[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9260 Reported in House (RH)]
<DOC>
Union Calendar No. 604
119th CONGRESS
2d Session
H. R. 9260
[Report No. 119-696]
Making appropriations for the Departments of Labor, Health and Human
Services, and Education, and related agencies for the fiscal year
ending September 30, 2027, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 11, 2026
Mr. Aderholt, from the Committee on Appropriations, reported the
following bill; which was committed to the Committee of the Whole House
on the State of the Union and ordered to be printed
_______________________________________________________________________
A BILL
Making appropriations for the Departments of Labor, Health and Human
Services, and Education, and related agencies for the fiscal year
ending September 30, 2027, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled, That the following sums
are appropriated, out of any money in the Treasury not otherwise
appropriated, for the Departments of Labor, Health and Human Services,
and Education, and related agencies for the fiscal year ending
September 30, 2027, and for other purposes, namely:
TITLE I
DEPARTMENT OF LABOR
Employment and Training Administration
training and employment services
(including rescission of funds)
For necessary expenses of the Workforce Innovation and Opportunity
Act (referred to in this Act as ``WIOA'') and the National
Apprenticeship Act, $2,601,912,000 plus reimbursements, shall be
available. Of the amounts provided:
(1) for grants to States for adult employment and training
activities and dislocated worker employment and training
activities, $1,807,553,000 as follows:
(A) $712,000,000 for adult employment and training
activities, which shall be available for the period
October 1, 2027 through June 30, 2028; and
(B) $1,095,553,000 for dislocated worker employment
and training activities, of which $235,553,000 shall be
available for the period July 1, 2027 through June 30,
2028, and of which $860,000,000 shall be available for
the period October 1, 2027 through June 30, 2028:
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, $794,359,000 as follows:
(A) $325,859,000 for the dislocated workers
assistance national reserve, of which $125,859,000
shall be available for the period July 1, 2027 through
September 30, 2028, and of which $200,000,000 shall be
available for the period October 1, 2027 through
September 30, 2028: 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, $135,000,000 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) $60,000,000 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) $75,000,000 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) $65,000,000 for Native American programs under
section 166 of the WIOA, which shall be available for
the period July 1, 2027 through June 30, 2028;
(C) $107,500,000 for YouthBuild activities as
described in section 171 of the WIOA, which shall be
available for the period April 1, 2027 through June 30,
2028;
(D) $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,
2027 through June 30, 2028; and
(E) $290,000,000 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, 2027 through June 30, 2028:
Provided, That of the amounts made available under this heading in
paragraph (1)(A) on October 1, 2026, by Public Law 119-75, $712,000,000
are hereby rescinded.
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, $880,078,000, plus reimbursements,
as follows:
(1) $801,663,000 for Job Corps Operations, which shall be
available for the period July 1, 2027 through June 30, 2028;
(2) $61,500,000 for construction, rehabilitation and
acquisition of Job Corps Centers, which shall be available for
the period July 1, 2027 through June 30, 2030, 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,
2028: 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) $16,915,000 for necessary expenses of Job Corps, which
shall be available for obligation for the period October 1,
2026 through September 30, 2027:
Provided, That no funds from any other appropriation shall be used to
provide meal services at or for Job Corps Centers.
federal unemployment benefits and allowances
For payments during fiscal year 2027 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,
$28,800,000 together with such amounts as may be necessary to be
charged to the subsequent appropriation for payments for any period
subsequent to September 15, 2027: 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, $64,306,000, together with
not to exceed $4,055,584,000 which may be expended from the Employment
Security Administration Account in the Unemployment Trust Fund (``the
Trust Fund''), of which--
(1) $3,276,635,000 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 $517,000,000 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 $400,000,000 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, 2027, 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, 2028: 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) $22,000,000 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, 2027 through June 30, 2028;
(4) $15,500,000 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) $87,810,000 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 $64,528,000 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) $42,893,000 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, 2027
through June 30, 2028, 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 2027 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 section 9a of
title 29, United States Code, 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, 2028, 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, 2028.
program administration
For expenses of administering employment and training programs,
$109,527,000, together with not to exceed $43,906,000 which shall be
available from the Employment Security Administration Account in the
Unemployment Trust Fund.
VETERANS' EMPLOYMENT AND TRAINING SERVICE
veterans' employment and training
Not to exceed $269,841,000 may be derived from the Employment
Security Administration account in the Unemployment Trust Fund to carry
out the provisions of chapters 41, 42, and 43 of title 38, United
States Code, of which--
(1) $185,000,000 is for Jobs for Veterans State grants
under 38 U.S.C. 4102A(b)(5) to support disabled veterans'
outreach program specialists under section 4103A of such title
and local veterans' employment representatives under section
4104(b) of such title, and for the expenses described in
section 4102A(b)(5)(C), which shall be available for
expenditure by the States through September 30, 2029, 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, 2027, 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, $181,100,000, of which up to $3,000,000 shall be made
available through September 30, 2028, 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, 2027, for the Corporation: Provided, That none of the
funds available to the Corporation for fiscal year 2027 shall be
available for obligations for administrative expenses in excess of
$484,264,000: 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 2027, an amount not to exceed an additional
$9,200,000 shall be available through September 30, 2031, 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, 2031 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, 2031 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, $235,000,000.
Office of Labor-Management Standards
salaries and expenses
For necessary expenses for the Office of Labor-Management
Standards, $48,515,000.
Office of Workers' Compensation Programs
salaries and expenses
For necessary expenses for the Office of Workers' Compensation
Programs, $107,823,000, together with $2,177,000 which may be expended
from the Special Fund in accordance with sections 39(c), 44(d), and
44(j) of the Longshore and Harbor Workers' Compensation Act (33 U.S.C.
939(c), 944(d), 944(j)).
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 chapter 81 of title 5,
United States Code; 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.
4110); 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, $1,508,251,000, 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
section 8147(a) of title 5, United States Code: Provided, That amounts
appropriated may be used under section 8104 of title 5, United States
Code, 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, 2026, 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 section 8147(c) of
title 5, United States Code 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, 2027: 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 chapter 81 of
title 5, United States Code, or the Longshore and Harbor Workers'
Compensation Act, provide as part of such notice and claim, such
identifying information (including Social Security account number) as
such regulations may prescribe.
special benefits for disabled coal miners
For carrying out title IV of the Federal Mine Safety and Health Act
of 1977, as amended by Public Law 107-275, $22,085,000, 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 2028, $5,450,000, to remain available until expended.
administrative expenses, energy employees occupational illness
compensation fund
For necessary expenses to administer the Energy Employees
Occupational Illness Compensation Program Act, $66,138,000, 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 2027 for expenses of operation and administration of the
Black Lung Benefits program, as authorized by section 9501(d)(5): not
to exceed $49,984,000 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, $576,900,000, 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, 2027, 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 $210,078,000 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, $348,207,000, 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, $648,500,000,
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, $241,933,000, together with not
to exceed $308,000, which may be expended from the Employment Security
Administration account in the Unemployment Trust Fund: Provided, That
$4,281,000 shall be used for program evaluation and shall be available
for obligation through September 30, 2028: 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.
it modernization
For necessary expenses for Department of Labor centralized
infrastructure technology investment activities related to support
systems and modernization, $11,160,000, which shall be available until
expended.
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, 2028.
(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, 2028: 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 hereafter 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. 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. 114. 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. 115. Of the unobligated funds available under section
286(s)(2) of the Immigration and Nationality Act (8 U.S.C. 1356(s)(2)),
$213,000,000 are hereby permanently rescinded not later than September
30, 2027.
Sec. 116. For the fiscal year covered by this Act, beginning on
the date of enactment of this Act, the Adverse Effect Wage Rate in
effect under 20 CFR 655.120(b) shall be the Adverse Effect Wage Rate in
effect on October 2, 2025.
Sec. 117. None of the funds made available by this Act may be used
to finalize, implement, or enforce the proposed standard title ``Heat
Injury and Illness Prevention in Outdoor and Indoor Work Settings''
published by the Occupational Safety and Health Administration in the
Federal Register on August 30, 2024 (89 Fed. Reg. 70698), or any
substantially similar standard.
Sec. 118. During fiscal year 2027, Job Corps operators (as defined
in section 142(7) of the Workforce Innovation and Opportunity Act (29
U.S.C. 3192(7)) may accept grants, charitable donations, or other
assistance, including materials and equipment, if such grants,
donations, or assistance--
(1) are used to carry out the purposes of subtitle C of the
Workforce Innovation and Opportunity Act (29 U.S.C. 3191 et
seq.); and
(2) are not used to fulfill any obligation or cost incurred
under an agreement entered into pursuant to section 147 of such
Act (29 U.S.C. 3197).
Sec. 119. None of the funds appropriated or otherwise made
available by this Act may be used to pause or cease operations of a Job
Corps campus unless the Secretary of Labor has first provided written
notice to the operator of the campus and to the Members of Congress
representing the campus location identifying the specific conditions
that must be met to permit the resumption of operations.
Sec. 120. (a) No funds shall be used by the Secretary to issue a
temporary labor certification for nonimmigrant workers under section
101(a)(15)(H)(ii)(b) of the Immigration and Nationality Act (INA) filed
by, on behalf of, or for the benefit of an employer that has been
convicted of a covered human trafficking offense, or an employer that
has been found liable for human trafficking in a final judgment in a
civil case.
(b) For purposes of this section, the term ``covered human
trafficking offense'' means a felony violation of chapter 77 of title
18, United States Code, including sections 1589 (forced labor), 1590
(trafficking with respect to peonage, slavery, involuntary servitude,
or forced labor), 1591 (sex trafficking of children or by force, fraud,
or coercion), 1592 (unlawful conduct with respect to documents in
furtherance of trafficking), and 1594 (attempt and conspiracy).
(c) An employer described in paragraph (a) shall be permanently
ineligible to file or obtain approval of a petition under section
101(a)(15)(H)(ii)(b) of the INA.
Sec. 121. None of the funds made available by this Act may be used
to issue new H-2A prevailing wage determinations under 20 CFR 655.120.
This title may be cited as the ``Department of Labor Appropriations
Act, 2027''.
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,
$1,438,876,000, which shall be for the purposes and in the amounts
specified in the ``Committee Recommendation'' column for Health
Workforce in the ``Amounts Recommended in the Bill for Fiscal Year
2027'' table in the report accompanying this 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 15 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 2027 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, $1,060,184,000, which shall be for the purposes and in the amounts
specified in the ``Committee Recommendation'' column for Maternal and
Child Health in the ``Amounts Recommended in the Bill for Fiscal Year
2027'' table in the report accompanying this 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 report accompanying this 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, $2,346,155,000, which shall be for the purposes
and in the amounts specified in the ``Committee Recommendation'' column
for Ryan White HIV/AIDS Program in the ``Amounts Recommended in the
Bill for Fiscal Year 2027'' table in the report accompanying this Act,
of which the amounts made available for Emergency Relief Grants (Part
A) and Grants to States (Part B) shall remain available to the
Secretary through September 30, 2029, 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.
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, $126,887,000; together with such sums as may be collected by the
Secretary from registration fees from members of the Organ Procurement
and Transplantation Network (in this title referred to as ``OPTN''),
authorized under subsection (d) of 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, which shall be
credited to this account and remain available until expended to support
the operation of the OPTN: Provided, That the Secretary may distribute
such fees 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,
$475,765,000, which shall be for the purposes and in the amounts
specified, other than for ``Rural Hospital Provider Assistance
Program'', in the ``Committee Recommendation'' column for Rural Health
in the ``Amounts Recommended in the Bill for Fiscal Year 2027'' table
in the report accompanying this 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 $23,442,000 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, 2029.
In addition to amounts otherwise available for the same purpose,
$100,000,000, 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.
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, $648,432,000, 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, $420,344,000
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'' included in the report accompanying this Act: Provided
further, That none of the funds made available for projects described
in the preceding proviso shall be subject to section 241 of the PHS Act
or section 205 of this Act.
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,
$231,358,000.
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, $566,000,000.
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,
$815,872,000: 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,
$873,199,000: 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, $199,460,000.
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, $739,553,000: 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, $190,850,000.
injury prevention and control
For carrying out titles II, III, and XVII of the PHS Act with
respect to injury prevention and control, $705,829,000.
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,
$311,200,000.
energy employees occupational illness compensation program
For necessary expenses to administer the Energy Employees
Occupational Illness Compensation Program Act, $55,358,000, to remain
available until expended: Provided, That this amount shall be
available consistent with the provision regarding administrative
expenses in section 151(b) of division B, title I of Public Law 106-
554.
global health
For carrying out titles II, III, and XVII of the PHS Act with
respect to global health, $663,843,000, of which: (1) the amounts made
available for the Global HIV/AIDS Program shall remain available
through September 30, 2028; and (2) the amounts made available for the
Global Public Health Protection shall remain available through
September 30, 2029: 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, $924,000,000: Provided, That the Director of the
Centers for Disease Control and Prevention (referred to in this title
as ``CDC'') or the Administrator of the Agency for Toxic Substances and
Disease Registry may detail staff without reimbursement to support an
activation of the CDC Emergency Operations Center, so long as the
Director or Administrator, as applicable, provides a notice to the
Committees on Appropriations of the House of Representatives and the
Senate within 15 days of the use of this authority, a full report
within 30 days after use of this authority which includes the number of
staff and funding level broken down by the originating center and
number of days detailed, and an update of such report every 180 days
until staff are no longer on detail without reimbursement to the CDC
Emergency Operations Center.
buildings and facilities
(including transfer of funds)
For acquisition of real property, equipment, construction,
installation, demolition, and renovation of facilities, $40,000,000,
which shall remain available until expended: Provided, That funds made
available to this account in this or any prior Act that are available
for the acquisition of real property or for construction or improvement
of facilities shall be available to make improvements on non-federally
owned property, provided that any improvements that are not adjacent to
federally owned property do not exceed $2,500,000, and that the primary
benefit of such improvements accrues to CDC: Provided further, That
funds previously set-aside by CDC for repair and upgrade of the Lake
Lynn Experimental Mine and Laboratory shall be used to acquire a
replacement mine safety research facility: Provided further, That
funds made available to this account in this or any prior Act that are
available for the acquisition of real property or for construction or
improvement of facilities in conjunction with the new replacement mine
safety research facility shall be available to make improvements on
non-federally owned property, provided that any improvements that are
not adjacent to federally owned property do not exceed $5,000,000:
Provided further, That in addition, the prior year unobligated balance
of any amounts assigned to former employees in accounts of CDC made
available for Individual Learning Accounts shall be credited to and
merged with the amounts made available under this heading to support
the replacement of the mine safety research facility.
cdc-wide activities and program support
(including transfer of funds)
For carrying out titles II, III, XVII and XIX, and section 2821 of
the PHS Act and for cross-cutting activities and program support for
activities funded in other appropriations included in this Act for the
Centers for Disease Control and Prevention, $406,570,000: Provided,
That the amounts made available for Public Health Infrastructure and
Capacity appropriations shall remain available through September 30,
2028: 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, 2028.
National Institutes of Health
national cancer institute
For carrying out section 301 and title IV of the PHS Act with
respect to cancer, $7,462,159,000, 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, $4,013,345,000.
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, $535,163,000.
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, $2,348,721,000.
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, $2,866,925,000.
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, $6,603,779,000: 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, $3,299,679,000, of which
$1,427,482,000 shall be from funds available under section 241 of the
PHS Act: Provided, That not less than $480,956,000 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,
$546,895,000.
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, 2028: 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, $954,323,000: 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, $2,487,914,000: 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
$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 of the amounts
made available under this heading, $200,000,000 shall be for making
grants for research facilities for developing research capacity, and in
making such grants, the Director of NIH, acting through the Office of
the Director or the director of any NIH Institute or Center, may use
the authorities for making grants or contracts described in sections
404I and 404L of the PHS Act: 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 $111,480,000 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, $355,000,000, to remain
available until expended.
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, 2029.
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,
$2,757,627,000: Provided, That of the funds made available under this
heading, $102,887,000 shall be for the National Child Traumatic Stress
Initiative: Provided further, That of the funds made available under
this heading, $1,026,532,000 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, $42,000,000 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 2027:
Provided further, That $385,500,000 shall be available until September
30, 2029 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 report accompanying
this 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
report accompanying this Act: Provided further, That of the funds made
available under this heading, $23,420,000 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,
$4,069,717,000: Provided, That $1,600,000,000 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 $509,838,000 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 report
accompanying this 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, $204,009,000, which shall be for the
purposes and in the amounts specified in the table under this heading
in the report accompanying this 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, $117,255,000: Provided, That in
addition to amounts provided herein, $31,428,000 shall be available
under section 241 of the PHS Act to supplement funds available to carry
out national surveys on drug abuse and mental health, to collect and
analyze program data, and to conduct public awareness and technical
assistance activities: Provided further, That, in addition, fees may
be collected for the costs of publications, data, data tabulations, and
data analysis completed under title V of the PHS Act and provided to a
public or private entity upon request, which shall be credited to this
appropriation and shall remain available until expended for such
purposes: Provided further, That amounts made available in this Act
for carrying out section 501(o) of the PHS Act shall remain available
through September 30, 2028: Provided further, That funds made
available under this heading may be used to supplement program support
funding provided under the headings ``Mental Health'', ``Substance
Abuse Treatment'', and ``Substance Abuse Prevention''.
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, $468,678,021,000, to remain available until
expended.
In addition, for carrying out such titles after May 31, 2027, for
the last quarter of fiscal year 2027 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 2028, $321,205,275,000, 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,
$686,855,000,000.
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 2027 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, $425,000,000
shall remain available until September 30, 2028, 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, $969,000,000, to remain available through
September 30, 2028, 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 $721,387,000 shall be for the Centers for Medicare & Medicaid
Services program integrity activities, of which $109,735,000 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 $137,878,000 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 2027 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 $658,000,000 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
2027 under section 1817(k)(3)(A) of the Social Security Act for the
Senior Medicare Patrol program to combat health care fraud and abuse.
Administration for Children and Families
payments to states for child support enforcement and family support
programs
For carrying out, except as otherwise provided, titles I, IV-D, X,
XI, XIV, and XVI of the Social Security Act and the Act of July 5,
1960, $2,792,000,000, to remain available until expended; and for such
purposes for the first quarter of fiscal year 2028, $1,700,000,000, 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.), $4,055,000,000: 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
$912,348,000 of the amount appropriated under this heading shall be
allocated as though the total appropriation for such payments for
fiscal year 2027 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 2026 from amounts
appropriated in division B of Public Law 119-75 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 2026 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,
$3,577,234,000, of which $3,527,479,000 shall remain available through
September 30, 2029 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.
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''), $8,841,387,000 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, $14,587,087,000, of which $77,000,000, to remain available
through September 30, 2028, 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, 2027: Provided, That
$12,366,820,000 shall be for making payments under the Head Start Act,
including for Early Head Start-Child Care Partnerships, and, of which,
notwithstanding section 640 of such Act:
(1) $25,000,000 shall be available for allocation by the
Secretary to supplement activities described in paragraphs
(7)(B) and (9) of section 641(c) of the Head Start Act under
the Designation Renewal System, established under the authority
of sections 641(c)(7), 645A(b)(12), and 645A(d) of such Act,
and such funds shall not be included in the calculation of
``base grant'' in subsequent fiscal years, as such term is used
in section 640(a)(7)(A) of such Act;
(2) $12,000,000 shall be available for the Tribal Colleges
and Universities Head Start Partnership Program consistent with
section 648(g) of such Act; and
(3) $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 $815,383,000 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 2026, States may apply the last sentence of section 673(2)
of the CSBG Act by substituting ``200 percent'' for ``125 percent'':
Provided further, That $37,383,000 shall be for section 680 of the CSBG
Act, of which not less than $23,383,000 shall be for section 680(a)(2)
and not less than $14,000,000 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 $30,010,000 shall be for the
purposes and in the amounts specified in the table under this heading
in the report accompanying this 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, $6,617,000,000.
For carrying out, except as otherwise provided, title IV-E of the
Social Security Act, for the first quarter of fiscal year 2028,
$4,000,000,000.
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, $2,439,769,000, together with
$55,242,000 to be transferred from the Federal Hospital Insurance Trust
Fund and the Federal Supplementary Medical Insurance Trust Fund to
carry out section 4360 of the Omnibus Budget Reconciliation Act of
1990: Provided, That of amounts made available under this heading to
carry out sections 311, 331, and 336 of the OAA, up to one percent of
such amounts shall be available for developing and implementing
evidence-based practices for enhancing senior nutrition, including
medically-tailored meals: Provided further, That notwithstanding any
other provision of this Act, funds made available under this heading to
carry out section 311 of the OAA may be transferred to the Secretary of
Agriculture in accordance with such section: Provided further, That up
to 5 percent of the funds provided for adult protective services grants
under section 2042 of title XX of the Social Security Act may be used
to make grants to Tribes and Tribal organizations: Provided further,
That $2,000,000 shall be for competitive grants to support alternative
financing programs that provide for the purchase of assistive
technology devices, such as a low-interest loan fund; an interest buy-
down program; a revolving loan fund; a loan guarantee; or an insurance
program: Provided further, That applicants shall provide an assurance
that, and information describing the manner in which, the alternative
financing program will expand and emphasize consumer choice and
control: Provided further, That State agencies and community-based
disability organizations that are directed by and operated for
individuals with disabilities shall be eligible to compete: Provided
further, That none of the funds made available under this heading may
be used by an eligible system (as defined in section 102 of the
Protection and Advocacy for Individuals with Mental Illness Act (42
U.S.C. 10802)) to continue to pursue any legal action in a Federal or
State court on behalf of an individual or group of individuals with a
developmental disability (as defined in section 102(8)(A) of the
Developmental Disabilities and Assistance and Bill of Rights Act of
2000 (20 U.S.C. 15002(8)(A)) that is attributable to a mental
impairment (or a combination of mental and physical impairments), that
has as the requested remedy the closure of State operated intermediate
care facilities for people with intellectual or developmental
disabilities, unless reasonable public notice of the action has been
provided to such individuals (or, in the case of mental incapacitation,
the legal guardians who have been specifically awarded authority by the
courts to make healthcare and residential decisions on behalf of such
individuals) who are affected by such action, within 90 days of
instituting such legal action, which informs such individuals (or such
legal guardians) of their legal rights and how to exercise such rights
consistent with current Federal Rules of Civil Procedure: Provided
further, That the limitations in the immediately preceding proviso
shall not apply in the case of an individual who is neither competent
to consent nor has a legal guardian, nor shall the proviso apply in the
case of individuals who are a ward of the State or subject to public
guardianship.
Administration for Strategic Preparedness and Response
research, development, and procurement
For carrying out title III and subtitles A and B of title XXVIII of
the PHS Act, with respect to the research, development, storage,
production, and procurement of medical countermeasures to counter
potential chemical, biological, radiological, and nuclear threats to
civilian populations, $3,312,991,000: Provided, That of such amount:
(1) $1,060,000,000, to remain available through September
30, 2028, 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) $880,000,000, 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) $1,060,000,000, to remain available until expended,
shall be for expenses necessary to carry out section 319F-2(a)
of the PHS Act; and
(4) $312,991,000 shall be for expenses necessary to prepare
for or respond to an influenza pandemic, of which $285,000,000
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: Provided further,
That none of the funds made available under this heading may be used
by the Administration for Strategic Preparedness and Response to
develop, acquire, or stockpile medical countermeasures, or to
strengthen the domestic industrial base, by procuring or acquiring any
medical equipment, pharmaceutical good, or service produced by a
Chinese-owned company, unless such equipment, good, or service is
otherwise unavailable: Provided further, That none of the funds
provided under this heading shall be subject to section 241 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, $335,606,000:
Provided, That of the amounts made available under this heading,
$15,000,000 shall remain available through September 30, 2029, to
support emergency operations: Provided further, That of the amounts
made available under this heading, $75,000,000 shall remain available
until September 30, 2028, 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, $298,648,000, together with
$58,028,000 from the amounts available under section 241 of the PHS Act
to carry out national health or human services research and evaluation
activities, which shall be for the purposes and in the amounts
specified in the ``Committee Recommendation'' column for General
Departmental Management in the Amounts Recommended in the Bill for
Fiscal Year 2027 table in the report accompanying this Act: Provided,
That the budget activities specified in the tables under this heading
in the report accompanying this Act shall be funded in the amounts
specified in such tables: Provided further, That amounts made
available under this heading for Sexual Risk Avoidance 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 amounts made available under this heading for
KidneyX shall be for carrying out prize competitions sponsored by the
Office of the Secretary to accelerate innovation in the prevention,
diagnosis, and treatment of kidney diseases (as authorized by section
24 of the Stevenson-Wydler Technology Innovation Act of 1980 (15 U.S.C.
3719)): Provided further, That of the amounts made available under
this heading for General Departmental Management, Federal Funds, not
less than $5,000,000 shall be for Federal administrative expenses
related to compliance by the Office of the Secretary with the reporting
requirements contained in the report accompanying this Act.
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, $185,000,000 shall remain available until
September 30, 2028, 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, $60,000,000, 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, 2.5
percent of any amounts appropriated for programs authorized under such
Act shall be made available: (1) from amounts made available under
section 241 of such Act, for the purposes and in the amounts provided
in this Act; or (2) for evaluation (directly, or by grants or
contracts) of the implementation and effectiveness of such programs.
(transfer of funds)
Sec. 205. Not to exceed 1 percent of any discretionary funds
(pursuant to the Balanced Budget and Emergency Deficit Control Act of
1985) which are appropriated for the current fiscal year for HHS in
this Act may be transferred between appropriations, but no such
appropriation shall be increased by more than 3 percent by any such
transfer: Provided, That the transfer authority granted by this
section shall not be used to create any new program or to fund any
project or activity for which no funds are provided in this Act:
Provided further, That the Committees on Appropriations of the House of
Representatives and the Senate are notified at least 15 days in advance
of any transfer.
Sec. 206. In lieu of the timeframe specified in section 338E(c)(2)
of the PHS Act, terminations described in such section may occur up to
60 days after the effective date of a contract awarded in fiscal year
2027 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. 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 2027:
(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. 212. 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. 213. 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. 214. (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. 215. 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. 216. 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. 217. (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. 218. (a) The Secretary shall publish in the fiscal year 2028
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. 219. The Secretary shall publish, as part of the fiscal year
2028 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 2028. Such
information shall include, for each such fiscal year, the amount of
funds used for each activity specified under the heading ``Health
Insurance Exchange Transparency'' in the report accompanying this Act.
Sec. 220. None of the funds made available by this Act from the
Federal Hospital Insurance Trust Fund or the Federal Supplemental
Medical Insurance Trust Fund, or transferred from other accounts funded
by this Act to the ``Centers for Medicare & Medicaid Services--Program
Management'' account, may be used for payments under section 1342(b)(1)
of Public Law 111-148 (relating to risk corridors).
(transfer of funds)
Sec. 221. (a) Within 45 days of enactment of this Act, the
Secretary shall transfer funds appropriated under section 4002 of the
ACA to the accounts specified, in the amounts specified, and for the
activities specified under the heading ``Prevention and Public Health
Fund'' in the report accompanying this Act.
(b) Notwithstanding section 4002(c) of the ACA, the Secretary may
not further transfer these amounts.
(c) Funds transferred for activities authorized under section 2821
of the PHS Act shall be made available without reference to section
2821(b) of such Act.
Sec. 222. Effective during the period beginning on November 1,
2015 and ending January 1, 2029, 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. 223. None of the funds made available by this Act to the
National Institutes of Health may be used for facilities and
administration costs (as defined in section 200.414 of title 2, Code of
Federal Regulations) that exceed 30 percent of an award to an
applicable educational institution that is an organization subject to
taxation under section 4968 of the Internal Revenue Code of 1986.
(transfer of funds)
Sec. 224. The NIH Director may transfer funds for opioid
addiction, opioid alternatives, stimulant misuse and addiction, pain
management, and addiction treatment to other Institutes and Centers of
the NIH to be used for the same purpose 15 days after notifying the
Committees on Appropriations of the House of Representatives and the
Senate: Provided, That the transfer authority provided in the previous
proviso is in addition to any other transfer authority provided by law.
Sec. 225. (a) The Secretary shall provide to the Committees on
Appropriations of the House of Representatives and the Senate:
(1) Detailed monthly enrollment figures from the Exchanges
established under the Patient Protection and Affordable Care
Act of 2010 pertaining to enrollments during the open
enrollment period; and
(2) Notification of any new or competitive grant awards,
including supplements, authorized under section 330 of the
Public Health Service Act.
(b) The Committees on Appropriations of the House and Senate must
be notified at least 2 business days in advance of any public release
of enrollment information or the award of such grants.
Sec. 226. 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. 227. 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 report accompanying this Act.
Sec. 228. 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. 229. The Secretary of Health and Human Services may in any
fiscal year accept gifts of money and other property, including real
property, from non-Federal entities to support Early Head Start
programs carried out under section 645A of the Head Start Act (42
U.S.C. 9840a). The provisions of section 231 of the PHS Act (42 U.S.C.
238) shall apply to gifts received pursuant to this authority, except
that such gifts shall be deposited in a separate account in the
Treasury and shall be available to the Secretary without further
appropriation and until expended to carry out such programs consistent
with the purposes of such section 645A. Conditional gifts may be
accepted if recommended by the Secretary. Gifts accepted under this
authority shall supplement and not supplant Federal funds otherwise
available for Early Head Start programs. Acceptance of gifts under this
authority shall not confer any special consideration, regulatory
influence, procurement advantage, or benefit to or on behalf of any
donating entity.
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. 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. 232. 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. 233. 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. 234. 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. 235. 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 report accompanying this Act.
Sec. 236. None of the funds made available by this Act may be used
by the National Institutes of Health to conduct or support biomedical
research, testing, or experimentation on dogs or cats that is
classified in pain category D or E (or such successor categories) as
defined by the Department of Agriculture, except research, testing, or
experimentation--
(1) involving dogs as companion animals;
(2) that the National Institutes of Health determines has
no other viable alternative; or
(3) that permits post-research adoption or rehoming of the
dogs or cats on which the research, testing, or experimentation
is conducted.
(rescission)
Sec. 237. Of the unobligated balances in the ``Nonrecurring
Expenses Fund'' established in section 223 of division G of Public Law
110-161, $2,000,000,000 are hereby rescinded not later than September
30, 2027, 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. None of the funds provided in this Act may be used to
conduct or support research using human fetal tissue if such tissue is
obtained pursuant to an induced abortion.
Sec. 239. (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 made available to a hospital or any other entity that
administers any postgraduate physician training program, or any other
program of training in the health professions, that provides training
in the performance of, or assisting in the performance of, induced
abortions, or in counseling or referrals for such abortions, if such
program--
(1) provides or requires such training for any participant
in such program without the participant first voluntarily
electing to opt in to undergo such training; or
(2) subjects any participant in such program to
discrimination on the basis that the participant does not--
(A) voluntarily elect to opt in to undergo such
training; or
(B) perform, assist in the performance of, or
provide counseling or referrals for, such abortions.
(b) Nothing in this section shall be construed to permit training
described in subsection (a) that is not otherwise allowed by law.
Sec. 240. (a) IN GENERAL.--Notwithstanding any other provision of
law, none of the funds appropriated or otherwise made available herein
or hereafter may be made available either directly, through a State
(including through managed care contracts with a State), or through any
other means, to a prohibited entity.
(b) PROHIBITED ENTITY.--The term ``prohibited entity'' means an
entity, including its affiliates, subsidiaries, successors, and
clinics--
(1) that, as of the date of enactment of this Act--
(A) is an organization described in section
501(c)(3) of the Internal Revenue Code of 1986 and
exempt from taxation under section 501(a) of such Code;
(B) is an essential community provider described in
section 156.235 of title 45, Code of Federal
Regulations (as in effect on the date of enactment of
this Act), that is primarily engaged in family planning
services, reproductive health, and related medical
care; and
(C) performs, or provides any funds to any other
entity that performs, abortions other than an abortion
performed--
(i) in the case of a pregnancy that is the
result of an act of rape or incest; or
(ii) in the case where a woman suffers from
a physical disorder, physical injury, or
physical illness that would, as certified by a
physician, place the woman in danger of death
unless an abortion is performed, including a
life-endangering physical condition caused by,
or arising from, the pregnancy itself; and
(2) for which the total amount of Federal grants to such
entity, including grants to any affiliates, subsidiaries, or
clinics of such entity, under title X of the Public Health
Service Act in fiscal year 2016 exceeded $23,000,000.
(c)(1) END OF PROHIBITION.--The definition in subsection (b) shall
cease to apply to an entity if such entity certifies that it, including
its affiliates, subsidiaries, successors, and clinics, will not
perform, and will not provide any funds to any other entity that
performs, an abortion as described in subsection (b)(1)(C).
(2) REPAYMENT.--The Secretary of Health and Human Services
shall seek repayment of any Federal assistance received by any
entity that had made a certification described in paragraph (1)
and subsequently violated the terms of such certification.
Sec. 241. None of the funds made available by this Act may be used
to establish, support, administer, oversee, or issue a grant, contract,
or cooperative agreement for the purposes of providing information on,
promoting access to, or facilitating an abortion.
Sec. 242. None of the funds made available by this Act may be used
to require any project under title X of the PHS Act to refer for
abortions: Provided, That no provider of services under title X of
the PHS Act shall be required to subvert or operate in conflict with
any State law limiting referral for abortion/pregnancy counseling.
Sec. 243. None of the funds made available by this Act may be used
for any social, psychological, behavioral, or medical intervention
performed for the purposes of intentionally changing the body of an
individual (including by disrupting the body's development, inhibiting
its natural functions, or modifying its appearance) to no longer
correspond to the individual's biological sex.
Sec. 244. None of the funds appropriated by this Act may be used
to place an unaccompanied alien child with a sponsor in any case where
such unaccompanied alien child has been convicted of a crime, or has a
pending criminal charge relating to gang affiliation or activity, in
the United States or in such unaccompanied alien child's country of
origin or country of last habitual residence.
Sec. 245. None of the funds made available by this Act may be used
by the Secretary of Health and Human Services to determine that a
public health emergency exists pursuant to section 319 of the Public
Health Service Act (42 U.S.C. 247d), or issue any related order that
would impede, limit, or restrict a citizen's Second Amendment rights.
Sec. 246. Title II of the Public Health Service Act (42 U.S.C. 202
et seq.) is amended by inserting after section 245 (42 U.S.C. 238n) the
following:
``SEC. 245A. CIVIL ACTION FOR CERTAIN VIOLATIONS.
``(a) In General.--A qualified party may, in a civil action, obtain
appropriate relief with regard to a designated violation.
``(b) Definitions.--For purposes of this section:
``(1) Designated violation.--The term `designated
violation' means an actual or threatened violation of--
``(A) section 507(d) of division B of the
Consolidated Appropriations Act, 2026 (or any
subsequent substantially similar provision); or
``(B) any funding condition imposed by the Federal
Government pursuant to such section 507(d) (or such
substantially similar provision).
``(2) Qualified party.--The term `qualified party' means--
``(A) the Attorney General of the United States;
``(B) any attorney general of a State; or
``(C) any person or entity adversely affected by
the designated violation without regard to whether such
person or entity is a health care provider.
``(3) State governmental entity.--The term `State
governmental entity' means a State, a local government within a
State, and any agency or other governmental unit or subdivision
of a State, or of such a local government.
``(c) Administrative Remedies Not Required.--An action under this
section may be commenced, and relief may be granted, without regard to
whether the party commencing the action has sought or exhausted any
available administrative remedies.
``(d) Defendants.--An action under this section may be maintained
against a Federal agency committing a designated violation described in
subsection (b)(1)(A) or any recipient or subrecipient of Federal
assistance committing a designated violation described in subsection
(b)(1)(B), including a State governmental entity.
``(e) Nature of Relief.--In an action under this section, the court
shall grant--
``(1) all appropriate relief, including injunctive relief,
declaratory relief, and compensatory damages, to prevent the
occurrence, continuance, or repetition of the designated
violation and to compensate for losses resulting from the
designated violation; and
``(2) to a prevailing plaintiff, reasonable attorneys' fees
and litigation costs.
Relief in an action under this section may include money damages even
if the defendant is a governmental entity.
``(f) Abrogation of State Immunity.--No State or governmental
official that commits a designated violation shall be immune under the
Tenth Amendment to the Constitution of the United States, the Eleventh
Amendment to the Constitution of the United States, or any other source
of law, from an action under subsection (a).''.
Sec. 247. None of the funds appropriated or otherwise made
available by this Act may be used to place an unaccompanied alien child
with an alien sponsor who has not been admitted (as defined in
paragraph (13) of section 101(a) of the Immigration and Nationality Act
(8 U.S.C. 1101(a))) or who is deportable under section 237(a) of such
Act (8 U.S.C. 1227(a)).
Sec. 248. None of the funds in this Act may be used for the
Centers for Disease Control and Prevention, National Institutes of
Health, and Substance Abuse and Mental Health Services Administration
to fund or carry out any research relating to gunshot injury or
mortality prevention that treats crimes committed with a firearm as a
public health epidemic, including advocating, promoting, or studying
firearm-related restrictions or policies; firearm disenfranchisement,
bans, confiscation, or registration, or other gun control measures; and
any other restriction on firearms: Provided, That nothing shall
prevent the Centers for Disease Control and Prevention, the National
Institutes of Health, and the Substance Abuse and Mental Health
Services Administration from carrying out research on medical
procedures, practices, treatments, medicines, and therapies related to
gunshot injuries and recovery.
Sec. 249. None of the funds made available by this Act may be used
for research on vertebrate animals for the purpose of studying the
effects of drugs, surgery, or other interventions to alter the human
body (including by disrupting the body's development, inhibiting its
natural functions, or modifying its appearance) to no longer correspond
to its biological sex.
Sec. 250. None of the funds made available by this Act or by
transfer from any account in the Treasury of the United States may be
used by the Interagency Coordinating Committee on the Prevention of
Underage Drinking to (1) carry out any activity not authorized under
Public Law 109-422 (42 U.S.C. 201 note) to reduce underage drinking;
(2) provide input for the development of the Dietary Guidelines for
Americans; or (3) study, analyze, consider, or report on alcohol
consumption by individuals of legal drinking age, including findings
related to such consumption in the annual report to Congress.
Sec. 251. (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 2027 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. 252. None of the funds made available in this Act or any
other Act may be used to implement CMS-5056-N, ``Implementation of
Prior Authorization for Select Services for the Wasteful and
Inappropriate Services Reduction (WISeR) Model'', or any such model
that implements prior authorizations in traditional Medicare.
This title may be cited as the ``Department of Health and Human
Services Appropriations Act, 2027''.
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''), $16,790,647,000, of which
$5,904,470,000 shall become available on July 1, 2027, and shall remain
available through September 30, 2028, and of which $10,841,177,000
shall become available on October 1, 2027, and shall remain available
through September 30, 2028, for academic year 2027-2028: Provided,
That $5,036,746,000 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, 2026, 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 $5,066,300,000 shall be for targeted grants under section
1125 of the ESEA: Provided further, That $5,066,300,000 shall be for
education finance incentive grants under section 1125A of the ESEA:
Provided further, That $259,000,000 shall be for carrying out subpart 2
of part B of title II.
impact aid
For carrying out programs of financial assistance to federally
affected schools authorized by title VII of the ESEA, $1,635,151,000,
of which $1,480,000,000 shall be for basic support payments under
section 7003(b), $50,316,000 shall be for payments for children with
disabilities under section 7003(d), $19,000,000 shall be for
construction under section 7007(a), $81,000,000 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 2026-2027, 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
(including rescission of funds)
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, $4,845,964,000, of which $3,073,673,000 shall become available
on July 1, 2027, and remain available through September 30, 2028, and
of which $1,681,441,000 shall become available on October 1, 2027, and
shall remain available through September 30, 2028, for academic year
2027-2028: shall be for part B of title I: Provided, That
$1,329,673,000 shall be for part B of title IV: Provided further,
That $45,897,000 shall be for part B of title VI, which may be used for
construction, renovation, and modernization of any public elementary
school, secondary school, or structure related to a public elementary
school or secondary school that serves a predominantly Native Hawaiian
student body, and that the 5 percent limitation in section 6205(b) of
the ESEA on the use of funds for administrative purposes shall apply
only to direct administrative costs: Provided further, That 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 $230,000,000 shall be for part B of
title V: Provided further, That in carrying out such part B the
percentage in section 316(b)(1)(G) of title III of division H of Public
Law 116-260 shall be deemed 83.33 percent: Provided further, That
$1,385,000,000 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: Provided further, That of the amounts made available
for this heading on October 1, 2026, by Public Law 119-75,
$1,681,441,000 are hereby rescinded.
indian education
For expenses necessary to carry out, to the extent not otherwise
provided, title VI, part A of the ESEA, $200,746,000, of which
$72,000,000 shall be for subpart 2 of part A of title VI and
$18,365,000 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, $907,000,000, which shall be for the
purposes and in the amounts specified in the ``Committee
Recommendation'' column for Innovation and Improvement in the Amounts
Recommended in the Bill for Fiscal Year 2027 table in the report
accompanying 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, 2028, to carry out
section 4305(b), from which the amount necessary for continuation
grants may be available for obligation through March 31, 2028, and not
more than $16,000,000 to carry out the activities in section
4305(a)(3): Provided further, That, notwithstanding section
4303(c)(1), a State Entity receiving a grant under section 4303 may
reserve up to 10 percent of funds to carry out the activities in
section 4303(b)(2), up to 5 percent for administrative costs, and up to
5 percent to award subgrants, for a period of not more than 1 year, to
developers for activities related to preparing applications to
authorized public chartering authorities to operate charter schools:
Provided further, That the Secretary may make awards under section
4304(k) to any State entity, as defined in section 4303(a), in a State:
Provided further, That a State entity receiving such a grant may meet
the State share requirements in section 4304(k)(2) using any form of
State or local financial support for charter school facilities, such as
the capitalization of a State revolving loan fund to support charter
school facilities financing, and not necessarily a program of per-pupil
facilities aid: Provided further, That, notwithstanding section
4304(k)(2)(C), in making awards under section 4304(k), the Secretary
may pay a Federal share of up to 100 percent of the cost of
establishing or enhancing, and administering, a per-pupil facilities
aid program for each of the first two fiscal years for which the
program receives assistance: Provided further, That notwithstanding
section 4601(b), $235,000,000 shall be available through December 31,
2027 for subpart 1 of part F of title IV.
safe schools and citizenship education
For carrying out activities authorized by subparts 2 and 3 of part
F of title IV of the ESEA, $243,643,000, to remain available through
December 31, 2027, which shall be for the purposes and in the amounts
specified in the ``Committee Recommendation'' column for Safe Schools
and Citizenship Education in the Amounts Recommended in the Bill for
Fiscal Year 2027 table in the report accompanying this Act, and of
which the amount made available for subpart 3 shall be for the purposes
and in the amounts specified in the table under the heading ``School
Safety National Activities'' in the report accompanying this Act:
Provided, That amounts made available under this heading for the
Project School Emergency Response to Violence (Project SERV) program
shall remain available until expended.
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,
$15,536,264,000, of which $5,955,321,000 shall become available on July
1, 2027, and shall remain available through September 30, 2028, and of
which $9,283,383,000 shall become available on October 1, 2027, and
shall remain available through September 30, 2028, for academic year
2027-2028: 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 2026, 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 2026: 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: Provided
further, That the Secretary may reserve not more than $10,000,000 of
the amount appropriated under section 611 of Part B of the IDEA to
provide technical assistance support for State activities authorized
under sections 609 and 611(e)(2)(C)(ii) of the IDEA: Provided further,
That for programs authorized under Part B of the IDEA, the Secretary
may extend a waiver granted under section 609 of the IDEA for up to an
additional four years, notwithstanding the time limitation in section
609(a)(2)(A) of the IDEA.
rehabilitation services
For carrying out, to the extent not otherwise provided, the
Rehabilitation Act of 1973 and the Helen Keller National Center Act,
$4,772,906,000, of which $4,625,707,000 shall be for grants for
vocational rehabilitation services under title I of the Rehabilitation
Act: Provided, That the Secretary may use amounts provided in this
Act that remain available subsequent to the reallotment of funds to
States pursuant to section 110(b) of the Rehabilitation Act for
innovative activities aimed at increasing competitive integrated
employment as defined in section 7 of such Act for youth and other
individuals with disabilities, 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 third 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 third 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
third proviso shall remain available until September 30, 2028:
Provided further, That any 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 may be provided to States and
other public, private and nonprofit entities, including Indian Tribes
and institutions of higher education, to evaluate employment outcomes
of individuals who are receiving or have received services and supports
under title I, section 504 of title V, or title VI of the
Rehabilitation Act.
special institutions for persons with disabilities
american printing house for the blind
For carrying out the Act to Promote the Education of the Blind of
March 3, 1879, $46,431,000.
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, $95,500,000:
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, $170,361,000, 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''),
$1,460,000,000, of which $669,000,000 shall become available on July 1,
2027, and shall remain available through September 30, 2028, and of
which $791,000,000 shall become available on October 1, 2027, and shall
remain available through September 30, 2028: Provided, That up to
$6,100,000 shall be available for innovation and modernization grants
under such section 114(e) of the Perkins Act.
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, $24,179,352,000 which shall remain available through
September 30, 2028: Provided, That $22,725,352,000 shall be for
subpart 1 of part A, $546,000,000 shall be for subpart 3 of part A, and
$908,000,000 shall be for part C.
The maximum Pell Grant for which a student shall be eligible during
award year 2027-2028 shall be $6,385.
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, 2028: Provided, 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.
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,
$2,855,010,000, of which $1,817,123,000 shall be for the purposes and
in the amounts, other than for ``Aid for Institutional Development'',
specified in the ``Committee Recommendation'' column for Higher
Education in the ``Amounts Recommended in the Bill for Fiscal Year
2027'' table in the report accompanying 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
report accompanying this Act: Provided, That of the amounts provided
under this heading, $508,331,000 shall be for carrying out part A of
title III and title V of the HEA, of which $57,807,000 shall be for
carrying out section 316: Provided further, That of the amounts
provided under this heading, $529,556,000 shall be for carrying out
part B of title III and section 723 of the HEA, of which $6,750,000 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, 2028: 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 $389,319,673:
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, $493,455,000, to remain
available through September 30, 2028, which shall be for the purposes
and in the amounts specified in the ``Committee Recommendation'' column
for Institute of Education Science in the ``Amounts Recommended in the
Bill for Fiscal Year 2027'' table in the report accompanying this Act.
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, $374,407,000: Provided, 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.
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, $60,750,000, of which $3,000,000 shall remain available through
September 30, 2028.
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, 2027, through September 30, 2028.
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 2027 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 ``2027'' for ``2021''.
Sec. 306. Section 458(a)(4) of the HEA (20 U.S.C. 1087h(a)) shall
be applied by substituting ``2028'' 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, 2029: 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 $13,000,000 shall be available for the Secretary
of Education (``the Secretary'') to provide support services to the
Institute of Education Sciences (including, but not limited to
information technology services, lease or procurement of office space,
human resource services, financial management services, financial
systems support, budget formulation and execution, legal counsel, equal
employment opportunity services, physical security, facilities
management, acquisition and contract management, grants administration
and policy, and enterprise risk management): Provided, That the
Secretary shall calculate the actual amounts obligated and expended for
such support services by using a standard Department of Education
methodology for allocating the cost of all such support services:
Provided further, That the Secretary may transfer any amounts available
for IES support services in excess of actual amounts needed for IES
support services, as so calculated, to the ``Program Administration''
account from the ``Institute of Education Sciences'' account: Provided
further, That in order to address any shortfall between amounts
available for IES support services and amounts needed for IES support
services, as so calculated, the Secretary may transfer necessary
amounts to the ``Institute of Education Sciences'' account from the
``Program Administration'' account: Provided further, That the
Committees on Appropriations of the House of Representatives and the
Senate are notified at least 14 days in advance of any transfer made
pursuant to this section.
(rescission)
Sec. 310. Of the unobligated balances in the ``Department of
Education Nonrecurring Expenses Fund'' established in section 313 of
division H of Public Law 116-260, $250,000,000 are hereby rescinded not
later than September 30, 2027, 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. 311. 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.
Sec. 312. None of the funds appropriated or otherwise made
available by this Act may be made available to a United States
institution of higher education that provides recognition, funding,
classroom space or services to any student organization which, either
individually or through its national headquarters, has provided vocal
or material support for a designated foreign terrorist organization, or
receives funding for activities from a designated foreign terrorist
organization or affiliate thereof.
Sec. 313. None of the funds made available by this Act may be used
to provide financial assistance to an educational institution that
allows an individual whose sex is male to participate in an athletic
program or activity that is designated for women or girls. For the
purpose of this section, the term ``sex'' means the reproductive
biology and genetics of an individual as determined solely at birth.
Sec. 314. None of the funds appropriated or otherwise made
available by this Act may be available for a primary or secondary
educational institutional that--
(1) does not have policies requiring teachers and staff to
promptly notify parents about matters related to gender
identity generally or any desire or effort of a student to
express an identity that does not correspond to the minor
child's sex, or
(2) withholds or conceals information from a minor child's
parent or guardian regarding such child's academic performance;
extracurricular activities; physical, emotional, or mental
health; or desire or efforts to express an identity that does
not correspond to the minor child's sex, unless such
information is withheld pursuant to a court order,
investigation by law enforcement, or as required under a State
law governing reports of abuse or neglect.
Sec. 315. None of the funds made available under this Act may be
provided to any public institution of higher education that denies to a
religious student organization any right, benefit, or privilege that is
otherwise afforded to other student organizations at the institution
(including full access to the facilities of the institution and
official recognition of the organization by the institution) because of
the religious beliefs, practices, speech, leadership standards, or
standards of conduct of the religious student organization.
Sec. 316. None of the funds made available by this Act may be used
to--
(1) implement, administer, or enforce section 685.401 of
title 34, Code of Federal Regulations (relating to borrower
defense to repayment), as amended by the final regulations
published by the Department of Education in the Federal
Register on November 1, 2022 (87 Fed. Reg. 65904 et seq.) or
take any substantially similar action; or
(2) implement, administer, or enforce section 668.28 of
title 34, Code of Federal Regulations (relating to the 90/10
rule), as added or amended by the final regulations published
by the Department of Education in the Federal Register on
October 28, 2022 (87 Fed. Reg. 65426 et. seq.) or take any
substantially similar action.
Sec. 317. None of the funds made available in this Act may be used
by any local education agency to conduct student-involved active
shooter drills in schools without first providing student participants
under 16 years old with the ability to opt out of such exercises with
parental or legal guardianship consent.
(rescission)
Sec. 318. Of the amounts appropriated under section
401(b)(7)(A)(iv) of the Higher Education Act of 1965 (20 U.S.C.
1070a(b)(7)(A)(iv) for fiscal year 2027, $20,000,000 are hereby
rescinded.
Sec. 319. (a) Section 455(a)(3) of the Higher Education Act of 1965
(20 U.S.C. 1087e(a)(3)) is amended by adding at the end the following:
``(D) Termination of authority to make subsidized
loans to undergraduate students.-- Subject to paragraph
(8) and notwithstanding any provision of this part or
part B, for any period of instruction beginning on or
after July 1, 2027--
``(i) an undergraduate student shall not be
eligible to receive a Federal Direct Stafford
loan under this part; and
``(ii) the maximum annual amount of Federal
Direct Unsubsidized Stafford loans such a
student may borrow in any academic year (as
defined in section 481(a)(2)) or its equivalent
shall be the maximum annual amount for such
student determined under section 428H, plus an
amount equal to the amount of Federal Direct
Stafford loans the student would have received
in the absence of this subparagraph.''.
(b) Section 455(a)(8) of the Higher Education Act of 1965 (20
U.S.C. 1087e(a)(8)) is amended by adding at the end the following:
``(D) Application of prior undergraduate limits.--
Paragraph (3)(D) shall not apply during the expected
time to credential described in subparagraph (B), with
respect to an individual who, as of June 30, 2027,
meets the requirements of clauses (i) and (ii) of
subparagraph (A).''.
Sec. 320. Section 401(b)(7)(A) of the Higher Education Act of 1965
(20 U.S.C. 1070a(b)(7)(A)) is amended--
(1) in clause (iii), by striking ``and'' at the end; and
(2) by striking clause (iv), and inserting the following:
``(iv) $16,270,000,000 for fiscal year
2027; and
``(v) $1,236,000,000 for fiscal year 2028
and each succeeding fiscal year.''.
Sec. 321. 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 (2 U.S.C. 900(c)(8)), the budgetary effects of sections 319
and 320 shall not be estimated--
(1) for purposes of section 251 of such Act (2 U.S.C. 901);
(2) for purposes of an allocation to the Committee on
Appropriations pursuant to section 302(a) of the Congressional
Budget Act of 1974 (2 U.S.C. 633(a)); and
(3) for purposes of section 3(4)(C) of the Statutory Pay-
As-You-Go Act of 2010 (2 U.S.C. 932(4)(C)) as being included in
an appropriation Act.
Sec. 322. None of the funds made available by this Act may be used
to administer Title IV federal student aid programs in a manner that
does not designate advanced nursing programs as professional degree
programs. For purposes of this section, the term ``advanced nursing
program'' means a post-baccalaureate educational program that prepares
students for advanced practice registered nursing licensure,
certification, or authorization, including nurse practitioner, clinical
nurse specialist, certified nurse-midwife, certified registered nurse
anesthetist, or other advanced practice registered nurse programs.
Sec. 323. None of the funds made available by this Act shall be
used to alter the fundamental purpose, structure, or implementation of
the Federal TRIO Programs under chapter 1 of subpart 2 of part A of
title IV of the Higher Education Act of 1965 (20 U.S.C.1070a-11 et
seq.), which are intended to provide first-generation students and low-
income students access to higher education, including four-year
institutions of higher education, and support the attainment of
bachelor's and graduate degrees: Provided, That the Secretary shall
administer such programs consistent with prior practice and
congressional intent to prevent disruption to grantees, participants,
and services: Provided further, That amounts made available under
this Act for such programs shall be obligated, and awards issued, as
expeditiously as practicable after the date of enactment of this Act:
Provided further, That the allocation for each of the Federal TRIO
Programs shall be not less than the fiscal year 2026 allocation for
each such program: Provided further, That the Secretary shall publish
the notices inviting applications for new awards for the Talent Search
program under section 402B of such Act of 1965 (20 U.S.C. 1070a-12) and
the Educational Opportunity Centers program under section 402F of such
Act of 1965 (20 U.S.C. 1070a-16) no later than December 1, 2026:
Provided further, That the Secretary shall issue grant award
notifications (both new and non-competing continuation awards notices)
for all Federal TRIO programs no later than May 1, 2027.
This title may be cited as the ``Department of Education
Appropriations Act, 2027''.
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''), $970,525,000, which shall
be for the purposes and in the amounts specified in the ``Committee
Recommendation'' column for Corporation for National and Community
Service in the ``Amounts Recommended in the Bill for Fiscal Year 2027''
table in the report accompanying this 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, $7,148,000 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, 2027 and to each state their allotted amount under
State Service Commission Support Grants and State Commission Investment
Fund Grants no later than June 1, 2027.
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, $160,000,000, 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, $79,686,000.
office of inspector general
For necessary expenses of the Office of Inspector General in
carrying out the Inspector General Act of 1978, $10,095,000, 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 2027, 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,
$38,705,000: 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, $16,909,000.
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 report accompanying
this Act.
Medicaid and Chip Payment and Access Commission
salaries and expenses
For expenses necessary to carry out section 1900 of the Social
Security Act, $10,698,000.
Medicare Payment Advisory Commission
salaries and expenses
For expenses necessary to carry out section 1805 of the Social
Security Act, $15,048,000, to be transferred to this appropriation from
the Federal Hospital Insurance Trust Fund and the Federal Supplementary
Medical Insurance Trust Fund.
National Council on Disability
salaries and expenses
For expenses necessary for the National Council on Disability as
authorized by title IV of the Rehabilitation Act of 1973, $3,850,000.
National Labor Relations Board
salaries and expenses
For expenses necessary for the National Labor Relations Board to
carry out the functions vested in it by the Labor-Management Relations
Act, 1947, and other laws, $200,000,000: Provided, That no part of
this appropriation shall be available to organize or assist in
organizing agricultural laborers or used in connection with
investigations, hearings, directives, or orders concerning bargaining
units composed of agricultural laborers as referred to in section 2(3)
of the Act of July 5, 1935, and as amended by the Labor-Management
Relations Act, 1947, and as defined in section 3(f) of the Act of June
25, 1938, and including in said definition employees engaged in the
maintenance and operation of ditches, canals, reservoirs, and waterways
when maintained or operated on a mutual, nonprofit basis and at least
95 percent of the water stored or supplied thereby is used for farming
purposes.
administrative 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, $14,223,000.
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, $4,000,000, which
shall include amounts becoming available in fiscal year 2027 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, $75,000, to remain available through
September 30, 2028, which shall be the maximum amount available for
payment pursuant to section 417 of Public Law 98-76.
limitation on administration
For necessary expenses for the Railroad Retirement Board
(``Board'') for administration of the Railroad Retirement Act and the
Railroad Unemployment Insurance Act, $126,000,000, to be derived in
such amounts as determined by the Board from the railroad retirement
accounts and from moneys credited to the railroad unemployment
insurance administration fund: Provided, That notwithstanding section
7(b)(9) of the Railroad Retirement Act this limitation may be used to
hire attorneys only through the excepted service: Provided further,
That the previous proviso shall not change the status under Federal
employment laws of any attorney hired by the Railroad Retirement Board
prior to January 1, 2013: Provided further, That 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,
$51,588,254,000, 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 $70,000,000 shall
be available for research and demonstrations under sections 1110, 1115,
and 1144 of the Social Security Act, and remain available through
September 30, 2029.
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 2028, $24,000,000,000, 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 $14,692,978,000
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 2027 not needed for fiscal year 2027 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 2027 not needed for fiscal year 2027 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,
2028, 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 $25,100,000 may be
transferred to the ``Office of Inspector General'', Social Security
Administration, for the cost of jointly operated co-operative
disability investigation units: Provided further, That such transfer
authority is in addition to any other transfer authority provided by
law: Provided further, That the Commissioner shall provide to the
Congress (at the conclusion of the fiscal year) a report on the
obligation and expenditure of these funds, similar to the reports that
were required by section 103(d)(2) of Public Law 104-121 for fiscal
years 1996 through 2002: 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, $175,000,000 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 2027 exceed $175,000,000, the amounts shall be available in
fiscal year 2028 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 2027, 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 2027, 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 2027 that are different than those
specified in this Act, the detailed table in the Committee report
accompanying this Act, or the fiscal year 2027 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 2027, 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 2027 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: Provided further, That none of the funds
appropriated in this Act may be used for the operation of a supervised
drug consumption facility that permits the consumption onsite of any
substance listed in schedule I of section 202 of the Controlled
Substances Act (21 U.S.C. 812).
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. (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, 2031: Provided, That
when an office referenced in subsection (a) receives research and
evaluation funding from multiple appropriations, such offices may use a
single Treasury account for such activities, with funding advanced on a
reimbursable basis.
(c) Amounts referenced in subsection (b) that are unexpended at the
time of completion of a contract, grant, or cooperative agreement may
be deobligated and shall immediately become available and may be
reobligated in that fiscal year or the subsequent fiscal year for the
research, evaluation, or statistical purposes for which such amounts
are available.
Sec. 528. Of amounts deposited in the Child Enrollment Contingency
Fund under section 2104(n)(2) of the Social Security Act and the income
derived from investment of those funds pursuant to section
2104(n)(2)(C) of that Act, $12,330,000,000 shall not be available for
obligation in this fiscal year.
(rescission)
Sec. 529. 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, 2921, 3101, 9818, 9402,
9833, and 9911 of the American Rescue Plan Act of 2021 (Public Law 117-
2), $162,000,000 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.
(rescission)
Sec. 530. Amounts made available for fiscal year 2027 to the
Patient Centered Outcomes Research Trust Fund, authorized by the
Patient Protection and Affordable Care Act of 2010 (Public Law 111-148,
title VI, sec. 6301(e)(1)(A)), are hereby permanently rescinded.
(rescission)
Sec. 531. Of the offsetting collections derived from fees
collected from qualified health plans offered through an Exchange
established under Public Law 111-148 to operate such an exchange,
$1,900,000,000 are hereby rescinded.
Sec. 532. None of the funds made available by this Act may be used
by the Department of Labor, including the Office of Workers'
Compensation Programs, to authorize, provide, reimburse, or otherwise
recognize marijuana or any cannabis-derived substance as a compensable
medical treatment or benefit under any Federal workers' compensation
program, including the Federal Employees' Compensation Act, regardless
of any change in the scheduling of marijuana under the Controlled
Substances Act. Nothing in this section shall be construed to require
or permit reimbursement for marijuana under any Federal workers'
compensation program.
Sec. 533. (a) In general.--Notwithstanding section 7 of title 1,
United States Code, section 1738C of title 28, United States Code, or
any other provision of law, none of the funds provided by this or any
other Act shall be used in whole or in part to take any discriminatory
action against a person, wholly or partially, on the basis that such
person speaks, or acts, in accordance with a sincerely held religious
belief, or moral conviction, that marriage is, or should be recognized
as, a union of one man and one woman.
(b) Discriminatory action defined.--As used in subsection (a), a
discriminatory action means any action taken by the Federal Government
to--
(1) alter in any way the Federal tax treatment of, or cause
any tax, penalty, or payment to be assessed against, or deny,
delay, or revoke an exemption from taxation under section
501(a) of the Internal Revenue Code of 1986 of, any person
referred to in subsection (a);
(2) disallow a deduction for Federal tax purposes of any
charitable contribution made to or by such person;
(3) withhold, reduce the amount or funding for, exclude,
terminate, or otherwise make unavailable or deny, any Federal
grant, contract, subcontract, cooperative agreement, guarantee,
loan, scholarship, license, certification, accreditation,
employment, or other similar position or status from or to such
person;
(4) withhold, reduce, exclude, terminate, or otherwise make
unavailable or deny, any entitlement or benefit under a Federal
benefit program, including admission to, equal treatment in, or
eligibility for a degree from an educational program, from or
to such person; or
(5) withhold, reduce, exclude, terminate, or otherwise make
unavailable or deny access or an entitlement to Federal
property, facilities, educational institutions, speech fora
(including traditional, limited, and nonpublic fora), or
charitable fundraising campaigns from or to such person.
(c) Accreditation; Licensure; Certification.--The Federal
Government shall consider accredited, licensed, or certified for
purposes of Federal law any person that would be accredited, licensed,
or certified, respectively, for such purposes but for a determination
against such person wholly or partially on the basis that the person
speaks, or acts, in accordance with a sincerely held religious belief
or moral conviction described in subsection (a).
Sec. 534. None of the funds made available by this Act may be used
by the Secretaries of Labor, Health and Human Services, or Education,
the Commissioner of the Social Security Administration, or the head of
any other agency funded in this Act to fly or display a flag over a
Federal facility other than--
(1) the flag of the United States;
(2) the flag of a State, territory, or the District of
Columbia;
(3) the flag of an Indian Tribal Government;
(4) the official Flag of a Federal agency;
(5) the POW/MIA flag;
(6) the flag of the Public Health Service; or
(7) the flag of the United States Surgeon General.
Sec. 535. None of the funds appropriated or otherwise made
available by this or any other Act may be made available for diversity,
equity, and inclusion initiatives, training, programs, offices,
officers, policies, or any program, project, or activity that promotes
or advances Critical Race Theory, or any concept associated with
Critical Race Theory.
Sec. 536. None of the funds appropriated or otherwise made
available by this Act may be used to carry out any program, project, or
activity that teaches or trains any idea or concept that condones an
individual being discriminated against or receiving adverse or
beneficial treatment based on race or sex, that condones an individual
feeling discomfort, guilt, anguish, or any other form of psychological
distress on account of that individual's race or sex, as well as any
idea or concept that regards one race as inherently superior to another
race, the United States or its institutions as being systemically
racist or sexist, an individual as being inherently racist, sexist, or
oppressive by virtue of that individual's race or sex, an individual's
moral character as being necessarily determined by race or sex, an
individual as bearing responsibility for actions committed in the past
by other members of the same race or sex, or meritocracy being racist,
sexist, or having been created by a particular race to oppress another
race.
Sec. 537. (a) None of the funds appropriated or otherwise made
available by this Act may be made available to a United States
institution of higher education unless and until such institution
adopts a prohibition on antisemitic conduct that creates a hostile
environment in violation of Title VI of the Civil Rights Act of 1964 in
all documents relating to student or employee conduct.
(b) None of the funds appropriated or otherwise made available by
this Act may be made available to a United States institution of higher
education that has failed to take administrative action against any
student, staff member, or student group that commits acts of
antisemitism while utilizing the facilities, grounds, or resources of
such institution.
Sec. 538. Notwithstanding any other provision of law, none of the
funds made available by this Act may be made available to support
directly or indirectly--
(1) the Wuhan Institute of Virology located in the City of
Wuhan in the People's Republic of China;
(2) the EcoHealth Alliance, Inc.;
(3) any laboratory owned or controlled by the governments
of the People's Republic of China, the Republic of Cuba, the
Islamic Republic of Iran, the Democratic People's Republic of
Korea, the Russian Federation, or any other country determined
by the Secretary of State to be a foreign adversary; or
(4) gain-of-function research.
Sec. 539. None of the funds made available by this Act may be used
to establish, implement, administer, or enforce any COVID-19 mask or
vaccine mandate.
Sec. 540. None of the funds appropriated by this Act may be made
available for any institution of higher education (as defined by 20
U.S.C. 1002), that engages in a partnership or other formalized
academic collaboration in STEM (as defined in 15 U.S.C. 8841) including
but not limited to a joint institute with an entity, such as a college
or university that is located, operated, or controlled by the Chinese
Communist Party or the Government of the People's Republic of China.
Sec. 541. (a) None of the funds made available by this Act or
otherwise made available for fiscal year 2027 may be obligated or
expended to procure or purchase computers, printers, or interoperable
videoconferencing services needed for an office environment in which
the manufacturer, bidder, or offeror, or any subsidiary or parent
entity of the manufacturer, bidder, or offeror, of the equipment is an
entity, or parent company of an entity in which the People's Republic
of China has any ownership stake.
(b) The prohibition in subsection (a) also applies in cases in
which the agency has contracted with a third party for the procurement,
purchase, or expenditure of funds on any of the equipment and software
described in such subsection.
spending reduction account
Sec. 542. $0.
This Act may be cited as the ``Departments of Labor, Health and
Human Services, and Education, and Related Agencies Appropriations Act,
2027''.
Union Calendar No. 604
119th CONGRESS
2d Session
H. R. 9260
[Report No. 119-696]
_______________________________________________________________________
A BILL
Making appropriations for the Departments of Labor, Health and Human
Services, and Education, and related agencies for the fiscal year
ending September 30, 2027, and for other purposes.
_______________________________________________________________________
June 11, 2026
Committed to the Committee of the Whole House on the State of the Union
and ordered to be printed