[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5894 Introduced in House (IH)]

<DOC>






118th CONGRESS
  1st Session
                                H. R. 5894

 Making appropriations for the Departments of Labor, Health and Human 
   Services, and Education, and related agencies for the fiscal year 
           ending September 30, 2024, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 6, 2023

              Mr. Aderholt introduced the following bill;

                            October 25, 2023

              Referred to the Committee on Appropriations

_______________________________________________________________________

                                 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, 2024, 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, 2024, and for other purposes, namely:

                                TITLE I

                          DEPARTMENT OF LABOR

                 Employment and Training Administration

                    training and employment services

    For necessary expenses of the Workforce Innovation and Opportunity 
Act (referred to in this Act as ``WIOA'') and the National 
Apprenticeship Act, $2,836,808,000, plus reimbursements, shall be 
available. Of the amounts provided:
            (1) for grants to States for adult employment and training 
        activities and dislocated worker employment and training 
        activities, $1,807,553,000 as follows:
                    (A) $712,000,000 for adult employment and training 
                activities, which shall be available for the period 
                October 1, 2024 through June 30, 2025; and
                    (B) $1,095,553,000 for dislocated worker employment 
                and training activities, of which $235,553,000 shall be 
                available for the period July 1, 2024 through June 30, 
                2025, and of which $860,000,000 shall be available for 
                the period October 1, 2024 through June 30, 2025:
          Provided, That the funds available for allotment to outlying 
        areas to carry out subtitle B of title I of the WIOA shall not 
        be subject to the requirements of section 127(b)(1)(B)(ii) of 
        such Act:  Provided further, That notwithstanding the 
        requirements of WIOA, outlying areas may submit a single 
        application for a consolidated grant that awards funds that 
        would otherwise be available to such areas to carry out the 
        activities described in subtitle B of title I of the WIOA:  
        Provided further, That such application shall be submitted to 
        the Secretary of Labor (referred to in this title as 
        ``Secretary''), at such time, in such manner, and containing 
        such information as the Secretary may require:  Provided 
        further, That outlying areas awarded a consolidated grant 
        described in the preceding provisos may use the funds for any 
        of the programs and activities authorized under such subtitle B 
        of title I of the WIOA subject to approval of the application 
        and such reporting requirements issued by the Secretary; and
            (2) for national programs, $1,029,255,000 as follows:
                    (A) $360,859,0000 for the dislocated workers 
                assistance national reserve, of which $160,859,000 
                shall be available for the period July 1, 2024 through 
                September 30, 2025, and of which $200,000,000 shall be 
                available for the period October 1, 2024 through 
                September 30, 2025:  Provided, That funds provided to 
                carry out section 132(a)(2)(A) of the WIOA may be used 
                to provide assistance to a State for statewide or local 
                use in order to address cases where there have been 
                worker dislocations across multiple sectors or across 
                multiple local areas and such workers remain 
                dislocated; coordinate the State workforce development 
                plan with emerging economic development needs; and 
                train such eligible dislocated workers:  Provided 
                further, That funds provided to carry out sections 
                168(b) and 169(c) of the WIOA may be used for technical 
                assistance and demonstration projects, respectively, 
                that provide assistance to new entrants in the 
                workforce and incumbent workers:  Provided further, 
                That notwithstanding section 168(b) of the WIOA, of the 
                funds provided under this subparagraph, the Secretary 
                may reserve not more than 10 percent of such funds to 
                provide technical assistance and carry out additional 
                activities related to the transition to the WIOA:  
                Provided further,  That of the funds provided under 
                this subparagraph, $115,000,000 shall be for training 
                and employment assistance under sections 168(b), 169(c) 
                (notwithstanding the 10 percent limitation in such 
                section) and 170 of the WIOA as follows:
                            (i) $50,000,000 shall be for workers in the 
                        Appalachian region, as defined by 40 U.S.C. 
                        14102(a)(1), workers in the Lower Mississippi, 
                        as defined in section 4(2) of the Delta 
                        Development Act (Public Law 100-460, 102 Stat. 
                        2246; 7 U.S.C. 2009aa(2)), and workers in the 
                        region served by the Northern Border Regional 
                        Commission, as defined by 40 U.S.C. 15733; and
                            (ii) $65,000,000 shall be for the purpose 
                        of developing, offering, or improving 
                        educational or career training programs at 
                        community colleges, defined as public 
                        institutions of higher education, as described 
                        in section 101(a) of the Higher Education Act 
                        of 1965 and at which the associate's degree is 
                        primarily the highest degree awarded, with 
                        other eligible institutions of higher 
                        education, as defined in section 101(a) of the 
                        Higher Education Act of 1965, eligible to 
                        participate through consortia, with community 
                        colleges as the lead grantee;
                    (B) $60,000,000 for Native American programs under 
                section 166 of the WIOA, which shall be available for 
                the period July 1, 2024 through June 30, 2025;
                    (C) $97,396,000 for migrant and seasonal farmworker 
                programs under section 167 of the WIOA, including 
                $90,134,000 for formula grants (of which not less than 
                70 percent shall be for employment and training 
                services), $6,591,000 for migrant and seasonal housing 
                (of which not less than 70 percent shall be for 
                permanent housing), and $671,000 for other 
                discretionary purposes, which shall be available for 
                the period April 1, 2024 through June 30, 2025:  
                Provided, That notwithstanding any other provision of 
                law or related regulation, the Department of Labor 
                shall take no action limiting the number or proportion 
                of eligible participants receiving related assistance 
                services or discouraging grantees from providing such 
                services:  Provided further, That notwithstanding the 
                definition of ``eligible seasonal farmworker'' in 
                section 167(i)(3)(A) of the WIOA relating to an 
                individual being ``low-income'', an individual is 
                eligible for migrant and seasonal farmworker programs 
                under section 167 of the WIOA under that definition if, 
                in addition to meeting the requirements of clauses (i) 
                and (ii) of section 167(i)(3)(A), such individual is a 
                member of a family with a total family income equal to 
                or less than 150 percent of the poverty line;
                    (D) $105,000,000 for YouthBuild activities as 
                described in section 171 of the WIOA, which shall be 
                available for the period April 1, 2024 through June 30, 
                2025;
                    (E) $115,000,000 for ex-offender activities, under 
                the authority of section 169 of the WIOA, which shall 
                be available for the period April 1, 2024 through June 
                30, 2025:  Provided, That of this amount, $30,000,000 
                shall be for competitive grants to national and 
                regional intermediaries for activities that prepare for 
                employment young adults with criminal legal histories, 
                young adults who have been justice system-involved, or 
                young adults who have dropped out of school or other 
                educational programs, with a priority for projects 
                serving high-crime, high-poverty areas;
                    (F) $6,000,000 for the Workforce Data Quality 
                Initiative, under the authority of section 169 of the 
                WIOA, which shall be available for the period July 1, 
                2024 through June 30, 2025; and
                    (G) $285,000,000 to expand opportunities through 
                apprenticeships, to be available to the Secretary to 
                carry out activities through grants, cooperative 
                agreements, contracts and other arrangements, with 
                States and other appropriate entities, including equity 
                intermediaries and business and labor industry partner 
                intermediaries, which shall be available for the period 
                July 1, 2024 through June 30, 2025.

              federal unemployment benefits and allowances

    For payments during fiscal year 2024 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, sections 405(a) and 406 of the Trade Preferences Extension 
Act of 2015, and section 285(a) of the Trade Act of 1974, as amended, 
$30,700,000 together with such amounts as may be necessary to be 
charged to the subsequent appropriation for payments for any period 
subsequent to September 15, 2024:  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

                     (including transfer of funds)

    For authorized administrative expenses, $84,066,000, together with 
not to exceed $3,921,556,000 which may be expended from the Employment 
Security Administration Account in the Unemployment Trust Fund (``the 
Trust Fund''), of which--
            (1) $3,141,635,000 from the Trust Fund is for grants to 
        States for the administration of State unemployment insurance 
        laws as authorized under title III of the Social Security Act 
        (including not less than $382,000,000 to carry out reemployment 
        services and eligibility assessments under section 306 of such 
        Act, any claimants of regular compensation, as defined in such 
        section, including those who are profiled as most likely to 
        exhaust their benefits, may be eligible for such services and 
        assessments:  Provided, That of such amount, $117,000,000 is 
        specified for grants under section 306 of the Social Security 
        Act and is provided to meet the terms of section 
        251(b)(2)(E)(ii) of the Balanced Budget and Emergency Deficit 
        Control Act of 1985, as amended, and $265,000,000 is additional 
        new budget authority specified for purposes of section 
        251(b)(2)(E)(i)(V) 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, sections 405(a) 
        and 406 of the Trade Preferences Extension Act of 2015, and 
        section 285(a) of the Trade Act of 1974, as amended, and shall 
        be available for obligation by the States through December 31, 
        2024, except that funds used for automation shall be available 
        for Federal obligation until expended, and for State obligation 
        through September 30, 2026, 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, 2024 (except that funds for outcome payments 
        pursuant to section 306(f)(2) of the Social Security Act shall 
        be available for Federal obligation through March 31, 2025), 
        and for obligation by the States through September 30, 2026, 
        and funds for the Unemployment Insurance Integrity Center of 
        Excellence shall be available for obligation by the State 
        through September 30, 2025, and funds used for unemployment 
        insurance workloads experienced through September 30, 2024 
        shall be available for Federal obligation through December 31, 
        2024;
            (2) $23,000,000 from the Trust Fund is for national 
        activities necessary to support the administration of the 
        Federal-State unemployment insurance system;
            (3) $658,639,000 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, 2024 through June 30, 2025;
            (4) $25,000,000 from the Trust Fund is for national 
        activities of the Employment Service, including administration 
        of the work opportunity tax credit under section 51 of the 
        Internal Revenue Code of 1986 (including assisting States in 
        adopting or modernizing information technology for use in the 
        processing of certification requests), and the provision of 
        technical assistance and staff training under the Wagner-Peyser 
        Act;
            (5) $73,282,000 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 $50,000,000 shall be available for the 
        Federal administration of such activities, and $23,282,000 
        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, 2024 
        through June 30, 2025, of which up to $9,800,000 may be used to 
        carry out research and demonstration projects related to 
        testing effective ways to promote greater labor force 
        participation of people with disabilities:  Provided, That the 
        Secretary may transfer amounts made available for research and 
        demonstration projects under this paragraph to the ``Office of 
        Disability Employment Policy'' account for such purposes:
  Provided, That to the extent that the Average Weekly Insured 
Unemployment (``AWIU'') for fiscal year 2024 is projected by the 
Department of Labor to exceed 2,365,000, an additional $28,600,000 from 
the Trust Fund shall be available for obligation for every 100,000 
increase in the AWIU level (including a pro rata amount for any 
increment less than 100,000) to carry out title III of the Social 
Security Act:  Provided further, That funds appropriated in this Act 
that are allotted to a State to carry out activities under title III of 
the Social Security Act may be used by such State to assist other 
States in carrying out activities under such title III if the other 
States include areas that have suffered a major disaster declared by 
the President under the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act:  Provided further, That the Secretary may use 
funds appropriated for grants to States under title III of the Social 
Security Act to make payments on behalf of States for the use of the 
National Directory of New Hires under section 453(j)(8) of such Act:  
Provided further, That the Secretary may use funds appropriated for 
grants to States under title III of the Social Security Act to make 
payments on behalf of States to the entity operating the State 
Information Data Exchange System:  Provided further, That funds 
appropriated in this Act which are used to establish a national one-
stop career center system, or which are used to support the national 
activities of the Federal-State unemployment insurance, employment 
service, or immigration programs, may be obligated in contracts, 
grants, or agreements with States and non-State entities:  Provided 
further, That States awarded competitive grants for improved operations 
under title III of the Social Security Act, or awarded grants to 
support the national activities of the Federal-State unemployment 
insurance system, may award subgrants to other States and non-State 
entities under such grants, subject to the conditions applicable to the 
grants:  Provided further, That funds appropriated under this Act for 
activities authorized under title III of the Social Security Act and 
the Wagner-Peyser Act may be used by States to fund integrated 
Unemployment Insurance and Employment Service automation efforts, 
notwithstanding cost allocation principles prescribed under the final 
rule entitled ``Uniform Administrative Requirements, Cost Principles, 
and Audit Requirements for Federal Awards'' at part 200 of title 2, 
Code of Federal Regulations:  Provided further, That the Secretary, at 
the request of a State participating in a consortium with other States, 
may reallot funds allotted to such State under title III of the Social 
Security Act to other States participating in the consortium or to the 
entity operating the Unemployment Insurance Information Technology 
Support Center in order to carry out activities that benefit the 
administration of the unemployment compensation law of the State making 
the request:  Provided further, That the Secretary may collect fees for 
the costs associated with additional data collection, analyses, and 
reporting services relating to the National Agricultural Workers Survey 
requested by State and local governments, public and private 
institutions of higher education, and nonprofit organizations and may 
utilize such sums, in accordance with the provisions of 29 U.S.C. 9a, 
for the National Agricultural Workers Survey infrastructure, 
methodology, and data to meet the information collection and reporting 
needs of such entities, which shall be credited to this appropriation 
and shall remain available until September 30, 2025, 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, 2025.

                         program administration

    For expenses of administering employment and training programs, 
$108,900,000, together with not to exceed $54,015,000 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, $152,880,000, of which up to $3,000,000 shall be made 
available through September 30, 2025, 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, 2024, for the Corporation:  Provided, That none of the 
funds available to the Corporation for fiscal year 2024 shall be 
available for obligations for administrative expenses in excess of 
$512,900,000:  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 2024, an amount not to exceed an additional 
$9,200,000 shall be available through September 30, 2028, for 
obligations for administrative expenses for every 20,000 additional 
terminated participants:  Provided further, That obligations in excess 
of the amounts provided for administrative expenses in this paragraph 
may be incurred and shall be available through September 30, 2028 for 
obligation for unforeseen and extraordinary pre-termination or 
termination expenses or extraordinary multiemployer program related 
expenses after approval by the Office of Management and Budget and 
notification of the Committees on Appropriations of the House of 
Representatives and the Senate:  Provided further, That an additional 
amount shall be available for obligation through September 30, 2028 to 
the extent the Corporation's costs exceed $250,000 for the provision of 
credit or identity monitoring to affected individuals upon suffering a 
security incident or privacy breach, not to exceed an additional $100 
per affected individual.

                         Wage and Hour Division

                         salaries and expenses

    For necessary expenses for the Wage and Hour Division, including 
reimbursement to State, Federal, and local agencies and their employees 
for inspection services rendered, $185,000,000.

                  Office of Labor-Management Standards

                         salaries and expenses

    For necessary expenses for the Office of Labor-Management 
Standards, $48,515,000.

             Office of Federal Contract Compliance Programs

                         salaries and expenses

    For necessary expenses for the Office of Federal Contract 
Compliance Programs, $83,232,000.

                Office of Workers' Compensation Programs

                         salaries and expenses

    For necessary expenses for the Office of Workers' Compensation 
Programs, $106,500,000, together with $2,205,000 which may be expended 
from the Special Fund in accordance with sections 39(c), 44(d), and 
44(j) of the Longshore and Harbor Workers' Compensation Act.

                            special benefits

                     (including transfer of funds)

    For the payment of compensation, benefits, and expenses (except 
administrative expenses not otherwise authorized) accruing during the 
current or any prior fiscal year authorized by 5 U.S.C. 81; 
continuation of benefits as provided for under the heading ``Civilian 
War Benefits'' in the Federal Security Agency Appropriation Act, 1947; 
the Employees' Compensation Commission Appropriation Act, 1944; section 
5(f) of the War Claims Act (50 U.S.C. App. 2012); obligations incurred 
under the War Hazards Compensation Act (42 U.S.C. 1701 et seq.); and 50 
percent of the additional compensation and benefits required by section 
10(h) of the Longshore and Harbor Workers' Compensation Act, 
$700,000,000, 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, 2023, 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, 2024:  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, $83,007,000 shall be made available to the Secretary 
as follows:
            (1) For enhancement and maintenance of automated data 
        processing systems operations and telecommunications systems, 
        $28,153,000;
            (2) For automated workload processing operations, including 
        document imaging, centralized mail intake, and medical bill 
        processing, $26,526,000;
            (3) For periodic roll disability management and medical 
        review, $26,527,000;
            (4) For program integrity, $1,801,000; 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, $22,890,000, 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 2025, $7,000,000, 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, $66,532,000, 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 2024 for expenses of operation and administration of the 
Black Lung Benefits program, as authorized by section 9501(d)(5): not 
to exceed $44,059,000 for transfer to the Office of Workers' 
Compensation Programs, ``Salaries and Expenses''; not to exceed 
$41,178,000 for transfer to Departmental Management, ``Salaries and 
Expenses''; not to exceed $368,000 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, $536,922,000, including not to exceed $120,000,000 
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, 2024, 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, $325,052,000, including purchase and bestowal of 
certificates and trophies in connection with mine rescue and first-aid 
work, and the hire of passenger motor vehicles, including up to 
$2,000,000 for mine rescue and recovery activities and not less than 
$10,537,000 for State assistance grants:  Provided, That 
notwithstanding 31 U.S.C. 3302, not to exceed $750,000 may be collected 
by the National Mine Health and Safety Academy for room, board, 
tuition, and the sale of training materials, otherwise authorized by 
law to be collected, to be available for mine safety and health 
education and training activities:  Provided further, That 
notwithstanding 31 U.S.C. 3302, the Mine Safety and Health 
Administration is authorized to collect and retain up to $2,499,000 
from fees collected for the approval and certification of equipment, 
materials, and explosives for use in mines, and may utilize such sums 
for such activities:  Provided further, That the Secretary is 
authorized to accept lands, buildings, equipment, and other 
contributions from public and private sources and to prosecute projects 
in cooperation with other agencies, Federal, State, or private:  
Provided further, That the Mine Safety and Health Administration is 
authorized to promote health and safety education and training in the 
mining community through cooperative programs with States, industry, 
and safety associations:  Provided further, That the Secretary is 
authorized to recognize the Joseph A. Holmes Safety Association as a 
principal safety association and, notwithstanding any other provision 
of law, may provide funds and, with or without reimbursement, 
personnel, including service of Mine Safety and Health Administration 
officials as officers in local chapters or in the national 
organization:  Provided further, That any funds available to the 
Department of Labor may be used, with the approval of the Secretary, to 
provide for the costs of mine rescue and survival operations in the 
event of a major disaster.

                       Bureau of Labor Statistics

                         salaries and expenses

    For necessary expenses for the Bureau of Labor Statistics, 
including advances or reimbursements to State, Federal, and local 
agencies and their employees for services rendered, $589,952,000, 
together with not to exceed $68,000,000 which may be expended from the 
Employment Security Administration account in the Unemployment Trust 
Fund.

                 Office of Disability Employment Policy

                         salaries and expenses

                     (including transfer of funds)

    For necessary expenses for the Office of Disability Employment 
Policy to provide leadership, develop policy and initiatives, and award 
grants furthering the objective of eliminating barriers to the training 
and employment of people with disabilities, $43,000,000, of which not 
less than $9,000,000 shall be for research and demonstration projects 
related to testing effective ways to promote greater labor force 
participation of people with disabilities:  Provided, That the 
Secretary may transfer amounts made available under this heading for 
research and demonstration projects to the ``State Unemployment 
Insurance and Employment Service Operations'' account for such 
purposes.

                        Departmental Management

                         salaries and expenses

    For necessary expenses for Departmental Management, including the 
hire of three passenger motor vehicles, $200,995,000, together with not 
to exceed $308,000, which may be expended from the Employment Security 
Administration account in the Unemployment Trust Fund:  Provided, That 
$6,211,000 shall be used for program evaluation and shall be available 
for obligation through September 30, 2025:  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.

                   veterans' employment and training

    Not to exceed $269,841,000 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) $185,000,000 is for Jobs for Veterans State grants 
        under 38 U.S.C. 4102A(b)(5) to support disabled veterans' 
        outreach program specialists under section 4103A of such title 
        and local veterans' employment representatives under section 
        4104(b) of such title, and for the expenses described in 
        section 4102A(b)(5)(C), which shall be available for 
        expenditure by the States through September 30, 2026, 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) $34,379,000 is for carrying out the Transition 
        Assistance Program under 38 U.S.C. 4113 and 10 U.S.C. 1144;
            (3) $47,048,000 is for Federal administration of chapters 
        41, 42, and 43 of title 38, and sections 2021, 2021A and 2023 
        of title 38, United States Code:  Provided, That, up to 
        $500,000 may be used to carry out the Hire VETS Act (division O 
        of Public Law 115-31); and
            (4) $3,414,000 is for the National Veterans' Employment and 
        Training Services Institute under 38 U.S.C. 4109:
  Provided, That the Secretary may reallocate among the appropriations 
provided under paragraphs (1) through (4) above an amount not to exceed 
3 percent of the appropriation from which such reallocation is made.
    In addition, from the General Fund of the Treasury, $65,500,000 is 
for carrying out programs to assist homeless veterans and veterans at 
risk of homelessness who are transitioning from certain institutions 
under sections 2021, 2021A, and 2023 of title 38, United States Code:  
Provided, That notwithstanding subsections (c)(3) and (d) of section 
2023, the Secretary may award grants through September 30, 2024, to 
provide services under such section:  Provided further, That services 
provided under sections 2021 or under 2021A may include, in addition to 
services to homeless veterans described in section 2002(a)(1), services 
to veterans who were homeless at some point within the 60 days prior to 
program entry or veterans who are at risk of homelessness within the 
next 60 days, and that services provided under section 2023 may 
include, in addition to services to the individuals described in 
subsection (e) of such section, services to veterans recently released 
from incarceration who are at risk of homelessness:  Provided further, 
That notwithstanding paragraph (3) under this heading, funds 
appropriated in this paragraph may be used for data systems and 
contract support to allow for the tracking of participant and 
performance information:  Provided further, That notwithstanding 
sections 2021(e)(2) and 2021A(f)(2) of title 38, United States Code, 
such funds shall be available for expenditure pursuant to 31 U.S.C. 
1553.
    In addition, fees may be assessed and deposited in the HIRE Vets 
Medallion Award Fund pursuant to section 5(b) of the HIRE Vets Act, and 
such amounts shall be available to the Secretary to carry out the HIRE 
Vets Medallion Award Program, as authorized by such Act, and shall 
remain available until expended:  Provided, That such sums shall be in 
addition to any other funds available for such purposes, including 
funds available under paragraph (3) of this heading:  Provided further, 
That section 2(d) of division O of the Consolidated Appropriations Act, 
2017 (Public Law 115-31; 38 U.S.C. 4100 note) shall not apply.

                            it modernization

    For necessary expenses for Department of Labor centralized 
infrastructure technology investment activities related to support 
systems and modernization, $27,269,000, which shall be available 
through September 30, 2025.

                      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, 
$91,187,000, together with not to exceed $5,841,000 which may be 
expended from the Employment Security Administration account in the 
Unemployment Trust Fund:  Provided, That not more than $2,000,000 of 
the amount provided under this heading may be available until expended.

                           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 
funds transferred under this subsection shall be available to the 
Secretary to carry out program integrity activities directly or through 
grants, cooperative agreements, contracts and other arrangements with 
States and other appropriate entities:  Provided further, That funds 
transferred under the authority provided by this subsection shall be 
available for obligation through September 30, 2024.

                          (transfer of funds)

    Sec. 107. (a) The Secretary may reserve not more than 0.75 percent 
from each appropriation made available in this Act identified in 
subsection (b) in order to carry out evaluations of any of the programs 
or activities that are funded under such accounts. Any funds reserved 
under this section shall be transferred to ``Departmental Management'' 
for use by the Office of the Chief Evaluation Officer within the 
Department of Labor, and shall be available for obligation through 
September 30, 2024:  Provided, That such funds shall only be available 
if the Chief Evaluation Officer of the Department of Labor submits a 
plan to the Committees on Appropriations of the House of 
Representatives and the Senate describing the evaluations to be carried 
out 15 days in advance of any transfer.
    (b) The accounts referred to in subsection (a) are: ``Training and 
Employment Services'', ``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'', 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.
    Sec. 109. (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. 110.  The determination of prevailing wage for the purposes of 
the H-2B program shall be the greater of--(1) the actual wage level 
paid by the employer to other employees with similar experience and 
qualifications for such position in the same location; or (2) the 
prevailing wage level for the occupational classification of the 
position in the geographic area in which the H-2B nonimmigrant will be 
employed, based on the best information available at the time of filing 
the petition. In the determination of prevailing wage for the purposes 
of the H-2B program, the Secretary shall accept private wage surveys 
even in instances where Occupational Employment Statistics survey data 
are available unless the Secretary determines that the methodology and 
data in the provided survey are not statistically supported.
    Sec. 111.  None of the funds in this Act shall be used to enforce 
the definition of corresponding employment found in 20 CFR 655.5 or the 
three-fourths guarantee rule definition found in 20 CFR 655.20, or any 
references thereto. Further, for the purpose of regulating admission of 
temporary workers under the H-2B program, the definition of temporary 
need shall be that provided in 8 CFR 214.2(h)(6)(ii)(B).
    Sec. 112.  Notwithstanding any other provision of law, the 
Secretary may furnish through grants, cooperative agreements, 
contracts, and other arrangements, up to $2,000,000 of excess personal 
property, at a value determined by the Secretary, to apprenticeship 
programs for the purpose of training apprentices in those programs.
    Sec. 113. (a) The Act entitled ``An Act to create a Department of 
Labor'', approved March 4, 1913 (37 Stat. 736, chapter 141) shall be 
applied as if the following text is part of such Act:

``SEC. 12. SECURITY DETAIL.

    ``(a) In General.--The Secretary of Labor is 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. 114.  The Secretary is authorized to dispose of or divest, by 
any means the Secretary determines appropriate, including an agreement 
or partnership to construct a new Job Corps center, all or a portion of 
the real property on which the Treasure Island Job Corps Center is 
situated. Any sale or other disposition, to include any associated 
construction project, will not be subject to any requirement of any 
Federal law or regulation relating to the disposition of Federal real 
property or relating to Federal procurement, including but not limited 
to subchapter III of chapter 5 of title 40 of the United States Code, 
subchapter V of chapter 119 of title 42 of the United States Code, and 
chapter 33 of division C of subtitle I of title 41 of the United States 
Code. The net proceeds of such a sale shall be transferred to the 
Secretary, which shall be available until expended to carry out the Job 
Corps Program on Treasure Island.

                              (rescission)

    Sec. 115.  Of the unobligated funds available under section 
286(s)(2) of the Immigration and Nationality Act (8 U.S.C. 1356(s)(2)), 
$206,000,000 are hereby permanently rescinded not later than September 
30, 2024.

                              (rescission)

    Sec. 116.  Of the amounts which are made available to ``Employment 
and Training Administration--Training and Employment Services'' on 
October 1, 2023 by Public Law 117-328, $712,000,000 are hereby 
rescinded.
    Sec. 117.  No Federal funds may be made available to alter or 
affect the administration, implementation, or enforcement of the final 
rule entitled ``Independent Contractor Status Under the Fair Labor 
Standards Act'' (86 Fed. Reg. 1168) and dated January 7, 2021.
    Sec. 118.  No Federal funds may be made available to administer, 
implement, or enforce the rule entitled ``Prudence and Loyalty in 
Selecting Plan Investments and Exercising Shareholder Rights'' (87 Fed. 
Reg. 73822) and dated December 1, 2022.
    Sec. 119.  No Federal funds may be made available to administer, 
implement, or enforce--
            (1) the final rule entitled ``Adverse Effect Wage Rate 
        Methodology for the Temporary Employment of H-2A Nonimmigrants 
        in Non-Range Occupations in the United States'' (88 Fed. Reg. 
        12760) and dated February 28, 2023; or
            (2) section 655.131(b) of title 20, Code of Federal 
        Regulations (relating to joint employer requirements) as 
        amended by the final regulations published by the Department of 
        Labor in the Federal Register on October 12, 2022 (87 Fed. Reg. 
        61660).
    This title may be cited as the ``Department of Labor Appropriations 
Act, 2024''.

                                TITLE II

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

              Health Resources and Services Administration

                          primary health care

    For carrying out titles II and III of the Public Health Service Act 
(referred to in this Act as the ``PHS Act'') with respect to primary 
health care and the Native Hawaiian Health Care Act of 1988, 
$1,858,772,000:  Provided, That no more than $1,000,000 shall be 
available until expended for carrying out the provisions of section 
224(o) of the PHS Act:  Provided further, That no more than 
$120,000,000 shall be available until expended for carrying out 
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 not less than 
$150,000,000 shall be obligated in fiscal year 2024 for construction 
and capital improvement costs.

                            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, 
$1,336,348,000:  Provided, That section 751(j)(2) of the PHS Act and 
the proportional funding amounts in paragraphs (1) through (4) of 
section 756(f) of the PHS Act shall not apply to funds made available 
under this heading:  Provided further, That for any program operating 
under section 751 of the PHS Act on or before January 1, 2009, the 
Secretary of Health and Human Services (referred to in this title as 
the ``Secretary'') may hereafter waive any of the requirements 
contained in sections 751(d)(2)(A) and 751(d)(2)(B) of such Act for the 
full project period of a grant under such section:  Provided further, 
That section 756(c) of the PHS Act shall apply to paragraphs (1) 
through (4) of section 756(a) of such Act:  Provided further, That 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 $126,000,000 shall remain available until expended for 
the purposes of providing primary health services, assigning National 
Health Service Corps (``NHSC'') participants to expand the delivery of 
substance use disorder treatment services, notwithstanding the 
assignment priorities and limitations under sections 333(a)(1)(D), 
333(b), and 333A(a)(1)(B)(ii) of the PHS Act, and making payments under 
the NHSC Loan Repayment Program under section 338B of such Act:  
Provided further, That, within the amount made available in the 
previous proviso, $16,000,000 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 
masters level, licensed substance use disorder treatment counselors:  
Provided further, That of the funds made available under this heading, 
$6,000,000 shall be available to make grants to establish, expand, or 
maintain optional community-based nurse practitioner fellowship 
programs that are accredited or in the accreditation process, with a 
preference for those in Federally Qualified Health Centers, for 
practicing postgraduate nurse practitioners in primary care or 
behavioral health:  Provided further, That of the funds made available 
under this heading, $10,000,000 shall remain available until expended 
for activities under section 775 of the PHS Act:  Provided further, 
That the United States may recover liquidated damages in an amount 
determined by the formula under section 338E(c)(1) of the PHS Act if an 
individual either fails to begin or complete the service obligated by a 
contract under section 775(b) of the PHS Act:  Provided further, That 
for purposes of section 775(c)(1) of the PHS Act, the Secretary may 
include other mental and behavioral health disciplines as the Secretary 
deems appropriate:  Provided further, That the Secretary may terminate 
a contract entered into under section 775 of the PHS Act in the same 
manner articulated in section 206 of this title for fiscal year 2024 
contracts entered into under section 338B of the PHS Act.
    Of the funds made available under this heading, $60,000,000 shall 
remain available until expended for grants to public institutions of 
higher education to expand or support graduate education for physicians 
provided by such institutions, including funding for infrastructure 
development, maintenance, equipment, and minor renovations or 
alterations:  Provided, That, in awarding such grants, the Secretary 
shall give priority to public institutions of higher education located 
in States with a projected primary care provider shortage in 2030, as 
determined by the Secretary:  Provided further, That grants so awarded 
are limited to such public institutions of higher education in States 
in the top quintile of States with a projected primary care provider 
shortage in 2030, as determined by the Secretary:  Provided further, 
That the minimum amount of a grant so awarded to such an institution 
shall be not less than $1,000,000 per year:  Provided further, That 
such a grant may be awarded for a period not to exceed 5 years:  
Provided further, That such a grant awarded with respect to a year to 
such an institution shall be subject to a matching requirement of non-
Federal funds in an amount that is not more than 10 percent of the 
total amount of Federal funds provided in the grant to such institution 
with respect to such year.

                       maternal and child health

    For carrying out titles III, XI, XII, and XIX of the PHS Act with 
respect to maternal and child health and title V of the Social Security 
Act, $991,582,000:  Provided, That notwithstanding sections 502(a)(1) 
and 502(b)(1) of the Social Security Act, not more than $177,268,000 
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, $2,332,535,000, of which $2,045,630,000 shall 
remain available to the Secretary through September 30, 2026, 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 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, $101,009,000, of which $122,000 shall be available until expended 
for facility renovations and other facilities-related expenses of the 
National Hansen's Disease Program:  Provided, That the second sentence 
in section 372(a) of the PHS Act and section 372(b)(1)(A) of the PHS 
Act shall not apply to any contracts awarded by the Secretary of Health 
and Human Services for the operation of the Organ Procurement and 
Transplantation Network.

                              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, 
$402,607,000, of which $74,277,000 from general revenues, 
notwithstanding section 1820(j) of the Social Security Act, shall be 
available for carrying out the Medicare rural hospital flexibility 
grants program:  Provided, That of the funds made available under this 
heading for Medicare rural hospital flexibility grants, $25,942,000 
shall be available for the Small Rural Hospital Improvement Grant 
Program for quality improvement and adoption of health information 
technology, no less than $5,000,000 shall be available to award grants 
to public or non-profit private entities for the Rural Emergency 
Hospital Technical Assistance Program, and up to $1,000,000 shall be to 
carry out section 1820(g)(6) of the Social Security Act, with funds 
provided for grants under section 1820(g)(6) available for the purchase 
and implementation of telehealth services and other efforts to improve 
health care coordination for rural veterans between rural providers and 
the Department of Veterans Affairs:  Provided further, That 
notwithstanding section 338J(k) of the PHS Act, $12,500,000 shall be 
available for State Offices of Rural Health:  Provided further, That 
$12,700,000 shall remain available through September 30, 2026, to 
support the Rural Residency Development Program.

                hrsa-wide activities and program support

    For carrying out title III of the Public Health Service Act and for 
cross-cutting activities and program support for activities funded in 
other appropriations included in this Act for the Health Resources and 
Services Administration, $215,088,000, of which $45,050,000 shall be 
for expenses necessary for the Office for the Advancement of 
Telehealth, including grants, contracts, and cooperative agreements for 
the advancement of telehealth activities:  Provided,  That funds made 
available under this heading may be used to supplement program support 
funding provided under the headings ``Primary Health Care'', ``Health 
Workforce'', ``Maternal and Child Health'', ``Ryan White HIV/AIDS 
Program'', ``Health Systems'', and ``Rural Health''.

             vaccine injury compensation program trust fund

    For payments from the Vaccine Injury Compensation Program Trust 
Fund (the ``Trust Fund''), such sums as may be necessary for claims 
associated with vaccine-related injury or death with respect to 
vaccines administered after September 30, 1988, pursuant to subtitle 2 
of title XXI of the PHS Act, to remain available until expended:  
Provided, That for necessary administrative expenses, not to exceed 
$15,200,000 shall be available from the Trust Fund to the Secretary.

                  covered countermeasures process fund

    For carrying out section 319F-4 of the PHS Act, $7,000,000, to 
remain available until expended.

               Centers for Disease Control and Prevention

                 immunization and respiratory diseases

    For carrying out titles II, III, XVII, and XXI, and section 2821 of 
the PHS Act, and titles II and IV of the Immigration and Nationality 
Act, with respect to immunization and respiratory diseases, 
$326,075,000.

     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, $1,171,056,000.

               emerging and zoonotic infectious diseases

    For carrying out titles II, III, and XVII, and section 2821 of the 
PHS Act, and titles II and IV of the Immigration and Nationality Act, 
with respect to emerging and zoonotic infectious diseases, 
$708,772,000:  Provided, That of the amounts made available under this 
heading, up to $1,000,000 shall remain available until expended to pay 
for the transportation, medical care, treatment, and other related 
costs of persons quarantined or isolated under Federal or State 
quarantine law.

            chronic disease prevention and health promotion

    For carrying out titles II, III, XI, XV, XVII, and XIX of the PHS 
Act with respect to chronic disease prevention and health promotion, 
$797,569,000:  Provided, That funds made available under this heading 
may be available for making grants under section 1509 of the PHS Act 
for not less than 21 States, tribes, or tribal organizations:  Provided 
further, That 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, $205,560,000.

                   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, $654,497,000.

                          environmental health

    For carrying out titles II, III, and XVII of the PHS Act with 
respect to environmental health, $130,850,000:  Provided, That of the 
amounts appropriated under this heading up to $2,600,000 may remain 
available until expended for carrying out the Vessel Sanitation 
Program, in addition to user fee collections available for such 
purpose.

                     injury prevention and control

    For carrying out titles II, III, and XVII of the PHS Act with 
respect to injury prevention and control, $730,779,000.

         national institute for occupational safety and health

    For carrying out titles II, III, and XVII of the PHS Act, sections 
101, 102, 103, 201, 202, 203, 301, and 501 of the Federal Mine Safety 
and Health Act, section 13 of the Mine Improvement and New Emergency 
Response Act, and sections 20, 21, and 22 of the Occupational Safety 
and Health Act, with respect to occupational safety and health, 
$247,700,000.

       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, $370,772,000, of which $100,000,000 shall 
remain available through September 30, 2026, for global public health 
protection:  Provided, That funds may be used for purchase and 
insurance of official motor vehicles in foreign countries.

                public health preparedness and response

    For carrying out titles II, III, and XVII of the PHS Act with 
respect to public health preparedness and response, and for expenses 
necessary to support activities related to countering potential 
biological, nuclear, radiological, and chemical threats to civilian 
populations, $735,000,000:  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 to support an 
activation of the CDC Emergency Operations Center, so long as the 
Director or Administrator, as applicable, provides a notice to the 
Committees on Appropriations of the House of Representatives and the 
Senate within 15 days of the use of this authority, a full report 
within 30 days after use of this authority which includes the number of 
staff and funding level broken down by the originating center and 
number of days detailed, and an update of such report every 180 days 
until staff are no longer on detail without reimbursement to the CDC 
Emergency Operations Center.

                        buildings and facilities

                     (including transfer of funds)

    For acquisition of real property, equipment, construction, 
installation, demolition, and renovation of facilities, $40,000,000, 
which shall remain available until expended:  Provided, That funds made 
available to this account in this or any prior Act that are available 
for the acquisition of real property or for construction or improvement 
of facilities shall be available to make improvements on non-federally 
owned property, provided that any improvements that are not adjacent to 
federally owned property do not exceed $2,500,000, and that the primary 
benefit of such improvements accrues to CDC:  Provided further, That 
funds previously set-aside by CDC for repair and upgrade of the Lake 
Lynn Experimental Mine and Laboratory shall be used to acquire a 
replacement mine safety research facility:  Provided further, That 
funds made available to this account in this or any prior Act that are 
available for the acquisition of real property or for construction or 
improvement of facilities in conjunction with the new replacement mine 
safety research facility shall be available to make improvements on 
non-federally owned property, provided that any improvements that are 
not adjacent to federally owned property do not exceed $5,000,000:  
Provided further, That in addition, the prior year unobligated balance 
of any amounts assigned to former employees in accounts of CDC made 
available for Individual Learning Accounts shall be credited to and 
merged with the amounts made available under this heading to support 
the replacement of the mine safety research facility.

                cdc-wide activities and program support

                     (including transfer of funds)

    For carrying out titles II, III, XVII and XIX, and section 2821 of 
the PHS Act and for cross-cutting activities and program support for 
activities funded in other appropriations included in this Act for the 
Centers for Disease Control and Prevention, $231,428,000:  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 of the 
amounts made available under this heading, $35,000,000, to remain 
available until expended, shall be available to the Director of the CDC 
for deposit in the Infectious Diseases Rapid Response Reserve Fund 
established by section 231 of division B of Public Law 115-245:  
Provided further, That funds appropriated under this heading may be 
used to support a contract for the operation and maintenance of an 
aircraft in direct support of activities throughout CDC to ensure the 
agency is prepared to address public health preparedness emergencies:  
Provided further, That employees of CDC or the Public Health Service, 
both civilian and commissioned officers, detailed to States, 
municipalities, or other organizations under authority of section 214 
of the PHS Act, or in overseas assignments, shall be treated as non-
Federal employees for reporting purposes only and shall not be included 
within any personnel ceiling applicable to the Agency, Service, or HHS 
during the period of detail or assignment:  Provided further, That CDC 
may use up to $10,000 from amounts appropriated to CDC in this Act for 
official reception and representation expenses when specifically 
approved by the Director of CDC:  Provided further, That in addition, 
such sums as may be derived from authorized user fees, which shall be 
credited to the appropriation charged with the cost thereof:  Provided 
further, That with respect to the previous proviso, authorized user 
fees from the Vessel Sanitation Program and the Respirator 
Certification Program shall be available through September 30, 2025.

                     National Institutes of Health

                       national cancer institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to cancer, $7,104,159,000, of which up to $30,000,000 may be 
used for facilities repairs and 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, $3,982,345,000.

         national institute of dental and craniofacial research

    For carrying out section 301 and title IV of the PHS Act with 
respect to dental and craniofacial diseases, $520,163,000.

    national institute of diabetes and digestive and kidney diseases

    For carrying out section 301 and title IV of the PHS Act with 
respect to diabetes and digestive and kidney disease, $2,300,721,000.

        national institute of neurological disorders and stroke

    For carrying out section 301 and title IV of the PHS Act with 
respect to neurological disorders and stroke, $2,588,925,000.

         national institute of allergy and infectious diseases

    For carrying out section 301 and title IV of the PHS Act with 
respect to allergy and infectious diseases, $5,062,279,000.

             national institute of general medical sciences

    For carrying out section 301 and title IV of the PHS Act with 
respect to general medical sciences, $3,154,679,000, of which 
$1,327,482,000 shall be from funds available under section 241 of the 
PHS Act:  Provided, That not less than $435,956,000 is provided for the 
Institutional Development Awards program.

  eunice kennedy shriver national institute of child health and human 
                              development

    For carrying out section 301 and title IV of the PHS Act with 
respect to child health and human development, $1,749,078,000.

                         national eye institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to eye diseases and visual disorders, $896,549,000.

          national institute of environmental health sciences

    For carrying out section 301 and title IV of the PHS Act with 
respect to environmental health sciences, $913,979,000.

                      national institute on aging

    For carrying out section 301 and title IV of the PHS Act with 
respect to aging, $4,407,623,000.

 national institute of arthritis and musculoskeletal and skin diseases

    For carrying out section 301 and title IV of the PHS Act with 
respect to arthritis and musculoskeletal and skin diseases, 
$685,465,000.

    national institute on deafness and other communication disorders

    For carrying out section 301 and title IV of the PHS Act with 
respect to deafness and other communication disorders, $534,333,000.

                 national institute of nursing research

    For carrying out section 301 and title IV of the PHS Act with 
respect to nursing research, $197,693,000.

           national institute on alcohol abuse and alcoholism

    For carrying out section 301 and title IV of the PHS Act with 
respect to alcohol abuse and alcoholism, $595,318,000.

                    national institute on drug abuse

    For carrying out section 301 and title IV of the PHS Act with 
respect to drug abuse, $1,662,695,000.

                  national institute of mental health

    For carrying out section 301 and title IV of the PHS Act with 
respect to mental health, $2,112,843,000.

                national human genome research institute

    For carrying out section 301 and title IV of the PHS Act with 
respect to human genome research, $663,200,000.

      national institute of biomedical imaging and bioengineering

    For carrying out section 301 and title IV of the PHS Act with 
respect to biomedical imaging and bioengineering research, 
$440,627,000.

        national center for complementary and integrative health

    For carrying out section 301 and title IV of the PHS Act with 
respect to complementary and integrative health, $170,384,000.

      national institute on minority health and health disparities

    For carrying out section 301 and title IV of the PHS Act with 
respect to minority health and health disparities research, 
$524,395,000.

                  john e. fogarty international center

    For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of title IV of 
the PHS Act), $95,162,000.

                      national library of medicine

    For carrying out section 301 and title IV of the PHS Act with 
respect to health information communications, $497,548,000:  Provided, 
That of the amounts available for improvement of information systems, 
$4,000,000 shall be available until September 30, 2025:  Provided 
further, That in fiscal year 2024, 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, $923,323,000:  Provided, That not 
less than $75,000,000 shall be available to implement section 480 of 
the PHS Act, relating to the Cures Acceleration Network:  Provided 
further, That at least $629,560,000 is provided to the Clinical and 
Translational Sciences Awards program.

                         office of the director

    For carrying out the responsibilities of the Office of the 
Director, NIH, $2,069,459,000:  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 
$722,401,000 shall be available for the Common Fund established under 
section 402A(c)(1) of the PHS Act:  Provided further, That of the funds 
provided, $10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of the NIH:  
Provided further, That the Office of AIDS Research within the Office of 
the Director of the NIH may spend up to $8,000,000 to make grants for 
construction or renovation of facilities as provided for in section 
2354(a)(5)(B) of the PHS Act:  Provided further, That $80,000,000 shall 
be used to carry out section 404I of the PHS Act (42 U.S.C. 283k), 
relating to biomedical and behavioral research facilities:  Provided 
further, That amounts made available under this heading are also 
available to establish, operate, and support the Research Policy Board 
authorized by section 2034(f) of the 21st Century Cures Act.
    In addition to other funds appropriated for the Common Fund 
established under section 402A(c) of the PHS Act, $12,600,000 is 
appropriated to the Common Fund from the 10-year Pediatric Research 
Initiative Fund described in section 9008 of the Internal Revenue Code 
of 1986 (26 U.S.C. 9008), for the purpose of carrying out section 
402(b)(7)(B)(ii) of the PHS Act (relating to pediatric research), as 
authorized in the Gabriella Miller Kids First Research Act.

                        buildings and facilities

    For the study of, construction of, demolition of, renovation of, 
and acquisition of equipment for, facilities of or used by NIH, 
including the acquisition of real property, $350,000,000, to remain 
available until expended.

                   nih innovation account, cures act

                     (including transfer of funds)

    For necessary expenses to carry out the purposes described in 
section 1001(b)(4) of the 21st Century Cures Act, in addition to 
amounts available for such purposes in the appropriations provided to 
the NIH in this Act, $407,000,000, to remain available until expended:  
Provided, That such amounts are appropriated pursuant to section 
1001(b)(3) of such Act, are to be derived from amounts transferred 
under section 1001(b)(2)(A) of such Act, and may be transferred by the 
Director of the National Institutes of Health to other accounts of the 
National Institutes of Health solely for the purposes provided in such 
Act:  Provided further, That upon a determination by the Director that 
funds transferred pursuant to the previous proviso are not necessary 
for the purposes provided, such amounts may be transferred back to the 
Account:  Provided further, That the transfer authority provided under 
this heading is in addition to any other transfer authority provided by 
law.

              advanced research projects agency for health

    For carrying out section 301 and part J of title IV of the PHS Act 
with respect to advanced research projects for health, $500,000,000.

       Substance Abuse and Mental Health Services Administration

                             mental health

    For carrying out titles III, V, and XIX of the PHS Act with respect 
to mental health, the Protection and Advocacy for Individuals with 
Mental Illness Act, and the SUPPORT for Patients and Communities Act, 
$2,706,282,000:  Provided, That of the funds made available under this 
heading, $93,887,000 shall be for the National Child Traumatic Stress 
Initiative:  Provided further, That notwithstanding section 520A(f)(2) 
of the PHS Act, no funds appropriated for carrying out section 520A 
shall be available for carrying out section 1971 of the PHS Act:  
Provided further, That in addition to amounts provided herein, 
$21,039,000 shall be available under section 241 of the PHS Act to 
carry out subpart I of part B of title XIX of the PHS Act to fund 
section 1920(b) technical assistance, national data, data collection 
and evaluation activities, and further that the total available under 
this Act for section 1920(b) activities shall not exceed 5 percent of 
the amounts appropriated for subpart I of part B of title XIX:  
Provided further, That of the funds made available under this heading 
for subpart I of part B of title XIX of the PHS Act, at least 5 percent 
shall be available to support evidence-based crisis systems:  Provided 
further, That up to 10 percent of the amounts made available to carry 
out the Children's Mental Health Services program may be used to carry 
out demonstration grants or contracts for early interventions with 
persons not more than 25 years of age at clinical high risk of 
developing a first episode of psychosis:  Provided further, That 
section 520E(b)(2) of the PHS Act shall not apply to funds appropriated 
in this Act for fiscal year 2024:  Provided further, That $385,000,000 
shall be available for grants to communities and community 
organizations who meet criteria for Certified Community Behavioral 
Health Clinics pursuant to section 223(a) of Public Law 113-93:  
Provided further, That none of the funds provided for section 1911 of 
the PHS Act shall be subject to section 241 of such Act:  Provided 
further, That of the funds made available under this heading, 
$21,420,000 shall be to carry out section 224 of the Protecting Access 
to Medicare Act of 2014 (Public Law 113-93; 42 U.S.C. 290aa 22 note).

                       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, section 1003 of the 21st 
Century Cures Act, and the SUPPORT for Patients and Communities Act, 
$3,980,103,000:  Provided,  That $1,583,000,000 shall be for carrying 
out section 1003 of the 21st Century Cures Act:  Provided further,  
That of such amount in the preceding proviso not less than 4 percent 
shall be made available to Indian Tribes or tribal organizations:  
Provided further, That of the amount reserved by the previous proviso, 
the Secretary shall award grants using data that the Secretary 
determines to be the most objective and reliable measure of drug use 
and drug-related deaths:  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, $179,602,000.

                health surveillance and program support

    For program support and cross-cutting activities that supplement 
activities funded under the headings ``Mental Health'', ``Substance 
Abuse Treatment'', and ``Substance Abuse Prevention'' in carrying out 
titles III, V, and XIX of the PHS Act and the Protection and Advocacy 
for Individuals with Mental Illness Act in the Substance Abuse and 
Mental Health Services Administration, $109,895,000:  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, 2025:  Provided further, That funds made 
available under this heading (other than amounts specified in the first 
proviso under this heading) may be used to supplement program support 
funding provided under the headings ``Mental Health'', ``Substance 
Abuse Treatment'', and ``Substance Abuse Prevention''.

                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, $406,956,850,000, to remain available until 
expended.
    In addition, for carrying out such titles after May 31, 2024, for 
the last quarter of fiscal year 2024 for unanticipated costs incurred 
for the current fiscal year, such sums as may be necessary, to remain 
available until expended.
    In addition, for carrying out such titles for the first quarter of 
fiscal year 2025, $245,580,414,000, 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, 
$476,725,000,000.
    In addition, for making matching payments under section 1844 and 
benefit payments under section 1860D-16 of the Social Security Act that 
were not anticipated in budget estimates, such sums as may be 
necessary.

                           program management

    For carrying out, except as otherwise provided, titles XI, XVIII, 
XIX, and XXI of the Social Security Act, titles XIII and XXVII of the 
PHS Act, the Clinical Laboratory Improvement Amendments of 1988, and 
other responsibilities of the Centers for Medicare & Medicaid Services, 
not to exceed $3,326,690,000 to be transferred from the Federal 
Hospital Insurance Trust Fund and the Federal Supplementary Medical 
Insurance Trust Fund, as authorized by section 201(g) of the Social 
Security Act; together with all funds collected in accordance with 
section 353 of the PHS Act and section 1857(e)(2) of the Social 
Security Act, funds retained by the Secretary pursuant to section 
1893(h) of the Social Security Act, and such sums as may be collected 
from authorized user fees and the sale of data, which shall be credited 
to this account and remain available until expended:  Provided, That 
all funds derived in accordance with 31 U.S.C. 9701 from organizations 
established under title XIII of the PHS Act shall be credited to and 
available for carrying out the purposes of this appropriation:  
Provided further, That the Secretary is directed to collect fees in 
fiscal year 2024 from Medicare Advantage organizations pursuant to 
section 1857(e)(2) of the Social Security Act and from eligible 
organizations with risk-sharing contracts under section 1876 of that 
Act pursuant to section 1876(k)(4)(D) of that Act:  Provided further, 
That of the amount made available under this heading, $397,334,000 
shall remain available until September 30, 2025, and shall be available 
for the Survey and Certification Program:  Provided further, That 
amounts available under this heading to support quality improvement 
organizations (as defined in section 1152 of the Social Security Act) 
shall not exceed the amount specifically provided for such purpose 
under this heading in division H of the Consolidated Appropriations 
Act, 2018 (Public Law 115-141).

              health care fraud and abuse control account

    In addition to amounts otherwise available for program integrity 
and program management, $915,000,000, to remain available through 
September 30, 2025, 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 $675,648,000 shall be for the Centers for Medicare & Medicaid 
Services program integrity activities, of which $100,145,000 shall be 
for the Department of Health and Human Services Office of Inspector 
General to carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act, and of which $132,207,000 shall be for the 
Department of Justice to carry out fraud and abuse activities 
authorized by section 1817(k)(3) of such Act:  Provided, That the 
report required by section 1817(k)(5) of the Social Security Act for 
fiscal year 2024 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 $604,000,000 is additional new budget authority specified for 
purposes of section 251(b)(2)(C)(i)(XI) of such Act for additional 
health care fraud and abuse control activities:  Provided further, That 
the Secretary shall provide not less than $35,000,000 from amounts made 
available under this heading and amounts made available for fiscal year 
2024 under section 1817(k)(3)(A) of the Social Security Act for the 
Senior Medicare Patrol program to combat health care fraud and abuse.

                Administration for Children and Families

  payments to states for child support enforcement and family support 
                                programs

    For carrying out, except as otherwise provided, titles I, IV-D, X, 
XI, XIV, and XVI of the Social Security Act and the Act of July 5, 
1960, $3,309,000,000, to remain available until expended; and for such 
purposes for the first quarter of fiscal year 2025, $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 (42 U.S.C. 8621 et 
seq.), $4,011,000,000:  Provided, That notwithstanding section 2609A(a) 
of such Act, not more than $9,600,000 may be reserved by the Secretary 
for technical assistance, training, and monitoring of program 
activities for compliance with internal controls, policies and 
procedures, and to supplement funding otherwise available for necessary 
administrative expenses to carry out such Act, and the Secretary may, 
in addition to the authorities provided in section 2609A(a)(1), use 
such funds through contracts with private entities that do not qualify 
as nonprofit organizations:  Provided further, That all but 
$900,000,000 of the amount appropriated under this heading shall be 
allocated as though the total appropriation for such payments for 
fiscal year 2024 was less than $1,975,000,000:  Provided further, That, 
after applying all applicable provisions of section 2604 of such Act 
and the previous proviso, each State or territory that would otherwise 
receive an allocation that is less than 97 percent of the amount that 
it received under this heading for fiscal year 2023 from amounts 
appropriated in Public Law 117-328 shall have its allocation increased 
to that 97 percent level, with the portions of other States' and 
territories' allocations that would exceed 100 percent of the amounts 
they respectively received in such fashion for fiscal year 2023 being 
ratably reduced.

                     refugee and entrant assistance

    For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and Nationality 
Act and section 501 of the Refugee Education Assistance Act of 1980, 
and for carrying out section 462 of the Homeland Security Act of 2002, 
section 235 of the William Wilberforce Trafficking Victims Protection 
Reauthorization Act of 2008, the Trafficking Victims Protection Act of 
2000 (``TVPA''), and the Torture Victims Relief Act of 1998, 
$2,756,956,000, of which $2,707,201,000 shall remain available through 
September 30, 2026, for carrying out such sections 414, 501, 462, and 
235:  Provided, That amounts available under this heading to carry out 
the TVPA shall also be available for research and evaluation with 
respect to activities under such Act:  Provided further, That the 
contribution of funds requirement under section 235(c)(6)(C)(iii) of 
the William Wilberforce Trafficking Victims Protection Reauthorization 
Act of 2008 shall not apply to funds made available under this heading.

   payments to states for the child care and development block grant

    For carrying out the Child Care and Development Block Grant Act of 
1990 (``CCDBG Act''), $8,021,387,000 shall be used to supplement, not 
supplant State general 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 notwithstanding section 658O(a)(2) of such 
Act, 5 percent of the amount appropriated under this heading for such 
Act shall be reserved under such section for Indian tribes and tribal 
organizations with applications approved under section 658O(c) of such 
Act:  Provided further, That of the amounts made available under this 
heading, the Secretary may reserve up to 0.5 percent for Federal 
administrative expenses.

                      social services block grant

    For making grants to States pursuant to section 2002 of the Social 
Security Act, $1,700,000,000:  Provided, That notwithstanding 
subparagraph (B) of section 404(d)(2) of such Act, the applicable 
percent specified under such subparagraph for a State to carry out 
State programs pursuant to title XX-A of such Act shall be 10 percent.

                children and families services programs

    For carrying out, except as otherwise provided, the Runaway and 
Homeless Youth Act, the Head Start Act, the Every Student Succeeds Act, 
the Child Abuse Prevention and Treatment Act, sections 303 and 313 of 
the Family Violence Prevention and Services Act, the Native American 
Programs Act of 1974, title II of the Child Abuse Prevention and 
Treatment and Adoption Reform Act of 1978 (adoption opportunities), 
part B-1 of title IV and sections 429, 473A, 477(i), 1110, 1114A, and 
1115 of the Social Security Act, and the Community Services Block Grant 
Act (``CSBG Act''); and for necessary administrative expenses to carry 
out titles I, IV, V, X, XI, XIV, XVI, and XX-A of the Social Security 
Act, the Act of July 5, 1960, and the Low-Income Home Energy Assistance 
Act of 1981, $13,388,077,000, of which $75,000,000, to remain available 
through September 30, 2025, 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, 2024:  Provided, That 
$11,246,820,000 shall be for making payments under the Head Start Act, 
including for Early Head Start-Child Care Partnerships, and, of which, 
notwithstanding section 640 of such Act:
            (1) $25,000,000 shall be available for allocation by the 
        Secretary to supplement activities described in paragraphs 
        (7)(B) and (9) of section 641(c) of the Head Start Act under 
        the Designation Renewal System, established under the authority 
        of sections 641(c)(7), 645A(b)(12), and 645A(d) of such Act, 
        and such funds shall not be included in the calculation of 
        ``base grant'' in subsequent fiscal years, as such term is used 
        in section 640(a)(7)(A) of such Act;
            (2) $8,000,000 shall be available for the Tribal Colleges 
        and Universities Head Start Partnership Program consistent with 
        section 648(g) of such Act; and
            (3) up to $40,000,000 shall be available to supplement 
        funding otherwise available for research, evaluation, and 
        Federal administrative costs:
  Provided further, That notwithstanding the income eligibility 
requirements of subsection (a) and paragraphs (1) and (2) of subsection 
(d) of section 645 of the Head Start Act, and of the income eligibility 
criteria and allowances prescribed in regulations under such Act, an 
Indian tribe that operates a Head Start program may, at its discretion, 
establish selection criteria, including criteria to prioritize children 
in families for which a child, a family member, or a member of the same 
household, is a member of an Indian tribe, to enroll children who would 
benefit from the Head Start program:  Provided further, That the 
Secretary may reduce the reservation of funds under section 
640(a)(2)(C) of such Act in lieu of reducing the reservation of funds 
under sections 640(a)(2)(B), 640(a)(2)(D), and 640(a)(2)(E) of such 
Act:  Provided further, That $804,383,000 shall be for making payments 
under the CSBG Act:  Provided further, That $34,383,000 shall be for 
section 680 of the CSBG Act, of which not less than $22,383,000 shall 
be for section 680(a)(2) and not less than $12,000,000 shall be for 
section 680(a)(3)(B) of such Act:  Provided further, That, 
notwithstanding section 675C(a)(3) of the CSBG Act, to the extent 
Community Services Block Grant funds are distributed as grant funds by 
a State to an eligible entity as provided under such Act, and have not 
been expended by such entity, they shall remain with such entity for 
carryover into the next fiscal year for expenditure by such entity 
consistent with program purposes:  Provided further, That the Secretary 
shall establish procedures regarding the disposition of intangible 
assets and program income that permit such assets acquired with, and 
program income derived from, grant funds authorized under section 680 
of the CSBG Act to become the sole property of such grantees after a 
period of not more than 12 years after the end of the grant period for 
any activity consistent with section 680(a)(2)(A) of the CSBG Act:  
Provided further, That intangible assets in the form of loans, equity 
investments and other debt instruments, and program income may be used 
by grantees for any eligible purpose consistent with section 
680(a)(2)(A) of the CSBG Act:  Provided further, That these procedures 
shall apply to such grant funds made available after November 29, 1999: 
 Provided further, That funds appropriated for section 680(a)(2) of the 
CSBG Act shall be available for financing construction and 
rehabilitation and loans or investments in private business enterprises 
owned by community development corporations:  Provided further, That 
$240,000,000 shall be for carrying out section 303(a) of the Family 
Violence Prevention and Services Act, of which $7,000,000 shall be 
allocated notwithstanding section 303(a)(2) of such Act for carrying 
out section 309 of such Act:  Provided further, That the percentages 
specified in 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, $86,515,000:  Provided, 
That of the funds available to carry out section 437, $59,765,000 shall 
be allocated consistent with subsections (b) through (d) of such 
section:  Provided, That of the funds available to carry out section 
437, to assist in meeting the requirements described in section 
471(e)(4)(C), $20,000,000 shall be for grants to each State, territory, 
and Indian tribe operating title IV-E plans for developing, enhancing, 
or evaluating kinship navigator programs, as described in section 
427(a)(1) of such Act and $6,750,000, in addition to funds otherwise 
appropriated in section 476 for such purposes, shall be for the Family 
First Clearinghouse and to support evaluation and technical assistance 
relating to the evaluation of child and family services:  Provided 
further, That section 437(b)(1) shall be applied to amounts in the 
previous proviso by substituting ``5 percent'' for ``3.3 percent'', and 
notwithstanding section 436(b)(1), such reserved amounts may be used 
for identifying, establishing, and disseminating practices to meet the 
criteria specified in section 471(e)(4)(C):  Provided further, That the 
reservation in section 437(b)(2) and the limitations in section 437(d) 
shall not apply to funds specified in the second proviso:  Provided 
further, That the minimum grant award for kinship navigator programs in 
the case of States and territories shall be $200,000, and, in the case 
of tribes, shall be $25,000.

                payments for foster care and permanency

    For carrying out, except as otherwise provided, title IV-E of the 
Social Security Act, $8,594,000,000.
    For carrying out, except as otherwise provided, title IV-E of the 
Social Security Act, for the first quarter of fiscal year 2025, 
$3,400,000,000.
    For carrying out, after May 31 of the current fiscal year, except 
as otherwise provided, section 474 of title IV-E of the Social Security 
Act, for the last 3 months of the current fiscal year for unanticipated 
costs, incurred for the current fiscal year, such sums as may be 
necessary.

                  Administration for Community Living

                 aging and disability services programs

                     (including transfer of funds)

    For carrying out, to the extent not otherwise provided, the Older 
Americans Act of 1965 (``OAA''), the RAISE Family Caregivers Act, the 
Supporting Grandparents Raising Grandchildren Act, titles III and XXIX 
of the PHS Act, sections 1252 and 1253 of the PHS Act, section 119 of 
the Medicare Improvements for Patients and Providers Act of 2008, title 
XX-B of the Social Security Act, the Developmental Disabilities 
Assistance and Bill of Rights Act of 2000, parts 2 and 5 of subtitle D 
of title II of the Help America Vote Act of 2002, the Assistive 
Technology Act of 1998, titles II and VII (and section 14 with respect 
to such titles) of the Rehabilitation Act of 1973, and for Department-
wide coordination of policy and program activities that assist 
individuals with disabilities, $2,418,901,000, together with 
$55,242,000 to be transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance Trust Fund to 
carry out section 4360 of the Omnibus Budget Reconciliation Act of 
1990:  Provided, That of amounts made available under this heading to 
carry out sections 311, 331, and 336 of the OAA, up to one percent of 
such amounts shall be available for developing and implementing 
evidence-based practices for enhancing senior nutrition, including 
medically-tailored meals:  Provided further, That notwithstanding any 
other provision of this Act, funds made available under this heading to 
carry out section 311 of the OAA may be transferred to the Secretary of 
Agriculture in accordance with such section:  Provided further, That up 
to 5 percent of the funds provided for adult protective services grants 
under section 2042 of title XX of the Social Security Act may be used 
to make grants to Tribes and tribal organizations:  Provided further, 
That $2,000,000 shall be for competitive grants to support alternative 
financing programs that provide for the purchase of assistive 
technology devices, such as a low-interest loan fund; an interest buy-
down program; a revolving loan fund; a loan guarantee; or an insurance 
program:  Provided further, That applicants shall provide an assurance 
that, and information describing the manner in which, the alternative 
financing program will expand and emphasize consumer choice and 
control:  Provided further, That State agencies and community-based 
disability organizations that are directed by and operated for 
individuals with disabilities shall be eligible to compete:  Provided 
further, That none of the funds made available under this heading may 
be used by an eligible system (as defined in section 102 of the 
Protection and Advocacy for Individuals with Mental Illness Act (42 
U.S.C. 10802)) to continue to pursue any legal action in a Federal or 
State court on behalf of an individual or group of individuals with a 
developmental disability (as defined in section 102(8)(A) of the 
Developmental Disabilities and Assistance and Bill of Rights Act of 
2000 (20 U.S.C. 15002(8)(A)) that is attributable to a mental 
impairment (or a combination of mental and physical impairments), that 
has as the requested remedy the closure of State operated intermediate 
care facilities for people with intellectual or developmental 
disabilities, unless reasonable public notice of the action has been 
provided to such individuals (or, in the case of mental incapacitation, 
the legal guardians who have been specifically awarded authority by the 
courts to make healthcare and residential decisions on behalf of such 
individuals) who are affected by such action, within 90 days of 
instituting such legal action, which informs such individuals (or such 
legal guardians) of their legal rights and how to exercise such rights 
consistent with current Federal Rules of Civil Procedure:  Provided 
further, That the limitations in the immediately preceding proviso 
shall not apply in the case of an individual who is neither competent 
to consent nor has a legal guardian, nor shall the proviso apply in the 
case of individuals who are a ward of the State or subject to public 
guardianship.

         Administration for Strategic Preparedness and Response

                 research, development, and procurement

    For carrying out title III and subtitles A and B of title XXVIII of 
the PHS Act, with respect to the research, development, storage, 
production, and procurement of medical countermeasures to counter 
potential chemical, biological, radiological, and nuclear threats to 
civilian populations, $3,277,991,000. Of such amount:
            (1) $1,100,000,000 shall be 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, to 
        remain available through September 30, 2025: Provided, That 
        funds provided under this heading for purposes of acquisition 
        of security countermeasures shall be in addition to any other 
        funds made available for such purposes: Provided further, That 
        products purchased with funds made available under this 
        paragraph may, at the discretion of the Secretary, be deposited 
        in the Strategic National Stockpile pursuant to section 319F-2 
        of the PHS Act;
            (2) $850,000,000 shall be for expenses necessary for 
        procuring security countermeasures (as defined in section 319F-
        2(c)(1)(B) of the PHS Act), to remain available until expended;
            (3) $1,000,000,000 shall be for expenses necessary to carry 
        out section 319F-2(a) of the PHS Act, to remain available until 
        expended; and
            (4) $327,991,000 shall be for expenses necessary to prepare 
        for or respond to an influenza pandemic, of which $300,000,000 
        shall remain available until expended for activities including 
        the development and purchase of vaccines, antivirals, necessary 
        medical supplies, diagnostics, and surveillance tools: 
        Provided, That notwithstanding section 496(b) of the PHS Act, 
        funds allocated under this paragraph 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.

                   operations and emergency response

    For carrying out titles III, XII, and subtitles A and B of title 
XXVIII of the PHS Act, operations and emergency response activities 
related to countering potential chemical biological, radiological, and 
nuclear threats and other public health emergencies, $342,606,000.

                        Office of the Secretary

                    general departmental management

    For necessary expenses, not otherwise provided, for general 
departmental management, 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, $402,341,000, together with $58,028,000 from the amounts 
available under section 241 of the PHS Act to carry out national health 
or human services research and evaluation activities:  Provided, That 
of this amount, $28,000,000 shall be for minority AIDS prevention and 
treatment activities:  Provided further, That of the funds made 
available under this heading, $40,000,000 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):  Provided further, That of the funds 
made available under this heading, $5,000,000 shall be for carrying out 
prize competitions sponsored by the Office of the Secretary to 
accelerate innovation in the prevention, diagnosis, and treatment of 
kidney diseases (as authorized by section 24 of the Stevenson-Wydler 
Technology Innovation Act of 1980 (15 U.S.C. 3719)).

                     medicare hearings and appeals

    For expenses necessary for Medicare hearings and appeals in the 
Office of the Secretary, $196,000,000, of which $40,000,000 shall 
remain available until September 30, 2025, 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, $56,238,000 shall be from 
amounts made available under section 241 of the PHS Act.

                      office of inspector general

    For expenses necessary for the Office of Inspector 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:  Provided further, That of 
the amount appropriated under this heading, necessary sums shall be 
available for carrying out activities authorized under section 3022 of 
the PHS Act (42 U.S.C. 300jj-52).

                        office for civil rights

    For expenses necessary for the Office for Civil Rights, 
$32,000,000.

     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.

                           General Provisions

    Sec. 201.  Funds appropriated in this title shall be available for 
not to exceed $50,000 for official reception and representation 
expenses when specifically approved by the Secretary.
    Sec. 202.  None of the funds appropriated in this title shall be 
used to pay the salary of an individual, through a grant or other 
extramural mechanism, at a rate in excess of Executive Level II:  
Provided, That none of the funds appropriated in this title shall be 
used to prevent the NIH from paying up to 100 percent of the salary of 
an individual at this rate.
    Sec. 203.  None of the funds appropriated in this Act may be 
expended pursuant to section 241 of the PHS Act, except for funds 
specifically provided for in this Act, or for other taps and 
assessments made by any office located in HHS, prior to the preparation 
and submission of a report by the Secretary to the Committees on 
Appropriations of the House of Representatives and the Senate detailing 
the planned uses of such funds.
    Sec. 204.  Notwithstanding section 241(a) of the PHS Act, such 
portion as the Secretary shall determine, but not more than 2.5 
percent, of any amounts appropriated for programs authorized under such 
Act shall be made available for the evaluation (directly, or by grants 
or contracts) of the implementation and effectiveness of such programs.

                          (transfer of funds)

    Sec. 205.  Not to exceed 1 percent of any discretionary funds 
(pursuant to the Balanced Budget and Emergency Deficit Control Act of 
1985) which are appropriated for the current fiscal year for HHS in 
this Act may be transferred between appropriations, but no such 
appropriation shall be increased by more than 3 percent by any such 
transfer:  Provided, That the transfer authority granted by this 
section shall not be used to create any new program or to fund any 
project or activity for which no funds are provided in this Act:  
Provided further, That the Committees on Appropriations of the House of 
Representatives and the Senate are notified at least 15 days in advance 
of any transfer.
    Sec. 206.  In lieu of the timeframe specified in section 338E(c)(2) 
of the PHS Act, terminations described in such section may occur up to 
60 days after the effective date of a contract awarded in fiscal year 
2024 under section 338B of such Act, or at any time if the individual 
who has been awarded such contract has not received funds due under the 
contract.
    Sec. 207.  None of the funds appropriated in this Act may be made 
available to any entity under title X of the PHS Act unless the 
applicant for the award certifies to the Secretary that it encourages 
family participation in the decision of minors to seek family planning 
services and that it provides counseling to minors on how to resist 
attempts to coerce minors into engaging in sexual activities.
    Sec. 208.  Notwithstanding any other provision of law, no provider 
of services under title X of the PHS Act shall be exempt from any State 
law requiring notification or the reporting of child abuse, child 
molestation, sexual abuse, rape, or incest.
    Sec. 209.  None of the funds appropriated by this Act (including 
funds appropriated to any trust fund) may be used to carry out the 
Medicare Advantage program if the Secretary denies participation in 
such program to an otherwise eligible entity (including a Provider 
Sponsored Organization) because the entity informs the Secretary that 
it will not provide, pay for, provide coverage of, or provide referrals 
for abortions:  Provided, That the Secretary shall make appropriate 
prospective adjustments to the capitation payment to such an entity 
(based on an actuarially sound estimate of the expected costs of 
providing the service to such entity's enrollees):  Provided further, 
That nothing in this section shall be construed to change the Medicare 
program's coverage for such services and a Medicare Advantage 
organization described in this section shall be responsible for 
informing enrollees where to obtain information about all Medicare 
covered services.
    Sec. 210.  None of the funds made available in this title may be 
used, in whole or in part, to advocate or promote gun control.
    Sec. 211.  The Secretary shall make available through assignment 
not more than 60 employees of the Public Health Service to assist in 
child survival activities and to work in AIDS programs through and with 
funds provided by the Agency for International Development, the United 
Nations International Children's Emergency Fund or the World Health 
Organization.
    Sec. 212.  In order for HHS to carry out international health 
activities, including HIV/AIDS and other infectious disease, chronic 
and environmental disease, and other health activities abroad during 
fiscal year 2024:
            (1) The Secretary may exercise authority equivalent to that 
        available to the Secretary of State in section 2(c) of the 
        State Department Basic Authorities Act of 1956. The Secretary 
        shall consult with the Secretary of State and relevant Chief of 
        Mission to ensure that the authority provided in this section 
        is exercised in a manner consistent with section 207 of the 
        Foreign Service Act of 1980 and other applicable statutes 
        administered by the Department of State.
            (2) The Secretary is authorized to provide such funds by 
        advance or reimbursement to the Secretary of State as may be 
        necessary to pay the costs of acquisition, lease, alteration, 
        renovation, and management of facilities outside of the United 
        States for the use of HHS. The Department of State shall 
        cooperate fully with the Secretary to ensure that HHS has 
        secure, safe, functional facilities that comply with applicable 
        regulation governing location, setback, and other facilities 
        requirements and serve the purposes established by this Act. 
        The Secretary is authorized, in consultation with the Secretary 
        of State, through grant or cooperative agreement, to make 
        available to public or nonprofit private institutions or 
        agencies in participating foreign countries, funds to acquire, 
        lease, alter, or renovate facilities in those countries as 
        necessary to conduct programs of assistance for international 
        health activities, including activities relating to HIV/AIDS 
        and other infectious diseases, chronic and environmental 
        diseases, and other health activities abroad.
            (3) The Secretary is authorized to provide to personnel 
        appointed or assigned by the Secretary to serve abroad, 
        allowances and benefits similar to those provided under chapter 
        9 of title I of the Foreign Service Act of 1980, and 22 U.S.C. 
        4081 through 4086 and subject to such regulations prescribed by 
        the Secretary. The Secretary is further authorized to provide 
        locality-based comparability payments (stated as a percentage) 
        up to the amount of the locality-based comparability payment 
        (stated as a percentage) that would be payable to such 
        personnel under section 5304 of title 5, United States Code if 
        such personnel's official duty station were in the District of 
        Columbia. Leaves of absence for personnel under this subsection 
        shall be on the same basis as that provided under subchapter I 
        of chapter 63 of title 5, United States Code, or section 903 of 
        the Foreign Service Act of 1980, to individuals serving in the 
        Foreign Service.

                          (transfer of funds)

    Sec. 213.  The Director of the NIH, jointly with the Director of 
the Office of AIDS Research, may transfer up to 3 percent among 
institutes and centers from the total amounts identified by these two 
Directors as funding for research pertaining to the human 
immunodeficiency virus:  Provided, That the Committees on 
Appropriations of the House of Representatives and the Senate are 
notified at least 15 days in advance of any transfer.

                          (transfer of funds)

    Sec. 214.  Of the amounts made available in this Act for NIH, the 
amount for research related to the human immunodeficiency virus, as 
jointly determined by the Director of NIH and the Director of the 
Office of AIDS Research, shall be made available to the ``Office of 
AIDS Research'' account. The Director of the Office of AIDS Research 
shall transfer from such account amounts necessary to carry out section 
2353(d)(3) of the PHS Act.
    Sec. 215. (a) Authority.--Notwithstanding any other provision of 
law, the Director of NIH (``Director'') may use funds authorized under 
section 402(b)(12) of the PHS Act to enter into transactions (other 
than contracts, cooperative agreements, or grants) to carry out 
research identified pursuant to or research and activities described in 
such section 402(b)(12).
    (b) Peer Review.--In entering into transactions under subsection 
(a), the Director may utilize such peer review procedures (including 
consultation with appropriate scientific experts) as the Director 
determines to be appropriate to obtain assessments of scientific and 
technical merit. Such procedures shall apply to such transactions in 
lieu of the peer review and advisory council review procedures that 
would otherwise be required under sections 301(a)(3), 405(b)(1)(B), 
405(b)(2), 406(a)(3)(A), 492, and 494 of the PHS Act.
    Sec. 216.  Not to exceed $100,000,000 of funds appropriated by this 
Act to the institutes and centers of the National Institutes of Health 
may be used for alteration, repair, or improvement of facilities, as 
necessary for the proper and efficient conduct of the activities 
authorized herein, at not to exceed $5,000,000 per project.

                          (transfer of funds)

    Sec. 217.  Of the amounts made available for NIH, 1 percent of the 
amount made available for National Research Service Awards (``NRSA'') 
shall be made available to the Administrator of the Health Resources 
and Services Administration to make NRSA awards for research in primary 
medical care to individuals affiliated with entities who have received 
grants or contracts under sections 736, 739, or 747 of the PHS Act, and 
1 percent of the amount made available for NRSA shall be made available 
to the Director of the Agency for Healthcare Research and Quality to 
make NRSA awards for health service research.
    Sec. 218. (a) The Biomedical Advanced Research and Development 
Authority (``BARDA'') may enter into a contract, for more than one but 
no more than 10 program years, for purchase of research services or of 
security countermeasures, as that term is defined in section 319F-
2(c)(1)(B) of the PHS Act (42 U.S.C. 247d-6b(c)(1)(B)), if--
            (1) funds are available and obligated--
                    (A) for the full period of the contract or for the 
                first fiscal year in which the contract is in effect; 
                and
                    (B) for the estimated costs associated with a 
                necessary termination of the contract; and
            (2) the Secretary determines that a multi-year contract 
        will serve the best interests of the Federal Government by 
        encouraging full and open competition or promoting economy in 
        administration, performance, and operation of BARDA's programs.
    (b) A contract entered into under this section--
            (1) shall include a termination clause as described by 
        subsection (c) of section 3903 of title 41, United States Code; 
        and
            (2) shall be subject to the congressional notice 
        requirement stated in subsection (d) of such section.
    Sec. 219. (a) The Secretary shall publish in the fiscal year 2025 
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 
2025 budget of the President submitted under section 1105(a) of title 
31, United States Code, information that details the uses of all funds 
used by the Centers for Medicare & Medicaid Services specifically for 
Health Insurance Exchanges for each fiscal year since the enactment of 
the ACA and the proposed uses for such funds for fiscal year 2025. 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 
this 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 this Act.
    (b) Notwithstanding section 4002(c) of the ACA, the Secretary may 
not further transfer these amounts.
    (c) Funds transferred for activities authorized under section 2821 
of the PHS Act shall be made available without reference to section 
2821(b) of such Act.
    Sec. 223.  Effective during the period beginning on November 1, 
2015 and ending January 1, 2025, any provision of law that refers 
(including through cross-reference to another provision of law) to the 
current recommendations of the United States Preventive Services Task 
Force with respect to breast cancer screening, mammography, and 
prevention shall be administered by the Secretary involved as if--
            (1) such reference to such current recommendations were a 
        reference to the recommendations of such Task Force with 
        respect to breast cancer screening, mammography, and prevention 
        last issued before 2009; and
            (2) such recommendations last issued before 2009 applied to 
        any screening mammography modality under section 1861(jj) of 
        the Social Security Act (42 U.S.C. 1395x(jj)).

                          (transfer of funds)

    Sec. 224.  The NIH Director may transfer funds for opioid 
addiction, opioid alternatives, stimulant misuse and addiction, pain 
management, and addiction treatment to other Institutes and Centers of 
the NIH to be used for the same purpose 15 days after notifying the 
Committees on Appropriations of the House of Representatives and the 
Senate:  Provided, That the transfer authority provided in the previous 
proviso is in addition to any other transfer authority provided by law.
    Sec. 225. (a) The Secretary shall provide to the Committees on 
Appropriations of the House of Representatives and the Senate:
            (1) Detailed monthly enrollment figures from the Exchanges 
        established under the Patient Protection and Affordable Care 
        Act of 2010 pertaining to enrollments during the open 
        enrollment period; and
            (2) Notification of any new or competitive grant awards, 
        including supplements, authorized under section 330 of the 
        Public Health Service Act.
    (b) The Committees on Appropriations of the House and Senate must 
be notified at least 2 business days in advance of any public release 
of enrollment information or the award of such grants.
    Sec. 226.  The Department of Health and Human Services shall 
provide the Committees on Appropriations of the House of 
Representatives and Senate a biannual report 30 days after enactment of 
this Act on staffing described in the committee report accompanying 
this Act.
    Sec. 227.  Funds appropriated in this Act that are available for 
salaries and expenses of employees of the Department of Health and 
Human Services shall also be available to pay travel and related 
expenses of such an employee or of a member of his or her family, when 
such employee is assigned to duty, in the United States or in a U.S. 
territory, during a period and in a location that are the subject of a 
determination of a public health emergency under section 319 of the 
Public Health Service Act and such travel is necessary to obtain 
medical care for an illness, injury, or medical condition that cannot 
be adequately addressed in that location at that time. For purposes of 
this section, the term ``U.S. territory'' means Guam, the Commonwealth 
of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, 
American Samoa, or the Trust Territory of the Pacific Islands.
    Sec. 228.  The Department of Health and Human Services may accept 
donations from the private sector, nongovernmental organizations, and 
other groups independent of the Federal Government for the care of 
unaccompanied alien children (as defined in section 462(g)(2) of the 
Homeland Security Act of 2002 (6 U.S.C. 279(g)(2))) in the care of the 
Office of Refugee Resettlement of the Administration for Children and 
Families, including medical goods and services, which may include early 
childhood developmental screenings, school supplies, toys, clothing, 
and any other items intended to promote the wellbeing of such children.
    Sec. 229.  None of the funds made available in this Act under the 
heading ``Department of Health and Human Services--Administration for 
Children and Families--Refugee and Entrant Assistance'' may be 
obligated to a grantee or contractor to house unaccompanied alien 
children (as such term is defined in section 462(g)(2) of the Homeland 
Security Act of 2002 (6 U.S.C. 279(g)(2))) in any facility that is not 
State-licensed for the care of unaccompanied alien children, except in 
the case that the Secretary determines that housing unaccompanied alien 
children in such a facility is necessary on a temporary basis due to an 
influx of such children or an emergency, provided that--
            (1) the terms of the grant or contract for the operations 
        of any such facility that remains in operation for more than 
        six consecutive months shall require compliance with--
                    (A) the same requirements as licensed placements, 
                as listed in Exhibit 1 of the Flores Settlement 
                Agreement that the Secretary determines are applicable 
                to non-State licensed facilities; and
                    (B) staffing ratios of one (1) on-duty Youth Care 
                Worker for every eight (8) children or youth during 
                waking hours, one (1) on-duty Youth Care Worker for 
                every sixteen (16) children or youth during sleeping 
                hours, and clinician ratios to children (including 
                mental health providers) as required in grantee 
                cooperative agreements;
            (2) the Secretary may grant a 60-day waiver for a 
        contractor's or grantee's non-compliance with paragraph (1) if 
        the Secretary certifies and provides a report to Congress on 
        the contractor's or grantee's good-faith efforts and progress 
        towards compliance;
            (3) not more than four consecutive waivers under paragraph 
        (2) may be granted to a contractor or grantee with respect to a 
        specific facility;
            (4) ORR shall ensure full adherence to the monitoring 
        requirements set forth in section 5.5 of its Policies and 
        Procedures Guide as of May 15, 2019;
            (5) for any such unlicensed facility in operation for more 
        than three consecutive months, ORR shall conduct a minimum of 
        one comprehensive monitoring visit during the first three 
        months of operation, with quarterly monitoring visits 
        thereafter; and
            (6) not later than 60 days after the date of enactment of 
        this Act, ORR shall brief the Committees on Appropriations of 
        the House of Representatives and the Senate outlining the 
        requirements of ORR for influx facilities including any 
        requirement listed in paragraph (1)(A) that the Secretary has 
        determined are not applicable to non-State licensed facilities.
    Sec. 230.  In addition to the existing Congressional notification 
for formal site assessments of potential influx facilities, the 
Secretary shall notify the Committees on Appropriations of the House of 
Representatives and the Senate at least 15 days before operationalizing 
an unlicensed facility, and shall (1) specify whether the facility is 
hard-sided or soft-sided, and (2) provide analysis that indicates that, 
in the absence of the influx facility, the likely outcome is that 
unaccompanied alien children will remain in the custody of the 
Department of Homeland Security for longer than 72 hours or that 
unaccompanied alien children will be otherwise placed in danger. Within 
60 days of bringing such a facility online, and monthly thereafter, the 
Secretary shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a report detailing the total 
number of children in care at the facility, the average length of stay 
and average length of care of children at the facility, and, for any 
child that has been at the facility for more than 60 days, their length 
of stay and reason for delay in release.
    Sec. 231.  None of the funds made available in this Act may be used 
to prevent a United States Senator or Member of the House of 
Representatives from entering, for the purpose of conducting oversight, 
any facility in the United States used for the purpose of maintaining 
custody of, or otherwise housing, unaccompanied alien children (as 
defined in section 462(g)(2) of the Homeland Security Act of 2002 (6 
U.S.C. 279(g)(2))), provided that such Senator or Member has 
coordinated the oversight visit with the Office of Refugee Resettlement 
not less than two business days in advance to ensure that such visit 
would not interfere with the operations (including child welfare and 
child safety operations) of such facility.
    Sec. 232.  Not later than 14 days after the date of enactment of 
this Act, and monthly thereafter, the Secretary shall submit to the 
Committees on Appropriations of the House of Representatives and the 
Senate, and make publicly available online, a report with respect to 
children who were separated from their parents or legal guardians by 
the Department of Homeland Security (DHS) (regardless of whether or not 
such separation was pursuant to an option selected by the children, 
parents, or guardians), subsequently classified as unaccompanied alien 
children, and transferred to the care and custody of ORR during the 
previous month. Each report shall contain the following information:
            (1) the number and ages of children so separated subsequent 
        to apprehension at or between ports of entry, to be reported by 
        sector where separation occurred; and
            (2) the documented cause of separation, as reported by DHS 
        when each child was referred.
    Sec. 233.  Funds appropriated in this Act that are available for 
salaries and expenses of employees of the Centers for Disease Control 
and Prevention shall also be available for the primary and secondary 
schooling of eligible dependents of personnel stationed in a U.S. 
territory as defined in section 229 of this Act at costs not in excess 
of those paid for or reimbursed by the Department of Defense.
    Sec. 234.  Section 231 of division B of the Department of Defense 
and Labor, Health and Human Services, and Education Appropriations Act, 
2019 and Continuing Appropriations Act, 2019 (42 U.S.C. 247d-4a) is 
amended by striking ``Provided further, That the Committees on 
Appropriations of the House of Representatives'' and all that follows 
through ``and all the actual obligations incurred to date:'' and 
inserting the following: ``Provided further, That the Director shall 
provide to the Committees on Appropriations of the House of 
Representatives and the Senate, at least 15 days in advance of any 
transfer or obligation of funds made under the authority provided in 
this section, (1) a notification on the anticipated uses of such funds 
by program, project, or activity; and (2) a detailed spend plan of 
anticipated uses of funds, including estimated personnel and 
administrative costs, disaggregated by program, project, or activity: 
Provided further, That such spend plans shall be updated to include all 
applicable obligations to date and unobligated amounts and submitted 
quarterly to such Committees on Appropriations until available funds 
are fully expended: Provided further, That the Director shall brief 
such Committees on Appropriations not later than 15 days after 
providing such a notification: Provided further, That the Director 
shall provide to such Committees on a monthly basis a report on all 
amounts available in the Reserve Fund for the current fiscal year and 
the preceding two fiscal years, including (1) each individual 
obligation above $5,000,000; (2) with respect to each such obligation, 
the notification to which it relates; and (3) the total amount 
unobligated in the Reserve Fund:''.
    Sec. 235.  Title VIII of division B of the CARES Act (Public Law 
116-136) is amended, under the heading ``Department of Health and Human 
Services-Centers for Disease Control and Prevention-CDC-Wide Activities 
and Program Support'', by striking ``Provided further, That the 
Secretary of Health and Human Services, in consultation with the 
Director of the CDC, shall provide a report to the Committees on 
Appropriations of the House of Representatives and the Senate every 14 
days, for one year from the date from any such declaration or 
determination described in the third proviso of section 231 of division 
B of Public Law 115-245, that details commitment and obligation 
information for the Reserve Fund during the prior two weeks, as long as 
such report would detail obligations in excess of $5,000,000, and upon 
the request by such Committees:''.

                              (rescission)

    Sec. 236.  Of the unobligated balances in the ``Nonrecurring 
Expenses Fund'' established in section 223 of division G of Public Law 
110-161, $1,000,000,000 are hereby rescinded not later than September 
30, 2024: Provided, That from any remaining unobligated balances in 
such Fund, the Secretary of Health and Human Services may transfer up 
to $85,000,000 to ``Department of Health and Human Services--Centers 
for Disease Control and Prevention--Buildings and Facilities'' to be 
merged with and to be available for the same time period as the 
appropriations to which transferred:  Provided further, That, except as 
otherwise provided in this Act, none of the funds provided by this Act 
may be obligated for a new program, project, or activity using such 
Fund for which a notification was not submitted to the Committees on 
Appropriations of the House of Representatives and the Senate prior to 
the date of enactment of this Act:  Provided further, That the 
Secretary may obligate funds from such Fund for any program, project, 
or activity for which a notification was submitted before the date of 
enactment of this Act:  Provided further, That the Secretary may 
transfer amounts into such Fund:  Provided further, That any amounts 
transferred into such Fund are available for the purposes provided by 
this section or for which a notification was submitted to such 
Committees on Appropriations before the date of enactment of this Act:  
Provided further, That the authority to transfer amounts under this 
section is in addition to any other transfer authority in law.
    Sec. 237. (a) Not later than March 16, 2023, and every 30 days 
thereafter, the Secretary of Health and Human Services shall submit to 
the Committee on Appropriations of the House of Representatives and the 
Committee on Appropriations of the Senate a report with respect to 
Federal expenditures made pursuant to a covered law. Such report shall 
include the following (if applicable for the period covered by the 
report):
            (1) The total amount of funding made available by covered 
        laws (and the amendments made by such laws) that has been 
        obligated to date.
            (2) A list of each financial award funded, in part or in 
        full, by covered laws (and the amendments made by such laws), 
        including the following information for each such award:
                    (A) All recipients for which funding has been 
                obligated.
                    (B) The amount of funding that has been obligated 
                for each recipient.
                    (C) The type of award (such as a grant or loan).
            (3) The number, job title, and duties of any full time 
        equivalent employees who have been hired using the funding made 
        available by covered laws (and the amendments made by such 
        laws).
            (4) An accounting of such funds that have not yet been 
        obligated.
            (5) The identity of any contractors that have been procured 
        using such funding.
            (6) The total amount of funding awarded under a covered law 
        that was returned to the Treasury and the specific accounts to 
        which such funds were obligated after being so returned.
            (7) The total amount of such funds that have been 
        transferred out of each account established or funded under a 
        covered law, and with respect to such transferred funds, the 
        information specified in paragraphs (1) through (6).
    (b) For purposes of this section, the term ``covered law'' means--
    (1) section 11004 of Public Law 117-169 (commonly referred to as 
the ``Inflation Reduction Act of 2022'');
    (2) the American Rescue Plan Act (Public Law 117-2) (and the 
amendments made by such Act); and
    (3)(A) the third paragraph under the heading ``Office of the 
Secretary--Public Health and Social Services Emergency Fund'' of 
division B of the CARES Act (Public Law 116-136);
    (B) the second paragraph under the heading ``Office of the 
Secretary--Public Health and Social Services Emergency Fund'' of 
division B of the Paycheck Protection Program and Health Care 
Enhancement Act (Public Law 116-139); and
    (C) the third paragraph under the heading ``Office of the 
Secretary--Public Health and Social Services Emergency Fund'' of the 
Coronavirus Response and Relief Supplemental Appropriations Act, 2021 
(division M of Public Law 117-260).
    Sec. 238.  None of the funds provided in this Act under the heading 
``Department of Health and Human Services--Office of the Secretary--
General Departmental Management'' may be used for employee travel.
    Sec. 239.  None of the funds provided in 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. 240. (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. 241.  None of the funds in this Act may be used to support, 
administer, oversee, or issue a grant, contract, or cooperative 
agreement for the purposes of providing information on, promoting 
access to, or facilitating an abortion.
    Sec. 242.  Notwithstanding any other provision of law, no Federal 
funding may be made available to the EcoHealth Alliance, Inc. located 
in New York.
    Sec. 243.  None of the funds provided in this Act to the Department 
of Health and Human Services, or provided under a previous or 
subsequent appropriations Act to such department, or provided from any 
account in the Treasury of the United States derived by the collection 
of fees available to such department, may be used to enforce the rule 
titled ``Medicare and Medicaid Programs; Omnibus COVID-19 Health Care 
Staff Vaccination'', which was issued by the Centers for Medicare and 
Medicaid Services on November 5, 2021, or any substantially similar 
rule.
    Sec. 244.  None of the funds in this Act may be used to implement, 
administer, or enforce Executive Order 13988, entitled `Preventing and 
Combating Discrimination on the Basis of Gender Identity or Sexual 
Orientation,' published by the Executive Office of the President on 
January 25, 2021 (86 Fed. Reg. 7023).
    Sec. 245.  Beginning on the fourth day following the date of 
enactment of this Act, the aggregate dollar amount appropriated under 
the heading ``Department of Health and Human Services--Office of the 
Secretary--General Departmental Management'' shall be reduced by $1,000 
for each day on which the Secretary of Health and Human Services fails 
to submit to the Congress the fiscal year 2023 and 2024 Moyer Report.
    Sec. 246.  None of the funds appropriated under this act may be 
used to require any project under title X of the PHS Act to refer for 
abortions:  Provided,  That no provider of services under title X of 
the PHS Act shall be required to subvert or operate in conflict with 
any State law limiting referral for abortion/pregnancy counseling.
    Sec. 247.  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. 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) Designated violation.--The term `designated 
        violation' means an actual or threatened violation of--
                    ``(A) section 507(d) of division H of the 
                Consolidated Appropriations Act, 2023 (or any 
                subsequent substantially similar provision); or
                    ``(B) any funding condition imposed by the Federal 
                Government pursuant to such section 507(d) (or such 
                provision).
            ``(2) Qualified party.--The term `qualified party' means--
                    ``(A) the Attorney General of the United States;
                    ``(B) any attorney general of a State; or
                    ``(C) any person or entity adversely affected by 
                the designated violation without regard to whether such 
                person or entity is a health care provider.
            ``(3) State governmental entity.--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.
    ``(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 any 
available administrative remedies.
    ``(d) Defendants.--An action under this section may be maintained 
against a Federal agency committing a designated violation described in 
subsection (b)(1)(A) or any recipient or subrecipient of Federal 
assistance committing a designated violation described in subsection 
(b)(1)(B), including a State governmental entity.
    ``(e) Nature of Relief.--In an action under this section, the court 
shall grant--
            ``(1) all appropriate relief, including injunctive relief, 
        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 costs.
Relief in an action under this section may include money damages even 
if the defendant is a governmental entity.
    ``(f) Abrogation of State Immunity.--No State or governmental 
official that commits a designated violation shall be immune under the 
Tenth Amendment to the Constitution of the United States, the Eleventh 
Amendment to the Constitution of the United States, or any other source 
of law, from an action under subsection (a).''.
    Sec. 248.  None of the funds in this Act may be used to issue or 
implement as a final rule the proposed rule entitled 
``Nondiscrimination in Health Programs and Activities'' published by 
the Department of Health and Human Services in the Federal Register on 
August 4, 2022 (87 Fed. Reg. 47824) (relating to section 1557 of the 
Affordable Care Act) or any successor or substantially similar rule.
    This title may be cited as the ``Department of Health and Human 
Services Appropriations Act, 2024''.

                               TITLE III

                        DEPARTMENT OF EDUCATION

              Office of Elementary and Secondary 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''), $13,055,290,000, of which 
$2,126,990,000 shall become available on July 1, 2024, and shall remain 
available through September 30, 2025, and of which $10,841,177,000 
shall become available on October 1, 2024, and shall remain available 
through September 30, 2025, for academic year 2024-2025:  Provided, 
That $1,906,901,000 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, 2023, 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 $4,542,550,000 shall be for targeted grants under section 
1125 of the ESEA:  Provided further, That $4,542,550,000 shall be for 
education finance incentive grants under section 1125A of the ESEA:  
Provided further, That $224,000,000 shall be for carrying out subpart 2 
of part B of title II:  Provided further, That $52,123,000 shall be for 
carrying out section 418A of the HEA.

                               Impact Aid

    For carrying out programs of financial assistance to federally 
affected schools authorized by title VII of the ESEA, $1,618,112,000, 
of which $1,468,242,000 shall be for basic support payments under 
section 7003(b), $48,316,000 shall be for payments for children with 
disabilities under section 7003(d), $18,406,000 shall be for 
construction under section 7007(a), $78,313,000 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 2023-2024, 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, 
$4,850,428,000, of which $3,053,673,000 shall become available on July 
1, 2024, and remain available through September 30, 2025, and of which 
$1,681,441,000 shall become available on October 1, 2024, and shall 
remain available through September 30, 2025, for academic year 2024-
2025:  Provided, That $1,329,673,000 shall be for part B of title IV:  
Provided further, That $45,897,000 shall be for part B of title VI, 
which may be used for construction, renovation, and modernization of 
any public elementary school, secondary school, or structure related to 
a public elementary school or secondary school that serves a 
predominantly Native Hawaiian student body, and that the 5 percent 
limitation in section 6205(b) of the ESEA on the use of funds for 
administrative purposes shall apply only to direct administrative 
costs:  Provided further, That $44,953,000 shall be for part C of title 
VI, which shall be awarded on a competitive basis, and may be used for 
construction, and that the 5 percent limitation in section 6305 of the 
ESEA on the use of funds for administrative purposes shall apply only 
to direct administrative costs:  Provided further, That $24,464,000 
shall be available to carry out the Supplemental Education Grants 
program for the Federated States of Micronesia and the Republic of the 
Marshall Islands:  Provided further, That the Secretary may reserve up 
to 5 percent of the amount referred to in the previous proviso to 
provide technical assistance in the implementation of these grants:  
Provided further, That $215,000,000 shall be for part B of title V:  
Provided further, That $1,380,000,000 shall be available for grants 
under subpart 1 of part A of title IV:  Provided further, That 
notwithstanding subsection (a)(3) of section 4103 of such Act, the 
Secretary may reserve not more than 1 percent under such subsection 
(a)(3) only for technical assistance.

                            Indian Education

    For expenses necessary to carry out, to the extent not otherwise 
provided, title VI, part A of the ESEA, $194,746,000, of which 
$72,000,000 shall be for subpart 2 of part A of title VI and 
$12,365,000 shall be for subpart 3 of part A of title VI:  Provided, 
That the 5 percent limitation in sections 6115(d), 6121(e), and 6133(g) 
of the ESEA on the use of funds for administrative purposes shall apply 
only to direct administrative costs:  Provided further, That grants 
awarded under sections 6132 and 6133 of the ESEA with funds provided 
under this heading may be for a period of up to 5 years.

                       Innovation and Improvement

    For carrying out activities authorized by subparts 1, 3, and 4 of 
part B of title II, and parts C, E, and subparts 1 and 4 of part F of 
title IV of the ESEA, $737,000,000:  Provided, That $3,000,000 shall be 
for subpart 3 of part B of title II and shall be made available without 
regard to sections 2201 and 2231(b):  Provided further, That 
$450,000,000 shall be for part C of title IV, and shall be made 
available without regard to section 4311:  Provided further, That 
section 4303(d)(3)(A)(i) shall not apply to the funds available for 
part C of title IV:  Provided further, That of the funds available for 
part C of title IV, the Secretary shall use not less than $65,000,000 
to carry out section 4304, up to $140,000,000, to remain available 
through March 31, 2025, to carry out section 4305(b), and not more than 
$16,000,000 to carry out the activities in section 4305(a)(3):  
Provided further,  That the Secretary shall allow entities receiving 
grants under section 4303 to use up to 10 percent of such grants for 
activities described in section 4303(b)(2) and up to 5 percent for the 
activities described in section 4303(c)(1)(C):  Provided further, That 
entities receiving grants under section 4304(k) shall not be required 
to meet the matching requirements described in section 4304(k)(2)(C) 
and (D) and shall not be required to use such grants to support 
facilities aid programs that allocate funds on a per-pupil basis:  
Provided further, That notwithstanding section 4601(b), $284,000,000 
shall be available through December 31, 2024 for subpart 1 of part F of 
title IV.

                 Safe Schools and Citizenship Education

    For carrying out activities authorized by subparts 2 and 3 of part 
F of title IV of the ESEA, $316,000,000, to remain available through 
December 31, 2024:  Provided, That $216,000,000 shall be available for 
section 4631, of which up to $5,000,000, to remain available until 
expended, shall be for the Project School Emergency Response to 
Violence (Project SERV) program:  Provided further, That $100,000,000 
shall be available for section 4625.

                           Special Education

    For carrying out the Individuals with Disabilities Education Act 
(IDEA) and the Special Olympics Sport and Empowerment Act of 2004, 
$15,453,264,000, of which $5,870,321,000 shall become available on July 
1, 2024, and shall remain available through September 30, 2025, and of 
which $9,283,383,000 shall become available on October 1, 2024, and 
shall remain available through September 30, 2025, for academic year 
2024-2025:  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 2023, 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 2023:  Provided 
further, That the Secretary shall, without regard to section 611(d) of 
the IDEA, distribute to all other States (as that term is defined in 
section 611(g)(2)), subject to the third proviso, any amount by which a 
State's allocation under section 611, from funds appropriated under 
this heading, is reduced under section 612(a)(18)(B), according to the 
following: 85 percent on the basis of the States' relative populations 
of children aged 3 through 21 who are of the same age as children with 
disabilities for whom the State ensures the availability of a free 
appropriate public education under this part, and 15 percent to States 
on the basis of the States' relative populations of those children who 
are living in poverty:  Provided further, That the Secretary may not 
distribute any funds under the previous proviso to any State whose 
reduction in allocation from funds appropriated under this heading made 
funds available for such a distribution:  Provided further, That the 
States shall allocate such funds distributed under the second proviso 
to local educational agencies in accordance with section 611(f):  
Provided further, That the amount by which a State's allocation under 
section 611(d) of the IDEA is reduced under section 612(a)(18)(B) and 
the amounts distributed to States under the previous provisos in fiscal 
year 2012 or any subsequent year shall not be considered in calculating 
the awards under section 611(d) for fiscal year 2013 or for any 
subsequent fiscal years:  Provided further, That, notwithstanding the 
provision in section 612(a)(18)(B) regarding the fiscal year in which a 
State's allocation under section 611(d) is reduced for failure to 
comply with the requirement of section 612(a)(18)(A), the Secretary may 
apply the reduction specified in section 612(a)(18)(B) over a period of 
consecutive fiscal years, not to exceed 5, until the entire reduction 
is applied:  Provided further, That the Secretary may, in any fiscal 
year in which a State's allocation under section 611 is reduced in 
accordance with section 612(a)(18)(B), reduce the amount a State may 
reserve under section 611(e)(1) by an amount that bears the same 
relation to the maximum amount described in that paragraph as the 
reduction under section 612(a)(18)(B) bears to the total allocation the 
State would have received in that fiscal year under section 611(d) in 
the absence of the reduction:  Provided further, That the Secretary 
shall either reduce the allocation of funds under section 611 for any 
fiscal year following the fiscal year for which the State fails to 
comply with the requirement of section 612(a)(18)(A) as authorized by 
section 612(a)(18)(B), or seek to recover funds under section 452 of 
the General Education Provisions Act (20 U.S.C. 1234a):  Provided 
further, That the funds reserved under 611(c) of the IDEA may be used 
to provide technical assistance to States to improve the capacity of 
the States to meet the data collection requirements of sections 616 and 
618 and to administer and carry out other services and activities to 
improve data collection, coordination, quality, and use under parts B 
and C of the IDEA:  Provided further, That the Secretary may use funds 
made available for the State Personnel Development Grants program under 
part D, subpart 1 of IDEA to evaluate program performance under such 
subpart:  Provided further, That States may use funds reserved for 
other State-level activities under sections 611(e)(2) and 619(f) of the 
IDEA to make subgrants to local educational agencies, institutions of 
higher education, other public agencies, and private non-profit 
organizations to carry out activities authorized by those sections:  
Provided further, That, notwithstanding section 643(e)(2)(A) of the 
IDEA, if 5 or fewer States apply for grants pursuant to section 643(e) 
of such Act, the Secretary shall provide a grant to each State in an 
amount equal to the maximum amount described in section 643(e)(2)(B) of 
such Act:  Provided further, That if more than 5 States apply for 
grants pursuant to section 643(e) of the IDEA, the Secretary shall 
award funds to those States on the basis of the States' relative 
populations of infants and toddlers except that no such State shall 
receive a grant in excess of the amount described in section 
643(e)(2)(B) of such Act:  Provided further, That States may use funds 
allotted under section 643(c) of the IDEA to make subgrants to local 
educational agencies, institutions of higher education, other public 
agencies, and private non-profit organizations to carry out activities 
authorized by section 638 of IDEA:  Provided further, That, 
notwithstanding section 638 of the IDEA, a State may use funds it 
receives under section 633 of the IDEA to offer continued early 
intervention services to a child who previously received services under 
part C of the IDEA from age 3 until the beginning of the school year 
following the child's third birthday with parental consent and without 
regard to the procedures in section 635(c) of the IDEA.

                        Rehabilitation Services

    For carrying out, to the extent not otherwise provided, the 
Rehabilitation Act of 1973 and the Helen Keller National Center Act, 
$4,397,033,000, of which $4,253,834,000 shall be for grants for 
vocational rehabilitation services under title I of the Rehabilitation 
Act.

           Special Institutions for Persons With Disabilities

                 american printing house for the blind

    For carrying out the Act to Promote the Education of the Blind of 
March 3, 1879, $43,431,000.

               national technical institute for the deaf

    For the National Technical Institute for the Deaf under titles I 
and II of the Education of the Deaf Act of 1986, $92,500,000:  
Provided, That from the total amount available, the Institute may at 
its discretion use funds for the endowment program as authorized under 
section 207 of such Act.

                          gallaudet university

    For the Kendall Demonstration Elementary School, the Model 
Secondary School for the Deaf, and the partial support of Gallaudet 
University under titles I and II of the Education of the Deaf Act of 
1986, $165,361,000, of which up to $15,000,000, to remain available 
until expended, shall be for construction, as defined by section 201(2) 
of such Act:  Provided, That from the total amount available, the 
University may at its discretion use funds for the endowment program as 
authorized under section 207 of such Act.

                 Career, Technical, and Adult Education

    For carrying out, to the extent not otherwise provided, the Carl D. 
Perkins Career and Technical Education Act of 2006 (``Perkins Act'') 
and the Adult Education and Family Literacy Act (``AEFLA''), 
$2,191,436,000, of which $1,400,436,000 shall become available on July 
1, 2024, and shall remain available through September 30, 2025, and of 
which $791,000,000 shall become available on October 1, 2024, and shall 
remain available through September 30, 2025:  Provided, That 
$25,000,000 shall be available for innovation and modernization grants 
under such section 114(e) of the Perkins Act:  Provided further, That 
of the amounts made available for AEFLA, $13,712,000 shall be for 
national leadership activities under section 242.

                      Student Financial Assistance

    For carrying out subparts 1 and 10 of part A of title IV of the 
HEA, $22,475,352,000 which shall remain available through September 30, 
2025.
    The maximum Pell Grant for which a student shall be eligible during 
award year 2024-2025 shall be $6,335.

                       Student Aid Administration

    For Federal administrative expenses to carry out part D of title I, 
and subparts 1, 9, and 10 of part A, and parts B, D, and E of title IV 
of the HEA, and subpart 1 of part A of title VII of the Public Health 
Service Act, $1,769,207,000, to remain available through September 30, 
2025:  Provided, That for student loan contracts awarded prior to 
October 1, 2017, the Secretary shall allow student loan borrowers who 
are consolidating Federal student loans to select from any student loan 
servicer to service their new consolidated student loan:  Provided 
further, That in order to promote accountability and high-quality 
service to borrowers, the Secretary shall not award funding for any 
contract solicitation for a new Federal student loan servicing 
environment, including the solicitation for the Federal Student Aid 
(FSA) Next Generation Processing and Servicing Environment, unless such 
an environment provides for the participation of multiple student loan 
servicers that contract directly with the Department of Education to 
manage a unique portfolio of borrower accounts and the full life-cycle 
of loans from disbursement to pay-off with certain limited exceptions, 
and allocates student loan borrower accounts to eligible student loan 
servicers based on performance:  Provided further, That the Secretary 
shall provide quarterly briefings to the Committees on Appropriations 
and Education and Labor of the House of Representatives and the 
Committees on Appropriations and Health, Education, Labor, and Pensions 
of the Senate on general progress related to solicitations for Federal 
student loan servicing contracts:  Provided further, That not later 
than 60 days after enactment of this Act, FSA shall provide to the 
Committees on Appropriations of the House of Representatives and the 
Senate a detailed spend plan of anticipated uses of funds made 
available in this account for fiscal year 2024 and provide quarterly 
updates on this plan (including contracts awarded, change orders, 
bonuses paid to staff, reorganization costs, and any other activity 
carried out using amounts provided under this heading for fiscal year 
2024).

                            Higher Education

    For carrying out, to the extent not otherwise provided, titles III, 
IV, V, VI, VII, and VIII of the HEA, and section 117 of the Perkins 
Act, $2,767,239,000:  Provided, That notwithstanding any other 
provision of law, funds made available in this Act to carry out title 
VI of the HEA may be used to support visits and study in foreign 
countries by individuals who are participating in advanced foreign 
language training and international studies in areas that are vital to 
United States national security and who plan to apply their language 
skills and knowledge of these countries in the fields of government, 
the professions, or international development:  Provided further, That 
of the funds referred to in the preceding proviso up to 1 percent may 
be used for program evaluation, national outreach, and information 
dissemination activities:  Provided further, That up to 1.5 percent of 
the funds made available under chapter 2 of subpart 2 of part A of 
title IV of the HEA may be used for evaluation:  Provided further, That 
section 313(d) of the HEA shall not apply to an institution of higher 
education that is eligible to receive funding under section 318 of the 
HEA:  Provided further, That of the funds made available under this Act 
to carry out part B of title III of the HEA, to supplement amounts 
otherwise available, not less than $10,000,000 shall be for grants to 
part B institutions as defined under section 322(2) of the HEA, that 
are junior or community colleges, as defined in section 312(f) of the 
HEA:  Provided further, That funds in the preceding proviso are in 
addition to any grant award that any such institution may receive under 
section 323 of such Act and shall be allocated in accordance with the 
allotments specified under section 324 of such Act.

                           Howard University

    For partial support of Howard University, $301,693,000, 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, 
$321,000.

  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, 2025:  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 $377,340,824:  
Provided further, That these funds may be used to support loans to 
public and private Historically Black Colleges and Universities without 
regard to the limitations within section 344(a) of the HEA.
    In addition, for administrative expenses to carry out the 
Historically Black College and University Capital Financing Program 
entered into pursuant to part D of title III of the HEA, $528,000.

                    Institute of Education Sciences

    For necessary expenses for the Institute of Education Sciences as 
authorized by section 208 of the Department of Education Organization 
Act and carrying out activities authorized by the National Assessment 
of Educational Progress Authorization Act, section 208 of the 
Educational Technical Assistance Act of 2002, and section 664 of the 
Individuals with Disabilities Education Act, $707,372,000, which shall 
remain available through September 30, 2025.

                        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, $350,000,000:  Provided,  That none of the 
funds provided by this Act may be used to support a number of non-
career employees that is above the number of non-career employees as of 
December 31, 2021.

                        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, $105,000,000.

                      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, $60,000,000, of which $3,000,000 shall be available through 
September 30, 2025.

                           General Provisions

    Sec. 301.  No funds appropriated in this Act may be used to prevent 
the implementation of programs of voluntary prayer and meditation in 
the public schools.

                          (transfer of funds)

    Sec. 302.  Not to exceed 1 percent of any discretionary funds 
(pursuant to the Balanced Budget and Emergency Deficit Control Act of 
1985) which are appropriated for the Department of Education in this 
Act may be transferred between appropriations, but no such 
appropriation shall be increased by more than 3 percent by any such 
transfer:  Provided, That the transfer authority granted by this 
section shall not be used to create any new program or to fund any 
project or activity for which no funds are provided in this Act:  
Provided further, That the Committees on Appropriations of the House of 
Representatives and the Senate are notified at least 15 days in advance 
of any transfer.
    Sec. 303.  Funds appropriated in this Act and consolidated for 
evaluation purposes under section 8601(c) of the ESEA shall be 
available from July 1, 2024, through September 30, 2025.
    Sec. 304. (a) An institution of higher education that maintains an 
endowment fund supported with funds appropriated for title III or V of 
the HEA for fiscal year 2024 may use the income from that fund to award 
scholarships to students, subject to the limitation in section 
331(c)(3)(B)(i) of the HEA. The use of such income for such purposes, 
prior to the enactment of this Act, shall be considered to have been an 
allowable use of that income, subject to that limitation.
    (b) Subsection (a) shall be in effect until titles III and V of the 
HEA are reauthorized.
    Sec. 305.  Section 114(f) of the HEA (20 U.S.C. 1011c(f)) shall be 
applied by substituting ``2024'' for ``2021''.
    Sec. 306.  Section 458(a)(4) of the HEA (20 U.S.C. 1087h(a)) shall 
be applied by substituting ``2024'' for ``2021''.
    Sec. 307.  Funds appropriated in this Act under the heading 
``Student Aid Administration'' may be available for payments for 
student loan servicing to an institution of higher education that 
services outstanding Federal Perkins Loans under part E of title IV of 
the Higher Education Act of 1965 (20 U.S.C. 1087aa et seq.).
    Sec. 308.  The Secretary may reserve not more than 0.5 percent from 
any amount made available in this Act for an HEA program, except for 
any amounts made available for subpart 1 of part A of title IV of the 
HEA, to carry out rigorous and independent evaluations and to collect 
and analyze outcome data for any program authorized by the HEA:  
Provided, That no funds made available in this Act for the ``Student 
Aid Administration'' account shall be subject to the reservation under 
this section:  Provided further, That any funds reserved under this 
section shall be available through September 30, 2026:  Provided 
further, That if, under any other provision of law, funds are 
authorized to be reserved or used for evaluation activities with 
respect to a program or project, the Secretary may also reserve funds 
for such program or project for the purposes described in this section 
so long as the total reservation of funds for such program or project 
does not exceed any statutory limits on such reservations:  Provided 
further, That not later than 30 days prior to the initial obligation of 
funds reserved under this section, the Secretary shall submit to the 
Committees on Appropriations of the Senate and the House of 
Representatives, the Committee on Health, Education, Labor and Pensions 
of the Senate, and the Committee on Education and Labor of the House of 
Representatives a plan that identifies the source and amount of funds 
reserved under this section, the impact on program grantees if funds 
are withheld for the purposes of this section, and the activities to be 
carried out with such funds.

                     (including transfer of funds)

    Sec. 309.  Of the amounts appropriated in this Act for ``Institute 
of Education Sciences'', up to $19,000,000 shall be available for the 
Secretary of Education (``the Secretary'') to provide support services 
to the Institute of Education Sciences (including, but not limited to 
information technology services, lease or procurement of office space, 
human resource services, financial management services, financial 
systems support, budget formulation and execution, legal counsel, equal 
employment opportunity services, physical security, facilities 
management, acquisition and contract management, grants administration 
and policy, and enterprise risk management):  Provided, That the 
Secretary shall calculate the actual amounts obligated and expended for 
such support services by using a standard Department of Education 
methodology for allocating the cost of all such support services:  
Provided further, That the Secretary may transfer any amounts available 
for IES support services in excess of actual amounts needed for IES 
support services, as so calculated, to the ``Program Administration'' 
account from the ``Institute of Education Sciences'' account:  Provided 
further, That in order to address any shortfall between amounts 
available for IES support services and amounts needed for IES support 
services, as so calculated, the Secretary may transfer necessary 
amounts to the ``Institute of Education Sciences'' account from the 
``Program Administration'' account:  Provided further, That the 
Committees on Appropriations of the House of Representatives and the 
Senate are notified at least 14 days in advance of any transfer made 
pursuant to this section.

                              (rescission)

    Sec. 310.  Of the unobligated balances in the ``Department of 
Education Nonrecurring Expenses Fund'' established in section 313 of 
division H of Public Law 116-260, $29,000,000 are hereby rescinded not 
later than September 30, 2024:  Provided, That from any remaining 
unobligated balances in such Fund, the Secretary may transfer up to 
$45,325,000 to ``Howard University'' for completion of the Howard 
University hospital, to remain available until expended:  Provided 
further,  That, except as otherwise provided in this Act, none of the 
funds provided by this Act may be obligated for a new program, project, 
or activity using such Fund for which a notification was not submitted 
to the Committees on Appropriations of the House of Representatives and 
the Senate before the date of enactment of this Act:  Provided further, 
That the Secretary may obligate funds from such Fund for any program, 
project, or activity for which a notification was submitted before the 
date of enactment of this Act:  Provided further, That the Secretary 
may transfer amounts into such Fund:  Provided further, That any 
amounts transferred into such Fund are available for the purposes 
provided by this section or for which a notification was submitted to 
such Committees on Appropriations before the date of enactment of this 
Act:  Provided further, That the authority to transfer amounts under 
this section is in addition to any other transfer authority in law.
    Sec. 311. (a) None of the funds made available by this title may be 
used to issue or implement as final rules the rules proposed by the 
Department of Education relating to title IX of the Education 
Amendments of 1972 (20 5 U.S.C. 1681-1688) and described under the 
heading ``Nondiscrimination on the Basis of Sex in Education Programs 
or Activities Receiving Federal Financial Assistance'' (87 Fed. Reg. 
41390; published July 12, 2022).
    (b) None of the funds made available by this title may be used to 
issue or implement--
            (1) as final rules the rules proposed by the Department of 
        Education relating title IX of the Education Amendments of 1972 
        (20 U.S.C. 1681-1688) and described under the heading 
        ``Nondiscrimination on the Basis of Sex in Education Programs 
        or Activities Receiving Federal Financial Assistance: Sex-
        Related Eligibility Criteria for Male and Female Athletic 
        Teams'' (88 Fed. Reg. 22860; published April 13, 2023), or
            (2) any rule similar in substance to the proposed rules 
        described in paragraph (1) that relates to eligibility criteria 
        for participation on athletic teams.
    Sec. 312.  None of the funds made available under this Act may be 
provided to any public institution of higher education that denies to a 
religious student organization any right, benefit, or privilege that is 
otherwise afforded to other student organizations at the institution 
(including full access to the facilities of the institution and 
official recognition of the organization by the institution) because of 
the religious beliefs, practices, speech, leadership standards, or 
standards of conduct of the religious student organization.

                              (rescission)

    Sec. 313.  Of the amounts which are made available to ``Department 
of Education--Education for the Disadvantaged'' on October 1, 2023 by 
Public Law 117-328, $8,671,399,000 are hereby rescinded.

                              (rescission)

    Sec. 314.  Of the amounts which are made available to ``Department 
of Education--School Improvement Programs'' on October 1, 2023 by 
Public Law 117-328, $1,681,441,000 are hereby rescinded.
    Sec. 315.  None of the funds made available by this Act may be used 
to--
            (1) implement the waivers and modifications of statutory 
        and regulatory provisions relating to an extension of the 
        suspension of payments on certain loans and waivers of interest 
        on such loans under section 3513 of the CARES Act (20 U.S.C. 
        1001 note), described by the Department of Education in the 
        Federal Register on October 12, 2022 (87 Fed. Reg. 61513 et 
        seq.), and most recently extended in the announcement by the 
        Department of Education on November 22, 2022;
            (2) take any substantially similar action; or
            (3) waive any consequences of nonpayment by a borrower in 
        repayment such as delinquency or default.
    Sec. 316.  None of the funds made available by this Act may be used 
to--
            (1) implement the modifications of statutory and regulatory 
        provisions relating to debt discharge described by the 
        Department of Education in the Federal Register on October 12, 
        2022 (87 Fed. Reg. 61514), or take any substantially similar 
        action;
            (2) issue a final rule or otherwise implement the proposed 
        rule on ``Improving Income-Driven Repayment for the William D. 
        Ford Federal Direct Loan Program'' published by the Department 
        of Education in the Federal Register on January 11, 2023 (88 
        Fed. Reg. 1894 et seq.), or take any substantially similar 
        action; or
            (3) implement, administer, or enforce parts 600, 668, and 
        685 of title 34, Code of Federal Regulations, (relating to 
        borrower defense to repayment), as amended by the final 
        regulations published by the Department of Education in the 
        Federal Register on November 1, 2022 (87 Fed. Reg. 65904 et 
        seq.) or take any substantially similar action.
    This title may be cited as the ``Department of Education 
Appropriations Act, 2024''.

                                TITLE IV

                            RELATED AGENCIES

 Committee for Purchase From People Who Are Blind or Severely Disabled

                         salaries and expenses

    For expenses necessary for the Committee for Purchase From People 
Who Are Blind or Severely Disabled (referred to in this title as ``the 
Committee'') established under section 8502 of title 41, United States 
Code, $13,124,000:  Provided, That in order to authorize any central 
nonprofit agency designated pursuant to section 8503(c) of title 41, 
United States Code, to perform requirements of the Committee as 
prescribed under section 51-3.2 of title 41, Code of Federal 
Regulations, the Committee shall enter into a written agreement with 
any such central nonprofit agency:  Provided further, That such 
agreement shall contain such auditing, oversight, and reporting 
provisions as necessary to implement chapter 85 of title 41, United 
States Code:  Provided further, That such agreement shall include the 
elements listed under the heading ``Committee For Purchase From People 
Who Are Blind or Severely Disabled--Written Agreement Elements'' in the 
explanatory statement described in section 4 of Public Law 114-113 (in 
the matter preceding division A of that consolidated Act):  Provided 
further, That any such central nonprofit agency may not charge a fee 
under section 51-3.5 of title 41, Code of Federal Regulations, prior to 
executing a written agreement with the Committee:  Provided further, 
That no less than $3,150,000 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''), $593,347,000, 
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 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:  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.

                         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, $60,000,000.

                      office of inspector general

    For necessary expenses of the Office of Inspector General in 
carrying out the Inspector General Act of 1978, $7,595,000.

                       administrative provisions

    Sec. 401.  CNCS shall make any significant changes to program 
requirements, service delivery or policy only through public notice and 
comment rulemaking. For fiscal year 2024, 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.

                              (rescission)

    Sec. 407.  Of the unobligated balances available in the ``National 
Service Trust'' established in section 102 of the National and 
Community Service Trust Act of 1993, $243,000,000 are hereby 
permanently rescinded, except that no amounts may be rescinded from 
amounts that were previously designated by the Congress as being for an 
emergency requirement pursuant to a concurrent resolution on the budget 
or the Balanced Budget and Emergency Deficit Control Act of 1985.

               Federal Mediation and Conciliation Service

                         salaries and expenses

    For expenses necessary for the Federal Mediation and Conciliation 
Service (``Service'') to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, including hire of passenger motor 
vehicles; for expenses necessary for the Labor-Management Cooperation 
Act of 1978; and for expenses necessary for the Service to carry out 
the functions vested in it by the Civil Service Reform Act, 
$53,705,000:  Provided, That notwithstanding 31 U.S.C. 3302, fees 
charged, up to full-cost recovery, for special training activities and 
other conflict resolution services and technical assistance, including 
those provided to foreign governments and international organizations, 
and for arbitration services shall be credited to and merged with this 
account, and shall remain available until expended:  Provided further, 
That fees for arbitration services shall be available only for 
education, training, and professional development of the agency 
workforce:  Provided further, That the Director of the Service is 
authorized to accept and use on behalf of the United States gifts of 
services and real, personal, or other property in the aid of any 
projects or functions within the Director's jurisdiction.

            Federal Mine Safety and Health Review Commission

                         salaries and expenses

    For expenses necessary for the Federal Mine Safety and Health 
Review Commission, $18,012,000.

                Institute of Museum and Library Services

    office of museum and library services: grants and administration

    For carrying out the Museum and Library Services Act of 1996 and 
the National Museum of African American History and Culture Act, 
$294,800,000.

            Medicaid and Chip Payment and Access Commission

                         salaries and expenses

    For expenses necessary to carry out section 1900 of the Social 
Security Act, $9,405,000.

                  Medicare Payment Advisory Commission

                         salaries and expenses

    For expenses necessary to carry out section 1805 of the Social 
Security Act, $13,824,000, to be transferred to this appropriation from 
the Federal Hospital Insurance Trust Fund and the Federal Supplementary 
Medical Insurance Trust Fund.

                     National Council on Disability

                         salaries and expenses

    For expenses necessary for the National Council on Disability as 
authorized by title IV of the Rehabilitation Act of 1973, $3,850,000.

                     National Labor Relations Board

                         salaries and expenses

    For expenses necessary for the National Labor Relations Board to 
carry out the functions vested in it by the Labor-Management Relations 
Act, 1947, and other laws, $200,000,000:  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. 408.  None of the funds provided by this Act or previous Acts 
making appropriations for the National Labor Relations Board may be 
used to issue any new 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. 409.  No Federal funds may be made available to alter or 
affect the administration, implementation, or enforcement of the final 
rule entitled ``Joint Employer Status Under the National Labor 
Relations Act'' (86 Fed. Reg. 11184) and dated February 26, 2020.

                        National Mediation Board

                         salaries and expenses

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

            Occupational Safety and Health Review Commission

                         salaries and expenses

    For expenses necessary for the Occupational Safety and Health 
Review Commission, $15,449,000.

                       Railroad Retirement Board

                     dual benefits payments account

    For payment to the Dual Benefits Payments Account, authorized under 
section 15(d) of the Railroad Retirement Act of 1974, $8,000,000, which 
shall include amounts becoming available in fiscal year 2024 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, 2025, 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, $103,000,000, 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 notwithstanding 
section 7(b)(9) of the Railroad Retirement Act, this limitation may be 
used to hire students attending qualifying educational institutions or 
individuals who have recently completed qualifying educational programs 
using current excepted hiring authorities established by the Office of 
Personnel Management.

             limitation on the office of inspector general

    For expenses necessary for the Office of Inspector General for 
audit, investigatory and review activities, as authorized by the 
Inspector General Act of 1978, not more than $14,000,000, 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, $10,000,000.

                  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, 
$45,455,426,000, 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 $91,000,000 shall 
be available for research and demonstrations under sections 1110, 1115, 
and 1144 of the Social Security Act, and remain available through 
September 30, 2026.
    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 2025, $21,700,000,0000, to 
remain available until expended.

                 limitation on administrative expenses

                     (including transfer of funds)

    For necessary expenses, including the hire and purchase of two 
passenger motor vehicles, and not to exceed $20,000 for official 
reception and representation expenses, not more than $11,951,978,000 
may be expended, as authorized by section 201(g)(1) of the Social 
Security Act, from any one or all of the trust funds referred to in 
such section:  Provided, That not less than $2,700,000 shall be for the 
Social Security Advisory Board:  Provided further, That unobligated 
balances of funds provided under this paragraph at the end of fiscal 
year 2024 not needed for fiscal year 2024 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.
     In addition, $1,851,000,000 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, to remain available 
through March 31, 2025, 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 costs 
associated with conducting redeterminations of eligibility under title 
XVI of the Social Security Act, for the costs of co-operative 
disability investigation units, and for the costs 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 $1,578,000,000 
is additional new budget authority specified for purposes of section 
251(b)(2)(B)(i)(XI) of such Act:  Provided further, That, of the 
additional new budget authority described in the preceding proviso, 
$18,000,000 may be transferred to the ``Office of Inspector General'', 
Social Security Administration, for the costs 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:  Provided further, That none of the funds 
described in this paragraph shall be available for transfer or 
reprogramming except as specified in this paragraph.
    In addition, $150,000,000 to be derived from administration fees in 
excess of $5.00 per supplementary payment collected pursuant to section 
1616(d) of the Social Security Act or section 212(b)(3) of Public Law 
93-66, which shall remain available until expended:  Provided, That to 
the extent that the amounts collected pursuant to such sections in 
fiscal year 2024 exceed $150,000,000, the amounts shall be available in 
fiscal year 2025 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, 
$32,000,000, together with not to exceed $82,665,000, to be transferred 
and expended as authorized by section 201(g)(1) of the Social Security 
Act from the Federal Old-Age and Survivors Insurance Trust Fund and the 
Federal Disability Insurance Trust Fund:  Provided, That $2,000,000 
shall remain available until expended for information technology 
modernization, including related hardware and software infrastructure 
and equipment, and for administrative expenses directly associated with 
information technology modernization.
    In addition, an amount not to exceed 3 percent of the total 
provided in this appropriation may be transferred from the ``Limitation 
on Administrative Expenses'', Social Security Administration, to be 
merged with this account, to be available for the time and purposes for 
which this account is available:  Provided, That notice of such 
transfers shall be transmitted promptly to the Committees on 
Appropriations of the House of Representatives and the Senate at least 
15 days in advance of any transfer.

                                TITLE V

                           GENERAL PROVISIONS

                          (transfer of funds)

    Sec. 501.  The Secretaries of Labor, Health and Human Services, and 
Education are authorized to transfer unexpended balances of prior 
appropriations to accounts corresponding to current appropriations 
provided in this Act. Such transferred balances shall be used for the 
same purpose, and for the same periods of time, for which they were 
originally appropriated.
    Sec. 502.  No part of any appropriation contained in this Act shall 
remain available for obligation beyond the current fiscal year unless 
expressly so provided herein.
    Sec. 503. (a) No part of any appropriation contained in this Act or 
transferred pursuant to section 4002 of Public Law 111-148 shall be 
used, other than for normal and recognized executive-legislative 
relationships, for publicity or propaganda purposes, for the 
preparation, distribution, or use of any kit, pamphlet, booklet, 
publication, electronic communication, radio, television, or video 
presentation designed to support or defeat the enactment of legislation 
before the Congress or any State or local legislature or legislative 
body, except in presentation to the Congress or any State or local 
legislature itself, or designed to support or defeat any proposed or 
pending regulation, administrative action, or order issued by the 
executive branch of any State or local government, except in 
presentation to the executive branch of any State or local government 
itself.
    (b) No part of any appropriation contained in this Act or 
transferred pursuant to section 4002 of Public Law 111-148 shall be 
used to pay the salary or expenses of any grant or contract recipient, 
or agent acting for such recipient, related to any activity designed to 
influence the enactment of legislation, appropriations, regulation, 
administrative action, or Executive order proposed or pending before 
the Congress or any State government, State legislature or local 
legislature or legislative body, other than for normal and recognized 
executive-legislative relationships or participation by an agency or 
officer of a State, local or tribal government in policymaking and 
administrative processes within the executive branch of that 
government.
    (c) The prohibitions in subsections (a) and (b) shall include any 
activity to advocate or promote any proposed, pending or future 
Federal, State or local tax increase, or any proposed, pending, or 
future requirement or restriction on any legal consumer product, 
including its sale or marketing, including but not limited to the 
advocacy or promotion of gun control.
    Sec. 504.  The Secretaries of Labor and Education are authorized to 
make available not to exceed $28,000 and $20,000, respectively, from 
funds available for salaries and expenses under titles I and III, 
respectively, for official reception and representation expenses; the 
Director of the Federal Mediation and Conciliation Service is 
authorized to make available for official reception and representation 
expenses not to exceed $5,000 from the funds available for ``Federal 
Mediation and Conciliation Service, Salaries and Expenses''; and the 
Chairman of the National Mediation Board is authorized to make 
available for official reception and representation expenses not to 
exceed $5,000 from funds available for ``National Mediation Board, 
Salaries and Expenses''.
    Sec. 505.  When issuing statements, press releases, requests for 
proposals, bid solicitations and other documents describing projects or 
programs funded in whole or in part with Federal money, all grantees 
receiving Federal funds included in this Act, including but not limited 
to State and local governments and recipients of Federal research 
grants, shall clearly state--
            (1) the percentage of the total costs of the program or 
        project which will be financed with Federal money;
            (2) the dollar amount of Federal funds for the project or 
        program; and
            (3) percentage and dollar amount of the total costs of the 
        project or program that will be financed by non-governmental 
        sources.
    Sec. 506. (a) None of the funds 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 2024, 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 2024, 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 2024 that are different than those 
specified in this Act, the accompanying detailed table in the committee 
report accompanying this Act, or the fiscal year 2024 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, individually or in total for a 
particular project, activity, or programmatic initiative, in value and 
awarded by the Department on a non-competitive basis during each 
quarter of fiscal year 2024, 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. (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. 521.  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. 522.  Federal agencies funded under this Act shall clearly 
state within the text, audio, or video used for advertising or 
educational purposes, including emails or Internet postings, that the 
communication is printed, published, or produced and disseminated at 
United States taxpayer expense. The funds used by a Federal agency to 
carry out this requirement shall be derived from amounts made available 
to the agency for advertising or other communications regarding the 
programs and activities of the agency.
    Sec. 523. (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 2024'' for ``Fiscal Year 2014'' in the title of subsection (b) and 
by substituting ``September 30, 2028'' for ``September 30, 2018'' each 
place it appears:  Provided, That such pilots shall include communities 
that have experienced civil unrest.
    (b) In addition, Federal agencies may use Federal discretionary 
funds that are made available in this Act to participate in Performance 
Partnership Pilots that are being carried out pursuant to the authority 
provided by section 526 of division H of Public Law 113-76, section 524 
of division G of Public Law 113-235, section 525 of division H of 
Public Law 114-113, section 525 of division H of Public Law 115-31, 
section 525 of division H of Public Law 115-141, section 524 of 
division A of Public Law 116-94, section 524 of division H of Public 
Law 116-260, and section 523 of division H of Public Law 117-103.
    (c) Pilot sites selected under authorities in this Act and prior 
appropriations Acts may be granted by relevant agencies up to an 
additional 5 years to operate under such authorities.
    Sec. 524.  Not later than 30 days after the end of each calendar 
quarter, beginning with the first month of fiscal year 2024 the 
Departments of Labor, Health and Human Services and Education and the 
Social Security Administration shall provide the Committees on 
Appropriations of the House of Representatives and Senate a report on 
the status of balances of appropriations:  Provided, That for balances 
that are unobligated and uncommitted, committed, and obligated but 
unexpended, the monthly reports shall separately identify the amounts 
attributable to each source year of appropriation (beginning with 
fiscal year 2012, or, to the extent feasible, earlier fiscal years) 
from which balances were derived.
    Sec. 525.  The Departments of Labor, Health and Human Services, and 
Education shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a comprehensive list of any new 
or competitive grant award notifications, including supplements, issued 
at the discretion of such Departments not less than 3 full business 
days before any entity selected to receive a grant award is announced 
by the Department or its offices (other than emergency response grants 
at any time of the year or for grant awards made during the last 10 
business days of the fiscal year, or if applicable, of the program 
year).
    Sec. 526.  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.
    Sec. 527. (a) Each department and related agency funded through 
this Act shall provide answers to questions submitted for the record by 
members of any congressional committee within 45 business days after 
receipt.
    (b) There is rescinded an amount equal to $1,000 for each day of 
the noncompliance period described in subsection (c) from an account 
listed in subsection (d).
    (c) The noncompliance period under subsection (b) means the period 
beginning on the first day following the failure to comply with the 
deadline described in subsection (a) and ending on the date on which 
the department or agency becomes compliant.
    (d) Any rescission under subsection (b) shall be from the 
applicable following account of the noncompliant department or agency:
            (1)``Department of Health and Human Services--Office of the 
        Secretary--General Departmental Management''
            (2) ``Department of Labor--Departmental Management--
        Salaries and Expenses''
            (3) ``Department of Education--Departmental Management--
        Program Administration''
    Sec. 528.  Of amounts deposited in the Child Enrollment Contingency 
Fund under section 2104(n)(2) of the Social Security Act and the income 
derived from investment of those funds pursuant to section 
2104(n)(2)(C) of that Act, $13,493,000,000 shall not be available for 
obligation in this fiscal year.
    Sec. 529. (a) This section applies to: (1) the Administration for 
Children and Families in the Department of Health and Human Services; 
and (2) the Chief Evaluation Office and the statistical-related 
cooperative and interagency agreements and contracting activities of 
the Bureau of Labor Statistics in the Department of Labor.
    (b) Amounts made available under this Act which are either 
appropriated, allocated, advanced on a reimbursable basis, or 
transferred to the functions and organizations identified in subsection 
(a) for research, evaluation, or statistical purposes shall be 
available for obligation through September 30, 2028:  Provided, That 
when an office referenced in subsection (a) receives research and 
evaluation funding from multiple appropriations, such offices may use a 
single Treasury account for such activities, with funding advanced on a 
reimbursable basis.
    (c) Amounts referenced in subsection (b) that are unexpended at the 
time of completion of a contract, grant, or cooperative agreement may 
be deobligated and shall immediately become available and may be 
reobligated in that fiscal year or the subsequent fiscal year for the 
research, evaluation, or statistical purposes for which such amounts 
are available.
    Sec. 530.  None of the funds made available by this Act may be used 
to carry out any program, project, or activity that promotes or 
advances Critical Race Theory or any concept associated with Critical 
Race Theory.
    Sec. 531.  None of the funds appropriated or otherwise made 
available by this Act may be made available to implement, administer, 
apply, enforce, or carry out Executive Order 13985 of January 20, 2021 
(86 Fed. Reg. 7009, relating to advancing racial equity and support for 
under-served communities through the Federal Government), Executive 
Order 14035 of June 25, 2021 (86 Fed. Reg. 34593, relating to 
diversity, equity, inclusion, and accessibility in the federal 
workforce), or Executive Order 14091 of February 16, 2023 (88 Fed. Reg. 
10825 relating to further advancing racial equity and support for 
underserved communities through the federal government).
    Sec. 532.  None of the funds made available by this Act may be made 
available to support, directly or indirectly, the Wuhan Institute of 
Virology, or any laboratory owned or controlled by the governments of 
the People's Republic of China, the Republic of Cuba, the Islamic 
Republic of Iran, The Democratic People's Republic of Korea, the 
Russian Federation, the Bolivarian Republic of Venezuela under the 
regime of Nicolas Maduro Moros, or any other country determined by the 
Secretary of State to be a foreign adversary.
    Sec. 533.  None of the funds made available by this Act may be 
used, either directly or indirectly, to conduct or support any gain-of-
function research involving a potential pandemic pathogen by any 
country determined by the Secretary of State to be a foreign adversary 
including the People's Republic of China, the Republic of Cuba, the 
Islamic Republic of Iran, The Democratic People's Republic of Korea, 
the Russian Federation, or the Bolivarian Republic of Venezuela under 
the regime of Nicolas Maduro Moros.
    Sec. 534.  None of the funds made available by this Act may be used 
for surgical procedures or hormone therapies for the purposes of gender 
affirming care.
    Sec. 535.  None of the funds made available by this Act may be used 
to implement, administer, apply, enforce, or carry out any diversity, 
equity, and inclusion office, program, or training.
    Sec. 536.  None of the funds made available by this Act may be used 
to implement, administer, or enforce Executive Order 14076 (Protecting 
Access to Reproductive Healthcare Services) or Executive Order 14079 
(Securing Access to Reproductive and Other Healthcare Services).
    Sec. 537. (a) In general.--Notwithstanding section 7 of title 1, 
United States Code, section 1738C of title 28, United States Code, or 
any other provision of law, none of the funds provided by this Act, or 
previous appropriations Acts, shall be used in whole or in part to take 
any discriminatory action against a person, wholly or partially, on the 
basis that such person speaks, or acts, in accordance with a sincerely 
held religious belief, or moral conviction, that marriage is, or should 
be recognized as, a union of one man and one woman.
    (b) Discriminatory action defined.--As used in subsection (a), a 
discriminatory action means any action taken by the Federal Government 
to--
            (1) alter in any way the Federal tax treatment of, or cause 
        any tax, penalty, or payment to be assessed against, or deny, 
        delay, or revoke an exemption from taxation under section 
        501(a) of the Internal Revenue Code of 1986 of, any person 
        referred to in subsection (a);
            (2) disallow a deduction for Federal tax purposes of any 
        charitable contribution made to or by such person;
            (3) withhold, reduce the amount or funding for, exclude, 
        terminate, or otherwise make unavailable or deny, any Federal 
        grant, contract, subcontract, cooperative agreement, guarantee, 
        loan, scholarship, license, certification, accreditation, 
        employment, or other similar position or status from or to such 
        person;
            (4) withhold, reduce, exclude, terminate, or otherwise make 
        unavailable or deny, any entitlement or benefit under a Federal 
        benefit program, including admission to, equal treatment in, or 
        eligibility for a degree from an educational program, from or 
        to such person; or
            (5) withhold, reduce, exclude, terminate, or otherwise make 
        unavailable or deny access or an entitlement to Federal 
        property, facilities, educational institutions, speech fora 
        (including traditional, limited, and nonpublic fora), or 
        charitable fundraising campaigns from or to such person.
    (c) Accreditation; Licensure; Certification.--The Federal 
Government shall consider accredited, licensed, or certified for 
purposes of Federal law any person that would be accredited, licensed, 
or certified, respectively, for such purposes but for a determination 
against such person wholly or partially on the basis that the person 
speaks, or acts, in accordance with a sincerely held religious belief 
or moral conviction described in subsection (a).

                              (rescission)

    Sec. 538.  Of the unobligated balances in the ``Nonrecurring 
Expenses Fund'' established in section 111(a) of division B of Public 
Law 116-93, $11,000,000,000 are hereby permanently rescinded.

                              (rescission)

    Sec. 539.  Of the unobligated balances available in Public Law 117-
169, $9,774,000,000 available under section 10301(1)(A)(iii) as of the 
date of the enactment of this Act are permanently rescinded.
    Sec. 540.  None of the funds made available by this Act may be used 
by the Secretaries of Labor, Health and Human Services, or Education, 
the Commissioner of the Social Security Administration, or the head of 
any other agency funded in this Act to fly or display a flag over a 
federal facility other than the flag of the United States; the flag of 
a State, territory, or the District of Columbia; the flag of an Indian 
Tribal Government; the official flag of a U.S. Department or agency; or 
the POW/MIA flag.

                       spending reduction account

    Sec. 541.  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 division may be cited as the ``Departments of Labor, Health 
and Human Services, and Education, and Related Agencies Appropriations 
Act, 2024''.
                                 <all>