq.) is amended by inserting after section 245 the following:
    ``Sec. 245A. Prohibiting Governmental Discrimination Against 
Providers of Health Services That Are Not Involved in Abortion.--
    ``(a) In General.--Notwithstanding any other law, the Federal 
Government, and any State or local government that receives Federal 
financial assistance, may not penalize, retaliate against, or otherwise 
discriminate against a health care provider on the basis that the 
provider does not--
            ``(1) perform, refer for, pay for, or otherwise participate 
        in abortion;
            ``(2) provide or sponsor abortion coverage; or
            ``(3) facilitate or make arrangements for any of the 
        activities specified in this subsection.
    ``(b) Rule of Construction.--Nothing in this section shall be 
construed--
            ``(1) to prevent any health care provider from voluntarily 
        electing to participate in abortions or abortion referrals;
            ``(2) to prevent any health care provider from voluntarily 
        electing to provide or sponsor abortion coverage or health 
        benefits coverage that includes abortion;
            ``(3) to prevent an accrediting agency, the Federal 
        Government, or a State or local government from establishing 
        standards of medical competency applicable only to those who 
        have knowingly, voluntarily, and specifically elected to 
        perform abortions, or from enforcing contractual obligations 
        applicable only to those who, as part of such contract, 
        knowingly, voluntarily, and specifically elect to provide 
        abortions;
            ``(4) to affect, or be affected by, section 1867 of the 
        Social Security Act (42 U.S.C. 1395dd, commonly referred to as 
        the `Emergency Medical Treatment and Active Labor Act'); or
            ``(5) to supersede any law enacted by any State for the 
        purpose of regulating insurance, except as specified in 
        subsection (a).
    ``(c) Administration.--The Secretary shall designate the Director 
of the Office for Civil Rights of the Department of Health and Human 
Services--
            ``(1) to receive complaints alleging a violation of this 
        section, section 245 of this Act, or any of subsections (b) 
        through (e) of section 401 of the Health Programs Extension Act 
        of 1973; and
            ``(2) to pursue the investigation of such complaints in 
        coordination with the Attorney General.
    ``(d) Definitions.--For purposes of this section:
            ``(1) Federal financial assistance.--The term `Federal 
        financial assistance' means Federal payments to cover the cost 
        of health care services or benefits, or other Federal payments, 
        grants, or loans to promote or otherwise facilitate health-
        related activities.
            ``(2) Health care provider.--The term `health care 
        provider' means--
                    ``(A) an individual physician, nurse, or other 
                health care professional;
                    ``(B) a hospital, health system, or other health 
                care facility or organization (including a party to a 
                proposed merger or other collaborative arrangement 
                relating to health services, and an entity resulting 
                therefrom);
                    ``(C) a provider-sponsored organization, an 
                accountable care organization, or a health maintenance 
                organization;
                    ``(D) a social services provider that provides or 
                authorizes referrals for health care services;
                    ``(E) a program of training in the health 
                professions or an applicant to or participant in such a 
                program;
                    ``(F) an issuer of health insurance coverage; or
                    ``(G) a group health plan or student health plan, 
                or a sponsor or administrator thereof.
            ``(3) State or local government that receives federal 
        financial assistance.--The term `State or local government that 
        receives Federal financial assistance' includes every agency 
        and other governmental unit and subdivision of a State or local 
        government, if such State or local government, or any agency or 
        governmental unit or subdivision thereof, receives Federal 
        financial assistance.
    ``Sec. 245B. Civil Action for Certain Violations.--
    ``(a) In General.--A qualified party may, in a civil action, obtain 
appropriate relief with regard to a designated violation.
    ``(b) Definitions.--For purposes of this section:
            ``(1) Qualified party.--The term `qualified party' means--
                    ``(A) the Attorney General of the United States; or
                    ``(B) any person or entity adversely affected by 
                the designated violation.
            ``(2) Designated violation.--The term `designated 
        violation' means an actual or threatened violation of--
                    ``(A) section 245 or 245A of this Act; or
                    ``(B) any of subsections (b) through (e) of section 
                401 of the Health Programs Extension Act of 1973 
                regarding an objection to abortion.
    ``(c) Administrative Remedies Not Required.--An action under this 
section may be commenced, and relief may be granted, without regard to 
whether the party commencing the action has sought or exhausted 
available administrative remedies.
    ``(d) Defendants in Actions Under This Section May Include 
Governmental Entities as Well as Others.--
            ``(1) In general.--An action under this section may be 
        maintained against, among others, a party that is a Federal or 
        State governmental entity. Relief in an action under this 
        section may include money damages even if the defendant is such 
        a governmental entity.
            ``(2) Definition.--For the purposes of this subsection, the 
        term `State governmental entity' means a State, a local 
        government within a State, and any agency or other governmental 
        unit or subdivision of a State or of such a local government.
    ``(e) Nature of Relief.--In an action under this section, the court 
shall grant--
            ``(1) all necessary equitable and legal relief, including, 
        where appropriate, declaratory relief and compensatory damages, 
        to prevent the occurrence, continuance, or repetition of the 
        designated violation and to compensate for losses resulting 
        from the designated violation; and
            ``(2) to a prevailing plaintiff, reasonable attorneys' fees 
        and litigation expenses as part of the costs.''.
    Sec. 535.  None of the funds made available by this Act, or by any 
other Act, may be used to prevent a Member of the United States 
Congress from entering, for the purpose of conducting oversight, any 
facility in the United States, used for purposes of detaining or 
otherwise housing foreign national minors.
    Sec. 536. (a) In General.--Section 235 of the William Wilberforce 
Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 
1232) is amended by adding at the end the following:
    ``(j) Construction.--
            ``(1) In general.--Notwithstanding any other provision of 
        law, judicial determination, consent decree, or settlement 
        agreement, the detention of any alien child who is not an 
        unaccompanied alien child shall be governed by sections 217, 
        235, 236, and 241 of the Immigration and Nationality Act (8 
        U.S.C. 1187, 1225, 1226, and 1231). There exists no presumption 
        that an alien child who is not an unaccompanied alien child 
        should not be detained, and all such determinations shall be in 
        the discretion of the Secretary of Homeland Security.
            ``(2) Release of minors other than unaccompanied aliens.--
        In no circumstances shall an alien minor who is not an 
        unaccompanied alien child be released by the Secretary of 
        Homeland Security other than to a parent or legal guardian.
            ``(3) Family detention.--The Secretary of Homeland Security 
        shall--
                    ``(A) maintain the care and custody of an alien, 
                during the period during which the charges described in 
                clause (i) are pending, who--
                            ``(i) is charged only with a misdemeanor 
                        offense under section 275(a) of the Immigration 
                        and Nationality Act (8 U.S.C. 1325(a)); and
                            ``(ii) entered the United States with the 
                        alien's child who has not attained 18 years of 
                        age; and
                    ``(B) detain the alien with the alien's child.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect on the date of the enactment of this Act and shall apply to 
all actions that occur before, on, or after the date of the enactment 
of this Act.
    (c) Preemption of State Licensing Requirements.--Notwithstanding 
any other provision of law, judicial determination, consent decree, or 
settlement agreement, no State may require that an immigration 
detention facility used to detain children who have not attained 18 
years of age, or families consisting of one or more of such children 
and the parents or legal guardians of such children, that is located in 
that State, be licensed by the State or any political subdivision 
thereof.
    Sec. 537. (a) The Federal Government, and any State or local 
government that receives Federal funding for any program that provides 
child welfare services under part B or part E of title IV of the Social 
Security Act (and any subdivision, office, or department of such 
State), shall not discriminate or take an adverse action against a 
child welfare service provider on the basis that the provider has 
declined or will decline to provide, facilitate, or refer for a child 
welfare service that conflicts with, or under circumstances that 
conflict with, the provider's sincerely held religious beliefs or moral 
convictions.
    (b) The Secretary of Health and Human Services shall withhold from 
a State or local government 15 percent of the Federal funds the State 
or local government receives for a program that provides child welfare 
services under part B or part E of title IV of the Social Security Act 
if the State or local government violates subsection (a) when 
administering or disbursing funds under such program.
    (c)(1) A child welfare service provider aggrieved by a violation of 
subsection (a) may assert that violation as a claim or defense in a 
judicial proceeding and obtain all appropriate relief, including 
declaratory relief, injunctive relief, and compensatory damages, with 
respect to that violation.
    (2) A child welfare service provider that prevails in an action by 
establishing a violation of subsection (a) is entitled to recover 
reasonable attorneys' fees and costs.
    (3) By accepting or expending Federal funds in connection with a 
program that provides child welfare services under part B or part E of 
title IV of the Social Security Act, a State waives its sovereign 
immunity for any claim or defense that is raised under this subsection.
    (d) For purposes of this section:
            (1) The term ``child welfare service provider'' includes 
        organizations, corporations, groups, entities, or individuals 
        that provide or seek to provide, or that apply for or receive a 
        contract, subcontract, grant, or subgrant for the provision of, 
        child welfare services. The provider need not be engaged 
        exclusively in child welfare services to be considered a child 
        welfare service provider.
            (2) The term ``child welfare services'' means social 
        services provided to or on behalf of children, including 
        assisting abused, neglected, or troubled children, counseling 
        children or parents, promoting foster parenting, providing 
        foster homes or temporary group shelters for children, 
        recruiting foster parents, placing children in foster homes, 
        licensing foster homes, promoting adoption, recruiting adoptive 
        parents, assisting adoptions, supporting adoptive families, 
        assisting kinship guardianships, assisting kinship caregivers, 
        providing family preservation services, providing family 
        support services, and providing time-limited family 
        reunification services.
            (3) The term ``State'' includes any of the several States, 
        the District of Columbia, any commonwealth, territory or 
        possession of the United States, and any political subdivision 
        thereof.
            (4) The terms ``funding'', ``funded'', or ``funds'' include 
        money paid pursuant to a contract, grant, voucher, or similar 
        means.
            (5) The term ``adverse action'' includes, but is not 
        limited to, denying a child welfare service provider's 
        application for funding, refusing to renew the provider's 
        funding, canceling the provider's funding, declining to enter 
        into a contract with the provider, refusing to renew a contract 
        with the provider, canceling a contract with the provider, 
        declining to issue a license to the provider, refusing to renew 
        the provider's license, canceling the provider's license, 
        terminating the provider's employment, or any other adverse 
        action that materially alters the terms or conditions of the 
        provider's employment, funding, contract, or license.
    Sec. 538.  Except in the case of a medical emergency, none of the 
funds made available by this Act may be used by a health care provider 
to administer any medication 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))) in the care of the Office of Refugee Resettlement of 
the Administration for Children and Families, unless such minor has 
received a physical and mental health evaluation, including a trauma 
assessment and an assessment for comorbidities, while in such care.
    Sec. 539.  It is the sense of Congress that immigrant children 
should not be separated from their parents and that families should be 
reunited immediately.
    Sec. 540.  None of the funds made available by this Act may be used 
by the Office of Refugee Resettlement of the Administration for 
Children and Families, or any contractor employed by such Office of 
Refugee Resettlement, to ask any question relating to religion, the 
practice of religion, or the frequency of religious observation as part 
of an assessment or requirement for any potential sponsor or adoptive 
or foster parent of an unaccompanied alien child (as defined in section 
462(g) of the Homeland Security Act of 2002 (6 U.S.C. 279(g))) in the 
custody of such Office of Refugee Resettlement, or during the process 
of reunifying such a child with a parent.
    Sec. 541.  Not later than 30 days after the date of the enactment 
of this Act, the Secretary of Health and Human Services shall submit to 
the Committee on Appropriations of both Houses of Congress a report 
that details the following:
            (1) The number of pre-literate children who were in the 
        custody of the Office of Refugee Resettlement of the 
        Administration for Children and Families during fiscal year 
        2018.
            (2) A list of languages that were spoken by such children 
        and the number of translators that were needed with respect to 
        each such language.
            (3) Any additional resources that were needed by such 
        Office of Refugee Resettlement to ensure that such children 
        were able to communicate with the staff of such Office of 
        Refugee Resettlement.
    Sec. 542.  Not later than 30 days after the date of the enactment 
of this Act, the Secretary of Health and Human Services shall submit to 
the Committee on Appropriations of both Houses of Congress a report 
that details the following:
            (1) What guidance, if any, the Office of Refugee 
        Resettlement of the Administration for Children and Families 
        provides to the shelters and staff of such Office of Refugee 
        Resettlement regarding the unique medical and mental health 
        needs of children who have been separated from their parents.
            (2) What resources, if any, the Department of Health and 
        Human Services provides to children who have been separated 
        from their parents to address the mental health and trauma such 
        children have experienced and may continue to experience.
            (3) How the Department of Health and Human Services ensures 
        that children who have been separated from their parents have 
        timely access to treatment from qualified health professionals.
            (4) The average period of time that children separated from 
        their parents stay in the care of the Office of Refugee 
        Resettlement of the Administration for Children and Families.

                       spending reduction account

    Sec. 543.  The amount by which the applicable allocation of new 
budget authority made by the Committee on Appropriations of the House 
of Representatives under section 302(b) of the Congressional Budget Act 
of 1974 exceeds the amount of proposed new budget authority is $0.
    This Act may be cited as the ``Departments of Labor, Health and 
Human Services, and Education, and Related Agencies Appropriations Act, 
2019''.
                                                 Union Calendar No. 667

115th CONGRESS

  2d Session

                               H. R. 6470

                          [Report No. 115-862]

_______________________________________________________________________

                                 A BILL

 Making appropriations for the Departments of Labor, Health and Human 
   Services, and Education, and related agencies for the fiscal year 
           ending September 30, 2019, and for other purposes.

_______________________________________________________________________

                             July 23, 2018

Committed to the Committee of the Whole House on the State of the Union 
                       and ordered to be printed