    [Congressional Bills 119th Congress]
    [From the U.S. Government Publishing Office]
    [H.R. 7148 Introduced in House (IH)]

    <DOC>

    119th CONGRESS
      2d Session
                                    H. R. 7148

     Making further consolidated appropriations for the fiscal year ending
                  September 30, 2026, and for other purposes.

    _______________________________________________________________________

                        IN THE HOUSE OF REPRESENTATIVES

                                January 20, 2026

       Mr. Cole introduced the following bill; which was referred to the
     Committee on Appropriations, and in addition to the Committees on the
    Budget, and Ways and Means, for a period to be subsequently determined
     by the Speaker, in each case for consideration of such provisions as
            fall within the jurisdiction of the committee concerned

    _______________________________________________________________________

                                     A BILL

     Making further consolidated appropriations for the fiscal year ending
                  September 30, 2026, and for other purposes.

        Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled,

    SECTION 1. SHORT TITLE.

        This Act may be cited as the ``Consolidated Appropriations Act,
    2026''.

    SEC. 2. TABLE OF CONTENTS.

    Sec. 1. Short title.
    Sec. 2. Table of contents.
    Sec. 3. References.
    Sec. 4. Explanatory statement.
    Sec. 5. Statement of appropriations.
           DIVISION A--DEPARTMENT OF DEFENSE APPROPRIATIONS ACT, 2026

    Title I--Military Personnel
    Title II--Operation and Maintenance
    Title III--Procurement
    Title IV--Research, Development, Test and Evaluation
    Title V--Revolving and Management Funds
    Title VI--Other Department of Defense Programs
    Title VII--Related Agencies
    Title VIII--General Provisions
       DIVISION B--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND
            EDUCATION, AND RELATED AGENCIES APPROPRIATIONS ACT, 2026

    Title I--Department of Labor
    Title II--Department of Health and Human Services
    Title III--Department of Education
    Title IV--Related Agencies
    Title V--General Provisions
    DIVISION D--TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED
                       AGENCIES APPROPRIATIONS ACT, 2026

    Title I--Department of Transportation
    Title II--Department of Housing and Urban Development
    Title III--Related Agencies
    Title IV--General Provisions--This Act
          DIVISION E--AUTHORIZING EXTENDERS AND TECHNICAL CORRECTIONS

                       DIVISION F--HEALTH CARE EXTENDERS

    SEC. 3. REFERENCES.

        Except as expressly provided otherwise, any reference to ``this
    Act'' contained in any division of this Act shall be treated as
    referring only to the provisions of that division.

    SEC. 4. EXPLANATORY STATEMENT.

        The explanatory statement regarding this Act, printed in the House
    section of the Congressional Record on or about January 21, 2026, and
    submitted by the chair of the Committee on Appropriations of the House,
    shall have the same effect with respect to the allocation of funds and
    implementation of divisions A through D of this Act as if it were a
    joint explanatory statement of a committee of conference.

    SEC. 5. STATEMENT OF APPROPRIATIONS.

        The following sums in this Act are appropriated, out of any money
    in the Treasury not otherwise appropriated, for the fiscal year ending
    September 30, 2026.

           DIVISION A--DEPARTMENT OF DEFENSE APPROPRIATIONS ACT, 2026

                                    TITLE I

                               MILITARY PERSONNEL

                            Military Personnel, Army

        For pay, allowances, individual clothing, subsistence, interest on
    deposits, gratuities, permanent change of station travel (including all
    expenses thereof for organizational movements), and expenses of
    temporary duty travel between permanent duty stations, for members of
    the Army on active duty (except members of reserve components provided
    for elsewhere), cadets, and aviation cadets; for members of the Reserve
    Officers' Training Corps; and for payments pursuant to section 156 of
    Public Law 97-377, as amended (42 U.S.C. 402 note), and to the
    Department of Defense Military Retirement Fund, $54,538,366,000.

                            Military Personnel, Navy

        For pay, allowances, individual clothing, subsistence, interest on
    deposits, gratuities, permanent change of station travel (including all
    expenses thereof for organizational movements), and expenses of
    temporary duty travel between permanent duty stations, for members of
    the Navy on active duty (except members of the Reserve provided for
    elsewhere), midshipmen, and aviation cadets; for members of the Reserve
    Officers' Training Corps; and for payments pursuant to section 156 of
    Public Law 97-377, as amended (42 U.S.C. 402 note), and to the
    Department of Defense Military Retirement Fund, $40,544,559,000.

                        Military Personnel, Marine Corps

        For pay, allowances, individual clothing, subsistence, interest on
    deposits, gratuities, permanent change of station travel (including all
    expenses thereof for organizational movements), and expenses of
    temporary duty travel between permanent duty stations, for members of
    the Marine Corps on active duty (except members of the Reserve provided
    for elsewhere); and for payments pursuant to section 156 of Public Law
    97-377, as amended (42 U.S.C. 402 note), and to the Department of
    Defense Military Retirement Fund, $16,990,389,000.

                         Military Personnel, Air Force

        For pay, allowances, individual clothing, subsistence, interest on
    deposits, gratuities, permanent change of station travel (including all
    expenses thereof for organizational movements), and expenses of
    temporary duty travel between permanent duty stations, for members of
    the Air Force on active duty (except members of reserve components
    provided for elsewhere), cadets, and aviation cadets; for members of
    the Reserve Officers' Training Corps; and for payments pursuant to
    section 156 of Public Law 97-377, as amended (42 U.S.C. 402 note), and
    to the Department of Defense Military Retirement Fund, $38,768,392,000.

                        Military Personnel, Space Force

        For pay, allowances, individual clothing, subsistence, interest on
    deposits, gratuities, permanent change of station travel (including all
    expenses thereof for organizational movements), and expenses of
    temporary duty travel between permanent duty stations, for members of
    the Space Force on duty as described in section 20108 of title 10,
    United States Code and cadets; for members of the Reserve Officers'
    Training Corps; for expenses authorized by section 16131 of title 10,
    United States Code; and for payments pursuant to section 156 of Public
    Law 97-377, as amended (42 U.S.C. 402 note), and to the Department of
    Defense Military Retirement Fund, $1,494,342,000.

                            Reserve Personnel, Army

        For pay, allowances, clothing, subsistence, gratuities, travel, and
    related expenses for personnel of the Army Reserve on active duty under
    sections 10211, 10302, and 7038 of title 10, United States Code, or
    while serving on active duty under section 12301(d) of title 10, United
    States Code, in connection with performing duty specified in section
    12310(a) of title 10, United States Code, or while undergoing reserve
    training, or while performing drills or equivalent duty or other duty,
    and expenses authorized by section 16131 of title 10, United States
    Code; and for payments to the Department of Defense Military Retirement
    Fund, $5,733,696,000.

                            Reserve Personnel, Navy

        For pay, allowances, clothing, subsistence, gratuities, travel, and
    related expenses for personnel of the Navy Reserve on active duty under
    section 10211 of title 10, United States Code, or while serving on
    active duty under section 12301(d) of title 10, United States Code, in
    connection with performing duty specified in section 12310(a) of title
    10, United States Code, or while undergoing reserve training, or while
    performing drills or equivalent duty, and expenses authorized by
    section 16131 of title 10, United States Code; and for payments to the
    Department of Defense Military Retirement Fund, $2,712,359,000.

                        Reserve Personnel, Marine Corps

        For pay, allowances, clothing, subsistence, gratuities, travel, and
    related expenses for personnel of the Marine Corps Reserve on active
    duty under section 10211 of title 10, United States Code, or while
    serving on active duty under section 12301(d) of title 10, United
    States Code, in connection with performing duty specified in section
    12310(a) of title 10, United States Code, or while undergoing reserve
    training, or while performing drills or equivalent duty, and for
    members of the Marine Corps platoon leaders class, and expenses
    authorized by section 16131 of title 10, United States Code; and for
    payments to the Department of Defense Military Retirement Fund,
    $1,002,925,000.

                          Reserve Personnel, Air Force

        For pay, allowances, clothing, subsistence, gratuities, travel, and
    related expenses for personnel of the Air Force Reserve on active duty
    under sections 10211, 10305, and 9038 of title 10, United States Code,
    or while serving on active duty under section 12301(d) of title 10,
    United States Code, in connection with performing duty specified in
    section 12310(a) of title 10, United States Code, or while undergoing
    reserve training, or while performing drills or equivalent duty or
    other duty, and expenses authorized by section 16131 of title 10,
    United States Code; and for payments to the Department of Defense
    Military Retirement Fund, $2,701,115,000.

                         National Guard Personnel, Army

        For pay, allowances, clothing, subsistence, gratuities, travel, and
    related expenses for personnel of the Army National Guard while on duty
    under sections 10211, 10302, or 12402 of title 10 or section 708 of
    title 32, United States Code, or while serving on duty under section
    12301(d) of title 10 or section 502(f) of title 32, United States Code,
    in connection with performing duty specified in section 12310(a) of
    title 10, United States Code, or while undergoing training, or while
    performing drills or equivalent duty or other duty, and expenses
    authorized by section 16131 of title 10, United States Code; and for
    payments to the Department of Defense Military Retirement Fund,
    $10,476,992,000.

                      National Guard Personnel, Air Force

        For pay, allowances, clothing, subsistence, gratuities, travel, and
    related expenses for personnel of the Air National Guard on duty under
    sections 10211, 10305, or 12402 of title 10 or section 708 of title 32,
    United States Code, or while serving on duty under section 12301(d) of
    title 10 or section 502(f) of title 32, United States Code, in
    connection with performing duty specified in section 12310(a) of title
    10, United States Code, or while undergoing training, or while
    performing drills or equivalent duty or other duty, and expenses
    authorized by section 16131 of title 10, United States Code; and for
    payments to the Department of Defense Military Retirement Fund,
    $5,467,187,000.

                                    TITLE II

                           OPERATION AND MAINTENANCE

                        Operation and Maintenance, Army

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance of the Army, as authorized by law,
    $58,249,178,000:  Provided, That not to exceed $12,478,000 may be used
    for emergencies and extraordinary expenses, to be expended upon the
    approval or authority of the Secretary of the Army, and payments may be
    made upon the Secretary's certificate of necessity for confidential
    military purposes.

                        Operation and Maintenance, Navy

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance of the Navy and the Marine Corps, as
    authorized by law, $74,723,177,000:  Provided, That not to exceed
    $15,055,000 may be used for emergencies and extraordinary expenses, to
    be expended upon the approval or authority of the Secretary of the
    Navy, and payments may be made upon the Secretary's certificate of
    necessity for confidential military purposes.

                    Operation and Maintenance, Marine Corps

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance of the Marine Corps, as authorized by law,
    $10,983,917,000.

                      Operation and Maintenance, Air Force

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance of the Air Force, as authorized by law,
    $61,542,591,000:  Provided, That not to exceed $8,238,000 may be used
    for emergencies and extraordinary expenses, to be expended upon the
    approval or authority of the Secretary of the Air Force, and payments
    may be made upon the Secretary's certificate of necessity for
    confidential military purposes.

                     Operation and Maintenance, Space Force

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance of the Space Force, as authorized by law,
    $5,687,748,000.

                    Operation and Maintenance, Defense-Wide

                         (including transfer of funds)

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance of activities and agencies of the Department
    of Defense (other than the military departments), as authorized by law,
    $56,089,818,000:  Provided, That not more than $2,981,000 may be used
    for the Combatant Commander Initiative Fund authorized under section
    166a of title 10, United States Code:  Provided further, That not to
    exceed $36,000,000 may be used for emergencies and extraordinary
    expenses, to be expended upon the approval or authority of the
    Secretary of Defense, and payments may be made upon the Secretary's
    certificate of necessity for confidential military purposes:  Provided
    further, That of the funds provided under this heading, not less than
    $60,000,000 shall be made available for the APEX Accelerators, of which
    not less than $5,000,000 shall be available for centers with eligible
    entities defined in 10 U.S.C. 4951(1)(D):  Provided further, That none
    of the funds appropriated or otherwise made available by this Act may
    be used to plan or implement the consolidation or elimination of a
    budget or appropriations liaison office of the Office of the Secretary
    of Defense, the office of the Secretary of a military department, or
    the service headquarters of one of the Armed Forces into a legislative
    affairs or legislative liaison office:  Provided further, That of the
    funds provided under this heading, not less than $86,500,000 shall be
    made available to the Defense Information Systems Agency for Defense
    Agencies and Field Activities network optimization and transition
    costs:  Provided further, That of the funds provided under this
    heading, $3,121,000, to remain available until September 30, 2027,
    shall be available only for expenses relating to certain classified
    activities:  Provided further, That of the funds provided under this
    heading, $27,693,000, to remain available until expended, shall be
    available only for expenses relating to certain classified activities,
    and may be transferred as necessary by the Secretary of Defense to
    operation and maintenance appropriations or research, development, test
    and evaluation appropriations, to be merged with and to be available
    for the same time period as the appropriations to which transferred:
    Provided further, That any ceiling on the investment item unit cost of
    items that may be purchased with operation and maintenance funds shall
    not apply to the funds described in the preceding proviso:  Provided
    further, That of the funds provided under this heading, $3,673,457,000,
    of which $1,499,808,000, to remain available until September 30, 2027,
    shall be available to provide support and assistance to foreign
    security forces or other groups or individuals to conduct, support or
    facilitate counterterrorism, crisis response, or other Department of
    Defense security cooperation programs:  Provided further, That the
    Secretary of Defense shall provide quarterly reports to the Committees
    on Appropriations of the House of Representatives and the Senate on the
    use and status of funds made available in this paragraph:  Provided
    further, That the transfer authority provided under this heading is in
    addition to any other transfer authority provided elsewhere in this
    Act.

                       Counter-ISIS Train and Equip Fund

        For the ``Counter-Islamic State of Iraq and Syria Train and Equip
    Fund'', $342,516,000, to remain available until September 30, 2027:
    Provided, That such funds shall be available to the Secretary of
    Defense in coordination with the Secretary of State, to provide
    assistance, including training; equipment; logistics support, supplies,
    and services; stipends; infrastructure repair and renovation;
    construction for facility fortification and humane treatment; and
    sustainment, to foreign security forces, irregular forces, groups, or
    individuals participating, or preparing to participate in activities to
    counter the Islamic State of Iraq and Syria, and their affiliated or
    associated groups:  Provided further, That amounts made available under
    this heading shall be available to provide assistance only for
    activities in a country designated by the Secretary of Defense, in
    coordination with the Secretary of State, as having a security mission
    to counter the Islamic State of Iraq and Syria, and following written
    notification to the congressional defense committees of such
    designation:  Provided further, That the Secretary of Defense shall
    ensure that prior to providing assistance to elements of any forces or
    individuals, such elements or individuals are appropriately vetted,
    including at a minimum, assessing such elements for associations with
    terrorist groups or groups associated with the Government of Iran; and
    receiving commitments from such elements to promote respect for human
    rights and the rule of law:  Provided further, That the Secretary of
    Defense shall, not fewer than 15 days prior to obligating from this
    appropriation account, notify the congressional defense committees in
    writing of the details of any such obligation:  Provided further, That
    the Secretary of Defense may accept and retain contributions, including
    assistance in-kind, from foreign governments, including the Government
    of Iraq and other entities, to carry out assistance authorized under
    this heading:  Provided further, That contributions of funds for the
    purposes provided herein from any foreign government or other entity
    may be credited to this Fund, to remain available until expended, and
    used for such purposes:  Provided further, That the Secretary of
    Defense shall prioritize such contributions when providing any
    assistance for construction for facility fortification:  Provided
    further, That the Secretary of Defense may waive a provision of law
    relating to the acquisition of items and support services or sections
    40 and 40A of the Arms Export Control Act (22 U.S.C. 2780 and 2785) if
    the Secretary determines that such provision of law would prohibit,
    restrict, delay or otherwise limit the provision of such assistance and
    a notice of and justification for such waiver is submitted to the
    congressional defense committees, the Committees on Appropriations and
    Foreign Relations of the Senate and the Committees on Appropriations
    and Foreign Affairs of the House of Representatives:  Provided further,
    That the United States may accept equipment procured using funds
    provided under this heading, or under the heading, ``Iraq Train and
    Equip Fund'' in prior Acts, that was transferred to security forces,
    irregular forces, or groups participating, or preparing to participate
    in activities to counter the Islamic State of Iraq and Syria and
    returned by such forces or groups to the United States, and such
    equipment may be treated as stocks of the Department of Defense upon
    written notification to the congressional defense committees:  Provided
    further, That equipment procured using funds provided under this
    heading, or under the heading, ``Iraq Train and Equip Fund'' in prior
    Acts, and not yet transferred to security forces, irregular forces, or
    groups participating, or preparing to participate in activities to
    counter the Islamic State of Iraq and Syria may be treated as stocks of
    the Department of Defense when determined by the Secretary to no longer
    be required for transfer to such forces or groups and upon written
    notification to the congressional defense committees:  Provided
    further, That none of the funds made available under this heading may
    be used to procure or transfer man-portable air defense systems:
    Provided further, That the Secretary of Defense shall provide quarterly
    reports to the congressional defense committees on the use of funds
    provided under this heading, including, but not limited to, the number
    of individuals trained, the nature and scope of support and sustainment
    provided to each group or individual, the area of operations for each
    group, and the contributions of other countries, groups, or
    individuals.

                    Operation and Maintenance, Army Reserve

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance, including training, organization, and
    administration, of the Army Reserve; repair of facilities and
    equipment; hire of passenger motor vehicles; travel and transportation;
    care of the dead; recruiting; procurement of services, supplies, and
    equipment; and communications, $3,258,861,000.

                    Operation and Maintenance, Navy Reserve

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance, including training, organization, and
    administration, of the Navy Reserve; repair of facilities and
    equipment; hire of passenger motor vehicles; travel and transportation;
    care of the dead; recruiting; procurement of services, supplies, and
    equipment; and communications, $1,421,774,000.

                Operation and Maintenance, Marine Corps Reserve

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance, including training, organization, and
    administration, of the Marine Corps Reserve; repair of facilities and
    equipment; hire of passenger motor vehicles; travel and transportation;
    care of the dead; recruiting; procurement of services, supplies, and
    equipment; and communications, $319,941,000.

                  Operation and Maintenance, Air Force Reserve

        For expenses, not otherwise provided for, necessary for the
    operation and maintenance, including training, organization, and
    administration, of the Air Force Reserve; repair of facilities and
    equipment; hire of passenger motor vehicles; travel and transportation;
    care of the dead; recruiting; procurement of services, supplies, and
    equipment; and communications, $4,246,342,000.

                 Operation and Maintenance, Army National Guard

        For expenses of training, organizing, and administering the Army
    National Guard, including medical and hospital treatment and related
    expenses in non-Federal hospitals; maintenance, operation, and repairs
    to structures and facilities; hire of passenger motor vehicles;
    personnel services in the National Guard Bureau; travel expenses (other
    than mileage), as authorized by law for Army personnel on active duty,
    for Army National Guard division, regimental, and battalion commanders
    while inspecting units in compliance with National Guard Bureau
    regulations when specifically authorized by the Chief, National Guard
    Bureau; supplying and equipping the Army National Guard as authorized
    by law; and expenses of repair, modification, maintenance, and issue of
    supplies and equipment (including aircraft), $8,578,238,000.

                 Operation and Maintenance, Air National Guard

        For expenses of training, organizing, and administering the Air
    National Guard, including medical and hospital treatment and related
    expenses in non-Federal hospitals; maintenance, operation, and repairs
    to structures and facilities; transportation of things, hire of
    passenger motor vehicles; supplying and equipping the Air National
    Guard, as authorized by law; expenses for repair, modification,
    maintenance, and issue of supplies and equipment, including those
    furnished from stocks under the control of agencies of the Department
    of Defense; travel expenses (other than mileage) on the same basis as
    authorized by law for Air National Guard personnel on active Federal
    duty, for Air National Guard commanders while inspecting units in
    compliance with National Guard Bureau regulations when specifically
    authorized by the Chief, National Guard Bureau, $7,267,399,000.

              United States Court of Appeals for the Armed Forces

        For salaries and expenses necessary for the United States Court of
    Appeals for the Armed Forces, $21,243,000, of which not to exceed
    $10,000 may be used for official representation purposes.

                        Environmental Restoration, Army

                         (including transfer of funds)

        For the Department of the Army, $190,870,000, to remain available
    until transferred:  Provided, That the Secretary of the Army shall,
    upon determining that such funds are required for environmental
    restoration, reduction and recycling of hazardous waste, removal of
    unsafe buildings and debris of the Department of the Army, or for
    similar purposes, transfer the funds made available by this
    appropriation to other appropriations made available to the Department
    of the Army, to be merged with and to be available for the same
    purposes and for the same time period as the appropriations to which
    transferred:  Provided further, That upon a determination that all or
    part of the funds transferred from this appropriation are not necessary
    for the purposes provided herein, such amounts may be transferred back
    to this appropriation:  Provided further, That the transfer authority
    provided under this heading is in addition to any other transfer
    authority provided elsewhere in this Act.

                        Environmental Restoration, Navy

                         (including transfer of funds)

        For the Department of the Navy, $368,949,000, to remain available
    until transferred:  Provided, That the Secretary of the Navy shall,
    upon determining that such funds are required for environmental
    restoration, reduction and recycling of hazardous waste, removal of
    unsafe buildings and debris of the Department of the Navy, or for
    similar purposes, transfer the funds made available by this
    appropriation to other appropriations made available to the Department
    of the Navy, to be merged with and to be available for the same
    purposes and for the same time period as the appropriations to which
    transferred:  Provided further, That upon a determination that all or
    part of the funds transferred from this appropriation are not necessary
    for the purposes provided herein, such amounts may be transferred back
    to this appropriation:  Provided further, That the transfer authority
    provided under this heading is in addition to any other transfer
    authority provided elsewhere in this Act.

                      Environmental Restoration, Air Force

                         (including transfer of funds)

        For the Department of the Air Force, $396,149,000, to remain
    available until transferred:  Provided, That the Secretary of the Air
    Force shall, upon determining that such funds are required for
    environmental restoration, reduction and recycling of hazardous waste,
    removal of unsafe buildings and debris of the Department of the Air
    Force, or for similar purposes, transfer the funds made available by
    this appropriation to other appropriations made available to the
    Department of the Air Force, to be merged with and to be available for
    the same purposes and for the same time period as the appropriations to
    which transferred:  Provided further, That upon a determination that
    all or part of the funds transferred from this appropriation are not
    necessary for the purposes provided herein, such amounts may be
    transferred back to this appropriation:  Provided further, That the
    transfer authority provided under this heading is in addition to any
    other transfer authority provided elsewhere in this Act.

                    Environmental Restoration, Defense-Wide

                         (including transfer of funds)

        For the Department of Defense, $8,885,000, to remain available
    until transferred:  Provided, That the Secretary of Defense shall, upon
    determining that such funds are required for environmental restoration,
    reduction and recycling of hazardous waste, removal of unsafe buildings
    and debris of the Department of Defense, or for similar purposes,
    transfer the funds made available by this appropriation to other
    appropriations made available to the Department of Defense, to be
    merged with and to be available for the same purposes and for the same
    time period as the appropriations to which transferred:  Provided
    further, That upon a determination that all or part of the funds
    transferred from this appropriation are not necessary for the purposes
    provided herein, such amounts may be transferred back to this
    appropriation:  Provided further, That the transfer authority provided
    under this heading is in addition to any other transfer authority
    provided elsewhere in this Act.

             Environmental Restoration, Formerly Used Defense Sites

                         (including transfer of funds)

        For the Department of the Army, $235,156,000, to remain available
    until transferred:  Provided, That the Secretary of the Army shall,
    upon determining that such funds are required for environmental
    restoration, reduction and recycling of hazardous waste, removal of
    unsafe buildings and debris at sites formerly used by the Department of
    Defense, transfer the funds made available by this appropriation to
    other appropriations made available to the Department of the Army, to
    be merged with and to be available for the same purposes and for the
    same time period as the appropriations to which transferred:  Provided
    further, That upon a determination that all or part of the funds
    transferred from this appropriation are not necessary for the purposes
    provided herein, such amounts may be transferred back to this
    appropriation:  Provided further, That the transfer authority provided
    under this heading is in addition to any other transfer authority
    provided elsewhere in this Act.

                 Overseas Humanitarian, Disaster, and Civic Aid

        For expenses relating to the Overseas Humanitarian, Disaster, and
    Civic Aid programs of the Department of Defense (consisting of the
    programs provided under sections 401, 402, 404, 407, 2557, and 2561 of
    title 10, United States Code), $100,793,000, to remain available until
    September 30, 2027.

                      Cooperative Threat Reduction Account

        For assistance, including assistance provided by contract or by
    grants, under programs and activities of the Department of Defense
    Cooperative Threat Reduction Program authorized under the Department of
    Defense Cooperative Threat Reduction Act, $282,830,000, to remain
    available until September 30, 2028.

        Department of Defense Acquisition Workforce Development Account

        For the Department of Defense Acquisition Workforce Development
    Account, $50,846,000:  Provided, That no other amounts may be otherwise
    credited or transferred to the Account, or deposited into the Account,
    in fiscal year 2026 pursuant to section 1705(d) of title 10, United
    States Code.

                                   TITLE III

                                  PROCUREMENT

                           Aircraft Procurement, Army

        For construction, procurement, production, modification, and
    modernization of aircraft, equipment, including ordnance, ground
    handling equipment, spare parts, and accessories therefor; specialized
    equipment and training devices; expansion of public and private plants,
    including the land necessary therefor, for the foregoing purposes, and
    such lands and interests therein, may be acquired, and construction
    prosecuted thereon prior to approval of title; and procurement and
    installation of equipment, appliances, and machine tools in public and
    private plants; reserve plant and Government and contractor-owned
    equipment layaway; and other expenses necessary for the foregoing
    purposes, $3,625,324,000, to remain available for obligation until
    September 30, 2028.

                           Missile Procurement, Army

        For construction, procurement, production, modification, and
    modernization of missiles, equipment, including ordnance, ground
    handling equipment, spare parts, and accessories therefor; specialized
    equipment and training devices; expansion of public and private plants,
    including the land necessary therefor, for the foregoing purposes, and
    such lands and interests therein, may be acquired, and construction
    prosecuted thereon prior to approval of title; and procurement and
    installation of equipment, appliances, and machine tools in public and
    private plants; reserve plant and Government and contractor-owned
    equipment layaway; and other expenses necessary for the foregoing
    purposes, $7,287,263,000, to remain available for obligation until
    September 30, 2028.

            Procurement of Weapons and Tracked Combat Vehicles, Army

        For construction, procurement, production, and modification of
    weapons and tracked combat vehicles, equipment, including ordnance,
    spare parts, and accessories therefor; specialized equipment and
    training devices; expansion of public and private plants, including the
    land necessary therefor, for the foregoing purposes, and such lands and
    interests therein, may be acquired, and construction prosecuted thereon
    prior to approval of title; and procurement and installation of
    equipment, appliances, and machine tools in public and private plants;
    reserve plant and Government and contractor-owned equipment layaway;
    and other expenses necessary for the foregoing purposes,
    $3,005,021,000, to remain available for obligation until September 30,
    2028.

                        Procurement of Ammunition, Army

        For construction, procurement, production, and modification of
    ammunition, and accessories therefor; specialized equipment and
    training devices; expansion of public and private plants, including
    ammunition facilities, authorized by section 2854 of title 10, United
    States Code, and the land necessary therefor, for the foregoing
    purposes, and such lands and interests therein, may be acquired, and
    construction prosecuted thereon prior to approval of title; and
    procurement and installation of equipment, appliances, and machine
    tools in public and private plants; reserve plant and Government and
    contractor-owned equipment layaway; and other expenses necessary for
    the foregoing purposes, $4,576,705,000, to remain available for
    obligation until September 30, 2028.

                            Other Procurement, Army

        For construction, procurement, production, and modification of
    vehicles, including tactical, support, and non-tracked combat vehicles;
    the purchase of passenger motor vehicles for replacement only;
    communications and electronic equipment; other support equipment; spare
    parts, ordnance, and accessories therefor; specialized equipment and
    training devices; expansion of public and private plants, including the
    land necessary therefor, for the foregoing purposes, and such lands and
    interests therein, may be acquired, and construction prosecuted thereon
    prior to approval of title; and procurement and installation of
    equipment, appliances, and machine tools in public and private plants;
    reserve plant and Government and contractor-owned equipment layaway;
    and other expenses necessary for the foregoing purposes,
    $9,412,655,000, to remain available for obligation until September 30,
    2028.

                           Aircraft Procurement, Navy

        For construction, procurement, production, modification, and
    modernization of aircraft, equipment, including ordnance, spare parts,
    and accessories therefor; specialized equipment; expansion of public
    and private plants, including the land necessary therefor, and such
    lands and interests therein, may be acquired, and construction
    prosecuted thereon prior to approval of title; and procurement and
    installation of equipment, appliances, and machine tools in public and
    private plants; reserve plant and Government and contractor-owned
    equipment layaway, $17,239,853,000, to remain available for obligation
    until September 30, 2028.

                           Weapons Procurement, Navy

        For construction, procurement, production, modification, and
    modernization of missiles, torpedoes, other weapons, and related
    support equipment including spare parts, and accessories therefor;
    expansion of public and private plants, including the land necessary
    therefor, and such lands and interests therein, may be acquired, and
    construction prosecuted thereon prior to approval of title; and
    procurement and installation of equipment, appliances, and machine
    tools in public and private plants; reserve plant and Government and
    contractor-owned equipment layaway, $6,086,954,000, to remain available
    for obligation until September 30, 2028.

                Procurement of Ammunition, Navy and Marine Corps

        For construction, procurement, production, and modification of
    ammunition, and accessories therefor; specialized equipment and
    training devices; expansion of public and private plants, including
    ammunition facilities, authorized by section 2854 of title 10, United
    States Code, and the land necessary therefor, for the foregoing
    purposes, and such lands and interests therein, may be acquired, and
    construction prosecuted thereon prior to approval of title; and
    procurement and installation of equipment, appliances, and machine
    tools in public and private plants; reserve plant and Government and
    contractor-owned equipment layaway; and other expenses necessary for
    the foregoing purposes, $1,098,630,000, to remain available for
    obligation until September 30, 2028.

                       Shipbuilding and Conversion, Navy

        For expenses necessary for the construction, acquisition, or
    conversion of vessels as authorized by law, including armor and
    armament thereof, plant equipment, appliances, and machine tools and
    installation thereof in public and private plants; reserve plant and
    Government and contractor-owned equipment layaway; procurement of
    critical, long lead time components and designs for vessels to be
    constructed or converted in the future; and expansion of public and
    private plants, including land necessary therefor, and such lands and
    interests therein, may be acquired, and construction prosecuted thereon
    prior to approval of title, as follows:
                Columbia Class Submarine, $3,928,828,000;
                Columbia Class Submarine (AP), $5,350,766,000;
                Carrier Replacement Program (CVN-80), $1,046,700,000;
                Carrier Replacement Program (AP), $612,038,000;
                Carrier Replacement Program (CVN-81), $1,622,935,000;
                Virginia Class Submarine, $2,740,305,000;
                Virginia Class Submarine (AP), $3,126,816,000;
                CVN Refueling Overhauls, $1,579,011,000;
                DDG-1000 Program, $52,358,000;
                DDG-51 Destroyer, $10,773,000;
                DDG-51 Destroyer (AP), $1,750,000,000;
                FFG-Frigate, $100,000,000;
                FF(X)-Frigate, $242,000,000;
                Medium Landing Ship, $800,000,000;
                TAO Fleet Oiler, $8,346,000;
                TAGOS Surtass Ships, $612,205,000;
                Towing, Salvage, and Rescue Ship, $141,500,000;
                Ship to Shore Connector, $320,000,000;
                Service Craft, $174,602,000;
                Auxiliary Personnel Lighter, $79,000,000;
                Auxiliary Vessels, $290,000,000;
                For outfitting, post delivery, conversions, and first
            destination transportation, $886,846,000; and
                Completion of Prior Year Shipbuilding Programs,
            $1,676,587,000.
        In all: $27,151,616,000, to remain available for obligation until
    September 30, 2030:  Provided, That additional obligations may be
    incurred after September 30, 2030, for engineering services, tests,
    evaluations, and other such budgeted work that must be performed in the
    final stage of ship construction:  Provided further, That none of the
    funds provided under this heading for the construction or conversion of
    any naval vessel to be constructed in shipyards in the United States
    shall be expended in foreign facilities for the construction of major
    components of such vessel:  Provided further, That none of the funds
    provided under this heading shall be used for the construction of any
    naval vessel in foreign shipyards:  Provided further, That funds
    appropriated or otherwise made available by this Act for Columbia Class
    Submarine (AP) may be available for the purposes authorized by
    subsections (f), (g), (h) or (i) of section 2218a of title 10, United
    States Code, only in accordance with the provisions of the applicable
    subsection.

                            Other Procurement, Navy

        For procurement, production, and modernization of support equipment
    and materials not otherwise provided for, Navy ordnance (except
    ordnance for new aircraft, new ships, and ships authorized for
    conversion); the purchase of passenger motor vehicles for replacement
    only; expansion of public and private plants, including the land
    necessary therefor, and such lands and interests therein, may be
    acquired, and construction prosecuted thereon prior to approval of
    title; and procurement and installation of equipment, appliances, and
    machine tools in public and private plants; reserve plant and
    Government and contractor-owned equipment layaway, $14,693,978,000, to
    remain available for obligation until September 30, 2028:  Provided,
    That such funds are also available for the maintenance, repair, and
    modernization of ships under a pilot program established for such
    purposes.

                           Procurement, Marine Corps

        For expenses necessary for the procurement, manufacture, and
    modification of missiles, armament, military equipment, spare parts,
    and accessories therefor; plant equipment, appliances, and machine
    tools, and installation thereof in public and private plants; reserve
    plant and Government and contractor-owned equipment layaway; vehicles
    for the Marine Corps, including the purchase of passenger motor
    vehicles for replacement only; and expansion of public and private
    plants, including land necessary therefor, and such lands and interests
    therein, may be acquired, and construction prosecuted thereon prior to
    approval of title, $3,682,643,000, to remain available for obligation
    until September 30, 2028.

                        Aircraft Procurement, Air Force

        For construction, procurement, and modification of aircraft and
    equipment, including armor and armament, specialized ground handling
    equipment, and training devices, spare parts, and accessories therefor;
    specialized equipment; expansion of public and private plants,
    Government-owned equipment and installation thereof in such plants,
    erection of structures, and acquisition of land, for the foregoing
    purposes, and such lands and interests therein, may be acquired, and
    construction prosecuted thereon prior to approval of title; reserve
    plant and Government and contractor-owned equipment layaway; and other
    expenses necessary for the foregoing purposes including rents and
    transportation of things, $19,964,954,000, to remain available for
    obligation until September 30, 2028.

                         Missile Procurement, Air Force

        For construction, procurement, and modification of missiles,
    rockets, and related equipment, including spare parts and accessories
    therefor; ground handling equipment, and training devices; expansion of
    public and private plants, Government-owned equipment and installation
    thereof in such plants, erection of structures, and acquisition of
    land, for the foregoing purposes, and such lands and interests therein,
    may be acquired, and construction prosecuted thereon prior to approval
    of title; reserve plant and Government and contractor-owned equipment
    layaway; and other expenses necessary for the foregoing purposes
    including rents and transportation of things, $3,963,961,000, to remain
    available for obligation until September 30, 2028.

                      Procurement of Ammunition, Air Force

        For construction, procurement, production, and modification of
    ammunition, and accessories therefor; specialized equipment and
    training devices; expansion of public and private plants, including
    ammunition facilities, authorized by section 2854 of title 10, United
    States Code, and the land necessary therefor, for the foregoing
    purposes, and such lands and interests therein, may be acquired, and
    construction prosecuted thereon prior to approval of title; and
    procurement and installation of equipment, appliances, and machine
    tools in public and private plants; reserve plant and Government and
    contractor-owned equipment layaway; and other expenses necessary for
    the foregoing purposes, $773,327,000, to remain available for
    obligation until September 30, 2028.

                          Other Procurement, Air Force

        For procurement and modification of equipment (including ground
    guidance and electronic control equipment, and ground electronic and
    communication equipment), and supplies, materials, and spare parts
    therefor, not otherwise provided for; the purchase of passenger motor
    vehicles for replacement only; lease of passenger motor vehicles; and
    expansion of public and private plants, Government-owned equipment and
    installation thereof in such plants, erection of structures, and
    acquisition of land, for the foregoing purposes, and such lands and
    interests therein, may be acquired, and construction prosecuted
    thereon, prior to approval of title; reserve plant and Government and
    contractor-owned equipment layaway, $32,605,147,000, to remain
    available for obligation until September 30, 2028.

                            Procurement, Space Force

        For construction, procurement, and modification of spacecraft,
    rockets, and related equipment, including spare parts and accessories
    therefor; ground handling equipment, and training devices; expansion of
    public and private plants, Government-owned equipment and installation
    thereof in such plants, erection of structures, and acquisition of
    land, for the foregoing purposes, and such lands and interests therein,
    may be acquired, and construction prosecuted thereon prior to approval
    of title; reserve plant and Government and contractor-owned equipment
    layaway; and other expenses necessary for the foregoing purposes
    including rents and transportation of things, $4,036,035,000, to remain
    available for obligation until September 30, 2028.

                           Procurement, Defense-Wide

        For expenses of activities and agencies of the Department of
    Defense (other than the military departments) necessary for
    procurement, production, and modification of equipment, supplies,
    materials, and spare parts therefor, not otherwise provided for; the
    purchase of passenger motor vehicles for replacement only; expansion of
    public and private plants, equipment, and installation thereof in such
    plants, erection of structures, and acquisition of land for the
    foregoing purposes, and such lands and interests therein, may be
    acquired, and construction prosecuted thereon prior to approval of
    title; reserve plant and Government and contractor-owned equipment
    layaway, $7,142,723,000, to remain available for obligation until
    September 30, 2028.

                        Defense Production Act Purchases

        For activities by the Department of Defense pursuant to sections
    108, 301, 302, and 303 of the Defense Production Act of 1950 (50 U.S.C.
    4518, 4531, 4532, and 4533), $321,923,000, to remain available for
    obligation until expended, which shall be obligated and expended by the
    Secretary of Defense as if delegated the necessary authorities
    conferred by the Defense Production Act of 1950.

                  National Guard and Reserve Equipment Account

        For procurement of rotary-wing aircraft; combat, tactical and
    support vehicles; other weapons; and other procurement items for the
    reserve components of the Armed Forces, $800,000,000, to remain
    available for obligation until September 30, 2028:  Provided, That the
    Chiefs of National Guard and Reserve components shall, not later than
    30 days after enactment of this Act, individually submit to the
    congressional defense committees the modernization priority assessment
    for their respective National Guard or Reserve component:  Provided
    further, That none of the funds made available by this paragraph may be
    used to procure manned fixed wing aircraft, or procure or modify
    missiles, munitions, or ammunition.

                                    TITLE IV

                   RESEARCH, DEVELOPMENT, TEST AND EVALUATION

                Research, Development, Test and Evaluation, Army

        For expenses necessary for basic and applied scientific research,
    development, test and evaluation, including maintenance,
    rehabilitation, lease, and operation of facilities and equipment,
    $16,705,760,000, to remain available for obligation until September 30,
    2027.

                Research, Development, Test and Evaluation, Navy

        For expenses necessary for basic and applied scientific research,
    development, test and evaluation, including maintenance,
    rehabilitation, lease, and operation of facilities and equipment,
    $28,099,776,000, to remain available for obligation until September 30,
    2027:  Provided, That funds appropriated in this paragraph which are
    available for the V-22 may be used to meet unique operational
    requirements of the Special Operations Forces.

             Research, Development, Test and Evaluation, Air Force

        For expenses necessary for basic and applied scientific research,
    development, test and evaluation, including maintenance,
    rehabilitation, lease, and operation of facilities and equipment,
    $50,614,595,000, to remain available for obligation until September 30,
    2027.

            Research, Development, Test and Evaluation, Space Force

        For expenses necessary for basic and applied scientific research,
    development, test and evaluation, including maintenance,
    rehabilitation, lease, and operation of facilities and equipment,
    $14,917,160,000, to remain available until September 30, 2027.

            Research, Development, Test and Evaluation, Defense-Wide

        For expenses of activities and agencies of the Department of
    Defense (other than the military departments), necessary for basic and
    applied scientific research, development, test and evaluation; advanced
    research projects as may be designated and determined by the Secretary
    of Defense, pursuant to law; maintenance, rehabilitation, lease, and
    operation of facilities and equipment, $35,248,875,000, to remain
    available for obligation until September 30, 2027.

                    Operational Test and Evaluation, Defense

        For expenses, not otherwise provided for, necessary for the
    independent activities of the Director, Operational Test and
    Evaluation, in the direction and supervision of operational test and
    evaluation, including initial operational test and evaluation which is
    conducted prior to, and in support of, production decisions; joint
    operational testing and evaluation; and administrative expenses in
    connection therewith, $336,143,000, to remain available for obligation
    until September 30, 2027.

                                    TITLE V

                         REVOLVING AND MANAGEMENT FUNDS

                         Defense Working Capital Funds

        For the Defense Working Capital Funds, $2,126,540,000.

                  National Defense Stockpile Transaction Fund

        For the National Defense Stockpile Transaction Fund, $5,700,000,
    for activities pursuant to the Strategic and Critical Materials Stock
    Piling Act (50 U.S.C. 98 et seq.).

                                    TITLE VI

                      OTHER DEPARTMENT OF DEFENSE PROGRAMS

                             Defense Health Program

        For expenses, not otherwise provided for, for medical and health
    care programs of the Department of Defense as authorized by law,
    $41,770,246,000; of which $38,942,713,000 shall be for operation and
    maintenance, of which not to exceed one percent shall remain available
    for obligation until September 30, 2027, and of which up to
    $21,023,765,000 may be available for contracts entered into under the
    TRICARE program; of which $354,821,000, to remain available for
    obligation until September 30, 2028, shall be for procurement; and of
    which $2,472,712,000, to remain available for obligation until
    September 30, 2027, shall be for research, development, test and
    evaluation:  Provided, That of the funds provided under this heading
    for research, development, test and evaluation, not less than
    $1,270,000,000 shall be made available to the Defense Health Agency to
    carry out the congressionally directed medical research programs:
    Provided further, That, notwithstanding any other provision of law, of
    the amount made available under this heading for research, development,
    test and evaluation, not less than $15,000,000 shall be available for
    HIV prevention educational activities undertaken in connection with
    United States military training, exercises, and humanitarian assistance
    activities conducted primarily in African nations:  Provided further,
    That the Secretary of Defense shall submit to the congressional defense
    committees quarterly reports on the current status of the electronic
    health record program:  Provided further, That the Comptroller General
    of the United States shall perform quarterly performance reviews of the
    electronic health record program.

               Chemical Agents and Munitions Destruction, Defense

        For expenses, not otherwise provided for, necessary for the
    destruction of the United States stockpile of lethal chemical agents
    and munitions in accordance with the provisions of section 1412 of the
    Department of Defense Authorization Act, 1986 (50 U.S.C. 1521),
    $213,282,000, of which $3,243,000 shall be for operation and
    maintenance, of which not less than $3,243,000 shall be for the
    Chemical Stockpile Emergency Preparedness Program, consisting of
    $2,340,000 for activities on military installations and $903,000, to
    remain available until September 30, 2027, to assist State and local
    governments; and $210,039,000, to remain available until September 30,
    2027, shall be for research, development, test and evaluation, of which
    $210,039,000 shall only be for the Assembled Chemical Weapons
    Alternatives program.

             Drug Interdiction and Counter-Drug Activities, Defense

                         (including transfer of funds)

        For drug interdiction and counter-drug activities of the Department
    of Defense, for transfer to appropriations available to the Department
    of Defense for military personnel of the reserve components serving
    under the provisions of title 10 and title 32, United States Code; for
    operation and maintenance; for procurement; and for research,
    development, test and evaluation, $1,148,675,000, of which $678,737,000
    shall be for counter-narcotics support; $134,938,000 shall be for the
    drug demand reduction program; $305,000,000 shall be for the National
    Guard counter-drug program; and $30,000,000 shall be for the National
    Guard counter-drug schools program:  Provided, That the funds
    appropriated under this heading shall be available for obligation for
    the same time period and for the same purpose as the appropriation to
    which transferred:  Provided further, That upon a determination that
    all or part of the funds transferred from this appropriation are not
    necessary for the purposes provided herein, such amounts may be
    transferred back to this appropriation:  Provided further, That the
    transfer authority provided under this heading is in addition to any
    other transfer authority contained elsewhere in this Act.

                        Office of the Inspector General

        For expenses and activities of the Office of the Inspector General
    in carrying out the provisions of the Inspector General Act of 1978, as
    amended, $517,599,000, of which $511,895,000 shall be for operation and
    maintenance, of which not to exceed $700,000 is available for
    emergencies and extraordinary expenses to be expended upon the approval
    or authority of the Inspector General, and payments may be made upon
    the Inspector General's certificate of necessity for confidential
    military purposes; of which $1,079,000, to remain available for
    obligation until September 30, 2028, shall be for procurement; and of
    which $4,625,000, to remain available until September 30, 2027, shall
    be for research, development, test and evaluation.

                                   TITLE VII

                                RELATED AGENCIES

       Central Intelligence Agency Retirement and Disability System Fund

        For payment to the Central Intelligence Agency Retirement and
    Disability System Fund, to maintain the proper funding level for
    continuing the operation of the Central Intelligence Agency Retirement
    and Disability System, $514,000,000.

                   Intelligence Community Management Account

        For necessary expenses of the Intelligence Community Management
    Account, $629,128,000.

                                   TITLE VIII

                               GENERAL PROVISIONS

        Sec. 8001.  No part of any appropriation contained in this Act
    shall be used for publicity or propaganda purposes not authorized by
    the Congress.
        Sec. 8002.  During the current fiscal year, provisions of law
    prohibiting the payment of compensation to, or employment of, any
    person not a citizen of the United States shall not apply to personnel
    of the Department of Defense:  Provided, That salary increases granted
    to direct and indirect hire foreign national employees of the
    Department of Defense funded by this Act shall not be at a rate in
    excess of the percentage increase authorized by law for civilian
    employees of the Department of Defense whose pay is computed under the
    provisions of section 5332 of title 5, United States Code, or at a rate
    in excess of the percentage increase provided by the appropriate host
    nation to its own employees, whichever is higher:  Provided further,
    That this section shall not apply to Department of Defense foreign
    service national employees serving at United States diplomatic missions
    whose pay is set by the Department of State under the Foreign Service
    Act of 1980:  Provided further, That the limitations of this provision
    shall not apply to foreign national employees of the Department of
    Defense in the Republic of Turkey.
        Sec. 8003.  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. 8004.  No more than 20 percent of the appropriations in this
    Act which are limited for obligation during the current fiscal year
    shall be obligated during the last 2 months of the fiscal year:
    Provided, That this section shall not apply to obligations for support
    of active duty training of reserve components or summer camp training
    of the Reserve Officers' Training Corps.

                              (transfer of funds)

        Sec. 8005.  Upon determination by the Secretary of Defense that
    such action is necessary in the national interest, the Secretary may,
    with the approval of the Director of the Office of Management and
    Budget, transfer not to exceed $6,000,000,000 of working capital funds
    of the Department of Defense or funds made available in this Act to the
    Department of Defense for military functions (except military
    construction) between such appropriations or funds or any subdivision
    thereof, to be merged with and to be available for the same purposes,
    and for the same time period, as the appropriation or fund to which
    transferred:  Provided, That such authority to transfer may not be used
    unless for higher priority items, based on unforeseen military
    requirements, than those for which originally appropriated and in no
    case where the item for which funds are requested has been denied by
    the Congress:  Provided further, That the Secretary of Defense shall
    notify the Congress promptly of all transfers made pursuant to this
    authority or any other authority in this Act:  Provided further, That
    no part of the funds in this Act shall be available to prepare or
    present a request to the Committees on Appropriations of the House of
    Representatives and the Senate for reprogramming of funds, unless for
    higher priority items, based on unforeseen military requirements, than
    those for which originally appropriated and in no case where the item
    for which reprogramming is requested has been denied by the Congress:
    Provided further, That a request for multiple reprogrammings of funds
    using authority provided in this section shall be made prior to June
    30, 2026:  Provided further, That transfers among military personnel
    appropriations shall not be taken into account for purposes of the
    limitation on the amount of funds that may be transferred under this
    section.
        Sec. 8006. (a) With regard to the list of specific programs,
    projects, and activities (and the dollar amounts and adjustments to
    budget activities corresponding to such programs, projects, and
    activities) contained in the tables titled Explanation of Project Level
    Adjustments in the explanatory statement regarding this Act and the
    tables contained in the classified annex accompanying this Act, the
    obligation and expenditure of amounts appropriated or otherwise made
    available by this Act for those programs, projects, and activities are
    hereby required by law to be carried out in the manner provided by such
    tables to the same extent as if the tables were included in the text of
    this Act.
        (b) Amounts specified in the referenced tables described in
    subsection (a) shall not be treated as subdivisions of appropriations
    for purposes of section 8005 of this Act:  Provided, That section 8005
    of this Act shall apply when transfers of the amounts described in
    subsection (a) occur between appropriation accounts, subject to the
    limitation in subsection (c):  Provided further, That the transfer
    amount limitation provided in section 8005 of this Act shall not apply
    to transfers of amounts described in subsection (a) if such transfers
    are necessary for the proper execution of such funds.
        (c) During the current fiscal year, amounts specified in the
    referenced tables in titles III and IV of this Act described in
    subsection (a) may not be transferred pursuant to section 8005 of this
    Act other than for proper execution of such amounts, as provided in
    subsection (b).
        Sec. 8007. (a) Not later than 60 days after the date of the
    enactment of this Act, the Department of Defense shall submit a report
    to the congressional defense committees to establish the baseline for
    application of reprogramming and transfer authorities for fiscal year
    2026:  Provided, That the report shall include--
                (1) a table for each appropriation with a separate column
            to display the President's budget request, adjustments made by
            Congress, adjustments due to enacted rescissions, if
            appropriate, and the fiscal year enacted level;
                (2) a delineation in the table for each appropriation both
            by budget activity and program, project, and activity as
            detailed in the Budget Appendix; and
                (3) an identification of items of special congressional
            interest.
        (b) Notwithstanding section 8005 of this Act, none of the funds
    provided in this Act shall be available for reprogramming or transfer
    until the report identified in subsection (a) is submitted to the
    congressional defense committees, unless the Secretary of Defense
    certifies in writing to the congressional defense committees that such
    reprogramming or transfer is necessary as an emergency requirement:
    Provided, That this subsection shall not apply to transfers from the
    following appropriations accounts:
                (1) ``Environmental Restoration, Army'';
                (2) ``Environmental Restoration, Navy'';
                (3) ``Environmental Restoration, Air Force'';
                (4) ``Environmental Restoration, Defense-Wide'';
                (5) ``Environmental Restoration, Formerly Used Defense
            Sites''; and
                (6) ``Drug Interdiction and Counter-drug Activities,
            Defense''.

                              (transfer of funds)

        Sec. 8008.  During the current fiscal year, cash balances in
    working capital funds of the Department of Defense established pursuant
    to section 2208 of title 10, United States Code, may be maintained in
    only such amounts as are necessary at any time for cash disbursements
    to be made from such funds:  Provided, That transfers may be made
    between such funds:  Provided further, That transfers may be made
    between working capital funds and the ``Foreign Currency Fluctuations,
    Defense'' appropriation and the ``Operation and Maintenance''
    appropriation accounts in such amounts as may be determined by the
    Secretary of Defense, with the approval of the Director of the Office
    of Management and Budget, except that such transfers may not be made
    unless the Secretary of Defense has notified the Congress of the
    proposed transfer:  Provided further, That except in amounts equal to
    the amounts appropriated to working capital funds in this Act, no
    obligations may be made against a working capital fund to procure or
    increase the value of war reserve material inventory, unless the
    Secretary of Defense has notified the Congress prior to any such
    obligation.
        Sec. 8009.  Funds appropriated by this Act may not be used to
    initiate, or materially modify the scope of, a special access program
    without prior notification 30 calendar days in advance to the
    congressional defense committees.
        Sec. 8010. (a) None of the funds made available to the Department
    of Defense for this fiscal year or any prior fiscal year shall be
    available to initiate: (1) a multiyear contract that employs economic
    order quantity procurement in excess of $20,000,000 in any one year of
    the contract or that includes an unfunded contingent liability in
    excess of $20,000,000; or (2) a contract for advance procurement
    leading to a multiyear contract that employs economic order quantity
    procurement in excess of $20,000,000 in any one year, unless the
    congressional defense committees have been notified at least 30 days in
    advance of the proposed contract award:  Provided, That no part of any
    appropriation made available to the Department of Defense for this
    fiscal year or any prior fiscal year shall be available to initiate a
    multiyear contract for which the economic order quantity advance
    procurement is not funded at least to the limits of the Government's
    liability:  Provided further, That no part of any appropriation made
    available to the Department of Defense for this fiscal year or any
    prior fiscal year shall be available to initiate multiyear procurement
    contracts for any systems or component thereof if the value of the
    multiyear contract would exceed $500,000,000 unless specifically
    provided in this Act:  Provided further, That no multiyear procurement
    contract can be terminated without 30-day prior notification to the
    congressional defense committees:  Provided further, That the execution
    of multiyear authority shall require the use of a present value
    analysis to determine lowest cost compared to an annual procurement.
        (b) None of the funds made available to the Department of Defense
    for this fiscal year or any prior fiscal year may be used for a
    multiyear contract executed after the date of the enactment of this Act
    unless in the case of any such contract--
                (1) the Secretary of Defense has submitted to Congress a
            budget request for full funding of units to be procured through
            the contract and, in the case of a contract for procurement of
            aircraft, that includes, for any aircraft unit to be procured
            through the contract for which procurement funds are requested
            in that budget request for production beyond advance
            procurement activities in the fiscal year covered by the
            budget, full funding of procurement of such unit in that fiscal
            year;
                (2) cancellation provisions in the contract do not include
            consideration of recurring manufacturing costs of the
            contractor associated with the production of unfunded units to
            be delivered under the contract;
                (3) the contract provides that payments to the contractor
            under the contract shall not be made in advance of incurred
            costs on funded units; and
                (4) the contract does not provide for a price adjustment
            based on a failure.
        (c) Concurrent with the annual budget submission of the President
    for fiscal year 2027 pursuant to section 1105(a) of title 31, United
    States Code, that is in compliance with subsection (b)(1), and
    notwithstanding subsection (b)(4)(B) of section 804 of the National
    Defense Authorization Act for Fiscal Year 2026 (Public Law 119-60),
    funds appropriated to the Department of Defense in title III of this
    Act or in any other provision of law may be used for multiyear
    procurement contracts, for a period of not more than five years, as
    follows: Standard Missile-6; Long Range Anti-Ship Missile; Joint Air-
    to-Surface Standoff Missile Extended Range; Advanced Medium-Range Air-
    to-Air Missile; and Standard Missile-3 Block 1B; and for a period of
    not more than seven years, as follows: PATRIOT Advanced Capability-3
    Missile Segment Enhancement; Terminal High Altitude Area Defense; and
    Tomahawk Cruise Missile Systems:  Provided, That until such submission
    is provided to the congressional defense committees, to include P-1 and
    R-1 budget justification documents, which shall identify the allocation
    of funds by program, project, and activity, none of the funds made
    available to the Department of Defense for this fiscal year or any
    prior fiscal year may be obligated or expended to enter into any
    multiyear procurement contracts:  Provided further, That before
    entering into a multiyear procurement contract for Tomahawk Cruise
    Missile Systems, Joint Air-to-Surface Standoff Missile Extended Range,
    or Standard Missile-6, the Secretary of Defense shall certify in
    writing to the congressional defense committees that such action is in
    the national security interests of the United States.
        Sec. 8011.  Within the funds appropriated for the operation and
    maintenance of the Armed Forces, funds are hereby appropriated pursuant
    to section 401 of title 10, United States Code, for humanitarian and
    civic assistance costs under chapter 20 of title 10, United States
    Code:  Provided, That such funds may also be obligated for humanitarian
    and civic assistance costs incidental to authorized operations and
    pursuant to authority granted in section 401 of title 10, United States
    Code, and these obligations shall be reported as required by section
    401(d) of title 10, United States Code:  Provided further, That funds
    available for operation and maintenance shall be available for
    providing humanitarian and similar assistance by using Civic Action
    Teams in the Trust Territories of the Pacific Islands and freely
    associated states of Micronesia, pursuant to the Compact of Free
    Association as authorized by Public Law 99-239:  Provided further, That
    upon a determination by the Secretary of Defense that such action is
    beneficial for graduate medical education programs conducted at Defense
    Health Agency medical facilities located in Hawaii, the Secretary of
    Defense may authorize the provision of medical services at such
    facilities and transportation to such facilities, on a nonreimbursable
    basis, for civilian patients from American Samoa, the Commonwealth of
    the Northern Mariana Islands, the Marshall Islands, the Federated
    States of Micronesia, Palau, and Guam.
        Sec. 8012.  None of the funds appropriated by this or any other
    Act, including prior year Acts, may be used to obligate and expend
    funds in the Defense Modernization Account made available in accordance
    with subsection (c) of section 3136 of title 10, United States Code,
    except for the purposes described in paragraphs (d)(1) through (d)(4):
    Provided, That any program increases, as detailed in the tables titled
    Explanation of Project Level Adjustments in the explanatory statement
    regarding this Act, may not be transferred to the Defense Modernization
    Account pursuant to subsection (c) of section 3136 of title 10, United
    States Code.
        Sec. 8013.  None of the funds made available by this Act shall be
    used in any way, directly or indirectly, to influence congressional
    action on any legislation or appropriation matters pending before the
    Congress.
        Sec. 8014.  None of the funds available in this Act to the
    Department of Defense, other than appropriations made for necessary or
    routine refurbishments, upgrades, or maintenance activities, shall be
    used to reduce or to prepare to reduce the number of deployed and non-
    deployed strategic delivery vehicles and launchers below the levels set
    forth in the report submitted to Congress in accordance with section
    1042 of the National Defense Authorization Act for Fiscal Year 2012.

                              (transfer of funds)

        Sec. 8015. (a) Funds appropriated in title III of this Act for the
    Department of Defense Pilot Mentor-Protege Program may be transferred
    to any other appropriation contained in this Act solely for the purpose
    of implementing a Mentor-Protege Program developmental assistance
    agreement pursuant to section 4902 of title 10, United States Code,
    under the authority of this provision or any other transfer authority
    contained in this Act.
        (b) The Secretary of Defense shall include with the budget
    justification documents in support of the budget for fiscal year 2027
    (as submitted to Congress pursuant to section 1105 of title 31, United
    States Code) a description of each transfer under this section that
    occurred during the last fiscal year before the fiscal year in which
    such budget is submitted.
        Sec. 8016.  None of the funds in this Act may be available for the
    purchase by the Department of Defense (and its departments and
    agencies) of welded shipboard anchor and mooring chain unless the
    anchor and mooring chain are manufactured in the United States from
    components which are substantially manufactured in the United States:
    Provided, That for the purpose of this section, the term
    ``manufactured'' shall include cutting, heat treating, quality control,
    testing of chain and welding (including the forging and shot blasting
    process):  Provided further, That for the purpose of this section
    substantially all of the components of anchor and mooring chain shall
    be considered to be produced or manufactured in the United States if
    the aggregate cost of the components produced or manufactured in the
    United States exceeds the aggregate cost of the components produced or
    manufactured outside the United States:  Provided further, That when
    adequate domestic supplies are not available to meet Department of
    Defense requirements on a timely basis, the Secretary of the Service
    responsible for the procurement may waive this restriction on a case-
    by-case basis by certifying in writing to the Committees on
    Appropriations of the House of Representatives and the Senate that such
    an acquisition must be made in order to acquire capability for national
    security purposes.
        Sec. 8017.  None of the funds appropriated by this Act shall be
    used for the support of any nonappropriated funds activity of the
    Department of Defense that procures malt beverages and wine with
    nonappropriated funds for resale (including such alcoholic beverages
    sold by the drink) on a military installation located in the United
    States unless such malt beverages and wine are procured within that
    State, or in the case of the District of Columbia, within the District
    of Columbia, in which the military installation is located:  Provided,
    That, in a case in which the military installation is located in more
    than one State, purchases may be made in any State in which the
    installation is located:  Provided further, That such local procurement
    requirements for malt beverages and wine shall apply to all alcoholic
    beverages only for military installations in States which are not
    contiguous with another State:  Provided further, That alcoholic
    beverages other than wine and malt beverages, in contiguous States and
    the District of Columbia shall be procured from the most competitive
    source, price and other factors considered.
        Sec. 8018.  None of the funds available to the Department of
    Defense may be used to demilitarize or dispose of M-1 Carbines, M-1
    Garand rifles, M-14 rifles, .22 caliber rifles, .30 caliber rifles, or
    M-1911 pistols, or to demilitarize or destroy small arms ammunition or
    ammunition components that are not otherwise prohibited from commercial
    sale under Federal law, unless the small arms ammunition or ammunition
    components are certified by the Secretary of the Army or designee as
    unserviceable or unsafe for further use.
        Sec. 8019.  No more than $500,000 of the funds appropriated or made
    available in this Act shall be used during a single fiscal year for any
    single relocation of an organization, unit, activity or function of the
    Department of Defense into or within the National Capital Region:
    Provided, That the Secretary of Defense may waive this restriction on a
    case-by-case basis by certifying in writing to the congressional
    defense committees that such a relocation is required in the best
    interest of the Government.
        Sec. 8020.  Of the funds made available in this Act under the
    heading ``Procurement, Defense-Wide'', $24,613,000 shall be available
    only for incentive payments authorized by section 504 of the Indian
    Financing Act of 1974 (25 U.S.C. 1544):  Provided, That a prime
    contractor or a subcontractor at any tier that makes a subcontract
    award to any subcontractor or supplier as defined in section 1544 of
    title 25, United States Code, or a small business owned and controlled
    by an individual or individuals defined under section 4221(9) of title
    25, United States Code, shall be considered a contractor for the
    purposes of being allowed additional compensation under section 504 of
    the Indian Financing Act of 1974 (25 U.S.C. 1544) whenever the prime
    contract or subcontract amount is over $500,000 and involves the
    expenditure of funds appropriated by an Act making appropriations for
    the Department of Defense with respect to any fiscal year:  Provided
    further, That notwithstanding section 1906 of title 41, United States
    Code, this section shall be applicable to any Department of Defense
    acquisition of supplies or services, including any contract and any
    subcontract at any tier for acquisition of commercial items produced or
    manufactured, in whole or in part, by any subcontractor or supplier
    defined in section 1544 of title 25, United States Code, or a small
    business owned and controlled by an individual or individuals defined
    under section 4221(9) of title 25, United States Code.
        Sec. 8021. (a) Notwithstanding any other provision of law, the
    Secretary of the Air Force may convey at no cost to the Air Force,
    without consideration, to Indian tribes located in the States of
    Nevada, Idaho, North Dakota, South Dakota, Montana, Oregon, Minnesota,
    and Washington relocatable military housing units located at Grand
    Forks Air Force Base, Malmstrom Air Force Base, Mountain Home Air Force
    Base, Ellsworth Air Force Base, and Minot Air Force Base that are
    excess to the needs of the Air Force.
        (b) The Secretary of the Air Force shall convey, at no cost to the
    Air Force, military housing units under subsection (a) in accordance
    with the request for such units that are submitted to the Secretary by
    the Operation Walking Shield Program on behalf of Indian tribes located
    in the States of Nevada, Idaho, North Dakota, South Dakota, Montana,
    Oregon, Minnesota, and Washington. Any such conveyance shall be subject
    to the condition that the housing units shall be removed within a
    reasonable period of time, as determined by the Secretary.
        (c) The Operation Walking Shield Program shall resolve any
    conflicts among requests of Indian tribes for housing units under
    subsection (a) before submitting requests to the Secretary of the Air
    Force under subsection (b).
        (d) In this section, the term ``Indian tribe'' means any recognized
    Indian tribe included on the current list published by the Secretary of
    the Interior under section 104 of the Federally Recognized Indian Tribe
    Act of 1994 (Public Law 103-454; 108 Stat. 4792; 25 U.S.C. 5131).
        Sec. 8022.  Of the funds appropriated to the Department of Defense
    under the heading ``Operation and Maintenance, Defense-Wide'', not less
    than $12,000,000 may be made available only for the mitigation of
    environmental impacts, including training and technical assistance to
    tribes, related administrative support, the gathering of information,
    documenting of environmental damage, and developing a system for
    prioritization of mitigation and cost to complete estimates for
    mitigation, on Indian lands resulting from Department of Defense
    activities.
        Sec. 8023.  Funds appropriated by this Act for the Defense Media
    Activity shall not be used for any national or international political
    or psychological activities.
        Sec. 8024.  Of the amounts appropriated for ``Working Capital Fund,
    Army'', $100,000,000 shall be available to maintain competitive rates
    at the arsenals.
        Sec. 8025. (a) Of the funds made available in this Act, not less
    than $79,000,000 shall be available for the Civil Air Patrol
    Corporation, of which--
                (1) $57,900,000 shall be available from ``Operation and
            Maintenance, Air Force'' to support Civil Air Patrol
            Corporation operation and maintenance, readiness, counter-drug
            activities, and drug demand reduction activities involving
            youth programs;
                (2) $17,800,000 shall be available from ``Aircraft
            Procurement, Air Force''; and
                (3) $3,300,000 shall be available from ``Other Procurement,
            Air Force'' for vehicle procurement.
        (b) The Secretary of the Air Force should waive reimbursement for
    any funds used by the Civil Air Patrol for counter-drug activities in
    support of Federal, State, and local government agencies.
        Sec. 8026. (a) None of the funds appropriated in this Act are
    available to establish a new Department of Defense (department)
    federally funded research and development center (FFRDC), either as a
    new entity, or as a separate entity administrated by an organization
    managing another FFRDC, or as a nonprofit membership corporation
    consisting of a consortium of other FFRDCs and other nonprofit
    entities.
        (b) Except when acting in a technical advisory capacity, no member
    of a Board of Directors, Trustees, Overseers, Advisory Group, Special
    Issues Panel, Visiting Committee, or any similar entity of a defense
    FFRDC, or any entity that contracts with the Federal government to
    manage or operate one or more FFRDCs, or any paid consultant to a
    defense FFRDC shall receive funds appropriated by this Act as
    compensation for services as a member of such entity:  Provided, That a
    member of any such entity shall be allowed travel expenses and per diem
    as authorized under the Federal Joint Travel Regulations, when engaged
    in the performance of membership duties:  Provided further, That except
    when acting in a technical advisory capacity, no paid consultant shall
    receive funds appropriated by this Act as compensation by more than one
    FFRDC in a calendar year.
        (c) Notwithstanding any other provision of law, none of the funds
    available to the department from any source during the current fiscal
    year may be used by a defense FFRDC, through a fee or other payment
    mechanism, for construction of new buildings not located on a military
    installation, for payment of cost sharing for projects funded by
    Government grants, for absorption of contract overruns, or for certain
    charitable contributions, not to include employee participation in
    community service and/or development.
        (d) Notwithstanding any other provision of law, of the funds
    appropriated in this Act, not more than $2,886,300,000 may be funded
    for professional technical staff-related costs of the defense FFRDCs:
    Provided, That within such funds, not more than $461,300,000 shall be
    available for the defense studies and analysis FFRDCs:  Provided
    further, That this subsection shall not apply to staff years funded in
    the National Intelligence Program and the Military Intelligence
    Program:  Provided further, That the Secretary of Defense shall, with
    the submission of the department's fiscal year 2027 budget request,
    submit a report presenting the specific amounts of staff years of
    technical effort to be allocated for each defense FFRDC by program
    during that fiscal year and the associated budget estimates, by
    appropriation account and program.
        Sec. 8027.  For the purposes of this Act, the term ``congressional
    defense committees'' means the Armed Services Committee of the House of
    Representatives, the Armed Services Committee of the Senate, the
    Subcommittee on Defense of the Committee on Appropriations of the House
    of Representatives, and the Subcommittee on Defense of the Committee on
    Appropriations of the Senate.
        Sec. 8028.  For the purposes of this Act, the term ``congressional
    intelligence committees'' means the Permanent Select Committee on
    Intelligence of the House of Representatives, the Select Committee on
    Intelligence of the Senate, the Subcommittee on Defense of the
    Committee on Appropriations of the House of Representatives, and the
    Subcommittee on Defense of the Committee on Appropriations of the
    Senate.
        Sec. 8029.  During the current fiscal year, the Department of
    Defense may acquire the modification, depot maintenance and repair of
    aircraft, vehicles and vessels as well as the production of components
    and other Defense-related articles, through competition between
    Department of Defense depot maintenance activities and private firms:
    Provided, That the Senior Acquisition Executive of the military
    department or Defense Agency concerned, with power of delegation, shall
    certify that successful bids include comparable estimates of all direct
    and indirect costs for both public and private bids:  Provided further,
    That Office of Management and Budget Circular A-76 shall not apply to
    competitions conducted under this section.
        Sec. 8030. (a) None of the funds appropriated in this Act may be
    expended by an entity of the Department of Defense unless the entity,
    in expending the funds, complies with the Buy American Act. For
    purposes of this subsection, the term ``Buy American Act'' means
    chapter 83 of title 41, United States Code.
        (b) If the Secretary of Defense determines that a person has been
    convicted of intentionally affixing a label bearing a ``Made in
    America'' inscription to any product sold in or shipped to the United
    States that is not made in America, the Secretary shall determine, in
    accordance with section 4658 of title 10, United States Code, whether
    the person should be debarred from contracting with the Department of
    Defense.
        (c) In the case of any equipment or products purchased with
    appropriations provided under this Act, it is the sense of the Congress
    that any entity of the Department of Defense, in expending the
    appropriation, purchase only American-made equipment and products,
    provided that American-made equipment and products are cost-
    competitive, quality competitive, and available in a timely fashion.
        Sec. 8031.  None of the funds appropriated or made available in
    this Act shall be used to procure carbon, alloy, or armor steel plate
    for use in any Government-owned facility or property under the control
    of the Department of Defense which were not melted and rolled in the
    United States or Canada:  Provided, That these procurement restrictions
    shall apply to any and all Federal Supply Class 9515, American Society
    of Testing and Materials (ASTM) or American Iron and Steel Institute
    (AISI) specifications of carbon, alloy or armor steel plate:  Provided
    further, That the Secretary of the military department responsible for
    the procurement may waive this restriction on a case-by-case basis by
    certifying in writing to the Committees on Appropriations of the House
    of Representatives and the Senate that adequate domestic supplies are
    not available to meet Department of Defense requirements on a timely
    basis and that such an acquisition must be made in order to acquire
    capability for national security purposes:  Provided further, That
    these restrictions shall not apply to contracts which are in being as
    of the date of the enactment of this Act.
        Sec. 8032. (a)(1) If the Secretary of Defense, after consultation
    with the United States Trade Representative, determines that a foreign
    country which is party to an agreement described in paragraph (2) has
    violated the terms of the agreement by discriminating against certain
    types of products produced in the United States that are covered by the
    agreement, the Secretary of Defense shall rescind the Secretary's
    blanket waiver of the Buy American Act with respect to such types of
    products produced in that foreign country.
        (2) An agreement referred to in paragraph (1) is any reciprocal
    defense procurement memorandum of understanding, between the United
    States and a foreign country pursuant to which the Secretary of Defense
    has prospectively waived the Buy American Act for certain products in
    that country.
        (b) The Secretary of Defense shall submit to the Congress a report
    on the amount of Department of Defense purchases from foreign entities
    in fiscal year 2026. Such report shall separately indicate the dollar
    value of items for which the Buy American Act was waived pursuant to
    any agreement described in subsection (a)(2), the Trade Agreements Act
    of 1979 (19 U.S.C. 2501 et seq.), or any international agreement to
    which the United States is a party.
        (c) For purposes of this section, the term ``Buy American Act''
    means chapter 83 of title 41, United States Code.
        Sec. 8033.  None of the funds appropriated by this Act may be used
    for the procurement of ball and roller bearings other than those
    produced by a domestic source and of domestic origin:  Provided, That
    the Secretary of the military department responsible for such
    procurement may waive this restriction on a case-by-case basis by
    certifying in writing to the Committees on Appropriations of the House
    of Representatives and the Senate, that adequate domestic supplies are
    not available to meet Department of Defense requirements on a timely
    basis and that such an acquisition must be made in order to acquire
    capability for national security purposes:  Provided further, That this
    restriction shall not apply to the purchase of ``commercial products'',
    as defined by section 103 of title 41, United States Code, except that
    the restriction shall apply to ball or roller bearings purchased as end
    items.
        Sec. 8034.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Defense-Wide'', for the Defense
    Security Cooperation Agency, $50,000,000, to remain available until
    September 30, 2027, shall be available to the Secretary of Defense, in
    coordination with the Secretary of State, to provide assistance to the
    Lebanese Armed Forces, including training, equipment, logistics
    support, supplies and services, stipends, infrastructure repair and
    renovation, and sustainment:  Provided, That the Secretary of Defense
    shall ensure that the Lebanese Armed Forces are vetted prior to
    providing assistance, including at a minimum, assessing for
    associations with terrorist groups and receiving a commitment to
    promote respect for human rights and the rule of law:  Provided
    further, That the Secretary of Defense shall, not fewer than 15 days
    prior to obligating the funds provided in this section, notify the
    congressional defense committees in writing of the details of any such
    obligation:  Provided further, That the Secretary of Defense may waive
    a provision of law relating to the acquisition of items and support
    services or sections 40 and 40A of the Arms Export Control Act (22
    U.S.C. 2780 and 2785) if the Secretary determines that such provision
    of law would prohibit, restrict, delay or otherwise limit the provision
    of such assistance and a notice of and justification for such waiver is
    submitted to the congressional defense committees, the Committees on
    Appropriations and Foreign Relations of the Senate and the Committees
    on Appropriations and Foreign Affairs of the House of Representatives:
    Provided further, That the Secretary of Defense shall provide quarterly
    reports to the congressional defense committees on the use of funds
    provided in this section, including, but not limited to, the number of
    individuals trained within the Lebanese Armed Forces, the nature and
    scope of support and sustainment provided to the Lebanese Armed Forces,
    the area of operations for the Lebanese Armed Forces, and the
    contributions of other countries, groups, or individuals.
        Sec. 8035.  None of the funds in this Act may be used to purchase
    any supercomputer which is not manufactured in the United States,
    unless the Secretary of Defense certifies to the congressional defense
    committees that such an acquisition must be made in order to acquire
    capability for national security purposes that is not available from
    United States manufacturers.
        Sec. 8036. (a) The Secretary of Defense may, on a case-by-case
    basis, waive with respect to a foreign country each limitation on the
    procurement of defense items from foreign sources provided in law if
    the Secretary determines that the application of the limitation with
    respect to that country would invalidate cooperative programs entered
    into between the Department of Defense and the foreign country, or
    would invalidate reciprocal trade agreements for the procurement of
    defense items entered into under section 4851 of title 10, United
    States Code, and the country does not discriminate against the same or
    similar defense items produced in the United States for that country.
        (b) Subsection (a) applies with respect to--
                (1) contracts and subcontracts entered into on or after the
            date of the enactment of this Act; and
                (2) options for the procurement of items that are exercised
            after such date under contracts that are entered into before
            such date if the option prices are adjusted for any reason
            other than the application of a waiver granted under subsection
            (a).
        (c) Subsection (a) does not apply to a limitation regarding
    construction of public vessels, ball and roller bearings, food, and
    clothing or textile materials as defined by section XI (chapters 50-65)
    of the Harmonized Tariff Schedule of the United States and products
    classified under headings 4010, 4202, 4203, 6401 through 6406, 6505,
    7019, 7218 through 7229, 7304.41 through 7304.49, 7306.40, 7502 through
    7508, 8105, 8108, 8109, 8211, 8215, and 9404.
        Sec. 8037.  None of the funds made available in this Act, or any
    subsequent Act making appropriations for the Department of Defense, may
    be used for the purchase or manufacture of a flag of the United States
    unless such flags are treated as covered items under section 4862(b) of
    title 10, United States Code.
        Sec. 8038.  During the current fiscal year, amounts contained in
    the Department of Defense Overseas Military Facility Investment
    Recovery Account shall be available until expended for the payments
    specified by section 2687a(b)(2) of title 10, United States Code.
        Sec. 8039.  During the current fiscal year, appropriations which
    are available to the Department of Defense for operation and
    maintenance may be used to purchase items having an investment item
    unit cost of not more than $350,000:  Provided, That upon determination
    by the Secretary of Defense that such action is necessary to meet the
    operational requirements of a Commander of a Combatant Command engaged
    in a named contingency operation overseas, such funds may be used to
    purchase items having an investment item unit cost of not more than
    $500,000.
        Sec. 8040.  Up to $16,809,000 of the funds appropriated under the
    heading ``Operation and Maintenance, Navy'' may be made available for
    the Asia Pacific Regional Initiative Program for the purpose of
    enabling the United States Indo-Pacific Command to execute Theater
    Security Cooperation activities such as humanitarian assistance, and
    payment of incremental and personnel costs of training and exercising
    with foreign security forces:  Provided, That funds made available for
    this purpose may be used, notwithstanding any other funding authorities
    for humanitarian assistance, security assistance or combined exercise
    expenses:  Provided further, That funds may not be obligated to provide
    assistance to any foreign country that is otherwise prohibited from
    receiving such type of assistance under any other provision of law.
        Sec. 8041.  The Secretary of Defense shall issue regulations to
    prohibit the sale of any tobacco or tobacco-related products in
    military resale outlets in the United States, its territories and
    possessions at a price below the most competitive price in the local
    community:  Provided, That such regulations shall direct that the
    prices of tobacco or tobacco-related products in overseas military
    retail outlets shall be within the range of prices established for
    military retail system stores located in the United States.
        Sec. 8042. (a) During the current fiscal year, none of the
    appropriations or funds available to the Department of Defense Working
    Capital Funds shall be used for the purchase of an investment item for
    the purpose of acquiring a new inventory item for sale or anticipated
    sale during the current fiscal year or a subsequent fiscal year to
    customers of the Department of Defense Working Capital Funds if such an
    item would not have been chargeable to the Department of Defense
    Business Operations Fund during fiscal year 1994 and if the purchase of
    such an investment item would be chargeable during the current fiscal
    year to appropriations made to the Department of Defense for
    procurement.
        (b) The fiscal year 2027 budget request for the Department of
    Defense as well as all justification material and other documentation
    supporting the fiscal year 2027 Department of Defense budget shall be
    prepared and submitted to the Congress on the basis that any equipment
    which was classified as an end item and funded in a procurement
    appropriation contained in this Act shall be budgeted for in a proposed
    fiscal year 2027 procurement appropriation and not in the supply
    management business area or any other area or category of the
    Department of Defense Working Capital Funds.
        Sec. 8043.  None of the funds appropriated by this Act for programs
    of the Central Intelligence Agency shall remain available for
    obligation beyond the current fiscal year, except for funds
    appropriated for the Reserve for Contingencies, which shall remain
    available until September 30, 2027:  Provided, That funds appropriated,
    transferred, or otherwise credited to the Central Intelligence Agency
    Central Services Working Capital Fund during this or any prior fiscal
    year shall remain available until expended:  Provided further, That any
    funds appropriated or transferred to the Central Intelligence Agency
    for advanced research and development acquisition, for agent
    operations, and for covert action programs authorized by the President
    under section 503 of the National Security Act of 1947 (50 U.S.C. 3093)
    shall remain available until September 30, 2027:  Provided further,
    That any funds appropriated or transferred to the Central Intelligence
    Agency for the construction, improvement, or alteration of facilities,
    including leased facilities, to be used primarily by personnel of the
    intelligence community, shall remain available until September 30,
    2028.
        Sec. 8044. (a) Except as provided in subsections (b) and (c), none
    of the funds made available by this Act may be used--
                (1) to establish a field operating agency; or
                (2) to pay the basic pay of a member of the Armed Forces or
            civilian employee of the Department of Defense who is
            transferred or reassigned from a headquarters activity if the
            member or employee's place of duty remains at the location of
            that headquarters.
        (b) The Secretary of Defense or Secretary of a military department
    may waive the limitations in subsection (a), on a case-by-case basis,
    if the Secretary determines, and certifies to the Committees on
    Appropriations of the House of Representatives and the Senate that the
    granting of the waiver will reduce the personnel requirements or the
    financial requirements of the department.
        (c) This section does not apply to--
                (1) field operating agencies funded within the National
            Intelligence Program;
                (2) an Army field operating agency established to
            eliminate, mitigate, or counter the effects of improvised
            explosive devices, and, as determined by the Secretary of the
            Army, other similar threats;
                (3) an Army field operating agency established to improve
            the effectiveness and efficiencies of biometric activities and
            to integrate common biometric technologies throughout the
            Department of Defense; or
                (4) an Air Force field operating agency established to
            administer the Air Force Mortuary Affairs Program and Mortuary
            Operations for the Department of Defense and authorized Federal
            entities.
        Sec. 8045. (a) None of the funds appropriated by this Act shall be
    available to convert to contractor performance an activity or function
    of the Department of Defense that, on or after the date of the
    enactment of this Act, is performed by Department of Defense civilian
    employees unless--
                (1) the conversion is based on the result of a public-
            private competition that includes a most efficient and cost
            effective organization plan developed by such activity or
            function;
                (2) the Competitive Sourcing Official determines that, over
            all performance periods stated in the solicitation of offers
            for performance of the activity or function, the cost of
            performance of the activity or function by a contractor would
            be less costly to the Department of Defense by an amount that
            equals or exceeds the lesser of--
                        (A) 10 percent of the most efficient organization's
                    personnel-related costs for performance of that
                    activity or function by Federal employees; or
                        (B) $10,000,000; and
                (3) the contractor does not receive an advantage for a
            proposal that would reduce costs for the Department of Defense
            by--
                        (A) not making an employer-sponsored health
                    insurance plan available to the workers who are to be
                    employed in the performance of that activity or
                    function under the contract; or
                        (B) offering to such workers an employer-sponsored
                    health benefits plan that requires the employer to
                    contribute less towards the premium or subscription
                    share than the amount that is paid by the Department of
                    Defense for health benefits for civilian employees
                    under chapter 89 of title 5, United States Code.
        (b)(1) The Department of Defense, without regard to subsection (a)
    of this section or subsection (a), (b), or (c) of section 2461 of title
    10, United States Code, and notwithstanding any administrative
    regulation, requirement, or policy to the contrary shall have full
    authority to enter into a contract for the performance of any
    commercial or industrial type function of the Department of Defense
    that--
                (A) is included on the procurement list established
            pursuant to section 2 of the Javits-Wagner-O'Day Act (section
            8503 of title 41, United States Code);
                (B) is planned to be converted to performance by a
            qualified nonprofit agency for the blind or by a qualified
            nonprofit agency for other severely handicapped individuals in
            accordance with that Act; or
                (C) is planned to be converted to performance by a
            qualified firm under at least 51 percent ownership by an Indian
            tribe, as defined in section 4(e) of the Indian Self-
            Determination and Education Assistance Act (25 U.S.C. 450b(e)),
            or a Native Hawaiian Organization, as defined in section
            8(a)(15) of the Small Business Act (15 U.S.C. 637(a)(15)).
        (2) This section shall not apply to depot contracts or contracts
    for depot maintenance as provided in sections 2469 and 2474 of title
    10, United States Code.
        (c) The conversion of any activity or function of the Department of
    Defense under the authority provided by this section shall be credited
    toward any competitive or outsourcing goal, target, or measurement that
    may be established by statute, regulation, or policy and is deemed to
    be awarded under the authority of, and in compliance with, subsection
    (h) of section 2304 of title 10, United States Code, for the
    competition or outsourcing of commercial activities.

                                 (rescissions)

        Sec. 8046.  Of the funds appropriated in Department of Defense
    Appropriations Acts, the following funds are hereby rescinded from the
    following accounts and programs in the specified amounts:  Provided,
    That no amounts may be rescinded from amounts that were designated by
    the Congress as an emergency requirement pursuant to a concurrent
    resolution on the budget or the Balanced Budget and Emergency Deficit
    Control Act of 1985:
                ``Shipbuilding and Conversion, Navy: FFG-Frigate'', 2020/
            2031, $240,245,000;
                ``Shipbuilding and Conversion, Navy: FFG-Frigate'', 2022/
            2026, $418,624,000;
                ``Shipbuilding and Conversion, Navy: FFG-Frigate'', 2023/
            2027, $483,391,000;
                ``Cooperative Threat Reduction Account'', 2024/2026,
            $33,936,000;
                ``Other Procurement, Army'', 2024/2026, $15,000,000;
                ``Weapons Procurement, Navy'', 2024/2026, $2,943,000;
                ``Shipbuilding and Conversion, Navy: FFG-Frigate'', 2024/
            2028, $1,271,572,000;
                ``Aircraft Procurement, Air Force'', 2024/2026,
            $25,397,000;
                ``Missile Procurement, Air Force'', 2024/2026, $41,189,000;
                ``Procurement, Space Force'', 2024/2026, $107,100,000;
                ``Defense Health Program'', 2024/2026, $10,473,000;
                ``Counter-Islamic State of Iraq and Syria Train and Equip
            Fund'', 2025/2026, $50,000,000;
                ``Procurement of Weapons and Tracked Combat Vehicles,
            Army'', 2025/2027, $452,647,000;
                ``Other Procurement, Army'', 2025/2027, $119,887,000;
                ``Aircraft Procurement, Navy'', 2025/2027, $155,711,000;
                ``Weapons Procurement, Navy'', 2025/2027, $200,272,000;
                ``Shipbuilding and Conversion, Navy: FFG-Frigate'', 2025/
            2029, $151,230,000;
                ``Aircraft Procurement, Air Force'', 2025/2027,
            $193,555,000;
                ``Missile Procurement, Air Force'', 2025/2027,
            $209,045,000;
                ``Other Procurement, Air Force'', 2025/2027, $186,638,000;
                ``Procurement, Space Force'', 2025/2027, $339,196,000;
                ``Procurement, Defense-Wide'', 2025/2027, $11,807,000;
                ``Research, Development, Test and Evaluation, Army'', 2025/
            2026, $178,735,000;
                ``Research, Development, Test and Evaluation, Navy'', 2025/
            2026, $82,461,000;
                ``Research, Development, Test and Evaluation, Air Force'',
            2025/2026, $329,435,000;
                ``Research, Development, Test and Evaluation, Space
            Force'', 2025/2026, $370,149,000; and
                ``Defense Modernization Account , Defense-Wide'', 2025/
            2028, $28,249,000.
        Sec. 8047.  None of the funds available in this Act may be used to
    reduce the authorized positions for military technicians (dual status)
    of the Army National Guard, Air National Guard, Army Reserve and Air
    Force Reserve for the purpose of applying any administratively imposed
    civilian personnel ceiling, freeze, or reduction on military
    technicians (dual status), unless such reductions are a direct result
    of a reduction in military force structure.
        Sec. 8048.  None of the funds appropriated or otherwise made
    available in this Act may be obligated or expended for assistance to
    the Democratic People's Republic of Korea unless specifically
    appropriated for that purpose:  Provided, That this restriction shall
    not apply to any activities incidental to the Defense POW/MIA
    Accounting Agency mission to recover and identify the remains of United
    States Armed Forces personnel from the Democratic People's Republic of
    Korea.
        Sec. 8049. (a) None of the funds available to the Department of
    Defense for any fiscal year for drug interdiction or counter-drug
    activities may be transferred to any other department or agency of the
    United States except as specifically provided in an appropriations law.
        (b) None of the funds available to the Central Intelligence Agency
    for any fiscal year for drug interdiction or counter-drug activities
    may be transferred to any other department or agency of the United
    States except as specifically provided in an appropriations law.
        Sec. 8050.  In addition to the amounts appropriated or otherwise
    made available elsewhere in this Act, $49,000,000 is hereby
    appropriated to the Department of Defense:  Provided, That upon the
    determination of the Secretary of Defense that it shall serve the
    national interest, the Secretary shall make grants in the amounts
    specified as follows: $24,000,000 to the United Service Organizations
    and $25,000,000 to the Red Cross.
        Sec. 8051.  Notwithstanding any other provision in this Act, the
    Small Business Innovation Research program and the Small Business
    Technology Transfer program set-asides shall be taken proportionally
    from all programs, projects, or activities to the extent they
    contribute to the extramural budget. The Secretary of each military
    department, the Director of each Defense Agency, and the head of each
    other relevant component of the Department of Defense shall submit to
    the congressional defense committees, concurrent with submission of the
    budget justification documents to Congress pursuant to section 1105 of
    title 31, United States Code, a report with a detailed accounting of
    the Small Business Innovation Research program and the Small Business
    Technology Transfer program set-asides taken from programs, projects,
    or activities within such department, agency, or component during the
    most recently completed fiscal year.
        Sec. 8052.  None of the funds available to the Department of
    Defense under this Act shall be obligated or expended to pay a
    contractor under a contract with the Department of Defense for costs of
    any amount paid by the contractor to an employee when--
                (1) such costs are for a bonus or otherwise in excess of
            the normal salary paid by the contractor to the employee; and
                (2) such bonus is part of restructuring costs associated
            with a business combination.

                         (including transfer of funds)

        Sec. 8053.  During the current fiscal year, no more than
    $30,000,000 of appropriations made in this Act under the heading
    ``Operation and Maintenance, Defense-Wide'' may be transferred to
    appropriations available for the pay of military personnel, to be
    merged with, and to be available for the same time period as the
    appropriations to which transferred, to be used in support of such
    personnel in connection with support and services for eligible
    organizations and activities outside the Department of Defense pursuant
    to section 2012 of title 10, United States Code.
        Sec. 8054. (a) Notwithstanding any other provision of law, the
    Chief of the National Guard Bureau may permit the use of equipment of
    the National Guard Distance Learning Project by any person or entity on
    a space-available, reimbursable basis. The Chief of the National Guard
    Bureau shall establish the amount of reimbursement for such use on a
    case-by-case basis.
        (b) Amounts collected under subsection (a) shall be credited to
    funds available for the National Guard Distance Learning Project and be
    available to defray the costs associated with the use of equipment of
    the project under that subsection. Such funds shall be available for
    such purposes without fiscal year limitation.
        Sec. 8055. (a) None of the funds appropriated or otherwise made
    available by this or prior Acts may be obligated or expended to retire,
    prepare to retire, or place in storage or on backup aircraft inventory
    status any C-40 aircraft.
        (b) The limitation under subsection (a) shall not apply to an
    individual C-40 aircraft that the Secretary of the Air Force
    determines, on a case-by-case basis, to be no longer mission capable
    due to a Class A mishap.
        (c) If the Secretary determines under subsection (b) that an
    aircraft is no longer mission capable, the Secretary shall submit to
    the congressional defense committees a certification in writing that
    the status of such aircraft is due to a Class A mishap and not due to
    lack of maintenance, repairs, or other reasons.
        (d) Not later than 90 days after the date of the enactment of this
    Act, the Secretary of Defense shall submit to the congressional defense
    committees a report on the necessary steps taken by the Department of
    Defense to meet the travel requirements for official or
    representational duties of members of Congress and the Cabinet in
    fiscal years 2026 and 2027.
        Sec. 8056. (a) None of the funds appropriated in title IV of this
    Act may be used to procure end-items for delivery to military forces
    for operational training, operational use, or inventory requirements:
    Provided, That this restriction does not apply to end-items used in
    development, prototyping in accordance with an approved test strategy,
    and test activities preceding and leading to acceptance for operational
    use.
        (b) If the number of end-items budgeted with funds appropriated in
    title IV of this Act exceeds the number required in an approved test
    strategy, the Under Secretary of Defense (Research and Engineering) and
    the Under Secretary of Defense (Acquisition and Sustainment), in
    coordination with the responsible Service Acquisition Executive, shall
    certify in writing to the congressional defense committees that there
    is a bonafide need for the additional end-items at the time of
    submittal to Congress of the budget of the President for fiscal year
    2027 pursuant to section 1105 of title 31, United States Code:
    Provided, That this restriction does not apply to programs funded
    within the National Intelligence Program.
        (c) The Secretary of Defense shall, at the time of the submittal to
    Congress of the budget of the President for fiscal year 2027 pursuant
    to section 1105 of title 31, United States Code, submit to the
    congressional defense committees a report detailing the use of funds
    requested in research, development, test and evaluation accounts for
    end-items used in development, prototyping and test activities
    preceding and leading to acceptance for operational use:  Provided,
    That the report shall set forth, for each end item covered by the
    preceding proviso, a detailed list of the statutory authorities under
    which amounts in the accounts described in that proviso were used for
    such item:  Provided further, That the Secretary of Defense shall, at
    the time of the submittal to Congress of the budget of the President
    for fiscal year 2027 pursuant to section 1105 of title 31, United
    States Code, submit to the congressional defense committees a
    certification that funds requested for fiscal year 2027 in research,
    development, test and evaluation accounts are in compliance with this
    section:  Provided further, That the Secretary of Defense may waive
    this restriction on a case-by-case basis by certifying in writing to
    the Subcommittees on Defense of the Committees on Appropriations of the
    House of Representatives and the Senate that it is in the national
    security interest to do so.
        Sec. 8057.  None of the funds appropriated or otherwise made
    available by this or other Department of Defense Appropriations Acts
    may be obligated or expended for the purpose of performing repairs or
    maintenance to military family housing units of the Department of
    Defense, including areas in such military family housing units that may
    be used for the purpose of conducting official Department of Defense
    business.
        Sec. 8058.  Notwithstanding any other provision of law, funds
    appropriated in this Act under the heading ``Research, Development,
    Test and Evaluation, Defense-Wide'' for any new start Defense
    Innovation Acceleration (PE 0603838D8Z) or Rapid Prototyping Program
    (PE 0604331D8Z) demonstration project with a value of more than
    $5,000,000 may only be obligated 15 days after a report, including a
    description of the project, the planned acquisition and transition
    strategy and its estimated annual and total cost, has been provided in
    writing to the congressional defense committees:  Provided, That the
    Secretary of Defense may waive this restriction on a case-by-case basis
    by certifying to the congressional defense committees that it is in the
    national interest to do so.
        Sec. 8059.  The Secretary of Defense shall continue to provide a
    classified quarterly report to the Committees on Appropriations of the
    House of Representatives and the Senate, Subcommittees on Defense on
    certain matters as directed in the classified annex accompanying this
    Act.
        Sec. 8060.  Notwithstanding section 12310(b) of title 10, United
    States Code, a servicemember who is a member of the National Guard
    serving on full-time National Guard duty under section 502(f) of title
    32, United States Code, may perform duties in support of the ground-
    based elements of the National Ballistic Missile Defense System.
        Sec. 8061.  None of the funds provided in this Act may be used to
    transfer to any nongovernmental entity ammunition held by the
    Department of Defense that has a center-fire cartridge and a United
    States military nomenclature designation of ``armor penetrator'',
    ``armor piercing (AP)'', ``armor piercing incendiary (API)'', ``armor-
    piercing incendiary tracer (API-T)'', ``general purpose (GP)'',
    ``special purpose (SP)'' except 9mm, or ``enhanced performance round
    (EPR)'', except to an entity performing demilitarization services for
    the Department of Defense under a contract that requires the entity to
    demonstrate to the satisfaction of the Department of Defense that the
    above listed projectiles are either: (1) rendered incapable of reuse by
    the demilitarization process; or (2) used to manufacture ammunition
    pursuant to a contract with the Department of Defense or the
    manufacture of ammunition for export pursuant to a License for
    Permanent Export of Unclassified Military Articles issued by the
    Department of State.
        Sec. 8062.  Notwithstanding any other provision of law, the Chief
    of the National Guard Bureau, or their designee, may waive payment of
    all or part of the consideration that otherwise would be required under
    section 2667 of title 10, United States Code, in the case of a lease of
    personal property for a period not in excess of 1 year to any
    organization specified in section 508(d) of title 32, United States
    Code, or any other youth, social, or fraternal nonprofit organization
    as may be approved by the Chief of the National Guard Bureau, or their
    designee, on a case-by-case basis.

                         (including transfer of funds)

        Sec. 8063.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Army'', $218,015,597 shall remain
    available until expended:  Provided, That, notwithstanding any other
    provision of law, the Secretary of Defense is authorized to transfer
    such funds to other activities of the Federal Government:  Provided
    further, That the Secretary of Defense is authorized to enter into and
    carry out contracts for the acquisition of real property, construction,
    personal services, and operations related to projects carrying out the
    purposes of this section:  Provided further, That contracts entered
    into under the authority of this section may provide for such
    indemnification as the Secretary determines to be necessary:  Provided
    further, That projects authorized by this section shall comply with
    applicable Federal, State, and local law to the maximum extent
    consistent with the national security, as determined by the Secretary
    of Defense.
        Sec. 8064. (a) None of the funds appropriated in this or any other
    Act, including prior year Acts, may be used to implement a change to--
                (1) the appropriations account structure for the National
            Intelligence Program budget, including through the creation of
            a new appropriation or new appropriation account;
                (2) how the National Intelligence Program budget request is
            presented in the unclassified P-1, R-1, and O-1 documents
            supporting the Department of Defense budget request;
                (3) the process by which the National Intelligence Program
            appropriations are apportioned to the executing agencies; or
                (4) the process by which the National Intelligence Program
            appropriations are allotted, obligated and disbursed.
        (b) Nothing in subsection (a) shall be construed to prohibit the
    merger of programs or changes to the National Intelligence Program
    budget at or below the Expenditure Center level, provided such change
    is otherwise in accordance with subsection (a).
        (c) The Director of National Intelligence and the Secretary of
    Defense may jointly study and develop detailed proposals for
    alternative budget presentation and appropriation accounts. Such study
    shall include a comprehensive counterintelligence risk assessment to
    ensure that none of the alternative processes will adversely affect
    counterintelligence.
        (d) Upon development of the detailed proposals defined under
    subsection (c), the Director of National Intelligence and the Secretary
    of Defense shall--
                (1) provide the proposed alternatives to all affected
            agencies;
                (2) receive certification from all affected agencies
            attesting that the proposed alternatives will not adversely
            affect counterintelligence; and
                (3) not later than 30 days after receiving all necessary
            certifications under paragraph (2), present the proposed
            alternatives and certifications to the congressional defense
            and intelligence committees.

                         (including transfer of funds)

        Sec. 8065.  In addition to amounts made available elsewhere in this
    Act, $25,000,000 is hereby appropriated to the Department of Defense
    and made available for transfer to operation and maintenance accounts,
    procurement accounts, and research, development, test and evaluation
    accounts only for those efforts by the Commander, United States Africa
    Command to expand cooperation, share operational information, advance
    interoperability, or improve the capabilities of our allies and
    partners in their area of operation:  Provided, That none of the funds
    provided under this section may be obligated or expended until 30 days
    after the Secretary of Defense provides to the congressional defense
    committees an execution plan:  Provided further, That not less than 15
    days prior to any transfer of funds, the Secretary of Defense shall
    notify the congressional defense committees of the details of any such
    transfer:  Provided further, That upon transfer, the funds shall be
    merged with and available for the same purposes, and for the same time
    period, as the appropriation to which transferred:  Provided further,
    That the transfer authority provided under this section is in addition
    to any other transfer authority provided elsewhere in this Act.

                          (including transfer of funds)

        Sec. 8066.  During the current fiscal year, not to exceed
    $11,000,000 from each of the appropriations made in title II of this
    Act for ``Operation and Maintenance, Army'', ``Operation and
    Maintenance, Navy'', and ``Operation and Maintenance, Air Force'' may
    be transferred by the military department concerned to its central fund
    established for Fisher Houses and Suites pursuant to section 2493(d) of
    title 10, United States Code.

                         (including transfer of funds)

        Sec. 8067.  In addition to amounts provided elsewhere in this Act,
    $5,000,000 is hereby appropriated to the Department of Defense, to
    remain available for obligation until expended:  Provided, That
    notwithstanding any other provision of law, that upon the determination
    of the Secretary of Defense that it shall serve the national interest,
    these funds shall be available only for a grant to the Fisher House
    Foundation, Inc., only for the construction and furnishing of
    additional Fisher Houses to meet the needs of military family members
    when confronted with the illness or hospitalization of an eligible
    military beneficiary.

                         (including transfer of funds)

        Sec. 8068.  Of the amounts appropriated for ``Operation and
    Maintenance, Navy'', up to $1,000,000 shall be available for transfer
    to the John C. Stennis Center for Public Service Development Trust Fund
    established under section 116 of the John C. Stennis Center for Public
    Service Training and Development Act (2 U.S.C. 1105).
        Sec. 8069.  None of the funds available to the Department of
    Defense may be obligated to modify command and control relationships to
    give Fleet Forces Command operational and administrative control of
    United States Navy forces assigned to the Pacific fleet:  Provided,
    That the command and control relationships which existed on October 1,
    2004, shall remain in force until a written modification has been
    proposed to the Committees on Appropriations of the House of
    Representatives and the Senate:  Provided further, That the proposed
    modification may be implemented 30 days after the notification unless
    an objection is received from either the House or Senate Appropriations
    Committees:  Provided further, That any proposed modification shall not
    preclude the ability of the commander of United States Indo-Pacific
    Command to meet operational requirements.
        Sec. 8070.  Any notice that is required to be submitted to the
    Committees on Appropriations of the House of Representatives and the
    Senate under section 3601 of title 10, United States Code, as added by
    section 804(a) of the James M. Inhofe National Defense Authorization
    Act for Fiscal Year 2023 shall be submitted pursuant to that
    requirement concurrently to the Subcommittees on Defense of the
    Committees on Appropriations of the House of Representatives and the
    Senate.
        Sec. 8071.  Of the amounts appropriated in this Act under the
    headings ``Procurement, Defense-Wide'' and ``Research, Development,
    Test and Evaluation, Defense-Wide'', $500,000,000 shall be for the
    Israeli Cooperative Programs:  Provided, That of this amount,
    $60,000,000 shall be for the Secretary of Defense to provide to the
    Government of Israel for the procurement of the Iron Dome defense
    system to counter short-range rocket threats, subject to the U.S.-
    Israel Iron Dome Procurement Agreement, as amended; $127,000,000 shall
    be for the Short Range Ballistic Missile Defense (SRBMD) program,
    including cruise missile defense research and development under the
    SRBMD program; $40,000,000 shall be for co-production activities of
    SRBMD systems in the United States and in Israel to meet Israel's
    defense requirements consistent with each nation's laws, regulations,
    and procedures, subject to the U.S.-Israeli co-production agreement for
    SRBMD, as amended; $100,000,000 shall be for an upper-tier component to
    the Israeli Missile Defense Architecture, of which $100,000,000 shall
    be for co-production activities of Arrow 3 Upper Tier systems in the
    United States and in Israel to meet Israel's defense requirements
    consistent with each nation's laws, regulations, and procedures,
    subject to the U.S.-Israeli co-production agreement for Arrow 3 Upper
    Tier, as amended; and $173,000,000 shall be for the Arrow System
    Improvement Program including development of a long range, ground and
    airborne, detection suite.
        Sec. 8072.  Of the amounts appropriated in this Act under the
    heading ``Shipbuilding and Conversion, Navy'', $1,676,587,000 shall be
    available until September 30, 2026, to fund prior year shipbuilding
    cost increases for the following programs:
                (1) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2013/2026: Carrier Replacement Program, $150,000,000;
                (2) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2016/2026: Virginia Class Submarine Program,
            $121,538,000;
                (3) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2016/2026: DDG 51 Program, $14,892,000;
                (4) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2017/2026: Virginia Class Submarine Program,
            $99,116,000;
                (5) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2017/2026: DDG 51 Program, $62,365,000;
                (6) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2017/2026: LHA Replacement Program, $93,603,000;
                (7) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2018/2026: Virginia Class Submarine Program,
            $289,761,000;
                (8) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2018/2026: DDG 51 Program, $104,238,000;
                (9) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2018/2026: LPD Flight II Program, $93,442,000;
                (10) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2018/2026: Oceanographic Ships Program, $6,015,000;
                (11) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2019/2026: Littoral Combat Ship Program, $5,766,000;
                (12) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2019/2026: T-AO Fleet Oiler Program, $15,400,000;
                (13) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2019/2026: Ship to Shore Connector Program,
            $15,480,000;
                (14) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2020/2026: CVN Refueling Overhauls, $483,100,000;
                (15) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2020/2026: T-AO Fleet Oiler Program, $48,260,000;
                (16) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2022/2026: T-AO Fleet Oiler Program, $19,650,000;
                (17) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2022/2026: Expeditionary Sea Base Program, $30,000,000;
                (18) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2022/2026: Expeditionary Fast Transport Program,
            $11,231,000;
                (19) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2023/2026: T-AO Fleet Oiler Program, $6,530,000; and
                (20) Under the heading ``Shipbuilding and Conversion,
            Navy'', 2024/2026: T-AO Fleet Oiler Program, $6,200,000.
        Sec. 8073.  Funds appropriated by this Act, or made available by
    the transfer of funds in this Act, for intelligence activities and
    intelligence-related activities not otherwise authorized in the
    Intelligence Authorization Act for Fiscal Year 2026 are deemed to be
    specifically authorized by the Congress for purposes of section 504 of
    the National Security Act of 1947 (50 U.S.C. 3094).
        Sec. 8074.  None of the funds provided in this Act shall be
    available for obligation or expenditure through a reprogramming of
    funds that creates or initiates a new program, project, or activity
    unless such program, project, or activity must be undertaken
    immediately in the interest of national security and only after written
    prior notification to the congressional defense committees.
        Sec. 8075.  None of the funds in this Act may be used for research,
    development, test, evaluation, procurement or deployment of nuclear
    armed interceptors of a missile defense system.
        Sec. 8076.  None of the funds made available by this Act may be
    obligated or expended for the purpose of decommissioning more than one
    Littoral Combat Ship.

                         (including transfer of funds)

        Sec. 8077.  The Secretary of Defense may transfer funds from any
    available Department of the Navy appropriation (except military
    construction) to any available Navy ship construction appropriation for
    the purpose of liquidating necessary changes resulting from inflation,
    market fluctuations, or rate adjustments for any ship construction
    program appropriated in law:  Provided, That the Secretary may transfer
    not to exceed $40,000,000 under the authority provided by this section:
     Provided further, That the Secretary may not transfer any funds until
    30 days after the proposed transfer has been reported to the Committees
    on Appropriations of the House of Representatives and the Senate,
    unless a response from the Committees is received sooner:  Provided
    further, That any funds transferred pursuant to this section shall
    retain the same period of availability as when originally appropriated:
     Provided further, That the transfer authority provided under this
    section is in addition to any other transfer authority contained
    elsewhere in this Act:  Provided further, That the transfer authority
    provided by this section expires on September 30, 2030.
        Sec. 8078.  None of the funds appropriated or made available in
    this Act shall be used to reduce or disestablish the operation of the
    53rd Weather Reconnaissance Squadron of the Air Force Reserve, if such
    action would reduce the WC-130 Weather Reconnaissance mission below the
    levels funded in this Act:  Provided, That the Air Force shall allow
    the 53rd Weather Reconnaissance Squadron to perform other missions in
    support of national defense requirements during the non-hurricane
    season.
        Sec. 8079.  None of the funds provided in this Act shall be
    available for integration of foreign intelligence information unless
    the information has been lawfully collected and processed during the
    conduct of authorized foreign intelligence activities:  Provided, That
    information pertaining to United States persons shall only be handled
    in accordance with protections provided in the Fourth Amendment of the
    United States Constitution as implemented through Executive Order No.
    12333.
        Sec. 8080.  None of the funds appropriated by this Act for programs
    of the Office of the Director of National Intelligence shall remain
    available for obligation beyond the current fiscal year, except for
    funds appropriated for research and technology, which shall remain
    available until September 30, 2027.
        Sec. 8081.  For purposes of section 1553(b) of title 31, United
    States Code, any subdivision of appropriations made in this Act under
    the heading ``Shipbuilding and Conversion, Navy'' shall be considered
    to be for the same purpose as any subdivision under the heading
    ``Shipbuilding and Conversion, Navy'' appropriations in any prior
    fiscal year, and the 1 percent limitation shall apply to the total
    amount of the appropriation.
        Sec. 8082. (a) Not later than 60 days after the date of enactment
    of this Act, the Director of National Intelligence shall submit a
    report to the congressional intelligence committees to establish the
    baseline for application of reprogramming and transfer authorities for
    fiscal year 2026:  Provided, That the report shall include--
                (1) a table for each appropriation with a separate column
            to display the President's budget request, adjustments made by
            Congress, adjustments due to enacted rescissions, if
            appropriate, and the fiscal year enacted level;
                (2) a delineation in the table for each appropriation by
            Expenditure Center and project; and
                (3) an identification of items of special congressional
            interest.
        (b) None of the funds provided for the National Intelligence
    Program in this Act shall be available for reprogramming or transfer
    until the report identified in subsection (a) is submitted to the
    congressional intelligence committees, unless the Director of National
    Intelligence certifies in writing to the congressional intelligence
    committees that such reprogramming or transfer is necessary as an
    emergency requirement.
        Sec. 8083.  Any transfer of amounts appropriated to the Department
    of Defense Acquisition Workforce Development Account in or for fiscal
    year 2026 to a military department or Defense Agency pursuant to
    section 1705(e)(1) of title 10, United States Code, shall be covered by
    and subject to section 8005 of this Act.
        Sec. 8084. (a) None of the funds provided for the National
    Intelligence Program in this or any prior appropriations Act shall be
    available for obligation or expenditure through a reprogramming or
    transfer of funds in accordance with section 102A(d) of the National
    Security Act of 1947 (50 U.S.C. 3024(d)) that--
                (1) creates a new start effort;
                (2) terminates a program with appropriated funding of
            $10,000,000 or more;
                (3) transfers funding into or out of the National
            Intelligence Program; or
                (4) transfers funding between appropriations, unless the
            congressional intelligence committees are notified 30 days in
            advance of such reprogramming of funds; this notification
            period may be reduced for urgent national security
            requirements.
        (b) None of the funds provided for the National Intelligence
    Program in this or any prior appropriations Act shall be available for
    obligation or expenditure through a reprogramming or transfer of funds
    in accordance with section 102A(d) of the National Security Act of 1947
    (50 U.S.C. 3024(d)) that results in a cumulative increase or decrease
    of the levels specified in the classified annex accompanying the Act
    unless the congressional intelligence committees are notified 30 days
    in advance of such reprogramming of funds; this notification period may
    be reduced for urgent national security requirements.
        Sec. 8085. (a) Any agency receiving funds made available in this
    Act, shall, subject to subsections (b) and (c), post on the public
    website of that agency any report required to be submitted by the
    Congress in this or any other Act, upon the determination by the head
    of the agency that it shall serve the national interest.
        (b) Subsection (a) shall not apply to a report if--
                (1) the public posting of the report compromises national
            security; or
                (2) the report contains proprietary information.
        (c) The head of the agency posting such report shall do so only
    after such report has been made available to the requesting Committee
    or Committees of Congress for no less than 45 days.
        Sec. 8086. (a) None of the funds appropriated or otherwise made
    available by this Act may be expended for any Federal contract for an
    amount in excess of $1,000,000, unless the contractor agrees not to--
                (1) enter into any agreement with any of its employees or
            independent contractors that requires, as a condition of
            employment, that the employee or independent contractor agree
            to resolve through arbitration any claim under title VII of the
            Civil Rights Act of 1964 or any tort related to or arising out
            of sexual assault or harassment, including assault and battery,
            intentional infliction of emotional distress, false
            imprisonment, or negligent hiring, supervision, or retention;
            or
                (2) take any action to enforce any provision of an existing
            agreement with an employee or independent contractor that
            mandates that the employee or independent contractor resolve
            through arbitration any claim under title VII of the Civil
            Rights Act of 1964 or any tort related to or arising out of
            sexual assault or harassment, including assault and battery,
            intentional infliction of emotional distress, false
            imprisonment, or negligent hiring, supervision, or retention.
        (b) None of the funds appropriated or otherwise made available by
    this Act may be expended for any Federal contract unless the contractor
    certifies that it requires each covered subcontractor to agree not to
    enter into, and not to take any action to enforce any provision of, any
    agreement as described in paragraphs (1) and (2) of subsection (a),
    with respect to any employee or independent contractor performing work
    related to such subcontract. For purposes of this subsection, a
    ``covered subcontractor'' is an entity that has a subcontract in excess
    of $1,000,000 on a contract subject to subsection (a).
        (c) The prohibitions in this section do not apply with respect to a
    contractor's or subcontractor's agreements with employees or
    independent contractors that may not be enforced in a court of the
    United States.
        (d) The Secretary of Defense may waive the application of
    subsection (a) or (b) to a particular contractor or subcontractor for
    the purposes of a particular contract or subcontract if the Secretary
    or the Deputy Secretary personally determines that the waiver is
    necessary to avoid harm to national security interests of the United
    States, and that the term of the contract or subcontract is not longer
    than necessary to avoid such harm. The determination shall set forth
    with specificity the grounds for the waiver and for the contract or
    subcontract term selected, and shall state any alternatives considered
    in lieu of a waiver and the reasons each such alternative would not
    avoid harm to national security interests of the United States. The
    Secretary of Defense shall transmit to Congress, and simultaneously
    make public, any determination under this subsection not less than 15
    business days before the contract or subcontract addressed in the
    determination may be awarded.

                         (including transfer of funds)

        Sec. 8087.  From within the funds appropriated for operation and
    maintenance for the Defense Health Program in this Act, up to
    $165,000,000, shall be available for transfer to the Joint Department
    of Defense--Department of Veterans Affairs Medical Facility
    Demonstration Fund in accordance with the provisions of section 1704 of
    the National Defense Authorization Act for Fiscal Year 2010, Public Law
    111-84:  Provided, That for purposes of section 1704(b), the facility
    operations funded are operations of the integrated Captain James A.
    Lovell Federal Health Care Center, consisting of the North Chicago
    Veterans Affairs Medical Center, the Navy Ambulatory Care Center, and
    supporting facilities designated as a combined Federal medical facility
    as described by section 706 of Public Law 110-417:  Provided further,
    That additional funds may be transferred from funds appropriated for
    operation and maintenance for the Defense Health Program to the Joint
    Department of Defense--Department of Veterans Affairs Medical Facility
    Demonstration Fund upon written notification by the Secretary of
    Defense to the Committees on Appropriations of the House of
    Representatives and the Senate.
        Sec. 8088.  Notwithstanding price or other limitations applicable
    to the purchase of passenger carrying vehicles, appropriations
    available to the Department of Defense may be used for the purchase of:
    (1) heavy and light armored vehicles for the physical security of
    personnel or for force protection purposes up to a limit of $450,000
    per vehicle; and (2) passenger motor vehicles up to a limit of $75,000
    per vehicle for use by military and civilian employees of the
    Department of Defense in the United States Central Command area of
    responsibility.

                         (including transfer of funds)

        Sec. 8089.  Upon a determination by the Director of National
    Intelligence that such action is necessary and in the national
    interest, the Director may, with the approval of the Director of the
    Office of Management and Budget, transfer not to exceed $1,500,000,000
    of the funds made available in this Act for the National Intelligence
    Program:  Provided, That such authority to transfer may not be used
    unless for higher priority items, based on unforeseen intelligence
    requirements, than those for which originally appropriated and in no
    case where the item for which funds are requested has been denied by
    the Congress:  Provided further, That a request for multiple
    reprogrammings of funds using authority provided in this section shall
    be made prior to June 30, 2026.
        Sec. 8090.  Of the amounts appropriated in this Act for
    ``Shipbuilding and Conversion, Navy'', $290,000,000, to remain
    available for obligation until September 30, 2030, may be used for the
    purchase of two used sealift vessels for the National Defense Reserve
    Fleet, established under section 11 of the Merchant Ship Sales Act of
    1946 (46 U.S.C. 57100):  Provided, That such amounts are available for
    reimbursements to the Ready Reserve Force, Maritime Administration
    account of the United States Department of Transportation for programs,
    projects, activities, and expenses related to the National Defense
    Reserve Fleet:  Provided further, That notwithstanding section 2218 of
    title 10, United States Code, none of these funds shall be transferred
    to the National Defense Sealift Fund for execution.
        Sec. 8091.  The Secretary of Defense shall post grant awards on a
    public website in a searchable format.
        Sec. 8092.  None of the funds made available by this Act may be
    used by the National Security Agency to--
                (1) conduct an acquisition pursuant to section 702 of the
            Foreign Intelligence Surveillance Act of 1978 for the purpose
            of targeting a United States person; or
                (2) acquire, monitor, or store the contents (as such term
            is defined in section 2510(8) of title 18, United States Code)
            of any electronic communication of a United States person from
            a provider of electronic communication services to the public
            pursuant to section 501 of the Foreign Intelligence
            Surveillance Act of 1978.
        Sec. 8093.  None of the funds made available in this or any other
    Act may be used to pay the salary of any officer or employee of any
    agency funded by this Act who approves or implements the transfer of
    administrative responsibilities or budgetary resources of any program,
    project, or activity financed by this Act to the jurisdiction of
    another Federal agency not financed by this Act without the express
    authorization of Congress:  Provided, That this limitation shall not
    apply to transfers of funds expressly provided for in Department of
    Defense Appropriations Acts, or provisions of Acts providing
    supplemental appropriations for the Department of Defense.
        Sec. 8094.  Of the amounts appropriated in this Act for ``Operation
    and Maintenance, Navy'', $785,052,000, to remain available until
    expended, may be used for any purposes related to the National Defense
    Reserve Fleet established under section 11 of the Merchant Ship Sales
    Act of 1946 (46 U.S.C. 57100):  Provided, That such amounts are
    available for reimbursements to the Ready Reserve Force, Maritime
    Administration account of the United States Department of
    Transportation for programs, projects, activities, and expenses related
    to the National Defense Reserve Fleet.
        Sec. 8095. (a) None of the funds provided in this Act for the TAO
    Fleet Oiler program shall be used to award a new contract that provides
    for the acquisition of the following components unless those components
    are manufactured in the United States: Auxiliary equipment (including
    pumps) for shipboard services; propulsion equipment (including engines,
    reduction gears, and propellers); shipboard cranes; spreaders for
    shipboard cranes; and anchor chains, specifically for the seventh and
    subsequent ships of the fleet.
        (b) None of the funds provided in this Act for any Frigate program
    shall be used to award a new contract that provides for the acquisition
    of the following components unless those components are manufactured in
    the United States: Air circuit breakers; gyrocompasses; electronic
    navigation chart systems; steering controls; pumps; propulsion and
    machinery control systems; totally enclosed lifeboats; auxiliary
    equipment pumps; shipboard cranes; auxiliary chill water systems; and
    propulsion propellers:  Provided, That the Secretary of the Navy shall
    incorporate United States manufactured propulsion engines and
    propulsion reduction gears into any Frigate program beginning not later
    than with the eleventh ship of the program.
        Sec. 8096.  None of the funds provided in this Act for requirements
    development, performance specification development, concept design and
    development, ship configuration development, systems engineering, naval
    architecture, marine engineering, operations research analysis,
    industry studies, preliminary design, development of the Detailed
    Design and Construction Request for Proposals solicitation package, or
    related activities for the T-ARC(X) Cable Laying and Repair Ship or the
    T-AGOS(X) Oceanographic Surveillance Ship may be used to award a new
    contract for such activities unless these contracts include
    specifications that all auxiliary equipment, including pumps and
    propulsion shafts, are manufactured in the United States.
        Sec. 8097.  No amounts credited or otherwise made available in this
    or any other Act to the Department of Defense Acquisition Workforce
    Development Account may be transferred to:
                (1) the Rapid Prototyping Fund established under section
            804(d) of the National Defense Authorization Act for Fiscal
            Year 2016 (10 U.S.C. 2302 note); or
                (2) credited to a military-department specific fund
            established under section 804(d)(2) of the National Defense
            Authorization Act for Fiscal Year 2016.
        Sec. 8098.  None of the funds made available by this Act may be
    used for Government Travel Charge Card expenses by military or civilian
    personnel of the Department of Defense for gaming, or for entertainment
    that includes topless or nude entertainers or participants, as
    prohibited by Department of Defense FMR, Volume 9, Chapter 3 and
    Department of Defense Instruction 1015.10 (enclosure 3, 14a and 14b).
        Sec. 8099. (a) None of the funds made available in this Act may be
    used to maintain or establish a computer network unless such network is
    designed to block access to pornography websites.
        (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, or for any activity necessary
    for the national defense, including intelligence activities.
        Sec. 8100.  None of the funds provided for, or otherwise made
    available, in this or any other Act, may be obligated or expended by
    the Secretary of Defense to provide motorized vehicles, aviation
    platforms, munitions other than small arms and munitions appropriate
    for customary ceremonial honors, operational military units, or
    operational military platforms if the Secretary determines that
    providing such units, platforms, or equipment would undermine the
    readiness of such units, platforms, or equipment.
        Sec. 8101. (a) None of the funds made available by this or any
    other Act may be used to enter into a contract, memorandum of
    understanding, or cooperative agreement with, make a grant to, or
    provide a loan or loan guarantee to any corporation that has any unpaid
    Federal tax liability that has been assessed, for which all judicial
    and administrative remedies have been exhausted or have lapsed, and
    that is not being paid in a timely manner pursuant to an agreement with
    the authority responsible for collecting such tax liability, provided
    that the applicable Federal agency is aware of the unpaid Federal tax
    liability.
        (b) Subsection (a) shall not apply if the applicable Federal agency
    has considered suspension or debarment of the corporation described in
    such subsection and has made a determination that such suspension or
    debarment is not necessary to protect the interests of the Federal
    Government.
        Sec. 8102. (a) Amounts appropriated under title IV of this Act, as
    detailed in budget activity eight in the tables titled Explanation of
    Project Level Adjustments in the explanatory statement regarding this
    Act, may be used for expenses for the agile research, development, test
    and evaluation, procurement, production, modification, and operation
    and maintenance, only for the following Software and Digital Technology
    Pilot programs--
                (1) Defensive CYBER--Software Prototype Development (PE
            0608041A);
                (2) Risk Management Information (PE 0608013N);
                (3) Maritime Tactical Command and Control (PE 0608231N);
                (4) Space Domain Awareness/Planning/Tasking SW (PE
            1208248SF);
                (5) Global Command and Control System (PE 0303150K);
                (6) Acquisition Visibility (PE 0608648D8Z);
                (7) Enterprise Platforms and Capabilities--Software Pilot
            Program (PE 0608140D8Z); and
                (8) Accelerate the Procurement and Fielding of Innovative
            Technologies (APFIT) (PE 0000000D8Z).
        (b) None of the funds appropriated by this or prior Department of
    Defense Appropriations Acts may be obligated or expended to initiate
    additional Software and Digital Technology Pilot Programs in fiscal
    year 2026.
        Sec. 8103.  None of the funds appropriated or otherwise made
    available by this Act may be used to transfer the National
    Reconnaissance Office to the Space Force:  Provided, That nothing in
    this Act shall be construed to limit or prohibit cooperation,
    collaboration, and coordination between the National Reconnaissance
    Office and the Space Force or any other elements of the Department of
    Defense.
        Sec. 8104.  None of the funds made available in this Act may be
    used in contravention of the following laws enacted or regulations
    promulgated to implement the United Nations Convention Against Torture
    and Other Cruel, Inhuman or Degrading Treatment or Punishment (done at
    New York on December 10, 1984):
                (1) Section 2340A of title 18, United States Code.
                (2) Section 2242 of the Foreign Affairs Reform and
            Restructuring Act of 1998 (division G of Public Law 105-277;
            112 Stat. 2681-822; 8 U.S.C. 1231 note) and regulations
            prescribed thereto, including regulations under part 208 of
            title 8, Code of Federal Regulations, and part 95 of title 22,
            Code of Federal Regulations.
                (3) Sections 1002 and 1003 of the Department of Defense,
            Emergency Supplemental Appropriations to Address Hurricanes in
            the Gulf of Mexico, and Pandemic Influenza Act, 2006 (Public
            Law 109-148).
        Sec. 8105.  None of the funds made available by this Act may be
    used to provide arms, training, or other assistance to the Azov
    Battalion.
        Sec. 8106.  The Secretary of Defense may, in this fiscal year and
    each fiscal year thereafter, accept and retain contributions, including
    money, personal property, and services, from foreign governments and
    other entities, to carry out assistance authorized by section 1250 of
    the National Defense Authorization Act for Fiscal Year 2016 (Public Law
    114-92):  Provided, That such contributions received shall be available
    to the Secretary of Defense, with the concurrence of the Secretary of
    State, to provide assistance authorized by such section, for
    replacement of any weapons or articles provided to entities described
    in subparagraphs (A) and (B) of subsection (a)(1) of such section from
    the inventory of the United States, and to recover or dispose of
    equipment previously provided to such entities:  Provided further, That
    the Secretary of Defense shall consult with the congressional defense
    committees in advance of the provision of support provided to forces or
    groups described in subparagraph (B) of such subsection:  Provided
    further, That the Secretary of Defense shall notify the congressional
    defense committees in writing upon the receipt and upon the obligation
    of any contribution, delineating the sources and amounts of the funds
    received and the specific use of such contributions:  Provided further,
    That any notification of obligation of funds received in this section
    shall specify an estimated timeline for the delivery of defense
    articles and defense services provided and shall identify if any
    equipment provided requires enhanced end-use monitoring:  Provided
    further, That contributions of money for the purposes provided herein
    from any foreign government or other entity may be credited to the
    Operation and Maintenance, Defense-Wide account, to remain available
    for the following two fiscal years, and used for such purposes:
    Provided further, That the Secretary of Defense shall provide quarterly
    reports to the congressional defense committees on the use and status
    of funds received pursuant to this section.
        Sec. 8107.  During the current fiscal year, the Department of
    Defense is authorized to incur obligations of not to exceed
    $350,000,000 for purposes specified in section 2350j(c) of title 10,
    United States Code, in anticipation of receipt of contributions, only
    from the Government of Kuwait, under that section:  Provided, That,
    such contributions shall, upon receipt, be credited to the
    appropriations or fund which incurred such obligations.
        Sec. 8108.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Defense-Wide'', for the Defense
    Security Cooperation Agency, $1,499,808,000, to remain available until
    September 30, 2027, shall be available for International Security
    Cooperation Programs and other programs to provide support and
    assistance to foreign security forces or other groups or individuals to
    conduct, support or facilitate counterterrorism, crisis response, or
    building partner capacity programs:  Provided, That the Secretary of
    Defense shall, not less than 15 days prior to obligating funds made
    available in this section, notify the congressional defense committees
    in writing of the details of any planned obligation:  Provided further,
    That the Secretary of Defense shall provide quarterly reports to the
    Committees on Appropriations of the House of Representatives and the
    Senate on the use and status of funds made available in this section.
        Sec. 8109.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Defense-Wide'', for the Defense
    Security Cooperation Agency, $267,298,000, to remain available until
    September 30, 2027, shall be available for support authorized by
    subparagraphs (A) through (E) and (G) through (I) of section 1226(a)(1)
    of the National Defense Authorization Act for Fiscal Year 2016 (22
    U.S.C. 2151 note), of which not less than $150,000,000 shall be for
    Jordan:  Provided, That the Secretary of Defense shall, not less than
    15 days prior to obligating funds made available under this section,
    notify the congressional defense committees in writing of the details
    of any planned obligation and the nature of the expenses incurred:
    Provided further, That the Secretary of Defense shall provide quarterly
    reports to the Committees on Appropriations of the House of
    Representatives and the Senate on the use and status of funds made
    available in this section.
        Sec. 8110.  None of the funds made available by this Act may be
    used in contravention of the War Powers Resolution (50 U.S.C. 1541 et
    seq.).
        Sec. 8111.  None of the funds made available by this Act for excess
    defense articles, assistance under section 333 of title 10, United
    States Code, or peacekeeping operations for the countries designated
    annually to be in violation of the standards of the Child Soldiers
    Prevention Act of 2008 (Public Law 110-457; 22 U.S.C. 2370c-1) may be
    used to support any military training or operation that includes child
    soldiers, as defined by the Child Soldiers Prevention Act of 2008,
    unless such assistance is otherwise permitted under section 404 of the
    Child Soldiers Prevention Act of 2008.
        Sec. 8112.  None of the funds made available by this Act may be
    made available for any member of the Taliban.
        Sec. 8113.  Notwithstanding any other provision of law, any
    transfer of funds, appropriated or otherwise made available by this
    Act, for support to friendly foreign countries in connection with the
    conduct of operations in which the United States is not participating,
    pursuant to section 331(d) of title 10, United States Code, shall be
    made in accordance with section 8005 of this Act.
        Sec. 8114. (a) None of the funds appropriated or otherwise made
    available by this or any other Act may be used by the Secretary of
    Defense, or any other official or officer of the Department of Defense,
    to enter into a contract, memorandum of understanding, or cooperative
    agreement with, or make a grant to, or provide a loan or loan guarantee
    to Rosoboronexport or any subsidiary of Rosoboronexport.
        (b) The Secretary of Defense may waive the limitation in subsection
    (a) if the Secretary, in consultation with the Secretary of State and
    the Director of National Intelligence, determines that it is in the
    vital national security interest of the United States to do so, and
    certifies in writing to the congressional defense committees that--
                (1) Rosoboronexport has ceased the transfer of lethal
            military equipment to, and the maintenance of existing lethal
            military equipment for, the Government of the Syrian Arab
            Republic;
                (2) the armed forces of the Russian Federation have
            withdrawn from Ukraine; and
                (3) agents of the Russian Federation have ceased taking
            active measures to destabilize the control of the Government of
            Ukraine over eastern Ukraine.
        (c) The Inspector General of the Department of Defense shall
    conduct a review of any action involving Rosoboronexport with respect
    to a waiver issued by the Secretary of Defense pursuant to subsection
    (b), and not later than 90 days after the date on which such a waiver
    is issued by the Secretary of Defense, the Inspector General shall
    submit to the congressional defense committees a report containing the
    results of the review conducted with respect to such waiver.
        Sec. 8115.  The Secretary of Defense shall notify the congressional
    defense committees in writing not more than 30 days after the receipt
    of any contribution of funds received from the government of a foreign
    country for any purpose relating to the stationing or operations of the
    United States Armed Forces:  Provided, That such notification shall
    include the amount of the contribution; the purpose for which such
    contribution was made; and the authority under which such contribution
    was accepted by the Secretary of Defense:  Provided further, That not
    fewer than 15 days prior to obligating such funds, the Secretary of
    Defense shall submit to the congressional defense committees in writing
    a notification of the planned use of such contributions, including
    whether such contributions would support existing or new stationing or
    operations of the United States Armed Forces.
        Sec. 8116. (a) The Chairman of the Joint Chiefs, in coordination
    with the Secretaries of the military departments and the Chiefs of the
    Armed Forces, shall submit to the congressional defense committees, not
    later than 30 days after the last day of each quarter of the fiscal
    year, a report on the use of operation and maintenance funds for
    activities or exercises in excess of $5,000,000 that have been
    designated by the Secretary of Defense as unplanned activities for
    fiscal year 2026.
        (b) Each report required by subsection (a) shall also include--
                (1) the title, date, and location, of each activity and
            exercise covered by the report;
                (2) an identification of the military department and units
            that participated in each such activity or exercise (including
            an estimate of the number of participants);
                (3) the total cost of the activity or exercise, by budget
            line item (with a breakdown by cost element such as
            transportation); and
                (4) a short explanation of the objective of the activity or
            exercise.
        (c) The report required by subsection (a) shall be submitted in
    unclassified form, but may include a classified annex.
        Sec. 8117. (a) Within 45 days of enactment of this Act, the
    Secretary of Defense shall allocate amounts made available from the
    Creating Helpful Incentives to Produce Semiconductors (CHIPS) for
    America Defense Fund for fiscal year 2026 pursuant to the transfer
    authority in section 102(b)(1) of the CHIPS Act of 2022 (division A of
    Public Law 117-167), to the account specified, in the amounts
    specified, and for the projects and activities specified, in the table
    titled ``Department of Defense Allocation of Funds: CHIPS and Science
    Act Fiscal Year 2026'' in the report accompanying this Act.
        (b) Neither the President nor his designee may allocate any amounts
    that are made available for any fiscal year under section 102(b)(2) of
    the CHIPS Act of 2022 if there is in effect an Act making or continuing
    appropriations for part of a fiscal year for the Department of Defense:
     Provided, That in any fiscal year, the matter preceding this proviso
    shall not apply to the allocation, apportionment, or allotment of
    amounts for continuing administration of programs allocated using funds
    transferred from the CHIPS for America Defense Fund, which may be
    allocated pursuant to the transfer authority in section 102(b)(1) of
    the CHIPS Act of 2022 only in amounts that are no more than the
    allocation for such purposes in subsection (a) of this section.
        (c) The Secretary of Defense may reallocate funds allocated by
    subsection (a) of this section, subject to the terms and conditions
    contained in the provisos in section 8005 of this Act:  Provided, That
    amounts may be reallocated pursuant to this subsection only for those
    requirements necessary to carry out section 9903(b) of the William M.
    (Mac) Thornberry National Defense Authorization Act for Fiscal Year
    2021 (Public Law 116-283).
        (d) Concurrent with the annual budget submission of the President
    for fiscal year 2027, the Secretary of Defense shall submit to the
    Committees on Appropriations of the House of Representatives and the
    Senate proposed allocations by account and by program, project, or
    activity, with detailed justifications, for amounts made available
    under section 102(b)(2) of the CHIPS Act of 2022 for fiscal year 2027.
        (e) The Department of Defense shall provide the Committees on
    Appropriations of the House of Representatives and Senate quarterly
    reports on the status of balances of projects and activities funded by
    the CHIPS for America Defense Fund for amounts allocated pursuant to
    subsection (a) of this section, including all uncommitted, committed,
    and unobligated funds.
        Sec. 8118.  Not later than 15 days after the date on which any
    foreign base that involves the stationing or operations of the United
    States Armed Forces, including a temporary base, permanent base, or
    base owned and operated by a foreign country, is opened or closed, the
    Secretary of Defense shall notify the congressional defense committees
    in writing of the opening or closing of such base:  Provided, That such
    notification shall also include information on any personnel changes,
    costs, and savings associated with the opening or closing of such base.
        Sec. 8119.  None of the funds appropriated or otherwise made
    available by this or any other Act shall be obligated or expended by
    the United States Government for any of the following purposes:
                (1) To establish any military installation or base for the
            purpose of providing for the permanent stationing of United
            States Armed Forces in Iraq.
                (2) To exercise United States control over any oil resource
            of Iraq or Syria.
        Sec. 8120.  Up to $500,000,000 of the funds appropriated by this
    Act under the heading ``Operation and Maintenance, Defense-Wide'' for
    the Defense Security Cooperation Agency may be used to support the
    armed forces of Jordan.
        Sec. 8121.  The amounts appropriated in title II of this Act are
    hereby reduced by $1,050,000,000 to reflect excess cash balances in
    Department of Defense Working Capital Funds, as follows:
                (1) From ``Operation and Maintenance, Army'', $100,000,000;
                (2) From ``Operation and Maintenance, Navy'', $450,000,000;
            and
                (3) From ``Operation and Maintenance, Air Force'',
            $500,000,000.
        Sec. 8122.  Of the funds appropriated in this Act under the heading
    ``Operation and Maintenance, Defense-Wide'', $47,000,000 shall be for
    continued implementation and expansion of the Sexual Assault Special
    Victims' Counsel Program:  Provided, That the funds are made available
    for transfer to the Department of the Army, the Department of the Navy,
    and the Department of the Air Force:  Provided further, That funds
    transferred shall be merged with and available for the same purposes
    and for the same time period as the appropriations to which the funds
    are transferred:  Provided further, That this transfer authority is in
    addition to any other transfer authority provided in this Act.
        Sec. 8123.  In carrying out the program described in the memorandum
    on the subject of ``Policy for Assisted Reproductive Services for the
    Benefit of Seriously or Severely Ill/Injured (Category II or III)
    Active Duty Service Members'' issued by the Assistant Secretary of
    Defense for Health Affairs on April 3, 2012, and the guidance issued to
    implement such memorandum, the Secretary of Defense shall apply such
    policy and guidance, except that--
                (1) the limitation on periods regarding embryo
            cryopreservation and storage set forth in part III(G) and in
            part IV(H) of such memorandum shall not apply; and
                (2) the term ``assisted reproductive technology'' shall
            include embryo cryopreservation and storage without limitation
            on the duration of such cryopreservation and storage.
        Sec. 8124.  The Secretary of Defense may obligate funds made
    available by this Act for procurement or for research, development,
    test and evaluation for the F-35 Joint Strike Fighter to modify not
    fewer than nine F-35 aircraft, including at least three F-35 aircraft
    of each variant, for any test configuration:  Provided, That the
    Secretary of Defense shall, with the concurrence of the Secretary of
    the Air Force and the Secretary of the Navy, notify the congressional
    defense committees not fewer than 30 days prior to obligating funds
    under this section:  Provided further, That any transfer of funds
    pursuant to the authority provided in this section shall be made in
    accordance with section 8005 of this Act.
        Sec. 8125.  None of the funds appropriated or otherwise made
    available by this or any other Act may be obligated to integrate an
    alternative engine on any F-35 aircraft.
        Sec. 8126.  The Secretary of Defense may use up to $650,000,000 of
    the amounts appropriated or otherwise made available in this Act to the
    Department of Defense for the rapid acquisition and deployment of
    supplies and associated support services pursuant to section 3601 of
    title 10, United States Code, but only for the purposes specified in
    clauses (i), (ii), (iii), and (iv) of subsection (c)(3)(B) of such
    section and subject to the applicable limits specified in clauses (i),
    (ii), and (iii) of such subsection and, in the case of clause (iv) of
    such subsection, subject to a limit of $50,000,000, or for the purposes
    specified in section 229 of the National Defense Authorization Act for
    Fiscal Year 2024 (Public Law 118-31) and subject to a limit of
    $100,000,000:  Provided, That the Secretary of Defense shall notify the
    congressional defense committees promptly of all uses of this
    authority.
        Sec. 8127.  Notwithstanding section 8056 of this Act, amounts
    appropriated under the heading ``Research, Development, Test and
    Evaluation, Defense-Wide'' of this Act, as detailed in budget activity
    eight in the tables titled Explanation of Project Level Adjustments in
    the explanatory statement accompanying this Act for ``Defense
    Innovation Unit (DIU) Fielding'' line 301, may be used for expenses for
    agile research, development, test and evaluation, procurement,
    production, modification, and operation and maintenance requirements,
    including the initial acquisition of end-items for operational use:
    Provided, That none of these funds may be obligated or expended until
    15 days after the Secretary of Defense provides the congressional
    defense committees a detailed execution plan for such funds.
        Sec. 8128.  None of the funds made available by this Act may be
    used to support any activity conducted by, or associated with, the
    Wuhan Institute of Virology.
        Sec. 8129.  None of the funds made available by this Act may be
    used to fund any work to be performed by EcoHealth Alliance, Inc. in
    China on research supported by the government of China unless the
    Secretary of Defense determines that a waiver to such prohibition is in
    the national security interests of the United States and, not later
    than 14 days after granting such a waiver, submits to the congressional
    defense committees a detailed justification for the waiver, including--
                (1) an identification of the Department of Defense entity
            obligating or expending the funds;
                (2) an identification of the amount of such funds;
                (3) an identification of the intended purpose of such
            funds;
                (4) an identification of the recipient or prospective
            recipient of such funds (including any third-party entity
            recipient, as applicable);
                (5) an explanation for how the waiver is in the national
            security interests of the United States; and
                (6) any other information the Secretary determines
            appropriate.
        Sec. 8130.  None of the funds appropriated or otherwise made
    available in this or any other Act may be used to transfer, release, or
    assist in the transfer or release to or within the United States, its
    territories, or possessions Khalid Sheikh Mohammed or any other
    detainee who--
                (1) is not a United States citizen or a member of the Armed
            Forces of the United States; and
                (2) is or was held on or after June 24, 2009, at United
            States Naval Station, Guantanamo Bay, Cuba, by the Department
            of Defense.
        Sec. 8131.  None of the funds appropriated or otherwise made
    available in this Act may be used to transfer any individual detained
    at United States Naval Station Guantanamo Bay, Cuba, to the custody or
    control of the individual's country of origin, any other foreign
    country, or any other foreign entity except in accordance with section
    1034 of the National Defense Authorization Act for Fiscal Year 2016
    (Public Law 114-92) and section 1035 of the John S. McCain National
    Defense Authorization Act for Fiscal Year 2019 (Public Law 115-232).
        Sec. 8132. (a) None of the funds appropriated or otherwise made
    available in this or any other Act may be used to construct, acquire,
    or modify any facility in the United States, its territories, or
    possessions to house any individual described in subsection (c) for the
    purposes of detention or imprisonment in the custody or under the
    effective control of the Department of Defense.
        (b) The prohibition in subsection (a) shall not apply to any
    modification of facilities at United States Naval Station, Guantanamo
    Bay, Cuba.
        (c) An individual described in this subsection is any individual
    who, as of June 24, 2009, is located at United States Naval Station,
    Guantanamo Bay, Cuba, and who--
                (1) is not a citizen of the United States or a member of
            the Armed Forces of the United States; and
                (2) is--
                        (A) in the custody or under the effective control
                    of the Department of Defense; or
                        (B) otherwise under detention at United States
                    Naval Station, Guantanamo Bay, Cuba.
        Sec. 8133.  None of the funds made available by this Act may be
    used to carry out the closure or realignment of the United States Naval
    Station, Guantanamo Bay, Cuba.
        Sec. 8134.  There is appropriated to the ``Department of Defense
    Credit Program Account'' established pursuant to section 149(e)(5) of
    title 10, United States Code, $97,770,000, to remain available until
    expended, to carry out a pilot program on capital assistance to support
    defense investment in the industrial base as authorized by section
    149(e) of such title, of which up to $2,500,000 may be used for
    administrative expenses and project-specific transaction costs:
    Provided, That costs of loans and loan guarantees, including the cost
    of modifying such loans and loan guarantees, shall be as defined in
    section 502 of the Congressional Budget Act of 1974:  Provided further,
    That such amounts are available to subsidize gross obligations for the
    principal amount of loans, and total loan principal, any part of which
    is to be guaranteed, not to exceed $4,390,000,000:  Provided further,
    That, for the purposes of carrying out the Congressional Budget Act of
    1974, the Director of the Congressional Budget Office may request, and
    the Secretary shall promptly provide documentation and information
    relating to a project receiving capital assistance as authorized under
    section 149(e) of such title.
        Sec. 8135.  None of the funds appropriated or otherwise made
    available by this Act may be used to divest or prepare to divest more
    than eight U-2 aircraft.
        Sec. 8136.  The amounts appropriated in title II of this Act are
    hereby reduced by $1,204,617,000 to reflect savings attributable to
    efficiencies, streamlining of functions, and management improvements in
    the Department of Defense, as follows:
                (1) From ``Operation and Maintenance, Army'', $563,288,000;
                (2) From ``Operation and Maintenance, Navy'', $109,159,000;
                (3) From ``Operation and Maintenance, Marine Corps'',
            $9,467,000;
                (4) From ``Operation and Maintenance, Air Force'',
            $319,765,000;
                (5) From ``Operation and Maintenance, Space Force'',
            $6,493,000; and
                (6) From ``Operation and Maintenance, Defense-Wide'',
            $196,445,000:
      Provided, That such reduction may not be derived from amounts
    appropriated by this Act for the National Intelligence Program or the
    Military Intelligence Program.
        Sec. 8137. (a) Concurrent with the annual budget submission of the
    President for fiscal year 2027, and each fiscal year thereafter,
    pursuant to section 1105(a) of title 31, United States Code, the
    Secretary of Defense shall submit to the Committees on Appropriations
    of the House of Representatives and the Senate the following with
    respect to amounts made available by Public Law 119-21 until all such
    amounts have been expended:
                (1) proposed allocations by account, by fiscal year, and by
            program, project, or activity, with detailed justifications;
                (2) P-1 and R-1 budget justification documents, which shall
            identify the allocation of funds by program, project, and
            activity; and
                (3) budget justification documents, to be known as M-1 and
            O-1, which shall identify the allocation of funds by budget
            activity, activity group, and sub-activity group.
        (b) Subsequent to the submission required in subsection (a), the
    Secretary of Defense shall submit to the Committees on Appropriations
    of the House of Representatives and Senate quarterly reports on the
    status of balances of projects and activities funded using amounts
    described in subsection (a), including all uncommitted, committed, and
    unobligated funds, until all such amounts have been expended.
        Sec. 8138.  The Secretary of Defense shall obligate funds made
    available by this or any other Act, including prior year Acts, under
    the heading ``Research, Development, Test and Evaluation, Navy'' for
    the Next Generation Fighter program for the purpose of executing the
    engineering and manufacturing development contract for the Next
    Generation Fighter aircraft in a manner that achieves accelerated
    Initial Operational Capability:  Provided, That none of the funds made
    available to the Department of Defense for this fiscal year or any
    prior fiscal year may be used to pause, cancel, or terminate the Next
    Generation Fighter program.
        Sec. 8139.  Of the funds provided under the heading ``Operation and
    Maintenance, Navy'', not less than $80,000,000 shall be made available
    for the establishment of a Platform Supply Vessel Pilot Program (in
    this section referred to as the ``Program'') for the purpose of
    validating Service requirements necessary to meet at-sea and in-shore
    logistics operations:  Provided, That the Program shall evaluate
    options to time charter no less than six, and enter into a contractual
    agreement for no less than two time charters:  Provided further, That
    the condition of the time charter should consider existing United
    States-built platform supply vessels that are documented under the laws
    of the United States, owned by a citizen of the United States under 46
    U.S.C. 50501, configured for logistics support in the Indo-Pacific
    region that can meet the regulatory and physical requirements to
    transport nearly 500,000 gallons of various standard fuels, and provide
    up to 10,000 square feet of combined deck space for transport of
    military equipment and personnel for delivery in and out of shallow
    draft ports in the Indo-Pacific region:  Provided further, That the
    Secretary of the Navy shall provide a briefing within 180 days after
    the enactment of this Act to the House and Senate Appropriations
    Committees on the status of the Program and the effectiveness of using
    PSVs to fill this critical need.
        Sec. 8140.  Funds made available for the UH-60 Blackhawk aircraft
    program under this or any other Act, including prior year Acts, under
    the headings ``Aircraft Procurement, Army'' and ``Research,
    Development, Test and Evaluation, Army'' shall be obligated only for
    the purposes for which such funds were appropriated and such funds may
    not be reprogrammed or transferred for other purposes:  Provided, That
    none of the funds made available to the Department of Defense for this
    fiscal year or any prior fiscal year may be used to pause, cancel, or
    terminate the UH-60 Blackhawk aircraft program or to prepare to pause,
    cancel, or terminate such program.
        Sec. 8141.  Funds made available for the E-7 Wedgetail aircraft
    program under this or any other Act, including prior year Acts, under
    the headings ``Aircraft Procurement, Air Force'' and ``Research,
    Development, Test and Evaluation, Air Force'' shall be obligated only
    for the purposes for which such funds were appropriated and such funds
    may not be reprogrammed or transferred for other purposes:  Provided,
    That none of the funds made available to the Department of Defense for
    this fiscal year or any prior fiscal year may be used to pause, cancel,
    or terminate the E-7 Wedgetail aircraft program or to prepare to pause,
    cancel, or terminate such program.
        Sec. 8142.  None of the funds made available by this Act may be
    used to close--
                (1) the Rock Island Arsenal Museum located in Rock Island
            Arsenal, Illinois;
                (2) the Fort Sill National Historic Landmark and Museum
            located in Lawton, Oklahoma;
                (3) the United States Army Transportation Museum located at
            Fort Eustis, Virginia; or
                (4) the General George Patton Museum of Leadership located
            at Fort Knox, Kentucky.
        Sec. 8143.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Defense-Wide'', for the Defense
    Security Cooperation Agency, $1,000,000,000, to remain available until
    September 30, 2027, shall be for the Taiwan Security Cooperation
    Initiative:  Provided, That such funds shall be available to the
    Secretary of Defense, with the concurrence of the Secretary of State,
    to provide assistance, including new procurement of defense articles,
    services, and military education and training to Taiwan:  Provided
    further, That equipment procured using funds made available in this
    section, and not yet transferred to Taiwan, or returned by Taiwan to
    the United States, may be treated as stocks of the Department of
    Defense upon written notification to the congressional defense
    committees:  Provided further, That the Secretary of Defense shall, not
    less than 15 days prior to obligating funds made available in this
    section, notify the congressional defense committees in writing of the
    details of any such obligation:  Provided further, That the Secretary
    of Defense shall provide quarterly reports to the congressional defense
    committees on the use and status of funds made available in this
    section.
        Sec. 8144.  Of the amounts appropriated or otherwise made available
    by title II of this Act under the heading ``Operation and Maintenance,
    Air Force'', the Secretary of Defense may reimburse the Federated
    States of Micronesia in an amount not to exceed $34,000,000 for land
    acquisition costs for defense sites in Yap.
        Sec. 8145.  The total amount appropriated in title II of this Act
    is hereby reduced by $550,000,000 to reflect savings due to favorable
    bulk fuel rates:  Provided, That such reduction may not be derived from
    amounts appropriated by this Act for the National Intelligence Program
    or the Military Intelligence Program.
        Sec. 8146.  In making Federal financial assistance, the Department
    of Defense shall continue to apply the negotiated indirect cost rates
    in section 200.414 of title 2, Code of Federal Regulations, including
    with respect to the approval of deviations from negotiated indirect
    cost rates, to the same extent and in the same manner as such
    negotiated indirect cost rates were applied in fiscal year 2024:
    Provided, That none of the funds appropriated in this or prior
    Department of Defense Appropriations Acts, or otherwise made available
    to the Department of Defense may be used to develop, modify, or
    implement changes to such fiscal year 2024 negotiated indirect cost
    rates.

                         (including transfer of funds)

        Sec. 8147.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Defense-Wide'', $150,000,000, to
    remain available until September 30, 2027, may be used for replacement
    of defense articles and for reimbursement of defense services provided
    to or identified for provision to Taiwan:  Provided, That such funds
    may be transferred to appropriations made available under titles II,
    III, IV, and V of this Act for replacement, through new procurement or
    repair of existing unserviceable equipment, of defense articles from
    the stocks of the Department of Defense, and for reimbursement for
    defense services of the Department of Defense and military education
    and training, provided to the government of Taiwan or to foreign
    countries that have provided support to Taiwan at the request of the
    United States:  Provided further, That funds transferred pursuant to
    this section shall be merged with and available for the same purposes
    and for the same time period as the appropriations to which the funds
    are transferred:  Provided further, That the Secretary of Defense shall
    notify the congressional defense committees of the details of such
    transfers not less than 15 days before any such transfer:  Provided
    further, That upon a determination that all or part of the funds
    transferred from this appropriation are not necessary for the purposes
    provided herein, such amounts may be transferred back and merged with
    this appropriation:  Provided further, That the transfer authority
    provided in this section is in addition to any other transfer authority
    provided in this Act.
        Sec. 8148.  None of the funds made available to the Department of
    Defense for this fiscal year or any prior fiscal year may be used by
    the Department of Defense to award a sole-source or non-competitive
    contract in excess of $100,000,000 for space-based airborne moving
    target indication systems.
        Sec. 8149.  None of the funds made available to the Department of
    Defense for this fiscal year or any prior fiscal year may be used to
    pause, cancel, or terminate the Next-Generation Overhead Persistent
    Infrared Geosynchronous Earth Orbit and the Next-Generation Overhead
    Persistent Infrared Polar programs.
        Sec. 8150.  Any transactions or follow-on transactions entered into
    pursuant to the authority in section 2808a of title 10, United States
    Code, to carry out repair and construction projects for facilities may
    only be carried out if, without regard to section 2808a, such projects
    are otherwise authorized by law and the use of military construction,
    operation and maintenance, or research, development, test and
    evaluation funds is otherwise authorized for such projects:  Provided,
    That none of the funds appropriated or otherwise made available by this
    or prior Acts, by title I of division D of Public Law 119-37 or by any
    prior Act making appropriations for Military Construction, Veterans
    Affairs, and Related Agencies, or by funds made available to the
    Department of Defense in Public Law 119-21 may be transferred pursuant
    to the authority in section 2808a of title 10, United States Code.
        Sec. 8151.  The amounts appropriated in title IV of this Act are
    hereby reduced by $1,000,000,000 due to the expiration of
    authorizations contained in 15 U.S.C. 638, as follows:
                ``Research, Development, Test and Evaluation, Army'',
            $140,000,000;
                ``Research, Development, Test and Evaluation, Navy'',
            $157,000,000;
                ``Research, Development, Test and Evaluation, Air Force'',
            $325,000,000;
                ``Research, Development, Test and Evaluation, Space
            Force'', $140,000,000; and
                ``Research, Development, Test and Evaluation, Defense-
            Wide'', $238,000,000:
      Provided, That this section shall not apply to appropriations for the
    National Intelligence Program:  Provided further, That if a law
    reauthorizing 15 U.S.C. 638 for fiscal year 2026 is enacted after the
    date of the enactment of this section and before September 30, 2026,
    the required expenditure amount in 15 U.S.C. 638 for the Department of
    Defense for such program for such fiscal year shall be prorated on an
    annual basis for the remainder of such fiscal year based on the
    extramural budget (as defined in 15 U.S.C. 638(e)(1)) of the Department
    on the date of the enactment of such law.
        Sec. 8152.  Of the amounts appropriated in this Act under the
    heading ``Operation and Maintenance, Defense-Wide'', for the Defense
    Security Cooperation Agency, $200,000,000, to remain available until
    September 30, 2027, shall be available for the International Security
    Cooperation Program - Baltic Security Initiative to provide support and
    assistance to the foreign security forces of Estonia, Latvia, and
    Lithuania in accordance with the objectives identified by section 1247
    of the National Defense Authorization Act for Fiscal Year 2026 (Public
    Law 119-60):  Provided, That the Secretary of Defense shall, not less
    than 15 days prior to obligating funds made available in this section,
    notify the congressional defense committees in writing of the details
    of any planned obligation:  Provided further, That the Secretary of
    Defense shall provide quarterly reports to the Committees on
    Appropriations of the House of Representatives and the Senate on the
    use and status of funds made available in this section.

                         (including transfer of funds)

        Sec. 8153. (a) In addition to amounts made available elsewhere in
    this Act, $500,000,000, of which not less than $150,000,000 shall be
    available only for the qualification and testing of second source
    providers, is hereby appropriated to the Department of Defense and may
    be transferred to the procurement accounts of the Army, Navy, Air
    Force, and Department of Defense and the ``Research, Development, Test
    and Evaluation, Defense-Wide'' account, only for the following
    purposes--
                (1) investment in modernization, expansion, or
            facilitization of the solid rocket motor industrial base,
            including capital equipment, tooling, and facility upgrades;
                (2) workforce development, training, and retention;
                (3) supplier base expansion and qualification, including
            second- and third-tier vendors and non-traditional
            manufacturers;
                (4) process improvements, automation, and digital
            manufacturing; and
                (5) risk reduction and surge capacity initiatives necessary
            to ensure reliable, affordable, and timely production of solid
            rocket motors and related energetics:
        (b) Not later than 60 days after the date of the enactment of this
    Act, the Secretary of Defense shall provide a briefing to the
    congressional defense committees on planned activities under this
    section, including an explanation of how competition considerations and
    industry input were incorporated into acquisition and execution
    decisions:  Provided, That none of the funds provided under this
    section may be obligated or expended until 30 days after the Secretary
    of Defense provides to the congressional defense committees a detailed
    execution plan for the use of such funds:  Provided further, That the
    Secretary of Defense shall, not fewer than 15 days prior to any
    transfer of funds, notify the Committees on Appropriations of the House
    of Representatives and the Senate in writing of the details of any such
    transfer:  Provided further, That upon transfer, the funds shall be
    merged with and available for the same purposes, and for the same time
    period, as the appropriation to which transferred:  Provided further,
    That upon a determination that all or part of the funds transferred
    from this appropriation are not necessary for the purposes provided
    herein, such amounts may be transferred back and merged with this
    appropriation:  Provided further, That the transfer authority provided
    under this section is in addition to any other transfer authority
    provided elsewhere in this Act.
        This division may be cited as the ``Department of Defense
    Appropriations Act, 2026''.

       DIVISION B--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND
            EDUCATION, AND RELATED AGENCIES APPROPRIATIONS ACT, 2026

                                    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, $3,981,588,000 plus reimbursements, shall be
    available. Of the amounts provided:
                (1) for grants to States for adult employment and training
            activities, youth activities, and dislocated worker employment
            and training activities, $2,919,332,000 as follows:
                        (A) $875,649,000 for adult employment and training
                    activities, of which $163,649,000 shall be available
                    for the period July 1, 2026 through June 30, 2027, and
                    of which $712,000,000 shall be available for the period
                    October 1, 2026 through June 30, 2027;
                        (B) $948,130,000 for youth activities, which shall
                    be available for the period April 1, 2026 through June
                    30, 2027; and
                        (C) $1,095,553,000 for dislocated worker employment
                    and training activities, of which $235,553,000 shall be
                    available for the period July 1, 2026 through June 30,
                    2027, and of which $860,000,000 shall be available for
                    the period October 1, 2026 through June 30, 2027:
              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, $1,062,256,000 as follows:
                        (A) $300,859,000 for the dislocated workers
                    assistance national reserve, of which $100,859,000
                    shall be available for the period July 1, 2026 through
                    September 30, 2027, and of which $200,000,000 shall be
                    available for the period October 1, 2026 through
                    September 30, 2027:  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, $120,000,000 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) $55,000,000 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:  Provided, That
                            the Secretary shall follow the requirements for
                            the program in House Report 116-62:  Provided
                            further, That any grant funds used for
                            apprenticeships shall be used to support only
                            apprenticeship programs registered under the
                            National Apprenticeship Act and as referred to
                            in section 3(7)(B) of the WIOA;
                        (B) $62,500,000 for Native American programs under
                    section 166 of the WIOA, which shall be available for
                    the period July 1, 2026 through June 30, 2027;
                        (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, 2026 through June 30, 2027:
                    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, 2026 through June 30,
                    2027;
                        (E) $110,000,000 for ex-offender activities, under
                    the authority of section 169 of the WIOA, which shall
                    be available for the period April 1, 2026 through June
                    30, 2027:  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,
                    2026 through June 30, 2027;
                        (G) $285,000,000 to expand opportunities through
                    apprenticeships only registered under the National
                    Apprenticeship Act and as referred to in section
                    3(7)(B) of the WIOA, to be available to the Secretary
                    to carry out activities through grants, cooperative
                    agreements, contracts and other arrangements, with
                    States and other appropriate entities, including equity
                    intermediaries and business and labor industry partner
                    intermediaries, which shall be available for the period
                    July 1, 2026 through June 30, 2027; and
                        (H) $95,501,000 for carrying out Demonstration and
                    Pilot projects under section 169(c) of the WIOA, which
                    shall be available for the period April 1, 2026 through
                    June 30, 2027, in addition to funds available for such
                    activities under subparagraph (A) for the projects, and
                    in the amounts, specified in the table titled
                    ``Community Project Funding/Congressionally Directed
                    Spending'' included in the explanatory statement
                    described in section 4 (in the matter preceding
                    division A of this consolidated Act):  Provided, That
                    such funds may be used for projects that are related to
                    the employment and training needs of dislocated
                    workers, other adults, or youth:  Provided further,
                    That the 10 percent funding limitation under such
                    section of the WIOA shall not apply to such funds:
                    Provided further, That section 169(b)(6)(C) of the WIOA
                    shall not apply to such funds:  Provided further, That
                    sections 102 and 107 of this Act shall not apply to
                    such funds.

                                   job corps

                         (including transfer of funds)

        To carry out subtitle C of title I of the WIOA, including Federal
    administrative expenses, the purchase and hire of passenger motor
    vehicles, the construction, alteration, and repairs of buildings and
    other facilities, and the purchase of real property for training
    centers as authorized by the WIOA, $1,760,155,000, plus reimbursements,
    as follows:
                (1) $1,603,325,000 for Job Corps Operations, which shall be
            available for the period July 1, 2026 through June 30, 2027;
                (2) $123,000,000 for construction, rehabilitation and
            acquisition of Job Corps Centers, which shall be available for
            the period July 1, 2026 through June 30, 2029, and which may
            include the acquisition, maintenance, and repair of major items
            of equipment:  Provided, That the Secretary may transfer up to
            15 percent of such funds to meet the operational needs of such
            centers or to achieve administrative efficiencies:  Provided
            further, That any funds transferred pursuant to the preceding
            proviso shall not be available for obligation after June 30,
            2027:  Provided further, That the Committees on Appropriations
            of the House of Representatives and the Senate are notified at
            least 15 days in advance of any transfer; and
                (3) $33,830,000 for necessary expenses of Job Corps, which
            shall be available for obligation for the period October 1,
            2025 through September 30, 2026:
      Provided, That no funds from any other appropriation shall be used to
    provide meal services at or for Job Corps Centers.

                community service employment for older americans

        To carry out title V of the Older Americans Act of 1965 (referred
    to in this Act as ``OAA''), $395,000,000, which shall be available for
    the period April 1, 2026 through June 30, 2027, and may be recaptured
    and reobligated in accordance with section 517(c) of the OAA.

                  federal unemployment benefits and allowances

        For payments during fiscal year 2026 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,
    $50,300,000 together with such amounts as may be necessary to be
    charged to the subsequent appropriation for payments for any period
    subsequent to September 15, 2026:  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, $74,306,000, together with
    not to exceed $4,000,584,000 which may be expended from the Employment
    Security Administration Account in the Unemployment Trust Fund (``the
    Trust Fund''), of which--
                (1) $3,226,635,000 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 $467,000,000 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 a concurrent
            resolution on the budget and $350,000,000 is additional new
            budget authority specified for purposes of a concurrent
            resolution on the budget; 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 Federal obligation through December 31, 2026, 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, 2027:  Provided, That notwithstanding any
            other provision of law, the Secretary may recapture any funds
            appropriated under this paragraph that remain unexpended by a
            State after the period of expenditure for a State (but before
            such funds have been returned to the Trust Fund), and such
            recaptured funds shall remain available until expended for
            reobligation by the Secretary to the States to carry out
            automation activities related to the administration of
            unemployment compensation laws:  Provided further, That funds
            transferred pursuant to the preceding proviso shall not be
            available until 60 days after the Secretary has submitted a
            plan to the Committees on Appropriations of the House of
            Representatives and the Senate on the planned use of funds;
                (2) $18,000,000 from the Trust Fund is for national
            activities necessary to support the administration of the
            Federal-State unemployment insurance system;
                (3) $653,639,000 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, 2026 through June 30, 2027;
                (4) $17,500,000 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) $84,810,000 from the Trust Fund is for the
            administration of foreign labor certifications and related
            activities under the Immigration and Nationality Act and
            related laws, of which $61,528,000 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) $52,893,000 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, 2026
            through June 30, 2027, 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 2026 is projected by the
    Department of Labor to exceed 3,075,000, 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, 2027, 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, 2027.

                             program administration

        For expenses of administering employment and training programs,
    $104,527,000, together with not to exceed $53,906,000 which shall be
    available from the Employment Security Administration Account in the
    Unemployment Trust Fund.

                       Veterans' Employment and Training

                   veterans' employment and training service

        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, 2028, 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,
            to the spouses or other family caregivers of such wounded, ill,
            or injured members, and to surviving spouses of individuals who
            died while serving as members of the Armed Forces or as a
            result of a service-connected disability;
                (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, 2026, 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.

                   Employee Benefits Security Administration

                             salaries and expenses

        For necessary expenses for the Employee Benefits Security
    Administration, $191,100,000, of which up to $3,000,000 shall be made
    available through September 30, 2027, 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, 2026, for the Corporation:  Provided, That none of the
    funds available to the Corporation for fiscal year 2026 shall be
    available for obligations for administrative expenses in excess of
    $494,264,000:  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 2026, an amount not to exceed an additional
    $9,200,000 shall be available through September 30, 2030, 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, 2030 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, 2030 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, $260,000,000.

                      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, $100,976,000.

                    Office of Workers' Compensation Programs

                             salaries and expenses

        For necessary expenses for the Office of Workers' Compensation
    Programs, $120,500,000, 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,
    $1,298,385,000, 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, 2025, 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, 2026:  Provided further,
    That of those funds transferred to this account from the fair share
    entities to pay the cost of administration of the Federal Employees'
    Compensation Act, $81,808,000 shall be made available to the Secretary
    as follows:
                (1) For enhancement and maintenance of automated data
            processing systems operations and telecommunications systems,
            $27,549,000;
                (2) For automated workload processing operations, including
            document imaging, centralized mail intake, and medical bill
            processing, $25,956,000;
                (3) For periodic roll disability management and medical
            review, $25,957,000;
                (4) For program integrity, $2,346,000; 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, $24,585,000, 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 2027, $5,900,000, 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, $68,148,000, 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 2026 for expenses of operation and administration of the
    Black Lung Benefits program, as authorized by section 9501(d)(5): not
    to exceed $50,684,000 for transfer to the Office of Workers'
    Compensation Programs, ``Salaries and Expenses''; not to exceed
    $39,086,000 for transfer to Departmental Management, ``Salaries and
    Expenses''; not to exceed $373,000 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, $629,309,000, 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, 2026, 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 $12,787,000 shall be available for Susan Harwood training
    grants:  Provided further, That $243,000,000 shall be for Federal
    Enforcement:  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, $387,816,000, including purchase and bestowal of
    certificates and trophies in connection with mine rescue and first-aid
    work, and the hire of passenger motor vehicles, including up to
    $2,000,000 for mine rescue and recovery activities and not less than
    $10,537,000 for State assistance grants:  Provided, That
    notwithstanding 31 U.S.C. 3302, not to exceed $750,000 may be collected
    by the National Mine Health and Safety Academy for room, board,
    tuition, and the sale of training materials, otherwise authorized by
    law to be collected, to be available for mine safety and health
    education and training activities:  Provided further, That
    notwithstanding 31 U.S.C. 3302, the Mine Safety and Health
    Administration is authorized to collect and retain up to $2,499,000
    from fees collected for the approval and certification of equipment,
    materials, and explosives for use in mines, and may utilize such sums
    for such activities:  Provided further, That the Secretary is
    authorized to accept lands, buildings, equipment, and other
    contributions from public and private sources and to prosecute projects
    in cooperation with other agencies, Federal, State, or private:
    Provided further, That the Mine Safety and Health Administration is
    authorized to promote health and safety education and training in the
    mining community through cooperative programs with States, industry,
    and safety associations:  Provided further, That the Secretary is
    authorized to recognize the Joseph A. Holmes Safety Association as a
    principal safety association and, notwithstanding any other provision
    of law, may provide funds and, with or without reimbursement,
    personnel, including service of Mine Safety and Health Administration
    officials as officers in local chapters or in the national
    organization:  Provided further, That any funds available to the
    Department of Labor may be used, with the approval of the Secretary, to
    provide for the costs of mine rescue and survival operations in the
    event of a major disaster.

                           Bureau of Labor Statistics

                             salaries and expenses

        For necessary expenses for the Bureau of Labor Statistics,
    including advances or reimbursements to State, Federal, and local
    agencies and their employees for services rendered, $640,500,000,
    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

                         (including transfer of funds)

        For necessary expenses for Departmental Management, including the
    hire of three passenger motor vehicles, $362,877,000, together with not
    to exceed $308,000, which may be expended from the Employment Security
    Administration account in the Unemployment Trust Fund:  Provided, That
    $116,125,000 shall be for the Bureau of International Labor Affairs, of
    which $81,725,000 shall be available for obligation through December
    31, 2026:  Provided further, That funds available to the Bureau of
    International Labor Affairs may be used to administer or operate
    international labor activities, bilateral and multilateral technical
    assistance, and microfinance programs, by or through contracts, grants,
    subgrants and other arrangements:  Provided further, That not less than
    $30,175,000 shall be for programs to combat exploitative child labor
    internationally and not less than $30,175,000 shall be used to
    implement model programs that address worker rights issues through
    technical assistance in countries with which the United States has free
    trade agreements or trade preference programs:  Provided further, That
    $4,281,000 shall be used for program evaluation and shall be available
    for obligation through September 30, 2027:  Provided further, That
    funds available for program evaluation may be used to administer grants
    for the purpose of evaluation:  Provided further, That grants made for
    the purpose of evaluation shall be awarded through fair and open
    competition:  Provided further, That funds available for program
    evaluation may be transferred to any other appropriate account in the
    Department for such purpose:  Provided further, That the Committees on
    Appropriations of the House of Representatives and the Senate are
    notified at least 15 days in advance of any transfer:  Provided
    further, That $23,000,000 shall be for the Women's Bureau and may be
    used for grants to serve and promote the interests of women in the
    workforce:  Provided further, That of the amounts made available to the
    Women's Bureau, not less than $5,000,000 shall be used for grants
    authorized by the Women in Apprenticeship and Nontraditional
    Occupations Act:  Provided further, That the Department of Labor shall
    support staffing levels necessary to fulfill its statutory
    responsibilities including carrying out programs, projects, and
    activities funded in this title of this Act in a timely manner.

                                it modernization

        For necessary expenses for Department of Labor centralized
    infrastructure technology investment activities related to support
    systems and modernization, $6,889,000, which shall be available through
    September 30, 2027.

                          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
    notwithstanding section 102 and the preceding proviso, the Secretary
    may transfer not more than 0.5 percent of funds made available in
    paragraphs (1) and (2) of the ``Office of Job Corps'' account to
    paragraph (3) of such account to carry out program integrity activities
    related to the Job Corps program:  Provided further, That funds
    transferred under this subsection shall be available to the Secretary
    to carry out program integrity activities directly or through grants,
    cooperative agreements, contracts and other arrangements with States
    and other appropriate entities:  Provided further, That funds
    transferred under the authority provided by this subsection shall be
    available for obligation through September 30, 2027.

                              (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, 2027:  Provided, That such funds shall only be available
    if the Chief Evaluation Officer of the Department of Labor submits a
    plan to the Committees on Appropriations of the House of
    Representatives and the Senate describing the evaluations to be carried
    out 15 days in advance of any transfer.
        (b) The accounts referred to in subsection (a) are: ``Training and
    Employment Services'', ``Job Corps'', ``Community Service Employment
    for Older Americans'', ``State Unemployment Insurance and Employment
    Service Operations'', ``Employee Benefits Security Administration'',
    ``Office of Workers' Compensation Programs'', ``Wage and Hour
    Division'', ``Office of Federal Contract Compliance Programs'',
    ``Office of Labor Management Standards'', ``Occupational Safety and
    Health Administration'', ``Mine Safety and Health Administration'',
    ``Office of Disability Employment Policy'', funding made available to
    the ``Bureau of International Labor Affairs'' and ``Women's Bureau''
    within the ``Departmental Management, Salaries and Expenses'' account,
    and ``Veterans' Employment and Training''.
        Sec. 108. (a) Section 7 of the Fair Labor Standards Act of 1938 (29
    U.S.C. 207) shall be applied as if the following text is part of such
    section:
        ``(s)(1) The provisions of this section shall not apply for a
    period of 2 years after the occurrence of a major disaster to any
    employee--
                ``(A) employed to adjust or evaluate claims resulting from
            or relating to such major disaster, by an employer not engaged,
            directly or through an affiliate, in underwriting, selling, or
            marketing property, casualty, or liability insurance policies
            or contracts;
                ``(B) who receives from such employer on average weekly
            compensation of not less than $591.00 per week or any minimum
            weekly amount established by the Secretary, whichever is
            greater, for the number of weeks such employee is engaged in
            any of the activities described in subparagraph (C); and
                ``(C) whose duties include any of the following:
                        ``(i) interviewing insured individuals, individuals
                    who suffered injuries or other damages or losses
                    arising from or relating to a disaster, witnesses, or
                    physicians;
                        ``(ii) inspecting property damage or reviewing
                    factual information to prepare damage estimates;
                        ``(iii) evaluating and making recommendations
                    regarding coverage or compensability of claims or
                    determining liability or value aspects of claims;
                        ``(iv) negotiating settlements; or
                        ``(v) making recommendations regarding litigation.
        ``(2) The exemption in this subsection shall not affect the
    exemption provided by section 13(a)(1).
        ``(3) For purposes of this subsection--
                ``(A) the term `major disaster' means any disaster or
            catastrophe declared or designated by any State or Federal
            agency or department;
                ``(B) the term `employee employed to adjust or evaluate
            claims resulting from or relating to such major disaster' means
            an individual who timely secured or secures a license required
            by applicable law to engage in and perform the activities
            described in clauses (i) through (v) of paragraph (1)(C)
            relating to a major disaster, and is employed by an employer
            that maintains worker compensation insurance coverage or
            protection for its employees, if required by applicable law,
            and withholds applicable Federal, State, and local income and
            payroll taxes from the wages, salaries and any benefits of such
            employees; and
                ``(C) the term `affiliate' means a company that, by reason
            of ownership or control of 25 percent or more of the
            outstanding shares of any class of voting securities of one or
            more companies, directly or indirectly, controls, is controlled
            by, or is under common control with, another company.''.
        (b) This section shall be effective on the date of enactment of
    this Act.
        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 $450,000 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) is amended
    by adding at the end the following new section:
        ``(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 and the
    Gary Job Corps Center are 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 for such project to carry out the Job Corps
    Program on Treasure Island and the Job Corps Program in and around San
    Marcos, Texas, respectively.
        Sec. 115.  None of the funds made available by this Act may be used
    to--
                (1) alter or terminate the Interagency Agreement between
            the United States Department of Labor and the United States
            Department of Agriculture;
                (2) close any of the Civilian Conservation Centers, except
            if such closure is necessary to prevent the endangerment of the
            health and safety of the students, the capacity of the program
            is retained, and the requirements of section 159(j) of the WIOA
            are met; or
                (3) close any Job Corps Centers, except if such closure
            meets the criterion entitled ``Long-Term Center Performance''
            or the criterion entitled ``Evaluation of Continuing Center
            Operations'' established by 81 FR 12529, the capacity of the
            program is retained, and the requirements of section 159(j) of
            the WIOA are met.

                                  (rescission)

        Sec. 116.  Of the unobligated funds available under section
    286(s)(2) of the Immigration and Nationality Act (8 U.S.C. 1356(s)(2)),
    $206,000,000 are hereby permanently rescinded not later than September
    30, 2026.
        This title may be cited as the ``Department of Labor Appropriations
    Act, 2026''.

                                    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.

                                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,
    $1,413,776,000, which shall be for the purposes and in the amounts
    specified in the ``Final Bill'' column for Health Workforce in the
    ``Departments of Labor, Health and Human Services, Education, and
    Related Agencies Appropriations Act, 2026'' table in the explanatory
    statement described in section 4 (in the matter preceding division A of
    this consolidated Act):  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 amounts made available for the National Health Service
    Corps (``NHSC'') shall remain available until expended for the purposes
    of providing primary health services, assigning 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 for the NHSC, not less than 13 percent 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 the PHS Act, and $8,000,000 shall
    remain available until expended for payments to individuals
    participating in such program who provide primary health services in
    Maternity Care Health Professional Target Areas, as determined 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 amounts made available for the Nurse
    Practitioner Optional Fellowship Program 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 amounts made available for Pediatric Specialty Loan Repayment
    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 2026 contracts entered into under
    section 338B of the PHS Act.
        Amounts made available for Medical Student Education 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, as
    determined by the Secretary:  Provided further, That grants so awarded
    are limited to such public institutions of higher education in States
    in the top quartile of States with a projected primary care provider
    shortage, 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, $1,181,680,000, which shall be for the purposes and in the amounts
    specified in the ``Final Bill'' column for Maternal and Child Health in
    the ``Departments of Labor, Health and Human Services, Education, and
    Related Agencies Appropriations Act, 2026'' table in the explanatory
    statement described in section 4 (in the matter preceding division A of
    this consolidated Act):  Provided, That notwithstanding sections
    502(a)(1) and 502(b)(1) of the Social Security Act, amounts made
    available for Special Projects of Regional and National Significance
    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, and the budget
    activities specified in the table under this heading in the explanatory
    statement described in section 4 (in the matter preceding division A of
    this consolidated Act) shall be funded in the amounts specified in such
    table.

                          ryan white hiv/aids program

        For carrying out title XXVI of the PHS Act with respect to the Ryan
    White HIV/AIDS program, $2,571,041,000, which shall be for the purposes
    and in the amounts specified in the ``Final Bill'' column for Ryan
    White HIV/AIDS Program in the ``Departments of Labor, Health and Human
    Services, Education, and Related Agencies Appropriations Act, 2026''
    table in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated Act), of which the
    amounts made available for Emergency Assistance (Part A) and
    Comprehensive Care Programs (Part B) shall remain available to the
    Secretary through September 30, 2028, for parts A and B of title XXVI
    of the PHS Act, and of which the amounts made available for the AIDS
    Drug Assistance Program (ADAP) shall be for State AIDS Drug Assistance
    Programs under the authority of section 2616 or 311(c) of such Act; and
    of which the amounts made available for Ending the HIV/AIDS Epidemic
    Initiative shall remain available until expended and shall be available
    to the Secretary for carrying out a program of grants and contracts
    under title XXVI or section 311(c) of such Act focused on ending the
    nationwide HIV/AIDS epidemic, with any grants issued under such section
    311(c) administered in conjunction with title XXVI of the PHS Act,
    including the limitation on administrative expenses.

                                 health systems

        For carrying out titles III and XII of the PHS Act with respect to
    health care systems, and the Stem Cell Therapeutic and Research Act of
    2005, $127,009,000, of which $122,000 shall be available until expended
    for facility renovations and other facilities-related expenses of the
    Hansen's Disease Program:  Provided, That during the period covered by
    this Act, the Secretary of Health and Human Services may collect
    registration fees from members of the Organ Procurement and
    Transplantation Network (in this title referred to as ``OPTN''),
    authorized under section 372 of the PHS Act, for each transplant
    candidate such members place on the list described in subsection
    (b)(2)(A)(i) of such section, including directly or through awards made
    under subsection (b)(1)(A) of such section:  Provided further, That
    such fees may be credited to this account, to remain available until
    expended, to support the operation of the OPTN:  Provided further, That
    the Secretary may distribute fees collected pursuant to the first
    proviso under this heading among the awardee or awardees described in
    subsection (b)(1)(A) of section 372 of the PHS Act as the Secretary
    determines appropriate.

                                  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,
    $392,907,000, which shall be for the purposes and in the amounts
    specified, other than for ``Rural Hospital Provider Assistance
    Program'', in the ``Final Bill'' column for Rural Health in the
    ``Departments of Labor, Health and Human Services, Education, and
    Related Agencies Appropriations Act, 2026'' table in the explanatory
    statement described in section 4 (in the matter preceding division A of
    this consolidated Act), of which the amounts made available for Rural
    Hospital Flexibility Grants shall come from general revenues,
    notwithstanding section 1820(j) of the Social Security Act:  Provided,
    That of the funds made available under this paragraph for Rural
    Hospital Flexibility Grants, up to $22,942,000 shall be available for
    the Small Rural Hospital Improvement 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 the amounts made available for State
    Offices of Rural Health shall be available notwithstanding section
    338J(k) of the PHS Act:  Provided further, That the amounts for the
    Rural Residency Planning and Development Program shall remain available
    through September 30, 2028.
        In addition to amounts otherwise available for the same purpose,
    $25,000,000, for making payments to eligible hospitals for the
    maintenance of health care providers:  Provided, That eligible
    hospitals receiving such payment shall meet the following criteria: (1)
    have no more than 50 inpatient beds and (2) have an established wage
    index value of less than 0.90 as determined by the Secretary of Health
    and Human Services under section 1886(d)(3)(E) of the Social Security
    Act (42 U.S.C. 1395ww(d)(3)(E)):  Provided further, That up to 10
    percent of funds made available in this paragraph may be used by
    eligible hospitals for administrative expenses:  Provided further, That
    payment amounts to eligible hospitals shall be calculated by dividing
    available funding equally among such eligible hospitals.

                                family planning

        For carrying out the program under title X of the PHS Act to
    provide for voluntary family planning projects, $286,479,000:
    Provided, That amounts provided to said projects under such title shall
    not be expended for abortions, that all pregnancy counseling shall be
    nondirective, and that such amounts shall not be expended for any
    activity (including the publication or distribution of literature) that
    in any way tends to promote public support or opposition to any
    legislative proposal or candidate for public office.

                    hrsa-wide activities and program support

        For carrying out title III of the Public Health Service Act and for
    cross-cutting activities and program support for activities funded in
    other appropriations included in this Act for the Health Resources and
    Services Administration, $1,076,181,000, of which $45,550,000 shall be
    for expenses necessary for the Office for the Advancement of
    Telehealth, including grants, contracts, and cooperative agreements for
    the advancement of telehealth activities:  Provided, That funds made
    available under this heading may be used to supplement program support
    funding provided under the headings ``Primary Health Care'', ``Health
    Workforce'', ``Maternal and Child Health'', ``Ryan White HIV/AIDS
    Program'', ``Health Systems'', and ``Rural Health'':  Provided further,
    That of the amount made available under this heading, $857,793,000
    shall be used for the projects financing the construction and
    renovation (including equipment) of health care and other facilities,
    and for the projects financing one-time grants that support health-
    related activities, including training and information technology, and
    in the amounts specified in the table titled ``Community Project
    Funding/Congressionally Directed Spending'' included for this division
    in the explanatory statement described in section 4 (in the matter
    preceding division A of this consolidated Act):  Provided further, That
    none of the funds made available for projects described in the
    preceding proviso shall be subject to section 241 of the PHS Act or
    section 205 of this Act.

                 vaccine injury compensation program trust fund

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

                   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,
    $316,901,000.

         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, $1,384,056,000.

                   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,
    $729,272,000:  Provided, That of the amounts made available under this
    heading, up to $1,000,000 from amounts made available for Quarantine
    appropriations 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,
    $983,830,000:  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, $205,060,000.

                       public health scientific services

        For carrying out titles II, III, and XVII of the PHS Act with
    respect to health statistics, surveillance, health informatics, and
    workforce development, $724,553,000:  Provided, That in addition to
    amounts provided herein, $42,944,000 shall be from funds available
    under section 241 of the PHS Act for health statistics.

                              environmental health

        For carrying out titles II, III, and XVII of the PHS Act with
    respect to environmental health, $191,850,000.

                         injury prevention and control

        For carrying out titles II, III, and XVII of the PHS Act with
    respect to injury prevention and control, $761,379,000.

             national institute for occupational safety and health

        For carrying out titles II, III, and XVII of the PHS Act, sections
    101, 102, 103, 201, 202, 203, 301, and 501 of the Federal Mine Safety
    and Health Act, section 13 of the Mine Improvement and New Emergency
    Response Act, and sections 20, 21, and 22 of the Occupational Safety
    and Health Act, with respect to occupational safety and health,
    $366,800,000.

           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, $692,843,000, of which: (1) the amounts made
    available for the Global HIV/AIDS Program shall remain available
    through September 30, 2027; and (2) the amounts made available for the
    Global Public Health Protection shall remain available through
    September 30, 2028:  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, XVII, and XXVIII 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, $913,200,000:  Provided, That the Director of the
    Centers for Disease Control and Prevention (referred to in this title
    as ``CDC'') or the Administrator of the Agency for Toxic Substances and
    Disease Registry may detail staff without reimbursement to support an
    activation of the CDC Emergency Operations Center, so long as the
    Director or Administrator, as applicable, provides a notice to the
    Committees on Appropriations of the House of Representatives and the
    Senate within 15 days of the use of this authority, a full report
    within 30 days after use of this authority which includes the number of
    staff and funding level broken down by the originating center and
    number of days detailed, and an update of such report every 180 days
    until staff are no longer on detail without reimbursement to the CDC
    Emergency Operations Center.

                            buildings and facilities

                         (including transfer of funds)

        For acquisition of real property, equipment, construction,
    installation, demolition, and renovation of facilities, $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, $396,570,000:  Provided,
    That the amounts made available for Public Health Infrastructure and
    Capacity appropriations shall remain available through September 30,
    2027:  Provided further, 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 the amounts made available for Infectious
    Diseases Rapid Response Reserve Fund appropriations shall remain
    available until expended and 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, 2027.

                         National Institutes of Health

                           national cancer institute

        For carrying out section 301 and title IV of the PHS Act with
    respect to cancer, $7,352,159,000, 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, $3,990,345,000.

             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, $525,163,000.

        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, $2,326,721,000.

            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, $2,804,925,000.

             national institute of allergy and infectious diseases

        For carrying out section 301 and title IV of the PHS Act with
    respect to allergy and infectious diseases, $6,585,279,000:  Provided,
    That not less than $270,000,000 is provided for research to develop
    universal flu vaccines.

                 national institute of general medical sciences

        For carrying out section 301 and title IV of the PHS Act with
    respect to general medical sciences, $3,269,679,000, of which
    $1,427,482,000 shall be from funds available under section 241 of the
    PHS Act:  Provided, That not less than $450,956,000 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, $1,769,078,000:
    Provided, That not less than $63,400,000 is provided for the
    Implementing a Maternal health and Pregnancy Outcomes Vision for
    Everyone (IMPROVE) Initiative.

                             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, $4,517,623,000.

     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, $2,189,843,000.

                    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,
    $538,395,000.

                      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, 2027:  Provided
    further, That in this fiscal year, 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, $942,323,000:  Provided, That
    $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

                         (including transfer of funds)

        For carrying out the responsibilities of the Office of the
    Director, NIH, $2,462,914,000:  Provided, That funding shall be
    available for the purchase of not to exceed 29 passenger motor vehicles
    for replacement only:  Provided further, That all funds credited to the
    NIH Management Fund shall remain available for one fiscal year after
    the fiscal year in which they are deposited:  Provided further, That
    $180,000,000 shall be for the Environmental Influences on Child Health
    Outcomes study:  Provided further, That $572,401,000 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 $5,000,000
    shall be transferred to and merged with the appropriation for the
    ``Office of Inspector General'' for oversight of grant programs and
    operations of the NIH, including agency efforts to ensure the integrity
    of its grant application evaluation and selection processes, and shall
    be in addition to funds otherwise made available for oversight of the
    NIH:  Provided further, That amounts made available under this heading
    are also available to establish, operate, and support the Research
    Policy Board authorized by section 2034(f) of the 21st Century Cures
    Act:  Provided further, That not less than $106,480,000 is provided for
    the Office of Research on Women's Health and such funds shall also be
    available for making grants to serve and promote the interests of women
    in research, and the Director of such Office may, in making such
    grants, use the authorities available to NIH Institutes and Centers.
        In addition to other funds appropriated for the Office of the
    Director, $12,600,000 is appropriated 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).

                            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, $226,000,000, 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 NIH to other accounts of the NIH solely for the
    purposes provided in such Act:  Provided further, That upon a
    determination by the Director of the NIH 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, $1,500,000,000,
    to remain available through September 30, 2028.

           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,
    $2,790,407,000:  Provided, That of the funds made available under this
    heading, $100,887,000 shall be for the National Child Traumatic Stress
    Initiative:  Provided further, That of the funds made available under
    this heading, $991,532,000 shall be for the Mental Health Block Grant:
    Provided further, That of the funds made available under this heading,
    $132,000,000 shall be for Children's Mental Health Services:  Provided
    further, That of the funds made available under this heading,
    $66,635,000 shall be for Projects for Assistance in Transition from
    Homelessness:  Provided further, That of the funds made available under
    this heading, $40,000,000 shall be for Protection and Advocacy for
    Individuals with Mental Illness:  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 2026:
     Provided further, That $385,500,000 shall be available until September
    30, 2028 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 the budget activities
    specified in the table under this heading in the explanatory statement
    described in section 4 (in the matter preceding division A of this
    consolidated Act) shall be funded in the amounts specified as
    appropriations in such table:  Provided further, That amounts made
    available for 988 Lifeline appropriations shall be for the purposes
    described in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated 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,
    $4,091,098,000:  Provided, That $1,595,000,000 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 4.25 percent
    shall be made available to Indian Tribes or Tribal organizations:
    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 $562,219,000 shall be for programs of
    regional and national significance, which shall be for the purposes and
    in the amounts specified in the table under this heading in the
    explanatory statement described in section 4 (in the matter preceding
    division A of this consolidated Act), other than amounts specified in
    such table as PHS Evaluation Funds:  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, $240,879,000, which shall be for the
    purposes and in the amounts specified in the table under this heading
    in the explanatory statement described in section 4 (in the matter
    preceding division A of this consolidated Act).

                    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, $171,566,000:  Provided, That of
    the amount made available under this heading, $54,311,000 shall be used
    for the projects, and in the amounts, specified in the table titled
    ``Community Project Funding/Congressionally Directed Spending''
    included for this division in the explanatory statement described in
    section 4 (in the matter preceding division A of this consolidated
    Act):  Provided further, That none of the funds made available for
    projects described in the preceding proviso shall be subject to section
    241 of the PHS Act or section 205 of this Act:  Provided further, That
    in addition to amounts provided herein, $31,428,000 shall be available
    under section 241 of the PHS Act to supplement funds available to carry
    out national surveys on drug abuse and mental health, to collect and
    analyze program data, and 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, 2027:  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''.

                   Agency for Healthcare Research and Quality

                        healthcare research and quality

        For carrying out titles III and IX of the PHS Act, part A of title
    XI of the Social Security Act, and section 1013 of the Medicare
    Prescription Drug, Improvement, and Modernization Act of 2003,
    $345,380,000:  Provided, That section 947(c) of the PHS Act shall not
    apply in fiscal year 2026:  Provided further, That in addition, amounts
    received from Freedom of Information Act fees, reimbursable and
    interagency agreements, and the sale of data shall be credited to this
    appropriation and shall remain available until September 30, 2027.

                    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, $508,148,791,000, to remain available until
    expended.
        In addition, for carrying out such titles after May 31, 2026, for
    the last quarter of fiscal year 2026 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 2027, $316,514,725,000, 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,
    $593,817,000,000.
        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 $3,669,744,000 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 2026 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, 2027, 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, $941,000,000, to remain available through
    September 30, 2027, 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 $699,058,000 shall be for the Centers for Medicare & Medicaid
    Services program integrity activities, of which $108,735,000 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 $133,207,000 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 2026 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 a concurrent resolution on the budget,
    and $630,000,000 is additional new budget authority specified for
    purposes of a concurrent resolution on the budget 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
    2026 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, $4,147,000,000, to remain available until expended; and for such
    purposes for the first quarter of fiscal year 2027, $1,800,000,000, 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.), $4,045,000,000:  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
    $907,348,000 of the amount appropriated under this heading shall be
    allocated as though the total appropriation for such payments for
    fiscal year 2026 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 2025 from amounts
    appropriated pursuant to section 1101(a)(8) of division A of Public Law
    119-4 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 2025 being ratably reduced:  Provided
    further, That by November 1 of the current year, the Secretary shall
    award to each State no less than 90 percent of its total allotment, as
    calculated pursuant to the preceding two provisos.

                         refugee and entrant assistance

                         (including transfer of funds)

        For necessary expenses for refugee and entrant assistance
    activities authorized by section 414 of the Immigration and Nationality
    Act and section 501 of the Refugee Education Assistance Act of 1980,
    and for carrying out section 462 of the Homeland Security Act of 2002,
    section 235 of the William Wilberforce Trafficking Victims Protection
    Reauthorization Act of 2008, the Trafficking Victims Protection Act of
    2000 (``TVPA''), and the Torture Victims Relief Act of 1998,
    $5,163,956,000, of which $5,114,201,000 shall remain available through
    September 30, 2028 for carrying out such sections 414, 501, 462, and
    235:  Provided, That amounts available under this heading to carry out
    the TVPA shall also be available for research and evaluation with
    respect to activities under such Act:  Provided further, That the
    limitation in section 205 of this Act regarding transfers increasing
    any appropriation shall apply to transfers to appropriations under this
    heading by substituting ``15 percent'' for ``3 percent'':  Provided
    further, That the contribution of funds requirement under section
    235(c)(6)(C)(iii) of the William Wilberforce Trafficking Victims
    Protection Reauthorization Act of 2008 shall not apply to funds made
    available under this heading:  Provided further, That for any month in
    fiscal year 2026 that the number of unaccompanied children referred to
    the Department of Health and Human Services pursuant to section 462 of
    the Homeland Security Act of 2002 and section 235 of the William
    Wilberforce Trafficking Victims Protection Reauthorization Act of 2008
    exceeds 16,000, as determined by the Secretary of Health and Human
    Services, an additional $15,000,000, to remain available until
    September 30, 2027, shall be made available for obligation for every
    500 unaccompanied children above that level (including a pro rata
    amount for any increment less than 500), for carrying out such sections
    462 and 235.

       payments to states for the child care and development block grant

        For carrying out the Child Care and Development Block Grant Act of
    1990 (``CCDBG Act''), $8,831,387,000 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 the limitation in
    subparagraph (B) of section 658O(a)(2) of such Act, of the amounts
    appropriated under this heading, not less than 5 percent shall be
    reserved under subparagraph (A) of such section for payments to Indian
    Tribes and Tribal organizations:  Provided further, That of the amounts
    made available under this heading, the Secretary may reserve up to 0.5
    percent for Federal administrative expenses:  Provided further, That
    the Secretary shall award to each State its allotted amount no less
    than quarterly.

                          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, $14,923,390,000, of which $75,000,000, to remain available
    through September 30, 2027, 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, 2026:  Provided, That
    $12,356,820,000 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) $75,000,000 shall be available for a cost of living
            adjustment, and with respect to any continuing appropriations
            act, funding available for a cost of living adjustment shall
            not be construed as an authority or condition under this Act;
                (2) $25,000,000 shall be available for allocation by the
            Secretary to supplement activities described in paragraphs
            (7)(B) and (9) of section 641(c) of the Head Start Act under
            the Designation Renewal System, established under the authority
            of sections 641(c)(7), 645A(b)(12), and 645A(d) of such Act,
            and such funds shall not be included in the calculation of
            ``base grant'' in subsequent fiscal years, as such term is used
            in section 640(a)(7)(A) of such Act;
                (3) $10,000,000 shall be available for the Tribal Colleges
            and Universities Head Start Partnership Program consistent with
            section 648(g) of such Act;
                (4) Not to exceed $8,000,000 shall be available until
            September 30, 2027 for the Marshall Islands and Micronesia for
            the start-up and operation of Head Start services and for the
            provision of training and technical assistance:  Provided, That
            an agency awarded these funds shall not be subject to the
            requirements of the system for designation renewal as defined
            by section 641 of the Head Start Act, for this award only,
            prior to 24 months after the date of such award; and
                (5) $21,000,000 shall be available to supplement funding
            otherwise available for research, evaluation, and Federal
            administrative costs:
      Provided further, That the Secretary may reduce the reservation of
    funds under section 640(a)(2)(C) of such Act in lieu of reducing the
    reservation of funds under sections 640(a)(2)(B), 640(a)(2)(D), and
    640(a)(2)(E) of such Act:  Provided further, That the Secretary shall
    award funding for continuation awards and new award cycles that
    continue previous activities under existing awards no later than the
    day following the expiration of the period of performance:  Provided
    further, That $315,000,000 shall be available until December 31, 2026
    for carrying out sections 9212 and 9213 of the Every Student Succeeds
    Act:  Provided further, That up to 3 percent of the funds in the
    preceding proviso shall be available for technical assistance and
    evaluation related to grants awarded under such section 9212:  Provided
    further, That $810,383,000 shall be for making payments under the CSBG
    Act:  Provided further, That for services furnished under the CSBG Act
    with funds made available for such purpose in this fiscal year and in
    fiscal year 2025, States may apply the last sentence of section 673(2)
    of the CSBG Act by substituting ``200 percent'' for ``125 percent'':
    Provided further, That $35,383,000 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 $13,000,000 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 $245,000,000 shall be for
    carrying out section 303(a) of the Family Violence Prevention and
    Services Act, of which $9,500,000 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:  Provided further, That $40,801,000 shall be used for
    the projects, and in the amounts, specified in the table titled
    ``Community Project Funding/Congressionally Directed Spending''
    included for this division in the explanatory statement described in
    section 4 (in the matter preceding division A of this consolidated
    Act):  Provided further, That none of the funds made available for
    projects described in the preceding proviso shall be subject to section
    241 of the PHS Act or section 205 of this Act:  Provided further, That
    $34,512,000 shall be for the purposes and in the amounts specified in
    the table under this heading in the explanatory statement described in
    section 4 (in the matter preceding division A of this consolidated
    Act).

                       promoting safe and stable families

        For carrying out, except as otherwise provided, section 436 of the
    Social Security Act, $420,000,000 and, for carrying out, except as
    otherwise provided, section 437 of such Act, $62,515,000:  Provided,
    That of the funds available to carry out section 437, $59,765,000 shall
    be allocated consistent with subsections (b) through (d) of such
    section:  Provided further, That of the funds available to carry out
    section 437, $2,750,000, in addition to funds otherwise appropriated in
    section 476 for such purposes, shall be for the Family First
    Clearinghouse and to support evaluation and technical assistance
    relating to the evaluation of child and family services:  Provided
    further, That notwithstanding section 436(b)(1), such reserved amounts
    in the preceding proviso may be used for identifying, establishing, and
    disseminating practices to meet the criteria specified in section
    471(e)(4)(C).

                    payments for foster care and permanency

        For carrying out, except as otherwise provided, title IV-E of the
    Social Security Act, $6,843,000,000.
        For carrying out, except as otherwise provided, title IV-E of the
    Social Security Act, for the first quarter of fiscal year 2027,
    $3,800,000,000.
        For carrying out, after May 31 of the current fiscal year, except
    as otherwise provided, section 474 of title IV-E of the Social Security
    Act, for the last 3 months of the current fiscal year for unanticipated
    costs, incurred for the current fiscal year, such sums as may be
    necessary.

                      Administration for Community Living

                     aging and disability services programs

                         (including transfer of funds)

        For carrying out, to the extent not otherwise provided, the Older
    Americans Act of 1965 (``OAA''), 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, $2,453,737,000, 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:  Provided further, That of the amount made available
    under this heading, $13,968,000 shall be used for the projects, and in
    the amounts, specified in the table titled ``Community Project Funding/
    Congressionally Directed Spending'' included for this division in the
    explanatory statement described in section 4 (in the matter preceding
    division A of this consolidated Act):  Provided further, That none of
    the funds made available for projects described in the preceding
    proviso shall be subject to section 241 of the PHS Act or section 205
    of this Act.

             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, $3,207,991,000:  Provided, That of such amount:
                (1) $1,050,000,000, to remain available through September
            30, 2027, 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;
                (2) $850,000,000, to remain available until expended, shall
            be for expenses necessary for procuring security
            countermeasures (as defined in section 319F-2(c)(1)(B) of the
            PHS Act);
                (3) $1,000,000,000, to remain available until expended,
            shall be for expenses necessary to carry out section 319F-2(a)
            of the PHS Act; and
                (4) $307,991,000 shall be for expenses necessary to prepare
            for or respond to an influenza pandemic, of which $280,000,000
            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:
      Provided further, 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 heading may, at
    the discretion of the Secretary, be deposited in the Strategic National
    Stockpile pursuant to section 319F-2 of the PHS Act.

                operations, preparedness, 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, $484,606,000:
    Provided, That of the amounts made available under this heading,
    $5,000,000 shall remain available through September 30, 2028, to
    support emergency operations:  Provided further, That of the amounts
    made available under this heading, $10,000,000 shall remain available
    until September 30, 2027, for advanced research and development,
    manufacturing, production, procurement, distribution, and the
    acquisition, construction, alteration, or renovation of non-federally
    owned facilities for the production and purchase of medical
    countermeasures, which may include the development, translation, and
    demonstration at scale of innovations in manufacturing platform.

                            Office of the Secretary

                        general departmental management

        For necessary expenses, not otherwise provided, for general
    departmental management, including hire of six passenger motor
    vehicles, and for carrying out titles III, XVII, XXI, and section 229
    of the PHS Act, the United States-Mexico Border Health Commission Act,
    research studies under section 1110 of the Social Security Act, and for
    protection services for the Secretary, $509,144,000, together with
    $64,828,000 from the amounts available under section 241 of the PHS Act
    to carry out national health or human services research and evaluation
    activities:  Provided, That of this amount, $56,000,000 shall be for
    minority AIDS prevention and treatment activities:  Provided further,
    That of the funds made available under this heading, $101,000,000 shall
    be for making competitive contracts and grants to public and private
    entities to fund medically accurate and age appropriate programs that
    reduce teen pregnancy and for the Federal costs associated with
    administering and evaluating such contracts and grants, of which not
    more than 10 percent of the available funds shall be for training and
    technical assistance, evaluation, outreach, and additional program
    support activities, and of the remaining amount 75 percent shall be for
    replicating programs that have been proven effective through rigorous
    evaluation to reduce teenage pregnancy, behavioral risk factors
    underlying teenage pregnancy, or other associated risk factors, and 25
    percent shall be available for research and demonstration grants to
    develop, replicate, refine, and test additional models and innovative
    strategies for preventing teenage pregnancy:  Provided further, That of
    the amounts provided under this heading from amounts available under
    section 241 of the PHS Act, $6,800,000 shall be available to carry out
    evaluations (including longitudinal evaluations) of teenage pregnancy
    prevention approaches:  Provided further, That of the funds made
    available under this heading, $35,000,000 shall be for making
    competitive grants which exclusively implement education in sexual risk
    avoidance (defined as voluntarily refraining from non-marital sexual
    activity):  Provided further, That funding for such competitive grants
    for sexual risk 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)).
        In addition, for expenses necessary to carry out title II of the
    PHS Act to support, except as otherwise provided, activities related to
    safeguarding classified national security information and providing
    intelligence and national security support across the Department and to
    counter cybersecurity threats to civilian populations, $108,983,000.
        In addition, for expenses necessary to prevent, prepare for, or
    respond to an influenza pandemic, $7,009,000.

                         medicare hearings and appeals

        For expenses necessary for Medicare hearings and appeals in the
    Office of the Secretary, $186,155,000 shall remain available until
    September 30, 2027, 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, $69,238,000, of which
    $35,863,000 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,
    $87,000,000:  Provided, That of such amount, necessary sums shall be
    available for 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,
    $39,798,000.

         retirement pay and medical benefits for commissioned officers

        For retirement pay and medical benefits of Public Health Service
    Commissioned Officers as authorized by law, for payments under the
    Retired Serviceman's Family 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 or any other Act
    may be expended pursuant to section 241 of the PHS Act, except for
    funds specifically provided for in this Act, or for other taps and
    assessments made by any office located in HHS, prior to the preparation
    and submission of a report by the Secretary to the Committees on
    Appropriations of the House of Representatives and the Senate detailing
    the planned uses of such funds.
        Sec. 204.  Notwithstanding section 241(a) of the PHS Act, such
    portion as the Secretary shall determine, but not more than 2.5
    percent, of any amounts appropriated for programs authorized under such
    Act shall be made available for the evaluation (directly, or by grants
    or contracts) and the implementation and effectiveness of programs
    funded in this title.

                              (transfer of funds)

        Sec. 205.  Not to exceed 1 percent of any discretionary funds
    (pursuant to the Balanced Budget and Emergency Deficit Control Act of
    1985) which are appropriated for the current fiscal year for HHS in
    this Act may be transferred between appropriations, but no such
    appropriation shall be increased by more than 3 percent by any such
    transfer:  Provided, That the transfer authority granted by this
    section shall not be used to create any new program or to fund any
    project or activity for which no funds are provided in this Act:
    Provided further, That the Committees on Appropriations of the House of
    Representatives and the Senate are notified at least 15 days in advance
    of any transfer.
        Sec. 206.  In lieu of the timeframe specified in section 338E(c)(2)
    of the PHS Act, terminations described in such section may occur up to
    60 days after the effective date of a contract awarded in fiscal year
    2026 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 2026:
                (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.
        (c) Notification.--The Director shall notify the Committees on
    Appropriations of the House of Representatives and the Senate not later
    than 15 days after the Director exercises the authority under
    subsection (a) for any transaction that is expected to cost the NIH in
    excess of $100,000,000.
        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 2027
    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
    2027 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 2027. 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 explanatory statement
    described in section 4 (in the matter preceding division A of this
    consolidated Act).
        Sec. 221.  None of the funds made available by this Act from the
    Federal Hospital Insurance Trust Fund or the Federal Supplemental
    Medical Insurance Trust Fund, or transferred from other accounts funded
    by this Act to the ``Centers for Medicare & Medicaid Services--Program
    Management'' account, may be used for payments under section 1342(b)(1)
    of Public Law 111-148 (relating to risk corridors).

                              (transfer of funds)

        Sec. 222. (a) Within 45 days of enactment of this Act, the
    Secretary shall transfer funds appropriated under section 4002 of the
    ACA to the accounts specified, in the amounts specified, and for the
    activities specified under the heading ``Prevention and Public Health
    Fund'' in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated Act).
        (b) Notwithstanding section 4002(c) of the ACA, the Secretary may
    not further transfer these amounts.
        (c) Funds transferred for activities authorized under section 2821
    of the PHS Act shall be made available without reference to section
    2821(b) of such Act.
        Sec. 223.  Effective during the period beginning on November 1,
    2015 and ending January 1, 2028, any provision of law that refers
    (including through cross-reference to another provision of law) to the
    current recommendations of the United States Preventive Services Task
    Force with respect to breast cancer screening, mammography, and
    prevention shall be administered by the Secretary involved as if--
                (1) such reference to such current recommendations were a
            reference to the recommendations of such Task Force with
            respect to breast cancer screening, mammography, and prevention
            last issued before 2009; and
                (2) such recommendations last issued before 2009 applied to
            any screening mammography modality under section 1861(jj) of
            the Social Security Act (42 U.S.C. 1395x(jj)).
        Sec. 224.  In making Federal financial assistance, the provisions
    relating to indirect costs in part 75 of title 45, Code of Federal
    Regulations, including with respect to the approval of deviations from
    negotiated rates, shall continue to apply to the National Institutes of
    Health to the same extent and in the same manner as such provisions
    were applied in the third quarter of fiscal year 2017. None of the
    funds appropriated in this or prior Acts or otherwise made available to
    the Department of Health and Human Services or to any department or
    agency may be used to develop or implement a modified approach to such
    provisions, or to intentionally or substantially expand the fiscal
    effect of the approval of such deviations from negotiated rates beyond
    the proportional effect of such approvals in such quarter.

                              (transfer of funds)

        Sec. 225.  The NIH Director may transfer funds for opioid
    addiction, opioid alternatives, stimulant misuse and addiction, pain
    management, and addiction treatment to other Institutes and Centers of
    the NIH to be used for the same purpose 15 days after notifying the
    Committees on Appropriations of the House of Representatives and the
    Senate:  Provided, That the transfer authority provided in the previous
    proviso is in addition to any other transfer authority provided by law.
        Sec. 226. (a) The Secretary shall provide to the 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. 227.  In addition to the amounts otherwise available for
    ``Centers for Medicare & Medicaid Services, Program Management'', the
    Secretary of Health and Human Services may transfer up to $455,000,000
    to such account from the Federal Hospital Insurance Trust Fund and the
    Federal Supplementary Medical Insurance Trust Fund to support program
    management activity related to the Medicare Program:  Provided, That
    except for the foregoing purpose, such funds may not be used to support
    any provision of Public Law 111-148 or Public Law 111-152 (or any
    amendment made by either such Public Law) or to supplant any other
    amounts within such account.
        Sec. 228.  The Department of Health and Human Services shall
    provide the Committees on Appropriations of the House of
    Representatives and Senate a biannual report 30 days after enactment of
    this Act on staffing described in the explanatory statement described
    in section 4 (in the matter preceding division A of this consolidated
    Act).
        Sec. 229.  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. 230.  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. 231.  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. 232.  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. 233.  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. 234.  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. 235.  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 at costs not in excess of those paid for or reimbursed by the
    Department of Defense:  Provided, That 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. 236.  Funds made available in this Act under each of the
    headings ``Immunization and Respiratory Diseases'', ``HIV/AIDS, Viral
    Hepatitis, Sexually Transmitted Diseases, and Tuberculosis
    Prevention'', ``Emerging and Zoonotic Infectious Diseases'', ``Chronic
    Disease Prevention and Health Promotion'', ``Birth Defects,
    Developmental Disabilities, Disabilities and Health'', ``Public Health
    Scientific Services'', ``Environmental Health'', ``Injury Prevention
    and Control'', ``National Institute for Occupational Safety and
    Health'', ``Global Health'', ``Public Health Preparedness and
    Response'', and ``CDC-Wide Activities and Program Support'' shall be
    for the budget activities, and in the amounts specified in the table
    under each such heading in the explanatory statement described in
    section 4 (in the matter preceding division A of this consolidated
    Act).

                                  (rescission)

        Sec. 237.  Of the unobligated balances in the ``Nonrecurring
    Expenses Fund'' established in section 223 of division G of Public Law
    110-161, $1,826,000,000 are hereby rescinded not later than September
    30, 2026, 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.
        Sec. 238.  The Director of the NIH shall hereafter require
    institutions that receive funds through a grant or cooperative
    agreement or other form of extramural award during fiscal year 2026 and
    in future years to complete any investigation undertaken due to
    concerns about harassment, bullying retaliation, or hostile working
    conditions regarding any individual identified as a principal
    investigator or key personnel in an NIH notice of award or progress
    report even if during the course of the investigation the individual
    under investigation leaves their current position and is no longer
    employed by the institution. The Director may hereafter decline
    transfer of an ongoing extramural award to a different institution if
    concerns about harassment, bullying, hostile work environment, or other
    professional misconduct on the part of a principal investigator or key
    personnel named in the Notice of Award or progress report have not been
    resolved to the NIH's satisfaction. The Director of the NIH shall
    hereafter have the authority to share investigation reports,
    conclusions, and results of any investigation of individuals identified
    as a principal investigator or as key personnel in an NIH notice of
    award or progress report due to concerns about harassment, bullying,
    retaliation, or hostile working conditions on an as needed basis with
    any institution that receives funds through a grant or cooperative
    agreement or other form of extramural award during fiscal year 2026 or
    any subsequent fiscal year. The Director may issue regulations
    consistent with this section.
        Sec. 239.  The Department of Health and Human Services shall
    support staffing levels necessary to fulfill its statutory
    responsibilities including carrying out programs, projects, and
    activities funded in this title of this Act in a timely manner:
    Provided, That the Secretary shall submit a detailed plan and
    justification to the Committees on Appropriations of the House of
    Representatives and the Senate, and make publicly available to allow
    for an independent review not less than 60 days prior to initiating the
    execution of any reorganization moving functions, pursuant to any
    authorities otherwise provided, carried out by the Centers for Disease
    Control and Prevention to another component of the Department of Health
    and Human Services, relative to how such functions are funded in this
    Act.
        Sec. 240. (a) Not to exceed the amount of funds made available
    under the heading ``National Institutes of Health'' in fiscal year 2025
    that were obligated during fiscal year 2025 for more than one year of a
    multiyear award may be obligated in fiscal year 2026 from amounts made
    available under such heading in this Act for more than one year of a
    multiyear award.
        (b) A multiyear award, as the term is used in this section,
    includes multiyear awards for grants, cooperative agreements,
    contracts, and any other financial mechanisms.
        Sec. 241.  The Administrator of the Centers for Medicare & Medicaid
    Services shall not apply the distance requirements under
    1820(c)(2)(B)(i)(I) of the Social Security Act (42 U.S.C. 1395i-
    4(c)(2)(B)(i)(I)) to any facility with a critical access hospital
    provider agreement that was designated and certified as a critical
    access hospital as of January 1, 2024, and receives a notification
    letter from the Centers for Medicare & Medicaid Services during the
    period beginning on December 1, 2024, and ending on January 1, 2026,
    that the facility was found to be noncompliant with such distance
    requirements under section 1820(c)(2)(B)(i)(I) of the Social Security
    Act (42 U.S.C. 1395i-4(c)(2)(B)(i)(I)). In the case where a provider
    agreement for such facility was terminated on or after December 1, 2024
    but prior to the date of enactment of this Act exclusively because such
    facility was unable to meet the distance requirement under section
    1820(c)(2)(B)(i)(I) of the Social Security Act (42 U.S.C. 1395i-
    4(c)(2)(B)(i)(I)), the Administrator shall provide for the
    recertification of such facility as a critical access hospital and
    reinstatement of such provider agreement. This provision shall not be
    construed to prohibit the application of any other enforcement measures
    deemed necessary by the Administrator, including termination of the
    provider agreement, in response to such facility's violation of any
    Federal regulation other than the distance requirement.
        This title may be cited as the ``Department of Health and Human
    Services Appropriations Act, 2026''.

                                   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''), $19,127,790,000, of which
    $8,199,490,000 shall become available on July 1, 2026, and shall remain
    available through September 30, 2027, and of which $10,841,177,000
    shall become available on October 1, 2026, and shall remain available
    through September 30, 2027, for academic year 2026-2027:  Provided,
    That $6,459,401,000 shall be for basic grants under section 1124 of the
    ESEA:  Provided further, That up to $5,000,000 of these funds shall be
    available to the Secretary of Education (referred to in this title as
    ``Secretary'') on October 1, 2025, 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 $5,302,550,000 shall be for targeted grants under section
    1125 of the ESEA:  Provided further, That $5,302,550,000 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, $1,630,151,000,
    of which $1,477,000,000 shall be for basic support payments under
    section 7003(b), $49,316,000 shall be for payments for children with
    disabilities under section 7003(d), $19,000,000 to remain available
    through September 30, 2027, shall be for construction under section
    7007(b), $80,000,000 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 2025-2026,
    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; and the Civil Rights Act
    of 1964, $5,781,178,000, of which $3,952,312,000 shall become available
    on July 1, 2026, and remain available through September 30, 2027, and
    of which $1,681,441,000 shall become available on October 1, 2026, and
    shall remain available through September 30, 2027, for academic year
    2026-2027:  Provided, That $2,190,080,000 shall be for part A of title
    II of the ESEA:  Provided further, That $380,000,000 shall be for part
    B of title I:  Provided further, That $1,329,673,000 shall be for part
    B of title IV:  Provided 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 the Secretary shall use $650,000 of
    funds made available in the preceding proviso to carry out section 6204
    of the ESEA:  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
    $50,000,000 shall be available to carry out section 203 of the
    Educational Technical Assistance Act of 2002 and the Secretary shall
    make such arrangements as determined to be necessary to ensure that the
    Bureau of Indian Education has access to services provided under this
    section:  Provided further, That $225,000,000 shall be for part B of
    title V:  Provided further, That in carrying out such part B the
    percentage in section 316(b)(1)(F) of title III of division H of Public
    Law 116-260 shall be deemed 83.33 percent:  Provided further, That
    $1,380,000,000 shall be available for grants under subpart 1 of part A
    of title IV:  Provided further, That $129,000,000 shall be for subpart
    B of title VII of the McKinney-Vento Homeless Assistance Act, which
    shall be available for expenditure by educational agencies and
    institutions for an additional fiscal year following the succeeding
    fiscal year provided by subsection 421(b)(1) of the General Education
    Provisions Act.

                                indian education

        For expenses necessary to carry out, to the extent not otherwise
    provided, title VI, part A of the ESEA, $196,746,000, of which
    $72,000,000 shall be for subpart 2 of part A of title VI and
    $14,365,000 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:  Provided
    further, That the Secretary may make awards under subpart 3 of part A
    of title VI without regard to the funding limitation in section
    6133(b)(1) of the ESEA.

                           innovation and improvement

        For carrying out activities authorized by subparts 1, 3, and 4 of
    part B of title II, and parts C, D, and E and subparts 1 and 4 of part
    F of title IV of the ESEA, $1,191,147,000, which shall be for the
    purposes and in the amounts specified in the ``Final Bill'' column for
    Innovation and Improvement in the ``Departments of Labor, Health and
    Human Services, Education, and Related Agencies Appropriations Act,
    2026'' table in the explanatory statement described in section 4 (in
    the matter preceding division A of this consolidated Act), of which the
    amounts made available for ``Community Project Funding/Congressionally
    Directed Spending'' are for the projects, and in the amounts, specified
    for this account in the table titled ``Community Project Funding/
    Congressionally Directed Spending'' in the explanatory statement
    described in section 4 (in the matter preceding division A of this
    consolidated Act) and none of the funds made available for such
    projects shall be subject to section 302 of this Act:  Provided, That
    amounts for subparts 1, 3, and 4 of part B of title II shall be made
    available without regard to sections 2201, 2231(b), and 2241:  Provided
    further, That amounts for parts C, D, and E and subpart 4 of part F of
    title IV shall be made available without regard to sections 4311,
    4409(a), and 4601 of the ESEA:  Provided further, That section
    4303(d)(3)(A)(i) shall not apply to the funds available for part C of
    title IV:  Provided further, That of the funds available for part C of
    title IV, the Secretary shall use not less than $60,000,000 to carry
    out section 4304, not more than $140,000,000, to remain available
    through March 31, 2027, to carry out section 4305(b), from which the
    amount necessary for continuation grants may be available for
    obligation through March 31, 2027, and not more than $16,000,000 to
    carry out the activities in section 4305(a)(3):  Provided further, That
    notwithstanding section 4601(b), $235,000,000 shall be available
    through December 31, 2026 for subpart 1 of part F of title IV:
    Provided further, That of the funds available for subpart 4 of part F
    of title IV, not less than $8,000,000 shall be used for grants for
    eligible national nonprofit organizations, as described in the
    Applications for New Awards; Assistance for Arts Education Program
    published in the Federal Register on May 31, 2022, for activities
    described under section 4642(a)(1)(C):  Provided further, That the
    competitive preference priority described in such notice shall be given
    only to an eligible national nonprofit organization that previously
    received the competitive preference priority pursuant to such notice.

                     safe schools and citizenship education

        For carrying out activities authorized by subparts 2 and 3 of part
    F of title IV of the ESEA, $431,000,000, to remain available through
    December 31, 2026:  Provided, That $190,000,000 shall be available for
    section 4631, of which up to $6,000,000, to remain available until
    expended, shall be for the Project School Emergency Response to
    Violence (Project SERV) program:  Provided further, That $150,000,000
    shall be available for section 4625:  Provided further, That
    $91,000,000 shall be for section 4624.

                     Office of English Language Acquisition

                          english language acquisition

        For carrying out part A of title III of the ESEA, $890,000,000,
    which shall become available on July 1, 2026, and shall remain
    available through September 30, 2027, except that 6.5 percent of such
    amount shall be available on October 1, 2025, and shall remain
    available through September 30, 2027, to carry out activities under
    section 3111(c)(1)(C).

            Office of Special Education and Rehabilitative Services

                               special education

        For carrying out the Individuals with Disabilities Education Act
    (IDEA) and the Special Olympics Sport and Empowerment Act of 2004,
    $15,490,264,000, of which $5,910,321,000 shall become available on July
    1, 2026, and shall remain available through September 30, 2027, and of
    which $9,283,383,000 shall become available on October 1, 2026, and
    shall remain available through September 30, 2027, for academic year
    2026-2027:  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 2025, 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 2025:  Provided
    further, That the Secretary shall, without regard to section 611(d) of
    the IDEA, distribute to all other States (as that term is defined in
    section 611(g)(2)), subject to the third proviso, any amount by which a
    State's allocation under section 611, from funds appropriated under
    this heading, is reduced under section 612(a)(18)(B), according to the
    following: 85 percent on the basis of the States' relative populations
    of children aged 3 through 21 who are of the same age as children with
    disabilities for whom the State ensures the availability of a free
    appropriate public education under this part, and 15 percent to States
    on the basis of the States' relative populations of those children who
    are living in poverty:  Provided further, That the Secretary may not
    distribute any funds under the previous proviso to any State whose
    reduction in allocation from funds appropriated under this heading made
    funds available for such a distribution:  Provided further, That the
    States shall allocate such funds distributed under the second proviso
    to local educational agencies in accordance with section 611(f):
    Provided further, That the amount by which a State's allocation under
    section 611(d) of the IDEA is reduced under section 612(a)(18)(B) and
    the amounts distributed to States under the previous provisos in fiscal
    year 2012 or any subsequent year shall not be considered in calculating
    the awards under section 611(d) for fiscal year 2013 or for any
    subsequent fiscal years:  Provided further, That, notwithstanding the
    provision in section 612(a)(18)(B) regarding the fiscal year in which a
    State's allocation under section 611(d) is reduced for failure to
    comply with the requirement of section 612(a)(18)(A), the Secretary may
    apply the reduction specified in section 612(a)(18)(B) over a period of
    consecutive fiscal years, not to exceed 5, until the entire reduction
    is applied:  Provided further, That the Secretary may, in any fiscal
    year in which a State's allocation under section 611 is reduced in
    accordance with section 612(a)(18)(B), reduce the amount a State may
    reserve under section 611(e)(1) by an amount that bears the same
    relation to the maximum amount described in that paragraph as the
    reduction under section 612(a)(18)(B) bears to the total allocation the
    State would have received in that fiscal year under section 611(d) in
    the absence of the reduction:  Provided further, That the Secretary
    shall either reduce the allocation of funds under section 611 for any
    fiscal year following the fiscal year for which the State fails to
    comply with the requirement of section 612(a)(18)(A) as authorized by
    section 612(a)(18)(B), or seek to recover funds under section 452 of
    the General Education Provisions Act (20 U.S.C. 1234a):  Provided
    further, That the funds reserved under 611(c) of the IDEA may be used
    to provide technical assistance to States to improve the capacity of
    the States to meet the data collection requirements of sections 616 and
    618 and to administer and carry out other services and activities to
    improve data collection, coordination, quality, and use under parts B
    and C of the IDEA:  Provided further, That the Secretary may use funds
    made available for the State Personnel Development Grants program under
    part D, subpart 1 of IDEA to evaluate program performance under such
    subpart:  Provided further, That States may use funds reserved for
    other State-level activities under sections 611(e)(2) and 619(f) of the
    IDEA to make subgrants to local educational agencies, institutions of
    higher education, other public agencies, and private non-profit
    organizations to carry out activities authorized by those sections:
    Provided further, That, notwithstanding section 643(e)(2)(A) of the
    IDEA, if 5 or fewer States apply for grants pursuant to section 643(e)
    of such Act, the Secretary shall provide a grant to each State in an
    amount equal to the maximum amount described in section 643(e)(2)(B) of
    such Act:  Provided further, That if more than 5 States apply for
    grants pursuant to section 643(e) of the IDEA, the Secretary shall
    award funds to those States on the basis of the States' relative
    populations of infants and toddlers except that no such State shall
    receive a grant in excess of the amount described in section
    643(e)(2)(B) of such Act:  Provided further, That States may use funds
    allotted under section 643(c) of the IDEA to make subgrants to local
    educational agencies, institutions of higher education, other public
    agencies, and private non-profit organizations to carry out activities
    authorized by section 638 of IDEA:  Provided further, That,
    notwithstanding section 638 of the IDEA, a State may use funds it
    receives under section 633 of the IDEA to offer continued early
    intervention services to a child who previously received services under
    part C of the IDEA from age 3 until the beginning of the school year
    following the child's third birthday with parental consent and without
    regard to the procedures in section 635(c) of the IDEA:  Provided
    further, That notwithstanding section 638 of the IDEA, a State may use
    funds appropriated under Part C of the IDEA to conduct child find,
    public awareness, and referral activities for an individual who is
    expected to become a parent of an infant with a disability (as that
    term is defined in section 632(5)), as established by medical or other
    records:  Provided further, That any State electing to use funds under
    the preceding proviso shall ensure that, as soon as possible but not
    later than 45 days after the child's birth, it completes the referral
    and eligibility process under this part for that child.

                            rehabilitation services

                         (including transfer of funds)

        For carrying out, to the extent not otherwise provided, the
    Rehabilitation Act of 1973 and the Helen Keller National Center Act,
    $4,648,295,000, of which $4,504,096,000 shall be for grants for
    vocational rehabilitation services under title I of the Rehabilitation
    Act:  Provided, That the Secretary may use amounts provided in this Act
    that remain available subsequent to the reallotment of funds to States
    pursuant to section 110(b) of the Rehabilitation Act for innovative
    activities aimed at increasing competitive integrated employment as
    defined in section 7 of such Act for youth and other individuals with
    disabilities, including related Federal administrative expenses, for
    improving monitoring and oversight of grants for vocational
    rehabilitation services under title I of the Rehabilitation Act, and
    information technology needs under section 15 and titles I, III, VI,
    and VII of the Rehabilitation Act:  Provided further, That up to 15
    percent of the amounts available subsequent to reallotment for the
    activities described in the first proviso from funds provided under
    this paragraph in this Act, may be used for evaluation and technical
    assistance related to such activities:  Provided further, That any
    funds made available subsequent to reallotment for the activities
    described in the first proviso may be provided to States and other
    public, private and nonprofit entities, including Indian Tribes and
    institutions of higher education for carrying out such activities:
    Provided further, That States and other public and nonprofit entities,
    including Indian Tribes and institutions of higher education may award
    subgrants for a portion of the funds to other eligible entities:
    Provided further, That any funds provided in this Act and made
    available subsequent to reallotment for the purposes described in the
    first proviso shall remain available until September 30, 2027:
    Provided further, That any funds provided in the Full-Year Continuing
    Appropriations and Extensions Act, 2025 (Public Law 119-4) and made
    available subsequent to reallotment shall remain available until
    September 30, 2026:  Provided further, That the Secretary may transfer
    funds provided in this Act and made available subsequent to the
    reallotment of funds to States pursuant to section 110(b) of the
    Rehabilitation Act to ``Institute of Education Sciences'' for the
    evaluation of outcomes for students receiving services and supports
    under IDEA and under title I, section 504 of title V, and title VI of
    the Rehabilitation Act:  Provided further, That the transfer authority
    in the preceding proviso is in addition to any other transfer authority
    in this Act.

               special institutions for persons with disabilities

                     american printing house for the blind

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

                   national technical institute for the deaf

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

                              gallaudet university

        For the Kendall Demonstration Elementary School, the Model
    Secondary School for the Deaf, and the partial support of Gallaudet
    University under titles I and II of the Education of the Deaf Act of
    1986, $167,361,000, 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.

                Office of Career, Technical, and Adult Education

                     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''),
    $2,181,436,000, of which $1,390,436,000 shall become available on July
    1, 2026, and shall remain available through September 30, 2027, and of
    which $791,000,000 shall become available on October 1, 2026, and shall
    remain available through September 30, 2027:  Provided, That up to
    $6,100,000 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.

                         Office of Federal Student Aid

                          student financial assistance

        For carrying out subparts 1 and 3 of part A, and part C of title IV
    of the HEA, $24,615,352,000 which shall remain available through
    September 30, 2027:  Provided, That $22,475,352,000 shall be for
    subpart 1 of part A, $910,000,000 shall be for subpart 3 of part A, and
    $1,230,000,000 shall be for part C.
        The maximum Pell Grant for which a student shall be eligible during
    award year 2026-2027 shall be $6,335.

                           student aid administration

        For Federal administrative expenses to carry out part D of title I,
    and subparts 1, 3, 9, and 10 of part A, and parts B, C, D, and E of
    title IV of the HEA, and subpart 1 of part A of title VII of the Public
    Health Service Act, $2,058,943,000, to remain available through
    September 30, 2027:  Provided, 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 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 Department shall re-allocate
    accounts from servicers for recurring non-compliance with FSA
    guidelines, contractual requirements, and applicable laws, including
    for failure to sufficiently inform borrowers of available repayment
    options:  Provided further, That such servicers shall be evaluated
    based on their ability to meet contract requirements (including an
    understanding of Federal and State law), future performance on the
    contracts, and history of compliance with applicable consumer
    protections laws:  Provided further, That FSA shall ensure that the
    Federal loan servicing environment incentivizes more support to
    borrowers at risk of delinquency or default:  Provided further, That
    FSA shall ensure that in such environment contractors have the capacity
    to meet and are held accountable for performance on service levels; are
    held accountable for and have a history of compliance with applicable
    consumer protection laws; and have relevant experience and demonstrated
    effectiveness:  Provided further, That the Secretary shall provide
    monthly briefings to the Committees on Appropriations and Education and
    Workforce of the House of Representatives and the Committees on
    Appropriations and Health, Education, Labor, and Pensions of the Senate
    on general progress related to Federal student loan servicing and
    repayment:  Provided further, That FSA shall strengthen transparency
    through expanded publication of aggregate data on student loan and
    servicer performance:  Provided further, That the limitation in section
    302 of this Act regarding transfers increasing any appropriation shall
    apply to transfers to appropriations under this heading by substituting
    ``10 percent'' for ``3 percent'' for the purposes of the continuation
    of basic operations, including student loan servicing, business process
    operations, digital customer care, common origination and disbursement,
    cybersecurity activities, and information technology systems:  Provided
    further, That not later than 45 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 2026 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 2026) no later than 10 days prior to the start of such
    quarter:  Provided further, That FSA shall notify the Committees within
    10 days of any modification of such spend plan that exceeds five
    percent of the amount appropriated under the heading ``Student Aid
    Administration''.

                       Office of Postsecondary Education

                                higher education

        For carrying out, to the extent not otherwise provided, titles II,
    III, IV, V, VI, VII, and VIII of the HEA, the Mutual Educational and
    Cultural Exchange Act of 1961, and section 117 of the Perkins Act,
    $3,265,598,000, of which $2,243,711,000 shall be for the purposes and
    in the amounts, other than for ``Aid for Institutional Development'',
    specified in the ``Final Bill'' column for Higher Education in the
    ``Departments of Labor, Health and Human Services, Education, and
    Related Agencies Appropriations Act, 2026'' table in the explanatory
    statement described in section 4 (in the matter preceding division A of
    this consolidated Act), of which the amounts made available for
    Community Project Funding/Congressionally Directed Spending are for the
    projects, and in the amounts, specified for this account in the table
    titled ``Community Project Funding/Congressionally Directed Spending''
    in the explanatory statement described in section 4 (in the matter
    preceding division A of this consolidated Act) and none of the funds
    made available for such projects shall be subject to section 302 of
    this Act, and of which the amounts made available for part B of title
    VII of the HEA shall be for the purposes and in the amounts specified
    in the table under the heading ``Fund for the Improvement of
    Postsecondary Education'' in the explanatory statement described in
    section 4 (in the matter preceding division A of this consolidated
    Act):  Provided, That of the amounts provided under this heading,
    $493,331,000 shall be for carrying out part A of title III and title V
    of the HEA, of which $53,807,000 shall be for carrying out section 316:
     Provided further, That of the amounts provided under this heading,
    $528,556,000 shall be for carrying out part B of title III and section
    723 of the HEA, of which $6,000,000 of the amounts available for
    section 323 of the HEA shall be for grants to supplement amounts
    awarded to part B institutions that are junior or community colleges,
    as defined in section 312(f) of the HEA:  Provided further, That the
    supplemental funds described in the preceding proviso are in addition
    to any grant award that any institution may receive under section 323
    of the HEA and shall be allocated in accordance with the allotments
    specified under section 324 of such Act:  Provided further, That
    notwithstanding any other provision of law, funds made available in
    this Act to carry out title VI of the HEA and section 102(b)(6) of the
    Mutual Educational and Cultural Exchange Act of 1961 may be used to
    support visits and study in foreign countries by individuals who are
    participating in advanced foreign language training and international
    studies in areas that are vital to United States national security and
    who plan to apply their language skills and knowledge of these
    countries in the fields of government, the professions, or
    international development:  Provided further, That of the funds
    referred to in the preceding proviso up to 1 percent may be used for
    program evaluation, national outreach, and information dissemination
    activities:  Provided further, That up to 1.5 percent of the funds made
    available under chapter 2 of subpart 2 of part A of title IV of the HEA
    may be used for evaluation:  Provided further, That section 313(d) of
    the HEA shall not apply to an institution of higher education that is
    eligible to receive funding under section 318 of the HEA:  Provided
    further, That amounts made available for carrying out section 419N of
    the HEA may be awarded notwithstanding the limitations in section
    419N(b)(2) of the HEA:  Provided further, That activities authorized
    under sections 317(c)(2)(B), 319(c)(2)(B), and 320(c)(2)(B) of the HEA
    may include construction and maintenance in classrooms, libraries,
    laboratories, and other instructional facilities.

                               howard university

        For partial support of Howard University, $254,018,000, of which
    not less than $3,405,000 shall be for a matching endowment grant
    pursuant to the Howard University Endowment Act and shall remain
    available until expended.

             college housing and academic facilities loans program

        For Federal administrative expenses to carry out activities related
    to existing facility loans pursuant to section 121 of the HEA,
    $298,000.

      historically black college and university capital financing program
                                    account

        For the cost of guaranteed loans, $20,150,000, as authorized
    pursuant to part D of title III of the HEA, which shall remain
    available through September 30, 2027:  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 $500,000,000:
    Provided further, That these funds may be used to support loans to
    public and private Historically Black Colleges and Universities without
    regard to the limitations within section 344(a) of the HEA.
        In addition, 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, $789,606,000, to remain
    available through September 30, 2027, which shall be for the purposes
    and in the amounts specified in the ``Final Bill'' column for Institute
    of Education Sciences in the ``Departments of Labor, Health and Human
    Services, Education, and Related Agencies Appropriations Act, 2026''
    table in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated Act):  Provided, That
    funds available to carry out section 208 of the Educational Technical
    Assistance Act may be used to link Statewide elementary and secondary
    data systems with early childhood, postsecondary, and workforce data
    systems, or to further develop such systems:  Provided further, That up
    to $6,000,000 of the funds available to carry out section 208 of the
    Educational Technical Assistance Act may be used for awards to public
    or private organizations or agencies to support activities to improve
    data coordination, quality, and use at the local, State, and national
    levels.

                            Departmental Management

                             program administration

        For carrying out, to the extent not otherwise provided, the
    Department of Education Organization Act, including rental of
    conference rooms in the District of Columbia and hire of three
    passenger motor vehicles, $399,407,000:  Provided, That,
    notwithstanding any other provision of law, none of the funds provided
    by this Act or provided by previous Appropriations Acts to the
    Department of Education available for obligation or expenditure in the
    current fiscal year may be used for any activity relating to
    implementing a reorganization that decentralizes, reduces the staffing
    level, or alters the responsibilities, structure, authority, or
    functionality of the Budget Service of the Department of Education,
    relative to the organization and operation of the Budget Service as in
    effect on January 1, 2018:  Provided further, That none of the funds
    provided by this Act may be used to support a number of non-career
    employees that is more than the number of non-career employees as of
    December 31, 2022:  Provided further, That the Department of Education
    shall support staffing levels necessary to fulfill its statutory
    responsibilities including carrying out programs, projects, and
    activities funded in this title of this Act in a timely manner.

                            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, $140,000,000.

                          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, $67,500,000, of which $3,000,000 shall remain available through
    September 30, 2027.

                               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, 2026, through September 30, 2027.
        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 2026 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 ``2026'' for ``2021''.
        Sec. 306.  Section 458(a)(4) of the HEA (20 U.S.C. 1087h(a)) shall
    be applied by substituting ``2027'' 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, 2028:  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 Workforce 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'' from amounts available for Program
    Administration, up to $20,000,000 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 and transfer of funds)

        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, $160,000,000 are hereby rescinded not
    later than September 30, 2026:  Provided, That from any remaining
    unobligated balances in such Fund, the Secretary may transfer up to
    $60,000,000 to ``Innovation and Improvement'' to be merged with funds
    made available under such heading for carrying out activities
    authorized under part C of title IV of the ESEA.

                                  (rescission)

        Sec. 311.  Of the funds made available under the heading
    ``Institute of Education Sciences'' pursuant to section 1101(a)(8) of
    the Full-Year Continuing Appropriations Act, 2025 (division A of Public
    Law 119-4) for program administration, $25,000,000 are hereby
    permanently rescinded not later than September 30, 2026.
        Sec. 312.  The Secretary shall award to each State an amount as
    required under the applicable provisions of the ESEA, McKinney-Vento
    Homeless Assistance Act, IDEA, Perkins Act, and AEFLA for each formula
    grant program to which funds are appropriated in this Act on the date
    such funds become available for obligation.
        This title may be cited as the ``Department of Education
    Appropriations Act, 2026''.

                                    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''), $975,525,000, which shall
    be for the purposes and in the amounts specified in the ``Final Bill''
    column for Corporation for National and Community Service in the
    ``Departments of Labor, Health and Human Services, Education, and
    Related Agencies Appropriations Act, 2026'' table in the explanatory
    statement described in section 4 (in the matter preceding division A of
    this consolidated Act), notwithstanding sections 198B(b)(3), 198S(g),
    501(a)(4)(C), and 501(a)(4)(F) of the 1990 Act:  Provided, That of the
    amounts provided under this heading: (1) up to 1 percent of program
    grant funds may be used to defray the costs of conducting grant
    application reviews, including the use of outside peer reviewers and
    electronic management of the grants cycle; (2) the amounts made
    available for State Commission Support Grants shall be available to
    provide assistance to State commissions on national and community
    service, under section 126(a) of the 1990 Act and notwithstanding
    section 501(a)(5)(B) of the 1990 Act; (3) of amounts made available for
    Innovation, Assistance, and Other Activities, $8,558,000 shall be
    available for expenses authorized under section 501(a)(4)(F) of the
    1990 Act, which, notwithstanding the provisions of section 198P shall
    be awarded by CNCS on a competitive basis; and (4) of amounts made
    available for Innovation, Assistance, and Other Activities, $6,148,000
    shall be available to carry out sections 198(k) and 198(i) of the 1990
    Act:  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:  Provided further, That
    CNCS shall award to each State their allotted amount under AmeriCorps
    State and National formula grants no later than April 1, 2026 and to
    each state their allotted amount under State Service Commission Support
    Grants and State Commission Investment Fund Grants no later than June
    1, 2026:  Provided further, That the Corporation shall support staffing
    levels necessary to fulfill its statutory responsibilities including
    carrying out programs, projects, and activities funded in this title of
    this Act in a timely manner.

                     payment to the national service trust

                         (including transfer of funds)

        For payment to the National Service Trust established under
    subtitle D of title I of the 1990 Act, $180,000,000, to remain
    available until expended:  Provided, That CNCS may transfer additional
    funds from the amount provided within ``Operating Expenses'' allocated
    to grants under subtitle C of title I of the 1990 Act to the National
    Service Trust upon determination that such transfer is necessary to
    support the activities of national service participants and after
    notice is transmitted to the Committees on Appropriations of the House
    of Representatives and the Senate:  Provided further, That amounts
    appropriated for or transferred to the National Service Trust may be
    invested under section 145(b) of the 1990 Act without regard to the
    requirement to apportion funds under 31 U.S.C. 1513(b).

                             salaries and expenses

        For necessary expenses of administration as provided under section
    501(a)(5) of the 1990 Act and under section 504(a) of the 1973 Act,
    including payment of salaries, authorized travel, hire of passenger
    motor vehicles, the rental of conference rooms in the District of
    Columbia, the employment of experts and consultants authorized under 5
    U.S.C. 3109, and not to exceed $2,500 for official reception and
    representation expenses, $89,686,000.

                          office of inspector general

        For necessary expenses of the Office of Inspector General in
    carrying out the Inspector General Act of 1978, $8,595,000, of which
    $1,000,000 shall be available until expended.

                           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 2026, during any grant selection
    process, an officer or employee of CNCS shall not knowingly disclose
    any covered grant selection information regarding such selection,
    directly or indirectly, to any person other than an officer or employee
    of CNCS that is authorized by CNCS to receive such information.
        Sec. 402.  AmeriCorps programs receiving grants under the National
    Service Trust program shall meet an overall minimum share requirement
    of 24 percent for the first 3 years that they receive AmeriCorps
    funding, and thereafter shall meet the overall minimum share
    requirement as provided in section 2521.60 of title 45, Code of Federal
    Regulations, without regard to the operating costs match requirement in
    section 121(e) or the member support Federal share limitations in
    section 140 of the 1990 Act, and subject to partial waiver consistent
    with section 2521.70 of title 45, Code of Federal Regulations.
        Sec. 403.  Donations made to CNCS under section 196 of the 1990 Act
    for the purposes of financing programs and operations under titles I
    and II of the 1973 Act or subtitle B, C, D, or E of title I of the 1990
    Act shall be used to supplement and not supplant current programs and
    operations.
        Sec. 404.  In addition to the requirements in section 146(a) of the
    1990 Act, use of an educational award for the purpose described in
    section 148(a)(4) shall be limited to individuals who are veterans as
    defined under section 101 of the Act.
        Sec. 405.  For the purpose of carrying out section 189D of the 1990
    Act--
                (1) entities described in paragraph (a) of such section
            shall be considered ``qualified entities'' under section 3 of
            the National Child Protection Act of 1993 (``NCPA'');
                (2) individuals described in such section shall be
            considered ``volunteers'' under section 3 of NCPA; and
                (3) State Commissions on National and Community Service
            established pursuant to section 178 of the 1990 Act, are
            authorized to receive criminal history record information,
            consistent with Public Law 92-544.
        Sec. 406.  Notwithstanding sections 139(b), 146, and 147 of the
    1990 Act, an individual who successfully completes a term of service of
    not less than 1,200 hours during a period of not more than one year may
    receive a national service education award having a value of 70 percent
    of the value of a national service education award determined under
    section 147(a) of the Act.
        Sec. 407.  Section 148(f)(2)(A)(i) of the 1990 Act shall be applied
    by substituting ``an approved national service position'' for ``a
    national service program that receives grants under subtitle C''.
        Sec. 408.  In any case where a participant of a position eligible
    for an educational award described in subtitle D of title I of the
    National and Community Service Act of 1990 (42 U.S.C. 12601 et seq.)
    was required to exit the position early at the direction of the
    Corporation for National and Community Service and due to circumstances
    outside the control of the individual, such as a lapse in availability
    of Federal appropriations, or termination of their position, or the
    applicable program grant or agreement under the national service laws
    is released from completing the required term of service for such
    position, the Chief Executive Officer of the Corporation for National
    and Community Service may--
                (1) deem such individual as having met the minimum
            requirements of the position or program for purposes of section
            139(c)(1) of the 1990 Act; and
                (2) notwithstanding section 139(c)(2)(B) of the 1990 Act,
            award the individual a pro-rated value of the educational award
            that corresponds to the quantity of the term of service
            actually completed by the individual without regard to whether
            such individual has completed at least 15 percent of their term
            of service as required under section 139(c) of the 1990 Act.

                   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,
    $48,705,000:  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,
    $291,800,000, which shall be for the purposes and in the amounts
    specified in the table under this heading in the explanatory statement
    in section 4 (in the matter preceding division A of this consolidated
    Act).

                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:  Provided, That in fiscal year 2026 and
    thereafter, for all contracts for goods and services to which the
    Medicaid and CHIP Payment and Access Commission is a party, the
    following Federal Acquisition Regulation (FAR) clauses will apply: FAR
    52.232-39 and FAR 52.233-4 (or a successor clause).

                      Medicare Payment Advisory Commission

                             salaries and expenses

        For expenses necessary to carry out section 1805 of the Social
    Security Act, $14,673,000, to be transferred to this appropriation from
    the Federal Hospital Insurance Trust Fund and the Federal Supplementary
    Medical Insurance Trust Fund:  Provided, That in fiscal year 2026 and
    thereafter, for all contracts for goods and services to which the
    Medicare Payment Advisory Commission is a party, the following Federal
    Acquisition Regulation (FAR) clauses will apply: FAR 52.232-39 and FAR
    52.233-4 (or a successor clause).

                         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, $294,224,000:  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 provision

        Sec. 409.  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.

                            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, $14,449,000.

                           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, $5,000,000, which
    shall include amounts becoming available in fiscal year 2026 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, 2027, 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, $127,000,000, 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, $15,000,000.

                      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,
    $49,452,282,000, 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, 2028.
        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 2027, $23,500,000,000, 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 $14,671,978,000
    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 2026 not needed for fiscal year 2026 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, except unobligated balances of funds
    described in the first proviso of this paragraph at the end of fiscal
    year 2026 not needed for fiscal year 2026 shall remain available until
    expended to invest in the Social Security Advisory Board information
    technology:  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.
        From funds provided under the first paragraph under this heading,
    not more than $2,397,000,000, to remain available through March 31,
    2027, is for the costs associated with continuing disability reviews
    under titles II and XVI of the Social Security Act, including work-
    related continuing disability reviews to determine whether earnings
    derived from services demonstrate an individual's ability to engage in
    substantial gainful activity, for the cost associated with conducting
    redeterminations of eligibility under title XVI of the Social Security
    Act, for the cost of co-operative disability investigation units, and
    for the cost associated with the prosecution of fraud in the programs
    and operations of the Social Security Administration by Special
    Assistant United States Attorneys:  Provided, That, of such amount,
    $273,000,000 is provided to meet the terms of a concurrent resolution
    on the budget and $2,124,000,000 is additional new budget authority
    specified for purposes of a concurrent resolution on the budget:
    Provided further, That, of the additional new budget authority
    described in the preceding proviso, up to $24,600,000 may be
    transferred to the ``Office of Inspector General'', Social Security
    Administration, for the cost of jointly operated co-operative
    disability investigation units:  Provided further, That such transfer
    authority is in addition to any other transfer authority provided by
    law:  Provided further, That the Commissioner shall provide to the
    Congress (at the conclusion of the fiscal year) a report on the
    obligation and expenditure of these funds, similar to the reports that
    were required by section 103(d)(2) of Public Law 104-121 for fiscal
    years 1996 through 2002:  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, $170,000,000 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 2026 exceed $170,000,000, the amounts shall be available in
    fiscal year 2027 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 2026, 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 2026, 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 2026 that are different than those
    specified in this Act, the explanatory statement described in section 4
    (in the matter preceding division A of this consolidated Act) or the
    fiscal year 2026 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 2026, 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.  Not later than 30 days after the end of each calendar
    quarter, beginning with the first month of fiscal year 2026 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. 524.  The Departments of Labor, Health and Human Services, and
    Education and the Corporation for National and Community Service shall
    notify the Committees on Appropriations of the House of Representatives
    and the Senate not less than 3 full business days prior to announcing
    or providing notice of--
                (1) any new or non-competing continuation grant, including
            supplements, issued at the discretion of such Departments
            (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); and
                (2) the termination or non-continuation of any grant,
            including a short description of the reason for the termination
            or non-continuation.
        Sec. 525.  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. 526.  Each department and related agency funded through this
    Act shall provide answers to questions submitted for the record by
    members of the Committee within 45 business days after receipt.
        Sec. 527.  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, $12,340,000,000 shall not be available for
    obligation in this fiscal year.

                                  (rescission)

        Sec. 528.  Of the unobligated balances of amounts made available in
    section 10301(1)(A)(iii) of Public Law 117-169, $11,661,000,000 are
    hereby rescinded.
        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, 2030:  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.

                                  (rescission)

        Sec. 530.  Of the unobligated balances of funds made available by
    sections 2023, 2206, 2301, 2302, 2303, 2401, 2402, 2403, 2404, 2501,
    2502, 2601, 2602, 2603, 2605, 2701, 2702, 2703, 2704, 2705, 2706, 2707,
    2708, 2709, 2710, 2711, 2712, 2713, 2904, 2912, 3101, and 9911 of the
    American Rescue Plan Act of 2021 (Public Law 117-2), $2,000,000,000 are
    hereby rescinded:  Provided, That not later than 60 days after the date
    of enactment of this Act, the Secretary of Health and Human Services
    shall submit to the Committees on Appropriations of the House of
    Representatives and the Senate a report specifying the unobligated
    balances rescinded pursuant to this section by both account and amount
    from each applicable appropriation in Public Law 117-2.
         This division may be cited as the ``Departments of Labor, Health
    and Human Services, and Education, and Related Agencies Appropriations
    Act, 2026''.

    DIVISION D--TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED
                       AGENCIES APPROPRIATIONS ACT, 2026

                                    TITLE I

                          DEPARTMENT OF TRANSPORTATION

                            Office of the Secretary

                             salaries and expenses

                         (including transfer of funds)

        For necessary expenses of the Office of the Secretary,
    $187,344,000, to remain available until September 30, 2027:  Provided,
    That of the sums appropriated under this heading--
                (1) $3,764,000 shall be available for the immediate Office
            of the Secretary;
                (2) $1,348,000 shall be available for the immediate Office
            of the Deputy Secretary;
                (3) $27,780,000 shall be available for the Office of the
            General Counsel:  Provided, That the Secretary of
            Transportation (referred to in this title as ``the Secretary'')
            shall report to the House and Senate Committees on
            Appropriations on the implementation of all sections under
            title V of the FAA Reauthorization Act of 2024 (Public Law 118-
            63) not later than 90 days after enactment of this Act;
                (4) $21,358,000 shall be available for the Office of the
            Under Secretary of Transportation for Policy, of which
            $5,000,000 is for the Office for Multimodal Freight
            Infrastructure and Policy:  Provided, That the Secretary must
            obtain reprogramming approval from the House and Senate
            Committees on Appropriations under section 405 of this Act
            prior to executing the authorities of section 118(g)(2)-(3) of
            title 49, United States Code;
                (5) $21,505,000 shall be available for the Office of the
            Assistant Secretary for Budget and Programs;
                (6) $3,807,000 shall be available for the Office of the
            Assistant Secretary for Governmental Affairs;
                (7) $16,181,000 shall be available for the Office of the
            Assistant Secretary for Administration;
                (8) $5,664,000 shall be available for the Office of Public
            Affairs and Public Engagement;
                (9) $2,332,000 shall be available for the Office of the
            Executive Secretariat;
                (10) $19,388,000 shall be available for the Office of
            Intelligence, Security, and Emergency Response;
                (11) $1,707,000 shall be available for the Office of the
            Chief Information Officer;
                (12) $1,517,000 shall be available for the Office of Tribal
            Government Affairs; and
                (13) $60,993,000 shall be available for shared services as
            authorized in section 327 of title 49, United States Code, for
            the Office of the Secretary that would otherwise be provided by
            the Working Capital Fund, in addition to amounts otherwise
            available for such purposes:
      Provided further, That the Secretary is authorized to transfer funds
    appropriated under this heading among the purposes specified in the
    first proviso under this heading:  Provided further, That such
    transfers combined shall not increase or decrease the amount
    appropriated for any purpose specified in the first proviso under this
    heading by more than 7 percent:  Provided further, That notice of any
    change in funding greater than 7 percent shall be submitted for
    approval to the House and Senate Committees on Appropriations not later
    than 7 business days in advance of any such change:  Provided further,
    That not to exceed $70,000 shall be for allocation within the
    Department for official reception and representation expenses as the
    Secretary may determine:  Provided further, That notwithstanding any
    other provision of law, there may be credited to this appropriation up
    to $2,500,000 in funds received in user fees.

                            research and technology

        For necessary expenses related to the Office of the Assistant
    Secretary for Research and Technology, $74,471,000, of which
    $56,000,000 shall remain available until expended:  Provided, That of
    such amounts that are available until expended, $9,000,000 shall be for
    necessary expenses of the Advanced Research Projects Agency--
    Infrastructure (ARPA-I) as authorized by section 119 of title 49,
    United States Code:  Provided further, That within the funds made
    available under the preceding proviso, not less than $7,000,000 shall
    be available for research on durability, resiliency, and sustainability
    of bridges and other infrastructure and shall be directed to an
    accredited university of higher education in the northeast United
    States that has experience leading a regional university transportation
    center and a proven record of developing, patenting, deploying, and
    commercializing innovative composite materials and technologies for
    bridge and other transportation applications, as well as conducting
    research and developing prototypes using very large-scale polymer-based
    additive manufacturing:  Provided further, That of such amounts that
    are available until expended, $4,000,000 shall be for the Highly
    Automated Systems Safety Center of Excellence as authorized in section
    105 of title I of division H of the Further Consolidated Appropriations
    Act, 2020 (Public Law 116-94):  Provided further, That of such amounts
    that are available until expended, $3,000,000 shall be for activities
    relating to complementary positioning, navigation, and timing
    technologies demonstrations as identified in the U.S. Department of
    Transportation Complementary PNT Action Plan (March 2024):  Provided
    further, That of such amounts that are available until expended,
    $10,000,000 shall be for the drone infrastructure inspection grant
    program authorized in section 912 of Public Law 118-63:  Provided
    further, That, notwithstanding subsection (g)(2) of such section 912,
    amounts made available under section 106(k) of title 49, United States
    Code, shall not be available to carry out such program:  Provided
    further, That of amounts made available for the drone infrastructure
    inspection grant program, $1,000,000 shall be available for
    administrative expenses:  Provided further, That of such amounts that
    are available until expended, $30,000,000 shall be for research on
    transportation resilience and nuclear technology and shall be directed,
    without competition, to a university of higher education, as defined
    under 20 U.S.C. 1067(q)(1), that has a nuclear engineering program and
    experience as a consortium member of a university transportation center
    that conducts research on transportation cybersecurity and resiliency:
    Provided further, That there may be credited to this appropriation, to
    be available until expended, funds received from States, counties,
    municipalities, other public authorities, and private sources for
    expenses incurred for training:  Provided further, That any reference
    in law, regulation, judicial proceedings, or elsewhere to the Research
    and Innovative Technology Administration shall continue to be deemed to
    be a reference to the Office of the Assistant Secretary for Research
    and Technology of the Department of Transportation.

                      national infrastructure investments

                         (including transfer of funds)

        For necessary expenses to carry out a local and regional project
    assistance grant program under section 6702 of title 49, United States
    Code, $145,000,000, to remain available until expended:  Provided, That
    section 6702(f)(2) of title 49, United States Code, shall not apply to
    amounts made available under this heading in this Act:  Provided
    further, That of the amounts made available under this heading in this
    Act, not less than 5 percent shall be awarded to projects in
    historically disadvantaged communities or areas of persistent poverty
    as defined under section 6702(a)(1) of title 49, United States Code:
    Provided further, That grants awarded under this heading in this Act
    for eligible projects for planning, preparation, or design shall not be
    subject to a minimum grant size:  Provided further, That in
    distributing amounts made available under this heading in this Act, the
    Secretary shall take such measures so as to ensure an equitable
    geographic distribution of funds, an appropriate balance in addressing
    the needs of urban and rural areas, including Tribal areas, and the
    investment in a variety of transportation modes:  Provided further,
    That for amounts made available under this heading in this Act, the
    Secretary shall give priority to projects that require a contribution
    of Federal funds in order to complete an overall financing package:
    Provided further, That section 6702(f)(1) of title 49, United States
    Code, shall not apply to amounts made available under this heading in
    this Act:  Provided further, That of the amounts awarded under this
    heading in this Act, not more than 50 percent shall be allocated for
    eligible projects located in rural areas and not more than 50 percent
    shall be allocated for eligible projects located in urbanized areas:
    Provided further, That for the purpose of determining if an award for
    planning, preparation, or design under this heading in this Act is an
    urban award, the project location is the location of the project being
    planned, prepared, or designed:  Provided further, That the Secretary
    may retain up to 2 percent of the amounts made available under this
    heading in this Act, and may transfer portions of such amounts to the
    Administrators of the Federal Aviation Administration, the Federal
    Highway Administration, the Federal Transit Administration, the Federal
    Railroad Administration and the Maritime Administration to fund the
    award and oversight of grants and credit assistance made under the
    program authorized under section 6702 of title 49, United States Code:
    Provided further, That for amounts made available under this heading in
    this Act, the Secretary shall consider and award projects based solely
    on the selection criteria as identified under section 6702(d)(3) and
    (d)(4) of title 49, United States Code.

         national surface transportation and innovative finance bureau

        For necessary expenses of the National Surface Transportation and
    Innovative Finance Bureau as authorized by 49 U.S.C. 116, $9,250,000,
    to remain available until expended:  Provided, That the Secretary may
    collect and spend fees, as authorized by title 23, United States Code,
    to cover the costs of services of expert firms, including counsel, in
    the field of municipal and project finance to assist in the
    underwriting and servicing of Federal credit instruments and all or a
    portion of the costs to the Federal Government of servicing such credit
    instruments:  Provided further, That such fees are available until
    expended to pay for such costs:  Provided further, That such amounts
    are in addition to other amounts made available for such purposes and
    are not subject to any obligation limitation or the limitation on
    administrative expenses under section 608 of title 23, United States
    Code.

                  rural and tribal infrastructure advancement

        For necessary expenses to carry out rural and Tribal infrastructure
    advancement as authorized in section 21205 of Public Law 117-58,
    $10,000,000, to remain available until September 30, 2028:  Provided,
    That the Secretary may enter into cooperative agreements with
    philanthropic entities, non-profit organizations, other Federal
    agencies, State or local governments and their agencies, Indian Tribes,
    or other technical assistance providers, to provide such technical
    assistance, planning, and capacity building to State, local, or Tribal
    governments, United States territories, metropolitan planning
    organizations, transit agencies, or other political subdivisions of
    State or local governments.

           railroad rehabilitation and improvement financing program

        The Secretary is authorized to issue direct loans and loan
    guarantees pursuant to chapter 224 of title 49, United States Code, and
    such authority shall exist as long as any such direct loan or loan
    guarantee is outstanding.

                          financial management capital

        For necessary expenses for upgrading and enhancing the Department
    of Transportation's financial systems and re-engineering business
    processes, $5,000,000, to remain available through September 30, 2027.

                           cyber security initiatives

        For necessary expenses for cyber security initiatives, including
    necessary upgrades to network and information technology
    infrastructure, improvement of identity management and authentication
    capabilities, securing and protecting data, implementation of Federal
    cyber security initiatives, and implementation of enhanced security
    controls on agency computers and mobile devices, $60,000,000, to remain
    available until September 30, 2027.

                             office of civil rights

        For necessary expenses of the Office of Civil Rights, $11,761,000.

               transportation planning, research, and development

                         (including transfer of funds)

        For necessary expenses for conducting transportation planning,
    research, systems development, development activities, and making
    grants, $32,043,000, to remain available until expended:  Provided,
    That of such amount, $5,436,000 shall be for necessary expenses of the
    Interagency Infrastructure Permitting Improvement Center (IIPIC):
    Provided further, That there may be transferred to this appropriation,
    to remain available until expended, amounts transferred from other
    Federal agencies for expenses incurred under this heading for IIPIC
    activities not related to transportation infrastructure:  Provided
    further, That the tools and analysis developed by the IIPIC shall be
    available to other Federal agencies for the permitting and review of
    major infrastructure projects not related to transportation only to the
    extent that other Federal agencies provide funding to the Department in
    accordance with the preceding proviso:  Provided further, That of the
    amounts made available under this heading, $9,647,000 shall be for the
    purposes, and in the amounts, specified for Community Project Funding/
    Congressionally Directed Spending in the table entitled ``Community
    Project Funding/Congressionally Directed Spending'' included for this
    division in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated Act):  Provided
    further, That amounts made available in the preceding proviso for such
    purposes shall not diminish or prejudice any application or geographic
    region for other discretionary grant or loan awards made by the
    Department of Transportation:  Provided further, That of the amounts
    made available under this heading, $2,000,000 shall be made available
    for an independent review of airspace design, civil-military
    coordination, and operational safety in the National Capital Region,
    with particular focus on airspace activities at Ronald Reagan
    Washington National Airport, as specified under the paragraph entitled
    ``Flight 5342'' in Senate Report 119-47.

                              working capital fund

                         (including transfer of funds)

        For necessary expenses for operating costs and capital outlays of
    the Working Capital Fund as authorized in section 327 of title 49,
    United States Code, not to exceed $764,965,000, shall be paid from
    appropriations made available to the Department of Transportation:
    Provided, That such services shall be provided on a competitive basis
    to entities within the Department of Transportation:  Provided further,
    That the limitation under this heading on operating expenses shall not
    apply to entities external to the Department of Transportation or for
    funds provided in Public Law 117-58:  Provided further, That no funds
    made available by this Act to an agency of the Department shall be
    transferred to the Working Capital Fund without majority approval of
    the Working Capital Fund Steering Committee and approval of the
    Secretary:  Provided further, That no assessments may be levied against
    any program, budget activity, subactivity, or project funded by this
    Act unless notice of such assessments and the basis therefor are
    presented to the House and Senate Committees on Appropriations and are
    approved by such Committees:  Provided further, That the Secretary may
    provide non-commodity information technology and procurement services
    in a consolidated or shared manner for operating administrations
    through the Working Capital Fund:  Provided further, That the preceding
    proviso shall not apply to the Federal Aviation Administration, the
    Great Lakes St. Lawrence Seaway Development Corporation, and the Office
    of Inspector General:  Provided further, That an operating
    administration may determine that certain non-commodity information
    technology and procurement services do not provide a direct benefit to
    the operating administration and shall not be required to obligate
    funds appropriated by this Act to the Office of the Secretary pursuant
    to section 188 of this Act:  Provided further, That if the
    determination in the preceding proviso concludes that non-commodity
    information technology and procurement services do not provide a direct
    benefit to the operating administration, those services shall remain
    within the operating administration:  Provided further, That not less
    than 30 days prior to using the authority provided in the preceding
    four provisos, the Secretary shall provide the House and Senate
    Committees on Appropriations a plan describing the non-commodity
    information technology and procurement services consolidated or shared
    through the Working Capital Fund:  Provided further, That the Secretary
    shall provide monthly briefings to the House and Senate Committees on
    Appropriations on all activities relating to non-commodity information
    technology and procurement services as authorized under this heading,
    including: (1) the amount of funding participating operating
    administrations provide the Working Capital Fund for programming and
    full time equivalent positions, including reimbursable and non-
    reimbursable details, to support non-commodity information technology
    and procurement services as authorized under this heading; and (2) the
    number of full time equivalent positions in the Office of the Chief
    Information Officer within the Office of the Secretary and the Office
    of the Assistant Secretary for Administration within the Office of the
    Secretary to support non-commodity information technology and
    procurement services as authorized under this heading:  Provided
    further, That the Secretary shall include funding for programming and
    full time equivalent positions to support non-commodity information
    technology and procurement services, as authorized under this heading,
    in the congressional budget justification for fiscal year 2027 for the
    Working Capital Fund, the Office of the Chief Information Officer
    within the Office of the Secretary, the Office of the Assistant
    Secretary for Administration within the Office of the Secretary, and
    each participating operating administration:  Provided further, That
    unless otherwise specified under this heading, the Working Capital Fund
    shall only deliver services consisting of administration and commodity
    information technology:  Provided further, That the departmental
    consolidation of activities including human resources, governmental
    affairs, public affairs and public engagement, and civil rights in the
    Working Capital Fund are prohibited:  Provided further, That amounts
    within the Working Capital Fund are not available to provide services
    not specifically authorized under this heading.

           small and disadvantaged business utilization and outreach

        For necessary expenses for small and disadvantaged business
    utilization and outreach activities, $5,330,000, to remain available
    until September 30, 2027:  Provided, That not less than 6 small
    business transportation resource centers shall be maintained and
    operated:  Provided further, That notwithstanding section 332 of title
    49, United States Code, such amounts may be used for business
    opportunities related to any mode of transportation:  Provided further,
    That appropriations made available under this heading shall be
    available for any purpose consistent with prior year appropriations
    that were made available under the heading ``Office of the Secretary--
    Minority Business Resource Center Program''.

                            payments to air carriers

                        (airport and airway trust fund)

        In addition to funds made available from any other source to carry
    out the essential air service program under sections 41731 through
    41742 of title 49, United States Code, $513,637,231, to be derived from
    the Airport and Airway Trust Fund, to remain available until expended:
    Provided, That in determining between or among carriers competing to
    provide service to a community, the Secretary may consider the relative
    subsidy requirements of the carriers:  Provided further, That basic
    essential air service minimum requirements shall not include the 15-
    passenger capacity requirement under section 41732(b)(3) of title 49,
    United States Code:  Provided further, That amounts authorized to be
    distributed for the essential air service program under section
    41742(b) of title 49, United States Code, shall be made available
    immediately from amounts otherwise provided to the Administrator of the
    Federal Aviation Administration:  Provided further, That the
    Administrator may reimburse such amounts from fees credited to the
    account established under section 45303 of title 49, United States
    Code:  Provided further, That, notwithstanding section 41733 of title
    49, United States Code, for fiscal year 2026, the requirements
    established under subparagraphs (B) and (C) of section 41731(a)(1) of
    title 49, United States Code, shall not apply to maintain eligibility
    under section 41731 of title 49, United States Code.

      administrative provisions--office of the secretary of transportation

                            (including rescissions)

                         (including transfer of funds)

        Sec. 101.  None of the funds made available by this Act to the
    Department of Transportation may be obligated for the Office of the
    Secretary of Transportation to approve assessments or reimbursable
    agreements pertaining to funds appropriated to the operating
    administrations in this Act, except for activities underway on the date
    of enactment of this Act, unless such assessments or agreements have
    completed the normal reprogramming process for congressional
    notification.
        Sec. 102.  The Secretary shall post on the website of the
    Department of Transportation a schedule of all meetings of the Council
    on Credit and Finance, including the agenda for each meeting, and
    require the Council on Credit and Finance to record the decisions and
    actions of each meeting.
        Sec. 103.  In addition to authority provided by section 327 of
    title 49, United States Code, the Department's Working Capital Fund is
    authorized to provide partial or full payments in advance and accept
    subsequent reimbursements from all Federal agencies from available
    funds for transit benefit distribution services that are necessary to
    carry out the Federal transit pass transportation fringe benefit
    program under Executive Order No. 13150 and section 3049 of SAFETEA-LU
    (5 U.S.C. 7905 note):  Provided, That the Department shall maintain a
    reasonable operating reserve in the Working Capital Fund, to be
    expended in advance to provide uninterrupted transit benefits to
    Government employees:  Provided further, That such reserve shall not
    exceed 1 month of benefits payable and may be used only for the purpose
    of providing for the continuation of transit benefits:  Provided
    further, That the Working Capital Fund shall be fully reimbursed by
    each customer agency from available funds for the actual cost of the
    transit benefit.
        Sec. 104.  Receipts collected in the Department's Working Capital
    Fund, as authorized by section 327 of title 49, United States Code, for
    unused transit and van pool benefits, in an amount not to exceed 10
    percent of fiscal year 2026 collections, shall be available until
    expended in the Department's Working Capital Fund to provide
    contractual services in support of section 189 of this Act:  Provided,
    That obligations in fiscal year 2026 of such collections shall not
    exceed $1,000,000.
        Sec. 105.  None of the funds in this title may be obligated or
    expended for retention or senior executive bonuses for an employee of
    the Department of Transportation without the prior written approval of
    the Assistant Secretary for Administration.
        Sec. 106.  In addition to authority provided by section 327 of
    title 49, United States Code, the Department's Administrative Working
    Capital Fund is hereby authorized to transfer information technology
    equipment, software, and systems from departmental sources or other
    entities and collect and maintain a reserve at rates which will return
    full cost of transferred assets.
        Sec. 107.  None of the funds provided in this Act to the Department
    of Transportation may be used to provide credit assistance unless not
    less than 3 days before any application approval to provide credit
    assistance under sections 603 and 604 of title 23, United States Code,
    the Secretary provides notification in writing to the following
    committees: the House and Senate Committees on Appropriations; the
    Committee on Environment and Public Works and the Committee on Banking,
    Housing and Urban Affairs of the Senate; and the Committee on
    Transportation and Infrastructure of the House of Representatives:
    Provided, That such notification shall include, but not be limited to,
    the name of the project sponsor; a description of the project; whether
    credit assistance will be provided as a direct loan, loan guarantee, or
    line of credit; and the amount of credit assistance.
        Sec. 108. (a) Amounts made available to the Secretary of
    Transportation or the Department of Transportation's operating
    administrations in this Act for the costs of award, administration, or
    oversight of financial assistance under the programs identified in
    subsection (c) may be transferred to the account identified in section
    801 of division J of Public Law 117-58, as amended by section 425 of
    title IV of division L of Public Law 117-103, to remain available until
    expended, for the necessary expenses of award, administration, or
    oversight of any financial assistance programs in the Department of
    Transportation.
        (b) Amounts transferred under the authority in this section are
    available in addition to amounts otherwise available for such purpose.
        (c) The programs from which funds made available under this Act may
    be transferred under subsection (a) are--
                (1) the local and regional project assistance program under
            section 6702 of title 49, United States Code;
                (2) the university transportation centers program under
            section 5505 of title 49, United States Code; and
                (3) the drone infrastructure inspection grant program as
            authorized by section 912 of title IX of Public Law 118-63.
        Sec. 109.  The Secretary of Transportation may transfer amounts
    awarded to a federally recognized Tribe under a funding agreement
    entered into under part 29 of title 49, Code of Federal Regulations,
    from the Department of Transportation's operating administrations to
    the Office of Tribal Government Affairs:  Provided, That any amounts
    retroceded or reassumed under such part may be transferred back to the
    appropriate operating administration.
        Sec. 109A.  For amounts provided for this fiscal year and prior
    fiscal years, section 24112(c)(2)(B) of Public Law 117-58 shall be
    applied by substituting ``30 percent'' for ``40 percent'':  Provided,
    That if the Secretary determines that there are insufficient merit-
    worthy applications for the amounts provided for fiscal year 2022
    through fiscal year 2026 in division J of Public Law 117-58 for
    competitive grants as authorized in section 24112 of division B of
    Public Law 117-58 to meet the requirement in section 24112(c)(2)(B) for
    a fiscal year, the Secretary shall use the unutilized amounts to make
    other grants as authorized in section 24112 of division B of Public Law
    117-58:  Provided further, That amounts repurposed pursuant to this
    section shall continue to be treated as amounts specified in section
    103(b) of division A of Public Law 118-5.
        Sec. 109B.  The remaining unobligated balances, as of September 30,
    2026, from amounts made available for ``Department of Transportation--
    Office of the Secretary--National Infrastructure Investments'' in
    division J of Public Law 117-58 for local and regional project
    assistance under section 6702 of title 49, United States Code, for
    fiscal year 2022 are hereby permanently rescinded, and an amount of
    additional new budget authority equivalent to the amount rescinded
    pursuant to this section is hereby appropriated on September 30, 2026,
    for an additional amount for fiscal year 2026, to remain available
    until September 30, 2031, and shall be available, without additional
    competition, for completing the funding of awards made pursuant to
    section 6702 of title 49, United States Code, for fiscal year 2022
    funding, in addition to other funds as may be available for such
    purposes:  Provided, That the amounts rescinded pursuant to this
    section that were previously designated by the Congress as an emergency
    requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th
    Congress), the concurrent resolution on the budget for fiscal year
    2018, and to section 251(b) of the Balanced Budget and Emergency
    Deficit Control Act of 1985 are designated by the Congress as an
    emergency requirement pursuant to 4001(a)(1) of S. Con. Res 14 (117th
    Congress), the concurrent resolution on the budget for fiscal year
    2022, and to legislation establishing fiscal year 2026 budget
    enforcement in the House of Representatives:  Provided further, That
    the amount of additional new budget authority is designated by the
    Congress as being for an emergency requirement pursuant to such section
    4001(a) and to legislation establishing fiscal year 2026 budget
    enforcement in the House of Representatives.
        Sec. 109C.  None of the funds made available by this or any other
    Act shall be used to cancel or seek to renegotiate an existing contract
    under the essential air service program under subchapter II of chapter
    417 of title 49, United States Code, before the standard period of
    rebidding occurring prior to a contract's expiration unless in response
    to an explicit written request from the EAS Community:  Provided, That
    this section shall only apply to existing contracts under which the
    carrier is in compliance with the contract terms.
        Sec. 109D.  Of the unobligated balances of funds remaining from--
                (1) ``Transportation Planning, Research, and Development''
            account in title I of division A of Public Law 111-117,
            $108,147.49 is hereby permanently rescinded; and
                (2) ``Transportation Planning, Research, and Development''
            account in title I of division F of Public Law 108-199,
            $744,000 is hereby permanently rescinded.
        Sec. 109E.  Of the unobligated balances from amounts made available
    for ``Railroad Rehabilitation and Improvement Financing Program'' in
    section 420 of title IV of division G of Public Law 116-6, $25,476 is
    hereby permanently rescinded.
        Sec. 109F.  Of the unobligated balances from amounts made available
    for ``Department of Transportation--Office of the Secretary--Salaries
    and Expenses'' in Public Law 119-4, $10,368,826 is hereby permanently
    rescinded.
        Sec. 109G.  Of the unobligated balances from amounts made available
    until expended for ``Department of Transportation--Office of the
    Secretary--Research and Technology'' in division L of title I of Public
    Law 117-103, $1,272,800.79 is hereby permanently rescinded.

                        Federal Aviation Administration

                                   operations

                        (airport and airway trust fund)

        For necessary expenses of the Federal Aviation Administration
    (FAA), not otherwise provided for, including operations and research
    activities related to commercial space transportation, administrative
    expenses for research and development, establishment of air navigation
    facilities, the operation (including leasing) and maintenance of
    aircraft, subsidizing the cost of aeronautical charts and maps sold to
    the public, the lease or purchase of passenger motor vehicles for
    replacement only, $13,710,000,000, to remain available until September
    30, 2027, of which $13,040,600,000 to be derived from the Airport and
    Airway Trust Fund:  Provided, That of the amounts made available under
    this heading--
                (1) not less than $1,842,037,000 shall be available for
            aviation safety activities;
                (2) $10,340,667,000 shall be available for air traffic
            organization activities;
                (3) $41,755,000 shall be available for commercial space
            transportation activities;
                (4) $963,410,000 shall be available for finance and
            management activities;
                (5) $65,813,000 shall be available for NextGen and
            operations planning activities;
                (6) $154,896,000 shall be available for security and
            hazardous materials safety activities; and
                (7) $301,422,000 shall be available for staff offices:
      Provided further, That of the amounts allocated under the previous
    proviso--
                (A) not less than $379,223,000 shall be for aircraft
            certification service;
                (B) not less than $100,000,000 shall be for the Office of
            Aerospace Medicine;
                (C) not less than $279,200,000 shall be used to fund direct
            operations of the current air traffic control towers in the
            contract tower program, including the contract tower cost share
            program, and any airport that is currently qualified or that
            will qualify for the program during the fiscal year;
                (D) $6,000,000 shall be for the pilot program to convert
            high activity air traffic control towers operating under the
            contract tower program to FAA staffed visual flight rules
            towers, as authorized under section 625 of the FAA
            Reauthorization Act of 2024, and to prioritize the contract
            towers as required under section 625(a)(2) of such Act;
                (E) not less than $16,000,000 shall be for the Office of
            Spectrum Engineering;
                (F) $6,000,000 shall be for unmanned aircraft system test
            ranges;
                (G) not less than $7,500,000 shall be for the internship
            program authorized under section 404 of the FAA Reauthorization
            Act of 2024 (Public Law 118-63);
                (H) not less than $1,000,000 shall be for the human
            intervention motivation study contract and the flight attendant
            drug and alcohol program contract; and
                (I) $3,000,000 shall be for the FAA's veterans' pilot
            training program:
      Provided further, That not to exceed 5 percent of any budget
    activity, except for aviation safety budget activity, may be
    transferred to any budget activity under this heading:  Provided
    further, That no transfer may increase or decrease any appropriation
    under this heading by more than 5 percent:  Provided further, That any
    transfer in excess of 5 percent shall be treated as a reprogramming of
    funds under section 405 of this Act and shall not be available for
    obligation or expenditure except in compliance with the procedures set
    forth in that section:  Provided further, That not later than 45 days
    after the submission of the budget request, the Administrator of the
    Federal Aviation Administration shall transmit to Congress an annual
    update to the report submitted to Congress in December 2004 pursuant to
    section 221 of the Vision 100-Century of Aviation Reauthorization Act
    (49 U.S.C. 44506 note):  Provided further, That not later than 45 days
    after the submission of the budget request, the Administrator shall
    transmit to Congress reports that describe a comprehensive strategy for
    staffing, hiring, and training of flight standards and aircraft
    certification staff, and airway transportation system specialists in a
    format similar to the one utilized for the controller staffing plan,
    including stated attrition estimates and numerical hiring goals by
    fiscal year:  Provided further, That the amounts made available under
    this heading shall be reduced by $100,000 for each day after 45 days
    after the submission of the budget request that reports containing the
    information described in the preceding two provisos have not been
    transmitted to Congress:  Provided further, That funds may be used to
    enter into a grant agreement with a nonprofit standard-setting
    organization to assist in the development of aviation safety standards:
     Provided further, That none of the funds made available by this Act
    shall be available for new applicants for the second career training
    program:  Provided further, That none of the funds made available by
    this Act shall be available for the Federal Aviation Administration to
    finalize or implement any regulation that would promulgate new aviation
    user fees not specifically authorized by law after the date of the
    enactment of this Act:  Provided further, That there may be credited to
    this appropriation, as offsetting collections, funds received from
    States, counties, municipalities, foreign authorities, other public
    authorities, and private sources for expenses incurred in the provision
    of agency services, including receipts for the maintenance and
    operation of air navigation facilities, and for issuance, renewal or
    modification of certificates, including airman, aircraft, and repair
    station certificates, or for tests related thereto, or for processing
    major repair or alteration forms:  Provided further, That not later
    than 120 days after enactment of this Act, the Administrator shall
    transmit to the House and Senate Committees on Appropriations a report
    on all expenditures related to the contract tower program from the most
    recent fiscal year, including a breakout for administrative costs,
    contract support expenses, insurance, equipment procured and installed
    in contract towers, new starts, and aggregate payments for operating
    the contract towers:  Provided further, That not later than 180 days
    after enactment of this Act, the Administrator shall transmit to the
    House and Senate Committees on Appropriations a report on the FAA's
    ongoing efforts and future plans to equip contract towers with radar
    displays and other technology that the FAA believes are necessary to
    enhance aviation safety:  Provided further, That none of the funds made
    available by this Act for aeronautical charting and cartography are
    available for activities conducted by, or coordinated through, the
    Working Capital Fund:  Provided further, That not less than $4,000,000
    of amounts made available for staff offices shall be used to establish
    the Office of the Assistant Administrator for Rulemaking and Regulatory
    Improvement as authorized under section 106(c) of title 49, United
    States Code:  Provided further, That none of the funds appropriated or
    otherwise made available by this Act or any other Act may be used to
    eliminate the contract weather observers program at any airport.

                            facilities and equipment

                        (airport and airway trust fund)

        For necessary expenses, not otherwise provided for, for
    acquisition, establishment, technical support services, improvement by
    contract or purchase, and hire of national airspace systems and
    experimental facilities and equipment, as authorized under part A of
    subtitle VII of title 49, United States Code, including initial
    acquisition of necessary sites by lease or grant; engineering and
    service testing, including construction of test facilities and
    acquisition of necessary sites by lease or grant; construction and
    furnishing of quarters and related accommodations for officers and
    employees of the Federal Aviation Administration stationed at remote
    localities where such accommodations are not available; and the
    purchase, lease, or transfer of aircraft from funds made available
    under this heading, including aircraft for aviation regulation and
    certification; to be derived from the Airport and Airway Trust Fund,
    $4,000,000,000, of which $697,850,000 is for personnel and related
    expenses and shall remain available until September 30, 2027, and
    $3,302,150,000 shall remain available until September 30, 2028:
    Provided, That the sums appropriated under this heading in this Act
    shall be made available for the purposes, and in the amounts, specified
    for spending in the table entitled ``Allocation of FAA Facilities and
    Equipment Funding in This Act--Fiscal Year 2026'' included for this
    division in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated Act):  Provided
    further, That the sums appropriated under this heading in title VIII of
    division J of the Infrastructure Investment and Jobs Act (Public Law
    117-58) shall be made available for the purposes, and in the amounts,
    specified for spending in the table entitled ``Allocation of FAA
    Facilities and Equipment Funding in the Infrastructure Investment and
    Jobs Act--Fiscal Year 2026'' included for this division in the
    explanatory statement described in section 4 (in the matter preceding
    division A of this consolidated Act):  Provided further, That amounts
    repurposed pursuant to the preceding proviso shall continue to be
    treated as amounts specified in section 103(b) of division A of Public
    Law 118-5:  Provided further, That there may be credited to this
    appropriation funds received from States, counties, municipalities,
    other public authorities, and private sources, for expenses incurred in
    the establishment, improvement, and modernization of national airspace
    systems:  Provided further, That not later than 30 days after
    submission of the budget request, the Secretary of Transportation shall
    transmit to the Congress an investment plan for the Federal Aviation
    Administration which includes funding for each budget line item for
    fiscal years 2027 through 2031, with total funding for each year of the
    plan constrained to the funding targets for those years as estimated
    and approved by the Office of Management and Budget:  Provided further,
    That section 405 of this Act shall apply to amounts made available
    under the heading in this Act and in title VIII of the Infrastructure
    Investment and Jobs Act (division J of Public Law 117-58):  Provided
    further, That, notwithstanding subsections (a)(5) and (a)(6) of such
    section 405, unless prior approval is received from the House and
    Senate Committees on Appropriations, not to exceed 7 percent of any
    funding level specified for projects and activities in the tables
    incorporated by reference under this heading may be transferred to any
    other funding level specified for projects and activities in such
    tables and no transfer of such funding levels may increase or decrease
    any funding level in such tables by more than 7 percent.

                     research, engineering, and development

                        (airport and airway trust fund)

        For necessary expenses, not otherwise provided for, for research,
    engineering, and development, as authorized under part A of subtitle
    VII of title 49, United States Code, including construction of
    experimental facilities and acquisition of necessary sites by lease or
    grant, $290,000,000, to be derived from the Airport and Airway Trust
    Fund and to remain available until September 30, 2028:  Provided, That
    there may be credited to this appropriation as offsetting collections,
    funds received from States, counties, municipalities, other public
    authorities, and private sources, which shall be available for expenses
    incurred for research, engineering, and development:  Provided further,
    That the sums appropriated under this heading shall be made available
    for the purposes, and in the amounts, specified in the table entitled
    ``Research, Engineering, and Development'' included for this division
    in the explanatory statement described in section 4 (in the matter
    preceding division A of this consolidated Act):  Provided further, That
    not to exceed 7 percent of any funding level specified in the table
    incorporated by reference under this heading included for this division
    in the explanatory statement described in section 4 (in the matter
    preceding division A of this consolidated Act)may be transferred to any
    other funding level specified under this heading included for this
    division in the explanatory statement described in section 4 (in the
    matter preceding division A of this consolidated Act):  Provided
    further, That no transfer may increase or decrease any funding level by
    more than 7 percent:  Provided further, That any transfer in excess of
    7 percent shall be treated as a reprogramming of funds under section
    405 of this Act and shall not be available for obligation or
    expenditure except in compliance with the procedures set forth in that
    section:  Provided further, That of the amounts made available under
    this heading, $40,000,000, to remain available until expended, shall be
    for aviation workforce development programs, as authorized under
    section 625 of the FAA Reauthorization Act of 2018, as amended (49
    U.S.C. 40132 note):  Provided further, That of the amounts set aside
    under the preceding proviso--
                (1) no less than $10,000,000 shall be awarded for
            manufacturing workforce grants as authorized under section 625
            (a)(3) of such Act;
                (2) $10,000,000 shall be for not more than two community
            colleges that are sponsors of a general aviation airport
            identified in the National Plan of Integrated Airport Systems:
            Provided, That grants awarded under this paragraph for
            community colleges shall be awarded for an amount not less than
            $5,000,000 per award:  Provided further, That the Secretary may
            award such grants under this subsection notwithstanding section
            625(b)(2) of the FAA Reauthorization Act of 2018, as amended
            (49 U.S.C. 40132 note); and
                (3) no less than $20,000,000 shall be awarded to
            institutions eligible under paragraphs (1) and (3) of section
            1067q(a) of title 20, United States Code, and priority shall be
            given to institutions or consortiums of institutions near
            commercial aviation manufacturing and military aviation
            employment opportunities.

                           grants-in-aid for airports

                    (liquidation of contract authorization)

                          (limitation on obligations)

                        (airport and airway trust fund)

                         (including transfer of funds)

        For liquidation of obligations incurred for grants-in-aid for
    airport planning and development, and noise compatibility planning and
    programs as authorized under subchapter I of chapter 471 and subchapter
    I of chapter 475 of title 49, United States Code, and under other law
    authorizing such obligations; for procurement, installation, and
    commissioning of runway incursion prevention devices and systems at
    airports of such title; for grants authorized under section 41743 of
    title 49, United States Code; and for inspection activities and
    administration of airport safety programs, including those related to
    airport operating certificates under section 44706 of title 49, United
    States Code, $4,000,000,000, to be derived from the Airport and Airway
    Trust Fund and to remain available until expended:  Provided, That none
    of the amounts made available under this heading shall be available for
    the planning or execution of programs the obligations for which are in
    excess of $4,000,000,000, in fiscal year 2026, notwithstanding section
    47117(g) of title 49, United States Code:  Provided further, That none
    of the amounts made available under this heading shall be available for
    the replacement of baggage conveyor systems, reconfiguration of
    terminal baggage areas, or other airport improvements that are
    necessary to install bulk explosive detection systems:  Provided
    further, That notwithstanding section 47109(a) of title 49, United
    States Code, the Government's share of allowable project costs under
    paragraph (2) of such section for subgrants or paragraph (3) of such
    section shall be 95 percent for a project at other than a large or
    medium hub airport that is a successive phase of a multi-phased
    construction project for which the project sponsor received a grant in
    fiscal year 2011 for the construction project:  Provided further, That
    notwithstanding any other provision of law, of amounts limited under
    this heading, not less than $160,000,000 shall be available for
    administration, $15,000,000 shall be available for the airport
    cooperative research program, $41,827,000 shall be available for the
    airport technology research program and of which, $6,000,000 shall be
    available for the airfield technology program authorized under section
    1014 of Public Law 118-63, of which $3,000,000 is for concrete pavement
    research and $3,000,000 is for asphalt pavement research, and
    $15,000,000, to remain available until expended, shall be available and
    transferred to ``Office of the Secretary, Salaries and Expenses'' to
    carry out the small community air service development program:
    Provided further, That in addition to airports eligible under section
    41743 of title 49, United States Code, such program may include the
    participation of an airport that serves a community or consortium that
    is not larger than a small hub airport, according to Federal Aviation
    Administration hub classifications effective at the time the Office of
    the Secretary issues a request for proposals.

                           grants-in-aid for airports

                         (including transfer of funds)

        For an additional amount for ``Grants-In-Aid for Airports'', to
    enable the Secretary of Transportation to make grants for projects as
    authorized by subchapter 1 of chapter 471 of title 49, United States
    Code, subchapter 1 of chapter 475 of such title, and section 767 of the
    FAA Reauthorization Act of 2024 (Public Law 118-63), $577,356,000, to
    remain available through September 30, 2028:  Provided, That amounts
    made available under this heading shall be derived from the general
    fund, and such funds shall not be subject to apportionment formulas,
    special apportionment categories, or minimum percentages under chapter
    471 of title 49, United States Code:  Provided further, That the
    amounts made available under this heading shall not be subject to any
    limitation on obligations for the Grants-in-Aid for Airports program
    set forth in any Act:  Provided further, That of the sums appropriated
    under this heading--
                (1) $542,356,000 shall be made available for the purposes,
            and in the amounts, specified for Community Project Funding/
            Congressionally Directed Spending in the table entitled
            ``Community Project Funding/Congressionally Directed Spending''
            for this division in the explanatory statement described in
            section 4 (in the matter preceding division A of this
            consolidated Act):  Provided, That amounts made available in
            the preceding proviso for such purposes shall not diminish or
            prejudice any application or geographic region for other
            discretionary grant or loan awards made by the Department of
            Transportation:  Provided further, That funds made available
            under this section shall not be subject to or considered under
            section 47115(j)(3)(B), 47115(j)(3)(C), or 47115(j)(3)(D) of
            title 49, United States Code; and
                (2) up to $35,000,000 shall be made available to the
            Secretary to distribute as discretionary grants to airports
            that include, but are not limited to, projects that are
            eligible under section 47115(j)(3)(D) of title 49, United
            States Code:  Provided, That of amounts made available under
            this heading, $20,000,000 shall be made available for the
            Secretary to distribute as discretionary grants for airports
            with scheduled commercial service in calendar year 2024, that
            serve essential air service markets as reported in October
            2024, reported and certified zero dollars total debt at end of
            year on the form FAA-5100-127 submitted before the date of
            enactment of this Act for fiscal year 2024, and were allocated
            an amount under the heading ``Grants-in-Aid for Airports'' in
            division B of Public Law 116-136 equal to or less than the
            amount designated for a regional airport under paragraph (4)
            under such heading:  Provided further, That the funds made
            available under the preceding proviso shall be prioritized for
            airports participating in the FAA Contract Tower Program:
      Provided further, That of the amounts made available under this
    heading--
                (1) $300,000,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2023, 2024, 2025, and 2026 for personnel,
            contracting, and other costs to administer and oversee grants
            (excluding amounts transferred to the Office of Inspector
            General of the Department of Transportation) under the heading
            ``Federal Aviation Administration--Airport Infrastructure
            Grants'' in title VIII of division J of the Infrastructure
            Investment and Jobs Act (Public Law 117-58); and
                (2) $68,670,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2023, 2024, 2025, and 2026 for personnel,
            contracting, and other costs to administer and oversee grants
            (excluding amounts transferred to the Office of Inspector
            General of the Department of Transportation) under the heading
            ``Federal Aviation Administration--Airport Terminal Program''
            in title VIII of division J of the Infrastructure Investment
            and Jobs Act (Public Law 117-58):
      Provided further, That amounts transferred pursuant to the preceding
    provisos shall continue to be treated as amounts specified in section
    103(b) of division A of Public Law 118-5.

           administrative provisions--federal aviation administration

        Sec. 110.  None of the funds made available by this Act may be used
    to compensate in excess of 600 technical staff-years under the
    federally funded research and development center contract between the
    Federal Aviation Administration and the Center for Advanced Aviation
    Systems Development during fiscal year 2026.
        Sec. 111.  None of the funds made available by this Act shall be
    used to pursue or adopt guidelines or regulations requiring airport
    sponsors to provide to the Federal Aviation Administration without cost
    building construction, maintenance, utilities and expenses, including
    related accommodation services, or space in airport sponsor-owned
    buildings for services relating to air traffic control, air navigation,
    or weather reporting:  Provided, That the prohibition on the use of
    funds in this section does not apply to negotiations between the agency
    and airport sponsors to achieve agreement on ``below-market'' rates for
    these items or to grant assurances that require airport sponsors to
    provide land without cost to the Federal Aviation Administration for
    air traffic control facilities.
        Sec. 112.  The Administrator of the Federal Aviation Administration
    may reimburse amounts made available to satisfy section 41742(a)(1) of
    title 49, United States Code, from fees credited under section 45303 of
    title 49, United States Code, and any amount remaining in such account
    at the close of any fiscal year may be made available to satisfy
    section 41742(a)(1) of title 49, United States Code, for the subsequent
    fiscal year.
        Sec. 113.  Amounts collected under section 40113(e) of title 49,
    United States Code, shall be credited to the appropriation current at
    the time of collection, to be merged with and available for the same
    purposes as such appropriation.
        Sec. 114.  None of the funds made available by this Act shall be
    available for paying premium pay under section 5546(a) of title 5,
    United States Code, to any Federal Aviation Administration employee
    unless such employee actually performed work during the time
    corresponding to such premium pay.
        Sec. 115.  None of the funds made available by this Act may be
    obligated or expended for an employee of the Federal Aviation
    Administration to purchase a store gift card or gift certificate
    through use of a Government-issued credit card.
        Sec. 116.  Notwithstanding any other provision of law, none of the
    funds made available under this Act or any prior Act may be used to
    implement or to continue to implement any limitation on the ability of
    any owner or operator of a private aircraft to obtain, upon a request
    to the Administrator of the Federal Aviation Administration, a blocking
    of that owner's or operator's aircraft registration number, Mode S
    transponder code, flight identification, call sign, or similar
    identifying information from any ground based display to the public
    that would allow the real-time or near real-time flight tracking of
    that aircraft's movements, except data made available to a Government
    agency, for the noncommercial flights of that owner or operator.
        Sec. 117.  None of the funds made available by this Act shall be
    available for salaries and expenses of more than nine political and
    Presidential appointees in the Federal Aviation Administration:
    Provided, That of the nine political and Presidential appointee
    positions in the Federal Aviation Administration, not less than one
    position shall be within each of the following offices and no appointee
    shall be in any other office: the Office of the Administrator, the
    Office of the Deputy Administrator, the Office of the General Counsel,
    the Office of Government and Industry Affairs, the Office of
    Communications, the Office of Airports, and the Office for Policy,
    International Affairs, and Environment.
        Sec. 118.  None of the funds made available by this Act may be used
    to increase fees pursuant to section 44721 of title 49, United States
    Code, until the Federal Aviation Administration provides to the House
    and Senate Committees on Appropriations a report that justifies all
    fees related to aeronautical navigation products and explains how such
    fees are consistent with Executive Order No. 13642.
        Sec. 119.  None of the funds made available by this Act may be used
    to close a regional operations center of the Federal Aviation
    Administration or reduce its services or personnel unless the
    Administrator notifies the House and Senate Committees on
    Appropriations not less than 90 full business days in advance.
        Sec. 119A.  None of the funds made available by or limited by this
    Act may be used to change weight restrictions or prior permission rules
    at Teterboro airport in Teterboro, New Jersey.
        Sec. 119B.  None of the funds made available by this Act may be
    used by the Administrator of the Federal Aviation Administration to
    withhold from consideration and approval any new application for
    participation in the contract tower program, or for reevaluation of
    cost-share program participants so long as the Federal Aviation
    Administration has received an application from the airport, and so
    long as the Administrator determines such tower is eligible using the
    factors set forth in Federal Aviation Administration published
    establishment criteria.
        Sec. 119C.  None of the funds made available by this Act may be
    used to open, close, redesignate as a lesser office, or reorganize a
    regional office, the aeronautical center, or the technical center
    unless the Administrator does so in compliance with section 405 of this
    Act.
        Sec. 119D.  Notwithstanding subsection (a)(7) of section 405,
    activities creating, reorganizing, or restructuring an organizational
    unit of the Federal Aviation Administration are not subject to the
    requirements of section 405 unless those activities would change the
    organization chart provided as an exhibit to section 1 of the
    President's Budget justification.
        Sec. 119E.  For an additional amount for ``Grants-in-aid for
    Airports'', up to $3,500,000 shall be available through September 30,
    2028, for necessary expenses, including an independent verification
    regime, to provide reimbursement to airport sponsors that do not
    provide gateway operations and providers of general aviation ground
    support services, or other aviation tenants, located at those airports
    closed during a temporary flight restriction (TFR) for any residence of
    the President that is designated or identified to be secured by the
    United States Secret Service, and for direct and incremental financial
    losses incurred while such airports are closed solely due to the
    actions of the Federal Government:  Provided, That such amounts shall
    be derived from balances remaining from amounts appropriated for such
    purposes in prior Acts:  Provided further, That such amounts shall not
    be subject to any limitation on obligations for the Grants-in-Aid for
    Airports program set forth in any Act:  Provided further, That no funds
    shall be obligated or distributed to airport sponsors that do not
    provide gateway operations and providers of general aviation ground
    support services until an independent audit is completed:  Provided
    further, That losses incurred as a result of violations of law, or
    through fault or negligence, of such operators and service providers or
    of third parties (including airports) are not eligible for
    reimbursements:  Provided further, That obligation and expenditure of
    funds are conditional upon full release of the United States Government
    for all claims for financial losses resulting from such actions.
        Sec. 119F.  Section 44502(e) of title 49, United States Code, shall
    be applied by inserting the following after paragraph (4):
                ``(5) Limitations.--
                        ``(A) Systems or equipment.--Eligible air traffic
                    systems or equipment identified in subparagraphs (A)
                    through (C) of paragraph (3) of this subsection to be
                    transferred to the Administrator under this subsection
                    must have been purchased by the transferor airport on
                    or after October 5, 2018.
                        ``(B) Other systems or equipment.--Eligible air
                    traffic systems or equipment identified in subparagraph
                    (D) of paragraph (3) of this subsection to be
                    transferred to the Administrator under this subsection
                    must have been purchased by the transferor airport on
                    or after October 1, 2024.
                ``(6) Airports classified as a basic or local general
            aviation airport.--An airport that is categorized as a basic or
            local general aviation airport under the most recently
            published national plan of integrated airport systems under
            section 47103 may only transfer an eligible air traffic system
            or equipment under this subsection in accordance with the
            exception provided in paragraph (4) if such system or equipment
            was purchased by the transferor airport on or after October 1,
            2024.''.
        Sec. 119G.  None of the funds in this or any other Act shall be
    used to plan, design, or implement the privatization or separation of
    the air traffic organization functions of the Federal Aviation
    Administration.
        Sec. 119H.  None of the funds appropriated or otherwise made
    available by this or any other Act may be used for the construction of
    a new Air Traffic Control Training Academy except for the Federal
    Aviation Administration's existing Training Academy located at the Mike
    Monroney Aeronautical Center.
        Sec. 119I.  Notwithstanding section 40122(c) of title 49, United
    States Code, for this year and thereafter, the Administrator of the
    Federal Aviation Administration, in consultation with the Federal Air
    Surgeon, may increase the annual rate of basic pay for positions in the
    Office of Aerospace Medicine requiring a medical degree up to the
    annual compensation paid under section 102 of title 3, United States
    Code.
        Sec. 119J.  The Administrator of the Federal Aviation
    Administration is directed to provide a spend plan and a briefing
    within 30 days of enactment of this Act, and each month thereafter
    during fiscal year 2026, to the House and Senate Committees on
    Appropriations on all activities and efforts funded by this Act and
    section 40003 of Public Law 119-21 for the Federal Aviation
    Administration's air traffic control modernization efforts:  Provided,
    That the Administrator shall make available for each briefing the
    Federal Aviation Administration's Chief Financial Officer and the
    Assistant Administrator for Policy, International Affairs, and
    Environment, and the Federal Aviation Administration's Air Traffic
    Organization's Chief Operating Officer and Chief Technology Officer.

                         Federal Highway Administration

                     limitation on administrative expenses

                              (highway trust fund)

                         (including transfer of funds)

        Not to exceed $504,187,977 together with advances and
    reimbursements received by the Federal Highway Administration, shall be
    obligated for necessary expenses for administration and operation of
    the Federal Highway Administration:  Provided, That in addition,
    $3,248,000 shall be transferred to the Appalachian Regional Commission
    in accordance with section 104(a) of title 23, United States Code.

                              federal-aid highways

                          (limitation on obligations)

                              (highway trust fund)

        Funds available for the implementation or execution of authorized
    Federal-aid highway and highway safety construction programs shall not
    exceed total obligations of $62,657,105,821 for fiscal year 2026:
    Provided, That the limitation on obligations under this heading shall
    only apply to contract authority authorized from the Highway Trust Fund
    (other than the Mass Transit Account), unless otherwise specified in
    law.

                    (liquidation of contract authorization)

                              (highway trust fund)

        For the payment of obligations incurred in carrying out authorized
    Federal-aid highway and highway safety construction programs,
    $63,396,105,821 shall be derived from the Highway Trust Fund (other
    than the Mass Transit Account), to remain available until expended.

                        highway infrastructure programs

                         (including transfer of funds)

        For the purposes as described under this heading, $2,395,880,591,
    of which $927,212,591 shall be appropriated from the general fund, and
    of which--
                (1) $1,093,756,000 shall be derived from the unobligated
            balances of amounts previously appropriated under the heading
            ``Federal Highway Administration--Highway Infrastructure
            Programs'' in title VIII of division J of Public Law 117-58, as
            follows:
                        (A) $125,000,000 from amounts previously
                    appropriated for fiscal years 2023, 2024, 2025, and
                    2026 for operations and administration of the Federal
                    Highway Administration (excluding amounts transferred
                    to the Office of Inspector General of the Department of
                    Transportation);
                        (B) $75,000,000 from amounts previously
                    appropriated for fiscal year 2022 in paragraph (2) of
                    such title VIII for the Joint Office of Energy and
                    Transportation;
                        (C) $300,000,000 from amounts previously
                    appropriated for fiscal years 2024, 2025, and 2026 in
                    paragraph (2) of such title VIII for grants to States
                    or localities that require additional assistance to
                    strategically deploy electric vehicle charging
                    infrastructure;
                        (D) $503,756,000 from amounts previously
                    appropriated for fiscal years 2022, 2023, 2024, 2025,
                    and 2026 in paragraph (2) of such title VIII that were
                    distributed among the States, to be derived on a
                    proportional basis from such unobligated amounts based
                    on the unobligated balances from fiscal year 2022 by
                    State as of January 31, 2026; and
                        (E) $90,000,000 from amounts previously
                    appropriated for fiscal years 2024, 2025, and 2026
                    under paragraph (5) of such title VIII for the
                    reduction of truck emissions at port facilities
                    program:
              Provided, That amounts derived from the unobligated balances
            as described in the matter preceding this proviso shall
            continue to be treated as amounts specified in section 103(b)
            of division A of Public Law 118-5;
                (2) $20,000,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2025 and 2026 under the heading ``Federal Motor
            Carrier Safety Administration--Motor Carrier Safety Operations
            and Program'' in title VIII of division J of Public Law 117-58:
             Provided, That amounts derived by transfer as described in the
            matter preceding this proviso shall continue to be treated as
            amounts specified in section 103(b) of division A of Public Law
            118-5;
                (3) $204,912,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2022, 2023, 2024, 2025, and 2026 under the heading
            ``Office of the Secretary--Strengthening Mobility and
            Revolutionizing Transportation Grant Program'' in title VIII of
            division J of Public Law 117-58:  Provided, That amounts
            derived by transfer as described in the matter preceding this
            proviso shall continue to be treated as amounts specified in
            section 103(b) of division A of Public Law 118-5;
                (4) $50,000,000 shall be derived by transfer from the
            unobligated balances of amounts made available by transfer
            pursuant to section 801 in title VIII of division J of Public
            Law 117-58 (excluding amounts transferred to the Office of
            Inspector General of the Department of Transportation):
            Provided, That amounts derived by transfer as described in the
            matter preceding this proviso shall continue to be treated as
            amounts specified in section 103(b) of division A of Public Law
            118-5; and
                (5) $100,000,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal year 2026 under the heading ``Pipeline and Hazardous
            Materials Safety Administration--Natural Gas Distribution
            Infrastructure Safety and Modernization Grant Program'' in
            title VIII of division J of Public Law 117-58 (excluding
            amounts transferred to the Office of Inspector General of the
            Department of Transportation):  Provided, That amounts derived
            by transfer as described in the matter preceding this proviso
            shall continue to be treated as amounts specified in section
            103(b) of division A of Public Law 118-5:
      Provided further, That the funds made available under this heading
    shall be in addition to any funds provided for fiscal year 2026 in this
    or any other Act for: (1) ``Federal-aid Highways'' under chapter 1 of
    title 23, United States Code; (2) the Appalachian development highway
    system as authorized under section 1069(y) of Public Law 102-240; (3)
    activities eligible under the Tribal transportation program under
    section 202 of title 23, United States Code; (4) activities eligible
    under the Federal lands transportation program under section 203 of
    such title; (5) activities eligible under the Federal land access
    program under section 204 of such title; (6) the Northern Border
    Regional Commission (40 U.S.C. 15101 et seq.); (7) the Southwest Border
    Regional Commission (40 U.S.C. 15101 et seq.); (8) the Denali
    Commission; or (9) activities eligible under chapter 5 of title 23,
    United States Code, and shall not affect the distribution or amount of
    funds provided in any other Act:  Provided further, That, except for
    the funds made available under this heading for the Northern Border
    Regional Commission, the Southwest Border Regional Commission, and the
    Denali Commission, section 11101(e) of Public Law 117-58 shall apply to
    funds made available under this heading:  Provided further, That
    amounts made available under this heading shall not be subject to any
    limitation on obligations for Federal-aid highways or highway safety
    construction programs set forth in any Act making annual
    appropriations:  Provided further, That of the sums appropriated or
    otherwise made available under this heading--
                (1) $1,514,721,091, which shall be available until
            September 30, 2029, shall be for the purposes, and in the
            amounts, specified for Community Project Funding/
            Congressionally Directed Spending in the table entitled
            ``Community Project Funding/Congressionally Directed Spending''
            included for this division in the explanatory statement
            described in section 4 (in the matter preceding division A of
            this consolidated Act):  Provided, That amounts made available
            in the preceding proviso for such purposes shall not diminish
            or prejudice any application or geographic region for other
            discretionary grant or loan awards made by the Department of
            Transportation:  Provided further, That, except as otherwise
            provided under this heading, the funds made available under
            this paragraph shall be administered as if apportioned under
            chapter 1 of title 23, United States Code:  Provided further,
            That funds made available under this paragraph that are used
            for Tribal projects shall be administered as if allocated under
            chapter 2 of title 23, United States Code, except that the set-
            asides described in subparagraph (C) of section 202(b)(3) of
            title 23, United States Code, and subsections (a)(6), (c), and
            (e) of section 202 of such title, and section 1123(h)(1) of
            MAP-21 (as amended by Public Law 117-58), shall not apply to
            such funds;
                (2) $200,000,000, to remain available until September 30,
            2029, shall be for activities eligible under the Tribal
            transportation program, as described in section 202 of title
            23, United States Code:  Provided, That, except as otherwise
            provided under this heading, the funds made available under
            this paragraph shall be administered as if allocated under
            chapter 2 of title 23, United States Code:  Provided further,
            That the set-asides described in subparagraph (C) of section
            202(b)(3) of title 23, United States Code, and subsections
            (a)(6), (c), and (e) of section 202 of such title shall not
            apply to funds made available under this paragraph:  Provided
            further, That the set-aside described in section 1123(h)(1) of
            MAP-21 (as amended by Public Law 117-58), shall not apply to
            such funds;
                (3) $200,000,000, to remain available until expended, shall
            be to carry out the Nationally Significant Multimodal Freight
            and Highway Projects program under section 117 of title 23,
            United States Code:  Provided, That the funds made available
            under this paragraph shall be for projects to provide public
            parking for commercial motor vehicles:  Provided further, That
            such projects shall be within reasonable access to or in the
            right of way of an Interstate highway, the National Highway
            System, or the National Highway Freight Network:  Provided
            further, That the Secretary shall reserve not less than 50
            percent of the amounts made available under this paragraph to
            make grants for projects that do not satisfy the minimum
            threshold under section 117(d)(1)(B) of such title:  Provided
            further, That, of the amount reserved under the preceding
            proviso, not less than 30 percent shall be used for projects in
            rural areas:  Provided further, That each grant made with funds
            reserved under the third proviso of this paragraph shall be in
            an amount that is at least $5,000,000:  Provided further, That
            in addition to other applicable requirements, in making grants
            with funds reserved under the third proviso of this paragraph,
            the Secretary shall take into consideration the project
            selection considerations described in section 117(e)(3) of such
            title:  Provided further, That, except as described in the
            preceding proviso, subsections (e) and (i) of section 117 of
            such title shall not apply to funds made available under this
            paragraph:  Provided further, That the Secretary shall reserve
            not less than 25 percent of the amounts made available under
            this paragraph to make grants for projects located in rural
            areas:  Provided further, That if qualified applications will
            not allow for the amount reserved under the preceding proviso
            to be fully utilized, the Secretary shall combine the
            unutilized amounts with the amounts reserved under the fourth
            proviso of this paragraph:  Provided further, That the
            requirements in section 117(g) of such title shall not apply to
            a project assisted with a grant under this paragraph that does
            not meet the minimum threshold under section 117(d)(1)(B):
            Provided further, That, except as described in the following
            proviso, the Federal share of the cost of a project assisted
            with a grant under this paragraph may not exceed 60 percent:
            Provided further, That the Federal share of the cost of a
            project that does not meet the minimum threshold under section
            117(d)(1)(B) of such title shall be 80 percent:  Provided
            further, That an eligible applicant that receives a grant under
            this paragraph may partner with a private entity to fund the
            development, capacity expansion, or operation or maintenance of
            a facility:  Provided further, That no fees may be charged by
            an eligible applicant receiving a grant under this paragraph to
            a commercial motor vehicle driver to use parking constructed,
            expanded, opened, maintained, or improved with a grant under
            this paragraph:  Provided further, That the funds made
            available under this paragraph shall not be used for the
            construction, or development phase activities that would enable
            the construction, of charging or fueling infrastructure for the
            propulsion of a vehicle, including a commercial motor vehicle:
            Provided further, That for purposes of this paragraph, (1) the
            term ``commercial motor vehicle'' has the meaning given the
            term in section 31132 of title 49, United States Code, and (2)
            the term ``rural area'' has the meaning given the term in
            section 117(i)(3) of title 23, United States Code;
                (4) $5,000,000, to remain available until September 30,
            2029, shall be to carry out section 11502 of the Infrastructure
            Investment and Jobs Act (23 U.S.C. 148 note):  Provided, That,
            except as otherwise provided under such section or this
            heading, the funds made available under this paragraph shall be
            administered as if apportioned under chapter 1 of title 23,
            United States Code;
                (5) $5,000,000, to remain available until September 30,
            2029, shall be to carry out the regional infrastructure
            accelerator demonstration program under section 1441 of the
            FAST Act (23 U.S.C. 601 note):  Provided, That for funds made
            available under this paragraph, the Federal share of the costs
            shall be, at the option of the recipient, up to 100 percent:
            Provided further, That funds made available under this
            paragraph may be transferred to the Office of the Secretary;
                (6) $20,000,000 shall be for necessary expenses for
            construction of the Appalachian development highway system, as
            authorized under section 1069(y) of Public Law 102-240:
            Provided, That for the purposes of funds made available under
            this paragraph, the term ``Appalachian State'' means a State
            that contains 1 or more counties (including any political
            subdivision located within the area) in the Appalachian region
            as defined in section 14102(a) of title 40, United States Code:
             Provided further, That funds made available under this heading
            for construction of the Appalachian development highway system
            shall remain available until expended:  Provided further, That,
            except as provided in the following proviso, funds made
            available under this heading for construction of the
            Appalachian development highway system shall be administered as
            if apportioned under chapter 1 of title 23, United States Code:
             Provided further, That a project carried out with funds made
            available under this heading for construction of the
            Appalachian development highway system shall be carried out in
            the same manner as a project under section 14501 of title 40,
            United States Code:  Provided further, That subject to the
            following proviso, funds made available under this heading for
            construction of the Appalachian development highway system
            shall be apportioned to Appalachian States according to the
            percentages derived from the 2012 Appalachian development
            highway system cost-to-complete estimate, adopted in
            Appalachian Regional Commission Resolution Number 736, and
            confirmed as each Appalachian State's relative share of the
            estimated remaining need to complete the Appalachian
            development highway system, adjusted to exclude those corridors
            that such States have no current plans to complete, as reported
            in the 2013 Appalachian Development Highway System Completion
            Report, unless those States have modified and assigned a higher
            priority for completion of an Appalachian development highway
            system corridor, as reported in the 2020 Appalachian
            Development Highway System Future Outlook:  Provided further,
            That the Secretary shall adjust apportionments made under the
            preceding proviso so that no Appalachian State shall be
            apportioned an amount in excess of 30 percent of the amount
            made available for construction of the Appalachian development
            highway system under this heading:  Provided further, That the
            Secretary shall consult with the Appalachian Regional
            Commission in making adjustments under the preceding two
            provisos:  Provided further, That the Federal share of the
            costs for which an expenditure is made for construction of the
            Appalachian development highway system under this heading shall
            be up to 100 percent;
                (7) $3,000,000, to remain available until September 30,
            2029, shall be transferred to the Southwest Border Regional
            Commission (40 U.S.C. 15101 et seq.) to make grants, in
            addition to amounts otherwise made available to the Southwest
            Border Regional Commission for such purpose, for authorized
            activities, including for administration of grants or
            cooperative agreements to support interjurisdictional planning
            activities advancing transportation infrastructure:  Provided,
            That a grant made with funds made available under this
            paragraph shall be administered in the same manner as a grant
            made under subtitle V of title 40, United States Code;
                (8) $5,000,000, to remain available until expended, shall
            be transferred to the Northern Border Regional Commission (40
            U.S.C. 15101 et seq.) to make grants, in addition to amounts
            otherwise made available to the Northern Border Regional
            Commission for such purpose, to carry out pilot projects that
            demonstrate the capabilities of wood-based infrastructure
            projects:  Provided, That a grant made with funds made
            available under this paragraph shall be administered in the
            same manner as a grant made under subtitle V of title 40,
            United States Code;
                (9) $5,000,000 shall be transferred to the Denali
            Commission for activities eligible under section 307(d) of the
            Denali Commission Act of 1998 (42 U.S.C. 3121 note; Public Law
            105-277):  Provided, That funds made available under this
            paragraph shall not be subject to section 311 of such Act:
            Provided further, That except as otherwise provided under
            section 307(d) of such Act or this heading, funds made
            available under this paragraph shall be administered as if
            directly appropriated to the Denali Commission and subject to
            applicable provisions of such Act, including the requirement in
            section 307(d) of such Act that the local community provides a
            10 percent non-Federal match in the form of any necessary land
            or planning and design funds:  Provided further, That such
            funds shall be available until expended:  Provided further,
            That the Federal share of the costs for which an expenditure is
            made with funds transferred under this paragraph shall be up to
            90 percent;
                (10) $15,000,000 shall be transferred to the Denali
            Commission to carry out the Denali access system program under
            section 309 of the Denali Commission Act of 1998 (42 U.S.C.
            3121 note; Public Law 105-277):  Provided, That a transfer
            under this paragraph shall not be subject to section 311 of
            such Act:  Provided further, That except as otherwise provided
            under this heading, funds made available under this paragraph
            shall be administered as if directly appropriated to the Denali
            Commission and subject to applicable provisions of such Act:
            Provided further, That funds made available under this
            paragraph shall not be subject to section 309(j)(2) of such
            Act:  Provided further, That funds made available under this
            paragraph shall be available until expended:  Provided further,
            That the Federal share of the costs for which an expenditure is
            made with funds transferred under this paragraph shall be up to
            100 percent;
                (11) $2,000,000, to remain available until September 30,
            2029, shall be to carry out the pollinator-friendly practices
            on roadsides and highway rights-of-way program under section
            332 of title 23, United States Code;
                (12) $10,000,000, to remain available until September 30,
            2029, shall be for the national scenic byways program under
            section 162 of title 23, United States Code:  Provided, That,
            except as otherwise provided under this heading, the funds made
            available under this paragraph shall be administered as if
            apportioned under chapter 1 of title 23, United States Code;
                (13) $350,000,000, to remain available until September 30,
            2029, shall be for a competitive highway bridge program for
            States that--
                        (A) have--
                                (i) a population density of less than 115
                            individuals per square mile; or
                                (ii) a population of less than 1,100,000
                            individuals; and
                        (B) have--
                                (i) less than 26 percent of total bridges
                            classified as in good condition; or
                                (ii) greater than or equal to 4.9 percent
                            of total bridges classified as in poor
                            condition:
              Provided, That any such State with more than 14 percent of
            total bridges classified as in poor condition shall receive not
            less than $32,500,000 of the funds made available in this
            paragraph for grant applications for projects eligible under
            this paragraph:  Provided further, That if the Secretary
            determines that eligible applications from any such State
            meeting the criteria under the preceding proviso are
            insufficient to make awards of at least $32,500,000, the
            Secretary shall use the unutilized amounts to provide other
            grants to States eligible under this paragraph:  Provided
            further, That no State shall be awarded more than $55,000,000
            in awards from funds made available under this paragraph for
            grant applications for projects eligible under this paragraph:
            Provided further, That the funds made available under this
            paragraph shall be used for highway bridge replacement or
            rehabilitation projects on public roads that demonstrate cost
            savings by bundling multiple highway bridge projects and,
            except as otherwise provided in this heading, shall be
            administered as if apportioned under chapter 1 of title 23,
            United States Code:  Provided further, That the requirements of
            section 144(j)(5) of title 23, United States Code, shall not
            apply to funds made available under this paragraph:  Provided
            further, That for purposes of this paragraph, the Secretary
            shall calculate population and population density figures based
            on the latest available data from the decennial census
            conducted under section 141(a) of title 13, United States Code:
             Provided further, That for purposes of this paragraph, the
            Secretary shall calculate the percentages of bridge counts
            (including the percentages of bridge counts classified as in
            poor and good condition) based on the national bridge inventory
            as of June 2024;
                (14) $25,000,000 shall be for a competitive Type 3 highway
            bridge program for the replacement or rehabilitation of bridges
            that--(A) are owned by a county; (B) are classified as a Type 3
            bridge by the Bureau of Reclamation; (C) are eligible under the
            Federal lands access program, as described in section 204 of
            title 23, United States Code; and (D) cross a water conveyance
            structure owned by the Bureau of Reclamation:  Provided, That
            the Secretary, in consultation with the Bureau of Reclamation,
            shall prioritize awards to projects that will lead to--(i)
            improved water delivery; (ii) improved bridge conditions; and
            (iii) improved safety, efficiency, and reliability of the
            movement of people and goods over Type 3 bridges crossing a
            water conveyance structure owned by the Bureau of Reclamation:
            Provided further, That only a county owning a bridge meeting
            the conditions in this paragraph shall be an eligible applicant
            for a grant under this paragraph:  Provided further, That,
            except as otherwise provided under this heading, funds made
            available under this paragraph shall be administered as if
            allocated under section 204 of such title, except that such
            funds shall not be subject to subsections (b) or (c) of such
            section:  Provided further, That for the purposes of funds made
            available under this paragraph, the term ``Type 3 bridge''
            means a bridge classified as a Type 3 bridge by the Bureau of
            Reclamation as defined in its Reclamation Manual Directives and
            Standards FAC 07-01 (as updated on June 9, 2023):  Provided
            further, That funds made available under this paragraph shall
            remain available until expended:  Provided further, That the
            Federal share of the costs for which an expenditure is made
            with funds made available under this paragraph shall be 100
            percent:  Provided further, That the Secretary of
            Transportation shall issue the notice of funding opportunity
            for the funds made available under this paragraph no later than
            60 days after enactment of this Act:  Provided further, That
            the Secretary of Transportation shall make grants for the funds
            made available under this paragraph no later than 270 days
            after enactment of this Act;
                (15) $6,159,500, to remain available until expended, shall
            be for research leading to sustainable stormwater management
            technologies and techniques to reduce the impacts of 6PPD and
            6PPD-quinone on salmon-bearing streams:  Provided, That the
            Federal Highway Administration shall implement this research as
            specified under the paragraph entitled ``Stormwater
            Management'' in Senate Report 119-47; and
                (16) $30,000,000, to remain available until expended, shall
            be for capital construction grants under the Reconnecting
            Communities Pilot Program as authorized under section 11509(d)
            of division A of the Infrastructure Investment and Jobs Act
            (Public Law 117-58):  Provided, That funds made available under
            this paragraph shall only be available for projects in States
            in which the Department of Transportation previously awarded a
            competitive grant award and signed a grant agreement of not
            less than $145,000,000 under section 177 of title 23, United
            States Code, and any amount of such funds were subsequently
            rescinded by an Act of Congress.

           administrative provisions--federal highway administration

                            (including rescissions)

        Sec. 120. (a) For fiscal year 2026, the Secretary of Transportation
    shall--
                (1) not distribute from the obligation limitation for
            Federal-aid highways--
                        (A) amounts authorized for administrative expenses
                    and programs by section 104(a) of title 23, United
                    States Code; and
                        (B) amounts authorized for the Bureau of
                    Transportation Statistics;
                (2) not distribute an amount from the obligation limitation
            for Federal-aid highways that is equal to the unobligated
            balance of amounts--
                        (A) made available from the Highway Trust Fund
                    (other than the Mass Transit Account) for Federal-aid
                    highway and highway safety construction programs for
                    previous fiscal years the funds for which are allocated
                    by the Secretary (or apportioned by the Secretary under
                    section 202 or 204 of title 23, United States Code);
                    and
                        (B) for which obligation limitation was provided in
                    a previous fiscal year;
                (3) determine the proportion that--
                        (A) the obligation limitation for Federal-aid
                    highways, less the aggregate of amounts not distributed
                    under paragraphs (1) and (2) of this subsection; bears
                    to
                        (B) the total of the sums authorized to be
                    appropriated for the Federal-aid highway and highway
                    safety construction programs (other than sums
                    authorized to be appropriated for provisions of law
                    described in paragraphs (1) through (11) of subsection
                    (b) and sums authorized to be appropriated for section
                    119 of title 23, United States Code, equal to the
                    amount referred to in subsection (b)(12) for such
                    fiscal year), less the aggregate of the amounts not
                    distributed under paragraphs (1) and (2) of this
                    subsection;
                (4) distribute the obligation limitation for Federal-aid
            highways, less the aggregate amounts not distributed under
            paragraphs (1) and (2), for each of the programs (other than
            programs to which paragraph (1) applies) that are allocated by
            the Secretary under authorized Federal-aid highway and highway
            safety construction programs, or apportioned by the Secretary
            under section 202 or 204 of title 23, United States Code, by
            multiplying--
                        (A) the proportion determined under paragraph (3);
                    by
                        (B) the amounts authorized to be appropriated for
                    each such program for such fiscal year; and
                (5) distribute the obligation limitation for Federal-aid
            highways, less the aggregate amounts not distributed under
            paragraphs (1) and (2) and the amounts distributed under
            paragraph (4), for Federal-aid highway and highway safety
            construction programs that are apportioned by the Secretary
            under title 23, United States Code (other than the amounts
            apportioned for the national highway performance program in
            section 119 of title 23, United States Code, that are exempt
            from the limitation under subsection (b)(12) and the amounts
            apportioned under sections 202 and 204 of that title) in the
            proportion that--
                        (A) amounts authorized to be appropriated for the
                    programs that are apportioned under title 23, United
                    States Code, to each State for such fiscal year; bears
                    to
                        (B) the total of the amounts authorized to be
                    appropriated for the programs that are apportioned
                    under title 23, United States Code, to all States for
                    such fiscal year.
        (b) Exceptions From Obligation Limitation.--The obligation
    limitation for Federal-aid highways shall not apply to obligations
    under or for--
                (1) section 125 of title 23, United States Code;
                (2) section 147 of the Surface Transportation Assistance
            Act of 1978 (23 U.S.C. 144 note; 92 Stat. 2714);
                (3) section 9 of the Federal-Aid Highway Act of 1981 (95
            Stat. 1701);
                (4) subsections (b) and (j) of section 131 of the Surface
            Transportation Assistance Act of 1982 (96 Stat. 2119);
                (5) subsections (b) and (c) of section 149 of the Surface
            Transportation and Uniform Relocation Assistance Act of 1987
            (101 Stat. 198);
                (6) sections 1103 through 1108 of the Intermodal Surface
            Transportation Efficiency Act of 1991 (105 Stat. 2027);
                (7) section 157 of title 23, United States Code (as in
            effect on June 8, 1998);
                (8) section 105 of title 23, United States Code (as in
            effect for fiscal years 1998 through 2004, but only in an
            amount equal to $639,000,000 for each of those fiscal years);
                (9) Federal-aid highway programs for which obligation
            authority was made available under the Transportation Equity
            Act for the 21st Century (112 Stat. 107) or subsequent Acts for
            multiple years or to remain available until expended, but only
            to the extent that the obligation authority has not lapsed or
            been used;
                (10) section 105 of title 23, United States Code (as in
            effect for fiscal years 2005 through 2012, but only in an
            amount equal to $639,000,000 for each of those fiscal years);
                (11) section 1603 of SAFETEA-LU (23 U.S.C. 118 note; 119
            Stat. 1248), to the extent that funds obligated in accordance
            with that section were not subject to a limitation on
            obligations at the time at which the funds were initially made
            available for obligation; and
                (12) section 119 of title 23, United States Code (but, for
            each of fiscal years 2013 through 2026, only in an amount equal
            to $639,000,000).
        (c) Redistribution of Unused Obligation Authority.--Notwithstanding
    subsection (a), the Secretary shall, after August 1 of such fiscal
    year--
                (1) revise a distribution of the obligation limitation made
            available under subsection (a) if an amount distributed cannot
            be obligated during that fiscal year; and
                (2) redistribute sufficient amounts to those States able to
            obligate amounts in addition to those previously distributed
            during that fiscal year, giving priority to those States having
            large unobligated balances of funds apportioned under sections
            144 (as in effect on the day before the date of enactment of
            Public Law 112-141) and 104 of title 23, United States Code.
        (d) Applicability of Obligation Limitations to Transportation
    Research Programs.--
                (1) In general.--Except as provided in paragraph (2), the
            obligation limitation for Federal-aid highways shall apply to
            contract authority for transportation research programs carried
            out under--
                        (A) chapter 5 of title 23, United States Code;
                        (B) title VI of the Fixing America's Surface
                    Transportation Act; and
                        (C) title III of division A of the Infrastructure
                    Investment and Jobs Act (Public Law 117-58).
                (2) Exception.--Obligation authority made available under
            paragraph (1) shall--
                        (A) remain available for a period of 4 fiscal
                    years; and
                        (B) be in addition to the amount of any limitation
                    imposed on obligations for Federal-aid highway and
                    highway safety construction programs for future fiscal
                    years.
        (e) Redistribution of Certain Authorized Funds.--
                (1) In general.--Not later than 30 days after the date of
            distribution of obligation limitation under subsection (a), the
            Secretary shall distribute to the States any funds (excluding
            funds authorized for the program under section 202 of title 23,
            United States Code) that--
                        (A) are authorized to be appropriated for such
                    fiscal year for Federal-aid highway programs; and
                        (B) the Secretary determines will not be allocated
                    to the States (or will not be apportioned to the States
                    under section 204 of title 23, United States Code), and
                    will not be available for obligation, for such fiscal
                    year because of the imposition of any obligation
                    limitation for such fiscal year.
                (2) Ratio.--Funds shall be distributed under paragraph (1)
            in the same proportion as the distribution of obligation
            authority under subsection (a)(5).
                (3) Availability.--Funds distributed to each State under
            paragraph (1) shall be available for any purpose described in
            section 133(b) of title 23, United States Code.
        Sec. 121.  Notwithstanding 31 U.S.C. 3302, funds received by the
    Bureau of Transportation Statistics from the sale of data products, for
    necessary expenses incurred pursuant to chapter 63 of title 49, United
    States Code, may be credited to the Federal-aid highways account for
    the purpose of reimbursing the Bureau for such expenses.
        Sec. 122.  Not less than 15 days prior to waiving, under his or her
    statutory authority, any Buy America requirement for Federal-aid
    highways projects, the Secretary of Transportation shall make an
    informal public notice and comment opportunity on the intent to issue
    such waiver and the reasons therefor:  Provided, That the Secretary
    shall post on a website any waivers granted under the Buy America
    requirements.
        Sec. 123.  None of the funds made available in this Act may be used
    to make a grant for a project under section 117 of title 23, United
    States Code, unless the Secretary, at least 60 days before making a
    grant under that section, provides written notification to the House
    and Senate Committees on Appropriations of the proposed grant,
    including an evaluation and justification for the project and the
    amount of the proposed grant award.
        Sec. 124. (a) A State or territory, as defined in section 165 of
    title 23, United States Code, may use for any project eligible under
    section 133(b) of title 23 or section 165 of title 23 and located
    within the boundary of the State or territory any earmarked amount, and
    any associated obligation limitation:  Provided, That the Department of
    Transportation for the State or territory for which the earmarked
    amount was originally designated or directed notifies the Secretary of
    its intent to use its authority under this section and submits an
    annual report to the Secretary identifying the projects to which the
    funding would be applied. Notwithstanding the original period of
    availability of funds to be obligated under this section, such funds
    and associated obligation limitation shall remain available for
    obligation for a period of 3 fiscal years after the fiscal year in
    which the Secretary is notified. The Federal share of the cost of a
    project carried out with funds made available under this section shall
    be the same as associated with the earmark.
        (b) In this section, the term ``earmarked amount'' means--
                (1) congressionally directed spending, as defined in rule
            XLIV of the Standing Rules of the Senate, identified in a prior
            law, report, or joint explanatory statement, which was
            authorized to be appropriated or appropriated more than 10
            fiscal years prior to the current fiscal year, and administered
            by the Federal Highway Administration; or
                (2) a congressional earmark, as defined in rule XXI of the
            Rules of the House of Representatives, identified in a prior
            law, report, or joint explanatory statement, which was
            authorized to be appropriated or appropriated more than 10
            fiscal years prior to the current fiscal year, and administered
            by the Federal Highway Administration.
        (c) The authority under subsection (a) may be exercised only for
    those projects or activities that have obligated less than 10 percent
    of the amount made available for obligation as of October 1 of the
    current fiscal year, and shall be applied to projects within the same
    general geographic area within 25 miles for which the funding was
    designated, except that a State or territory may apply such authority
    to unexpended balances of funds from projects or activities the State
    or territory certifies have been closed and for which payments have
    been made under a final voucher.
        (d) The Secretary shall submit consolidated reports of the
    information provided by the States and territories annually to the
    House and Senate Committees on Appropriations.
        Sec. 125.  The remaining unobligated balances, as of September 30,
    2026, from amounts made available for ``Department of Transportation--
    Federal Highway Administration--Highway Infrastructure Programs'' in
    division J of Public Law 117-58 for the Nationally Significant Freight
    and Highway Projects program under section 117 of title 23, United
    States Code, for fiscal year 2023 are hereby permanently rescinded, and
    an amount of additional new budget authority equivalent to the amount
    rescinded pursuant to this section is hereby appropriated on September
    30, 2026, for an additional amount for fiscal year 2026, to remain
    available until September 30, 2031, and shall be available, without
    additional competition, for completing the funding of awards made
    pursuant to section 117 of title 23, United States Code, for fiscal
    year 2023 funding, in addition to other funds as may be available for
    such purposes:  Provided, That the amounts rescinded pursuant to this
    section that were previously designated by the Congress as an emergency
    requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th
    Congress), the concurrent resolution on the budget for fiscal year
    2018, and to section 251(b) of the Balanced Budget and Emergency
    Deficit Control Act of 1985 are designated by the Congress as an
    emergency requirement pursuant to 4001(a)(1) of S. Con. Res 14 (117th
    Congress), the concurrent resolution on the budget for fiscal year
    2022, and to legislation establishing fiscal year 2026 budget
    enforcement in the House of Representatives:  Provided further, That
    the amount of additional new budget authority provided by this section
    is designated by the Congress as being for an emergency requirement
    pursuant to such section 4001(a)(1) and to legislation establishing
    fiscal year 2026 budget enforcement in the House of Representatives.
        Sec. 126.  The remaining unobligated balances, as of September 30,
    2026, from amounts made available for ``Department of Transportation--
    Federal Highway Administration--Highway Infrastructure Programs'' in
    division J of Public Law 117-58 for the bridge investment program under
    section 124 of title 23, United States Code, for fiscal year 2023 are
    hereby permanently rescinded, and an amount of additional new budget
    authority equivalent to the amount rescinded pursuant to this section
    is hereby appropriated on September 30, 2026, for an additional amount
    for fiscal year 2026, to remain available until September 30, 2031, and
    shall be available, without additional competition, for completing the
    funding of awards made pursuant to section 124 of title 23, United
    States Code, for fiscal year 2023 funding, in addition to other funds
    as may be available for such purposes:  Provided, That the amounts
    rescinded pursuant to this section that were previously designated by
    the Congress as an emergency requirement pursuant to section 4112(a) of
    H. Con. Res. 71 (115th Congress), the concurrent resolution on the
    budget for fiscal year 2018, and to section 251(b) of the Balanced
    Budget and Emergency Deficit Control Act of 1985 are designated by the
    Congress as an emergency requirement pursuant to 4001(a)(1) of S. Con.
    Res 14 (117th Congress), the concurrent resolution on the budget for
    fiscal year 2022, and to legislation establishing fiscal year 2026
    budget enforcement in the House of Representatives:  Provided further,
    That the amount of additional new budget authority provided by this
    section is designated by the Congress as being for an emergency
    requirement pursuant to such section 4001(a)(1) and to legislation
    establishing fiscal year 2026 budget enforcement in the House of
    Representatives.
        Sec. 127.  The remaining unobligated balances, as of September 30,
    2026, from amounts made available for ``Department of Transportation--
    Federal Highway Administration--Highway Infrastructure Programs'' in
    division L of Public Law 117-328 for competitive awards for activities
    eligible under section 176(d)(4)(A) and 176(d)(4)(C) of title 23,
    United States Code, for fiscal year 2023 are hereby permanently
    rescinded, and an amount of additional new budget authority equivalent
    to the amount rescinded pursuant to this section is hereby appropriated
    on September 30, 2026, for an additional amount for fiscal year 2026,
    to remain available until September 30, 2031, and shall be available,
    without additional competition, for completing the funding of awards
    made pursuant to section 176 of title 23, United States Code, for
    fiscal year 2023 funding, in addition to other funds as may be
    available for such purposes.

                  Federal Motor Carrier Safety Administration

                  motor carrier safety operations and programs

                    (liquidation of contract authorization)

                          (limitation on obligations)

                              (highway trust fund)

        For payment of obligations incurred in the implementation,
    execution and administration of motor carrier safety operations and
    programs pursuant to section 31110 of title 49, United States Code, as
    amended by the Infrastructure Investment and Jobs Act (Public Law 117-
    58), $390,000,000, to be derived from the Highway Trust Fund (other
    than the Mass Transit Account), together with advances and
    reimbursements received by the Federal Motor Carrier Safety
    Administration, the sum of which shall remain available until expended:
     Provided, That funds available for implementation, execution, or
    administration of motor carrier safety operations and programs
    authorized under title 49, United States Code, shall not exceed total
    obligations of $390,000,000, for ``Motor Carrier Safety Operations and
    Programs'' for fiscal year 2026:  Provided further, That of the amounts
    made available under this heading--
                (1) not less than $63,098,000, to remain available for
            obligation until September 30, 2028, shall be for development,
            modernization, enhancement, and continued operation and
            maintenance of information technology and information
            management; and
                (2) $14,073,000, to remain available for obligation until
            September 30, 2028, shall be for the research and technology
            program:
      Provided further, That the activities funded in paragraphs (1) and
    (2) in the preceding proviso may be accomplished through direct
    expenditures, direct research activities, grants, cooperative
    agreements, contracts, intra-agency or interagency agreements, or other
    agreements with public organizations.

                          motor carrier safety grants

                    (liquidation of contract authorization)

                          (limitation on obligations)

                              (highway trust fund)

        For payment of obligations incurred in carrying out sections 31102,
    31103, 31104, and 31313 of title 49, United States Code, $536,600,000,
    to be derived from the Highway Trust Fund (other than the Mass Transit
    Account) and to remain available until expended:  Provided, That funds
    available for the implementation or execution of motor carrier safety
    programs shall not exceed total obligations of $541,600,000 in fiscal
    year 2026 for ``Motor Carrier Safety Grants'':  Provided further, That
    of the amounts made available under this heading--
                (1) $422,500,000, to remain available for obligation until
            September 30, 2027, shall be for the motor carrier safety
            assistance program;
                (2) $45,200,000, to remain available for obligation until
            September 30, 2027, shall be for the commercial driver's
            license program implementation program;
                (3) $62,400,000, to remain available for obligation until
            September 30, 2027, shall be for the high priority program;
                (4) $1,500,000, to remain available for obligation until
            September 30, 2027, shall be for the commercial motor vehicle
            operators grant program; and
                (5) $10,000,000, to remain available for obligation until
            September 30, 2027, shall be for the commercial motor vehicle
            enforcement training and support grant program, of which
            $5,000,000 shall be made available from prior year unobligated
            contract authority made available for Motor Carrier Safety
            Grants in section 23001 of the Infrastructure Investment and
            Jobs Act (Public Law 117-58):  Provided, That such prior year
            unobligated contract authority shall be available to complete
            the fiscal year 2024 commercial motor vehicle enforcement
            training and support grant program notice of funding
            opportunity and shall be available to all applicants otherwise
            eligible under such notice of funding opportunity.

     administrative provisions--federal motor carrier safety administration

        Sec. 130.  None of the funds appropriated or otherwise made
    available to the Department of Transportation by this Act or any other
    Act may be obligated or expended to implement, administer, or enforce
    the requirements of section 31137 of title 49, United States Code, or
    any regulation issued by the Secretary pursuant to such section, with
    respect to the use of electronic logging devices by operators of
    commercial motor vehicles, as defined in section 31132(1) of such
    title, transporting livestock as defined in section 602 of the
    Emergency Livestock Feed Assistance Act of 1988 (7 U.S.C. 1471) or
    insects.
        Sec. 131.  The Secretary shall update the Department's regulations
    to ensure that non-compliance with section 391.11(b)(2) of title 49,
    Code of Federal Regulations, triggers an out-of-service order.

                 National Highway Traffic Safety Administration

                            operations and research

                         (including transfer of funds)

        For expenses necessary to discharge the functions of the Secretary,
    with respect to traffic and highway safety, authorized under chapter
    301 and part C of subtitle VI of title 49, United States Code,
    $200,000,000, of which $65,000,000 shall remain available through
    September 30, 2027, and of which $129,000,000 shall be derived by
    transfer from the unobligated balances of amounts previously
    appropriated in title VIII of division J of the Infrastructure
    Investment and Jobs Act (Public Law 117-58) as follows: (1) $79,000,000
    from amounts previously appropriated for fiscal years 2023, 2024, 2025,
    and 2026 in paragraph (3) under the heading ``Department of
    Transportation--National Highway Traffic Safety Administration--
    Supplemental Highway Traffic Safety Programs''; and (2) $50,000,000
    from amounts previously appropriated for fiscal year 2026 under the
    heading ``Department of Transportation--National Highway Traffic Safety
    Administration--Crash Data'':  Provided, That amounts derived by
    transfer as described in the matter preceding this proviso shall
    continue to be treated as amounts specified in section 103(b) of
    division A of Public Law 118-5.

                            operations and research

                    (liquidation of contract authorization)

                          (limitation on obligations)

                              (highway trust fund)

        For payment of obligations incurred in carrying out the provisions
    of section 403 of title 23, United States Code, including behavioral
    research on automated driving systems and advanced driver assistance
    systems and improving consumer responses to safety recalls, section
    25024 of the Infrastructure Investment and Jobs Act (Public Law 117-
    58), and chapter 303 of title 49, United States Code, $209,600,000, to
    be derived from the Highway Trust Fund (other than the Mass Transit
    Account) and to remain available until expended:  Provided, That none
    of the funds in this Act shall be available for the planning or
    execution of programs the total obligations for which, in fiscal year
    2026, are in excess of $209,600,000:  Provided further, That of the
    sums appropriated under this heading--
                (1) $202,000,000 shall be for programs authorized under
            section 403 of title 23, United States Code, including
            behavioral research on automated driving systems and advanced
            driver assistance systems and improving consumer responses to
            safety recalls, and section 25024 of the Infrastructure
            Investment and Jobs Act (Public Law 117-58); and
                (2) $7,600,000 shall be for the national driver register
            authorized under chapter 303 of title 49, United States Code:
      Provided further, That within the $209,600,000 obligation limitation
    for operations and research, $57,500,000 shall remain available until
    September 30, 2027, and shall be in addition to the amount of any
    limitation imposed on obligations for future years:  Provided further,
    That amounts for behavioral research on automated driving systems and
    advanced driver assistance systems and improving consumer responses to
    safety recalls are in addition to any other funds provided for those
    purposes for fiscal year 2026 in this Act.

                         highway traffic safety grants

                    (liquidation of contract authorization)

                          (limitation on obligations)

                              (highway trust fund)

        For payment of obligations incurred in carrying out provisions of
    sections 402, 404, and 405 of title 23, United States Code, and grant
    administration expenses under chapter 4 of title 23, United States
    Code, to remain available until expended, $849,654,625, to be derived
    from the Highway Trust Fund (other than the Mass Transit Account):
    Provided, That none of the funds in this Act shall be available for the
    planning or execution of programs for which the total obligations in
    fiscal year 2026 are in excess of $849,654,625 for programs authorized
    under sections 402, 404, and 405 of title 23, United States Code, and
    grant administration expenses under chapter 4 of title 23, United
    States Code:  Provided further, That of the sums appropriated under
    this heading--
                (1) $393,400,000 shall be for highway safety programs under
            section 402 of title 23, United States Code;
                (2) $367,500,000 shall be for national priority safety
            programs under section 405 of title 23, United States Code;
                (3) $44,300,000 shall be for the high visibility
            enforcement program under section 404 of title 23, United
            States Code; and
                (4) $44,454,625 shall be for grant administrative expenses
            under chapter 4 of title 23, United States Code:
      Provided further, That none of these funds shall be used for
    construction, rehabilitation, or remodeling costs, or for office
    furnishings and fixtures for State, local or private buildings or
    structures:  Provided further, That not to exceed $500,000 of the funds
    made available for national priority safety programs under section 405
    of title 23, United States Code, for impaired driving countermeasures
    (as described in subsection (d) of that section) shall be available for
    technical assistance to the States:  Provided further, That with
    respect to the ``Transfers'' provision under section 405(a)(10) of
    title 23, United States Code, any amounts transferred to increase the
    amounts made available under section 402 shall include the obligation
    authority for such amounts:  Provided further, That the Administrator
    shall notify the House and Senate Committees on Appropriations of any
    exercise of the authority granted under the preceding proviso or under
    section 405(a)(10) of title 23, United States Code, within 5 days.

          administrative provisions--national highway traffic safety
                                 administration

        Sec. 140.  The limitations on obligations for the programs of the
    National Highway Traffic Safety Administration set in this Act shall
    not apply to obligations for which obligation authority was made
    available in previous public laws but only to the extent that the
    obligation authority has not lapsed or been used.
        Sec. 141.  None of the funds provided in this Act may be used to
    encourage illegal drug or alcohol use in the National Highway Traffic
    Safety Administration's impaired driving advertising campaigns.
        Sec. 142.  An additional $130,000 shall be made available to the
    National Highway Traffic Safety Administration, out of the amount
    limited for section 402 of title 23, United States Code, to pay for
    travel and related expenses for State management reviews and to pay for
    core competency development training and related expenses for highway
    safety staff.

                        Federal Railroad Administration

                             safety and operations

        For necessary expenses of the Federal Railroad Administration, not
    otherwise provided for, $264,761,000, of which $25,000,000 shall remain
    available until expended.

                       railroad research and development

        For necessary expenses for railroad research and development,
    $40,000,000, to remain available until expended:  Provided, That of the
    amounts provided under this heading, up to $3,000,000 shall be
    available pursuant to section 20108(d) of title 49, United States Code,
    for the construction, alteration, and repair of buildings and
    improvements at the Transportation Technology Center:  Provided
    further, That of the amounts provided under this heading, not less than
    $2,500,000 shall be available pursuant to section 20108(j) of title 49,
    United States Code, to establish and maintain a center of excellence.

             federal-state partnership for intercity passenger rail

                         (including transfer of funds)

        For necessary expenses related to Federal-State partnership for
    intercity passenger rail grants as authorized by section 24911 of title
    49, United States Code, $65,000,000, to remain available until
    expended:  Provided, That the Secretary may withhold up to 2 percent of
    the amounts made available under this heading in this Act for the costs
    of award and project management oversight of grants carried out under
    title 49, United States Code:  Provided further, That of the amounts
    made available under this heading, $40,000,000 shall be derived by
    transfer from the unobligated balances of amounts previously
    appropriated for fiscal years 2025 and 2026 for the costs of award and
    project management oversight of grants, including amounts transferred
    to the ``Financial Assistance Oversight and Technical Assistance''
    account (excluding amounts transferred to the Office of Inspector
    General of the Department of Transportation and to the National
    Railroad Passenger Corporation Office of Inspector General) under the
    heading ``Federal Railroad Administration--Federal-State Partnership
    for Intercity Passenger Rail Grants'' in title VIII of division J of
    the Infrastructure Investment and Jobs Act (Public Law 117-58):
    Provided further, That amounts transferred pursuant to the preceding
    proviso shall continue to be treated as amounts specified in section
    103(b) of division A of Public Law 118-5:  Provided further, That, of
    amounts made available under this heading, $5,000,000 shall be for a
    grant to the Union Station Redevelopment Corporation to rehabilitate
    and repair the Washington Union Station complex, and section
    24911(f)(2) of title 49, United States Code, shall not apply to that
    grant.

            consolidated rail infrastructure and safety improvements

                         (including transfer of funds)

        For necessary expenses related to consolidated rail infrastructure
    and safety improvements grants, as authorized by section 22907 of title
    49, United States Code, $137,426,000, to remain available until
    expended:  Provided, That of the amounts made available under this
    heading in this Act--
                (1) $87,426,000 shall be available for the purposes, and in
            amounts, specified for Community Project Funding/
            Congressionally Directed Spending in the table entitled
            ``Community Project Funding/Congressionally Directed Spending''
            included for this division in the explanatory statement
            described in section 4 (in the matter preceding division A of
            this consolidated Act):  Provided further, That amounts made
            available in the preceding proviso for such purposes shall not
            diminish or prejudice any application or geographic region for
            other discretionary grant or loan awards made by the Department
            of Transportation:  Provided further, That requirements under
            subsections (g) and (l) of section 22907 of title 49, United
            States Code, shall not apply to the funds made available under
            this paragraph:  Provided further, That any remaining funds
            available after the distribution of the Community Project
            Funding/Congressionally Directed Spending described in this
            paragraph shall be available to the Secretary to distribute as
            discretionary grants under this heading; and
                (2) $50,000,000 shall be available to the Secretary to
            distribute as discretionary grants under this heading in this
            Act:
      Provided further, That of the amounts made available under this
    heading--
                (1) $20,000,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal year 2026 for the costs of award and project management
            oversight of grants, including amounts transferred to the
            ``Financial Assistance Oversight and Technical Assistance''
            account (excluding amounts transferred to the Office of
            Inspector General of the Department of Transportation and to
            the National Railroad Passenger Corporation Office of Inspector
            General) under the heading ``Federal Railroad Administration--
            Consolidated Rail Infrastructure and Safety Improvements'' in
            title VIII of division J of the Infrastructure Investment and
            Jobs Act (Public Law 117-58); and
                (2) $110,000,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2025 and 2026 for the costs of award and project
            management oversight of grants, including amounts transferred
            to the ``Financial Assistance Oversight and Technical
            Assistance'' account (excluding amounts transferred to the
            Office of Inspector General of the Department of Transportation
            and to the National Railroad Passenger Corporation Office of
            Inspector General) under the heading ``Federal Railroad
            Administration--Federal-State Partnership for Intercity
            Passenger Rail Grants'' in title VIII of division J of the
            Infrastructure Investment and Jobs Act (Public Law 117-58):
      Provided further, That amounts transferred pursuant to the preceding
    proviso shall continue to be treated as amounts specified in section
    103(b) of division A of Public Law 118-5:  Provided further, That for
    amounts made available under this heading in this Act, eligible
    projects under section 22907(c)(8) of title 49, United States Code,
    shall also include railroad systems planning (including the preparation
    of regional intercity passenger rail plans and State rail plans) and
    railroad project development activities (including railroad project
    planning, preliminary engineering, design, environmental analysis,
    feasibility studies, and the development and analysis of project
    alternatives):  Provided further, That section 22905(f) of title 49,
    United States Code, shall not apply to amounts made available under
    this heading in this Act for projects that implement or sustain
    positive train control systems otherwise eligible under section
    22907(c)(1) of title 49, United States Code:  Provided further, That
    amounts made available under this heading in this Act for projects
    selected for commuter rail passenger transportation may be transferred
    by the Secretary, after selection, to the appropriate agencies to be
    administered in accordance with chapter 53 of title 49, United States
    Code:  Provided further, That for amounts made available under this
    heading in this Act, eligible recipients under section 22907(b)(7) of
    title 49, United States Code, shall include any holding company of a
    Class II railroad or Class III railroad (as those terms are defined in
    section 20102 of title 49, United States Code):  Provided further, That
    section 22907(e)(1)(A) of title 49, United States Code, shall not apply
    to amounts made available under this heading in this Act:  Provided
    further, That section 22907(e)(1)(A) of title 49, United States Code,
    shall not apply to amounts made available under this heading in
    previous fiscal years if such funds are announced in a notice of
    funding opportunity that includes funds made available under this
    heading in this Act:  Provided further, That the preceding proviso
    shall not apply to funds made available under this heading in the
    Infrastructure Investment and Jobs Act (division J of Public Law 117-
    58):  Provided further, That unobligated balances remaining after 6
    years from the date of enactment of this Act may be used for any
    eligible project under section 22907(c) of title 49, United States
    Code:  Provided further, That the Secretary may withhold up to 2
    percent of the amounts made available under this heading in this Act
    for the costs of award and project management oversight of grants
    carried out under title 49, United States Code.

         northeast corridor grants to the national railroad passenger
                                  corporation

        To enable the Secretary of Transportation to make grants to the
    National Railroad Passenger Corporation for activities associated with
    the Northeast Corridor as authorized by section 22101(a) of the
    Infrastructure Investment and Jobs Act (Public Law 117-58),
    $850,000,000, to remain available until expended:  Provided, That the
    Secretary may retain up to one-half of 1 percent of the amounts made
    available under both this heading in this Act and the ``National
    Network Grants to the National Railroad Passenger Corporation'' heading
    in this Act to fund the costs of project management and oversight of
    activities authorized by section 22101(c) of the Infrastructure
    Investment and Jobs Act (Public Law 117-58):  Provided further, That in
    addition to the project management oversight funds authorized under
    section 22101(c) of the Infrastructure Investment and Jobs Act (Public
    Law 117-58), the Secretary shall retain an additional $5,000,000 of the
    amounts made available under this heading in this Act to fund expenses
    associated with the Northeast Corridor Commission established under
    section 24905 of title 49, United States Code.

     national network grants to the national railroad passenger corporation

        To enable the Secretary of Transportation to make grants to the
    National Railroad Passenger Corporation for activities associated with
    the National Network as authorized by section 22101(b) of the
    Infrastructure Investment and Jobs Act (Public Law 117-58),
    $1,577,000,000, to remain available until expended:  Provided, That the
    Secretary shall retain an additional $3,000,000 of the funds provided
    under this heading in this Act to fund expenses associated with the
    State-Supported Route Committee established under section 24712 of
    title 49, United States Code:  Provided further, That none of the funds
    provided under this heading in this Act shall be used by Amtrak to give
    notice under subsection (a) or (c) of section 24706 of title 49, United
    States Code, with respect to long-distance routes (as defined in
    section 24102 of title 49, United States Code) on which Amtrak is the
    sole operator on a host railroad's line and a positive train control
    system is not required by law or regulation, or, except in an emergency
    or during maintenance or construction outages impacting such routes, to
    otherwise discontinue, reduce the frequency of, suspend, or
    substantially alter the route of rail service on any portion of such
    route operated in fiscal year 2018, including implementation of service
    permitted by section 24305(a)(3)(A) of title 49, United States Code, in
    lieu of rail service:  Provided further, That the National Railroad
    Passenger Corporation may use up to $66,000,000 of the amounts made
    available under this heading in this Act for corridor development
    activities as authorized by section 22101(h) of Public Law 117-58:
    Provided further, That $5,000,000 of the amounts made available under
    this heading in this Act shall be for the modernization project
    identified under this heading included for this division in the
    explanatory statement described in section 4 (in the matter preceding
    division A of this consolidated Act).

           administrative provisions--federal railroad administration

                         (including transfer of funds)

                             (including rescission)

        Sec. 150.  The amounts made available to the Secretary or to the
    Federal Railroad Administration for the costs of award, administration,
    and project management oversight of financial assistance which are
    administered by the Federal Railroad Administration, in this and prior
    Acts, may be transferred to the Federal Railroad Administration's
    ``Financial Assistance Oversight and Technical Assistance'' account for
    the necessary expenses to support the award, administration, project
    management oversight, and technical assistance of financial assistance
    administered by the Federal Railroad Administration, in the same manner
    as appropriated for in this and prior Acts:  Provided, That this
    section shall not apply to amounts that were previously designated by
    the Congress as an emergency requirement pursuant to a concurrent
    resolution on the budget or the Balanced Budget and Emergency Deficit
    Control Act of 1985.
        Sec. 151.  None of the funds made available to the National
    Railroad Passenger Corporation may be used to fund any overtime costs
    in excess of $35,000 for any individual employee:  Provided, That the
    President of Amtrak may waive the cap set in the preceding proviso for
    specific employees when the President of Amtrak determines such a cap
    poses a risk to the safety and operational efficiency of the system:
    Provided further, That the President of Amtrak shall report to the
    House and Senate Committees on Appropriations no later than 60 days
    after the date of enactment of this Act, a summary of all overtime
    payments incurred by Amtrak for 2025 and the 3 prior calendar years:
    Provided further, That such summary shall include the total number of
    employees that received waivers and the total overtime payments Amtrak
    paid to employees receiving waivers for each month for 2025 and for the
    3 prior calendar years.
        Sec. 152.  None of the funds made available to the National
    Railroad Passenger Corporation under the headings ``Northeast Corridor
    Grants to the National Railroad Passenger Corporation'' and ``National
    Network Grants to the National Railroad Passenger Corporation'' may be
    used to reduce the total number of Amtrak Police Department uniformed
    officers patrolling on board passenger trains or at stations,
    facilities or rights-of-way below the staffing level on May 1, 2019.
        Sec. 153.  For amounts made available under the heading ``Federal-
    State Partnership for Intercity Passenger Rail'' for fiscal year 2026
    in this Act and in title VIII of division J of Public Law 117-58, the
    Union Station Redevelopment Corporation shall be considered an entity
    eligible to receive a grant under section 24911(a) of title 49, United
    States Code:  Provided, That section 24911(f)(2) of title 49 shall not
    apply to grants made available to the Union Station Redevelopment
    Corporation under the authority as provided in this section:  Provided
    further, That the Union Station Redevelopment Corporation and the
    National Railroad Passenger Corporation shall adhere to Public Law 97-
    125 and ensure the historic preservation and improvements to Washington
    Union Station are achieved with maximum reliance on the private sector
    and minimum requirement for Federal assistance.
        Sec. 154.  None of the funds made available by this Act may be used
    by the National Railroad Passenger Corporation in contravention of the
    Worker Adjustment and Retraining Notification Act (29 U.S.C. 2101 et
    seq.).
        Sec. 155.  It is the sense of Congress that--
                (1) long-distance passenger rail routes provide much-needed
            transportation access for 4,200,000 riders in 39 States and the
            District of Columbia and are particularly important in rural
            areas; and
                (2) long-distance passenger rail routes and services should
            be sustained to ensure connectivity throughout the National
            Network (as defined in section 24102 of title 49, United States
            Code).
        Sec. 156.  Of the unobligated balances of funds remaining from--
                (1) ``Railroad Safety Grants'' account totaling $795,331.70
            appropriated by Public Law 114-113 is hereby permanently
            rescinded;
                (2) ``Grants to the National Railroad Passenger
            Corporation'' account totaling $20 appropriated by Public Law
            104-50 is hereby permanently rescinded;
                (3) ``Capital Assistance to States--Intercity Passenger
            Rail Grant Program'' account totaling $292,181.41 appropriated
            by Public Law 111-8 is hereby permanently rescinded;
                (4) ``Capital Assistance for High Speed Rail Corridors and
            Intercity Passenger Rail Service'' account totaling $9,912.54
            appropriated by Public Law 111-117 is hereby permanently
            rescinded;
                (5) ``Railroad Research and Development'' account totaling
            $1,008,385 appropriated by Public Law 109-115 is hereby
            permanently rescinded;
                (6) ``National Network Grants to the National Railroad
            Passenger Corporation'' account totaling $76,633.70
            appropriated by Public Law 115-31 is hereby permanently
            rescinded;
                (7) ``Magnetic Levitation Technology Deployment Program''
            account totaling $14,000,000 appropriated by the following
            public laws are hereby permanently rescinded:
                        (A) Public Law 116-6 a total of $10,000,000;
                        (B) Public Law 116-94 a total of $2,000,000; and
                        (C) Public Law 116-260 a total of $2,000,000;
                (8) ``Consolidated Rail Infrastructure and Safety
            Improvements'' account totaling $5,000,000 appropriated by
            Public Law 117-328 for preconstruction planning activities and
            capital costs related to the deployment of magnetic levitation
            transportation projects is hereby permanently rescinded; and
                (9) ``Capital Assistance for High Speed Rail Corridors and
            Intercity Passenger Rail Service'' account totaling
            $928,620,000 appropriated by Public Law 111-117 is hereby
            permanently rescinded.

                         Federal Transit Administration

                             transit formula grants

                    (liquidation of contract authorization)

                          (limitation on obligations)

                              (highway trust fund)

        For payment of obligations incurred in the Federal public
    transportation assistance program in this account, and for payment of
    obligations incurred in carrying out the provisions of 49 U.S.C. 5305,
    5307, 5310, 5311, 5312, 5314, 5318, 5329(e)(6), 5334, 5335, 5337, 5339,
    and 5340, section 20005(b) of Public Law 112-141, and section 3006(b)
    of Public Law 114-94, $14,642,000,000, to be derived from the Mass
    Transit Account of the Highway Trust Fund and to remain available until
    expended:  Provided, That funds available for the implementation or
    execution of programs authorized under 49 U.S.C. 5305, 5307, 5310,
    5311, 5312, 5314, 5318, 5329(e)(6), 5334, 5335, 5337, 5339, and 5340,
    section 20005(b) of Public Law 112-141, and section 3006(b) of Public
    Law 114-94, shall not exceed total obligations of $14,642,000,000 in
    fiscal year 2026.

                         transit infrastructure grants

                         (including transfer of funds)

        For an additional amount for ferry boat grants under section
    5307(h) of title 49, United States Code, bus testing facilities under
    section 5318 of such title, accelerating innovative mobility initiative
    grants under section 5312 of such title, Community Project Funding/
    Congressionally Directed Spending for projects and activities eligible
    under chapter 53 of such title, ferry service for rural communities
    under section 71103 of division G of Public Law 117-58, and operating
    assistance to improve public safety in transit systems, $211,423,390,
    to remain available until expended:  Provided, That of the sums
    provided under this heading in this Act--
                (1) $25,000,000 shall be available for ferry boat grants as
            authorized under section 5307(h) of such title:  Provided, That
            of the amounts provided in this paragraph, no less than
            $4,000,000 shall be available for low or zero emission ferries
            or ferries using electric battery or fuel cell components and
            the infrastructure to support such ferries;
                (2) $1,500,000 shall be available for the operation and
            maintenance of the bus testing facilities selected under
            section 5318 of such title;
                (3) $2,000,000 shall be available for the accelerating
            innovative mobility initiative as authorized under section 5312
            of title 49, United States Code:  Provided, That such amounts
            shall be available for competitive grants to improve mobility
            and enhance the rider experience with a focus on innovative
            service delivery models, creative financing, novel
            partnerships, and integrated payment solutions in order to help
            disseminate proven innovation mobility practices throughout the
            public transportation industry;
                (4) $147,923,390 shall be available for the purposes, and
            in the amounts, specified for Community Project Funding/
            Congressionally Directed Spending in the table entitled
            ``Community Project Funding/Congressionally Directed Spending''
            included for this division in the explanatory statement
            described in section 4 (in the matter preceding division A of
            this consolidated Act):  Provided, That amounts made available
            in this paragraph for such purposes shall not diminish or
            prejudice any application or geographic region for other
            discretionary grant or loan awards made by the Department of
            Transportation:  Provided further, That unless otherwise
            specified, applicable requirements under chapter 53 of title
            49, United States Code, shall apply to amounts made available
            in this paragraph, except that the Federal share of the costs
            for a project in this paragraph shall be in an amount equal to
            80 percent of the net costs of the project, unless the
            Secretary approves a higher maximum Federal share of the net
            costs of the project consistent with administration of similar
            projects funded under chapter 53 of title 49, United States
            Code;
                (5) $20,000,000 shall be available for ferry service for
            rural communities under section 71103 of division G of Public
            Law 117-58:  Provided, That for amounts made available in this
            paragraph, notwithstanding section 71103(a)(2)(B), eligible
            service shall include passenger ferry service that serves at
            least two rural areas with a single segment over 15 miles
            between the two rural areas:  Provided further, That for (1)
            amounts made available in this paragraph, (2) unobligated
            balances from amounts made available pursuant to section
            1101(a)(12) of division A of the Full-Year Continuing
            Appropriations and Extensions Act, 2025 (Public Law 119-4) for
            ferry service for rural communities previously appropriated in
            paragraph (5) under this heading in division F of the
            Consolidated Appropriations Act, 2024 (Public Law 118-42), and
            (3) unobligated balances from amounts made available in
            paragraph (5) under this heading in division F of the
            Consolidated Appropriations Act, 2024 (Public Law 118-42),
            notwithstanding section 71103(e)(2), eligible service shall
            include passenger ferry service that receives funds apportioned
            under chapter 53 of title 49, United States Code:  Provided
            further, That entities that provide eligible service pursuant
            to the preceding two provisos may use amounts made available in
            this paragraph for public transportation capital projects to
            support any ferry service between two rural areas; and
                (6) $15,000,000 shall be available for costs related to
            operating equipment and facilities for use in public
            transportation to improve public safety in transit systems:
            Provided, That the Secretary shall provide amounts made
            available in this paragraph as if such amounts were provided
            under section 5307 of title 49, United States Code, as
            applicable:  Provided further, That notwithstanding subsection
            (a)(1) or (a)(2) of section 5307 of such title, amounts made
            available in this paragraph shall be available for the
            operating cost of equipment and facilities for use in public
            transportation eligible under section 5307 of such title:
            Provided further, That amounts made available in this paragraph
            shall be for eligible recipients under section 5307 of such
            title for such operating costs to improve public safety, reduce
            crime, and increase security in transit systems:  Provided
            further, That the Secretary shall allocate amounts made
            available in this paragraph to the 10 eligible recipients with
            the highest ridership in fiscal year 2024:  Provided further,
            That amounts shall be provided to eligible recipients
            proportionally based on ridership in fiscal year 2024:
            Provided further, That no eligible recipient may receive an
            allocation of more than 50 percent of the total amounts made
            available in this paragraph:  Provided further, That the
            Secretary shall allocate any excess funds above the 50 percent
            threshold in the preceding proviso to all other eligible
            recipients in this paragraph proportionally based on ridership
            in fiscal year 2024:  Provided further, That the Secretary
            shall allocate amounts made available in this paragraph to
            eligible recipients no later than 30 days after the date of
            enactment of this Act:
      Provided further, That amounts made available under this heading
    shall be derived from the general fund, of which--
                (1) $40,795,000 shall be derived from amounts previously
            appropriated for fiscal year 2026 for administrative and
            oversight expenses as authorized under section 5334 and section
            5338(c) of title 49, United States Code, (excluding amounts
            transferred to the Office of Inspector General of the
            Department of Transportation) under the heading ``Federal
            Transit Administration--Transit Infrastructure Grants'' in
            title VIII of division J of the Infrastructure Investment and
            Jobs Act (Public Law 117-58);
                (2) $4,975,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2022, 2023, 2024, 2025, and 2026 for
            administrative and oversight expenses as authorized under
            section 5334 and section 5338(c) of title 49, United States
            Code, (excluding amounts transferred to the Office of Inspector
            General of the Department of Transportation) under the heading
            ``Federal Transit Administration--Electric or Low-Emitting
            Ferry Program'' in title VIII of division J of the
            Infrastructure Investment and Jobs Act (Public Law 117-58);
                (3) $4,601,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2022, 2023, 2024, 2025, and 2026 for
            administrative and oversight expenses as authorized under
            section 5334 and section 5338(c) of title 49, United States
            Code, (excluding amounts transferred to the Office of Inspector
            General of the Department of Transportation) under the heading
            ``Federal Transit Administration--Ferry Service for Rural
            Communities'' in title VIII of division J of the Infrastructure
            Investment and Jobs Act (Public Law 117-58); and
                (4) $138,000,000 shall be derived by transfer from the
            unobligated balances of amounts previously appropriated for
            fiscal years 2025 and 2026 for the costs of award and project
            management oversight of grants, including amounts transferred
            to the ``Financial Assistance Oversight and Technical
            Assistance'' account (excluding amounts transferred to the
            Office of Inspector General of the Department of Transportation
            and to the National Railroad Passenger Corporation Office of
            Inspector General) under the heading ``Federal Railroad
            Administration--Federal-State Partnership for Intercity
            Passenger Rail Grants'' in title VIII of division J of the
            Infrastructure Investment and Jobs Act (Public Law 117-58):
      Provided further, That amounts transferred pursuant to the preceding
    proviso shall continue to be treated as amounts specified in section
    103(b) of division A of Public Law 118-5:  Provided further, That
    amounts made available under this heading in this Act shall not be
    subject to any limitation on obligations for transit programs set forth
    in this or any other Act.

                       technical assistance and training

        For necessary expenses to carry out section 5314 of title 49,
    United States Code, $7,500,000, to remain available until September 30,
    2027:  Provided, That the assistance provided under this heading does
    not duplicate the activities of section 5311(b) or section 5312 of
    title 49, United States Code:  Provided further, That amounts made
    available under this heading are in addition to any other amounts made
    available for such purposes:  Provided further, That amounts made
    available under this heading shall not be subject to any limitation on
    obligations set forth in this or any other Act.

                           capital investment grants

                         (including transfer of funds)

        For necessary expenses to carry out fixed guideway capital
    investment grants under section 5309 of title 49, United States Code,
    and section 3005(b) of the Fixing America's Surface Transportation Act
    (Public Law 114-94), $1,700,000,000, to remain available until
    expended:  Provided, That of the sums appropriated under this heading
    in this Act--
                (1) $1,357,300,000 shall be available for projects
            authorized under section 5309(d) of title 49, United States
            Code;
                (2) $200,000,000 shall be available for projects authorized
            under section 5309(e) of title 49, United States Code;
                (3) $25,700,000 shall be available for projects authorized
            under section 5309(h) of title 49, United States Code; and
                (4) $100,000,000 shall be available for projects authorized
            under section 3005(b) of the Fixing America's Surface
            Transportation Act:
      Provided further, That the amounts made available under this heading
    in this or any prior appropriations Act shall be available for the
    purposes, and in amounts, specified in the table entitled ``Allocation
    of FTA Capital Investment Grants Funding'' included for this division
    in the explanatory statement described in section 4 (in the matter
    preceding division A of this consolidated Act):  Provided further, That
    the Secretary shall make allocations for amounts made available under
    this heading in this or any prior appropriations Act in accordance with
    the table referred to in the second proviso under this heading in this
    Act no later than 120 days after the enactment of this Act:  Provided
    further, That not to exceed 10 percent of any funding level specified
    in the table referred to in the second proviso under this heading in
    this Act may be transferred to any other funding level specified in
    such table:  Provided further, That no transfer of such funding levels
    may increase or decrease any funding level in the table referred to in
    the second proviso under this heading in this Act by more than 10
    percent:  Provided further, That the preceding two provisos shall not
    apply to projects with full funding grant agreements under section
    5309(d) of title 49, United States Code, included in the table referred
    to in the second proviso under this heading in this Act:  Provided
    further, That for funds made available under this heading in division J
    of Public Law 117-58 the second through sixth provisos shall be treated
    as inapplicable for fiscal year 2026:  Provided further, That for funds
    made available under this heading in division J of Public Law 117-58,
    $734,900,000 may be available for projects authorized under section
    5309(d) of title 49, United States Code:  Provided further, That for
    funds made available under this heading in division J of Public Law
    117-58, $849,500,000 may be available for projects authorized under
    section 5309(h) of title 49, United States Code:  Provided further,
    That amounts repurposed under this heading in this Act shall continue
    to be treated as amounts specified in section 103(b) of division A of
    Public Law 118-5:  Provided further, That the Secretary shall continue
    to administer the capital investment grants program in accordance with
    the procedural and substantive requirements of section 5309 of title
    49, United States Code, and of section 3005(b) of the Fixing America's
    Surface Transportation Act:  Provided further, That projects that
    receive a grant agreement under the expedited project delivery for
    capital investment grants pilot program under section 3005(b) of the
    Fixing America's Surface Transportation Act shall be deemed eligible
    for funding provided for projects under section 5309 of title 49,
    United States Code, without further evaluation or rating under such
    section:  Provided further, That such funding shall not exceed the
    Federal share under section 3005(b).

          grants to the washington metropolitan area transit authority

        For grants to the Washington Metropolitan Area Transit Authority as
    authorized under section 601 of division B of the Passenger Rail
    Investment and Improvement Act of 2008 (Public Law 110-432),
    $150,000,000, to remain available until expended:  Provided, That the
    Secretary of Transportation shall approve grants for capital and
    preventive maintenance expenditures for the Washington Metropolitan
    Area Transit Authority only after receiving and reviewing a request for
    each specific project:  Provided further, That the Secretary shall
    determine that the Washington Metropolitan Area Transit Authority has
    placed the highest priority on those investments that will improve the
    safety of the system before approving such grants.

           administrative provisions--federal transit administration

                         (including transfer of funds)

        Sec. 160.  The limitations on obligations for the programs of the
    Federal Transit Administration shall not apply to any authority under
    49 U.S.C. 5338, previously made available for obligation, or to any
    other authority previously made available for obligation.
        Sec. 161.  Notwithstanding any other provision of law, funds
    appropriated or limited by this Act under the heading ``Capital
    Investment Grants'' of the Federal Transit Administration for projects
    specified in this Act not obligated by September 30, 2029, and other
    recoveries, shall be directed to projects eligible to use the funds for
    the purposes for which they were originally provided.
        Sec. 162.  Notwithstanding any other provision of law, any funds
    appropriated before October 1, 2025, under any section of chapter 53 of
    title 49, United States Code, that remain available for expenditure,
    may be transferred to and administered under the most recent
    appropriation heading for any such section.
        Sec. 163.  None of the funds made available by this Act or any
    other Act shall be used to adjust apportionments or withhold funds from
    apportionments pursuant to section 9503(e)(4) of the Internal Revenue
    Code of 1986 (26 U.S.C. 9503(e)(4)).
        Sec. 164.  None of the funds made available by this Act or any
    other Act shall be used to impede or hinder project advancement or
    approval for any project seeking a Federal contribution from the
    capital investment grants program of greater than 40 percent of project
    costs as authorized under section 5309 of title 49, United States Code.
        Sec. 165.  Of the unobligated balances made available for the
    following programs authorized by Public Law 109-59, the Secretary shall
    make $94,316,766 available for transportation assistance, including
    assistance with transit planning, capital projects, and operating
    assistance, for surface, commuter, and public transportation systems
    necessary to support the mobility needs of the international
    quadrennial Olympic and Paralympic events as authorized by section
    1223(e) of Public Law 105-178--
                (1) ``Alternatives Analysis Program'' under section 5339 of
            title 49, United States Code;
                (2) ``bus and bus-related equipment and facilities'' under
            section 5309 of title 49, United States Code; and
                (3) ``Alternative Transportation in Parks and Public
            Lands'' under section 5320 of title 49, United States Code:
      Provided, That such assistance shall be for any eligible entity as
    defined by section 6702 of title 49, United States Code, that serves or
    supports service to a venue that is part of the 2028 international
    quadrennial Olympic or Paralympic events:  Provided further, That such
    assistance may be provided through direct grants or cooperative
    agreements for which the Federal share shall not exceed 80 percent,
    with the exception of assistance for a supplemental public
    transportation bus system which shall be no less than 90 percent:
    Provided further, That these amounts shall be in addition to other
    amounts made available for such purpose:  Provided further, That
    amounts made available in this section may be transferred to other
    operating administrations of the Department to administer the amounts
    made available in this section as appropriate:  Provided further, That
    amounts made available in this section shall only be available for
    obligation for the purposes specifically authorized in this section in
    this Act for a period not to exceed 2 fiscal years after the official
    closing of the 2028 international quadrennial Olympic and Paralympic
    events.
        Sec. 166.  Of the unobligated balances made available for the
    following programs authorized by Public Law 109-59 and Public Law 105-
    178, the Secretary shall make $100,250,212 available for grants to
    transit agencies for costs related to eligible planning, capital, and
    operating expenses for equipment and facilities in support of matches
    or other public events held in domestic host cities for the FIFA World
    Cup 2026--
                (1) ``Clean Fuels Grant Program'' under section 5308 of
            title 49, United States Code;
                (2) ``Job Access and Reverse Commute Formula Grants'' under
            section 5316 of title 49, United States Code;
                (3) ``New Freedom'' under section 5317 of title 49, United
            States Code, as amended by Public Law 109-59; and
                (4) ``Rural Transportation Accessibility Incentive
            Program'' under section 3038 of Public Law 105-178:
      Provided, That the Secretary shall apportion such amounts not later
    than 30 days after enactment of this Act so that the transit agencies
    in each of the domestic host cities for the FIFA World Cup 2026 are
    each entitled to receive an amount equal to--
                (1) 70 percent of the total amount apportioned multiplied
            by a ratio equal to the FIFA estimated stadium capacity of the
            host stadium at the time of apportionment divided by the total
            FIFA estimated stadium capacity of all host stadiums at the
            time of apportionment; and
                (2) 30 percent of the total amount apportioned multiplied
            by a ratio equal to the number of matches to be held in the
            host stadium divided by the total number of matches to be held
            in all host cities in the United States:
      Provided further, That notwithstanding subsection (a)(1) or (b) of
    section 5307 of title 49, United States Code, amounts made available in
    this section are available for the planning, capital, and operating
    expenses of transit agencies for hosting matches or other public events
    held in domestic host cities for the FIFA World Cup 2026, eligible
    under section 5307 of title 49, United States Code:  Provided further,
    That such planning, capital, and operating expenses are not required to
    be included in a transportation improvement program, long-range
    transportation, statewide transportation plan, or a statewide
    transportation improvement program:  Provided further, That the
    Secretary shall not waive the requirements of section 5333 of title 49,
    United States Code, for amounts made available in this section:
    Provided further, That unless otherwise specified, applicable
    requirements under chapter 53 of title 49, United States Code, shall
    apply to amounts made available in this section, except that the
    Federal share of the costs for which any grant is made according to
    this section shall be, at the option of the recipient, up to 100
    percent:  Provided further, That amounts made available in this section
    shall only be available for obligation for the purposes specifically
    authorized in this section in this Act for a period not to exceed 1
    fiscal year after the official closing of the FIFA World Cup 2026
    events.

            Great Lakes St. Lawrence Seaway Development Corporation

        The Great Lakes St. Lawrence Seaway Development Corporation is
    hereby authorized to make such expenditures, within the 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 section 9104 of title 31,
    United States Code, as may be necessary in carrying out the programs
    set forth in the Corporation's budget for the current fiscal year.

                           operations and maintenance

                        (harbor maintenance trust fund)

        For necessary expenses to conduct the operations, maintenance, and
    capital infrastructure activities on portions of the St. Lawrence
    Seaway owned, operated, and maintained by the Great Lakes St. Lawrence
    Seaway Development Corporation, $38,080,000, to be derived from the
    Harbor Maintenance Trust Fund, pursuant to section 210 of the Water
    Resources Development Act of 1986 (33 U.S.C. 2238):  Provided, That of
    the amounts made available under this heading, not less than
    $15,950,000 shall be for the seaway infrastructure program.

                            Maritime Administration

                           maritime security program

                             (including rescission)

        For necessary expenses to maintain and preserve a U.S.-flag
    merchant fleet as authorized under chapter 531 of title 46, United
    States Code, to serve the national security needs of the United States,
    $390,000,000, to remain available until expended:  Provided, That of
    the unobligated balances remaining from fiscal year 2021, 2022, 2023,
    2024, and 2025 appropriations made available under this heading,
    $38,400,000 are hereby permanently rescinded.

                              cable security fleet

                             (including rescission)

        For the cable security fleet program, as authorized under chapter
    532 of title 46, United States Code, $10,000,000, to remain available
    until expended:  Provided, That of the unobligated balances remaining
    from fiscal year 2021 and 2022 appropriations made available under this
    heading, $12,392,000 are hereby permanently rescinded.

                            tanker security program

                             (including rescission)

        For Tanker Security Fleet payments, as authorized under section
    53406 of title 46, United States Code, $81,600,000, to remain available
    until expended:  Provided, That of the unobligated balances remaining
    from fiscal year 2022, 2023, and 2024 appropriations made available
    under this heading, $42,808,000 are hereby permanently rescinded.

                            operations and training

        For necessary expenses of operations and training activities
    authorized by law, $275,791,000:  Provided, That of the sums
    appropriated under this heading--
                (1) $101,500,000 shall remain available until September 30,
            2027, for the operations of the United States Merchant Marine
            Academy;
                (2) $50,000,000 shall remain available until expended for
            facilities maintenance and repair, and equipment, at the United
            States Merchant Marine Academy;
                (3) $50,000,000 shall remain available until expended for
            the capital improvement program at the United States Merchant
            Marine Academy;
                (4) $2,000,000 shall remain available until September 30,
            2027, for the maritime environmental and technical assistance
            program authorized under section 50307 of title 46, United
            States Code; and
                (5) $5,000,000 shall remain available until expended, for
            the United States marine highway program to make grants for the
            purposes authorized under section 55601 of title 46, United
            States Code:
      Provided further, That the Administrator of the Maritime
    Administration shall transmit to the House and Senate Committees on
    Appropriations the annual report on sexual assault and sexual
    harassment at the United States Merchant Marine Academy as required
    pursuant to section 3510 of the National Defense Authorization Act for
    fiscal year 2017 (46 U.S.C. 51318):  Provided further, That the
    Administrator of the Maritime Administration shall transmit to the
    House and Senate Committees on Appropriations an annual capital
    improvement program plan not later than 30 days after the submission of
    the budget request:  Provided further, That available balances under
    this heading for the short sea transportation program or America's
    marine highway program (now known as the United States marine highway
    program) from prior year recoveries shall be available to carry out
    activities authorized under section 55601 of title 46, United States
    Code.

                       state maritime academy operations

        For necessary expenses of operations, support, and training
    activities for State Maritime Academies, $138,900,000:  Provided, That
    of the sums appropriated under this heading--
                (1) $7,800,000 shall remain available until expended for
            maintenance, repair, and life extension of training ships at
            the State Maritime Academies;
                (2) $110,000,000 shall remain available until expended for
            the national security multi-mission vessel program, of which--
                        (A) not less than $55,000,000 shall be for
                    necessary expenses to design, plan, construct
                    infrastructure, and purchase equipment necessary to
                    berth such ships, as determined by the Secretary:
                    Provided, That such funds may be used to reimburse
                    State Maritime Academies for costs incurred prior to
                    the date of enactment of this Act; and
                        (B) up to $55,000,000 shall be for expenses related
                    to the operation, integration, oversight, and
                    management of national security multi-mission vessel
                    school ships, including insurance, maintenance, repair,
                    and equipment costs;
                (3) $4,800,000 shall remain available until September 30,
            2030, for the student incentive program;
                (4) $9,300,000 shall remain available until expended for
            training ship fuel assistance; and
                (5) $7,000,000 shall remain available until September 30,
            2027, for direct payments for State Maritime Academies:
            Provided, That each institution eligible for such payments
            receives no more than $1,000,000.

                         assistance to small shipyards

        To make grants to qualified shipyards as authorized under section
    54101 of title 46, United States Code, $35,000,000, to remain available
    until expended.

                                 ship disposal

        For necessary expenses related to the disposal of obsolete vessels
    in the National Defense Reserve Fleet of the Maritime Administration,
    $6,000,000, to remain available until expended.

              maritime guaranteed loan (title xi) program account

                          (including transfer of funds)

        For administrative expenses to carry out the guaranteed loan
    program, $3,940,000, which shall be transferred to and merged with the
    appropriations for ``Maritime Administration--Operations and
    Training''.

                    port infrastructure development program

        To make grants to improve port facilities as authorized under
    section 54301 of title 46, United States Code, and section 3501(b) of
    the National Defense Authorization Act for fiscal year 2026 (Public Law
    119-60), $103,330,000, to remain available until expended:  Provided,
    That of the sums appropriated under this heading in this Act--
                (1) $38,628,000 shall be for projects for coastal seaports,
            inland river ports, or Great Lakes ports:  Provided, That for
            grants awarded under this paragraph in this Act, the minimum
            grant size shall be $1,000,000; and
                (2) $64,702,000 shall be for the purposes, and in the
            amounts, specified for Community Project Funding/
            Congressionally Directed Spending in the table entitled
            ``Community Project Funding/Congressionally Directed Spending''
            included for this division in the explanatory statement
            described in section 4 (in the matter preceding division A of
            this consolidated Act):  Provided, That amounts made available
            in this paragraph for such purposes shall not diminish or
            prejudice any applicant or geographic region for other
            discretionary grant or loan awards made by the Department of
            Transportation.

               administrative provisions--maritime administration

                             (including rescission)

        Sec. 170.  Notwithstanding any other provision of this Act, in
    addition to any existing authority, the Maritime Administration is
    authorized to furnish utilities and services and make necessary repairs
    in connection with any lease, contract, or occupancy involving
    Government property under control of the Maritime Administration:
    Provided, That payments received therefor shall be credited to the
    appropriation charged with the cost thereof and shall remain available
    until expended:  Provided further, That rental payments under any such
    lease, contract, or occupancy for items other than such utilities,
    services, or repairs shall be deposited into the Treasury as
    miscellaneous receipts.
        Sec. 171.  Of the unobligated balances from prior year
    appropriations available under the heading ``Maritime Administration--
    Maritime Guaranteed Loan (Title XI) Program Account'', $34,000,000 are
    hereby rescinded.

             Pipeline and Hazardous Materials Safety Administration

                              operational expenses

        For necessary operational expenses of the Pipeline and Hazardous
    Materials Safety Administration, $28,647,000, of which $4,500,000 shall
    remain available until September 30, 2028:  Provided, That not less
    than $2,000,000 of the amounts made available under this heading shall
    be for pipeline safety information grants to communities as authorized
    under section 60130 of title 49, United States Code:  Provided further,
    That the Secretary shall issue a notice of funding opportunity for such
    funds not later than 120 days after enactment of this Act.

                           hazardous materials safety

        For expenses necessary to discharge the hazardous materials safety
    functions of the Pipeline and Hazardous Materials Safety
    Administration, $66,050,000, of which $8,570,000 shall remain available
    until September 30, 2028, of which $1,000,000 shall be made available
    for carrying out section 5107(i) of title 49, United States Code:
    Provided, That up to $800,000 in fees collected under section 5108(g)
    of title 49, United States Code, shall be deposited in the general fund
    of the Treasury as offsetting receipts:  Provided further, That there
    may be credited to this appropriation, to be available until expended,
    funds received from States, counties, municipalities, other public
    authorities, and private sources for expenses incurred for training,
    for reports publication and dissemination, and for travel expenses
    incurred in performance of hazardous materials exemptions and approvals
    functions.

                                pipeline safety

                             (pipeline safety fund)

                        (oil spill liability trust fund)

        For expenses necessary to carry out a pipeline safety program, as
    authorized by section 60107 of title 49, United States Code, and to
    discharge the pipeline program responsibilities of the Oil Pollution
    Act of 1990 (Public Law 101-380), $214,807,000, to remain available
    until September 30, 2028, of which $30,000,000 shall be derived from
    the Oil Spill Liability Trust Fund; of which $177,407,000 shall be
    derived from the Pipeline Safety Fund; of which $200,000 shall be
    derived from the fees collected under section 60303 of title 49, United
    States Code, and deposited in the Liquefied Natural Gas Siting Account
    for compliance reviews of liquefied natural gas facilities; of which
    $200,000 shall be derived from the fees collected under section 60117,
    of title 49, United States Code, and deposited in the Pipeline Safety
    Design Review Account for facility design safety reviews; and of which
    $7,000,000 shall be derived from fees collected under section 60302 of
    title 49, United States Code, and deposited in the Underground Natural
    Gas Storage Facility Safety Account for the purpose of carrying out
    section 60141 of title 49, United States Code:  Provided, That not less
    than $1,058,000 of the amounts made available under this heading shall
    be for the one-call state grant program:  Provided further, That any
    amounts made available under this heading in this Act or in prior Acts
    for research contracts, grants, cooperative agreements or research
    other transactions agreements (OTAs) shall require written notification
    to the House and Senate Committees on Appropriations not less than 3
    full business days before such research contracts, grants, cooperative
    agreements, or research OTAs are announced by the Department of
    Transportation:  Provided further, That the Secretary shall transmit to
    the House and Senate Committees on Appropriations the report on
    pipeline safety testing enhancement as required pursuant to section 105
    of the Protecting our Infrastructure of Pipelines and Enhancing Safety
    Act of 2020 (division R of Public Law 116-260):  Provided further, That
    the Secretary may obligate amounts made available under this heading to
    engineer, erect, alter, and repair buildings or make any other public
    improvements for research facilities at the Transportation Technology
    Center after the Secretary submits an updated research plan and the
    report in the preceding proviso to the House and Senate Committees on
    Appropriations and after such plan and report in the preceding proviso
    are approved by the House and Senate Committees on Appropriations:
    Provided further, That of the amounts made available under this
    heading, not less than $5,000,000 is for the National Center of
    Excellence for Liquefied Natural Gas Safety authorized under section
    111 of the Protecting Our Infrastructure of Pipelines and Enhancing
    Safety Act of 2020 (PIPES) Act.

                         emergency preparedness grants

                          (limitation on obligations)

                         (emergency preparedness fund)

        For expenses necessary to carry out the Emergency Preparedness
    Grants program, not more than $46,825,000 shall remain available until
    September 30, 2028, from amounts made available by section 5116(h) and
    subsections (b) and (c) of section 5128 of title 49, United States
    Code:  Provided, That notwithstanding section 5116(h)(4) of title 49,
    United States Code, not more than 4 percent of the amounts made
    available from this account shall be available to pay the
    administrative costs of carrying out sections 5116, 5107(e), and
    5108(g)(2) of title 49, United States Code:  Provided further, That
    notwithstanding subsections (b) and (c) of section 5128 of title 49,
    United States Code, and the limitation on obligations provided under
    this heading, prior year recoveries recognized in the current year
    shall be available to develop and deliver hazardous materials emergency
    response training for emergency responders, including response
    activities for the transportation of crude oil, ethanol, flammable
    liquids, and other hazardous commodities by rail, consistent with
    National Fire Protection Association standards, and to make such
    training available through an electronic format:  Provided further,
    That the prior year recoveries made available under this heading shall
    also be available to carry out sections 5116(a)(1)(C), 5116(h),
    5116(i), 5116(j), and 5107(e) of title 49, United States Code.

                          Office of Inspector General

                             salaries and expenses

        For necessary expenses of the Office of Inspector General to carry
    out the provisions of the Inspector General Act of 1978, as amended,
    $113,000,000:  Provided, That the Inspector General shall have all
    necessary authority, in carrying out the duties specified in the
    Inspector General Act, as amended (5 U.S.C. App.), to investigate
    allegations of fraud, including false statements to the government (18
    U.S.C. 1001), by any person or entity that is subject to regulation by
    the Department of Transportation:  Provided further, That none of the
    funds made available by this Act or any other Act shall be used to
    impede or prevent the Inspector General (or Acting Inspector General)
    of the Department of Transportation from exercising the independent
    authority over all personnel decisions, as authorized under section 406
    of title 5, United States Code.

                General Provisions--Department of Transportation

        Sec. 180. (a) During the current fiscal year, applicable
    appropriations to the Department of Transportation shall be available
    for maintenance and operation of aircraft; hire of passenger motor
    vehicles and aircraft; purchase of liability insurance for motor
    vehicles operating in foreign countries on official department
    business; and uniforms or allowances therefor, as authorized by
    sections 5901 and 5902 of title 5, United States Code.
        (b) During the current fiscal year, applicable appropriations to
    the Department and its operating administrations shall be available for
    the purchase, maintenance, operation, and deployment of unmanned
    aircraft systems that advance the missions of the Department of
    Transportation or an operating administration of the Department of
    Transportation.
        (c) Any unmanned aircraft system purchased, procured, or contracted
    for by the Department prior to the date of enactment of this Act shall
    be deemed authorized by Congress as if this provision was in effect
    when the system was purchased, procured, or contracted for.
        Sec. 181.  Appropriations contained in this Act for the Department
    of Transportation shall be available for services as authorized by
    section 3109 of title 5, United States Code, but at rates for
    individuals not to exceed the per diem rate equivalent to the rate for
    an Executive Level IV.
        Sec. 182. (a) No recipient of amounts made available by this Act
    shall disseminate personal information (as defined in section 2725(3)
    of title 18, United States Code) obtained by a State department of
    motor vehicles in connection with a motor vehicle record as defined in
    section 2725(1) of title 18, United States Code, except as provided in
    section 2721 of title 18, United States Code, for a use permitted under
    section 2721 of title 18, United States Code.
        (b) Notwithstanding subsection (a), the Secretary shall not
    withhold amounts made available by this Act for any grantee if a State
    is in noncompliance with this provision.
        Sec. 183.  None of the funds made available by this Act shall be
    available for salaries and expenses of more than 125 political and
    Presidential appointees in the Department of Transportation:  Provided,
    That none of the personnel covered by this provision may be assigned on
    temporary detail outside the Department of Transportation.
        Sec. 184.  Funds received by the Federal Highway Administration and
    Federal Railroad Administration from States, counties, municipalities,
    other public authorities, and private sources for expenses incurred for
    training may be credited respectively to the Federal Highway
    Administration's ``Federal-Aid Highways'' account and to the Federal
    Railroad Administration's ``Safety and Operations'' account, except for
    State rail safety inspectors participating in training pursuant to
    section 20105 of title 49, United States Code.
        Sec. 185.  None of the funds made available by this Act or in title
    VIII of division J of Public Law 117-58 to the Department of
    Transportation may be used to make, withdraw, terminate, or rescind
    (except at the request of the recipient) a loan, loan guarantee, line
    of credit, letter of intent, federally funded cooperative agreement,
    full funding grant agreement, or discretionary grant unless the
    Secretary of Transportation notifies the House and Senate Committees on
    Appropriations not less than 3 full business days before any project
    competitively selected to receive any discretionary grant award, letter
    of intent, loan commitment, loan guarantee commitment, line of credit
    commitment, federally funded cooperative agreement, or full funding
    grant agreement is announced or is notified of such changes by the
    Department or its operating administrations:  Provided, That the
    Secretary of Transportation shall provide the House and Senate
    Committees on Appropriations with a comprehensive list of all such
    loans, loan guarantees, lines of credit, letters of intent, federally
    funded cooperative agreements, full funding grant agreements, and
    discretionary grants prior to the notification required under the
    preceding proviso:  Provided further, That the Secretary gives
    concurrent notification to the House and Senate Committees on
    Appropriations for any ``quick release'' of funds from the emergency
    relief program:  Provided further, That no notification shall involve
    funds that are not available for obligation.
        Sec. 186.  Rebates, refunds, incentive payments, minor fees, and
    other funds received by the Department of Transportation from travel
    management centers, charge card programs, the subleasing of building
    space, and miscellaneous sources are to be credited to appropriations
    of the Department of Transportation and allocated to organizational
    units of the Department of Transportation using fair and equitable
    criteria and such funds shall be available until expended.
        Sec. 187.  Notwithstanding any other provision of law, if any funds
    provided by or limited by this Act are subject to a reprogramming
    action that requires notice to be provided to the House and Senate
    Committees on Appropriations, transmission of such reprogramming notice
    shall be provided solely to the House and Senate Committees on
    Appropriations, and such reprogramming action shall be approved or
    denied solely by the House and Senate Committees on Appropriations:
    Provided, That the Secretary of Transportation may provide notice to
    other congressional committees of the action of the House and Senate
    Committees on Appropriations on such reprogramming but not sooner than
    30 days after the date on which the reprogramming action has been
    approved or denied by the House and Senate Committees on
    Appropriations.
        Sec. 188.  Funds appropriated by this Act to the operating
    administrations may be obligated for the Office of the Secretary for
    the costs related to assessments or reimbursable agreements only when
    such amounts are for the costs of goods and services that are purchased
    to provide a direct benefit to the applicable operating administration
    or administrations.
        Sec. 189.  The Secretary of Transportation is authorized to carry
    out a program that establishes uniform standards for developing and
    supporting agency transit pass and transit benefits authorized under
    section 7905 of title 5, United States Code, including distribution of
    transit benefits by various paper and electronic media.
        Sec. 190.  The Department of Transportation may use funds provided
    by this Act, or any other Act, to assist a contract under title 49 or
    23 of the United States Code utilizing geographic, economic, or any
    other hiring preference not otherwise authorized by law, or to amend a
    rule, regulation, policy or other measure that forbids a recipient of a
    Federal Highway Administration or Federal Transit Administration grant
    from imposing such hiring preference on a contract or construction
    project with which the Department of Transportation is assisting, only
    if the grant recipient certifies the following:
                (1) that except with respect to apprentices or trainees, a
            pool of readily available but unemployed individuals possessing
            the knowledge, skill, and ability to perform the work that the
            contract requires resides in the jurisdiction;
                (2) that the grant recipient will include appropriate
            provisions in its bid document ensuring that the contractor
            does not displace any of its existing employees in order to
            satisfy such hiring preference; and
                (3) that any increase in the cost of labor, training, or
            delays resulting from the use of such hiring preference does
            not delay or displace any transportation project in the
            applicable statewide transportation improvement program or
            transportation improvement program.
        Sec. 191.  The Secretary of Transportation shall coordinate with
    the Secretaries of Homeland Security and Commerce to ensure that best
    practices for Industrial Control Systems Procurement are up-to-date and
    are considered for all systems procured with funds provided under this
    title.
        Sec. 192.  None of the funds made available in this Act may be used
    in contravention of the American Security Drone Act of 2023 (subtitle B
    of title XVIII of division A of Public Law 118-31).
        Sec. 193.  None of the funds appropriated or made available by this
    title for the Department of Transportation for fiscal year 2026 may be
    used to enforce a mask mandate in response to the COVID-19 virus.
        Sec. 194.  The Secretary shall issue a new notice of funding
    opportunity for six new university transportation centers, as
    authorized under section 5505 of title 49, United States Code:
    Provided, That in selecting such university transportation center
    awards, the Secretary shall first prioritize (a) any applicants that
    had previously been selected as a university transportation center
    focusing on transportation infrastructure durability and composite
    materials and were required to re-compete before the end of the typical
    5-year term and who currently participate in the Department of
    Transportation's Advanced Research Projects Agency--Infrastructure
    program and (b) any applicant that had their university transportation
    center designation cancelled in May 2025 by the Department of
    Transportation and such university transportation center designation
    remains cancelled on the date of enactment of this Act:  Provided
    further, That such university transportation center awards shall be
    made available using any unobligated amounts remaining from the
    university transportation centers program, which have not been
    committed to any existing university transportation center grantees:
    Provided further, That any such unobligated amounts shall include funds
    made available in section 11101(c)(1)(E) of the Infrastructure
    Investment and Jobs Act (Public Law 117-58) and funds made available
    under the heading ``Federal Highway Administration--Highway
    Infrastructure Programs'' in title VIII of division J of the
    Infrastructure Investment and Jobs Act (Public Law 117-58):  Provided
    further, That amounts repurposed or transferred pursuant to this
    section shall continue to be treated as amounts specified in section
    103(b) of division A of Public Law 118-5.
        This title may be cited as the ``Department of Transportation
    Appropriations Act, 2026''.

                                    TITLE II

                  DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

                         Management and Administration

                               executive offices

        For necessary salaries and expenses for Executive Offices, which
    shall be comprised of the offices of the Secretary, Deputy Secretary,
    Adjudicatory Services, Congressional and Intergovernmental Relations,
    Public Affairs, Small and Disadvantaged Business Utilization, and the
    Center for Faith, $17,500,000, to remain available until September 30,
    2027:  Provided, That of the sums appropriated under this heading not
    less than $2,500,000 shall be for the Office of the Deputy Secretary,
    of which not less than $500,000 shall be for the Office of Gender-Based
    Violence Prevention and not less than $1,500,000 shall be for the
    Office of Disaster Management:  Provided further, That not to exceed
    $25,000 of the amount made available under this heading shall be
    available to the Secretary of Housing and Urban Development (referred
    to in this title as ``the Secretary'') for official reception and
    representation expenses as the Secretary may determine.

                         administrative support offices

        For necessary salaries and expenses for Administrative Support
    Offices, $595,000,000, to remain available until September 30, 2027:
    Provided, That of the sums appropriated under this heading--
                (1) $103,200,000 shall be available for the Office of the
            Chief Financial Officer;
                (2) $93,000,000 shall be available for the Office of the
            General Counsel;
                (3) $218,000,000 shall be available for the Office of
            Administration;
                (4) $53,000,000 shall be available for the Office of the
            Chief Human Capital Officer;
                (5) $29,500,000 shall be available for the Office of the
            Chief Procurement Officer;
                (6) $40,000,000 shall be available for the Office of Field
            Policy and Management;
                (7) $3,300,000 shall be available for the Office of
            Departmental Equal Employment Opportunity; and
                (8) $55,000,000 shall be available for the Office of the
            Chief Information Officer:
      Provided further, That funds made available under this heading may be
    used for necessary administrative and non-administrative expenses of
    the Department, not otherwise provided for, including purchase of
    uniforms, or allowances therefor, as authorized by sections 5901 and
    5902 of title 5, United States Code; hire of passenger motor vehicles;
    and services as authorized by section 3109 of title 5, United States
    Code:  Provided further, That notwithstanding any other provision of
    law, funds appropriated under this heading may be used for advertising
    and promotional activities that directly support program activities
    funded in this title:  Provided further, That none of the funds made
    available by this or any prior Act may be used in contravention of
    section 3535(p) of title 42, United States Code.

                                program offices

        For necessary salaries and expenses for Program Offices,
    $842,500,000, to remain available until September 30, 2027:  Provided,
    That of the sums appropriated under this heading--
                (1) $233,000,000 shall be available for the Office of
            Public and Indian Housing;
                (2) $129,000,000 shall be available for the Office of
            Community Planning and Development;
                (3) $380,000,000 shall be available for the Office of
            Housing;
                (4) $31,500,000 shall be available for the Office of Policy
            Development and Research;
                (5) $60,000,000 shall be available for the Office of Fair
            Housing and Equal Opportunity; and
                (6) $9,000,000 shall be available for the Office of Lead
            Hazard Control and Healthy Homes.

                          information technology fund

        For Department-wide and program-specific information technology
    systems and infrastructure, $345,000,000, to remain available until
    September 30, 2028:  Provided, That not later than 30 days after the
    end of each quarter, the Secretary shall brief the House and Senate
    Committees on Appropriations on all information technology
    modernization efforts as required in the explanatory statement
    described in section 4 (in the matter preceding division A of this
    consolidated Act).

                              working capital fund

                         (including transfer of funds)

        For the working capital fund for the Department of Housing and
    Urban Development (referred to in this paragraph as the ``Fund''),
    pursuant, in part, to section 7(f) of the Department of Housing and
    Urban Development Act (42 U.S.C. 3535(f)), amounts transferred,
    including reimbursements pursuant to section 7(f), to the Fund under
    this heading shall be available only for Federal shared services used
    by offices and agencies of the Department, and for any such portion of
    any office or agency's printing, records management, space renovation,
    furniture, or supply services the Secretary has determined shall be
    provided through the Fund, and the operational expenses of the Fund:
    Provided, That amounts within the Fund shall not be available to
    provide services not specifically authorized under this heading:
    Provided further, That upon a determination by the Secretary that any
    other service (or portion thereof) authorized under this heading shall
    be provided through the Fund, amounts made available in this title for
    salaries and expenses under the headings ``Executive Offices'',
    ``Administrative Support Offices'', ``Program Offices'', and
    ``Government National Mortgage Association'', for such services shall
    be transferred to the Fund, to remain available until expended:
    Provided further, That the Secretary shall notify the House and Senate
    Committees on Appropriations of its plans for executing such transfers
    at least 15 days in advance of such transfers.

                           Public and Indian Housing

                         tenant-based rental assistance

        For activities and assistance for the provision of tenant-based
    rental assistance authorized under the United States Housing Act of
    1937, as amended (42 U.S.C. 1437 et seq.) (in this heading ``the
    Act''), not otherwise provided for, $34,438,557,000, to remain
    available until expended, which shall be available on October 1, 2025
    (in addition to the $4,000,000,000 previously appropriated under this
    heading that shall be available on October 1, 2025), and
    $4,000,000,000, to remain available until expended, which shall be
    available on October 1, 2026:  Provided, That of the sums appropriated
    under this heading--
                (1) $34,957,000,000 shall be available for renewals of
            expiring section 8 tenant-based annual contributions contracts
            (including renewals of enhanced vouchers under any provision of
            law authorizing such assistance under section 8(t) of the Act)
            and including renewal of other special purpose incremental
            vouchers:  Provided, That notwithstanding any other provision
            of law, from amounts provided under this paragraph and any
            carryover, the Secretary for the calendar year 2026 funding
            cycle shall provide renewal funding for each public housing
            agency based on validated voucher management system (VMS) or
            successor system leasing and cost data for the prior calendar
            year and by applying an inflation factor as established by the
            Secretary, by notice published in the Federal Register, and by
            making any necessary adjustments for the costs associated with
            the first-time renewal of vouchers under this paragraph
            including tenant protection and choice neighborhoods vouchers:
            Provided further, That none of the funds provided under this
            paragraph may be used to fund a total number of unit months
            under lease which exceeds a public housing agency's authorized
            level of units under contract, except for public housing
            agencies participating in the moving to work (MTW)
            demonstration, which are instead governed in accordance with
            the requirements of the MTW demonstration program or their MTW
            agreements, if any, or as necessary on a temporary basis and
            within available resources to facilitate the transition of
            residents assisted by emergency housing vouchers (Public Law
            117-2; 135 Stat. 58) to tenant-based rental assistance under
            the housing assistance payment contract under section 8(o) of
            the Act:  Provided further, That any leasing or associated
            costs authorized for emergency housing vouchers in the
            preceding proviso above the public housing agency's authorized
            level of units under contract shall not be included in the
            calculation of the agency's renewal funding allocation for any
            subsequent fiscal year:  Provided further, That the Secretary
            shall, to the extent necessary to stay within the amount
            specified under this paragraph (except as otherwise modified
            under this paragraph), prorate each public housing agency's
            allocation otherwise established pursuant to this paragraph:
            Provided further, That except as provided in the following
            provisos, the entire amount specified under this paragraph
            (except as otherwise modified under this paragraph) shall be
            obligated to the public housing agencies based on the
            allocation and pro rata method described above, and the
            Secretary shall notify public housing agencies of their annual
            budget by the latter of 60 days after enactment of this Act or
            March 1, 2026:  Provided further, That the Secretary may extend
            the notification period only after the House and Senate
            Committees on Appropriations are notified at least 10 business
            days in advance of the deadline:  Provided further, That public
            housing agencies participating in the MTW demonstration shall
            be funded in accordance with the requirements of the MTW
            demonstration program or their MTW agreements, if any, and
            shall be subject to the same pro rata adjustments under the
            preceding provisos:  Provided further, That the Secretary may
            perform a statutory offset of public housing agencies' calendar
            year 2026 allocations based on the excess amounts of public
            housing agencies' net restricted assets accounts, including
            HUD-held programmatic reserves (in accordance with VMS or
            successor system data in calendar year 2025 that is verifiable
            and complete), as determined by the Secretary:  Provided
            further, That public housing agencies participating in the MTW
            demonstration shall also be subject to the statutory offset:
            Provided further, That for amounts subject to the single fund
            budget authority provisions of their MTW agreements, excess
            amounts shall be offset only to the extent permitted by section
            239 of the Consolidated Appropriations Act, 2016 (Public Law
            114-113):  Provided further, That for public housing agencies
            in the MTW demonstration subject to single fund budget
            authority provisions, the Secretary shall provide not less than
            60 days to appeal such offsets and shall not offset amounts
            that have been committed to capital improvement, development,
            and other repositioning activities that are scheduled to close
            within 12 months of enactment of this Act, as evidenced in
            funding applications, project schedules, or other commitments
            to third parties implementing such activities, to the extent
            that reserve amounts excluded from offset under such section
            239 are insufficient to cover such commitments:  Provided
            further, That the Secretary shall not offset any portion of a
            public housing agency's excess amounts if offsetting such
            portion would result in a public housing agency being put in a
            shortfall position in calendar year 2026, as estimated by HUD
            prior to the offset's implementation, as determined by the
            Secretary:  Provided further, That the Secretary shall use any
            such offset amounts referred to in the preceding five provisos
            throughout the calendar year to prevent the termination of
            rental assistance for families as the result of insufficient
            funding, as determined by the Secretary, and to avoid or reduce
            the proration of renewal funding allocations:  Provided
            further, That the Secretary may waive or specify alternative
            requirements for section 5A and section 8(o) of the Act or any
            regulation applicable to such statutes related to the
            administration of waiting lists, local preferences,
            portability, and public housing agency plan and public hearing
            requirements to facilitate or expedite the transition of
            residents assisted by emergency housing vouchers (Public Law
            117-2; 135 Stat. 58) to tenant-based rental assistance under
            the housing assistance payment contract under section 8(o) of
            the Act:  Provided further, That up to $400,000,000 shall be
            available only:
                        (A) for adjustments in the allocations for public
                    housing agencies, after application for an adjustment
                    by a public housing agency that experienced a
                    significant increase, as determined by the Secretary,
                    in renewal costs of vouchers resulting from unforeseen
                    circumstances or from portability under section 8(r) of
                    the Act;
                        (B) for vouchers that were not in use during the
                    previous 12-month period in order to be available to
                    meet a commitment pursuant to section 8(o)(13) of the
                    Act, or an adjustment for a funding obligation not yet
                    expended in the previous calendar year for a MTW-
                    eligible activity to develop affordable housing for an
                    agency added to the MTW demonstration under the
                    expansion authority provided in section 239 of the
                    Transportation, Housing and Urban Development, and
                    Related Agencies Appropriations Act, 2016 (division L
                    of Public Law 114-113);
                        (C) for adjustments for costs associated with HUD-
                    Veterans Affairs Supportive Housing (HUD-VASH)
                    vouchers;
                        (D) for public housing agencies that despite taking
                    reasonable cost savings measures, as determined by the
                    Secretary, would otherwise be required to terminate
                    rental assistance for families as a result of
                    insufficient funding;
                        (E) for adjustments in the allocations for public
                    housing agencies that--
                                (i) are leasing a lower-than-average
                            percentage of their authorized vouchers,
                                (ii) have low amounts of budget authority
                            in their net restricted assets accounts and
                            HUD-held programmatic reserves, relative to
                            other agencies, and
                                (iii) are not participating in the MTW
                            demonstration, to enable such agencies to lease
                            more vouchers;
                        (F) for withheld payments in accordance with
                    section 8(o)(8)(A)(ii) of the Act for months in the
                    previous calendar year that were subsequently paid by
                    the public housing agency after the agency's actual
                    costs were validated;
                        (G) for public housing agencies that have
                    experienced increased costs or loss of units in an area
                    for which the President declared a disaster under title
                    IV of the Robert T. Stafford Disaster Relief and
                    Emergency Assistance Act (42 U.S.C. 5170 et seq.); and
                        (H) for costs associated with mainstream vouchers:
              Provided further, That the Secretary shall allocate amounts
            under the preceding proviso based on need, as determined by the
            Secretary;
                (2) $600,622,000 shall be available for section 8 rental
            assistance for relocation and replacement of housing units that
            are demolished or disposed of pursuant to section 18 of the
            Act, conversion of section 23 projects to assistance under
            section 8, relocation of witnesses (including victims of
            violent crimes) in connection with efforts to combat crime in
            public and assisted housing pursuant to a request from a law
            enforcement or prosecution agency, enhanced vouchers under any
            provision of law authorizing such assistance under section 8(t)
            of the Act, choice neighborhood vouchers, mandatory and
            voluntary conversions, and tenant protection assistance
            including replacement and relocation assistance or for project-
            based assistance to prevent the displacement of unassisted
            elderly tenants currently residing in section 202 properties
            financed between 1959 and 1974 that are refinanced pursuant to
            Public Law 106-569, as amended, or under the authority as
            provided under this Act:  Provided, That when a public housing
            development is submitted for demolition or disposition under
            section 18 of the Act, the Secretary may provide section 8
            rental assistance when the units pose an imminent health and
            safety risk to residents:  Provided further, That the Secretary
            may provide section 8 rental assistance from amounts made
            available under this paragraph for units assisted under a
            project-based subsidy contract funded under the ``Project-Based
            Rental Assistance'' heading under this title where the owner
            has received a Notice of Default and the units pose an imminent
            health and safety risk to residents:  Provided further, That of
            the amounts made available under this paragraph, no less than
            $5,000,000 may be available to provide tenant protection
            assistance, not otherwise provided under this paragraph, to
            residents residing in low vacancy areas and who may have to pay
            rents greater than 30 percent of household income, as the
            result of: (A) the maturity of a HUD-insured, HUD-held or
            section 202 loan that requires the permission of the Secretary
            prior to loan prepayment; (B) the expiration of a rental
            assistance contract for which the tenants are not eligible for
            enhanced voucher or tenant protection assistance under existing
            law; or (C) the expiration of affordability restrictions
            accompanying a mortgage or preservation program administered by
            the Secretary:  Provided further, That such tenant protection
            assistance made available under the preceding proviso may be
            provided under the authority of section 8(t) or section
            8(o)(13) of the Act:  Provided further, That any tenant
            protection voucher made available from amounts under this
            paragraph shall not be reissued by any public housing agency,
            except the replacement vouchers as defined by the Secretary by
            notice, when the initial family that received any such voucher
            no longer receives such voucher, and the authority for any
            public housing agency to issue any such voucher shall cease to
            exist:  Provided further, That the Secretary may only provide
            replacement vouchers for units that were occupied within the
            previous 24 months that cease to be available as assisted
            housing, subject only to the availability of funds:  Provided
            further, That amounts made available under this paragraph may
            be available to provide calendar year 2026 assistance to public
            housing agencies that would otherwise be required to terminate
            emergency housing vouchers (Public Law 117-2; 135 Stat. 58) for
            families as a result of insufficient funding;
                (3) $2,835,935,000 shall be available for administrative
            and other expenses of public housing agencies in administering
            the section 8 tenant-based rental assistance program, of which
            up to $30,000,000 shall be available to the Secretary to
            allocate to public housing agencies that need additional funds
            to administer their section 8 programs, including fees
            associated with section 8 tenant protection rental assistance,
            the administration of disaster related vouchers, HUD-VASH
            vouchers, and other special purpose incremental vouchers:
            Provided, That no less than $2,805,935,000 of the amount
            provided in this paragraph shall be allocated to public housing
            agencies for the calendar year 2026 funding cycle based on
            section 8(q) of the Act (and related appropriations Act
            provisions) as in effect immediately before the enactment of
            the Quality Housing and Work Responsibility Act of 1998 (Public
            Law 105-276):  Provided further, That if the amounts made
            available under this paragraph are insufficient to pay the
            amounts determined under the preceding proviso, the Secretary
            may decrease the amounts allocated to agencies by a uniform
            percentage applicable to all agencies receiving funding under
            this paragraph or may, to the extent necessary to provide full
            payment of amounts determined under the preceding proviso,
            utilize unobligated balances, including recaptures and
            carryover, remaining from funds appropriated under this heading
            from prior fiscal years, excluding special purpose vouchers,
            notwithstanding the purposes for which such amounts were
            appropriated:  Provided further, That all public housing
            agencies participating in the MTW demonstration shall be funded
            in accordance with the requirements of the MTW demonstration
            program or their MTW agreements, if any, and shall be subject
            to the same uniform percentage decrease as under the preceding
            proviso:  Provided further, That amounts provided under this
            paragraph shall be only for activities related to the provision
            of tenant-based rental assistance authorized under section 8,
            including related development activities;
                (4) $15,000,000 shall be available for incremental rental
            voucher assistance for use through a supported housing program
            administered in conjunction with the Department of Veterans
            Affairs as authorized under section 8(o)(19) of the United
            States Housing Act of 1937:  Provided, That the Secretary of
            Housing and Urban Development shall make such funding
            available, notwithstanding section 203 (competition provision)
            of this title, to public housing agencies that partner with
            eligible VA medical centers or other entities as designated by
            the Secretary of the Department of Veterans Affairs, based on
            geographical need for such assistance as identified by the
            Secretary of the Department of Veterans Affairs, public housing
            agency administrative performance, and other factors as
            specified by the Secretary of Housing and Urban Development in
            consultation with the Secretary of the Department of Veterans
            Affairs:  Provided further, That the Secretary of Housing and
            Urban Development may waive, or specify alternative
            requirements for (in consultation with the Secretary of the
            Department of Veterans Affairs), any provision of any statute
            or regulation that the Secretary of Housing and Urban
            Development administers in connection with the use of funds
            made available under this paragraph (except for requirements
            related to fair housing, nondiscrimination, labor standards,
            and the environment), upon a finding by the Secretary that any
            such waivers or alternative requirements are necessary for the
            effective delivery and administration of such voucher
            assistance:  Provided further, That assistance made available
            under this paragraph shall continue to remain available for
            homeless veterans upon turn-over:  Provided further, That of
            the total amount made available under this paragraph, up to
            $10,000,000 may be for additional fees established by and
            allocated pursuant to a method determined by the Secretary for
            administrative and other expenses (including those eligible
            activities defined by notice to facilitate leasing, such as
            security deposit assistance and costs related to the retention
            and support of participating owners) of public housing agencies
            in administering HUD-VASH vouchers;
                (5) $30,000,000 shall be available for the family
            unification program as authorized under section 8(x) of the
            Act:  Provided, That the amounts made available under this
            paragraph are provided as follows:
                        (A) $5,000,000 shall be available for new
                    incremental voucher assistance, which shall continue to
                    remain available for family unification upon turnover;
                    and
                        (B) $25,000,000 shall be available for new
                    incremental voucher assistance to assist eligible youth
                    as defined by such section 8(x)(2)(B) of the Act, which
                    shall continue to remain available for such eligible
                    youth upon turnover:  Provided, That such amounts shall
                    be available on a noncompetitive basis to public
                    housing agencies that partner with public child welfare
                    agencies to identify such eligible youth, that request
                    such assistance to timely assist such eligible youth,
                    and that meet any other criteria as specified by the
                    Secretary:  Provided further, That the Secretary shall
                    review utilization of such assistance and assistance
                    originating from appropriations made available for
                    youth under this heading in any prior Act that the
                    Secretary made available on a noncompetitive basis, at
                    an interval to be determined by the Secretary, and
                    unutilized voucher assistance that is no longer needed
                    based on such review shall be recaptured by the
                    Secretary and reallocated pursuant to the preceding
                    proviso:
              Provided further, That any public housing agency
            administering new incremental voucher assistance originating
            from appropriations made available for the family unification
            program under this heading in this or any prior Act that the
            Secretary made available on a competitive basis that determines
            it no longer has an identified need for such assistance upon
            turnover shall notify the Secretary, and the Secretary shall
            recapture such assistance from the agency and reallocate it to
            any other public housing agency or agencies based on need for
            voucher assistance in connection with such specified program or
            eligible youth, as applicable; and
                (6) the Secretary shall separately track all special
            purpose vouchers funded under this heading and continue to
            provide timely updates on budget, utilization, spending and
            leasing trends for all vouchers by purpose on the voucher data
            dashboard on the publicly accessible website of the Department:
             Provided, That upon turnover, special purpose vouchers issued
            pursuant to section 811 of the Cranston-Gonzalez National
            Affordable Housing Act (42 U.S.C. 8013) funded under this or
            any other heading in this or prior Acts, shall be provided to
            non-elderly persons with disabilities.

                            housing certificate fund

                            (including rescissions)

        Unobligated balances, including recaptures and carryover, remaining
    from funds appropriated to the Department of Housing and Urban
    Development under this heading, the heading ``Annual Contributions for
    Assisted Housing'' and the heading ``Project-Based Rental Assistance'',
    for fiscal year 2026 and prior years may be used for renewal of or
    amendments to section 8 project-based contracts and for performance-
    based contract administrators, notwithstanding the purposes for which
    such funds were appropriated:  Provided, That any obligated balances of
    contract authority from fiscal year 1974 and prior fiscal years that
    have been terminated shall be rescinded:  Provided further, That
    amounts heretofore recaptured, or recaptured during the current fiscal
    year, from section 8 project-based contracts from source years fiscal
    year 1975 through fiscal year 1987 are hereby rescinded, and an amount
    of additional new budget authority, equivalent to the amount rescinded
    is hereby appropriated, to remain available until expended, for the
    purposes set forth under this heading, in addition to amounts otherwise
    available.

                              public housing fund

        For 2026 payments to public housing agencies for the operation and
    management of public housing, as authorized by section 9(e) of the
    United States Housing Act of 1937 (42 U.S.C. 1437g(e)) (the ``Act''),
    and to carry out capital and management activities for public housing
    agencies, as authorized under section 9(d) of the Act (42 U.S.C.
    1437g(d)), $8,319,393,000, to remain available until September 30,
    2029:  Provided, That of the sums appropriated under this heading--
                (1) $4,687,393,000 shall be available for the Secretary to
            allocate pursuant to the operating fund formula at part 990 of
            title 24, Code of Federal Regulations, for 2026 payments;
                (2) $337,000,000 shall be available for the Secretary to
            allocate pursuant to a need-based application process,
            notwithstanding section 203 of this title, not subject to such
            operating fund formula, and without regard to unit count, to
            public housing agencies that experience, or are at risk of,
            financial shortfalls, as determined by the Secretary:
            Provided, That the Secretary shall notify public housing
            agencies of their estimated shortfall eligibility no later than
            60 days of the enactment of this Act;
                (3) $3,200,000,000 shall be available for the Secretary to
            allocate pursuant to the capital fund formula at section
            905.400 of title 24, Code of Federal Regulations:  Provided,
            That for funds described under this paragraph, the limitation
            in section 9(g)(1) of the Act shall be 25 percent:  Provided
            further, That the Secretary may waive the limitation in the
            preceding proviso to allow public housing agencies to fund
            activities authorized under section 9(e)(1)(C) of the Act:
            Provided further, That the Secretary shall notify public
            housing agencies requesting waivers under the preceding proviso
            if the request is approved or denied within 14 days of
            submitting the request:  Provided further, That from the funds
            made available under this paragraph, the Secretary shall
            provide bonus awards in fiscal year 2026 to public housing
            agencies that are designated high performers:  Provided
            further, That the Department shall notify public housing
            agencies of their formula allocation within 60 days of
            enactment of this Act;
                (4) $30,000,000 shall be available for the Secretary to
            make grants, notwithstanding section 203 of this title, to
            public housing agencies for emergency capital needs, including
            safety and security measures necessary to address crime and
            drug-related activity, as well as needs resulting from
            unforeseen or unpreventable emergencies and natural disasters
            excluding Presidentially declared emergencies and natural
            disasters under the Robert T. Stafford Disaster Relief and
            Emergency Act (42 U.S.C. 5121 et seq.) occurring in fiscal year
            2026:  Provided, That of the amount made available under this
            paragraph, not less than $10,000,000 shall be for safety and
            security measures:  Provided further, That in addition to the
            amount in the preceding proviso for such safety and security
            measures, any amounts that remain available, after all
            applications received on or before September 30, 2027, for
            emergency capital needs have been processed, shall be allocated
            to public housing agencies for such safety and security
            measures;
                (5) $50,000,000 shall be available for competitive grants
            to public housing agencies to evaluate and reduce residential
            health hazards in public housing, including lead-based paint
            (by carrying out the activities of risk assessments, abatement,
            and interim controls, as those terms are defined in section
            1004 of the Residential Lead-Based Paint Hazard Reduction Act
            of 1992 (42 U.S.C. 4851b)), carbon monoxide, mold, radon, and
            fire safety:  Provided, That not less than $25,000,000 of the
            amounts provided under this paragraph shall be awarded for
            evaluating and reducing lead-based paint hazards, except that
            if such amount is undersubscribed any remaining amounts may be
            awarded to qualified applicants for other purposes under this
            paragraph:  Provided further, That for purposes of
            environmental review, a grant under this paragraph shall be
            considered funds for projects or activities under title I of
            the Act for purposes of section 26 of the Act (42 U.S.C. 1437x)
            and shall be subject to the regulations implementing such
            section; and
                (6) $15,000,000 shall be available to support the costs of
            administrative and judicial receiverships and for competitive
            grants to public housing agencies in receivership, designated
            troubled or substandard, or otherwise at risk, as determined by
            the Secretary, for costs associated with public housing asset
            improvement, in addition to other amounts for that purpose
            provided under any heading under this title:
      Provided further, That notwithstanding any other provision of law or
    regulation, during fiscal year 2026, the Secretary of Housing and Urban
    Development may not delegate to any Department official other than the
    Deputy Secretary and the Assistant Secretary for Public and Indian
    Housing any authority under paragraph (2) of section 9(j) of the Act
    regarding the extension of the time periods under such section:
    Provided further, That for purposes of such section 9(j), the term
    ``obligate'' means, with respect to amounts, that the amounts are
    subject to a binding agreement that will result in outlays, immediately
    or in the future:  Provided further, That the Secretary may authorize a
    public housing agency with at least one property with a low physical
    inspection score to use operating reserve funds or any amounts
    allocated to such agency pursuant to the operating fund formula from
    amounts made available in this and prior Acts for any eligible
    activities under section 9(d)(1) of the United States Housing Act of
    1937 (42 U.S.C. 1437g(d)(1)) under such conditions or criteria as
    established by the Secretary, including that such use would not put
    such agency at risk of financial shortfall.

               assisted housing inspections and risk assessments

        For the Department's inspection and assessment programs, including
    travel, training, and program support contracts, $50,000,000 to remain
    available until September 30, 2028:  Provided, That unobligated
    balances, including recaptures and carryover, remaining from funds
    appropriated under the heading ``Public Housing Fund'' in prior Acts to
    support ongoing public housing financial and physical assessment
    activities shall be available for the purposes authorized under this
    heading in addition to the purposes for which such funds originally
    were appropriated.

                        choice neighborhoods initiative

        For competitive grants under the choice neighborhoods initiative
    (subject to section 24 of the United States Housing Act of 1937 (42
    U.S.C. 1437v) (the ``Act'') unless otherwise specified under this
    heading), for transformation, rehabilitation, and replacement housing
    needs of both public and HUD-assisted housing and to transform
    neighborhoods of poverty into functioning, sustainable, mixed-income
    neighborhoods with appropriate services, schools, public assets,
    transportation, and access to jobs, $25,000,000, to remain available
    until September 30, 2030:  Provided, That grant funds may be used for
    resident and community services, community development, and affordable
    housing needs in the community, and for conversion of vacant or
    foreclosed properties to affordable housing:  Provided further, That
    the use of amounts made available under this heading shall not be
    deemed to be for public housing, notwithstanding section 3(b)(1) of the
    Act:  Provided further, That grantees shall commit to an additional
    period of affordability determined by the Secretary of not fewer than
    20 years:  Provided further, That grantees shall provide a match in
    State, local, other Federal, or private funds:  Provided further, That
    grantees may include local governments, Tribal entities, public housing
    agencies, and nonprofit organizations:  Provided further, That for-
    profit developers may apply jointly with a public entity:  Provided
    further, That for purposes of environmental review, a grantee shall be
    treated as a public housing agency under section 26 of the Act (42
    U.S.C. 1437x), and grants made with amounts available under this
    heading shall be subject to the regulations issued by the Secretary to
    implement such section:  Provided further, That of the amounts made
    available under this heading, not less than $12,500,000 shall be
    awarded to public housing agencies:  Provided further, That such
    grantees shall create partnerships with other local organizations,
    including assisted housing owners, service agencies, and resident
    organizations:  Provided further, That the Secretary shall consult with
    the Secretaries of Education, Labor, Transportation, Health and Human
    Services, Agriculture, and Commerce, the Attorney General, and the
    Administrator of the Environmental Protection Agency to coordinate and
    leverage other appropriate Federal resources:  Provided further, That
    not more than $10,000,000 of the amounts made available under this
    heading may be provided as grants to undertake comprehensive local
    planning with input from residents and the community:  Provided
    further, That none of the funds made available under this heading may
    be obligated for main street housing grants under section 24(n) of the
    Act (42 U.S.C. 1437v(n)):  Provided further, That unobligated balances,
    including recaptures, remaining from amounts made available under the
    heading ``Revitalization of Severely Distressed Public Housing (HOPE
    VI)'' in fiscal year 2011 and prior fiscal years may be used for
    purposes under this heading, notwithstanding the purposes for which
    such amounts were appropriated:  Provided further, That the Secretary
    shall make grant awards not later than 1 year after the date of
    enactment of this Act in such amounts that the Secretary determines:
    Provided further, That notwithstanding section 24(o) of the Act (42
    U.S.C. 1437v(o)), the Secretary may, until September 30, 2026, obligate
    any available unobligated balances made available under this heading in
    this or any prior Act.

                           self-sufficiency programs

        For activities and assistance related to self-sufficiency programs,
    to remain available until September 30, 2029, $206,400,000:  Provided,
    That of the sums appropriated under this heading--
                (1) $156,400,000 shall be available for the family self-
            sufficiency program to support family self-sufficiency
            coordinators under section 23 of the United States Housing Act
            of 1937 (42 U.S.C. 1437u), to promote the development of local
            strategies to coordinate the use of assistance under sections 8
            and 9 of such Act with public and private resources, and enable
            eligible families to achieve economic independence and self-
            sufficiency:  Provided, That the Secretary may use recaptured
            amounts made available under this paragraph in prior Acts to
            provide bonus awards to programs that are assigned a ranking of
            performance category 1 based on their publicly available family
            self-sufficiency achievement metrics (FAM) scores;
                (2) $40,000,000 shall be available for the resident
            opportunity and self-sufficiency program to provide for
            supportive services, service coordinators, and congregate
            services as authorized by section 34 of the United States
            Housing Act of 1937 (42 U.S.C. 1437z-6) and the Native American
            Housing Assistance and Self-Determination Act of 1996 (25
            U.S.C. 4101 et seq.):  Provided, That amounts made available
            under this paragraph may be used to renew resident opportunity
            and self-sufficiency program grants to allow the public housing
            agency, or a new owner, to continue to serve (or restart
            service to) residents of a project with assistance converted
            from public housing to project-based rental assistance under
            section 8 of the United States Housing Act of 1937 (42 U.S.C.
            1437f) or assistance under section 8(o)(13) of such Act under
            the heading ``Rental Assistance Demonstration'' in the
            Department of Housing and Urban Development Appropriations Act,
            2012 (Public Law 112-55), as amended (42 U.S.C. 1437f note);
            and
                (3) $10,000,000 shall be available for a jobs-plus
            initiative, modeled after the jobs-plus demonstration:
            Provided, That funding provided under this paragraph shall be
            available for competitive grants to partnerships between public
            housing agencies, local workforce investment boards established
            under section 107 of the Workforce Innovation and Opportunity
            Act of 2014 (29 U.S.C. 3122), and other agencies and
            organizations that provide support to help public housing
            residents obtain employment and increase earnings:  Provided
            further, That applicants must demonstrate the ability to
            provide services to residents, partner with workforce
            investment boards, and leverage service dollars:  Provided
            further, That the Secretary may allow public housing agencies
            to request exemptions from rent and income limitation
            requirements under sections 3 and 6 of the United States
            Housing Act of 1937 (42 U.S.C. 1437a, 1437d), as necessary to
            implement the jobs-plus program, on such terms and conditions
            as the Secretary may approve upon a finding by the Secretary
            that any such waivers or alternative requirements are necessary
            for the effective implementation of the jobs-plus initiative as
            a voluntary program for residents:  Provided further, That the
            Secretary shall publish by notice in the Federal Register any
            waivers or alternative requirements pursuant to the preceding
            proviso no later than 10 days before the effective date of such
            notice.

                            native american programs

        For activities and assistance authorized under title I of the
    Native American Housing Assistance and Self-Determination Act of 1996
    (in this heading ``NAHASDA'') (25 U.S.C. 4111 et seq.), title I of the
    Housing and Community Development Act of 1974 (42 U.S.C. 5301 et seq.)
    with respect to Indian tribes, and for related activities and
    assistance, $1,354,000,000, to remain available until September 30,
    2030:  Provided, That of the sums appropriated under this heading--
                (1) $1,111,000,000 shall be available for the Native
            American housing block grants program, as authorized under
            title I of NAHASDA:  Provided, That, notwithstanding NAHASDA,
            to determine the amount of the allocation under title I of such
            Act for each Indian tribe, the Secretary shall apply the
            formula under section 302 of such Act with the need component
            based on single-race census data and with the need component
            based on multi-race census data, and the amount of the
            allocation for each Indian tribe shall be the greater of the
            two resulting allocation amounts:  Provided further, That the
            Secretary shall notify grantees of their formula allocation not
            later than 60 days after the date of enactment of this Act;
                (2) $125,000,000 shall be available for competitive grants
            under the Native American housing block grants program, as
            authorized under title I of NAHASDA:  Provided, That the
            Secretary shall obligate such amount for competitive grants to
            eligible recipients authorized under NAHASDA that apply for
            funds:  Provided further, That in awarding amounts made
            available in this paragraph, the Secretary shall consider need
            and administrative capacity, and shall give priority to
            projects that will spur construction and rehabilitation of
            housing:  Provided further, That any amounts transferred for
            the necessary costs of administering and overseeing the
            obligation and expenditure of such additional amounts in prior
            Acts may also be used for the necessary costs of administering
            and overseeing such additional amount;
                (3) $10,000,000 shall be available for noncompetitive
            grants to recipients that received a Tribal HUD-Veterans
            Affairs Supportive Housing grant in prior years, to be
            available under the same terms and conditions as funds
            specified under paragraph (5) under the heading ``Public and
            Indian Housing-Tenant-Based Rental Assistance'' in Public Law
            118-42:  Provided, That the Secretary may reallocate, as
            determined by the Secretary, amounts returned or recaptured
            from awards under the Tribal HUD-VASH program under prior Acts
            to existing recipients under the Tribal HUD-VASH program;
                (4) $1,000,000 shall be available for the cost of
            guaranteed notes and other obligations, as authorized by title
            VI of NAHASDA:  Provided, That such costs, including the cost
            of modifying such notes and other obligations, shall be as
            defined in section 502 of the Congressional Budget Act of 1974
            (2 U.S.C. 661a):  Provided further, That amounts made available
            in this and prior Acts for the cost of such guaranteed notes
            and other obligations that are unobligated, including
            recaptures and carryover, may be available to subsidize the
            total principal amount of any notes and other obligations, any
            part of which is to be guaranteed, not to exceed $60,000,000,
            to remain available until September 30, 2027;
                (5) $100,000,000 shall be available for grants to Indian
            tribes for carrying out the Indian community development block
            grant program under title I of the Housing and Community
            Development Act of 1974, notwithstanding section 106(a)(1) of
            such Act, of which, notwithstanding any other provision of law
            (including section 203 of this Act), not more than $10,000,000
            may be used for emergencies that constitute imminent threats to
            health and safety:  Provided, That not to exceed 20 percent of
            any grant made with amounts made available in this paragraph
            shall be expended for planning and management development and
            administration; and
                (6) $7,000,000, in addition to amounts otherwise available
            for such purpose, shall be available for providing training and
            technical assistance to Indian tribes, Indian housing
            authorities, and tribally designated housing entities, to
            support the inspection of Indian housing units, for contract
            expertise, and for training and technical assistance related to
            amounts made available under this heading and other headings in
            this Act for the needs of Native American families and Indian
            country:  Provided, That of the amounts made available in this
            paragraph, not less than $2,000,000 shall be for a national
            organization as authorized under section 703 of NAHASDA (25
            U.S.C. 4212):  Provided further, That amounts made available in
            this paragraph may be used, contracted, or competed as
            determined by the Secretary:  Provided further, That
            notwithstanding chapter 63 of title 31, United States Code
            (commonly known as the Federal Grant and Cooperative Agreements
            Act of 1977), the amounts made available in this paragraph may
            be used by the Secretary to enter into cooperative agreements
            with public and private organizations, agencies, institutions,
            and other technical assistance providers to support the
            administration of negotiated rulemaking under section 106 of
            NAHASDA (25 U.S.C. 4116), the administration of the allocation
            formula under section 302 of NAHASDA (25 U.S.C. 4152), and the
            administration of performance tracking and reporting under
            section 407 of NAHASDA (25 U.S.C. 4167).

               indian housing loan guarantee fund program account

        For the cost of guaranteed loans, as authorized by section 184 of
    the Housing and Community Development Act of 1992 (12 U.S.C. 1715z-
    13a), $1,000,000, to remain available until expended:  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 (2
    U.S.C. 661a):  Provided further, That an additional $400,000, to remain
    available until expended, shall be available for administrative
    contract expenses including management processes to carry out the loan
    guarantee program:  Provided further, That amounts made available in
    this and prior Acts for the cost of guaranteed loans, as authorized by
    section 184 of the Housing and Community Development Act of 1992 (12
    U.S.C. 1715z-13a), that are unobligated, including recaptures and
    carryover, may be available to subsidize total loan principal, any part
    of which is to be guaranteed, not to exceed $1,800,000,000, to remain
    available until September 30, 2027.

                      native hawaiian housing block grant

        For the Native Hawaiian housing block grant program, as authorized
    under title VIII of the Native American Housing Assistance and Self-
    Determination Act of 1996 (25 U.S.C. 4221 et seq.), $22,300,000, to
    remain available until September 30, 2030:  Provided, That
    notwithstanding section 812(b) of such Act, the Department of Hawaiian
    Home Lands may not invest grant amounts made available under this
    heading in investment securities and other obligations:  Provided
    further, That amounts made available under this heading in this and
    prior fiscal years may be used to provide rental assistance to eligible
    Native Hawaiian families both on and off the Hawaiian Home Lands,
    notwithstanding any other provision of law:  Provided further, That up
    to $1,000,000 of the amounts made available under this heading may be
    for training and technical assistance related to amounts made available
    under this heading and other headings in this Act for the needs of
    Native Hawaiians and the Department of Hawaiian Home Lands.

          native hawaiian housing loan guarantee fund program account

        New commitments to guarantee loans, as authorized by section 184A
    of the Housing and Community Development Act of 1992 (12 U.S.C. 1715z-
    13b), any part of which is to be guaranteed, shall not exceed
    $28,000,000 in total loan principal, to remain available until
    September 30, 2027:  Provided, That the Secretary may enter into
    commitments to guarantee loans used for refinancing.

                       Community Planning and Development

                  housing opportunities for persons with aids

        For carrying out the housing opportunities for persons with AIDS
    program, as authorized by the AIDS Housing Opportunity Act (42 U.S.C.
    12901 et seq.), $529,000,000, to remain available until September 30,
    2029:  Provided, That the Secretary shall renew or replace all expiring
    contracts for permanent supportive housing that initially were funded
    under section 854(c)(5) of such Act from funds made available under
    this heading in fiscal year 2010 and prior fiscal years that meet all
    program requirements before awarding funds for new contracts under such
    section:  Provided further, That the process for submitting amendments
    and approving replacement contracts shall be established by the
    Secretary in a notice:  Provided further, That the Department shall
    notify grantees of their formula allocation within 60 days of enactment
    of this Act.

                           community development fund

        For assistance to States and units of general local government, and
    other entities, for economic and community development activities, and
    other purposes, $6,995,244,120, to remain available until September 30,
    2029:  Provided, That of the sums appropriated under this heading--
                (1) $3,300,000,000 shall be available for carrying out the
            community development block grant program under title I of the
            Housing and Community Development Act of 1974, as amended (42
            U.S.C. 5301 et seq.) (in this heading ``the Act''):  Provided,
            That not to exceed 20 percent of any grant made with funds made
            available under this paragraph shall be expended for planning
            and management development and administration:  Provided
            further, That a metropolitan city, urban county, unit of
            general local government, or insular area that directly or
            indirectly receives funds under this paragraph may not sell,
            trade, or otherwise transfer all or any portion of such funds
            to another such entity in exchange for any other funds,
            credits, or non-Federal considerations, but shall use such
            funds for activities eligible under title I of the Act:
            Provided further, That notwithstanding section 105(e)(1) of the
            Act, no funds made available under this paragraph may be
            provided to a for-profit entity for an economic development
            project under section 105(a)(17) unless such project has been
            evaluated and selected in accordance with guidelines required
            under subsection (e)(2) of section 105;
                (2) $50,000,000 shall be available for the Secretary to
            award grants on a competitive basis to State and local
            governments, metropolitan planning organizations, and
            multijurisdictional entities for additional activities under
            title I of the Act for the identification and removal of
            barriers to affordable housing production and preservation,
            including new housing construction:  Provided, That eligible
            uses of such grants include activities to further develop,
            evaluate, and implement housing policy plans, improve housing
            strategies, and facilitate affordable housing production and
            preservation:  Provided further, That the Secretary shall
            select applicants that (A) have enacted or implemented (or
            caused another entity to enact or implement) less restrictive
            zoning, land use, or permitting laws and regulations, that are
            reasonably expected to preserve or produce new housing units;
            and (B) can demonstrate an acute need for housing affordable to
            households with incomes below 100 percent of the area median
            income:  Provided further, That grantees shall report to the
            Secretary on their activities and housing supply outcomes:
            Provided further, That the Secretary shall analyze observable
            housing production, preservation, and cost trends in the
            participating jurisdictions or geographic areas:  Provided
            further, That the Secretary shall annually report to the House
            and Senate Committees on Appropriations, and make publicly
            available, a summary of the information collected in the
            preceding two provisos:  Provided further, That funds allocated
            for such grants shall not adversely affect the amount of any
            formula assistance received by a jurisdiction under paragraph
            (1) of this heading:  Provided further, That in administering
            such amounts the Secretary may waive or specify alternative
            requirements for any provision of title I of the Act except for
            requirements related to fair housing, nondiscrimination, labor
            standards, the environment, and requirements that activities
            benefit persons of low- and moderate-income, upon a finding
            that any such waivers or alternative requirements are necessary
            to expedite or facilitate the use of such amounts:  Provided
            further, That the Secretary shall issue a notice of funding
            opportunity not later than 120 days after the date of enactment
            of this Act;
                (3) $30,000,000 shall be available for activities
            authorized under section 8071 of the SUPPORT for Patients and
            Communities Act (Public Law 115-271):  Provided, That funds
            allocated pursuant to this paragraph shall not adversely affect
            the amount of any formula assistance received by a State under
            paragraph (1) of this heading:  Provided further, That the
            Secretary shall allocate the funds for such activities based on
            the notice establishing the funding formula published in 84 FR
            16027 (April 17, 2019) except that the formula shall use age-
            adjusted rates of drug overdose deaths for 2023 based on data
            from the Centers for Disease Control and Prevention; and
                (4) $3,615,244,120 shall be available for grants for the
            economic development initiative (EDI) for the purposes, and in
            amounts, specified for Community Project Funding/
            Congressionally Directed Spending in the table entitled
            ``Community Project Funding/Congressionally Directed Spending''
            included for this division in the explanatory statement
            described in section 4 (in the matter preceding division A of
            this consolidated Act):  Provided, That amounts made available
            under this paragraph for such purposes shall not diminish or
            prejudice any application or geographic region for other
            discretionary grant or loan awards made by the Department of
            Housing and Urban Development:  Provided further, That eligible
            expenses of such grants in this and prior Acts may include
            administrative, planning, operations and maintenance, and other
            costs:  Provided further, That such grants for the EDI shall be
            available for reimbursement of otherwise eligible expenses
            incurred on or after the date of enactment of this Act and
            prior to the date of grant execution:  Provided further, That
            none of the amounts made available under this paragraph for
            grants for the EDI shall be used for reimbursement of expenses
            incurred prior to the date of enactment of this Act:
      Provided further, That for amounts made available under paragraphs
    (1) and (3), the Secretary shall notify grantees of their formula
    allocation within 60 days of enactment of this Act.

             community development loan guarantees program account

        Subject to section 502 of the Congressional Budget Act of 1974 (2
    U.S.C. 661a), during fiscal year 2026, commitments to guarantee loans
    under section 108 of the Housing and Community Development Act of 1974
    (42 U.S.C. 5308), any part of which is guaranteed, shall not exceed a
    total principal amount of $300,000,000, notwithstanding any aggregate
    limitation on outstanding obligations guaranteed in subsection (k) of
    such section 108:  Provided, That the Secretary shall collect fees from
    borrowers, notwithstanding subsection (m) of such section 108, to
    result in a credit subsidy cost of zero for guaranteeing such loans,
    and any such fees shall be collected in accordance with section 502(7)
    of the Congressional Budget Act of 1974:  Provided further, That such
    commitment authority funded by fees may be used to guarantee, or make
    commitments to guarantee, notes or other obligations issued by any
    State on behalf of non-entitlement communities in the State in
    accordance with the requirements of such section 108:  Provided
    further, That any State receiving such a guarantee or commitment under
    the preceding proviso shall distribute all funds subject to such
    guarantee to the units of general local government in non-entitlement
    areas that received the commitment.

                      home investment partnerships program

        For the HOME investment partnerships program, as authorized under
    title II of the Cranston-Gonzalez National Affordable Housing Act, as
    amended (42 U.S.C. 12721 et seq.), $1,250,000,000, to remain available
    until September 30, 2029:  Provided, That the threshold reduction
    requirements in sections 216(10) and 217(b)(4) of such Act (42 U.S.C.
    12746(10), 12747(b)(4)) shall not apply to the amounts made available
    under this heading:  Provided further, That notwithstanding section
    231(b) of such Act (42 U.S.C. 12771(b)), all unobligated balances
    remaining from amounts recaptured pursuant to such section that remain
    available until expended shall be combined with amounts made available
    under this heading and allocated in accordance with the formula under
    section 217(b)(1)(A) of such Act (42 U.S.C. 12747(b)(1)(A)):  Provided
    further, That the Department shall notify grantees of their formula
    allocations within 60 days after enactment of this Act:  Provided
    further, That section 218(g) of such Act (42 U.S.C. 12748(g)) shall not
    apply with respect to the right of a jurisdiction to draw funds from
    its HOME Investment Trust Fund that otherwise expired or would expire
    in any calendar year from 2020 through 2028 under that section:
    Provided further, That section 231(b) of such Act (42 U.S.C. 12771(b))
    shall not apply to any uninvested funds that otherwise were deducted or
    would be deducted from the line of credit in the participating
    jurisdiction's HOME Investment Trust Fund in any calendar year from
    2020 through 2028 under that section.

            self-help and assisted homeownership opportunity program

        For the self-help and assisted homeownership opportunity program,
    as authorized under section 11 of the Housing Opportunity Program
    Extension Act of 1996 (42 U.S.C. 12805 note), and for related
    activities and assistance, $65,000,000, to remain available until
    September 30, 2028:  Provided, That of the sums appropriated under this
    heading--
                (1) $12,000,000 shall be available for the self-help
            homeownership opportunity program as authorized under such
            section 11;
                (2) $46,000,000 shall be available for the second, third,
            and fourth capacity building entities specified in section 4(a)
            of the HUD Demonstration Act of 1993 (III Stat 201; 42 U.S.C.
            9816 note), of which not less than $5,000,000 shall be for
            rural capacity building activities; and
                (3) $7,000,000 shall be available for capacity building by
            national rural housing organizations having experience
            assessing national rural conditions and providing financing,
            training, technical assistance, information, and research to
            local nonprofit organizations, local governments, and Indian
            tribes serving high need rural communities.

                           homeless assistance grants

        For assistance under title IV of the McKinney-Vento Homeless
    Assistance Act (42 U.S.C. 11360 et seq.), and for related activities
    and assistance, $4,417,000,000, to remain available until September 30,
    2028:  Provided, That of the sums appropriated under this heading--
                (1) $290,000,000 shall be available for the emergency
            solutions grants program authorized under subtitle B of such
            title IV (42 U.S.C. 11371 et seq.):  Provided, That the
            Department shall notify grantees of their formula allocation
            from amounts allocated (which may represent initial or final
            amounts allocated) for the emergency solutions grant program
            not later than 60 days after enactment of this Act;
                (2) $4,010,000,000 shall be available for the continuum of
            care program authorized under subtitle C of such title IV (42
            U.S.C. 11381 et seq.) and the rural housing stability
            assistance programs authorized under subtitle D of such title
            IV (42 U.S.C. 11408):  Provided, That the Secretary shall
            prioritize funding under the continuum of care program to
            continuums of care that have demonstrated a capacity to
            reallocate funding from lower performing projects to higher
            performing projects:  Provided further, That the Secretary
            shall make reasonable adjustments to renewal amounts to enable
            renewal projects to operate at substantially the same levels,
            including cost-of-living adjustments for supportive services
            from the prior grant:  Provided further, That in allocating and
            awarding amounts made available under this paragraph, the
            Secretary shall select projects totaling not less than 60
            percent of the annual renewal demand for each collaborative
            applicant based on rankings determined by the local continuum
            of care and consistent with 42 U.S.C. 11381 et seq.:  Provided
            further, That the Secretary may establish by notice an
            alternative maximum amount for administrative costs related to
            the requirements described in sections 402(f)(1) and 402(f)(2)
            of subtitle A of such title IV of no more than 5 percent or
            $50,000, whichever is greater, notwithstanding the 3 percent
            limitation in section 423(a)(10) of such subtitle C:  Provided
            further, That of the amounts made available for the continuum
            of care program under this paragraph, $52,000,000 shall be for
            grants for new rapid re-housing projects and supportive service
            projects providing coordinated entry, and for eligible
            activities that the Secretary determines to be critical in
            order to assist survivors of domestic violence, dating
            violence, sexual assault, or stalking, except that the
            Secretary may make additional grants for such projects and
            purposes from amounts made available for such continuum of care
            program:  Provided further, That amounts made available for the
            continuum of care program under this paragraph and any
            remaining unobligated balances under this heading in prior Acts
            may be used to competitively or non-competitively renew or
            replace grants for youth homelessness demonstration projects
            under the continuum of care program, notwithstanding any
            conflict with the requirements of the continuum of care
            program:  Provided further, That any continuum of care, in
            consultation with their youth action board, that determines it
            no longer has an identified need for funds to renew a youth
            homelessness demonstration project shall notify the Secretary,
            and the Secretary shall recapture such assistance from the
            continuum of care and competitively award it to any other
            continuum of care with the amounts provided under this heading
            under paragraph (4):  Provided further, That the Secretary
            shall issue the notice of funding opportunity for the amounts
            made available in this paragraph not later than June 1, 2026
            and shall award such amounts not later than December 1, 2026;
                (3) $10,000,000 shall be available for the national
            homeless data analysis project:  Provided, That notwithstanding
            the provisions of the Federal Grant and Cooperative Agreements
            Act of 1977 (31 U.S.C. 6301-6308), the amounts made available
            under this paragraph and any remaining unobligated balances
            under this heading for such purposes in prior Acts may be used
            by the Secretary to enter into cooperative agreements with such
            entities as may be determined by the Secretary, including
            public and private organizations, agencies, and institutions;
            and
                (4) $107,000,000 shall be available to implement projects
            to demonstrate how a comprehensive approach to serving homeless
            youth, age 24 and under, in up to 25 communities with a
            priority for communities with substantial rural populations in
            up to eight locations, can dramatically reduce youth
            homelessness:  Provided, That of the amount made available
            under this paragraph, up to $25,000,000 may be for youth
            homelessness system improvement grants to support communities,
            including but not limited to the communities assisted under the
            matter preceding this proviso, in establishing and implementing
            an evidence-based response system for youth homelessness, or
            for improving their existing system, including through the
            establishment of local youth advisory boards, collaboration
            with youth with lived experience of homelessness in project
            design and implementation, improving data collection,
            management, utilization and evaluation, cross-system
            partnerships with juvenile justice, child welfare, and
            education systems:  Provided further, That of the amount made
            available under this paragraph, up to $10,000,000 shall be to
            provide technical assistance to communities, including but not
            limited to the communities assisted in the preceding proviso
            and the matter preceding such proviso, on improving system
            responses to youth homelessness, and collection, analysis, use,
            and reporting of data and performance measures under the
            comprehensive approaches to serve homeless youth, in addition
            to and in coordination with other technical assistance funds
            provided under this title:  Provided further, That the
            Secretary may use up to 10 percent of the amount made available
            under the preceding proviso to build the capacity of current
            technical assistance providers or to train new technical
            assistance providers with verifiable prior experience with
            systems and programs for youth experiencing homelessness:
      Provided further, That youth aged 24 and under seeking assistance
    under this heading shall not be required to provide third party
    documentation to establish their eligibility under subsection (a) or
    (b) of section 103 of the McKinney-Vento Homeless Assistance Act (42
    U.S.C. 11302) to receive services:  Provided further, That
    unaccompanied youth aged 24 and under or families headed by youth aged
    24 and under who are living in unsafe situations may be served by
    youth-serving providers funded under this heading:  Provided further,
    That recipients of funds provided under this heading in this Act or any
    prior Act may establish preferences for elderly individuals or families
    (except for programs provided to serve homeless youth), or disabled
    individuals or families as defined by section 401(10) of the McKinney-
    Vento Homeless Assistance Act (42 U.S.C. 11360(10)), when implementing
    the programs:  Provided further, That persons eligible under section
    103(a)(5) of the McKinney-Vento Homeless Assistance Act may be served
    by any project funded under this heading to provide both transitional
    housing and rapid re-housing:  Provided further, That for all matching
    funds requirements applicable to funds made available under this
    heading for this fiscal year and prior fiscal years, a grantee may use
    (or could have used) as a source of match funds other funds
    administered by the Secretary and other Federal agencies unless there
    is (or was) a specific statutory prohibition on any such use of any
    such funds:  Provided further, That none of the funds made available
    under this heading shall be available to provide funding for new
    projects, except for projects created through reallocation, unless the
    Secretary determines that the continuum of care has demonstrated that
    projects are evaluated and ranked based on the degree to which they
    improve the continuum of care's system performance:  Provided further,
    That any unobligated amounts remaining from funds made available under
    this heading in fiscal year 2012 and prior years for project-based
    rental assistance for rehabilitation projects with 10-year grant terms
    may be used for purposes under this heading, notwithstanding the
    purposes for which such funds were appropriated:  Provided further,
    That unobligated balances, including recaptures and carryover,
    remaining from funds transferred to or appropriated under this heading
    in fiscal year 2019 or prior years, except for rental assistance
    amounts that were recaptured and made available until expended, shall
    be available for the current purposes authorized under this heading in
    addition to the purposes for which such funds originally were
    appropriated.

                                Housing Programs

                        project-based rental assistance

        For activities and assistance for the provision of project-based
    subsidy contracts under the United States Housing Act of 1937 (42
    U.S.C. 1437 et seq.) (``the Act''), not otherwise provided for,
    $18,143,000,000, to remain available until expended, shall be available
    on October 1, 2025 (in addition to the $400,000,000 previously
    appropriated under this heading that became available October 1, 2025),
    and $400,000,000, to remain available until expended, shall be
    available on October 1, 2026:  Provided, That the amounts made
    available under this heading shall be available for expiring or
    terminating section 8 project-based subsidy contracts (including
    section 8 moderate rehabilitation contracts), for amendments to section
    8 project-based subsidy contracts (including section 8 moderate
    rehabilitation contracts), for contracts entered into pursuant to
    section 441 of the McKinney-Vento Homeless Assistance Act (42 U.S.C.
    11401), for renewal of section 8 contracts for units in projects that
    are subject to approved plans of action under the Emergency Low Income
    Housing Preservation Act of 1987 or the Low-Income Housing Preservation
    and Resident Homeownership Act of 1990, and for administrative and
    other expenses associated with project-based activities and assistance
    funded under this heading:  Provided further, That of the total amounts
    provided under this heading, not to exceed $509,000,000 shall be
    available for performance-based contract administrators for section 8
    project-based assistance, for carrying out 42 U.S.C. 1437(f):  Provided
    further, That the Secretary may also use such amounts in the preceding
    proviso for performance-based contract administrators for the
    administration of: interest reduction payments pursuant to section
    236(a) of the National Housing Act (12 U.S.C. 1715z-1(a)); rent
    supplement payments pursuant to section 101 of the Housing and Urban
    Development Act of 1965 (12 U.S.C. 1701s); section 236(f)(2) rental
    assistance payments (12 U.S.C. 1715z-1(f)(2)); project rental
    assistance contracts for the elderly under section 202(c)(2) of the
    Housing Act of 1959 (12 U.S.C. 1701q); project rental assistance
    contracts for supportive housing for persons with disabilities under
    section 811(d)(2) of the Cranston-Gonzalez National Affordable Housing
    Act (42 U.S.C. 8013(d)(2)); project assistance contracts pursuant to
    section 202(h) of the Housing Act of 1959 (Public Law 86-372; 73 Stat.
    667); and loans under section 202 of the Housing Act of 1959 (Public
    Law 86-372; 73 Stat. 667):  Provided further, That amounts recaptured
    under this heading, the heading ``Annual Contributions for Assisted
    Housing'', or the heading ``Housing Certificate Fund'', may be used for
    renewals of or amendments to section 8 project-based contracts or for
    performance-based contract administrators, notwithstanding the purposes
    for which such amounts were appropriated:  Provided further, That,
    notwithstanding any other provision of law, upon the request of the
    Secretary, project funds that are held in residual receipts accounts
    for any project subject to a section 8 project-based housing assistance
    payments contract that authorizes the Department or a housing finance
    agency to require that surplus project funds be deposited in an
    interest-bearing residual receipts account and that are in excess of an
    amount to be determined by the Secretary, shall be remitted to the
    Department and deposited in this account, to be available until
    expended:  Provided further, That amounts deposited pursuant to the
    preceding proviso shall be available in addition to the amount
    otherwise provided by this heading for uses authorized under this
    heading.

                            housing for the elderly

        For capital advances, including amendments to capital advance
    contracts, for housing for the elderly, as authorized by section 202 of
    the Housing Act of 1959 (12 U.S.C. 1701q), for project rental
    assistance for the elderly under section 202(c)(2) of such Act,
    including amendments to contracts for such assistance and renewal of
    expiring contracts for such assistance for up to a 5-year term, for
    senior preservation rental assistance contracts, including renewals, as
    authorized by section 811(e) of the American Homeownership and Economic
    Opportunity Act of 2000 (12 U.S.C. 1701q note), for supportive services
    associated with the housing, and for administrative and other expenses
    associated with assistance under this heading, $1,031,000,000 to remain
    available until September 30, 2029:  Provided, That of the amount made
    available under this heading, up to $122,000,000 shall be for service
    coordinators and the continuation of existing congregate service grants
    for residents of assisted housing projects:  Provided further, That any
    funding for existing service coordinators under the preceding proviso
    shall be provided within 120 days of enactment of this Act:  Provided
    further, That the Secretary may enter into 2-year agreements as
    appropriate with such funding that are subject to the availability of
    annual appropriations:  Provided further, That the Secretary may waive
    the provisions of section 202 governing the terms and conditions of
    project rental assistance, except that the initial contract term for
    such assistance shall not exceed 5 years in duration:  Provided
    further, That upon request of the Secretary, project funds that are
    held in residual receipts accounts for any project subject to a section
    202 project rental assistance contract, and that upon termination of
    such contract are in excess of an amount to be determined by the
    Secretary, shall be remitted to the Department and deposited in this
    account, to remain available until September 30, 2029:  Provided
    further, That amounts deposited in this account pursuant to the
    preceding proviso shall be available, in addition to the amounts
    otherwise provided by this heading, for the purposes authorized under
    this heading:  Provided further, That unobligated balances, including
    recaptures and carryover, remaining from funds transferred to or
    appropriated under this heading shall be available for the current
    purposes authorized under this heading in addition to the purposes for
    which such funds originally were appropriated:  Provided further, That
    of the total amount made available under this heading, up to $4,000,000
    shall be used by the Secretary to support preservation transactions of
    housing for the elderly originally developed with a capital advance and
    assisted by a project rental assistance contract under the provisions
    of section 202(c) of the Housing Act of 1959.

                     housing for persons with disabilities

        For capital advances, including amendments to capital advance
    contracts, for supportive housing for persons with disabilities, as
    authorized by section 811 of the Cranston-Gonzalez National Affordable
    Housing Act (42 U.S.C. 8013), for project rental assistance for
    supportive housing for persons with disabilities under section
    811(d)(2) of such Act, for project assistance contracts pursuant to
    subsection (h) of section 202 of the Housing Act of 1959, as added by
    section 205(a) of the Housing and Community Development Amendments of
    1978 (Public Law 95-557; 92 Stat. 2090), including amendments to
    contracts for such assistance and renewal of expiring contracts for
    such assistance for up to a 5-year term, for project rental assistance
    to State housing finance agencies and other appropriate entities as
    authorized under section 811(b)(3) of the Cranston-Gonzalez National
    Affordable Housing Act, for supportive services associated with the
    housing for persons with disabilities as authorized by section
    811(b)(1) of such Act, and for administrative and other expenses
    associated with assistance funded under this heading, $287,000,000, to
    remain available until September 30, 2029:  Provided, That, upon the
    request of the Secretary, project funds that are held in residual
    receipts accounts for any project subject to a section 811 project
    rental assistance contract, and that upon termination of such contract
    are in excess of an amount to be determined by the Secretary, shall be
    remitted to the Department and deposited in this account, to remain
    available until September 30, 2029:  Provided further, That amounts
    deposited in this account pursuant to the preceding proviso shall be
    available in addition to the amounts otherwise provided by this heading
    for the purposes authorized under this heading:  Provided further, That
    unobligated balances, including recaptures and carryover, remaining
    from funds transferred to or appropriated under this heading shall be
    used for the current purposes authorized under this heading in addition
    to the purposes for which such funds originally were appropriated.

                         housing counseling assistance

        For contracts, grants, and other assistance excluding loans, as
    authorized under section 106 of the Housing and Urban Development Act
    of 1968, as amended, $57,500,000, to remain available until September
    30, 2027, including up to $4,500,000 for administrative contract
    services:  Provided, That funds shall be used for providing counseling
    and advice to tenants and homeowners, both current and prospective,
    with respect to property maintenance, financial management or literacy,
    and such other matters as may be appropriate to assist them in
    improving their housing conditions, meeting their financial needs, and
    fulfilling the responsibilities of tenancy or homeownership; for
    program administration; and for housing counselor training:  Provided
    further, That for purposes of awarding grants from amounts provided
    under this heading, the Secretary may enter into multiyear agreements,
    as appropriate, subject to the availability of annual appropriations.

                payment to manufactured housing fees trust fund

        For necessary expenses as authorized by the National Manufactured
    Housing Construction and Safety Standards Act of 1974 (42 U.S.C. 5401
    et seq.), up to $14,000,000, to remain available until expended, of
    which $14,000,000 shall be derived from the Manufactured Housing Fees
    Trust Fund (established under section 620(e) of such Act (42 U.S.C.
    5419(e)):  Provided, That not to exceed the total amount appropriated
    under this heading shall be available from the general fund of the
    Treasury to the extent necessary to incur obligations and make
    expenditures pending the receipt of collections to the Fund pursuant to
    section 620 of such Act:  Provided further, That the amount made
    available under this heading from the general fund shall be reduced as
    such collections are received during fiscal year 2026 so as to result
    in a final fiscal year 2026 appropriation from the general fund
    estimated at zero, and fees pursuant to such section 620 shall be
    modified as necessary to ensure such a final fiscal year 2026
    appropriation:  Provided further, That for the dispute resolution and
    installation programs, the Secretary may assess and collect fees from
    any program participant:  Provided further, That such collections shall
    be deposited into the Trust Fund, and the Secretary, as provided
    herein, may use such collections, as well as fees collected under
    section 620 of such Act, for necessary expenses of such Act:  Provided
    further, That, notwithstanding the requirements of section 620 of such
    Act, the Secretary may carry out responsibilities of the Secretary
    under such Act through the use of approved service providers that are
    paid directly by the recipients of their services.

                         Federal Housing Administration

                   mutual mortgage insurance program account

        New commitments to guarantee single family loans insured under the
    Mutual Mortgage Insurance Fund shall not exceed $400,000,000,000, to
    remain available until September 30, 2027:  Provided, That during
    fiscal year 2026, obligations to make direct loans to carry out the
    purposes of section 204(g) of the National Housing Act, as amended,
    shall not exceed $1,000,000:  Provided further, That the foregoing
    amount in the preceding proviso shall be for loans to nonprofit and
    governmental entities in connection with sales of single family real
    properties owned by the Secretary and formerly insured under the Mutual
    Mortgage Insurance Fund:  Provided further, That for administrative
    contract expenses of the Federal Housing Administration, $160,000,000,
    to remain available until September 30, 2027:  Provided further, That
    to the extent guaranteed loan commitments exceed $200,000,000,000 on or
    before April 1, 2026, an additional $1,400 for administrative contract
    expenses shall be available for each $1,000,000 in additional
    guaranteed loan commitments (including a pro rata amount for any amount
    below $1,000,000), but in no case shall funds made available by this
    proviso exceed $30,000,000:  Provided further, That notwithstanding the
    limitation in the first sentence of section 255(g) of the National
    Housing Act (12 U.S.C. 1715z-20(g)), during fiscal year 2026 the
    Secretary may insure and enter into new commitments to insure mortgages
    under section 255 of the National Housing Act only to the extent that
    the net credit subsidy cost for such insurance does not exceed zero.

                    general and special risk program account

        New commitments to guarantee loans insured under the General and
    Special Risk Insurance Funds, as authorized by sections 238 and 519 of
    the National Housing Act (12 U.S.C. 1715z-3 and 1735c), shall not
    exceed $35,000,000,000 in total loan principal, any part of which is to
    be guaranteed, to remain available until September 30, 2027:  Provided,
    That during fiscal year 2026, gross obligations for the principal
    amount of direct loans, as authorized by sections 204(g), 207(l), 238,
    and 519(a) of the National Housing Act, shall not exceed $1,000,000,
    which shall be for loans to nonprofit and governmental entities in
    connection with the sale of single family real properties owned by the
    Secretary and formerly insured under such Act.

                    Government National Mortgage Association

    guarantees of mortgage-backed securities loan guarantee program account

        New commitments to issue guarantees to carry out the purposes of
    section 306 of the National Housing Act, as amended (12 U.S.C.
    1721(g)), shall not exceed $550,000,000,000, to remain available until
    September 30, 2027:  Provided, That $56,000,000, to remain available
    until September 30, 2027, shall be for necessary salaries and expenses
    of the Government National Mortgage Association:  Provided further,
    That to the extent that guaranteed loan commitments exceed
    $155,000,000,000 on or before April 1, 2026, an additional $100 for
    necessary salaries and expenses shall be available until expended for
    each $1,000,000 in additional guaranteed loan commitments (including a
    pro rata amount for any amount below $1,000,000), but in no case shall
    funds made available by this proviso exceed $3,000,000:  Provided
    further, That receipts from Commitment and Multiclass fees collected
    pursuant to title III of the National Housing Act (12 U.S.C. 1716 et
    seq.) shall be credited as offsetting collections to this account.

                        Policy Development and Research

                            research and technology

        For contracts, grants, and necessary expenses of programs of
    research and studies relating to housing and urban problems, not
    otherwise provided for, as authorized by title V of the Housing and
    Urban Development Act of 1970 (12 U.S.C. 1701z-1 et seq.), including
    carrying out the functions of the Secretary of Housing and Urban
    Development under section 1(a)(1)(i) of Reorganization Plan No. 2 of
    1968, and for technical assistance, $122,500,000, to remain available
    until September 30, 2027:  Provided, That of the amounts made available
    under this heading, $40,000,000 shall be for technical assistance, of
    which $5,000,000 shall be for the distressed cities technical
    assistance program:  Provided further, That with respect to amounts
    made available under this heading, notwithstanding section 203 of this
    title, the Secretary may enter into cooperative agreements with
    philanthropic entities, other Federal agencies, State or local
    governments and their agencies, Indian tribes, tribally designated
    housing entities, or colleges or universities for research projects:
    Provided further, That with respect to the preceding proviso, such
    partners to the cooperative agreements shall contribute at least a 50
    percent match toward the cost of the project:  Provided further, That
    for non-competitive agreements entered into in accordance with the
    preceding two provisos, the Secretary shall comply with section 2(b) of
    the Federal Funding Accountability and Transparency Act of 2006 (Public
    Law 109-282; 31 U.S.C. note) in lieu of compliance with section
    102(a)(4)(C) of the Department of Housing and Urban Development Reform
    Act of 1989 (42 U.S.C. 3545(a)(4)(C)) with respect to documentation of
    award decisions:  Provided further, That of the total amounts provided
    under this heading, $7,500,000 shall be for competitive grants to
    nonprofit or governmental entities to provide legal assistance
    (including assistance related to pretrial activities, trial activities,
    post-trial activities and alternative dispute resolution) at no cost to
    eligible low-income tenants at risk of or subject to eviction:
    Provided further, That in awarding grants under the preceding proviso,
    the Secretary shall give preference to applicants that include a
    marketing strategy for residents of areas with high rates of eviction,
    have experience providing no-cost legal assistance to low-income
    individuals, and have sufficient capacity to administer such
    assistance:  Provided further, That the Secretary shall ensure, to the
    extent practicable, that the proportion of eligible tenants living in
    rural areas who will receive legal assistance with grant funds made
    available under this heading is not less than the overall proportion of
    eligible tenants who live in rural areas:  Provided further, That the
    Department shall maintain on its publicly accessible website all
    completed research funded under this heading by this or any prior Act:
    Provided further, That the Department shall release and publish such
    research without regard to the findings within 6 months of submission
    of the final report.

                       Fair Housing and Equal Opportunity

                            fair housing activities

        For contracts, grants, and other assistance, not otherwise provided
    for, as authorized by title VIII of the Civil Rights Act of 1968 (42
    U.S.C. 3601 et seq.), section 561 of the Housing and Community
    Development Act of 1987 (42 U.S.C. 3616a), and this heading,
    $86,355,000, to remain available until September 30, 2027:  Provided,
    That of the sums appropriated under this heading--
                (1) $26,355,000 shall be for the fair housing assistance
            program under such title VIII;
                (2) $56,000,000 shall be for the fair housing initiatives
            program under such section 561, of which, not less than
            $10,400,000 shall be available for education and outreach
            programs, not less than $3,700,000 shall be available for fair
            housing organization initiatives, and not less than $40,500,000
            shall be available for the private enforcement initiative,
            except that if any program or initiative is undersubscribed any
            remaining amounts may be awarded to qualified applicants of
            other programs or initiatives under this paragraph:  Provided,
            That the Secretary shall issue each notice of funding
            opportunity for the fair housing initiatives program not later
            than 150 days after the date of enactment of this Act;
                (3) $1,000,000 may be for the Secretary for the creation
            and promotion of translated materials and other programs that
            support the assistance of persons with limited English
            proficiency in utilizing the services provided by the
            Department of Housing and Urban Development; and
                (4) $3,000,000 shall be for the national fair housing
            training academy:  Provided, That notwithstanding section 3302
            of title 31, United States Code, the Secretary may also assess
            and collect fees to cover the costs of such academy, and may
            use such funds to develop online courses and provide such
            training:
      Provided further, That none of the funds made available under this
    heading may be used to lobby the executive or legislative branches of
    the Federal Government in connection with a specific contract, grant,
    or loan.

                Office of Lead Hazard Control and Healthy Homes

                             lead hazard reduction

                         (including transfer of funds)

        For the lead hazard reduction program, as authorized by section
    1011 of the Residential Lead-Based Paint Hazard Reduction Act of 1992
    (42 U.S.C. 4852), the healthy homes initiative, pursuant to sections
    501 and 502 of the Housing and Urban Development Act of 1970 (12 U.S.C.
    1701z-1 and 1701z-2), and for related activities and assistance,
    $295,600,000, to remain available until September 30, 2028:  Provided,
    That the amounts made available under this heading are provided as
    follows:
                (1) $155,600,000 shall be for the award of grants pursuant
            to such section 1011, of which not less than $105,000,000 shall
            be provided to areas with the highest lead-based paint
            abatement need;
                (2) $140,000,000 shall be for the healthy homes initiative,
            pursuant to sections 501 and 502 of the Housing and Urban
            Development Act of 1970, which shall include research, studies,
            testing, and demonstration efforts, including education and
            outreach concerning lead-based paint poisoning and other
            housing-related diseases and hazards, and mitigating housing-
            related health and safety hazards in housing of low-income
            families:  Provided, That up to $10,000,000 of amounts made
            available under this paragraph shall be for a one-time national
            pilot program to facilitate new financing mechanisms to address
            lead and other residential environmental stressors in low-
            income communities:  Provided further, That the Secretary shall
            issue the notice of funding of opportunity for the pilot
            program established in the preceding proviso within 120 days of
            enactment of this Act:  Provided further, That $30,000,000 of
            amounts made available under this paragraph shall be for grants
            to experienced non-profit organizations, States, local
            governments, or public housing agencies for safety and
            functional home modification repairs and renovations to meet
            the needs of low-income seniors to enable them to remain in
            their primary residence, of which no less than $10,000,000
            shall be available to meet such needs in communities with
            substantial rural populations:  Provided further, That for
            funds made available for such grants in the preceding proviso
            or under this heading or the heading ``Housing for the
            Elderly'' in prior Acts, all eligible activities, except those
            that would alter the existing footprint of a structure or
            improvement in a floodplain or a wetland, are exempt from
            environmental review and not subject to the Federal laws and
            authorities cited in section 58.5 of title 24, Code of Federal
            Regulations; and
                (3) up to $2,000,000 in total of the amounts made available
            under paragraph (2) may be transferred to the heading
            ``Research and Technology'' for the purposes of conducting
            research and studies and for use in accordance with the
            provisos under that heading for non-competitive agreements:
      Provided further, That for purposes of environmental review, pursuant
    to the National Environmental Policy Act of 1969 (42 U.S.C. 4321 et
    seq.) and other provisions of law that further the purposes of such
    Act, a grant under the healthy homes initiative, or the lead technical
    studies program, or other demonstrations or programs under this heading
    or under prior appropriations Acts for such purposes under this
    heading, or under the heading ``Housing for the Elderly'' under prior
    Appropriations Acts, shall be considered to be funds for a special
    project for purposes of section 305(c) of the Multifamily Housing
    Property Disposition Reform Act of 1994:  Provided further, That each
    applicant for a grant or cooperative agreement under this heading shall
    certify adequate capacity that is acceptable to the Secretary to carry
    out the proposed use of funds pursuant to a notice of funding
    opportunity:  Provided further, That amounts made available under the
    fifth paragraph under this heading by the Full-Year Continuing
    Appropriations and Extensions Act, 2025 (Public Law 119-4) shall be
    transferred to and merged with the amounts provided under the fifth
    paragraph under the heading ``Public Housing Fund'' in this Act and
    prioritized for qualified projects where the primary purpose is radon
    testing and mitigation, except any transfer pursuant to this provision
    shall retain its original availability:  Provided further, That amounts
    made available under this heading, in this or prior appropriations
    Acts, still remaining available, may be used for any purpose under this
    heading notwithstanding the purpose for which such amounts were
    appropriated if a program competition is undersubscribed and there are
    other program competitions under this heading that are oversubscribed.

                          Office of Inspector General

        For necessary salaries and expenses of the Office of Inspector
    General in carrying out the Inspector General Act of 1978, as amended,
    $144,500,000:  Provided, That the Inspector General shall have
    independent authority over all personnel and acquisition issues within
    this office.

        General Provisions--Department of Housing and Urban Development

                            (including rescissions)

                         (including transfer of funds)

        Sec. 201.  Fifty percent of the amounts of budget authority, or in
    lieu thereof 50 percent of the cash amounts associated with such budget
    authority, that are recaptured from projects described in section
    1012(a) of the Stewart B. McKinney Homeless Assistance Amendments Act
    of 1988 (42 U.S.C. 1437f note) shall be rescinded or in the case of
    cash, shall be remitted to the Treasury, and such amounts of budget
    authority or cash recaptured and not rescinded or remitted to the
    Treasury shall be used by State housing finance agencies or local
    governments or local housing agencies with projects approved by the
    Secretary of Housing and Urban Development for which settlement
    occurred after January 1, 1992, in accordance with such section.
    Notwithstanding the previous sentence, the Secretary may award up to 15
    percent of the budget authority or cash recaptured and not rescinded or
    remitted to the Treasury to provide project owners with incentives to
    refinance their project at a lower interest rate.
        Sec. 202.  None of the funds made available by this Act may be used
    to investigate or prosecute under the Fair Housing Act any otherwise
    lawful activity engaged in by one or more persons, including the filing
    or maintaining of a nonfrivolous legal action, that is engaged in
    solely for the purpose of achieving or preventing action by a
    Government official or entity, or a court of competent jurisdiction.
        Sec. 203.  Except as explicitly provided in law, any grant,
    cooperative agreement or other assistance made pursuant to title II of
    this Act shall be made on a competitive basis and in accordance with
    section 102 of the Department of Housing and Urban Development Reform
    Act of 1989 (42 U.S.C. 3545).
        Sec. 204.  Funds of the Department of Housing and Urban Development
    subject to the Government Corporation Control Act or section 402 of the
    Housing Act of 1950 shall be available, without regard to the
    limitations on administrative expenses, for legal services on a
    contract or fee basis, and for utilizing and making payment for
    services and facilities of the Federal National Mortgage Association,
    Government National Mortgage Association, Federal Home Loan Mortgage
    Corporation, Federal Financing Bank, Federal Reserve banks or any
    member thereof, Federal Home Loan banks, and any insured bank within
    the meaning of the Federal Deposit Insurance Corporation Act, as
    amended (12 U.S.C. 1811-1).
        Sec. 205.  Unless otherwise provided for in this Act or through a
    reprogramming of funds, no part of any appropriation for the Department
    of Housing and Urban Development shall be available for any program,
    project or activity in excess of amounts set forth in the budget
    estimates submitted to Congress.
        Sec. 206.  Corporations and agencies of the Department of Housing
    and Urban Development which are subject to the Government Corporation
    Control Act are hereby authorized to make such expenditures, within the
    limits of funds and borrowing authority available to each such
    corporation or agency and in accordance with law, and to make such
    contracts and commitments without regard to fiscal year limitations as
    provided by section 104 of such Act as may be necessary in carrying out
    the programs set forth in the budget for 2026 for such corporation or
    agency except as hereinafter provided:  Provided, That collections of
    these corporations and agencies may be used for new loan or mortgage
    purchase commitments only to the extent expressly provided for in this
    Act (unless such loans are in support of other forms of assistance
    provided for in this or prior appropriations Acts), except that this
    proviso shall not apply to the mortgage insurance or guaranty
    operations of these corporations, or where loans or mortgage purchases
    are necessary to protect the financial interest of the United States
    Government.
        Sec. 207.  None of the funds made available by this title may be
    used for an audit of the Government National Mortgage Association that
    makes applicable requirements under the Federal Credit Reform Act of
    1990 (2 U.S.C. 661 et seq.).
        Sec. 208. (a) Notwithstanding any other provision of law, subject
    to the conditions listed under this section, for fiscal years 2026 and
    2027, the Secretary of Housing and Urban Development may authorize the
    transfer of some or all project-based assistance, debt held or insured
    by the Secretary and statutorily required low-income and very low-
    income use restrictions if any, associated with one or more multifamily
    housing project or projects to another multifamily housing project or
    projects.
        (b) Phased Transfers.--Transfers of project-based assistance under
    this section may be done in phases to accommodate the financing and
    other requirements related to rehabilitating or constructing the
    project or projects to which the assistance is transferred, to ensure
    that such project or projects meet the standards under subsection (c).
        (c) The transfer authorized in subsection (a) is subject to the
    following conditions:
                (1) Number and bedroom size of units.--
                        (A) For occupied units in the transferring project:
                    The number of low-income and very low-income units and
                    the configuration (i.e., bedroom size) provided by the
                    transferring project shall be no less than when
                    transferred to the receiving project or projects and
                    the net dollar amount of Federal assistance provided to
                    the transferring project shall remain the same in the
                    receiving project or projects. The Secretary, upon
                    determination of good cause, including a determination
                    that there will be no loss of assistance to currently
                    assisted households, may authorize a different number
                    of such units or a change in such configuration, or
                    both, at the receiving project or projects in the event
                    there is a transfer of use restrictions without an
                    associated transfer of project-based assistance to the
                    receiving project. The Secretary shall publish a notice
                    in the Federal Register for public comment containing
                    the criteria for determinations of good cause no less
                    than 60 days before the effective date of such notice.
                        (B) For unoccupied units in the transferring
                    project: The Secretary may authorize a reduction in the
                    number of dwelling units in the receiving project or
                    projects to allow for a reconfiguration of bedroom
                    sizes to meet current market demands, as determined by
                    the Secretary and provided there is no increase in the
                    project-based assistance budget authority.
                (2) The transferring project shall, as determined by the
            Secretary, be either physically obsolete or economically
            nonviable, or be reasonably expected to become economically
            nonviable when complying with State or Federal requirements for
            community integration and reduced concentration of individuals
            with disabilities.
                (3) The receiving project or projects shall meet or exceed
            applicable physical standards established by the Secretary.
                (4) The owner or mortgagor of the transferring project
            shall notify and consult with the tenants residing in the
            transferring project and provide a certification of approval by
            all appropriate local governmental officials.
                (5) The tenants of the transferring project who remain
            eligible for assistance to be provided by the receiving project
            or projects shall not be required to vacate their units in the
            transferring project or projects until new units in the
            receiving project are available for occupancy.
                (6) The Secretary determines that this transfer is in the
            best interest of the tenants.
                (7) If either the transferring project or the receiving
            project or projects meets the condition specified in subsection
            (d)(2)(A), any lien on the receiving project resulting from
            additional financing obtained by the owner shall be subordinate
            to any FHA-insured mortgage lien transferred to, or placed on,
            such project by the Secretary, except that the Secretary may
            waive this requirement upon determination that such a waiver is
            necessary to facilitate the financing of acquisition,
            construction, and/or rehabilitation of the receiving project or
            projects.
                (8) If the transferring project meets the requirements of
            subsection (d)(2), the owner or mortgagor of the receiving
            project or projects shall execute and record either a
            continuation of the existing use agreement or a new use
            agreement for the project where, in either case, any use
            restrictions in such agreement are of no lesser duration than
            the existing use restrictions.
                (9) The transfer does not increase the cost (as defined in
            section 502 of the Congressional Budget Act of 1974 (2 U.S.C.
            661a)) of any FHA-insured mortgage, except to the extent that
            appropriations are provided in advance for the amount of any
            such increased cost.
        (d) For purposes of this section--
                (1) the terms ``low-income'' and ``very low-income'' shall
            have the meanings provided by the statute and/or regulations
            governing the program under which the project is insured or
            assisted;
                (2) the term ``multifamily housing project'' means housing
            that meets one of the following conditions--
                        (A) housing that is subject to a mortgage insured
                    under the National Housing Act;
                        (B) housing that has project-based assistance
                    attached to the structure including projects undergoing
                    mark to market debt restructuring under the Multifamily
                    Assisted Housing Reform and Affordability Housing Act;
                        (C) housing that is assisted under section 202 of
                    the Housing Act of 1959 (12 U.S.C. 1701q);
                        (D) housing that is assisted under section 202 of
                    the Housing Act of 1959 (12 U.S.C. 1701q), as such
                    section existed before the enactment of the Cranston-
                    Gonzales National Affordable Housing Act;
                        (E) housing that is assisted under section 811 of
                    the Cranston-Gonzales National Affordable Housing Act
                    (42 U.S.C. 8013); or
                        (F) housing or vacant land that is subject to a use
                    agreement;
                (3) the term ``project-based assistance'' means--
                        (A) assistance provided under section 8(b) of the
                    United States Housing Act of 1937 (42 U.S.C. 1437f(b));
                        (B) assistance for housing constructed or
                    substantially rehabilitated pursuant to assistance
                    provided under section 8(b)(2) of such Act (as such
                    section existed immediately before October 1, 1983);
                        (C) rent supplement payments under section 101 of
                    the Housing and Urban Development Act of 1965 (12
                    U.S.C. 1701s);
                        (D) interest reduction payments under section 236
                    and/or additional assistance payments under section
                    236(f)(2) of the National Housing Act (12 U.S.C. 1715z-
                    1);
                        (E) assistance payments made under section
                    202(c)(2) of the Housing Act of 1959 (12 U.S.C.
                    1701q(c)(2)); and
                        (F) assistance payments made under section
                    811(d)(2) of the Cranston-Gonzalez National Affordable
                    Housing Act (42 U.S.C. 8013(d)(2));
                (4) the term ``receiving project or projects'' means the
            multifamily housing project or projects to which some or all of
            the project-based assistance, debt, and statutorily required
            low-income and very low-income use restrictions are to be
            transferred;
                (5) the term ``transferring project'' means the multifamily
            housing project which is transferring some or all of the
            project-based assistance, debt, and the statutorily required
            low-income and very low-income use restrictions to the
            receiving project or projects; and
                (6) the term ``Secretary'' means the Secretary of Housing
            and Urban Development.
        (e) Research Report.--The Secretary shall conduct an evaluation of
    the transfer authority under this section, including the effect of such
    transfers on the operational efficiency, contract rents, physical and
    financial conditions, and long-term preservation of the affected
    properties.
        Sec. 209.  No assistance shall be provided under section 8 of the
    United States Housing Act of 1937 (42 U.S.C. 1437f) to any individual
    who--
                (1) is enrolled as a student at an institution of higher
            education (as defined under section 102 of the Higher Education
            Act of 1965 (20 U.S.C. 1002));
                (2) is under 24 years of age;
                (3) is not a veteran;
                (4) is unmarried;
                (5) does not have a dependent child;
                (6) is not a person with disabilities, as such term is
            defined in section 3(b)(3)(E) of the United States Housing Act
            of 1937 (42 U.S.C. 1437a(b)(3)(E)) and was not receiving
            assistance under such section 8 as of November 30, 2005;
                (7) is not a youth who left foster care at age 14 or older
            and is at risk of becoming homeless; and
                (8) is not otherwise individually eligible, or has parents
            who, individually or jointly, are not eligible, to receive
            assistance under section 8 of the United States Housing Act of
            1937 (42 U.S.C. 1437f).
        Sec. 210.  The funds made available for Native Alaskans under
    paragraph (1) under the heading ``Native American Programs'' in title
    II of this Act shall be allocated to the same Native Alaskan housing
    block grant recipients that received funds in fiscal year 2005, and
    only such recipients shall be eligible to apply for funds made
    available under paragraph (2) of such heading.
        Sec. 211.  Notwithstanding any other provision of law, in fiscal
    year 2026, in managing and disposing of any multifamily property that
    is owned or has a mortgage held by the Secretary of Housing and Urban
    Development, and during the process of foreclosure on any property with
    a contract for rental assistance payments under section 8 of the United
    States Housing Act of 1937 (42 U.S.C. 1437f) or any other Federal
    programs, the Secretary shall maintain any rental assistance payments
    under section 8 of the United States Housing Act of 1937 and other
    programs that are attached to any dwelling units in the property. To
    the extent the Secretary determines, in consultation with the tenants
    and the local government that such a multifamily property owned or
    having a mortgage held by the Secretary is not feasible for continued
    rental assistance payments under such section 8 or other programs,
    based on consideration of (1) the costs of rehabilitating and operating
    the property and all available Federal, State, and local resources,
    including rent adjustments under section 524 of the Multifamily
    Assisted Housing Reform and Affordability Act of 1997 (in this section
    ``MAHRAA'') (42 U.S.C. 1437f note), and (2) environmental conditions
    that cannot be remedied in a cost-effective fashion, the Secretary may,
    in consultation with the tenants of that property, contract for
    project-based rental assistance payments with an owner or owners of
    other existing housing properties, or provide other rental assistance.
    The Secretary shall also take appropriate steps to ensure that project-
    based contracts remain in effect prior to foreclosure, subject to the
    exercise of contractual abatement remedies to assist relocation of
    tenants for imminent major threats to health and safety after written
    notice to and informed consent of the affected tenants and use of other
    available remedies, such as partial abatements or receivership. After
    disposition of any multifamily property described in this section, the
    contract and allowable rent levels on such properties shall be subject
    to the requirements under section 524 of MAHRAA.
        Sec. 212.  Public housing agencies that own and operate 400 or
    fewer public housing units may elect to be exempt from any asset
    management requirement imposed by the Secretary in connection with the
    operating fund rule:  Provided, That an agency seeking a discontinuance
    of a reduction of subsidy under the operating fund formula shall not be
    exempt from asset management requirements.
        Sec. 213.  With respect to the use of amounts provided in this Act
    and in future Acts for the operation, capital improvement, and
    management of public housing as authorized by sections 9(d) and 9(e) of
    the United States Housing Act of 1937 (42 U.S.C. 1437g(d), (e)), the
    Secretary shall not impose any requirement or guideline relating to
    asset management that restricts or limits in any way the use of capital
    funds for central office costs pursuant to paragraph (1) or (2) of
    section 9(g) of the United States Housing Act of 1937 (42 U.S.C.
    1437g(g)(1), (2)):  Provided, That a public housing agency may not use
    capital funds authorized under section 9(d) for activities that are
    eligible under section 9(e) for assistance with amounts from the
    operating fund in excess of the amounts permitted under paragraph (1)
    or (2) of section 9(g).
        Sec. 214.  No official or employee of the Department of Housing and
    Urban Development shall be designated as an allotment holder unless the
    Office of the Chief Financial Officer has determined that such
    allotment holder has implemented an adequate system of funds control
    and has received training in funds control procedures and directives.
    The Chief Financial Officer shall ensure that there is a trained
    allotment holder for each HUD appropriation under the accounts
    ``Executive Offices'', ``Administrative Support Offices'', ``Program
    Offices'', ``Government National Mortgage Association--Guarantees of
    Mortgage-Backed Securities Loan Guarantee Program Account'', and
    ``Office of Inspector General'' within the Department of Housing and
    Urban Development.
        Sec. 215.  Notwithstanding any other provision of law, for fiscal
    year 2026, the Secretary may make a notice of funding opportunity, and
    a notice of any funding decision, for any program or discretionary fund
    administered by the Secretary that is to be competitively awarded
    available only on the Internet at the appropriate Government website or
    through other electronic media, as determined by the Secretary.
        Sec. 216.  Payment of attorney fees in program-related litigation
    shall be paid from the individual program office and Office of General
    Counsel salaries and expenses appropriations.
        Sec. 217.  The Secretary is authorized to transfer up to 10 percent
    or $5,000,000, whichever is less, of funds appropriated for any office
    under the headings ``Administrative Support Offices'' or ``Program
    Offices'' to any other such office under such headings:  Provided, That
    the Secretary shall provide notification to such Committees 5 business
    days in advance of any such transfers.
        Sec. 218. (a) Any entity receiving housing assistance payments
    shall maintain decent, safe, and sanitary conditions, as determined by
    the Secretary, and comply with any standards under applicable State or
    local laws, rules, ordinances, or regulations relating to the physical
    condition of any property covered under a housing assistance payment
    contract.
        (b) The Secretary shall take action under subsection (c) when a
    multifamily housing project with a contract under section 8 of the
    United States Housing Act of 1937 (42 U.S.C. 1437f) or a contract for
    similar project-based assistance--
                (1) receives a failing score under the Uniform Physical
            Condition Standards (UPCS) or successor standard; or
                (2) fails to certify in writing to the Secretary within 3
            days that all Exigent Health and Safety deficiencies, or those
            deficiencies requiring correction within 24 hours, identified
            by the inspector at the project have been corrected.
        Such requirements shall apply to insured and noninsured projects
    with assistance attached to the units under section 8 of the United
    States Housing Act of 1937 (42 U.S.C. 1437f), but shall not apply to
    such units assisted under section 8(o)(13) of such Act (42 U.S.C.
    1437f(o)(13)) or to public housing units assisted with capital or
    operating funds under section 9 of the United States Housing Act of
    1937 (42 U.S.C. 1437g).
        (c)(1) Within 15 days of the issuance of the Real Estate Assessment
    Center (``REAC'') inspection, the Secretary shall provide the owner
    with a Notice of Default with a specified timetable, determined by the
    Secretary, for correcting all deficiencies. The Secretary shall provide
    a copy of the Notice of Default to the tenants, the local government,
    any mortgagees, and any contract administrator. If the owner's appeal
    results in a passing score, the Secretary may withdraw the Notice of
    Default.
        (2) At the end of the time period for correcting all deficiencies
    specified in the Notice of Default, if the owner fails to fully correct
    such deficiencies, the Secretary may--
                (A) require immediate replacement of project management
            with a management agent approved by the Secretary;
                (B) impose civil money penalties, which shall be used
            solely for the purpose of supporting safe and sanitary
            conditions at applicable properties, as designated by the
            Secretary, with priority given to the tenants of the property
            affected by the penalty;
                (C) abate the section 8 contract, including partial
            abatement, as determined by the Secretary, until all
            deficiencies have been corrected;
                (D) pursue transfer of the project to an owner, approved by
            the Secretary under established procedures, who will be
            obligated to promptly make all required repairs and to accept
            renewal of the assistance contract if such renewal is offered;
                (E) transfer the existing section 8 contract to another
            project or projects and owner or owners;
                (F) pursue exclusionary sanctions, including suspensions or
            debarments from Federal programs;
                (G) seek judicial appointment of a receiver to manage the
            property and cure all project deficiencies or seek a judicial
            order of specific performance requiring the owner to cure all
            project deficiencies;
                (H) work with the owner, lender, or other related party to
            stabilize the property in an attempt to preserve the property
            through compliance, transfer of ownership, or an infusion of
            capital provided by a third-party that requires time to
            effectuate; or
                (I) take any other regulatory or contractual remedies
            available as deemed necessary and appropriate by the Secretary.
        (d) The Secretary shall take appropriate steps to ensure that
    project-based contracts remain in effect, subject to the exercise of
    contractual abatement remedies to assist relocation of tenants for
    major threats to health and safety after written notice to the affected
    tenants. To the extent the Secretary determines, in consultation with
    the tenants and the local government, that the property is not feasible
    for continued rental assistance payments under such section 8 or other
    programs, based on consideration of--
                (1) the costs of rehabilitating and operating the property
            and all available Federal, State, and local resources,
            including rent adjustments under section 524 of the Multifamily
            Assisted Housing Reform and Affordability Act of 1997
            (``MAHRAA''); and
                (2) environmental conditions that cannot be remedied in a
            cost-effective fashion, the Secretary may contract for project-
            based rental assistance payments with an owner or owners of
            other existing housing properties, or provide other rental
            assistance.
        (e) The Secretary shall report semi-annually on all properties
    covered by this section that are assessed through the Real Estate
    Assessment Center and have failing physical inspection scores or have
    received an unsatisfactory management and occupancy review within the
    past 36 months. The report shall include--
                (1) identification of the enforcement actions being taken
            to address such conditions, including imposition of civil money
            penalties and termination of subsidies, and identification of
            properties that have such conditions multiple times;
                (2) identification of actions that the Department of
            Housing and Urban Development is taking to protect tenants of
            such identified properties; and
                (3) any administrative or legislative recommendations to
            further improve the living conditions at properties covered
            under a housing assistance payment contract.
        The first report shall be submitted to the Senate and House
    Committees on Appropriations not later than 30 days after the enactment
    of this Act, and the second report shall be submitted within 180 days
    of the transmittal of the first report.
        Sec. 219.  None of the funds made available by this Act, or any
    other Act, for purposes authorized under section 8 (only with respect
    to the tenant-based rental assistance program) and section 9 of the
    United States Housing Act of 1937 (42 U.S.C. 1437 et seq.), may be used
    by any public housing agency for any amount of salary, including
    bonuses, for the chief executive officer of which, or any other
    official or employee of which, that exceeds the annual rate of basic
    pay payable for a position at level IV of the Executive Schedule at any
    time during any public housing agency fiscal year 2026.
        Sec. 220.  None of the funds made available by this Act and
    provided to the Department of Housing and Urban Development may be used
    to make, withdraw, terminate, or rescind (except at the request of the
    recipient) a grant award unless the Secretary notifies the House and
    Senate Committees on Appropriations not less than 3 full business days
    before any project, State, locality, housing authority, tribe,
    nonprofit organization, or other entity selected to receive a grant
    award is announced or is notified of such changes by the Department or
    its offices:  Provided, That such notification shall list each grant
    award and project description by State and congressional district.
        Sec. 221.  None of the funds made available in this Act shall be
    used by the Federal Housing Administration, the Government National
    Mortgage Association, or the Department of Housing and Urban
    Development to insure, securitize, or establish a Federal guarantee of
    any mortgage or mortgage backed security that refinances or otherwise
    replaces a mortgage that has been subject to eminent domain
    condemnation or seizure, by a State, municipality, or any other
    political subdivision of a State.
        Sec. 222.  None of the funds made available by this Act may be used
    to terminate the status of a unit of general local government as a
    metropolitan city (as defined in section 102 of the Housing and
    Community Development Act of 1974 (42 U.S.C. 5302)) with respect to
    grants under section 106 of such Act (42 U.S.C. 5306).
        Sec. 223.  Amounts made available by this Act that are
    appropriated, allocated, advanced on a reimbursable basis, or
    transferred to the Office of Policy Development and Research of the
    Department of Housing and Urban Development and functions thereof, for
    research, evaluation, or statistical purposes, and 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
    the amounts are made available to that Office subject to reprogramming
    requirements in section 405 of this Act.
        Sec. 224.  None of the funds provided in this Act or any other Act
    may be used for awards, including performance, special act, or spot,
    for any employee of the Department of Housing and Urban Development
    subject to administrative discipline (including suspension from work),
    in this fiscal year, but this prohibition shall not be effective prior
    to the effective date of any such administrative discipline or after
    any final decision over-turning such discipline.
        Sec. 225.  With respect to grant amounts awarded under the heading
    ``Homeless Assistance Grants'' for fiscal years 2015 through 2026 for
    the continuum of care (CoC) program as authorized under subtitle C of
    title IV of the McKinney-Vento Homeless Assistance Act, costs paid by
    program income of grant recipients may count toward meeting the
    recipient's matching requirements, provided the costs are eligible CoC
    costs that supplement the recipient's CoC program.
        Sec. 226. (a) From amounts made available under this title under
    the heading ``Homeless Assistance Grants'', the Secretary may award 1-
    year transition grants to recipients of funds for activities under
    subtitle C of the McKinney-Vento Homeless Assistance Act (42 U.S.C.
    11381 et seq.) to transition from one continuum of care program
    component to another.
        (b) In order to be eligible to receive a transition grant, the
    funding recipient must have the consent of the continuum of care and
    meet standards determined by the Secretary.
        Sec. 227.  The promise zone designations and promise zone
    designation agreements entered into pursuant to such designations, made
    by the Secretary in prior fiscal years, shall remain in effect in
    accordance with the terms and conditions of such agreements (including
    designation and agreement time periods).
        Sec. 228.  Any public housing agency designated as a Moving to Work
    agency pursuant to section 239 of division L of Public Law 114-113 (42
    U.S.C. 1437f note; 129 Stat. 2897) may, upon such designation, use
    funds (except for special purpose funding, including special purpose
    vouchers) previously allocated to any such public housing agency under
    section 8 or 9 of the United States Housing Act of 1937, including any
    reserve funds held by the public housing agency or funds held by the
    Department of Housing and Urban Development, pursuant to the authority
    for use of section 8 or 9 funding provided under such section and
    section 204 of title II of the Departments of Veterans Affairs and
    Housing and Urban Development and Independent Agencies Appropriations
    Act, 1996 (Public Law 104-134; 110 Stat. 1321-28), notwithstanding the
    purposes for which such funds were appropriated.
        Sec. 229.  None of the amounts made available by this Act may be
    used to prohibit any public housing agency under receivership or the
    direction of a Federal monitor from applying for, receiving, or using
    funds made available under the heading ``Public Housing Fund'' for
    competitive grants to evaluate and reduce lead-based paint hazards in
    this Act or that remain available and not awarded from prior Acts, or
    be used to prohibit a public housing agency from using such funds to
    carry out any required work pursuant to a settlement agreement, consent
    decree, voluntary agreement, or similar document for a violation of the
    lead safe housing or lead disclosure rules.
        Sec. 230.  For fiscal year 2026, if the Secretary determines or has
    determined, for any prior formula grant allocation administered by the
    Secretary through the Offices of Public and Indian Housing, Community
    Planning and Development, or Housing, that a recipient received an
    allocation greater than the amount such recipient should have received
    for a formula allocation cycle pursuant to applicable statutes and
    regulations, the Secretary may adjust for any such funding error in the
    next applicable formula allocation cycle by (a) offsetting each such
    recipient's formula allocation (if eligible for a formula allocation in
    the next applicable formula allocation cycle) by the amount of any such
    funding error, and (b) reallocating any available balances that are
    attributable to the offset to the recipient or recipients that would
    have been allocated additional funds in the formula allocation cycle in
    which any such error occurred (if such recipient or recipients are
    eligible for a formula allocation in the next applicable formula
    allocation cycle) in an amount proportionate to such recipient's
    eligibility under the next applicable formula allocation cycle:
    Provided, That all offsets and reallocations from such available
    balances shall be recorded against funds available for the next
    applicable formula allocation cycle:  Provided further, That the term
    ``next applicable formula allocation cycle'' means the first formula
    allocation cycle for a program that is reasonably available for
    correction following such a Secretarial determination:  Provided
    further, That if, upon request by a recipient and giving consideration
    to all Federal resources available to the recipient for the same grant
    purposes, the Secretary determines that the offset in the next
    applicable formula allocation cycle would critically impair the
    recipient's ability to accomplish the purpose of the formula grant, the
    Secretary may adjust for the funding error across two or more formula
    allocation cycles.
        Sec. 231.  The Secretary may transfer from amounts made available
    for salaries and expenses under this title (excluding amounts made
    available under the heading ``Office of Inspector General'') to the
    heading ``Information Technology Fund'' for unforeseen information
    technology needs, including for additional development, modernization,
    and enhancement, to remain available until September 30, 2028:
    Provided, That the total amount of such transfers shall not exceed
    $5,000,000:  Provided further, That this transfer authority shall not
    be used to fund information technology projects or activities that have
    known out-year development, modernization, or enhancement costs in
    excess of $500,000:  Provided further, That this transfer authority
    shall not be used to allocate costs across offices for broader
    departmental information technology needs:  Provided further, That the
    Secretary shall provide notification to the House and Senate Committees
    on Appropriations no fewer than 10 business days in advance of any such
    transfer.
        Sec. 232.  The Secretary shall comply with all process
    requirements, including public notice and comment, when seeking to
    revise any annual contributions contract:  Provided, That the Secretary
    shall provide public housing authorities not less than 60 days for
    public comment, and the Secretary shall consider and respond to
    submitted comments.
        Sec. 233.  None of the funds made available to the Department of
    Housing and Urban Development in this or prior Acts may be used to
    issue a solicitation or accept bids on any solicitation that is
    substantially equivalent to the draft solicitation entitled ``Housing
    Assistance Payments (HAP) Contract Support Services (HAPSS)'' posted to
    www.Sam.gov on July 27, 2022.
        Sec. 234. (a) Any unobligated balances from amounts made available
    under the heading, ``Community Development Fund'' in chapter 9 of title
    II of the Emergency Supplemental Appropriations Act for Defense, the
    Global War on Terror, and Hurricane Recovery, 2006 (Public Law 109-234)
    that were transferred to ``Management and Administration, Salaries and
    Expenses'' are hereby permanently rescinded.
        (b) Any unobligated balances included under Treasury Appropriation
    Fund Symbol 86 X 0108 from amounts transferred to the Department of
    Housing and Urban Development from amounts made available under the
    heading, ``Unanticipated Needs'' in chapter 8 of title I of the
    Emergency Supplemental Appropriations Act of 1994 (Public Law 103-211)
    are hereby permanently rescinded.
        (c) Any unobligated balances included under Treasury Appropriation
    Fund Symbol 86 X 0148, 86-2023/2027-0483 and 86 X 0163 are hereby
    permanently rescinded.
        (d) Of the unobligated balances from amounts included under
    Treasury Appropriation Fund Symbol 86 X 0304, $5,036,988.73 are hereby
    permanently rescinded.
        (e) Of the unobligated balances from appropriations made available
    under the heading ``Community Development Fund'' prior to fiscal year
    2011, $176,688.49 in Economic Development Initiative grant funds and
    $336,275.98 in Special Purpose Grant funds are hereby rescinded.
        (f) Of the unobligated balances from amounts made available under
    the heading ``Assisted Housing Inspections and Risk Assessments'', in
    the Full-Year Continuing Appropriations and Extensions Act, 2025
    (Public Law 119-4), $22,000,000 are hereby permanently rescinded.
        (g) Of the unobligated balances from amounts included under
    Treasury Appropriation Fund Symbol 86 X 0313, $1.74 is hereby
    permanently rescinded.
        (h) $5,200,000 of amounts previously made available for expenditure
    from the Manufactured Housing Fees Trust Fund are hereby permanently
    rescinded.
        Sec. 235.  None of the amounts made available in this or prior Acts
    may be used to consider family self-sufficiency achievement metrics
    (FAM) in determining funding awards for programs receiving family self-
    sufficiency program coordinator funding provided in this or prior Acts
    except to provide bonus awards as expressly made available in this or
    prior Acts for self-sufficiency programs assigned a ranking of
    performance category 1 based on their publicly available FAM scores.
        Sec. 236.  The Secretary may, upon a finding that a waiver or
    alternative requirement is necessary for the effective delivery and
    administration of funds made available for new incremental voucher
    assistance or renewals for the mainstream program and the family
    unification program (including the foster youth to independence
    program) in this and prior Acts, waive or specify alternative
    requirements, other than requirements related to tenant rights and
    protections, rent setting, fair housing, nondiscrimination, labor
    standards, and the environment, for--
                (1) section 8(o)(6)(A) of the United States Housing Act of
            1937 (42 U.S.C. 1437f(o)(6)(A)) and regulatory provisions
            related to the administration of waiting lists, local
            preferences, and the initial term and extensions of tenant-
            based vouchers; and
                (2) section 8(x)(2) of the United States Housing Act of
            1937 (42 U.S.C. 1437f(x)(2)) regarding the timing of referral
            of youth leaving foster care.
        Sec. 237.  The Secretary shall fulfill their responsibilities to
    enforce the Fair Housing Act (42 U.S.C. 3601 et seq.):  Provided, That
    none of the funds made available by this Act may be used by the
    Department of Housing and Urban Development to direct a grantee to
    undertake specific changes to existing zoning laws as part of carrying
    out the interim final rule entitled ``Affirmatively Furthering Fair
    Housing Revisions'' (90 Fed. Reg. 11020 (March 3, 2025)).
        Sec. 238.  The whistleblower protections in section 4712 of title
    41, United States Code, shall apply to any contract, subcontract,
    grant, subgrant, or personal services contract funded from amounts made
    available in this or prior Acts (including carryover and recaptures),
    regardless of when the agreement was executed.
        Sec. 239. (a) For fiscal years 2026 through 2028, upon request from
    the owner, the Secretary of Housing and Urban Development
    (``Secretary'') may forgive or restructure the terms of any
    indebtedness relating to any remaining principal and interest under
    financial assistance made available under section 201 of the Housing
    and Community Development Amendments of 1978 (12 U.S.C. 1715z-1a)
    (``Flex Sub loan'').
        (b) The Secretary may only forgive or restructure loans under this
    section for properties with--
                (1) 200 or fewer assisted units;
                (2) a Flex Sub loan with an unpaid principal balance of
            $2,000,000 or less;
                (3) a score of 80 or higher on the most recent REAC
            inspection; and
                (4) a most recent management and occupancy review score of
            ``above average'' or ``superior.''
        (c) The Secretary may set such terms and conditions as the
    Secretary determines are appropriate for forgiveness or restructuring
    under this section, including:
                (1) Different maturity dates or interest rate terms;
                (2) Extension of affordability use agreements; and
                (3) Other measures to ensure the long-term stability of
            operations at the property.
        (d) There is hereby appropriated $2,000,000, to remain available
    until September 30, 2029, to carry out the purposes of this section, in
    addition to amounts otherwise available for such purposes.
        Sec. 240.  Funds previously made available by the Consolidated and
    Further Continuing Appropriations Act, 2013 (Public Law 113-6) for
    initial project rental assistance contracts associated with the
    demonstration program under the heading ``Housing for Persons with
    Disabilities'' in the Consolidated and Further Continuing
    Appropriations Act, 2012 (Public Law 112-55) that were available for
    obligation through fiscal year 2016 are to remain available through
    fiscal year 2031 for the liquidation of valid obligations incurred in
    fiscal years 2013 through 2016.
        Sec. 241.  Amounts made available for the Office of Housing under
    the heading ``Program Offices'' in this and prior Acts shall also be
    available, without additional competition, for cooperative agreements
    with participating administrative entities that have been selected
    under section 513(b) of the Multifamily Assisted Housing Reform and
    Affordability Act of 1997 (42 U.S.C. 1437f note) (MAHRAA) to provide
    direct support, including carrying out due diligence and underwriting
    functions for owners and for technical assistance activities, on
    conditions established by the Secretary for small properties and owners
    converting assistance under the first component or the second component
    under the heading ``Rental Assistance Demonstration'' in the Department
    of Housing and Urban Development Appropriations Act, 2012 (title II of
    division C of Public Law 112-55).
        Sec. 242.  The Secretary shall conduct all rulemaking in accordance
    with the policies of part 10 of title 24 of the Code of Federal
    Regulations and Executive Order 12866, as amended, including providing
    for public participation and not less than 60 days for the submission
    of written comments.
        Sec. 243.  For fiscal year 2026, the costs of any rent incentives
    as authorized pursuant to waivers or alternative requirements of the
    jobs-plus initiative as described under the heading ``Self-Sufficiency
    Programs'' shall not be charged against the competitive grant amounts
    made available under such heading:  Provided, That the amount of any
    forgone increases in tenant rent payments due to the implementation of
    such rent incentives shall be factored into the public housing agency's
    general operating fund eligibility pursuant to the formula under the
    heading ``Public Housing Fund'':  Provided further, That the amount of
    any foregone increases in tenant rent payments due to the
    implementation of such rent incentives implemented on behalf of
    residents of a project with assistance converted from public housing to
    project-based rental assistance under section 8 of the United States
    Housing Act of 1937 (42 U.S.C. 1437f) or assistance under section
    8(o)(13) of such Act under the heading ``Rental Assistance
    Demonstration'' in the Department of Housing and Urban Development
    Appropriations Act, 2012 (title II of division C of Public Law 112-55),
    as amended (42 U.S.C. 1437f note) shall be factored into (1) housing
    assistance payments made pursuant to project-based subsidy contracts
    provided under the heading ``Project-Based Rental Assistance''; and (2)
    housing assistance payments made by public housing agencies pursuant to
    project-based assistance contracts under section 8(o)(13) of such Act,
    with these costs being renewed under the heading ``Tenant-Based Rental
    Assistance''.
        Sec. 244.  In allocating and awarding available amounts provided
    under the heading ``Homeless Assistance Grants'' in the Department of
    Housing and Urban Development Appropriations Act, 2025 (Public Law 119-
    04) and under section 231 of Public Law 116-94 for the continuum of
    care program, the Secretary shall, prior to awarding any amounts
    through a notice of funding opportunity and notwithstanding any
    inconsistent provisions in such Acts or in subtitle C of title IV of
    the McKinney-Vento Homeless Assistance Act, non-competitively renew for
    one 12-month period all projects (including youth homelessness
    demonstration projects and shelter plus care projects) expiring during
    the first quarter of calendar year 2026 (including any projects that
    expired from January 1, 2026 through the date of enactment of this
    Act):  Provided, That if awards have not been made under a fiscal year
    2025 notice of funding opportunity prior to April 1, 2026, the
    Secretary shall also non-competitively renew all such projects expiring
    during the second quarter of calendar year 2026:  Provided further,
    That if awards have not been made under a fiscal year 2025 notice of
    funding opportunity prior to July 1, 2026, the Secretary shall also
    non-competitively renew all such projects expiring during the third and
    fourth quarters of calendar year 2026:  Provided further, That such
    renewals shall be in an amount equal to the prior award with upward
    adjustments to enable renewal projects to operate at substantially the
    same levels, including cost-of-living adjustments for supportive
    services from the prior grant and due to changes to the fair market
    rents in the geographic area:  Provided further, That amounts remaining
    after all such renewals are made shall be competitively awarded
    pursuant to a notice of funding opportunity:  Provided further, That
    such renewals shall not render recipients ineligible for awards under
    any fiscal year 2025 and fiscal year 2026 notices of funding
    opportunity.
        This title may be cited as the ``Department of Housing and Urban
    Development Appropriations Act, 2026''.

                                   TITLE III

                                RELATED AGENCIES

                                  Access Board

                             salaries and expenses

        For expenses necessary for the Access Board, as authorized by
    section 502 of the Rehabilitation Act of 1973 (29 U.S.C. 792),
    $9,955,000:  Provided, That, notwithstanding any other provision of
    law, there may be credited to this appropriation funds received for
    publications and training expenses.

                          Federal Maritime Commission

                             salaries and expenses

        For necessary expenses of the Federal Maritime Commission as
    authorized by section 46107 of title 46, United States Code, including
    services as authorized by section 3109 of title 5, United States Code;
    hire of passenger motor vehicles as authorized by section 1343(b) of
    title 31, United States Code; and uniforms or allowances therefor, as
    authorized by sections 5901 and 5902 of title 5, United States Code,
    $40,000,000, of which $2,000,000 shall remain available until September
    30, 2027:  Provided, That not to exceed $3,500 shall be for official
    reception and representation expenses.

                    National Railroad Passenger Corporation

                          Office of Inspector General

                             salaries and expenses

        For necessary expenses of the Office of Inspector General for the
    National Railroad Passenger Corporation to carry out the provisions of
    the Inspector General Act of 1978 (5 U.S.C. Chapter 4), $29,240,000:
    Provided, That the Inspector General shall have all necessary
    authority, in carrying out the duties specified in such Act, to
    investigate allegations of fraud, including false statements to the
    Government under section 1001 of title 18, United States Code, by any
    person or entity that is subject to regulation by the National Railroad
    Passenger Corporation:  Provided further, That the Inspector General
    may enter into contracts and other arrangements for audits, studies,
    analyses, and other services with public agencies and with private
    persons, subject to the applicable laws and regulations that govern the
    obtaining of such services within the National Railroad Passenger
    Corporation:  Provided further, That the Inspector General may select,
    appoint, and employ such officers and employees as may be necessary for
    carrying out the functions, powers, and duties of the Office of
    Inspector General, subject to the applicable laws and regulations that
    govern such selections, appointments, and employment within the
    National Railroad Passenger Corporation:  Provided further, That
    concurrent with the President's budget request for fiscal year 2027,
    the Inspector General shall submit to the House and Senate Committees
    on Appropriations a budget request for fiscal year 2027 in similar
    format and substance to budget requests submitted by executive agencies
    of the Federal Government.

                      National Transportation Safety Board

                             salaries and expenses

        For necessary expenses of the National Transportation Safety Board,
    including hire of passenger motor vehicles and aircraft; services as
    authorized by section 3109 of title 5, United States Code, but at rates
    for individuals not to exceed the per diem rate equivalent to the rate
    for a GS-15; uniforms, or allowances therefor, as authorized by
    sections 5901 and 5902 of title 5, United States Code, $145,000,000, of
    which not to exceed $1,000 may be used for official reception and
    representation expenses.

                     Neighborhood Reinvestment Corporation

              payment to the neighborhood reinvestment corporation

        For payment to the Neighborhood Reinvestment Corporation for use in
    neighborhood reinvestment activities, as authorized by the Neighborhood
    Reinvestment Corporation Act (42 U.S.C. 8101-8107), $158,000,000:
    Provided, That the Neighborhood Reinvestment Corporation shall notify
    network organizations of their full formula grant award by the latter
    of 60 days after enactment of this Act or March 1, 2026.

                          Surface Transportation Board

                             salaries and expenses

        For necessary expenses of the Surface Transportation Board,
    including services authorized by section 3109 of title 5, United States
    Code, $40,799,000:  Provided, That, notwithstanding any other provision
    of law, not to exceed $1,250,000 from fees established by the Surface
    Transportation Board shall be credited to this appropriation as
    offsetting collections and used for necessary and authorized expenses
    under this heading:  Provided further, That the amounts made available
    under this heading from the general fund shall be reduced on a dollar-
    for-dollar basis as such offsetting collections are received during
    fiscal year 2026, to result in a final appropriation from the general
    fund estimated at not more than $39,549,000.

               United States Interagency Council on Homelessness

                               operating expenses

        For necessary expenses, including payment of salaries, authorized
    travel, hire of passenger motor vehicles, the rental of conference
    rooms, and the employment of experts and consultants under section 3109
    of title 5, United States Code, of the United States Interagency
    Council on Homelessness (in this heading ``the Council'') in carrying
    out the functions pursuant to title II of the McKinney-Vento Homeless
    Assistance Act, as amended, $3,000,000:  Provided, That the Council
    shall be staffed in accordance with section 11313(a)(5) of title 42,
    United States Code, and regional coordinators shall have the proven
    expertise and demonstrated experience needed to carry out the duties
    specified in such section:  Provided further, That each meeting of the
    Council shall be open to the public, and the Council shall post a
    public notification of each Council meeting not less than 30 days in
    advance of each meeting on its website and include the agenda for each
    meeting in such posting.

                                    TITLE IV

                          GENERAL PROVISIONS--THIS ACT

        Sec. 401.  None of the funds in this Act shall be used for the
    planning or execution of any program to pay the expenses of, or
    otherwise compensate, non-Federal parties intervening in regulatory or
    adjudicatory proceedings funded in this Act.
        Sec. 402.  None of the funds appropriated in this Act shall remain
    available for obligation beyond the current fiscal year, nor may any be
    transferred to other appropriations, unless expressly so provided
    herein.
        Sec. 403.  The expenditure of any appropriation under this Act for
    any consulting service through a procurement contract pursuant to
    section 3109 of title 5, United States Code, shall be limited to those
    contracts where such expenditures are a matter of public record and
    available for public inspection, except where otherwise provided under
    existing law, or under existing Executive Order issued pursuant to
    existing law.
        Sec. 404. (a) None of the funds made available in this Act may be
    obligated or expended for any employee training that--
                (1) does not meet identified needs for knowledge, skills,
            and abilities bearing directly upon the performance of official
            duties;
                (2) contains elements likely to induce high levels of
            emotional response or psychological stress in some
            participants;
                (3) does not require prior employee notification of the
            content and methods to be used in the training and written end
            of course evaluation;
                (4) contains any methods or content associated with
            religious or quasi-religious belief systems or ``new age''
            belief systems as defined in Equal Employment Opportunity
            Commission Notice N-915.022, dated September 2, 1988; or
                (5) is offensive to, or designed to change, participants'
            personal values or lifestyle outside the workplace.
        (b) Nothing in this section shall prohibit, restrict, or otherwise
    preclude an agency from conducting training bearing directly upon the
    performance of official duties.
        Sec. 405. (a) Except as otherwise provided in this Act or the
    explanatory statement described in section 4 (in the matter preceding
    division A of this consolidated Act), none of the funds provided in
    this Act or provided by previous appropriations Acts to the agencies or
    entities funded in this Act that remain available for obligation or
    expenditure in fiscal year 2026, or provided from any accounts in the
    Treasury derived by the collection of fees and available to the
    agencies funded by this Act, shall be available for obligation or
    expenditure through a reprogramming of funds that--
                (1) creates a new program;
                (2) eliminates a program, project, or activity;
                (3) increases funds or personnel for any program, project,
            or activity for which funds have been denied or restricted by
            the Congress;
                (4) proposes to use funds directed for a specific activity
            by either the House or Senate Committees on Appropriations for
            a different purpose;
                (5) augments existing programs, projects, or activities in
            excess of $5,000,000 or 10 percent, whichever is less;
                (6) reduces existing programs, projects, or activities by
            $5,000,000 or 10 percent, whichever is less; or
                (7) creates, reorganizes, or restructures a branch,
            division, office, bureau, board, commission, agency,
            administration, or department different from the budget
            justifications submitted to the House and Senate Committees on
            Appropriations, the explanatory statement described in section
            4 (in the matter preceding division A of this consolidated
            Act), or the relevant operating plan properly submitted by each
            agency, whichever is more detailed.
        (b) Not later than 60 days after the date of enactment of this Act,
    each agency funded by this Act shall submit an operating plan to the
    House and Senate Committees on Appropriations to establish the baseline
    for application of reprogramming and transfer authorities for the
    current fiscal year:  Provided, That the operating plan shall include--
                (1) a table for each appropriation with a separate column
            to display the prior year enacted level, the President's budget
            request, adjustments made by Congress, adjustments due to
            enacted rescissions, if appropriate, and the fiscal year
            enacted level;
                (2) a delineation in the table for (A) each appropriation
            and its respective prior year enacted level by object class and
            program, project, and activity as detailed in this Act, the
            explanatory statement described in section 4 (in the matter
            preceding division A of this consolidated Act), or in the
            budget appendix for the respective appropriations, whichever is
            more detailed, (B) each item for which a dollar amount is
            specified and for all programs for which new budget
            (obligational) authority is provided, and (C) each
            discretionary grant and discretionary grant allocation;
                (3) an organizational chart that includes current and
            estimated staffing numbers, by office, at the customary level
            of detail unless otherwise directed by this Act or the
            explanatory statement described in section 4 (in the matter
            preceding division A of this consolidated Act); and
                (4) an identification of items of special congressional
            interest.
        (c) Each agency may reprogram amounts in excess of or contrary to
    the threshold limitations established in this section only after--
                (1) providing written notification to the House and Senate
            Committees on Appropriations no less than 30 days in advance of
            such reprogramming of funds; and
                (2) receiving prior written approval from the House and
            Senate Committees on Appropriations.
        Sec. 406.  Except as otherwise specifically provided by law, not to
    exceed 50 percent of unobligated balances remaining available at the
    end of fiscal year 2026 from appropriations made available for salaries
    and expenses for fiscal year 2026 in this Act, shall remain available
    through September 30, 2027, for each such account for the purposes
    authorized:  Provided, That a request shall be submitted to the House
    and Senate Committees on Appropriations for approval prior to the
    expenditure of such funds:  Provided further, That these requests shall
    be made in compliance with reprogramming guidelines under section 405
    of this Act.
        Sec. 407.  No funds in this Act may be used to support any Federal,
    State, or local projects that seek to use the power of eminent domain,
    unless eminent domain is employed only for a public use:  Provided,
    That for purposes of this section, public use shall not be construed to
    include economic development that primarily benefits private entities:
    Provided further, That any use of funds for mass transit, railroad,
    airport, seaport or highway projects, as well as utility projects which
    benefit or serve the general public (including energy-related,
    communication-related, water-related and wastewater-related
    infrastructure), other structures designated for use by the general
    public or which have other common-carrier or public-utility functions
    that serve the general public and are subject to regulation and
    oversight by the government, and projects for the removal of an
    immediate threat to public health and safety or brownfields as defined
    in the Small Business Liability Relief and Brownfields Revitalization
    Act (Public Law 107-118) shall be considered a public use for purposes
    of eminent domain.
        Sec. 408.  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 appropriations Act.
        Sec. 409.  No funds appropriated pursuant to this Act may be
    expended by an entity unless the entity agrees that in expending the
    assistance the entity will comply with sections 2 through 4 of the Act
    of March 3, 1933 (41 U.S.C. 8301-8305, popularly known as the ``Buy
    American Act'').
        Sec. 410.  No funds appropriated or otherwise made available under
    this Act shall be made available to any person or entity that has been
    convicted of violating the Buy American Act (41 U.S.C. 8301-8305).
        Sec. 411.  None of the funds made available in this Act may be used
    for first-class airline accommodations in contravention of sections
    301-10.122 and 301-10.123 of title 41, Code of Federal Regulations.
        Sec. 412.  None of the funds made available in this Act may be used
    to send or otherwise pay for the attendance of more than 50 employees
    of a single agency or department of the United States Government, who
    are stationed in the United States, at any single international
    conference unless the relevant Secretary reports to the House and
    Senate Committees on Appropriations at least 5 days in advance that
    such attendance is important to the national interest:  Provided, That
    for purposes of this section the term ``international conference''
    shall mean a conference occurring outside of the United States attended
    by representatives of the United States Government and of foreign
    governments, international organizations, or nongovernmental
    organizations.
        Sec. 413.  None of the funds appropriated or otherwise made
    available under this Act may be used by the Surface Transportation
    Board to charge or collect any filing fee for rate or practice
    complaints filed with the Board in an amount in excess of the amount
    authorized for district court civil suit filing fees under section 1914
    of title 28, United States Code.
        Sec. 414. (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. 415. (a) None of the funds made available in this Act may be
    used to deny an Inspector General funded under this Act timely access
    to any records, documents, or other materials available to the
    department or agency over which that Inspector General has
    responsibilities under the Inspector General Act of 1978 (5 U.S.C.
    App.), or to prevent or impede that Inspector General's access to such
    records, documents, or other materials, under any provision of law,
    except a provision of law that expressly refers to the Inspector
    General and expressly limits the Inspector General's right of access.
        (b) A department or agency covered by this section shall provide
    its Inspector General with access to all such records, documents, and
    other materials in a timely manner.
        (c) Each Inspector General shall ensure compliance with statutory
    limitations on disclosure relevant to the information provided by the
    establishment over which that Inspector General has responsibilities
    under the Inspector General Act of 1978 (5 U.S.C. App.).
        (d) Each Inspector General covered by this section shall report to
    the Committees on Appropriations of the House of Representatives and
    the Senate within 5 calendar days any failures to comply with this
    requirement.
        Sec. 416.  None of the funds appropriated or otherwise made
    available by this Act may be used to pay award or incentive fees for
    contractors whose performance has been judged to be below satisfactory,
    behind schedule, over budget, or has failed to meet the basic
    requirements of a contract, unless the Agency determines that any such
    deviations are due to unforeseeable events, government-driven scope
    changes, or are not significant within the overall scope of the project
    and/or program unless such awards or incentive fees are consistent with
    16.401(e)(2) of the Federal Acquisition Regulations.
        Sec. 417.  No part of any appropriation contained in this Act shall
    be available to pay the salary for any person filling a position, other
    than a temporary position, formerly held by an employee who has left to
    enter the Armed Forces of the United States and has satisfactorily
    completed his or her period of active military or naval service, and
    has within 90 days after his or her release from such service or from
    hospitalization continuing after discharge for a period of not more
    than 1 year, made application for restoration to his or her former
    position and has been certified by the Office of Personnel Management
    as still qualified to perform the duties of his or her former position
    and has not been restored thereto.
        Sec. 418. (a) None of the funds made available by this Act may be
    used to approve a new foreign air carrier permit under sections 41301
    through 41305 of title 49, United States Code, or exemption application
    under section 40109 of that title of an air carrier already holding an
    air operators certificate issued by a country that is party to the
    U.S.-E.U.-Iceland-Norway Air Transport Agreement where such approval
    would contravene United States law or Article 17 bis of the U.S.-E.U.-
    Iceland-Norway Air Transport Agreement.
        (b) Nothing in this section shall prohibit, restrict or otherwise
    preclude the Secretary of Transportation from granting a foreign air
    carrier permit or an exemption to such an air carrier where such
    authorization is consistent with the U.S.-E.U.-Iceland-Norway Air
    Transport Agreement and United States law.
        Sec. 419.  None of the funds made available by this Act may be used
    in contravention of existing Federal law regarding non-citizen
    eligibility and ineligibility for occupancy in federally assisted
    housing or for participation in and assistance under Federal housing
    programs, including section 214 of the Housing and Community
    Development Act of 1980 (42 U.S.C. 1436a) and title IV of the Personal
    Responsibility and Work Opportunity Reconciliation Act of 1996 (8
    U.S.C. 1601 et seq.).
        Sec. 420. (a) No part of any appropriation contained in this Act or
    title VIII of division J of Public Law 117-58 shall be used, other than
    for normal and recognized executive-legislative relationships, for
    publicity or propaganda purposes, and for the preparation,
    distribution, or use of any kit, pamphlet, booklet, publication, radio,
    television, or film presentation designed to support or defeat
    legislation pending before the Congress, except in presentation to the
    Congress itself.
        (b) No part of any appropriation contained in this Act or in title
    VIII of division J of Public Law 117-58 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 or appropriations proposed or pending before
    the Congress, other than for normal and recognized executive-
    legislative relationships.
        (c) Amounts repurposed pursuant to subsections (a) and (b) shall
    continue to be treated as amounts specified in section 103(b) of
    division A of Public Law 118-5.
        Sec. 421. (a) In the table of projects in the explanatory statement
    referenced in section 417 of the Transportation, Housing and Urban
    Development, and Related Agencies Appropriations Act, 2022 (division L
    of Public Law 117-103)--
                (1) the item relating to ``Kansas Rail Safety Improvement
            Project'' is deemed to be amended by striking recipient
            ``Pittsburg Port Authority (KS)'' and inserting ``Kansas
            Department of Transportation'';
                (2) the item relating to ``The Barkers Creek Industrial
            Park Power Expansion'' is deemed to be amended by striking
            ``The Barkers Creek Industrial Park Power Expansion'' and
            inserting ``Barkers Creek Industrial Park Access Bridge, Phase
            II'';
                (3) the item relating to ``Acquisition of new commercial
            space'' is deemed to be amended by striking project
            ``Acquisition of new commercial space'' and inserting
            ``Renovation of commercial space'';
                (4) the item relating to ``Electric school bus and
            associated electric vehicle (EV) charging infrastructure'' is
            deemed to be amended by striking recipient ``Falls Church City
            Public Schools'' and inserting ``City of Falls Church'';
                (5) the item relating to ``North Commons Regional Vision''
            is deemed to be amended by striking recipient ``Minneapolis
            Park and Recreation Board'' and inserting ``City of
            Minneapolis'';
                (6) the item relating to ``Orangewood Parkette'' is deemed
            to be amended by striking project ``Orangewood Parkette'' and
            inserting ``Orangewood Complete Streets'';
                (7) the item relating to ``Replacing Five Elevators in a
            Public Housing Development'' is deemed to be amended by
            striking project ``Replacing Five Elevators in a Public Housing
            Development'' and inserting ``Replacing Elevators in a Public
            Housing Development'';
                (8) the item relating to ``Long Branch Stream Valley Park
            Pedestrian Bridge Replacements and ADA Improvements'' is deemed
            to be amended by striking recipient ``Montgomery County
            Government'' and inserting ``Maryland National Capital Park and
            Planning Commission'';
                (9) the item relating to ``Washington Gorge Action
            Programs--Goldendale Childcare and Early Learning Center'' is
            deemed to be amended by striking ``Goldendale'';
                (10) the item relating to ``Habitat for Humanity's Veterans
            Blitz Build'' is deemed to be amended by striking recipient
            ``Habitat for Humanity San Bernardino Area, Inc.'' and
            inserting ``Neighborhood Partnership Housing Services, Inc.
            (NPHS)'';
                (11) the item relating to ``Allen University Restoration of
            Historic Waverly-Good Samaritan Hospital'' is deemed to be
            amended by striking ``Allen University Restoration of Historic
            Waverly-Good Samaritan Hospital'' and inserting ``Facility
            Upgrades'';
                (12) the item relating to ``The MEWS at Spencer Road,
            Affordable Housing and Mixed Use Development'' is deemed to be
            amended by striking ``The MEWS at Spencer Road,''; and
                (13) The item relating to ``ARISE housing for young adults
            transitioning out of foster care'' is deemed to be amended by
            striking ``ARISE housing for young adults transitioning out of
            foster care'' and inserting ``Construction of Housing in the
            City of Greenville.''
        (b) In the table of projects entitled ``Community Project Funding/
    Congressionally Directed Spending'' in the explanatory statement for
    division L of the Consolidated Appropriations Act, 2023 (Public Law
    117-328) described in section 4 in the matter preceding division A of
    such Act--
                (1) the item relating to ``Lower Shore Clinic Co-Occurring
            Disorder Treatment Facility Housing'' is deemed to be amended
            by:
                        (A) striking ``Lower Shore Clinic Co-Occurring
                    Disorder Treatment Facility Housing'' and inserting
                    ``HealthPort Co-Occurring Disorder Treatment
                    Facility''; and
                        (B) striking recipient ``Lower Shore Clinic Inc.''
                    and inserting ``HealthPort, Inc.'';
                (2) the item relating to ``Metra Zero Emission Locomotive
            Commuter Rail Pilot'' is deemed to be amended by striking
            ``Locomotive'';
                (3) the item relating to ``Acquisition of Property for the
            Revitalization of Cliftondale Square Business District'' is
            deemed to be amended by striking ``Acquisition of Property for
            the'';
                (4) the item relating to ``Supportive Living, Community Day
            Services, and Housing Site Project for Adults with Intellectual
            and Developmental Disabilities'' is deemed to be amended by
            striking project ``Supportive Living, Community Day Services,
            and Housing Site Project for Adults with Intellectual and
            Developmental Disabilities'' and inserting ``Community Day
            Services and Housing Expansion for Adults with Intellectual and
            Developmental Disabilities'';
                (5) the item relating to ``Public Library Addition'' is
            deemed to be amended by striking project ``Public Library
            Addition'' and inserting ``Public Library Renovations'';
                (6) the item relating to ``Renovation of Snelling Motel to
            Affordable Housing for Veterans'' is deemed to be amended by
            striking project ``Renovation of Snelling Motel to Affordable
            Housing for Veterans'' and inserting ``Acquisition for
            Affordable Housing for Veterans'';
                (7) the item relating to ``El Centro de la Raza-Pattison's
            West Community Campus Property Acquisition'' is deemed to be
            amended by striking project ``El Centro de la Raza-Pattison's
            West Community Campus Property Acquisition'' and inserting
            ``Pattison's West Community Campus'';
                (8) the item relating to ``Riverbrook Regional YMCA'' is
            deemed to be amended by striking recipient ``Riverbrook
            Regional Young Men's Christian Association, Inc.'' and
            inserting ``City of Norwalk'';
                (9) the item relating to ``The SE1 Rehab'' is deemed to be
            amended by striking recipient ``The Skid Row Housing Trust''
            and inserting ``PATH Ventures'' and striking project ``The SE1
            Rehab'' and inserting ``Skid Row Permanent Supportive Housing
            Rehabilitation'';
                (10) the item relating to ``Community Aging & Retirement
            Services, Inc.'' is deemed to be amended by striking recipient
            ``Community Aging & Retirement Services, Inc.'' and inserting
            ``Pasco County,'' and striking project ``CARES One Stop Senior
            Center Acquisition and Construction'' and inserting ``Senior
            Center Acquisition and Construction'';
                (11) the item relating to ``Western Flyer Coast Guard Pier
            Repair and Classroom Design'' is deemed to be amended by
            striking project ``Western Flyer Coast Guard Pier Repair and
            Classroom Design'' and inserting ``Western Flyer Pier and
            Classroom Repair'';
                (12) the item relating to ``NYCHA ADA Accessibility and
            Security Lighting Project'' is deemed to be amended by striking
            project ``NYCHA ADA Accessibility and Security Lighting
            Project'' and inserting ``Installation of Exterior Lighting at
            Borinquen Plaza II'';
                (13) the item relating to ``Ausonia Apartments
            Modernization'' is deemed to be amended by striking recipient
            ``Ausonia Apartments'' and inserting ``Boston Housing
            Authority'';
                (14) the item relating to ``Helping Up Mission Permanent
            Housing on East Baltimore Street'' is deemed to be amended by
            striking ``Helping Up Mission Permanent Housing on East
            Baltimore Street'' and inserting ``Greenspace Development in
            Baltimore'';
                (15) the item relating to ``The Choir School of Delaware's
            New Building at 8th and West Street in Wilmington's Historic
            Quaker Hill District'' is deemed to be amended by striking ``at
            8th and West Street in Wilmington's Historic Quaker Hill
            District'' and inserting ``in Wilmington'';
                (16) the item relating to ``WTA 2011 Fixed Route Diesel to
            Electric Replacement Project, Bellingham'' is deemed to be
            amended by striking ``WTA 2011 Fixed Route Diesel to Electric
            Replacement Project, Bellingham'' and inserting ``Acquisition
            of Hybrid-Electric Buses''; and
                (17) the item relating to ``Media and Arts Collaborative
            Building Renovation'' is deemed to be amended by striking
            ``Renovation''.
        (c) In the table of projects entitled ``Community Project Funding/
    Congressionally Directed Spending'' in the explanatory statement for
    division F of the Consolidated Appropriations Act, 2024 (Public Law
    118-42) described in section 4 in the matter preceding division A of
    such Act--
                (1) the item relating to ``Hardwoods Permanent Supportive
            Housing'' is deemed to be amended by striking ``Hardwoods'';
                (2) the item relating to ``Cle Elum--First Street Downtown
            Revitalization'' is deemed to be amended by striking ``First
            Street'';
                (3) the item relating to ``Center for Community Programs in
            Livermore Falls and Jay'' is deemed to be amended by striking
            recipient ``United Way of the Tri-Valley Area'' and inserting
            ``Town of Jay'';
                (4) the item relating to ``Pawtucket Library, Sayles
            Building Re-Pointing'' is deemed to be amended by striking
            project ``Pawtucket Library, Sayles Building Re-Pointing'' and
            inserting ``Pawtucket Library, Sayles Building Renovation'';
                (5) the item relating to ``Germany Road Relocation
            Project'' is deemed to be amended by striking project ``Germany
            Road Relocation Project'' and inserting ``Sewer Improvements'';
                (6) the item relating to ``Community Center Expansion and
            Land Acquisition'' is deemed to be amended by striking
            ``Expansion and Land Acquisition'' and inserting ``Planning and
            Design'';
                (7) the item relating to ``Laconia, NH Hill Street
            Pedestrian Bridge Replacement'' is deemed to be amended by
            striking ``Hill Street'' and inserting ``Mill Street'';
                (8) the item relating to ``Sunnyside Community Reinvestment
            as Cultura & Traditions: Tucson, AZ'' is deemed to be amended
            by striking recipient ``Sunnyside Foundation'' and inserting
            ``Sunnyside Unified School District'';
                (9) the item relating to ``Craighead Technology Park and
            Public Safety Center'' is deemed to be amended by striking
            recipient ``City Water and Light of Jonesboro'' and inserting
            ``City of Jonesboro'';
                (10) the item relating to ``Capital Repairs of 4 Affordable
            Housing properties, City of Seattle, King County, WA'' is
            deemed to be amended by striking ``4'' and inserting ``3'';
                (11) the item relating to ``Middletown Plaza Elevator
            Replacement'' is deemed to be amended by striking ``Middletown
            Plaza Elevator Replacement'' and inserting ``Security Upgrades
            at NYCHA's Soundview Houses'';
                (12) the item relating to ``Morris Affordable Housing
            Infrastructure'' is deemed to be amended by striking recipient
            ``Morris Affordable Housing Infrastructure'' and inserting
            ``Morris Housing Authority'';
                (13) the item relating to ``Rehabilitation of Historic
            Alumni House as Skills-based Workforce Development Community
            Center'' is deemed to be amended by striking ``Historic Alumni
            House as'' and inserting ``a building for a'';
                (14) the item relating to ``Mt. Airy/Germantown Streetscape
            Improvement and Reconnection'' is deemed to be amended by
            striking recipient ``Mt. Airy Business Improvement District''
            and inserting ``City of Philadelphia'';
                (15) the item relating to ``YMCA of Greater Pittsburgh'' is
            deemed to be amended by striking ``YMCA of Greater Pittsburgh''
            and inserting ``Allegheny YMCA Renovation'';
                (16) the item relating to ``Corn Maiden Early Learning
            Center'' is deemed to be amended by striking recipient ``Corn
            Maiden Early Learning Center'' and inserting ``Indian Pueblo
            Cultural Center'';
                (17) the item relating to ``10th Street Realignment Project
            Overpass Project'' is deemed to be amended by striking
            recipient ``City of Richmond'' and inserting ``Fort Bend
            County''; and
                (18) the item relating to ``S. Roosevelt Road Share Use
            Path'' is deemed to be amended by striking ``S. Roosevelt
            Road''.
        (d) Each amendment made by subsection (a) shall be considered and
    treated as a continuation of an existing obligation of funds and not as
    a new obligation of funds.
        (e) Amounts made available under the heading ``Department of
    Transportation--Consolidated Rail Infrastructure and Safety
    Improvements'' for the item relating to ``Midway Crossing'' in the
    table of projects entitled ``Community Project Funding/Congressionally
    Directed Spending'' in the explanatory statement for division L of the
    Consolidated Appropriations Act, 2023 (Public Law 117-328) described in
    section 4 in the matter preceding division A of such Act shall be
    transferred to ``Department of Transportation--Transit Infrastructure
    Grants'' and shall be available under the heading to which transferred
    for its original purpose.
                (1) The item relating to ``Midway Crossing'' is deemed to
            be amended by striking account ``Consolidated Rail
            Infrastructure and Safety Improvements'' and inserting
            ``Transit Infrastructure Grants'' in the table of projects
            entitled ``Community Project Funding/Congressionally Directed
            Spending'' in the explanatory statement for division L of the
            Consolidated Appropriations Act, 2023 (Public Law 117-328)
            described in section 4 in the matter preceding division A of
            such Act.
        Sec. 422.  The Department of Transportation and the Department of
    Housing and Urban Development shall provide the House and Senate
    Committees on Appropriations:
                (1) quarterly reports on the status of all funds, including
            the start of year unobligated and uncommitted balances, and the
            total obligations and recaptures for the fiscal year, by
            program, project, and activity;
                (2) semiannual reports on staffing levels, hirings, and
            separations (including through the deferred resignation program
            and any other voluntary retirement programs), consistent with
            direction provided in this Act or the explanatory statement
            described in section 4 (in the matter preceding division A of
            this consolidated Act); and
                (3) additional, updated budget or financial technical
            assistance, upon request.
        Sec. 423.  Each Department and agency funded in this Act shall
    maintain on its publicly accessible website:
                (1) notices of funding opportunities (including any
            amendments) for all competitive grant programs issued in the
            most recent 10 years;
                (2) grant awards for the most recent 10 years; and
                (3) programmatic notices, guidance, and grant agreement
            templates for any grant program with disbursement activity
            within the previous 5 fiscal years.
        Sec. 424.  No later than 30 days after the date of enactment of
    this Act, and annually thereafter, the Departments and agencies funded
    under this Act shall submit a report to the House and Senate Committees
    on Appropriations on current staffing levels for all political and
    Presidential appointees in such Departments and agencies and
    categorized by which office within such Departments and agencies such
    employee is funded from, the office in which such employee carries out
    their daily work, such employee's title, and such employee's pay grade
    or the equivalent level based on the GS-scale.
        Sec. 425.  The assistance made available under paragraph (5)(B)
    under the heading ``Public and Indian Housing--Tenant-Based Rental
    Assistance'' in title II of this Act shall be known and designated as
    ``The Melania Trump Foster Youth to Independence Initiative''.
        Sec. 426. (a) In the table titled ``Community Project Funding/
    Congressionally Directed Spending'' in the explanatory statement for
    division A of the Commerce, Justice, Science; Energy and Water
    Development; and Interior and Environment Appropriations Act, 2026
    described in section 4 in the matter preceding division A of such Act--
                (1) the contents in the ``Senate'' sub column of the
            ``Requestor(s)'' column are deemed to be amended by inserting
            ``Kaine, Warner'' for the project identified as the ``Center of
            Excellence in Environmental Forecasting'' for the recipient
            ``Virginia Institute of Marine Science'';
                (2) the contents in the ``Recipient'' column are deemed to
            be amended by--
                        (A) inserting ``Research Foundation of the'' before
                    ``City University of New York on behalf of Medgar Evers
                    College'' for the project identified as ``Advancing
                    Scientific Research Capabilities'';
                        (B) inserting ``Research Foundation of the'' before
                    ``State University of New York on behalf of the
                    University at Buffalo'' for the project identified as
                    ``Center of Excellence for Cross-Border Supply
                    Chains'';
                        (C) striking ``Game Department/Great Bay National
                    Estuarine Research'' and inserting ``New Hampshire Fish
                    and Game Department/Great Bay National Estuarine
                    Research Reserve'' for the project identified as
                    ``Great Bay National Estuarine Research Reserve:
                    Research Facility'';
                        (D) striking ``of Albany'' and inserting ``at
                    Albany'' for the project identified as ``UAlbany CNSE
                    200mm Wafer Cleanroom Equipment Upgrade''; and
                        (E) striking ``Penn'' and inserting ``Pennington''
                    for the project identified as ``Jail Tech Upgrades'';
                    and
                (3) the contents in the ``Project'' column are deemed to be
            amended by inserting--
                        (A) ``Chip Design Hub: Advanced Chip Design,
                    Testing and'' before ``Fabrication Laboratory Equipment
                    for Preparing the Semiconductor Workforce'' for
                    recipient ``Florida Atlantic University'';
                        (B) ``University of Texas at Dallas Comparative
                    Effectiveness of'' before ``North Texas Workforce
                    Development Programs for Semiconductors'' for recipient
                    ``The University of Texas at Dallas'';
                        (C) ``D'Youville University School of Pharmacy
                    Sterile'' before ``Compounding and Non-Sterile
                    Hazardous Compounding Lab'' for recipient ``D'Youville
                    University'';
                        (D) ``Building the Workforce of the Future
                    Generation By'' before ``Empowering Underserved
                    Students with Technology-based STEM Education'' for
                    recipient ``Research Foundation of CUNY'';
                        (E) ``Additive Construction and Manufacturing
                    Equipment for'' before ``Affordable and Resilient
                    Housing Research and Workforce Development'' for
                    recipient ``Rowan University''; and
                        (F) ``Interdisciplinary Engineering & Computing
                    initiative to'' before ``Advance Semiconductor Industry
                    and National Security Project'' for recipient ``Florida
                    International University''.
        (b) The table titled ``Department of Commerce Allocation of
    National Institute of Standards and Technology Funds: CHIPS Act Fiscal
    Year 2026'' in the explanatory statement for division A of the
    Commerce, Justice, Science; Energy and Water Development; and Interior
    and Environment Appropriations Act, 2026 described in section 4 in the
    matter preceding division A of such Act is deemed to be amended by
    striking ``(1,000,000)'' and inserting ``(100,000)'' for the
    ``Administrative Expenses'' project and activity.
        (c) In the table titled ``Interior and Environment Incorporation of
    Community Project Funding/Congressionally Directed Spending Items'' in
    the explanatory statement for division C of the Commerce, Justice,
    Science; Energy and Water Development; and Interior and Environment
    Appropriations Act, 2026 described in section 4 in the matter preceding
    division A of such Act, the contents in the ``Project Recipient and
    Name'' column for the ``STAG--Other (CDS)'' account are deemed to be
    amended by striking ``COR Healthy Communities for Waste Improvement
    System'' and inserting ``Oregon Metro for Waste Improvement System''.
        (d) The Department of the Interior, Environment, and Related
    Agencies Appropriations Act, 2026, is amended--
                (1) in the matter preceding the first proviso under the
            heading ``National Park Service--Operation of the National Park
            System'' by striking ``$2,877,195,000'' and inserting
            ``$2,901,195,000'', striking ``$148,285,000'' and inserting
            ``$157,165,000'', and striking ``$157,950,000'' and inserting
            ``$173,070,000''; and
                (2) in the matter preceding the first proviso under the
            heading ``National Park Service--Historic Preservation Fund'',
            by striking ``$205,059,000'' and inserting ``$181,059,000''.
        This division may be cited as the ``Transportation, Housing and
    Urban Development, and Related Agencies Appropriations Act, 2026''.

          DIVISION E--AUTHORIZING EXTENDERS AND TECHNICAL CORRECTIONS

    SEC. 5001. UNITED STATES GRAIN STANDARDS ACT EXTENSION.

        Sections 7(j)(5), 7A(l)(4), and 21(e) of the United States Grain
    Standards Act (7 U.S.C. 79(j)(5), 79a(l)(4), 87j(e)) shall be applied
    by substituting ``September 30, 2026'' for ``September 30, 2025'' each
    place it appears.

    SEC. 5002. COMMODITY FUTURES TRADING COMMISSION WHISTLEBLOWER PROGRAM.

        Section 1(b) of Public Law 117-25 (135 Stat. 297; 136 Stat. 2133;
    136 Stat. 5984; 139 Stat. 46) is amended in each of paragraphs (3) and
    (4) by striking ``September 30, 2025'' and inserting ``September 30,
    2026''.

    SEC. 5003. FOREST SERVICE PARTICIPATION IN ACES PROGRAM.

        Section 8302(b) of the Agricultural Act of 2014 (16 U.S.C.
    3851a(b)) shall be applied by substituting ``October 1, 2026'' for
    ``October 1, 2023''.

    SEC. 5004. EXTENSION OF NATIONAL FLOOD INSURANCE PROGRAM.

        (a) Financing.--Section 1309(a) of the National Flood Insurance Act
    of 1968 (42 U.S.C. 4016(a)) is amended, in the first sentence, by
    striking ``September 30, 2023'' and inserting ``September 30, 2026''.
        (b) Program Expiration.--Section 1319 of the National Flood
    Insurance Act of 1968 (42 U.S.C. 4026) is amended by striking
    ``September 30, 2023'' and inserting ``September 30, 2026''.
        (c) Effective Date.--
                (1) In general.--Subject to paragraph (2), this section
            shall take effect immediately upon the date of enactment of
            this Act.
                (2) Alternate date.--If this Act is enacted after January
            30, 2026, this section shall take effect as if enacted on
            January 30, 2026.

    SEC. 5005. EXTENSION OF REIMBURSABLE SCREENING SERVICES PROGRAM.

        Section 225(e) of the Department of Homeland Security
    Appropriations Act, 2019 (division A of Public Law 116-6; 49 U.S.C.
    44901 note) is amended by striking ``2025'' and inserting ``2026''.

    SEC. 5006. MOTOR CARRIER SAFETY ADVISORY COMMITTEE.

        Section 4144(d) of the Motor Carrier Safety Reauthorization Act of
    2005 (49 U.S.C. 31100 note; Public Law 109-59) shall be applied by
    substituting ``September 30, 2026'' for ``September 30, 2025''.

    SEC. 5007. NATIONAL CYBERSECURITY PROTECTION SYSTEM AUTHORIZATION.

        Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015
    (6 U.S.C. 1525(a)) is amended by striking ``September 30, 2025'' and
    inserting ``September 30, 2026''.

    SEC. 5008. CYBERSECURITY INFORMATION SHARING ACT OF 2015.

        Section 111(a) of the Cybersecurity Information Sharing Act of 2015
    (6 U.S.C. 1510(a)) is amended by striking ``September 30, 2025'' and
    inserting ``September 30, 2026''.

    SEC. 5009. STATE AND LOCAL CYBERSECURITY GRANT PROGRAM.

        Section 2220A(s)(1) of the Homeland Security Act of 2002 (6 U.S.C.
    665g(s)(1)) is amended by striking ``September 30, 2025'' and inserting
    ``September 30, 2026''.

    SEC. 5010. EXTENSION OF THE TECHNOLOGY MODERNIZATION FUND AND BOARD.

        Section 1078(f)(1) of the National Defense Authorization Act for
    Fiscal Year 2018 (40 U.S.C. 11301 note) is amended by striking ``On and
    after the date that is 2 years after the date on which the Comptroller
    General of the United States issues the third report required under
    subsection (b)(7)(B)'' and inserting ``After September 30, 2026''.

    SEC. 5011. EXTENSION OF EXISTENCE OF PAROLE COMMISSION.

        Any expiration date established by section 235(b) of the Sentencing
    Reform Act of 1984 (18 U.S.C. 3551 note; Public Law 98-473), as such
    section relates to chapter 311 of title 18, United States Code, and the
    United States Parole Commission, shall not apply during the period
    beginning on October 1, 2025, and ending on January 30, 2031.

    SEC. 5012. ADDITIONAL SPECIAL ASSESSMENT.

        Section 3014(a) of title 18, United States Code, is amended by
    striking ``and ending on September 30, 2025''.

    SEC. 5013. RURAL HEALTHCARE WORKERS.

        Section 220(c) of the Immigration and Nationality Technical
    Corrections Act of 1994 (8 U.S.C. 1182 note) shall be applied by
    substituting ``September 30, 2026'' for ``September 30, 2015''.

    SEC. 5014. E-VERIFY.

        Section 401(b) of the Illegal Immigration Reform and Immigrant
    Responsibility Act of 1996 (8 U.S.C. 1324a note) shall be applied by
    substituting ``September 30, 2026'' for ``September 30, 2015''.

    SEC. 5015. NON-MINISTER RELIGIOUS WORKERS.

        Section 101(a)(27)(C)(ii) of the Immigration and Nationality Act (8
    U.S.C. 1101(a)(27)(C)(ii)) shall be applied by substituting ``September
    30, 2026'' for ``September 30, 2015'' each place such date appears.

    SEC. 5016. H-2B SUPPLEMENTAL VISA EXEMPTION.

        Notwithstanding the numerical limitation set forth in section
    214(g)(1)(B) of the Immigration and Nationality Act (8 U.S.C.
    1184(g)(1)(B)), the Secretary of Homeland Security, after consultation
    with the Secretary of Labor, and upon the determination that the needs
    of United States businesses cannot be satisfied during fiscal year 2026
    with United States workers who are willing, qualified, and able to
    perform temporary nonagricultural labor, may increase the total number
    of aliens who may receive a visa under section 101(a)(15)(H)(ii)(b) of
    such Act (8 U.S.C. 1101(a)(15)(H)(ii)(b)) in such fiscal year by not
    more than the highest number of H-2B nonimmigrants who participated in
    the H-2B returning worker program in any fiscal year in which returning
    workers were exempt from such numerical limitation.

    SEC. 5017. EMERGENCY AUTHORITY FOR SENTENCING COMMISSION.

        (a) In General.--The United States Sentencing Commission (in this
    section, referred to as the ``Commission'') shall promulgate the
    guidelines or amendments provided for under section 8605(e) of the
    SAFER SKIES Act (title LXXXVI of Public Law 119-60) as soon as possible
    after the date of enactment of such Act, and in any event not later
    than December 31, 2026, notwithstanding the deadline under section
    994(p) of title 28, United States Code.
        (b) Effective Date.--The amendments to the guidelines promulgated
    under subsection (a) shall take effect 180 days after the date of
    promulgation by the Commission, except to the extent that the effective
    date is revised or the amendment is otherwise modified or disapproved
    by an Act of Congress, and shall supersede any amendment to the
    contrary contained in the amendments to the sentencing guidelines
    submitted to Congress by the Commission on or about May 1, 2026.
        (c) Rule of Construction.--The requirements of this section shall
    supersede the timeline set forth in section 8605(e)(1) of the SAFER
    SKIES Act (title LXXXVI of Public Law 119-60).

    SEC. 5018. BANKRUPTCY FEES.

        (a) In General.--Section 126 of the Continuing Appropriations Act,
    2026 (division A of the Continuing Appropriations, Agriculture,
    Legislative Branch, Military Construction and Veterans Affairs, and
    Extensions Act, 2026 (Public Law 119-37; 139 Stat. 502)) is amended to
    read as follows:
        ``Sec. 126.  Notwithstanding section 106, during the period ending
    on the last day of the first calendar quarter of 2026, section
    1930(a)(6)(B)(i) of title 28, United States Code, shall be applied as
    if `during the 5-year period' were struck.''.
        (b) Application of Amendments Made by the Bankruptcy Administration
    Improvement Act of 2025.--
                (1) In general.--Section 6(b)(2)(A) of the Bankruptcy
            Administration Improvement Act of 2025 is amended by striking
            ``on the'' and inserting ``on or after the''.
                (2) Effective date.--The amendment made by paragraph (1)
            shall take effect as though enacted immediately after the
            enactment of the Bankruptcy Administration Improvement Act of
            2025.

    SEC. 5019. EXTENSION OF AFRICAN GROWTH AND OPPORTUNITY ACT.

        (a) Extension of Preferential Treatment for Certain Countries in
    Africa Under African Growth and Opportunity Act; Retroactive
    Application.--
                (1) Extension.--
                        (A) Trade act of 1974.--Section 506B of the Trade
                    Act of 1974 (19 U.S.C. 2466b) is amended by striking
                    ``September 30, 2025'' and inserting ``December 31,
                    2026''.
                        (B) African growth and opportunity act.--
                                (i) In general.--Section 112(g) of the
                            African Growth and Opportunity Act (19 U.S.C.
                            3721(g)) is amended by striking ``September 30,
                            2025'' and inserting ``December 31, 2026''.
                                (ii) Regional apparel article program.--
                            Section 112(b)(3)(A) of the African Growth and
                            Opportunity Act (19 U.S.C. 3721(b)(3)(A)) is
                            amended--
                                        (I) in clause (i), by striking ``21
                                    succeeding'' and inserting ``23
                                    succeeding''; and
                                        (II) in clause (ii)(II), by
                                    striking ``September 30, 2025'' and
                                    inserting ``December 31, 2026''.
                                (iii) Third-country fabric program.--
                            Section 112(c)(1) of the African Growth and
                            Opportunity Act (19 U.S.C. 3721(c)(1)) is
                            amended--
                                        (I) in the paragraph heading, by
                                    striking ``September 30, 2025'' and
                                    inserting ``December 31, 2026'';
                                        (II) in subparagraph (A), by
                                    striking ``September 30, 2025'' and
                                    inserting ``December 31, 2026''; and
                                        (III) in subparagraph (B)(ii), by
                                    striking ``September 30, 2025'' and
                                    inserting ``December 31, 2026''.
                (2) Retroactive application.--
                        (A) In general.--Notwithstanding section 514 of the
                    Tariff Act of 1930 (19 U.S.C. 1514), section 112 of the
                    African Growth and Opportunity Act (19 U.S.C. 3721), or
                    any other provision of law, and subject to subparagraph
                    (B), any entry of a covered article to which duty-free
                    treatment or other preferential treatment under section
                    506A of the Trade Act of 1974 (19 U.S.C. 2466a) would
                    have applied if the entry had been made on September
                    30, 2025, that was made--
                                (i) after September 30, 2025, and
                                (ii) before the date of the enactment of
                            this Act,
                    shall be liquidated or reliquidated as though such
                    entry occurred on the date of the enactment of this
                    Act.
                        (B) Requests.--A liquidation or reliquidation may
                    be made under subparagraph (A) with respect to an entry
                    only if a request therefor is filed with the
                    Commissioner of U.S. Customs and Border Protection not
                    later than 180 days after the date of the enactment of
                    this Act that contains sufficient information to enable
                    such Commissioner--
                                (i) to locate the entry; or
                                (ii) to reconstruct the entry if it cannot
                            be located.
                        (C) Payment of amounts owed.--Any amounts owed by
                    the United States pursuant to the liquidation or
                    reliquidation of an entry of a covered article under
                    subparagraph (A) shall be paid, without interest of any
                    kind, not later than 90 days after the date of the
                    liquidation or reliquidation (as the case may be).
                        (D) Definitions.--In this paragraph:
                                (i) Covered article.--The term ``covered
                            article'' means an article from a country that
                            is designated by the President as a beneficiary
                            sub-Saharan African country under section 104
                            of the African Growth and Opportunity Act (19
                            U.S.C. 3703) as of the day before the date of
                            the enactment of this Act.
                                (ii) Entry.--The term ``entry'' includes a
                            withdrawal from warehouse for consumption.
        (b) Extension of Customs User Fees.--
                (1) In general.--Section 13031(j)(3) of the Consolidated
            Omnibus Budget Reconciliation Act of 1985 (19 U.S.C. 58c(j)(3))
            is amended--
                        (A) in subparagraph (A), by striking ``September
                    30, 2031'' and inserting ``December 31, 2031''; and
                        (B) in subparagraph (B)(i), by striking ``September
                    30, 2031'' and inserting ``December 31, 2031''.
                (2) Rate for merchandise processing fees.--Section 503 of
            the United States-Korea Free Trade Agreement Implementation Act
            (Public Law 112-41;19 U.S.C. 3805 note) is amended by striking
            ``September 30, 2031'' and inserting ``December 31, 2031''.

    SEC. 5020. EXTENSION OF HAITI ECONOMIC LIFT PROGRAM.

        (a) Extension of Special Rules for Haiti Under Caribbean Basin
    Economic Recovery Act.--Section 213A of the Caribbean Basin Economic
    Recovery Act (19 U.S.C. 2703a) is amended--
                (1) in subsection (b)--
                        (A) in paragraph (1)--
                                (i) by amending subparagraph (B)(v)(I) to
                            read as follows:
                                        ``(I) Applicable percentage.--The
                                    term `applicable percentage' means 60
                                    percent or more on and after December
                                    20, 2017.''; and
                                (ii) by amending subparagraph (C) to read
                            as follows:
                        ``(C) Quantitative limitations.--The preferential
                    treatment described in subparagraph (A) shall be
                    extended, during each period after the initial
                    applicable 1-year period, to not more than 1.25 percent
                    of the aggregate square meter equivalents of all
                    apparel articles imported into the United States in the
                    most recent 12-month period for which data are
                    available.''; and
                        (B) in paragraph (2), by striking ``in each of the
                    16 succeeding 1-year periods'' each place it appears
                    and inserting ``in any of the succeeding 1-year
                    periods''; and
                (2) by amending subsection (h) to read as follows:
        ``(h) Termination.--The duty-free treatment provided under this
    section shall remain in effect until December 31, 2026.''.
        (b) Restoration of Eligibility of Certain Articles for Preferential
    Treatment.--
                (1) In general.--The President shall proclaim such
            modifications to the Harmonized Tariff Schedule of the United
            States as may be necessary to restore the eligibility of
            articles described in paragraph (2) for preferential treatment
            under section 213A of the Caribbean Basin Economic Recovery Act
            (19 U.S.C. 2703a).
                (2) Articles described.--An article described in this
            paragraph is an article that--
                        (A) was eligible for preferential treatment under
                    section 213A of the Caribbean Basin Economic Recovery
                    Act (19 U.S.C. 2703a) on December 20, 2006; and
                        (B) became ineligible for such treatment after that
                    date and before the date of the enactment of this Act
                    as a result of revisions to the Harmonized Tariff
                    Schedule.
                (3) Effective date of proclamation.--A proclamation under
            paragraph (1) shall take effect not earlier than 2 business
            days after the President submits to the Committee on Finance of
            the Senate and the Committee on Ways and Means of the House of
            Representatives a report on the proclamation and the reasons
            for the modifications to the Harmonized Tariff Schedule under
            the proclamation.
        (c) Retroactive Application.--
                (1) In general.--Notwithstanding section 514 of the Tariff
            Act of 1930 (19 U.S.C. 1514) or any other provision of law, and
            subject to paragraph (2), any entry of a covered article to
            which duty-free treatment or other preferential treatment under
            the Caribbean Basin Economic Recovery Act (19 U.S.C. 2701 et
            seq.) would have applied if the entry had been made before
            September 30, 2025, that was made--
                        (A) on or after September 30, 2025, and
                        (B) before the date of the enactment of this Act,
            shall be liquidated or reliquidated as though such entry
            occurred on the date of the enactment of this Act.
                (2) Requests.--A liquidation or reliquidation may be made
            under paragraph (1) with respect to an entry only if a request
            therefor is filed with the Commissioner of U.S. Customs and
            Border Protection not later than 180 days after the date of the
            enactment of this Act that contains sufficient information to
            enable such Commissioner--
                        (A) to locate the entry; or
                        (B) to reconstruct the entry if it cannot be
                    located.
                (3) Payment of amounts owed.--Any amounts owed by the
            United States pursuant to the liquidation or reliquidation of
            an entry of a covered article under paragraph (1) shall be
            paid, without interest of any kind, not later than 90 days
            after the date of the liquidation or reliquidation (as the case
            may be).
                (4) Definitions.--In this subsection:
                        (A) Covered article.--The term ``covered article''
                    means an article from Haiti.
                        (B) Entry.--The term ``entry'' includes a
                    withdrawal from warehouse for consumption.

    SEC. 5021. BUDGETARY EFFECTS.

        (a) Statutory PAYGO Scorecards.--The budgetary effects of this
    division and each succeeding division shall not be entered on either
    PAYGO scorecard maintained pursuant to section 4(d) of the Statutory
    Pay-As-You-Go Act of 2010.
        (b) Senate PAYGO Scorecards.--The budgetary effects of this
    division and each succeeding division shall not be entered on any PAYGO
    scorecard maintained for purposes of section 4106 of H. Con. Res. 71
    (115th Congress).
        (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of
    the Budget Scorekeeping Guidelines set forth in the joint explanatory
    statement of the committee of conference accompanying Conference Report
    105-217 and section 250(c)(8) of the Balanced Budget and Emergency
    Deficit Control Act of 1985, the budgetary effects of this division and
    each succeeding division shall not be estimated--
                (1) for purposes of section 251 of such Act;
                (2) for purposes of an allocation to the Committee on
            Appropriations pursuant to section 302(a) of the Congressional
            Budget Act of 1974; and
                (3) for purposes of paragraph (4)(C) of section 3 of the
            Statutory Pay-As-You-Go Act of 2010 as being included in an
            appropriation Act.

                       DIVISION F--HEALTH CARE EXTENDERS

    SEC. 6001. TABLE OF CONTENTS.

        The table of contents of this division is as follows:

                       DIVISION F--HEALTH CARE EXTENDERS

    Sec. 6001. Table of contents.
                               TITLE I--MEDICAID

    Sec. 6101. Streamlined enrollment process for eligible out-of-State
                                providers under Medicaid and CHIP.
    Sec. 6102. Removing certain age restrictions on Medicaid eligibility
                                for working adults with disabilities.
    Sec. 6103. Medicaid State plan requirement for determining residency
                                and coverage for military families.
    Sec. 6104. State studies and HHS report on costs of providing
                                maternity, labor, and delivery services.
    Sec. 6105. Modifying certain disproportionate share hospital
                                allotments.
    Sec. 6106. Modifying certain limitations on disproportionate share
                                hospital payment adjustments under the
                                Medicaid program.
                               TITLE II--MEDICARE

    Sec. 6201. Extension of increased inpatient hospital payment adjustment
                                for certain low-volume hospitals.
    Sec. 6202. Extension of the Medicare-dependent hospital (MDH) program.
    Sec. 6203. Extension of add-on payments for ambulance services.
    Sec. 6204. Extending incentive payments for participation in eligible
                                alternative payment models.
    Sec. 6205. Extension of funding for quality measure endorsement, input,
                                and selection.
    Sec. 6206. Extension of funding outreach and assistance for low-income
                                programs.
    Sec. 6207. Extension of funding for Medicare hospice surveys.
    Sec. 6208. Extension of the work geographic index floor.
    Sec. 6209. Extension of certain telehealth flexibilities.
    Sec. 6210. Extending acute hospital care at home waiver flexibilities.
    Sec. 6211. In-home cardiopulmonary rehabilitation flexibility.
    Sec. 6212. Enhancing certain program integrity requirements for DME
                                under Medicare.
    Sec. 6213. Guidance on furnishing services via telehealth to
                                individuals with limited English
                                proficiency.
    Sec. 6214. Inclusion of virtual diabetes prevention program suppliers
                                in MDPP Expanded Model.
    Sec. 6215. Medication-induced movement disorder outreach and education.
    Sec. 6216. Report on wearable medical devices.
    Sec. 6217. Extension of temporary inclusion of authorized oral
                                antiviral drugs as covered part D drugs.
    Sec. 6218. Extension of adjustment to calculation of hospice cap amount
                                under Medicare.
    Sec. 6219. Adjustments to Medicare part D cost-sharing reductions for
                                low-income individuals.
    Sec. 6220. Requiring Enhanced and Accurate Lists of (REAL) Health
                                Providers Act.
    Sec. 6221. Medicare coverage of multi-cancer early detection screening
                                tests.
    Sec. 6222. Medicare coverage of external infusion pumps and non-self-
                                administrable home infusion drugs.
    Sec. 6223. Assuring pharmacy access and choice for medicare
                                beneficiaries.
    Sec. 6224. Modernizing and ensuring PBM accountability.
    Sec. 6225. Requiring a separate identification number and an
                                attestation for each off-campus outpatient
                                department of a provider.
    Sec. 6226. Revising phase-in of medicare clinical laboratory test
                                payment changes.
    Sec. 6227. Medicare sequestration.
    Sec. 6228. Medicare Improvement Fund.
                           TITLE III--HUMAN SERVICES

    Sec. 6301. Sexual risk avoidance education extension.
    Sec. 6302. Personal responsibility education extension.
    Sec. 6303. Extension of funding for family-to-family health information
                                centers.
    Sec. 6304. Extension of the Temporary Assistance for Needy Families
                                Program.
                  TITLE IV--PUBLIC HEALTH AND OTHER EXTENDERS

                             Subtitle A--Extensions

    Sec. 6401. Extension for community health centers, National Health
                                Service Corps, and teaching health centers
                                that operate GME programs.
    Sec. 6402. Extension of special diabetes programs.
    Sec. 6403. Extension of national health security programs.
    Sec. 6404. No Surprises Act implementation.
                 Subtitle B--World Trade Center Health Program

    Sec. 6411. 9/11 responder and survivor health funding corrections.
                        TITLE V--PUBLIC HEALTH PROGRAMS

    Sec. 6501. Preventing maternal deaths.
    Sec. 6502. Organ Procurement and Transplantation Network.
    Sec. 6503. Honor our living donors.
    Sec. 6504. Program for pediatric studies of drugs.
    Sec. 6505. Sickle cell disease prevention and treatment.
    Sec. 6506. Lifespan respite care.
    Sec. 6507. PREEMIE.
    Sec. 6508. Dr. Lorna Breen health care provider protection.
                     TITLE VI--FOOD AND DRUG ADMINISTRATION

               Subtitle A--Mikaela Naylon Give Kids a Chance Act

    Sec. 6601. Research into pediatric uses of drugs; additional
                                authorities of Food and Drug Administration
                                regarding molecularly targeted cancer
                                drugs.
    Sec. 6602. Ensuring completion of pediatric study requirements.
    Sec. 6603. FDA report on PREA enforcement.
    Sec. 6604. Extension of authority to issue priority review vouchers to
                                encourage treatments for rare pediatric
                                diseases.
    Sec. 6605. Limitations on exclusive approval or licensure of orphan
                                drugs.
       Subtitle B--United States-Abraham Accords Cooperation and Security

    Sec. 6611. Establishment of Abraham Accords Office within Food and Drug
                                Administration.
                  TITLE VII--LOWERING PRESCRIPTION DRUG COSTS

    Sec. 6701. Oversight of pharmacy benefit management services.
    Sec. 6702. Full rebate pass through to plan; exception for innocent
                                plan fiduciaries.
    Sec. 6703. Increasing transparency in generic drug applications.

                               TITLE I--MEDICAID

    SEC. 6101. STREAMLINED ENROLLMENT PROCESS FOR ELIGIBLE OUT-OF-STATE
                  PROVIDERS UNDER MEDICAID AND CHIP.

        (a) In General.--Section 1902(kk) of the Social Security Act (42
    U.S.C. 1396a(kk)) is amended by adding at the end the following new
    paragraph:
                ``(10) Streamlined enrollment process for eligible out-of-
            state providers.--
                        ``(A) In general.--The State--
                                ``(i) adopts and implements a process to
                            allow an eligible out-of-State provider to
                            enroll under the State plan (or a waiver of
                            such plan) to furnish items and services to, or
                            order, prescribe, refer, or certify eligibility
                            for items and services for, qualifying
                            individuals without the imposition of screening
                            or enrollment requirements by such State that
                            exceed the minimum necessary for such State to
                            provide payment to an eligible out-of-State
                            provider under such State plan (or a waiver of
                            such plan), such as the provider's name and
                            National Provider Identifier (and such other
                            information specified by the Secretary); and
                                ``(ii) provides that an eligible out-of-
                            State provider that enrolls as a participating
                            provider in the State plan (or a waiver of such
                            plan) through such process shall be so enrolled
                            for a 5-year period, unless the provider is
                            terminated or excluded from participation
                            during such period.
                        ``(B) Definitions.--In this paragraph:
                                ``(i) Eligible out-of-state provider.--The
                            term `eligible out-of-State provider' means,
                            with respect to a State, a provider--
                                        ``(I) that is located in any other
                                    State;
                                        ``(II) that--
                                                ``(aa) was determined by
                                            the Secretary to have a limited
                                            risk of fraud, waste, and abuse
                                            for purposes of determining the
                                            level of screening to be
                                            conducted under section
                                            1866(j)(2), has been so
                                            screened under such section
                                            1866(j)(2), and is enrolled in
                                            the Medicare program under
                                            title XVIII; or
                                                ``(bb) was determined by
                                            the State agency administering
                                            or supervising the
                                            administration of the State
                                            plan (or a waiver of such plan)
                                            of such other State to have a
                                            limited risk of fraud, waste,
                                            and abuse for purposes of
                                            determining the level of
                                            screening to be conducted under
                                            paragraph (1) of this
                                            subsection, has been so
                                            screened under such paragraph
                                            (1), and is enrolled under such
                                            State plan (or a waiver of such
                                            plan); and
                                        ``(III) that has not been--
                                                ``(aa) excluded from
                                            participation in any Federal
                                            health care program pursuant to
                                            section 1128 or 1128A;
                                                ``(bb) excluded from
                                            participation in the State plan
                                            (or a waiver of such plan)
                                            pursuant to part 1002 of title
                                            42, Code of Federal Regulations
                                            (or any successor regulation),
                                            or State law; or
                                                ``(cc) terminated from
                                            participating in a Federal
                                            health care program or the
                                            State plan (or a waiver of such
                                            plan) for a reason described in
                                            paragraph (8)(A).
                                ``(ii) Qualifying individual.--The term
                            `qualifying individual' means an individual
                            under 21 years of age who is enrolled under the
                            State plan (or waiver of such plan).
                                ``(iii) State.--The term `State' means 1 of
                            the 50 States or the District of Columbia.''.
        (b) Conforming Amendments.--
                (1) Section 1902(a)(77) of the Social Security Act (42
            U.S.C. 1396a(a)(77)) is amended by inserting ``enrollment,''
            after ``screening,''.
                (2) The subsection heading for section 1902(kk) of such Act
            (42 U.S.C. 1396a(kk)) is amended by inserting ``enrollment,''
            after ``screening,''.
                (3) Section 2107(e)(1)(G) of such Act (42 U.S.C.
            1397gg(e)(1)(G)) is amended by inserting ``enrollment,'' after
            ``screening,''.
        (c) Effective Date.--The amendments made by this section shall take
    effect on the date that is 3 years after the date of enactment of this
    Act.

    SEC. 6102. REMOVING CERTAIN AGE RESTRICTIONS ON MEDICAID ELIGIBILITY
                  FOR WORKING ADULTS WITH DISABILITIES.

        (a) Modification of Optional Buy-in Groups.--
                (1) In general.--Section 1902(a)(10)(A)(ii) of the Social
            Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)) is amended--
                        (A) in subclause (XV)--
                                (i) by striking ``, but less than 65,'';
                            and
                                (ii) by inserting ``, including at least
                            the group described in section 1905(a)(xviii)''
                            before the semicolon at the end; and
                        (B) in subclause (XVI), by inserting ``including at
                    least the group described in section 1905(a)(xii),''
                    after ``the State may establish,''.
                (2) Individuals described.--Section 1905(a) of the Social
            Security Act (42 U.S.C. 1396d(a)) is amended--
                        (A) in clause (xvi), by striking ``or'' at the end;
                        (B) in clause (xvii), by adding ``or'' after the
                    comma at the end; and
                        (C) by adding after clause (xvii) the following new
                    clause:
                                ``(xviii) individuals who, but for earnings
                            in excess of the limit established under
                            subsection (q)(2)(B), would be considered to be
                            receiving supplemental security income, and who
                            are at least 16 years of age,''.
                (3) Definition modification.--Section 1905(v)(1)(A) of the
            Social Security Act (42 U.S.C. 1396d(v)(1)(A)) is amended by
            striking ``, but less than 65,''.
        (b) Application to Certain States.--A State that, as of the date of
    enactment of this Act, provides for making medical assistance available
    to individuals described in subclause (XV) or (XVI) of section
    1902(a)(10)(A)(ii) of the Social Security Act (42 U.S.C.
    1396a(a)(10)(A)(ii)) shall not be regarded as failing to comply with
    the requirements of the amendments made by subsection (a) before
    January 1, 2028.

    SEC. 6103. MEDICAID STATE PLAN REQUIREMENT FOR DETERMINING RESIDENCY
                  AND COVERAGE FOR MILITARY FAMILIES.

        (a) In General.--Section 1902 of the Social Security Act (42 U.S.C.
    1396a) is amended--
                (1) in subsection (a)--
                        (A) in paragraph (88), by striking ``and'' at the
                    end;
                        (B) in paragraph (89), by striking the period at
                    the end and inserting ``; and''; and
                        (C) by inserting after paragraph (89), the
                    following new paragraph:
                ``(90) beginning January 1, 2030, provide, with respect to
            an active duty relocated individual (as defined in subsection
            (yy)(1))--
                        ``(A) that, for purposes of determining eligibility
                    for medical assistance under the State plan (or waiver
                    of such plan), such active duty relocated individual is
                    treated as a resident of the State unless such
                    individual voluntarily elects not to be so treated for
                    such purposes;
                        ``(B) that if, at the time of relocation (as
                    described in subsection (yy)(1)), such active duty
                    relocated individual is on a home and community-based
                    services waiting list (as defined in subsection
                    (yy)(2)), such individual remains on such list until--
                                ``(i) the State completes an assessment and
                            renders a decision with respect to the
                            eligibility of such individual to receive the
                            relevant home and community-based services at
                            the time a slot for such services becomes
                            available and, in the case such decision is a
                            denial of such eligibility, such individual has
                            exhausted the individual's opportunity for a
                            fair hearing; or
                                ``(ii) such individual elects to be removed
                            from such list; and
                        ``(C) payment for medical assistance furnished
                    under the State plan (or a waiver of the plan) on
                    behalf of such active duty relocated individual in the
                    military service relocation State (as referred to in
                    subsection (yy)(1)(B)(i)), to the extent that such
                    assistance is available in such military service
                    relocation State in accordance with such guidance as
                    the Secretary may issue to ensure access to such
                    assistance.''; and
                (2) by adding at the end the following new subsection:
        ``(yy) Active Duty Relocated Individual; Home and Community-based
    Services Waiting List.--For purposes of subsection (a)(90) and this
    subsection:
                ``(1) Active duty relocated individual.--The term `active
            duty relocated individual' means an individual--
                        ``(A) who--
                                ``(i) is enrolled under the State plan (or
                            waiver of such plan); or
                                ``(ii) with respect to an individual
                            described in subparagraph (C)(ii), would be so
                            enrolled pursuant to subsection
                            (a)(10)(A)(ii)(VI) if such individual began
                            receiving home and community-based services;
                        ``(B) who--
                                ``(i) is a member of the Armed Forces
                            engaged in active duty service and is relocated
                            to another State (in this subsection referred
                            to as the `military service relocation State')
                            by reason of such service;
                                ``(ii) would be described in clause (i)
                            except that the individual stopped being
                            engaged in active duty service (including by
                            reason of retirement from such service) and the
                            last day on which the individual was engaged in
                            active duty service occurred not more than 12
                            months ago; or
                                ``(iii) is a dependent (as defined by the
                            Secretary) of a member described in clause (i)
                            or (ii) who relocates to the military service
                            relocation State with such member; and
                        ``(C) who--
                                ``(i) was receiving home and community-
                            based services (as defined in section
                            9817(a)(2)(B) of the American Rescue Plan Act
                            of 2021) at the time of such relocation; or
                                ``(ii) if the State maintains a home and
                            community-based services waiting list, was on
                            such home and community-based services waiting
                            list at the time of such relocation.
                ``(2) Home and community-based services waiting list.--The
            term `home and community-based services waiting list' means, in
            the case of a State that has a limit on the number of
            individuals who may receive home and community-based services
            under section 1115(a) or section 1915(c), a list maintained by
            such State of individuals who are requesting to receive such
            services under 1 or more such sections but for whom the State
            has not yet completed an assessment and rendered a decision
            with respect to the eligibility of such individuals to receive
            the relevant home and community-based services at the time a
            slot for such services becomes available due to such limit.''.
        (b) Implementation Funding.--There are appropriated, out of any
    funds in the Treasury not otherwise obligated, $1,000,000 for each of
    fiscal years 2026 through 2030, to remain available until expended, to
    the Secretary of Health and Human Services for purposes of implementing
    the amendments made by subsection (a).

    SEC. 6104. STATE STUDIES AND HHS REPORT ON COSTS OF PROVIDING
                  MATERNITY, LABOR, AND DELIVERY SERVICES.

        (a) State Study.--
                (1) In general.--Not later than 30 months after the date of
            enactment of this Act, and every 5 years thereafter, each State
            (as such term is defined in section 1101(a)(1) of the Social
            Security Act (42 U.S.C. 1301(a)(1)) for purposes of titles XIX
            and XXI of such Act) shall conduct a study on the costs of
            providing maternity, labor, and delivery services in applicable
            hospitals (as defined in paragraph (3)) and submit the results
            of such study to the Secretary of Health and Human Services
            (referred to in this section as the ``Secretary'') in such form
            and manner as the Secretary requires.
                (2) Content of study.--A State study required under
            paragraph (1) shall include the following information (to the
            extent practicable and as further defined by the Secretary)
            with respect to maternity, labor, and delivery services
            furnished by applicable hospitals located in the State:
                        (A) An estimate of the cost of providing maternity,
                    labor, and delivery services at applicable hospitals,
                    based on the expenditures a representative sample of
                    such hospitals incurred for providing such services
                    during the 2 most recent years for which data is
                    available.
                        (B) An estimate of the cost of providing maternity,
                    labor, and delivery services at hospitals that would be
                    applicable hospitals (as defined in paragraph (3)) if
                    not for ceasing to provide labor and delivery services
                    within the past 5 years, based on the expenditures a
                    representative sample of such hospitals incurred for
                    providing such services during the 2 most recent years
                    for which data is available.
                        (C) To the extent data allow, an analysis of the
                    extent to which geographic location, community
                    demographics, and local economic factors (as defined by
                    the Secretary) affect the cost of providing maternity,
                    labor, and delivery services at applicable hospitals
                    described in subparagraphs (A) and (B), including the
                    cost of services that support the provision of
                    maternity, labor, and delivery services.
                        (D) The amounts applicable hospitals are paid for
                    maternity, labor, and delivery services, by geographic
                    location and hospital size, under--
                                (i) parts A and B of the Medicare program;
                                (ii) the State Medicaid program, including
                            payment amounts for such services under fee-
                            for-service payment arrangements and under
                            managed care (as applicable);
                                (iii) the State CHIP plan, including
                            payment amounts for such services under fee-
                            for-service payment arrangements and under
                            managed care (as applicable); and
                                (iv) private health insurance.
                        (E) A comparative payment rate analysis--
                                (i) comparing payment rates for maternity,
                            labor, and delivery services (inclusive of all
                            payments received by applicable hospitals for
                            furnishing maternity, labor, and delivery
                            services) under the State Medicaid fee-for-
                            service program to such payment rates for such
                            services under Medicare (including those
                            described in paragraphs (2) and (3) of section
                            447.203(b) of title 42, Code of Federal
                            Regulations), and, to the extent data is
                            available, such payment rates for such services
                            under Medicaid managed care and private health
                            insurers within geographic areas of the State;
                            and
                                (ii) analyzing different payment methods
                            for such services, such as the use of bundled
                            payments, quality incentives, and low-volume
                            adjustments.
                        (F) An evaluation, using such methodology and
                    parameters established by the Secretary, of whether
                    each hospital located in the State that furnishes
                    maternity, labor, and delivery services is expected to
                    experience in the next 3 years significant changes in
                    particular expenditures or types of reimbursement for
                    maternity, labor, and delivery services.
                (3) Applicable hospital defined.--For purposes of this
            subsection, the term ``applicable hospital'' means any hospital
            located in a State that meets either of the following criteria:
                        (A) The hospital provides labor and delivery
                    services and more than 50 percent of the hospital's
                    births (in the most recent year for which such data is
                    available) are financed by the Medicaid program or
                    CHIP.
                        (B) The hospital--
                                (i) is located in a rural area (as defined
                            by the Federal Office of Rural Health Policy
                            for the purpose of rural health grant programs
                            administered by such Office);
                                (ii) based on the most recent 2 years of
                            data available (as determined by the
                            Secretary), furnished services for less than an
                            average of 300 births per year; and
                                (iii) provides labor and delivery services.
                (4) Assistance to small hospitals in compiling cost
            information.--There are appropriated to the Secretary for
            fiscal year 2026, $10,000,000 for the purpose of providing
            grants and technical assistance to a hospital described in
            paragraph (3)(B) to enable such hospital to compile detailed
            information for use in the State studies required under
            paragraph (1), to remain available until expended.
                (5) HHS report on state studies.--For each year in which a
            State is required to conduct a study under paragraph (1), the
            Secretary shall issue, not later than 18 months after the date
            on which the State submits to the Secretary the data described
            in such paragraph, a publicly available report that compiles
            and details the results of such study and includes the
            information described in paragraph (2).
        (b) HHS Report on National Data Collection Findings.--Not later
    than 3 years and 6 months after the date of enactment of this Act, the
    Secretary shall submit to Congress, and make publicly available, a
    report analyzing the first studies conducted by States under subsection
    (a)(1), including recommendations for improving data collection on the
    cost of providing maternity, labor, and delivery services.
        (c) Implementation Funding.--In addition to the amount appropriated
    under subsection (a)(4), there are appropriated, out of any funds in
    the Treasury not otherwise obligated, $3,000,000 for fiscal year 2026,
    to remain available until expended, to the Secretary of Health and
    Human Services for purposes of implementing this section.

    SEC. 6105. MODIFYING CERTAIN DISPROPORTIONATE SHARE HOSPITAL
                  ALLOTMENTS.

        (a) Extending Tennessee DSH Allotments.--Section 1923(f)(6)(A)(vi)
    of the Social Security Act (42 U.S.C. 1396r-4(f)(6)(A)(vi)) is
    amended--
                (1) in the heading, by striking ``2025 and a portion of
            fiscal year 2026'' and inserting ``2027''; and
                (2) by inserting ``, and the DSH allotment for Tennessee
            for the portion of fiscal year 2026 beginning on January 31,
            2026, and ending September 30, 2026, shall be $35,351,507,
            which may be claimed as fiscal year 2026 uncompensated care
            costs, and the DSH allotment for Tennessee for fiscal year
            2027, shall be $53,100,000'' before the period.
        (b) Eliminating Certain DSH Allotment Reductions.--Section
    1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-4(f)(7)(A))
    is amended--
                (1) in clause (i)--
                        (A) in the matter preceding subclause (I), by
                    striking ``the period beginning January 31, 2026, and
                    ending September 30, 2026, and for each of fiscal years
                    2027 and 2028'' and inserting ``fiscal year 2028'';
                        (B) in subclause (I), by striking ``or period'';
                    and
                        (C) in subclause (II), by striking ``or period''
                    each place it appears; and
                (2) in clause (ii), by striking ``the period beginning
            January 31, 2026, and ending September 30, 2026, and for each
            of fiscal years 2027 and 2028'' and inserting ``fiscal year
            2028''.

    SEC. 6106. MODIFYING CERTAIN LIMITATIONS ON DISPROPORTIONATE SHARE
                  HOSPITAL PAYMENT ADJUSTMENTS UNDER THE MEDICAID PROGRAM.

        (a) In General.--Section 1923(g) of the Social Security Act (42
    U.S.C. 1396r-4(g)) is amended--
                (1) in paragraph (1)--
                        (A) in subparagraph (A)--
                                (i) in the matter preceding clause (i), by
                            striking ``(other than a hospital described in
                            paragraph (2)(B))'';
                                (ii) in clause (i), by inserting ``with
                            respect to such hospital and year'' after
                            ``described in subparagraph (B)''; and
                                (iii) in clause (ii)--
                                        (I) in subclause (I), by striking
                                    ``and'' at the end;
                                        (II) in subclause (II), by striking
                                    the period and inserting ``; and''; and
                                        (III) by adding at the end the
                                    following new subclause:
                                        ``(III) payments made under title
                                    XVIII or by an applicable plan (as
                                    defined in section 1862(b)(8)(F)) for
                                    such services.''; and
                        (B) in subparagraph (B)--
                                (i) in the matter preceding clause (i), by
                            striking ``in this clause are'' and inserting
                            ``in this subparagraph are, with respect to a
                            hospital and a year,''; and
                                (ii) by adding at the end the following new
                            clause:
                                ``(iii) Individuals who are eligible for
                            medical assistance under the State plan or
                            under a waiver of such plan and for whom the
                            State plan or waiver is a payor for such
                            services after application of benefits under
                            title XVIII or under an applicable plan (as
                            defined in section 1862(b)(8)(F)), but only if
                            the hospital has in the aggregate incurred
                            costs exceeding payments under such State plan,
                            waiver, title XVIII, or applicable plan for
                            such services furnished to such individuals
                            during such year.'';
                (2) by striking paragraph (2);
                (3) by redesignating paragraph (3) as paragraph (2); and
                (4) in paragraph (2), as so redesignated, by striking
            ``Notwithstanding paragraph (2) of this subsection (as in
            effect on October 1, 2021), paragraph (2)'' and inserting
            ``Paragraph (2)''.
        (b) Effective Date.--
                (1) In general.--Except as provided in paragraph (2), the
            amendments made by this section shall apply to payment
            adjustments made under section 1923 of the Social Security Act
            (42 U.S.C. 1396r-4) for Medicaid State plan rate years
            beginning on or after the date of enactment of this Act.
                (2) State option to distribute unspent dsh allotments from
            prior years up to modified cap.--
                        (A) In general.--If, for any Medicaid State plan
                    rate year that begins on or after October 1, 2022, and
                    before the date of enactment of this Act, a State did
                    not spend the full amount of its Federal fiscal year
                    allotment under section 1923 of the Social Security Act
                    (42 U.S.C. 1396r-4) applicable to that State plan rate
                    year, the State may use the unspent portion of such
                    allotment to increase the amount of any payment
                    adjustment made to a hospital for such rate year,
                    provided that--
                                (i) such payment adjustment (as so
                            increased) is consistent with subsection (g) of
                            such section (as amended by this section); and
                                (ii) the total amount of all payment
                            adjustments for the State plan rate year (as so
                            increased) does not exceed the disproportionate
                            share hospital allotment for the State and
                            applicable Federal fiscal year under subsection
                            (f) of such section.
                        (B) No recoupment of payments already made to
                    hospitals.--A State shall not recoup any payment
                    adjustment made by the State to a hospital for a
                    Medicaid State plan rate year described in subparagraph
                    (A) if such payment adjustment is consistent with
                    section 1923(g) of such Act (42 U.S.C. 1396r-4(g)) as
                    in effect on October 1, 2021.
                        (C) Authority to permit retroactive modification of
                    state plan amendments to allow for increases.--
                                (i) In general.--Subject to clause (ii),
                            solely for the purpose of allowing a State to
                            increase the amount of a payment adjustment to
                            a hospital for a Medicaid State plan rate year
                            described in subparagraph (A) pursuant to this
                            paragraph, a State may retroactively modify a
                            provision of the Medicaid State plan, a waiver
                            of such plan, or a State plan amendment that
                            relates to such rate year and the Secretary may
                            approve such modification.
                                (ii) Deadline.--A State may not submit a
                            request for approval of a retroactive
                            modification to a provision of the Medicaid
                            State plan, a waiver of such plan, or a State
                            plan amendment for a Medicaid State plan rate
                            year after the date by which the State is
                            required to submit the independent certified
                            audit for such State plan rate year as required
                            under section 1923(j)(2) of the Social Security
                            Act (42 U.S.C. 1396r-4(j)(2)).
                        (D) Reporting.--If a State increases a payment
                    adjustment made to a hospital for a Medicaid State plan
                    rate year pursuant to this paragraph, the State shall
                    include information in such form and manner as the
                    Secretary shall specify on such increased payment
                    adjustment as part of the annual report submitted by
                    the State under section 1923(j)(1) of the Social
                    Security Act (42 U.S.C. 1396r-4(j)(1)) for such State
                    plan rate year or, if necessary, as determined by the
                    Secretary, in an amendment to such annual report.

                               TITLE II--MEDICARE

    SEC. 6201. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT
                  FOR CERTAIN LOW-VOLUME HOSPITALS.

        (a) In General.--Section 1886(d)(12) of the Social Security Act (42
    U.S.C. 1395ww(d)(12)) is amended--
                (1) in subparagraph (B), by striking ``during the portion
            of fiscal year 2026 beginning on January 31, 2026, and ending
            on September 30, 2026, and in fiscal year 2027'' and inserting
            ``during the portion of fiscal year 2027 beginning on January
            1, 2027, and ending on September 30, 2027, and in fiscal year
            2028'';
                (2) in subparagraph (C)(i)--
                        (A) in the matter preceding subclause (I), by
                    striking ``through 2025 and the portion of fiscal year
                    2026 beginning on October 1, 2025, and ending on
                    January 30, 2026'' and inserting ``through 2026 and the
                    portion of fiscal year 2027 beginning on October 1,
                    2026, and ending on December 31, 2026'';
                        (B) in subclause (III), by striking ``through 2025
                    and the portion of fiscal year 2026 beginning on
                    October 1, 2025, and ending on January 30, 2026'' and
                    inserting ``through 2026 and the portion of fiscal year
                    2027 beginning on October 1, 2026, and ending on
                    December 31, 2026''; and
                        (C) in subclause (IV), by striking ``the portion of
                    fiscal year 2026 beginning on January 31, 2026, and
                    ending on September 30, 2026, and fiscal year 2027''
                    and inserting ``the portion of fiscal year 2027
                    beginning on January 1, 2027, and ending on September
                    30, 2027, and fiscal year 2028''; and
                (3) in subparagraph (D)--
                        (A) in the matter preceding clause (i), by striking
                    ``through 2025 or during the portion of fiscal year
                    2026 beginning on October 1, 2025, and ending on
                    January 30, 2026'' and inserting ``through 2026 or
                    during the portion of fiscal year 2027 beginning on
                    October 1, 2026, and ending on December 31, 2026''; and
                        (B) in clause (ii), by striking ``through 2025 and
                    the portion of fiscal year 2026 beginning on October 1,
                    2025, and ending on January 30, 2026'' and inserting
                    ``through 2026 and the portion of fiscal year 2027
                    beginning on October 1, 2026, and ending on December
                    31, 2026''.
        (b) Implementation.--Notwithstanding any other provision of law,
    the Secretary of Health and Human Services may implement the amendments
    made by this section by program instruction or otherwise.

    SEC. 6202. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.

        (a) In General.--Section 1886(d)(5)(G) of the Social Security Act
    (42 U.S.C. 1395ww(d)(5)(G)) is amended--
                (1) in clause (i), by striking ``January 31, 2026'' and
            inserting ``January 1, 2027''; and
                (2) in clause (ii)(II), by striking ``January 31, 2026''
            and inserting ``January 1, 2027''.
        (b) Conforming Amendments.--
                (1) In general.--Section 1886(b)(3)(D) of the Social
            Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended--
                        (A) in the matter preceding clause (i), by striking
                    ``January 31, 2026'' and inserting ``January 1, 2027'';
                    and
                        (B) in clause (iv), by striking ``through fiscal
                    year 2025 and the portion of fiscal year 2026 beginning
                    on October 1, 2025, and ending on January 30, 2026''
                    and inserting ``through fiscal year 2026 and the
                    portion of fiscal year 2027 beginning on October 1,
                    2026, and ending on December 31, 2026''.
                (2) Permitting hospitals to decline reclassification.--
            Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of
            1993 (42 U.S.C. 1395ww note) is amended by striking ``through
            fiscal year 2025, or the portion of fiscal year 2026 beginning
            on October 1, 2025, and ending on January 30, 2026'' and
            inserting ``through fiscal year 2026, or the portion of fiscal
            year 2027 beginning on October 1, 2026, and ending on December
            31, 2026''.

    SEC. 6203. EXTENSION OF ADD-ON PAYMENTS FOR AMBULANCE SERVICES.

        Section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) is
    amended--
                (1) in paragraph (12)(A), by striking ``January 31, 2026''
            and inserting ``January 1, 2028''; and
                (2) in paragraph (13), by striking ``January 31, 2026''
            each place it appears and inserting ``January 1, 2028'' in each
            such place.

    SEC. 6204. EXTENDING INCENTIVE PAYMENTS FOR PARTICIPATION IN ELIGIBLE
                  ALTERNATIVE PAYMENT MODELS.

        (a) In General.--Section 1833(z) of the Social Security Act (42
    U.S.C. 1395l(z)) is amended--
                (1) in paragraph (1)(A)--
                        (A) by inserting ``, and during 2028,'' after
                    ``with 2026''; and
                        (B) by inserting ``, or, with respect to 2028, 3.1
                    percent'' after ``1.88 percent'';
                (2) in paragraph (2)--
                        (A) in subparagraph (B)--
                                (i) in the heading, by inserting ``and
                            2028'' after ``2026''; and
                                (ii) in the matter preceding clause (i), by
                            inserting ``and 2028'' after ``2026'';
                        (B) in subparagraph (C)--
                                (i) in the heading, by striking ``Beginning
                            in 2027'' and inserting ``2027 and 2029 and
                            subsequent years''; and
                                (ii) in the matter preceding clause (i), by
                            inserting ``and 2029'' after ``2027''; and
                        (C) in subparagraph (D), by striking ``and 2026''
                    and inserting ``2026, and 2028''; and
                (3) in paragraph (4)(B), by inserting ``, or, with respect
            to 2028, 3.1 percent'' after ``1.88 percent''.
        (b) Conforming Amendments.--Section 1848(q)(1)(C)(iii) of the
    Social Security Act (42 U.S.C. 1395w-4(q)(1)(C)(iii)) is amended--
                (1) in subclause (II), by inserting ``and 2028'' after
            ``2026''; and
                (2) in subclause (III), by inserting ``and 2029'' after
            ``2027''.

    SEC. 6205. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT,
                  AND SELECTION.

        Section 1890(d)(2) of the Social Security Act (42 U.S.C.
    1395aaa(d)(2)) is amended--
                (1) in the first sentence--
                        (A) by striking ``and $13,300,000'' and inserting
                    ``$13,300,000''; and
                        (B) by inserting the following before the period at
                    the end: ``, and $15,100,000 for fiscal year 2027'';
                    and
                (2) in the third sentence, by striking ``and 2026'' and
            inserting ``2026, and 2027''.

    SEC. 6206. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME
                  PROGRAMS.

        (a) State Health Insurance Assistance Programs.--Subsection
    (a)(1)(B) of section 119 of the Medicare Improvements for Patients and
    Providers Act of 2008 (42 U.S.C. 1395b-3 note) is amended--
                (1) in clause (xiv), by striking ``and'' at the end;
                (2) in clause (xv), by striking the period at the end and
            inserting ``; and''; and
                (3) by inserting after clause (xv) the following new
            clause:
                                ``(xvi) for the period beginning on January
                            31, 2026, and ending on December 31, 2027,
                            $30,000,000.''.
        (b) Area Agencies on Aging.--Subsection (b)(1)(B) of such section
    119 is amended--
                (1) in clause (xiv), by striking ``and'' at the end;
                (2) in clause (xv), by striking the period at the end and
            inserting ``; and''; and
                (3) by inserting after clause (xv) the following new
            clause:
                                ``(xvi) for the period beginning on January
                            31, 2026, and ending on December 31, 2027,
                            $30,000,000.''.
        (c) Aging and Disability Resource Centers.--Subsection (c)(1)(B) of
    such section 119 is amended--
                (1) in clause (xiv), by striking ``and'' at the end;
                (2) in clause (xv), by striking the period at the end and
            inserting ``; and''; and
                (3) by inserting after clause (xv) the following new
            clause:
                                ``(xvi) for the period beginning on January
                            31, 2026, and ending on December 31, 2027,
                            $10,000,000.''.
        (d) Coordination of Efforts to Inform Older Americans About
    Benefits Available Under Federal and State Programs.--Subsection (d)(2)
    of such section 119 is amended--
                (1) in clause (xiv), by striking ``and'' at the end;
                (2) in clause (xv), by striking the period at the end and
            inserting ``; and''; and
                (3) by inserting after clause (xv) the following new
            clause:
                        ``(xvi) for the period beginning on January 31,
                    2026, and ending on December 31, 2027, $30,000,000.''.

    SEC. 6207. EXTENSION OF FUNDING FOR MEDICARE HOSPICE SURVEYS.

        Section 3(a)(2) of the IMPACT Act of 2014 (Public Law 113-185), as
    amended by section 6205 of division F of the Continuing Appropriations,
    Agriculture, Legislative Branch, Military Construction and Veterans
    Affairs, and Extensions Act, 2026 (Public Law 119-37), is amended--
                (1) in subparagraph (B), by striking ``and'' at the end;
                (2) in subparagraph (C), by striking the period at the end
            and inserting ``; and''; and
                (3) by adding at the end the following new subparagraph:
                        ``(D) $4,400,000 for the period beginning on
                    January 31, 2026, and ending on December 31, 2026, to
                    remain available until expended.''.

    SEC. 6208. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR.

        Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
    4(e)(1)(E)) is amended by striking ``January 31, 2026'' and inserting
    ``January 1, 2027''.

    SEC. 6209. EXTENSION OF CERTAIN TELEHEALTH FLEXIBILITIES.

        (a) Removing Geographic Requirements and Expanding Originating
    Sites for Telehealth Services.--Section 1834(m) of the Social Security
    Act (42 U.S.C. 1395m(m)) is amended--
                (1) in paragraph (2)(B)(iii), by striking ``ending January
            30, 2026'' and inserting ``ending December 31, 2027''; and
                (2) in paragraph (4)(C)(iii), by striking ``ending on
            January 30, 2026'' and inserting ``ending on December 31,
            2027''.
        (b) Expanding Practitioners Eligible to Furnish Telehealth
    Services.--Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C.
    1395m(m)(4)(E)) is amended by striking ``ending on January 30, 2026''
    and inserting ``ending on December 31, 2027''.
        (c) Extending Telehealth Services for Federally Qualified Health
    Centers and Rural Health Clinics.--Section 1834(m)(8)(A) of the Social
    Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by striking ``ending
    on January 30, 2026'' and inserting ``ending on December 31, 2027''.
        (d) Delaying the In-person Requirements Under Medicare for Mental
    Health Services Furnished Through Telehealth and Telecommunications
    Technology.--
                (1) Delay in requirements for mental health services
            furnished through telehealth.--Section 1834(m)(7)(B)(i) of the
            Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended,
            in the matter preceding subclause (I), by striking ``on or
            after January 31, 2026'' and inserting ``on or after January 1,
            2028''.
                (2) Mental health visits furnished by rural health
            clinics.--Section 1834(y)(2) of the Social Security Act (42
            U.S.C. 1395m(y)(2)) is amended by striking ``January 31, 2026''
            and inserting ``January 1, 2028''.
                (3) Mental health visits furnished by federally qualified
            health centers.--Section 1834(o)(4)(B) of the Social Security
            Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking ``January
            31, 2026'' and inserting ``January 1, 2028''.
        (e) Allowing for the Furnishing of Audio-only Telehealth
    Services.--Section 1834(m)(9) of the Social Security Act (42 U.S.C.
    1395m(m)(9)) is amended by striking ``ending on January 30, 2026'' and
    inserting ``ending on December 31, 2027''.
        (f) Extending Use of Telehealth to Conduct Face-to-face Encounter
    Prior to Recertification of Eligibility for Hospice Care.--
                (1) In general.--Section 1814(a)(7)(D)(i)(II) of the Social
            Security Act (42 U.S.C. 1395f(a)(7)(D)(i)(II)) is amended--
                        (A) by striking ``ending on January 30, 2026'' and
                    inserting ``ending on December 31, 2027''; and
                        (B) by inserting ``, except that this subclause
                    shall not apply in the case of such an encounter with
                    an individual occurring on or after January 31, 2026,
                    if such individual is located in an area that is
                    subject to a moratorium on the enrollment of hospice
                    programs under this title pursuant to section
                    1866(j)(7), if such individual is receiving hospice
                    care from a provider that is subject to enhanced
                    oversight under this title pursuant to section
                    1866(j)(3), or if such encounter is performed by a
                    hospice physician or nurse practitioner who is not
                    enrolled under section 1866(j) and is not an opt-out
                    physician or practitioner (as defined in section
                    1802(b)(6)(D))'' before the semicolon.
                (2) Requiring use of modifier.--Section
            1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C.
            1395f(a)(7)(D)(i)(II)), as amended by paragraph (1), is further
            amended by inserting ``, but only if, in the case of such an
            encounter occurring on or after January 1, 2027, any hospice
            claim includes 1 or more modifiers or codes (as specified by
            the Secretary) to indicate that such encounter was conducted
            via telehealth'' after ``as determined appropriate by the
            Secretary''.
        (g) Requiring Modifiers for Telehealth Services in Certain
    Instances.--Section 1834(m) of the Social Security Act (42 U.S.C.
    1395m(m)) is amended by adding at the end the following new paragraph:
                ``(10) Required use of modifiers in certain instances.--Not
            later than January 1, 2027, the Secretary shall establish
            requirements to include one or more codes or modifiers, as
            determined appropriate by the Secretary, in the case of--
                        ``(A) claims for telehealth services under this
                    subsection that are furnished through a telehealth
                    virtual platform--
                                ``(i) by a physician or practitioner that
                            contracts with an entity that owns such virtual
                            platform; or
                                ``(ii) for which a physician or
                            practitioner has a payment arrangement with an
                            entity for use of such virtual platform; and
                        ``(B) claims for telehealth services under this
                    subsection that are furnished incident to a physician's
                    or practitioner's professional service.''.
        (h) Implementation.--Notwithstanding any other provision of law,
    the Secretary of Health and Human Services may implement the amendments
    made by this section by program instruction or otherwise.

    SEC. 6210. EXTENDING ACUTE HOSPITAL CARE AT HOME WAIVER FLEXIBILITIES.

        (a) In General.--Section 1866G(a)(1) of the Social Security Act (42
    U.S.C. 1395cc-7(a)(1)) is amended by striking ``January 30, 2026'' and
    inserting ``September 30, 2030''.
        (b) Requiring Additional Study and Report.--Section 1866G of the
    Social Security Act (42 U.S.C. 1395cc-7) is amended--
                (1) in subsection (a)(3)(E)--
                        (A) in clause (ii), by striking ``the study
                    described in subsection (b)'' and inserting ``the
                    studies described in subsections (b) and (c)''; and
                        (B) by adding at the end the following new flush
                    sentence:
                    ``The Secretary may require that such data and
                    information be submitted through a hospital's cost
                    report, through such survey instruments as the
                    Secretary may develop, through medical record
                    information, or through such other means as the
                    Secretary determines appropriate.'';
                (2) in subsection (b)--
                        (A) in the subsection heading, by striking
                    ``Study'' and inserting ``Initial Study''; and
                        (B) in paragraph (3), by striking ``subsection''
                    and inserting ``section'';
                (3) by redesignating subsections (c) and (d) as subsections
            (d) and (e), respectively;
                (4) by inserting after subsection (b) the following new
            subsection:
        ``(c) Subsequent Study and Report.--
                ``(1) In general.--Not later than September 30, 2029, the
            Secretary shall conduct a study to--
                        ``(A) analyze, to the extent practicable, the
                    criteria established by hospitals under the Acute
                    Hospital Care at Home initiative to determine which
                    individuals may be furnished services under such
                    initiative; and
                        ``(B) analyze and compare (both within and between
                    hospitals participating in the initiative, and relative
                    to comparable hospitals that do not participate in the
                    initiative, for relevant parameters such as diagnosis-
                    related groups)--
                                ``(i) quality of care furnished to
                            individuals with similar conditions and
                            characteristics in the inpatient setting and
                            through the Acute Hospital Care at Home
                            initiative, including health outcomes, hospital
                            readmission rates (including readmissions both
                            within and beyond 30 days post-discharge),
                            hospital mortality rates, length of stay,
                            infection rates, composition of care team
                            (including the types of labor used, such as
                            contracted labor), the ratio of nursing staff,
                            transfers from the hospital to the home,
                            transfers from the home to the hospital
                            (including the timing, frequency, and causes of
                            such transfers), transfers and discharges to
                            post-acute care settings (including the timing,
                            frequency, and causes of such transfers and
                            discharges), and patient and caregiver
                            experience of care;
                                ``(ii) clinical conditions treated and
                            diagnosis-related groups of discharges from
                            inpatient settings relative to discharges from
                            the Acute Hospital Care at Home initiative;
                                ``(iii) costs incurred by the hospital for
                            furnishing care in inpatient settings relative
                            to costs incurred by the hospital for
                            furnishing care through the Acute Hospital Care
                            at Home initiative, including costs relating to
                            staffing, equipment, food, prescriptions, and
                            other services, as determined by the Secretary;
                                ``(iv) the quantity, mix, and intensity of
                            services (such as in-person visits and virtual
                            contacts with patients and the intensity of
                            such services) furnished in inpatient settings
                            relative to the Acute Hospital Care at Home
                            initiative, and, to the extent practicable, the
                            nature and extent of family or caregiver
                            involvement;
                                ``(v) socioeconomic information on
                            individuals treated in comparable inpatient
                            settings relative to the initiative, including
                            racial and ethnic data, income, housing,
                            geographic proximity to the brick-and-mortar
                            facility and whether such individuals are
                            dually eligible for benefits under this title
                            and title XIX; and
                                ``(vi) the quality of care, outcomes,
                            costs, quantity and intensity of services, and
                            other relevant metrics between individuals who
                            entered into the Acute Hospital Care at Home
                            initiative directly from an emergency
                            department compared with individuals who
                            entered into the Acute Hospital Care at Home
                            initiative directly from an existing inpatient
                            stay in a hospital.
                ``(2) Selection bias.--In conducting the study under
            paragraph (1), the Secretary shall, to the extent practicable,
            analyze and compare individuals who participate and do not
            participate in the initiative controlling for selection bias or
            other factors that may impact the reliability of data.
                ``(3) Report.--Not later than September 30, 2029, the
            Secretary of Health and Human Services shall--
                        ``(A) submit to the Committee on Ways and Means of
                    the House of Representatives and the Committee on
                    Finance of the Senate a report on the study conducted
                    under paragraph (1); and
                        ``(B) make such report publicly available on a
                    website of the Centers for Medicare & Medicaid
                    Services.
                ``(4) Funding.--In addition to amounts otherwise available,
            there is appropriated to the Centers for Medicare & Medicaid
            Services Program Management Account for fiscal year 2026, out
            of any amounts in the Treasury not otherwise appropriated,
            $2,500,000, to remain available until expended, for purposes of
            carrying out this section.''; and
                (5) in subsection (e), as redesignated by paragraph (3), by
            striking ``and (b)(1)'' and inserting ``, (b)(1), and (c)(1)''.

    SEC. 6211. IN-HOME CARDIOPULMONARY REHABILITATION FLEXIBILITY.

        (a) In General.--Section 1861(eee)(2)(A)(ii) of the Social Security
    Act (42 U.S.C. 1395x(eee)(2)(A)(ii)) is amended by inserting
    ``(including, with respect to items and services furnished through
    audio and video real-time communications technology (excluding audio-
    only) on or after January 31, 2026, and before January 1, 2028, in the
    home of an individual who is an outpatient of the hospital)'' after
    ``outpatient basis''.
        (b) Implementation.--Notwithstanding any other provision of law,
    the Secretary of Health and Human Services may implement the amendment
    made by subsection (a) by program instruction or otherwise.

    SEC. 6212. ENHANCING CERTAIN PROGRAM INTEGRITY REQUIREMENTS FOR DME
                  UNDER MEDICARE.

        (a) Durable Medical Equipment.--
                (1) In general.--Section 1834(a) of the Social Security Act
            (42 U.S.C. 1395m(a)) is amended by adding at the end the
            following new paragraph:
                ``(23) Master list inclusion and claim review for certain
            items.--
                        ``(A) Master list inclusion.--Beginning January 1,
                    2029, for purposes of the Master List described in
                    section 414.234(b) of title 42, Code of Federal
                    Regulations (or any successor regulation), in
                    determining which items have aberrant billing patterns
                    (as such term is used for purposes of such section),
                    the Secretary shall also treat an item for which
                    payment may be made under this subsection as having
                    such an aberrant billing pattern if the Secretary
                    determines that, without explanatory contributing
                    factors (such as furnishing emergent care services), a
                    substantial number of claims for such items under this
                    subsection are for such items ordered by a physician or
                    practitioner who has not previously (during a period of
                    not less than 24 months, as established by the
                    Secretary) furnished to the individual involved any
                    item or service for which payment may be made under
                    this title.
                        ``(B) Claim review.--With respect to items
                    furnished on or after January 1, 2029, that are
                    included on the Master List pursuant to subparagraph
                    (A), if such an item is not subject to a determination
                    of coverage in advance pursuant to paragraph (15)(C),
                    the Secretary may conduct prepayment review of claims
                    for payment for such item.''.
                (2) Conforming amendment for prosthetic devices, orthotics,
            and prosthetics.--Section 1834(h)(3) of the Social Security Act
            (42 U.S.C. 1395m(h)(3)) is amended by inserting ``, and
            paragraph (23) of subsection (a) shall apply to prosthetic
            devices, orthotics, and prosthetics in the same manner as such
            provision applies to items for which payment may be made under
            such subsection'' before the period at the end.
        (b) Report on Identifying Clinical Diagnostic Laboratory Tests at
    High Risk for Fraud and Effective Mitigation Measures.--Not later than
    January 1, 2028, the Inspector General of the Department of Health and
    Human Services shall submit to Congress a report assessing fraud risks
    relating to clinical diagnostic laboratory tests for which payment may
    be made under section 1834A of the Social Security Act (42 U.S.C.
    1395m-1) and effective tools for reducing such fraudulent claims. The
    report may include, at the Inspector General's discretion--
                (1) which, if any, clinical diagnostic laboratory tests are
            identified as being at high risk of fraudulent claims, and an
            analysis of the factors that contribute to such risk;
                (2) with respect to a clinical diagnostic laboratory test
            identified under paragraph (1) as being at high risk of
            fraudulent claims--
                        (A) the amount payable under such section 1834A
                    with respect to such test;
                        (B) the number of such tests furnished to
                    individuals enrolled under part B of title XVIII of the
                    Social Security Act (42 U.S.C. 1395j et seq.);
                        (C) whether an order for such a test was more
                    likely to come from a provider with whom the individual
                    involved did not have a prior relationship, as
                    determined on the basis of prior payment experience;
                    and
                        (D) the frequency with which a claim for payment
                    under such section 1834A included the payment modifier
                    identified by code 59 or 91; and
                (3) suggested strategies for reducing the number of
            fraudulent claims made with respect to tests so identified as
            being at high risk, including--
                        (A) an analysis of whether the Centers for Medicare
                    & Medicaid Services can detect aberrant billing
                    patterns with respect to such tests in a timely manner;
                        (B) any strategies for identifying and monitoring
                    the providers who are outliers with respect to the
                    number of such tests that such providers order; and
                        (C) targeted education efforts to mitigate improper
                    billing for such tests; and
                (4) such other information as the Inspector General
            determines appropriate.
        (c) Funding.--In addition to amounts otherwise available, there is
    appropriated to the Inspector General of the Department of Health and
    Human Services, out of any money in the Treasury not otherwise
    appropriated, $1,200,000 for fiscal year 2026, to remain available
    until expended, to carry out this section.

    SEC. 6213. GUIDANCE ON FURNISHING SERVICES VIA TELEHEALTH TO
                  INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY.

        (a) In General.--Not later than 1 year after the date of enactment
    of this section, the Secretary of Health and Human Services, in
    consultation with 1 or more entities from each of the categories
    described in paragraphs (1) through (7) of subsection (b), shall issue
    and disseminate, or update and revise as applicable, guidance for the
    entities described in such subsection on the following:
                (1) Best practices on facilitating and integrating use of
            interpreters during a telemedicine appointment.
                (2) Best practices on providing accessible instructions on
            how to access telecommunications systems (as such term is used
            for purposes of section 1834(m) of the Social Security Act (42
            U.S.C. 1395m(m)) for individuals with limited English
            proficiency.
                (3) Best practices on improving access to digital patient
            portals for individuals with limited English proficiency.
                (4) Best practices on integrating the use of video
            platforms that enable multi-person video calls furnished via a
            telecommunications system for purposes of providing
            interpretation during a telemedicine appointment for an
            individual with limited English proficiency.
                (5) Best practices for providing patient materials,
            communications, and instructions in multiple languages,
            including text message appointment reminders and prescription
            information.
        (b) Entities Described.--For purposes of subsection (a), an entity
    described in this subsection is an entity in 1 or more of the following
    categories:
                (1) Health information technology service providers,
            including--
                        (A) electronic medical record companies;
                        (B) remote patient monitoring companies; and
                        (C) telehealth or mobile health vendors and
                    companies.
                (2) Health care providers, including--
                        (A) physicians; and
                        (B) hospitals.
                (3) Health insurers.
                (4) Language service companies.
                (5) Interpreter or translator professional associations.
                (6) Health and language services quality certification
            organizations.
                (7) Patient and consumer advocates, including such
            advocates that work with individuals with limited English
            proficiency.

    SEC. 6214. INCLUSION OF VIRTUAL DIABETES PREVENTION PROGRAM SUPPLIERS
                  IN MDPP EXPANDED MODEL.

        (a) In General.--For the period beginning on January 1, 2026, and
    ending on December 31, 2029--
                (1) an entity may participate in the MDPP by offering only
            MDPP services via distance learning or online delivery
            modalities if such entity meets the conditions for enrollment
            as an MDPP supplier;
                (2) if an entity participates in the MDPP in the manner
            described in paragraph (1), in the case of online MDPP services
            furnished by such entity to an MDPP beneficiary who was not
            located in the same State as the entity at the time such
            services were furnished, the entity shall not be prohibited
            from submitting a claim for payment for such services solely by
            reason of the location of such beneficiary at such time; and
                (3) no limit is applied on the number of times an
            individual may enroll in the MDPP.
        (b) Definitions.--In this section:
                (1) MDPP.--The term ``MDPP'' means the Medicare Diabetes
            Prevention Program (as such term is defined in section
            410.79(b) of title 42, Code of Federal Regulations).
                (2) Regulatory terms.--The terms ``distance learning'',
            ``MDPP beneficiary'', ``MDPP services'', ``MDPP supplier'', and
            ``online'' have the meanings given such terms in section
            410.79(b) of title 42, Code of Federal Regulations.
                (3) Secretary.--The term ``Secretary'' means the Secretary
            of Health and Human Services.
        (c) Implementation.--Notwithstanding any other provision of law,
    the Secretary may implement this section by program instruction or
    otherwise.

    SEC. 6215. MEDICATION-INDUCED MOVEMENT DISORDER OUTREACH AND EDUCATION.

        Not later than January 1, 2028, the Secretary of Health and Human
    Services shall use existing communications mechanisms to provide
    education and outreach to physicians and appropriate non-physician
    practitioners participating under the Medicare program under title
    XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) with respect
    to periodic screening for medication-induced movement disorders that
    are associated with the treatment of mental health disorders in at-risk
    patients, as well as resources related to clinical guidelines and best
    practices for furnishing such screening services through telehealth.
    Such education and outreach shall include information on how to account
    for such screening services in evaluation and management code
    selection. The Secretary shall, to the extent practicable, seek input
    from relevant stakeholders to inform such education and outreach. Such
    education and outreach may also address other relevant screening
    services furnished through telehealth, as the Secretary determines
    appropriate.

    SEC. 6216. REPORT ON WEARABLE MEDICAL DEVICES.

        Not later than 18 months after the date of the enactment of this
    Act, the Comptroller General of the United States shall conduct a
    technology assessment of, and submit to Congress a report on, the
    capabilities and limitations of wearable medical devices used to
    support clinical decision-making. Such report shall include a
    description of--
                (1) the potential for such devices to accurately prescribe
            treatments;
                (2) an examination of the benefits and challenges of
            artificial intelligence to augment such capabilities; and
                (3) policy options to enhance the benefits and mitigate
            potential challenges of developing or using such devices.

    SEC. 6217. EXTENSION OF TEMPORARY INCLUSION OF AUTHORIZED ORAL
                  ANTIVIRAL DRUGS AS COVERED PART D DRUGS.

        Section 1860D-2(e)(1)(C) of the Social Security Act (42 U.S.C.
    1395w-102(e)(1)(C)) is amended by striking ``January 30, 2026'' and
    inserting ``December 31, 2026''.

    SEC. 6218. EXTENSION OF ADJUSTMENT TO CALCULATION OF HOSPICE CAP AMOUNT
                  UNDER MEDICARE.

        Section 1814(i)(2)(B) of the Social Security Act (42 U.S.C.
    1395f(i)(2)(B)) is amended--
                (1) in clause (ii), by striking ``2033'' and inserting
            ``2035''; and
                (2) in clause (iii), by striking ``2033'' and inserting
            ``2035''.

    SEC. 6219. ADJUSTMENTS TO MEDICARE PART D COST-SHARING REDUCTIONS FOR
                  LOW-INCOME INDIVIDUALS.

        Section 1860D-14(a) of the Social Security Act (42 U.S.C. 1395w-
    114(a)) is amended--
                (1) in paragraph (1)(D)(ii), by striking ``that does not
            exceed $1 for'' and all that follows through the period at the
            end and inserting "that does not exceed-- ``
                                        ``(I) for a plan year before 2028--
                                                ``(aa) for a generic drug
                                            or a preferred drug that is a
                                            multiple source drug (as
                                            defined in section
                                            1927(k)(7)(A)(i)), $1 or, if
                                            less, the copayment amount
                                            applicable to an individual
                                            under clause (iii); and
                                                ``(bb) for any other drug,
                                            $3 or, if less, the copayment
                                            amount applicable to an
                                            individual under clause (iii);
                                            and
                                        ``(II) for plan year 2028 and each
                                    subsequent plan year--
                                                ``(aa) for a generic drug,
                                            $0;
                                                ``(bb) for a preferred drug
                                            that is a multiple source drug
                                            (as defined in section
                                            1927(k)(7)(A)(i)), the dollar
                                            amount applied under this
                                            clause for such a drug for the
                                            preceding plan year, increased
                                            by the annual percentage
                                            increase in the consumer price
                                            index (all items; U.S. city
                                            average) as of September of
                                            such preceding year, or, if
                                            less, the copayment amount
                                            applicable to an individual
                                            under clause (iii); and
                                                ``(cc) for a drug not
                                            described in either item (aa)
                                            or (bb), the dollar amount
                                            applied under this clause for
                                            such a drug for the preceding
                                            plan year, increased in the
                                            manner specified in item (bb),
                                            or, if less, the copayment
                                            amount applicable to an
                                            individual under clause (iii).
                            Any amount established under item (bb) or (cc)
                            of subclause (II), that is based on an increase
                            of $1 or $3, that is not a multiple of 5 cents
                            or 10 cents, respectively, shall be rounded to
                            the nearest multiple of 5 cents or 10 cents,
                            respectively.''; and
                (2) in paragraph (4)(A)(ii), by inserting ``(before 2028)''
            after ``a subsequent year''.

    SEC. 6220. REQUIRING ENHANCED AND ACCURATE LISTS OF (REAL) HEALTH
                  PROVIDERS ACT.

        (a) In General.--Section 1852(c) of the Social Security Act (42
    U.S.C. 1395w-22(c)) is amended--
                (1) in paragraph (1)(C)--
                        (A) by striking ``plan, and any'' and inserting
                    ``plan, any''; and
                        (B) by inserting the following before the period:
                    ``, and, in the case of a specified MA plan (as defined
                    in paragraph (3)(C)), for plan year 2028 and subsequent
                    plan years, the information described in paragraph
                    (3)(B)''; and
                (2) by adding at the end the following new paragraph:
                ``(3) Provider directory accuracy.--
                        ``(A) In general.--For plan year 2028 and
                    subsequent plan years, each MA organization offering a
                    specified MA plan (as defined in subparagraph (C))
                    shall, for each such plan offered by the organization--
                                ``(i) maintain, on a publicly available
                            internet website, an accurate provider
                            directory that includes the information
                            described in subparagraph (B);
                                ``(ii) not less frequently than once every
                            90 days (or, in the case of a hospital or any
                            other facility determined appropriate by the
                            Secretary, at a lesser frequency specified by
                            the Secretary but in no case less frequently
                            than once every 12 months), verify the provider
                            directory information of each provider listed
                            in such directory and, if applicable, update
                            such information;
                                ``(iii) if the organization is unable to
                            verify such information with respect to a
                            provider, include in such directory an
                            indication that the information of such
                            provider may not be up to date; and
                                ``(iv) remove a provider from such
                            directory within 5 business days if the
                            organization determines that the provider is no
                            longer a provider participating in the network
                            of such plan.
                        ``(B) Provider directory information.--The
                    information described in this subparagraph is
                    information enrollees may need to access covered
                    benefits from a provider with which such organization
                    offering such plan has an agreement for furnishing
                    items and services covered under such plan, such as
                    name, specialty, contact information, primary office or
                    facility addresses where items or services are
                    furnished, whether the provider is accepting new
                    patients, accommodations for people with disabilities,
                    cultural and linguistic capabilities, and telehealth
                    capabilities.
                        ``(C) Specified ma plan.--In this paragraph, the
                    term `specified MA plan' means--
                                ``(i) a network-based plan (as defined in
                            subsection (d)(5)(C)); or
                                ``(ii) a Medicare Advantage private fee-
                            for-service plan (as defined in section
                            1859(b)(2)) that meets the access standards
                            under subsection (d)(4), in whole or in part,
                            through entering into contracts or agreements
                            as provided for under subparagraph (B) of such
                            subsection.''.
        (b) Accountability for Provider Directory Accuracy.--
                (1) Cost sharing for services furnished based on reliance
            on incorrect provider directory information.--Section 1852(d)
            of the Social Security Act (42 U.S.C. 1395w-22(d)) is amended--
                        (A) in paragraph (1)(C)--
                                (i) in clause (ii), by striking ``or'' at
                            the end;
                                (ii) in clause (iii), by striking the
                            semicolon at the end and inserting ``, or'';
                            and
                                (iii) by adding at the end the following
                            new clause:
                                ``(iv) for plan year 2028 and subsequent
                            plan years, in the case of a specified MA plan
                            (as defined in subsection (c)(3)(C)), the
                            services were furnished by a provider that was
                            not participating in the network of such plan
                            but was listed in the provider directory of
                            such plan on the date on which the appointment
                            was made, as described in paragraph (7)(A);'';
                            and
                        (B) by adding at the end the following new
                    paragraph:
                ``(7) Cost sharing for services furnished based on reliance
            on incorrect provider directory information.--
                        ``(A) In general.--For plan year 2028 and
                    subsequent plan years, if an enrollee in a specified MA
                    plan (as defined in subsection (c)(3)(C)) is furnished
                    an item or service by a provider that is not
                    participating in the network of such plan but is listed
                    in the provider directory of such plan (as required to
                    be provided to an enrollee pursuant to subsection
                    (c)(1)(C)) on the date on which the appointment is
                    made, and if such item or service would otherwise be
                    covered under such plan if furnished by a provider that
                    is participating in the network of such plan, the MA
                    organization offering such plan shall ensure that the
                    enrollee is only responsible for the lesser of--
                                ``(i) the amount of cost sharing that would
                            apply if such provider had been participating
                            in the network of such plan; or
                                ``(ii) the amount of cost sharing that
                            would otherwise apply (without regard to this
                            subparagraph).
                        ``(B) Notification requirement.--For plan year 2028
                    and subsequent plan years, each MA organization that
                    offers a specified MA plan shall--
                                ``(i) notify enrollees of their cost-
                            sharing protections under this paragraph and
                            make such notifications, to the extent
                            practicable, by not later than the first day of
                            an annual, coordinated election period under
                            section 1851(e)(3) with respect to a year;
                                ``(ii) include information regarding such
                            cost-sharing protections in the provider
                            directory of each specified MA plan offered by
                            the MA organization.; and
                                ``(iii) notify enrollees of their cost-
                            sharing protections under this paragraph in the
                            first explanation of benefits issued in a plan
                            year.''.
                (2) Required provider directory accuracy analysis and
            reports.--
                        (A) In general.--Section 1857(e) of the Social
                    Security Act (42 U.S.C. 1395w-27(e)) is amended by
                    adding at the end the following new paragraph:
                ``(6) Provider directory accuracy analysis and reports.--
                        ``(A) In general.--Beginning with plan years
                    beginning on or after January 1, 2028, subject to
                    subparagraph (C), a contract under this section with an
                    MA organization shall require the organization, for
                    each specified MA plan (as defined in section
                    1852(c)(3)(C)) offered by the organization, to annually
                    do the following:
                                ``(i) Conduct an analysis estimating the
                            accuracy of the provider directory information
                            of such plan using a random sample of providers
                            included in such provider directory as follows:
                                        ``(I) Such a random sample shall
                                    include a random sample of each
                                    specialty of providers with a high
                                    inaccuracy rate of provider directory
                                    information relative to other
                                    specialties of providers, as determined
                                    by the Secretary.
                                        ``(II) For purposes of subclause
                                    (I), one type of specialty may be
                                    providers specializing in mental health
                                    or substance use disorder treatment.
                                ``(ii) Submit to the Secretary a report
                            containing the results of the analysis
                            conducted under clause (i), including an
                            accuracy score for such provider directory
                            information (as determined using a plan
                            verification method specified by the Secretary
                            under subparagraph (B)(i)).
                        ``(B) Determination of accuracy score.--
                                ``(i) In general.--The Secretary shall
                            specify plan verification methods, such as
                            using telephonic verification or other
                            approaches using data sources maintained by an
                            MA organization or using publicly available
                            data sets, that MA organizations may use for
                            estimating accuracy scores of the provider
                            directory information of specified MA plans
                            offered by such organizations.
                                ``(ii) Accuracy score methodology.--With
                            respect to each such method specified by the
                            Secretary as described in clause (i), the
                            Secretary shall specify a methodology for MA
                            organizations to use in estimating such
                            accuracy scores. Each such methodology shall
                            take into account the administrative burden on
                            plans and providers and the relative importance
                            of certain provider directory information on
                            enrollee ability to access care.
                        ``(C) Exception.--The Secretary may waive the
                    requirements of this paragraph in the case of a
                    specified MA plan with low enrollment (as defined by
                    the Secretary).
                        ``(D) Transparency.--Beginning with plan years
                    beginning on or after January 1, 2029, the Secretary
                    shall post accuracy scores (as reported under
                    subparagraph (A)(ii)), in a machine readable file, on
                    an internet website maintained by the Centers for
                    Medicare & Medicaid Services.''.
                        (B) Provision of information to beneficiaries.--
                    Section 1851(d)(4) of the Social Security Act (42
                    U.S.C. 1395w-21(d)(4)) is amended by adding at the end
                    the following new subparagraph:
                        ``(F) Provider directory.--Beginning with plan
                    years beginning on or after January 1, 2029, in the
                    case of a specified MA plan (as defined in section
                    1852(c)(3)(C)), the accuracy score of the plan's
                    provider directory (as reported under section
                    1857(e)(6)(A)(ii)) listed prominently on the plan's
                    provider directory.''.
                        (C) Funding.--In addition to amounts otherwise
                    available, there is appropriated to the Centers for
                    Medicare & Medicaid Services Program Management
                    Account, out of any money in the Treasury not otherwise
                    appropriated, $4,000,000 for fiscal year 2026, to
                    remain available until expended, to carry out the
                    amendments made by this paragraph.
                (3) GAO study and report.--
                        (A) Analysis.--The Comptroller General of the
                    United States (in this paragraph referred to as the
                    ``Comptroller General'') shall conduct a study of the
                    implementation of the amendments made by paragraphs (1)
                    and (2). To the extent data are available and reliable,
                    such study shall include an analysis of--
                                (i) the use of cost-sharing protections
                            required under section 1852(d)(7)(A) of the
                            Social Security Act, as added by paragraph (1);
                                (ii) the trends in provider directory
                            information accuracy scores submitted to the
                            Secretary of Health and Human Services under
                            section 1857(e)(6)(A)(ii) of the Social
                            Security Act (as added by paragraph (2)(A)),
                            both overall and among providers specializing
                            in mental health or substance use disorder
                            treatment;
                                (iii) provider response rates by plan
                            verification methods;
                                (iv) administrative costs to providers and
                            Medicare Advantage organizations; and
                                (v) other items determined appropriate by
                            the Comptroller General.
                        (B) Report.--Not later than January 15, 2033, the
                    Comptroller General shall submit to Congress a report
                    containing the results of the study conducted under
                    subparagraph (A), together with recommendations for
                    such legislation and administrative action as the
                    Comptroller General determines appropriate.
        (c) Guidance on Maintaining Accurate Provider Directories.--
                (1) Stakeholder meeting.--
                        (A) In general.--Not later than 6 months after the
                    date of enactment of this Act, the Secretary of Health
                    and Human Services (referred to in this subsection as
                    the ``Secretary'') shall hold a public meeting to
                    receive input on approaches for maintaining accurate
                    provider directories for Medicare Advantage plans under
                    part C of title XVIII of the Social Security Act (42
                    U.S.C. 1395w-21 et seq.), including input on approaches
                    for reducing administrative burden, such as data
                    standardization, and best practices to maintain
                    accurate provider directory information.
                        (B) Participants.--Participants of the meeting
                    under subparagraph (A) shall include representatives
                    from the Centers for Medicare & Medicaid Services and
                    the Assistant Secretary for Technology Policy and
                    Office of the National Coordinator for Health
                    Information Technology. Such meeting shall be open to
                    the public. To the extent practicable, the Secretary
                    shall include health care providers, companies that
                    specialize in relevant technologies, health insurers,
                    and patient advocates.
                (2) Guidance to medicare advantage organizations.--Not
            later than 18 months after the date of enactment of this Act,
            the Secretary shall issue guidance to Medicare Advantage
            organizations offering Medicare Advantage plans under part C of
            title XVIII of the Social Security Act (42 U.S.C. 1395w-21 et
            seq.) on maintaining accurate provider directories for such
            plans, taking into consideration input received during the
            stakeholder meeting under paragraph (1). Such guidance may
            include the following, as determined appropriate by the
            Secretary:
                        (A) Best practices for Medicare Advantage
                    organizations on how to work with providers to maintain
                    the accuracy of provider directories and reduce
                    provider and Medicare Advantage organization burden
                    with respect to maintaining the accuracy of provider
                    directories.
                        (B) Information on data sets and data sources with
                    information that could be used by Medicare Advantage
                    organizations to maintain accurate provider
                    directories.
                        (C) Approaches for utilizing data sources
                    maintained by Medicare Advantage organizations and
                    publicly available data sets to maintain accurate
                    provider directories.
                        (D) Information that may be useful to include in
                    provider directories for Medicare beneficiaries to use
                    in assessing plan networks when selecting a plan and
                    accessing providers participating in plan networks
                    during the plan year.
                (3) Guidance to part b providers.--Not later than 12 months
            after the date of enactment of this Act, the Secretary shall
            issue guidance to providers of services and suppliers who
            furnish items or services for which benefits are available
            under part B of title XVIII of the Social Security Act (42
            U.S.C. 1395j et seq.) on when to update the National Plan and
            Provider Enumeration System (or a successor system) for
            information changes.

    SEC. 6221. MEDICARE COVERAGE OF MULTI-CANCER EARLY DETECTION SCREENING
                  TESTS.

        (a) Coverage.--Section 1861 of the Social Security Act (42 U.S.C.
    1395x) is amended--
                (1) in subsection (s)(2)--
                        (A) by striking the semicolon at the end of
                    subparagraph (JJ) and inserting ``; and''; and
                        (B) by adding at the end the following new
                    subparagraph:
                ``(KK) multi-cancer early detection screening tests (as
            defined in subsection (nnn));''; and
                (2) by adding at the end the following new subsection:
        ``(nnn) Multi-cancer Early Detection Screening Tests.--
                ``(1) In general.--The term `multi-cancer early detection
            screening test' means a test furnished to an individual for the
            concurrent detection of multiple cancer types across multiple
            organ sites on or after January 1, 2029, that--
                        ``(A) is cleared under section 510(k), classified
                    under section 513(f)(2), or approved under section 515
                    of the Federal Food, Drug, and Cosmetic Act;
                        ``(B) is--
                                ``(i) a genomic sequencing blood or blood
                            product test that includes the analysis of
                            cell-free nucleic acids; or
                                ``(ii) a test based on samples of
                            biological material that provide results
                            comparable to those obtained with a test
                            described in clause (i), as determined by the
                            Secretary; and
                        ``(C) the Secretary determines is--
                                ``(i) reasonable and necessary for the
                            prevention or early detection of an illness or
                            disability; and
                                ``(ii) appropriate for individuals entitled
                            to benefits under part A or enrolled under part
                            B.
                ``(2) NCD process.--In making determinations under
            paragraph (1)(C) regarding the coverage of a new test, the
            Secretary shall use the process for making national coverage
            determinations (as defined in section 1869(f)(1)(B)) under this
            title.''.
        (b) Payment and Standards for Multi-cancer Early Detection
    Screening Tests.--
                (1) In general.--Section 1834 of the Social Security Act
            (42 U.S.C. 1395m) is amended by adding at the end the following
            new subsection:
        ``(aa) Payment and Standards for Multi-cancer Early Detection
    Screening Tests.--
                ``(1) Payment amount.--The payment amount for a multi-
            cancer early detection screening test (as defined in section
            1861(nnn)) is--
                        ``(A) with respect to such a test furnished before
                    January 1, 2031, equal to the payment amount in effect
                    on the date of the enactment of this subsection for a
                    multi-target stool screening DNA test covered pursuant
                    to section 1861(pp)(1)(D); and
                        ``(B) with respect to such a test furnished on or
                    after January 1, 2031, equal to the lesser of--
                                ``(i) the amount described in subparagraph
                            (A); or
                                ``(ii) the payment amount determined for
                            such test under section 1834A.
                ``(2) Limitations.--
                        ``(A) In general.--No payment may be made under
                    this part for a multi-cancer early detection screening
                    test furnished during a year to an individual if--
                                ``(i) such individual--
                                        ``(I) is under 50 years of age; or
                                        ``(II) as of January 1 of such
                                    year, has attained the age specified in
                                    subparagraph (B) for such year; or
                                ``(ii) such a test was furnished to the
                            individual during the previous 11 months.
                        ``(B) Age specified.--For purposes of subparagraph
                    (A)(i)(II), the age specified in this subparagraph is--
                                ``(i) for 2029, 65 years of age; and
                                ``(ii) for a succeeding year, the age
                            specified in this subparagraph for the
                            preceding year, increased by 1 year.
                        ``(C) Standards following uspstf rating of a or
                    b.--In the case of a multi-cancer early detection
                    screening test that is recommended with a grade of A or
                    B by the United States Preventive Services Task Force,
                    beginning on the date on which coverage for such test
                    is provided pursuant to section 1861(ddd)(1), the
                    preceding provisions of this paragraph shall not
                    apply.''.
                (2) Conforming amendments.--
                        (A) Section 1833 of the Social Security Act (42
                    U.S.C. 1395l) is amended--
                                (i) in subsection (a)--
                                        (I) in paragraph (1)(D)(i)(I), by
                                    striking ``section 1834(d)(1)'' and
                                    inserting ``subsection (d)(1) or (aa)
                                    of section 1834''; and
                                        (II) in paragraph (2)(D)(i)(I), by
                                    striking ``section 1834(d)(1)'' and
                                    inserting ``subsection (d)(1) or (aa)
                                    of section 1834''; and
                                (ii) in subsection (h)(1)(A), by striking
                            ``section 1834(d)(1)'' and inserting
                            ``subsections (d)(1) and (aa) of section
                            1834''.
                        (B) Section 1862(a)(1)(A) of the Social Security
                    Act (42 U.S.C. 1395y(a)(1)(A)) is amended--
                                (i) by striking ``or additional preventive
                            services'' and inserting ``, additional
                            preventive services''; and
                                (ii) by inserting ``, or multi-cancer early
                            detection screening tests (as defined in
                            section 1861(nnn))'' after ``(as described in
                            section 1861(ddd)(1))''.
        (c) Rule of Construction Relating to Other Cancer Screening
    Tests.--Nothing in this section, including the amendments made by this
    section, shall be construed--
                (1) in the case of an individual who undergoes a multi-
            cancer early detection screening test, to affect coverage under
            part B of title XVIII of the Social Security Act for other
            cancer screening tests covered under such title, such as
            screening tests for breast, cervical, colorectal, lung, or
            prostate cancer; or
                (2) in the case of an individual who undergoes another
            cancer screening test, to affect coverage under such part for a
            multi-cancer early detection screening test or the use of such
            a test as a diagnostic or confirmatory test for a result of the
            other cancer screening test.
        (d) Funding.--In addition to amounts otherwise available, there is
    appropriated to the Centers for Medicare & Medicaid Services Program
    Management Account, out of any money in the Treasury not otherwise
    appropriated, $2,000,000 for fiscal year 2026, to remain available
    until expended, to carry out this section.

    SEC. 6222. MEDICARE COVERAGE OF EXTERNAL INFUSION PUMPS AND NON-SELF-
                  ADMINISTRABLE HOME INFUSION DRUGS.

        (a) In General.--Section 1861(n) of the Social Security Act (42
    U.S.C. 1395x(n)) is amended by adding at the end the following new
    sentence: ``Beginning with the first calendar quarter beginning on or
    after the date that is 1 year after the date of the enactment of this
    sentence, an external infusion pump and associated home infusion drug
    (as defined in subsection (iii)(3)(C)) or other associated supplies
    that do not meet the appropriate for use in the home requirement
    applied to the definition of durable medical equipment under section
    414.202 of title 42, Code of Federal Regulations (or any successor to
    such regulation) shall be treated as meeting such requirement if each
    of the following criteria is satisfied:
                ``(1) The prescribing information approved by the Food and
            Drug Administration for the home infusion drug associated with
            the pump instructs that the drug should be administered by or
            under the supervision of a health care professional.
                ``(2) A qualified home infusion therapy supplier (as
            defined in subsection (iii)(3)(D)) administers or supervises
            the administration of the drug or biological in a safe and
            effective manner in the patient's home (as defined in
            subsection (iii)(3)(B)).
                ``(3) The prescribing information described in paragraph
            (1) instructs that the drug should be infused at least 12 times
            per year--
                        ``(A) intravenously or subcutaneously; or
                        ``(B) at infusion rates that the Secretary
                    determines would require the use of an external
                    infusion pump.''.
        (b) Cost Sharing Notification.--The Secretary of Health and Human
    Services shall ensure that patients are notified of the cost sharing
    for electing home infusion therapy compared to other applicable
    settings of care for the furnishing of infusion drugs under the
    Medicare program.

    SEC. 6223. ASSURING PHARMACY ACCESS AND CHOICE FOR MEDICARE
                  BENEFICIARIES.

        (a) In General.--Section 1860D-4(b)(1) of the Social Security Act
    (42 U.S.C. 1395w-104(b)(1)) is amended by striking subparagraph (A) and
    inserting the following:
                        ``(A) In general.--
                                ``(i) Participation of any willing
                            pharmacy.--A PDP sponsor offering a
                            prescription drug plan shall permit any
                            pharmacy that meets the standard contract terms
                            and conditions under such plan to participate
                            as a network pharmacy of such plan.
                                ``(ii) Contract terms and conditions.--
                                        ``(I) In general.--Notwithstanding
                                    any other provision of law, for plan
                                    years beginning on or after January 1,
                                    2029, in accordance with clause (i),
                                    contract terms and conditions offered
                                    by such PDP sponsor shall be reasonable
                                    and relevant according to standards
                                    established by the Secretary under
                                    subclause (II).
                                        ``(II) Standards.--Not later than
                                    the first Monday in April of 2028, the
                                    Secretary shall establish standards for
                                    reasonable and relevant contract terms
                                    and conditions for purposes of this
                                    clause.
                                        ``(III) Request for information.--
                                    Not later than April 1, 2027, for
                                    purposes of establishing the standards
                                    under subclause (II), the Secretary
                                    shall issue a request for information
                                    to seek input on trends in prescription
                                    drug plan and network pharmacy contract
                                    terms and conditions, current
                                    prescription drug plan and network
                                    pharmacy contracting practices, whether
                                    pharmacy reimbursement and dispensing
                                    fees paid by PDP sponsors to network
                                    pharmacies sufficiently cover the
                                    ingredient and operational costs of
                                    such pharmacies, the use and
                                    application of pharmacy quality
                                    measures by PDP sponsors for network
                                    pharmacies, PDP sponsor restrictions or
                                    limitations on the dispensing of
                                    covered part D drugs by network
                                    pharmacies (or any subsets of such
                                    pharmacies), PDP sponsor auditing
                                    practices for network pharmacies, areas
                                    in current regulations or program
                                    guidance related to contracting between
                                    prescription drug plans and network
                                    pharmacies requiring clarification or
                                    additional specificity, factors for
                                    consideration in determining the
                                    reasonableness and relevance of
                                    contract terms and conditions between
                                    prescription drug plans and network
                                    pharmacies, and other issues as
                                    determined appropriate by the
                                    Secretary.''.
        (b) Essential Retail Pharmacies.--Section 1860D-42 of the Social
    Security Act (42 U.S.C. 1395w-152) is amended by adding at the end the
    following new subsection:
        ``(e) Essential Retail Pharmacies.--
                ``(1) In general.--With respect to plan years beginning on
            or after January 1, 2028, the Secretary shall publish reports,
            at least once every 2 years until 2034, and periodically
            thereafter, that provide information, to the extent feasible,
            on--
                        ``(A) trends in ingredient cost reimbursement,
                    dispensing fees, incentive payments and other fees paid
                    by PDP sponsors offering prescription drug plans and MA
                    organizations offering MA-PD plans under this part to
                    essential retail pharmacies (as defined in paragraph
                    (2)) with respect to the dispensing of covered part D
                    drugs, including a comparison of such trends between
                    essential retail pharmacies and pharmacies that are not
                    essential retail pharmacies;
                        ``(B) trends in amounts paid to PDP sponsors
                    offering prescription drug plans and MA organizations
                    offering MA-PD plans under this part by essential
                    retail pharmacies with respect to the dispensing of
                    covered part D drugs, including a comparison of such
                    trends between essential retail pharmacies and
                    pharmacies that are not essential retail pharmacies;
                        ``(C) trends in essential retail pharmacy
                    participation in pharmacy networks and preferred
                    pharmacy networks for prescription drug plans offered
                    by PDP sponsors and MA-PD plans offered by MA
                    organizations under this part, including a comparison
                    of such trends between essential retail pharmacies and
                    pharmacies that are not essential retail pharmacies;
                        ``(D) trends in the number of essential retail
                    pharmacies, including variation in such trends by
                    geographic region or other factors;
                        ``(E) a comparison of cost-sharing for covered part
                    D drugs dispensed by essential retail pharmacies that
                    are network pharmacies for prescription drug plans
                    offered by PDP sponsors and MA-PD plans offered by MA
                    organizations under this part and cost-sharing for
                    covered part D drugs dispensed by other network
                    pharmacies for such plans located in similar geographic
                    areas that are not essential retail pharmacies;
                        ``(F) a comparison of the volume of covered part D
                    drugs dispensed by essential retail pharmacies that are
                    network pharmacies for prescription drug plans offered
                    by PDP sponsors and MA-PD plans offered by MA
                    organizations under this part and such volume of
                    dispensing by network pharmacies for such plans located
                    in similar geographic areas that are not essential
                    retail pharmacies, including information on any
                    patterns or trends in such comparison specific to
                    certain types of covered part D drugs, such as generic
                    drugs or drugs specified as specialty drugs by a PDP
                    sponsor under a prescription drug plan or an MA
                    organization under an MA-PD plan; and
                        ``(G) a comparison of the information described in
                    subparagraphs (A) through (F) between essential retail
                    pharmacies that are network pharmacies for prescription
                    drug plans offered by PDP sponsors under this part and
                    essential retail pharmacies that are network pharmacies
                    for MA-PD plans offered by MA organizations under this
                    part.
                ``(2) Definition of essential retail pharmacy.--In this
            subsection, the term `essential retail pharmacy' means, with
            respect to a plan year, a retail pharmacy that--
                        ``(A) is not a pharmacy that is an affiliate as
                    defined in paragraph (4); and
                        ``(B) is located in--
                                ``(i) a rural area in which there is no
                            other retail pharmacy within 10 miles, as
                            determined by the Secretary;
                                ``(ii) a suburban area in which there is no
                            other retail pharmacy within 2 miles, as
                            determined by the Secretary; or
                                ``(iii) an urban area in which there is no
                            other retail pharmacy within 1 mile, as
                            determined by the Secretary.
                ``(3) List of essential retail pharmacies.--
                        ``(A) Publication of list of essential retail
                    pharmacies.--For each plan year (beginning with plan
                    year 2028), the Secretary shall publish, on a publicly
                    available internet website of the Centers for Medicare
                    & Medicaid Services, a list of retail pharmacies that
                    meet the criteria described in subparagraphs (A) and
                    (B) of paragraph (2) to be considered an essential
                    retail pharmacy.
                        ``(B) Required submissions from pdp sponsors.--For
                    each plan year (beginning with plan year 2028), each
                    PDP sponsor offering a prescription drug plan and each
                    MA organization offering an MA-PD plan shall submit to
                    the Secretary, for the purposes of determining retail
                    pharmacies that meet the criterion specified in
                    subparagraph (A) of paragraph (2), a list of retail
                    pharmacies that are affiliates of such sponsor or
                    organization, or are affiliates of a pharmacy benefit
                    manager acting on behalf of such sponsor or
                    organization, at a time, and in a form and manner,
                    specified by the Secretary.
                        ``(C) Reporting by pdp sponsors and ma
                    organizations.--For each plan year beginning with plan
                    year 2027, each PDP sponsor offering a prescription
                    drug plan and each MA organization offering an MA-PD
                    plan under this part shall submit to the Secretary
                    information on incentive payments and other fees paid
                    by such sponsor or organization to pharmacies, insofar
                    as any such payments or fees are not otherwise
                    reported, at a time, and in a form and manner,
                    specified by the Secretary.
                        ``(D) Implementation.--Notwithstanding any other
                    provision of law, the Secretary may implement this
                    paragraph by program instruction or otherwise.
                        ``(E) Nonapplication of paperwork reduction act.--
                    Chapter 35 of title 44, United States Code, shall not
                    apply to the implementation of this paragraph.
                ``(4) Definition of affiliate; pharmacy benefit manager.--
            In this subsection, the terms `affiliate' and `pharmacy benefit
            manager' have the meaning given those terms in section 1860D-
            12(h)(7).''.
        (c) Enforcement.--
                (1) In general.--Section 1860D-4(b)(1) of the Social
            Security Act (42 U.S.C. 1395w-104(b)(1)) is amended by adding
            at the end the following new subparagraph:
                        ``(F) Enforcement of standards for reasonable and
                    relevant contract terms and conditions.--
                                ``(i) Allegation submission process.--
                                        ``(I) In general.--Not later than
                                    January 1, 2029, the Secretary shall
                                    establish a process through which a
                                    pharmacy may submit to the Secretary an
                                    allegation of a violation by a PDP
                                    sponsor offering a prescription drug
                                    plan of the standards for reasonable
                                    and relevant contract terms and
                                    conditions under subparagraph (A)(ii),
                                    or of subclause (VIII) of this clause.
                                        ``(II) Frequency of submission.--
                                                ``(aa) In general.--Except
                                            as provided in item (bb), the
                                            allegation submission process
                                            under this clause shall allow
                                            pharmacies to submit any
                                            allegations of violations
                                            described in subclause (I) not
                                            more frequently than once per
                                            plan year per contract between
                                            a pharmacy and a PDP sponsor.
                                                ``(bb) Allegations relating
                                            to contract modifications.--In
                                            the case where a contract
                                            between a pharmacy and a PDP
                                            sponsor is modified following
                                            the submission of allegations
                                            by a pharmacy with respect to
                                            such contract and plan year,
                                            the allegation submission
                                            process under this clause shall
                                            allow such pharmacy to submit
                                            an additional allegation
                                            related to those modifications
                                            with respect to such contract
                                            and plan year.
                                        ``(III) Access to relevant
                                    documents and materials.--A PDP sponsor
                                    subject to an allegation under this
                                    clause--
                                                ``(aa) shall provide
                                            documents or materials, as
                                            specified by the Secretary,
                                            including contract offers made
                                            by such sponsor to such
                                            pharmacy or correspondence
                                            related to such offers, to the
                                            Secretary at a time, and in a
                                            form and manner, specified by
                                            the Secretary; and
                                                ``(bb) shall not prohibit
                                            or otherwise limit the ability
                                            of a pharmacy to submit such
                                            documents or materials to the
                                            Secretary for the purpose of
                                            submitting an allegation or
                                            providing evidence for such an
                                            allegation under this clause.
                                        ``(IV) Standardized template.--The
                                    Secretary shall establish a
                                    standardized template for pharmacies to
                                    use for the submission of allegations
                                    described in subclause (I). Such
                                    template shall require that the
                                    submission include a certification by
                                    the pharmacy that the information
                                    included is accurate, complete, and
                                    true to the best of the knowledge,
                                    information, and belief of such
                                    pharmacy.
                                        ``(V) Preventing frivolous
                                    allegations.--In the case where the
                                    Secretary determines that a pharmacy
                                    has submitted frivolous allegations
                                    under this clause on a routine basis,
                                    the Secretary may temporarily prohibit
                                    such pharmacy from using the allegation
                                    submission process under this clause,
                                    as determined appropriate by the
                                    Secretary.
                                        ``(VI) Exemption from freedom of
                                    information act.--Allegations submitted
                                    under this clause shall be exempt from
                                    disclosure under section 552 of title
                                    5, United States Code.
                                        ``(VII) Rule of construction.--
                                    Nothing in this clause shall be
                                    construed as limiting the ability of a
                                    pharmacy to pursue other legal actions
                                    or remedies, consistent with applicable
                                    Federal or State law, with respect to a
                                    potential violation of a requirement
                                    described in this subparagraph.
                                        ``(VIII) Anti-retaliation and anti-
                                    coercion.--Consistent with applicable
                                    Federal or State law, a PDP sponsor
                                    shall not--
                                                ``(aa) retaliate against a
                                            pharmacy for submitting any
                                            allegations under this clause;
                                            or
                                                ``(bb) coerce, intimidate,
                                            threaten, or interfere with the
                                            ability of a pharmacy to submit
                                            any such allegations.
                                ``(ii) Investigation.--The Secretary shall
                            investigate, as determined appropriate by the
                            Secretary, allegations submitted pursuant to
                            clause (i).
                                ``(iii) Enforcement.--
                                        ``(I) In general.--In the case
                                    where the Secretary determines that a
                                    PDP sponsor offering a prescription
                                    drug plan has violated the standards
                                    for reasonable and relevant contract
                                    terms and conditions under subparagraph
                                    (A)(ii) or the provisions of clause
                                    (i)(VIII) of this subparagraph, the
                                    Secretary may use authorities under
                                    sections 1857(g) and 1860D-12(b)(3)(E)
                                    to impose civil monetary penalties or
                                    other intermediate sanctions.
                                        ``(II) Application of civil
                                    monetary penalties.--The provisions of
                                    section 1128A (other than subsections
                                    (a) and (b)) shall apply to a civil
                                    monetary penalty under this clause in
                                    the same manner as such provisions
                                    apply to a penalty or proceeding under
                                    section 1128A(a).''.
                (2) Conforming amendment.--Section 1857(g)(1) of the Social
            Security Act (42 U.S.C. 1395w-27(g)(1)) is amended--
                        (A) in subparagraph (J), by striking ``or'' after
                    the semicolon;
                        (B) by redesignating subparagraph (K) as
                    subparagraph (L);
                        (C) by inserting after subparagraph (J), the
                    following new subparagraph:
                        ``(K) fails to comply with the standards for
                    reasonable and relevant contract terms and conditions
                    under subparagraph (A)(ii) of section 1860D-4(b)(1) or
                    violates the provisions of subparagraph (F)(i)(VIII) of
                    such section; or'';
                        (D) in subparagraph (L), as redesignated by
                    subparagraph (B), by striking ``through (J)'' and
                    inserting ``through (K)''; and
                        (E) in the flush matter following subparagraph (L),
                    as so redesignated, by striking ``subparagraphs (A)
                    through (K)'' and inserting ``subparagraphs (A) through
                    (L)''.
        (d) Accountability of Pharmacy Benefit Managers for Violations of
    Reasonable and Relevant Contract Terms and Conditions.--
                (1) In general.--Section 1860D-12(b) of the Social Security
            Act (42 U.S.C. 1395w-112) is amended by adding at the end the
            following new paragraph:
                ``(9) Accountability of pharmacy benefit managers for
            violations of reasonable and relevant contract terms and
            conditions.--For plan years beginning on or after January 1,
            2029, each contract entered into with a PDP sponsor under this
            part with respect to a prescription drug plan offered by such
            sponsor shall provide that any pharmacy benefit manager acting
            on behalf of such sponsor has a written agreement with the PDP
            sponsor under which the pharmacy benefit manager agrees to
            reimburse the PDP sponsor for any amounts paid by such sponsor
            under section 1860D-4(b)(1)(F)(iii)(I) to the Secretary as a
            result of a violation described in such section if such
            violation is related to a responsibility delegated to the
            pharmacy benefit manager by such PDP sponsor.''.
                (2) Ma-pd plans.--Section 1857(f)(3) of the Social Security
            Act (42 U.S.C. 1395w-27(f)(3)) is amended by adding at the end
            the following new subparagraph:
                        ``(F) Accountability of pharmacy benefit managers
                    for violations of reasonable and relevant contract
                    terms.--For plan years beginning on or after January 1,
                    2029, section 1860D-12(b)(9).''.
        (e) Biennial Report on Enforcement and Oversight of Pharmacy Access
    Requirements.--Section 1860D-42 of the Social Security Act (42 U.S.C.
    1395w-152), as amended by subsection (b), is amended by adding at the
    end the following new subsection:
        ``(f) Biennial Report on Enforcement and Oversight of Pharmacy
    Access Requirements.--
                ``(1) In general.--Not later than 2 years after the date of
            enactment of this subsection, and at least once every 2 years
            thereafter, the Secretary shall publish a report on enforcement
            and oversight actions and activities undertaken by the
            Secretary with respect to the requirements under section 1860D-
            4(b)(1).
                ``(2) Limitation.--A report under paragraph (1) shall not
            disclose--
                        ``(A) identifiable information about individuals or
                    entities unless such information is otherwise publicly
                    available; or
                        ``(B) trade secrets with respect to any
                    entities.''.
        (f) Funding.--In addition to amounts otherwise available, there is
    appropriated to the Centers for Medicare & Medicaid Services Program
    Management Account, out of any money in the Treasury not otherwise
    appropriated, $188,000,000 for fiscal year 2026, to remain available
    until expended, to carry out this section.

    SEC. 6224. MODERNIZING AND ENSURING PBM ACCOUNTABILITY.

        (a) In General.--
                (1) Prescription drug plans.--Section 1860D-12 of the
            Social Security Act (42 U.S.C. 1395w-112) is amended by adding
            at the end the following new subsection:
        ``(h) Requirements Relating to Pharmacy Benefit Managers.--For plan
    years beginning on or after January 1, 2028:
                ``(1) Agreements with pharmacy benefit managers.--Each
            contract entered into with a PDP sponsor under this part with
            respect to a prescription drug plan offered by such sponsor
            shall provide that any pharmacy benefit manager acting on
            behalf of such sponsor has a written agreement with the PDP
            sponsor under which the pharmacy benefit manager, and any
            affiliates of such pharmacy benefit manager, as applicable,
            agree to meet the following requirements:
                        ``(A) No income other than bona fide service
                    fees.--
                                ``(i) In general.--The pharmacy benefit
                            manager and any affiliate of such pharmacy
                            benefit manager shall not derive any
                            remuneration with respect to any services
                            provided on behalf of any entity or individual,
                            in connection with the utilization of covered
                            part D drugs, from any such entity or
                            individual other than bona fide service fees,
                            subject to clauses (ii) and (iii).
                                ``(ii) Incentive payments.--For the
                            purposes of this subsection, an incentive
                            payment (as determined by the Secretary) paid
                            by a PDP sponsor to a pharmacy benefit manager
                            or an affiliate of a pharmacy benefit manager
                            that is performing services on behalf of such
                            sponsor shall be deemed a `bona fide service
                            fee' (even if such payment does not otherwise
                            meet the definition of such term under
                            paragraph (7)(B)) if such payment is a flat
                            dollar amount, is consistent with fair market
                            value (as specified by the Secretary), is
                            related to services actually performed by the
                            pharmacy benefit manager or affiliate of such
                            pharmacy benefit manager, on behalf of the PDP
                            sponsor making such payment, in connection with
                            the utilization of covered part D drugs, and
                            meets additional requirements, if any, as
                            determined appropriate by the Secretary.
                                ``(iii) Clarification on rebates and
                            discounts used to lower costs for covered part
                            d drugs.--Rebates, discounts, and other price
                            concessions received by a pharmacy benefit
                            manager or an affiliate of a pharmacy benefit
                            manager from manufacturers, even if such price
                            concessions are calculated as a percentage of a
                            drug's price, shall not be considered a
                            violation of the requirements of clause (i) if
                            they are fully passed through to a PDP sponsor
                            and are compliant with all regulatory and
                            subregulatory requirements related to direct
                            and indirect remuneration for manufacturer
                            rebates, discounts, and other price concessions
                            under this part, including in cases where a PDP
                            sponsor is acting as a pharmacy benefit manager
                            on behalf of a prescription drug plan offered
                            by such PDP sponsor.
                                ``(iv) Evaluation of remuneration
                            arrangements.--Components of subsets of
                            remuneration arrangements (such as fees or
                            other forms of compensation paid to or retained
                            by the pharmacy benefit manager or affiliate of
                            such pharmacy benefit manager), as determined
                            appropriate by the Secretary, between pharmacy
                            benefit managers or affiliates of such pharmacy
                            benefit managers, as applicable, and other
                            entities involved in the dispensing or
                            utilization of covered part D drugs (including
                            PDP sponsors, manufacturers, pharmacies, and
                            other entities as determined appropriate by the
                            Secretary) shall be subject to review by the
                            Secretary, in consultation with the Office of
                            the Inspector General of the Department of
                            Health and Human Services, as determined
                            appropriate by the Secretary. The Secretary, in
                            consultation with the Office of the Inspector
                            General, shall review whether remuneration
                            under such arrangements is consistent with fair
                            market value (as specified by the Secretary)
                            through reviews and assessments of such
                            remuneration, as determined appropriate.
                                ``(v) Disgorgement.--The pharmacy benefit
                            manager shall disgorge any remuneration paid to
                            such pharmacy benefit manager or an affiliate
                            of such pharmacy benefit manager in violation
                            of this subparagraph to the PDP sponsor.
                                ``(vi) Additional requirements.--The
                            pharmacy benefit manager shall--
                                        ``(I) enter into a written
                                    agreement with any affiliate of such
                                    pharmacy benefit manager, under which
                                    the affiliate shall identify and
                                    disgorge any remuneration described in
                                    clause (v) to the pharmacy benefit
                                    manager; and
                                        ``(II) attest, subject to any
                                    requirements determined appropriate by
                                    the Secretary, that the pharmacy
                                    benefit manager has entered into a
                                    written agreement described in
                                    subclause (I) with any affiliate of the
                                    pharmacy benefit manager.
                        ``(B) Transparency regarding guarantees and cost
                    performance evaluations.--The pharmacy benefit manager
                    shall--
                                ``(i) define, interpret, and apply, in a
                            fully transparent and consistent manner for
                            purposes of calculating or otherwise evaluating
                            pharmacy benefit manager performance against
                            pricing guarantees or similar cost performance
                            measurements related to rebates, discounts,
                            price concessions, or net costs, terms such
                            as--
                                        ``(I) `generic drug', in a manner
                                    consistent with the definition of the
                                    term under section 423.4 of title 42,
                                    Code of Federal Regulations, or a
                                    successor regulation;
                                        ``(II) `brand name drug', in a
                                    manner consistent with the definition
                                    of the term under section 423.4 of
                                    title 42, Code of Federal Regulations,
                                    or a successor regulation;
                                        ``(III) `specialty drug';
                                        ``(IV) `rebate'; and
                                        ``(V) `discount';
                                ``(ii) identify any drugs, claims, or price
                            concessions excluded from any pricing guarantee
                            or other cost performance measure in a clear
                            and consistent manner; and
                                ``(iii) where a pricing guarantee or other
                            cost performance measure is based on a pricing
                            benchmark other than the wholesale acquisition
                            cost (as defined in section 1847A(c)(6)(B)) of
                            a drug, calculate and provide a wholesale
                            acquisition cost-based equivalent to the
                            pricing guarantee or other cost performance
                            measure.
                        ``(C) Provision of information.--
                                ``(i) In general.--Not later than July 1 of
                            each year, beginning in 2028, the pharmacy
                            benefit manager shall submit to the PDP
                            sponsor, and to the Secretary, a report, in
                            accordance with this subparagraph, and shall
                            make such report available to such sponsor at
                            no cost to such sponsor in a format specified
                            by the Secretary under paragraph (5). Each such
                            report shall include, with respect to such PDP
                            sponsor and each plan offered by such sponsor,
                            the following information with respect to the
                            previous plan year:
                                        ``(I) A list of all drugs covered
                                    by the plan that were dispensed
                                    including, with respect to each such
                                    drug--
                                                ``(aa) the brand name,
                                            generic or non-proprietary
                                            name, and National Drug Code;
                                                ``(bb) the number of plan
                                            enrollees for whom the drug was
                                            dispensed, the total number of
                                            prescription claims for the
                                            drug (including original
                                            prescriptions and refills,
                                            counted as separate claims),
                                            and the total number of dosage
                                            units of the drug dispensed;
                                                ``(cc) the number of
                                            prescription claims described
                                            in item (bb) by each type of
                                            dispensing channel through
                                            which the drug was dispensed,
                                            including retail, mail order,
                                            specialty pharmacy, long term
                                            care pharmacy, home infusion
                                            pharmacy, or other types of
                                            pharmacies or dispensers;
                                                ``(dd) the average
                                            wholesale acquisition cost,
                                            listed as cost per day's
                                            supply, cost per dosage unit,
                                            and cost per typical course of
                                            treatment (as applicable);
                                                ``(ee) the average
                                            wholesale price for the drug,
                                            listed as price per day's
                                            supply, price per dosage unit,
                                            and price per typical course of
                                            treatment (as applicable);
                                                ``(ff) the total out-of-
                                            pocket spending by plan
                                            enrollees on such drug after
                                            application of any benefits
                                            under the plan, including plan
                                            enrollee spending through
                                            copayments, coinsurance, and
                                            deductibles;
                                                ``(gg) total rebates paid
                                            by the manufacturer on the drug
                                            as reported under the Detailed
                                            DIR Report (or any successor
                                            report) submitted by such
                                            sponsor to the Centers for
                                            Medicare & Medicaid Services;
                                                ``(hh) all other direct or
                                            indirect remuneration on the
                                            drug as reported under the
                                            Detailed DIR Report (or any
                                            successor report) submitted by
                                            such sponsor to the Centers for
                                            Medicare & Medicaid Services;
                                                ``(ii) the average pharmacy
                                            reimbursement amount paid by
                                            the plan for the drug in the
                                            aggregate and disaggregated by
                                            dispensing channel identified
                                            in item (cc);
                                                ``(jj) the average National
                                            Average Drug Acquisition Cost
                                            (NADAC); and
                                                ``(kk) total manufacturer-
                                            derived revenue, inclusive of
                                            bona fide service fees,
                                            attributable to the drug and
                                            retained by the pharmacy
                                            benefit manager and any
                                            affiliate of such pharmacy
                                            benefit manager.
                                        ``(II) In the case of a pharmacy
                                    benefit manager that has an affiliate
                                    that is a retail, mail order, or
                                    specialty pharmacy, with respect to
                                    drugs covered by such plan that were
                                    dispensed, the following information:
                                                ``(aa) The percentage of
                                            total prescriptions that were
                                            dispensed by pharmacies that
                                            are an affiliate of the
                                            pharmacy benefit manager for
                                            each drug.
                                                ``(bb) The interquartile
                                            range of the total combined
                                            costs paid by the plan and plan
                                            enrollees, per dosage unit, per
                                            course of treatment, per 30-day
                                            supply, and per 90-day supply
                                            for each drug dispensed by
                                            pharmacies that are not an
                                            affiliate of the pharmacy
                                            benefit manager and that are
                                            included in the pharmacy
                                            network of such plan.
                                                ``(cc) The interquartile
                                            range of the total combined
                                            costs paid by the plan and plan
                                            enrollees, per dosage unit, per
                                            course of treatment, per 30-day
                                            supply, and per 90-day supply
                                            for each drug dispensed by
                                            pharmacies that are an
                                            affiliate of the pharmacy
                                            benefit manager and that are
                                            included in the pharmacy
                                            network of such plan.
                                                ``(dd) The lowest total
                                            combined cost paid by the plan
                                            and plan enrollees, per dosage
                                            unit, per course of treatment,
                                            per 30-day supply, and per 90-
                                            day supply, for each drug that
                                            is available from any pharmacy
                                            included in the pharmacy
                                            network of such plan.
                                                ``(ee) The difference
                                            between the average acquisition
                                            cost of the affiliate, such as
                                            a pharmacy or other entity that
                                            acquires prescription drugs,
                                            that initially acquires the
                                            drug and the amount reported
                                            under subclause (I)(jj) for
                                            each drug.
                                                ``(ff) A list inclusive of
                                            the brand name, generic or non-
                                            proprietary name, and National
                                            Drug Code of covered part D
                                            drugs subject to an agreement
                                            with a covered entity under
                                            section 340B of the Public
                                            Health Service Act for which
                                            the pharmacy benefit manager or
                                            an affiliate of the pharmacy
                                            benefit manager had a contract
                                            or other arrangement with such
                                            a covered entity in the service
                                            area of such plan.
                                        ``(III) Where a drug approved under
                                    section 505(c) of the Federal Food,
                                    Drug, and Cosmetic Act (referred to in
                                    this subclause as the `listed drug') is
                                    covered by the plan, the following
                                    information:
                                                ``(aa) A list of currently
                                            marketed generic drugs approved
                                            under section 505(j) of the
                                            Federal Food, Drug, and
                                            Cosmetic Act pursuant to an
                                            application that references
                                            such listed drug that are not
                                            covered by the plan, are
                                            covered on the same formulary
                                            tier or a formulary tier
                                            typically associated with
                                            higher cost-sharing than the
                                            listed drug, or are subject to
                                            utilization management that the
                                            listed drug is not subject to.
                                                ``(bb) The estimated
                                            average beneficiary cost-
                                            sharing under the plan for a
                                            30-day supply of the listed
                                            drug.
                                                ``(cc) Where a generic drug
                                            listed under item (aa) is on a
                                            formulary tier typically
                                            associated with higher cost-
                                            sharing than the listed drug,
                                            the estimated average cost-
                                            sharing that a beneficiary
                                            would have paid for a 30-day
                                            supply of each of the generic
                                            drugs described in item (aa),
                                            had the plan provided coverage
                                            for such drugs on the same
                                            formulary tier as the listed
                                            drug.
                                                ``(dd) A written
                                            justification for providing
                                            more favorable coverage of the
                                            listed drug than the generic
                                            drugs described in item (aa).
                                                ``(ee) The number of
                                            currently marketed generic
                                            drugs approved under section
                                            505(j) of the Federal Food,
                                            Drug, and Cosmetic Act pursuant
                                            to an application that
                                            references such listed drug.
                                        ``(IV) Where a reference product
                                    (as defined in section 351(i) of the
                                    Public Health Service Act) is covered
                                    by the plan, the following information:
                                                ``(aa) A list of currently
                                            marketed biosimilar biological
                                            products licensed under section
                                            351(k) of the Public Health
                                            Service Act pursuant to an
                                            application that refers to such
                                            reference product that are not
                                            covered by the plan, are
                                            covered on the same formulary
                                            tier or a formulary tier
                                            typically associated with
                                            higher cost-sharing than the
                                            reference product, or are
                                            subject to utilization
                                            management that the reference
                                            product is not subject to.
                                                ``(bb) The estimated
                                            average beneficiary cost-
                                            sharing under the plan for a
                                            30-day supply of the reference
                                            product.
                                                ``(cc) Where a biosimilar
                                            biological product listed under
                                            item (aa) is on a formulary
                                            tier typically associated with
                                            higher cost-sharing than the
                                            reference product, the
                                            estimated average cost-sharing
                                            that a beneficiary would have
                                            paid for a 30-day supply of
                                            each of the biosimilar
                                            biological products described
                                            in item (aa), had the plan
                                            provided coverage for such
                                            products on the same formulary
                                            tier as the reference product.
                                                ``(dd) A written
                                            justification for providing
                                            more favorable coverage of the
                                            reference product than the
                                            biosimilar biological products
                                            described in item (aa).
                                                ``(ee) The number of
                                            currently marketed biosimilar
                                            biological products licensed
                                            under section 351(k) of the
                                            Public Health Service Act,
                                            pursuant to an application that
                                            refers to such reference
                                            product.
                                        ``(V) Total gross spending on
                                    covered part D drugs by the plan, not
                                    net of rebates, fees, discounts, or
                                    other direct or indirect remuneration.
                                        ``(VI) The total amount retained by
                                    the pharmacy benefit manager or an
                                    affiliate of such pharmacy benefit
                                    manager in revenue related to
                                    utilization of covered part D drugs
                                    under that plan, inclusive of bona fide
                                    service fees.
                                        ``(VII) The total spending on
                                    covered part D drugs net of rebates,
                                    fees, discounts, or other direct and
                                    indirect remuneration by the plan.
                                        ``(VIII) An explanation of any
                                    benefit design parameters under such
                                    plan that encourage plan enrollees to
                                    fill prescriptions at pharmacies that
                                    are an affiliate of such pharmacy
                                    benefit manager, such as mail and
                                    specialty home delivery programs, and
                                    retail and mail auto-refill programs.
                                        ``(IX) The following information:
                                                ``(aa) A list of all
                                            brokers, consultants, advisors,
                                            and auditors that receive
                                            compensation from the pharmacy
                                            benefit manager or an affiliate
                                            of such pharmacy benefit
                                            manager for referrals,
                                            consulting, auditing, or other
                                            services offered to PDP
                                            sponsors related to pharmacy
                                            benefit management services.
                                                ``(bb) The amount of
                                            compensation provided by such
                                            pharmacy benefit manager or
                                            affiliate to each such broker,
                                            consultant, advisor, and
                                            auditor.
                                                ``(cc) The methodology for
                                            calculating the amount of
                                            compensation provided by such
                                            pharmacy benefit manager or
                                            affiliate, for each such
                                            broker, consultant, advisor,
                                            and auditor.
                                        ``(X) A list of all affiliates of
                                    the pharmacy benefit manager.
                                        ``(XI) A summary document submitted
                                    in a standardized template developed by
                                    the Secretary that includes such
                                    information described in subclauses (I)
                                    through (X).
                                ``(ii) Written explanation of contracts or
                            agreements with manufacturers.--
                                        ``(I) In general.--The pharmacy
                                    benefit manager shall, not later than
                                    30 days after the finalization of any
                                    contract or agreement between such
                                    pharmacy benefit manager or an
                                    affiliate of such pharmacy benefit
                                    manager and a manufacturer (or
                                    subsidiary, agent, or entity affiliated
                                    with such manufacturer) that makes
                                    rebates, discounts, payments, or other
                                    financial incentives related to one or
                                    more covered part D drugs or other
                                    prescription drugs, as applicable, of
                                    the manufacturer directly or indirectly
                                    contingent upon coverage, formulary
                                    placement, or utilization management
                                    conditions on any other covered part D
                                    drugs or other prescription drugs, as
                                    applicable, submit to the PDP sponsor a
                                    written explanation of such contract or
                                    agreement.
                                        ``(II) Requirements.--A written
                                    explanation under subclause (I) shall--
                                                ``(aa) include the
                                            manufacturer subject to the
                                            contract or agreement, all
                                            covered part D drugs and other
                                            prescription drugs, as
                                            applicable, subject to the
                                            contract or agreement and the
                                            manufacturers of such drugs,
                                            and a high-level description of
                                            the terms of such contract or
                                            agreement and how such terms
                                            apply to such drugs; and
                                                ``(bb) be certified by the
                                            Chief Executive Officer, Chief
                                            Financial Officer, or General
                                            Counsel of such pharmacy
                                            benefit manager, or affiliate
                                            of such pharmacy benefit
                                            manager, as applicable, or an
                                            individual delegated with the
                                            authority to sign on behalf of
                                            one of these officers, who
                                            reports directly to the
                                            officer.
                                        ``(III) Definition of other
                                    prescription drugs.--For purposes of
                                    this clause, the term `other
                                    prescription drugs' means prescription
                                    drugs covered as supplemental benefits
                                    under this part or prescription drugs
                                    paid outside of this part.
                        ``(D) Audit rights.--
                                ``(i) In general.--Not less than once a
                            year, at the request of the PDP sponsor, the
                            pharmacy benefit manager shall allow for an
                            audit of the pharmacy benefit manager to ensure
                            compliance with all terms and conditions under
                            the written agreement described in this
                            paragraph and the accuracy of information
                            reported under subparagraph (C).
                                ``(ii) Auditor.--The PDP sponsor shall have
                            the right to select an auditor. The pharmacy
                            benefit manager shall not impose any
                            limitations on the selection of such auditor.
                                ``(iii) Provision of information.--The
                            pharmacy benefit manager shall make available
                            to such auditor all records, data, contracts,
                            and other information necessary to confirm the
                            accuracy of information reported under
                            subparagraph (C), subject to reasonable
                            restrictions on how such information must be
                            reported to prevent redisclosure of such
                            information.
                                ``(iv) Timing.--The pharmacy benefit
                            manager must provide information under clause
                            (iii) and other information, data, and records
                            relevant to the audit to such auditor within 6
                            months of the initiation of the audit and
                            respond to requests for additional information
                            from such auditor within 30 days after the
                            request for additional information.
                                ``(v) Information from affiliates.--The
                            pharmacy benefit manager shall be responsible
                            for providing to such auditor information
                            required to be reported under subparagraph (C)
                            or under clause (iii) of this subparagraph that
                            is owned or held by an affiliate of such
                            pharmacy benefit manager.
                ``(2) Enforcement.--
                        ``(A) In general.--Each PDP sponsor shall--
                                ``(i) disgorge to the Secretary any amounts
                            disgorged to the PDP sponsor by a pharmacy
                            benefit manager under paragraph (1)(A)(v);
                                ``(ii) require, in a written agreement with
                            any pharmacy benefit manager acting on behalf
                            of such sponsor or affiliate of such pharmacy
                            benefit manager, that such pharmacy benefit
                            manager or affiliate reimburse the PDP sponsor
                            for any civil money penalty imposed on the PDP
                            sponsor as a result of the failure of the
                            pharmacy benefit manager or affiliate to meet
                            the requirements of paragraph (1) that are
                            applicable to the pharmacy benefit manager or
                            affiliate under the agreement; and
                                ``(iii) require, in a written agreement
                            with any such pharmacy benefit manager acting
                            on behalf of such sponsor or affiliate of such
                            pharmacy benefit manager, that such pharmacy
                            benefit manager or affiliate be subject to
                            punitive remedies for breach of contract for
                            failure to comply with the requirements
                            applicable under paragraph (1).
                        ``(B) Reporting of alleged violations.--The
                    Secretary shall make available and maintain a mechanism
                    for manufacturers, PDP sponsors, pharmacies, and other
                    entities that have contractual relationships with
                    pharmacy benefit managers or affiliates of such
                    pharmacy benefit managers to report, on a confidential
                    basis, alleged violations of paragraph (1)(A) or
                    subparagraph (C).
                        ``(C) Anti-retaliation and anti-coercion.--
                    Consistent with applicable Federal or State law, a PDP
                    sponsor shall not--
                                ``(i) retaliate against an individual or
                            entity for reporting an alleged violation under
                            subparagraph (B); or
                                ``(ii) coerce, intimidate, threaten, or
                            interfere with the ability of an individual or
                            entity to report any such alleged violations.
                ``(3) Certification of compliance.--
                        ``(A) In general.--Each PDP sponsor shall furnish
                    to the Secretary (at a time and in a manner specified
                    by the Secretary) an annual certification of compliance
                    with this subsection, as well as such information as
                    the Secretary determines necessary to carry out this
                    subsection.
                        ``(B) Implementation.--Notwithstanding any other
                    provision of law, the Secretary may implement this
                    paragraph by program instruction or otherwise.
                ``(4) Rule of construction.--Nothing in this subsection
            shall be construed as--
                        ``(A) prohibiting flat dispensing fees or
                    reimbursement or payment for ingredient costs
                    (including customary, industry-standard discounts
                    directly related to drug acquisition that are retained
                    by pharmacies or wholesalers) to entities that acquire
                    or dispense prescription drugs; or
                        ``(B) modifying regulatory requirements or sub-
                    regulatory program instruction or guidance related to
                    pharmacy payment, reimbursement, or dispensing fees.
                ``(5) Standard formats.--
                        ``(A) In general.--Not later than June 1, 2027, the
                    Secretary shall specify standard, machine-readable
                    formats for pharmacy benefit managers to submit annual
                    reports required under paragraph (1)(C)(i).
                        ``(B) Implementation.--Notwithstanding any other
                    provision of law, the Secretary may implement this
                    paragraph by program instruction or otherwise.
                ``(6) Confidentiality.--
                        ``(A) In general.--Information disclosed by a
                    pharmacy benefit manager, an affiliate of a pharmacy
                    benefit manager, a PDP sponsor, or a pharmacy under
                    this subsection that is not otherwise publicly
                    available or available for purchase shall not be
                    disclosed by the Secretary or a PDP sponsor receiving
                    the information, except that the Secretary may disclose
                    the information for the following purposes:
                                ``(i) As the Secretary determines necessary
                            to carry out this part.
                                ``(ii) To permit the Comptroller General to
                            review the information provided.
                                ``(iii) To permit the Director of the
                            Congressional Budget Office to review the
                            information provided.
                                ``(iv) To permit the Executive Director of
                            the Medicare Payment Advisory Commission to
                            review the information provided.
                                ``(v) To the Attorney General for the
                            purposes of conducting oversight and
                            enforcement under this title.
                                ``(vi) To the Inspector General of the
                            Department of Health and Human Services in
                            accordance with its authorities under the
                            Inspector General Act of 1978 (section 406 of
                            title 5, United States Code), and other
                            applicable statutes.
                        ``(B) Restriction on use of information.--The
                    Secretary, the Comptroller General, the Director of the
                    Congressional Budget Office, and the Executive Director
                    of the Medicare Payment Advisory Commission shall not
                    report on or disclose information disclosed pursuant to
                    subparagraph (A) to the public in a manner that would
                    identify--
                                ``(i) a specific pharmacy benefit manager,
                            affiliate, pharmacy, manufacturer, wholesaler,
                            PDP sponsor, or plan; or
                                ``(ii) contract prices, rebates, discounts,
                            or other remuneration for specific drugs in a
                            manner that may allow the identification of
                            specific contracting parties or of such
                            specific drugs.
                ``(7) Definitions.--For purposes of this subsection:
                        ``(A) Affiliate.--The term `affiliate' means, with
                    respect to any pharmacy benefit manager or PDP sponsor,
                    any entity that, directly or indirectly--
                                ``(i) owns or is owned by, controls or is
                            controlled by, or is otherwise related in any
                            ownership structure to such pharmacy benefit
                            manager or PDP sponsor; or
                                ``(ii) acts as a contractor, principal, or
                            agent to such pharmacy benefit manager or PDP
                            sponsor, insofar as such contractor, principal,
                            or agent performs any of the functions
                            described under subparagraph (C).
                        ``(B) Bona fide service fee.--The term `bona fide
                    service fee' means a fee that is reflective of the fair
                    market value (as specified by the Secretary, through
                    notice and comment rulemaking) for a bona fide,
                    itemized service actually performed on behalf of an
                    entity, that the entity would otherwise perform (or
                    contract for) in the absence of the service arrangement
                    and that is not passed on in whole or in part to a
                    client or customer, whether or not the entity takes
                    title to the drug. Such fee must be a flat dollar
                    amount and shall not be directly or indirectly based
                    on, or contingent upon--
                                ``(i) drug price, such as wholesale
                            acquisition cost or drug benchmark price (such
                            as average wholesale price);
                                ``(ii) the amount of discounts, rebates,
                            fees, or other direct or indirect remuneration
                            with respect to covered part D drugs dispensed
                            to enrollees in a prescription drug plan,
                            except as permitted pursuant to paragraph
                            (1)(A)(ii);
                                ``(iii) coverage or formulary placement
                            decisions or the volume or value of any
                            referrals or business generated between the
                            parties to the arrangement; or
                                ``(iv) any other amounts or methodologies
                            prohibited by the Secretary.
                        ``(C) Pharmacy benefit manager.--The term `pharmacy
                    benefit manager' means any person or entity that,
                    either directly or through an intermediary, acts as a
                    price negotiator or group purchaser on behalf of a PDP
                    sponsor or prescription drug plan, or manages the
                    prescription drug benefits provided by such sponsor or
                    plan, including the processing and payment of claims
                    for prescription drugs, the performance of drug
                    utilization review, the processing of drug prior
                    authorization requests, the adjudication of appeals or
                    grievances related to the prescription drug benefit,
                    contracting with network pharmacies, controlling the
                    cost of covered part D drugs, or the provision of
                    related services. Such term includes any person or
                    entity that carries out one or more of the activities
                    described in the preceding sentence, irrespective of
                    whether such person or entity calls itself a `pharmacy
                    benefit manager'.''.
                (2) MA-PD plans.--Section 1857(f)(3) of the Social Security
            Act (42 U.S.C. 1395w-27(f)(3)), as amended by section
            6223(d)(2), is amended by adding at the end the following new
            subparagraph:
                        ``(G) Requirements relating to pharmacy benefit
                    managers.--For plan years beginning on or after January
                    1, 2028, section 1860D-12(h).''.
                (3) Nonapplication of paperwork reduction act.--Chapter 35
            of title 44, United States Code, shall not apply to the
            implementation of this subsection.
                (4) Funding.--
                        (A) Secretary.--In addition to amounts otherwise
                    available, there is appropriated to the Centers for
                    Medicare & Medicaid Services Program Management
                    Account, out of any money in the Treasury not otherwise
                    appropriated, $113,000,000 for fiscal year 2026, to
                    remain available until expended, to carry out this
                    subsection.
                        (B) OIG.--In addition to amounts otherwise
                    available, there is appropriated to the Inspector
                    General of the Department of Health and Human Services,
                    out of any money in the Treasury not otherwise
                    appropriated, $20,000,000 for fiscal year 2026, to
                    remain available until expended, to carry out this
                    subsection.
        (b) GAO Study and Report on Price-related Compensation Across the
    Supply Chain.--
                (1) Study.--The Comptroller General of the United States
            (in this subsection referred to as the ``Comptroller General'')
            shall conduct a study describing the use of compensation and
            payment structures related to a prescription drug's price
            within the retail prescription drug supply chain in part D of
            title XVIII of the Social Security Act (42 U.S.C. 1395w-101 et
            seq.). Such study shall summarize information from Federal
            agencies and industry experts, to the extent available, with
            respect to the following:
                        (A) The type, magnitude, other features (such as
                    the pricing benchmarks used), and prevalence of
                    compensation and payment structures related to a
                    prescription drug's price, such as calculating fee
                    amounts as a percentage of a prescription drug's price,
                    between intermediaries in the prescription drug supply
                    chain, including--
                                (i) pharmacy benefit managers;
                                (ii) PDP sponsors offering prescription
                            drug plans and Medicare Advantage organizations
                            offering MA-PD plans;
                                (iii) drug wholesalers;
                                (iv) pharmacies;
                                (v) manufacturers;
                                (vi) pharmacy services administrative
                            organizations;
                                (vii) brokers, auditors, consultants, and
                            other entities that--
                                        (I) advise PDP sponsors offering
                                    prescription drug plans and Medicare
                                    Advantage organizations offering MA-PD
                                    plans regarding pharmacy benefits; or
                                        (II) review PDP sponsor and
                                    Medicare Advantage organization
                                    contracts with pharmacy benefit
                                    managers; and
                                (viii) other service providers that
                            contract with any of the entities described in
                            clauses (i) through (vii) that may use price-
                            related compensation and payment structures,
                            such as rebate aggregators (or other entities
                            that negotiate or process price concessions on
                            behalf of pharmacy benefit managers, plan
                            sponsors, or pharmacies).
                        (B) The primary business models and compensation
                    structures for each category of intermediary described
                    in subparagraph (A).
                        (C) Variation in price-related compensation
                    structures between affiliated entities (such as
                    entities with common ownership, either full or partial,
                    and subsidiary relationships) and unaffiliated
                    entities.
                        (D) Potential conflicts of interest among
                    contracting entities related to the use of prescription
                    drug price-related compensation structures, such as the
                    potential for fees or other payments set as a
                    percentage of a prescription drug's price to advantage
                    formulary selection, distribution, or purchasing of
                    prescription drugs with higher prices.
                        (E) Notable differences, if any, in the use and
                    level of price-based compensation structures over time
                    and between different market segments, such as under
                    part D of title XVIII of the Social Security Act (42
                    U.S.C. 1395w-101 et seq.) and the Medicaid program
                    under title XIX of such Act (42 U.S.C. 1396 et seq.).
                        (F) The effects of drug price-related compensation
                    structures and alternative compensation structures on
                    Federal health care programs and program beneficiaries,
                    including with respect to cost-sharing, premiums,
                    Federal outlays, biosimilar and generic drug adoption
                    and utilization, drug shortage risks, and the potential
                    for fees set as a percentage of a drug's price to
                    advantage the formulary selection, distribution, or
                    purchasing of drugs with higher prices.
                        (G) Other issues determined to be relevant and
                    appropriate by the Comptroller General.
                (2) Report.--Not later than 2 years after the date of
            enactment of this section, the Comptroller General shall submit
            to Congress a report containing the results of the study
            conducted under paragraph (1), together with recommendations
            for such legislation and administrative action as the
            Comptroller General determines appropriate.
        (c) Medpac Reports on Agreements With Pharmacy Benefit Managers
    With Respect to Prescription Drug Plans and Ma-pd Plans.--
                (1) In general.--The Medicare Payment Advisory Commission
            shall submit to Congress the following reports:
                        (A) Initial report.--Not later than the first March
                    15 occurring after the date that is 2 years after the
                    date on which the Secretary makes the data available to
                    the Commission, a report regarding agreements with
                    pharmacy benefit managers with respect to prescription
                    drug plans and MA-PD plans. Such report shall include,
                    to the extent practicable--
                                (i) a description of trends and patterns,
                            including relevant averages, totals, and other
                            figures for the types of information submitted;
                                (ii) an analysis of any differences in
                            agreements and their effects on plan enrollee
                            out-of-pocket spending and average pharmacy
                            reimbursement, and other impacts; and
                                (iii) any recommendations the Commission
                            determines appropriate.
                        (B) Final report.--Not later than 2 years after the
                    date on which the Commission submits the initial report
                    under subparagraph (A), a report describing any changes
                    with respect to the information described in
                    subparagraph (A) over time, together with any
                    recommendations the Commission determines appropriate.
                (2) Funding.--In addition to amounts otherwise available,
            there is appropriated to the Medicare Payment Advisory
            Commission, out of any money in the Treasury not otherwise
            appropriated, $1,000,000 for fiscal year 2026, to remain
            available until expended, to carry out this subsection.

    SEC. 6225. REQUIRING A SEPARATE IDENTIFICATION NUMBER AND AN
                  ATTESTATION FOR EACH OFF-CAMPUS OUTPATIENT DEPARTMENT OF
                  A PROVIDER.

        (a) In General.--Section 1833(t) of the Social Security Act (42
    U.S.C. 1395l(t)) is amended by adding at the end the following new
    paragraph:
                ``(23) Use of unique health identifiers; attestation.--
                        ``(A) In general.--No payment may be made under
                    this subsection (or under an applicable payment system
                    pursuant to paragraph (21)) for items and services
                    furnished on or after January 1, 2028, by an off-campus
                    outpatient department of a provider (as defined in
                    subparagraph (C)) unless--
                                ``(i) such department has obtained, and
                            such items and services are billed under, a
                            National Provider Identifier that is separate
                            from such identifier for such provider;
                                ``(ii) such provider has submitted to the
                            Secretary, during the 2-year period ending on
                            the date such items and services are so
                            furnished, an initial provider-based status
                            attestation that such department is compliant
                            with the requirements described in section
                            413.65 of title 42, Code of Federal Regulations
                            (or a successor regulation), which, until the
                            Secretary establishes the process described in
                            subparagraph (B), may include an attestation
                            submitted in accordance with paragraph (b)(3)
                            of such section (as in effect on the date of
                            enactment of this paragraph); and
                                ``(iii) after such provider has submitted
                            an attestation under clause (ii), such provider
                            has submitted a subsequent attestation within
                            the timeframe specified by the Secretary.
                        ``(B) Process for submission and review.--
                                ``(i) In general.--The Secretary shall,
                            through notice and comment rulemaking,
                            establish a process for each provider with an
                            off-campus outpatient department of a provider
                            to submit an initial and subsequent attestation
                            pursuant to clauses (ii) and (iii),
                            respectively, of subparagraph (A), and for the
                            Secretary to review each such attestation and
                            determine, through site visits, remote audits,
                            or other means (as determined appropriate by
                            the Secretary), whether such department is
                            compliant with the requirements described in
                            such subparagraph.
                                ``(ii) Funding.--In addition to amounts
                            otherwise available, there is appropriated to
                            the Centers for Medicare & Medicaid Services
                            Program Management Account for fiscal year
                            2026, out of any amounts in the Treasury not
                            otherwise appropriated, $20,000,000, to remain
                            available until expended, for purposes of
                            carrying out this subparagraph.
                        ``(C) Off-campus outpatient department of a
                    provider defined.--For purposes of this paragraph, the
                    term `off-campus outpatient department of a provider'
                    means a department of a provider (as defined in section
                    413.65 of title 42, Code of Federal Regulations, or any
                    successor regulation) that is not located--
                                ``(i) on the campus (as defined in such
                            section) of such provider; or
                                ``(ii) within the distance (described in
                            such definition of campus) from a remote
                            location of a hospital facility (as defined in
                            such section).''.
        (b) HHS OIG Analysis.--Not later than January 1, 2030, the
    Inspector General of the Department of Health and Human Services shall
    submit to Congress--
                (1) an analysis of the process established by the Secretary
            of Health and Human Services to conduct the reviews and
            determinations described in section 1833(t)(23)(B) of the
            Social Security Act, as added by subsection (a) of this
            section; and
                (2) recommendations based on such analysis, as the
            Inspector General determines appropriate.

    SEC. 6226. REVISING PHASE-IN OF MEDICARE CLINICAL LABORATORY TEST
                  PAYMENT CHANGES.

        (a) Revised Phase-in of Reductions From Private Payor Rate
    Implementation.--Section 1834A(b)(3) of the Social Security Act (42
    U.S.C. 1395m-1(b)(3)) is amended--
                (1) in subparagraph (A), by striking ``2028'' and inserting
            ``2029''; and
                (2) in subparagraph (B)--
                        (A) in clause (ii), by striking ``2025 and for the
                    period beginning on January 1, 2026, and ending on
                    January 30, 2026'' and inserting ``2026''; and
                        (B) in clause (iii), by striking ``the period
                    beginning on January 31, 2026, and ending on December
                    31, 2026, and for each of 2027 and 2028'' and inserting
                    ``each of 2027 through 2029''.
        (b) Revised Data Collection Period for Reporting of Private Sector
    Payment Rates for Establishment of Medicare Payment Rates.--Section
    1834A(a)(4)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(4)(B))
    is amended by striking ``2019'' each place it appears and inserting
    ``2025'' in each such place.
        (c) Revised Reporting Period for Reporting of Private Sector
    Payment Rates for Establishment of Medicare Payment Rates.--Section
    1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(1)(B))
    is amended--
                (1) in clause (i), by striking ``January 31'' and inserting
            ``April 30''; and
                (2) in clause (ii), by striking ``February 1, 2026, and
            ending April 30, 2026'' and inserting ``May 1, 2026, and ending
            July 31, 2026''.
        (d) Implementation.--Notwithstanding any other provision of law,
    the Secretary of Health and Human Services may implement the amendments
    made by this section by program instruction or otherwise.

    SEC. 6227. MEDICARE SEQUESTRATION.

        Section 251A(6) of the Balanced Budget and Emergency Deficit
    Control Act of 1985 (2 U.S.C. 901a(6)) is amended--
                (1) in subparagraph (D), by striking ``such that,'' and all
            that follows and inserting ``such that the payment reduction
            shall be 2.0 percent for such fiscal year.''; and
                (2) by adding at the end the following:
                ``(F) On the date on which the President submits the budget
            under section 1105 of title 31, United States Code, for fiscal
            year 2033, the President shall order a sequestration of
            payments for the Medicare programs specified in section 256(d),
            effective upon issuance, such that, notwithstanding the 2
            percent limit specified in subparagraph (A) for such payments--
                        ``(i) with respect to the first 5 months in which
                    such order is effective for such fiscal year, the
                    payment reduction shall be 2.0 percent; and
                        ``(ii) with respect to the last 7 months in which
                    such order is effective for such fiscal year, the
                    payment reduction shall be 0 percent.''.

    SEC. 6228. MEDICARE IMPROVEMENT FUND.

        Section 1898(b)(1) of the Social Security Act (42 U.S.C.
    1395iii(b)(1)) is amended by striking ``$1,403,000,000'' and inserting
    ``$2,062,000,000''.

                           TITLE III--HUMAN SERVICES

    SEC. 6301. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.

        Section 510 of the Social Security Act (42 U.S.C. 710) is amended--
                (1) in subsection (a)--
                        (A) in paragraph (1)--
                                (i) by striking ``2025, and for the period
                            beginning on October 1, 2025, and ending on
                            January 30, 2026'' and inserting ``2026, and
                            for the period beginning on October 1, 2026,
                            and ending on December 31, 2026''; and
                                (ii) by striking ``fiscal year 2026'' and
                            inserting ``fiscal year 2027''; and
                        (B) in paragraph (2)--
                                (i) in subparagraph (A)--
                                        (I) by striking ``through 2025''
                                    and inserting ``through 2026''; and
                                        (II) by striking ``fiscal year
                                    2026'' each place it appears and
                                    inserting ``fiscal year 2027''; and
                                (ii) in subparagraph (B)(i), by striking
                            ``2026'' and inserting ``2027''; and
                (2) in subsection (f)(1) by striking ``2025, and for the
            period beginning on October 1, 2025, and ending on January 30,
            2026, an amount equal to the pro rata portion of the amount
            appropriated for the corresponding period for fiscal year
            2025'' and inserting ``2026, and for the period beginning on
            October 1, 2026, and ending on December 31, 2026, an amount
            equal to the pro rata portion of the amount appropriated for
            the corresponding period for fiscal year 2026''.

    SEC. 6302. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.

        Section 513 of the Social Security Act (42 U.S.C. 713) is amended--
                (1) in subsection (a)(1)--
                        (A) in subparagraph (A), in the matter preceding
                    clause (i), by striking ``2025, and for the period
                    beginning on October 1, 2025, and ending on January 30,
                    2026'' and inserting ``2026, and for the period
                    beginning on October 1, 2026, and ending on December
                    31, 2026''; and
                        (B) in subparagraph (B)(i), by striking ``fiscal
                    years 2024 and 2025, and for the period beginning on
                    October 1, 2025, and ending on January 30, 2026'' and
                    inserting ``fiscal years 2025 and 2026, and for the
                    period beginning on October 1, 2026, and ending on
                    December 31, 2026'';
                (2) in subsection (c)(3), by striking ``2026'' and
            inserting ``2027''; and
                (3) in subsection (f), by striking ``2025, and for the
            period beginning on October 1, 2025, and ending on January 30,
            2026, an amount equal to the pro rata portion of the amount
            appropriated for the corresponding period for fiscal year
            2025'' and inserting ``2026, and for the period beginning on
            October 1, 2026, and ending on December 31, 2026, an amount
            equal to the pro rata portion of the amount appropriated for
            the corresponding period for fiscal year 2026''.

    SEC. 6303. EXTENSION OF FUNDING FOR FAMILY-TO-FAMILY HEALTH INFORMATION
                  CENTERS.

        Section 501(c)(1)(A) of the Social Security Act (42 U.S.C.
    701(c)(1)(A)) is amended--
                (1) in clause (viii), by striking ``for fiscal year 2025''
            and inserting ``for each of fiscal years 2025 and 2026''; and
                (2) in clause (ix), by striking ``October 1, 2025, and
            ending on January 30, 2026, an amount equal to the pro rata
            portion of the amount appropriated for fiscal year 2025'' and
            inserting ``October 1, 2026, and ending on December 31, 2026,
            an amount equal to the pro rata portion of the amount
            appropriated for fiscal year 2026''.

    SEC. 6304. EXTENSION OF THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES
                  PROGRAM.

        Activities authorized by part A of title IV of the Social Security
    Act (other than under section 403(c) or 418 of such Act) and section
    1108(b) of the Social Security Act shall continue through December 31,
    2026, in the manner authorized for fiscal year 2025, and out of any
    money in the Treasury of the United States not otherwise appropriated,
    there are hereby appropriated such sums as may be necessary for such
    purpose.

                  TITLE IV--PUBLIC HEALTH AND OTHER EXTENDERS

                             Subtitle A--Extensions

    SEC. 6401. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH
                  SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE
                  GME PROGRAMS.

        (a) Extension for Community Health Centers.--Section 10503(b)(1) of
    the Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(1))
    is amended by striking subparagraphs (H), (I), (J), and (K) and
    inserting the following:
                        ``(H) $4,236,712,328 for fiscal year 2024;
                        ``(I) $4,295,287,671 for fiscal year 2025;
                        ``(J) $4,600,000,000 for fiscal year 2026; and
                        ``(K) $1,159,452,055 for the period beginning on
                    October 1, 2026, and ending on December 31, 2026;
                    and''.
        (b) Extension for the National Health Service Corps.--Section
    10503(b)(2) of the Patient Protection and Affordable Care Act (42
    U.S.C. 254b-2(b)(2)) is amended by striking subparagraphs (I), (J),
    (K), and (L) and inserting the following:
                        ``(I) $341,208,605 for fiscal year 2024;
                        ``(J) $349,736,600 for fiscal year 2025;
                        ``(K) $350,000,000 for fiscal year 2026; and
                        ``(L) $88,219,178 for the period beginning on
                    October 1, 2026, and ending on December 31, 2026.''.
        (c) Teaching Health Centers That Operate Graduate Medical Education
    Programs.--Section 340H(g)(1) of the Public Health Service Act (42
    U.S.C. 256h(g)(1)) is amended by striking subparagraphs (D), (E), (F),
    and (G) and inserting the following: ``
                        ``(D) $168,915,878 for fiscal year 2024;
                        ``(E) $181,563,574 for fiscal year 2025;
                        ``(F) $225,000,000 for fiscal year 2026;
                        ``(G) $250,000,000 for fiscal year 2027;
                        ``(H) $275,000,000 for fiscal year 2028; and
                        ``(I) $300,000,000 for fiscal year 2029.''.
        (d) Application of Provisions.--Amounts appropriated pursuant to
    the amendments made by this section shall be subject to the
    requirements contained in Public Law 118-47 for funds for programs
    authorized under sections 330 through 340 of the Public Health Service
    Act (42 U.S.C. 254b et seq.).
        (e) Conforming Amendments.--Section 3014(h)(4) of title 18, United
    States Code, is amended by striking ``and section 6101(d) of the
    Continuing Appropriations, Agriculture, Legislative Branch, Military
    Construction and Veterans Affairs, and Extensions Act, 2026'' and
    inserting ``section 6101(d) of the Continuing Appropriations,
    Agriculture, Legislative Branch, Military Construction and Veterans
    Affairs, and Extensions Act, 2026, and section 6401(d) of the
    Consolidated Appropriations Act, 2026''.

    SEC. 6402. EXTENSION OF SPECIAL DIABETES PROGRAMS.

        (a) Extension of Special Diabetes Programs for Type I Diabetes.--
    Section 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254c-
    2(b)(2)) is amended by striking subparagraphs (E), (F), (G), and (H)
    and inserting the following:
                        ``(E) $155,619,196 for fiscal year 2024, to remain
                    available until expended;
                        ``(F) $159,228,188 for fiscal year 2025, to remain
                    available until expended;
                        ``(G) $200,000,000 for fiscal year 2026, to remain
                    available until expended; and
                        ``(H) $50,410,959 for the period beginning on
                    October 1, 2026, and ending on December 31, 2026, to
                    remain available until expended.''.
        (b) Extending Funding for Special Diabetes Programs for Indians.--
    Section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c-
    3(c)(2)) is amended by striking subparagraphs (E), (F), (G), and (H)
    and inserting the following:
                        ``(E) $155,619,196 for fiscal year 2024, to remain
                    available until expended;
                        ``(F) $159,228,188 for fiscal year 2025, to remain
                    available until expended;
                        ``(G) $200,000,000 for fiscal year 2026, to remain
                    available until expended; and
                        ``(H) $50,410,959 for the period beginning on
                    October 1, 2026, and ending on December 31, 2026, to
                    remain available until expended.''.

    SEC. 6403. EXTENSION OF NATIONAL HEALTH SECURITY PROGRAMS.

        (a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C.
    247d(e)(8)) is amended by striking ``January 30, 2026'' and inserting
    ``December 31, 2026''.
        (b) Section 319L(e)(1)(D) of the Public Health Service Act (42
    U.S.C. 247d-7e(e)(1)(D)) is amended by striking ``January 30, 2026''
    and inserting ``December 31, 2026''.
        (c) Section 319L-1(b) of the Public Health Service Act (42 U.S.C.
    247d-7f(b)) is amended by striking ``January 30, 2026'' and inserting
    ``December 31, 2026''.
        (d) Section 2811A(g) of the Public Health Service Act (42 U.S.C.
    300hh-10b(g)) is amended by striking ``January 30, 2026'' and inserting
    ``December 31, 2026''.
        (e) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C.
    300hh-10c(g)(1)) is amended by striking ``January 30, 2026'' and
    inserting ``December 31, 2026''.
        (f) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C.
    300hh-10d(g)(1)) is amended by striking ``January 30, 2026'' and
    inserting ``December 31, 2026''.
        (g) Section 2812(c)(4)(B) of the Public Health Service Act (42
    U.S.C. 300hh-11(c)(4)(B)) is amended by striking ``January 30, 2026''
    and inserting ``December 31, 2026''.

    SEC. 6404. NO SURPRISES ACT IMPLEMENTATION.

        Section 118(a) of division BB of the Consolidated Appropriations
    Act, 2021 (Public Law 116-260) is amended--
                (1) in paragraph (1), by striking ``January 30, 2026'' and
            inserting ``December 31, 2026''; and
                (2) in paragraph (2)--
                        (A) by striking ``$14,000,000'' and inserting
                    ``$42,100,000''; and
                        (B) by striking ``January 30, 2026'' and inserting
                    ``December 31, 2026''.

                 Subtitle B--World Trade Center Health Program

    SEC. 6411. 9/11 RESPONDER AND SURVIVOR HEALTH FUNDING CORRECTIONS.

        (a) In General.--Section 3351(a)(2)(A) of the Public Health Service
    Act (42 U.S.C. 300mm-61(a)(2)(A)) is amended--
                (1) in clause (x), by striking ``; and'' and inserting a
            semicolon;
                (2) by redesignating clause (xi) as clause (xii); and
                (3) by inserting after clause (x), the following:
                                ``(xi) for each of fiscal years 2026
                            through 2040--
                                        ``(I) the amount determined under
                                    this subparagraph for the previous
                                    fiscal year multiplied by 1.07;
                                    multiplied by
                                        ``(II) the ratio of--
                                                ``(aa) the total number of
                                            individuals enrolled in the AC
                                            Program on July 1 of such
                                            previous fiscal year; to
                                                ``(bb) the total number of
                                            individuals so enrolled on July
                                            1 of the fiscal year prior to
                                            such previous fiscal year;
                                            and''.
        (b) Report to Congress.--
                (1) In general.--Not later than 3 years after the date of
            enactment of this Act, the Secretary of Health and Human
            Services (referred to in this subsection as the ``Secretary'')
            shall conduct an assessment of anticipated budget authority and
            outlays of the World Trade Center Health Program (referred to
            in this subsection as the ``Program'') through the duration of
            the Program and submit a report summarizing such assessment
            to--
                        (A) the Speaker and minority leader of the House of
                    Representatives;
                        (B) the majority and minority leaders of the
                    Senate;
                        (C) the Committee on Health, Education, Labor, and
                    Pensions and the Committee on the Budget of the Senate;
                    and
                        (D) the Committee on Energy and Commerce and the
                    Committee on the Budget of the House of
                    Representatives.
                (2) Inclusions.--The report required under paragraph (1)
            shall include--
                        (A) a projection of Program budgetary needs on a
                    per-fiscal year basis through fiscal year 2090;
                        (B) a review of Program modeling for each of fiscal
                    years 2017 through the fiscal year prior to the fiscal
                    year in which the report is issued to assess how
                    anticipated budgetary needs compared to actual
                    expenditures;
                        (C) an assessment of the projected budget authority
                    and expenditures of the Program through fiscal year
                    2090 by comparing--
                                (i) such projected authority and
                            expenditures resulting from application of
                            section 3351(a)(2)(A) of the Public Health
                            Service Act (42 U.S.C. 300mm-61(a)(2)(A)), as
                            amended by subsection (a); and
                                (ii) such projected authority and
                            expenditures that would result if such section
                            were amended so that the formula under clause
                            (xi) of such section, as amended by subsection
                            (a), were to be extended through fiscal year
                            2090; and
                        (D) any recommendations of the Secretary to make
                    changes to the formula under such section
                    3351(a)(2)(A), as so amended, to fully offset
                    anticipated Program expenditures through fiscal year
                    2090.
        (c) Technical Amendments.--Title XXIII of the Public Health Service
    Act (42 U.S.C. 300mm et seq.) is amended--
                (1) in section 3352(d) (42 U.S.C. 300mm-62(d)), by striking
            ``Any amounts'' and inserting ``Any unobligated amounts'';
                (2) in section 3353(d) (42 U.S.C. 300mm-63(d)), by striking
            ``Any amounts'' and inserting ``Any unobligated amounts''; and
                (3) in section 3354(d) (42 U.S.C. 300mm-64(d)), by striking
            ``Any amounts'' and inserting ``Any unobligated amounts''.

                        TITLE V--PUBLIC HEALTH PROGRAMS

    SEC. 6501. PREVENTING MATERNAL DEATHS.

        (a) Maternal Mortality Review Committees.--Section 317K(d) of the
    Public Health Service Act (42 U.S.C. 247b-12(d)) is amended--
                (1) in paragraph (1)(A), by inserting ``(including
            obstetricians and gynecologists)'' after ``clinical
            specialties''; and
                (2) in paragraph (3)(A)(i)--
                        (A) in subclause (I), by striking ``as applicable''
                    and inserting ``if available''; and
                        (B) in subclause (III), by striking ``, as
                    appropriate'' and inserting ``and coordinating with
                    individuals responsible for certifying deaths to
                    improve the collection and quality of death record
                    reports, including by amending errors and missing or
                    incomplete information to cause-of-death information on
                    a death certificate, as appropriate''.
        (b) Maternal Mortality.--Section 317K of the Public Health Service
    Act (42 U.S.C. 247b-12) is amended--
                (1) by redesignating subsections (e) and (f) as subsections
            (f) and (g), respectively; and
                (2) by inserting after subsection (d) the following:
        ``(e) Best Practices Relating to the Prevention of Maternal
    Mortality.--
                ``(1) In general.--The Secretary, acting through the
            Director of the Centers for Disease Control and Prevention,
            shall, in consultation with the Administrator of the Health
            Resources and Services Administration, identify and disseminate
            to health care providers, relevant professional societies, and
            perinatal quality collaboratives, best practices related to
            preventing maternal morbidity and mortality, taking into
            consideration any relevant findings from other Federal maternal
            health programs.
                ``(2) Frequency.--The Secretary, acting through the
            Director of the Centers for Disease Control and Prevention,
            shall disseminate the best practices referred to in paragraph
            (1) not less than once per fiscal year.''.
        (c) Authorization of Appropriations.--Subsection (g) of section
    317K of the Public Health Service Act (42 U.S.C. 247b-12), as
    redesignated by subsection (b)(1), is amended by striking ``$58,000,000
    for each of fiscal years 2019 through 2023'' and inserting
    ``$100,000,000 for each of fiscal years 2026 through 2030''.

    SEC. 6502. ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK.

        Section 372 of the Public Health Service Act (42 U.S.C. 274) is
    amended--
                (1) in subsection (b)(2)--
                        (A) by moving the margins of subparagraphs (M)
                    through (O) 2 ems to the left;
                        (B) in subparagraph (A)--
                                (i) in clause (i), by striking ``, and''
                            and inserting ``; and''; and
                                (ii) in clause (ii), by striking the comma
                            at the end and inserting a semicolon;
                        (C) in subparagraph (C), by striking ``twenty-four-
                    hour telephone service'' and inserting ``24-hour
                    telephone or information technology service'';
                        (D) in each of subparagraphs (B) through (M), by
                    striking the comma at the end and inserting a
                    semicolon;
                        (E) in subparagraph (N), by striking
                    ``transportation, and'' and inserting
                    ``transportation;'';
                        (F) in subparagraph (O), by striking the period and
                    inserting a semicolon; and
                        (G) by adding at the end the following:
                ``(P) encourage the integration of electronic health
            records systems through application programming interfaces (or
            successor technologies) among hospitals, organ procurement
            organizations, and transplant centers, including the use of
            automated electronic hospital referrals and the grant of
            remote, electronic access to hospital electronic health records
            of potential donors by organ procurement organizations, in a
            manner that complies with the privacy regulations promulgated
            under the Health Insurance Portability and Accountability Act
            of 1996, at part 160 of title 45, Code of Federal Regulations,
            and subparts A, C, and E of part 164 of such title (or any
            successor regulations); and
                ``(Q) consider establishing a dashboard to display the
            number of transplants performed, the types of transplants
            performed, the number and types of organs that entered the
            Organ Procurement and Transplantation Network system and failed
            to be transplanted, and other appropriate statistics, which
            should be updated more frequently than annually.''; and
                (2) by adding at the end the following:
        ``(d) Registration Fees.--
                ``(1) In general.--The Secretary may collect registration
            fees from any member of the Organ Procurement and
            Transplantation Network for each transplant candidate such
            member places on the list described in subsection (b)(2)(A)(i).
            Such registration fees shall be collected and distributed only
            to support the operation of the Organ Procurement and
            Transplantation Network. Such registration fees are authorized
            to remain available until expended.
                ``(2) Collection.--The Secretary may collect the
            registration fees under paragraph (1) directly or through
            awards made under subsection (b)(1)(A).
                ``(3) Distribution.--Any amounts collected under this
            subsection shall--
                        ``(A) be credited to the currently applicable
                    appropriation, account, or fund of the Department of
                    Health and Human Services as discretionary offsetting
                    collections; and
                        ``(B) be available, only to the extent and in the
                    amounts provided in advance in appropriations Acts, to
                    distribute such fees among awardees described in
                    subsection (b)(1)(A).
                ``(4) Transparency.--The Secretary shall--
                        ``(A) promptly post on the website of the Organ
                    Procurement and Transplantation Network--
                                ``(i) the amount of registration fees
                            collected under this subsection from each
                            member of the Organ Procurement and
                            Transplantation Network; and
                                ``(ii) a list of activities such fees are
                            used to support; and
                        ``(B) update the information posted pursuant to
                    subparagraph (A), as applicable for each calendar
                    quarter for which fees are collected under paragraph
                    (1).
                ``(5) GAO review.--Not later than 2 years after the date of
            enactment of this subsection, the Comptroller General of the
            United States shall, to the extent data are available--
                        ``(A) conduct a review concerning the activities
                    under this subsection; and
                        ``(B) submit to the Committee on Health, Education,
                    Labor, and Pensions and the Committee on Finance of the
                    Senate and the Committee on Energy and Commerce of the
                    House of Representatives, a report on such review,
                    including related recommendations, as applicable.
                ``(6) Sunset.--The authority to collect registration fees
            under paragraph (1) shall expire on the date that is 3 years
            after the date of enactment of the Consolidated Appropriations
            Act, 2026.''.

    SEC. 6503. HONOR OUR LIVING DONORS.

        (a) No Consideration of Income of Organ Recipient.--Section 377 of
    the Public Health Service Act (42 U.S.C. 274f) is amended--
                (1) by redesignating subsections (c) through (f) as
            subsections (d) through (g), respectively;
                (2) by inserting after subsection (b) the following:
        ``(c) No Consideration of Income of Organ Recipient.--The recipient
    of a grant under this section, in providing reimbursement to a donating
    individual through such grant, shall not give any consideration to the
    income of the organ recipient.''; and
                (3) in subsection (f), as so redesignated--
                        (A) in paragraph (1), by striking ``subsection
                    (c)(1)'' and inserting ``subsection (d)(1)''; and
                        (B) in paragraph (2), by striking ``subsection
                    (c)(2)'' and inserting ``subsection (d)(2)''.
        (b) Removal of Expectation of Payments by Organ Recipients.--
    Section 377(e) of the Public Health Service Act (42 U.S.C. 274f(e)), as
    redesignated by subsection (a)(1), is amended--
                (1) in paragraph (1), by adding ``or'' at the end;
                (2) in paragraph (2), by striking ``; or'' and inserting a
            period; and
                (3) by striking paragraph (3).
        (c) Annual Report.--Section 377 of the Public Health Service Act
    (42 U.S.C. 274f), as amended by subsections (a) and (b), is amended by
    adding at the end the following:
        ``(h) Annual Report.--Not later than December 31 of each year,
    beginning in fiscal year 2027, the Secretary shall--
                ``(1) prepare, submit to the Congress, and make public a
            report on whether grants under this section provided adequate
            funding during the preceding fiscal year to reimburse all
            donating individuals participating in the grant program under
            this section for all qualifying expenses; and
                ``(2) include in each such report--
                        ``(A) the estimated number of all donating
                    individuals participating in the grant program under
                    this section who did not receive reimbursement for all
                    qualifying expenses during the preceding fiscal year;
                    and
                        ``(B) the total amount of funding that is estimated
                    to be necessary to fully reimburse all donating
                    individuals participating in the grant program under
                    this section for all qualifying expenses.''.

    SEC. 6504. PROGRAM FOR PEDIATRIC STUDIES OF DRUGS.

        Section 409I(d)(1) of the Public Health Service Act (42 U.S.C.
    284m(d)(1)) is amended by striking ``section,'' and all that follows
    through the period at the end and inserting ``section, $25,000,000 for
    each of fiscal years 2026 through 2028.''.

    SEC. 6505. SICKLE CELL DISEASE PREVENTION AND TREATMENT.

        (a) In General.--Section 1106(b) of the Public Health Service Act
    (42 U.S.C. 300b-5(b)) is amended--
                (1) in paragraph (1)(A)(iii), by striking ``prevention and
            treatment of sickle cell disease'' and inserting ``treatment of
            sickle cell disease and the prevention and treatment of
            complications of sickle cell disease'';
                (2) in paragraph (2)(D), by striking ``prevention and
            treatment of sickle cell disease'' and inserting ``treatment of
            sickle cell disease and the prevention and treatment of
            complications of sickle cell disease'';
                (3) in paragraph (3)--
                        (A) in subparagraph (A), by striking ``enter into a
                    contract with'' and inserting ``make a grant to, or
                    enter into a contract or cooperative agreement with,'';
                    and
                        (B) in subparagraph (B), in each of clauses (ii)
                    and (iii), by striking ``prevention and treatment of
                    sickle cell disease'' and inserting ``treatment of
                    sickle cell disease and the prevention and treatment of
                    complications of sickle cell disease''; and
                (4) in paragraph (6), by striking ``$4,455,000 for each of
            fiscal years 2019 through 2023'' and inserting ``$8,205,000 for
            each of fiscal years 2026 through 2030''.
        (b) Sense of Congress.--It is the sense of Congress that further
    research should be undertaken to expand the understanding of the causes
    of, and to find cures for, heritable blood disorders, including sickle
    cell disease.

    SEC. 6506. LIFESPAN RESPITE CARE.

        (a) Definition of Family Caregiver.--Section 2901(5) of the Public
    Health Service Act (42 U.S.C. 300ii(5)) is amended by striking ``unpaid
    adult'' and inserting ``unpaid individual''.
        (b) Funding.--Section 2905 of the Public Health Service Act (42
    U.S.C. 300ii-4) is amended by striking ``fiscal years 2020 through
    fiscal year 2024'' and inserting ``fiscal years 2026 through 2030''.

    SEC. 6507. PREEMIE.

        (a) Research Relating to Preterm Labor and Delivery and the Care,
    Treatment, and Outcomes of Preterm and Low Birthweight Infants.--
                (1) In general.--Section 3(e) of the Prematurity Research
            Expansion and Education for Mothers who deliver Infants Early
            Act (42 U.S.C. 247b-4f(e)) is amended by striking ``fiscal
            years 2019 through 2023'' and inserting ``fiscal years 2026
            through 2030''.
                (2) Technical correction.--Effective as if included in the
            enactment of the PREEMIE Reauthorization Act of 2018 (Public
            Law 115-328), section 2 of such Act is amended, in the matter
            preceding paragraph (1), by striking ``Section 2'' and
            inserting ``Section 3''.
        (b) Interagency Working Group.--Section 5(a) of the PREEMIE
    Reauthorization Act of 2018 (Public Law 115-328) is amended by striking
    ``The Secretary of Health and Human Services, in collaboration with
    other departments, as appropriate, may establish'' and inserting ``Not
    later than 18 months after the date of the enactment of the
    Consolidated Appropriations Act, 2026, the Secretary of Health and
    Human Services, in collaboration with other departments, as
    appropriate, shall establish''.
        (c) Study on Preterm Births.--
                (1) In general.--The Secretary of Health and Human Services
            shall enter into appropriate arrangements with the National
            Academies of Sciences, Engineering, and Medicine under which
            the National Academies shall--
                        (A) not later than 30 days after the date of
                    enactment of this Act, convene a committee of experts
                    in maternal health to study premature births in the
                    United States; and
                        (B) upon completion of the study under subparagraph
                    (A)--
                                (i) approve by consensus a report on the
                            results of such study;
                                (ii) include in such report--
                                        (I) an assessment of each of the
                                    topics listed in paragraph (2);
                                        (II) the analysis required by
                                    paragraph (3); and
                                        (III) the raw data used to develop
                                    such report; and
                                (iii) not later than 24 months after the
                            date of enactment of this Act, transmit such
                            report to--
                                        (I) the Secretary of Health and
                                    Human Services;
                                        (II) the Committee on Energy and
                                    Commerce of the House of
                                    Representatives; and
                                        (III) the Committee on Finance and
                                    the Committee on Health, Education,
                                    Labor, and Pensions of the Senate.
                (2) Assessment topics.--The topics listed in this
            subsection are each of the following:
                        (A) The financial costs of premature birth to
                    society, including--
                                (i) an analysis of stays in neonatal
                            intensive care units and the cost of such
                            stays;
                                (ii) long-term costs of stays in such units
                            to society and the family involved post-
                            discharge; and
                                (iii) health care costs for families post-
                            discharge from such units (such as medications,
                            therapeutic services, co-payments for visits,
                            and specialty equipment).
                        (B) The factors that impact preterm birth rates.
                        (C) Opportunities for earlier detection of
                    premature birth risk factors, including--
                                (i) opportunities to improve maternal and
                            infant health; and
                                (ii) opportunities for public health
                            programs to provide support and resources for
                            parents in-hospital, in non-hospital settings,
                            and post-discharge.
                (3) Analysis.--The analysis required by this subsection is
            an analysis of--
                        (A) targeted research strategies to develop
                    effective drugs, treatments, or interventions to bring
                    at-risk pregnancies to term;
                        (B) State and other programs' best practices with
                    respect to reducing premature birth rates; and
                        (C) precision medicine and preventative care
                    approaches starting early in the life course (including
                    during pregnancy) with a focus on behavioral and
                    biological influences on premature birth, child health,
                    and the trajectory of such approaches into adulthood.

    SEC. 6508. DR. LORNA BREEN HEALTH CARE PROVIDER PROTECTION.

        (a) Dissemination of Best Practices.--Section 2 of the Dr. Lorna
    Breen Health Care Provider Protection Act (Public Law 117-105) is
    amended by striking ``2 years'' and inserting ``5 years''.
        (b) Education and Awareness Initiative Encouraging Use of Mental
    Health and Substance Use Disorder Services by Health Care
    Professionals.--Section 3 of the Dr. Lorna Breen Health Care Provider
    Protection Act (Public Law 117-105) is amended--
                (1) in subsection (b), by inserting ``and annually
            thereafter,'' after ``of this Act,''; and
                (2) in subsection (c), by striking ``2022 through 2024''
            and inserting ``2026 through 2030''.
        (c) Programs to Promote Mental Health Among the Health Professional
    Workforce.--The second section 764 of the Public Health Service Act (42
    U.S.C. 294t), as added by section 4 of the Dr. Lorna Breen Health Care
    Provider Protection Act (Public Law 117-105), is amended--
                (1) by redesignating such section 764 as section 764A;
                (2) in subsection (a)(3)--
                        (A) by striking ``to eligible entities in'' and
                    inserting ``to eligible entities that--
                        ``(A) are in'';
                        (B) by striking the period and inserting ``; or'';
                    and
                        (C) by adding at the end the following:
                        ``(B) have a focus on the reduction of
                    administrative burden on health care workers.'';
                (3) in subsection (c), by inserting ``not less than'' after
            ``period of''; and
                (4) in subsection (f), by striking ``2022 through 2024''
            and inserting ``2026 through 2030''.

                     TITLE VI--FOOD AND DRUG ADMINISTRATION

               Subtitle A--Mikaela Naylon Give Kids a Chance Act

    SEC. 6601. RESEARCH INTO PEDIATRIC USES OF DRUGS; ADDITIONAL
                  AUTHORITIES OF FOOD AND DRUG ADMINISTRATION REGARDING
                  MOLECULARLY TARGETED CANCER DRUGS.

        (a) In General.--
                (1) Additional active ingredient for application drug;
            limitation regarding novel-combination application drug.--
            Section 505B(a)(3) of the Federal Food, Drug, and Cosmetic Act
            (21 U.S.C. 355c(a)(3)) is amended--
                        (A) by redesignating subparagraphs (B) and (C) as
                    subparagraphs (C) and (D), respectively; and
                        (B) by striking subparagraph (A) and inserting the
                    following:
                        ``(A) In general.--For purposes of paragraph
                    (1)(B), the investigation described in this paragraph
                    is a molecularly targeted pediatric cancer
                    investigation of--
                                ``(i) the drug or biological product for
                            which the application referred to in such
                            paragraph is submitted; or
                                ``(ii) such drug or biological product used
                            in combination with--
                                        ``(I) an active ingredient of a
                                    drug or biological product--
                                                ``(aa) for which an
                                            approved application under
                                            section 505(j) under this Act
                                            or under section 351(k) of the
                                            Public Health Service Act is in
                                            effect; and
                                                ``(bb) that is determined
                                            by the Secretary, after
                                            consultation with the
                                            applicant, to be part of the
                                            standard of care for treating a
                                            pediatric cancer; or
                                        ``(II) an active ingredient of a
                                    drug or biological product--
                                                ``(aa) for which an
                                            approved application under
                                            section 505(b) of this Act or
                                            section 351(a) of the Public
                                            Health Service Act to treat an
                                            adult cancer is in effect and
                                            is held by the same person
                                            submitting the application
                                            under paragraph (1)(B); and
                                                ``(bb) that is directed at
                                            a molecular target that the
                                            Secretary determines to be
                                            substantially relevant to the
                                            growth or progression of a
                                            pediatric cancer.
                        ``(B) Additional requirements.--
                                ``(i) Design of investigation.--A
                            molecularly targeted pediatric cancer
                            investigation referred to in subparagraph (A)
                            shall be designed to yield clinically
                            meaningful pediatric study data that is
                            gathered using appropriate formulations for
                            each age group for which the study is required,
                            regarding dosing, safety, and preliminary
                            efficacy to inform potential pediatric
                            labeling.
                                ``(ii) Limitation.--An investigation
                            described in subparagraph (A)(ii) may be
                            required only if the drug or biological product
                            for which the application referred to in
                            paragraph (1)(B) contains either--
                                        ``(I) a single new active
                                    ingredient; or
                                        ``(II) more than one active
                                    ingredient, if an application for the
                                    combination of active ingredients has
                                    not previously been approved but each
                                    active ingredient is in a drug product
                                    that has been previously approved to
                                    treat an adult cancer.
                                ``(iii) Results of already-completed
                            preclinical studies of application drug.--With
                            respect to an investigation required pursuant
                            to paragraph (1)(B), the Secretary may require
                            the results of any completed preclinical
                            studies relevant to the initial pediatric study
                            plan be submitted to the Secretary at the same
                            time that the initial pediatric study plan
                            required under subsection (e)(1) is submitted.
                                ``(iv) Rule of construction regarding
                            inactive ingredients.--With respect to a
                            combination of active ingredients referred to
                            in subparagraph (A)(ii), such subparagraph
                            shall not be construed as addressing the use of
                            inactive ingredients with such combination.''.
                (2) Determination of applicable requirements.--Section
            505B(e)(1) of the Federal Food, Drug, and Cosmetic Act (21
            U.S.C. 355c(e)(1)) is amended by adding at the end the
            following: ``The Secretary shall determine whether subparagraph
            (A) or (B) of subsection (a)(1) applies with respect to an
            application before the date on which the applicant is required
            to submit the initial pediatric study plan under paragraph
            (2)(A).''.
                (3) Clarifying applicability.--Section 505B(a)(1) of the
            Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355c(a)(1)) is
            amended by adding at the end the following:
                        ``(C) Rule of construction.--No application that is
                    subject to the requirements of subparagraph (B) shall
                    be subject to the requirements of subparagraph (A), and
                    no application (or supplement to an application) that
                    is subject to the requirements of subparagraph (A)
                    shall be subject to the requirements of subparagraph
                    (B).''.
                (4) Conforming amendments.--Section 505B(a) of the Federal
            Food, Drug, and Cosmetic Act (21 U.S.C. 355c(a)) is amended--
                        (A) in paragraph (3)(C), as redesignated by
                    paragraph (1)(A) of this subsection, by striking
                    ``investigations described in this paragraph'' and
                    inserting ``investigations referred to in subparagraph
                    (A)''; and
                        (B) in paragraph (3)(D), as redesignated by
                    paragraph (1)(A) of this subsection, by striking ``the
                    assessments under paragraph (2)(B)'' and inserting
                    ``the assessments required under paragraph (1)(A)''.
        (b) Guidance.--The Secretary of Health and Human Services, acting
    through the Commissioner of Food and Drugs, shall--
                (1) not later than 12 months after the date of enactment of
            this Act, issue draft guidance on the implementation of the
            amendments made by subsection (a); and
                (2) not later than 12 months after closing the comment
            period on such draft guidance, finalize such guidance.
        (c) Applicability.--The amendments made by this section apply with
    respect to any application under section 505(b) of the Federal Food,
    Drug, and Cosmetic Act (21 U.S.C. 355(b)) and any application under
    section 351(a) of the Public Health Service Act (42 U.S.C. 262(a)),
    that is submitted on or after the date that is 3 years after the date
    of enactment of this Act.
        (d) Reports to Congress.--
                (1) Secretary of health and human services.--Not later than
            6 years after the date of enactment of this Act, the Secretary
            of Health and Human Services shall submit to the Committee on
            Energy and Commerce of the House of Representatives and the
            Committee on Health, Education, Labor, and Pensions of the
            Senate a report on the Secretary's efforts, in coordination
            with industry, to ensure implementation of the amendments made
            by subsection (a).
                (2) GAO study and report.--
                        (A) Study.--Not later than 8 years after the date
                    of enactment of this Act, the Comptroller General of
                    the United States shall conduct a study of the
                    effectiveness of requiring assessments and
                    investigations described in section 505B of the Federal
                    Food, Drug, and Cosmetic Act (21 U.S.C.355c), as
                    amended by subsection (a), in the development of drugs
                    and biological products for pediatric cancer
                    indications, including consideration of any benefits
                    to, or burdens on, pediatric cancer drug development.
                        (B) Findings.--Not later than 10 years after the
                    date of enactment of this Act, the Comptroller General
                    shall submit to the Committee on Energy and Commerce of
                    the House of Representatives and the Committee on
                    Health, Education, Labor, and Pensions of the Senate a
                    report containing the findings of the study conducted
                    under subparagraph (A).

    SEC. 6602. ENSURING COMPLETION OF PEDIATRIC STUDY REQUIREMENTS.

        (a) Equal Accountability for Pediatric Study Requirements.--Section
    505B(d) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355c(d))
    is amended--
                (1) in paragraph (1), by striking ``Beginning 270'' and
            inserting ``Noncompliance letter.--Beginning 270'';
                (2) in paragraph (2)--
                        (A) by striking ``The drug or'' and inserting
                    ``Effect of noncompliance.--The drug or''; and
                        (B) by striking ``(except that the drug or
                    biological product shall not be subject to action under
                    section 303)'' and inserting ``(except that the drug or
                    biological product shall be subject to action under
                    section 303 only if such person demonstrated a lack of
                    due diligence in satisfying the applicable
                    requirement)''; and
                (3) by adding at the end the following:
                ``(3) Limitation.--The Secretary shall not issue
            enforcement actions under section 303 for failures under this
            subsection in the case of a drug or biological product that is
            no longer marketed.''.
        (b) Due Diligence.--Section 505B(d) of the Federal Food, Drug, and
    Cosmetic Act (21 U.S.C. 355c(d)), as amended by subsection (a), is
    further amended by adding at the end the following:
                ``(4) Due diligence.--Before the Secretary may conclude
            that a person failed to submit or otherwise meet a requirement
            as described in the matter preceding paragraph (1), the
            Secretary shall--
                        ``(A) issue a noncompliance letter pursuant to
                    paragraph (1);
                        ``(B) provide such person with a 45-day period
                    beginning on the date of receipt of such noncompliance
                    letter to respond in writing as set forth in such
                    paragraph; and
                        ``(C) after reviewing such written response,
                    determine whether the person demonstrated a lack of due
                    diligence in satisfying such requirement.''.
        (c) Conforming Amendments.--Section 303(f)(4)(A) of the Federal
    Food, Drug, and Cosmetic Act (21 U.S.C. 333(f)(4)(A)) is amended by
    striking ``or 505-1'' and inserting ``505-1, or 505B''.
        (d) Transition Rule.--The Secretary of Health and Human Services
    may take enforcement action under section 303 of the Federal Food,
    Drug, and Cosmetic Act (21 U.S.C. 333) only for failures described in
    section 505B(d) of such Act (21 U.S.C. 355c(d)) that occur on or after
    the date that is 180 days after the date of enactment of this Act.

    SEC. 6603. FDA REPORT ON PREA ENFORCEMENT.

        Section 508(b) of the Food and Drug Administration Safety and
    Innovation Act (21 U.S.C. 355c-1(b)) is amended--
                (1) in paragraph (11), by striking the semicolon at the end
            and inserting ``, including an evaluation of compliance with
            deadlines provided for in deferrals and deferral extensions;'';
                (2) in paragraph (15), by striking ``and'' at the end;
                (3) in paragraph (16), by striking the period at the end
            and inserting ``; and''; and
                (4) by adding at the end the following:
                ``(17) a listing of penalties, settlements, or payments
            under section 303 of the Federal Food, Drug, and Cosmetic Act
            (21 U.S.C. 353) for failure to comply with requirements under
            such section 505B, including, for each penalty, settlement, or
            payment, the name of the drug, the sponsor thereof, and the
            amount of the penalty, settlement, or payment imposed.''.

    SEC. 6604. EXTENSION OF AUTHORITY TO ISSUE PRIORITY REVIEW VOUCHERS TO
                  ENCOURAGE TREATMENTS FOR RARE PEDIATRIC DISEASES.

        (a) Extension.--Paragraph (5) of section 529(b) of the Federal
    Food, Drug, and Cosmetic Act (21 U.S.C. 360ff(b)) is amended by
    striking ``December 20, 2024, unless'' and all that follows through the
    period at the end and inserting ``September 30, 2029.''.
        (b) User Fee Payment.--Section 529(c)(4) of the Federal Food, Drug,
    and Cosmetic Act (21 U.S.C. 360ff(c)(4)) is amended by striking
    subparagraph (A) and inserting the following:
                        ``(A) In general.--The priority review user fee
                    required by this subsection shall be due upon the
                    submission of a human drug application under section
                    505(b)(1) or section 351(a) of the Public Health
                    Service Act for which the priority review voucher is
                    used. All other user fees associated with the human
                    drug application shall be due as required by the
                    Secretary or under applicable law.''.
        (c) GAO Report on Effectiveness of Rare Pediatric Disease Priority
    Voucher Awards in Incentivizing Rare Pediatric Disease Drug
    Development.--
                (1) GAO study.--
                        (A) Study.--The Comptroller General of the United
                    States shall conduct a study of the effectiveness of
                    awarding rare pediatric disease priority vouchers under
                    section 529 of the Federal Food, Drug, and Cosmetic Act
                    (21 U.S.C. 360ff), as amended by subsection (a), in the
                    development of human drug products that treat or
                    prevent rare pediatric diseases (as defined in such
                    section 529).
                        (B) Contents of study.--In conducting the study
                    under subparagraph (A), the Comptroller General shall
                    examine the following:
                                (i) The indications for each drug or
                            biological product that--
                                        (I) is the subject of a rare
                                    pediatric disease product application
                                    (as defined in section 529 of the
                                    Federal Food, Drug, and Cosmetic Act
                                    (21 U.S.C. 360ff)) for which a priority
                                    review voucher was awarded; and
                                        (II) was approved under section 505
                                    of the Federal Food, Drug, and Cosmetic
                                    Act (42 U.S.C. 355) or licensed under
                                    section 351 of the Public Health
                                    Service Act (42 U.S.C. 262).
                                (ii) Whether, and to what extent, an unmet
                            need related to the treatment or prevention of
                            a rare pediatric disease was met through the
                            approval or licensure of such a drug or
                            biological product.
                                (iii) The size of the company to which a
                            priority review voucher was awarded under
                            section 529 of the Federal Food, Drug, and
                            Cosmetic Act (21 U.S.C. 360ff) for such a drug
                            or biological product.
                                (iv) The value of such priority review
                            voucher if transferred.
                                (v) Identification of each drug for which a
                            priority review voucher awarded under such
                            section 529 was used.
                                (vi) The size of the company using each
                            priority review voucher awarded under such
                            section 529.
                                (vii) The length of the period of time
                            between the date on which a priority review
                            voucher was awarded under such section 529 and
                            the date on which it was used.
                                (viii) Whether, and to what extent, an
                            unmet need related to the treatment or
                            prevention of a rare pediatric disease was met
                            through the approval under section 505 of the
                            Federal Food, Drug, and Cosmetic Act (42 U.S.C.
                            355) or licensure under section 351 of the
                            Public Health Service Act (42 U.S.C. 262) of a
                            drug for which a priority review voucher was
                            used.
                                (ix) Whether, and to what extent, companies
                            were motivated by the availability of priority
                            review vouchers under section 529 of the
                            Federal Food, Drug, and Cosmetic Act (21 U.S.C.
                            360ff) to attempt to develop a drug for a rare
                            pediatric disease.
                                (x) Whether, and to what extent, pediatric
                            review vouchers awarded under such section were
                            successful in stimulating development and
                            expedited patient access to drug products for
                            treatment or prevention of a rare pediatric
                            disease that wouldn't otherwise take place
                            without the incentive provided by such
                            vouchers.
                                (xi) The impact of such priority review
                            vouchers on the workload, review process, and
                            public health prioritization efforts of the
                            Food and Drug Administration.
                                (xii) Any other incentives in Federal law
                            that exist for companies developing drugs or
                            biological products described in clause (i).
                (2) Report on findings.--Not later than 5 years after the
            date of the enactment of this Act, the Comptroller General of
            the United States shall submit to the Committee on Energy and
            Commerce of the House of Representatives and the Committee on
            Health, Education, Labor, and Pensions of the Senate a report
            containing the findings of the study conducted under paragraph
            (1).

    SEC. 6605. LIMITATIONS ON EXCLUSIVE APPROVAL OR LICENSURE OF ORPHAN
                  DRUGS.

        (a) In General.--Section 527 of the Federal Food, Drug, and
    Cosmetic Act (21 U.S.C. 360cc) is amended--
                (1) in subsection (a), in the matter following paragraph
            (2), by striking ``same disease or condition'' and inserting
            ``same approved use or indication within such rare disease or
            condition'';
                (2) in subsection (b)--
                        (A) in the matter preceding paragraph (1), by
                    striking ``same rare disease or condition'' and
                    inserting ``same approved use or indication for which
                    such 7-year period applies to such already approved or
                    licensed drug''; and
                        (B) in paragraph (1), by inserting ``, relating to
                    the approved use or indication,'' after ``the needs'';
                (3) in subsection (c)(1), by striking ``same rare disease
            or condition as the already approved drug'' and inserting
            ``same use or indication for which the already approved or
            licensed drug was approved or licensed''; and
                (4) by adding at the end the following:
        ``(f) Approved Use or Indication Defined.--In this section, the
    term `approved use or indication' means the use or indication approved
    under section 505 of this Act or licensed under section 351 of the
    Public Health Service Act for a drug designated under section 526 for a
    rare disease or condition.''.
        (b) Application of Amendments.--The amendments made by subsection
    (a) shall apply with respect to any drug designated under section 526
    of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bb),
    regardless of the date on which the drug was so designated, and
    regardless of the date on which the drug was approved under section 505
    of such Act (21 U.S.C. 355) or licensed under section 351 of the Public
    Health Service Act (42 U.S.C. 262).

       Subtitle B--United States-Abraham Accords Cooperation and Security

    SEC. 6611. ESTABLISHMENT OF ABRAHAM ACCORDS OFFICE WITHIN FOOD AND DRUG
                  ADMINISTRATION.

        (a) In General.--Chapter X of the Federal Food, Drug, and Cosmetic
    Act (21 U.S.C. 391 et seq.) is amended by adding at the end the
    following:

    ``SEC. 1015. ABRAHAM ACCORDS OFFICE.

        ``(a) In General.--The Secretary, acting through the Commissioner
    of Food and Drugs, shall establish within the Food and Drug
    Administration an office, to be known as the Abraham Accords Office, to
    be headed by a director.
        ``(b) Office.--Not later than 2 years after the date of enactment
    of this section, the Secretary shall--
                ``(1) in consultation with the governments of Abraham
            Accords countries, as well as appropriate United States
            Government diplomatic and security personnel--
                        ``(A) select the location of the Abraham Accords
                    Office in an Abraham Accords country; and
                        ``(B) establish such office; and
                ``(2) assign to such office such personnel of the Food and
            Drug Administration as the Secretary determines necessary to
            carry out the functions of such office.
        ``(c) Duties.--The Secretary, acting through the Director of the
    Abraham Accords Office, shall--
                ``(1) after the Abraham Accords Office is established--
                        ``(A) as part of the Food and Drug Administration's
                    work to strengthen the international oversight of
                    regulated commodities, provide technical assistance to
                    regulatory partners in Abraham Accords countries on
                    strengthening regulatory oversight and converging
                    regulatory requirements for the oversight of regulated
                    products, including good manufacturing practices and
                    other issues relevant to manufacturing medical products
                    that are regulated by the Food and Drug Administration;
                    and
                        ``(B) facilitate interactions between the Food and
                    Drug Administration and interested parties in Abraham
                    Accords countries, including by sharing relevant
                    information regarding United States regulatory pathways
                    with such parties, and facilitate feedback on the
                    research, development, and manufacturing of products
                    regulated in accordance with this Act; and
                ``(2) carry out other functions and activities as the
            Secretary determines to be necessary to carry out this section.
        ``(d) Abraham Accords Country Defined.--In this section, the term
    `Abraham Accords country' means a country identified by the Department
    of State as having signed the Abraham Accords Declaration.
        ``(e) National Security.--Nothing in this section shall be
    construed to require any action inconsistent with a national security
    recommendation provided by the Federal Government.''.
        (b) Report to Congress.--
                (1) In general.--Not later than 3 years after the date of
            enactment of this Act, the Secretary of Health and Human
            Services shall submit to the Congress a report on the Abraham
            Accords Office, including--
                        (A) an evaluation of how the Office has advanced
                    progress toward conformance with Food and Drug
                    Administration regulatory requirements by manufacturers
                    in the Abraham Accords countries;
                        (B) a numerical count of parties that the Office
                    has helped facilitate interactions or feedback pursuant
                    to section 1015(c)(1)(B) of the Federal Food, Drug, and
                    Cosmetic Act (as added by subsection (a));
                        (C) a summary of technical assistance provided to
                    regulatory partners in Abraham Accords countries
                    pursuant to subparagraph (A) of such section
                    1015(c)(1); and
                        (D) recommendations for increasing and improving
                    coordination between the Food and Drug Administration
                    and entities in Abraham Accords countries.
                (2) Abraham accords country defined.--In this subsection,
            the term ``Abraham Accords country'' has the meaning given such
            term in section 1015(d) of the Federal Food, Drug, and Cosmetic
            Act (as added by subsection (a)).

                  TITLE VII--LOWERING PRESCRIPTION DRUG COSTS

    SEC. 6701. OVERSIGHT OF PHARMACY BENEFIT MANAGEMENT SERVICES.

        (a) Public Health Service Act.--Title XXVII of the Public Health
    Service Act (42 U.S.C. 300gg et seq.) is amended--
                (1) in part D (42 U.S.C. 300gg-111 et seq.), by adding at
            the end the following new section:

    ``SEC. 2799A-11. OVERSIGHT OF ENTITIES THAT PROVIDE PHARMACY BENEFIT
                  MANAGEMENT SERVICES.

        ``(a) In General.--For plan years beginning on or after the date
    that is 30 months after the date of enactment of this section (referred
    to in this subsection and subsection (b) as the `effective date'), a
    group health plan or a health insurance issuer offering group health
    insurance coverage, or an entity providing pharmacy benefit management
    services on behalf of such a plan or issuer, shall not enter into a
    contract, including an extension or renewal of a contract, entered into
    on or after the effective date, with an applicable entity unless such
    applicable entity agrees to--
                ``(1) not limit or delay the disclosure of information to
            the group health plan (including such a plan offered through a
            health insurance issuer) in such a manner that prevents an
            entity providing pharmacy benefit management services on behalf
            of a group health plan or health insurance issuer offering
            group health insurance coverage from making the reports
            described in subsection (b); and
                ``(2) provide the entity providing pharmacy benefit
            management services on behalf of a group health plan or health
            insurance issuer relevant information necessary to make the
            reports described in subsection (b).
        ``(b) Reports.--
                ``(1) In general.--For plan years beginning on or after the
            effective date, in the case of any contract between a group
            health plan or a health insurance issuer offering group health
            insurance coverage offered in connection with such a plan and
            an entity providing pharmacy benefit management services on
            behalf of such plan or issuer, including an extension or
            renewal of such a contract, entered into on or after the
            effective date, the entity providing pharmacy benefit
            management services on behalf of such a group health plan or
            health insurance issuer, not less frequently than every 6
            months (or, at the request of a group health plan, not less
            frequently than quarterly, and under the same conditions,
            terms, and cost of the semiannual report under this
            subsection), shall submit to the group health plan a report in
            accordance with this section. Each such report shall be made
            available to such group health plan in plain language, in a
            machine-readable format, and as the Secretary may determine,
            other formats. Each such report shall include the information
            described in paragraph (2).
                ``(2) Information described.--For purposes of paragraph
            (1), the information described in this paragraph is, with
            respect to drugs covered by a group health plan or group health
            insurance coverage offered by a health insurance issuer in
            connection with a group health plan during each reporting
            period--
                        ``(A) in the case of a group health plan that is
                    offered by a specified large employer or that is a
                    specified large plan, and is not offered as health
                    insurance coverage, or in the case of health insurance
                    coverage for which the election under paragraph (3) is
                    made for the applicable reporting period--
                                ``(i) a list of drugs for which a claim was
                            filed and, with respect to each such drug on
                            such list--
                                        ``(I) the contracted compensation
                                    paid by the group health plan or health
                                    insurance issuer for each covered drug
                                    (identified by the National Drug Code)
                                    to the entity providing pharmacy
                                    benefit management services or other
                                    applicable entity on behalf of the
                                    group health plan or health insurance
                                    issuer;
                                        ``(II) the contracted compensation
                                    paid to the pharmacy, by any entity
                                    providing pharmacy benefit management
                                    services or other applicable entity on
                                    behalf of the group health plan or
                                    health insurance issuer, for each
                                    covered drug (identified by the
                                    National Drug Code);
                                        ``(III) for each such claim, the
                                    difference between the amount paid
                                    under subclause (I) and the amount paid
                                    under subclause (II);
                                        ``(IV) the proprietary name,
                                    established name or proper name, and
                                    the National Drug Code;
                                        ``(V) for each claim for the drug
                                    (including original prescriptions and
                                    refills) and for each dosage unit of
                                    the drug for which a claim was filed,
                                    the type of dispensing channel used to
                                    furnish the drug, including retail,
                                    mail order, or specialty pharmacy;
                                        ``(VI) with respect to each drug
                                    dispensed, for each type of dispensing
                                    channel (including retail, mail order,
                                    or specialty pharmacy)--
                                                ``(aa) whether such drug is
                                            a brand name drug or a generic
                                            drug, and--

                                                        ``(AA) in the case
                                                    of a brand name drug,
                                                    the wholesale
                                                    acquisition cost,
                                                    listed as cost per days
                                                    supply and cost per
                                                    dosage unit, on the
                                                    date such drug was
                                                    dispensed; and

                                                        ``(BB) in the case
                                                    of a generic drug, the
                                                    average wholesale
                                                    price, listed as cost
                                                    per days supply and
                                                    cost per dosage unit,
                                                    on the date such drug
                                                    was dispensed; and

                                                ``(bb) the total number
                                            of--

                                                        ``(AA) prescription
                                                    claims (including
                                                    original prescriptions
                                                    and refills);

                                                        ``(BB) participants
                                                    and beneficiaries for
                                                    whom a claim for such
                                                    drug was filed through
                                                    the applicable
                                                    dispensing channel;

                                                        ``(CC) dosage units
                                                    and dosage units per
                                                    fill of such drug; and

                                                        ``(DD) days supply
                                                    of such drug per fill;

                                        ``(VII) the net price per course of
                                    treatment or single fill, such as a 30-
                                    day supply or 90-day supply to the plan
                                    or coverage after rebates, fees,
                                    alternative discounts, or other
                                    remuneration received from applicable
                                    entities;
                                        ``(VIII) the total amount of out-
                                    of-pocket spending by participants and
                                    beneficiaries on such drug, including
                                    spending through copayments,
                                    coinsurance, and deductibles, but not
                                    including any amounts spent by
                                    participants and beneficiaries on drugs
                                    not covered under the plan or coverage,
                                    or for which no claim is submitted
                                    under the plan or coverage;
                                        ``(IX) the total net spending on
                                    the drug;
                                        ``(X) the total amount received, or
                                    expected to be received, by the plan or
                                    issuer from any applicable entity in
                                    rebates, fees, alternative discounts,
                                    or other remuneration;
                                        ``(XI) the total amount received,
                                    or expected to be received, by the
                                    entity providing pharmacy benefit
                                    management services, from applicable
                                    entities, in rebates, fees, alternative
                                    discounts, or other remuneration from
                                    such entities--
                                                ``(aa) for claims incurred
                                            during the reporting period;
                                            and
                                                ``(bb) that is related to
                                            utilization of such drug or
                                            spending on such drug; and
                                        ``(XII) to the extent feasible,
                                    information on the total amount of
                                    remuneration for such drug, including
                                    copayment assistance dollars paid,
                                    copayment cards applied, or other
                                    discounts provided by each drug
                                    manufacturer (or entity administering
                                    copayment assistance on behalf of such
                                    drug manufacturer), to the participants
                                    and beneficiaries enrolled in such plan
                                    or coverage;
                                ``(ii) a list of each therapeutic class (as
                            defined by the Secretary) for which a claim was
                            filed under the group health plan or health
                            insurance coverage during the reporting period,
                            and, with respect to each such therapeutic
                            class--
                                        ``(I) the total gross spending on
                                    drugs in such class before rebates,
                                    price concessions, alternative
                                    discounts, or other remuneration from
                                    applicable entities;
                                        ``(II) the net spending in such
                                    class after such rebates, price
                                    concessions, alternative discounts, or
                                    other remuneration from applicable
                                    entities;
                                        ``(III) the total amount received,
                                    or expected to be received, by the
                                    entity providing pharmacy benefit
                                    management services, from applicable
                                    entities, in rebates, fees, alternative
                                    discounts, or other remuneration from
                                    such entities--
                                                ``(aa) for claims incurred
                                            during the reporting period;
                                            and
                                                ``(bb) that is related to
                                            utilization of drugs or drug
                                            spending;
                                        ``(IV) the average net spending per
                                    30-day supply and per 90-day supply by
                                    the plan or by the issuer with respect
                                    to such coverage and its participants
                                    and beneficiaries, among all drugs
                                    within the therapeutic class for which
                                    a claim was filed during the reporting
                                    period;
                                        ``(V) the number of participants
                                    and beneficiaries who filled a
                                    prescription for a drug in such class,
                                    including the National Drug Code for
                                    each such drug;
                                        ``(VI) if applicable, a description
                                    of the formulary tiers and utilization
                                    mechanisms (such as prior authorization
                                    or step therapy) employed for drugs in
                                    that class; and
                                        ``(VII) the total out-of-pocket
                                    spending under the plan or coverage by
                                    participants and beneficiaries,
                                    including spending through copayments,
                                    coinsurance, and deductibles, but not
                                    including any amounts spent by
                                    participants and beneficiaries on drugs
                                    not covered under the plan or coverage
                                    or for which no claim is submitted
                                    under the plan or coverage;
                                ``(iii) with respect to any drug for which
                            gross spending under the group health plan or
                            health insurance coverage exceeded $10,000
                            during the reporting period or, in the case
                            that gross spending under the group health plan
                            or coverage exceeded $10,000 during the
                            reporting period with respect to fewer than 50
                            drugs, with respect to the 50 prescription
                            drugs with the highest spending during the
                            reporting period--
                                        ``(I) a list of all other drugs in
                                    the same therapeutic class as such
                                    drug;
                                        ``(II) if applicable, the rationale
                                    for the formulary placement of such
                                    drug in that therapeutic category or
                                    class, selected from a list of standard
                                    rationales established by the
                                    Secretary, in consultation with
                                    stakeholders; and
                                        ``(III) any change in formulary
                                    placement compared to the prior plan
                                    year; and
                                ``(iv) in the case that such plan or issuer
                            (or an entity providing pharmacy benefit
                            management services on behalf of such plan or
                            issuer) has an affiliated pharmacy or pharmacy
                            under common ownership, including mandatory
                            mail and specialty home delivery programs,
                            retail and mail auto-refill programs, and cost
                            sharing assistance incentives funded by an
                            entity providing pharmacy benefit services--
                                        ``(I) an explanation of any benefit
                                    design parameters that encourage or
                                    require participants and beneficiaries
                                    in the plan or coverage to fill
                                    prescriptions at mail order, specialty,
                                    or retail pharmacies;
                                        ``(II) the percentage of total
                                    prescriptions dispensed by such
                                    pharmacies to participants or
                                    beneficiaries in such plan or coverage;
                                    and
                                        ``(III) a list of all drugs
                                    dispensed by such pharmacies to
                                    participants or beneficiaries enrolled
                                    in such plan or coverage, and, with
                                    respect to each drug dispensed--
                                                ``(aa) the amount charged,
                                            per dosage unit, per 30-day
                                            supply, or per 90-day supply
                                            (as applicable) to the plan or
                                            issuer, and to participants and
                                            beneficiaries;
                                                ``(bb) the median amount
                                            charged to such plan or issuer,
                                            and the interquartile range of
                                            the costs, per dosage unit, per
                                            30-day supply, and per 90-day
                                            supply, including amounts paid
                                            by the participants and
                                            beneficiaries, when the same
                                            drug is dispensed by other
                                            pharmacies that are not
                                            affiliated with or under common
                                            ownership with the entity and
                                            that are included in the
                                            pharmacy network of such plan
                                            or coverage;
                                                ``(cc) the lowest cost per
                                            dosage unit, per 30-day supply
                                            and per 90-day supply, for each
                                            such drug, including amounts
                                            charged to the plan or coverage
                                            and to participants and
                                            beneficiaries, that is
                                            available from any pharmacy
                                            included in the network of such
                                            plan or coverage; and
                                                ``(dd) the net acquisition
                                            cost per dosage unit, per 30-
                                            day supply, and per 90-day
                                            supply, if such drug is subject
                                            to a maximum price discount;
                                            and
                        ``(B) with respect to any group health plan,
                    including group health insurance coverage offered in
                    connection with such a plan, regardless of whether the
                    plan or coverage is offered by a specified large
                    employer or whether it is a specified large plan--
                                ``(i) a summary document for the group
                            health plan that includes such information
                            described in clauses (i) through (iv) of
                            subparagraph (A), as specified by the Secretary
                            through guidance, program instruction, or
                            otherwise (with no requirement of notice and
                            comment rulemaking), that the Secretary
                            determines useful to group health plans for
                            purposes of selecting pharmacy benefit
                            management services, such as an estimated net
                            price to group health plan and participant or
                            beneficiary, a cost per claim, the fee
                            structure or reimbursement model, and estimated
                            cost per participant or beneficiary;
                                ``(ii) a summary document for plans and
                            issuers to provide to participants and
                            beneficiaries, which shall be made available to
                            participants or beneficiaries upon request to
                            their group health plan (including in the case
                            of group health insurance coverage offered in
                            connection with such a plan), that--
                                        ``(I) contains such information
                                    described in clauses (iii), (iv), (v),
                                    and (vi), as applicable, as specified
                                    by the Secretary through guidance,
                                    program instruction, or otherwise (with
                                    no requirement of notice and comment
                                    rulemaking) that the Secretary
                                    determines useful to participants or
                                    beneficiaries in better understanding
                                    the plan or coverage or benefits under
                                    such plan or coverage;
                                        ``(II) contains only aggregate
                                    information; and
                                        ``(III) states that participants
                                    and beneficiaries may request specific,
                                    claims-level information required to be
                                    furnished under subsection (c) from the
                                    group health plan or health insurance
                                    issuer; and
                                ``(iii) with respect to drugs covered by
                            such plan or coverage during such reporting
                            period--
                                        ``(I) the total net spending by the
                                    plan or coverage for all such drugs;
                                        ``(II) the total amount received,
                                    or expected to be received, by the plan
                                    or issuer from any applicable entity in
                                    rebates, fees, alternative discounts,
                                    or other remuneration; and
                                        ``(III) to the extent feasible,
                                    information on the total amount of
                                    remuneration for such drugs, including
                                    copayment assistance dollars paid,
                                    copayment cards applied, or other
                                    discounts provided by each drug
                                    manufacturer (or entity administering
                                    copayment assistance on behalf of such
                                    drug manufacturer) to participants and
                                    beneficiaries;
                                ``(iv) amounts paid directly or indirectly
                            in rebates, fees, or any other type of
                            compensation (as defined in section
                            408(b)(2)(B)(ii)(dd)(AA) of the Employee
                            Retirement Income Security Act) to brokerage
                            firms, brokers, consultants, advisors, or any
                            other individual or firm, for--
                                        ``(I) the referral of the group
                                    health plan's or health insurance
                                    issuer's business to an entity
                                    providing pharmacy benefit management
                                    services, including the identity of the
                                    recipient of such amounts;
                                        ``(II) consideration of the entity
                                    providing pharmacy benefit management
                                    services by the group health plan or
                                    health insurance issuer; or
                                        ``(III) the retention of the entity
                                    by the group health plan or health
                                    insurance issuer;
                                ``(v) an explanation of any benefit design
                            parameters that encourage or require
                            participants and beneficiaries in such plan or
                            coverage to fill prescriptions at mail order,
                            specialty, or retail pharmacies that are
                            affiliated with or under common ownership with
                            the entity providing pharmacy benefit
                            management services under such plan or
                            coverage, including mandatory mail and
                            specialty home delivery programs, retail and
                            mail auto-refill programs, and cost-sharing
                            assistance incentives directly or indirectly
                            funded by such entity; and
                                ``(vi) total gross spending on all drugs
                            under the plan or coverage during the reporting
                            period.
                ``(3) Opt-in for group health insurance coverage offered by
            a specified large employer or that is a specified large plan.--
            In the case of group health insurance coverage offered in
            connection with a group health plan that is offered by a
            specified large employer or is a specified large plan, such
            group health plan may, on an annual basis, for plan years
            beginning on or after the date that is 30 months after the date
            of enactment of this section, elect to require an entity
            providing pharmacy benefit management services on behalf of the
            health insurance issuer to submit to such group health plan a
            report that includes all of the information described in
            paragraph (2)(A), in addition to the information described in
            paragraph (2)(B).
                ``(4) Privacy requirements.--
                        ``(A) In general.--An entity providing pharmacy
                    benefit management services on behalf of a group health
                    plan or a health insurance issuer offering group health
                    insurance coverage shall report information under
                    paragraph (1) in a manner consistent with the privacy
                    regulations promulgated under section 13402(a) of the
                    Health Information Technology for Economic and Clinical
                    Health Act and consistent with the privacy regulations
                    promulgated under the Health Insurance Portability and
                    Accountability Act of 1996 in part 160 and subparts A
                    and E of part 164 of title 45, Code of Federal
                    Regulations (or successor regulations) (referred to in
                    this paragraph as the `HIPAA privacy regulations') and
                    shall restrict the use and disclosure of such
                    information according to such privacy regulations and
                    such HIPAA privacy regulations.
                        ``(B) Additional requirements.--
                                ``(i) In general.--An entity providing
                            pharmacy benefit management services on behalf
                            of a group health plan or health insurance
                            issuer offering group health insurance coverage
                            that submits a report under paragraph (1) shall
                            ensure that such report contains only summary
                            health information, as defined in section
                            164.504(a) of title 45, Code of Federal
                            Regulations (or successor regulations).
                                ``(ii) Restrictions.--In carrying out this
                            subsection, a group health plan shall comply
                            with section 164.504(f) of title 45, Code of
                            Federal Regulations (or a successor
                            regulation), and a plan sponsor shall act in
                            accordance with the terms of the agreement
                            described in such section.
                        ``(C) Rule of construction.--
                                ``(i) Nothing in this section shall be
                            construed to modify the requirements for the
                            creation, receipt, maintenance, or transmission
                            of protected health information under the HIPAA
                            privacy regulations.
                                ``(ii) Nothing in this section shall be
                            construed to affect the application of any
                            Federal or State privacy or civil rights law,
                            including the HIPAA privacy regulations, the
                            Genetic Information Nondiscrimination Act of
                            2008 (Public Law 110-233) (including the
                            amendments made by such Act), the Americans
                            with Disabilities Act of 1990 (42 U.S.C. 12101
                            et seq.), section 504 of the Rehabilitation Act
                            of 1973 (29 U.S.C. 794), section 1557 of the
                            Patient Protection and Affordable Care Act (42
                            U.S.C. 18116), title VI of the Civil Rights Act
                            of 1964 (42 U.S.C. 2000d), and title VII of the
                            Civil Rights Act of 1964 (42 U.S.C. 2000e).
                        ``(D) Written notice.--Each plan year, group health
                    plans, including with respect to group health insurance
                    coverage offered in connection with a group health
                    plan, shall provide to each participant or beneficiary
                    written notice informing the participant or beneficiary
                    of the requirement for entities providing pharmacy
                    benefit management services on behalf of the group
                    health plan or health insurance issuer offering group
                    health insurance coverage to submit reports to group
                    health plans under paragraph (1), as applicable, which
                    may include incorporating such notification in plan
                    documents provided to the participant or beneficiary,
                    or providing individual notification.
                        ``(E) Limitation to business associates.--A group
                    health plan receiving a report under paragraph (1) may
                    disclose such information only to the entity from which
                    the report was received or to that entity's business
                    associates as defined in section 160.103 of title 45,
                    Code of Federal Regulations (or successor regulations)
                    or as permitted by the HIPAA privacy regulations.
                        ``(F) Clarification regarding public disclosure of
                    information.--Nothing in this section shall prevent an
                    entity providing pharmacy benefit management services
                    on behalf of a group health plan or health insurance
                    issuer offering group health insurance coverage, from
                    placing reasonable restrictions on the public
                    disclosure of the information contained in a report
                    described in paragraph (1), except that such plan,
                    issuer, or entity may not--
                                ``(i) restrict disclosure of such report to
                            the Department of Health and Human Services,
                            the Department of Labor, or the Department of
                            the Treasury; or
                                ``(ii) prevent disclosure for the purposes
                            of subsection (c), or any other public
                            disclosure requirement under this section.
                        ``(G) Limited form of report.--The Secretary shall
                    define through rulemaking a limited form of the report
                    under paragraph (1) required with respect to any group
                    health plan established by a plan sponsor that is, or
                    is affiliated with, a drug manufacturer, drug
                    wholesaler, or other direct participant in the drug
                    supply chain, in order to prevent anti-competitive
                    behavior.
                ``(5) Standard format and regulations.--
                        ``(A) In general.--Not later than 18 months after
                    the date of enactment of this section, the Secretary
                    shall specify through rulemaking a standard format for
                    entities providing pharmacy benefit management services
                    on behalf of group health plans and health insurance
                    issuers offering group health insurance coverage, to
                    submit reports required under paragraph (1).
                        ``(B) Additional regulations.--Not later than 18
                    months after the date of enactment of this section, the
                    Secretary shall, through rulemaking, promulgate any
                    other final regulations necessary to implement the
                    requirements of this section. In promulgating such
                    regulations, the Secretary shall, to the extent
                    practicable, align the reporting requirements under
                    this section with the reporting requirements under
                    section 2799A-10.
        ``(c) Requirement To Provide Information to Participants or
    Beneficiaries.--A group health plan, including with respect to group
    health insurance coverage offered in connection with a group health
    plan, upon request of a participant or beneficiary, shall provide to
    such participant or beneficiary--
                ``(1) the summary document described in subsection
            (b)(2)(B)(ii); and
                ``(2) the information described in subsection
            (b)(2)(A)(i)(III) with respect to a claim made by or on behalf
            of such participant or beneficiary.
        ``(d) Enforcement.--
                ``(1) In general.--The Secretary shall enforce this
            section. The enforcement authority under this subsection shall
            apply only with respect to group health plans (including group
            health insurance coverage offered in connection with such a
            plan) to which the requirements of subparts I and II of part A
            and part D apply in accordance with section 2722, and with
            respect to entities providing pharmacy benefit management
            services on behalf of such plans and applicable entities
            providing services on behalf of such plans.
                ``(2) Failure to provide information.--A group health plan,
            a health insurance issuer offering group health insurance
            coverage, an entity providing pharmacy benefit management
            services on behalf of such a plan or issuer, or an applicable
            entity providing services on behalf of such a plan or issuer
            that violates subsection (a); an entity providing pharmacy
            benefit management services on behalf of such a plan or issuer
            that fails to provide the information required under subsection
            (b); or a group health plan that fails to provide the
            information required under subsection (c), shall be subject to
            a civil monetary penalty in the amount of $10,000 for each day
            during which such violation continues or such information is
            not disclosed or reported.
                ``(3) False information.--A health insurance issuer, an
            entity providing pharmacy benefit management services, or a
            third party administrator providing services on behalf of such
            issuer offered by a health insurance issuer that knowingly
            provides false information under this section shall be subject
            to a civil monetary penalty in an amount not to exceed $100,000
            for each item of false information. Such civil monetary penalty
            shall be in addition to other penalties as may be prescribed by
            law.
                ``(4) Procedure.--The provisions of section 1128A of the
            Social Security Act, other than subsections (a) and (b) and the
            first sentence of subsection (c)(1) of such section shall apply
            to civil monetary penalties under this subsection in the same
            manner as such provisions apply to a penalty or proceeding
            under such section.
                ``(5) Waivers.--The Secretary may waive penalties under
            paragraph (2), or extend the period of time for compliance with
            a requirement of this section, for an entity in violation of
            this section that has made a good-faith effort to comply with
            the requirements in this section.
        ``(e) Rule of Construction.--Nothing in this section shall be
    construed to permit a health insurance issuer, group health plan,
    entity providing pharmacy benefit management services on behalf of a
    group health plan or health insurance issuer, or other entity to
    restrict disclosure to, or otherwise limit the access of, the Secretary
    to a report described in subsection (b)(1) or information related to
    compliance with subsections (a), (b), (c), or (d) by such issuer, plan,
    or entity.
        ``(f) Definitions.--In this section:
                ``(1) Applicable entity.--The term `applicable entity'
            means--
                        ``(A) an applicable group purchasing organization,
                    drug manufacturer, distributor, wholesaler, rebate
                    aggregator (or other purchasing entity designed to
                    aggregate rebates), or associated third party;
                        ``(B) any subsidiary, parent, affiliate, or
                    subcontractor of a group health plan, health insurance
                    issuer, entity that provides pharmacy benefit
                    management services on behalf of such a plan or issuer,
                    or any entity described in subparagraph (A); or
                        ``(C) such other entity as the Secretary may
                    specify through rulemaking.
                ``(2) Applicable group purchasing organization.--The term
            `applicable group purchasing organization' means a group
            purchasing organization that is affiliated with or under common
            ownership with an entity providing pharmacy benefit management
            services.
                ``(3) Contracted compensation.--The term `contracted
            compensation' means the sum of any ingredient cost and
            dispensing fee for a drug (inclusive of the out-of-pocket costs
            to the participant or beneficiary), or another analogous
            compensation structure that the Secretary may specify through
            regulations.
                ``(4) Gross spending.--The term `gross spending', with
            respect to prescription drug benefits under a group health plan
            or health insurance coverage, means the amount spent by a group
            health plan or health insurance issuer on prescription drug
            benefits, calculated before the application of rebates, fees,
            alternative discounts, or other remuneration.
                ``(5) Net spending.--The term `net spending', with respect
            to prescription drug benefits under a group health plan or
            health insurance coverage, means the amount spent by a group
            health plan or health insurance issuer on prescription drug
            benefits, calculated after the application of rebates, fees,
            alternative discounts, or other remuneration.
                ``(6) Plan sponsor.--The term `plan sponsor' has the
            meaning given such term in section 3(16)(B) of the Employee
            Retirement Income Security Act of 1974.
                ``(7) Remuneration.--The term `remuneration' has the
            meaning given such term by the Secretary through rulemaking,
            which shall be reevaluated by the Secretary every 5 years.
                ``(8) Specified large employer.--The term `specified large
            employer' means, in connection with a group health plan
            (including group health insurance coverage offered in
            connection with such a plan) established or maintained by a
            single employer, with respect to a calendar year or a plan
            year, as applicable, an employer who employed an average of at
            least 100 employees on business days during the preceding
            calendar year or plan year and who employs at least 1 employee
            on the first day of the calendar year or plan year.
                ``(9) Specified large plan.--The term `specified large
            plan' means a group health plan (including group health
            insurance coverage offered in connection with such a plan)
            established or maintained by a plan sponsor described in clause
            (ii) or (iii) of section 3(16)(B) of the Employee Retirement
            Income Security Act of 1974 that had an average of at least 100
            participants on business days during the preceding calendar
            year or plan year, as applicable.
                ``(10) Wholesale acquisition cost.--The term `wholesale
            acquisition cost' has the meaning given such term in section
            1847A(c)(6)(B) of the Social Security Act.''; and
                (2) in section 2723 (42 U.S.C. 300gg-22)--
                        (A) in subsection (a)--
                                (i) in paragraph (1), by inserting ``(other
                            than section 2799A-11)'' after ``part D''; and
                                (ii) in paragraph (2), by inserting
                            ``(other than section 2799A-11)'' after ``part
                            D''; and
                        (B) in subsection (b)--
                                (i) in paragraph (1), by inserting ``(other
                            than section 2799A-11)'' after ``part D'';
                                (ii) in paragraph (2)(A), by inserting
                            ``(other than section 2799A-11)'' after ``part
                            D''; and
                                (iii) in paragraph (2)(C)(ii), by inserting
                            ``(other than section 2799A-11)'' after ``part
                            D''.
        (b) Employee Retirement Income Security Act of 1974.--
                (1) In general.--Subtitle B of title I of the Employee
            Retirement Income Security Act of 1974 (29 U.S.C. 1021 et seq.)
            is amended--
                        (A) in subpart B of part 7 (29 U.S.C. 1185 et
                    seq.), by adding at the end the following:

    ``SEC. 726. OVERSIGHT OF ENTITIES THAT PROVIDE PHARMACY BENEFIT
                  MANAGEMENT SERVICES.

        ``(a) In General.--For plan years beginning on or after the date
    that is 30 months after the date of enactment of this section (referred
    to in this subsection and subsection (b) as the `effective date'), a
    group health plan or a health insurance issuer offering group health
    insurance coverage, or an entity providing pharmacy benefit management
    services on behalf of such a plan or issuer, shall not enter into a
    contract, including an extension or renewal of a contract, entered into
    on or after the effective date, with an applicable entity unless such
    applicable entity agrees to--
                ``(1) not limit or delay the disclosure of information to
            the group health plan (including such a plan offered through a
            health insurance issuer) in such a manner that prevents an
            entity providing pharmacy benefit management services on behalf
            of a group health plan or health insurance issuer offering
            group health insurance coverage from making the reports
            described in subsection (b); and
                ``(2) provide the entity providing pharmacy benefit
            management services on behalf of a group health plan or health
            insurance issuer relevant information necessary to make the
            reports described in subsection (b).
        ``(b) Reports.--
                ``(1) In general.--For plan years beginning on or after the
            effective date, in the case of any contract between a group
            health plan or a health insurance issuer offering group health
            insurance coverage offered in connection with such a plan and
            an entity providing pharmacy benefit management services on
            behalf of such plan or issuer, including an extension or
            renewal of such a contract, entered into on or after the
            effective date, the entity providing pharmacy benefit
            management services on behalf of such a group health plan or
            health insurance issuer, not less frequently than every 6
            months (or, at the request of a group health plan, not less
            frequently than quarterly, and under the same conditions,
            terms, and cost of the semiannual report under this
            subsection), shall submit to the group health plan a report in
            accordance with this section. Each such report shall be made
            available to such group health plan in plain language, in a
            machine-readable format, and as the Secretary may determine,
            other formats. Each such report shall include the information
            described in paragraph (2).
                ``(2) Information described.--For purposes of paragraph
            (1), the information described in this paragraph is, with
            respect to drugs covered by a group health plan or group health
            insurance coverage offered by a health insurance issuer in
            connection with a group health plan during each reporting
            period--
                        ``(A) in the case of a group health plan that is
                    offered by a specified large employer or that is a
                    specified large plan, and is not offered as health
                    insurance coverage, or in the case of health insurance
                    coverage for which the election under paragraph (3) is
                    made for the applicable reporting period--
                                ``(i) a list of drugs for which a claim was
                            filed and, with respect to each such drug on
                            such list--
                                        ``(I) the contracted compensation
                                    paid by the group health plan or health
                                    insurance issuer for each covered drug
                                    (identified by the National Drug Code)
                                    to the entity providing pharmacy
                                    benefit management services or other
                                    applicable entity on behalf of the
                                    group health plan or health insurance
                                    issuer;
                                        ``(II) the contracted compensation
                                    paid to the pharmacy, by any entity
                                    providing pharmacy benefit management
                                    services or other applicable entity on
                                    behalf of the group health plan or
                                    health insurance issuer, for each
                                    covered drug (identified by the
                                    National Drug Code);
                                        ``(III) for each such claim, the
                                    difference between the amount paid
                                    under subclause (I) and the amount paid
                                    under subclause (II);
                                        ``(IV) the proprietary name,
                                    established name or proper name, and
                                    the National Drug Code;
                                        ``(V) for each claim for the drug
                                    (including original prescriptions and
                                    refills) and for each dosage unit of
                                    the drug for which a claim was filed,
                                    the type of dispensing channel used to
                                    furnish the drug, including retail,
                                    mail order, or specialty pharmacy;
                                        ``(VI) with respect to each drug
                                    dispensed, for each type of dispensing
                                    channel (including retail, mail order,
                                    or specialty pharmacy)--
                                                ``(aa) whether such drug is
                                            a brand name drug or a generic
                                            drug, and--

                                                        ``(AA) in the case
                                                    of a brand name drug,
                                                    the wholesale
                                                    acquisition cost,
                                                    listed as cost per days
                                                    supply and cost per
                                                    dosage unit, on the
                                                    date such drug was
                                                    dispensed; and

                                                        ``(BB) in the case
                                                    of a generic drug, the
                                                    average wholesale
                                                    price, listed as cost
                                                    per days supply and
                                                    cost per dosage unit,
                                                    on the date such drug
                                                    was dispensed; and

                                                ``(bb) the total number
                                            of--

                                                        ``(AA) prescription
                                                    claims (including
                                                    original prescriptions
                                                    and refills);

                                                        ``(BB) participants
                                                    and beneficiaries for
                                                    whom a claim for such
                                                    drug was filed through
                                                    the applicable
                                                    dispensing channel;

                                                        ``(CC) dosage units
                                                    and dosage units per
                                                    fill of such drug; and

                                                        ``(DD) days supply
                                                    of such drug per fill;

                                        ``(VII) the net price per course of
                                    treatment or single fill, such as a 30-
                                    day supply or 90-day supply to the plan
                                    or coverage after rebates, fees,
                                    alternative discounts, or other
                                    remuneration received from applicable
                                    entities;
                                        ``(VIII) the total amount of out-
                                    of-pocket spending by participants and
                                    beneficiaries on such drug, including
                                    spending through copayments,
                                    coinsurance, and deductibles, but not
                                    including any amounts spent by
                                    participants and beneficiaries on drugs
                                    not covered under the plan or coverage,
                                    or for which no claim is submitted
                                    under the plan or coverage;
                                        ``(IX) the total net spending on
                                    the drug;
                                        ``(X) the total amount received, or
                                    expected to be received, by the plan or
                                    issuer from any applicable entity in
                                    rebates, fees, alternative discounts,
                                    or other remuneration;
                                        ``(XI) the total amount received,
                                    or expected to be received, by the
                                    entity providing pharmacy benefit
                                    management services, from applicable
                                    entities, in rebates, fees, alternative
                                    discounts, or other remuneration from
                                    such entities--
                                                ``(aa) for claims incurred
                                            during the reporting period;
                                            and
                                                ``(bb) that is related to
                                            utilization of such drug or
                                            spending on such drug; and
                                        ``(XII) to the extent feasible,
                                    information on the total amount of
                                    remuneration for such drug, including
                                    copayment assistance dollars paid,
                                    copayment cards applied, or other
                                    discounts provided by each drug
                                    manufacturer (or entity administering
                                    copayment assistance on behalf of such
                                    drug manufacturer), to the participants
                                    and beneficiaries enrolled in such plan
                                    or coverage;
                                ``(ii) a list of each therapeutic class (as
                            defined by the Secretary) for which a claim was
                            filed under the group health plan or health
                            insurance coverage during the reporting period,
                            and, with respect to each such therapeutic
                            class--
                                        ``(I) the total gross spending on
                                    drugs in such class before rebates,
                                    price concessions, alternative
                                    discounts, or other remuneration from
                                    applicable entities;
                                        ``(II) the net spending in such
                                    class after such rebates, price
                                    concessions, alternative discounts, or
                                    other remuneration from applicable
                                    entities;
                                        ``(III) the total amount received,
                                    or expected to be received, by the
                                    entity providing pharmacy benefit
                                    management services, from applicable
                                    entities, in rebates, fees, alternative
                                    discounts, or other remuneration from
                                    such entities--
                                                ``(aa) for claims incurred
                                            during the reporting period;
                                            and
                                                ``(bb) that is related to
                                            utilization of drugs or drug
                                            spending;
                                        ``(IV) the average net spending per
                                    30-day supply and per 90-day supply by
                                    the plan or by the issuer with respect
                                    to such coverage and its participants
                                    and beneficiaries, among all drugs
                                    within the therapeutic class for which
                                    a claim was filed during the reporting
                                    period;
                                        ``(V) the number of participants
                                    and beneficiaries who filled a
                                    prescription for a drug in such class,
                                    including the National Drug Code for
                                    each such drug;
                                        ``(VI) if applicable, a description
                                    of the formulary tiers and utilization
                                    mechanisms (such as prior authorization
                                    or step therapy) employed for drugs in
                                    that class; and
                                        ``(VII) the total out-of-pocket
                                    spending under the plan or coverage by
                                    participants and beneficiaries,
                                    including spending through copayments,
                                    coinsurance, and deductibles, but not
                                    including any amounts spent by
                                    participants and beneficiaries on drugs
                                    not covered under the plan or coverage
                                    or for which no claim is submitted
                                    under the plan or coverage;
                                ``(iii) with respect to any drug for which
                            gross spending under the group health plan or
                            health insurance coverage exceeded $10,000
                            during the reporting period or, in the case
                            that gross spending under the group health plan
                            or coverage exceeded $10,000 during the
                            reporting period with respect to fewer than 50
                            drugs, with respect to the 50 prescription
                            drugs with the highest spending during the
                            reporting period--
                                        ``(I) a list of all other drugs in
                                    the same therapeutic class as such
                                    drug;
                                        ``(II) if applicable, the rationale
                                    for the formulary placement of such
                                    drug in that therapeutic category or
                                    class, selected from a list of standard
                                    rationales established by the
                                    Secretary, in consultation with
                                    stakeholders; and
                                        ``(III) any change in formulary
                                    placement compared to the prior plan
                                    year; and
                                ``(iv) in the case that such plan or issuer
                            (or an entity providing pharmacy benefit
                            management services on behalf of such plan or
                            issuer) has an affiliated pharmacy or pharmacy
                            under common ownership, including mandatory
                            mail and specialty home delivery programs,
                            retail and mail auto-refill programs, and cost
                            sharing assistance incentives funded by an
                            entity providing pharmacy benefit services--
                                        ``(I) an explanation of any benefit
                                    design parameters that encourage or
                                    require participants and beneficiaries
                                    in the plan or coverage to fill
                                    prescriptions at mail order, specialty,
                                    or retail pharmacies;
                                        ``(II) the percentage of total
                                    prescriptions dispensed by such
                                    pharmacies to participants or
                                    beneficiaries in such plan or coverage;
                                    and
                                        ``(III) a list of all drugs
                                    dispensed by such pharmacies to
                                    participants or beneficiaries enrolled
                                    in such plan or coverage, and, with
                                    respect to each drug dispensed--
                                                ``(aa) the amount charged,
                                            per dosage unit, per 30-day
                                            supply, or per 90-day supply
                                            (as applicable) to the plan or
                                            issuer, and to participants and
                                            beneficiaries;
                                                ``(bb) the median amount
                                            charged to such plan or issuer,
                                            and the interquartile range of
                                            the costs, per dosage unit, per
                                            30-day supply, and per 90-day
                                            supply, including amounts paid
                                            by the participants and
                                            beneficiaries, when the same
                                            drug is dispensed by other
                                            pharmacies that are not
                                            affiliated with or under common
                                            ownership with the entity and
                                            that are included in the
                                            pharmacy network of such plan
                                            or coverage;
                                                ``(cc) the lowest cost per
                                            dosage unit, per 30-day supply
                                            and per 90-day supply, for each
                                            such drug, including amounts
                                            charged to the plan or coverage
                                            and to participants and
                                            beneficiaries, that is
                                            available from any pharmacy
                                            included in the network of such
                                            plan or coverage; and
                                                ``(dd) the net acquisition
                                            cost per dosage unit, per 30-
                                            day supply, and per 90-day
                                            supply, if such drug is subject
                                            to a maximum price discount;
                                            and
                        ``(B) with respect to any group health plan,
                    including group health insurance coverage offered in
                    connection with such a plan, regardless of whether the
                    plan or coverage is offered by a specified large
                    employer or whether it is a specified large plan--
                                ``(i) a summary document for the group
                            health plan that includes such information
                            described in clauses (i) through (iv) of
                            subparagraph (A), as specified by the Secretary
                            through guidance, program instruction, or
                            otherwise (with no requirement of notice and
                            comment rulemaking), that the Secretary
                            determines useful to group health plans for
                            purposes of selecting pharmacy benefit
                            management services, such as an estimated net
                            price to group health plan and participant or
                            beneficiary, a cost per claim, the fee
                            structure or reimbursement model, and estimated
                            cost per participant or beneficiary;
                                ``(ii) a summary document for plans and
                            issuers to provide to participants and
                            beneficiaries, which shall be made available to
                            participants or beneficiaries upon request to
                            their group health plan (including in the case
                            of group health insurance coverage offered in
                            connection with such a plan), that--
                                        ``(I) contains such information
                                    described in clauses (iii), (iv), (v),
                                    and (vi), as applicable, as specified
                                    by the Secretary through guidance,
                                    program instruction, or otherwise (with
                                    no requirement of notice and comment
                                    rulemaking) that the Secretary
                                    determines useful to participants or
                                    beneficiaries in better understanding
                                    the plan or coverage or benefits under
                                    such plan or coverage;
                                        ``(II) contains only aggregate
                                    information; and
                                        ``(III) states that participants
                                    and beneficiaries may request specific,
                                    claims-level information required to be
                                    furnished under subsection (c) from the
                                    group health plan or health insurance
                                    issuer; and
                                ``(iii) with respect to drugs covered by
                            such plan or coverage during such reporting
                            period--
                                        ``(I) the total net spending by the
                                    plan or coverage for all such drugs;
                                        ``(II) the total amount received,
                                    or expected to be received, by the plan
                                    or issuer from any applicable entity in
                                    rebates, fees, alternative discounts,
                                    or other remuneration; and
                                        ``(III) to the extent feasible,
                                    information on the total amount of
                                    remuneration for such drugs, including
                                    copayment assistance dollars paid,
                                    copayment cards applied, or other
                                    discounts provided by each drug
                                    manufacturer (or entity administering
                                    copayment assistance on behalf of such
                                    drug manufacturer) to participants and
                                    beneficiaries;
                                ``(iv) amounts paid directly or indirectly
                            in rebates, fees, or any other type of
                            compensation (as defined in section
                            408(b)(2)(B)(ii)(dd)(AA)) to brokerage firms,
                            brokers, consultants, advisors, or any other
                            individual or firm, for--
                                        ``(I) the referral of the group
                                    health plan's or health insurance
                                    issuer's business to an entity
                                    providing pharmacy benefit management
                                    services, including the identity of the
                                    recipient of such amounts;
                                        ``(II) consideration of the entity
                                    providing pharmacy benefit management
                                    services by the group health plan or
                                    health insurance issuer; or
                                        ``(III) the retention of the entity
                                    by the group health plan or health
                                    insurance issuer;
                                ``(v) an explanation of any benefit design
                            parameters that encourage or require
                            participants and beneficiaries in such plan or
                            coverage to fill prescriptions at mail order,
                            specialty, or retail pharmacies that are
                            affiliated with or under common ownership with
                            the entity providing pharmacy benefit
                            management services under such plan or
                            coverage, including mandatory mail and
                            specialty home delivery programs, retail and
                            mail auto-refill programs, and cost-sharing
                            assistance incentives directly or indirectly
                            funded by such entity; and
                                ``(vi) total gross spending on all drugs
                            under the plan or coverage during the reporting
                            period.
                ``(3) Opt-in for group health insurance coverage offered by
            a specified large employer or that is a specified large plan.--
            In the case of group health insurance coverage offered in
            connection with a group health plan that is offered by a
            specified large employer or is a specified large plan, such
            group health plan may, on an annual basis, for plan years
            beginning on or after the date that is 30 months after the date
            of enactment of this section, elect to require an entity
            providing pharmacy benefit management services on behalf of the
            health insurance issuer to submit to such group health plan a
            report that includes all of the information described in
            paragraph (2)(A), in addition to the information described in
            paragraph (2)(B).
                ``(4) Privacy requirements.--
                        ``(A) In general.--An entity providing pharmacy
                    benefit management services on behalf of a group health
                    plan or a health insurance issuer offering group health
                    insurance coverage shall report information under
                    paragraph (1) in a manner consistent with the privacy
                    regulations promulgated under section 13402(a) of the
                    Health Information Technology for Economic and Clinical
                    Health Act (42 U.S.C. 17932(a)) and consistent with the
                    privacy regulations promulgated under the Health
                    Insurance Portability and Accountability Act of 1996 in
                    part 160 and subparts A and E of part 164 of title 45,
                    Code of Federal Regulations (or successor regulations)
                    (referred to in this paragraph as the `HIPAA privacy
                    regulations') and shall restrict the use and disclosure
                    of such information according to such privacy
                    regulations and such HIPAA privacy regulations.
                        ``(B) Additional requirements.--
                                ``(i) In general.--An entity providing
                            pharmacy benefit management services on behalf
                            of a group health plan or health insurance
                            issuer offering group health insurance coverage
                            that submits a report under paragraph (1) shall
                            ensure that such report contains only summary
                            health information, as defined in section
                            164.504(a) of title 45, Code of Federal
                            Regulations (or successor regulations).
                                ``(ii) Restrictions.--In carrying out this
                            subsection, a group health plan shall comply
                            with section 164.504(f) of title 45, Code of
                            Federal Regulations (or a successor
                            regulation), and a plan sponsor shall act in
                            accordance with the terms of the agreement
                            described in such section.
                        ``(C) Rule of construction.--
                                ``(i) Nothing in this section shall be
                            construed to modify the requirements for the
                            creation, receipt, maintenance, or transmission
                            of protected health information under the HIPAA
                            privacy regulations.
                                ``(ii) Nothing in this section shall be
                            construed to affect the application of any
                            Federal or State privacy or civil rights law,
                            including the HIPAA privacy regulations, the
                            Genetic Information Nondiscrimination Act of
                            2008 (Public Law 110-233) (including the
                            amendments made by such Act), the Americans
                            with Disabilities Act of 1990 (42 U.S.C. 12101
                            et seq.), section 504 of the Rehabilitation Act
                            of 1973 (29 U.S.C. 794), section 1557 of the
                            Patient Protection and Affordable Care Act (42
                            U.S.C. 18116), title VI of the Civil Rights Act
                            of 1964 (42 U.S.C. 2000d), and title VII of the
                            Civil Rights Act of 1964 (42 U.S.C. 2000e).
                        ``(D) Written notice.--Each plan year, group health
                    plans, including with respect to group health insurance
                    coverage offered in connection with a group health
                    plan, shall provide to each participant or beneficiary
                    written notice informing the participant or beneficiary
                    of the requirement for entities providing pharmacy
                    benefit management services on behalf of the group
                    health plan or health insurance issuer offering group
                    health insurance coverage to submit reports to group
                    health plans under paragraph (1), as applicable, which
                    may include incorporating such notification in plan
                    documents provided to the participant or beneficiary,
                    or providing individual notification.
                        ``(E) Limitation to business associates.--A group
                    health plan receiving a report under paragraph (1) may
                    disclose such information only to the entity from which
                    the report was received or to that entity's business
                    associates as defined in section 160.103 of title 45,
                    Code of Federal Regulations (or successor regulations)
                    or as permitted by the HIPAA privacy regulations.
                        ``(F) Clarification regarding public disclosure of
                    information.--Nothing in this section shall prevent an
                    entity providing pharmacy benefit management services
                    on behalf of a group health plan or health insurance
                    issuer offering group health insurance coverage, from
                    placing reasonable restrictions on the public
                    disclosure of the information contained in a report
                    described in paragraph (1), except that such plan,
                    issuer, or entity may not--
                                ``(i) restrict disclosure of such report to
                            the Department of Health and Human Services,
                            the Department of Labor, or the Department of
                            the Treasury; or
                                ``(ii) prevent disclosure for the purposes
                            of subsection (c), or any other public
                            disclosure requirement under this section.
                        ``(G) Limited form of report.--The Secretary shall
                    define through rulemaking a limited form of the report
                    under paragraph (1) required with respect to any group
                    health plan established by a plan sponsor that is, or
                    is affiliated with, a drug manufacturer, drug
                    wholesaler, or other direct participant in the drug
                    supply chain, in order to prevent anti-competitive
                    behavior.
                ``(5) Standard format and regulations.--
                        ``(A) In general.--Not later than 18 months after
                    the date of enactment of this section, the Secretary
                    shall specify through rulemaking a standard format for
                    entities providing pharmacy benefit management services
                    on behalf of group health plans and health insurance
                    issuers offering group health insurance coverage, to
                    submit reports required under paragraph (1).
                        ``(B) Additional regulations.--Not later than 18
                    months after the date of enactment of this section, the
                    Secretary shall, through rulemaking, promulgate any
                    other final regulations necessary to implement the
                    requirements of this section. In promulgating such
                    regulations, the Secretary shall, to the extent
                    practicable, align the reporting requirements under
                    this section with the reporting requirements under
                    section 725.
        ``(c) Requirement To Provide Information to Participants or
    Beneficiaries.--A group health plan, including with respect to group
    health insurance coverage offered in connection with a group health
    plan, upon request of a participant or beneficiary, shall provide to
    such participant or beneficiary--
                ``(1) the summary document described in subsection
            (b)(2)(B)(ii); and
                ``(2) the information described in subsection
            (b)(2)(A)(i)(III) with respect to a claim made by or on behalf
            of such participant or beneficiary.
        ``(d) Rule of Construction.--Nothing in this section shall be
    construed to permit a health insurance issuer, group health plan,
    entity providing pharmacy benefit management services on behalf of a
    group health plan or health insurance issuer, or other entity to
    restrict disclosure to, or otherwise limit the access of, the Secretary
    to a report described in subsection (b)(1) or information related to
    compliance with subsections (a), (b), or (c) of this section or section
    502(c)(13) by such issuer, plan, or entity.
        ``(e) Definitions.--In this section:
                ``(1) Applicable entity.--The term `applicable entity'
            means--
                        ``(A) an applicable group purchasing organization,
                    drug manufacturer, distributor, wholesaler, rebate
                    aggregator (or other purchasing entity designed to
                    aggregate rebates), or associated third party;
                        ``(B) any subsidiary, parent, affiliate, or
                    subcontractor of a group health plan, health insurance
                    issuer, entity that provides pharmacy benefit
                    management services on behalf of such a plan or issuer,
                    or any entity described in subparagraph (A); or
                        ``(C) such other entity as the Secretary may
                    specify through rulemaking.
                ``(2) Applicable group purchasing organization.--The term
            `applicable group purchasing organization' means a group
            purchasing organization that is affiliated with or under common
            ownership with an entity providing pharmacy benefit management
            services.
                ``(3) Contracted compensation.--The term `contracted
            compensation' means the sum of any ingredient cost and
            dispensing fee for a drug (inclusive of the out-of-pocket costs
            to the participant or beneficiary), or another analogous
            compensation structure that the Secretary may specify through
            regulations.
                ``(4) Gross spending.--The term `gross spending', with
            respect to prescription drug benefits under a group health plan
            or health insurance coverage, means the amount spent by a group
            health plan or health insurance issuer on prescription drug
            benefits, calculated before the application of rebates, fees,
            alternative discounts, or other remuneration.
                ``(5) Net spending.--The term `net spending', with respect
            to prescription drug benefits under a group health plan or
            health insurance coverage, means the amount spent by a group
            health plan or health insurance issuer on prescription drug
            benefits, calculated after the application of rebates, fees,
            alternative discounts, or other remuneration.
                ``(6) Plan sponsor.--The term `plan sponsor' has the
            meaning given such term in section 3(16)(B).
                ``(7) Remuneration.--The term `remuneration' has the
            meaning given such term by the Secretary through rulemaking,
            which shall be reevaluated by the Secretary every 5 years.
                ``(8) Specified large employer.--The term `specified large
            employer' means, in connection with a group health plan
            (including group health insurance coverage offered in
            connection with such a plan) established or maintained by a
            single employer, with respect to a calendar year or a plan
            year, as applicable, an employer who employed an average of at
            least 100 employees on business days during the preceding
            calendar year or plan year and who employs at least 1 employee
            on the first day of the calendar year or plan year.
                ``(9) Specified large plan.--The term `specified large
            plan' means a group health plan (including group health
            insurance coverage offered in connection with such a plan)
            established or maintained by a plan sponsor described in clause
            (ii) or (iii) of section 3(16)(B) that had an average of at
            least 100 participants on business days during the preceding
            calendar year or plan year, as applicable.
                ``(10) Wholesale acquisition cost.--The term `wholesale
            acquisition cost' has the meaning given such term in section
            1847A(c)(6)(B) of the Social Security Act (42 U.S.C. 1395w-
            3a(c)(6)(B)).'';
                        (B) in section 502 (29 U.S.C. 1132)--
                                (i) in subsection (a)(6), by striking ``or
                            (9)'' and inserting ``(9), or (13)'';
                                (ii) in subsection (b)(3), by striking
                            ``under subsection (c)(9)'' and inserting
                            ``under paragraphs (9) and (13) of subsection
                            (c)''; and
                                (iii) in subsection (c), by adding at the
                            end the following:
                ``(13) Secretarial enforcement authority relating to
            oversight of pharmacy benefit management services.--
                        ``(A) Failure to provide information.--The
                    Secretary may impose a penalty against a plan
                    administrator of a group health plan, a health
                    insurance issuer offering group health insurance
                    coverage, or an entity providing pharmacy benefit
                    management services on behalf of such a plan or issuer,
                    or an applicable entity (as defined in section 726(e))
                    that violates section 726(a); an entity providing
                    pharmacy benefit management services on behalf of such
                    a plan or issuer that fails to provide the information
                    required under section 726(b); or any person who causes
                    a group health plan to fail to provide the information
                    required under section 726(c), in the amount of $10,000
                    for each day during which such violation continues or
                    such information is not disclosed or reported.
                        ``(B) False information.--The Secretary may impose
                    a penalty against a plan administrator of a group
                    health plan, a health insurance issuer offering group
                    health insurance coverage, an entity providing pharmacy
                    benefit management services, or an applicable entity
                    (as defined in section 726(e)) that knowingly provides
                    false information under section 726, in an amount not
                    to exceed $100,000 for each item of false information.
                    Such penalty shall be in addition to other penalties as
                    may be prescribed by law.
                        ``(C) Waivers.--The Secretary may waive penalties
                    under subparagraph (A), or extend the period of time
                    for compliance with a requirement of this section, for
                    an entity in violation of section 726 that has made a
                    good-faith effort to comply with the requirements of
                    section 726.''; and
                        (C) in section 732(a) (29 U.S.C. 1191a(a)), by
                    striking ``section 711'' and inserting ``sections 711
                    and 726''.
                (2) Clerical amendment.--The table of contents in section 1
            of the Employee Retirement Income Security Act of 1974 (29
            U.S.C. 1001 et seq.) is amended by inserting after the item
            relating to section 725 the following new item:

    ``Sec. 726. Oversight of entities that provide pharmacy benefit
                                management services.''.
        (c) Internal Revenue Code of 1986.--
                (1) In general.--Chapter 100 of the Internal Revenue Code
            of 1986 is amended--
                        (A) by adding at the end of subchapter B the
                    following:

    ``SEC. 9826. OVERSIGHT OF ENTITIES THAT PROVIDE PHARMACY BENEFIT
                  MANAGEMENT SERVICES.

        ``(a) In General.--For plan years beginning on or after the date
    that is 30 months after the date of enactment of this section (referred
    to in this subsection and subsection (b) as the `effective date'), a
    group health plan, or an entity providing pharmacy benefit management
    services on behalf of such a plan, shall not enter into a contract,
    including an extension or renewal of a contract, entered into on or
    after the effective date, with an applicable entity unless such
    applicable entity agrees to--
                ``(1) not limit or delay the disclosure of information to
            the group health plan in such a manner that prevents an entity
            providing pharmacy benefit management services on behalf of a
            group health plan from making the reports described in
            subsection (b); and
                ``(2) provide the entity providing pharmacy benefit
            management services on behalf of a group health plan relevant
            information necessary to make the reports described in
            subsection (b).
        ``(b) Reports.--
                ``(1) In general.--For plan years beginning on or after the
            effective date, in the case of any contract between a group
            health plan and an entity providing pharmacy benefit management
            services on behalf of such plan, including an extension or
            renewal of such a contract, entered into on or after the
            effective date, the entity providing pharmacy benefit
            management services on behalf of such a group health plan, not
            less frequently than every 6 months (or, at the request of a
            group health plan, not less frequently than quarterly, and
            under the same conditions, terms, and cost of the semiannual
            report under this subsection), shall submit to the group health
            plan a report in accordance with this section. Each such report
            shall be made available to such group health plan in plain
            language, in a machine-readable format, and as the Secretary
            may determine, other formats. Each such report shall include
            the information described in paragraph (2).
                ``(2) Information described.--For purposes of paragraph
            (1), the information described in this paragraph is, with
            respect to drugs covered by a group health plan during each
            reporting period--
                        ``(A) in the case of a group health plan that is
                    offered by a specified large employer or that is a
                    specified large plan, and is not offered as health
                    insurance coverage, or in the case of health insurance
                    coverage for which the election under paragraph (3) is
                    made for the applicable reporting period--
                                ``(i) a list of drugs for which a claim was
                            filed and, with respect to each such drug on
                            such list--
                                        ``(I) the contracted compensation
                                    paid by the group health plan for each
                                    covered drug (identified by the
                                    National Drug Code) to the entity
                                    providing pharmacy benefit management
                                    services or other applicable entity on
                                    behalf of the group health plan;
                                        ``(II) the contracted compensation
                                    paid to the pharmacy, by any entity
                                    providing pharmacy benefit management
                                    services or other applicable entity on
                                    behalf of the group health plan, for
                                    each covered drug (identified by the
                                    National Drug Code);
                                        ``(III) for each such claim, the
                                    difference between the amount paid
                                    under subclause (I) and the amount paid
                                    under subclause (II);
                                        ``(IV) the proprietary name,
                                    established name or proper name, and
                                    the National Drug Code;
                                        ``(V) for each claim for the drug
                                    (including original prescriptions and
                                    refills) and for each dosage unit of
                                    the drug for which a claim was filed,
                                    the type of dispensing channel used to
                                    furnish the drug, including retail,
                                    mail order, or specialty pharmacy;
                                        ``(VI) with respect to each drug
                                    dispensed, for each type of dispensing
                                    channel (including retail, mail order,
                                    or specialty pharmacy)--
                                                ``(aa) whether such drug is
                                            a brand name drug or a generic
                                            drug, and--

                                                        ``(AA) in the case
                                                    of a brand name drug,
                                                    the wholesale
                                                    acquisition cost,
                                                    listed as cost per days
                                                    supply and cost per
                                                    dosage unit, on the
                                                    date such drug was
                                                    dispensed; and

                                                        ``(BB) in the case
                                                    of a generic drug, the
                                                    average wholesale
                                                    price, listed as cost
                                                    per days supply and
                                                    cost per dosage unit,
                                                    on the date such drug
                                                    was dispensed; and

                                                ``(bb) the total number
                                            of--

                                                        ``(AA) prescription
                                                    claims (including
                                                    original prescriptions
                                                    and refills);

                                                        ``(BB) participants
                                                    and beneficiaries for
                                                    whom a claim for such
                                                    drug was filed through
                                                    the applicable
                                                    dispensing channel;

                                                        ``(CC) dosage units
                                                    and dosage units per
                                                    fill of such drug; and

                                                        ``(DD) days supply
                                                    of such drug per fill;

                                        ``(VII) the net price per course of
                                    treatment or single fill, such as a 30-
                                    day supply or 90-day supply to the plan
                                    after rebates, fees, alternative
                                    discounts, or other remuneration
                                    received from applicable entities;
                                        ``(VIII) the total amount of out-
                                    of-pocket spending by participants and
                                    beneficiaries on such drug, including
                                    spending through copayments,
                                    coinsurance, and deductibles, but not
                                    including any amounts spent by
                                    participants and beneficiaries on drugs
                                    not covered under the plan, or for
                                    which no claim is submitted under the
                                    plan;
                                        ``(IX) the total net spending on
                                    the drug;
                                        ``(X) the total amount received, or
                                    expected to be received, by the plan
                                    from any applicable entity in rebates,
                                    fees, alternative discounts, or other
                                    remuneration;
                                        ``(XI) the total amount received,
                                    or expected to be received, by the
                                    entity providing pharmacy benefit
                                    management services, from applicable
                                    entities, in rebates, fees, alternative
                                    discounts, or other remuneration from
                                    such entities--
                                                ``(aa) for claims incurred
                                            during the reporting period;
                                            and
                                                ``(bb) that is related to
                                            utilization of such drug or
                                            spending on such drug; and
                                        ``(XII) to the extent feasible,
                                    information on the total amount of
                                    remuneration for such drug, including
                                    copayment assistance dollars paid,
                                    copayment cards applied, or other
                                    discounts provided by each drug
                                    manufacturer (or entity administering
                                    copayment assistance on behalf of such
                                    drug manufacturer), to the participants
                                    and beneficiaries enrolled in such
                                    plan;
                                ``(ii) a list of each therapeutic class (as
                            defined by the Secretary) for which a claim was
                            filed under the group health plan during the
                            reporting period, and, with respect to each
                            such therapeutic class--
                                        ``(I) the total gross spending on
                                    drugs in such class before rebates,
                                    price concessions, alternative
                                    discounts, or other remuneration from
                                    applicable entities;
                                        ``(II) the net spending in such
                                    class after such rebates, price
                                    concessions, alternative discounts, or
                                    other remuneration from applicable
                                    entities;
                                        ``(III) the total amount received,
                                    or expected to be received, by the
                                    entity providing pharmacy benefit
                                    management services, from applicable
                                    entities, in rebates, fees, alternative
                                    discounts, or other remuneration from
                                    such entities--
                                                ``(aa) for claims incurred
                                            during the reporting period;
                                            and
                                                ``(bb) that is related to
                                            utilization of drugs or drug
                                            spending;
                                        ``(IV) the average net spending per
                                    30-day supply and per 90-day supply by
                                    the plan and its participants and
                                    beneficiaries, among all drugs within
                                    the therapeutic class for which a claim
                                    was filed during the reporting period;
                                        ``(V) the number of participants
                                    and beneficiaries who filled a
                                    prescription for a drug in such class,
                                    including the National Drug Code for
                                    each such drug;
                                        ``(VI) if applicable, a description
                                    of the formulary tiers and utilization
                                    mechanisms (such as prior authorization
                                    or step therapy) employed for drugs in
                                    that class; and
                                        ``(VII) the total out-of-pocket
                                    spending under the plan by participants
                                    and beneficiaries, including spending
                                    through copayments, coinsurance, and
                                    deductibles, but not including any
                                    amounts spent by participants and
                                    beneficiaries on drugs not covered
                                    under the plan or for which no claim is
                                    submitted under the plan;
                                ``(iii) with respect to any drug for which
                            gross spending under the group health plan
                            exceeded $10,000 during the reporting period
                            or, in the case that gross spending under the
                            group health plan exceeded $10,000 during the
                            reporting period with respect to fewer than 50
                            drugs, with respect to the 50 prescription
                            drugs with the highest spending during the
                            reporting period--
                                        ``(I) a list of all other drugs in
                                    the same therapeutic class as such
                                    drug;
                                        ``(II) if applicable, the rationale
                                    for the formulary placement of such
                                    drug in that therapeutic category or
                                    class, selected from a list of standard
                                    rationales established by the
                                    Secretary, in consultation with
                                    stakeholders; and
                                        ``(III) any change in formulary
                                    placement compared to the prior plan
                                    year; and
                                ``(iv) in the case that such plan (or an
                            entity providing pharmacy benefit management
                            services on behalf of such plan) has an
                            affiliated pharmacy or pharmacy under common
                            ownership, including mandatory mail and
                            specialty home delivery programs, retail and
                            mail auto-refill programs, and cost sharing
                            assistance incentives funded by an entity
                            providing pharmacy benefit services--
                                        ``(I) an explanation of any benefit
                                    design parameters that encourage or
                                    require participants and beneficiaries
                                    in the plan to fill prescriptions at
                                    mail order, specialty, or retail
                                    pharmacies;
                                        ``(II) the percentage of total
                                    prescriptions dispensed by such
                                    pharmacies to participants or
                                    beneficiaries in such plan; and
                                        ``(III) a list of all drugs
                                    dispensed by such pharmacies to
                                    participants or beneficiaries enrolled
                                    in such plan, and, with respect to each
                                    drug dispensed--
                                                ``(aa) the amount charged,
                                            per dosage unit, per 30-day
                                            supply, or per 90-day supply
                                            (as applicable) to the plan,
                                            and to participants and
                                            beneficiaries;
                                                ``(bb) the median amount
                                            charged to such plan, and the
                                            interquartile range of the
                                            costs, per dosage unit, per 30-
                                            day supply, and per 90-day
                                            supply, including amounts paid
                                            by the participants and
                                            beneficiaries, when the same
                                            drug is dispensed by other
                                            pharmacies that are not
                                            affiliated with or under common
                                            ownership with the entity and
                                            that are included in the
                                            pharmacy network of such plan;
                                                ``(cc) the lowest cost per
                                            dosage unit, per 30-day supply
                                            and per 90-day supply, for each
                                            such drug, including amounts
                                            charged to the plan and to
                                            participants and beneficiaries,
                                            that is available from any
                                            pharmacy included in the
                                            network of such plan; and
                                                ``(dd) the net acquisition
                                            cost per dosage unit, per 30-
                                            day supply, and per 90-day
                                            supply, if such drug is subject
                                            to a maximum price discount;
                                            and
                        ``(B) with respect to any group health plan,
                    regardless of whether the plan is offered by a
                    specified large employer or whether it is a specified
                    large plan--
                                ``(i) a summary document for the group
                            health plan that includes such information
                            described in clauses (i) through (iv) of
                            subparagraph (A), as specified by the Secretary
                            through guidance, program instruction, or
                            otherwise (with no requirement of notice and
                            comment rulemaking), that the Secretary
                            determines useful to group health plans for
                            purposes of selecting pharmacy benefit
                            management services, such as an estimated net
                            price to group health plan and participant or
                            beneficiary, a cost per claim, the fee
                            structure or reimbursement model, and estimated
                            cost per participant or beneficiary;
                                ``(ii) a summary document for plans to
                            provide to participants and beneficiaries,
                            which shall be made available to participants
                            or beneficiaries upon request to their group
                            health plan, that--
                                        ``(I) contains such information
                                    described in clauses (iii), (iv), (v),
                                    and (vi), as applicable, as specified
                                    by the Secretary through guidance,
                                    program instruction, or otherwise (with
                                    no requirement of notice and comment
                                    rulemaking) that the Secretary
                                    determines useful to participants or
                                    beneficiaries in better understanding
                                    the plan or benefits under such plan;
                                        ``(II) contains only aggregate
                                    information; and
                                        ``(III) states that participants
                                    and beneficiaries may request specific,
                                    claims-level information required to be
                                    furnished under subsection (c) from the
                                    group health plan; and
                                ``(iii) with respect to drugs covered by
                            such plan during such reporting period--
                                        ``(I) the total net spending by the
                                    plan for all such drugs;
                                        ``(II) the total amount received,
                                    or expected to be received, by the plan
                                    from any applicable entity in rebates,
                                    fees, alternative discounts, or other
                                    remuneration; and
                                        ``(III) to the extent feasible,
                                    information on the total amount of
                                    remuneration for such drugs, including
                                    copayment assistance dollars paid,
                                    copayment cards applied, or other
                                    discounts provided by each drug
                                    manufacturer (or entity administering
                                    copayment assistance on behalf of such
                                    drug manufacturer) to participants and
                                    beneficiaries;
                                ``(iv) amounts paid directly or indirectly
                            in rebates, fees, or any other type of
                            compensation (as defined in section
                            408(b)(2)(B)(ii)(dd)(AA) of the Employee
                            Retirement Income Security Act (29 U.S.C.
                            1108(b)(2)(B)(ii)(dd)(AA))) to brokerage firms,
                            brokers, consultants, advisors, or any other
                            individual or firm, for--
                                        ``(I) the referral of the group
                                    health plan's business to an entity
                                    providing pharmacy benefit management
                                    services, including the identity of the
                                    recipient of such amounts;
                                        ``(II) consideration of the entity
                                    providing pharmacy benefit management
                                    services by the group health plan; or
                                        ``(III) the retention of the entity
                                    by the group health plan;
                                ``(v) an explanation of any benefit design
                            parameters that encourage or require
                            participants and beneficiaries in such plan to
                            fill prescriptions at mail order, specialty, or
                            retail pharmacies that are affiliated with or
                            under common ownership with the entity
                            providing pharmacy benefit management services
                            under such plan, including mandatory mail and
                            specialty home delivery programs, retail and
                            mail auto-refill programs, and cost-sharing
                            assistance incentives directly or indirectly
                            funded by such entity; and
                                ``(vi) total gross spending on all drugs
                            under the plan during the reporting period.
                ``(3) Opt-in for group health insurance coverage offered by
            a specified large employer or that is a specified large plan.--
            In the case of group health insurance coverage offered in
            connection with a group health plan that is offered by a
            specified large employer or is a specified large plan, such
            group health plan may, on an annual basis, for plan years
            beginning on or after the date that is 30 months after the date
            of enactment of this section, elect to require an entity
            providing pharmacy benefit management services on behalf of the
            health insurance issuer to submit to such group health plan a
            report that includes all of the information described in
            paragraph (2)(A), in addition to the information described in
            paragraph (2)(B).
                ``(4) Privacy requirements.--
                        ``(A) In general.--An entity providing pharmacy
                    benefit management services on behalf of a group health
                    plan shall report information under paragraph (1) in a
                    manner consistent with the privacy regulations
                    promulgated under section 13402(a) of the Health
                    Information Technology for Economic and Clinical Health
                    Act (42 U.S.C. 17932(a)) and consistent with the
                    privacy regulations promulgated under the Health
                    Insurance Portability and Accountability Act of 1996 in
                    part 160 and subparts A and E of part 164 of title 45,
                    Code of Federal Regulations (or successor regulations)
                    (referred to in this paragraph as the `HIPAA privacy
                    regulations') and shall restrict the use and disclosure
                    of such information according to such privacy
                    regulations and such HIPAA privacy regulations.
                        ``(B) Additional requirements.--
                                ``(i) In general.--An entity providing
                            pharmacy benefit management services on behalf
                            of a group health plan that submits a report
                            under paragraph (1) shall ensure that such
                            report contains only summary health
                            information, as defined in section 164.504(a)
                            of title 45, Code of Federal Regulations (or
                            successor regulations).
                                ``(ii) Restrictions.--In carrying out this
                            subsection, a group health plan shall comply
                            with section 164.504(f) of title 45, Code of
                            Federal Regulations (or a successor
                            regulation), and a plan sponsor shall act in
                            accordance with the terms of the agreement
                            described in such section.
                        ``(C) Rule of construction.--
                                ``(i) Nothing in this section shall be
                            construed to modify the requirements for the
                            creation, receipt, maintenance, or transmission
                            of protected health information under the HIPAA
                            privacy regulations.
                                ``(ii) Nothing in this section shall be
                            construed to affect the application of any
                            Federal or State privacy or civil rights law,
                            including the HIPAA privacy regulations, the
                            Genetic Information Nondiscrimination Act of
                            2008 (Public Law 110-233) (including the
                            amendments made by such Act), the Americans
                            with Disabilities Act of 1990 (42 U.S.C. 12101
                            et seq.), section 504 of the Rehabilitation Act
                            of 1973 (29 U.S.C. 794), section 1557 of the
                            Patient Protection and Affordable Care Act (42
                            U.S.C. 18116), title VI of the Civil Rights Act
                            of 1964 (42 U.S.C. 2000d), and title VII of the
                            Civil Rights Act of 1964 (42 U.S.C. 2000e).
                        ``(D) Written notice.--Each plan year, group health
                    plans shall provide to each participant or beneficiary
                    written notice informing the participant or beneficiary
                    of the requirement for entities providing pharmacy
                    benefit management services on behalf of the group
                    health plan to submit reports to group health plans
                    under paragraph (1), as applicable, which may include
                    incorporating such notification in plan documents
                    provided to the participant or beneficiary, or
                    providing individual notification.
                        ``(E) Limitation to business associates.--A group
                    health plan receiving a report under paragraph (1) may
                    disclose such information only to the entity from which
                    the report was received or to that entity's business
                    associates as defined in section 160.103 of title 45,
                    Code of Federal Regulations (or successor regulations)
                    or as permitted by the HIPAA privacy regulations.
                        ``(F) Clarification regarding public disclosure of
                    information.--Nothing in this section shall prevent an
                    entity providing pharmacy benefit management services
                    on behalf of a group health plan, from placing
                    reasonable restrictions on the public disclosure of the
                    information contained in a report described in
                    paragraph (1), except that such plan or entity may
                    not--
                                ``(i) restrict disclosure of such report to
                            the Department of Health and Human Services,
                            the Department of Labor, or the Department of
                            the Treasury; or
                                ``(ii) prevent disclosure for the purposes
                            of subsection (c), or any other public
                            disclosure requirement under this section.
                        ``(G) Limited form of report.--The Secretary shall
                    define through rulemaking a limited form of the report
                    under paragraph (1) required with respect to any group
                    health plan established by a plan sponsor that is, or
                    is affiliated with, a drug manufacturer, drug
                    wholesaler, or other direct participant in the drug
                    supply chain, in order to prevent anti-competitive
                    behavior.
                ``(5) Standard format and regulations.--
                        ``(A) In general.--Not later than 18 months after
                    the date of enactment of this section, the Secretary
                    shall specify through rulemaking a standard format for
                    entities providing pharmacy benefit management services
                    on behalf of group health plans, to submit reports
                    required under paragraph (1).
                        ``(B) Additional regulations.--Not later than 18
                    months after the date of enactment of this section, the
                    Secretary shall, through rulemaking, promulgate any
                    other final regulations necessary to implement the
                    requirements of this section. In promulgating such
                    regulations, the Secretary shall, to the extent
                    practicable, align the reporting requirements under
                    this section with the reporting requirements under
                    section 9825.
        ``(c) Requirement To Provide Information to Participants or
    Beneficiaries.--A group health plan, upon request of a participant or
    beneficiary, shall provide to such participant or beneficiary--
                ``(1) the summary document described in subsection
            (b)(2)(B)(ii); and
                ``(2) the information described in subsection
            (b)(2)(A)(i)(III) with respect to a claim made by or on behalf
            of such participant or beneficiary.
        ``(d) Rule of Construction.--Nothing in this section shall be
    construed to permit a health insurance issuer, group health plan,
    entity providing pharmacy benefit management services on behalf of a
    group health plan or health insurance issuer, or other entity to
    restrict disclosure to, or otherwise limit the access of, the Secretary
    to a report described in subsection (b)(1) or information related to
    compliance with subsections (a), (b), or (c) of this section or section
    4980D(g) by such issuer, plan, or entity.
        ``(e) Definitions.--In this section:
                ``(1) Applicable entity.--The term `applicable entity'
            means--
                        ``(A) an applicable group purchasing organization,
                    drug manufacturer, distributor, wholesaler, rebate
                    aggregator (or other purchasing entity designed to
                    aggregate rebates), or associated third party;
                        ``(B) any subsidiary, parent, affiliate, or
                    subcontractor of a group health plan, health insurance
                    issuer, entity that provides pharmacy benefit
                    management services on behalf of such a plan or issuer,
                    or any entity described in subparagraph (A); or
                        ``(C) such other entity as the Secretary may
                    specify through rulemaking.
                ``(2) Applicable group purchasing organization.--The term
            `applicable group purchasing organization' means a group
            purchasing organization that is affiliated with or under common
            ownership with an entity providing pharmacy benefit management
            services.
                ``(3) Contracted compensation.--The term `contracted
            compensation' means the sum of any ingredient cost and
            dispensing fee for a drug (inclusive of the out-of-pocket costs
            to the participant or beneficiary), or another analogous
            compensation structure that the Secretary may specify through
            regulations.
                ``(4) Gross spending.--The term `gross spending', with
            respect to prescription drug benefits under a group health
            plan, means the amount spent by a group health plan on
            prescription drug benefits, calculated before the application
            of rebates, fees, alternative discounts, or other remuneration.
                ``(5) Net spending.--The term `net spending', with respect
            to prescription drug benefits under a group health plan, means
            the amount spent by a group health plan on prescription drug
            benefits, calculated after the application of rebates, fees,
            alternative discounts, or other remuneration.
                ``(6) Plan sponsor.--The term `plan sponsor' has the
            meaning given such term in section 3(16)(B) of the Employee
            Retirement Income Security Act of 1974 (29 U.S.C. 1002(16)(B)).
                ``(7) Remuneration.--The term `remuneration' has the
            meaning given such term by the Secretary, through rulemaking,
            which shall be reevaluated by the Secretary every 5 years.
                ``(8) Specified large employer.--The term `specified large
            employer' means, in connection with a group health plan
            established or maintained by a single employer, with respect to
            a calendar year or a plan year, as applicable, an employer who
            employed an average of at least 100 employees on business days
            during the preceding calendar year or plan year and who employs
            at least 1 employee on the first day of the calendar year or
            plan year.
                ``(9) Specified large plan.--The term `specified large
            plan' means a group health plan established or maintained by a
            plan sponsor described in clause (ii) or (iii) of section
            3(16)(B) of the Employee Retirement Income Security Act of 1974
            (29 U.S.C. 1002(16)(B)) that had an average of at least 100
            participants on business days during the preceding calendar
            year or plan year, as applicable.
                ``(10) Wholesale acquisition cost.--The term `wholesale
            acquisition cost' has the meaning given such term in section
            1847A(c)(6)(B) of the Social Security Act (42 U.S.C. 1395w-
            3a(c)(6)(B)).'';
                (2) Exception for certain group health plans.--Section
            9831(a)(2) of the Internal Revenue Code of 1986 is amended by
            inserting ``other than with respect to section 9826,'' before
            ``any group health plan''.
                (3) Enforcement.--Section 4980D of the Internal Revenue
            Code of 1986 is amended by adding at the end the following new
            subsection:
        ``(g) Application to Requirements Imposed on Certain Entities
    Providing Pharmacy Benefit Management Services.--In the case of any
    requirement under section 9826 that applies with respect to an entity
    providing pharmacy benefit management services on behalf of a group
    health plan, any reference in this section to such group health plan
    (and the reference in subsection (e)(1) to the employer) shall be
    treated as including a reference to such entity.''.
                (4) Clerical amendment.--The table of sections for
            subchapter B of chapter 100 of the Internal Revenue Code of
            1986 is amended by adding at the end the following new item:

    ``Sec. 9826. Oversight of entities that provide pharmacy benefit
                                management services.''.

    SEC. 6702. FULL REBATE PASS THROUGH TO PLAN; EXCEPTION FOR INNOCENT
                  PLAN FIDUCIARIES.

        (a) In General.--Section 408(b)(2) of the Employee Retirement
    Income Security Act of 1974 (29 U.S.C. 1108(b)(2)) is amended--
                (1) in subparagraph (B)(viii)--
                        (A) by redesignating subclauses (II) through (IV)
                    as subclauses (III) through (V), respectively;
                        (B) in subclause (I)--
                                (i) by striking ``subclause (II)'' and
                            inserting ``subclause (III)''; and
                                (ii) by striking ``subclauses (II) and
                            (III)'' and inserting ``subclauses (III) and
                            (IV)''; and
                        (C) by inserting after subclause (I) the following:
                ``(II) Pursuant to subsection (a), subparagraphs (C) and
            (D) of section 406(a)(1) shall not apply to a responsible plan
            fiduciary, notwithstanding any failure to remit required
            amounts under subparagraph (C)(i), if the following conditions
            are met:
                        ``(aa) The responsible plan fiduciary did not know
                    that the covered service provider failed or would fail
                    to make required remittances and reasonably believed
                    that the covered service provider remitted such
                    required amounts.
                        ``(bb) The responsible plan fiduciary, upon
                    discovering that the covered service provider failed to
                    remit the required amounts, requests in writing that
                    the covered service provider remit such amounts.
                        ``(cc) If the covered service provider fails to
                    comply with a written request described in subclause
                    (III) within 90 days of the request, the responsible
                    plan fiduciary notifies the Secretary of the covered
                    service provider's failure, in accordance with
                    subclauses (III) and (IV).''; and
                (2) by adding at the end the following:
                ``(C)(i)(I) For plan years beginning on or after the date
            that is 30 months after the date of enactment of this
            subparagraph (referred to in this clause as the `effective
            date'), no contract or arrangement or renewal or extension of a
            contract or arrangement, entered into on or after the effective
            date, for services between a covered plan and a covered service
            provider (or between a sponsor of a covered plan and a covered
            service provider), through a health insurance issuer offering
            group health insurance coverage, a third-party administrator,
            an entity providing pharmacy benefit management services, or
            other entity, for pharmacy benefit management services, is
            reasonable within the meaning of this paragraph unless such
            entity providing pharmacy benefit management services--
                        ``(aa) remits 100 percent of rebates, fees,
                    alternative discounts, and other remuneration received
                    from any applicable entity that are related to
                    utilization of drugs or drug spending under such health
                    plan or health insurance coverage, to the group health
                    plan or, in the case of a health insurance issuer
                    offering group health insurance coverage in connection
                    with a group health plan, to the health insurance
                    issuer offering group health insurance coverage on
                    behalf of the plan; and
                        ``(bb) does not enter into any contract for
                    pharmacy benefit management services on behalf of such
                    a plan or coverage, with an applicable entity unless
                    100 percent of rebates, fees, alternative discounts,
                    and other remuneration received under such contract
                    that are related to the utilization of drugs or drug
                    spending under such group health plan or health
                    insurance coverage are remitted to the group health
                    plan or, in the case of a health insurance issuer
                    offering group health insurance coverage in connection
                    with a group health plan, to the health insurance
                    issuer on behalf of the plan by the entity providing
                    pharmacy benefit management services.
                ``(II) Nothing in subclause (I) shall be construed to
            affect the term of a contract or arrangement, as in effect on
            the effective date (as described in such subclause), except
            that such subclause shall apply to any renewal or extension of
            such a contract or arrangement entered into on or after such
            effective date, as so described.
        ``(ii) With respect to such rebates, fees, alternative discounts,
    and other remuneration--
                ``(I) the rebates, fees, alternative discounts, and other
            remuneration under clause (i)(I) shall be--
                        ``(aa) remitted--
                                ``(AA) on a quarterly basis, to the group
                            health plan or, in the case of a health
                            insurance issuer offering group health
                            insurance coverage in connection with a group
                            health plan, to the group health insurance
                            issuer on behalf of the plan, not later than 90
                            days after the end of each quarter; or
                                ``(BB) in the case of an underpayment in a
                            remittance for a prior quarter, as soon as
                            practicable, but not later than 90 days after
                            notice of the underpayment is first given;
                        ``(bb) fully disclosed and enumerated to the group
                    health plan or health insurance issuer; and
                        ``(cc) returned to the covered service provider for
                    pharmacy benefit management services on behalf of the
                    group health plan if any audit by a plan sponsor,
                    issuer or a third party designated by a plan sponsor,
                    indicates that the amounts received are in excess of
                    correct amounts after such amounts have been paid to
                    the group health plan, in the amount of such excess;
                ``(II) the Secretary may issue regulations governing--
                        ``(aa) procedures for the remittance of rebates,
                    fees, alternative discounts, and other remuneration
                    under subclause (I)(aa);
                        ``(bb) any audit pursuant to this subparagraph; and
                        ``(cc) the timing, manner, and content of the
                    disclosure of rebates, fees, alternative discounts, and
                    other remuneration under subclause (I)(bb) as well as
                    any other information the Secretary determines
                    necessary for the responsible plan fiduciary to
                    consider the reasonableness of the contract or
                    arrangement (provided that such information does not
                    include personally identifiable health information or
                    protected health information subject to established
                    individual privacy and nondiscrimination requirements
                    under law); and
                ``(III) the records of such rebates, fees, alternative
            discounts, other remuneration, and disclosures, shall be
            available for audit by the plan (or the plan sponsor, issuer,
            or a third party designated by a plan sponsor on behalf of the
            plan), not less than once per plan year.
        ``(iii) To ensure that an entity providing pharmacy benefit
    management services is able to meet the requirements of clause (ii)(I),
    a rebate aggregator (or other purchasing entity designed to aggregate
    rebates) and an applicable group purchasing organization shall remit
    such rebates to the entity providing pharmacy benefit management
    services not later than 45 days after the end of each quarter.
        ``(iv) A third-party administrator of a group health plan, a health
    insurance issuer offering group health insurance coverage, or a covered
    service provider for pharmacy benefit management services under such
    health plan or health insurance coverage shall make rebate contracts
    with rebate aggregators or drug manufacturers available for audit by
    such plan, subject to reasonable restrictions (as determined by the
    Secretary) on confidentiality to prevent re-disclosure of such
    contracts or use of such information in audits for purposes unrelated
    to this section.
        ``(v) Audits carried out under clauses (ii)(III) and (iv) shall be
    performed by an auditor selected by the responsible plan fiduciary.
    Payment for such auditors shall not be made, whether directly or
    indirectly, by the entity providing pharmacy benefit management
    services.
        ``(vi) Nothing in this subparagraph shall be construed to--
                ``(I) prohibit reasonable payments to entities offering
            pharmacy benefit management services for bona fide services
            using a fee structure not described in this subparagraph,
            provided that such fees are transparent and quantifiable to
            group health plans and health insurance issuers;
                ``(II) require a third-party administrator of a group
            health plan or covered service provider for pharmacy benefit
            management services under such health plan or health insurance
            coverage to remit bona fide service fees to the group health
            plan;
                ``(III) limit the ability of a group health plan or health
            insurance issuer to pass through rebates, fees, alternative
            discounts, and other remuneration to the participant or
            beneficiary;
                ``(IV) modify the requirements for the creation, receipt,
            maintenance, or transmission of protected health information
            under the privacy regulations promulgated under the Health
            Insurance Portability and Accountability Act of 1996 in part
            160 and subparts A and E of part 164 of title 45, Code of
            Federal Regulations (or successor regulations); or
                ``(V) limit any requirement under subparagraph (A) or (B).
        ``(vii) For purposes of this subparagraph--
                ``(I) the terms `applicable entity' and `applicable group
            purchasing organization' have the meanings given such terms in
            section 726(e);
                ``(II) the terms `covered plan', `covered service
            provider', and `responsible plan fiduciary' have the meanings
            given such terms in subparagraph (B); and
                ``(III) the terms `group health insurance coverage',
            `health insurance coverage', and `health insurance issuer' have
            the meanings given such terms in section 733.''.
        (b) Rule of Construction.--Subclause (II)(aa) of section
    408(b)(2)(B)(viii) of the Employee Retirement Income Security Act of
    1974 (29 U.S.C. 1108(b)(2)(B)(viii)), as amended by subsection (a),
    shall not be construed to relieve or limit a responsible plan fiduciary
    from the duty to monitor the practices of any covered service provider
    that contracts with the applicable covered plan, including for the
    purposes of ensuring the reasonableness of compensation. For purposes
    of this subsection, the terms ``covered plan'', ``covered service
    provider'', and ``responsible plan fiduciary'' have the meanings given
    such terms in section 408(b)(2)(B)(ii) of the Employee Retirement
    Income Security Act of 1974 (29 U.S.C. 1108(b)(2)(B)(ii)).
        (c) Clarification of Covered Service Provider.--
                (1) Services.--Section 408(b)(2)(B)(ii)(I)(bb) of the
            Employee Retirement Income Security Act of 1974 (29 U.S.C.
            1108(b)(2)(B)(ii)(I)(bb)) is amended--
                        (A) in subitem (AA) by striking ``Brokerage
                    services,'' and inserting ``Services (including
                    brokerage services),''; and
                        (B) in subitem (BB)--
                                (i) by striking ``Consulting,'' and
                            inserting ``Other services,''; and
                                (ii) by striking ``related to the
                            development or implementation of plan design''
                            and all that follows through the period at the
                            end and inserting ``including any of the
                            following: plan design, insurance or insurance
                            product selection (including vision and
                            dental), recordkeeping, medical management,
                            benefits administration selection (including
                            vision and dental), stop-loss insurance,
                            pharmacy benefit management services, wellness
                            design and management services, transparency
                            tools, group purchasing organization agreements
                            and services, participation in and services
                            from preferred vendor panels, disease
                            management, compliance services, employee
                            assistance programs, or third-party
                            administration services, or consulting services
                            related to any such services.''.
                (2) Certain arrangements for pharmacy benefit management
            services considered as indirect.--
                        (A) In general.--Section 408(b)(2)(B)(i) of the
                    Employee Retirement Income Security Act of 1974 (29
                    U.S.C. 1108(b)(2)(B)(i)) is amended--
                                (i) by striking ``requirements of this
                            clause'' and inserting ``requirements of this
                            subparagraph''; and
                                (ii) by adding at the end the following:
                            ``For purposes of applying section 406(a)(1)(C)
                            with respect to a transaction described under
                            this subparagraph or subparagraph (C), a
                            contract or arrangement for services between a
                            covered plan and an entity providing services
                            to the plan, including a health insurance
                            issuer providing health insurance coverage in
                            connection with the covered plan, in which such
                            entity contracts, in connection with such plan,
                            with a service provider for pharmacy benefit
                            management services, shall be considered an
                            indirect furnishing of goods, services, or
                            facilities between the covered plan and the
                            service provider for pharmacy benefit
                            management services acting as the party in
                            interest.''.
                        (B) Exemption.--Section 408(b)(2)(B) (29 U.S.C.
                    1108(b)(2)(B)) of such Act is amended by adding at the
                    end the following:
                ``(x) A service provider for pharmacy benefit management
            services that is considered to indirectly furnish goods,
            services, or facilities to a covered plan, as described in
            clause (i)(I), is entitled to relief with respect to a
            violation of this section provided the conditions for receiving
            such relief are satisfied.''.
                        (C) Health insurance issuer and health insurance
                    coverage defined.--Section 408(b)(2)(B)(ii)(I)(aa) of
                    such Act (29 U.S.C. 1108(b)(2)(B)(ii)(I)(aa)) is
                    amended by inserting before the period at the end ``and
                    the terms `health insurance coverage' and `health
                    insurance issuer' have the meanings given such terms in
                    section 733(b)''.
                        (D) Technical amendment.--Section
                    408(b)(2)(B)(ii)(I)(aa) of the Employee Retirement
                    Income Security Act of 1974 (29 U.S.C.
                    1108(b)(2)(B)(ii)(I)(aa)) is amended by inserting
                    ``in'' after ``defined''.
                        (E) Regulatory authority.--Section
                    408(b)(2)(B)(iii) of such Act (29 U.S.C.
                    1108(b)(2)(B)(iii)) is amended, in the matter preceding
                    subclause (I), by inserting ``(in accordance with
                    regulations issued by the Secretary addressing time,
                    manner, and content of such disclosures)'', after
                    ``following''.

    SEC. 6703. INCREASING TRANSPARENCY IN GENERIC DRUG APPLICATIONS.

        (a) In General.--Section 505(j)(3) of the Federal Food, Drug, and
    Cosmetic Act (21 U.S.C. 355(j)(3)) is amended by adding at the end the
    following:
        ``(H)(i) Upon request (in controlled correspondence or an analogous
    process) by a person that has submitted or intends to submit an
    abbreviated application under this subsection for a drug that is
    required by regulation to contain one or more of the same inactive
    ingredients in the same concentrations as the listed drug referred to,
    or for which the Secretary determines there is a scientific
    justification for an approach that is in vitro, in whole or in part, to
    be used to demonstrate bioequivalence for a drug if such a drug
    contains one or more of the same inactive ingredients in the same
    concentrations as the listed drug referred to, the Secretary shall
    inform the person whether such drug is qualitatively and quantitatively
    the same as the listed drug. The Secretary may also provide such
    information to such a person on the Secretary's own initiative during
    the review of an abbreviated application under this subsection for such
    drug.
        ``(ii) Notwithstanding section 301(j), if the Secretary determines
    that such drug is not qualitatively or quantitatively the same as the
    listed drug, the Secretary shall identify and disclose to the person--
        ``(I) the ingredient or ingredients that cause such drug not to be
    qualitatively or quantitatively the same as the listed drug; and
        ``(II) for any ingredient for which there is an identified
    quantitative deviation, the amount of such deviation.
        ``(iii) If the Secretary determines that such drug is qualitatively
    and quantitatively the same as the listed drug, the Secretary shall not
    change or rescind such determination after the submission of an
    abbreviated application for such drug under this subsection unless--
        ``(I) the formulation of the listed drug has been changed and the
    Secretary has determined that the prior listed drug formulation was
    withdrawn for reasons of safety or effectiveness; or
        ``(II) the Secretary makes a written determination that the prior
    determination must be changed because an error has been identified.
        ``(iv) If the Secretary makes a written determination described in
    clause (iii)(II), the Secretary shall provide notice and a copy of the
    written determination to the person making the request under clause
    (i).
        ``(v) The disclosures authorized under clauses (i) and (ii) are
    disclosures authorized by law, including for purposes of section 1905
    of title 18, United States Code. This subparagraph shall not otherwise
    be construed to authorize the disclosure of nonpublic qualitative or
    quantitative information about the ingredients in a listed drug, or to
    affect the status, if any, of such information as trade secret or
    confidential commercial information for purposes of section 301(j) of
    this Act, section 552 of title 5, United States Code, or section 1905
    of title 18, United States Code.''.
        (b) Guidance.--
                (1) In general.--Not later than one year after the date of
            enactment of this Act, the Secretary of Health and Human
            Services shall issue draft guidance, or update guidance,
            describing how the Secretary will determine whether a drug is
            qualitatively and quantitatively the same as the listed drug
            (as such terms are used in section 505(j)(3)(H) of the Federal
            Food, Drug, and Cosmetic Act, as added by subsection (a)),
            including with respect to assessing pH adjusters.
                (2) Process.--In issuing guidance under this subsection,
            the Secretary of Health and Human Services shall--
                        (A) publish draft guidance;
                        (B) provide a period of at least 60 days for
                    comment on the draft guidance; and
                        (C) after considering any comments received and not
                    later than one year after the close of the comment
                    period on the draft guidance, publish final guidance.
        (c) Applicability.--Section 505(j)(3)(H) of the Federal Food, Drug,
    and Cosmetic Act, as added by subsection (a), applies beginning on the
    date of enactment of this Act, irrespective of the date on which the
    guidance required by subsection (b) is finalized.
                                     <all>