[Senate Report 118-207]
[From the U.S. Government Publishing Office]
Calendar No. 471
118th Congress } { Report
SENATE
2d Session } { 118-207
======================================================================
DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND
RELATED AGENCIES APPROPRIATION BILL, 2025
_______
August 1, 2024.--Ordered to be printed
_______
Ms. Baldwin, from the Committee on Appropriations,
submitted the following
REPORT
[To accompany S. 4942]
The Committee on Appropriations reports an original bill
(S. 4942) making appropriations for Departments of Labor,
Health and Human Services, and Education, and related agencies
for the fiscal year ending September 30, 2025, and for other
purposes, reports favorably thereon without amendment and
recommends that the bill do pass.
Amounts to new budget authority
Total of bill as reported to the Senate...............$1,463,081,956,000
Amount of 2024
appropriations............................ 1,413,688,656,000
Amount of 2025 budget estimate.........................1,449,782,089,000
Bill as recommended to Senate compared to:
2024
appropriations.......................................
+49,393,300,000
2025 budget
estimate..................................... +13,299,867,000
56-353 PDF
CONTENTS
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Page
List of Abbreviations............................................ 4
Summary of Budget Estimates and Committee Recommendations........ 7
Bill--Wide Directives........................................ 7
Title I: Department of Labor:
Employment and Training Administration....................... 9
Veterans' Employment and Training............................ 22
Employee Benefits Security Administration.................... 23
Pension Benefit Guaranty Corporation......................... 25
Wage and Hour Division....................................... 26
Office of Labor-Management Standards......................... 27
Office of Federal Contract Compliance Programs............... 27
Office of Workers' Compensation Programs..................... 27
Division of Energy Employees Occupational Illness
Compensation............................................... 29
Occupational Safety and Health Administration................ 30
Mine Safety and Health Administration........................ 32
Bureau of Labor Statistics................................... 33
Office of Disability Employment Policy....................... 34
Departmental Management...................................... 34
General Provisions........................................... 38
Title II: Department of Health and Human Services:
Health Resources and Services Administration................. 40
Centers for Disease Control and Prevention................... 63
National Institutes of Health................................ 95
Substance Abuse and Mental Health Services Administration.... 157
Agency for Healthcare Research and Quality................... 175
Centers for Medicare and Medicaid Services................... 177
Administration for Children and Families..................... 186
Administration for Community Living.......................... 207
Administration for Strategic Preparedness and Response....... 213
Office of the Secretary...................................... 227
General Provisions........................................... 242
Title III: Department of Education:
Education for the Disadvantaged.............................. 245
Impact Aid................................................... 251
School Improvement Programs.................................. 252
School Readiness............................................. 257
Indian Education............................................. 257
Innovation and Improvement................................... 259
Safe Schools and Citizenship Education....................... 266
English Language Acquisition................................. 268
Special Education............................................ 269
Rehabilitation Services...................................... 271
Special Institutions for Persons With Disabilities:
American Printing House for the Blind.................... 272
National Technical Institute for the Deaf................ 273
Gallaudet University..................................... 273
Career, Technical, and Adult Education....................... 274
Student Financial Assistance................................. 276
Student Aid Administration................................... 277
Higher Education............................................. 283
Howard University............................................ 291
College Housing and Academic Facilities Loans Program........ 292
Historically Black College and University Capital Financing
Program Account............................................ 292
Institute of Education Sciences.............................. 292
Departmental Management:
Program Administration................................... 297
Office for Civil Rights.................................. 305
Office of the Inspector General.......................... 305
General Provisions........................................... 306
Title IV: Related Agencies:
Committee for Purchase From People Who Are Blind or Severely
Disabled................................................... 307
Corporation for National and Community Service............... 307
Corporation for Public Broadcasting.......................... 311
Federal Mediation and Conciliation Service................... 312
Federal Mine Safety and Health Review Commission............. 312
Institute of Museum and Library Services..................... 312
Medicaid and CHIP Payment and Access Commission.............. 314
Medicare Payment Advisory Commission......................... 314
National Council on Disability............................... 314
National Labor Relations Board............................... 315
National Mediation Board..................................... 315
Occupational Safety and Health Review Commission............. 315
Railroad Retirement Board.................................... 315
Social Security Administration............................... 316
Title V: General Provisions...................................... 323
Compliance With Paragraph 7, Rule XVI of the Standing Rules of
the Sen- ate................................................... 324
Compliance With Paragraph 7(c), Rule XXVI of the Standing Rules
of the Senate.................................................. 326
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of
the Senate..................................................... 327
Budgetary Impact of Bill......................................... 331
Disclosure of Congressionally Directed Spending Items............ 332
Comparative Statement of New Budget Authority.................... 333
LIST OF ABBREVIATIONS
ACA--Patient Protection and Affordable Care Act
ACL--Administration for Community Living
AHRQ--Agency for Healthcare Research and Quality
ASH--Assistant Secretary for Health
ASPR--Administration for Strategic Preparedness and
Response
BARDA--Biomedical Advanced Research and Development
Authority
CDC--Centers for Disease Control and Prevention
CJ--Congressional Justification of Estimates for
Appropriations Committees
CMS--Centers for Medicare and Medicaid Services
CNCS--Corporation for National and Community Service
CPB--Corporation for Public Broadcasting
DOD--Department of Defense
DOL--Department of Labor
EBSA--Employee Benefits Security Administration
ESEA--Elementary and Secondary Education Act
ETA--Employment and Training Administration
FDA--Food and Drug Administration
FIC--Fogarty International Center
FMCS--Federal Mediation and Coalition Service
FMSHRC--Federal Mine Safety and Health Review Commission
FTE--full-time equivalent
GAO--Government Accountability Office
HBCUs--Historically Black Colleges and Universities
HCFAC--Health Care Fraud and Abuse Control
HELP--Health, Education, Labor, and Pensions
HHS--Health and Human Services
HRSA--Health Resources and Services Administration
IC--Institute and Center
IDEA--Individuals with Disabilities Education Act
IMLS--Institute of Museum and Library Services
LEA--local educational agency
MACPAC--Medicaid and CHIP Payment and Access Commission
MedPAC--Medicare Payment Advisory Commission
MSHA--Mine Safety and Health Administration
NCATS--National Center for Advancing Translational Sciences
NCI--National Cancer Institute
NEI--National Eye Institute
NHGRI--National Human Genome Research Institute
NHLBI--National Heart, Lung, and Blood Institute
NIA--National Institute on Aging
NIAAA--National Institute on Alcohol Abuse and Alcoholism
NIAID--National Institute of Allergy and Infectious
Diseases
NIAMS--National Institute of Arthritis and Musculoskeletal
and Skin Diseases
NIBIB--National Institute of Biomedical Imaging and
Bioengineering
NICHD--Eunice Kennedy Shriver National Institute of Child
Health and Human Development
NIDA--National Institute on Drug Abuse
NIDCD--National Institute on Deafness and Other
Communication Disorders
NIDCR--National Institute of Dental and Craniofacial
Research
NIDDK--National Institute of Diabetes and Digestive and
Kidney Disease
NIDRR--National Institute on Disability and Rehabilitation
Research
NIEHS--National Institute of Environmental Health Sciences
NIGMS--National Institute of General Medical Sciences
NIH--National Institutes of Health
NIMH--National Institute of Mental Health
NIMHD--National Institute on Minority Health and Health
Disparities
NINDS--National Institute of Neurological Disorders and
Stroke
NINR--National Institute of Nursing Research
NLM--National Library of Medicine
NLRB--National Labor Relations Board
NSF--National Science Foundation
NTID--National Technical Institute for the Deaf
OAR--Office of AIDS Research
OCR--Office for Civil Rights
ODEP--Office of Disability Employment Policy
OFCCP--Office of Federal Contract Compliance Programs
OIG--Office of the Inspector General
OLMS--Office of Labor-Management Standards
OMB--Office of Management and Budget
OMH--Office of Minority Health
OMHA--Office of Medicare Hearings and Appeals
ONC--Office of the National Coordinator for Health
Information Technology
ORWH--Office of Research on Women's Health
OSHA--Occupational Safety and Health Administration
OWCP--Office of Workers' Compensation Programs
OWH--Office of Women's Health
PBGC--Pension Benefit Guaranty Corporation
PHS--Public Health Service
PPH Fund--Prevention and Public Health Fund
PRNS--Programs of Regional and National Significance
RSA--Rehabilitation Services Administration
SAMHSA--Substance Abuse and Mental Health Services
Administration
SEA--State educational agency
SPRANS--Special Projects of Regional and National
Significance
SSA--Social Security Administration
SSI--Supplemental Security Income
STEM--science, technology, engineering, and mathematics
UI--unemployment insurance
USAID--U.S. Agency for International Development
VETS--Veterans' Employment and Training Services
VISTA--Volunteers in Service to America
WANTO--Women in Apprenticeship and Non-Traditional
Occupations
WHD--Wage and Hour Division
WIA--Workforce Investment Act
WIOA--Workforce Innovation and Opportunity Act
COMMITTEE REPORT FOR DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES,
AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2025
SUMMARY OF BUDGET ESTIMATES AND COMMITTEE RECOMMENDATIONS
For fiscal year 2025, the Committee recommends total budget
authority of $1,463,081,956,000 for the Departments of Labor,
Health and Human Services, and Education, and Related Agencies.
This amount includes $198,655,000,000 in current year base
discretionary funding consistent with the subcommittee's
allocation. In addition, the bill includes $2,531,000,000 in
program integrity cap adjustments.
Fiscal year 2024 levels cited in this Committee Report
reflect the enacted amounts in Public Law 118-47, the Further
Consolidated Appropriations Act, 2024, adjusted for
comparability where noted.
BILL-WIDE DIRECTIVES
The Labor, Health and Human Services, and Education, and
Related Agencies [Labor-HHS-Education] appropriations bill
constitutes the largest share of non-defense discretionary
funding and supports critical investments in a wide range of
areas including early learning, substance use and mental
health, biomedical research, public health and preparedness,
elementary and secondary education, higher education, workforce
development, and social security, among many others.
This Committee Report provides additional direction and
specificity on the uses of funds provided in this bill. During
fiscal year 2025, for the purposes of the Balanced Budget and
Emergency Deficit Control Act of 1985, as amended, with respect
to appropriations contained in the accompanying bill, the terms
``program, project, and activity'' [PPA] shall mean any item
for which a dollar amount is contained in appropriations acts
(including joint resolutions providing continuing
appropriations) or accompanying reports of the House and Senate
Committees on Appropriations, or accompanying conference
reports and joint explanatory statements of the committee of
conference. The Committee continues longstanding reprogramming
requirements and limitations regarding changes to funding for
PPAs. The Committee expects agencies to submit any
reprogramming requests in compliance with requirements of this
act and to provide a thorough explanation of the proposed
reallocations, including a detailed justification of increases
and reductions. The Committee expects each agency to manage the
expenditures of its programs and activities to remain within
the amounts appropriated by Congress.
The Committee also continues the longstanding requirement
that each agency submit an operating plan to the House and
Senate Committees on Appropriations not later than 45 days
after enactment of this act, in order to establish the baseline
for application of reprogramming and transfer authorities
provided in this act. The operating plan should include at
minimum funding for PPAs as specified above.
The Committee reminds agencies funded by this act of their
obligation to uphold the Federal trust and treaty
responsibilities to Tribes and Federal obligations to the
Native Hawaiian Community. This includes upholding treaty and
reserved rights, and any other rights and obligations under
Federal law; supporting self-determination efforts by Native
communities; fulfilling obligations under Presidential
Memoranda and Executive Orders; and conducting early and robust
government-to-government consultation with Tribes, and
meaningful outreach and engagement with Native Hawaiians.
The Committee also directs the Secretary of Education,
Secretary of Health and Human Services, and Secretary of Labor
to release public reports detailing how the Departments are
addressing antisemitism, including by implementing the National
Strategy to Counter Antisemitism.
The Committee directs the Secretary of Education, Secretary
of Health and Human Services, and Secretary of Labor to brief
the House and Senate Committees on Appropriations no later than
90 days after enactment of this act regarding any strategic
plans developed by the Department over the three prior fiscal
years outlining the ways that the Department has promoted voter
registration, and voter participation.
The Committee is encouraged by the General Services
Administration's Bulletin FMR C-2024-01, ``Safety Station
Program Guidelines in Federal Facilities'' that was issued on
December 21, 2023. The Committee encourages all Departments
covered in this act to implement these guidelines and establish
safety stations in each public building that include automated
external defibrillators, opioid reversal agents, and
hemorrhagic control programs and requests a briefing from each
Department within 90 days of enactment of this act on progress
towards implementing these guidelines.
The Committee continues to appreciate the close working
relationship with the various budget offices of the agencies
funded in this bill. Maintaining these relationships is
critical for the Committee to perform its duties in both
developing these funding requirements and recommendations and
providing oversight over the execution of funds.
Finally, each reference to the Committees or Committees on
Appropriations in this Committee Report, unless otherwise
noted, is to the House of Representatives Subcommittee on
Labor, Health and Human Services, Education, and Related
Agencies and the Senate Subcommittee on Labor, Health and Human
Services, Education, and Related Agencies.
TITLE I
DEPARTMENT OF LABOR
Any references in this title of the report to the
``Secretary'' or the ``Department'' shall be interpreted to
mean the Secretary of Labor or the Department of Labor,
respectively, unless otherwise noted.
Employment and Training Administration
TRAINING AND EMPLOYMENT SERVICES
Appropriations, 2024.................................... $4,006,421,000
Budget estimate, 2025................................... 3,930,587,000
Committee recommendation................................ 4,019,669,000
The Training and Employment Services [TES] account provides
funding primarily for activities under the Workforce Innovation
and Opportunity Act [WIOA] (Public Law 113-128), and is a
decentralized, integrated system of skill training and related
services designed to enhance the employment and earnings of
economically disadvantaged and dislocated workers. Funds
provided for many training programs for fiscal year 2025 will
support the program from July 1, 2025, through June 30, 2026. A
portion of this account's funding, $1,772,000,000, becomes
available on October 1, 2025, for the 2025 program year.
Advanced Robotics Manufacturing.--The Committee recognizes
the need for workforce training and certificate programs
targeting collaborative robotics and additive manufacturing to
adequately prepare the current and future workforce for the
challenges of tomorrow. The Committee encourages the Department
to appropriately address this need through the prioritization
of such programs, with an emphasis on programs that re-skill
incumbent manufacturing workers.
Apprenticeship Grants.--The Committee supports the
expansion of apprenticeship opportunities and notes that they
can often provide more affordable pathways to high-paying jobs.
Not later than 180 days after the enactment of this act, the
Department shall publicly disclose on its website grantees
receiving funding under the Apprenticeship Program from the
previous program year, the number of apprentices attributable
to each grantee, and the respective employment and earnings
outcomes of program participants as required under section
116(b)(2)(A)(i) of WIOA. Additionally, the Department shall
report to the Committee on the extent to which it is engaging
with the Department of Education to address mismatches between
worker skills or their participation in the labor force and
employer needs and the steps that the Department has taken or
plans to take to study the drivers of skills' mismatches,
workforce shortages, productivity fluctuations, turnover
fluctuations, stagnant wages, and poor working conditions
across occupations, industries, and the economy as a whole.
Clean Start.--The Committee is deeply concerned with the
devastating effects of drug use on individuals, families, and
communities around the country. Individuals who have nonviolent
felony or misdemeanor convictions as a result of drug use often
find it nearly impossible to rejoin the workforce. The
Committee encourages the Secretary to support workforce and
training options for individuals with a nonviolent felony or
misdemeanor conviction. Further, within 180 days of enactment,
the Secretary shall report to the Committee on additional
actions that could be taken to support State efforts to support
workforce and training opportunities for nonviolent offenders,
including examining removing any barriers to the participation
of nonviolent offenders in workforce training programs funded
by the Department.
Collaboration Between Workforce Development Systems and
State and Local Educational Agencies.--The Committee recognizes
the unique role the workforce development system plays in
providing in-school and out-of-school youth with opportunities
that deepen learning and create pathways into high-quality
jobs. The Committee also remains concerned with the adverse
impacts of COVID-19 on educational attainment, particularly for
students from underserved communities. The Committee continues
to encourage the Department, in partnership with the Department
of Education, to facilitate greater collaboration between the
workforce development system and State and local educational
agencies to engage and support youth (particularly disconnected
youth), and to strengthen completion rates of secondary and
postsecondary education and improve pathways into high-quality
jobs. The Committee looks forward to the briefing requested in
Senate Report 118-84 on any actions taken and any
recommendations for statutory changes that can support greater
collaboration between the workforce development and education
systems.
Communities Affected by Substance Use.--The Committee
continues to encourages the Secretary to prioritize funding for
grants to serve or retrain workers in communities impacted by
the health and economic effects of widespread substance use,
including methamphetamine use, addiction, and overdose.
Creative Economy.--The Committee recognizes that the
creative economy was severely impacted by COVID-19 and
encourages the Department to partner with the National
Endowment for the Arts and the National Endowment for the
Humanities to explore the feasibility and expansion of
Registered Apprenticeship programs for creative workers who
previously received income through creative, cultural, or
artistic-based pursuits to produce ideas, content, goods, and
services, without regard to whether such income is earned
through employment as an independent contractor or as an
employee for an employer.
Direct Care Worker Shortage.--The Committee is concerned
about worker shortages in the direct care sector, particularly
regarding aging care and disability care. Expanding access to
long-term care will become more urgent as the U.S. population
of adults who are 65 and older will nearly double by 2050, with
10,000 people turning 65 every day. The Committee encourages
the Department, in coordination with the Department of Health
and Human Services, to study the effects of worker shortages in
the direct care sector and the impact that worker shortages
will have on long-term care affordability and accessibility,
and long-term care programs and looks forward to the report
requested in Senate Report 118-84.
Improving Access to Public Benefits.--The Committee
recognizes that one-stop customers often face significant
barriers to pursuing training and employment, including lack of
access to quality childcare, food and nutrition, and medical
services. Further, the Committee is concerned that the
complexity of supportive services program eligibility
requirements and application processes may discourage
enrollment. To optimize use of Federal funds, the Committee
encourages Department, in coordination with the Department of
Education and the Department of Health and Human Services, to
provide guidance on informing one-stop center customers about
the availability of supportive services or assistance,
including Medicaid, the Supplemental Nutrition Assistance
Program, the Earned Income Tax Credit, the Child Tax Credit,
and the Temporary Assistance for Needy Families Program, and on
referring customers to such services or assistance. Further,
guidance should clarify how one-stops can assist customers in
establishing eligibility for financial aid assistance programs
related to education and training programs that are funded
outside of WIOA.
Modernizing Workforce Development Programming and Serving
Underemployed Workers.--The Committee encourages ETA to
collaborate with State workforce agencies to modernize
workforce development programming. The Committee is also
concerned about the continued difficulty of underemployed
workers transitioning to full employment and encourages ETA to
explore new avenues for training, including the use of virtual
resources. As part of this effort, ETA should consider the time
constraints of underemployed workers who may work multiple jobs
or have caretaking responsibilities that limit their ability to
utilize the existing resources provided by ETA. Finally, the
Committee further encourages the Department to develop a
comprehensive long-term strategy for the delivery of online
training and development programming.
Occupational Barriers for Healthcare Professionals.--The
Committee recognizes that immigrants arriving in the United
States holding healthcare degrees and credentials from their
home countries face significant barriers that lead to
underemployment, including in lower-skilled healthcare jobs
than they are trained for and jobs outside of healthcare. The
Committee supports efforts to strengthen the healthcare
workforce and reduce barriers for in-demand occupations. As
such, the Committee encourages the Secretary to issue guidance
that identifies ways to bridge the gap between unemployed
immigrants and healthcare professions.
Opportunity Youth.--The Committee continues to encourage
the Department to use funds provided to carry out sections
168(b) and 169(c) of WIOA, which may be used for technical
assistance and demonstration projects, to support demonstration
programs that allow at-risk youth who are out-of-school, have
limited work experience, and live in communities experiencing
high rates of unemployment and high rates of community
violence, to participate in the workforce.
Public Libraries.--The Committee continues to encourage ETA
to expand its collaborative work with the Institute of Museum
and Library Services [IMLS] to help States and local boards
integrate the education, employment, and training services
provided by public libraries into the workforce investment
system. Libraries can play a critical role in helping people
access benefits and get back to work and the Committee
encourages ETA to work with IMLS to identify barriers to
libraries participating in programs funded under WIOA and to
develop a plan to address those barriers. The Committee looks
forward to the briefing on the plan to identify and address
barriers to libraries participating in programs under WIOA as
encouraged in Senate Report 118-84.
Pursue Workforce Data Linkages.--The Committee directs the
Department, in coordination with the Department of Health and
Human Services, the Department of Education, and other Federal
agencies that support workforce development programs and that
hold nationwide earnings data, to submit a report to Congress
within 360 days of enactment on how to improve data quality and
transparency regarding participation in and outcomes from
Federal education and training programs, including but not
limited to WIOA, and including pre-participation earnings and
employment measures as well as outcomes reporting beyond a
single year post-exit, while also protecting privacy. The
Departments should seek input from States, data-linkage
experts, including members of the Advisory Committee on Data
for Evidence-Building, with knowledge of practices for linking
client data with Federal and State earnings data, data privacy
experts, and other relevant stakeholders. The report should
explain what steps can be taken under current law to implement
modernized data infrastructure for workforce development
programs, barriers presented by current statutes, regulations,
and guidance, as well as legislative changes that would be
necessary to overcome those barriers.
Small Businesses.--The Committee encourages the Department
to support the employment needs of small businesses and
entrepreneurial skills training through WIOA programs,
particularly in underserved, disadvantaged communities.
Submarine Construction Workforce.--The Committee continues
to encourage ETA to collaborate with the Departments of Defense
and Education to address critical workforce needs in the
submarine construction pipeline.
Water and Wastewater Operators.--The Committee continues to
be concerned by the Nationwide shortage of water and wastewater
operators, particularly in rural areas and continues to
strongly urge the Secretary to make funding available through
workforce development and apprenticeship activities funded
under this bill for registered apprenticeship programs
consistent with National Guideline Standards of Apprenticeship
for Water and Wastewater System Operations Specialists and
WIOA. The Committee continues to direct the Department to
highlight the availability of funding opportunities that may
support such activities, and to provide technical assistance
and outreach to potential grantees with an emphasis on sectors
that are underrepresented in the apprenticeship program and
that have demonstrated shortages of workers.
Grants to States
The Committee recommends $2,929,332,000 for Training and
Employment Services Grants to States.
Under WIOA, a local board is given up to 100 percent
transfer authority between Adult and Dislocated Worker
activities upon approval of the Governor.
Adult Employment and Training.--The Committee recommends
$885,649,000 for adult employment and training. Formula funding
is provided to States and further distributed to local
workforce investment areas through one-stop centers. The
program provides employment and training services to
disadvantaged, low-skilled, unemployed, and underemployed
adults, including veterans.
Funds are made available in this bill for adult employment
and training activities in program year 2025, which occurs from
July 1, 2025, through June 30, 2026. The bill provides that
$173,649,000 is available for obligation on July 1, 2025, and
that $712,000,000 is available on October 1, 2025. Both
categories of funding are available for obligation through June
30, 2026.
Youth Training.--The Committee recommends $948,130,000 for
youth training. The purpose of this program is to provide low-
income youth who are facing barriers to employment with
services that prepare them to succeed in the knowledge-based
economy. Funds are made available for youth training activities
in program year 2025, which occurs from April 1, 2025, through
June 30, 2026.
Dislocated Worker Assistance.--The Committee recommends
$1,095,553,000 for dislocated worker assistance. This program
is a State-operated effort that provides training services and
support to help permanently separated workers return to
productive unsubsidized employment. In addition, States must
use State-wide reserve funds for rapid response assistance to
help workers affected by mass layoffs and plant closures.
States must also use these funds to carry out additional State-
wide employment and training activities, such as providing
technical assistance to certain low-performing local areas,
evaluating State programs, and assisting with the operation of
one-stop delivery systems. States may also use funds for
implementing innovative training programs.
Funds made available in this bill support activities in
program year 2025, which occurs from July 1, 2025, through June
30, 2026. The bill provides that $235,553,000 is available for
obligation on July 1, 2025, and that $860,000,000 is available
on October 1, 2025. Both categories of funding are available
for obligation through June 30, 2026.
National Programs
Dislocated Worker Assistance National Reserve
The Committee recommends $302,859,000 for the Dislocated
Worker Assistance National Reserve, which is available to the
Secretary for activities such as responding to mass layoffs,
plant and/or military base closings, and natural disasters, as
well as for technical assistance, training, and demonstration
projects.
Funds made available for the National Reserve in this bill
support activities in program year 2025. The bill provides that
$102,859,000 is available for obligation on July 1, 2025, and
that $200,000,000 is available on October 1, 2025. Both
categories of funding are available for obligation through
September 30, 2026.
Automation Impacted Industries.--The Committee continues to
support funding to support demonstration and pilot projects
relating to the training needs of workers who are, or are
likely to become, dislocated as a result of automation.
Career Pathways for Youth Grants.--The Committee continues
to recognize that multiple career pathways should be available
to young people. The Committee also recognizes the need for
early workforce readiness, employment, and training
opportunities that help youth develop soft skills, such as
responsibility, organization, and time management, as well as
the need to learn workplace safety. The Committee
recommendation includes $20,000,000 to utilize the
demonstration grant authority under the dislocated worker
national reserve for grants to support national out-of-school
time organizations that serve youth and teens, and place an
emphasis on age-appropriate workforce readiness programming to
expand job training and workforce pathways for youth and
disconnected youth. This programming includes soft skill
development, career exploration, job readiness and
certification, summer jobs, year-round job opportunities, and
apprenticeships. Funding will also support partnerships between
workforce investment boards and youth serving organizations.
Additionally, the Committee encourages the Department to
determine the feasibility of utilizing the existing one-stop
infrastructure to develop and execute career pathways for youth
at the local or regional level.
Disaster Resilience and Infrastructure.--The Committee
recognizes the need for workforce development pathways in
disaster resilience and infrastructure sectors and the role
that public and non-profit workforce development providers and
apprenticeship programs should play in helping provide hands-on
experience through projects on a pathway to jobs. The Committee
supports funding for programs to address these issues,
including the Department's coordination with other agencies
implementing the Infrastructure Investment and Jobs Act, and
Inflation Reduction Act, and the Corporation for National and
Community Service.
Dislocated Worker National Reserve Grantee Performance
Reporting.--Consistent with the requirements of section
116(b)(2)(A)(i) of WIOA (29 U.S.C. 3141), the Committee directs
the Department to require that all grantees receiving awards
funded through the Dislocated Worker National Reserve report on
the employment, earnings, and credential attainment outcomes of
program participants. The Committee further directs ETA to
include program participant outcomes disaggregated by grantee
on its website.
Employee Ownership Initiative.--The Committee
recommendation includes $2,000,000 for grants authorized by
section 346(d) of the SECURE 2.0 Act of 2022. Funds will be
used to establish and expand employee ownership programs
authorized by such section. The Committee expects the Employee
Benefits Security Administration to provide subject matter
assistance to ETA as it develops and administers this grant
program.
Multi-state National Dislocated Coal Miners Assistance
Grant Program.--The Committee is aware of the difficulties
experienced by dislocated coal miners as a result of continuing
energy sector restructuring. The Committee continues to
strongly support funding for non-profit organizations that
provide employment and training assistance, as well as related
supportive services, to individuals who are dislocated by coal
plant closures or substantial layoffs at coal mine operations
and their immediate family.
Strengthening Community College Training Grants [SCCTG].--
The Committee recommendation includes $65,000,000 for SCCTG.
This program builds the capacity of community colleges to
address workforce development needs in in-demand industries and
career pathways leading to quality jobs.
Workforce Opportunity for Rural Communities.--The Committee
recommendation includes $50,000,000 for the Workforce
Opportunity for Rural Communities program, to provide enhanced
worker training in the Appalachian, Delta, and Northern Border
regions. These funds provide reemployment and training
assistance to dislocated workers in rural areas to help them
adapt existing skills and learn new ones demanded by growing
industries. The Committee strongly encourages the Department to
develop funding opportunity announcements and make grant awards
in coordination with the Appalachian Regional Commission [ARC],
Delta Regional Authority [DRA], and Northern Border Regional
Commission [NBRC], for which each award shall not exceed
$1,500,000. Within the total, the recommendation includes
$21,750,000 for grants in areas served by the ARC, $21,750,000
for areas served by the DRA, and $6,500,000 for areas served by
the NBRC.
Indian and Native American Programs
The Committee recommends $60,000,000 for Indian and Native
American Programs. These programs are designed to improve the
academic, occupational, and literacy skills of Native
Americans, Alaskan Natives, and Native Hawaiians to aid the
participants in securing permanent, unsubsidized employment.
Allowable training services include adult basic education,
general educational development attainment, literacy training,
English language training, as well as the establishment of
linkages with remedial education.
The Committee supports the effective implementation of the
Indian and Native American programs. The Committee expects that
the Department will ensure new members of the Native American
Employment and Training Council [NAETC] are selected as
expeditiously as possible to avoid vacancies on the NAETC.
Migrant and Seasonal Farmworker Programs
The Committee recommends $97,396,000 for migrant and
seasonal farmworkers programs, which serve members of
economically disadvantaged families whose principal livelihood
is derived from migratory and other forms of seasonal farm
work, fishing, or logging activities. Enrollees and their
families are provided with employment, training, and related
services intended to prepare them for stable, year-round
employment within and outside of the agriculture industry.
The Committee recommendation provides that $90,134,000 be
used for State service area grants. The Committee
recommendation also includes bill language directing that
$6,591,000 be used for migrant and seasonal farmworker housing
grants, of which not less than 70 percent shall be for
permanent housing. The principal purpose of these funds is to
continue the network of local farmworker housing organizations
working on permanent housing solutions for migrant and seasonal
farmworkers. The Committee recommendation also includes
$671,000 to be used for training, technical assistance, and
related activities, including funds for migrant rest center
activities under section 167 of WIOA.
YouthBuild
The Committee recommendation includes $110,000,000 for
YouthBuild, which helps provide disconnected youth with work
readiness and industry-driven credential attainment
opportunities.
The Committee encourages the Department to ensure
YouthBuild grants reach geographically diverse areas, including
rural areas.
Reentry Employment Opportunities [REO]
The Committee recommends $115,000,000 for the REO program,
including $30,000,000 for national and regional intermediaries.
The REO program provides current or formerly incarcerated youth
and adults involved in the justice system with occupational
skills training that leads to industry recognized credentials
and apprenticeships leading to employment in good, well-paying
jobs and careers with opportunities for advancement. Programs
are carried out directly through State and local governmental
entities and community-based organizations, as well as
indirectly through intermediary organizations.
The Committee directs the Department to ensure grantees
establish formal partnerships with employers and that program
participants receive industry recognized credentials and
training in fields that prepare them for successful
reintegration, including ensuring participants receive training
and credentials in fields where their record is not a barrier
to entry or continued employment. The Committee also directs
the Department to consider the needs of communities that have
recently experienced significant unrest.
Apprenticeship Grants
The Committee recommendation includes $290,000,000 for
Apprenticeship Grants.
The Committee continues to support the prioritization of
funding to expand registered apprenticeships into new
industries and for underserved or underrepresented populations.
The Committee supports the use of apprenticeship grants that
provide worker education in in-demand and emerging fields,
including first responder; disaster resilience, response, and
recovery; utility (energy and water) and resource management;
transportation and infrastructure; goods movement sectors such
as global logistics, rail and other freight-related employment;
and outdoor recreation economy-related employment. The
Committee also encourages the Department to support
apprenticeship opportunities that incorporate non-traditional
industries, while providing appropriate flexibility for such
industries. Further, the Committee encourages the Department to
fund apprenticeship opportunities in local communities that
have high rates of unemployment and high rates of community
violence.
Competency-Based Apprenticeships.--The Committee believes
that competency-based apprenticeship programs, where program
completion is based on the attainment of competencies, are an
important part of the apprenticeship landscape and urges the
Department to look for ways to include competency-based
apprenticeships in the Registered Apprenticeship Program.
Degree Apprenticeships.--The Committee recognizes the value
of degree apprenticeship programs where institutions of higher
education create initiatives that integrate the awarding of
college degrees with the hallmarks of apprenticeships,
including supporting paid work experiences, on-the-job
training, related instruction, and industry involvement. The
Committee appreciates that ETA has made degree apprenticeships
a fundable activity in the Apprenticeship Grant program and
urges ETA to prioritize funding for degree apprenticeships in
future Funding Opportunity Announcements. The Committee also
urges the Department to collaborate with the Department of
Education in supporting the establishment of degree
apprenticeship programs at 4-year institutions of higher
education to align workforce development efforts and post-
secondary education in industries such as advanced
manufacturing, information technology, healthcare, and energy,
among others.
Pay for Success.--The Committee looks forward to the
Department's assessment of the feasibility of supporting a pay-
for-success initiative as directed in the fiscal year 2024
explanatory statement.
School Administrator Apprenticeships.--The Committee is
encouraged by the Department's decision to make school
administrators eligible for apprenticeship training and
assistance. The Department should provide additional funding to
further establish and implement a leadership development
apprenticeship program to help educators advance their careers,
address school principal and superintendent shortages, and meet
growing demand.
Workforce Data Quality Initiative
The Committee recommendation includes $6,000,000 for the
Workforce Data Quality Initiative, which provides competitive
grants to support States in developing, connecting, and
enhancing their longitudinal data systems that integrate
education and workforce data. This supports evaluation and
research on the effectiveness of education and workforce
programs, and helps provide consumer-friendly information so
that individuals can select the programs that best meet their
needs.
Congressionally Directed Spending
The Committee recommendation includes $109,082,000 for the
projects, and in the amounts, specified in the table at the end
of this Committee Report.
JOB CORPS
Appropriations, 2024.................................... $1,760,155,000
Budget estimate, 2025................................... 1,764,376,000
Committee recommendation................................ 1,760,155,000
The recommendation for operations of Job Corps centers is
$1,603,325,000.
The Committee recommendation for administrative costs is
$33,830,000.
The Committee recommends a total of $123,000,000 in
construction, renovation, and acquisition [CRA] funds. This
amount is available from July 1, 2025, to June 30, 2028. The
Committee continues bill language allowing the Secretary to
transfer up to 15 percent of CRA funds, if necessary, to meet
the operational needs of Job Corps centers or to achieve
administrative efficiencies. The bill continues to require the
Secretary to notify the Committees on Appropriations of the
House of Representatives and the Senate at least 15 days in
advance of any transfer. The Committee expects any notification
to include a justification.
Civilian Conservation Centers.--The Committee continues to
strongly encourage the Department to prioritize the development
of new natural resource and conservation trade offerings,
particularly focused on wildland firefighting and emergency
response. The Committee encourages the Department to maximize
the utilization of Job Corps trade offerings, particularly
those focused on natural resources and wildland firefighting,
including by reclassifying enrollees engaged in wildland
firefighting or off-campus work-based learning as out of the
career and technical training classroom so that another
enrollee may occupy that slot.
Continuous Campus Improvement.--The Committee encourages
the Department to develop a process involving Job Corps youth
service providers for setting achievable campus performance
expectations in order to more effectively drive continuous
improvement in student outcomes.
Homeless Youth.--The Committee continues to strongly
encourage the Department to streamline application requirements
for homeless youth in Job Corps.
Maximizing Employer Partnerships.--The Committee applauds
the Department's efforts to develop relationships between Job
Corps and employers associated with our Nation's strategic
priorities including infrastructure, advanced manufacturing,
and the defense industrial base. The Committee encourages the
Department to fully leverage section 158(f) of WIOA to maximize
the resources available to campuses to develop these
partnerships and meet employers' needs.
Rural Training Sites.--The Committee encourages the
Department to support and incentivize high quality center
operators to develop and enhance partnerships with existing
rural training sites to enhance opportunities and work
experiences for students in underserved rural or remote
communities. Such rural partnerships should use student-focused
industry-backed curricula, prepare students for employment in
high-demand fields, offer students the opportunity to take
coursework leading to college credit, and demonstrate strong
employer partnerships within the region in which the center is
located. Such partnerships will also promote the ability of Job
Corps centers to meet local workforce and cultural needs in
communities far removed from their locations.
Substance Use and Behavioral Health.--The Committee is
concerned about the increase in overdoses and deaths among
youth resulting from drug use, including fentanyl. The
Committee requests the Department make recommendations,
including legislative changes, to address substance use and
behavioral health challenges of Job Corps participants in its
fiscal year 2026 CJ.
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS
Appropriations, 2024.................................... $405,000,000
Budget estimate, 2025................................... 405,000,000
Committee recommendation................................ 405,000,000
Community Service Employment for Older Americans [CSEOA]
provides part-time employment in community service activities
for unemployed, low-income persons aged 55 and older. The
Committee recommendation includes $405,000,000 for CSEOA.
The Committee encourages the Department to reserve amounts
proportionate to the Pacific Islander and Asian American and
the Indian populations for national grants to national Pacific
Island and Asian American and Indian aging organizations who
have a track record of reaching, in a linguistically and
culturally competent manner, this underserved population of
older workers across the country with significant barriers to
employment. The Committee also directs the Department to
provide an update in the fiscal year 2026 CJ on how recipients
of funding under title V of the Older Americans Act of 1965
[OAA] are serving older individuals who are Native American and
Pacific Islander and Asian American with such funding.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
Appropriations, 2024.................................... $30,700,000
Budget estimate, 2025................................... 33,900,000
Committee recommendation................................ 33,900,000
The Committee recommendation includes mandatory funds for
the Federal unemployment benefits and allowances program that
assists trade-impacted workers with benefits and services to
upgrade skills and retrain in new careers. These benefits and
services are designed to help participants find a path back
into middle-class jobs, improve earnings, and increase
credential and education rates.
The Trade Adjustment Assistance [TAA] program provides
assistance to workers who have been adversely affected by
international trade. TAA provides benefits and services to
those who qualify, to include job training, job search and
relocation allowances, and wage supplements for workers age 50
and older.
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS
Appropriations, 2024.................................... $4,006,150,000
Budget estimate, 2025................................... 4,325,429,000
Committee recommendation................................ 4,038,150,000
The Committee recommendation includes $3,954,084,000
authorized to be drawn from the Employment Security
Administration account of the Unemployment Trust Fund and
$84,066,000 to be provided from the general fund of the
Treasury.
The funds in this account are used to provide
administrative grants and assistance to State agencies that
administer Federal and State unemployment compensation laws and
operate the public employment service.
Unemployment Insurance
The Committee recommends a total of $3,172,635,000 for
Unemployment Insurance [UI] activities. For UI State
operations, the Committee recommends $2,775,635,000.
The Committee recommendation includes $388,000,000 for
Reemployment Services and Eligibility Assessments, to expand
intensive, individualized reemployment assistance, and to help
address and prevent long-term unemployment, and reduce improper
payments. This includes $117,000,000 in base funding and
$271,000,000 in cap adjustment funding consistent with the
Fiscal Responsibility Act. The recommendation also includes
$9,000,000 for the UI Integrity Center of Excellence, including
supporting an integrated data hub, training modules, and data
analytics capacity to help States reduce fraud.
Finally, the Committee recommends $18,000,000 for UI
national activities, which will support activities that benefit
the entire Federal-State UI system, including supporting the
continuation of IT upgrades and technical assistance.
The Committee directs the Department to include information
in the fiscal year 2026 CJ on: (1) how the ability of State
workforce agencies to provide federally required service levels
for unemployment insurance programs is affected when States do
not receive the resources they need for administration as
identified by the Resource Justification Model; (2) whether
improvements to the Resource Justification Model could support
improved State administration of the unemployment insurance
programs; (3) whether Federal funding to States fully pays for
the administration of Federal benefit programs, including
emergency benefit programs implemented during the COVID-19
pandemic; (4) how ETA used CARES Act, ARPA, and annual
appropriations to improve the administration and integrity of
the unemployment insurance system since 2020; (5) how States
identify fraudulent actors who apply for unemployment insurance
payments and the nature of these actors; (6) how any new
appropriations and authorities would help the Department
improve access to unemployment insurance for eligible workers
and identify and recoup fraudulent overpayments; and (7) how
any new appropriations and authorities would enhance methods by
which ETA helps States better administer their unemployment
insurance programs and identify and recoup fraudulent
overpayments.
Employment Service
For the Employment Service allotments to States, the
Committee recommends $675,052,000. This amount includes
$21,413,000 in general funds together with an authorization to
spend $653,639,000 from the Employment Security Administration
account of the Unemployment Trust Fund.
The Committee also recommends $25,000,000 for Employment
Service national activities.
The Committee recommendation includes $2,500,000 to
continue efforts to reduce the processing backlog for the work
opportunity tax credit [WOTC] program and for assisting States
to modernize information technology for processing
certification requests, which may include training and
technical assistance. Consistent with this effort, the
Committee strongly urges the Department to develop national
guidelines for the consistent administration of the program,
including flexibility for State workforce agencies with lower
capacity. This guidance should also encourage State workforce
agencies to enter into cooperative information exchange
agreements with Federal and State agencies that have the data
needed to determine WOTC eligibility. Finally, the Committee
recognizes that processing requests for remote workers may be
best accomplished in the State where the workers reside and not
where the employer is located.
Foreign Labor Certification
For carrying out the Department's responsibilities related
to foreign labor certification activities, the Committee
recommends $61,528,000. In addition, five percent of the
revenue from H-1B fees is available to the Department for costs
associated with processing H-1B alien labor certification
applications, and $23,282,000 is available for related State
grants.
Examining Updates to Schedule A.--The Committee notes the
ongoing work at the Department to gather and address public
input on whether and how to update Schedule A. The Committee
encourages the Department to analyze how to include healthcare,
STEM, and non-STEM occupations experiencing labor shortages in
any potential updates it makes to Schedule A.
Prompt Processing of H-2B Visas.--The Committee continues
to strongly encourage the Department to take steps to ensure
prompt processing of H-2B visa applications and to minimize
future interruptions to the H-2B visa program.
Timely Processing of Permanent Labor Certification
Applications.--The Committee strongly encourages the Department
to take appropriate actions using existing authority and
resources to improve the processing of Permanent Labor
Certification Applications, including Prevailing Wage
Determinations filed through Foreign Labor Application Gateway
[FLAG] system. Historically, processing took less than 6
months, but currently takes well over a year. The Prevailing
Wage Determinations for the process should be processed in no
more than 2 weeks and the Department should return to
processing times of less than 1 month, notwithstanding backlogs
at other departments involved in the visa process. Within 60
days of enactment, the Department shall provide the Committee
with a report detailing efforts being taken to improve
processing timeframes by using existing authority and
resources, including automating the self-attestation process to
speedily approve submissions, while flagging potential bad
actors for further investigation and audits.
One Stop Career Centers/Labor Market Information
For one-stop career centers and labor market information,
the Committee recommends $62,653,000.
The Committee is encouraged by progress made through the
Department's efforts to incentivize States to reduce barriers
to entry into licensed occupations and increase license
portability to facilitate mobility of workers in such
occupations, with an emphasis on transitioning service members,
veterans, and military spouses. The Committee encourages the
Department to expand on these past efforts to encourage
occupational licensing reform, which could include grants to
States, and associations of States, to review, eliminate and
reform licensing requirements, and to promote portability of
State licenses. Grant funding would support institutions of
higher education and occupational licensing partners to address
barriers to licensure for veterans and transitioning service
members, immigrants with work authorization, individuals with a
criminal history, and dislocated, low-wage workers. The
Department, in consultation with the Departments of Defense and
Veterans Affairs, is also encouraged to improve the information
made publicly available on credentials and licenses that
facilitate entry into or advancement in occupations.
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS
The Committee bill continues language providing such sums
as necessary in mandatory funds for this account. The
appropriation is available to provide advances to several
accounts for purposes authorized under various Federal and
State unemployment compensation laws and the Black Lung
Disability Trust Fund, whenever balances in such accounts prove
insufficient.
PROGRAM ADMINISTRATION
Appropriations, 2024.................................... $172,915,000
Budget estimate, 2025................................... 184,668,000
Committee recommendation................................ 172,915,000
The Committee recommendation of $172,915,000 for program
administration includes $118,900,000 in general funds and
$54,015,000 from the Employment Security Administration account
of the Unemployment Trust Fund.
General funds in this account pay for the Federal staff
needed to administer employment and training programs under
WIOA, OAA, the Trade Act of 1974 (Public Law 93-618), and the
National Apprenticeship Act. Trust funds provide for the
Federal administration of employment security, training and
employment, and executive direction functions.
Veterans' Employment and Training
Appropriations, 2024.................................... $335,341,000
Budget estimate, 2025................................... 337,301,000
Committee recommendation................................ 335,341,000
The Committee recommendation of $335,341,000 for the
Veterans' Employment and Training Service [VETS] includes
$65,500,000 in general revenue funding and $269,841,000 to be
expended from the Employment Security Administration account of
the Unemployment Trust Fund.
This account provides resources for VETS to maximize
employment opportunities for veterans and transitioning service
members, including protecting their employment rights. VETS
carries out its mission through a combination of grants to
States, competitive grants, and Federal enforcement and
oversight.
The Committee provides $185,000,000 for the Jobs for
Veterans State Grants [JVSG] program. This funding will enable
Disabled Veterans' Outreach Program specialists and Local
Veterans' Employment Representatives to continue providing
intensive employment services to veterans and eligible spouses;
transitioning service members early in their separation from
military service; wounded warriors recuperating in military
treatment facilities or transition units; and spouses and
family caregivers to help ensure the family has income to
provide sufficient support. The Committee maintains language
providing authority for JVSG funding to be used for data
systems and contract support to allow for the tracking of
participant and performance information. The Committee includes
new language providing authority for JVSG funding to be used to
support surviving spouses of service members.
The Committee provides $34,379,000 for the Transition
Assistance Program [TAP] to support apprenticeship
opportunities and employment workshops at military
installations, and in virtual classrooms, worldwide for exiting
service members and spouses.
The Committee recommendation includes $47,048,000 for
Federal administration costs. This funding level will support
oversight and administration of the VETS grant programs, TAP
employment workshops, and compliance and enforcement
activities.
The Committee recommends $65,500,000 for the Homeless
Veterans' Reintegration Program [HVRP] to help homeless
veterans attain the skills they need to gain meaningful
employment. The bill allows Incarcerated Veterans' Transition
funds to be awarded to serve veterans who have recently been
released from incarceration but are at risk of homelessness.
The Committee recommendation includes $3,414,000 for the
National Veterans' Training Institute, which provides training
to Federal staff and veteran service providers.
The Committee recommendation includes $500,000 to support
the HIRE Vets Medallion program.
Employee Benefits Security Administration
SALARIES AND EXPENSES
Appropriations, 2024.................................... $191,100,000
Budget estimate, 2025................................... 205,663,000
Committee recommendation................................ 206,100,000
The Committee recommends $206,100,000 for the Employee
Benefits Security Administration [EBSA]. EBSA is responsible
for the enforcement of title I of the Employee Retirement
Income Security Act [ERISA] in both civil and criminal areas
and for enforcement of sections 8477 and 8478 of the Federal
Employees' Retirement Security Act of 1986 (Public Law 99-335).
EBSA administers an integrated program of regulation,
compliance assistance and education, civil and criminal
enforcement, and research and analysis. The Committee bill does
not include requested authority for EBSA to obligate these
funds during the period of 2 fiscal years and spend
indefinitely up to $3,000,000 for the expert witness program.
Bill language continues to allow EBSA to obligate up to
$3,000,000 for 2 fiscal years for the expert witness program.
The authority is needed for services on cases extending beyond
fiscal year limitation.
The Committee requests that DOL's required operating plan
and future CJs continue to include budget activity detail
provided in the prior year CJ.
Implementation of Employee Ownership Initiative.--Within
available resources, the Committee expects EBSA to continue its
efforts to create and widely disseminate educational materials
focused on promoting best practices in employee ownership
through the Employee Ownership Initiative authorized by section
346 of the SECURE 2.0 Act of 2022. The Committee also includes
$2,000,000 within ETA for the grant program authorized by such
section to help establish and expand employee ownership
programs. The Committee expects EBSA to provide subject matter
assistance to ETA as it develops and administers this grant
program.
Adequate Consideration Guidance.--The Committee notes that
the SECURE 2.0 Act of 2022 also directs the Department to issue
formal guidance on the adequate consideration exemption, as
defined in section 407(d)(6) of ERISA. The Committee is
disappointed that EBSA failed to achieve the latest regulatory
agenda goal of issuing an adequate consideration notice of
proposed rulemaking in March of this year. The Committee urges
the Department to prioritize a timely, formal notice and
comment rulemaking on the adequate consideration exemption that
ensures taxpayers benefit from stakeholder input and
experience, consistent with congressional intent.
Mental Health Parity.--The Committee supports additional
efforts directed toward systemic and targeted audits of health
plans, to ensure parity between mental and physical healthcare
coverage as required by current law.
Vision and Dental Plans.--The Committee is concerned that
stand-alone vision and dental insurance plans may be using
ERISA preemption authorities to avoid certain State laws that
protect consumers and providers from abusive practices. ERISA
preemption authorities were not intended to preempt State laws
to prevent market manipulation, including protections against
price fixing and steering enrollees to plan-owned products and
services. The Committee requests a briefing of any reported
State law violations within 90 days of enactment.
ERISA Requirements.--The Committee notes that firms
domiciled in or otherwise controlled by the People's Republic
of China can be opaque in their auditing and accounting work
and practices. The Committee encourages EBSA to consider
whether these transparency risks have any implications for
requirements on plan fiduciaries under ERISA.
Pension Benefit Guaranty Corporation
Appropriations, 2024.................................... $512,900,000
Budget estimate, 2025................................... 514,063,000
Committee recommendation................................ 514,063,000
The Pension Benefit Guaranty Corporation's [PBGC] estimated
obligations for fiscal year 2025 include single-employer
benefit payments of $8,006,000,000, multi-employer financial
assistance of $207,000,000, Investment Management Fees Program
of $139,800,000, Custodian Bank Fees of $4,000,000, and
consolidated administrative expenses of $514,063,000, including
no less than $8,384,000 available for the Office of Inspector
General. The program amount for Custodian Bank Fees was
included in prior year administrative expenses. Administrative
expenses are comprised of three activities: pension insurance
activities, pension plan termination expenses, and operational
support. These expenditures are financed by permanent
authority. PBGC also anticipates obligations of $3,302,000,000
for Special Financial Assistance and $15,000,000 for related
administrative expenses from the American Rescue Plan Act of
2021.
Previously, the Committee accepted the PBGC's proposal to
reform the administrative apportionment classifications from
three budget activities to one budget activity to make
operations more efficient and improve stewardship of resources.
That consolidated approach for the three activities is
continued, but PBGC is directed to continue providing detail
every year on the three activities in its annual CJ.
The PBGC is a wholly owned Government corporation
established by ERISA. The law places it within DOL and makes
the Secretary the chair of its board of directors. The
Corporation receives its income primarily from insurance
premiums collected from covered pension plans, assets of
terminated pension plans, collection of employer liabilities
imposed by the act, and investment earnings. The primary
purpose of the PBGC is to guarantee the payment of pension plan
benefits to participants if covered defined benefit plans fail
or go out of existence.
The bill continues authority for a contingency fund for the
PBGC that provides additional administrative resources when the
number of new plan participants in terminated plans exceeds
100,000. When that threshold is reached, an additional
$9,200,000 becomes available through September 30, 2029, for
every 20,000 additional participants in terminated plans. The
bill also continues authority allowing the PBGC additional
obligation authority for unforeseen and extraordinary pre-
termination expenses, after approval by the Office of
Management and Budget and notification to the Committees.
Finally, the bill includes authority for PBGC to expend not
more than an additional $100 per affected person for credit or
identity monitoring to individuals upon suffering a security
incident or privacy breach in the event PBGC's costs exceed
$250,000. Those funds are available for obligation through
September 30, 2029.
Wage and Hour Division
SALARIES AND EXPENSES
Appropriations, 2024.................................... $260,000,000
Budget estimate, 2025................................... 294,901,000
Committee recommendation................................ 267,500,000
The Committee recommends $267,500,000 for the Wage and Hour
Division [WHD]. The Committee bill does not include requested
authority for WHD to obligate these funds during the period of
2 fiscal years.
WHD is responsible for administering and enforcing laws
that provide minimum standards for wages and working conditions
in the United States. The Fair Labor Standards Act [FLSA]
(Public Law 75-718), employment rights under the Family and
Medical Leave Act (Public Law 103-3), and the Migrant and
Seasonal Agricultural Worker Protection Act (Public Law 97-470)
are several of the important laws that WHD is charged with
administering and/or enforcing.
WHD administers and enforces laws covering more than 165
million workers in 11 million workplaces in the United States
and its territories. The Committee supports WHD in its efforts
to be more strategic in enforcement activities, which can lead
to more significant results for workers at an industry-level
and deter employers from violating the law, particularly in key
areas of protecting the rights and wages of workers, ensuring
prevailing wage protections, and combatting exploitative child
labor.
Preventing Exploitative Child Labor.--The Committee
recommendation includes an increase of $7,500,000 to help
support efforts to combat exploitative child labor and
violations of child labor provisions of the FLSA and work with
employers on removing illegal child labor from their supply
chains. WHD should continue to utilize strategic enforcement in
industries known to have high incidence of child labor
violations. The Committee also continues to support the
improved collaboration and information sharing established
between the Department of Labor, WHD, and the Department of
Health and Human Services Administration for Children and
Families, including through the interagency taskforce to combat
child labor exploitation and data sharing memorandum of
agreement between the Departments. The Committee requests
quarterly briefings on WHD activities in identifying and
preventing exploitative child labor in the prior quarter and
plans for the current quarter. The briefings must include the
provision of information on the systematic use of data and
information-sharing, compliance efforts, use of enforcement
tools and remedies achieved, community engagement, and
referrals to law enforcement. The Committee also requests the
Department describe in its fiscal year 2026 CJ how civil
monetary penalty collections for child labor violations are
treated as compared to other violations of the FLSA and how a
portion of such funds could be used to further reduce and
prevent exploitative child labor.
Office of Labor-Management Standards
SALARIES AND EXPENSES
Appropriations, 2024.................................... $48,515,000
Budget estimate, 2025................................... 50,845,000
Committee recommendation................................ 48,515,000
The Committee recommends $48,515,000 for the Office of
Labor-Management Standards [OLMS]. The Committee bill does not
include requested authority for OLMS to obligate these funds
during the period of 2 fiscal years.
OLMS administers the Labor-Management Reporting and
Disclosure Act of 1959 [LMRDA] (Public Law 86-257) and related
laws. These laws establish safeguards for union democracy and
financial integrity. They also require public disclosure by
unions, union officers, employers, labor relations consultants
and others. In addition, the Office administers employee
protections under federally sponsored transportation programs.
Office of Federal Contract Compliance Programs
SALARIES AND EXPENSES
Appropriations, 2024.................................... $110,976,000
Budget estimate, 2025................................... 116,132,000
Committee recommendation................................ 110,976,000
The Committee recommends $110,976,000 for the Office of
Federal Contract Compliance Programs [OFCCP]. The Committee
bill does not include requested authority for OFCCP to obligate
these funds during the period of 2 fiscal years.
This Office protects workers and potential employees of
Federal contractors from employment discrimination prohibited
under Executive Order 11246, section 503 of the Rehabilitation
Act of 1973, and the Vietnam Era Veterans' Readjustment
Assistance Act of 1974. These prohibitions make it unlawful for
contractors and subcontractors doing business with the Federal
Government to discriminate in employment because of race,
color, religion, sex (including sexual orientation and gender
identity), national origin, disability, or status as a
protected veteran.
VAHBP Enforcement Moratorium.--The Committee notes that
OFCCP Directive 2021-01 Revision 1 indicates OFCCP's intent to
exercise prosecutorial discretion with regard to the
affirmative obligations of Veterans Affairs Health Benefits
Program [VAHBP] providers until May 2025. The Committee
encourages OFCCP to work with stakeholders and lawmakers to
ensure appropriate implementation of OFCCP programs and robust
access to care for veterans and their families.
Office of Workers' Compensation Programs
SALARIES AND EXPENSES
Appropriations, 2024.................................... $122,705,000
Budget estimate, 2025................................... 130,545,000
Committee recommendation................................ 122,705,000
The Committee recommends $122,705,000 for the Office of
Workers' Compensation Programs [OWCP]. This includes $2,205,000
from the special fund established by the Longshore and Harbor
Workers' Compensation Act. In addition, $51,580,000 is
available by transfer from the Black Lung Disability Trust
Fund.
OWCP administers four distinct compensation programs: the
Federal Employees' Compensation Act [FECA], the Longshore and
Harbor Workers' Compensation Act (Public Law 69-803), the Black
Lung Benefits programs, and the Energy Employees Occupational
Illness Compensation Program Act (Public Law 106-398). In
addition, OWCP houses the Division of Information Technology
Management and Services.
WHCA Claims Processing.--The Committee is aware of
substantial deficiencies in the Department's operations for
processing claims under the War Hazards Compensation Act
[WHCA]. While the Committee understands that the Department has
taken some action to address its backlog and processing of WHCA
claims, the Committee requests a briefing on this topic within
90 days of enactment of this act. Such briefing shall include,
at a minimum, information regarding: (1) the Department's
consideration and, if applicable, implementation of statistical
sampling methods for reducing the amount of time needed by
examiners and reviewers to process claims; (2) the Department's
review and considered changes to the $300 threshold for
sampling reimbursement for medical claims; and (3) historical,
current, and future proposed FTE levels employed by the
Department for processing WHCA claims.
SPECIAL BENEFITS
Appropriations, 2024.................................... $700,000,000
Budget estimate, 2025................................... 726,670,000
Committee recommendation................................ 726,670,000
The Committee recommends $726,670,000 for this account.
This mandatory appropriation, which is administered by OWCP,
primarily provides benefits under FECA.
The Committee continues to provide authority to require
disclosure of Social Security numbers by individuals filing
claims under FECA or the Longshore and Harbor Workers'
Compensation Act (Public Law 69-803) and its extensions.
The Committee continues language that provides authority to
use FECA funds to reimburse a new employer for a portion of the
salary of a newly reemployed injured Federal worker. FECA funds
will be used to reimburse new employers during the first 3
years of employment, not to exceed 75 percent of salary in the
worker's first year, and declining thereafter.
The Committee continues language that allows carryover of
unobligated balances to be used in the following year and
provides authority to draw such sums as needed after August 15
to pay current beneficiaries. Such funds are charged to the
subsequent year appropriation.
The Committee continues language to provide authority to
deposit into the special benefits account of the employees'
compensation fund those funds that the Postal Service, the
Tennessee Valley Authority, and other entities are required to
pay to cover their fair share of the costs of administering the
claims filed by their employees under FECA.
Finally, the Committee maintains language consistent with
long-standing interpretations and implementation of this
appropriation stating that, along with the other compensation
statutes already specifically enumerated, the appropriation is
used to pay obligations that arise under the War Hazards
Compensation Act (Public Law 77-784), and the appropriation is
deposited in the Employees' Compensation Fund and assumes its
attributes, namely availability without time limit as provided
by 5 U.S.C. section 8147.33.
SPECIAL BENEFITS FOR DISABLED COAL MINERS
Appropriations, 2024.................................... $33,140,000
Budget estimate, 2025................................... 31,367,000
Committee recommendation................................ 31,367,000
The Committee recommends a mandatory appropriation of
$24,367,000 in fiscal year 2025 for special benefits for
disabled coal miners. This is in addition to the $7,000,000
appropriated last year as an advance for the first quarter of
fiscal year 2025, for a total program level of $31,367,000 in
fiscal year 2025.
These mandatory funds are used to provide monthly benefits
to coal miners disabled by black lung disease, their widows,
and certain other dependents, as well as to pay related
administrative costs.
The Committee also recommends an advance appropriation of
$6,000,000 for the first quarter of fiscal year 2026. These
funds will ensure uninterrupted benefit payments as promised to
coal miners, their widows, and dependents.
Division of Energy Employees Occupational Illness Compensation
SALARIES AND EXPENSES
Appropriations, 2024.................................... $66,532,000
Budget estimate, 2025................................... 66,966,000
Committee recommendation................................ 66,966,000
The Committee recommends $66,966,000 for the Division of
Energy Employees Occupational Illness Compensation Program
[EEOICP]. This is a mandatory appropriation for administrative
expenses for administration of Part B of the Energy Employees
Occupational Illness Compensation program.
The Division administers the Energy Employees Occupational
Illness Compensation Program Act [EEOICPA] (Public Law 106-
398), which provides benefits to eligible employees and former
employees of the Department of Energy, its contractors and
subcontractors, or to certain survivors of such individuals.
The mission also includes delivering benefits to certain
beneficiaries of the Radiation Exposure Compensation Act
(Public Law 106-245). The Division is part of OWCP.
BLACK LUNG DISABILITY TRUST FUND
Appropriations, 2024.................................... $452,867,000
Budget estimate, 2025................................... 485,706,000
Committee recommendation................................ 485,706,000
The bill provides an estimated $485,706,000 as requested
for this mandatory appropriations account. This estimate is
comprised of $93,879,000 for administrative expenses and an
estimated $391,827,000 for benefit payment and interest costs.
The Committee bill does not include requested authority to
obligate funds available for administrative expenses during the
period of 2 fiscal years.
The bill continues to provide indefinite authority for the
Black Lung Disability Trust Fund to provide for benefit
payments. The Trust Fund pays all black lung compensation/
medical and survivor benefit expenses when no responsible mine
operation can be assigned liability or refuses to pay for such
benefits, as well as all administrative costs that are incurred
in administering the benefits program and operating the trust
fund. As proposed in the President's budget, the bill provides
for transfers from the trust fund for administrative expenses
for the following Department agencies: up to $51,580,000 for
the part C costs of the Division of Coal Mine Workers'
Compensation Programs; up to $41,570,000 for Departmental
Management, Salaries and Expenses; and up to $373,000 for
Departmental Management, Inspector General. The bill also
allows a transfer of up to $356,000 for the Department of the
Treasury.
Occupational Safety and Health Administration
SALARIES AND EXPENSES
Appropriations, 2024.................................... $632,309,000
Budget estimate, 2025................................... 655,463,000
Committee recommendation................................ 637,309,000
The Committee recommends $637,309,000 for the Occupational
Safety and Health Administration [OSHA], which is responsible
for enforcing the Occupational Safety and Health Act of 1970
(Public Law 91-596) in the Nation's workplaces. The Committee
bill does not include requested authority for OSHA to obligate
these funds during the period of 2 fiscal years.
The Committee continues bill language to allow OSHA to
retain course tuition and fees for training institute courses
used for occupational safety and health training and education
activities in the private sector. The cap established by the
bill is $499,000 per year, consistent with current law.
The Committee also continues bill language to exempt farms
employing 10 or fewer people from the provisions of the
Occupational Safety and Health [OSH] Act, with the exception of
those farms having a temporary labor camp. The exemption of
small farming operations from OSHA regulation has been in place
since 1976. OSHA clarified the limits of its authority under
the appropriations rider to conduct enforcement on small farms
in July 2014, particularly regarding post-harvest activities of
a farming operation. It is also important the Department of
Agriculture and National Institute for Occupational Safety and
Health are consulted in any future attempt by OSHA to redefine
or modify any aspect of the small farm exemption. The Committee
also continues language exempting employers with fewer than 10
employees in industry classifications having a lost workday
injury rate less than the National average from general
schedule safety inspections, except for the small farms covered
by the broader exemption.
State Plan States.--The Committee recommends $121,000,000
for grants to States under section 23(g) of the Occupational
Safety and Health Act (Public Law 91-596). These funds
primarily are provided to States that have taken responsibility
for administering their own occupational safety and health
programs for the private sector and/or the public sector. State
plans must be at least as effective as the Federal program and
are monitored by OSHA. The bill continues language that allows
OSHA to provide grants of up to 50 percent for the costs of
State plans approved by the agency.
Workplace Violence in Healthcare and Social Services.--A
survey in 2019 reported one in four nurses were assaulted at
work, with more recent data showing physical and verbal
violence against healthcare workers continuing to rise. The
Healthcare and Social Assistance industry sector includes
nearly 21 million employees and these workers face an increased
risk of workplace violence that is nearly six times that of
workers in all other industries. This violence dramatically
impacts nurse well-being and burnout. It exacerbates the nurse
staffing crisis and affects the quality of patient care. The
Committee notes OSHA's progress to release a workplace violence
prevention standard for healthcare and social assistance. The
Committee requests that OSHA provide a briefing within 180 days
of enactment of this act on progress made toward releasing this
standard, a timeline for publishing a final rule, and the
agency's implementation plan, including related training and
support required to prepare Compliance Safety and Health
Officers for the new workplace violence prevention standard.
Smoke-Related Health Issues for Workers.--The Committee
appreciates the Department's actions to increase awareness on
steps that employers can take to minimize worker exposure to
hazardous outdoor air, including wildfire smoke. The Committee
directs the Department to work with the National Institute for
Occupational Safety and Health [NIOSH] and other relevant
agencies to gather evidence on best practices and make
recommendations that protect workers from the consequences of
long-term exposure to adverse air. Further, the Committee
requests that the Department provide a briefing on their joint
efforts with NIOSH on this issue, particularly supporting
vulnerable workers exposed to adverse air. This briefing shall
be provided not later than 90 days after enactment.
Emergency Response Standard.--The Committee is concerned
with the proposed rule entitled ``Emergency Response Standard''
and its potential impact on volunteer fire and emergency
service departments. The Committee understands this standard
has not been updated in decades and some updates may be
warranted. The Committee strongly encourages OSHA to conduct
listening sessions or other stakeholder engagement to fully
understand the impact on various emergency response and
firefighter stakeholders, including whether or not it is
economically feasible for volunteers to comply with the
proposed regulation, prior to issuing any final rule.
Compliance Assistance.--The Committee continues language
requiring OSHA to dedicate no less than $3,500,000 for
administering the Voluntary Protection Program [VPP] in its
Federal Compliance Assistance budget. OSHA shall not reduce
funding levels or the number of employees administering the
VPP, the Safety and Health Achievement Recognition Program, or
Federal Compliance Assistance, and shall not collect any monies
from participants for the purpose of administering these
programs.
The Committee recommendation also includes $12,787,000 for
the OSHA Susan Harwood Training Grant program. The program
provides disadvantaged, underserved, low-income, or other hard-
to-reach, at-risk workers with identifying and avoiding
workplace hazards, training to protect them from on-the-job
hazards, and to inform workers of their rights and employers of
their responsibilities under the OSH Act. The Committee notes
OSHA's fiscal year 2024 funding opportunity announcements
include grant categories of: Capacity Building, Targeted Topic,
and Training and Educational Materials. The Committee urges
OSHA to prioritize these funds to support non-profit,
community-based groups and other non-profit organizations with
the capability to reach and effectively train vulnerable,
underserved workers, and industries with high injury, illness,
and fatality rates.
Mine Safety and Health Administration
SALARIES AND EXPENSES
Appropriations, 2024.................................... $387,816,000
Budget estimate, 2025................................... 406,538,000
Committee recommendation................................ 392,816,000
The Committee recommendation includes $392,816,000 for the
Mine Safety and Health Administration [MSHA]. The Committee
bill does not include requested authority for MSHA to obligate
these funds during the period of 2 fiscal years.
MSHA enforces the Federal Mine Safety and Health Act
(Public Law 91-173) by conducting inspections and special
investigations of mine operations, promulgating mandatory
safety and health standards, cooperating with the States in
developing effective State programs, and improving training in
conjunction with States and the mining industry.
The Committee continues language authorizing MSHA to use up
to $2,000,000 for mine rescue and recovery activities. It also
retains the provision allowing the Secretary to use any funds
available to the Department to provide for the costs of mine
rescue and survival operations in the event of a major
disaster. To prepare properly for an emergency, the Committee
also directs MSHA to continue to devote sufficient resources
toward a competitive grant activity for effective emergency
response and recovery training in various types of mine
conditions.
In addition, bill language continues to allow the National
Mine Health and Safety Academy to collect not more than
$750,000 for room, board, tuition, and the sale of training
materials to be available for mine safety and health education
and training activities. Bill language also allows MSHA to
retain up to $2,499,000 from fees collected for the approval
and certification of equipment, materials, and explosives for
use in mines, and to utilize such sums for these activities.
The Committee continues to emphasize the importance of mine
safety enforcement, and instructs MSHA to fully implement the
requirements of section 103 of the Federal Mine Safety and
Health Act of 1977 (Public Law 91-173). MSHA shall make
inspections of each underground coal mine in its entirety at
least four times a year and each surface coal or other mine in
its entirety at least two times a year. Further, MSHA shall
fully and effectively enforce the Final Rule Reducing Miners'
Exposure to Coal Dust and should not use any funds to weaken or
eliminate the Final Rule Lowering Miners' Exposure to
Respirable Coal Mine Dust.
Bureau of Labor Statistics
SALARIES AND EXPENSES
Appropriations, 2024.................................... $697,952,000
Budget estimate, 2025................................... 712,786,000
Committee recommendation................................ 702,952,000
The Committee recommends $702,952,000 for the Bureau of
Labor Statistics [BLS]. This amount includes $68,000,000 from
the Employment Security Administration account of the
Unemployment Trust Fund and $634,952,000 in Federal funds. The
Committee bill does not include requested authority for BLS to
obligate these funds during the period of 2 fiscal years.
BLS is the principal fact-finding agency in the Federal
Government in the broad field of labor economics. The Committee
recognizes that the Nation requires current, accurate, detailed
workforce statistics for Federal and non-Federal data users as
provided by BLS. This should include, to the extent
practicable, appropriate methods to gather data on sexual
orientation, gender identity, and variations on sex
characteristics.
Current Population Survey.--The Committee recommendation
includes additional resources intended to support the
modernization of the Current Population Survey [CPS]. Declining
response rates facing all survey programs and other challenges
necessitate actions by BLS and the Census Bureau to modernize
the operations of the CPS and maintain this resource. The
Committee understands work on an Internet self-response mode
and other improvements are underway. The Committee requests a
CPS modernization plan, including an implementation timeline
and resource needs, not later than 30 days after enactment of
this act and follow-up briefing not later than 30 days after
submission of the plan. Further, the Committee expects such
plan and briefing to include input from and participation of
the Census Bureau.
National Longitudinal Survey of Youth.--The Committee
continues to recognize the importance of the National
Longitudinal Survey of Youth [NLSY], which has provided
valuable information about labor market trends for decades. The
Committee maintains current funding for the purposes of
continuing to plan and develop the new NLSY cohort established
by the Further Consolidated Appropriations Act, 2020 and
maintained in the last 4 fiscal years.
The Committee expects BLS will develop an appropriate
methodology that will maintain continuity in key measurements
across the cohorts, which will be of value to understanding our
changing economy and society. The Committee intends for the
funds to be used to support continued planning and development
of the new cohort. The Committee expects BLS to continue
fielding the NLSY79 and NLSY97 cohorts and maintain the current
design, methodology, and data quality. Further, BLS shall brief
the Committees on its plans for executing these directives and
carrying out its implementation of the new NLSY cohort plan.
Nonprofit Sector Employment and Wage Data.--The Committee
looks forward to the release of BLS data on employment and wage
estimates for the nonprofit sector for the years 2018-2022.
This release will include State- and county-level information
that will provide important insight into this area of the
economy. The Committee directs BLS to develop cost-effective
options to make this information available on a more frequent
basis and report its progress to the Committee no later than
120 days after the enactment of this act.
Office of Disability Employment Policy
Appropriations, 2024.................................... $43,000,000
Budget estimate, 2025................................... 44,876,000
Committee recommendation................................ 43,000,000
The Committee recommends $43,000,000 for the Office of
Disability Employment Policy [ODEP] to provide leadership,
develop policy and initiatives, support technical assistance
and implementation, and award grants, cooperative agreements,
and contracts furthering the objective of eliminating physical
and programmatic barriers to the training, labor force
participation and employment of people with disabilities and to
design and implement research and technical assistance grants
and contracts that support the transition to competitive,
integrated employment for youth and adults with disabilities.
The Committee bill does not include requested authority for
ODEP to obligate these funds during the period of 2 fiscal
years. The bill also includes language continuing to allow not
less than $9,000,000 to be used for research and demonstration
projects related to testing effective ways to promote greater
labor force participation of people with disabilities. These
funds may be transferred to the ``State Unemployment Insurance
and Employment Service Operations'' account for such purpose.
The Committee requests notification at least 14 days prior to
any such transfer.
Departmental Management
SALARIES AND EXPENSES
Appropriations, 2024.................................... $388,197,000
Budget estimate, 2025................................... 465,601,000
Committee recommendation................................ 395,197,000
The Committee recommendation includes $395,197,000 for the
Departmental Management, Salaries and Expenses account. Of this
amount, $394,889,000 is available from general funds and
$308,000 is available by transfer from the Employment Security
Administration account of the Unemployment Trust Fund. In
addition, $41,570,000 is available by transfer from the Black
Lung Disability Trust Fund. The Committee bill does not include
requested authority for these funds to be available for
obligation for a period of 2 fiscal years.
The Departmental Management, Salaries and Expenses
appropriation pays the salaries and related expenses of staff
responsible for formulating and overseeing the implementation
of departmental policy and management activities in support of
that goal. In addition, this appropriation includes a variety
of operating programs and activities that are not involved in
departmental management functions, but for which other
appropriations for salaries and expenses are not suitable.
Preventing Exploitative Child Labor.--The Committee
recommendation includes an increase of $4,000,000 to help
support efforts of the Office of the Solicitor to combat
exploitative child labor and violations of child labor
provisions of the FLSA and work with employers to remove
illegal child labor from their supply chains. The Secretary is
directed to report to the Committees not later than 45 days
after the end of the fiscal year on the Department's efforts to
enforce child labor provisions of the FLSA with particular
focus on hazardous occupations, child labor trafficking and
child labor exploitation, including by reporting for fiscal
year 2025: enforcement resources expended by agency including
on child labor enforcement; the number of concluded cases and
violations by industry; the number and type of enforcement
actions imposed by industry, including the number of employers
held liable for child labor violations; the number of referrals
to other agencies for support or legal services for effected
children and youth, and the number of criminal referrals to law
enforcement for violations of child labor provisions.
The Committee is also concerned by the Department's limited
referrals to the Department of Justice in response to reports
of children, including unaccompanied children, suspected of
being subject to child labor trafficking and exploitation. The
Committee directs the Department to submit a report not later
than 180 days after enactment detailing the referrals in the
previous fiscal year on suspected violations of child labor
trafficking laws. The report should provide the number of
referrals initiated and, to the extent that the information is
available, the disposition of each including the number of
arrests, convictions, pending cases, and case dismissals.
Bureau of International Labor Affairs [ILAB].--The
Committee recommendation includes $118,125,000 for ILAB to
carry out its statutory responsibilities, of which $82,725,000
is available for obligation through December 31, 2025. These
funds are in addition to the supplemental appropriations for
ILAB in Public Law 116-113, the United States-Mexico-Canada
Agreement Implementation Act, for its responsibilities under
that law.
ILAB's appropriation is available to help improve working
conditions and labor standards for workers around the world by
carrying out ILAB's statutory mandates and international
responsibilities, including in promoting the elimination of the
worst forms of child labor and forced labor. ILAB works to
ensure workers and businesses in the United States are not put
at a competitive disadvantage by trading partner countries not
adhering to their labor commitments under trade agreements and
trade preference programs. The bill continues language setting
aside funding for grants, contracts and other arrangements for
technical assistance on worker rights and for combatting child
labor, with no less than $30,175,000 available for worker
rights programs and no less than $30,175,000 for combatting
exploitative child labor internationally. This flexibility will
allow ILAB to target additional resources where conditions on
the ground and other factors create the greatest opportunities
to make significant progress on these issues and maintain a
robust level of support for both critically important
activities.
The Department shall report on plans for and uses of all
funds made available to the Department in the United States-
Mexico-Canada Agreement Implementation Act (Public Law 116-113)
in the fiscal year 2026 and subsequent year CJs. Such plans and
updates shall also include information on how funds are being
used for monitoring, oversight, and technical assistance in
support of the purposes of such act, including Mexico's
implementation of nationwide labor reforms and compliance with
labor obligations.
The Committee continues to support the critical role ILAB
plays in working to eradicate child labor, forced labor, and
human trafficking, including through its research and reporting
in its Findings on the Worst Forms of Child Labor, List of
Goods Produced by Child Labor or Forced Labor, and List of
Products Produced by Forced or Indentured Child Labor. The
appropriation will support continued publication of these
important reports, including the tracking of goods through
supply chains and identifying inputs made with child and forced
labor.
Evaluation, and Evidence-Building and Use.--The Committee
recommendation provides $4,281,000 for program evaluation and
allows these funds to be available for obligation through
September 30, 2026. The Committee bill also continues the
authority of the Secretary to transfer these funds to any other
account in the Department for evaluation purposes. The
Committee bill continues authority to use up to 0.75 percent of
certain Department appropriations for evaluation activities
identified by the chief evaluation officer. The Committee
expects to be notified of the planned uses of funds derived
from this authority.
Foundation for Evidence-Based Policymaking Act.--The
Committee continues to believe that the execution of the
Foundations for Evidence-Based Policymaking Act will enhance
the evidence-building capacity of Federal agencies, strengthen
privacy protections, improve secure access to data, and provide
more and higher quality evidence to policymakers. Therefore,
the Committee directs the Department to continue to include in
the fiscal year 2026 and future CJs updates on the
implementation and planned implementation of such act for the
current and future budget years. These updates shall describe
important changes being made by agencies using research
findings and evidence to improve their operations.
Women's Bureau.--The Committee recommendation provides
$24,000,000 for the Women's Bureau. The Committee continues
bill language allowing the Bureau to award grants, including
not less than $5,000,000 for grants authorized by the Women in
Apprenticeship and Nontraditional Occupations Act. The
Committee is particularly supportive of the Bureau's plans to
expand WANTO grants and continue to support paid leave
programs.
Paid Family Leave.--The Committee is particularly
supportive of the Women's Bureau's work and dedication to
supporting paid leave programs as part of their mission to
support women's workforce participation. In order to study best
practices in paid leave programs, the Women's Bureau should
request data from State paid leave programs in order to publish
a report about usage rates and distribution of paid leave at
the State level as well as steps State paid leave programs are
taking to support the full range of businesses and
entrepreneurs.
Menopause.--More than one million American women go through
menopause every year and an estimated 20 percent of workers are
in some phase of menopause transition. The symptoms of
menopause can be severe, including extreme fatigue, anxiety,
depression, and changes in bone and heart health, and, in some
cases, can cause women to miss work. The Committee is pleased
that the Women's Bureau has engaged this important workforce
topic and encourages the Bureau to expand its work to identify
model workplace practices that support women going through
menopause transition, document the economic benefits of such
practices, and suggest options to encourage wider adoption of
such practices.
Excess Personal Property.--The Committee directs the
Department to include in the fiscal year 2026 CJ information on
the value and recipient of excess personal property provided to
apprenticeship programs under section 112 of this act.
Persistent Poverty.--The Committee encourages the
Department to develop and implement measures to increase the
share of funding targeted to areas experiencing high and
persistent poverty. The Committee directs the Department to
include information in its fiscal year 2026 CJ on the
percentage of DOL funding targeted to such areas.
INFORMATION TECHNOLOGY MODERNIZATION
Appropriations, 2024.................................... $29,269,000
Budget estimate, 2025................................... 35,286,000
Committee recommendation................................ 29,269,000
The Committee recommends $29,269,000 for the Information
Technology [IT] Modernization account. Funds available in this
account have been used for two primary activities. The first is
departmental support systems, for which $6,889,000 is provided.
The second activity, IT Infrastructure Modernization, is
provided $22,380,000 to support necessary activities associated
with the Federal Data Center Consolidation Initiative and other
efforts. These funds are available for obligation through
September 30, 2026.
The Committee continues to request that the Department
submit a report to the Committees not later than 90 days after
enactment of this act that provides an update on projects to be
funded, planned activities and associated timelines, expected
benefits, and planned expenditures. The report should also
include completed activities, remaining activities and
associated timelines, actual and remaining expenditures,
explanation of any cost overruns and delays, and corrective
actions, as necessary, to keep the project on track and within
budget.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2024.................................... $97,028,000
Budget estimate, 2025................................... 106,237,000
Committee recommendation................................ 97,028,000
The Committee recommends $97,028,000 for the DOL Office of
the Inspector General. The bill includes $91,187,000 in general
funds and authority to transfer $5,841,000 from the Employment
Security Administration account of the Unemployment Trust Fund.
In addition, an amount of $373,000 is available by transfer
from the Black Lung Disability Trust Fund. The Committee bill
does not include requested authority to obligate these funds
during the period of 2 fiscal years. The bill continues to
allow up to $2,000,000 of the appropriation to be available
until expended.
Through a comprehensive program of audits, investigations,
inspections, and program evaluations, the Inspector General
attempts to reduce the incidence of fraud, waste, abuse, and
mismanagement, and to promote economy, efficiency, and
effectiveness.
Emergency Programs.--The Committee directs the OIG to
include information in the fiscal year 2026 CJ on: 1) without
disclosing law enforcement sensitive information, how it
identifies fraudulent actors who apply for unemployment
insurance payments and the nature of these actors; (2) how any
new appropriations and authorities would help the OIG identify
and recoup fraudulent overpayments; (3) how the OIG used CARES
Act, ARPA, and annual appropriations to recommend improvements
to the administration and program integrity of the unemployment
insurance system since 2020; and (4) recommendations intended
to improve the Department's programs and operations in future
emergencies.
General Provisions
Section 101. The bill continues a provision limiting the
use of Job Corps funding for compensation of an individual that
is not a Federal employee at a rate not to exceed Executive
Level II.
Section 102. The bill continues a provision providing for
general transfer authority.
Section 103. The bill continues a provision prohibiting
funding for the procurement of goods and services utilizing
forced or indentured child labor in industries and host
countries already identified by the Department in accordance
with Executive Order 13126.
Section 104. The bill continues a provision requiring that
funds available under section 414(c) of the American
Competitiveness and Workforce Improvement Act (Public Law 106-
313) may only be used for competitive grants that train
individuals over the age of 16 who are not enrolled in school,
in occupations and industries for which employers are using H-
1B visas to hire foreign workers.
Section 105. The bill continues a provision limiting the
use of the Employment and Training Administration [ETA] funds
by a recipient or subrecipient for compensation of an
individual at a rate not to exceed Executive Level II.
Section 106. The bill modifies a provision regarding
transfer authority related to funds for technical assistance
and program integrity.
Section 107. The bill continues a provision allowing up to
0.75 percent of discretionary appropriations provided in this
act for all Department agencies to be used by the Office of the
Chief Evaluation Officer for evaluation purposes consistent
with the terms and conditions in this act applicable to such
office.
Section 108. The bill continues a longstanding provision
regarding the application of the Fair Labor Standards Act
(Public Law 74-718) after the occurrence of a major disaster.
Section 109. The bill continues a longstanding provision
that provides flexibility with respect to the crossing of H-2B
nonimmigrants.
Section 110. The bill continues a provision related to the
wage methodology under the H-2B program.
Section 111. The bill continues a provision regarding the
three-fourths guarantee and definitions of corresponding
employment and temporary need for purposes of the H-2B program.
Section 112. The bill modifies a provision providing
authority related to the disposition of excess property related
to the training of apprentices.
Section 113. The bill includes a new provision permanently
authorizing a security detail at the Department of Labor. The
Department is directed to report for each fiscal year starting
in fiscal year 2025 and continuing through fiscal year 2030 on
the protection provided, and the expenditures made, in the
preceding fiscal year pursuant to this section. Such report
shall be provided to the Committees on Appropriations of the
Senate and the House of Representatives and the Committee on
Health, Education, Labor and Pensions of the Senate and the
Committee on Education and the Workforce of the House not later
than 30 days after the close of each fiscal year.
Section 114. The bill continues a provision related to Job
Corps property.
Section 115. The bill continues a provision related to Job
Corps Civilian Conservation Centers.
Section 116. The bill modifies a provision rescinding funds
from the H-1B program.
Section 117. The bill modifies a provision rescinding
certain funds available to the Employment and Training
Administration.
Section 118. The bill includes a new provision regarding
the provision of technical assistance.
Section 119. The bill includes a new provision allowing up
to 1 percent of accounts available for salaries and expenses to
be transferred to the Working Capital Fund for specified
purposes. The Department is required to notify the Committees
at least 15 days in advance of any transfer.
TITLE II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Any references in this title of the report to the
``Secretary'' or the ``Department'' shall be interpreted to
mean the Secretary of HHS or the Department of HHS,
respectively, unless otherwise noted.
Health Resources and Services Administration
The Health Resources and Services Administration [HRSA]
activities support programs to provide healthcare services to
disadvantaged, medically underserved, and special populations;
mothers and infants; the elderly and homeless; and rural
communities. HRSA supports cooperative programs in maternal and
child health, AIDS care, healthcare provider training, and
healthcare delivery systems and facilities.
PRIMARY HEALTH CARE
Appropriations, 2024.................................... $1,858,772,000
Budget estimate, 2025................................... 1,858,772,000
Committee recommendation................................ 1,858,772,000
Community Health Centers
The Committee provides $1,858,772,000 for the Bureau of
Primary Health Care. Programs supported by this funding include
community health centers, migrant health centers, healthcare
for the homeless, school-based, and public housing health
service grants. The Committee continues to support the ongoing
effort to increase the number of people who have access to
medical services at health centers. Health centers play a vital
role in ensuring access to primary care in underserved areas of
the country, including urban, rural, and frontier areas.
In addition, within the amount provided, the Committee
provides up to $120,000,000 under the Federal Tort Claims Act
[FTCA] (Public Law 102-501 and Public Law 104-73), available
until expended. These funds are used to pay judgments and
settlements, occasional witness fees and expenses, and related
administrative costs. The Committee intends FTCA coverage
funded through this bill to be inclusive of all providers,
activities, and services included within the health centers'
federally approved scope of project.
Addressing Intimate Partner Violence and Project
Catalyst.--The Committee includes no less than $2,000,000 for
the HRSA Strategy to Address Intimate Partner Violence.
Base Grant Adjustments.--The Committee recognizes that
health center costs have increased significantly and that it
has been nearly a decade since the last base grant adjustment.
The Committee encourages HRSA to consider the needs of existing
health centers in relation to their current base grants when
allocating health center funding.
Children's Mental Health Services.--The Committee continues
to urge HRSA to provide funding to Health Centers to support
vital mental health services for children.
Early Childhood Development.--The Committee continues no
less than $30,000,000 to further integrate early childhood
development services and expertise, including by hiring or
contracting for early childhood development specialists.
Ending the HIV Epidemic.--The Committee provides
$157,250,000 within the health centers program for the Ending
the HIV Epidemic initiative. The initiative provides funding to
Health Centers in high-need jurisdictions to increase
prevention and treatment services for people at high risk for
HIV transmission, including pre-exposure prophylaxis [PrEP]
related services, outreach, and care coordination through new
grant awards in areas currently served by health centers.
Federally Qualified Health Center [FQHC] Look-Alike
Participation.--The Committee notes that certain health centers
throughout the country are ineligible to apply for supplemental
funding awards because of their status as a FQHC Look-Alike
[LAL]. The Committee requests a briefing from HRSA within 180
days of enactment of this act on the impacts of allowing FQHC
LALs to apply for supplemental funding opportunities under
section 330 of the Public Health Service [PHS] Act and ways in
which the FQHC LAL program could be better utilized as a
pipeline into the section 330 Health Center program.
Free Clinics Medical Malpractice Coverage.--The Committee
provides $1,000,000 for payments of claims under the FTCA to be
made available for free clinic health professionals as
authorized by section 224(o) of the PHS Act (Public Law 104-
73). This appropriation extends FTCA coverage to medical
volunteers in free clinics to expand access to healthcare
services to low-income individuals in medically underserved
areas.
Native Hawaiian Health Care.--The Committee includes no
less than $27,000,000 for the Native Hawaiian Health Care
Program. Of the total amount appropriated for the Native
Hawaiian Health Care Program, not less than $10,000,000 shall
be provided to Papa Ola Lokahi for administrative purposes
authorized under 42 U.S.C. 11706, including to coordinate and
support healthcare service provision to Native Hawaiians and
strengthen the capacity of the Native Hawaiian Health Care
Systems to provide comprehensive health education and
promotion, disease prevention services, traditional healing
practices, and primary health services to Native Hawaiians.
School-Based Health Centers [SBHCs].--The Committee
includes $55,000,000 for awards to health centers operating
school-based service sites under section 330 of the PHS Act to
increase their capacity to meet the increasing demand for
health services, including mental health services.
Type I Screenings.--The Committee supports efforts to
increase type 1 diabetes screenings at community health centers
[CHCs], particularly among high-risk populations, especially
given the advances in treatments that now can delay onset of
the disease for several years if caught early enough. HRSA is
directed to provide an update to the Committee within 180 days
of enactment of this act on the efforts being made to increase
screening for type 1 diabetes at CHCs. The update should
include the feasibility and cost estimate of expanding
screening, as well as a plan and timeline on how to roll out
such efforts.
Technical Assistance.--The Committee believes funding for
the training and technical assistance available for health
centers through national and State cooperative agreements and
grants is critical to the successful operation and expansion of
the Health Centers program. Funds are available within the
amount provided to enhance technical assistance and training
activities and further quality improvement initiatives that
improve health outcomes.
Vaccination and Screening for Hepatitis B.--The Committee
encourages HRSA to redouble efforts to support health center
grantees to adopt the necessary practices and policies to
comply with the November 2021 Advisory Committee on
Immunization Practices [ACIP] recommendation that all adults
between ages 19 and 59 be vaccinated and the March 2023 ACIP
recommendation that all adults between ages 19 and 59 be
screened for hepatitis B. To implement these policies, the
Committee further encourages HRSA to ensure that health centers
screen patients aged 19-59 for hepatitis B, offer to immunize
all non-infected patients in the 19-59 age cohort, and navigate
infected individuals into care. The Committee requests an
update from HRSA before the end of fiscal year 2025 on its
progress to meet this goal, including the number of individuals
screened and number of individuals vaccinated for hepatitis B
at HRSA-funded health centers.
HEALTH WORKFORCE
Appropriations, 2024.................................... $1,404,376,000
Budget estimate, 2025................................... 1,467,376,000
Committee recommendation................................ 1,411,376,000
The Bureau of Health Workforce provides policy leadership
and grant support for health professions workforce development.
The mission of the Bureau is to identify shortage areas while
working to eliminate them. Programs are intended to ensure that
the Nation has the right clinicians, with the right skills,
working where they are needed.
The Committee also encourages HRSA to conduct outreach,
provide technical assistance, and give priority in awarding
cooperative agreements and grants to entities in high poverty
areas and historically marginalized communities. The Committee
encourages HRSA to work with these communities to develop their
mental health workforce and requests an update in the fiscal
year 2026 CJ on best practices and strategies to attract mental
healthcare practitioners to these disproportionately impacted
communities.
National Health Service Corps
The Committee provides $128,600,000 for the National Health
Service Corps [Corps]. The Committee recognizes the success of
the Corps program in building healthy communities in areas with
limited access to care. The program has shown increases in
retention of healthcare professionals located in underserved
areas.
Within this total, the Committee continues support for
access to quality opioid and substance use disorder [SUD]
treatment in rural and underserved areas nationwide. The
Committee continues language that expands eligibility for loan
repayment awards through the Corps to include SUD counselors.
The Committee also continues to include section 206 of this act
to modify the rules governing the Corps to allow every Corps
member 60 days to cancel their contract. Further, the Committee
encourages HRSA to explore opportunities to provide incentives
for individuals working in their home State or the State in
which they received their education.
Correctional Facilities.--While Federal and State
correctional facilities are eligible for Corps scholarships and
loan repayment, a 1989 Federal regulation narrowed eligibility
for Corps scholarships to exclude county jails. The Committee
notes that county jails in large metropolitan areas are often
the biggest correctional facilities in an area, and encourages
HRSA to work with Congress and relevant stakeholders to develop
a process to provide county and municipal correctional
facilities the opportunity to participate in the Corps program
if they would otherwise meet the requirements of a National
Health Service Corps service site. Within 180 days of enactment
of this act, the Committee requests a briefing detailing
implications and considerations for participation by county
jails.
Maternity Care Target Areas [MCTAs].--The Committee
recognizes HRSA's progress in determining MCTAs in order to
begin making loan repayment awards to maternal health
practitioners, such as OB/GYNs and Certified Nurse Midwives,
who agree to serve in MCTAs. Within the total for the Corps,
the Committee includes not less than $8,000,000 to support loan
repayment and scholarships for maternity care health services
in health professional shortage areas. The Committee requests
that HRSA provide a briefing on this effort within 120 days of
enactment of this act.
Rural Health Equity.--The Committee recognizes the
importance of the Corps Scholarship Program, especially in
combatting the rural healthcare provider shortage, and
encourages HRSA to increase the number of scholarships
provided. Providing Corps scholarships, particularly to
students from rural communities, will increase equitable access
to medical school and help to solve the rural provider
workforce shortages throughout the United States.
Training for Diversity
The Committee supports programs that improve the diversity
of the healthcare workforce. HRSA's diversity pipeline programs
help advance patient care and ensure opportunity for all
healthcare providers.
Centers of Excellence
The Committee recommends $28,422,000 for the Centers of
Excellence [COE] program. This program provides grants to
health professions schools and other institutions to serve as
resource and education centers for the recruitment, training,
and retention of underrepresented minority students and
faculty. The Committee notes that COEs educate a
disproportionate share of health professionals from minority
and underserved backgrounds and address the need for a diverse
and culturally competent healthcare workforce.
Health Careers Opportunity Program
The Committee includes $16,000,000 for the Health Careers
Opportunity Program [HCOP]. The Committee notes that HCOPs
assist students from minority and economically disadvantaged
backgrounds with navigating careers into the health
professions.
Faculty Loan Repayment
The Committee provides $2,310,000 for the Faculty Loan
Repayment Program. This program provides loan repayment to
health profession graduates from disadvantaged backgrounds who
serve as faculty at eligible health professions academic
institutions.
Scholarships for Disadvantaged Students
The Committee provides $55,014,000 for Scholarships for
Disadvantaged Students. This program provides grants to
eligible health professions and nursing schools to award
scholarships to students from disadvantaged backgrounds who
have financial need. The Committee recognizes the success of
the program and encourages HRSA to prioritize institutions with
a proven record of training diverse practitioners and placing
practitioners in low-income communities.
Midwifery Training.--The Committee continues $5,000,000 to
support grants to educate midwives to address the National
shortage of maternity care providers. The Committee encourages
HRSA to award robust funding to increase and diversify the
number of Certified Nurse Midwives, particularly in rural and
underserved communities.
Primary Care Training and Enhancement
The Committee provides $49,924,000 for the Primary Care
Training and Enhancement [PCTE] program to support the
expansion of training in internal medicine, family medicine,
and pediatrics. Funds may be used to develop training programs
or provide direct financial assistance to students and
residents.
Administrative Academic Units.--The Committee supports the
inclusion of administrative academic units within medical
schools and requests a briefing within 60 days of enactment of
this act on HRSA's work to support administrative academic
units within medical schools, including barriers to additional
funding opportunities for such units.
Community-based Clinical Rotations for Medical Students.--
The Committee recognizes that patient care is frequently
provided in a range of community-based settings and that
providing outpatient training opportunities in underserved
areas encourages long-term, sustainable physician practice in
high-need areas. The Committee encourages HRSA to evaluate and
facilitate opportunities for medical schools to partner with
FQHCs, Rural Health Clinics or other healthcare facilities
located in medically underserved communities to increase
medical school clinical rotations in rural and underserved
areas.
Eating Disorders Screening and Referrals.--Within the total
for PCTE, the Committee continues to support up to $1,000,000
in coordination with SAMHSA's Center of Excellence for Eating
Disorders, to provide trainings for primary care health
professionals to screen, intervene, and refer patients to
treatment for the severe mental illness of eating disorders, as
authorized under section 13006 of the 21st Century Cures Act
(Public Law 114-255).
Training in Oral Health Care
The Committee provides $42,673,000 for Training in Oral
Health Care Programs, which includes not less than $13,000,000
for General Dentistry Programs and not less than $13,000,000
for Pediatric Dentistry Programs, and not less than $15,000,000
for State Oral Health Workforce grants. The Committee directs
HRSA to provide continuation funding for section 748 post-
doctoral training grants, predoctoral dental grants, and dental
faculty loan repayment program [DFLRP] grants. The Committee
directs HRSA to initiate a new DFLRP grant cycle with a
preference for pediatric dentistry faculty supervising dental
students or residents and providing clinical services in dental
clinics located in dental schools, hospitals, and community-
based affiliated sites.
Medical Student Education
The Committee recommends $36,000,000 to support colleges of
medicine at public universities located in the top half of
States projected to have a primary care provider shortage. The
Committee notes that this program has significant unspent
balances from previous fiscal year appropriations that will
continue to be available to public universities that meet the
program criteria.
Interdisciplinary, Community-Based Linkages
Area Health Education Centers
The Committee provides $47,000,000 for Area Health
Education Centers [AHECs]. The program links university health
science centers with community health service delivery systems
to provide training sites for students, faculty, and
practitioners. The program supports three types of projects:
core grants to plan and implement programs; special initiative
funding for schools that have previously received AHEC grants;
and model programs to extend AHEC programs with 50 percent
Federal funding.
Health Care Simulation Labs.--The Committee provides no
less than $3,000,000 to continue competitive grants for AHEC
recipients to expand experiential learning opportunities
through simulation labs designed to educate and train
healthcare professionals serving rural, medically underserved
communities. HRSA shall include as an allowable use the
purchase of simulation training equipment.
Behavioral Health Workforce Education and Training Program
The Committee provides $113,000,000 for the Behavioral
Health Workforce Education and Training [BHWET] program. This
program establishes and expands internships or field placement
programs in behavioral health serving populations in rural and
medically underserved areas. The Committee expresses ongoing,
strong support for the Substance Use Disorder Treatment and
Recovery [STAR] Loan Repayment program that was previously
funded under BHWET, but is now funded as a standalone program.
Addiction Medicine Fellowship [AMF] Program.--Within the
total for BHWET, the Committee includes $25,000,000 for AMF to
foster robust community-based clinical training of addiction
medicine or addiction psychiatry physicians in underserved,
community-based settings who see patients at various access
points of care and provide addiction prevention, treatment, and
recovery services across healthcare sectors.
Peer Support Specialists.--Within BHWET, the Committee
includes $14,000,000 to fund training, internships, and
certification for mental health and substance use peer support
specialists to create an advanced peer workforce prepared to
work in clinical settings.
Provider Distribution.--The Committee recognizes that some
communities may disproportionately experience a high prevalence
of substance use disorders, high suicide rates, and high
poverty rates, combined with severe mental health provider
shortages. The Committee encourages HRSA to assess the
distribution of behavioral health students and providers who
have participated in behavioral health workforce development
programs and examine best practices to support healthcare and
mental health providers serving in such communities.
Geriatric Programs
The Committee provides $49,245,000 for the Geriatric
Programs, including the Geriatric Workforce Enhancement Program
and the Geriatrics Academic Career Awards [GACA] Program. These
programs support training to integrate geriatrics into primary
care delivery and develop academic primary care community-based
partnerships to address gaps in healthcare for older adults.
Mental and Behavioral Health Programs
The Committee includes $44,053,000 for Mental and
Behavioral Health programs.
Graduate Psychology Education [GPE].--Within the total for
Mental and Behavioral Health programs, the Committee includes
$25,000,000 for the inter-professional GPE program to increase
the number of health service psychologists trained to provide
integrated services to high-need, high-demand populations in
rural and urban communities. The Committee recognizes the
growing need for highly trained mental and behavioral health
professionals to deliver evidence-based behavioral
interventions for pain management in addressing the opioid
epidemic. The Committee also notes data from CDC demonstrating
a mental health crisis among youth and adolescents and urges
HRSA to strengthen investments in the training of health
service psychologists to help meet these demands.
Substance Use Disorder Treatment and Recovery [STAR] Loan Repayment
Program
The Committee provides $65,000,000, an increase of
$25,000,000 above the fiscal year 2024 enacted level. This
program addresses shortages in the SUD workforce by providing
for the repayment of education loans for individuals working in
a full-time SUD treatment job that involves direct patient care
in either a Mental Health Professional Shortage Area or a
county where the overdose death rate exceeds the National
average. The Committee also encourages HRSA to actively recruit
SUD counselors to take advantage of its STAR Loan Repayment
Program, so that underserved communities may benefit from the
presence of these professionals.
Health Professions Workforce Information and Analysis
The Committee provides $5,663,000 for health professions
workforce information and analysis. This program provides for
the collection and analysis of targeted information on the
Nation's healthcare workforce, research on high-priority
workforce questions, the development of analytic and research
infrastructure, and program evaluation and assessment.
Real-Time Data to Improve U.S. Healthcare Workforce.--The
Committee recognizes the benefit of using real-time information
in order to assess whether such programs are leading to
improved physician supply in medically underserved areas. The
Committee supports development of a data dashboard for all
graduate medical education training position participants to
include real-time information on residency applications,
interviewee demographics, and residency fulfillment rates. The
Committee requests a professional judgment estimate for the
development of such a data dashboard, and any potential
barriers, within 180 days of enactment of this act.
Public Health Workforce Development
The Committee provides $18,000,000 for Public Health
Workforce Development. This program line, also called Public
Health and Preventive Medicine, funds programs that are
authorized in titles III and VII of the PHS Act (Public Law
111-148) and supports awards to schools of medicine,
osteopathic medicine, public health, and integrative medicine
programs.
Nursing Workforce Development Programs
The Committee provides $310,472,000 for Nursing Workforce
Development programs. These programs provide funding to address
all aspects of nursing workforce demand, including education,
practice, recruitment, and retention.
Palliative Care Nursing Workforce.--Palliative care is
patient and family-centered care, involving the support of an
inter-professional team of doctors, nurses, social workers, and
other providers and specialists who provide care for people
with serious illnesses. As the healthcare needs of the Nation
evolve and grow in complexity, the Committee encourages HRSA to
expand opportunities to train and strengthen the palliative
care nursing workforce through existing programs and
activities.
State-Based Nursing Workforce Centers.--The Committee notes
interest in State-based nursing workforce centers. Such centers
can collect local workforce research data, conduct strategic
nursing workforce planning and program development, support
programs to decrease workplace violence against nurses, develop
programs to increase the recruitment and retention of nurses,
and coordinate nurse leadership development programs. The
Committee encourages HRSA to work with Congress and
stakeholders to examine ways to establish new or enhance
existing State-based nursing workforce centers to advance
training.
Advanced Education Nursing
The Committee recommends $89,581,000 for Advanced Education
Nursing programs, which increase the number of qualified nurses
in the workforce by improving nursing education through
curriculum and faculty development. The Committee recognizes
the importance of strengthening the primary care workforce and
training providers to work in community-based settings,
particularly by funding Advanced Nursing Education and
Residency Programs.
Certified Nurse Midwives.--The Committee includes
$8,000,000 to grow and diversify the maternal and perinatal
nursing workforce by increasing and diversifying the number of
Certified Nurse Midwives with a focus on practitioners working
in rural and underserved communities. The program will help
advance equity and address disparities in maternal mortality by
awarding scholarships to students and Registered Nurses to
cover the cost of tuition for the duration of the nurse
midwifery program.
Sexual Assault Nurse Examiners Program.--The Committee
provides $15,000,000 to support training and certification of
Registered Nurses, Advanced Practice Registered Nurses, and
Forensic Nurses to practice as sexual assault nurse examiners.
Nurse Education, Practice, Quality and Retention Program
The Committee includes $69,413,000, an increase of
$5,000,000 above the fiscal year 2024 enacted level, for
competitive grants within the Nurse Education, Practice,
Quality and Retention program to enhance nurse education and
strengthen the nursing workforce through the expansion of
experiential learning opportunities. Within this total, the
Committee continues no less than $10,750,000 for grants to
enhance nurse education through the expansion of experiential
learning opportunities. HRSA is directed to ensure that these
grants include as an allowable use the purchase of simulation
training equipment.
Traineeships to Address the Nursing Shortage and Prepare
Academic Faculty.--The National Academies of Science,
Engineering, and Medicine [NASEM] issued a report that provided
recommendations to Congress to ease the nursing shortage in
America. The Committee recognizes the urgent need to address
the nursing shortage existing in all parts of the United States
and grow the pipeline of nurse educators to meet the demand to
grow the workforce. Therefore, the Committee encourages HRSA to
provide traineeships and fellowships, including stipends, for
eligible entities at both public and private institutions to
expand opportunities that prepare individuals for careers in
nursing.
Registered Nurse [RN] Shortages.--The Committee provides
$7,000,000 to increase the supply of registered nurses.
Further, the Committee directs HRSA to give priority in new
funding announcements to public entities for training
additional RNs, specifically for long-term and acute care
settings, and to give priority to applicants in States listed
by HRSA as having the greatest shortages.
Nurse Practitioner Fellowship Program
The Committee provides $6,000,000 for grants to community-
based nurse practitioner residency and fellowship training
programs that are accredited, or in the accreditation process,
for practicing postgraduate nurse practitioners in primary care
or behavioral health, where supported education and training
specialties will include family, adult family, adult
gerontology, pediatric, women's healthcare, nurse midwife, and
psychiatric mental health.
Nurse Corps Scholarship and Loan Repayment
The Committee includes $92,635,000 for Nurse Corps. This
program supports scholarships and loan repayment assistance for
nurses and nursing students committed to working in communities
with inadequate access to care.
Nurse Faculty Loan Repayment
The Committee includes $28,500,000 for Nurse Faculty Loan
Repayment to expand the number of qualified nursing faculty
nationwide by providing low interest loans for individuals
studying to be nurse faculty and loan cancellation for those
who then go on to work as faculty.
Nursing Workforce Diversity
The Committee includes $24,343,000 for Nursing Workforce
Diversity to increase nursing education opportunities for
individuals from disadvantaged backgrounds by providing student
stipends, scholarships, and preparation and retention
activities.
Children's Hospitals Graduate Medical Education
The Committee provides $390,000,000 for the Children's
Hospitals Graduate Medical Education [CHGME] program. The
Committee strongly supports the CHGME program, which provides
support for graduate medical education training programs in
both ambulatory and inpatient settings within freestanding
children's teaching hospitals. CHGME payments are determined by
a per-resident formula that includes an amount for direct
training costs added to a payment for indirect costs. Payments
support training of resident physicians as defined by Medicare
in both ambulatory and inpatient settings.
Pediatric Specialty Loan Repayment Program
The Committee recognizes that significant shortages of
pediatric medical subspecialists, pediatric surgical
specialists, child and adolescent psychiatrists, and other
pediatric mental health professionals are impeding access to
care for children and adolescents in underserved areas. The
Committee includes $10,000,000 for section 775 of the PHS Act.
The Committee understands that high student loan debt is a
significant barrier to providers choosing to complete training
that would enable them to provide specialized care to children
with special needs. The Committee directs HRSA to work with
stakeholders with expertise in pediatric specialty care to
ensure that the program and application process reflects the
unique nature of pediatric specialty care, including ensuring
that any clinical and service hour requirements and service
site eligibility criteria are consistent with pediatric
specialty practice and reflect the regionalization of pediatric
specialty care.
National Practitioner Data Bank
The Committee provides $18,814,000 for the National
Practitioner Data Bank. As mandated by the Health Care Quality
Improvement Act (Public Law 99-660), the National Practitioner
Data Bank does not receive appropriated funds, but instead is
financed by the collection of user fees.
The National Practitioner Data Bank collects certain
adverse information, medical malpractice payment history, and
information related to healthcare fraud and abuse. The data
bank is open to healthcare agencies and organizations that make
licensing and employment decisions.
MATERNAL AND CHILD HEALTH
Appropriations, 2024.................................... $1,170,430,000
Budget estimate, 2025................................... 1,234,944,000
Committee recommendation................................ 1,181,180,000
The mission of the Maternal and Child Health Bureau is to
improve the physical and mental health, safety, and well-being
of the Nation's women, infants, children, adolescents, and
their families. This population includes fathers and children
with special healthcare needs.
Maternal and Child Health [MCH] Block Grant
The Committee provides $603,584,000 for the MCH Block
Grant, which provides a flexible source of funding that allows
States to target their most urgent maternal and child health
needs. Within this total, the Committee also proposes increases
for a number of special projects to address the Nation's rising
rate of maternal mortality. The program supports a broad range
of activities, including providing prenatal care, well-child
services, and immunizations; reducing infant mortality;
preventing injury and violence; expanding access to oral
healthcare; addressing racial and ethnic disparities; and
providing comprehensive care through clinics, home visits, and
school-based health programs.
Congenital Syphilis [CS].--The Committee is concerned by
reports of record high cases of CS, which is preventable during
pregnancy and can result in bone deformities, deafness,
blindness, stillbirth or death. The Committee encourages HRSA
to expand efforts to increase prenatal screening and testing
throughout pregnancy and to implement proper education for
pregnant women and providers on screening, diagnosis, and
treatment of CS.
MCH Block Grant-Special Projects of Regional and National Significance
[SPRANS]
The Committee recommends $213,116,000, an increase of
$3,000,000, for SPRANS. The Committee recommendation includes
funding for the following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Early Childhood Development Expert 10,000,000 10,000,000
Grants.............................
Epilepsy............................ 3,642,000 3,642,000
Fetal Alcohol Syndrome.............. 1,000,000 1,000,000
Fetal Infant and Child Death Review. 5,000,000 5,000,000
Hereditary Hemorrhagic 2,000,000 2,000,000
Telangiectasia.....................
Infant-Toddler Court Teams.......... 18,000,000 18,000,000
Minority-Serving Institutions....... 10,000,000 10,000,000
Oral Health......................... 5,250,000 5,250,000
Regional Pediatric Pandemic Network. 25,000,000 25,000,000
Sickle Cell Disease................. 7,000,000 7,000,000
State Maternal Health Innovation 55,000,000 55,000,000
Grants.............................
------------------------------------------------------------------------
Early Childhood Development Expert Grants.--The Committee
provides $10,000,000 to continue support for placements of
early childhood development experts in pediatric settings with
a high percentage of Medicaid and Children's Health Insurance
Program patients.
Infant-Toddler Court Teams.--The Committee includes
$18,000,000 to continue and expand research-based Infant-
Toddler Court Teams to change child welfare practices to
improve well-being for infants, toddlers, and their families.
Minority-Serving Institutions.--The Committee continues
$10,000,000 for a research network that is comprised of and
supports minority-serving institutions to study health
disparities in maternal health outcomes and develop curricula
for training health professionals to identify and address the
risks that climate change poses for vulnerable individuals and
individuals that plan to become pregnant.
Regional Pediatric Pandemic Network.--The Committee
provides $25,000,000 within SPRANS to continue the work of the
Regional Pediatric Pandemic Network to coordinate among the
Nation's pediatric hospitals and their communities to prepare
for and coordinate research-informed responses to future
pandemics.
State Maternal Health Innovation Grants.--The Committee
provides $55,000,000 to support innovation among States to
improve maternal health outcomes and address disparities in
maternal health. With this funding, States collaborate with
maternal health experts to implement State-specific action
plans in order to improve access to maternal care services,
identify and address workforce needs, and support postpartum
and inter-conception care services.
Stillbirth Prevention Technical Assistance.--The Committee
is encouraged by HRSA's efforts to update its materials and
guidance to clarify that stillbirth prevention activities are
an allowable use of funds under the Maternal and Child Health
Services Block Grant program. The Committee urges HRSA to
continue to provide for ongoing technical assistance and other
activities to support States' stillbirth prevention activities.
Maternal and Child Health Programs
Sickle Cell Disease Treatment Demonstration Program
The Committee provides $8,205,000 for grants and contracts
to help coordinate service delivery for individuals with sickle
cell disease, including genetic counseling and testing, long-
term follow-up and care coordination, and training of health
professionals.
Autism and Other Developmental Disorders
The Committee provides $56,344,000 for the Autism and Other
Developmental Disorders program. The program supports
surveillance, early detection, education, and intervention
activities for autism and other developmental disorders, as
reauthorized in the Autism Collaboration, Accountability,
Research, Education and Support Act of 2019 (Public Law 116-
60).
The Committee provides not less than $38,245,000 for the
Leadership Education in Neurodevelopmental and Related
Disabilities [LEND] programs. LEND programs are uniquely
positioned to provide innovative strategies to integrate and
enhance existing investments, including translating research
findings on interventions, guidelines, tools, and systems
management approaches to training settings, to communities, and
into practice, and to promote life-course considerations-from
developmental screening in early childhood to transition to
adulthood issues. The funding is critical to the LEND's role in
providing direct clinical assessment and evidence-based
interventions.
Healthy Start
The Committee provides $145,250,000 for Healthy Start. The
primary purpose of Healthy Start is to reduce infant mortality
and generally improve maternal and infant health in at-risk
communities. Grants are awarded to State and local health
departments and nonprofit organizations to conduct and develop
a package of innovative health and social services for pregnant
women and infants, and evaluate these efforts.
Maternal Mortality.--The Committee continues to support a
new targeted expansion of an enhanced Healthy Start program
model that began in fiscal year 2023. The Committee also
continues to support nurse practitioners, certified nurse
midwives, physician assistants, and other maternal-child
advance practice health professionals within all program sites
nationwide.
Self-Measured Blood Pressure Monitoring Initiative.--The
Committee recognizes the Healthy Start blood pressure
monitoring pilot, which distributed cuff kits to 15 Healthy
Start sites in 12 States. The Committee provides no less than
$250,000 for more States to benefit from this pilot project,
and to the Healthy Start program to continue to support the
self-measured blood pressure monitoring pilot, which works to
identify preeclampsia at an earlier stage in high-risk
communities by distributing blood pressure cuffs and patient
information. Preeclampsia, the most dangerous form of
hypertension, is a pregnancy complication that effects as many
as one in 12 pregnancies and can easily be monitored.
Heritable Disorders in Newborns and Children
The Committee provides $20,883,000 for the Heritable
Disorders in Newborns and Children program, as described in the
Newborn Screening Saves Lives Act of 2008 (Public Law 113-240).
This program provides funding to improve States' ability to
provide newborn and child screening for heritable disorders.
Newborn screening provides early identification and follow-up
for treatment of infants affected by certain genetic,
metabolic, hormonal, and/or functional conditions.
Early Hearing Detection and Intervention
The Committee provides $18,818,000 for universal newborn
hearing screening and early intervention activities. This
program awards 59 competitive grants to States and territories
that support statewide systems of newborn hearing screening,
audiologic diagnostic testing before 3 months of age, and
enrollment in early intervention programs before the age of 6
months.
Emergency Medical Services for Children
The Committee provides $24,334,000 for the Emergency
Medical Services for Children program which focuses on
improving the pediatric components of the emergency medical
services system and improving the quality of care provided to
children in the pre-hospital setting. Funding is available to
every State emergency medical services office to improve the
quality of emergency care for children and to pay for research
and dissemination of best practices.
Screening and Treatment for Maternal Mental Health and Substance Use
Disorders [MMHSUD]
The Committee provides $12,000,000 for the MMHSUD program,
which was reauthorized in the Consolidated Appropriations Act
of 2023 (Public Law 117-328). HRSA is directed to make grants
to States to establish, improve, or maintain programs to train
professionals to screen, assess, and treat for maternal
depression in women who are pregnant or who have given birth
within the preceding 12 months.
According to Maternal Mortality Review Committee data in 38
States, mental health conditions accounted for over 22 percent
of pregnancy-related deaths in 2020. Maternal mental health
[MMH] conditions impact one in five pregnant or postpartum
women, including as many as one in three in high-risk
populations. MMHSUD trains healthcare providers to screen,
assess, and treat MMH conditions and substance use disorders,
and provides specialized psychiatric consultation to providers.
The Committee encourages HRSA to improve or maintain existing
State programs, prioritizing States with high rates of adverse
maternal health outcomes. Grants shall include culturally and
linguistically appropriate approaches to assist in the
reduction of maternal health inequities. The Committee
encourages HRSA to provide technical assistance to both grantee
and non-grantee States to implement activities under this
program. The Committee requests a report within 1 year of
enactment of this act detailing updates since the fiscal year
2024 report, as well as the technical assistance HRSA has
provided to States and steps HRSA has taken to expand the
number of grants to States.
Pediatric Mental Health Care Access
The Committee provides $14,000,000 for expanding access to
behavioral health services in pediatric primary care by
supporting the development of pediatric mental healthcare
telehealth access programs.
Poison Control Centers
The Committee provides $28,846,000 for Poison Control
Centers. The Committee remains concerned with longstanding geo-
routing challenges for incoming calls of poison centers. Not
later than 18 months after the date of enactment of this act,
the Committee directs HRSA to coordinate with the Federal
Communications Commission and leading wireless carriers, to the
extent technically and economically feasible, to identify,
develop, and implement a proof-of-concept trial of a geo-
routing solution to ensure that communications with the
National toll-free number are routed to the appropriate poison
control center based on the physical location of the contact
rather than the area code of the contact device.
Innovation for Maternal Health
The Committee includes $17,800,000 to support continued
implementation of the Alliance for Innovation on Maternal
Health program's maternal safety bundles to all U.S. States,
the District of Columbia, and U.S. territories, as well as
Tribal entities.
Integrated Services for Pregnant and Postpartum Women
The Committee provides $10,000,000 to reduce adverse
maternal health outcomes and maternal deaths by incentivizing
maternal healthcare providers to provide integral healthcare
services to pregnant women and new mothers to optimize maternal
and infant health outcomes.
Maternal Mental Health Hotline
The Committee provides $8,000,000 to expand support for a
maternal mental health hotline. The hotline shall provide 24
hours a day voice and text support that is culturally and
linguistically appropriate. Funds provided shall also be used
to raise public awareness about maternal mental health issues
and the hotline.
Support for Servicemembers.--Maternal mental health
conditions impact 36 percent of female servicemembers and
military spouses, and 60 percent of retired servicemembers. The
Committee encourages HRSA to train hotline staff on best
practices to support the unique needs of servicemembers,
veterans, and military families utilizing the hotline. The
Committee further directs HRSA to ensure that public awareness
activities reach civilian, military, and veteran pregnant and
postpartum women, as authorized in the Consolidated
Appropriations Act of 2023 (Public Law 117-328). The Committee
requests a briefing within 180 days of enactment of this act on
activities taken to promote the hotline for civilian and
military mothers.
RYAN WHITE HIV/AIDS PROGRAM
Appropriations, 2024.................................... $2,571,041,000
Budget estimate, 2025................................... 2,581,041,000
Committee recommendation................................ 2,571,041,000
The Committee recommendation includes $2,571,041,000 for
the HIV/AIDS Bureau. The mission of the Bureau is to address
the unmet care and treatment needs of persons living with HIV/
AIDS. The Bureau administers the Ryan White Care Act (Public
Law 111-87), which provides a wide range of community-based
services, including primary and home healthcare, case
management, substance use disorder treatment, mental health,
and nutritional services.
Ending the HIV Epidemic [EHE].--The Committee provides
$165,000,000 for the EHE initiative. The investment will
support HIV care and treatment services; support evidence
informed practices to link, engage, and retain HIV-positive
individuals in care; and continue to build capacity into the
system.
Emergency Assistance
The Committee provides $680,752,000 for emergency
assistance grants to eligible metropolitan areas
disproportionately affected by the HIV/AIDS epidemic. Grants
are provided to metropolitan areas meeting certain criteria.
Two-thirds of the funds are awarded by formula, and the
remainder is awarded through supplemental competitive grants.
Comprehensive Care Programs
The Committee provides $1,364,878,000 for HIV healthcare
and support services. Funds are awarded to States to support
HIV service delivery consortia, the provision of home and
community-based care services for individuals with HIV disease,
continuation of health insurance coverage for low-income
persons with HIV disease, and support for State AIDS drug
assistance programs [ADAP]. The Committee provides $900,313,000
for AIDS medications in ADAP.
Early Intervention Services
The Committee provides $208,970,000 for early intervention
grants. These funds are awarded competitively to primary
healthcare providers to enhance healthcare services available
to people at risk of HIV and AIDS. Funds are used for
comprehensive primary care, including counseling, testing,
diagnostic, and therapeutic services.
Children, Youth, Women, and Families
The Committee provides $77,935,000 for grants for
coordinated services to women, infants, children, and youth.
Funds are awarded to a variety of providers, including
community health centers, comprehensive hemophilia centers,
county and municipal health departments, and other nonprofit
community-based programs that provide comprehensive primary
healthcare services to populations with or at risk for HIV.
AIDS Dental Services
The Committee provides $13,620,000 for the AIDS Dental
Services program. This program provides grants to dental
schools, dental hygiene schools, and post-doctoral dental
education programs to assist with the cost of providing
unreimbursed oral healthcare to patients with HIV.
The Ryan White Part F program provides for the Dental
Reimbursement Program, which covers the unreimbursed costs of
providing dental care to persons living with HIV/AIDS. Programs
that qualify for reimbursement are dental schools, hospitals
with post-doctoral dental education programs, and colleges with
dental hygiene programs.
AIDS Education and Training Centers
The Committee provides $34,886,000 for AIDS Education and
Training Centers [AETCs], which train healthcare practitioners,
faculty, and students who care for AIDS patients outside of the
traditional health professions education venues and supports
curriculum development on the diagnosis and treatment of HIV
infection for health professions schools and training
organizations.
Special Projects of National Significance
The Committee provides $25,000,000 for the Special Projects
of National Significance program. This program supports the
development, evaluation, and dissemination of innovative models
of HIV care and treatment to improve the retention and health
outcomes of Ryan White HIV/AIDS Program clients.
HEALTH SYSTEMS
Appropriations, 2024.................................... $122,009,000
Budget estimate, 2025................................... 135,009,000
Committee recommendation................................ 135,009,000
The Committee recommendation for the Health Care Systems
Bureau is $135,009,000.
The Health Care Systems Bureau protects the public health
and improves the health of individuals through efforts to
support and enhance the systems by which healthcare is
delivered in America.
Organ Donation and Transplantation
The Committee provides $67,049,000, an increase of
$13,000,000 above the fiscal year 2024 enacted level, for organ
donation and transplantation activities.
Organ Procurement and Transplantation Network [OPTN]
Modernization Initiative.--HRSA has launched the OPTN
Modernization Initiative, which aims to accelerate progress on
technology improvements, data transparency and analytics,
governance, operations, and quality improvement. The Committee
requests a briefing within 90 days of enactment of this act on
HRSA's spend plan and progress toward its stated objectives and
actions the Department has taken or plans to take to improve
oversight of the OPTN contractor(s), increase public and
stakeholder trust in the OPTN organ allocation process, and
track and evaluate the effectiveness and impact of the
initiative. Further, the Committee supports additional
investments to allow HRSA to adopt the technology and
infrastructure needed to fully implement the modernization
initiative.
OPTN Next Generation Technology.--The Committee supports
HRSA's efforts to develop a technology solution to fully
modernize the OPTN, and directs the Secretary to prioritize
obligations from resources in the nonrecurring expenses fund
[NEF] for such activities as outlined in HRSA's fiscal year
2025 budget request. The Committee is encouraged by HRSA's
progress on the organ procurement and transplantation
modernization and Next Generation contracts. The Committee
encourages HRSA to consider public private technology solutions
already adopted across HHS and the private sector, particularly
those that address complex medical and logistics supply chain
challenges, as part of a competitive process and successful
transition.
National Cord Blood Inventory
The Committee provides $19,266,000 for the National Cord
Blood Inventory [NCBI]. The purpose of this program is to
provide funds to cord blood banks to build an inventory of the
highest quality cord blood units for transplantation.
NCBI builds a racially and ethnically diverse inventory of
high-quality umbilical cord blood for transplantation. The
Committee applauds HRSA for increasing the number of units
collected and maintained under NCBI.
C.W. Bill Young Cell Transplantation Program
The Committee provides $33,009,000 for the C.W. Bill Young
Cell Transplantation Program. The Committee continues to
support cell transplantation through the use of bone marrow,
peripheral blood stem cells, and cord blood. The Committee
appreciates HRSA's efforts to increase the diversity of the
volunteer registry.
National Hansen's Disease Program
The Committee includes $13,706,000 for the Hansen's Disease
Program, $122,000 for Hansen's Disease Buildings and
Facilities, and $1,857,000 for Payments to Hawaii for Treatment
of Hansen's Disease. These programs support inpatient,
outpatient, and long-term care, as well as training and
research in Baton Rouge, Louisiana; outpatient clinic sites in
the continental U.S. and Puerto Rico; related expenses for the
facilities of the National Hansen's Disease Center; and medical
care and treatment of persons with Hansen's disease through the
Hawaii Department of Health's community program administered
from Honolulu, Hawaii.
RURAL HEALTH
Appropriations, 2024.................................... $364,607,000
Budget estimate, 2025................................... 352,407,000
Committee recommendation................................ 385,907,000
The Committee recommendation for Rural Health programs is
$385,907,000, an increase of $21,300,000 above the fiscal year
2024 enacted level.
The Federal Office of Rural Health Policy [FORHP]
administers HHS rural health programs, coordinates activities
related to rural healthcare within HHS, and analyzes the
possible effects of policy on the more than 60 million
residents of rural communities. FORHP advises the Secretary on
the effects of Medicare and Medicaid on rural citizens' access
to care, the viability of rural hospitals, and the availability
of physicians and other health professionals.
Rural Communities Opioid Response Program [RCORP].--The
Committee provides $155,000,000 for RCORP, an increase of
$10,000,000 to expand the program. Within the funding provided,
the Committee includes $11,500,000 to continue at least three
Rural Centers of Excellence [Centers], as established by Public
Law 115-245 and continued through Public Law 116-260 and 117-
103. The Committee recognizes the success of the Centers in
addressing substance use disorders within rural communities
through various evidence-based treatment and recovery models.
The Committee supports HRSA's continued investment in the
current Centers and encourages HRSA to consider how the Centers
can expand their outreach into other underserved communities.
Within the total provided for RCORP, the Committee includes
$4,000,000 to support career and workforce training services
and other needs related to substance use challenges within the
Northern Border Regional Commission's rural regions to assist
individuals affected by a substance use disorder.
Rural-Urban Commuting Area [RUCA] Codes.--The Committee
applauds FORHP's work to better define rural areas in difficult
and mountainous terrain areas and encourages them to continue
to work to adopt the Road Ruggedness Scale, as defined in the
report Characterizing Rugged Terrain in the United States,
published by the United States Department of Agriculture
Economic Research Service.
Rural Health Outreach
The Committee provides $105,975,000 for the Rural Health
Outreach program, an increase of $5,000,000 above the fiscal
year 2024 enacted level. This program supports projects that
demonstrate new and innovative modes of outreach in rural
areas, such as integration and coordination of health services.
Outreach grant programs include Outreach Service Grants, Rural
Network Development Grants, Delta States Network Grant Program,
Network Planning Grants, and Small Health Care Provider Quality
Improvement Grants.
Regional Grant Programs.--The Committee includes not less
than the fiscal year 2024 level for the Delta States Rural
Development Network Grant program, including not less than
$15,000,000 for the Delta Region Community Health Systems
Development program. The Committee provides no less than
$5,000,000 for HRSA's collaboration with the Northern Border
Regional Commission to provide direct support to member States
and help underserved rural communities with planning and
implementing service coordination improvements that better
population health. Lastly, the Committee provides no more than
$2,500,000 for HRSA's collaboration with the Appalachian
Regional Commission.
Rural Maternity and Obstetrics Management Strategies
[RMOMS].--The Committee provides no less than $15,000,000 for
RMOMS to support grants to improve access to and continuity of
maternal and obstetrics care in rural communities by increasing
the delivery of and access to preconception, pregnancy, labor
and delivery, and postpartum services, as well as developing
sustainable financing models for the provision of maternal and
obstetrics care.
Rural Health Research
The Committee provides $12,076,000, an increase of
$1,000,000, for additional core research centers to increase
the number of studies on rural health and support policy
solutions that improve access to healthcare, health outcomes,
and population health. The Rural Health Research Center program
funds publicly available and policy relevant research on rural
health to assist providers and Federal, State, and local
governments in addressing challenges faced by rural
communities. Additional research on the significant and
pervasive challenges faced by rural Americans in accessing
healthcare in support of mental health, substance use,
nutrition and healthy eating, chronic health management, among
other critical needs, requires additional policy research
capacity to inform solutions to these important issues.
Rural Hospital Flexibility Grants
The Committee provides $64,277,000 for Rural Hospital
Flexibility grants and the Small Hospital Improvement Program.
Under these grant programs, HRSA works with States to provide
support and technical assistance to Critical Access Hospitals
to focus on quality and performance improvement and to
integrate emergency medical services.
The Committee is keenly aware of the significant challenges
facing emergency care for rare and chronic disease patients in
rural America. Rural emergency medical service [EMS] providers
have gaps in education that can lead to disparate outcomes for
rural rare and chronic disease patients based on delays in
proper care, administration of emergency prescription
medications, or unforeseen side effects or drug interactions
occurring during medical interventions. Without closing these
care gaps, rare and chronic disease patients face risks to
their health and lives in the event of an emergency. Therefore,
the Committee encourages HRSA to allow education for the
administration of patient-held drugs for rural rare and chronic
disease patients for rural EMS personnel as an eligible use of
funding from the Emergency Services Supplement of the Medicare
Rural Hospital Flexibility Grant Program.
Cybersecurity.--The Committee urges HRSA to clarify that
funds from the Small Hospital Improvement Program may be used
to support cybersecurity measures including purchases of
hardware, software, and training.
State Offices of Rural Health
The Committee provides $14,500,000 for State Offices of
Rural Health. These offices help States strengthen rural
healthcare delivery systems by enabling them to coordinate care
and improve support and outreach in rural areas.
Black Lung Clinics
The Committee provides $12,190,000 for the Black Lung
Clinics program. This program funds clinics that treat
respiratory and pulmonary diseases of active and retired coal
miners, steel mill workers, agricultural workers, and others
with occupationally related respiratory and pulmonary
impairments. These clinics reduce the incidence of high-cost
inpatient treatment for these conditions.
Radiation and Exposure Screening and Education Program
The Committee provides $1,889,000 for activities authorized
by the Radiation Exposure Compensation Act (Public Law 109-
482). This program provides grants for the education,
prevention, and early detection of radiogenic cancers and
diseases resulting from exposure to uranium during mining and
milling at nuclear test sites.
Rural Residency Planning and Development
The Committee provides $14,000,000 for the Rural Residency
Planning and Development program. The Committee commends FORHP
for efforts to expand the physician workforce in rural areas
and supports continuation and expansion of the program to
develop new rural residency programs, or Rural Training Tracks.
The Committee provides no more than $2,000,000 to support
family medicine/obstetrics training programs in States with
high infant morbidity rates. The funding will reduce infant
mortality and maternal morbidity by improving the availability
and accessibility of prenatal care through increasing family
medicine/obstetrics training programs and graduates, increasing
Family Medicine and OB/GYN faculty to train physicians, and by
providing equipment, such as ultrasound, electronic fetal
monitors, and telemedicine equipment with the training and
support for this equipment to rural areas. HRSA is directed to
brief the Committee on their plans no less than 15 days prior
to releasing a Funding Opportunity Announcement.
Rural Hospital Stabilization Pilot Program
The Committee includes $6,000,000 for the Rural Hospital
Stabilization Pilot program that started in fiscal year 2024.
The program is intended to provide support to at-risk rural
hospitals to enhance or expand service lines to retain
healthcare services locally and increase service volume and
revenue that will enhance hospitals' financial viability. HRSA
is directed to prioritize applications from hospitals that do
not have Medicare Critical Access Hospital designation and are
at risk of closure.
FAMILY PLANNING
Appropriations, 2024.................................... $286,479,000
Budget estimate, 2025................................... 390,000,000
Committee recommendation................................ 286,479,000
The Committee provides $286,479,000 for the title X Family
Planning program. This program supports preventive and primary
healthcare services at clinics nationwide.
HRSA-WIDE ACTIVITIES AND PROGRAM SUPPORT
Appropriations, 2024.................................... $1,110,376,000
Budget estimate, 2025................................... 214,088,000
Committee recommendation................................ 1,092,655,000
The Committee provides $1,092,665,000 for HRSA-wide
activities. Within the total, $165,300,000 is provided for
program management.
Congressionally Directed Spending.--Within the total for
program management, the Committee also includes $871,077,000
for projects financing the construction and renovation
(including equipment) of healthcare and other facilities and
for one-time grants supporting other health-related activities.
The projects are specified in the table at the end of this
Committee Report.
Telehealth
The Committee provides $44,050,000 for the Office for the
Advancement of Telehealth [OAT], which promotes the effective
use of technologies to improve access to health services for
people who are isolated from healthcare and to provide distance
education for health professionals. The Committee strongly
supports OAT and their mission to expand high quality medical
care to rural communities that do not have adequate access to
medical providers including many medical specialties.
Expanding Capacity for Health Outcomes.--The Committee
provides $10,500,000 as authorized in Public Law 116-260 to
continue the use of technology-enabled collaborative learning
and capacity building models. This collaborative model of
medical education and care management helps clinicians provide
expert-level care to patients wherever they live, and increases
access to specialty treatment in rural and underserved areas
for a variety of conditions. The Committee recognizes that HRSA
has initiated activities to allow grantees to explore
addressing Alzheimer's disease. The Committee encourages HRSA
to expand and support such activities, including improving
Alzheimer's person-centered care coordination and improving
care transitions.
Telehealth Centers of Excellence [Centers].--The Committee
provides $8,500,000 for the Centers to continue to validate
technologies and reimbursement mechanisms, establish training
protocols, and develop comprehensive templates for States to
integrate telehealth into their State health provider networks.
The Centers identify best practices, serve as national training
resources and test the efficacy of different telehealth
clinical applications. The Centers serve to promote the
adoption of telehealth programs across the country by
validating technology, establishing training protocols and by
providing a comprehensive template for States to integrate
telehealth into their State health provider network. Funding
should serve to promote the adoption of telehealth services
nationwide and help address the access to care issue faced by
rural America.
Telehealth Network Grants.--The Committee expresses support
for the Telehealth Network Grant program in addressing rural
health emergencies and encourages HRSA to include telepharmacy
as an area of interest for future awards.
Office of Pharmacy Affairs
The Committee provides $12,238,000 for the Office of
Pharmacy Affairs [OPA]. OPA administers the 340B drug-pricing
program, which requires drug manufacturers to provide discounts
or rebates to a set of programs and hospitals that serve a
disproportionate share of low-income patients. The 340B program
is a critical lifeline to many of its program participants,
including FQHCs, FQHC Look-Alikes, children's hospitals, Ryan
White HIV/AIDS clinics, and other safety-net hospitals and
providers. These covered entities are model stewards of the
program and reinvest 340B savings to ``stretch scarce Federal
resources as far as possible, reaching more eligible patients
and providing more comprehensive services'', as Congress
intended.
The Committee is concerned that manufacturers continue to
deny 340B pricing for drugs purchased by covered entities for
use in contract pharmacies, which threatens the ability of
safety-net providers to care for patients in need. The
Committee urges HRSA to continue to take actions to safeguard
covered entities' lawful access to discounted drugs.
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
Appropriations, 2024.................................... $15,200,000
Budget estimate, 2025................................... 20,200,000
Committee recommendation................................ 15,200,000
The Committee includes $15,200,000 for administrative costs
associated with the Vaccine Injury Compensation Program. The
National Vaccine Injury Compensation Program provides
compensation for individuals with vaccine-associated injuries
or deaths. Funds are awarded to reimburse medical expenses,
lost earnings, pain and suffering, legal expenses, and death
benefits. The Vaccine Injury Compensation Trust Fund is funded
by excise taxes on certain vaccines recommended for routine
administration to children and pregnant women.
Completion of Medical Reviews.--The Committee requests a
report within 6 months of enactment of this act detailing
HRSA's use of intelligent document processing [IDP] and
artificial intelligence [AI] to complete medical reviews for
individuals seeking compensation from the Vaccine Injury
Compensation Program Trust Fund, including how IDP and AI have
contributed to reducing reviewing times and reductions in the
backlog of cases, as well as guardrails in place to ensure that
medical reviews are accurate and complete.
COVERED COUNTERMEASURES PROCESS FUND
Appropriation, 2024..................................... $7,000,000
Budget request, 2025.................................... 10,000,000
Committee Recommendation................................ 7,000,000
The Committee includes $7,000,000 for compensation of
injury claims associated with countermeasures costs to
administer the Countermeasures Injury Compensation Program
[CICP]. The CICP provides benefits to individuals who are
seriously injured as a result of the administration or use of
covered countermeasures.
Centers for Disease Control and Prevention
The Committee recommendation provides a program level of
$9,395,090,000 for the Centers for Disease Control and
Prevention [CDC], which includes $55,358,000 in mandatory funds
under the terms of the Energy Employees Occupational Illness
Compensation Program Act [EEOICPA], and $1,186,200,000 in
transfers from the Prevention and Public Health [PPH] Fund.
The activities of CDC focus on several major priorities:
providing core public health infrastructure and functions;
detecting and responding to urgent health threats; monitoring
the Nation's health using sound scientific methods; preventing
the leading causes of illness, injury, and death; assuring the
Nation's preparedness for emerging infectious diseases and
potential pandemics; and providing training, support, and
leadership for the public health workforce.
IMMUNIZATION AND RESPIRATORY DISEASES
Appropriations, 2024.................................... $919,291,000
Budget estimate, 2025................................... 969,291,000
Committee recommendation................................ 934,291,000
The Committee recommendation for the activities of the
National Center for Immunization and Respiratory Diseases is
$934,291,000, which includes $469,350,000 in transfers from the
PPH Fund.
The mission of the National Center for Immunization and
Respiratory Diseases is the prevention of disease, disability,
and death through immunization and by control of respiratory
and related diseases.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Section 317 Immunization Program.... 681,933,000 696,933,000
Acute Flaccid Myelitis.............. 6,000,000 6,000,000
Influenza Planning and Response..... 231,358,000 231,358,000
------------------------------------------------------------------------
317 Immunization Program.--The Committee recognizes CDC's
immunization program plays a fundamental role in achieving
national immunization goals and sustaining high vaccination
coverage. In addition, this program underpins the protection of
all children being vaccinated, even those fully insured, by
providing Federal, State, and local resources to investigate
outbreaks, conduct surveillance, and provide public awareness
campaigns to address vaccine hesitancy that continues to be the
root cause of outbreaks for measles and other preventable
diseases. The Committee continues to expect funding be used to
promote health equity related to protection from vaccine
preventable diseases [VPDs] as well as address vaccine
hesitancy. CDC is encouraged to expand the existing
immunization infrastructure, including implementing new
strategies for hard-to-reach populations, such as those who may
be vaccine-hesitant, those who are members of racial and ethnic
or other minority groups, and those who are underserved due to
socioeconomic or other reasons. The Committee requests an
update in the fiscal year 2026 CJ on the achievements of the
ongoing ``Vaccinate with Confidence'' campaign and the rate of
routine vaccination across all ages, as well as a forward-
looking plan to administer missed doses.
Accelerate the Elimination of HPV-related Cancer and
Disease.--Human papillomavirus [HPV] -related cancers remain an
alarming public health concern in the United States, impacting
nearly 40,000 Americans each year. HPV is the leading cause of
cervical cancer, which disproportionally affects communities of
color and underrepresented populations. Each year, nearly
200,000 women are diagnosed with cervical pre-cancer, 11,000
women are diagnosed with cervical cancer caused by HPV, and
approximately 4,000 women die from cervical cancer in the
United States. The evidence shows that HPV vaccination is
extremely effective at preventing over 90 percent of HPV-
related cancers when given between the recommended ages of 9
and 12. Yet, CDC data from 2022 shows that only 63 percent of
children ages 13-17 were up to date with HPV vaccination, which
is significantly less than the ``Healthy People 2030'' goal of
80 percent. While all childhood and adolescent vaccinations
declined during the pandemic, the HPV vaccine rates experienced
the largest decrease and have been the slowest to rebound to
pre-pandemic levels. The Committee urges CDC to take immediate
action to expand access to HPV vaccination, including by:
updating the immunization information system at the Federal
level to enable standardized forecasting of HPV vaccination at
age 9 across the country; supporting providers and trusted
voices to engage patients with a strong recommendation for HPV
vaccination as cancer prevention; and continuing to reduce
health disparities and barriers to care for underserved
communities.
Cost Estimates.--The Committee requests that the report on
estimated funding needs of the Section 317 Immunization Program
be updated and submitted not later than February 1, 2025, to
the Committees on Appropriations. The updated report should
include an estimate of optimum State and local operations
funding, as well as a discussion of the role of the 317
Program, as coverage for vaccination under public and private
resources continues to evolve. The Committee also requests that
the report include specific information on the estimated cost
to fully address evidence-based public health strategies that
could be funded through CDC to improve coverage for HPV and
influenza. The Committee directs CDC to provide a professional
judgment budget estimate to the Committee that specifically
outlines the cost to fully fund an uninsured adult immunization
program that includes the cost of purchase, storage, and
administration of all ACIP-recommended adult vaccines and
allows for provider choice of product, outreach, and counseling
grants to providers and community-based organizations.
Estimates should also be included to address the needs of
outbreak investigation and response, particularly as measles
cases are increasing. Additionally, the Committee requests CDC
to provide analysis on how the addition of new adult vaccine
recommendations and increased vaccine costs have reduced the
number of vaccine doses administered to uninsured adults with
available resources. This should include estimates of how much
additional vaccine purchase funding would be needed to reach
both half and all of the uninsured population with a complete
series of recommended vaccines.
Increasing Adult Hepatitis B Vaccination.--The Committee
urges CDC to promote hepatitis B vaccination among all adults
ages 19 through 59 as recommended by ACIP. The Committee urges
CDC to provide leadership to ensure the recommendation is
implemented, and to coordinate implementation activities with
the HHS Assistant Secretary for Health and HRSA and engage
providers and community-based organizations as necessary. The
Committee reiterates the request for a report as requested in
Senate Report 118-84.
Long COVID.--The Committee encourages CDC to monitor and
track incidence of Long COVID among children and adults,
including developing a patient registry for Long COVID.
Promoting Routine Vaccination.--The Committee is concerned
by the continued lag in vaccination throughout the life course,
with underserved populations affected to a greater degree and
adolescents affected disproportionately. The 2023-2024
respiratory season saw continued stagnation in immunization
rates coupled with significant increases in COVID, flu, and
respiratory syncytial virus [RSV] cases. If not addressed,
these trends will increasingly expose Americans of all ages to
VPDs, outbreaks, including measles, and exacerbate existing
health disparities. The Committee requests CDC provide an
update in the fiscal year 2026 CJ on the vaccine education
efforts and the rate of routine vaccination across all ages, as
well as an update on the plan to administer missed doses,
prioritizing areas with the largest reduction in routine
coverage rates. CDC should include updated recommendations
about what other tools it could employ to address this issue,
as well as a plan to strengthen efforts to combat
misinformation about vaccines and vaccination, which are
contributing to confusion, hesitancy, and overall fatigue.
Respiratory Viruses.--The Committee recognizes the
importance of a strong capacity at CDC to address respiratory
viruses and supports CDC's work to address respiratory
illnesses holistically, with the capacity to identify and
assess characteristics of viruses to inform vaccines and
therapeutics, quantify the burden such viruses place on the
health of Americans, and the effectiveness of vaccines and
other preventive measures.
HIV, VIRAL HEPATITIS, SEXUALLY TRANSMITTED DISEASES, AND TUBERCULOSIS
PREVENTION
Appropriations, 2024.................................... $1,391,056,000
Budget estimate, 2025................................... 1,391,056,000
Committee recommendation................................ 1,394,056,000
The Committee recommendation for the activities of the
National Center for HIV, Viral Hepatitis, Sexually Transmitted
Diseases [STDs], and Tuberculosis Prevention [TB] is
$1,394,056,000.
The Center administers CDC's activities on HIV/AIDS, viral
hepatitis, STDs, and TB, with the exception of the Global AIDS
program, which is housed in the Global Health Center.
The Committee recommends funding for the following
activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Domestic HIV/AIDS Prevention and 1,013,712,000 1,013,712,000
Research...........................
HIV Initiative.................. 220,000,000 220,000,000
School Health................... 38,081,000 38,081,000
Viral Hepatitis..................... 43,000,000 43,000,000
Sexually Transmitted Infections..... 174,310,000 176,310,000
Tuberculosis........................ 137,034,000 138,034,000
Infectious Diseases and Opioid 23,000,000 23,000,000
Epidemic...........................
------------------------------------------------------------------------
Ending the HIV Epidemic [EHE] Initiative.--The Committee
includes $220,000,000 for the EHE Initiative. The Committee is
aware that having a sexually transmitted infection [STI] poses
an increased risk of HIV acquisition. The Committee commends
CDC for including dedicated funding in the EHE initiative for
STI clinics, sexual health clinics and the STD Clinical
Prevention Training Centers. Additionally, the Committee
supports efforts to increase equitable access to pre-exposure
prophylaxis [PrEP] medication that prevents HIV infection. CDC
is encouraged to support the building blocks of a national
program to increase awareness of PrEP, including by increasing
access to PrEP medication, laboratory services, essential
support services such as case management, counseling, linkage,
and adherence services, robust PrEP outreach and education
activities, and PrEP provider capacity expansion.
Hepatitis.--The Committee encourages CDC to expand the
viral hepatitis disease tracking and surveillance capabilities
of States to permit an effective targeting of resources and
evaluation of program effectiveness. In pursuit of this goal,
the Committee recommends greater emphasis and access to testing
for both hepatitis B and hepatitis D. The Committee requests an
update on the prevalence and incidence of hepatitis D and the
opportunities to enhance the analysis of this disease in the
fiscal year 2026 CJ.
Hepatitis B.--The Committee encourages efforts to eliminate
the public health threat of viral hepatitis and to implement
and help fund the HHS National Viral Hepatitis Strategic Plan,
which offers a framework to eliminate viral hepatitis as a
public health threat. The Committee is aware of the November
2021 ACIP recommendation that all adults between ages 19 and 59
be vaccinated for hepatitis B and the March 2023 CDC
recommendation that all adults be screened for hepatitis B. The
Committee urges a coordinated Federal effort to implement these
goals. In addition, the Committee encourages CDC to expand
viral hepatitis disease tracking and surveillance capabilities
of States to permit an effective targeting of resources and
evaluation of program effectiveness. Finally, the Committee
encourages that funds be prioritized for implementing equitable
strategies to make the biggest positive impact among
underserved jurisdictions that carry a disproportionate burden
of hepatitis B.
Infectious Diseases and Opioids.--The Committee encourages
CDC to prioritize jurisdictions with the highest age-adjusted
mortality rate related to SUDs and acute hepatitis C infection.
CDC is also encouraged to prioritize jurisdictions that are
experiencing outbreaks or emerging clusters of infectious
diseases associated with drug use, including those not eligible
for EHE funding.
School Health.--The Committee provides $38,081,000 to
promote school-based health and disease prevention for
adolescents, including mental health. CDC is urged to collect
and integrate data on school policies and practices that
support student and staff physical and emotional well-being and
positive mental health and wellness.
Sexually Transmitted Infections [STIs].--The Committee is
concerned by the high rates of sexually transmitted infections
in the United States, particularly the increase in syphilis and
congenital syphilis. The Committee includes $176,310,000 to
combat and prevent the high incidence of STIs. Additionally,
the Committee directs CDC to continue to move the grant year
forward by 1 month to provide for a more efficient expenditure
of funds and improve grantee activities, with the intention
that the grant year will be moved forward by 1 month for the
next year, contingent on the availability of funds. Finally,
the Committee encourages CDC to work with other agencies, as
appropriate, to develop innovative approaches including the use
of telehealth platforms and at home specimen collection to
increase screening, treatment, and education to curb the spread
of STIs in vulnerable populations.
Subawards.--The Committee is concerned about the
accountability of subawards made with funds appropriated for
infectious diseases and the opioid epidemic and directs CDC to
track and monitor subawards.
Tribal Tuberculosis.--The Committee is concerned about the
insufficient staffing of tuberculosis technicians in Tribal
areas. The Committee encourages CDC in conjunction with State
and local health departments, to continue supporting TB
prevention and treatment activities in populations at highest
risk for TB disease, including American Indian and Alaska
Native communities.
EMERGING AND ZOONOTIC INFECTIOUS DISEASES
Appropriations, 2024.................................... $760,272,000
Budget estimate, 2025................................... 780,772,000
Committee recommendation................................ 805,272,000
The Committee recommendation for the activities of the
National Center for Emerging and Zoonotic Diseases is
$805,272,000, which includes $52,000,000 in transfers from the
PPH Fund.
The National Center for Emerging and Zoonotic Infectious
Diseases aims to detect, prevent, and control infectious
diseases from spreading, whether they are naturally occurring,
unintentional, or the result of terrorism.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Antibiotic Resistance Initiative.... 197,000,000 200,000,000
Vector-Borne Diseases............... 63,603,000 65,603,000
Lyme Disease........................ 27,000,000 29,000,000
Prion Disease....................... 8,000,000 9,000,000
Chronic Fatigue Syndrome............ 5,400,000 5,400,000
Emerging Infectious Diseases........ 213,997,000 245,997,000
Harmful Algal Blooms................ 3,500,000 3,500,000
Food Safety......................... 72,000,000 72,000,000
National Health Care Safety Network. 24,000,000 24,000,000
Quarantine.......................... 53,772,000 58,772,000
Advanced Molecular Detection........ 40,000,000 40,000,000
Epidemiology and Laboratory Capacity 40,000,000 40,000,000
Healthcare-Associated Infections.... 12,000,000 12,000,000
------------------------------------------------------------------------
Advanced Molecular Detection [AMD].--The Committee includes
$40,000,000 and recognizes the critical role the AMD program
plays in bringing cutting edge technology to the front lines of
public health by harnessing the power of advanced sequencing
methods and high performance computing with bioinformatics and
epidemiology expertise to study pathogens. The Committee
commends CDC for advancing research in the critical area of
lethal bacteria and special pathogens. However, the Committee
remains concerned about the increasingly dangerous threat to
public health of emerging and dangerous bacterial pathogens
that can be difficult or impossible to grow in laboratory
settings and can disproportionately affect health equity of
underrepresented populations. Further research is required in
advanced DNA sequencing to speed the development of
diagnostics, therapeutics, and vaccines. The Committee requests
a briefing on the advanced DNA sequencing and detection of
novel emerging and dangerous pathogens no later than 180 days
after enactment of this act.
Antimicrobial Resistance [AMR].--The Committee continues to
support the administration's proposal to address the problem of
antimicrobial resistant bacteria and fungi through a ``One
Health'' approach and by tracking and preventing the spread of
resistance at the local, regional, national and global levels.
The Committee notes the complexities in conducting surveillance
of antimicrobial resistance. The Committee directs CDC to
publish a report publicly describing national trends in the
prescription of antibiotics. The report shall identify
recommendations for how antibiotic stewardship programs could
be improved, and what steps should be taken for Congress to
help physicians improve appropriate use of antibiotics.
Importation of Dogs.--The Committee understands the role of
CDC in preventing the spread of disease, however, certain
changes to the final rule entitled ``Control of Communicable
Disease; Foreign Quarantine: Importation of Dogs and Cats''
were not included in the Notice of Proposed Rulemaking and did
not receive public comment. The burden of such changes on pene-
exclaves and communities near the border of a rabies-free or
low-risk country should be reviewed and mitigated by the CDC.
The Committee views CDC's recent efforts to modify
implementation of the rule as a step forward, but the Committee
encourages CDC to consider additional ways to ensure that the
transport of dogs into the country by rescue organizations,
citizens who cross the border for work or other daily
activities, including sporting events, and U.S. employees
stationed overseas traveling with their pets are not
unreasonably inhibited. The Committee also requests that CDC
evaluate any flexibilities to the 6-months of age requirement,
in order to ensure dogs from rabies-free or low-risk countries,
and their owners or potential owners, are not unnecessarily
penalized by the final rule.
Lyme Disease and Related Tick-Borne Illnesses.--The
Committee provides $29,000,000 to expand the programs
authorized under the Kay Hagan Tick Act (Public Law 116-94) to
promote a public health approach to combat rising cases of
tick-borne diseases. In distributing these funds, the Committee
directs CDC to prioritize entities focused on Lyme disease and
related tick-borne diseases in the areas of surveillance,
control, prevention, diagnosis, treatment, and education. The
Committee recognizes the growing public health threat of Lyme
disease and related tick-borne diseases and directs CDC to
provide support in endemic areas as well as areas not yet
considered endemic. Given the impact of Lyme disease and the
status of ongoing clinical trials, the Committee requests a
report within 180 days of enactment on CDC's research to date
and recommendations on actions needed to facilitate a
successful Lyme disease vaccine rollout that will build
confidence and encourage uptake should a vaccine be approved by
the FDA.
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome [ME/
CFS].--Given that a subset of patients with post-acute COVID-19
and other post-infectious syndromes meet the diagnostic
criteria for ME/CFS, the Committee continues to encourage CDC
to develop a national epidemiological and disease tracking
study of post-infectious syndromes prevalence, specifically the
rates of ME/CFS in adults. The Committee expects CDC to
strengthen collaboration with 1) interagency partners, 2)
disease experts and stakeholders, and 3) the NIH's
Collaborative Research Centers. Additionally, the Committee
urges CDC to conduct a series of epidemiological studies into
the causes, diagnosis, and risk factors of ME/CFS. The
Committee also expects CDC to engage physicians and patients in
an effort to increase awareness of ME/CFS and disseminate
updated clinical guidance. Finally, the Committee supports
CDC's successful Project ECHO-style primary care provider
education programs and encourages CDC to explore expanding the
program to additional States and regions, with a special focus
on rural and underserved communities.
Mycotic Diseases.--The Committee supports CDC's efforts
relating to mycotic diseases, including its collaboration with
the Valley Fever Institute, Valley Fever Center for Excellence,
and the Cocci Study Group. As part of this work, the Committee
urges CDC to grow its work to improve surveillance, awareness,
and diagnostics for coccidioidomycosis and other fungal
diseases. The Committee directs CDC to fund these activities at
not less than the fiscal year 2024 enacted level.
National Healthcare Safety Network [NHSN].--The Committee
includes $24,000,000 for NHSN and recognizes the critical value
of this system for healthcare quality measurement and
improvement, as well as supporting national security needs for
situational awareness of health systems' capacity during major
outbreaks and pandemic responses. The Committee supports the
modernization of the system's infrastructure resulting in
increased timeliness and accuracy, reduced burden on healthcare
facilities, and the ability to collect urgent data as called
for by the National Biodefense Strategy to create an enduring
domestic all-hazards hospital data collection capability.
Prion Disease Surveillance.--The Committee is concerned
that Chronic wasting disease [CWD], a fatal condition in
cervids (deer, elk, and moose) caused by misfolded prions, has
been detected in over 30 States and all four regions of the
country. Monitoring the prevalence of prion diseases, including
determining a disease's incidence and whether it was acquired
from animals or other humans, is critical. In light of
scientific observations regarding the Nationwide spread of CWD
and concerns about the potential for cross-species
transmissions to humans and food production animals, the
Committee includes $9,000,000 for surveillance efforts of human
prion diseases, including Creutzfeldt-Jakob Disease, through
the National Prion Disease Pathology Surveillance Center and
CDC.
Quarantine.--The Committee includes an increase for this
program and supports efforts to detect pathogens early and
enhance global biosecurity efforts through the Traveler-based
Genomic Surveillance program.
Sepsis.--The Committee includes $5,000,000 to support CDC's
ongoing work for expanded data collection related to sepsis and
the Sepsis Core Elements through NHSN and the Division of
Healthcare Quality Promotion's work to develop sepsis quality
measures. The Committee recognizes the importance of
developing, in coordination with CMS, measures to improve the
detection of sepsis and outcomes for patients with sepsis.
These include a hospital sepsis programs' structural measure to
address the implementation of structures and activities to
improve the recognition and care of patients with sepsis, the
Adult Sepsis Event outcome measure that will assess the number
of cases and outcomes of adult patients hospitalized with
sepsis, and the Pediatric Sepsis Event measure that will be
used to estimate the National burden of pediatric sepsis. The
Committee requests CDC release an annual report on hospital use
of the Sepsis Core Elements, which includes how many hospitals
use the Core Elements and CDC plans for further analysis that
detail success and barriers to implementation of the sepsis
Core Elements.
Vector-Borne Diseases [VBDs].--The Committee is concerned
about the risk of a vector-borne infectious disease outbreak in
the United States and our readiness to quickly respond to and
stop its spread. The Committee includes an increase of
$2,000,000 for continued implementation of the Kay Hagan Tick
Act and to enhance capacity to expand nation-wide surveillance
of vector-borne disease. The Committee intends that this
additional funding will also support the purposes of the
Strengthening Mosquito Abatement for Safety and Health
provisions in the All-Hazards Preparedness and Advancing
Innovation Act (Public Law 116-22).
Wastewater Surveillance.--The Committee provides
$20,000,000 for Wastewater Surveillance. The Committee remains
encouraged by CDC's infectious disease surveillance work
through wastewater surveillance that partners with health
laboratories and academic institutions to track multiple
existing infectious disease threats simultaneously and to
quickly pivot to detect both the resurgence of known pathogens
and the emergence of new threats. The Committee continues to
underscore the importance of a wastewater surveillance system
that can serve as a national early-warning system. The
Committee encourages CDC to provide recommendations on the use
of assays and other methods to promote efficient wastewater
surveillance for data on multiple infectious diseases and to
quickly add new disease targets as needed. The Committee
requests CDC provide recommendations for wastewater testing
methods and metrics. The Committee encourages wastewater sample
data reporting to CDC to be published by the Secretary in a
publicly available wastewater surveillance database and
dashboard.
The Committee also directs CDC to provide details regarding
the status of wastewater surveillance including specifications
for the number, composition, capabilities, and geographic
distribution of sites in the fiscal year 2026 CJ. This
information should also include recommendations regarding the
funding required annually to maintain a national wastewater
surveillance system as well as an analysis of spending on
wastewater surveillance for fiscal year 2023 and fiscal year
2024.
CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION
Appropriations, 2024.................................... $1,433,914,000
Budget estimate, 2025................................... 1,559,414,000
Committee recommendation................................ 1,463,914,000
The Committee recommendation for the activities of the
National Center for Chronic Disease Prevention and Health
Promotion is $1,463,914,000, which includes $270,950,000 in
transfers from the PPH Fund.
The mission of the Center is to provide national leadership
in promoting health and well-being through prevention and
control of chronic diseases. More than one-half of all American
adults have at least one chronic illness, and such diseases
account for 70 percent of all U.S. deaths and over three-
quarters of all healthcare costs in the United States. Chronic
diseases are the leading causes of death and disability and
while they affect all populations, the most disadvantaged
Americans often suffer the highest burden of disease.
These conditions are largely preventable or improved
through evidence-based programs and strategies. The Committee
encourages CDC to continue working with State and local health
departments and national organizations to maximize their
investments in evidence-based programming and strategies at the
community level.
Within the total provided for the National Center for
Chronic Disease Prevention and Health Promotion, the following
amounts are available for the following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Tobacco............................. 246,500,000 246,500,000
Nutrition, Physical Activity, and 58,420,000 58,420,000
Obesity............................
High Obesity Rate Counties...... 16,500,000 16,500,000
School Health....................... 19,400,000 19,400,000
Health Promotion.................... 64,100,000 68,100,000
Vision and Eye Health........... 6,500,000 6,500,000
Alzheimer's Disease............. 39,500,000 41,500,000
Inflammatory Bowel Disease...... 2,000,000 2,000,000
Interstitial Cystitis........... 1,100,000 1,100,000
Excessive Alcohol Use........... 6,000,000 6,000,000
Chronic Kidney Disease.......... 4,500,000 4,500,000
Chronic Disease Education and 4,500,000 6,500,000
Awareness......................
Prevention Research Centers......... 28,961,000 31,961,000
Heart Disease and Stroke............ 155,105,000 155,105,000
Diabetes............................ 156,129,000 158,129,000
National Diabetes Prevention Program 37,300,000 37,300,000
Cancer Prevention and Control....... 410,049,000 425,049,000
Breast and Cervical Cancer...... 235,500,000 243,500,000
WISEWOMAN................... 34,620,000 34,620,000
Breast Cancer Awareness for 6,960,000 6,960,000
Young Women....................
Cancer Registries............... 53,440,000 53,440,000
Colorectal Cancer............... 44,294,000 49,294,000
Comprehensive Cancer............ 22,425,000 22,425,000
Johanna's Law................... 11,500,000 11,500,000
Ovarian Cancer.................. 15,000,000 15,000,000
Prostate Cancer................. 15,205,000 17,205,000
Skin Cancer..................... 5,000,000 5,000,000
Cancer Survivorship Resource 725,000 725,000
Center.........................
Oral Health......................... 20,250,000 20,250,000
Safe Motherhood/Infant Health....... 110,500,000 116,500,000
Arthritis........................... 11,000,000 11,000,000
Epilepsy............................ 11,500,000 11,500,000
National Lupus Registry............. 10,000,000 10,000,000
Racial and Ethnic Approaches to 68,950,000 68,950,000
Community Health (REACH)...........
Good Health and Wellness in 24,000,000 24,000,000
Indian Country.................
Social Determinants of Health....... 6,000,000 6,000,000
Million Hearts...................... 5,000,000 5,000,000
National Early Child Care 5,000,000 5,000,000
Collaboratives.....................
Hospitals Promoting Breastfeeding... 9,750,000 9,750,000
------------------------------------------------------------------------
Alzheimer's Disease.--The Committee recommendation includes
$41,500,000 to continue Alzheimer's and related dementias
public health programs authorized in Public Law 115-406 and to
strengthen the Healthy Brain Initiative, including
implementation of the Healthy Brain Initiative Public Health
Road Maps. HHS formally made prevention of Alzheimer's disease
a national priority when it added Goal Six to the National plan
to fight the disease in 2021. Goal Six calls for clear
strategies to prevent and fight the disease including
additional research, strengthening our Nation's public health
infrastructure, and turning risk reduction into clinical
practice. The Committee directs the Secretary to publish a
report publicly within 180 days of enactment on progress made
toward meeting the goal. The Committee is encouraged by
research demonstrating the impact of risk reduction on dementia
prevalence. To ensure disproportionately affected populations
are reached, the Committee encourages CDC to increase capacity
to support populations with a high burden of Alzheimer's and
other dementias through public health promotion and workforce
development.
Breast and Cervical Cancer.--The Committee includes
$243,500,000 for the provision of critical, lifesaving breast
cancer screening and diagnostic services to uninsured and
underinsured women. The Committee is aware that there are still
substantial barriers to screening like geographic isolation,
limited health literacy, lack of provider recommendation,
inconvenient times to access services, and language barriers.
The Committee directs CDC to continue efforts to reduce breast
and cervical cancer disparities especially in underserved
communities and to work to reach women who may have delayed
screening services during the COVID-19 pandemic.
Chronic Disease and Alzheimer's.--The Committee recognizes
and applauds the work of the National Center for Chronic
Disease Prevention and Health Promotion especially as more is
learned about the relationship and linkage between chronic
diseases. Research shows association between multiple chronic
diseases, modifiable risk factors, and the development of
Alzheimer's disease and dementia. Heart disease, obesity,
diabetes, and other chronic conditions are being studied as
risk factors for Alzheimer's disease and dementia. The
Committee requests a report from CDC within 120 days of
enactment of this act outlining efforts to educate,
particularly underserved communities, about the relationship
between chronic diseases and potential development of
Alzheimer's disease and dementia.
Chronic Disease Education and Awareness [CDEA] Program.--
The Committee is pleased with the administration of the CDEA
program and includes $6,500,000 to support existing and
additional grants for chronic health conditions that do not
have a line item in CDC's budget. The CDEA program is
supporting several important multi-year projects that are
improving public and professional awareness, and the Committee
urges CDC to continue to support these activities along with
new initiatives. Multiple conditions, patient advocacy
organizations, clinicians, and researchers could benefit from
this program, such as postural orthostatic tachycardia syndrome
[POTS] and similar forms of dysautonomia; tardive dyskinesia,
which can be a debilitating movement disorder affecting
individuals with serious mental illness; and improved
prevention, diagnosis, and treatment of life-threatening blood
clots.
Comprehensive Cancer.--The Committee includes $22,425,000
to advance the goals of the Cancer Moonshot Initiative through
CDC's cancer prevention, early detection and treatment,
survivor support, and health equity activities. CDC is urged to
use a portion of this increase to expand evidence-based cancer
survivorship programs by State, Tribal, and territorial program
recipients in partnership with community-based organizations.
Diabetes.--The Committee includes an increase and is
encouraged by the health progress of many participants in CDC's
National Diabetes Prevention Program. The Committee encourages
CDC to continue its work to update the PreventT2 curriculum
content to include evidence from the USDA's Dietary Guidelines
for Americans on the importance of and access to healthy foods,
including data on disease prevention through a balanced diet,
and to prioritize working directly with local community
partners who provide produce prescription programming. The
Committee encourages CDC to explore ways to integrate food as
medicine approaches in the National Diabetes Prevention
Program.
Early Child Care Collaboratives.--The Committee includes
$5,000,000 to enable training of early care and education
providers in the implementation of healthy eating and physical
activity best practices. Funds will also support assistance for
integration of healthy eating and physical activity best
practices into existing State and local professional
development systems' early care and education settings, and
health initiatives.
Eating Disorders Awareness Program.--The Committee is
concerned that eating disorders have one of the highest
fatality rates of any psychiatric illness, and the rate of
diagnosis for youth ages 12-18 rose 25 percent since 2019. The
Committee directs CDC to provide a report to the Committee
within 180 days of enactment of this act detailing how CDC has
assisted States in collecting data by re-including one standard
question on unhealthy weight control practices for eating
disorders in the Youth Risk Behavior Surveillance System.
Epilepsy.--The Committee includes $11,500,000 and commends
CDC for its ongoing leadership of this successful program and
effective community collaboration, and encourages further
efforts to eliminate stigma, improve awareness and education,
and better connect people with epilepsy to health and community
services. The Committee appreciates CDC's ongoing epilepsy-
related surveillance and funding of epidemiologic studies on
epilepsy and recognizes the importance of data to accurately
understand the incidence, prevalence, and mortality rate of
epilepsies, along with individual and social risk factors that
influence health outcomes. The Committee encourages CDC to
enhance surveillance and epidemiologic studies of the
epilepsies to generate data that can guide interventions to
improve outcomes for people with epilepsy, including
interventions for patients with drug-resistant epilepsy. The
Committee looks forward to receiving the report requested in
fiscal year 2024 on current gaps in surveillance data of people
living with epilepsies and on the feasibility, cost, and timing
of case reporting epilepsy through the addition of the disease
to the National Neurological Conditions Surveillance System.
Farm-to-School.--The Committee continues $2,000,000 within
Nutrition, Physical Activity, and Obesity for research and
education activities related to farm-to-school programs that
result in promoting healthy eating habits for students. The
Committee intends that these grants support multi-agency,
multi-organizational State farm to early childhood initiatives.
The Committee also directs CDC to coordinate farm-to-early
childhood program efforts with the Office of Community Food
Systems at the Department of Agriculture.
Food Allergies.--The Committee recognizes the serious issue
of food allergies, which affect approximately 8 percent of
children in the United States. The Committee includes
$2,000,000 for a school-based effort to address food allergies
and reduce potentially fatal anaphylactic reactions.
Food Service Guidelines [FSG] for Federal Facilities.--The
Committee supports the goal set forth in the National Strategy
on Hunger, Nutrition, and Health to implement the Federal Food
Service Guidelines for Federal Facilities. The Committee
encourages CDC, in consultation with the Federal FSG Work Group
it has convened, to create a comprehensive plan including an
assessment of resources and other needs for implementation of
the FSG across Federal food service operations and procurement
where practicable for food served, sold, and distributed.
Heart Disease and Stroke.--The Committee continues funding
for CDC's Heart Disease and Stroke Prevention program. CDC is
encouraged to support community partnerships in additional
States to control heart disease and stroke and help the more
than 119 million Americans living with high blood pressure. The
Committee continues funding to support implementation of the
Cardiovascular Advances in Research and Opportunities Legacy
Act (Public Law 117-224). In addition, the Committee also
continues the WISEWOMAN program to increase the number of low-
income, uninsured and underinsured women who are assessed and
connected to resources.
High Obesity Rate Counties.--The Committee directs CDC to
continue this program at no less than the fiscal year 2024
level. CDC grantees are expected to work with State and local
public health departments and other partners to support
measurable outcomes through community and population-level
evidence-based obesity intervention and prevention programs.
Funded projects should integrate evidence-based policy,
systems, and environmental approaches to better understand and
address the environmental and societal implications of obesity.
The Committee encourages CDC to also consider including the
preponderance of obesity by State based on the CDC Behavioral
Risk Factor Surveillance System in its eligibility criteria for
the High Obesity Program.
Inflammatory Bowel Disease [IBD].--The Committee commends
CDC's ongoing efforts to continue epidemiological studies on
Crohn's disease and ulcerative colitis, known collectively as
IBD, and encourages CDC to establish awareness and education
activities for patients and healthcare professionals to produce
improved time to diagnosis and optimal disease management,
including in medically underserved populations.
Kidney Disease.--The Committee provides $4,500,000 to
support the Chronic Kidney Disease [CKD] program, which
supports activities that identify risk factors for kidney
disease, increase awareness, diagnosis, and treatment and
improve health outcomes of people with CKD. The Committee
encourages CDC to continue its ongoing Kidney Disease
Surveillance System and enhance its capacity to track the
progress of CKD prevention, detection, and management efforts.
The Committee also supports activities that enhance health
systems' capacity to identify, risk-stratify, and manage
individuals with CKD with special emphasis on populations in
low-income, geographically underserved areas, and communities
with high burden of disease.
Mississippi Delta Health Collaborative.--Within the funds
provided for Chronic Disease Prevention and Health Promotion,
the Committee encourages CDC to continue the Mississippi Delta
Health Collaborative project and requests that CDC provide an
update on these activities in the fiscal year 2026 CJ.
Prostate Cancer.--The Committee is aware of the continued
rise in prostate cancer deaths and supports CDC's work to
promote public awareness of prostate cancer risks, screening,
and treatment in high-risk men. The Committee provides
$17,205,000 for CDC's prostate cancer activities, including for
outreach and education initiatives among African-American men
and other high-risk groups.
Racial and Ethnic Approaches to Community Health [REACH].--
The Committee includes $68,950,000 to support grantees in
building capacity for collaboration and disseminating evidence-
based strategies in communities. REACH is a vital initiative to
help eliminate healthcare disparities in minority communities.
The Committee's recommended level includes $24,000,000 for Good
Health and Wellness in Indian Country.
Rural Prevention Health Research.--The Committee recognizes
the important work of Prevention Research Centers [PRCs], in
particular the needs of rural focused prevention research. The
Committee encourages CDC to review their grant funding process
to ensure appropriate funding to rural areas, including rural
Appalachia, which consistently ranks high in incidences of
disease, injury, and poor health outcomes, to ensure important
rural health research continues to take place. The Committee
also directs CDC to ensure at least 20 percent of PRC funding
is being directed to research in rural areas.
Safe Motherhood and Infant Health.--The Committee includes
$116,500,000 for this portfolio of programs to improve the
health of pregnant and postpartum individuals and their infants
and reduce inequities in maternal and infant health outcomes.
Maternal mortality continues to rise at an unacceptable rate in
the United States, which reached 1,205 maternal deaths in 2021,
a 40 percent increase from 2020. The Committee encourages CDC
to use the funding increase to expand and increase support for
Maternal Mortality Review Committees [MMRCs], Perinatal Quality
Collaboratives [PQCs], and other programs including Sudden
Unexplained Infant Death [SUID] and the Sudden Death in the
Young [SDY] Case Registry. The Committee also encourages CDC to
prioritize funding to help MMRCs build stronger data systems
and improve data collection at the State level to create
consistency and ensure accuracy and completeness in data
collection, analysis, and reporting across State MMRCs. This
investment is necessary to provide accurate national statistics
on U.S. maternal mortality rates and inform data-driven actions
to prevent these deaths. The Committee requests a report within
120 days of enactment of this act on barriers to effective and
consistent data collection and opportunities to improve
coordination among State MMRCs. Additionally, the Committee
commends CDC for funding State-based PQCs and encourages CDC to
prioritize funding to expand PQCs to additional States and
territories and provide increased support to existing PQCs. The
Committee requests an update on the expansion of PQCs beyond
the States currently funded, as well as any barriers to
expansion in the fiscal year 2026 CJ.
School Health.--The Committee includes $19,400,000 to
promote school-based health and to prevent chronic disease and
promote the health and well-being of children and adolescents
in schools.
School Health Index [SHI].--The Committee understands the
importance for educational institutions to promote health and
wellness to their students from a holistic perspective to
encourage stronger learning environments. The Committee
recognizes that CDC created SHI to assist schools in evaluating
and improving the health and well-being of students. The
Committee encourages CDC to create and develop a tool similar
to the SHI for higher education.
Skin Cancer Education and Prevention.--The Committee is
concerned with the growing number of people diagnosed with
preventable forms of skin cancer, which is now the most
commonly diagnosed cancer in the United States. The Committee
provides $5,000,000 for skin cancer education and prevention
and encourages CDC to continue its collaboration and
partnership with local governments, business, health,
education, community, nonprofit, and faith-based sectors.
Sleep Health and Sleep Disorders.--The Committee is
concerned with the troubling lack of coordinated efforts in
public health to improve sleep health and disorder awareness,
diagnosis, and treatment despite landmark scientific
discoveries demonstrating the significant impact of sleep on
disease and mental and physical health and wellness. The
Committee encourages CDC to expand activities to improve sleep
health and sleep disorders awareness, epidemiology, detection,
and care particularly for rare and orphan sleep disorders, like
narcolepsy, and requests that CDC provide an update on these
activities in the fiscal year 2026 CJ.
Social Determinants of Health [SDOH].--The Committee
recognizes the important impact of SDOH on outcomes and health
inequities in communities. The Committee provides $6,000,000
for SDOH activities.
Sudden Cardiac Arrest.--The Committee recognizes that
sudden cardiac arrest is a leading cause of death among
athletes at all ages and that timely access to automated
external defibrillators [AEDs] can significantly improve
survival rates. The Committee urges CDC to publish best
practices for how to best deploy AEDs in sporting facilities,
including schools, colleges, community centers, and stadiums.
The best practices should include recommendations on optimal
locations, maintenance, training, and coordination with
emergency medical services, including the development of
Emergency Action Plans for AED deployment. Additionally, the
Committee encourages CDC to expand the Cardiac Arrest Registry
to Enhance Survival [CARES] program to capture data from
additional States. The Committee recognizes that every year,
more than 350,000 Americans fall victim to out-of-hospital
cardiac arrest and only about 1 in 10 will survive this event.
Registry data is critical to improving sudden cardiac survival
rates in all States by allowing communities to measure the
quality of patient care, establish performance goals, and
analyze emergency response data to identify opportunities for
improvement.
Tobacco.--The Committee includes $246,500,000 for CDC,
States, Tribes and territories to continue efforts to reduce
tobacco use among disparate populations and in areas and
regions with high tobacco prevalence and mortality, as well as
continue the highly successful and cost-effective Tips from
Former Smokers media campaign. The Committee acknowledges the
overall progress that has been made on reducing adult smoking
prevalence, expresses concern that more than 1 in 10 U.S.
adults continues to smoke cigarettes, and urges CDC to continue
its evidence-based work to ensure that rates also decline in
populations disproportionately affected by tobacco use,
including rural communities. The Committee remains concerned
that 10 percent of youth use at least one tobacco product and
encourages CDC's ongoing efforts to respond to and prevent
youth use of e-cigarettes and other tobacco products.
Additionally, the Committee is concerned with reports of
unauthorized, illegal tobacco products sold in the United
States. The Committee directs CDC to provide a briefing on the
Tobacco program, including a breakdown of funding sources,
programs, and activities within 120 days of enactment of this
act. Additionally, CDC is instructed to provide information on
how funds are currently supporting, or may prospectively
support, FDA enforcement and regulation of unauthorized
products and State directories.
Type 1 Diabetes.--According to CDC's National Diabetes
Statistics Report 2021 data, approximately 2 million Americans
have type 1 diabetes [T1D], with 304,000 of these individuals
under the age of 20. Incidence of T1D in youth has increased
significantly over the last 20 years. Millions of individuals
are at an increased risk of developing T1D because they have a
first-degree relative with the condition, and a subset of these
individuals are in the early stages of T1D. Screening can help
improve outcomes for people at risk of developing T1D,
including delaying progression, preventing complications, and
reducing the incidence of diabetic ketoacidosis [DKA] at
diagnosis which poses increased morbidity and mortality in the
short and long term. The Committee is concerned that CDC has
not adequately focused education and awareness efforts on
possible risk factors, screening, and potential avenues to
delay onset of T1D, including available treatments and clinical
trials. The Committee encourages CDC to update its website to
include comprehensive information about screening, risks of DKA
at diagnosis, and information about accessing possible
treatments and clinical trials to delay the onset of T1D. The
website should include information targeting physicians, school
health workers, parents, and other adults about screening,
provide information about populations that should be
prioritized for screening, and direct patients (or their
parents) to appropriate resources if their screening results
indicate that they are at increased risk of developing T1D. CDC
is encouraged to enact a process to continually review the
latest scientific literature on screening for T1D and update
information on its website to reflect new information. The
Committee also recommends CDC to provide a plan, no later than
60 days after enactment of this act, outlining steps the agency
will take to increase outreach and education efforts focused on
T1D.
Vision and Eye Health.--The Committee provides $6,500,000
for vision and eye health and glaucoma detection, and continues
to direct CDC to fund these activities at not less than the
fiscal year 2024 enacted levels. The Committee encourages CDC
to conduct national-level surveillance on the prevalence of
vision loss-including prevalence of risk for vision loss and
eye disease into the Vision and Eye Health Surveillance System.
The Committee is aware that vision impairments and eye disease
contribute to or complicate many other serious and costly
chronic health conditions, including diabetes, depression and
anxiety, cardiovascular disease, and cognitive decline. Data on
risk of vision loss and existence of vision loss in the United
States is necessary to inform State and community partnerships
that emphasize early detection and intervention and to address
the biggest challenges in access to eye care that can prevent
eye disease from progressing to permanent vision loss.
NATIONAL CENTER ON BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES,
DISABILITY AND HEALTH
Appropriations, 2024.................................... $206,060,000
Budget estimate, 2025................................... 205,560,000
Committee recommendation................................ 210,060,000
The Committee recommendation for the activities of the
National Center on Birth Defects, Developmental Disabilities,
Disability and Health [NCBDDD] is $210,060,000.
This Center improves the health of children and adults by
preventing birth defects, developmental disabilities, and
complications of hereditary blood disorders, and by promoting
optimal child development and health and wellness among
children and adults living with disabilities.
Within the total provided, the following amounts are
available for the following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Child Health and Development...... 71,300,000 71,300,000
Other Birth Defects............. 19,000,000 19,000,000
Fetal Death..................... 900,000 900,000
Fetal Alcohol Syndrome.......... 11,500,000 11,500,000
Folic Acid...................... 3,150,000 3,150,000
Infant Health................... 8,650,000 8,650,000
Autism.......................... 28,100,000 28,100,000
Health and Development for People 86,410,000 88,410,000
with Disabilities..................
Disability and Health........... 45,500,000 46,500,000
Tourette Syndrome............... 2,500,000 2,500,000
Early Hearing Detection and 10,760,000 10,760,000
Intervention...................
Muscular Dystrophy.............. 8,000,000 9,000,000
Attention Deficit Hyperactivity 1,900,000 1,900,000
Disorder.......................
Fragile X....................... 2,000,000 2,000,000
Spina Bifida.................... 7,500,000 7,500,000
Congenital Heart................ 8,250,000 8,250,000
Public Health Approach to Blood 21,100,000 21,100,000
Disorders..........................
Hemophilia CDC Activities....... 3,500,000 3,500,000
Hemophilia Treatment Centers.... 5,100,000 5,100,000
Thalassemia..................... 2,100,000 2,100,000
Neonatal Abstinence Syndrome........ 4,250,000 5,250,000
Surveillance for Emerging Threats to 23,000,000 24,000,000
Mothers and Babies.................
------------------------------------------------------------------------
Autism.--The Committee includes $28,100,000 for the Autism
Developmental Disabilities Monitoring [ADDM] Network and to
continue surveillance of cerebral palsy to reach nearly all of
its 16 ADDM Network sites.
Blood Clots.--The Committee is concerned about the enormous
toll of blood clots on patients and the healthcare system,
particularly for pregnant women, Black Americans, and cancer
patients. The Committee again urges CDC to develop a
comprehensive, nationwide blood clot education and awareness
campaign for the general public focused on the treatment and
prevention of blood clots and education and training of
healthcare professionals about the signs and symptoms of blood
clots.
Congenital Heart Disease [CHD].--CHD is the most common and
deadliest category of birth defects in the United States. The
Committee commends NCBDDD for its leadership in improving
understanding of the unique, specialized care needs for the
growing CHD population across the lifespan. The Committee
includes $8,250,000 for surveillance, research, and awareness
activities authorized by the Congenital Heart Futures
Reauthorization Act (Public Law 115-342), including to support
additional longitudinal surveillance sites, survey activities
on long-term outcomes and patient needs, engagement with
healthcare providers, and analysis of healthcare claims and
clinical data.
Duchenne and Becker Muscular Dystrophy.--The Committee
includes $9,000,000 to continue Muscular Dystrophy research and
disease surveillance initiatives. The Committee strongly
encourages CDC to update research and tracking to better
understand the outcomes for Duchenne and Becker muscular
dystrophy treated both in and out of Certified Duchenne Care
Centers; examine impacts of Duchenne on bone health,
cardiovascular, and cognitive function; and investigate care
and outcomes for adults with Duchenne, those receiving multiple
therapies including gene therapy, and various demographic
subpopulations. The Committee requests a report within 180 days
of enactment of this act detailing its plan for updating
muscular dystrophy efforts along these parameters.
Fetal Alcohol Syndrome.--The Committee includes $11,500,000
for the surveillance of prenatal alcohol use and fetal alcohol
spectrum disorders [FASD], to facilitate partnerships to
prevent alcohol use during pregnancy, improve support services
and access to care by responding to families living with FASD,
and disseminating practical resources and information through
existing community-based local affiliates.
Hemophilia Treatment Centers.--The Committee recognizes the
important work of the Division of Blood Disorders in protecting
people with hemophilia and other bleeding disorders and has
included $5,100,000 for the programs' vital activities to
support surveillance at the National network of hemophilia
treatment centers and to provide testing for inhibitors, a
challenging, harmful, and expensive complication of hemophilia.
Neonatal Abstinence Syndrome [NAS] Surveillance.--The
Committee includes $5,250,000 to address the rise in NAS
resulting from the overuse of opioids and other related
substances during pregnancy. Funding should be used to conduct
research on the use of opioids and other substances during
pregnancy and related adverse outcomes from infancy through
childhood, and identify best practices for care, evaluation,
and management to help children.
Physical Activity for People with Disabilities.--The
Committee provides an increase of $1,000,000 to strengthen
existing programs that address healthy athletes.
Sickle Cell Disease [SCD].--The Committee recommendation
includes $6,000,000 for the sickle cell disease data collection
program. The Committee encourages CDC to provide technical
assistance to additional States with a higher prevalence of
SCD, so that they can successfully participate in this grant
program to better identify affected individuals in their States
and better meet their needs.
Spina Bifida.--The Committee recognizes that Spina Bifida
is the most common permanently disabling congenital disability
compatible with life in the United States, affecting 1,500
babies in the country each year. While Spina Bifida and related
neural tube defects are sometimes preventable through education
and adequate daily folic acid consumption, there are an
estimated 166,000 individuals, more than 65 percent of whom are
adults, living with all forms of this complex birth defect. The
Committee understands that there is a significant need for
immediate support at CDC to address the transitional and adult
care needs of the growing, aging Spina Bifida community and the
Committee requests an update in the fiscal year 2026 CJ on
efforts to address these needs. The Committee supports the
continuation of the Spina Bifida Clinical Care Monitoring and
Tracking Program, which works with the National Spina Bifida
Registry to guide the healthcare community in the best
treatment options for people living with Spina Bifida.
Stillbirth.--Stillbirth rates remain unacceptably high,
affecting thousands of families each year. The Committee
appreciates the findings and recommendations included in the
March 2023 Stillbirth Task Force report and encourages CDC to
implement the recommendations including improved recordkeeping,
data collection, and analysis about stillbirths, addressing
disparities in stillbirth risk, and provide better support for
families after a stillbirth occurs.
Surveillance for Emerging Threats to Mothers and Babies
Network [SET-NET].--The Committee includes $24,000,000 for SET-
NET. The program supports CDC's collaboration with State,
Tribal, territorial, and local health departments to monitor
the impact of emerging health threats, including COVID-19, on
pregnant people and their babies and inform public health and
clinical decision-making to improve the health of pregnant and
postpartum people and infants.
Thalassemia.--The Committee supports funding for
thalassemia, a rare genetic blood disorder that requires
lifelong blood transfusions, thus requiring chelation to remove
excess iron, particularly from the heart and liver. The
Committee is aware of the critical work done by the thalassemia
program at CDC in identifying thalassemia patients and
connecting them to services and to life-saving treatment
centers. Thalassemia patients experience serious comorbidities
that can impact almost every aspect of their lives. The
Committee urges CDC to continue and strengthen this
collaboration among thalassemia treatment centers, non-profit
organizations, and patients and their families.
Tourette Syndrome.--The Committee provides $2,500,000 and
directs CDC to continue to educate physicians, educators,
clinicians, allied professionals, and the general public about
the disorder and to improve scientific knowledge on prevalence,
risk factors, and co-occurring conditions of Tourette Syndrome.
The Committee commends CDC for its national public health
education and research program on Tourette syndrome. The
Committee encourages funding be used to continue to educate
physicians, educators, clinicians, allied professionals, and
the general public about the disorder and to improve scientific
knowledge on prevalence, risk factors, cost, and impact and co-
occurring conditions of Tourette syndrome.
PUBLIC HEALTH AND SCIENTIFIC SERVICES
Appropriations, 2024.................................... $754,497,000
Budget estimate, 2025................................... 804,097,000
Committee recommendation................................ 774,497,000
The Committee recommendation for Public Health Scientific
Services is $774,497,000, which includes $182,900,000 in
transfers from the PPH Fund.
This funding supports the work of all of the CDC Centers.
In particular, these activities compile statistical information
to inform public health policy; assure the accuracy and
reliability of laboratory tests; apply digital information
technology to help detect and manage diseases, injuries, and
syndromes; support public health workforce development
programs; and develop and inform the public health community on
sound public health surveillance, laboratory protocols, and
epidemiological practices.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Health Statistics................... 187,397,000 187,397,000
Surveillance, Epidemiology, and 298,100,000 298,100,000
Informatics........................
Advancing Laboratory Science........ 23,000,000 23,000,000
Public Health Data Modernization.... 175,000,000 195,000,000
Public Health Workforce............. 71,000,000 71,000,000
------------------------------------------------------------------------
Community Health Workers and Community Health.--The
Committee recognizes the importance of the community health
workforce in reaching underserved communities, preventing
illness, and reducing related healthcare costs. The Committee
urges CDC to encourage the use of community health workers in
communities, including Tribal communities, to support the
delivery of person-centered care.
Familial Hypercholesterolemia [FH].--The Committee
continues to encourage CDC to address FH as a public health
concern in order to improve diagnosis and care delivery and
prevent heart disease. The Committee is concerned that an
estimated 1.3 million people in the United States live with FH,
yet only 10 percent of them are diagnosed. The Committee
encourages the National Center for Chronic Disease Prevention
and Health Promotion to work collaboratively with CDC's Public
Health Genomics Branch to address FH as a public health concern
in order to improve diagnosis and care delivery and prevent
heart disease.
Global Civil Registry and Vital Statistics.--The Committee
strongly supports the National Center for Health Statistics'
efforts to facilitate capacity building among low- and middle-
income countries to develop civil registry and vital statistics
systems. The Committee requests a report within 180 days of
enactment that includes a listing of countries that have been
supported through these partnerships to-date and a budgetary
estimate of the funding required to continue this work.
National Center for Health Statistics.--The Committee
provides $187,397,000 for the National Center for Health
Statistics, which includes the National Health Interview
Survey. The Committee intends this funding to support
intersectional analyses of healthcare access, chronic health
conditions, including Long COVID, and mental health status.
Native Hawaiian and Pacific Islander National Health
Interview Survey.--The Committee recognizes that it has been 10
years since the Native Hawaiian and Pacific Islander National
Health Interview Survey was last fielded. The Committee looks
forward to the report as directed in Public Law 118-47 on the
feasibility, advisability, and costs to re-issue this survey,
as well as methods to ensure the inclusion of Native Hawaiian
and Pacific Islanders in the annual National Health Interview
Study.
National Neurological Conditions Surveillance System.--The
Committee includes $5,000,000 within Surveillance,
Epidemiology, and Informatics to continue efforts on the two
initial conditions-multiple sclerosis and Parkinson's disease.
Public Health Data Modernization Initiative [DMI].--The
Committee commends CDC's work to advance public health data
modernization and acknowledges that efforts to enhance public
health data system capabilities will result in fast and more
reliable data sharing. The Committee provides $195,000,000 for
CDC to continue bringing together State, Tribal, local and
territorial public health jurisdictions and public and private
sector partners with the goal of establishing modern,
interoperable, and real-time public health data and
surveillance systems to protect the American public. The
Committee recommends CDC ensure that funding from DMI is
allocated to jurisdictions through the National Center for
Health Statistics to support necessary upgrades to their vital
statistics systems to enable more, better, and faster vital
records data. The Committee requests a briefing within 90 days
of enactment of this act on the progress and plans for programs
and activities supported by DMI funding. The Committee directs
HHS to prioritize CDC data modernization and IT projects,
focusing on improving enterprise capabilities and
infrastructure. The Committee further directs HHS to continue
to provide quarterly reports for all ongoing projects.
Public Health Workforce.--The Committee includes
$71,000,000 and urges CDC to invest in fellowship and training
programs to rebuild the public health workforce that includes,
but is not limited to, epidemiologists, contact tracers, lab
scientists, community health workers, data scientists,
behavioral scientists, disease intervention and prevention
specialists, occupational health specialists, public health
physicians, veterinarians, nurses, informaticians, program
managers, economists, policy and evaluation experts, and
communicators who can help protect the Nation's communities.
ENVIRONMENTAL HEALTH
Appropriations, 2024.................................... $242,850,000
Budget estimate, 2025................................... 266,850,000
Committee recommendation................................ 244,850,000
The Committee recommendation for the National Center for
Environmental Health is $244,850,000. The Committee
recommendation includes $51,000,000 in transfers from the PPH
Fund.
The National Center for Environmental Health addresses
emerging pathogens and environmental toxins that pose
significant challenges to public health. The Center conducts
surveillance and data collection to determine which substances
in the environment are found in people and to what degree. The
Center also determines whether, and at what level of, exposure
to these substances are harmful to humans.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Environmental Health Laboratory... 70,750,000 71,750,000
Newborn Screening Quality 21,000,000 22,000,000
Assurance Program............
Newborn Screening for SCID.... 1,250,000 1,250,000
Other Environmental Health.... 48,500,000 48,500,000
Environmental Health Activities..... 48,600,000 49,600,000
Safe Water.................... 8,600,000 8,600,000
Amyotrophic Lateral Sclerosis 10,000,000 11,000,000
Registry.....................
Trevor's Law.................. 3,000,000 3,000,000
Climate and Health............ 10,000,000 10,000,000
All Other Environmental Health 17,000,000 17,000,000
Environmental and Health Outcome 34,000,000 34,000,000
Tracking Network...................
Asthma.............................. 33,500,000 33,500,000
Childhood Lead Poisoning............ 51,000,000 51,000,000
Lead Exposure Registry.............. 5,000,000 5,000,000
------------------------------------------------------------------------
Amyotrophic Lateral Sclerosis [ALS] Registry.--The
Committee encourages CDC to continue its investment in research
that will reduce incidence and prevalence of ALS in the United
States. The Committee encourages CDC to continue its efforts to
evaluate, update, and improve the National ALS Registry
program, by ensuring that the most up to date information is
provided to researchers, and ALS patients are connected with
clinical trials, treatments, and resources in a timely manner.
The Committee supports continued ALS prevalence reports, and
urges CDC to publish these reports in a timely manner and
provide updates regarding these prevalence reports.
Additionally, the Committee urges CDC to collaborate with the
Departments of Defense and Veterans Affairs to provide a
publicly available report on the incidence and prevalence of
ALS among military veterans.
Asthma.--The Committee includes $33,500,000 for the
National Asthma Control Program [NACP] so CDC can work with
States to improve health outcomes for people living with
asthma. As the number and severity of wildfires increases, the
Committee also urges the NACP to continue its efforts to
develop public health interventions aimed at protecting people
with asthma from wildfire smoke.
Childhood Lead Poisoning.--The Committee includes
$51,000,000 to improve health equity and to better prevent and
mitigate childhood lead exposure and expand the data
capabilities of the program to rapidly identify and address
emerging threats in communities with elevated risk of exposure
to lead. CDC is expected to support local capacity to improve
the health of children through efforts to eliminate lead from
their environment.
Climate and Health.--The Committee includes $10,000,000 for
the program to provide guidance, data, and technical assistance
to all States, local health departments, and additional
assistance to Tribes and territories, to identify possible
health effects associated with a changing climate and implement
health adaptation plans. Communities across the country are
vulnerable to health effects from increasingly common events
such as heatwaves, wildfires, floods, droughts, and extreme
storms. The Committee expects CDC to aid in the development and
implementation of State-specific action plans to protect health
from these threats.
Enhancing Data-Driven Disease Detection in Newborns
[ED3N].--Newborn screening [NBS] State programs in the United
States are growing every year, adding new conditions to this
life-saving public health program. Unfortunately, data silos
have led to data analytic challenges resulting in a less
efficient and less equitable NBS as these silos make it harder
to track trends and best practices across States. The Committee
supports the ED3N pilot within the Division of Laboratory
Sciences Newborn Screening and Molecular Biology Branch.
Extreme Heat and Data Collection.--The Committee recognizes
the increasing frequency and severity of extreme heat events
and the lack of currently available data to adequately
understand the financial burden that extreme heat places upon
healthcare systems. The Committee encourages CDC, in
collaboration with the National Integrated Heat Health
Information System [NIHHIS] and its participating agencies, to
develop and implement a system for tracking and making publicly
available the healthcare costs associated with the increased
demand for medical assistance during extreme heat events,
including expenses related to emergency room visits, urgent
care treatments, hospitalizations, and associated medications.
Pediatric Reference Intervals.--The Committee encourages
CDC to initiate efforts to improve the accuracy of pediatric
reference intervals. CDC is directed to include an estimate of
the costs associated with developing pediatric reference
intervals in the fiscal year 2026 CJ.
Per and Polyflouroalkyl Substances [PFAS].--The Committee
remains concerned that extended exposure to PFAS is associated
with decreased antibody response, dyslipidemia, decreased
infant and fetal growth, and increased risk of kidney cancer.
CDC is encouraged to continue to provide clinical guidance to
advise clinicians when to offer PFAS blood testing to patients
who are likely to have a history of elevated exposure.
Preventing Harmful Exposure to Phthalates.--The Committee
is concerned that despite action by the Consumer Product Safety
Commission to limit chemicals known as ortho-phthalates
[phthalates] in 2018 from children's toys and other children's
items in addition to the three phthalates banned by Congress in
2008, several phthalates continue to be used in food packaging
and food contact equipment. The Committee looks forward to
receiving the briefing as requested in fiscal year 2024 (Senate
Report 118-84).
INJURY PREVENTION AND CONTROL
Appropriations, 2024.................................... $761,379,000
Budget estimate, 2025................................... 943,379,000
Committee recommendation................................ 776,379,000
The Committee recommendation for the National Center for
Injury Prevention and Control is $776,379,000.
CDC is the lead Federal agency for injury prevention and
control. Programs are designed to prevent premature death and
disability and reduce human suffering and medical costs caused
by nonoccupational injuries including those caused by fires and
burns, poisoning, drowning, violence, and traffic accidents.
The Committee recommendation includes funding for the
following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Intentional Injury.............. 164,550,000 177,550,000
Domestic Violence and Sexual 38,200,000 38,200,000
Violence...................
Child Maltreatment...... 7,250,000 7,250,000
Child Sexual Abuse 3,000,000 3,000,000
Prevention.............
Youth Violence Prevention... 18,100,000 18,100,000
Domestic Violence Community 7,500,000 7,500,000
Projects...................
Rape Prevention............. 61,750,000 61,750,000
Suicide Prevention.......... 30,000,000 38,000,000
Adverse Childhood 9,000,000 14,000,000
Experiences................
National Violent Death Reporting 24,500,000 24,500,000
System.........................
Unintentional Injury............ 13,300,000 13,300,000
Traumatic Brain Injury...... 8,250,000 8,250,000
Elderly Falls............... 3,050,000 3,050,000
Drowning Prevention......... 2,000,000 2,000,000
Other Injury Prevention 29,950,000 29,950,000
Activities.....................
Opioid Overdose Prevention and 505,579,000 507,579,000
Surveillance...................
Injury Control Research Centers. 11,000,000 11,000,000
Firearm Injury and Mortality 12,500,000 12,500,000
Prevention Research............
------------------------------------------------------------------------
Adolescent Mental Health.--The Committee supports the
creation of the Behavioral Health Coordinating Unit to
coordinate and leverage existing CDC activities related to
mental health, with a particular focus on adolescent mental
health activities, including early intervention. The Committee
encourages CDC to begin to develop a national strategy and
establish goals to improve adolescent mental health, including
linkages between adolescent mental health and substance use and
overdose, adverse childhood experiences, suicide, and other
areas that impact mental wellbeing. This effort is expected to
include convening of key experts, in and out of government,
with special considerations to ensure the voices of underserved
communities and populations are represented. CDC is also
encouraged to provide technical assistance, including through
grants to partner organizations, to support collaborations and
connections between multiple sectors in communities such as
public health, education, community mental health organizations
and other community-based organizations, youth serving
organizations, parents, and social services providers to
strengthen mental health prevention and promotion and improve
mental health, well-being, and resilience in communities.
Adverse Childhood Experiences [ACEs].--The Committee
provides $14,000,000 for ACEs surveillance, research, and
prevention efforts. The Committee commends CDC's Injury
Prevention Center for funding States and localities, including
those with high rates of trauma, violence, and overdoses, to
conduct surveillance on exposure to ACEs and target community-
based interventions related to exposure to childhood trauma,
ACEs, substance use, and violence and to promote positive
childhood experiences. The Committee provides an increase to
expand CDC's efforts by supporting additional prevention and
surveillance programs, including support for additional States.
Child Sexual Abuse Prevention.--The Committee includes
$3,000,000 in recognition of the severe and often life-long
physical, cognitive, and emotional impact of child sexual abuse
and commends CDC's work in child sexual abuse prevention
research. CDC is encouraged to improve surveillance systems and
data collection, increase the understanding of risk and
protective factors, and develop and disseminate effective
prevention efforts. The Committee notes an increasing number of
allegations of child sex abuse within youth serving
organizations every year, including youth sports organizations.
The Committee encourages CDC to evaluate and improve child sex
abuse prevention policies within these types of organizations,
including through working with non-profit organizations that
specialize in child sexual abuse prevention.
Community and Youth Violence Prevention.--The Committee
commends CDC for its work to prevent youth and community
violence through technical assistance, research, and
partnerships between community organizations, schools, law
enforcement, faith-based organizations, and academia to
evaluate effective interventions to reduce violence. The
Committee encourages CDC to scale up existing partnerships with
organizations that have demonstrated success in reducing
community violence and its risk factors, including those
involving healthcare and community outreach organizations, as
well as supporting academic-community collaborations and
research to advance the science and practice of violence
prevention, while reducing inequities from which such violence
stems.
Core State Injury Prevention Program [Core SIPP].--The
Committee includes $29,950,000 for the Core SIPP to enhance
efforts to identify and respond to injury threats with data-
driven public health actions.
Domestic Violence and Sexual Violence.--The Committee
provides $38,200,000 for CDC to collect data on the connection
between brain injuries and domestic and sexual violence, and
implement a data collection project that follows up on and
operates under CDC's National Intimate Partner and Sexual
Violence Survey and asks questions about the prevalence and
circumstances surrounding brain injuries.
Drowning Prevention.--The Committee continues $2,000,000 to
prevent fatal drownings. Drowning is a leading cause of
unintentional deaths among children and youth below the age of
14. This funding will allow CDC to implement proven drowning
prevention programs with national organizations working with
underserved and diverse youth to support State drowning
surveillance efforts, as well as to develop and begin
implementation of a national plan on water safety.
Firearm Injury and Mortality Prevention Research.--The
Committee includes $12,500,000 to conduct research on firearm
injury and mortality prevention. Given violence and suicide
have a number of causes, the Committee recommends CDC take a
comprehensive approach to studying these underlying causes and
evidence-based methods of prevention of injury, including crime
prevention. All grantees under this section will be required to
fulfill requirements around open data, open code, pre-
registration of research projects, and open access to research
articles consistent with the National Science Foundation's open
science principles. The Director of CDC is to again report to
the Committees within 30 days of enactment of this act on
implementation schedules and procedures for grant awards, which
strive to ensure that such awards support ideologically and
politically unbiased research projects.
Injury Control Research Centers.--The Committee includes
$11,000,000 for awards for multi-disciplinary research on the
causes, outcomes, and prevention of injuries and violence.
Opioid Prescribing Guidelines.--The Committee applauds
CDC's release of the 2022 Clinical Practice Guideline for
Prescribing Opioids for Pain, which updates and replaces the
2016 CDC prescribing guideline. The Committee directs CDC to
continue its work educating patients and providers, and to
encourage uptake and appropriate use of the Guidelines. The
Committee urges CDC to continue coordination with other
agencies including the VA, IHS, DoD, and HRSA in implementation
and related updates in safe prescribing practices to ensure
consistent, high-quality care standards across the Federal
Government.
Opioid or Other Drug Use and Overdose Prevention.--The
Committee continues to encourage CDC to ensure that funding for
opioid and stimulant use and overdose prevention, as well as
other emerging substances and threats, reaches local
communities to advance local understanding of the opioid
overdose epidemic and to scale-up prevention and response
activities. Additionally, CDC is directed to continue expansion
of case-level syndromic surveillance data, improvements of
interventions that monitor prescribing and dispensing
practices, better timeliness and quality of morbidity and
mortality data, as well as the enhancement of efforts with
medical examiners and coroner offices. In addition, the
Committee understands that CDC has focused on chronic pain as
directed in Public Law 117-103 and requests an update in the
fiscal year 2026 CJ on the status of these efforts. In
particular, the update should include an analysis of the direct
healthcare costs related to pain diagnostic, management, and
treatment services for all forms of treatment for all payer
sources as well as indirect costs related to pain including
missed work, short and long-term disability, and loss of
productivity.
Provider Education for Opioid Alternatives.--The Committee
remains concerned about the high mortality rate due to opioid
overdoses and encourages CDC to provide outreach to outpatient
surgical providers on the increased availability and wide-
ranging benefits of non-opioid pain management in both hospital
outpatient departments and ambulatory surgery centers. The
Committee encourages CDC to work with CMS, FDA, and continuing
medical education associations on an education and outreach
plan.
Rape Prevention.--The Committee includes $61,750,000 to
support rape prevention and education programs. In granting
funds to States, the Secretary shall set forth procedures
designed to ensure meaningful involvement of the State or
territorial sexual assault coalitions and representatives from
underserved communities in the application for and
implementation of funding.
Suicide Prevention.--The Committee remains concerned about
suicide rates in the United States and includes $38,000,000.
The Committee recognizes that suicide is a serious public
health problem requiring strategic programming, especially
among disproportionately impacted populations. The Committee
also recognizes that suicide prevention requires a public
health approach that addresses multiple risk factors at the
individual, community, and societal levels. States, tribes, and
territories are well positioned to lead a comprehensive public
health approach to suicide prevention, which involves
coordinating with multisector partners, to take a data-driven,
evidence-based process to address the broad range of risk and
protective factors associated with suicide. The Committee
directs CDC to prioritize funding to State public health
departments with the goal of expanding the Comprehensive
Suicide Prevention program nationwide, and to help tribes and
territories build capacity and implement strategies to prevent
suicide.
Traumatic Brain Injury [TBI].--The Committee provides
$8,250,000 to initiate concussion surveillance, particularly
among children and youth. The Committee appreciates CDC's work
to better understand the burden of concussions in the United
States. The Committee recognizes the need for standardized data
collection practices across the care continuum to capture and
integrate data on traumatic brain injury [TBI] with data
collected for research purposes to improve patients
identification and outcomes. The Committee encourages CDC to
coordinate across HHS, the Departments of Defense, Veterans
Affairs, and Transportation to identify and recommend key data
elements and terms that should be collected to improve the
consistency of TBI health data derived from different sources.
OCCUPATIONAL SAFETY AND HEALTH
Appropriations, 2024.................................... $362,800,000
Budget estimate, 2025................................... 363,200,000
Committee recommendation................................ 364,030,000
The Committee recommendation for the National Institute for
Occupational Safety and Health [NIOSH] programs is
$364,030,000. The Committee recognizes that NIOSH is the only
Federal agency responsible for conducting research and making
recommendations for the prevention of work-related illness and
injury. The NIOSH mission is implemented by conducting basic
and applied scientific research and translating the knowledge
gained into products and services that impact workers in
settings from corporate offices to construction sites to coal
mines. Further, the Committee acknowledges that NIOSH continues
to protect American workers through its work-related illness
and injury research. The Committee encourages NIOSH to continue
its objectivity so as to ensure the highest professional and
ethical standards are maintained.
The Committee recommendation includes funding for the
following activities at the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
National Occupational Research $119,500,000 $119,730,000
Agenda.............................
Agriculture, Forestry, Fishing 29,000,000 29,230,000
(non--add).....................
Education and Research Centers...... 32,000,000 32,000,000
Personal Protective Technology...... 23,000,000 23,000,000
Mining Research..................... 66,500,000 67,500,000
National Mesothelioma Registry...... 1,200,000 1,200,000
Firefighter Cancer Registry......... 5,500,000 5,500,000
Other Occupational Safety and Health 115,100,000 115,100,000
Research...........................
Total Worker Health (non--add).. 11,800,000 11,800,000
------------------------------------------------------------------------
Agriculture, Forestry, and Fishing Program.--The Committee
includes $29,230,000 for efforts to protect workers in this
sector by providing leadership in applied research, disease and
injury surveillance, education, and prevention. The Committee
provides an increase of $230,000 for the administration of the
Commercial Fishing Safety Research and Training program and
supports the program that started in Public Law 113-281.
Coal Workers' Health Surveillance Program Mobile Medical
Unit.--The Committee is concerned about the prevalence of coal
workers' pneumoconiosis, also known as black lung, and the
recent increase in progressive massive fibrosis, the most
severe stage of black lung, among younger miners. According to
NIOSH, one in 10 underground coal miners who have worked in
mines for at least 25 years were identified as having black
lung. Coal miners in central Appalachia are disproportionately
affected with as many as one in five having evidence of black
lung-the highest level recorded in 25 years. Early screening
and detection of black lung can improve health outcomes and
reduce mortality. However, a NIOSH report has identified
several potential barriers to screening for miners-including
the ability to participate in screening. To improve access to
screening for miners, this bill includes $1,000,000 for the
purchase of an additional mobile medical unit.
Education and Research Centers [ERCs].--The Committee
includes $32,000,000 for ERCs in recognition of their important
work to improve workplace safety and health by translating
scientific discoveries into practice through effective
education, training, and outreach. The Committee applauds the
work of NIOSH to implement innovative approaches, and its
translational research. The agency's priorities and efforts
have included work on the protection of workers from heat
hazards as well as the effects of the COVID-19 pandemic on the
workplace, including the mental and emotional health impact on
workers. The Committee encourages NIOSH to continue its support
for new and existing ERCs to support education and training
programs for graduate students, particularly in Environmental
and Industrial Hygiene, Occupational Health Nursing,
Occupational Medicine Residency, and Occupational Safety and
Health Engineering.
Heat Stress and Worker Illnesses and Injuries.--The
Committee recognizes that working under high heat conditions
causes symptoms of heat illness, including fatigue, loss of
balance, nausea, headache, loss of physical and mental
capacity, heavy sweating, muscle cramps, and other symptoms
that cause or contribute to workplace injuries and illnesses.
Injuries incurred may be minor, serious, life-threatening
illnesses, or fatal and may result in long-term injuries or
permanent disabilities. The Committee also urges CDC, in
collaboration with appropriate partners, to research the
relationship between heat stress and workplace illnesses and
injuries and to identify means for more accurate data
collection, including the recording and reporting of heat
related injuries and illnesses, in outdoor and indoor
workplaces.
National Firefighter Registry for Cancer.--The Committee
includes $5,500,000 as the registry recruits and enrolls
participants.
Potential PFAS Exposure Source for Firefighters.--The
Committee is committed to advancing research on occupational
exposure of firefighters to PFAS. NIOSH is directed to engage
with the National Institute of Standards and Technology on
their ongoing study to identify a firefighter's relative risk
of exposure to PFAS released from their protective gear.
Total Worker Health Program.--The Committee continues
funding for the Total Worker Health program, which supports and
conducts ground-breaking research to advance the overall
safety, health, and well-being of U.S. workers. This funding
supports critical priorities, including addressing the Nation's
mental health, suicide, and substance use disorder crises, in
the context of work design and employment.
ENERGY EMPLOYEES OCCUPATIONAL INJURY COMPENSATION ACT
Appropriations, 2024.................................... $55,358,000
Budget estimate, 2025................................... 55,358,000
Committee recommendation................................ 55,358,000
The Committee recommendation for the Energy Employees
Occupational Illness Compensation Program Act [EEOICPA] (Public
Law 106-398) is $55,358,000. This mandatory funding supports
NIOSH scientists who reconstruct radiation dose levels to
inform compensation decisions.
GLOBAL HEALTH
Appropriations, 2024.................................... $692,843,000
Budget estimate, 2025................................... 692,843,000
Committee recommendation................................ 697,613,000
The Committee recommends $697,613,000 for global health-
related activities at CDC.
CDC's global efforts promote health security and prevent
disease in the United States and abroad through rapid detection
and response to emerging and re-emerging health threats.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Global HIV/AIDS Program............. 128,921,000 128,921,000
Global Tuberculosis................. 11,722,000 11,722,000
Global Immunization Program......... 230,000,000 230,000,000
Polio Eradication................... 180,000,000 180,000,000
Measles and Other Vaccine 50,000,000 50,000,000
Preventable Diseases...............
Parasitic Diseases and Malaria...... 29,000,000 30,000,000
Global Public Health Protection..... 293,200,000 296,970,000
------------------------------------------------------------------------
Global Health Protection.--The Committee includes
$296,970,000 and recognizes CDC's unique role in supporting
public health capacity development through scientific and
technical leadership both domestically and globally, to ensure
that disease threats anywhere are prevented, detected early and
responded to robustly through a coordinated, multisectoral
approach. The Committee recognizes that accurate and swift
diagnostics are crucial for the early detection and containment
of infectious diseases of pandemic potential. The Committee
encourages CDC's Global Health Center in collaboration with the
National Center for Emerging and Zoonotic Infectious Diseases
to prioritize the development of diagnostics for pathogens of
pandemic potential and encourages CDC to work with Federal and
other partners to strengthen capacity and infrastructure of
countries to support adoption and access to diagnostics.
Malaria and Parasitic Diseases.--The Committee provides
$30,000,000, recognizing the important role CDC plays in the
fight against malaria and parasitic disease, particularly
providing parasitic lab capabilities for the United States.
Parasitic diseases cause devastating health and economic
effects for hundreds of millions of people around the world and
in the United States. CDC provides life-saving services and
expertise in research, diagnosis, treatment, surveillance,
consultation, and education of parasitic diseases to States and
countries, U.S. government agencies, and other public health
partners. The Committee encourages further support for these
activities so CDC can enhance its parasitic diseases
laboratory, close the gap on parasitic disease-related health
inequity in the United States, and advance global control and
elimination of malaria and targeted neglected tropical
diseases.
Polio Eradication.--The Committee includes $180,000,000 to
support CDC activities related to wild poliovirus and vaccine-
derived polio surveillance, vaccine procurement, and outbreak
response. CDC is urged to continue to provide technical
assistance to countries for polio immunization campaigns,
conduct environmental surveillance of polio viruses to ensure
prompt detection and to prevent potential outbreaks of
paralytic polio disease.
Population-based Surveillance Platforms.--The Committee
continues $7,000,000 to continue to support longitudinal
integrated population-based infectious disease surveillance
platforms that enable comparative analysis between urban and
rural populations in Africa.
Soil Transmitted Helminth and Related Diseases of
Poverty.--The Committee includes $2,000,000 to expand currently
funded CDC projects aimed at surveillance, the implementation
of control measures, and clinical care to reduce soil
transmitted helminth infection and other parasitic infections
of public concern.
PUBLIC HEALTH PREPAREDNESS AND RESPONSE
Appropriations, 2024.................................... $938,200,000
Budget estimate, 2025................................... 943,300,000
Committee recommendation................................ 953,200,000
The Committee recommendation for CDC's Preparedness and
Response activities is $953,200,000.
CDC's preparedness and response mission is to build and
strengthen national preparedness for public health emergencies
including natural, biological, chemical, radiological, and
nuclear incidents. This funding supports national response
programs, as well as grants to States and localities to enhance
preparedness efforts across the country.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Public Health Emergency Preparedness 735,000,000 735,000,000
Cooperative Agreement..............
Academic Centers for Public Health 9,200,000 9,200,000
Preparedness.......................
Center for Forecasting and Outbreak 55,000,000 70,000,000
Analytics and Ready Response
Enterprise Data Integration
Platform...........................
All Other CDC Preparedness.......... 139,000,000 139,000,000
------------------------------------------------------------------------
Center for Forecasting and Outbreak Analytics [CFA] and
Ready Response Enterprise Data Integration [RREDI] Platform.--
The Committee provides $70,000,000 for CFA and RREDI to
facilitate the use of data, modeling, and analytics to improve
preparedness and response. The Committee is aware of the
unprecedented challenge recent public health emergencies, such
as MPox, RSV, influenza, and COVID-19, pose to Federal, State,
and local governments' ability to collect and share data in a
meaningful way to ensure informed policy and operational
decision making. The Committee recognizes the investment the
U.S. government has made into these programs and includes
funding for CDC to maintain this capability to ensure
preparedness for future public health emergencies. The
Committee urges CDC to continue to work with schools of public
health and other academic institutions to engage the Nation's
expertise in disease modeling, public health data analysis,
research, and training to build workforce capacity in this
emerging field. As an interagency resource for early warnings
related to emerging infectious disease threats, the Center will
support the public health system in detecting, responding to,
and eventually preventing future epidemics and outbreaks.
Centers for Public Health Preparedness and Response.--The
Committee includes $9,200,000 and understands that despite
unprecedented efforts to address the COVID-19 pandemic, many
questions remain about which evidence-informed or evidence-
based practices may reduce the spread of SARS-COV-2 and its
variants to improve public health preparedness and response.
The Committee encourages CDC to consider equitable distribution
across geographical regions when designating and funding
Centers for Public Health Preparedness and Response as
authorized in Public Law 117-328.
Health Observatory Comprehensive Immune Profiling.--The
Committee encourages CFA to partner with an institution of
higher education in partnership with a major blood bank that
collects samples across multiple States to develop a strategy
of monitoring the population's immune status to a large variety
of diseases including all human pathogens as well as autoimmune
responses. The strategy should include the measurement of
markers in the blood and a comprehensive profile of the
antibody composition enhanced by machine learning models to
recognize the pathogens/diseases involved.
Public Health Emergency Preparedness Cooperative
Agreements.--The Committee includes $735,000,000 to support
State and local health departments to quickly detect, monitor,
and respond to health threats. Public health system investments
serve as the backbone for disaster and outbreak response in
every State and the pandemic has shown that increased funding
for preparedness is necessary for a baseline of consistent
protection. The Committee continues to request a State
distribution table in the fiscal year 2026 CJ, which should
also include information about how funding is being allocated
to local health departments and how States are determining
these allocations.
BUILDINGS AND FACILITIES
Appropriations, 2024.................................... $40,000,000
Budget estimate, 2025................................... 40,000,000
Committee recommendation................................ 40,000,000
The Committee recommendation for Buildings and Facilities
is $40,000,000.
CDC-Owned Buildings and Facilities.--The Committee
continues funding to make progress on reducing CDC's backlog of
maintenance and repairs at its campuses nationwide, including
its Atlanta headquarters. The Committee acknowledges that in
order to protect Americans from health threats and to rapidly
respond to public health emergencies, CDC needs a safe, secure,
and fully operational infrastructure in the form of its own
laboratories, buildings, and facilities. COVID-19 and other
recent public health emergencies have required urgent action
and demonstrated that CDC laboratories and facilities need to
be ready to respond quickly and comprehensively. The Committee
supports the completion of the CDC Masterplan Build Out,
including continued progress with the Atlanta Masterplan Build
Out.
Mine Safety Research Facility.--The Committee requests the
continuation of quarterly updates on progress in the
construction of the new mine safety research facility and
laboratory, costs incurred, and unanticipated challenges which
may affect timeline or total costs, and any other pertinent
developments until the completion of the facility.
CDC-WIDE ACTIVITIES
Appropriations, 2024.................................... $663,570,000
Budget estimate, 2025................................... 723,570,000
Committee recommendation................................ 681,570,000
The Committee provides $681,570,000 for public health
leadership and support activities at CDC.
The recommendation includes $160,000,000 in transfers from
the PPH Fund.
The Committee recommendation includes funding for the
following activities in the following amounts:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Preventive Health and Health 160,000,000 160,000,000
Services Block Grant...............
Public Health Leadership and Support 128,570,000 131,570,000
Infectious Diseases Rapid Response 25,000,000 25,000,000
Reserve Fund.......................
Public Health Infrastructure and 350,000,000 365,000,000
Capacity...........................
------------------------------------------------------------------------
Infectious Diseases Rapid Response Reserve Fund [IDRRRF].--
The Committee includes $25,000,000 for the IDRRRF. The IDRRRF
provides an immediate source of funding to ensure that funds
are available when an emerging infectious disease crisis is
detected. Funds are available until expended.
Local Public Health Departments.--The Committee notes that
Federal funding intended for both State and local health
departments does not consistently reach local health
departments beyond those directly-funded. The Committee
encourages CDC to require States to fund local health
departments when programmatically appropriate.
Office of Rural Health [ORH].--The Committee provides
$5,000,000 to continue ORH. The Committee is encouraged by
efforts from the agency to establish the CDC ORH. The Committee
directs the agency to ensure that the established ORH will
guide CDC's rural health leadership across the entire agency.
This includes by developing purposeful public health guidance
for rural health departments, analyzing and developing
initiatives to expand the rural public health workforce,
establishing a formal partnership with the Federal Office of
Rural Health Policy under HRSA, and otherwise serving as a
resource and technical assistance hub for public health in
rural communities.
Public Health Infrastructure and Capacity.--The Committee
includes $365,000,000 in public health funding that is not
segmented by disease, condition, activity. Rather, it is
provided for cross-cutting, core public health infrastructure
needs, including but not limited to workforce, health
information and data systems, public health policy and
communications, equity, financial management, community
partnership development, and organizational capacity. By
providing maximum flexibility, this funding will allow public
health agencies to determine and address their greatest needs
and build core capabilities that will strengthen and support
new and existing programmatic functions. The Committee again
directs that no less than 70 percent of this funding be awarded
to health departments. The Committee encourages CDC to
strengthen infrastructure in local health departments by
continuing to directly award funds to local health departments,
and by urging State health department recipients to allocate
resources to local health departments. The Committee urges CDC
to publicly track and report to the Committee how funds
provided to State health departments are passed through to
local health departments.
Public Health Leadership and Support.--The Committee
includes $131,570,000 to support CDC's foundational public
health activities and to facilitate partnerships. The Committee
commends CDC for its commitment to the development of a diverse
healthcare and public health workforce. Within this total, the
Committee includes $6,500,000 to expand the John R. Lewis CDC
Undergraduate Public Health Scholars Program, including the
opportunity for more HBCUs to participate, as well as Tribal
Colleges and Universities.
National Institutes of Health
The Committee provides $48,811,518,000 in base
discretionary resources for the National Institutes of Health
[NIH], an increase of $2,050,000,000. Additionally, the
Committee provides $127,000,000 in budget authority authorized
in the 21st Century Cures Act (Public Law 114-255). Per the
Cures Act, $45,500,000 is transferred to the National Institute
of Neurological Disorders and Stroke [NINDS] and $45,500,000 to
the National Institute of Mental Health [NIMH] for the BRAIN
Initiative; and $36,000,000 to the Office of the Director [OD]
for the All of Us precision medicine initiative. In addition,
the Committee also includes $1,412,482,000 in transfers
available under section 241 of the PHS Act (Public Law 78-410
as amended), for a total program level for NIH of
$50,351,000,000.
More than 80 percent of NIH's appropriated budget is
awarded for extramural research each fiscal year. This funding
supports more than 58,000 meritorious grants to more than 2,700
academic universities, hospitals, small businesses, and other
organizations throughout the United States and internationally.
This investment has allowed NIH to continue its mission to seek
fundamental knowledge about the nature and behavior of living
systems and the application of that knowledge to enhance
health, lengthen life, and reduce illness and disability.
As in previous years, the Committee has targeted NIH
funding in areas of promise of scientific advancement and
urgency, while allowing NIH to maintain flexibility to pursue
unplanned scientific opportunities and address unforeseen
public health needs. The Committee increases support for mental
health research by $275,000,000, provides an increase of
$275,000,000 for research on Alzheimer's disease and
Alzheimer's disease-related dementias research, increases
support for cancer research by $266,000,000, and increases
support for diabetes research by $50,000,000. The bill also
includes an increase of $10,000,000 for the Helping to End
Addiction Long-term or HEAL Initiative, and an increase of
$20,000,000 for the Implementing a Maternal health and
Pregnancy Outcomes Vision for Everyone [IMPROVE Initiative] to
combat recent alarming rates of maternal mortality. Finally,
the bill provides $1,500,000,000 for the Advanced Research
Projects Agency for Health [ARPA-H], the President's bold and
promising proposal to accelerate the pace of breakthroughs in
medicine using the Defense Advanced Research Projects Agency as
a model.
The Committee directs NIH to include updates on the
following research, projects, and programs in the fiscal year
2026 Congressional Justification: future goals for each of the
deadliest cancers (brain, esophagus, liver, lung, ovary,
pancreas, stomach and mesothelioma); neuroblastoma; promoting
cancer research among rural populations; pancreatic cancer
clinical trials; update on NCI's Virtual Clinical Trials
Office; SEER modernization activities; congenital heart
disease; lung health disparities; pulmonary fibrosis; sleep
disorders; biomedical research workforce training; Maternal-
Fetal Medicine Units Network; pelvic organ prolapse; severe
maternal morbidity; Usher syndrome; Alzheimer's Disease/
Alzheimer's Disease-Related Dementias [AD/ADRD]; Alzheimer's
Disease clinical trials; female reproductive aging; suicide
prevention; biomedical technology development;
epitranscriptomics database standards; cell and gene therapies;
Childhood Post-Infectious Neuroimmune Disorders/Pediatric
Acute-Onset Neuropsychiatric Syndrome [PANS]/Pediatric
Autoimmune Neuropsychiatric Disorders Associated with
Streptococcus [PANDAS]; Common Fund; focused ultrasound; lung
health disparities; osteopathic medical schools; pelvic floor
disorders; Von Hippel-Lindau disease; buildings and facilities
capital planning process.
NATIONAL CANCER INSTITUTE
Appropriations, 2024.................................... $7,224,159,000
Budget estimate, 2025................................... 7,839,141,000
Committee recommendation................................ 7,490,159,000
The Committee recommendation includes $7,490,159,000, an
increase of $266,000,000, for the National Cancer Institute
[NCI]. Of this amount, $30,000,000 is available for repairs and
improvements to the NCI facility in Frederick, Maryland.
Biliary Tract Cancers.--The Committee strongly encourages
NIH to continue to support research to develop novel treatment
strategies in biliary tract cancers, and for basic and
translational research as well as clinical trials in liver
cancers, as both are needed to improve state-of-the-art cancer
immunotherapy. The Committee strongly supports research on
novel cancer vaccines and immunotherapies. Targeting recurrent
cancer neoantigens in BTC with novel cancer treatment vaccine
in combination with other drugs that work on the human immune
system could move the treatment paradigm in BTC forward and
enable combinatorial immunotherapy trials, including adoptive
cell therapies, in the future.
Cancer Moonshot.--The Committee provides an increase of
$216,000,000 to fully restore NCI's Cancer Moonshot program to
its fiscal year 2023 program level.
Childhood Cancer Data Initiative [CCDI].--The Committee
includes no less than $50,000,000 for the CCDI, including to
support continued enhancement of the CCDI Molecular
Characterization Initiative.
Childhood Cancer STAR Act.--The Committee includes
$50,000,000, an increase of $20,000,000, for continued
implementation of the Childhood Cancer Survivorship, Treatment,
Access, and Research [STAR] Act to expand existing
biorepositories for childhood cancer patients enrolled in NCI-
sponsored clinical trials to collect and maintain relevant
clinical, biological, and demographic information on all
children, adolescents, and young adults with cancer. The
Committee has also included sufficient funding to carry out
childhood cancer survivorship research and programs as
authorized in the STAR Act, such as supporting research to
inform best practices for the treatment of late effects of
childhood cancers, research to improve collaboration among
providers so that doctors are better able to care for this
population as they age, and research to inform innovative
models of care for childhood cancer survivors. This amount also
includes $2,000,000 provided for the CDC's ongoing efforts to
enhance cancer registry case capture efforts for childhood and
adolescent cancers.
Deadliest Cancers.--The Recalcitrant Cancer Research Act
[RCRA] of 2012 (Public Law 112-239) focuses on cancers with a
5-year survival rate below 50 percent, which account for over
40 percent of all U.S. cancer deaths. While advances in some
cancers have made it possible to reduce the overall rate of
cancer deaths over the last several decades, there has been
limited progress reducing mortality for these diseases. In
fiscal year 2020 (Public Law 116-94), Congress directed NCI to
develop a scientific framework using the process outlined in
the RCRA for stomach and esophageal cancers. The Committee
commends NCI for developing the framework and notes that NCI
has also launched a Program in Origins of Gastroesophageal
Cancers. Given the devastating toll of all recalcitrant cancers
and the lack of diagnostic and treatment resources currently
available, the Committee, alongside the research and advocacy
communities, encourages a continued focus and requests an
update on research on each of the deadliest cancers--brain,
liver (including cholangiocarcinoma), lung, ovary, pancreas,
and stomach and esophageal cancers in the fiscal year 2026 CJ.
Esophageal and Gastric Cancer.--The Committee recognizes
the importance of screenings for cancer detection and is
encouraged by the work of NIH in this field. However, the
Committee believes that there is more work to be done,
particularly with screening for GI cancers, such as esophageal
and gastric, which have a low 5-year survival rate. The
Committee urges NIH to explore developing, testing, and
implementing strategies using non-endoscopic screening
modalities, personalized clinical risk stratification for
screening, and biomarker-based risk stratification for the
surveillance of esophageal adenocarcinoma and gastric cardia
adenocarcinoma.
HPV Screening and Self-Collection.--The Committee
recognizes the impact and potential of the Last Mile Initiative
and applauds innovative efforts, such as the emerging network
to study noninvasive self-collection for HPV testing to further
improve the detection and prevention of cervical cancer to
address disparate health outcomes. NCI is encouraged to
continue working with a variety of stakeholders and to continue
studying various approaches to sustain scientific progress.
Immunomodulatory Radiopharmaceutical Therapy.--The
Committee supports ongoing efforts for Immunomodulatory
Radiopharmaceutical Therapy to advance translational research
that aims to develop more effective, safe, and potentially
curative treatments for patients with potentially any form of
metastatic cancer using combinations of radiopharmaceutical
therapies and immunotherapies.
Improving Native American Cancer Outcomes.--The Committee
urges NCI to continue to coordinate with the National Institute
on Minority Health and Health Disparities [NIMHD] on the
Initiative for Improving Native American Cancer outcomes to
support efforts, including research, education, outreach, and
clinical access related to cancer in Native American
populations.
Liver Cancer.--The Committee applauds NCI for seeking input
on how best to address the need to prioritize early detection,
screening, and prevention sciences for primary liver cancer.
Primary liver cancer has a dismal 5-year survival rate of only
18 percent, is the third most common cause of cancer death in
the U.S., and unlike most cancers the rate of liver cancer
mortality continues to increase. The Committee urges NCI to use
submitted expert feedback to inform a national agenda for early
detection, screening, and prevention of primary pancreatic and
liver cancers. The Committee applauds the NCI for its Early
Detection of Liver Cancer consortia initiatives as a means of
fostering progress and collaboration and encourages NCI to
continue such programs as well as Program Projects, Cooperative
Research and Broad Agency Announcements, and other contract
mechanisms to achieve the goals of strategic plans. The
Committee has included funding to permit the NCI to fully
implement this effort and looks forward to being kept informed
as to progress.
Natural Products Research.--Research shows that derivatives
from natural products have been an important source of
clinically useful anti-cancer agents, yet not enough evidence-
based research has been done to strategically identify those
compounds that could provide potential benefits in cancer
treatment. The Committee encourages NCI to continue to support
research into whether and how natural products could be
beneficial to cancer patients in reducing the toxicity of
therapy or by enhancing therapeutic efficacy as a primary or
adjunctive therapy. The Committee encourages NCI to continue to
fund research to evaluate the potential value of natural
products in reducing adverse effects of cancer therapy and in
enhancing therapeutic efficacy through basic, translational and
clinical trials research. NCI is encouraged to seek applicants
that have a demonstrated expertise in natural products
research, are capable of conducting a holistic review of drugs
and disease states utilizing NCI's annotated inventory of
natural products, and that are able to test the safety and
efficacy of natural products in communities experiencing high
rates of healthcare disparities in access to cancer care.
Neuroblastoma.--The Committee commends NCI for its support
of neuroblastoma research and recognizes the many complex
challenges presented by this deadly pediatric cancer. The
Committee encourages NCI to continue investments in this area
and requests an update in the fiscal year 2026 CJ on; a)
efforts to improve outcomes for CNS relapse patients, and b)
patient access to a promising therapy targeting the ALK gene in
NCI supported trials and protocols.
Optimal Timing and Sequencing of Cancer Immunotherapy.--The
Committee recognizes that cancer immunotherapy is improving
outcomes for an increasing number of cancer patients,
especially those for whom other treatments were ineffective.
New research suggests that more patients might benefit if
immunotherapy were used earlier in the course of their cancer,
or to prevent and intercept cancers before they start. The
Committee urges NCI to continue to support research focused on
assessing the optimal timing for the use of cancer
immunotherapy in individual patients. Examples of such research
include studying the effectiveness of cancer immunotherapy in
premalignant conditions, early-stage cancer, and as a
neoadjuvant therapy, prior to additional treatment such as
surgery, radiation or chemotherapy.
Pancreatic Cancer.--Pancreatic cancer will be second only
to lung cancer as the cause of cancer-related deaths in the
U.S. before 2030. Despite decades of effort, survival remains
the lowest of all the major cancers and is particularly dismal
for Black Americans. It is critical that NCI continue its
efforts to support early detection and clinical research that
focuses on pancreatic cancer. The Committee remains concerned
about the lack of early detection approaches for pancreatic
cancer, and the need to ensure diverse enrollment in cancer
clinical trials, including pancreatic cancer trials. The
Committee requests an update in the fiscal year 2026 CJ
regarding progress in early detection research and ongoing
efforts to leverage NCI's clinical trials networks to advance
progress for all people experiencing a pancreatic cancer
diagnosis.
Patient Access to Clinical Trials.--The Committee
recognizes that local healthcare provider and patient access to
clinical trials is critical for improving equitable access to
research and novel therapies; diversifying the population
participating in research; ensuring the safety and efficacy of
new drugs; and accelerating the dissemination and
implementation of findings and the adoption of newly approved
therapies. However, access to trials remains out of reach for
many patients and local oncology providers, particularly those
in rural areas and/or at practice sites and hospitals without
dedicated research resources and infrastructure. Leveraging
technology can improve efficiencies of trial start-up,
administration, and communications. A virtual research team who
provides centralized research expertise and resources can
ultimately support local provider participation in clinical
trials by alleviating the need for specialized personnel
onsite. The NCI's recently launched Virtual Clinical Trials
Office pilot study provides virtual research personnel to NCI-
funded trials conducted at participating NCI-designated cancer
centers and NCI Community Oncology Research Program sites. The
Committee encourages the use of telehealth and expansion of the
clinical trial-related remote services provided by this office.
The Committee requests an update on the Virtual Clinical Trials
Office in the fiscal year 2026 CJ.
Pediatric Rare Cancer Therapeutic Development.--Recognizing
that effective treatments for many types of childhood cancer do
not exist yet, the Committee encourages NIH to examine novel
systems for identifying how rare cancers develop and progress,
and to continue supporting the development and evaluation of
life-saving therapeutics for pediatric cancer patients.
Pediatric Cancer Immunotherapy.--The Committee encourages
NCI to continue to support pediatric immunotherapy
translational and clinical research. The Committee is aware of
the transition from the Pediatric Immunotherapy Discovery and
Development Network to the Pediatric Immunotherapy Network.
Rural NCI Designation.--The Committee encourages NCI to
review its criteria for awarding Cancer Center Support Grants
[CCSGs] to include considerations for Cancer Centers that are
primarily providing care to rural patients, conducting cancer
research with rural populations, or otherwise are focused on
cancer in rural America. While recognizing the role that Cancer
Centers play in providing patient care, the Committee also
commends the vital work underway at community cancer clinics
across the country and NCI's efforts to support them, including
through the NCI Community Oncology Research Program [NCORP] and
the recently created Working Group in Support of Efforts to
Enhance Community Cancer Research and Quality Care. The
Committee requests an update in the fiscal year 2026 CJ on
NCI's efforts related to promoting cancer research among rural
populations.
Social Determinants of Health [SDOH].--The Committee
recognizes that SDOH can pose significant barriers to cancer
care and contribute to poorer health-related outcomes,
especially for cancer patients and survivors from historically
underserved and marginalized backgrounds. The Committee urges
NCI to prioritize research on the impact of SDOH on cancer and
how improvements to SDOH can lead to a higher quality of care.
Surveillance, Epidemiology, and End Results [SEER]
Registry.--The Committee applauds NCI for ongoing efforts to
modernize the SEER registry and bolster data collection,
including innovative activities to better capture the
prevalence and progression of metastatic cancers. NCI is
directed to further support SEER modernization activities in a
meaningful way, and to continue to update the Committee on
progress and unmet needs in this area in the fiscal year 2026
CJ.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
Appropriations, 2024.................................... $3,982,345,000
Budget estimate, 2025................................... 3,997,086,000
Committee recommendation................................ 3,982,345,000
The Committee recommendation includes $3,982,345,000 for
the National Heart, Lung, and Blood Institute [NHLBI].
Cardiovascular Disease [CVD].--The Committee continues to
recognize that CVD, including heart disease, stroke, and
hypertension, is the leading cause of death in the United
States and worldwide. The Committee provides robust funding to
NHLBI to continue to address these issues, and to prioritize
funding opportunities that reduce CVD among the hardest-hit
geographic areas, such as the Southern United States.
Congenital Heart Disease [CHD].--The Committee commends
NHLBI for its continued work to better understand causation,
improve treatments and outcomes, support the growth of the
clinical and research workforce, and integrate registry data
and research datasets to facilitate research on congenital
heart disease across the lifespan, including through the
Pediatric Heart Network and the Pediatric Cardiac Genomics
Consortium. The Committee encourages NHLBI to prioritize CHD
activities outlined in its strategic plan, including improving
understanding of outcomes and co-morbidities, improving
treatment options across the lifespan, and accelerating
discovery, analysis, and translation by leveraging CHD
registries and networks. The Committee requests NHLBI include
in its fiscal year 2026 CJ a report on steps being taken to
close these research gaps.
COVID-19 Associated Illnesses.--The Committee recognizes
the growing burden of COVID-19 associated critical illnesses
and recovery, especially in adults with acute respiratory
distress syndrome [ARDS], pneumonia, and/or sepsis. The
Committee encourages NHLBI, in partnership with the National
Institute of General Medical Sciences, to explore facilitating
research support through ancillary studies enabled by the ARDS,
Pneumonia, and Sepsis Phenotyping [APS] Consortium.
Duchenne and Becker Muscular Dystrophy.--In light of
improvements in care leading to patients living into their
third decade, the leading cause of death in DMD patients is
heart failure. The Committee encourages NHLBI to support
research that characterizes fibro-fatty replacement of
cardiomyocytes in DMD/BMD. The Committee encourages NHLBI to
explore convening a workshop with research, clinical, and
patient organization leaders to work towards establishing
viable cardiac outcome measures for the development of
therapeutic agents to delay or treat heart disease in
individuals diagnosed with Duchenne. There is growing evidence
to support that select individuals with DMD/BMD would benefit
from ventricular assist device placement or heart transplant.
The Committee encourages NHLBI to support research to further
develop criteria for identifying patients who may benefit from
such strategies.
Heart Disease.--The Committee is concerned that this
largely preventable disease disproportionately affects racial
and ethnic minorities and those living in rural communities and
supports ongoing population studies and community-based
initiatives seeking to address these disparities. The Committee
is concerned that heart disease is the leading cause of death
during and after pregnancy and that racial and ethnic
disparities are significant, peaking among Black women. The
Committee supports the commitment to address maternal health
and reduce the risk of cardiovascular disease for women before,
during, and after pregnancy. The Committee also supports
addressing diversity in research among racial and ethnic
minorities and the prioritization of women's health research.
The Committee commends NHLBI's focus on dietary interventions
and supports incorporating access to or provision of healthy
food into healthcare delivery systems.
Lung Health Disparities.--The Committee is concerned about
the disproportionate impact of lung conditions, such as asthma,
COPD, and lung cancer on populations experiencing health
disparities, and encourages NHLBI to work with NIMHD to advance
research in this area. The Committee requests an update from
both NHLBI and NIMHD in the fiscal year 2026 CJ.
Lung Health Research.--Chronic lung diseases are among the
leading causes of death and chronic illness in the United
States including the over 15 million Americans diagnosed with
chronic obstructive pulmonary disease [COPD] and related lung
diseases. Most chronic lung disease research to date has
focused on later stages of disease when substantial loss of
lung function and damage to lung tissue have already occurred.
There is a need for treatments that when applied early in the
courses of disease can more effectively slow the progression
and mitigate the lung tissue damage caused by chronic lung
diseases. NHLBI supports a wide array of basic and
translational research in these conditions. Increased research
is needed to improve our understanding of early disease to
identify appropriate targets to modulate disease progression
before the irreversible tissue damage has occurred. NHLBI-
funded studies such as the COPDGene, SPIROMICS and LungMAP are
critical to this objective and have already provided
significant insight to begin to understand the biology of early
disease. The Committee encourages NHLBI to increase support for
these and other early disease research in chronic lung disease.
Pulmonary Fibrosis [PF].--The Committee encourages the
NHLBI to use the opportunities presented by the reorganization
of the Division of Lung Diseases to focus on areas of need in
PF and interstitial lung disease [ILD] research. As NHLBI
refreshes its strategic vision with a focus on health
disparities, the Committee urges the Institute to direct
additional resources to addressing differences in care and
outcomes for patients with PF and ILD that are associated with
patient characteristics such as sex, gender, race, ethnicity,
region of the United States, rural or urban location, and
military service status. The Committee also encourages NHLBI to
support research that will improve researchers' and clinicians'
ability to predict disease progression in patients with PF and
ILD. The Committee requests an update on these activities in
the fiscal year 2026 CJ.
Pulse Oximeters and Health Disparities.--Pulse oximeters
are frequently used in clinics and in homes to measure a
person's pulmonary health, but the devices tend to overestimate
blood oxygen for people with dark skin. This discrepancy can
have serious consequences, since people with darker tones are
nearly three times more likely to suffer from silent hypoxia, a
condition in which the oxygen saturation level in a person's
blood is dangerously low but goes unnoticed. In addition,
people of color were 25 percent less likely to be recognized as
eligible for COVID-19 treatment during the recent pandemic. The
Committee encourages NHLBI to address these health disparities
by supporting the development of new technologies for
monitoring blood oxygen saturation.
Rare Blood Disorders.--The Committee recognizes NHLBI for
its leadership of the Division of Blood Diseases and Resources,
and appreciates efforts to advance science in the rare blood
disorders portfolio. NHLBI is encouraged to sustain progress in
this area and to engage in emerging opportunities for community
and cross-agency collaboration in immune thrombocytopenia
[ITP], warm autoimmune hemolytic anemia [wAIHA], and other
acquired and inherited blood disorders.
RECOVER Initiative.--The Committee notes with concern that
the multi-organ syndrome known as Long COVID has emerged as a
serious health condition that can cause socioeconomic burdens,
and long-term pulmonary complications represent an important
component of Long COVID. The Committee urges NHLBI, in its co-
leading of the RECOVER Initiative, to continue to prioritize
research into the understanding, treatment and prevention of
post-COVID respiratory and cardiovascular conditions in adults
and children, particularly among populations disproportionately
impacted by COVID-19.
Sleep Disorders.--The Committee applauds NHLBI and other
NIH Institutes and Centers for the ongoing commitment to sleep
and circadian research, and notes the wealth of opportunities
for further progress in specific sleep disorders. In December
2021, NHLBI released the NIH Sleep Research Plan, which
addresses topics such as minority health and health
disparities, sex/gender, sleep across the lifespan, the impact
of the opioid epidemic, and how poor sleep may exacerbate the
risk and outcome of infectious diseases, such as COVID-19 and
Long COVID. The Committee recognizes NHLBI for supporting
research on the causes, diagnosis, prevention, and treatment of
sleep and circadian disorders and encourages NHLBI to
accelerate implementation of the plan. The Committee requests
an update on these activities in the fiscal year 2026 CJ.
Valvular Heart Disease Research.--Many people in the U.S.
have heart valve defects or disease but do not have symptoms.
For some, the condition remains the same throughout their lives
and does not cause significant or life-threatening problems.
Unfortunately, about 25,000 people die each year in the U.S.
from heart valve disease, primarily due to underdiagnoses and
under-treatment of the condition. The Committee continues
$20,000,000 and strongly supports more research into the
causation of and risk factors for valvular heart disease. Such
research should focus on the use of advanced technological
imaging and other relevant methods to generate data related to
valvular heart disease, and assessing potential risk factors
for sudden cardiac arrest or sudden cardiac death from valvular
heart disease. Additionally, the Committee supports efforts by
NIH to convene a workshop of subject matter experts and
stakeholders to identify research needs and opportunities to
develop recommendations for the identification and treatment of
individuals with mitral valve prolapse, including individuals
who may be at risk for sudden cardiac arrest or sudden cardiac
death.
Wildland Fire Smoke.--The Committee recognizes that
exposure to smoke from wildfires is an occurrence that is
impacting more Americans. The Committee is concerned that
public health experts do not yet fully understand the risk
posed by exposure to wildland fire smoke--particularly acute
and chronic smoke exposure to patients with existing pulmonary
and cardiac disease. The Committee encourages NHLBI to support
research to understand the risk smoke exposure has for patients
with underlying health conditions and any interventions that
can be implemented to mitigate adverse health effects.
Women with Bleeding Disorders.--The Committee encourages
NHLBI to continue its support of research of bleeding disorders
in women and girls with the end goal of improving timely
diagnoses for this population and improving services and
treatments. It has long been considered that bleeding
disorders, such as hemophilia and von Willebrand disease, only
impact men, which is not accurate. As a result, women, girls
and people with the potential to menstruate are often diagnosed
late, do not receive timely services and treatment, and have
been excluded from research.
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH
Appropriations, 2024.................................... $520,163,000
Budget estimate, 2025................................... 521,695,000
Committee recommendation................................ 520,163,000
The Committee recommendation includes $520,163,000 for the
National Institute of Dental and Craniofacial Research [NIDCR].
Advancing Head and Neck Cancer Early Detection Research
[AHEAD].--The Committee commends NIDCR for establishing AHEAD
to accelerate translational and clinical research on the early
detection of head and neck cancers [HNC]. The initiative aims
to increase scientific knowledge of the molecular
characteristics of dysplastic tissue lesions, which are the
predominant precursor for HNCs. The Committee encourages NIDCR
to support research to utilize data from The Cancer Genome
Atlas [TCGA] and other genomic and proteomic projects to help
match tumor defects with patient clinical outcomes, which could
lead to tailored biomarker identification for early diagnosis
and treatment.
Oral Care Interventions.--The Committee reaffirms that
dental care is integral to the medical management of numerous
diseases and medical conditions and that the lack of medically
necessary oral healthcare heightens the risk of costly medical
complications. The Committee appreciates NIH's support for
research that has demonstrated that dental care is closely
linked to and crucial to the clinical success of other covered
medical services. The Committee urges NIH to fund additional
research in this area and conduct trials to determine which
oral care interventions are most effective for reducing the
prevalence and improving the medical management of malignant
oral cancers and chronic diseases, preventing pneumonia in
hospitals, and lowering hospitalization and emergency
department admission rates for oral diseases and conditions.
Temporomandibular Disorders [TMD].--The Committee commends
NIDCR for developing the TMD Collaborative for Improving
Patient-Centered Translational Research [TMD IMPACT]. The
timely implementation of the TMD IMPACT Collaborative into a
national consortium is essential. The Committee is pleased
NIDCR has funded nine TMD IMPACT groups. The Committee
encourages NIDCR to maintain a patient-centered approach in the
implementation of this Collaborative by including patients and
advocacy organizations in this next phase of the project. The
Committee is encouraged to see that NIDCR has added
collaborators including the FDA, NIAMS, NIBIB, NINDS, NCCIH,
OBSSR, and ORWH. NIDCR should encourage other Agencies and
Institutes, Centers, and Offices within NIH with appropriate
scientific expertise to participate in and support this
project. The Committee directs NIH to provide an update within
120 days on the progress to implement the next phase of this
important initiative including the recruitment of other NIH
Institutes as partners, the involvement of TMD patients in all
aspects of the initiative where possible, and NIDCR's attention
to and utilization of research recommendations derived from the
National Academies of Sciences, Engineering, and Medicine
Report on TMDs and the TMJ Patient-led RoundTable in driving
the scientific directions of this initiative.
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES
Appropriations, 2024.................................... $2,310,721,000
Budget estimate, 2025................................... 2,309,991,000
Committee recommendation................................ 2,360,721,000
The Committee recommendation includes $2,360,721,000, an
increase of $50,000,000, for the National Institute of Diabetes
and Digestive and Kidney Diseases [NIDDK].
Diabetes.--The Committee provides an increase of
$50,000,000 and commends the efforts of NIDDK to prioritize the
discovery and validation of biomarkers and urges NIDDK to
continue to prioritize this important work that will accelerate
the designing and conducting of clinical trials to prevent,
treat, and cure type 1 diabetes. Given the growing prevalence
of diabetes, the Committee is concerned that additional
research is needed to determine how to improve the treatment of
a common complication, diabetic foot ulcers to reduce
amputations, and urges NIDDK to support such efforts. Further,
given the aging population, the Committee urges NIDDK to work
with the National Institute on Aging to explore the
relationship between diabetes and neurocognitive conditions,
such as dementia and Alzheimer's disease in racially and
ethnically diverse populations.
Hepatitis B.--The Committee applauds NIDDK efforts to
create common resource services and materials for the research
community and urges continued focus on clinical networks,
databank development and precision medicine approaches. The
Committee further urges the development of experimental animal
and cell culture models to help advance cure research against
the widest possible set of therapeutic targets and research
focused on understanding the virology and immunology of people
with low levels of HBsAg, a protein on the surface of the
hepatitis B virus--as this category of people are more
responsive to therapy. The Committee is aware of the view
within the scientific community that finding a cure for
hepatitis B, as has been achieved for hepatitis C, is a
winnable goal and is within reach in the near term. For these
reasons, the Committee urges that research, based on the needs
as identified in the updated Strategic Plan for Trans-NIH
Research to Cure Hepatitis B, be funded by NIH in fiscal year
2025 and beyond.
Kidney Transplant Disparities.--The Committee appreciates
NIDDK's ongoing work on kidney disease research, particularly
on disparities in the prevention, diagnosis, and treatment of
kidney diseases through new studies to address disparities in
kidney transplant care. The Committee reaffirms the importance
of reducing health disparities and urges NIDDK to support
health disparities research to improve kidney transplant care.
Nutrition Science and Addressing Chronic Diseases.--The
Committee recognizes NIDDK for its leadership advancing
nutrition science particularly as it relates to a variety of
chronic conditions. Further, the Committee appreciates that the
benefit and impact of further scientific advancements goes
beyond digestive and metabolic conditions and encourages cross-
cutting collaborative research efforts in nutrition science and
chronic diseases with relevant NIH Institutes and Centers in
support of ongoing and emerging efforts, many of which are
coordinated by ONR at the Office of the Director, including the
concept for Food is Medicine Networks or Centers of Excellence.
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE
Appropriations, 2024.................................... $2,603,925,000
Budget estimate, 2025................................... 2,788,327,000
Committee recommendation................................ 2,951,925,000
The Committee recommendation includes $2,951,925,000, an
increase of $348,000,000, for the National Institute of
Neurological Disorders and Stroke [NINDS].
Amyotrophic Lateral Sclerosis [ALS] Research.--The
Committee commends NINDS for its leadership in the NIH ALS
Strategic Planning Working Group and development of the 2023
priorities for ALS research focused on more effective
diagnosis, prevention, treatment, and a cure. The Committee
provides an increase of $10,000,000 to support these efforts,
and urges NINDS to use this funding to bolster ALS clinical
trials, therapies, targeted therapies, and treatments.
Alzheimer's Disease and Alzheimer's Disease-Related
Dementias [AD/ADRD].--The Committee includes an increase of
$275,000,000 across NIH for AD/ADRD research, including an
increase of $137,500,000 in NINDS and $137,500,000 in NIA.
Angelman Syndrome [AS].--The Committee is aware of the AS
natural history study supported by NIH from January 2006 to
July 2014. The resulting data from over 300 participating
American families, along with a later FDA prospective natural
history study, provide a critical understanding of the most
important symptoms of this serious condition and support the
development of specific AS outcome measures. Further, the
recent developments in cell and gene therapies, including a
2023 National Center for Advancing Translational Sciences award
for the application of a CRISPR platform technology, hold
significant potential for disease-modifying treatments for rare
genetic brain diseases. In order to fully support the rapidly
increasing array of clinical studies of these and other
treatment modalities being developed for Angelman syndrome, the
Committee urges NINDS, in cooperation with FDA, to convene
relevant research leaders, patient organizations, and other
stakeholders to prepare a roadmap for clinical outcomes
measures and biomarkers for this condition. NINDS shall provide
a report to the Committees on this initiative within 300 days
of enactment.
Brain Aneurysms.--The Committee remains concerned that an
estimated 1 out of every 50 individuals in the United States
has a brain aneurysm and an estimated 30,000 Americans suffer a
brain aneurysm rupture each year, with little or no warning.
Ruptured brain aneurysms are fatal in about 50 percent of
cases. Despite the widespread prevalence of this condition and
the high societal cost it imposes on our Nation, the Federal
Government only spends approximately $2.08 per year on brain
aneurysm research for each person afflicted with a brain
aneurysm. The Committee encourages NINDS to increase its
support for research focused on prevention and early detection
of brain aneurysms.
Creutzfeldt-Jakob Disease [CJD].--The Committee commends
the NAPA Advisory Council report from 2023 that acknowledges
the scientific connection between prion diseases and ADRDs and
continues to encourage NIH to recognize prion diseases as ADRDs
and fund more research for prion diseases, like CJD. ADRDs have
already benefited from prion disease research, and further
integration of the fields could lead to beneficial new
treatments and improve scientific understanding of these
devastating diseases.
Frontotemporal Degeneration [FTD].--The Committee
encourages NIH to continue to support research to identify and
validate biomarkers for FTD and other neurodegenerative
diseases among racially and ethnically diverse cohorts. Easily
accessible biomarkers to accurately detect and measure disease
will facilitate greater access to diagnosis and promote
participation in research on all forms of dementia. The
Committee also urges NIH to support efforts to better
understand the social determinants of health that lead to
inequity and disparate health outcomes including decreased or
delayed access to diagnosis and care for FTD and other
dementias so that new treatments and best practices in care
will be available to all, regardless of age, racial, ethnic,
cultural, socioeconomic and geographic background. Equally
critical is the development of a data biosphere that enhances
secure sharing of clinical and research data and biological
samples for FTD. Broad sharing of datasets will enable the
larger community of researchers to bring their expertise to
bear on the challenge of treating and preventing FTD and other
ADRDs. The Committee also encourages NIH to find ways to
support more effective communication across researchers, and
between clinical science and broader society, to ensure that
the research advances driven by NIH can have maximum effect on
improving health. FTD is rare and tends to occur at a younger
age than other forms of dementia. This creates additional
challenges for clinical trials and research. To overcome these
challenges as well as recruitment and retention issues, the
Committee urges NIH to fund investigators who reflect the broad
variety of study populations who can ensure culturally
appropriate research is being conducted as well as develop
innovative clinical trial designs that recruit diverse
populations so that potential therapies can be tested more
efficiently and effectively.
Opioids, Stimulants, and Pain Management.--The Committee
provides no less than $290,295,000, an increase of $5,000,000,
in NINDS for the HEAL Initiative. The Committee encourages
NINDS to continue its efforts through the HEAL Initiative, with
a focus on grant opportunities to support research and
education for effective and non-addictive pain management to
improve outcomes for people with pain in diverse settings
across the United States.
Research on Dementia in Parkinson's Disease [PD].--The
Committee encourages NIA and NINDS to expand the use of fiscal
year 2025 and beyond AD/ADRD funding to fund projects studying
dementia in PD. PD is the second most common and fastest
growing neurodegenerative disease globally and is characterized
by the abnormal folding of a protein in the brain, which is
similar to what typically occurs in AD/ADRD. Channeling
additional resources into research could help to unlock
groundbreaking dementia-relevant discoveries in crucial areas
like PD and other closely associated neurological disorders.
Parkinson's Progression Markers Initiative.--The Committee
applauds the significant recent breakthroughs in PD research
made possible in part by public-private partnerships like the
collaboration between NIH and the Michael J. Fox Foundation for
Parkinson's Research's Parkinson's Progression Markers
Initiative [PPMI] that has led to significant discovery. The
work of the Michael J. Fox Foundation for Parkinson's Research
PPMI program recently resulted in the discovering an
unprecedented biomarker for PD that may result in new
diagnostics and treatments for this common, life-altering
neurodegenerative disease. Continued partnerships with programs
like PPMI may greatly advance the field of PD research. The
Committee encourages NIH and NINDS to further support such
public-private partnership opportunities with patient groups
and build on these exciting discoveries to accelerate advances
against PD.
Pediatric-Onset Epilepsies Network.--The Committee is aware
of the enormous economic cost and toll in human suffering
resulting from epilepsies and considers research in this area a
high priority. While there are approximately 470,000 children
currently living with epilepsy, as well as three million
adults, many of whom were diagnosed as children. A number of
these types of epilepsy do not respond to existing medications.
To develop and test more effective therapies, studies must
precisely classify children with the same epilepsy for clinical
trials. Creating an infrastructure with a goal of understanding
pediatric epilepsies diagnoses by cause and coordinating
research across institutions may increase the potential for
scientific progress in the era of precision medicine. This
network could include efforts to unite key assets and support a
collaborative, multidisciplinary research model to enroll
patients from many settings to accelerate therapy development
and expedite translation of research findings into standard
clinical care. Therefore, the Committee urges NINDS, in
collaboration with the epilepsies stakeholder community and the
Curing the Epilepsies conference, to establish the Pediatric-
Onset Epilepsies Network. Such a network could enable
cooperative research studies, accelerate the development of
knowledge about epilepsies, and rapidly advance therapeutic
options, including genetic therapies, and their implementation
to improve treatments and healthcare outcomes. The Committee
directs the NIH Director to provide a report on key findings
and planned actions within 1 year of enactment and annually
thereafter.
Preventive and Early-Treatment Cognitive and Brain Health
Research.--The Committee encourages NIH to give greater
attention to the study of the pre-symptomatic or preclinical
stages of neurological disorders, that is, alterations in
cognitive and brain health before the first clinical symptoms
of neurological disease when persons typically encounter
medical professionals. Learning what happens during these
stages may guide the development of measures for detection and
monitoring earlier in the course of disease, including
sensitive neuropsychological measure and biomarkers, which
could improve early interventions development and testing for
neurological disease before it becomes disabling and,
ultimately, prevent diseases like Alzheimer's disease,
Parkinson's disease, multiple sclerosis, stroke, and epilepsy.
Mounting evidence suggests that significant pathologies have
already accumulated by the time symptoms appear and early, pre-
symptomatic intervention may improve outcomes and may reduce
the costs that neurological disease pose on our health system.
Spinal Muscular Atrophy [SMA].--The Committee commends NIH
for its continued support of research in SMA, a rare
neuromuscular disease. The Committee is aware that past NINDS
research has led to greater understanding of the nervous system
and contributed toward approved SMA treatments that slow or
stop future nerve damage. The Committee also recognizes that
current treatments do not cure the disease or reverse its
debilitating symptoms. Without additional SMA research, the
Committee is concerned that adults and children with SMA who
were born after treatments and early diagnosis were available
will continue to face chronic health challenges and significant
barriers to independence. Furthermore, we do not fully know the
extent of need among children treated prior to symptom onset.
As such, the Committee encourages NINDS to expand its research
in SMA to address fatigue, muscle weakness, motor function
loss, and other unmet needs that are pervasive among the
largest segment of the SMA community. Additional research into
these common needs may also benefit individuals with other
neuromuscular and rare diseases who face similar challenges.
Stroke.--Despite notable progress in the stroke mortality
rate, it remains the fifth leading cause of death and a leading
cause of severe long-term disability. The Committee supports
continued research to improve the scientific understanding of
the brain and stroke, and the translation of that science
exploring new treatments and improved approaches to stroke
recovery and rehabilitation through the NIH funded clinical
trials network StrokeNet. The Committee also supports continued
stroke-related research conducted through the BRAIN Initiative.
This initiative is revolutionizing our understanding of the
brain and offering hope for the millions of individuals
impacted by brain diseases, disorders, and injuries including
stroke. African Americans have a disproportionately higher
prevalence of stroke and the highest death rate from stroke
compared to any other racial group. The Committee encourages
continued investment in research to understand and eliminate
health inequities across neurological disorders and stroke,
including the Community-Engaged Health Equity Research in
Neuroscience [HERN] Initiative.
Tuberous Sclerosis.--The Committee understands the
importance of continuing to fund research on Tuberous Sclerosis
Complex in order to support ongoing progress for finding
cutting-edge treatments and potential cures for Tuberous
Sclerosis Complex.
Undiagnosed Diseases Network [UDN].--The Committee provides
$18,000,000, an increase of $16,000,000, to fund UDN and
directs the continuation of the coordinating center, all
clinical sites, DNA sequencing core, central biorepository,
model organisms screening center, and other necessary testing
in the pursuit of diagnoses, including but not limited to:
metabolomics, infectious and toxic exposures, and immune
abnormalities.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES
Appropriations, 2024.................................... $6,562,279,000
Budget estimate, 2025................................... 6,581,291,000
Committee recommendation................................ 6,692,279,000
The Committee recommendation includes $6,692,279,000, an
increase of $130,000,000, for the National Institute of Allergy
and Infectious Diseases [NIAID].
Antiviral Drug Discovery Centers [AViDDs].--The Committee
recognizes the importance of research and development of new
antivirals and their ability to combat new viral outbreaks and
prevent them from becoming pandemics, and includes $80,000,000
to continue to support this effort. The Committee supports the
AViDDs and their mission to develop antiviral drugs to serve as
our first line of defense against forthcoming viral outbreaks.
The Committee is concerned that NIH reported to the Comptroller
General of the United States that future funding for the
program has been eliminated, leaving them funded for only three
out of the intended 5 years. The Committee directs NIH to
continue supporting antiviral drug discovery to mitigate the
risk of future viral outbreaks.
Celiac Disease.--The Committee commends NIH for issuing a
Notice of Special Interest to spur additional research on the
study of celiac disease. Today, the only known treatment is a
gluten-free diet; however, recent public and private sector
research confirms that such a ``treatment'' is insufficient for
many who suffer from celiac disease. The Committee encourages
NIH to devote focused research on the study of celiac disease
and continues to urge the newly created NIH Office of
Autoimmune Disease Research [OADR] to work with NIAID and other
NIH Institutes to: support new research on celiac disease;
better coordinate existing research; and focus new research
efforts toward causation, diagnosis, management, treatment,
and, ultimately, a cure of this disease. The Committee directs
NIH to include updates on research, projects, and programs for
celiac disease in the fiscal year 2026 CJ.
Centers for Research on Emerging Infectious Diseases
[CREID].--The Committee recognizes the importance of detecting
emerging infectious diseases as early as possible and applauds
NIAID for creating CREID, a global network of centers dedicated
to this purpose. The network investigates how and where viruses
and other pathogens emerge from wildlife and spread diseases to
people-information that is critical to waging rapid responses
to such outbreaks. The Committee urges NIAID to provide
continued funding for the network.
Diagnostics for Primary Immunodeficiency Disease/Inborn
Errors of Immunity [PID/IEI].--The Committee recognizes the
multiple challenges that impede access to a timely and accurate
diagnosis of PID/IEI. These include needing to improve the
interpretation of genetic tests and the need for identification
of biomarkers and other diagnostic tools to both identify forms
of PID/IEI and to direct/inform targeted treatments. The
Committee encourages NIAID to prioritize research aimed at
shortening the time to accurate diagnosis of primary
immunodeficiency diseases, which will have a significant impact
on patient outcomes and help lower healthcare costs.
Equipping NIH Research Programs to Target HIV/AIDS
Hotspots.--The Committee directs the NIH Office of AIDS
Research to coordinate NIH-wide resources to focus on areas
with the highest prevalence of HIV/AIDS, for example, utilizing
Centers for AIDS Research [CFARs] to develop targeted
interventions that increase the use of pre-exposure prophylaxis
[PrEP] and better protect those communities from HIV
transmission and its consequences.
Food Allergies.--The Committee recognizes the serious issue
of food allergies which affect approximately 8 percent of
children and 10 percent of adults in the United States. The
Committee commends the ongoing work of NIAID in advancing FDA
approved treatment options for people with food allergies and
increasing support for clinical investigation to a total of 24
clinical sites for this critical research, including 10 sites
as part of the Consortium for Food Allergy Research [CoFAR].
The Committee includes $17,100,000, an increase of $5,000,000,
for CoFAR to expand its clinical research network to add new
centers of excellence in food allergy clinical care and to
select such centers from those with a proven expertise in food
allergy research.
Gonorrhea.--The Committee continues to be concerned with
recent CDC reports that half of all gonorrhea infections in the
U.S. are resistant to at least one antibiotic and that only one
treatment option remains. The Committee commends NIAID for
their efforts to develop new antibiotics and vaccines for the
multi-drug resistant bacterium and encourages NIAID to
accelerate work to find new diagnostic tools and treatments for
these new strains of the disease.
Hepatitis B.--The Committee applauds NIAID for leading the
effort to update the Strategic Plan for Trans-NIH Research to
Cure Hepatitis B, so it remains a robust roadmap to find a
cure. The Committee is aware of the widely held view in the
scientific community that finding a cure for hepatitis B, as
has now been achieved for hepatitis C, is a winnable goal and
is within reach in the near-term. For these reasons, the
Committee urges that research, based on the needs as identified
in the updated Plan, be funded in fiscal year 2025 and beyond.
The Committee urges NIAID to expand the use of Program
Projects, R01 and U01 Cooperative Research Agreements, and
other contract mechanisms to discover and develop new therapies
for chronic hepatitis B and D. The Committee applauds the
success of the point of Care Technologies Research Network
[POCTRN] and Rapid Acceleration of Diagnostics [RADX] programs
and encourages more use of these programs for development of
point-of-care tests for HBV, HDV and the cancers caused by
these viruses. Efforts for establishment of biologically
relevant animal models, particularly, the immune competent
small animal models supporting persistent HBV infection, to
support the development of immune modulators for the functional
cure of chronic hepatitis B should be supported.
HIV Self-Testing.--The Committee strongly supports
advancement of technologies that enable rapid self-testing for
HIV, particularly those technologies that detect HIV in people
on current or future therapeutics and vaccines. The Committee
notes the critical importance of having such self-testing
technologies available before new options for therapeutic
control and HIV vaccines become widely available. Self-testing
technologies are necessary for individuals to know their HIV
status and seek care to initiate treatment, thereby supporting
ongoing HIV prevention efforts. Thus, the Committee urges NIH
to fund as many meritorious proposals as possible to bring
these important tests to market.
National Biocontainment Laboratories [NBLs].--The Committee
provides $33,000,000, an increase of $10,000,000, to the two
NBLs to support core and shared resources for BSL-4
containment, enabling them to develop and maintain the research
resources, facilities and personnel needed to meet the National
biodefense and emerging infectious diseases research needs in
the event of a deliberate act of bioterrorism or naturally
occurring public health emergency. The Committee notes that
research on high consequence zoonotic viruses requires high-
containment BSL-4 labs. High-containment BSL-4 labs enable
researchers to diagnose and investigate these types of
pathogens, and develop rapid and reliable diagnostics, novel
antiviral therapeutics, and vaccines, without endangering the
staff or population at large. Additional investments in BSL-4
infrastructure for research in highly pathogenic zoonotic
viruses is critical. The Committee directs that this funding be
used by the NBLs to support (1) maintaining the research
resources for biodefense, emerging infectious disease agents,
and other infectious disease threats to global health; (2)
training new researchers in biosafety level 4 practices; (3)
maintaining a workforce skilled in BSL-4 research; and (4)
establishing best practices for the safe, effective, and
efficient conduct of research in BSL-4 facilities.
Neglected Disease Research.--The Committee strongly
supports NIAID's neglected disease research programs. NIH is
the world's single largest funder of neglected disease research
and has supported the development of high-impact technologies
for health areas that receive little attention from industry.
Many innovation gaps persist, and so these programs should
remain a priority for NIAID leadership.
Regional Biocontainment Laboratories [RBLs].--The Committee
is pleased NIAID competitively awarded UC7 awards to the RBLs.
The Committee encourages NIAID to allow grantees to carry over
unused funds into fiscal year 2026 to support this vital work
of the RBLs. The Committee provides $62,000,000, an increase of
$10,000,000, to the 12 RBLs to support core and shared
resources for BSL-3 containment and related activities within
the RBL facility in its entirety. To the extent possible, of
this amount, no less than $3,000,000 shall be provided to each
of the 12 RBLs to support training and maintaining a capable
research workforce with broad, relevant biomedical,
technological, veterinary, and regulatory expertise, supporting
operations, facilities, and equipment purchase costs, and
supporting research utilizing the capabilities of the RBLs. The
remaining funding shall go to the 12 RBLs to support: (1)
research on biodefense, emerging infectious disease agents, and
other infectious disease threats to global health; (2) training
new researchers, including in biosafety level 3 practices; (3)
maintaining a workforce skilled in BSL-3 research; and (4)
establishing best practices for the safe, effective, and
efficient conduct of research in BSL-3 facilities. All funding
shall be used to support the aforementioned activities
conducted within the RBL, and should not be limited to just the
BSL-3 space.
Research on Antimicrobial Resistance [AMR].--The Committee
provides no less than $565,000,000 to fund NIAID research to
combat AMR and the training of new investigators to improve AMR
research capacity as outlined in the 2020-2025 National Action
Plan to Combat Antibiotic Resistant Bacteria. In the 2020
National Action Plan for Combating Antibiotic-Resistant
Bacteria [CARB], 2020-2025, one of the five goals was to
Accelerate Basic and Applied Research and Development for New
Antibiotics, Other Therapeutics, and Vaccines in order to
improve understanding of the many factors that contribute to
the emergence, spread, and persistence of antibiotic resistance
and to support new strategies for preventing and mitigating
infections. NIH has supported research to understand mechanisms
of AMR spread and to mitigate inappropriate usage of
antibiotics.
Syphilis.--The Committee continues to be concerned with the
rising syphilis rates, and correlation with the syphilis
increase in women of childbearing age, which often leads to
congenital syphilis. The Committee commends NIAID for their
continued work in developing new diagnostic tests for both
adults and newborns and encourages acceleration of vaccine
development and new treatment options.
Tuberculosis [TB].--According to the World Health
Organization, a total of 1.3 million people died from TB in
2022 (including 167,000 people with HIV). Worldwide, TB is the
second leading infectious killer after COVID-19 (above HIV and
AIDS). Critical scientific research into the development of new
TB diagnostic, treatment and prevention tools was delayed
during the COVID-19 pandemic. The Committee commends NIAID on
the publication of the 2024 update to the Strategic Plan for
Tuberculosis Research and encourages NIAID to continue its
implementation.
Universal Flu Vaccine.--The Committee includes $270,000,000
to support efforts to develop universal influenza vaccines that
provides long-lasting protection against numerous flu strains,
rather than a select few. The Committee urges NIAID to
prioritize research needed to develop a universal influenza
vaccine.
Valley Fever.--The Committee is pleased that NIAID is
moving forward on execution of its Strategic Plan For Research
To Develop A Valley Fever Vaccine. The Committee includes
$4,000,000 for NIAID to continue funding such activities and
encourages NIAID to continue development of promising vaccine
candidates, including the canine vaccine, for human use.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
Appropriations, 2024.................................... $3,244,679,000
Budget estimate, 2025................................... 3,249,375,000
Committee recommendation................................ 3,269,679,000
The Committee recommendation includes $3,269,679,000, an
increase of $25,000,000, for the National Institute of General
Medical Sciences [NIGMS], which includes $1,412,482,000 in
transfers available under 241 of the PHS Act (Public Law 104-73
as amended).
Biomedical Research Workforce Training.--Training programs
at the NIH provide a quality standard of training for graduate
students and postdoctoral fellows in biomedical research. The
training grants that support these programs at research
institutions across the country play a vital role in
establishing a biomedical research ecosystem and train the next
generation of researchers for health-related research needs.
Despite the success of training programs, the number of
students and postdoctoral scholars supported on training grants
has remained constant over the years. The Committee applauds
NIH efforts to increase funding for IDeA States and urges NIH
to also emphasize the importance of supporting training grants
in IDeA States. The Committee directs NIH Institutes and
Centers to conduct and provide to the Committees, a portfolio
analysis within 120 days of enactment. The analysis will assess
the distribution of T32 training grants among States, including
number of applicants and success rates per State to ensure NIH
is supporting capacity building and a diverse workforce for the
future biomedical research enterprise. In addition to the
portfolio analysis, in the fiscal year 2026 CJ, NIH is directed
to provide an update on specific actions NIH will take to
identify and remove barriers for applying for training grants
in IDeA States.
Expand and Improve Bridge Programs.--The Committee strongly
supports opportunities for students with limited access to
STEMM [Science, Technology, Engineering, Mathematics, and
Medicine] education and research. The Committee recognizes the
effectiveness and importance of NIGMS bridging programs that
support historically underserved students and researchers to
pursue STEMM studies and become the Nation's next generation of
researchers, including programs such as the Bridges to the
Baccalaureate Research Training Program, Bridges to the
Doctorate Research Training Program, Postbaccalaureate Research
Education Program [PREP], Advancing Research Careers [ARC]
program, and Maximizing Opportunities for Scientific and
Academic Independent Careers [MOSAIC] program. The Committee
urges NIH to expand the size of existing training programs that
bridge different educational or career stages and establish
these programs at institutions that have historically received
low levels of funding support from NIH, including Minority
Serving Institutions and institutions that are eligible under
the Department of Education's Strengthening Institutions
Program. The Committee urges NIH to set clear mentorship and
support standards for students participating in these programs.
Finally, the Committee urges NIH to encourage and provide more
guidance to participating institutions to account for
sufficient staff and outreach budget and other training-related
expenses in grant applications.
Institutional Development Award [IDeA].--The Committee
recognizes the importance of the IDeA program in enhancing
geographical representation across NIH's research portfolio,
and provides no less than $455,956,000, an increase of
$25,000,000, for the program. In order to ensure that research
investments from IDeA programs provide maximum benefit, the
Committee urges NIH to examine ways to increase NIH IDeA State
participation in major grant programs across NIH's portfolio,
including those that support biomedical research facilities,
instrumentation, and training. The Committee notes the
Biomedical Research Workforce Working Group report and supports
growing the IDeA funding level to its minimum recommended
level, which will allow NIH to take advantage of the full
diversity of the Nation's assets: diversity of individuals,
diversity of institutions, and diversity of geography.
Currently eligible States have historically had low aggregate
success rates for grant applications to NIH and rely on the
IDeA program to help build a research infrastructure and
enhance research capacity at institutions in those States.
Finally, the Committee opposes any efforts within NIH to change
eligibility for the IDeA program to a system that would be
based on States' populations.
IDeA Clinician Researcher Support.--The Committee
recognizes the NIH's continued efforts to support mentorship
and career development of clinician researchers through the
Clinical and Translational Science Awards and other programs.
However, the Committee is concerned that IDeA-eligible States
do not have equitable access to funding to support mentored
career development. The Committee encourages NIH to support
mentored career development funding for physicians and
clinicians in IDeA States.
IDeA Networks for Clinical and Translational Research
[IDeA-CTR].--The Committee notes the success of the IDeA
Clinical and Translational Research centers to develop
infrastructure and human resources to more effectively conduct
clinical and translational research. Further, the Committee
notes the potential for further enhancement and progress
through meaningful collaboration with the Clinical and
Translational Science Awards [CTSA] program, particularly in
rural areas. The Committee encourages NIGMS and NCATS to
provide a general roadmap for collaborative opportunities that
preserve the autonomy of both programs while removing barriers
to allow for rapid scientific advancement and improved local
care and research.
Increasing Diversity in Biomedical Research.--The Committee
strongly supports opportunities for the Nation's next
generation of researchers and efforts to enhance diversity in
biomedical research. Early-stage researchers, particularly
those from groups underrepresented in biomedical research,
spend longer periods of time in postdoctoral positions with
lower salaries, receive inadequate mentorship, and are offered
fewer opportunities for professional advancement, resulting in
lower retention rates for those groups. Even with these
obstacles, many early-stage researchers tackle riskier projects
and have contributed to research that has generated positive
outcomes for the benefit of society. Grant programs offering
support and opportunities for researchers at key career
transition points requiring little or no preliminary data, are
critical to ensuring innovative scientists from diverse
backgrounds succeed in biomedical research. The Committee urges
NIGMS to expand the MOSAIC, ARC program and the Minority Access
to Research Careers undergraduate programs that train the next
generation of scientists while enhancing the diversity of the
biomedical research workforce and enabling promising scientists
to pursue high-risk, high-reward research.
Minority Serving Institutions.--Congress recognizes the
importance of highly trained physician-scientists to serve
diverse communities, decrease health disparities, and enhance
the biomedical research workforce. The Committee encourages
NIGMS to support medical scientist training at Minority Serving
Institutions as defined in title III of the Higher Education
Act. Such efforts should support dual degree programs that
train students in medicine and biomedical research.
Supporting Biomolecular NMR Databanks.--The Committee
recognizes the essential role that existing, extramural Nuclear
Magnetic Resonance [NMR] databases located at public academic
health centers play in fostering medical research and drug
discovery. As such, the Committee encourages NIGMS to ensure
that grants which support these valuable scientific community
assets are of sufficient size to ensure that they can continue
to add and curate new data, modernize, and support all
researchers.
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT
Appropriations, 2024.................................... $1,759,078,000
Budget estimate, 2025................................... 1,766,415,000
Committee recommendation................................ 1,779,078,000
The Committee recommendation includes $1,779,078,000, an
increase of $20,000,000, for the Eunice Kennedy Shriver
National Institute of Child Health and Human Development
[NICHD].
Andrological Health.--The Committee strongly supports
translational and clinical research into andrological health,
and urges NICHD to prioritize and expand these research
programs.
Congenital Syphilis [CS].--The Committee continues to be
concerned with the continued rise in the rates of congenital
syphilis. CS can lead to life-long deformities and
disabilities, but with preventative care and treatment, these
outcomes can be avoided. The Committee encourages NICHD to
coordinate efforts with NIAID on new testing, diagnosis, and
treatment efforts.
Endometriosis.--The Committee urges NICHD to continue
expanding basic, clinical, and translational research into the
mechanisms of endometriosis, including root causes of the
disease and new treatment methods. The Committee encourages
research on the genetic and immune system components of
endometriosis. The Committee further encourages NIH to devote
more resources to support targeted research of endocrine
disrupting chemicals in endometriosis, the relationship of
endometriosis and cancer, prenatal and epigenetic influences on
the risk for endometriosis. The Committee also encourages
research on non-invasive diagnostics of endometriosis to reduce
diagnosis delay and improve treatment. The Committee encourages
research on the growth of endometriosis and endometriosis
recurrence post-surgical procedures or medical therapeutics.
Implementing a Maternal Health and Pregnancy Outcomes
Vision for Everyone [IMPROVE] Initiative.--The Committee
provides no less than $73,400,000 for this activity, an
increase of $20,000,000. The Committee is aware that NICHD's
current Maternal Health Research Centers of Excellence provide
a platform to further both research and clinical care in
reducing maternal morbidity and mortality. The Committee
appreciates NIH's commitment to supporting Centers in areas of
the country that see the highest rate of both. The Committee
encourages NICHD to continue to expand its current Centers of
Excellence with a particular emphasis on increasing support for
existing centers and establishing new ones in regions of
greatest need, eliminating racial and ethnic disparities in
maternal morbidity, and training a diverse group of early-stage
scientists in maternal health equity research.
Learning Disabilities Research Centers and Learning
Disabilities Innovation Hubs.--The Committee is increasingly
concerned with the decline in achievement for students with
disabilities and recognizes the need for continued research and
improved interventions. The Committee recognizes the importance
of NICHD's funding of Learning Disabilities Research Centers
and Learning Disabilities Innovation Hubs, which are the only
source of Federal funding available to researchers interested
in exploring child development and learning disabilities to
conduct randomized control trials and explore the relationships
between different variables at work. While learning
disabilities do impact an individual's education and academic
achievement, these disorders are brain-based, and so clinical
research using the latest technology and advances in
neuroscience is essential. To continue robust research into
language, reading development, learning disabilities, and
disorders that adversely affect the development of listening,
speaking, reading, writing, and mathematics abilities, the
Committee urges NICHD to continue its investment in its
Learning Disabilities Research Centers and Learning
Disabilities Innovation Hubs.
Maternal Fetal Medicine Units.--The Committee continues to
support the work of NICHD's Maternal-Fetal Medicine Units
Network [MFMU]. Since 1986, the MFMU Network has been
performing multi-site clinical research focused on gathering
data needed to ensure obstetric patients across the country and
the world are receiving evidence-based and cost-effective care.
In fiscal year 2024, Congress requested an update from NICHD on
its historical investment in the MFMU and plans to sustain and
enhance that investment going forward. The Committee remains
concerned that the new network structure introduced in 2022,
which requires clinical trial proposals for the MFMU Network to
be considered through the broader NIH grant application
process, will limit the number of clinical trials performed
within the MFMU. The Committee requests an update within the
fiscal year 2026 CJ on the total funding for MFMU Network
supported clinical trials awarded in each of fiscal years 2010-
2022. This update should detail amounts spent on clinical
trials and separately account for base funding for the MFMU
Network clinical sites and data coordinating center. Further,
NICHD should provide an update on plans to ensure that NIH will
continue to fund clinical research conducted by the MFMU at the
same or greater funding levels in the upcoming grant cycle
compared with prior cycles.
Maternal Morbidity and Mortality.--The Committee is
concerned about recent closures of obstetrics and gynecology
units in rural hospitals across the country and their impact on
patient access to care. The Committee encourages NICHD to
support research on this issue, including examining how these
closures are affecting maternal morbidity and mortality.
Pelvic Organ Prolapse.--Pelvic organ prolapse [POP] occurs
when the pelvic floor muscles and connective tissue supporting
the pelvic organs fail, causing one or more of the pelvic
organs to fall downward, protruding out of the body. POP is a
common problem, with 1 out of 8 women undergoing surgery for
prolapse at some point in their life. Symptomatic POP is
associated with urinary incontinence, depression, anxiety,
sleep disturbance, deteriorating physical function and
diminished socialization. Therefore, the Committee urges the
NICHD to support prospective studies that can be added on to
existing maternal-morbidity research, including research
studies being conducted in underserved areas, to assess
preventative strategies for POP including ways to decrease
pelvic floor trauma/denervation during delivery, with the goal
of reducing the risk of subsequent POP and its complications.
The Committee requests an update on research activities to
advance POP prevention and treatment in the fiscal year 2026
CJ.
Population Research.--The Committee commends NICHD for
supporting prospective, population representative longitudinal
studies, including the Panel Study of Income Dynamics Child
Development Supplement, Future of Families and Child Wellbeing
Study, and National Longitudinal Survey of Youth. Data from
these studies are public goods used widely to inform research
and training activities conducted by thousands of scientists at
universities nationwide, including underserved institutions,
and are heavily used by new and early-stage investigators. In
addition, these studies are the only nationally representative
data scientists may use to analyze, for example, how parental
and grandparental characteristics affect children's outcomes
and the impact of adverse childhood experiences over the life
course. NICHD is encouraged to continue supporting this type of
research.
Severe Maternal Morbidity.--The Committee is concerned that
despite the high rate of severe maternal morbidity in the
United States, there is not a uniform definition of severe
maternal morbidity. Having a uniform definition would help
Federal, State and local agencies and research institutions
establish standardized and interoperable processes for billing
surveillance, data collection and research. The collected data
could then inform the development and deployment of targeted,
evidence-based prevention and treatment programs to reduce the
incidence of severe maternal morbidity. The Committee
encourages NICHD to hold a formal convening of subject matter
experts and organizational representatives, including
representatives from the CDC, HRSA, NICHD, the Office of the
National Coordinator for Health Information Technology, FDA,
and public stakeholders, to determine a uniform definition of
severe maternal morbidity. The Committee directs NICHD to
provide a report in the fiscal year 2026 CJ on the proceedings
of convening including formal definitions for severe maternal
morbidity.
Women's Reproductive Health Research [WRHR] Program.--The
Committee encourages NICHD to continue to fund WRHR scholars,
with the goal of increasing the diversity of the scholars,
sites, and research supported by the program. The Committee
recognizes the effectiveness of the WRHR program, which
provides an opportunity for obstetrician/gynecologists who
recently completed postgraduate clinical training to further
their training in basic, translational and clinical research.
NATIONAL EYE INSTITUTE
Appropriations, 2024.................................... $896,549,000
Budget estimate, 2025................................... 898,818,000
Committee recommendation................................ 896,549,000
The Committee recommendation includes $896,549,000 for the
National Eye Institute [NEI].
Usher Syndrome.--The Committee encourages NIH to enhance
and prioritize Usher syndrome research at NEI. The Committee
requests an update in the fiscal year 2026 CJ. The update
should include efforts to stimulate the field and to accelerate
viable human treatment options for those with Usher syndrome.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES
Appropriations, 2024.................................... $913,979,000
Budget estimate, 2025................................... 916,791,000
Committee recommendation................................ 913,979,000
The Committee recommendation includes $913,979,000 for the
National Institute of Environmental Health Sciences [NIEHS].
Disaster Research Response Program.--The Committee urges
NIEHS to support research and community engagement activities
related to the health of individuals affected by the train
derailment in East Palestine, Ohio, including first responders
and local residents in both Ohio and Pennsylvania.
East Palestine.--The Committee directs $2,000,000 to carry
out section 2 of the East Palestine Health Impact Monitoring
Act of 2024, with funding to remain available until September
30, 2029.
Environmental-related Health Conditions.--The Committee
provides $40,000,000 for NIEHS to continue research on the
impacts that changing environmental conditions have on human
health.
Heated Oil Fumes Health Impact.--The Committee is concerned
that aircraft crews and some frequent fliers can be exposed to
low concentrations of oil fumes routinely and to higher
concentrations during a documented event. The Committee
encourages NIEHS to investigate the health effects of
inhalation exposure to heated oil fumes in aircraft flight
decks and cabins.
Indoor Air.--The Committee urges NIEHS to continue
researching indoor pollutants, including from combustion
indoors, to better understand the indoor air landscape and its
impacts. The Committee requests an update on these activities
in the fiscal year 2026 CJ.
Wildfire Smoke.--The Committee recognizes that exposure to
smoke from wildfires is no longer a rare occurrence and is a
reality for millions of Americans. The Committee is concerned
that public health experts do not yet fully understand the risk
posed by exposure to wildland fire smoke--particularly acute
and chronic smoke exposure to patients with existing pulmonary
and cardiac disease. The Committee encourages NIEHS to support
research to understand the health risks associated with
wildfire smoke exposure and any interventions that can be
implemented to mitigate adverse health effects.
NATIONAL INSTITUTE ON AGING
Appropriations, 2024.................................... $4,507,623,000
Budget estimate, 2025................................... 4,425,295,000
Committee recommendation................................ 4,645,123,000
The Committee recommendation includes $4,645,123,000, an
increase of $137,500,000, for the National Institute on Aging
[NIA].
Alzheimer's Disease/Alzheimer's Disease-Related Dementias
[AD/ADRD].--Since fiscal year 2015, Congress has increased
research funding for AD/ADRD by more than 500 percent, making
it the largest expenditure of its kind in NIH. By 2050, the
cost to treat and care for those suffering from Alzheimer's
disease is expected to rise to as high as $1,100,000,000,000 a
year. Without a medical breakthrough to prevent, slow, or stop
the disease, Medicare- and Medicaid-related costs could rise
more than four-fold. NIH-funded research offers hope for
finding solutions to manage this disease successfully in the
future. Therefore, the Committee continues to support
Alzheimer's disease research, including multi-disciplinary
approaches into the basic science and pathology of the disease,
which builds upon the funding goals needed to prevent and
effectively treat Alzheimer's by 2025 identified in the
National Plan required by the National Alzheimer's Project Act
(Public Law 111-375). The Committee includes an increase of
$275,000,000 across NIH for AD/ADRD research, including an
increase of $137,500,000 in NINDS and $137,500,000 in NIA. The
NIA is encouraged to continue addressing the research targets
outlined in the fiscal year 2025 Professional Judgment Budget.
In addition, NIA is directed to provide an update on activities
related to this research in the fiscal year 2026 CJ.
Clinical Trials.--Although Alzheimer's disease and other
dementias disproportionately affect Black Americans, Hispanic
Americans, Asian American and Pacific Islanders, and Native
Americans, they continue to be underrepresented in AD/ADRD
clinical trials. The Committee directs NIA to work with the
Alzheimer's Disease Research Centers and other organizations to
promote participation in clinical trials within
underrepresented populations and, to the maximum
scientifically-feasible extent, reduce the burden of
participating. These efforts should include expanding community
engagement and outreach to these populations, incentivizing
trial locations in areas of unmet need, encouraging the
diversity of clinical trial staff, allowing appropriate
flexibility in trial design and inclusion and exclusion
criteria, and utilizing technology like remote patient
monitoring, where appropriate, to facilitate clinical trial
participation and retention. Further, NIA recently provided an
assessment of the data and metrics it collects related to the
planning, recruitment, and retention of clinical trial
participants from underrepresented communities and how those
data have been or plan to be used in grant-making decisions.
The assessment also addressed how NIA plans to provide more
timely data to the Committees and greater transparency to the
public about the planning, engagement, and recruitment efforts
of its extramural grantees, including a focus on addressing
barriers to inclusive and representative enrollment such as
eligibility criteria, language accessibility, and adequate
planning for diverse enrollment among grantees. The Committee
directs NIA to provide an update on activities related to this
assessment in the fiscal year 2026 CJ. In addition, with
various treatments for Alzheimer's disease in the pipeline, the
Committee encourages NIA to support a wide range of trials,
including those with a patient-based national registry of
regulatory grade, longitudinal evidence for patients receiving
any FDA-approved disease modifying therapies for Alzheimer's
disease in real-world clinical practice.
Digital Innovation for Aging in Place.--Recent
technological developments have allowed aging Americans to stay
in their homes and maintain their independence for as long as
possible. The Committee strongly encourages NIA to fund
research that designs and develops digital innovations that
improve health and medical treatment. These efforts could
include establishing a smart living environment leveraging
technologies to improve health and medical treatment, equipping
homes to enable varying levels of remote care and improved
diagnosis and treatment, and encouraging medical facilities to
adopt health technologies, including AI and machine learning,
to expand to the home space enabling older adults to age in
place.
Female Reproductive Aging.--The Committee acknowledges the
NIA for its pioneering efforts in geroscience and underscores
the importance of investigating female reproductive aging, a
critical yet understudied aspect of women's health and
longevity. For example, aging of the female ovary occurs at a
more accelerated pace compared to other tissues and organs,
posing significant implications for fertility, reproductive
health, and overall well-being. This distinct aging process
highlights the need for a deeper understanding of the cellular,
molecular, genetic and epigenetic factors driving early onset
of female reproductive aging. To ensure progress in this
pivotal research area, the Committee encourages NIA to convene
a workshop with experts from NIH, other relevant Federal
agencies, academic institutions, and the private sector to
explore the mechanisms that influence female reproductive
aging, its impact on women's health including and beyond
reproductive capacity, and the development of strategies and
interventions to mitigate its effects. The Committee requests
an update in the fiscal year 2026 CJ.
Palliative Care Research.--The Committee provides
$12,500,000 for NIA to coordinate the work of a multi-institute
and multi-Center initiative for palliative care research,
including extramural-based research infrastructure, by
developing early and mid-stage researchers, and engaging
various healthcare systems, providers, and community partners.
The Committee recognizes that palliative care is a critical
area of research and informs supportive care for patients of
all ages with serious illness and their families focused on
relief of symptoms and suffering, communication of prognosis
and treatment options in the context of patient goals, and
coordination of care within and across healthcare settings.
Population Research.--The Committee commends NIA for
supporting a robust population aging research portfolio that
includes research grants, centers, networks, training programs,
and population representative surveys studying how demographic,
social, and economic factors impact the health and well-being
of older people. In fiscal year 2025, the Committee is pleased
to learn that NIA plans to renew funding for its Centers on
Demography and Economics of Aging program. The current 15
centers provide essential infrastructure and data, stimulating
aging research and training activities on topics such as
physical and cognitive functioning, disability, health
disparities, and Alzheimer's disease, nationwide. The Committee
urges NIA to encourage enhanced collaboration among its
centers, including the Centers on Demography and Economics of
Aging, Alzheimer's Disease Research Centers, and Roybal Centers
for Translational Research in the Behavioral and Social
Sciences of Aging.
NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES
Appropriations, 2024.................................... $685,465,000
Budget estimate, 2025................................... 689,697,000
Committee recommendation................................ 685,465,000
The Committee recommendation includes $685,465,000 for the
National Institute of Arthritis and Musculoskeletal and Skin
Diseases [NIAMS].
Alopecia Areata.--The Committee notes the disproportionate
effect of alopecia areata on people of color, specifically
women. NIAMS research has uncovered genetic factors that are
associated with alopecia areata, many of which have been
implicated in other autoimmune diseases. The Committee
encourages NIAMS to explore collaborative opportunities with
key stakeholders to advance critical research projects into
causes and treatments. The Committee requests an update on
collaborative efforts with relevant Institutes and Centers and
stakeholders in identifying key research areas of concern in
the fiscal year 2026 CJ.
Atopic Dermatitis.--The Committee recognizes NIAMS ongoing
efforts to incorporate community feedback and otherwise craft a
new Strategic Plan for Fiscal Year 2025--2029. The Committee
notes the tremendous opportunity for cross-NIH
multidisciplinary research into atopic dermatitis and other
forms of eczema and encourages further efforts to coordinate
with other institutes and centers to complement emerging NIAMS
activities and to effectively coordinate the overall research
portfolio in atopic dermatitis.
NATIONAL INSTITUTE OF DEAFNESS AND OTHER COMMUNICATION DISORDERS
Appropriations, 2024.................................... $534,333,000
Budget estimate, 2025................................... 535,929,000
Committee recommendation................................ 534,333,000
The Committee recommendation includes $534,333,000 for the
National Institute of Deafness and Other Communication
Disorders [NIDCD].
NATIONAL INSTITUTE OF NURSING RESEARCH
Appropriations, 2024.................................... $197,693,000
Budget estimate, 2025................................... 198,263,000
Committee recommendation................................ 197,693,000
The Committee recommendation includes $197,693,000 for the
National Institute of Nursing Research [NINR].
Health Disparities Research.--The Committee continues to
provide $10,000,000 for NINR to support research related to
identifying and reducing health disparities.
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
Appropriations, 2024.................................... $595,318,000
Budget estimate, 2025................................... 598,903,000
Committee recommendation................................ 595,318,000
The Committee recommendation includes $595,318,000 for the
National Institute on Alcohol Abuse and Alcoholism [NIAAA].
Fetal Alcohol Spectrum Disorders [FASD].--The Committee
supports NIAAA efforts to accelerate FASD basic, prevention,
diagnosis, and treatment research. The Committee encourages
NIAAA to continue efforts to support innovative research and to
disseminate research findings to States, Tribes, and provider
and non-profit organizations in increasing FASD diagnostic
capacity, enhancing FASD prevention programs, developing
resources for systems of care, training service providers and
professionals, and responding to the needs of individuals.
Reducing Alcohol Related Mortality.--The Committee is
concerned by the high rates of alcohol misuse and alcohol-
related morbidity and mortality in the United States. The
Committee urges NIAAA to continue supporting research on
prevention programs that focus on populations most affected by
alcohol misuse and alcohol-related mortality. This research can
include the development, testing, and implementation of
prevention interventions to reduce alcohol misuse.
NATIONAL INSTITUTE ON DRUG ABUSE
Appropriations, 2024.................................... $1,662,695,000
Budget estimate, 2025................................... 1,668,343,000
Committee recommendation................................ 1,667,695,000
The Committee recommendation includes $1,667,695,000, an
increase of $5,000,000, for the National Institute on Drug
Abuse [NIDA].
Barriers to Research.--The Committee is concerned that
restrictions associated with Schedule I of the Controlled
Substances Act effectively limits the amount and type of
research that can be conducted on certain Schedule I drugs,
especially opioids, psychedelics, marijuana or its component
chemicals, and new synthetic drugs and analogs. At a time when
we need as much information as possible about these drugs and
antidotes for their harmful effects, we should be addressing
regulatory and other barriers to conducting this research. The
Committee appreciates NIDA's completion of a report on the
barriers to research that result from the classification of
drugs and compounds as Schedule I substances including the
challenges researchers face as a result of limited access to
sources of marijuana, including dispensary products.
Cocaine Overdose Treatment.--The Committee remains
concerned about the drug overdose epidemic and the surge in
overdose deaths involving stimulants, including cocaine. The
Committee recognizes that NIDA is prioritizing research and
development of treatments which can rapidly reverse cocaine
toxicity and reduce mortality rates, addressing the severe gap
in this unmet medical need. Due to the unavailability of an
FDA-approved cocaine overdose reversal medication, the
Committee encourages NIDA to continue prioritization of
additional research and development to advance a life-saving
treatment for overdoses caused by cocaine.
Alternative Clinical Trial Endpoints for Substance Use
Disorders.--Although there are effective medications for
treating opioid, tobacco, and alcohol use disorders, these
treatments do not work for everyone--and to date, no
medications have been approved by FDA to treat stimulant use
disorders. The Committee therefore encourages FDA and NIDA to
collaborate on the establishment of endpoints other than
abstinence for use in clinical trials of medications to treat
substance use disorders. Such alternative endpoints may include
reduced craving (defined as a strong desire or urge to use
drugs), reduced drug use, or reduced substance use disorder
severity. The Committee appreciates NIDA-funded research on
using alternative endpoints in clinical research on substance
use disorders, such as the recent finding that reduced drug use
is associated with meaningful clinical improvements for people
with stimulant use disorders. The Committee urges FDA and NIDA
to build upon such research and work together toward
incorporating alternative endpoints into clinical trials for
substance use disorders.
Investments in Basic Research.--The Committee is aware that
basic research is the foundation for clinical research, both of
which pave the way to new or improved treatments for substance
use disorders. Basic research can focus on the causal
mechanisms underlying the functioning of the human body and
provides a critical understanding of the short- and long-term
impacts of drug use. The discoveries that are made through
basic research can often be translated directly into improved
patient care, including novel medications, fewer drug-related
fatalities, and science-based methods for preventing substance
use and substance use disorders. The Committee encourages
NIDA's continued investments in investigator-initiated grants
in basic research and support for training of young
investigators to ensure a healthy and growing population of
researchers.
Methamphetamine and Other Stimulants.--The Committee is
concerned that, according to predicted provisional data
released by CDC, overdose deaths involving drugs in the
categories that include methamphetamine and cocaine increased
by 38 and 43 percent respectively, in just 2 years. This sharp
increase has led some to refer to stimulant overdoses as the
``fourth wave'' of the current drug overdose epidemic in
America following the rise of opioid-related deaths involving
prescription opioids, heroin, and fentanyl-related substances.
No FDA-approved medications are available for treating
methamphetamine, cocaine, and other stimulant use disorders.
While there are currently approved medication assisted
treatments [MATs] for alcohol and opioid addiction there
remains no approved MAT for methamphetamine addiction. The
Committee urges NIDA to continue its ongoing trials in order to
expeditiously find and approve a MAT for methamphetamines. The
Committee continues to support NIDA's efforts to address the
opioid crisis, has provided continued funding for the HEAL
Initiative, and supports NIDA's efforts to combat the growing
problem of methamphetamine and other stimulant use disorders
and related deaths.
Opioid Initiative.--The Committee continues to be concerned
about the opioid overdose epidemic and appreciates the
important role that research plays in the various Federal
initiatives aimed at this crisis. The Committee is also aware
of increases in opioid overdose deaths since 2020, with the
primary driver being the increased overdose deaths involving
synthetic opioids, primarily fentanyl. Approximately 295 people
die each day in this country from drug overdose (over 224 of
those are directly from opioids), making it one of the most
common causes of non-disease-related deaths for adolescents and
young adults. To combat this crisis, the Committee has provided
within NIDA's budget no less than $370,295,000, an increase of
$5,000,000, for the Institute's share of the HEAL Initiative
and in response to rising rates of stimulant use and overdose.
The Committee encourages NIDA to continue research on the
development of safe and effective medications and new
formulations and combinations to treat substance use disorders
and prevent or reverse overdose, and to continue research on
comprehensive care models in communities nationwide to prevent
and treat opioid misuse and opioid use disorder, expand
treatment capacity, enhance access to overdose reversal
medications for opioid use disorder, and enhance prescriber
practice; test interventions in justice system settings to
expand the uptake of medication treatment and methods to scale
up these interventions; and develop evidence-based strategies
to integrate screening and treatment for opioid use disorders
in emergency department and primary care settings. The
Committee has included language expanding the allowable use of
these funds to include research related to stimulant use and
addiction.
Overdose Reversal Drugs.--Recognizing the increasing
severity of the National opioid crisis and the need to better
our options for responding to, treating, and preventing
overdoses, the Committee encourages NIDA to prioritize research
to expedite treatments for and prevention of overdose from
fentanyl, fentanyl analogs, and other emerging substances.
Grant recipients should be able to develop and advance
additional treatment and overdose prevention options such as a
human IgG1 monoclonal antibody specific for fentanyl and
structurally related fentanyl analogs to be delivered by
intravenous, subcutaneous, and/or intramuscular (i.e., auto-
injection) routes of administration.
Raising Awareness and Engaging the Medical Community in
Drug Use and Addiction Prevention and Treatment.--Education is
a critical component of any effort to curb drug use and
addiction, and it must target every segment of society,
including healthcare providers (doctors, nurses, dentists, and
pharmacists), patients, and families. Medical professionals
must be in the forefront of efforts to curb the opioid crisis.
The Committee continues to be pleased with the NIDAMED
initiative, targeting physicians-in-training, including medical
students and resident physicians in primary care specialties
(e.g., internal medicine, family practice, emergency medicine,
and pediatrics). The Committee encourages NIDA to continue to
provide clinical resources to providers to help identify and
treat patients with substance use disorder.
Youth E-Cigarette Use.--The Committee is aware of alarming
trends in youth e-cigarette use and recent survey data from CDC
indicating that more than 10 percent of high school students
and 4.6 percent of middle school students reported using e-
cigarettes in the previous 30 days in 2023. The Committee
understands that electronic cigarettes (e-cigarettes) and other
vaporizing equipment remain popular among adolescents, and
requests that NIDA continue to fund research on the use and
consequences of using these devices. The Committee is pleased
that NIDA continues to support the Monitoring the Future survey
and Population Assessment of Tobacco and Health studies, which
provide timely data on tobacco products and other drug use.
Finally, with more than 4 million young people using e-
cigarettes, there is a greater need for research into
therapeutic options for nicotine cessation among youth who have
developed addiction to nicotine. The Committee encourages NIDA
to continue supporting research to develop therapies, including
both pharmacologic and behavioral therapies, to combat nicotine
addiction in pediatric populations.
NATIONAL INSTITUTE OF MENTAL HEALTH
Appropriations, 2024.................................... $2,187,843,000
Budget estimate, 2025................................... 2,503,162,000
Committee recommendation................................ 2,642,343,000
The Committee recommendation includes $2,642,343,000, an
increase of $454,500,000, for the National Institute of Mental
Health [NIMH].
Autism Spectrum Disorder [ASD].--The Committee encourages
NIH to support greater investment in research on autism,
particularly in areas outlined in the Interagency Autism
Coordinating Committee's [IACC] Strategic Plan for ASD. The
Committee urges NIMH to work in close partnership with the
other Institutes that serve on the IACC to provide an update on
the level of research investment for each of the priority areas
outlined in the IACC Strategic Plan for ASD. While significant
progress has been made in the understanding of autism, large
gaps remain in the ability to improve outcomes and access to
services for autistic individuals across their life span.
Research has shown that autistic individuals have higher rates
of some co-occurring physical and mental health conditions,
impacting quality of life and increasing medical utilization
and costs. Additionally, there are significant unaddressed
racial, ethnic, and socioeconomic health equity challenges
experienced by autistic individuals across their life span and
by their families. As such, the Committee encourages NIMH to
work collaboratively with NIMHD to support research on the
socioeconomic, racial, and ethnic health disparities associated
with ASD, and to work collaboratively with other institutes
including NIA, NIEHS, and NINDS to support research on the
impact of neurological, social, and environmental factors
leading to co-occurring health conditions.
Computational Resources.--The Committee is aware of and
concerned about the neural basis of complex mental disorders
for pediatric and adolescent children. The Committee
understands these neuroimaging data are among the most
challenging for university researchers to analyze. The
Committee encourages NIMH to consider funding programs and
projects that would increase the capacity for computational
hardware and resources for analysis and training to identify
neural patterns that are protective against mental illnesses.
The Committee also encourages NIMH to prioritize research
related to the development of new algorithmic approaches to
integrate complex data sources to improve diagnosis, treatment,
and protection of mental illnesses.
Mental Health Research.--In recognition of the country's
unprecedented mental health crisis, the Committee provides a
$275,000,000 increase for mental health research. This funding
is provided to support research focused on developing targeted
prevention of and treatment for mental illness. The Committee
expects this funding will be used to accelerate better
diagnostics, improved therapeutics and behavioral treatments,
and enhanced precision of mental healthcare; continue to
develop a new Precision Psychiatry Initiative; and support
studies of social media's impact on mental health. The
Committee supports NIMH efforts to launch a new depression
biomarker development effort to guide treatment decisions for
major depression and identify research gaps and opportunities
for understanding relationships among social media behavior,
social media engagement, and youth mental health. These
initiatives will combine innovative physiological and
behavioral methods to better predict patient prognosis and
optimize treatment. In addition, the Committee continues to be
concerned about the effects of the COVID-19 pandemic on mental
and behavioral health and encourages NIMH to support research
into the impacts of the pandemic on mental health.
Peer Support for Youth.--The Committee understands that
many youth who are struggling with their mental health seek out
peer support services, often because they are not ready to
engage or do not have access to clinical healthcare. But while
numerous studies have shown that peer support increases help-
seeking behavior and reduces social isolation in adults,
research on youth peer support services and peer-to-peer
counseling programs is limited. Therefore, the Committee
encourages NIMH to prioritize research in these areas,
including how to scale up such services and programs
effectively. In addition, the Committee encourages NIMH to
continue to regularly hear from young people to inform its
future research priorities through its Advisory Council,
strategic planning process, focus groups or similar leadership
methods. The Committee supports the agency's existing youth-
informed activities and encourages additional efforts to grow
youth engagement in setting its research priorities and
carrying out participatory research.
Suicide Prevention.--The Committee recognizes that suicide
a complex, and serious public health problem with multiple
contributing factors, including biological, psychological,
social, and environmental. The Committee encourages NIMH to
direct additional attention to suicide prevention research
across all of these areas, as well as the application of novel
measurement techniques, statistical analysis, digital
initiatives and information systems. The Committee also
encourages NIMH to promote greater collaboration with other NIH
Institutes and Centers with expertise in research areas that
can contribute to suicide prevention, especially NIA, NICHD,
NHGRI, NIAAA and NIDA. The Committee requests an update on
these activities in the fiscal year 2026 CJ.
NATIONAL HUMAN GENOME RESEARCH INSTITUTE
Appropriations, 2024.................................... $663,200,000
Budget estimate, 2025................................... 663,660,000
Committee recommendation................................ 663,200,000
The Committee recommendation includes $663,200,000 for the
National Human Genome Research Institute [NHGRI].
Pharmacogenomic Research.--The Committee notes that an
individual's genome influences responses to medications,
including side effects, metabolization of medications, and
effectiveness of medications, and therefore recognizes that
additional research is needed to support the advancement of
pharmacogenomics.
Proteomics.--The Committee recognizes the promise of
research into the proteome in the study of biological systems.
The ability to effectively and efficiently analyze protein
patterns and their changes over time has potential to provide
valuable insights into a person's real-time state of health
including identifying existing disease, understanding the
biological drivers of that disease, predicting near-term health
events, and guiding effective therapeutic interventions. The
Committee urges NHGRI to utilize existing resources to engage
with academia and domestic industry partners to expand its
research into this cutting-edge field.
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING
Appropriations, 2024.................................... $440,627,000
Budget estimate, 2025................................... 441,944,000
Committee recommendation................................ 440,627,000
The Committee recommendation includes $440,627,000 for the
National Institute of Biomedical Imaging and Bioengineering
[NIBIB].
Biomedical Technology Development.--The Committee is
pleased with the success of the Rapid Acceleration of
Diagnostics Tech program in accelerating the innovation and
commercialization of COVID-19 diagnostic technologies. The
Committee appreciates NIBIB's efforts to expand the innovation
funnel model beyond COVID-19 testing to address other critical
unmet needs in diagnostic testing and other biomedical
technologies and encourages NIBIB to continue these efforts in
fiscal year 2025 in consultation with other institutes and
centers, including but not limited to NHLBI, NIAID, NICHD, NIA,
NINDS, and NIMH. The Committee further directs NIBIB to provide
an update in the fiscal year 2026 CJ on progress of these
efforts.
NATIONAL CENTER FOR COMPLEMENTARY AND INTEGRATIVE HEALTH
Appropriations, 2024.................................... $170,384,000
Budget estimate, 2025................................... 170,894,000
Committee recommendation................................ 170,384,000
The Committee recommendation includes $170,384,000 for the
National Center for Complementary and Integrative Health
[NCCIH].
Pain Management.--The Committee includes $5,000,000 to
support research into non-pharmacological treatments for pain
management and urges NCCIH, along with DOD and VA, to continue
to support research, including comorbidities such as opioid
misuse, abuse, and disorder among military personnel, veterans,
and their families. The Committee urges NIH, VA, and DOD to
expand research on non-pharmacological treatments for veterans
and service members.
NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES
Appropriations, 2024.................................... $534,395,000
Budget estimate, 2025................................... 526,710,000
Committee recommendation................................ 539,395,000
The Committee recommendation includes $539,395,000, an
increase of $5,000,000, for the National Institute on Minority
Health and Health Disparities [NIMHD].
Improving Native American Cancer Outcomes.--The Committee
notes that Native Americans experience overall cancer incidence
and mortality rates that are strikingly higher than non-Native
populations. The Committee includes $8,000,000, an increase of
$2,000,000, for the Initiative for Improving Native American
Cancer Outcomes to support efforts including research,
education, outreach, and clinical access related to cancer in
Native American populations. The Committee further directs
NIMHD to work with NCI to locate this Initiative at an NCI-
designated cancer center demonstrating partnerships with Indian
Tribes, Tribal organizations, and urban Indian organizations to
improve the screening, diagnosis, and treatment of cancers
among Native Americans, particularly those living in rural
communities.
Native Hawaiian/Pacific Islander Health Research Office.--
The Committee includes $7,000,000, an increase of $3,000,000,
for a Native Hawaiian/Pacific Islander Health Research Office.
This office should focus on both addressing Native Hawaiian and
Pacific Islander [NHPI] health disparities as well as
supporting the pathway and research of NHPI investigators. The
office should develop partnerships with academic institutions
with a proven track record of working closely with NHPI
communities and NHPI-serving organizations and located in
States with significant NHPI populations to support the
development of future researchers from these same communities.
Research Centers at Minority Institutions [RCMI] Program.--
The Committee encourages NIMHD to continue investing in this
program to provide more opportunities for health professions
institutions with historical missions and precedence of serving
minorities and building research infrastructure to conduct
minority health and health disparities research.
Research Endowment Program.--The Committee is pleased with
NIMHD's reinvigoration of the Research Endowment Program and
recent investments in the program. The Committee urges NIMHD to
increase funding available to existing grantees and continue to
expand and assist eligible institutions receiving grants with
this additional funding through a competitive process.
JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN THE HEALTH
SCIENCES
Appropriations, 2024.................................... $95,162,000
Budget estimate, 2025................................... 95,415,000
Committee recommendation................................ 95,162,000
The Committee recommendation includes $95,162,000 for the
Fogarty International Center [FIC].
Fogarty International Center [FIC].--The Committee
recognizes the need to support resources for FIC for its work
in strengthening health research systems, training infectious
disease researchers, and improving pandemic preparedness in
low- and middle-income countries [LMICs]. FIC supports cross-
cutting research and research training programs that apply to a
broad range of health threats, enabling grantees and trainees
to anticipate and respond effectively to new global challenges.
Programs within FIC support training for researchers in the
development and use of powerful tools such as data science,
mobile health, and bioinformatics, which are applied to
anticipating and controlling a wide range of global health
threats that could impact the United States. The Committee
encourages FIC to continue to expand training and research
partnerships with schools and programs of public health and
related academic institutions in support of this core mission.
In addition, the Committee supports expanding FIC's role in
pandemic preparedness and research capacity building, including
by strengthening international coordination, increasing
capacity for computational modeling and outbreak analytics, and
supporting research to reduce health disparities and improve
implementation of health interventions in low-resource
settings.
Global Infectious Disease Research Training Program.--The
Committee recognizes that building a critical mass of
researchers in developing countries is essential to controlling
infectious diseases. Such researchers are key to generating new
strategies for disease prevention and treatment. Therefore, the
Committee urges FIC to prioritize funding for the Global
Infectious Disease Research Training Program.
NATIONAL LIBRARY OF MEDICINE
Appropriations, 2024.................................... $497,548,000
Budget estimate, 2025................................... 526,796,000
Committee recommendation................................ 597,548,000
The Committee recommendation includes $597,548,000, an
increase of $100,000,000, for the National Library of Medicine
[NLM].
Data Initiative.--The Committee supports the transformation
of NLM from its traditional role as a repository of data and
research results to one where it serves as an active hub
coordinating the use of ever-expanding data resources and
facilitates researcher access to advanced analytics, including
artificial intelligence and machine learning techniques. The
Committee provides $100,000,000 to begin to expand NLM's data
storage capabilities and develop the tools, computational
resources, and datasets necessary to establish a federated
biomedical research data sharing infrastructure that features a
centralized catalog of data holdings and use models. Such a
platform will be integrated with existing HHS infrastructure to
obtain data from the clinical care environment. It will
integrate data collected from NIH intramural and extramural
research programs, including existing platforms focused on
genomic and biomolecular structure; image processing; systems
biology networks, gene regulation; health information
standards; natural language processing; and statistical
methods, among others. Examples of data access models to be
considered for integration in the platform include but are not
limited to: the Genomic Data Science Analysis, Visualization,
and Informatics Lab-space [AnVIL], Health Equity Action Network
[HEAN], Medical Imaging and Data Resource Center [MIDRC],
National COVID Cohort Collaborative [N3C], NCI Clinical Trials
Data, and NCI Cancer Research Data Commons. A new data
initiative under development across HHS agencies, led by NIH in
collaboration with the Office of the National Coordinator for
Health Information Technology, will also enable comprehensive
data collection from the clinical care environment, i.e. ``real
world'' data. This initiative will drive development and
implementation of data standards, increase data quality and
speed time to data access for use in clinical decision-making
and ultimately lead to better health outcomes. NLM will provide
the infrastructure required to achieve the data catalogue,
collection, security, and use management required for this new
``real world'' data platform. Finally, NLM is directed to
leverage this dynamic research environment to serve as an
educational platform to train and support a diverse data
science workforce. The Committee expects that this
restructuring will elevate NLM to serve as an epicenter for
NIH-funded research to advance information science, analytics,
and data science, and support the application of artificial
intelligence in biomedical research. NLM is directed to provide
an update on these efforts within 120 days of enactment.
Epitranscriptomics Database Standards.--The Committee
recognizes the recent release of the National Academies of
Sciences, Engineering, and Medicine [NASEM] report ``Charting a
Future for Sequencing RNA and Its Modifications'' in March
2024. The Committee notes the report's recommendation that
clear and consistent standards for data and databases need to
be established to facilitate data access and sharing. Given
that NLM's National Center for Biotechnology Information [NCBI]
collaborates with the scientific community to support
development of standards for databases and biological
nomenclature, among other responsibilities, the Committee urges
NCBI to support the establishment of data and database
standards for epitranscriptomics in collaboration with the
scientific community consistent with the NASEM report
recommendation, and include an update on this effort in the
fiscal year 2026 CJ.
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES
Appropriations, 2024.................................... $928,323,000
Budget estimate, 2025................................... 926,086,000
Committee recommendation................................ 933,323,000
The Committee recommendation includes $933,323,000, an
increase of $5,000,000, for the National Center for Advancing
Translational Sciences [NCATS].
Clinical and Translational Science Awards [CTSA] Program.--
The Committee provides $629,560,000 for the CTSA program, the
same as the fiscal year 2024 enacted level. Well-resourced and
fully supported U-awards form the backbone of the CTSA program
and any ongoing changes to grants and awards mechanism for
CTSAs should maintain this focus to ensure hubs continue to
have flexibility and stability, as well as thrive and provide
an effective core that drives this critical national network
forward, including developing localized partnerships, and
effectively training the next generation of researchers while
enhancing research capacity. The Committee reiterates that
NCATS should continue to support at least 60 sites and that any
hub that successfully recompetes for funding should continue to
receive at least 95 percent of its previous level of support,
if such an amount is requested. U-awards should continue to
form the primary base of support so that hubs have flexibility
and stability, can continue to develop localized partnerships,
and can effectively train the next generation of researchers
while enhancing research capacity. While the Committee
recognizes optional funding opportunities which were previously
incorporated into the prior single application offer a higher
level of institutional funding support, NCATS must ensure these
opportunities do not diffuse the focus of CTSAs and create
challenges to ongoing national collaborative. The Committee
also notes the work of the IDeA Clinical and Translational
Research centers and urges increased collaboration between
these programs.
Collaboration with Business Incubators.--The Committee
urges NCATS to continue proactive outreach to redouble its
efforts to leverage its mission by exploring opportunities or
potential collaborations with business incubators that host
small to midsize science, research and pharmaceutical companies
that use service-based approaches to nurture and guide their
member companies to success. The Committee encourages NCATS to
continue to use Administrative Supplements to existing CTSA
contracts to fulfill this objective.
Cures Acceleration Network [CAN].--The Committee continues
to provide $75,000,000 for the CAN to reduce barriers between
research discovery and clinical trials.
National Clinical Cohort Collaborative [N3C].--The
Committee provides an increase of $5,000,000 to support N3C's
open-science, privacy-preserving data-sharing platform to
accelerate biomedical research and discovery. Supported by the
CTSA Program, N3C links de-identified electronic health record
data with other types of data such as imaging, mortality, and
Medicare and Medicaid data from CMS to answer key research
questions on a variety of diseases, with two diseases being
piloted. The Committee supports the continuation of N3C and
encourages NCATS to continue coordinating with other HHS
agencies to make N3C available as an underlying common real-
world data platform to drive faster discovery across a range of
diseases and maximize the Federal research investment by
creating a reusable data infrastructure. Within 1 year of
enactment, the Committee requests NCATS provide a 5-year
strategic plan and recommendations for expanding the N3C
platform.
Rare Disease Research.--The Committee encourages NCATS to
leverage the investments made in NCATS rare disease research to
accelerate the development of new treatments for the 95 percent
of rare diseases with no approved treatment, to strengthen the
innovation of diagnostics to shorten the average 6.3 year-long
diagnostic odyssey, and to lower the nearly $1,000,000,000,000
annual economic burden of rare diseases. The Committee urges
NCATS to increase funding for rare disease research, helping to
grow the newly created Division of Rare Diseases Research
Innovation.
Translational Science.--The Committee recognizes the
important work of NCATS-funded CTSAs in supporting innovation
and job creation. The Committee also understands that many
commercially promising and potentially lifesaving inventions
from CTSAs are often translated into FDA-approved and
commercially available products. The Committee understands that
there can be limitations in commercialization knowledge and
resources available. The Committee therefore urges NCATS to
continue to work with CTSAs to provide opportunities to
translate research.
OFFICE OF THE DIRECTOR
Appropriations, 2024.................................... $2,605,514,000
Budget estimate, 2025................................... 3,013,455,000
Committee recommendation................................ 3,109,514,000
The Committee recommendation includes $3,109,514,000 for
the Office of the Director [OD]. Within this total,
$692,401,000 is provided for the Common Fund, and $12,600,000
is included for the Gabriella Miller Kids First Research Act
(Public Law 113-94).
ADRD Clinical Trial Diversity/Health Equity.--The Committee
recommends that NIH fund or conduct Black/African American-,
Latino/Hispanic- and women- only research studies to better
understand the underlying etiology of cognitive impairment and
dementia in these groups that have disproportionately higher
prevalence of disease.
Advancing Novel Alternative Methods Research.--The
Committee is encouraged by many of the insights and
recommendations of the Advisory Committee to the Director [ACD]
Working Group on Catalyzing the Development and Use of Novel
Alternative Methods [NAMs] to Advance Biomedical Research,
detailed in the December 2023 Report to the ACD and accepted by
the NIH in February 2024. The Committee acknowledges that NAMs
complement understanding of human biology and advance human
health. Within 18 months of enactment of this act, the
Committee directs the NIH to publish a publicly available
Strategic Plan for NAMs Research to aid in implementing the
Working Group recommendations. The Strategic Plan is encouraged
to include timelines for reaching identified goals, including
benchmarks where available, and strategies for measuring
progress toward advancing NAMs across NIH Institutes and
Centers. The Committee encourages NIH to provide Congress with
a report on progress toward the development of the Strategic
Plan, including a plan for public input, within 180 days of
enactment of this act. Following the Strategic Plan's
publication, the Committee expects NIH to provide publicly
available updates on the progress of implementing the Strategic
Plan annually. NIH is encouraged to update the Strategic Plan
at least every 5 years following its publication.
Alcohol and Polysubstance Misuse Research.--The Committee
is pleased to see NIH supporting research on alcohol and
polysubstance use, and urges the Director to continue to
support research in this area across the United States. Given
the increasing prevalence of polysubstance-involved overdose
deaths, particularly among rural and minority communities, the
Committee also encourages the Director to support studies in
rural and minority communities with high rates of mortality
involving alcohol and polysubstance use.
All of Us Research Program.--The Committee provides
$383,000,000 for the All of Us Research Program, fully
restoring it to the fiscal year 2023 enacted level.
ALS Research, Treatments, and Expanded Access.--The
Committee continues to provide funding for ALS research to
reduce the burdens of people with ALS as quickly as possible.
It is crucial for people living with ALS and people diagnosed
with ALS in the future, that NIH dramatically grows its ALS
portfolio and the research workforce with additional grant
funding and increases its focus on research that will lead to
measurable changes in the lives of people living with ALS. The
Committee directs NIH to handle funding of expanded access
grants as authorized by the Accelerating Access to Critical
Therapies [ACT] for ALS (Public Law 117-79) as separate, not
competitive with, funding for other research on ALS and
includes $75,000,000 for this purpose. Expanded Access Grants
support scientific research utilizing data from expanded access
to investigational drugs for people with ALS who are not
eligible for clinical trials. The Committee requests NINDS
include ALS clinics across the country in an ALS Clinical
Research Network to increase capacity for research utilizing
data from expanded access and other clinical research at
geographically distributed sites. The Committee continues to
direct NINDS and OD to brief the Committees prior to any
execution of expanded access grants or programmatic funding.
Once awards are announced, the Committee directs NINDS and OD
to provide the Committees with an explanation of the funded
grants, including a clear breakdown of what the funding is to
be used for. Furthermore, after the review and awards of
meritorious applications under Section 2, the Committee directs
NIH to apply any unused funds to programs authorized under ACT
for ALS including Section 3 public-private research
partnership. Finally, if sufficient eligible applications are
not received, or NINDS and OD have any reason to believe any
funding should lapse, the ICs are directed to notify the
Committees prior to notifications of awards. This notification
shall include: (1) a detailed explanation as to why
applications cannot be funded; (2) the technical assistance
provided to applicants to assist them in submitting eligible
grant applications; and (3) a proposed plan to award funding
for other ALS research identified by the NIH ALS Strategic
Priorities prior to the end of the fiscal year.
Amyloidosis.--The Committee urges NIH to expand its
research efforts in amyloidosis, a group of rare and often
fatal diseases. Amyloidosis is characterized by abnormally
folded protein deposits in tissues. Federal and foundation
support over the past years has given hope for successful new
treatments. However more efforts are needed to accelerate
research and awareness of the disease and to help patients with
amyloidosis related multi-organ dysfunction.
Artificial Intelligence/Machine Learning [AI/ML].--The
Committee provides $155,000,000, an increase of $20,000,000,
for the Office of Data Science Strategy to support NIH's
efforts to build capacity to leverage AI, ML and data science
to accelerate the pace of biomedical innovation. The Committee
encourages NIH to continue expanding the application of AI, ML,
and data science across its research portfolio. The application
of AI methods in biomedicine offer promising new approaches to
screen for, detect, and diagnose health conditions, predict
disease risk and progression, improve drug discovery, and
optimize precision care for patients. However, the AI/ML
research field lacks diversity in its researchers as well as in
the data sets that it uses. Furthermore, new techniques are
needed to incorporate ethics and trustworthiness into the
design of new models. These gaps pose a risk of creating and
continuing harmful biases in how AI/ML is used, how algorithms
are developed and trained, and how findings are interpreted,
ultimately leading to continued health disparities and
inequities. The Committee notes Executive Order 14110 and
supports efforts to increase diversity in AI/ML, including
accelerating grants awarded through NIH's AI/ML Consortium to
Advance Health Equity and Researcher Diversity [AIM-AHEAD]
program. In addition, the Committee supports the enhancement of
biosecurity oversight in order to keep pace with scientific
advances, including E.O. 14110's requirement to develop a
framework for synthetic nucleic acid screening. The Committee
supports these activities and directs NIH to engage with
intergovernmental partners to ensure their proper
implementation. The Committee supports the memorandum of
understanding [MOU] between NIH and the Department of Energy
[DOE] focused on using advanced computing, quantum, and AI/ML
for biomedical research and data sourcing. The Committee
encourages NIH to continue coordinating with DOE to accelerate
advances in precision oncology and scientific computing as part
of the Cancer Moonshot program. The Committee continues to
support collaboration between NIH and DOE to bring together
biomedical scientists with computer scientists and other data
science experts. The Committee also supports NIH's
contributions to the National AI Research Resource [NAIRR] and
the creation of AI ready datasets for the research community.
The Committee encourages NIH to develop effective AI education
and training pathways for the health research workforce,
including trainees and senior scientists, to ensure the U.S.
biomedical research workforce remains at the forefront of
scientific discovery. These training resources should support
biomedical researchers from diverse populations and backgrounds
in the use of AI technologies to efficiently, accurately, and
meaningfully process data for their research, as well as to
participate in multi-disciplinary teams to develop new
capabilities that advance biomedical AI. The Committee urges
NIH to establish infrastructure capabilities around data,
computing, and software across the agency and within the
research community. The Committee also urges NIH to coordinate
with relevant intergovernmental partners to support this long-
term mission.
Biomedical Research Facilities.--The Committee continues to
provide $80,000,000 for grants to public and nonprofit entities
to expand, remodel, renovate, or alter existing research
facilities or construct new research facilities as authorized
under section 404I of the Public Health Service Act (42 U.S.C.
283k). The Committee urges NIH to make awards that are large
enough to underwrite the cost of a significant portion of newly
constructed or renovated facilities. The Committee also
encourages NIH to allocate no less than 25 percent of funding
for this program to institutions of emerging excellence, that
could include those in IDeA States, to ensure geographic and
institutional diversity.
Biosecurity in Synthetic Nucleic Acid Synthesis.--The
Committee commends the multiple Federal efforts to advance the
adoption of strong biosecurity standards for synthetic biology
technologies. NIH and other agencies that fund life-sciences
research are required to establish that, as a requirement of
funding, synthetic nucleic acid procurement is conducted
through providers or manufacturers that adhere to the Framework
for Nucleic Acid Synthesis Screening. Moreover, NIH should also
explore approaches to encourage the purchase of domestically
produced synthetic genetic materials and tools to protect U.S.
intellectual property. The Committee requests an update within
90 days of enactment on NIH's ongoing work to advance the
adoption of strong biosecurity standards for synthetic biology
technologies.
Brain Research through Advancing Innovative
Neurotechnologies [BRAIN] Initiative.--The Committee continues
to support the BRAIN Initiative which is revolutionizing our
understanding of the brain and fostering discoveries,
collaborations, and partnerships that will lead to treatments
and cures for brain diseases, disorders and injuries. The
Committee provides $359,000,000 for the BRAIN Initiative, fully
restoring the program to its fiscal year 2023 enacted amount.
The Committee requests the BRAIN Initiative to communicate
about the progress and achievements of the key projects and
studies it is supporting with these funds by reporting on their
objectives and anticipated/actual outcomes within 90 days of
enactment.
Cannabis Research.--The Committee is concerned that
marijuana policies on the Federal level and in the States
(medical marijuana, recreational use, etc.) are being changed
without the benefit of scientific research to help guide those
decisions. The Committee recognizes the increased interest and
need to study cannabis and its constituent cannabinoids. The
Committee encourages NIH to continue supporting its current
research agenda across its Institutes and Centers, including
research on higher potency THC, alternative cannabis
formulations and extracts, and minor cannabinoids. The
Committee also encourages NIH to continue supporting research
on the potential medical uses of cannabis, such as for chronic
pain, appetite stimulation, immune diseases, cancer, metabolic
and digestive disorders, epilepsy, glaucoma, MS, sleep
disorders, and a variety of mental health conditions such as
anxiety and PTSD. The Committee encourages NIH to continue to
take an integrated approach to cannabis research across its
Institutes and Centers. Finally, the Committee encourages NIH
to continue supporting a full range of research on the health
effects of marijuana and its components, including research to
understand how marijuana policies affect public health.
Cell and Gene Therapies.--Newly approved cell and gene
therapies provide enormous promise for patients with conditions
ranging from various cancers such as lymphoma and multiple
myeloma to inherited blood disorders like hemophilia, sickle
cell disease and beta thalassemia. Long-term data from clinical
trials and real world experience are needed for researchers,
practitioners, and patients to understand the long-term effects
and potential toxicities associated with these therapies. The
Committee encourages NIH to explore these issues by holding a
workshop with the relevant Federal agency representatives,
including FDA and NIH, and expert stakeholders on this topic
and requests an update in the fiscal year 2026 CJ.
Cephalopod Research.--The Committee recognizes that there
are no federally required welfare standards for the use of
cephalopods in federally-funded research because all
invertebrate animals are excluded from the Public Health
Service [PHS] Policy on the Humane Care and Use of Laboratory
Animals, which provides certain welfare standards for
vertebrate animals. The Committee recognizes that implementing
and complying with the PHS Policy requires reference to
guidelines in the Guide for the Care and Use of Laboratory
Animals (the Guide), which does not currently include
cephalopod-specific welfare guidelines, and updates to which
are overseen by the National Academies of Sciences,
Engineering, and Medicine [NASEM]. The Committee appreciates
NIH's efforts to consolidate resources and possibly develop
guidance for the humane care and use of laboratory cephalopods;
however, this guidance will not be a sufficient substitution
for the PHS Policy in establishing welfare standards for
cephalopods, and will be temporary until cephalopod guidelines
are included in the Guide and until the PHS Policy definition
of ``animal'' is updated to include cephalopods. The Committee
urges NIH to continue working with NASEM on this issue and
urges NIH to consider expanding the definition of ``animal'' in
the PHS Policy to include cephalopods if the Guide is updated
and permanent guidelines are in place.
Childhood Post-Infectious Neuroimmune Disorders/PANS/
PANDAS.--The Committee is concerned that although NIH supports
research on Pediatric Acute-Onset Neuropsychiatric Syndrome
[PANS] and Pediatric Autoimmune Neuropsychiatric Disorders
Associated with Streptococcus [PANDAS], significantly more
needs to be done. Understanding the causes, diagnosis, and
treatment of these life-threatening diseases is essential to
expedite early identification and intervention, thereby
reducing the risk of chronic illness and associated costs to
families, school systems, healthcare systems, and insurers.
PANS/PANDAS research also would further the understanding of
the critical link between neuropsychiatric illness and COVID-19
and other infections. The Committee encourages NIH to continue
to prioritize research on PANS/PANDAS and related to autoimmune
encephalitic conditions, and requests an update in the fiscal
year 2026 CJ on the progress being made on mechanisms of
disease, the identification of biomarkers to aid in diagnosis,
the evidence base for new and existing treatments, and the role
of genetic susceptibility.
Chimera Research.--The Committee supports NIH's funding
limitation regarding the introduction of human pluripotent
cells into non-human vertebrate animal pre-gastrulation stage
embryos. The Committee takes seriously the bioethical
considerations regarding the creation of human-animal chimeras
and the continuation of research using these cells.
Chimpanzees.--The Committee is concerned that NIH has not
moved chimps from Holloman Air Force Base in Alamogordo, New
Mexico, despite Federal law and court orders directing the
agency to do so. The Committee strongly urges the NIH to
relocate the chimps from Holloman Airforce Base to Chimp Haven
if their health conditions allow for their safe transport.
Within 30 days of enactment, NIH is directed to provide a
report to the Committee on progress toward relocating chimps
from Holloman Air Force Base to Chimp Haven, and monthly
thereafter until all chimps have been successfully relocated.
Common Data Elements [CDEs].--The Committee applauds the
Office of Data Science Strategy for issuing a request for
information [RFI] to stakeholders focused on developing CDEs
and for convening a workshop on this topic. The Committee
recognizes the importance of CDEs in facilitating research
activities and fostering collaboration amongst the research and
healthcare communities. CDEs are instrumental in standardizing
data collection, enhancing data quality, and enabling more
effective data sharing and analysis, particularly in complex
areas such as autoimmune and immune-mediated diseases. The
Committee encourages NIH to build upon the RFI and workshop and
to develop a plan to work with stakeholders, particularly in
the autoimmune and immune-mediate communities, to develop and
advance the use of CDEs.
Common Data Elements for Women's Health.--The Committee
recognizes the continued need to develop common data elements
[CDEs] related to women's health that will help researchers
share and combine datasets, promote interoperability, and
improve the accuracy of datasets when it comes to women's
health. The Committee encourages the Office of Data Science
Strategy [ODSS] to collaborate with the Office of Research on
Women's Health [ORWH] and Institutes and Centers to prepare a
roadmap for developing new NIH-endorsed CDEs to capture more
data about women's health in both research and clinical
settings. In addition, the Committee urges NIH to launch a data
resource to better coordinate and integrate investments in
women's health research across NIH. The Committee encourages
ODSS and ORWH to engage outside stakeholders, including
professional societies and patient organizations, in this work,
as appropriate. NIH is directed to provide an update on
relevant activities within 90 days of enactment.
Common Fund.--The Committee includes an increase of
$20,000,000 for the Common Fund and acknowledges the role of
the NIH Common Fund in advancing biomedical research and
fostering innovative research collaborations across various NIH
Institutes, Centers, and Offices to catalyze discovery across
all biomedical research, and to create a space where
investigators and multiple NIH Institutes, Centers, and Offices
collaborate to address scientific challenges and opportunities
that are high-priority for NIH as a whole. The Committee
encourages the Common Fund to consider establishing an RNA
Project ["RNOME"] to support this work. The Committee requests
an update on Common Fund projects in the fiscal year 2026 CJ.
Compensation for Trainees and Early Career Researchers.--
The Committee appreciates that the future of U.S. economic
competitiveness and our Nation's ability to address national,
economic, and health security threats depends on sustaining a
robust STEM workforce. Ensuring individuals from communities
that are under-represented in the STEM field can enter and
sustain a career as part of the STEM workforce is essential to
strengthening the research workforce going forward. The
Committee is deeply concerned that entrenched financial
barriers are increasingly deterring graduate and postdoctoral
students, particularly those from underrepresented communities,
from pursuing STEM careers. The lack of Cost-of-Living
Adjustments [COLAs] can make it financially unrealistic for
postdoctoral scholars to accept positions, particularly in
high-cost areas; areas in which academic medical centers are
located. The Committee commends NIH for proposing meaningful
increases in stipends for postdoctoral scholars. These
increases take a significant step towards returning National
Research Service Awards [NRSA] to their inflation-adjusted pre-
pandemic levels and brings the agency closer to offering real
dollar increases in the stipend of early career researchers
that are needed to ensure a strong STEM workforce. The
Committee looks forward to NIH's continued efforts to meet its
goal of $70,000 stipends for NRSA postdoctoral scholars as soon
as possible. The Committee directs NIH to consider alternatives
for faster implementation of this goal and looks forward to
receiving NIH's report on the adequacy of compensation for
trainees as required by the Consolidated Appropriations Act,
2024 (Public Law 118-122).
Create and Implement a Comprehensive Research Agenda on
Menopause.--Consistent with the Executive Order on Advancing
Women's Health Research and Innovation, NIH will launch a
comprehensive research agenda that will guide future
investments in menopause-related research and advance the
treatment of menopausal symptoms. The Committee continues to
support NIH's work to expand data collection efforts related to
women's midlife health, identify ways to improve management of
menopause-related issues and the clinical care that women
receive, and develop new resources to help women better
understand their options for menopause-related symptoms,
prevention, and treatment. The Committee encourages NIH to
support research that will inform the development of safe and
effective treatments for perimenopause- and menopause-related
symptoms. In addition, the Committee requests a report on data
and knowledge gaps, or other barriers, related to research,
diagnostic testing, and treatments with respect to the
menopausal transition. The Committee encourages NIH to convene
a stakeholder workshop to discuss research needs. Finally, the
Committee encourages NIH to consider expanding research on non-
hormonal management options for menopause to establish a more
comprehensive and consistent scientific evidence base regarding
their efficacy, safety, and long-term effects. NIH is directed
to provide an update on menopause-related research activities
within 120 days of enactment.
Denying Foreign Access to Americans' Sensitive Health
Data.--The Committee is concerned that NIH does not have proper
protocols to restrict the ability of foreign adversaries from
accessing sensitive data within NIH databases. Therefore, the
Committee directs the Director, within 30 days of enactment, to
report on its processes to maintain, update, publish and
implement user authentication protocols to restrict the ability
for foreign adversary entities, as defined in 15 CFR section
7.4, to access the databases.
Developmental Delays.--The Committee continues to provide
$10,000,000 for research on developmental delays, including
speech and language delays in infants and toddlers,
characterizing speech and language development and outcomes in
infants and toddlers through early adolescence. The Committee
urges NIH to support research which may include longitudinal
studies, translation of research into clinical practice, and
novel approaches to study children with speech and language
delays to provide parents, teachers, pediatricians, and other
caregivers with the information they need to help late talking
children grow and thrive in school and other social
environments.
Diet and Chronic Disease Research.--The Committee applauds
NIH, including the Office of Nutrition Research and NIAID, for
moving ahead with a scientific workshop focused on the role
food and diet play in developing mucosal immunity for
conditions such as Crohn's disease, ulcerative colitis, and
other digestive and autoimmune or immune-mediated diseases.
This workshop is anticipated to provide crucial insights to
inform future Inflammatory Bowel Disease and larger diet and
nutrition research and public health activities. The Committee
urges NIH to promptly disseminate the proceedings of this
workshop, particularly recommendations to inform future
research funding priorities.
Emerging Technologies.--The Committee commends NIH for
seeking new mechanisms to partner with other Federal agencies,
such as its partnership with the National Science Foundation on
emerging technologies such as quantum information sciences and
quantum technologies, bioengineering and synthetic biology,
artificial intelligence, and digital twins. As these programs
are developed, the agencies are encouraged to find mechanisms
to continue activities at the intersections of robotics,
biomechanics, disabilities, and chronic pain. The National
Robotics Initiative supported these efforts and now that it has
sunsetted the agencies should ensure new mechanisms to foster
collaboration between biomedical researchers and engineers,
computer and physical scientists, and other disciplines to
ensure progress on critical health challenges are considered.
Environmental Influences on Child Health Outcomes [ECHO].--
The Committee includes $180,000,000, for the ECHO program. ECHO
currently funds the Navajo Birth Cohort Study. The Committee
encourages expanding the study to include a larger
representation of Navajo children in the cohort to allow for a
better understanding of the impacts of environmental exposure
in the Navajo Nation.
Expanding Support for Young Investigators.--NIH has been
criticized for funding too many late career scientists while
funding too few early career scientists with new ideas. The
Committee is concerned that the average age of first-time R01
funded investigators remains 42 years old. More than twice as
many R01 grants are awarded to investigators over 65 than to
those under 36 years old. The Committee appreciates NIH's
efforts to provide support for early-career researchers through
several dedicated initiatives, including the NIH Director's New
Innovator Award, Next Generation Researchers Initiative,
Stephen Katz award, and the NIH Pathway to Independence Award.
The Committee encourages NIH to continue supporting these
important initiatives and to expand support for early career
researchers by increasing the number of award recipients for
these programs in future years. The Consolidated Appropriations
Act, 2024 (Public Law 118-122) directed NIH to provide a
``professional judgement'' budget to the Committee to grow and
retain the early career investigator pool, accelerate earlier
research independence, and ensure the long term sustainability
of the biomedical research enterprise. Building off of these
efforts, the Committee directs NIH to develop a strategic plan
for increasing its investments in early-career researchers and
to provide a report on this activity within 1 year of
enactment.
Firearm Injury and Mortality Prevention.--The Committee
provides $12,500,000 to conduct research on firearm injury and
mortality prevention. Given violence and suicide have a number
of causes, the Committee recommends NIH take a comprehensive
approach to studying these underlying causes and evidence-based
methods of prevention of injury, including crime prevention.
All grantees under this section will be required to fulfill
requirements around open data, open code, pre-registration of
research projects, and open access to research articles
consistent with the National Science Foundation's open science
principles. The Director is to report to the Committees within
30 days of enactment of this act on implementation schedules
and procedures for grant awards, which strive to ensure that
such awards support ideologically and politically unbiased
research projects.
Focused Ultrasound.--The Committee understands focused
ultrasound is a non-invasive, non-pharmacological, relatively
safe, and cost-effective alternative or complement to
conventional surgery, radiation, or drug-based treatments. The
Committee encourages NIH continue to engage with the focused
ultrasound stakeholder community and requests an update on
focused ultrasound in the fiscal year 2026 CJ.
Food as Medicine.--The Committee is aware of the strategic
goal within the Strategic Plan for NIH Nutrition Research
focused on improving the use of food as medicine and is
interested in how certain foods, which are prescribed to
support management of a specific condition and administered
under physician supervision, impact the lives of patients, for
example those with digestive diseases including Crohn's disease
and ulcerative colitis. The Committee urges NIH to support
research on the efficacy of `food as medicine' strategies to
treat various diseases and conditions.
Foreign Adversaries.--The Committee is concerned about
funding for research at any laboratory owned or controlled by
the governments of the People's Republic of China, the Republic
of Cuba, the Islamic Republic of Iran, the Democratic People's
Republic of Korea, the Russian Federation, the Bolivarian
Republic of Venezuela under the regime of Nicolas Maduro Moros,
or any other country determined by the Secretary of State to be
a foreign adversary. The Committee requests a report on any
such research within 30 days of enactment.
Foreign Influence.--To support NIH's efforts to
expeditiously complete grant compliance reviews, the Committee
continues to include $2,500,000 for this activity within the
Office of Extramural Research. The Committee directs NIH to
provide biannual briefings on compliance, oversight, and
monitoring reviews where non-compliance related to foreign
interference has been identified.
Full Spectrum of Medical Research.--The Committee
recognizes the growing importance of supporting the full
spectrum of medical research at NIH, to ensure breakthroughs in
basic science are translated into innovative therapies,
diagnostic tools, and health information with a tangible
benefit to the patient and professional communities. The
Committee encourages NIH to support the flagship CTSA program
and to catalyze emerging opportunities in AI, big data, and
other areas, while maintaining the commitment to critical
activities, such as training the next generation of cutting-
edge physician-scientists.
Fund the Person, Not the Project.--While many labs are
funded by R01-equivalent grants, the R35 mechanism arguably
allows scientists more flexibility and freedom to pursue the
most meritorious science. The Committee looks forward to
reviewing NIH's plans for expanding the R35 along with its
plans for evaluating the impact on scientific progress, as
directed in the Consolidated Appropriations Act, 2024 (Public
Law 118-122).
Funding Replication Experiments and/or Fraud Detection.--
The Committee recognizes that many biomedical research studies
have turned out to be irreproducible or even outright
fraudulent. The Reproducibility Project in Cancer Biology
showed that cancer biology studies in top journals often failed
to be replicable, and a prominent line of Alzheimer's studies
was found to be based on an allegedly fraudulent study funded
by NIH in the early 2000s. Given the importance of detecting
both reproducibility and fraud, the Committee provides
$10,000,000 to establish a program to fund replication
experiments on significant lines of research, as well as
attempts to proactively look for signs of academic fraud. The
Committee directs NIH to brief the Committee within 180 days of
enactment on the establishment, staffing and plans for this
effort in fiscal years 2025 and 2026.
Genomic Testing and Research.--The Committee encourages
NHGRI and NICHD to work together to support research on genetic
and genomic testing, including whole genome sequencing, whole
exome sequencing, and gene panels, as effective tools in
rapidly identifying diagnoses in pediatric populations.
Global Cohort for Alzheimer's Treatment.--More than 55
million people worldwide are living with dementia, including
more than 6.9 million Americans with Alzheimer's disease. The
disease does not affect everyone equally: in the United States
two-thirds of people living with Alzheimer's disease are women.
Black people are twice as likely and Latino people are one and
one-half times as likely to develop Alzheimer's than White
people. It is believed that there are disparities in
Alzheimer's disease both between and within nations around the
world, including between men and women and members of different
ethnic groups. In order to ensure that treatments work for all
people, the Committee urges the National Institutes of Health
to provide an update in the fiscal year 2026 Congressional
Justification on activities related to global cohort studies or
networks with high-quality data on a well-characterized,
diverse population, readily available to researchers. The
Committee expects such a cohort or network of global cohorts
would increase discovery of targets for drug development and
associated biomarkers.
Harassment Policies.--NIH has taken major steps over the
last several years to address harassment in biomedical research
settings. However, the Committee remains frustrated by
statutory loopholes that fail to protect victims of harassment
and prevent perpetrators from transferring grants between
institutions. In 2020, NIH clarified the longstanding
requirement for institutions to seek prior approval when
changing personnel on a grant or moving the grant to a new
institution. The request for approval was expected to mention
whether the change was related to concerns about safety or work
environments (e.g. due to concerns about harassment, bullying,
retaliation, or hostile working conditions). These
notifications allow NIH to make informed decisions about any
changes to awards including requests to transfer awards to a
new institution. Additionally, new authority provided by the
Consolidated Appropriations Act, 2022 (Public Law 117-35) made
it mandatory for institutions to inform NIH of disciplinary
actions taken against senior or key personnel, regardless of
whether they prompted changes including transferring a grant
between institutions. If an ongoing investigation is incomplete
and the individual under investigation leaves their current
position, however, NIH lacks the authority to require recipient
organizations to complete the report or share its findings with
the agency. To address this issue, the Committee has included a
new general provision to require institutions that receive NIH
funding to complete any investigation undertaken due to
concerns about harassment, bullying retaliation, or hostile
working conditions, even if during the course of the
investigation the individual under investigation leaves their
current position and is no longer employed by the institution.
NIH is directed to continue to provide annual updates to the
Committees on holding both NIH-funded institutions and
researchers accountable for such incidents, including through
the loss of Federal funding.
Health Impacts on Children of Technology and Social Media
Use.--The Committee remains concerned about the impacts of
technology use and media consumption on infant, children, and
adolescent development. The Committee appreciates NIH's ongoing
engagement on this important topic and encourages NIH to
prioritize research into the cognitive, physical, and
socioemotional impacts of young people's use of technologies as
well as long-term developmental effects on children's social,
communication, and creative skills. The Committee also
encourages NIH to study potential correlations between
increased use of digital media and technologies and suicidal
thoughts and ideation among children. The Committee encourages
NIH to consider different forms of digital media and
technologies, including mobile devices, smart phones, tablets,
computers, and virtual reality tools, as well as social-media
content, video games, and television programming. The Committee
encourages collaboration between NIMH and NICHD for these
activities. The Committee requests an update on these
activities within 120 days of enactment.
The HEALthy Brain and Child Development [HBCD] Study.--The
Committee recognizes and supports the NIH HBCD Study, which
will establish a large cohort of pregnant individuals and
follow them and their children up to age 10 to characterize the
influence of a variety of factors on neurodevelopment and long-
term outcomes. The study aims to enroll over 7,000 participants
through 27 sites across the United States, including regions of
the country significantly affected by the opioid crisis. The
study cohort will be comprised of participants who reflect the
U.S. population but will oversample for individuals who have
used substances sometime during their pregnancy. The study will
also include a matching cohort with similar characteristics but
no substance use during the pregnancy. Multimodal data
collection will include neuroimaging, behavioral and cognitive
assessments as well as collection of biospecimens and brain
activity measurements [EEG]. Knowledge gained will be critical
to help understand and prevent some of the known impacts of
pre- and postnatal exposure to drugs and environmental
influences, including risks for future illicit substance use,
mental illness, and other behavioral and developmental
problems, as well as identify factors that contribute to
resilience and opportunities for intervention. The Committee
recognizes that the HBCD Study is supported in part by the NIH
HEAL Initiative, and NIH Institutes, Centers, and Offices
[ICOs], including OBSSR, ORWH, NEI, NIMHD, NIBIB, NIEHS, NICHD,
NINDS, NIAAA, NIMH, NCI, and NIDA, and encourages additional
NIH support for this important study.
Hypermobile Ehlers-Danlos Syndrome [hEDS].--The Committee
is aware that researchers recently identified the first disease
gene for hEDS and have developed the first hEDS animal model.
In order to continue strides forward and expedite translational
discoveries of cures, treatments and diagnosis, the Committee
encourages NIGMS to increase support for hEDS related research
at academic medical centers where hEDS patients are being
treated. This investment may help lead to diagnostic markers of
disease and provide the basis for long-term sustainable
research programs. In addition, the Committee encourages NIH to
evaluate the best approach to support research that would spur
earlier diagnosis and improved treatment, care, education and
mechanistic understanding of hEDS.
Improving Clinical Trials.--The Committee reiterates its
directive outlined in the Consolidated Appropriations Act, 2024
(Public Law 118-122) and looks forward to reviewing the report
produced by the independent panel's findings.
INCLUDE Initiative.--The Committee includes no less than
$95,000,000, an increase of $5,000,000, within OD for the
INCLUDE Initiative. The Committee encourages NIH to continue to
make further investments in health equity-focused research and
care for Black Americans and other underrepresented groups with
Down syndrome, and in promising studies of the mechanisms
driving delayed growth, altered metabolism, and organ
dysfunction, and other emerging areas. The Committee remains
pleased with a focus on large cohort studies across the
lifespan, novel clinical trials, and multi-year, NIH-wide
research driving important advances in understanding immune
system dysregulation, Alzheimer's disease, and leukemia that is
contributing to improvements in the health outcomes and quality
of life of individuals with Down syndrome as well as millions
of typical individuals. The Committee requests that NIH provide
an updated plan within 60 days of enactment of this act that
includes a timeline and description of potential grant
opportunities and deadlines for all expected funding
opportunities so that young investigators and new research
institutions may be further encouraged to explore research in
this space. This plan should also incorporate an increase in
pipeline research initiatives specific to Down syndrome.
Long COVID Treatments.--The Committee remains concerned
about the economic and overall health impact that Long COVID
inflicts on the Nation. It is currently estimated that between
6 percent and 19 percent of those infected with SARS-CoV-2 go
on to develop Long COVID, resulting in up to 20 million
Americans suffering from this set of debilitating chronic
symptoms. Long COVID is characterized by a wide range of
symptoms including severe fatigue, non-restorative sleep,
cognitive dysfunction, and widespread pain. Further, it
resembles other post-acute infection syndromes [PAISs], such as
fibromyalgia, myalgic encephalomyelitis/chronic fatigue
syndrome [ME/CFS] and related conditions, known as chronic
overlapping pain conditions [COPCs] or nociplastic syndromes.
While the Committee is pleased that NIH's HEAL and RECOVER
initiatives plan to target some specific symptoms of Long
COVID, the Committee is concerned that NIH has not expanded the
evaluation of treatments to address many common symptoms
associated with Long COVID either individually or that present
as syndromes which are combinations of symptoms. Furthermore,
NIH's research program has defined Long COVID narrowly,
excluding many of the common symptoms plaguing Long COVID
sufferers. In June 2024, NASEM released the 2024 NASEM Long
COVID Definition, which encompasses extensive lists of the
symptoms and diagnosable conditions that current science
attributes to Long COVID. The Committee urges NIH to rebalance
its research program to prioritize clinical trials in pursuit
of effective treatments and to use the NASEM Long COVID
definition to guide its choice of symptoms and conditions to be
address by the candidate treatments. Such trials should target
key symptoms and symptom complexes associated with Long COVID
including widespread pain, fatigue, non-restorative sleep,
brain fog, dizziness, post-exertional malaise [PEM], postural
orthostatic tachycardia syndrome [POTS] and loss of taste and
smell. Further, the Committee urges NIH to prioritize the
support of clinical trials evaluating therapies for Long COVID
including therapies that have demonstrated efficacy in treating
COPCs or nociplastic syndromes that overlap with Long COVID.
Lung Health Disparities.--The Committee is concerned about
the disproportionate impact of lung conditions, such as asthma,
COPD, and lung cancer on populations experiencing health
disparities, and encourages NHLBI collaborate with NIMHD to
advance research in this area. The Committee requests an update
from both NHLBI and NIMHD in their fiscal year 2026 CJ.
Lyme Disease and Related Tick-Borne Illnesses.--The
Committee includes not less than $125,000,000, an increase of
$25,000,000, for research into Lyme and other Tick-Borne
diseases. The Committee urges NIH to develop new tools that can
more effectively prevent, diagnose, and treat Lyme disease,
including its long-term effects, and other tick-borne diseases.
The Committee encourages the promotion and development of
potential vaccine candidates for Lyme disease and other tick-
borne diseases. The Committee urges NIH to conduct research to
better understand modes of transmission for Lyme and other
tick-borne diseases. The Committee encourages NIH to
incentivize new investigators to enter the field of Lyme
disease and other tick-borne disease research. The Committee
encourages NIH to coordinate with CDC on publishing reports
that assess diagnostic advancements, methods for prevention,
the state of treatment, and links between tick-borne disease
and other illnesses.
Measuring Biological Age.--The Committee understands that
aging is a primary risk factor for a wide range of chronic
diseases and conditions, including cancer, Alzheimer's disease,
frailty, cardiovascular disease, and many others. The Committee
also recognizes that modifying fundamental molecular pathways
of aging could enhance a person's healthspan by delaying or
mitigating these diseases and conditions. The ability to
measure biological age, as distinct from chronological age, is
critical to this effort. Therefore, the Committee encourages
NIH to explore opportunities to advance research aiming to
develop and validate precise measurements of biological age
that are reliable across individuals of different races and
socio-economic status. The Committee encourages NIH to take a
collaborative, transdisciplinary and trans-NIH approach,
integrating epidemiology, genomics, multi-omics, organismal
physiology, biology and computational biology, and precision
therapeutics. The Committee requests an update on this request
within 180 days of enactment.
Mental Health, Addiction and Resilience Research Network.--
Diseases of the mind and brain can develop early in life,
contribute to the burden of overall health and daily life
function, and contribute to the persistent and rising rates of
deaths of despair--those from overdoses, suicide, and liver
disease from alcoholism. The Committee encourages NIH to
support collaborative research efforts to uncover the root
causes, risk and resilience/protective factors of mental health
and addiction. These efforts could include leveraging existing
longitudinal research to examine the biological, psychological,
and social factors and their interactions across multiple
layers of analysis that put people at risk for addiction and
mental illness including patterns of intergenerational
transmission of mental illness, discover ways to better prepare
and respond to stress, trauma and adversity, and inform and
guide new strategies for prevention, recovery, and resilience.
Mitochondrial Disease Research.--The Committee encourages
NIH to prioritize research on primary and secondary
mitochondrial disease. A constellation of rare diseases linked
to impaired mitochondrial function needs further research while
potentially promising interventions work through the FDA
approval process. At the same time, research continues to
validate the substantial connections between mitochondrial
function and major conditions such as Alzheimer's, Parkinson's,
ALS, Muscular Dystrophy, heart failure, and Long-COVID. The
Committee strongly encourages NIH to advance primary
mitochondrial disease research, continue its ongoing outreach
and collaboration with the FDA related to research that may
lead to future mitochondrial disease-related drug approvals,
ensure that support for Long-COVID research includes
opportunities for studies to explore the role of mitochondrial
impairment, and ensure that opportunities remain available to
support collaborative research on mitochondrial disease to
centralize a critical mass of research, clinical care, and
provider education.
Multi-Purpose Prevention Technologies.--The Committee
encourages NIH, and particularly NICHD and NIAID, to work with
the U.S. Agency for International Development and other
Federal, public, and private sector partners to accelerate
research, development and implementation of multipurpose
prevention technologies that are effective, affordable,
acceptable, and easy to deliver.
National Security.--The Committee believes that NIH should
consider relevant national security issues when developing and
executing the NIH-Wide Strategic Plan.
Neurofibromatosis [NF].--The Committee supports efforts to
increase funding and resources for NF research and treatment at
multiple Institutes, including NCI, NINDS, NIDCD, NHLBI, NICHD,
NIMH, NCATS, and NEI. Children and adults with NF are at
elevated risk for the development of many forms of cancer,
deafness, blindness, developmental delays and autism. The
Committee encourages NCI to continue to support a robust NF
research portfolio in fundamental laboratory science, patient-
directed research, and clinical trials focused on NF-associated
benign and malignant cancers. The Committee also encourages NCI
to support preclinical research and clinical trials. Because NF
can cause blindness, pain, and hearing loss, the Committee
urges NEI, NINDS, and NIDCD to continue to support fundamental
basic science research on NF relevant to restoring normal nerve
function. Based on emerging findings from numerous researchers
worldwide demonstrating that children with NF have a higher
chance of developing autism, learning disabilities, motor
delays, and attention deficits, the Committee encourages NINDS,
NIMH, and NICHD to continue their support of research
investigations in these areas. Since NF2 accounts for some
genetic forms of deafness, the Committee encourages NIDCD to
expand its investment in NF2-related research. NF1 can cause
vision loss due to optic gliomas. The Committee encourages NIH
to expand its investment in NF1-focused research on optic
gliomas and vision restoration.
New Approach Methodologies.--The Committee supports the NIH
Common Fund's Complement Animal Research In Experimentation
[Complement-ARIE] Program, intended to spur the development,
standardization and use of new approach methodologies [NAMs]
intend to more accurately model human biology. The Committee
also encourages NIH, in new Announcements and other indications
of funding opportunities, to continue consideration of NAMs as
an option for areas of preclinical research when it is not
appropriate to use human participants and where the use of NAMs
has been demonstrated to support biomedical discoveries. The
Committee further encourages NIH to collect and make publicly
available a report that outlines how the use of vertebrate
animal models in agency research contributes to the mission of
NIH as well as efforts by the agency to encourage the use of
new approach methods or strategies. This report should include
examples of how other methods have been used in NIH research to
reduce, replace, and refine the number of animals used in
research.
NIH-Wide Effort on Women's Health Research.--The Committee
commends NIH for its launch of a cross-cutting effort to
transform women's health across the lifespan, which will
initially be supported by $200,000,000 from NIH. This NIH-wide
effort--a first step to transform the way we approach and fund
women's health research--will allow NIH to catalyze the
ambitious, multi-faceted, interdisciplinary research projects
that women need, such as research on the impact of
perimenopause and menopause on heart health, brain health, and
bone health. This coordinated, NIH-wide effort will be led by
OD, ORWH, NIA, NHLBI, NIDA, NICHD, NIAMS, and any other
Institutes and Centers deemed relevant by the NIH Director. The
Committee urges NIH to continue to expand basic, clinical, and
translational research into women's health, including the
mechanisms of endometriosis and other gynecological conditions,
to identify early diagnostic markers, and develop new treatment
methods. The Committee strongly encourages OD and all
Institutes and Centers to dedicate additional funds and
participate in this cross-cutting effort in fiscal year 2025,
with a focus on grant opportunities to support research and
education to improve women's health in diverse settings across
the United States. NIH is directed to provide an update on the
progress and achievements of the key projects and studies
supported by this NIH-wide effort by reporting on their
objectives and anticipated/actual outcomes within 90 days of
enactment.
Office of the Chief Officer for Scientific Workforce
Diversity [COSWD].--The Committee continues to provide
$22,415,000 to the Office of COSWD.
Office of Nutrition Research [ONR].--The Committee supports
ONR's plan to establish Centers of Excellence in Food Is
Medicine to advance research, education, patient care, and
community outreach on the role of nutrition in preventing and
treating diet-related chronic diseases. The Committee
recognizes that food is medicine services, such as medically
tailored meals and produce prescriptions, may improve health
outcomes, reduce healthcare costs, and address health
disparities among vulnerable populations. The Committee
encourages NIH to collaborate with existing Food Is Medicine
stakeholders in academia, healthcare, and the nonprofit sector
to leverage their expertise and experience in this field.
Office of Research on Women's Health [ORWH].--The Committee
notes bill language that was included in the Consolidated
Appropriations Act, 2022 (Public Law 117-103) that funding for
ORWH be made available for direct grant making to address
women's health research needs that are not being addressed by
Institutes and Centers. The Committee provides $152,480,000 in
base funding for the Office of Research on Women's Health, an
increase of $76,000,000. The role of ORWH is to improve women's
health research and research on sex and gender influences in
health and disease within the NIH scientific framework to
achieve equity in women's health across the lifespan. Congress
is committed to prioritizing this research portfolio and
ensuring ORWH has the resources it needs to help fulfill its
mission. Within this amount, the Committee allocates
$14,000,000 to the Building Interdisciplinary Research Careers
in Women's Health [BIRCWH] program with the goal of
strengthening the workforce pipeline through mentorship of
early career scientists engaged in women's health research.
Recognizing the impact of the BIRCWH program, the Committee
urges NIH to use these funds to support additional researchers
focused on women's health and sex differences, including
research focused on cancer, maternal health, endometriosis,
fibroids and pelvic floor disorders. The Committee expects NIH
to use these funds to enhance the BIRCWH program through
research on health of women and female-specific diseases or
conditions.
Osteopathic Medical Schools.--Colleges of Osteopathic
Medicine educate 25 percent of all the Nation's medical
students and prioritize research and training in primary care
and rural and underserved healthcare. The Committee understands
osteopathic medical schools and their principal investigators
are welcome to review and apply for any NIH funding
opportunities in the same way other organizations seeking NIH
support do and that the same is true for Doctors of Osteopathy
[D.O.s] on NIH National Advisory Councils and study sections.
Further, the Committee recognizes the historic relationship
between osteopathic medicine and the research priorities of
NCCIH but that D.O.s have been designated on applications
submitted to and awarded from other NIH Institutes and Centers.
The Committee encourages NIH continue engaging with researchers
from Colleges of Osteopathic Medicine, encouraging them to
apply for available funding opportunities across NIH Institutes
and Centers, and requests an update in the fiscal year 2026 CJ
of how Institutes and Centers are expanding research and
representation opportunities for Colleges of Osteopathic
Medicine.
Pain and Addiction.--The Committee commends NIH, NIDA, and
NINDS for their focus on addressing addiction and developing
alternatives to opioids for safe and effective pain management
strategies that reduce reliance on opioids. In particular, NIDA
and NINDS' commitment to research on improved pain management
and prevention, treatment, and recovery from substance use
disorders as part of NIH's HEAL Initiative continues to help
fuel the next generation of scientists and clinicians focused
on mitigating chronic pain with nonaddictive therapies and
prevention and treatment of drug addiction. The Committee
encourages NIH, NIDA, and NINDS to continue their efforts
through the HEAL Initiative in fiscal year 2024, with a focus
on grant opportunities to support research and education to
improve outcomes for people with both chronic pain and
addiction in diverse settings across the United States,
particularly those located in areas with high incidence of
people at risk for chronic pain, substance use, and overdose.
Pediatric Recruitment Within the All of Us Research
Program.--The Committee remains concerned about the lack of
active recruitment of children into the All of Us Research
Program but is encouraged by ongoing activities to finalize
child recruitment protocols and other steps necessary to
implement a multi-phase child recruitment program. Ensuring
children are enrolled in the program is essential to achieving
the program's overall scientific goals and objectives. The
Committee strongly supports actively enrolling children into
the program and encourages the NIH to build within the All of
Us Research Program a diverse pediatric dataset with depth and
breadth to accelerate healthcare discovery and innovation for
children and their families. The Committee also encourages that
enrollment, retention, and follow-up of children continues
until this goal is met, even if adult recruiting objectives are
met, and provides sufficient funding for this purpose.
Pelvic Floor Disorders [PFDs].--PFDs are common conditions
that can significantly affect a woman's quality of life.
Approximately 25 percent of women experience at least one PFD
and this condition becomes more common with age. Unfortunately,
health disparities in the care of PFDs is a prevalent issue,
especially impacting patients in underserved areas, areas with
limited access to healthcare, barriers to healthcare and care-
seeking behaviors regarding the treatment/management of PFDs.
Therefore, the Committee urges NIH to support research to
better understand disparities in care for diverse patients,
which may include identifying risk factor clusters in
geographic regions and within these diverse populations that
suffer from PFDs. The Committee requests an update on this
effort in the fiscal year 2026 CJ.
Primate Research Centers.--The Committee includes
$30,000,000 in funding to remodel, renovate, or alter existing
research facilities or construct new research facilities for
non-human primate resource infrastructure, as authorized under
42 U.S.C. section 283k.
Psychedelic Research.--The Committee recognizes the
increased interest and need to study psychedelics, including
MDMA, ketamine, and psilocybin, and their potential therapeutic
effects. The Committee encourages NIH to expand its current
research agenda across its Institutes and Centers, potentially
by forming a cross-Institute research group, and to encourage
psychedelic research at the NIH Clinical Center. The Committee
also encourages NIH to work with FDA in developing and
supporting public-private collaborations to advance all forms
of psychedelic research for therapeutic purposes.
Real World Clinical Data.--The Committee recognizes our
healthcare system is quickly becoming more digitalized,
providing more data and information to better inform clinicians
and researchers and enhance clinical decisions that may lead to
improved health outcomes for patients. However, today that data
is stored in fragmented and complex systems limiting its
interoperability and usability to improve human health. Data
privacy and reliability are critical components to balance in
data access including use of these data in biomedical research.
Technologies such as privacy-preserving record linking [PPRL]
are now available, enabling access to individual level data of
de-identified healthcare data across disparate data sources
such as clinical trials, real-world data sources like
electronic health records, payor claims, and mortality data,
while considering confidentiality and privacy. Such
technologies provide the ability to efficiently extend
longitudinal data access for efficient observation of
additional clinical safety and efficacy insights without
compromising patient privacy. The Committee urges NIH to
prioritize and standardize across its guidance documents,
specifications for use of encryption tools and privacy-
preserving record locators to optimize comprehensive linking of
real-world clinical data alongside traditional prospective data
collection including but not limited to, those that will go for
review by the FDA.
Reducing the Administrative Burden on Researchers.--The
Committee remains concerned about the status of NIH's
implementation plans following a 2019 final report on
administrative burden. The Committee reiterates the directives
described in the Consolidated Appropriations Act, 2024 (Public
Law 118-122).
Reforming the SBIR/STTR Programs at NIH.--At Congress'
behest the National Academies released a major evaluation of
NIH's SBIR/STTR programs in 2022. The National Academies'
report found the time scale and scope of the NIH SBIR/STTR
review process was out of alignment with the needs of
innovative small business, and moreover a majority of the peer
reviewers are academic scholars and a small number of program
managers have commercial experience. The Committee encourages
NIH to provide an update on recommendations regarding the
business and/or commercialization experience of program manager
and peer reviewers and efforts to implement a review process
that is more appropriate for industry. NIH is directed to
report back to the Committee annually over the next 2 years as
to the progress towards such a plan.
Reorienting Biomedical Academia Away from Soft Money.--
Across biomedical academia, many professors are expected by
their universities to raise a substantial portion (sometimes
even 100 percent) of their own salary via grants. Even a long-
time tenured professor can be at jeopardy of losing part or all
of their salary if they fail to bring in enough grants. It is
the sense of Congress that the soft money system can discourage
the best and most innovative science, because it incentivizes
individual scientists to stick with the most risk-averse idea
that can get funded by NIH. As Bruce Alberts has proposed,
``the maximum amount of money that the NIH contributes to the
salary of research faculty (its salary cap) could be sharply
reduced over time, and/or an overhead cost penalty could be
introduced in proportion to an institution's fraction of soft-
money positions (replacing the overhead cost bonus that
currently exists).'' NIH is directed to conduct a prospective
study of academia's use of soft money requirements over the
next five to 10 years, seek public input as appropriate,
recommend possible solutions, and provide an update on its
efforts within 1 year of enactment.
Research on Enhanced Potential Pandemic Pathogens
[ePPPs].--The Committee supports the USG Policy for Oversight
of Dual Use Research of Concern and Pathogens with Enhanced
Pandemic Potential issued in May 2024. Per Section 5.3
Responsibilities of Federal Agencies, NIH is directed to
require all research institutions it supports to fully follow
this policy as a condition of funding. NIH is also directed to
provide guidance to research institutions regarding its policy
through an implementation office, as outlined in the
Consolidated Appropriations Act, 2024 (Public Law 118-122). The
Committee continues to provide $1,000,000 for this office to
serve as a main point of contact for research institutions
regarding ePPP policy, and develop tools and training guidance
to strengthen risk-assessment, safety, security, and ethical
considerations surrounding proposed ePPP research at research
institutions. NIH shall provide annual reports to the Committee
on the progress and activities of implementation. In addition,
NIH is directed to review and, where appropriate, identify
needed relevant authorities when considering appropriate
actions for investigators and research institutions that fail
to follow the research oversight framework under the policy.
NIH will also consider additional approaches for promoting use
of these or similar oversight procedures by research
institutions that conduct life sciences research and do not
receive Federal funding. NIH is directed to provide a report on
these activities within 180 days of enactment.
Research with Non-Human Primates [NHP].--The Committee
recognizes the critical role of NHP research in virtually all
areas of biomedical research. Research with unique animal
models makes irreplaceable contributions to understanding the
biological processes that cause disease, which is necessary for
the development, safety and efficacy testing of new
therapeutics before clinical trials. NHP research will be vital
to studying both the underlying mechanisms and potential cures
for existing and emergent diseases. NHP research remains
critical to understand the causes of degenerative and brain
diseases and to improve the effectiveness of new compounds and
non-pharmaceutical treatments such as deep brain stimulation
and neuromodulation. The Committee urges NIH to award funding
to meritorious research proposals to study these
neurodegenerative disorders, including studies that utilize
NHPs. NIH is also encouraged to continue the development and
validation of new approach methodologies as promising
technological advancements that enhance the utility of NHP
models and may reduce the need for models in the future.
Research Transparency.--As demonstrated over the past
several years, the Committee remains committed to funding NIH
research and ensuring that our Nation's researchers,
particularly our early career scientists, have the support to
make the scientific breakthroughs that may transform
healthcare. However, it is critical that NIH can ensure funds
are used for the best possible research that fulfill the core
research mission of NIH. The Committee appreciates that in
response to prior language, NIH continues to provide, in
writing made available on a publicly accessible website, that
each grant or agreement promotes efforts to seek fundamental
knowledge about the nature and behavior of living systems and/
or the application of that knowledge to enhance health,
lengthen life, and reduce illness and disability.
Scientific Management Review Board.--The Committee
reiterates the directives described in the Consolidated
Appropriations Act, 2024 (Public Law 118-122). NIH is directed
to reconvene the SMRB to review the overall research portfolio
of the agency and advise on the use of organizational
authorities, including abolishing Institutes or Centers,
creating new ones, and reorganizing existing structures. The
Committee directs NIH to provide an annual report on SMRB
activities.
Stopping Tax Dollars from Funding Chinese Military
Research.--The Committee is concerned about research awards
funded by NIH that are associated with Chinese defense
entities. Therefore, the Committee directs NIH to submit a
report to the Committee within 180 days of enactment and
annually thereafter until September 30, 2026 on all NIH-funded
research awards that involved persons from the People's
Republic of China [PRC].
Study on the Impact of Screen Time on Learning Outcomes.--
Screen time for children rose throughout the COVID-19 pandemic
and has continued to remain high. One study showed that in 2021
teens spent an average of 8.5 hours on screens per day, and
children from ages 8-12 spent 5.5 hours on screens per day. The
Committee is concerned over the implications of high screen
time on children's ability to learn and process information in
schools and urges NIH to study the impact of increased screen
time on children's learning outcomes.
Support Innovation in Women's Health.--NIH's SBIR and STTR
programs are directed to increase investments in supporting
innovators and early-stage small businesses engaged in research
and development on women's health. NIH is directed to provide
an update on these activities within 120 days of enactment.
Temporomandibular Disorder [TMD].--The Committee notes the
issuance of the TMD Collaborative for Improving Patient-
Centered Translational Research [TMD IMPACT] by NIDCR and the
first step in the implementation of a national consortium for
TMD research. The Committee recognizes that TMD is a complex,
multisystem condition and therefore encourages the NIH Director
to work closely with the NIDCR Director to ensure that other
Institutes, Centers, and Offices with the appropriate
scientific expertise participate and support NIDCR as it
implements and manages this project. NIH is encouraged to use
the recommendations from the recent National Academies of
Sciences, Engineering and Medicine report on TMDs, from the TMJ
Patient-led RoundTable efforts, and from patients themselves as
guidelines in the development of this consortium. The Committee
is encouraged that TMD, a long neglected, misunderstood and
underfunded condition is now receiving the attention and
support needed to improve the understanding of TMD and develop
evidence-based treatments and care for this complex condition.
The Committee requests an update within 120 days of enactment
on the development and implementation of this large-scale
Collaborative to ensure the full participation of the many
government and private entities necessary to successfully
launch the Collaborative.
Term Limits.--The Committee continues to provide $500,000
and directs NIH to implement Recommendation 10 from the 2003
Institute of Medicine report Enhancing the Vitality of the
National Institutes of Health: Organizational Change to Meet
New Challenges. NIH is directed to provide an annual report on
these efforts, including a timeline and any barriers to
implementation.
Von Hippel-Lindau [VHL] Disease.--The Committee appreciates
NIH's support for research on VHL disease, which has led to the
development of new treatments for not only VHL but also more
prevalent cancers. While significant research has focused on
the role between the VHL Gene and Hypoxia-Inducible Factor 2
Alpha, more research is needed to identify additional molecular
targets. The Committee requests an update on these activities
in the fiscal year 2026 CJ.
Wastewater Surveillance R&D.--The Committee recognizes the
potential and importance of wastewater surveillance in public
health surveillance. Building on the prior NIH-supported
efforts, the Committee encourages NIH to continue efforts
supporting innovation through developing and improving
wastewater surveillance capabilities including in rural
communities.
Women's Health Research Initiative and NIH-Wide SABV
Policy.--The Executive Order on Advancing Women's Health
Research and Innovation directs agencies to develop and
strengthen research and data standards to improve women's
health. The Committee supports greater investment in research
on conditions unique to or that occur predominantly in women or
manifest themselves differently in women than in men. The
Committee directs NIH to further integrate and prioritize
funding for women's health across its research portfolio and to
study ways to leverage AI to advance women's health research.
In addition to NIH efforts to dedicate additional funds for
research on women's health needs, the NIH's sex as a biological
variable [SABV] policy has helped ensure that research that NIH
funds considers women's health in the development of study
design and in data collection and analysis. The Committee
encourages NIH to track and analyze progress in integrating
SABV into biomedical research, where appropriate, across its
Institutes and Centers and to adopt NIH-wide standards
regarding how applicants, reviewers, and grantees should
consider SABV in funding opportunities, research designs,
analyses, and reporting. NIH is directed to provide an update
on relevant activities within 90 days of enactment.
Youth Tobacco Cessation Research.--The Committee recognizes
that despite two million youth using at least one tobacco
product, there are no FDA-approved tobacco cessation therapies
for people under 17 and few well-studied, evidence-based
behavioral interventions for youth tobacco use. The Committee
encourages NIH to continue to support research on effective
tobacco cessation modalities for youth under age 18, including
pediatric studies of the safety and effectiveness of cessation
treatments currently approved for adults. Studies should
account for the broad range of tobacco products used by youth,
including cessation options for individuals interested in
quitting cigarettes, e-cigarettes, smokeless tobacco, and
cigars. The Committee urges NIH to consider research gaps
identified by the U.S. Preventive Services Task Force.
BUILDINGS AND FACILITIES
Appropriations, 2024.................................... $350,000,000
Budget estimate, 2025................................... 350,000,000
Committee recommendation................................ 350,000,000
The Committee includes $350,000,000, the same as the fiscal
year 2024 enacted level, for Buildings and Facilities. For the
fifth time in as many years, the recommendation does not
include authority for NIH to transfer up to 1 percent of its
research funding to the Buildings and Facilities account. This
is extraordinary authority for a Federal agency and NIH has yet
to provide an explanation for why this mechanism would be
appropriate. Funding provided for research should not be
unilaterally transferred without a sound explanation and robust
justification of need. The Committee commends the agency for
continuing to develop a sound capital planning process and for
keeping the Committee informed on such activities. These
efforts have been supported by the Committee with modifications
of section 216 of this act which permit NIH to use up to
$100,000,000 of research funding for alterations and repairs.
The Committee directs NIH to continue to provide biannual
updates of its efforts to develop best practices and its
maintenance and construction plans for projects whose cost
exceeds $5,000,000, including any changes to those plans and
the original baseline estimates for individual projects.
Finally, the Committee also directs NIH to describe in its
fiscal year 2026 and future CJs how the projects requested in
its budgets tie to its capital planning process, including the
Research Facilities Advisory Committee's role in determining
which projects are selected for inclusion in the budget.
NIH INNOVATION ACCOUNT, CURES ACT
Appropriations, 2024.................................... $407,000,000
Budget estimate, 2025................................... 127,000,000
Committee recommendation................................ 127,000,000
The Committee recommendation includes $127,000,000 to be
spent from the NIH Innovation Account for the All of Us
precision medicine initiative. The Committee expects NIH to
transfer funding shortly after enactment of this act.
ADVANCED RESEARCH PROJECTS AGENCY FOR HEALTH
Appropriations, 2024.................................... $1,500,000,000
Budget estimate, 2025................................... 1,500,000,000
Committee recommendation................................ 1,500,000,000
The Committee includes $1,500,000,000 for the Advanced
Research Projects Agency for Health [ARPA-H], the same level as
fiscal year 2024. The Committee continues to believe ARPA-H
requires a different culture and mission than NIH's other 27
Institutes and Centers. The Committee continues to direct ARPA-
H to provide quarterly briefings to the Committee on its
establishment process, hiring, and scientific priorities and
progress. The Committee expects such briefings to address how
ARPA-H's activities are designed to advance biomedical research
and development and the mission to create breakthrough
technologies, as well as how to balance long-term trans-
disciplinary scientific challenges with short-term research
goals.
Amyotrophic Lateral Sclerosis [ALS].--The Committee urges
ARPA-H to support R&D programs and projects to develop
therapies, targeted therapies, and treatments for ALS and
related neurodegenerative disorders.
Commercialization Network.--Speeding the translation of
innovative health technologies to market is essential for the
success of ARPA-H. This acceleration depends on meaningful
collaboration between researchers, entrepreneurs, and investors
across sectors and geographic areas. The Committee applauds the
establishment of the Investor Catalyst Hub in the ARPANET-H hub
and spoke network and appreciates its initial efforts to build
a diverse, wide-ranging network of experts to advance
innovation and commercialization of medical technologies. The
Committee urges ARPA-H to provide continued funding for the
Investor Catalyst Hub in fiscal year 2025.
Emerging Health Threats.--The Committee recognizes that
ARPA-H plays a unique role in the U.S. science and technology
enterprise. Modeled after the Defense Advanced Research Agency
[DARPA] and the Biomedical Advanced Research and Development
Authority [BARDA] but more broadly focused on improving health
outcomes for all Americans, ARPA-H is expected to pursue
transformative advances in health research beyond the scope of
other public or private efforts. U.S. citizens and interests
can be threatened by endemic and emerging diseases in any part
of the world. The Committee urges ARPA-H to contribute in
unique ways to combating existing and emerging health threats
here and abroad, and to strengthen U.S. science and technology
capacity, competitiveness, and leadership.
Long COVID Research.--ARPA-H is urged to invest in Long
COVID research to ensure its high-risk, high-reward research is
focused on drug trials, development of biomarkers, and research
that includes Long COVID associated conditions, such as
dysautonomia, postural orthostatic tachycardia syndrome [POTS],
and myalgic encephalomyelitis/chronic fatigue syndrome [ME/
CFS]. The Committee urges ARPA-H to coordinate with NIH on
these efforts to augment NIH's Long COVID research portfolio.
ARPA-H is also urged to prioritize the support of R&D programs
and projects that can enable clinical trials evaluating
therapies which target key symptoms and symptom complexes
associated with Long COVID including widespread pain, fatigue,
non-restorative sleep, brain fog, dizziness, post-exertional
malaise [PEM], POTS and loss of taste and smell.
Novel Alternative Methods.--The Committee is aware that
ARPA-H's programs, many of which encompass a wide range of
biomedical research, utilize both animal and non-animal
research methodologies. Each program is led by a Program
Manager [PM] who oversees multiple groups of performers who aim
to solve the same problem through unique approaches.
Acknowledging ARPA-H's operational model, the Committee urges
ARPA-H to require performers to specify expected use of animals
and novel alternative methods [NAMs] in their proposals, if
known. ARPA-H shall aggregate this data for anticipated awards
and information from the Vertebrate Animal Section submissions
(required by the Office of Laboratory Animal Welfare) into a
comprehensive annual report that reflects the methodologies
used across their programs, including descriptions and
rationale for animal models and NAMs used. This report shall be
submitted to the Committee and made publicly available within
90 days following the conclusion of each project year. This
activity will ensure accountability and transparency across
ARPA-H, fostering ethical research practices while advancing
biomedical innovation.
Public Health Interventions.--The Committee urges the
agency to consider a new program focused on a data system to
aid proactive public health interventions.
Women's Health.--The Committee was encouraged by ARPA-H's
announcement of the Sprint for Women's Health, a $100,000,000
commitment in response to the White House Initiative for
Women's Health Research to fund transformative research and
development in women's health. The Committee urges ARPA-H to
continue this important work to address women's health and
accelerate and scale tools, products, and platforms to improve
women's health outcomes.
Substance Abuse And Mental Health Services Administration
The Committee recommends $7,554,306,000 for the Substance
Abuse and Mental Health Services Administration [SAMHSA]. The
recommendation includes $133,667,000 in transfers available
under section 241 of the PHS Act (Public Law 78-410 as amended)
and $12,000,000 in transfers from the PPH Fund.
SAMHSA is the public health agency responsible for
supporting mental health programs and behavioral healthcare,
treatment, and prevention services throughout the country.
The Committee recommendation continues bill language that
instructs the Assistant Secretary of SAMHSA and the Secretary
to exempt the Mental Health Block Grant, the Substance Use
Prevention Treatment, and Recovery Services Block Grant, and
the State Opioid Response grant from being used as a source for
the PHS evaluation set-aside in fiscal year 2025.
MENTAL HEALTH
Appropriations, 2024.................................... $2,808,546,000
Budget estimate, 2025................................... 3,112,046,000
Committee recommendation................................ 2,902,546,000
The Committee recommends $2,902,546,000 for mental health
services. The recommendation includes $21,039,000 in transfers
available under section 241 of the PHS Act (Public Law 78-410
as amended) and $12,000,000 in transfers from the PPH Fund.
Included in the recommendation is funding for Mental Health
Programs of Regional and National Significance [PRNS], the
MHBG, children's mental health services, Projects for
Assistance in Transition from Homelessness [PATH], Protection
and Advocacy for Individuals with Mental Illness [PAIMI], and
the National Child Traumatic Stress Initiative.
Programs of Regional and National Significance
The Committee recommends $1,119,453,000 for PRNS within the
Center for Mental Health Services. The Committee recommendation
includes $12,000,000 in transfers to PRNS from the PPH Fund.
These programs address priority mental health needs by
developing and applying evidence-based practices, offering
training and technical assistance, providing targeted capacity
expansion grants, and changing the delivery system through
family, client-oriented, and consumer-run activities.
Within the total provided for PRNS, the Committee
recommendation includes funding for the following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
CAPACITY:
Seclusion & Restraint........... $1,147,000 $1,147,000
Project AWARE................... 140,001,000 146,001,000
Mental Health Awareness Training 27,963,000 27,963,000
Healthy Transitions............. 28,451,000 28,451,000
Infant and Early Childhood 15,000,000 15,000,000
Mental Health..................
Interagency Task Force on Trauma 2,000,000 2,000,000
Informed Care..................
Children and Family Programs.... 7,229,000 7,229,000
Consumer and Family Network 4,954,000 4,954,000
Grants.........................
Project Launch.................. 23,605,000 23,605,000
Mental Health System 3,779,000 3,779,000
Transformation.................
Primary and Behavioral Health 55,877,000 55,877,000
Care Integration...............
National Strategy for Suicide 28,200,000 30,200,000
Prevention.....................
Zero Suicide................ 26,200,000 26,200,000
American Indian and 3,400,000 3,400,000
Alaska Native Set-Aside
Older Adult Suicide ................ 2,000,000
Prevention Pilot.......
Mental Health Crisis Response 20,000,000 30,000,000
Grants.........................
988 Lifeline.................... 519,618,000 539,618,000
Garrett Lee Smith-Youth Suicide
Prevention
State Grants................ 43,806,000 43,806,000
Campus Grants............... 8,488,000 8,488,000
American Indian and Alaska 3,931,000 4,931,000
Native Suicide Prevention......
Tribal Behavioral Grants........ 22,750,000 22,750,000
Homeless Prevention Programs.... 33,696,000 33,696,000
Minority AIDS................... 9,224,000 9,224,000
Criminal and Juvenile Justice 11,269,000 11,269,000
Programs.......................
Assisted Outpatient Treatment... 21,420,000 21,420,000
Assertive Community Treatment 9,000,000 9,000,000
for Individuals with Serious
Mental Illness.................
Science and Service:
Garrett Lee Smith-Suicide 11,000,000 11,000,000
Prevention Resource Center.....
Practice Improvement and 7,828,000 7,828,000
Training.......................
Consumer and Consumer Support 1,918,000 1,918,000
Technical Assistance Centers...
Primary and Behavioral Health 2,991,000 2,991,000
Care Integration Technical
Assistance.....................
Minority Fellowship Program..... 11,059,000 11,059,000
Disaster Response............... 1,953,000 1,953,000
Homelessness.................... 2,296,000 2,296,000
------------------------------------------------------------------------
988 Suicide and Crisis Lifeline [988 Lifeline].--Suicide is
a leading cause of death in the United States, claiming over
49,000 lives in 2022. The Committee provides $539,618,000 for
the 988 Lifeline and Behavioral Health Crisis Services. This
amount includes funding to continue to strengthen the 988
Lifeline and enable the program to continue to respond in a
timely manner to an increasing number of contacts. The 988
Lifeline coordinates a network of independently operated crisis
centers across the United States by providing suicide
prevention and crisis intervention services for individuals
seeking help. The Committee requests a briefing within 90 days
of enactment on the 988 Lifeline spend plan and related
activities.
Behavioral Health Crisis and 988 Coordinating Office.--
Within the total for the 988 Lifeline, the Committee
recommendation again includes $7,000,000 to continue the office
dedicated to the implementation of the 988 Lifeline and the
coordination of efforts related to behavioral health crisis
care across HHS operating divisions as well as with external
stakeholders. The Committee requests that the Secretary include
a multi-year, crisis care system roadmap in the fiscal year
2026 CJ.
988 Program Integrity.--The Committee remains concerned
about the suicide rates among youth and young adults. The
Committee recognizes the vital services provided through the
988 Lifeline and the important role of State partners in
suicide prevention and behavioral health. The Committee
requests SAMHSA include information on 988 program integrity
activities, including with respect to safeguarding 988 user
data and privacy, and a review of work with States and other
988 program partners in the 988 Lifeline spend plan briefing.
988 Lifeline Text and Chat-Based Capabilities.--The
Committee encourages SAMHSA to continue to make funding
competitively available to chat and text backup centers to
provide the capacity and infrastructure to handle vulnerable
youth callers, chats, and texts. Within the total for the 988
Lifeline, the Committee continues $10,000,000 for specialized
services for Spanish speakers seeking access to 988 services
through texts or chats. SAMHSA shall make this funding
available to one or more organizations with the capacity and
experience to offer culturally competent, Spanish language text
and chat services for mental health support and crisis
intervention.
Specialized Services for LGBTQ+ Youth.--The Committee
understands that LGBTQ+ youth are four times more likely to
attempt suicide than their peers. Within the total for the 988
Lifeline, the Committee includes $34,100,000 which shall be
used to provide specialized services for LGBTQ+ youth,
including training for existing counselors in LGBTQ+ youth
cultural competency and the establishment and operation of an
Integrated Voice Response [IVR] to transfer LGBTQ+ youth to a
specialty organization. This funding shall be awarded through a
competitive process to an organization with experience working
with LGBTQ+ youth and with the capacity and infrastructure to
handle calls, chats, and texts from LGBTQ+ youth through IVR
technology and other technology solutions where appropriate.
Unified 988 Lifeline Technology.--The Committee is aware
that 988 Lifeline crisis contact centers have not all
implemented the unified technology that has been developed by
SAMHSA's 988 Lifeline Network Administrator. The Committee
encourages SAMHSA to inform crisis contact centers within the
network about the availability of the Unified Platform and to
urge these same crisis contact centers to use this technology
if there is not a State-approved unified technology platform.
Youth-to-Youth Peer Support.--The Committee recognizes that
young people are uniquely situated to provide peer support for
teens and young adults who are struggling with their mental
health. The Committee is also aware that youth-to-youth
engagement, when conducted by youth with professional support
and training, has proven effective at reaching young people in
crisis but is currently underused across the Nation. The
Committee recommends the inclusion and expansion of peer
services as a component of the 988 Lifeline, which may include
integrating training on youth peer services across contact
centers within the 988 Lifeline network, along with highly
coordinated referrals and connections for youth peer-run
support lines that are not formally embedded within the 988
Lifeline.
Eating Disorders.--The Committee continues to direct SAMHSA
to coordinate with HRSA to create a pediatric training model
for pediatric providers for prevention, early intervention,
treatment, and ongoing support protocols for youth with or at-
risk of developing an eating disorder.
Garrett Lee Smith Youth Suicide Prevention.--The Committee
recommends $43,806,000 for Garrett Lee Smith Youth Suicide
Prevention programs, which will support the development and
implementation of early intervention programs and youth suicide
prevention strategies. Additionally, the Committee recommends
$11,000,000 for the Garrett Lee Smith Youth Suicide Prevention
Resource Center.
Garrett Lee Smith Campus Suicide Prevention Grant
Program.--The Committee recognizes the importance of addressing
mental health and suicide prevention on college campuses,
including at institutions of higher education that are
traditionally under-resourced. The Committee supports SAMHSA's
waiver of matching funds for minority-serving institutions and
community colleges included in the 2024 funding notice and as
directed in Public Law 118-47. The Committee directs the
Assistant Secretary to continue to waive the requirement of
matching funds for minority-serving institutions and community
colleges as defined by the Higher Education Act of 1965 to help
meet these growing needs and address disparities in access to
mental health services. The Secretary may continue to waive
such requirement with respect to an institution of higher
education not covered by those definitions, if the Secretary
determines that extraordinary need at the institution justifies
the waiver.
Healthy Transitions.--The Committee includes $28,451,000
for the Healthy Transitions program, which provides grants to
States and tribes to improve access to mental healthcare
treatment and related support services for young people aged 16
to 25 who either have, or are at risk of developing, a serious
mental health condition.
Infant and Early Childhood Mental Health.--The Committee
provides $15,000,000 for grants to entities such as State
agencies, Tribal communities, universities, or medical centers
that are in different stages of developing infant and early
childhood mental health services. These entities should have
the capacity to lead partners in systems-level change, as well
as building or enhancing the basic components of such early
childhood services, including an appropriately trained
workforce. Additionally, the Committee recognizes the
importance of early intervention strategies to prevent the
onset of mental disorders, particularly among children. Recent
research has shown that half of those who will develop mental
health disorders show symptoms by age 14. The Committee
encourages SAMHSA to work with States to support services and
activities related to infants and toddlers, such as expanding
the infant and early childhood mental health workforce;
increasing knowledge of infant and early childhood mental
health among professionals most connected with young children
to promote positive early mental health and early
identification; strengthening systems and networks for
referral; and improving access to quality services for children
and families who are in need of support.
Interagency Task Force on Trauma Informed Care.--The
Committee recommends $2,000,000 to continue the Interagency
Task Force on Trauma-Informed Care as authorized by the SUPPORT
Act (Public Law 115-271). The Committee supports the Task
Force's authorized activities, including the dissemination of
trauma-informed best practices and the promotion of such models
and training strategies through all relevant grant programs and
the Task Force is encouraged to collaborate with the National
Child Traumatic Stress Network.
Mental Health Awareness Training.--The Committee provides
$27,963,000 to continue existing activities, including Mental
Health First Aid. Mental Health Awareness Training and Mental
Health First Aid have allowed Americans as well as first
responders to recognize the signs and symptoms of common mental
disorders. In addition to the funding made available in this
bill, the Bipartisan Safer Communities Act included
$120,000,000 for Mental Health Awareness Training over 4 fiscal
years, with $30,000,000 made available each fiscal year through
September 30, 2025, to support mental health awareness
training. In continuing competitive funding opportunities,
SAMHSA is directed to include as eligible grantees local law
enforcement agencies, fire departments, and emergency medical
units with a special emphasis on training for crisis de-
escalation techniques. SAMHSA is also encouraged to allow
training for college students, veterans, armed services
personnel, and their family members and broaden applicable
settings for trainings to include non-educational and non-
healthcare settings where appropriate within the Mental Health
Awareness Training program. Additionally, SAMHSA is encouraged
to prioritize grants to eligible entities that will serve
within States where there is a high prevalence of adverse
childhood experiences and youth substance use disorders.
Mental Health Crisis Response Grants.--The Committee
understands the significant need for crisis services in order
to divert people experiencing a mental health crisis away from
the criminal justice system and into mental health treatment.
The Committee includes $30,000,000 for communities to create or
enhance existing crisis response programs that may include
teams of mental health professionals, law enforcement,
emergency medical technicians, and crisis workers to provide
immediate support and stabilization to those in crisis.
Minority Fellowship Program.--The Committee includes
$11,059,000 to support grants that will increase the number of
culturally competent behavioral health professionals who teach,
administer, conduct services research, and provide direct
mental illness services for underserved minority populations.
The Committee understands the importance of increasing the pool
of culturally competent pediatric mental health professionals,
including child and adolescent psychiatrists, to address the
Nation's youth mental health crisis. The Committee encourages
SAMHSA to prioritize and increase the number of pediatric
behavioral health treatment providers, including child and
adolescent psychiatrists, selected to participate in the
minority fellowship program. The Committee looks forward to the
report requested in Public Law 118-47 that will outline the
number and type of healthcare providers, by occupation,
participating in the program.
National Strategy for Suicide Prevention.--The Committee
includes $30,200,000 for suicide prevention programs. Of the
total, $26,200,000 is for the implementation of the Zero
Suicide model, which is a comprehensive, multi-setting approach
to suicide prevention within health systems.
Additionally, suicide is often more prevalent in highly
rural areas and among the American Indian and Alaskan Native
populations. According to the CDC, American Indian/Alaska
Natives [AI/AN] have the highest rates of suicide of any racial
or ethnic group in the United States. In order to combat the
rise in suicide rates among this population, the Committee
recommends $3,400,000 for AI/AN within Zero Suicide.
Older Adult Suicide Prevention Program.--The Committee
notes that deaths by suicide among adults 65 and older
increased by over 8 percent in 2022 compared to 2021. Older
adults comprise 16.4 percent of the U.S. population but
represent 22 percent of all suicides. The Committee includes
$2,000,000 within the National Strategy of Suicide Prevention
for an older adult suicide prevention grant program, to be
implemented in conjunction with the Administration for
Community Living. The grants will support community efforts to
reduce suicide among this population through increased
screening, intervention, and referrals to treatment.
Primary and Behavioral Health Care Integration Grants and
Technical Assistance.--The Committee notes that one of the
goals of the Primary and Behavioral Health Care Integration
Grant program is to improve patient access to bidirectional
integrated care services. The Committee provides $55,877,000
for the program to promote full integration and collaboration
in clinical practice between behavioral healthcare and primary/
physical healthcare, and $2,991,000 for technical assistance
and directs SAMHSA to fund the psychiatric collaborative care
model implemented by primary care physician practices as
authorized under section 1301(i)(2) of division FF of Public
Law 117-328. Pursuant to such law, these technical assistance
centers may be funded through cooperative agreements.
Project AWARE.--The Committee provides $146,001,000 for
Project AWARE. This program increases awareness of mental
health issues and connects young people who have behavioral
health concerns and their families with needed services. The
Committee encourages SAMHSA to continue using funds to provide
mental health services in schools and for school-aged youth,
and provide an update on these efforts in the fiscal year 2026
CJ.
In addition to the funding made available in this bill, the
Bipartisan Safer Communities Act included $240,000,000 for
Project AWARE over 4 fiscal years, with $60,000,000 made
available each fiscal year through September 30, 2025, to
support mental health services for youth.
Of the amount provided for Project AWARE, the Committee
directs SAMHSA to use $17,500,000 for discretionary grants to
support efforts in high-crime, high-poverty areas and, in
particular, communities that are seeking to address relevant
impacts and root causes of civil unrest, community violence,
and collective trauma. These grants should maintain the same
focus as fiscal year 2024 grants. SAMHSA is encouraged to
continue consultation with the Department of Education in
administration of these grants. The Committee requests a report
on progress of grantees in the fiscal year 2026 CJ.
The Committee recognizes the increased need for school and
community-based trauma services for children, youth, young
adults, and their families and the need to support school staff
with training in trauma-informed practices. Within the total
for Project AWARE, the Committee directs $14,000,000 for
student access to evidence-based, culturally relevant, trauma
support services and mental healthcare through established
partnerships with community organizations as authorized by
section 7134 of the SUPPORT Act (Public Law 115-271).
Psychosocial Rehabilitation Model.--The Committee
encourages SAMHSA to explore the expansion of accredited
clubhouses to reach a broader subset of the people with serious
mental illness [SMI]. Specifically, the Committee requests a
briefing, within 180 days of enactment of this act, with
recommendations on how SAMHSA will address loneliness and
social isolation and other social drivers of health through
community-based models like accredited clubhouses and how
SAMHSA programs may promote the expansion of accredited
clubhouses for people with SMI.
Community Mental Health Services Block Grant
The Committee recommends $1,042,571,000 for the Mental
Health Block Grant [MHBG]. The recommendation includes
$21,039,000 in transfers available under section 241 of the PHS
Act (Public Law 78-410 as amended). In addition to the funding
made available in this bill, the Bipartisan Safer Communities
Act included $250,000,000 over 4 fiscal years, with $62,500,000
made available each fiscal year through September 30, 2025, to
support the MHBG.
The MHBG distributes funds to 59 eligible States and
territories through a formula based on specified economic and
demographic factors. Grant applications must include an annual
plan for providing comprehensive community mental health
services to adults with a serious mental illness and children
with a serious emotional disturbance.
The Committee recommendation continues bill language
requiring that at least 10 percent of the funds for the MHBG
program be set-aside for evidence-based programs that address
the needs of individuals with early serious mental illness,
including psychotic disorders. The Committee continues to
direct SAMHSA to include in budget justifications a detailed
table showing at a minimum each State's allotment, name of the
program being implemented, and a short description of the
program.
Crisis Set-Aside.--The Committee continues the 5 percent
set-aside within the MHBG for States to implement evidence-
based, crisis care programs to address the needs of individuals
in crisis including those with serious mental illnesses and
children with serious mental and emotional distress. The
Committee directs SAMHSA to continue to use the set-aside to
fund, at the discretion of eligible States and Territories,
some or all of a set of core crisis care elements including 24/
7 mobile crisis units, local and Statewide call centers with
the capacity to respond to distressed or suicidal individuals,
and other programs that allow the development of systems where
individuals can always receive assistance during a crisis.
Children's Mental Health Services
The Committee recommends $130,000,000 for the Children's
Mental Health Services program. This program provides grants
and technical assistance to support comprehensive, community-
based systems of care for children and adolescents with serious
emotional, behavioral, or mental disorders. Grantees must
provide matching funds and services must be coordinated with
the educational, juvenile justice, child welfare, and primary
healthcare systems. The Committee continues to include a 10
percent set-aside for an early intervention demonstration
program with persons not more than 25 years of age at clinical
high risk of developing a first-episode psychosis.
Projects for Assistance in Transition from Homelessness [PATH]
The Committee recommends $66,635,000 for PATH, which
addresses the needs of individuals with serious mental illness
who are experiencing homelessness or are at risk of
homelessness. Funds are used to provide an array of services,
such as screening and diagnostic services, emergency
assistance, case management, and referrals to the most
appropriate housing environment.
Protection and Advocacy for Individuals with Mental Illness [PAIMI]
The Committee recommends $40,000,000 for PAIMI. This
program helps ensure that the rights of mentally ill
individuals are protected while they are patients in all public
and private facilities or while they are living in the
community, including in their own homes. Funds are allocated to
States according to a formula based on population and relative
per capita incomes.
National Child Traumatic Stress Initiative
The Committee recommends $103,887,000 for the National
Child Traumatic Stress Initiative, which develops and promotes
effective treatment and services for children and adolescents
exposed to a wide array of traumatic events. In addition to the
funding made available in this bill, the Bipartisan Safer
Communities Act included $40,000,000 for the National Child
Traumatic Stress Network [NCTSN] over 4 fiscal years, with
$10,000,000 made available each fiscal year through September
30, 2025, for trauma services for youth.
The Committee supports the NCTSN for building, evaluating,
disseminating, and delivering evidence-based best practices,
including through universities, hospitals, and front-line
providers, to prevent and mitigate the impact of exposure to
trauma among children and families. The Committee directs
SAMHSA to ensure the network maintains its focus on
collaboration, data collection, and the provision of direct
services, and that the NCTSN mission or grant opportunities not
be limited to training only.
Certified Community Behavioral Health Clinics [CCBHC]
The Committee includes $400,000,000 for the CCBHC expansion
program, which allows communities to improve access to mental
health and substance use disorder treatment services.
The Committee continues to direct SAMHSA to prioritize
resources to entities within States that are able to quickly
stand-up a CCBHC, including those part of the demonstration
authorized by section 223(a) of the Protecting Access to
Medicare Act of 2014 [PAMA] (Public Law 113-93).
Accreditation.--The Committee urges SAMHSA to examine and
approve accreditation products that certify CCBHCs in having
met requirements as established by SAMHSA. CCBHC grantees
should receive independent accreditation from an approved
entity as part of participation under this program. Funding
included under this program is permitted for grantees' use to
obtain any such required independent accreditation in lieu of
self-attestation for meeting the CCBHC requirements as a part
of reducing paperwork and administrative burden, and SAMHSA
shall consider the costs of accreditation when establishing
funding levels for clinics under this grant. The Committee
further permits SAMHSA to use funds under this program to
establish the accreditation process and expand the audiences
eligible to receive training and technical assistance, to
include (but not limited to) demonstration CCBHCs and CCBHCs
participating in a State-led implementation effort under a
Medicaid State Plan Amendment, waiver, or other Medicaid
authority.
Data Infrastructure.--The Committee provides $2,500,000 for
SAMHSA to develop a CCBHC data infrastructure and data
repository program while establishing a data reporting
partnership with at least one State currently operating a
Statewide CCBHC network. With more than 500 CCBHCs operating in
46 States, it is incumbent upon the agency to assure a high
level of accountability in concert with expanded access to
intensive community-based services for persons with SMI and
substance use disorders. The Committee directs SAMHSA to report
to the Senate and House Appropriations Committees on this
undertaking within 90 days of enactment of this act.
SUBSTANCE ABUSE TREATMENT
Appropriations, 2024.................................... $4,159,298,000
Budget estimate, 2025................................... 4,194,048,000
Committee recommendation................................ 4,235,298,000
The Committee recommends $4,235,298,000 for substance use
disorder services and treatment programs, including PRNS and
the substance use prevention and treatment block grant to the
States. The recommendation includes $81,200,000 in transfers
available under section 241 of the PHS Act (Public Law 78-410
as amended).
Programs of Regional and National Significance
The Committee recommends $587,219,000 for PRNS within the
Center for Substance Abuse Treatment. The recommendation
includes $2,000,000 in transfers available under section 241 of
the PHS Act (Public Law 78-410 as amended).
PRNS include activities to increase capacity by
implementing service improvements using proven evidence-based
approaches, as well as science-to-services activities that
promote the identification of practices thought to have
potential for broad service improvement.
Within the total provided for PRNS, the Committee
recommendation includes funding for the following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
CAPACITY:
Opioid Treatment Programs/ $10,724,000 $10,724,000
Regulatory Activities..........
Screening, Brief Intervention, 33,840,000 33,840,000
and Referral to Treatment
[SBIRT]........................
PHS Evaluation Funds........ 2,000,000 2,000,000
Targeted Capacity Expansion- 122,416,000 125,416,000
General........................
Medication Assisted 111,000,000 114,000,000
Treatment..................
Tribal Set-aside........ 14,500,000 14,500,000
Grants to Prevent Prescription 16,000,000 16,000,000
Drug/Opioid Overdose...........
First Responder Training........ 57,000,000 59,000,000
Rural Focus................. 32,000,000 34,000,000
Pregnant and Postpartum Women... 38,931,000 40,931,000
Recovery Community Services 4,434,000 4,434,000
Program........................
Children and Families........... 30,197,000 30,197,000
Treatment Systems for Homeless.. 37,114,000 37,114,000
Minority AIDS................... 66,881,000 66,881,000
Criminal Justice Activities..... 94,000,000 94,000,000
Drug Courts................. 74,000,000 74,000,000
Improving Access to Overdose 1,500,000 1,500,000
Treatment......................
Building Communities of Recovery 17,000,000 18,000,000
Peer Support Technical 2,000,000 2,000,000
Assistance Center..............
Comprehensive Opioid Recovery 6,000,000 7,000,000
Centers........................
Emergency Department 8,000,000 8,000,000
Alternatives to Opioids........
Treatment, Recovery, and 12,000,000 12,000,000
Workforce Support..............
Youth Prevention and Recovery 2,000,000 3,000,000
Initiative.....................
Science and Service:
Addiction Technology Transfer 9,046,000 10,046,000
Centers........................
Minority Fellowship Program..... 7,136,000 7,136,000
------------------------------------------------------------------------
Building Communities of Recovery and Peer Support
Networks.--The Committee appreciates SAMHSA's implementation of
new funding for community-based networks assisting individuals
with substance use disorder recovery, and urges SAMHSA to
promote the expansion of recovery support services and to
reduce stigma associated with addictions. The Committee
recognizes the coordinated efforts of this program to connect
people in recovery to a wide array of community resources,
including housing services, primary care, employment resources,
among others, and urges the program to expand its reach to
others in need of support. To further support these recovery
community organizations, the Committee continues $2,000,000 for
the National Peer Run Training and Technical Assistance Center
to provide addiction recovery support to peer networks and
recovery communities.
Comprehensive Opioid Recovery Centers.--The Committee
includes $7,000,000, to help ensure that people with substance
use disorders can access proper treatment, as authorized by
section 7121 of the SUPPORT Act.
Drug Courts.--The Committee recommends $74,000,000 for Drug
Courts. The Committee continues to direct SAMHSA to ensure that
all funding for drug treatment activities is allocated to serve
people diagnosed with a substance use disorder as their primary
condition. SAMHSA is further directed to ensure that all drug
court recipients work with the corresponding State alcohol and
drug agency in the planning, implementation, and evaluation of
the grant. The Committee further directs SAMHSA to expand
training and technical assistance to drug treatment court grant
recipients to ensure evidence-based practices are fully
implemented.
Emergency Department Alternatives to Opioids.--The
Committee includes $8,000,000 to award grants to hospitals and
emergency departments to develop, implement, enhance, or study
alternatives to opioids for pain management in such settings as
authorized in section 7091 of the SUPPORT Act.
First Responder Training.--The Committee provides
$59,000,000 for First Responder Training grants. Of this
amount, $34,000,000 is set aside for rural communities with
high rates of substance use. In addition, $13,500,000 of this
funding is provided to make new awards to rural public and non-
profit fire and EMS agencies to train and recruit staff,
provide education, and purchase equipment (including
medications such as naloxone and protective equipment) as
authorized in the Supporting and Improving Rural EMS Needs Act,
included in the Agriculture Improvement Act of 2018 (Public Law
115-334). The Committee directs SAMHSA to ensure funding is for
new awardees and allows awards in amounts less than the maximum
award amount to ensure nationwide funding.
Grants to Prevent Prescription Drugs/Opioid Overdoses.--The
Committee recognizes that the number of young Americans dying
due to opioid overdose is rising. The Committee acknowledges
the existing Grants for Reducing Overdose Deaths program and
encourages the Secretary to expand eligibility to provide
schools access to this program for training and for opioid
overdose reversal agents, such as naloxone.
Medication-Assisted Treatment.--The Committee includes
$114,000,000 for medication-assisted treatment, of which
$14,500,000 is for grants to Indian Tribes, Tribal
organizations, or consortia. These grants should target States
with the highest age adjusted rates of admissions, including
those that have demonstrated a dramatic age-adjusted increase
in admissions for the treatment of opioid use disorders. The
Committee continues to direct the Center for Substance Abuse
Treatment to ensure that these grants include as an allowable
use the support of medication-assisted treatment and other
clinically appropriate services to achieve and maintain
abstinence from all opioids, including programs that offer low-
barrier or same day treatment options.
Medications for Opioid Use Disorder.--The Committee urges
SAMHSA to include as an allowable use of funds all FDA approved
medications for opioid use disorder and overdose reversal and
other clinically appropriate services to treat opioid use
disorder.
Minority Fellowship Program.--The Committee includes
$7,136,000 to support grants that will increase the number of
culturally competent behavioral health professionals who teach,
administer, conduct services research, and provide direct
substance use disorder treatment services for minority
populations that are underserved.
Opioid Use in Rural Communities.--The Committee is aware
that response to the opioid use disorder crisis continues to
pose unique challenges for rural America. Rural areas can
struggle with limited access to care and there is a lack of
health professionals necessary for identifying, diagnosing, and
treating patients with substance use disorders, as well as
assisting individuals in recovery. As a result, responding to
the opioid crisis in rural America requires a comprehensive
approach, which may involve: an integrated approach to care;
collaboration when appropriate with patients and their
families; involvement of community partners and institutions;
advancing competency and skills development for healthcare
providers treating people with substance use disorders;
training to provide care in a culturally responsive manner; and
the use of technologies to ensure improved access to medically
underserved areas through the use of telehealth and the
addition of treatment programs where feasible. The Committee
encourages SAMHSA to support initiatives to advance these
objectives, specifically focusing on addressing the needs of
individuals with substance use disorders in rural and
medically-underserved areas, as well as programs that emphasize
a comprehensive community-based approach involving academic
institutions, healthcare providers, and local criminal justice
systems.
Opioid Use Disorder Recurrence.--The Committee is concerned
that relapse following withdrawal management from opioids is a
contributing factor to the overdose crisis. The Committee
appreciates SAMHSA's efforts to address this within the Federal
grant population by emphasizing the potential benefits of
withdrawal management for opioid use disorder followed by
medication to prevent recurrence and encourages SAMHSA to
disseminate and implement this policy in all settings where
withdrawal management is offered, including opioid treatment
programs, rehabilitation centers, and criminal justice
settings.
Pregnant and Postpartum Women Program.--The Committee
includes $40,931,00 for the Pregnant and Postpartum Women
program, which uses a family-centered approach to provide
comprehensive residential substance use disorder treatment
services for pregnant and postpartum women, their minor
children, and other family members. The Committee encourages
SAMHSA to prioritize States that support best-practice
collaborative models for the treatment and support of pregnant
women with opioid use disorders.
Substance Use Screening, Brief Intervention, and Referral
to Treatment [SBIRT].--The Committee understands that substance
use disorders, including opioid use, typically begin in
adolescence, and that preventing early substance use is an
effective strategy to prevent problems later in life. The
Committee is also aware that SBIRT has been shown to be a cost-
effective model for reducing and preventing underage drinking
and other substance use, but that many health providers,
especially pediatricians and those in underserved communities,
have not been trained to use the method effectively. The
Committee encourages SAMHSA to use funds for the adoption of
SBIRT protocols in primary care and other appropriate settings
that serve youth 12 to 21 years of age, as well as for the
adoption of system-level approaches to facilitate the uptake of
SBIRT into routine healthcare visits for adults.
Treatment Assistance for Localities.--The Committee
recognizes the use of peer recovery specialists and mutual aid
recovery programs that support medication-assisted treatment
and directs SAMHSA to support evidence-based, self-empowering,
mutual aid recovery support programs that expressly support
medication-assisted treatment in its grant programs.
Treatment, Recovery, and Workforce Support.--The Committee
includes $12,000,000 for SAMHSA to continue implementation of
section 7183 of the SUPPORT Act.
Women's Addiction Services Leadership Institute.--The
Committee is aware that CSAT implemented for 10 years an
important workforce development initiative known as the Women's
Addiction Services Leadership Institute [WASLI]. The program,
which ended in 2018 due to insufficient funding, strengthened
the capacity of emerging leaders to meet the needs of women
with substance use disorders by developing participants'
leadership skills and creating a network of the next generation
of leaders in women's addiction services. A total of 112
emerging leaders graduated from WASLI and 56 coaches received
training in executive coaching. The Committee includes
$1,000,000 within the Addiction Technology Transfer Centers for
SAMHSA to reinstitute WASLI in order to close a significant gap
in Federal support to strengthen and retain the women's
substance use disorder services workforce.
State Opioid Response [SOR] Grants
The Committee provides $1,600,000,000 for grants to States
to address the opioid crisis. Bill language provides not less
than 4 percent for grants to Indian Tribes or Tribal
organizations. The Committee supports the 15 percent set-aside
for States with the highest age-adjusted mortality rate related
to substance use disorders, as authorized in Public Law 117-
328. The Assistant Secretary is encouraged to apply a weighted
formula within the set-aside based on state ordinal ranking.
Activities funded with this grant may include treatment,
prevention, and recovery support services. The Committee
continues to direct SAMHSA to conduct a yearly evaluation of
the program to be transmitted to the Committees on
Appropriations of the House of Representatives and Senate no
later than 180 days after enactment of this act. SAMHSA is
directed to make such evaluation publicly available on SAMHSA's
website. The Committee further directs SAMHSA to continue
funding technical assistance within the administrative portion
of the appropriated amounts for the SOR grants, to provide
locally based technical assistance teams as has been done
through the Opioid Response Network. The Committee recognizes
the importance and essential work currently being done by the
Opioid Response Network in delivering technical assistance to
State and Territory SOR grantees, sub-recipients and others
addressing opioid use disorder and stimulant use disorder in
their communities.
SOR Formula Data.--The Committee remains concerned that the
fatal overdose data used in determining the 15 percent set
aside reflects all drug poisoning deaths, which does not
accurately identify rates of total overdoses from opioids,
including fentanyl. The Committee urges the Assistant Secretary
to consider using data pertaining to opioid-specific drug
overdoses.
SOR Funding Cliffs.--The Committee continues to direct
SAMHSA to avoid significant funding cliffs between States with
similar opioid mortality data and to prevent unusually large
changes in a State's SOR allocation when compared to the prior
year's allocation, and acknowledges SAMHSA's work to avoid
cliffs in the last funding cycle. In ensuring the formula
avoids such cliffs, the Assistant Secretary may consider
options including, but not limited to, expanding the number of
States that are eligible for the 15 percent set aside and using
multiple years of data to minimize the effect of temporary
changes in overdose mortality rates. SAMHSA shall submit to the
Committees on Appropriations of the House of Representatives
and the Senate a work plan of the proposed allocation of funds
not later than 30 days prior to awarding grants.
Rural Opioid Technical Assistance Regional Centers [ROTA-R]
Cooperative Agreements.--The Committee is concerned with the
proposal to consolidate all ROTA-R activities into one program
award in the fiscal year 2024 notice of funding announcement.
This decision could dilute the effectiveness of the traditional
ROTA-R program and jeopardize the ability to effectively
respond to locally identified needs, and leave behind the rural
communities that are currently being served. The Committee
recognizes the need, however, for more collaboration and
coordination among ROTA-R recipients while also appreciating
the unique needs of each regional, rural community to address
the opioid crisis. As such, the Committee directs SAMHSA to
maintain funding for the 10 cooperative agreements under the
ROTA-R program at not less than the fiscal year 2023 level
instead of consolidating the program, and directs not more than
$1,500,000 to use for a technical assistance center to serve as
a coordinating body for the ROTA-R recipients.
Substance Use Prevention, Treatment, and Recovery Services [SUPTRS]
Block Grant
The Committee recommends $2,048,079,000 for the SUPTRS
Block Grant. The recommendation includes $79,200,000 in
transfers available under section 241 of the PHS Act (Public
Law 78-410 as amended).
The Committee recognizes the importance of the block grant
given its flexibility to allow States to direct resources to
address the most pressing needs. This funding stream is also
critical in assisting States to address all substance use
disorders, including, but not limited to, those related to
alcohol, cocaine, and methamphetamine. In addition, States may
use SUPTRS Block Grant funds to support medications and
recovery support for the treatment of alcohol use and other
substance use disorders, including to support peer recovery
housing. The Committee also notes the importance of the block
grant's 20 percent prevention set-aside, which is a vital
source of primary prevention funding. The block grant provides
funds to States to support alcohol and drug use prevention,
treatment, and rehabilitation services. Funds are allocated to
States according to a formula.
The Secretary is encouraged to review and recommend changes
to the formula used for distributing SUPTRS block grant funds
to States no later than 1 year prior to the expiration of the
authorization to ensure that sufficient funds are being
directed to the hardest hit States, specifically those with the
highest drug overdose death rates.
Funding Flexibilities.--To address the growing need for
substance use disorder prevention and treatment, States,
Territories and their communities have been developing
innovative ways to engage the millions of people with substance
use disorders to access treatment services. The Committee
encourages SAMHSA to implement funding flexibilities that
allows States, Territories, and their communities the ability
to rollover unused SUPTRS dollars allowing for these innovative
programs to continue after they have been implemented.
No Cost Extension.--The Committee directs SAMHSA to allow
States to apply for a one-year, no-cost extension to September
30, 2026 for the allocation of supplemental funds to the SUPTRS
Block Grant as provided in Public Law 117-2. States are
concerned about the impending fiscal cliff. An extension as
described allows certain States to work with their providers to
implement spending plans in a more strategic, predictable, and
efficient manner.
SUBSTANCE ABUSE PREVENTION
Appropriations, 2024.................................... $236,879,000
Budget estimate, 2025................................... 236,879,000
Committee recommendation................................ 246,879,000
The Committee recommends $246,879,000 for the Center for
Substance Abuse Prevention [CSAP], the sole Federal
organization with responsibility for improving accessibility
and quality of substance use prevention services.
The Committee continues to instruct SAMHSA to ensure that
all the funding provided to CSAP, as well as the 20 percent
prevention set aside in the Substance Use Prevention,
Treatment, and Recovery Services Block Grant, be used only for
evidence-based substance use prevention activities. The
Committee looks forward to the report requested in Public Law
118-47 detailing how this guidance is being applied to all CSAP
programs as well as in the guidance to the States and
territories regarding the 20 percent prevention set aside in
the SUPTRS Block Grant.
Programs of Regional and National Significance
The Committee provides $246,879,000 for PRNS within CSAP.
These programs support the development of new practice
knowledge on substance use prevention; identification of proven
effective models; dissemination of science-based intervention
information; State and community capacity building for
implementation of proven, effective substance use prevention
programs; and programs addressing new needs in the prevention
system.
Within the total provided for PRNS, the Committee
recommendation includes funding for the following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
CAPACITY:
Strategic Prevention Framework/ $135,484,000 $145,484,000
Partnership for Success........
Strategic Prevention 10,000,000 10,000,000
Framework Rx...............
Federal Drug-Free Workplace..... 5,139,000 5,139,000
Minority AIDS................... 43,205,000 43,205,000
Sober Truth on Preventing 14,500,000 14,500,000
Underage Drinking (STOP Act)...
National Adult-Oriented 2,500,000 2,500,000
Media Public Services
Campaign...............
Community Based 11,000,000 11,000,000
Coalition Enhancement
Grants.................
Interagency Coordinating 1,000,000 1,000,000
Committee to Prevent
Underage Drinking......
Tribal Behavioral Health 23,665,000 23,665,000
Grants.....................
Science and Service:
Center for the Application 9,493,000 9,493,000
of Prevention Technologies.
Science and Service Program 4,072,000 4,072,000
Coordination...............
Minority Fellowship Program. 1,321,000 1,321,000
------------------------------------------------------------------------
Interagency Coordinating Committee for the Prevention of
Underage Drinking [ICCPUD].--The Committee understands ICCPUD
funding has been used for activities that fall outside its
authorization as specified in Public Law 109-422. The funding
provided in this act for ICCPUD shall only be used for the
purpose of preventing or reducing underage drinking and not for
any other purpose.
Minority Fellowship Program Support for Prevention
Workforce.--The Committee directs SAMHSA to award $1,321,000 in
Minority Fellowship Program funds, to support a separate
prevention fellowship program that will increase the number of
culturally competent prevention specialists to help expand
prevention programming for underserved minority populations.
Prevention Technology Transfer Centers [PTTC] Network.--The
Committee supports the work of the PTTC Network and efforts
related to certified prevention specialists and the Prevention
Fellowship program. This program supported 16 early career
prevention fellows throughout each HHS region where they gained
hands on experience working in State alcohol and drug agencies.
Fellows, coached by mentors, developed leadership skills;
received training in professional development; acquired
proficiency in core competencies to prepare for certified
prevention specialist exams; and prepared for employment
opportunities in the substance use prevention field.
Strategic Prevention Framework.--The Committee recommends
$145,484,000 for the Strategic Prevention Framework. Within the
total provided, $135,484,000 is for the Strategic Prevention
Framework-Partnerships for Success program, and $10,000,000 is
for Strategic Prevention Framework-Rx. The Strategic Prevention
Framework is designed to prevent the onset of substance misuse
while strengthening prevention capacity and infrastructure at
the State, community, and Tribal levels. The Committee
recognizes that substance use prevention is underutilized
relative to its ability to prevent and delay substance use
initiation as well as slow the pathways to addiction and
overdose, and that demand for community-based primary
prevention resources far outpaces available funding.
Sober Truth on Preventing [STOP] Underage Drinking Act.--
The Committee provides $14,500,000 for the STOP Act. Of this
funding, $11,000,000 is for community-based coalition
enhancement grants, $2,500,000 is for the National media
campaign, and $1,000,000 is for the Interagency Coordinating
Committee on the Prevention of Underage Drinking.
Subawards.--The Committee is concerned about the
accountability of grants provided under SP-22-001 and directs
SAMHSA to track and monitor subawards.
Substance Use Disorder Prevention Workforce Report.--The
Committee notes that SAMHSA was directed in fiscal year 2022 to
conduct a comprehensive national study regarding the substance
use prevention workforce. The study will collect information on
the existing availability of and access to data on prevention
workforce size, salaries, and current challenges in maintaining
support for an adequate workforce, a plan to address these
challenges and potential Federal programming to help implement
the plan. The Committee looks forward to a briefing from SAMHSA
on the study's findings within 60 days of issuing the final
report.
Tribal Behavioral Health Grants.--SAMHSA has administered
Tribal Behavioral Health Grants for mental health and substance
use prevention and treatment for Tribes and Tribal
organizations since fiscal year 2014. In light of the continued
growth of this program, as well as the urgent need among Tribal
populations, the Committee continues to urge the Assistant
Secretary for SAMHSA to engage with Tribes on ways to maximize
participation in this program.
HEALTH SURVEILLANCE AND PROGRAM SUPPORT
Appropriations, 2024.................................... $241,673,000
Budget estimate, 2025................................... 172,583,000
Committee recommendation................................ 232,920,000
The Committee recommends $232,920,000 for Health
Surveillance and Program Support activities. The recommendation
includes $31,428,000 in transfers available under section 241
of the PHS Act (Public Law 78-410 as amended).
This activity supports Federal staff and the administrative
functions of the agency. It also provides funding to SAMHSA's
surveillance and data collection activities, including national
surveys such as the National Survey on Drug Use and Health.
Within the total provided for Health Surveillance and
Program Support, the Committee recommendation includes funding
for the following activities:
------------------------------------------------------------------------
Fiscal year 2024 Committee
Budget activity appropriation recommendation
------------------------------------------------------------------------
Health Surveillance................. $50,623,000 $50,623,000
PHS Evaluation Funds............ 30,428,000 30,428,000
Program Support..................... 84,500,000 84,500,000
Performance and Quality Information 10,200,000 10,200,000
Systems............................
Drug Abuse Warning Network.......... 10,000,000 10,000,000
Public Awareness and Support........ 13,260,000 13,260,000
Behavioral Health Workforce Data.... 1,000,000 1,000,000
PHS Evaluation Funds............ 1,000,000 1,000,000
------------------------------------------------------------------------
Block Grant Reporting Requirements.--The Committee
acknowledges the important role of the Community Mental Health
Services and Substance Use Prevention, Treatment, and Recovery
Services Block Grants in supporting States' efforts to provide
resources for expanded mental health and substance use disorder
treatment and prevention services. The Committee reiterates the
request for a report as included in Public Law 118-47 regarding
the lack of transparency and information that is provided to
Congress and the public about how States are distributing those
funds and what programs or services they are going toward.
Congressionally Directed Spending.--Within the funds
included in this account, $63,337,000 are for the projects, and
in the amounts, specified in the table titled ``Congressionally
Directed Spending Items'' at the end of this Committee Report.
Drug Abuse Warning Network.--The Committee recommends
$10,000,000 for the Drug Abuse Warning Network [DAWN].
Authorized by the 21st Century Cures Act, DAWN is a
surveillance system to monitor emergency department visits in
order to help public health workers, policy makers, and other
stakeholders respond effectively to emerging substance use
trends.
Health Information Technology.--The Committee understands
that adoption of health information technology [health IT]
among behavioral health providers currently lags behind that of
other provider types and recognizes the benefits of advancing
health IT in behavioral healthcare settings. The Committee
supports the efforts of the Behavioral Health Information
Technology Initiative to pilot the inclusion of behavioral
health data elements in health IT within the SUPTRS and Mental
Health block grants. The Committee encourages SAMHSA to explore
providing States with flexibility within the block grant
administrative cap to pursue the additional incorporation of
health IT.
National Survey on Drug Use and Health [NSDUH].--Recent
data from NSDUH indicates that LGBTQ+ adults are more likely to
experience mental health conditions such as depression and
suicidality. The Committee encourages SAMHSA to continue to use
NSDUH to better understand how to support the LGBTQ+ community
through mental health and substance use programs.
Program Support.--The Committee recommends $84,500,000 for
program support, to ensure SAMHSA has the resources and staff
to further its mission.
Agency for Healthcare Research and Quality
Appropriations, 2024.................................... $369,000,000
Budget estimate, 2025................................... 387,345,000
Committee recommendation................................ 376,000,000
The Committee provides $376,000,000 for the Agency for
Healthcare Research and Quality [AHRQ]. This funding is
combined with $126,000,000 in mandatory funding from the
Patient-Centered Outcomes Research Trust Fund. AHRQ's mission
is to enhance the quality, appropriateness, and effectiveness
of health services, as well as access to such services. AHRQ
conducts, supports, and disseminates scientific and policy-
relevant research on topics, such as promoting high-quality
care and patient safety, eliminating healthcare disparities,
using information technology, and evaluating the effectiveness
of clinical services.
HEALTH COSTS, QUALITY, AND OUTCOMES
Health costs, quality, and outcomes [HCQO] research
activity is focused on improving clinical practice,
strengthening the healthcare system's capacity to deliver
quality care, and tracking progress toward health goals through
monitoring and evaluation.
Within the total provided for HCQO, the Committee
recommendation includes funding for the following activities:
Center for Primary Care Research.--The Committee includes
no less than $2,000,000 for the Center for Primary Care
Research authorized by 42 U.S.C. 299b-4(b). The center supports
clinical primary care research as well as strategies to improve
primary care delivery and advancing the development of primary
care researchers. The Committee supports efforts to coordinate
research in areas such as multiple chronic conditions, symptom
syndromes such as Long COVID, behavioral and social health
integration, telehealth in primary care, shared decision-
making, and patient experience of care. The areas of focus
should include, but not be limited to, expanding research on
persons with multiple co-morbid conditions and improving
primary care in rural and underserved areas and health equity.
Improving Maternal Health.--The Committee continues to
support AHRQ efforts to address the complex challenges of
ensuring safe and healthy pregnancies and childbirth,
particularly for underserved women who are at substantially
higher risk of complication and death.
Long COVID.--The extensive incidence of individuals
suffering from Long COVID (post-acute sequelae of SARS CoV-2
infection [PASC]) presents an ongoing challenge to the
healthcare system, patients, and their caregivers. The
Committee recommendation includes $13,500,000 to continue the
work of the Long COVID Centers of Excellence and the Long COVID
Care Network. The Committee continues to direct AHRQ to
coordinate these efforts with other federally funded Long COVID
research initiatives, and to encourage robust data collection
and data sharing efforts among agencies and grantees.
Menopause Research.--The Committee provides $5,000,000 for
a Menopause Research to Action Network to scale and accelerate
existing and emerging research evidence and care delivery
models into routine clinical practice. The Network shall focus
on improving treatment and management of perimenopause and
menopausal symptoms, as well as related chronic conditions to
help improve mid-life health outcomes among women. In doing so,
the Committee directs AHRQ to: (1) prioritize projects that
propose scaling up evidence-based interventions that have
demonstrated potential for improving care delivery and
outcomes; (2) ensure the Network has the capability to collect
and disseminate new findings and best practices widely,
including to rural and underserved areas; and (3) coordinate
these efforts with other Federal healthcare agencies.
Opioid Research.--The Committee continues to support the
research AHRQ has undertaken to better equip practitioners with
evidence-based interventions to treat opioid and multi-
substance misuse. The Committee is aware that many patients
with substance use disorders face significant barriers to care
from siloed medical, behavioral health, and substance use
treatment systems, new physical disabilities related to
complications from substance use, and housing insecurity. The
Committee directs AHRQ to support research that integrates the
management of substance use disorders in primary care settings.
The Committee similarly urges AHRQ to prioritize funding
opportunities for innovative integrated care models that span
the continuum of hospitalization, transitional care, primary
care, and community-based interventions.
Patient Safety.--The Committee continues to support AHRQ's
research to address failures in the diagnostic process and to
support Diagnostic Safety Centers of Excellence to develop
systems, measures, and new technology solutions to improve
diagnostic safety and quality.
United States Preventive Services Task Force [USPSTF]
The Committee recommends $11,542,000 for the USPSTF, which
works to improve the health of people nationwide by making
evidence-based recommendations about clinical preventive
services.
Medical Innovations.--The Committee continues to note
concern with the USPSTF's ability to keep pace with medical
innovation. Emerging and innovative screening modalities can
further public health for all Americans and address health
inequities by improving timely access to and compliance with
USPSTF-recommended screenings. The Committee continues to
encourage the USPSTF to utilize the Early Topic Update process
described in the USPSTF procedure manual to review a
recommendation on an enhanced timeframe upon a showing of new
evidence. The Committee also continues to urge the USPSTF to
prioritize review of any new screening test or preventive
medication approved or cleared by the FDA that is a preventive
strategy or modality pertaining to, but not included in, a
previous USPSTF recommendation.
USPSTF Public Engagement.--The Committee continues to
encourage the USPSTF to advance open processes that help ensure
meaningful engagement by the public, including underrepresented
groups.
MEDICAL EXPENDITURE PANEL SURVEYS
The Committee recommends $72,791,000 for Medical
Expenditure Panel Surveys [MEPS], which collect detailed
information annually from households, healthcare providers, and
employers regarding how Americans use and pay for healthcare.
The data from MEPS are used to develop estimates of healthcare
utilization, expenditures, sources of payment, and the degree
of health insurance coverage of the U.S. population.
PROGRAM SUPPORT
The Committee recommends $73,100,000 for program support.
This activity funds the overall management of AHRQ, including
salaries, benefits, and overhead costs.
Centers for Medicare and Medicaid Services
GRANTS TO STATES FOR MEDICAID
Appropriations, 2024....................................$406,956,850,000
Budget estimate, 2025................................... 383,609,399,000
Committee recommendation................................ 383,609,399,000
The Committee recommends $383,609,399,000 in mandatory
funding for Grants to States for Medicaid.
The fiscal year 2025 recommendation excludes
$245,580,414,000 in fiscal year 2024 advance appropriations for
fiscal year 2025. As requested by the administration,
$261,063,820,000 is provided for the first quarter of fiscal
year 2026.
The Medicaid program provides medical care for eligible
low-income individuals and families. It is administered by each
of the 50 States, the District of Columbia, and the U.S.
territories. Federal funds for medical assistance are made
available to the States according to a formula that determines
the appropriate Federal matching rate for State program costs.
This matching rate is based on the State's average per capita
income relative to the National average and cannot be less than
50 percent.
PAYMENTS TO HEALTHCARE TRUST FUNDS
Appropriations, 2024....................................$476,725,000,000
Budget estimate, 2025................................... 521,757,000,000
Committee recommendation................................ 521,757,000,000
The Committee recommends $521,757,000,000 in mandatory
funding for payments to healthcare trust funds.
This entitlement account includes the general fund subsidy
to the Federal Supplementary Medical Insurance Trust Fund for
Medicare Part B benefits and for Medicare Part D drug benefits
and administration, plus other reimbursements to the Federal
Hospital Insurance Trust Fund for Part A benefits and related
administrative costs that have not been financed by payroll
taxes or premium contributions.
PROGRAM MANAGEMENT
Appropriations, 2024.................................... $3,669,744,000
Budget estimate, 2025................................... 4,329,000,000
Committee recommendation................................ 3,669,744,000
The Committee recommends $3,669,744,000 for CMS program
management, which includes funding for research and
evaluations, program operations and demonstrations, survey and
certification programs, and Federal administration.
Program Operations
The Committee recommends $2,479,823,000 for the Program
Operations account, which covers a broad range of activities
including claims processing and program safeguard activities
performed by Medicare contractors. These contractors also
provide information, guidance, and technical support to both
providers and beneficiaries.
Affordable Care Act Notifications.--The Committee continues
bill language requiring the administration to provide detailed
enrollment figures to the Committees on Appropriations not less
than two full business days before any public release of the
information.
Algorithm-Based Healthcare Services.--Algorithm-based
health-care services are provided through medical devices
cleared by the FDA that rely on artificial intelligence [AI],
machine learning [ML], or other similar software to produce
clinical information for use in the diagnosis or treatment of a
patient's condition. The Committee notes the lack of a
consistent coverage and payment pathway for these services,
including the absence of coverage criteria, reimbursement
methodologies, and transparent risk parameters. The Committee
encourages CMS to consider formalizing payment and coverage
pathways for algorithm-based healthcare services to improve
beneficiary access and support the development of safe and
effective AI/ML-enabled solutions.
Alzheimer's Disease Diagnostics.--The Committee is
encouraged by innovations in diagnostic tools and treatments
for Alzheimer's disease and some of its most serious symptoms.
The Committee acknowledges that the potential benefits of early
diagnosis include timely access to treatments and lifestyle
interventions, enhanced opportunities to participate in
research studies, lower costs of care, and more time for care
and quality of life planning. The Committee urges CMS to help
facilitate timely and equitable beneficiary access to
diagnostic tools and services, including diagnostic
radiopharmaceuticals and positron emission tomography [PET].
The Committee also urges continued collaboration between CMS
and other Federal agencies in their collective efforts to shift
the standard of care towards timely and accurate detection and
diagnosis.
Alzheimer's Disease Therapies.--The Committee continues to
express disappointment with CMS's decision to limit coverage of
FDA-approved monoclonal antibodies for the treatment of
Alzheimer's disease. The Committee urges CMS to reconsider the
National Coverage Determination policy to provide full access
for Medicare beneficiaries to these FDA-approved Alzheimer's
treatments.
Area Wage Index.--The Committee is pleased that CMS
proposed an extension to its low wage index hospital policy in
the Fiscal Year 2025 Hospital Inpatient Prospective Payment
System and Long-Term Care Hospital Prospective Payment System
Proposed Rule. This policy helps many rural, low-wage hospitals
attract and maintain a skilled workforce. The Committee
requests an update on this topic in the fiscal year 2026 CJ.
Biosimilars.--The Committee notes concerns about the lack
of access to lower cost biosimilars for Medicare Part D
enrollees, including the prevalence of formulary exclusions of
lower priced biosimilars and the application of step therapy by
some plans to require enrollees to use a higher-priced brand
product before accessing a biosimilar. The Committee notes the
potential savings for patients and taxpayers through swift
inclusion of biosimilars on Medicare Part D formularies. The
Committee therefore urges CMS to examine existing barriers to
biosimilar adoption, including Part D plan practices that
impede access to lower-priced products. CMS should also provide
beneficiary-focused education on the availability of
biosimilars on Medicare Plan Finder and real-time benefit
tools, as well as ensure guidance and regulations for Part D
formulary development and design appropriately encourage the
adoption of biosimilars with lower list prices, given that
beneficiaries often pay coinsurance as a percentage of a
product's list price under the program.
Chronic Kidney Disease [CKD].--The Committee notes that
Medicare spends nearly 25 percent of its annual budget on
beneficiaries with a kidney disease diagnosis. The Committee
encourages CMS to work to ensure that Medicare benefit
guidelines reflect the most recent clinical CKD guidelines and
promote access to early screening, testing, diagnosis, and
treatment for individuals at higher risk for CKD.
Coding Intensity.--The Committee notes that Medicare
Advantage [MA] payments are risk-adjusted to provide sufficient
resources to deliver comprehensive care for individuals with
complex health needs. CMS applies the intensity adjustment
equally to all MA health plans regardless of the variance in
coding intensity that exists. The Committee encourages CMS to
work with Congress and relevant stakeholders to evaluate the
feasibility of implementing tiers for coding intensity
adjustments. Such changes could potentially deter outliers,
reduce aggressive coding behavior, and result in more effective
care management.
Cognitive Impairment.--The Committee directs CMS to include
a report in the fiscal year 2026 CJ identifying actions the
agency can take, within existing authorities, to improve early
detection of mild cognitive impairment [MCI] as part of the
Medicare Annual Wellness Visit [AWV] and the annual Initial
Preventive Physical Exam [IPPE]. This review should include
opportunities to improve early detection of MCI during the AWV
and IPPE by ensuring the use of evidence-based, reliable,
cognitive impairment detection tools identified by the National
Institute on Aging.
Comprehensive Kidney Care.--The Committee urges CMS to
reevaluate whether to apply the Retrospective Trend Adjustments
[RTA] within the Comprehensive Kidney Care Contracting model
for Performance Year 2022 and Performance Year 2023 for the
End-Stage Renal Disease [ESRD] population for Medicare ESRD
Beneficiaries, considering in particular the differences
between the calculated RTA for Medicare ESRD Beneficiaries and
the calculated RTA for Medicare Parts A and B Beneficiaries for
each performance year.
Consumer Operated and Oriented Plan [CO-OP] Program.--The
Committee recognizes the potential role of CO-OPs in lowering
costs, stabilizing markets, and providing access to consumer-
centered Marketplace options in the States they serve. The
Committee encourages CMS to examine program regulations to
reduce barriers for CO-OPs.
Convenient Access Standards.--The Committee notes that
existing convenient access standards for Medicare Part D
beneficiaries based on geographic distance may not take into
account all methods of access to medications. The Committee
encourages CMS to provide feedback, information, and technical
assistance to Congress on policies that could improve patient
access to drugs and pharmacist services, including potential
changes to Part D network adequacy standards.
Diabetes Self-Management Training.--Given the prevalence
and cost of diabetes, particularly among communities of color,
the Committee continues to be concerned that barriers to
accessing the Medicare diabetes self-management training
benefit have resulted in utilization by only 5 percent of newly
diagnosed Medicare beneficiaries. The Committee encourages CMS
to obtain additional feedback from stakeholders on barriers to
accessing the diabetes self-management benefit and to consider
changes to address these barriers to the extent permitted by
the statute. Within 120 days of enactment of this act, the
Committee directs CMS to provide a report to the Committees on
Finance and Appropriations of the Senate detailing the agency's
efforts to address these barriers.
Disproportionate Share Hospital [DSH] Payments.--The
Committee recognizes that the Federal Medicaid statute
generally requires DSH payments to hospitals treating large
numbers of low-income patients in every State except Tennessee,
whose DSH allotment is currently scheduled to cease after
fiscal year 2025. The Committee encourages CMS to provide the
necessary and adequate data to Congress to ensure a long-term
Medicaid DSH allotment for Tennessee in the near future.
EMS Treat-in-Place Model.--The Committee is disappointed
that CMS has not pursued a State-specific EMS demonstration
project or Innovation Center model. Within 90 days of enactment
of this act, the Committee requests a briefing on CMS'
assessment of the EMS Treat-in-Place Model, including
differences from the previously tested Emergency Triage, Treat,
and Transport [ET3] model.
Ensuring Patient Assistance Counts Toward Out-of-Pocket
Limits.--The Committee requests a briefing within 180 days of
enactment of this act on CMS' enforcement of the rule in the
2020 HHS Notice of Benefit and Payment Parameters requiring
that cost sharing assistance paid by drug manufacturers on
behalf of patients to reduce their out-of-pocket costs be
counted toward the annual limitation on cost sharing.
Essential Medical Devices.--The Committee is concerned by
the healthcare system's increased reliance on Chinese-made
medical devices and supplies, which could negatively impact
domestic manufacturing capacity. The Committee supports efforts
to promote purchases of American-made medical devices, and is
similarly encouraged by CMS payment policies to provide new
payment adjustments to hospitals for their share of additional
costs incurred for certain supplies, such as domestically-made
N95 respirators. The Committee requests a briefing 1 year after
enactment of this act on the bi-weekly interim payments for
domestic N95 respirator procurement, including information on
participation and payments provided during calendar year 2023,
and additional efforts by CMS to support domestic procurement
of essential medical devices and supplies.
Expanding Support for Screening and Diagnostic Testing in
Cancer Treatment.--The Committee again acknowledges that the
use of pre-treatment interventions, such as screening for signs
of cancer or testing with a companion diagnostic to determine a
specific cancer type, can help healthcare providers select
treatment options with a greater probability of better outcomes
for patients. The Committee continues to urge CMS to identify
ways to expand access to such screening and testing.
Generic Drug Shortages.--The Committee is concerned about
generic drug shortages, particularly those impacting generic
sterile injectables, which include many cancer drugs, emergency
medicines, and anesthesiology medications. The Committee
encourages CMS to work with Congress and relevant stakeholders
on analyzing Medicare and Medicaid payment policies' impact on
supply chains and economic incentives for generic drug
suppliers, wholesalers, and healthcare providers.
Ground Ambulance Data Collection.--The Committee recognizes
the work of CMS in establishing the first round of the Ground
Ambulance Data Collection System and supports ongoing data
collection efforts, including efforts to address stakeholder
concerns that arose during the first 2 years of collecting
ground ambulance data.
Health Insurance Exchange.--The Committee continues bill
language that requires CMS to provide cost information for the
following: Federal Payroll and Other Administrative Costs;
Exchange related Information Technology [IT]; Non-IT Program
Costs, including Health Plan Benefit and Rate Review, Exchange
Oversight, Payment and Financial Management, Eligibility and
Enrollment; Consumer Information and Outreach, including the
Call Center, Navigator Grants and Consumer Education and
Outreach; Exchange Quality Review; Small Business Health
Options Program and Employer Activities; and Other Exchange
Activities. Cost information should be provided for each fiscal
year since the enactment of the Patient Protection and
Affordable Care Act [ACA]. CMS is also required to include the
estimated costs for fiscal year 2026.
Home and Community-Based Services [HCBS].--The Committee is
supportive of efforts to increase access to care in homes and
communities, which includes support for family caregivers and
direct care workers that provide essential care and services.
Within existing resources, the Committee expects CMS to
strengthen and expand access to HCBS, facilitate State
planning, encourage innovative models that benefit the
workforce and care recipients, and support quality and
accountability. Further, the Committee encourages CMS to issue
guidance outlining how States can implement intensive home and
community-based behavioral health services to address the
growing behavioral and mental health crisis. The Committee
urges CMS to include in such guidance information regarding:
(1) best practices from States that have improved the
availability of home and community-based mental health and
substance use disorder services; and (2) potential options for
financing and expanding access to home and community-based
mental health and substance use disorder services.
Home Infusion.--The Committee notes the critical role that
home infusion services can play in improving health outcomes
and quality of life for patients who require infusion of
medications for complex conditions, including for beneficiaries
who might otherwise need to travel significant distances to
receive drug infusions. The Committee is concerned by the low
levels of utilization of Medicare's home infusion therapy
benefit among Medicare fee-for-service beneficiaries and
encourages CMS to examine options that could help ensure that
beneficiaries have better access to drug infusion in their
homes.
Hospice and Dementia Care.--The Committee recognizes the
value of hospice care for patients with Alzheimer's Disease and
Related Dementias [ADRD], including hospice's potential to both
improve quality of life and reduce Medicare expenditures. The
Committee encourages CMS to work with Congress and relevant
stakeholders to ensure that Medicare's enrollment and
eligibility processes consider the unique nature of dementia
care, including by reducing unnecessary barriers to services.
The Committee directs CMS to provide a report in the fiscal
year 2026 CJ on its efforts to analyze and address access
challenges, including those that may result from existing
protocols or processes, for beneficiaries with ADRD.
Maternal Health.--The Committee recognizes the importance
of rural hospitals in providing maternal healthcare services,
educating patients, and ensuring postpartum safety. The
Committee is concerned that insufficient reimbursement, coupled
with difficulties in maternity care provider recruitment and
retention, threaten the viability of rural hospitals. Such
factors have contributed to the closures of labor and delivery
departments and growing maternal health deserts. The Committee
directs CMS to provide a briefing to the Committee within 180
days of enactment of this act detailing insights into closures
of labor and delivery departments, as well as how payment rates
across payers can impact care options, the utilization of new
treatment pathways, and access to devices for birthing
complications.
Medically Tailored Meals.--The Committee notes the benefits
of medically tailored meals for individuals with a diet-
impacted disease and encourages CMS to examine options for
increasing access to medically tailored meals.
Medicare Payment Systems Modernization [MPSM] Fund.--The
Committee supports efforts by CMS to modernize Medicare's fee-
for-service claims processing systems portfolio. Doing so will
help the agency lay important groundwork for continued
improvements and efficiencies in service delivery and payments
for Medicare beneficiaries, providers, and claims processors.
The Committee directs CMS to include in its fiscal year 2026 CJ
status updates on all ongoing projects undertaken by CMS with
respect to MPSM.
Medicare Summary Notices.--The Committee recognizes the
significant impact of Medicare fraud to the healthcare system
and beneficiaries, as well as the need to increase mechanisms
to better detect and report fraud. Therefore, the Committee
encourages CMS to evaluate options to increase the frequency of
Medicare Summary Notices provided to beneficiaries, either by
mail or virtually, and to perform ``usability testing'' to
ensure that the agency is formatting its statements so all
beneficiaries understand their medical expenses and can more
easily detect and report improper payments. The Committee
directs CMS to provide a briefing within 180 days of enactment
on the cost estimate for implementation of any proposed
changes.
Merit-Based Incentive Payment System [MIPS] Feedback
Reports.--The Committee urges CMS to improve timely access to
MIPS feedback reports and claims data for providers, consistent
with existing law. In doing so, the Committee requests an
update in the fiscal year 2026 CJ on actions CMS has taken and
plans to take to utilize measures developed by national medical
specialty societies, including qualified clinical data
registries maintained by national medical specialty societies,
for MIPS, MIPS Value Pathways, and alternative payment model
reporting.
Non-Addictive Opioid Alternatives.--The Committee remains
concerned about the high mortality rate due to the opioid
overdose epidemic and continues to support the development of
non-addictive alternatives to opioids for pain treatment and
management. The Committee encourages CMS to assess policies and
procedures and to work with Congress on efforts to facilitate
coverage of non-addictive alternatives to opioids for pain
treatment and management.
Non-Pharmacologic Treatments for Pain.--Non-pharmacologic
treatments for pain management have shown to be effective in
reducing pain and reliance on prescription opioids. The
Committee encourages CMS to consider ways to expand the use and
coverage of non-pharmacologic treatments, such as osteopathic
manipulative treatment and other alternative treatments as
appropriate, for back and other pain.
Nursing Home Transparency.--The Committee acknowledges
CMS's efforts to require nursing homes enrolled in Medicare or
Medicaid to disclose additional information regarding owners,
operators, and management. Further transparency is needed to
better understand the impact of private equity ownership
arrangements on patient care, facility closures, staffing, and
healthcare costs in both nursing homes and other healthcare
settings. The Committee requests a report within 180 days of
enactment of this act on the enforcement of existing ownership
transparency requirements.
Obesity.--The Committee encourages CMS to ensure
beneficiary access to obesity care when determined to be
clinically appropriate by the patient's physician and when
consistent with relevant statutory and regulatory authorities.
Organ Recovery Cost Reimbursement.--The Committee notes
that Organ Procurement Organization [OPO] Recovery Centers can
increase the number of organs available for transplantation and
intensive care unit bed capacity for living patients. The
Committee recognizes that there are concerns with the current
reimbursement methodology for organ transportation and
recovery, including concerns that the methodology may serve as
a financial disincentive to utilize OPO Recovery Centers
effectively. Therefore, the Committee encourages CMS to assess
existing policies to ensure that transplant centers are
appropriately reimbursed for furnishing deceased donor organ
management and recovery services.
Pediatric Oral Health.--The Committee appreciates CMS's
ongoing work to improve access to pediatric oral healthcare.
However, as CMS and States work to meet Oral Health Initiative
targets, the Committee urges CMS to continue to look towards
innovative approaches to improve pediatric oral healthcare by
coordinating with other agencies and programs that serve
Medicaid and CHIP populations such as the Department of
Agriculture's Women, Infants and Children [WIC] and
Supplemental Nutrition Assistance Program [SNAP] programs.
Efforts may include expanding programs to integrate care into
different settings and increasing education for parents and
families on the importance of oral healthcare for children
throughout each stage of development.
Physician Fee Schedule Codes.--When adjusting the number of
relative value units needed to account for coding changes, new
data on relative value components, or payment for new services,
the Committee notes that CMS may overestimate or underestimate
utilization, and therefore the overall cost of such changes,
resulting in substantial adjustments to the physician fee
schedule payments required by budget neutrality. The Committee
urges CMS to work with Congress and relevant stakeholders to
ensure payment methodologies are consistent with current
statute.
Prescription Payment Plan.--Beginning January 1, 2025, all
Medicare prescription drug plans will be required to offer
enrollees the option to pay out-of-pocket prescription drug
costs in the form of capped monthly payments. The Committee
recognizes the importance of ensuring that beneficiaries are
aware of the option to enroll in a payment plan. The Committee
directs CMS to provide a report to the Committees on Finance
and Appropriations of the Senate within 1 year of enactment of
this act detailing the number of beneficiaries who have taken
up the payment plan option under Medicare Part D and the total
number of beneficiaries categorized as ``likely to benefit''
from such option. The report should also include an assessment
of the methods that CMS is utilizing to communicate
participation options and the impact of such outreach efforts.
Psychosocial Rehabilitation Model.--The Committee
encourages CMS to explore alternative payment models that
directly reflect the significant health, economic, and overall
societal benefits associated with alleviating social isolation
among people with serious mental illness [SMI]. Specifically,
the Committee requests that CMS include a report in the fiscal
year 2026 CJ analyzing how the Center for Medicaid and CHIP
Services [CMCS] is using the Medicaid waiver process to
encourage State Medicaid agencies to contract with payers that
offer comprehensive psychosocial rehabilitation services that
reduce social isolation and improve quality of life for people
with SMI.
Reducing False-Positive Sepsis Blood Cultures.--The
Committee is aware that more than 40 percent of blood culture
tests used to diagnose blood stream infections, like sepsis,
are false-positive results due to blood culture contaminations.
These false-positive test results can lead to serious morbidity
and mortality among misdiagnosed patients, significant spending
on unnecessary treatment, and the overuse of antibiotics. The
Committee requests a briefing within 180 days of enactment of
this act for CMS to provide an update on its efforts to adopt a
blood culture contamination rate measure.
Risk Corridor Program.--The Committee continues bill
language to prevent the CMS Program Management appropriation
account from being used to support risk corridor payments.
Robotic Stereotactic Radiosurgery [SRS].--The Committee
remains concerned that inadequate payments for robotic SRS and
robotic stereotactic body radiation therapy may threaten
patient access to this important treatment option for many
types of cancer in both the hospital and freestanding cancer
settings. The Committee urges CMS to protect Medicare
beneficiary access to these services, which can safely deliver
life-saving and life-changing cancer treatment in a timely and
cost-efficient manner, improving patient compliance and
reducing burdens on patients, providers, and the healthcare
system.
Rural Community Hospital Demonstration Program.--The
Committee notes that the Rural Community Hospital Demonstration
may include up to 30 hospitals for participation, which
provides alternative reimbursement to certain large, rural
hospitals. However, the Committee understands that not all 30
authorized participation slots are currently filled. The
Committee directs CMS, in alignment with underlying statutory
authority and regulatory processes, to solicit applications for
the remaining program slots. The Committee requests an update
from CMS within 90 days of enactment of this act on the
agency's completed actions to fulfill this directive.
School-Based Services [SBS].--The Committee recognizes the
importance of SBS in promoting the health of children and
adolescents. As more States look to expand SBS, the Committee
encourages CMS to examine State reporting requirements and
review and update reporting systems to better collect
information about SBS for students beyond what is provided
pursuant to a student's individualized education program or
individualized family services program.
Tribal Health Care Reimbursements.--The Indian Health
Service [IHS] rate does not reimburse Tribal healthcare
providers for the cost of chemotherapeutics provided by a
physician in the office setting. This makes the provision of
cancer treatment on Indian reservations for Medicare patients
challenging and damages the ability of American Indians to
access cancer treatment locally. The Committee supports CMS
efforts to clarify reimbursement procedures and ensure parity
among IHS and non-IHS facilities.
State Survey and Certification
The Committee recommends $397,334,000 for State Survey and
Certification activities, which ensure that institutions and
agencies providing care to Medicare and Medicaid beneficiaries
meet Federal health, safety, and program standards. On-site
surveys are conducted by State survey agencies, with a pool of
Federal surveyors performing random monitoring surveys.
Annual Reports.--The Committee continues to direct CMS to
provide, in the CJ, a report to the Committees regarding
operational milestones and funding activities under this
heading. Such reports shall, at a minimum, include quarterly
obligations, unobligated balances (including a breakdown of
committed and uncommitted balances), and expenditures of
current year discretionary budgetary authority by originating
statute. Such reports shall also include operational metrics,
such as those found on pages 82 and 85 of the fiscal year 2025
CJ, regarding the numbers and rates of survey and complaint
visits by provider type for the applicable quarter.
Federal Administration
The Committee recommends $772,533,000 Federal
Administration, which funds the majority of CMS's staff and
operating expenses for routine activities, such as planning,
implementing, evaluating, and ensuring accountability in the
programs administered by CMS.
HEALTHCARE FRAUD AND ABUSE CONTROL
Appropriations, 2024.................................... $915,000,000
Budget estimate, 2025................................... 941,000,000
Committee recommendation................................ 941,000,000
The Committee recommends $941,000,000, to be transferred
from the Medicare trust funds, for Health Care Fraud and Abuse
Control activities. The Committee recommendation includes a
discretionary base amount of $311,000,000 and an additional
$630,000,000 in resources through a budget cap adjustment, in
alignment with the parameters set forth in the Fiscal
Responsibility Act of 2023. Proactively identifying healthcare
waste, fraud, and abuse continues to be a priority for the
Committee.
Administration for Children and Families
PAYMENTS TO STATES FOR CHILD SUPPORT SERVICES AND FAMILY SUPPORT
PROGRAMS
Appropriations, 2024.................................... $3,309,000,000
Budget estimate, 2025................................... 3,924,000,000
Committee recommendation................................ 3,924,000,000
The Committee recommendation includes $3,924,000,000 in
fiscal year 2025 mandatory funds for Child Support Enforcement
and Family Support programs. In addition, the Committee
recommends $1,700,000,000 in advance funding for the first
quarter of fiscal year 2026.
These funds support States' efforts to promote the economic
security of low-income families, including administrative
expenses, matching funds, and incentive payments to States for
child support enforcement; grants to States to help establish
and administer access and visitation programs between
noncustodial parents and their children; payments to
territories for benefits to certain aged, blind, or disabled
individuals; and temporary benefits for certain repatriated
citizens.
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM
Appropriations, 2024.................................... $4,025,000,000
Budget estimate, 2025................................... 4,111,000,000
Committee recommendation................................ 4,125,000,000
The Committee recommendation includes $4,125,000,000 for
the Low Income Home Energy Assistance Program [LIHEAP], which
is $100,000,000 over the fiscal year 2024 enacted level. LIHEAP
provides home heating and cooling assistance to low-income
households. Sudden, significant, and unexpected decreases in
annual funding for States, even when based in part on changes
in home energy costs or other formula factors, can be difficult
for States to manage. Accordingly, the Committee recommendation
continues to limit year-to-year fluctuations in allocations to
States.
Technical Assistance and Program Administration.--Within
the total, the Committee recommendation includes up to
$10,000,000 for program integrity and oversight efforts, of
which a portion is intended to continue to support a formula
system, which will allow ACF to provide estimates more readily
when requested by the Committee.
Extreme Weather.--The Committee understands that the
increased prevalence of extreme weather events can cause
dangerous health outcomes for at-risk individuals, especially
low income families that struggle to pay for home energy costs.
The Committee requests a report, within 180 days of enactment
of this act, detailing how the LIHEAP program supports States
experiencing extreme weather events. The report should include
information on how the Interagency Working Group on Extreme
Heat is informing LIHEAP guidance to States, recommendations
for making the LIHEAP formula more responsive to extreme
weather events, and where available, each States' share of the
LIHEAP formula devoted to cooling versus heating assistance.
REFUGEE AND ENTRANT ASSISTANCE
Appropriations, 2024.................................... $6,427,214,000
Budget estimate, 2025................................... 6,427,214,000
Committee recommendation................................ 6,428,214,000
The Committee recommends $6,428,214,000 in base
discretionary funding for Refugee and Entrant Assistance [REA]
programs. These programs provide a variety of benefits and
services to refugees, asylees, Cuban and Haitian entrants,
immigrants arriving on Special Immigrant Visas [SIV],
trafficking victims, and torture victims (collectively referred
to below as ``refugees''). These programs also provide
temporary care and services for unaccompanied children
apprehended by the Department of Homeland Security [DHS] or
other law enforcement agencies, who have no lawful immigration
status in the United States until they can be placed with a
parent, guardian, or other sponsor while awaiting adjudication
of their immigration status.
The Committee recommendation continues the directive to
provide monthly updates to the Committees on Appropriations of
arrivals each month by category, including refugees, asylees,
Cuban and Haitian Entrants, SIVs, and unaccompanied children.
Such updates shall include any changes in estimated funding
needs as a result of changing trends. The Committee notes that
ORR has consistently relied on supplemental funding to address
funding needs in this program and the budget request includes
$2,914,179,000 in additional emergency funding, above the
amounts included in this bill, for refugee programs in fiscal
year 2025 including to support the goal of resettling 125,000
refugees through the U.S. Refugee Admissions Program [USRAP] in
fiscal year 2025. The Committee will continue to work closely
with HHS to evaluate and address fiscal year 2025 funding
needs.
The Committee believes that the USRAP serves as a
reflection of U.S. humanitarianism as well as the Nation's
strategic interests. The Committee notes the need to maintain a
baseline of capacity and encourages HHS, to the extent
practicable, to ensure that resettlement agencies are able to
maintain their infrastructure and capacity at a level to
continue to serve new refugees, previously arrived refugees,
and other populations of concern who remain statutorily
eligible for integration services, and to ensure that there is
capacity for future arrivals to be adequately served.
Community Engagement and Quarterly Consultation.--The
Committee recognizes that quarterly consultations and regular
community engagement are critical to support refugee
integration and encourages HHS to pursue efforts to ensure
robust participation in regular community consultations.
Coordination with DHS and USCIS.--The Committee notes that
not all refugees (including all populations eligible for ORR-
funded services) receive ORR-funded services. The Committee
encourages ORR to better coordinate with DHS and USCIS to
improve the referral process for eligible arrivals.
Mental Health and Trauma Informed Care.--The Committee
recognizes the importance of ORR providing trauma informed,
culturally appropriate, comprehensive care to the individuals
it serves, including unaccompanied children, refugees, victims
of trafficking, and survivors of torture. Accordingly, the
Committee encourages ORR to partner with an outside
organization with expertise in providing such care to evaluate
the mental healthcare needs of ORR-eligible populations and any
ongoing gaps and challenges in current mental health provision
across populations ORR serves. This should also include
recommendations for enhancing programming or additional
investments needed to ensure all eligible individuals have
access to comprehensive, trauma-informed, and culturally
appropriate mental health services. The Committee also
encourages ORR to integrate a report on mental health needs
into the Annual Survey of Refugees.
Spend Plan.--The Committee directs ORR to continue to
provide quarterly spend plans for the Unaccompanied Children
[UC] program with actual and estimated obligations by major
category, at the same level of detail that has been provided in
previous years. The Committee further expects at least this
level of detail to be included in future budget justifications.
In addition, the Committee directs ORR to provide quarterly
spend plans for refugee programs, including actual and
estimated obligations under the TAMS and RSS programs.
Transitional and Medical Services
The Committee recommendation includes $591,000,000 for
Transitional and Medical Services. This program provides grants
to States and nonprofit organizations to provide cash and
medical assistance to arriving refugees, as well as foster care
services to unaccompanied minors.
Matching Grant Program.--The Committee continues to support
the Matching Grant [MG] program and strongly encourages HHS to
expand the program, including increasing the number and
percentage of eligible arrivals served by the program;
increasing the government's per capita contribution to respond
to inflation and cost of living; and easing the burden of the
match requirement. The Committee also strongly encourages HHS
to give matching grant organizations flexibility in
administering their programs, including, when justified,
carrying over unexpended funding and slots and extending
exemptions to the 31-day enrollment period. The Committee also
encourages HHS to continue permitting flexibilities in
dispersing MG funds, such as continuing to separate direct
assistance and administrative portions and permitting sites to
offer remote services, and encourages HHS to create a plan to
expand case management for MG enrollees. The Committee also
encourages ORR to consider adjusting the structure of the MG
program to recognize cases where individuals are employed but
not yet fully self-sufficient as opposed to solely economically
self-sufficient or not economically self-sufficient
measurements. Finally, the Committee encourages HHS to work
with resettlement sites to ensure continuity of MG enrollments
and services during the transition from one fiscal year to the
next.
Refugee Support Services
The Committee recommendation includes $307,201,000 for
Refugee Support Services [RSS]. This program provides a
combination of formula and competitive grants to States and
nonprofit organizations to help refugees become self-sufficient
and address barriers to employment.
The Committee strongly encourages ORR to the greatest
extent possible to allocate RSS funding based on the best data
available that reflects actual needs of providing services to
newly arrived refugees. The Committee directs ORR to include
information in its fiscal year 2026 CJ on what flexibilities
ORR has applied in allocating funding to better reflect needs,
and any ongoing limitations in doing so.
Education, Training, and Career Opportunities.--The
Committee encourages ORR to ensure all eligible populations are
made aware of the variety of education, training, and career
opportunities available to them through ORR or other Federal
partners, including adult education, credential evaluation,
pre-apprenticeship, and registered apprenticeship programs. The
Committee encourages ORR to continue to collaborate with the
Departments of Education and Labor to ensure that new arrivals
receive information about these employment and training
opportunities within the first 90 days after arrival.
Intensive Case Management.--The Committee recognizes the
importance of expanding intensive case management [ICM] and
virtual case management, particularly in locations where
expanded resettlement capacity relies on remote placement. The
Committee encourages HHS to expand the availability of virtual
case management to provide ICM services, particularly in
locations without existing resettlement sites nearby. The
Committee directs HHS to include information in its fiscal year
2026 CJ on such efforts, including an assessment of the use of
virtual ICM services.
Preferred Communities.--The Committee recognizes that the
increase in refugee arrivals projected for fiscal year 2025
requires expanded capacity among the resettlement network
including through the Preferred Communities program. The
Committee encourages ORR to expand the Preferred Communities
program and directs HHS to include information in its fiscal
year 2026 CJ on the Preferred Communities program, including an
estimate of funding to be spent on the program and funding
needed to maintain Preferred Communities programming at all
resettlement sites.
Victims of Trafficking
The Committee recommendation includes $31,755,000 for
Victims of Trafficking programs. These programs support a
national network of organizations that provide a variety of
services-including case management, counseling, benefit
coordination, and housing assistance-for victims of commercial
sex and forced labor trafficking.
Within this amount the Committee recommendation includes no
less than $6,000,000 for the National Human Trafficking Hotline
(Hotline). The Committee notes concern with reports that the
Hotline has not consistently and promptly reported tips, when
appropriate and consistent with Federal and State law, of
trafficking of adults to law enforcement. The objectives of the
Hotline include providing information and service referrals to
victims of trafficking using a trauma-informed, victim-centered
approach; and notifying law enforcement agencies of potential
cases of human trafficking as well as instances when a
trafficking victim is in imminent danger, and documenting
emerging trafficking schemes to assist in the detection and
investigation of trafficking cases.
It is critical that that the Hotline maintain a person-
centered approach focused on the victim's well-being and those
who utilize the Hotline's services and wish to be anonymous
should stay anonymous when it is safe and appropriate to do so.
The Committee also notes that Hotline plays an important role
in notifying law enforcement of potential trafficking when that
is appropriate. Accordingly, the Committee directs ACF to
ensure the Hotline is complying with applicable laws and
policies regarding the operation of the Hotline, assisting
victims of severe forms of trafficking in persons, and
referring potential cases of trafficking to law enforcement
including reporting all third-party tips of potential human
trafficking to State and local law enforcement when the
signaler appears to be in imminent danger.
Unaccompanied Children
The Committee recommendation includes $5,406,258,000 in
base funding for the UC program. The UC program provides
temporary care for children who have no lawful immigration
status in the United States and who have been apprehended by
DHS without a parent or a guardian. HHS provides care for
children until they can be placed with a parent or other
sponsor living in the United States pending resolution of their
immigration status.
Bond Hearings and Placement Reviews.--The Committee
continues to direct HHS to approach placement review and Flores
bond requests with expediency, fairness, child-centered
procedures, and trauma-informed approaches prior to and during
Flores bond hearings and placement review panel adjudications.
Influx Care Facilities [ICFs].--The Committee appreciates
that ORR has significantly reduced the need for and use of ICFs
in recent years. The Committee continues to direct ORR to
ensure that ICFs will only be used in the future when
absolutely necessary and directs ORR to include in its fiscal
year 2026 CJ estimates of how much it will spend on ICFs, its
estimated capacity needs, the methodology it uses and factors
it considers when estimating ICF capacity needs, and in what
specific circumstances it will activate capacity in ICFs. The
Committee also directs that if ICFs are needed in the future,
HHS will continue to improve the quality of care provided in
ICFs, including ensuring they have the physical infrastructure
to provide developmentally appropriate care for children,
including appropriate space for education services, and
confidential space for the provision of healthcare, mental
healthcare, and legal services.
Maintaining Family Contact.--The Committee strongly
encourages ORR to work with its care providers to ensure that
children have as much access as possible via telephone and
video calls to their parents, family members, and caregivers
while maintaining appropriate child welfare safeguards.
Mental Health and Related Services for Children in ORR-
Care.--The Committee appreciates the steps ORR has taken to
improve mental health services for children in their care, and
encourages ORR to continue to expand such services and ensure
that they are developmentally appropriate, trauma-informed,
culturally competent, and provided in the most integrated,
least restrictive setting. This should also include in-person
training for ORR and ORR-contracted staff on trauma and trauma-
informed care. The Committee also directs ORR to work with
residential care providers, disability experts, and child
welfare experts to ensure adherence to Federal, State, and
local laws related to standards of care for children with
disabilities. ORR should also work with protection and advocacy
organizations to support monitoring visits and access to
information. Finally, the Committee recognizes that
unaccompanied children often share extensive personal
information to case managers, clinicians, or other adults while
in ORR care, and directs ORR and its grantees and contractors
to protect sensitive personal information, behavioral health
records, and mental health records consistent with all
applicable child welfare laws, regulations, and licensing
requirements. The Committee directs ORR to include information
in its fiscal year 2026 CJ on these efforts.
Office of the Ombudsperson.--The Committee strongly
supports efforts to increase independent oversight of the UC
program. Accordingly, the Committee supports the establishment
of an Office of the Ombudsperson, to provide independent child-
welfare focused recommendations to ORR and the Secretary
regarding the care of unaccompanied children, including on
policies to ensure children are safe, cared for, and receive
the services they need both while in HHS custody and after they
have been released to a sponsor. The Ombudsperson shall
monitor, including by making site visits, for compliance with
all applicable laws and standards relating to unaccompanied
children. The Committee directs the Ombudsperson to submit a
report to Congress no less than once each fiscal year including
a summary of activities carried out during the preceding fiscal
year, as well as recommendations for improving the UC program
and a description of the priorities for the subsequent fiscal
year.
Post-Release Services, Legal Services/Access to Counsel,
and Child Advocates.--The Committee recommendation includes no
less than the fiscal year 2024 funding level for post-release
services; legal services and access to counsel; and child
advocates. The Committee continues to direct HHS to expand
child-welfare focused post-release services to increase the
number of children and families receiving services, and improve
the types of services they receive, including case management
assistance with school enrollment, and access to legal
services, healthcare, mental health, and community services.
These post-release services are critical to ensuring that
children are in safe and appropriate homes after they have been
released from ORR's care and that children and families have
access to the services they need. The Committee encourages ORR
to engage with current family reunification service providers,
post-release service providers, and recently released children
and sponsors to discuss needed services, the length of
services, and how to improve coordination between shelters,
providers, and other community services providers, to help
evaluate the current program and to identify new risks and
opportunities for improvement. In addition to children already
designated under law or policy to receive such services, the
Committee encourages ORR to ensure that all pregnant or
parenting teens and children whose primary language is neither
English nor Spanish are referred for post-release services.
Finally, the Committee supports ORR's plans to provide tiered
levels of services, and strongly encourages ORR to prioritize
post-release services for children released to category 2 and 3
sponsors.
The Committee also continues to direct ORR to provide
access to counsel, consistent with the goals of the Trafficking
Victims Protection Reauthorization Act of 2008 for all children
to have access to counsel in their immigration proceedings. The
Committee understands the supply of service providers may be
constrained in some areas, and encourages ORR to allow grantees
to use flexibilities in contracting expenses, to the extent
practicable, to build the capacity to ensure the necessary
legal requirements are met to provide expanded services to
children. The Committee also continues to direct ORR to ensure
in-person Know Your Rights presentations and legal screenings
for every child in ORR custody and access to legal counsel for
any child in prolonged ORR-care. The Committee also continues
to direct that legal services will be in person absent exigent
circumstances and that ORR will ensure that there is sufficient
confidential space available for legal services at all
facilities, including emergency or influx facilities. When
services are provided remotely, ORR must make sufficient
technology and confidential space available for communication
via video whenever possible, and telephone if necessary.
The Committee directs ORR to include information in its
fiscal year 2026 CJ on how children are prioritized for post-
release services, legal services, and child advocate services,
and the number and percentage of children that have and are
estimated to receive services annually, including broken out by
specific types and levels of services.
Prioritization of Small-Scale, Community- and Family-Based
Placements.--The Committee continues to direct ORR to
prioritize the placement of children in small-scale, community-
and family-based care providers, including transitional foster
care, small group homes, and long-term foster care. The
Committee directs ORR to pursue efforts to expand capacity in
such programs, which are both more appropriate for children and
reduce the need for ICFs. This should include predictably
posting funding opportunity announcements, providing technical
assistance to both existing and potentially new providers, and
working with providers to address any staffing-related issues
that limit their capacity. The Committee recommendation
includes funding for grants to high-performing State-licensed
shelters to increase standard care capacity including the
ability to expand capacity as needed. The Committee further
directs ORR to ensure that there is an adequate supply of long-
term foster care beds in the network to minimize the time it
takes for a child to be moved to this least restrictive
placement.
The Committee directs ORR to include information in its
fiscal year 2026 CJ on its actual and planned capacity by
program type, including steps taken and planned to be taken to
expand capacity in small scale shelters and funding spent on
such efforts. Finally, the Committee directs ORR to provide a
report to the Committee within 180 days of enactment of this
act on the feasibility of transitioning 100 percent of its bed
census to small-scale facilities, including a description of
any barriers, limitations, or challenges in doing so. In
developing this report ORR should consult with current small-
scale shelter providers and other organizations with relevant
expertise.
Report.--The Committee directs ORR to continue to submit
biannual reports to the Committees that include the number of
UCs that remain in HHS care for longer than 1 year and the
number of UCs that HHS has released to sponsors. The report
should also include an explanation of the methods ORR uses to
follow-up with unaccompanied children after releasing them to a
sponsor, including the follow-up method used and number of
attempts made. The Department shall make such a report
available on its website.
Special Education.--The Committee strongly encourages ORR
to conduct a study on the education support needs of children
with disabilities in its care, identify any gaps or challenges
in addressing such needs, and take steps as necessary to
address them.
Sponsor Suitability Determination Policies.--The Committee
continues to direct ORR to conduct targeted reviews of its
sponsor suitability determination policies and procedures. This
should include reviews of a sampling of cases of children
released to different categories of sponsors during fiscal year
2024 to evaluate specific policies for how they promote the
welfare of all children referred to their care, and ensure that
children are placed with safe and appropriate sponsors. The
Committee looks forward to the briefing on this topic required
in Senate Report 118-84.
Trusted Adult Relatives.--The Committee recognizes efforts
to co-locate ORR staff at the border in designated locations to
verify family relationships, screen out risks of trafficking,
and otherwise conduct sponsor suitability determinations for
children travelling with a close adult relative. This allows
children, when it's determined to be appropriate, safe, and in
the best interest of the child, to be quickly released to the
care and custody of a close relative, avoiding unnecessary
trauma from separation. This also has the potential to decrease
ORR shelter capacity and funding needs, as such children would
otherwise be in ORR care for a longer period of time, in some
cases significantly longer. The Committee requests information
be included in the fiscal year 2026 CJ on any such efforts.
Unaccompanied Alien Children Home Studies.--The Committee
is concerned about reports of unaccompanied children being
placed with sponsors who have not been fully vetted, including
an OIG report ``Gaps in Sponsor Screening and Follow-up Raise
Safety Concerns for Unaccompanied Children'' that reviewed
implementation of sponsor screening in March and April 2021,
when ORR received a surge in referrals of unaccompanied
children, that found HHS has not consistently conducted safety
and background checks of sponsors. This puts unaccompanied
children at risk, including trafficking and child labor
exploitation. The Committee is also concerned by reports that
over 2021 and 2022, ORR was not able to contact 85,000 children
as part of safety and well-being calls. The Committee strongly
encourages ORR to conduct a home study for every potential
sponsor. The Committee directs ORR to brief the Committees of
jurisdiction, within 30 days of the enactment of this act, on
the timeline and steps it will take to meet the recommendations
of the OIG report and to provide a report to the Committee
within 90 days of enactment of this act on the feasibility of
conducting an in-person home study for every potential sponsor
and a full accounting of minors that ORR has not been able to
contact as part of safety and well-being calls.
Youth Aging Out of ORR Care.--The Committee directs ORR to
have developed a concrete post-18 plan for every 17-year-old
unaccompanied child in ORR care at least 30 days in advance of
their 18th birthday to ensure that an appropriate placement has
been identified and arranged for the child, along with any
necessary social support services, prior to discharge from ORR.
The Committee directs ORR to ensure that it is complying with
its obligation to protect children's private and confidential
information in fulfilling its obligation to engage in post-18
planning for children aging out of ORR care.
Victims of Torture
The Committee recommendation includes $19,000,000 for the
Victims of Torture program to provide support to non-profit
organizations providing direct support to torture survivors and
their families.
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT
Appropriations, 2024.................................... $8,746,387,000
Budget estimate, 2025................................... 8,521,387,000
Committee recommendation................................ 10,346,387,000
The Committee recommends $10,346,387,000, an increase of
$1,600,000,000 for the Child Care and Development Block Grant
[CCDBG], a formula grant to States that provides financial
assistance to families to help pay for child care, and
otherwise improve the quality of child care programs.
Child Care Preferences.--The Committee recognizes that
parents eligible to receive subsidized childcare under the
CCDBG Act may have varying preferences on how that childcare is
provided. Some parents prefer to have their children cared for
by a parent or close relative, yet an overwhelming majority of
children served by CCDBG receive childcare at a center-based
childcare facility. The Committee is aware that the National
Survey of Early Care and Education collects information on
parental perceptions and preferences related to child care and
directs ACF to include information in the fiscal year 2026 CJ
on which of the following child care providers are preferred by
parents of eligible children (as defined at 42. U.S.C.
9858n(4)): full-time paid childcare, part-time paid childcare,
relative-provided childcare, or in-home care with the child's
parent, based on available data.
Data Reporting.--The Committee notes that the fiscal year
2025 CJ included fiscal year 2021 data regarding the number of
children and families served by CCDBG. The Committee is
concerned by the lag in this data reporting and requests a
briefing, no later than 180 days after enactment, on the
challenges relative to collecting this data and recommendations
for improving its timeliness.
Native Hawaiian Child Care Programs.--The Committee
requests a report within 90 days of enactment of this act
providing the rationale of the funding allocation for past
three grant cycles of the Native Hawaiian Non-Profit
Organization Child Care Grant, and a plan to align funding with
the Native Hawaiian service population in subsequent awards.
SOCIAL SERVICES BLOCK GRANT
Appropriations, 2024.................................... $1,700,000,000
Budget estimate, 2025................................... 1,700,000,000
Committee recommendation................................ 1,700,000,000
The Committee recommends $1,700,000,000 for the Social
Services Block Grant [SSBG], a flexible source of funding that
allows States to provide a diverse array of services to low-
income children and families, the disabled, and the elderly in
order to reduce poverty.
The Committee recognizes that Family Resource Centers
provide direct assistance to families through parenting support
and education, navigation of care and social services, mental
health counseling, early learning and afterschool activities,
family financial planning, and job training. The Committee
notes that preliminary data shows promise in this area--with a
63 percent reduction in child abuse cases and a $4.93 return
for every tax dollar invested, according to current research.
The Committee supports States that choose to use a portion of
their SSBG funding to support services and programs at school
and community-based Family Resource Centers to strengthen
families through a localized, family-centered approach.
CHILDREN AND FAMILIES SERVICES PROGRAMS
Appropriations, 2024.................................... $14,829,100,000
Budget estimate, 2025................................... 15,052,128,000
Committee recommendation................................ 15,544,939,000
The Committee recommends $15,544,939,000 for Children and
Families Services programs. These funds support a variety of
programs for children, youth, and families; Native Americans;
survivors of child abuse, neglect, and domestic violence; and
other vulnerable populations.
Head Start
The Committee recommendation includes $12,971,820,000 for
Head Start. Head Start provides grants directly to local
organizations to provide comprehensive early childhood
education services to children and their families, from before
birth to age 5.
Within the total, the Committee recommendation includes a
$544,000,000 cost of living adjustment for all Head Start
grantees to help keep up with rising costs, to recruit and
retain highly qualified staff, and to continue to provide high-
quality services to children and families.
Freely Associated States.--The Committee includes bill
language to establish Head Start programs in the Republic of
the Marshall Islands and the Federated States of Micronesia, as
authorized in the Compact of Free Association Amendments Act of
2024 (Public Law 118-42).
Designation Renewal System [DRS].--The Committee continues
to encourage HHS to consider the unique challenges faced by
Head Start grantees in remote and frontier areas when reviewing
such grantees' compliance with health and dental screening
requirements as part of the DRS.
Facility Improvement Funding.--The Committee continues to
strongly encourage ACF to ensure that all Head Start grantees
are aware of any funding opportunities, or funding otherwise
available, for making capital improvements to their facilities.
Further, the Committee continues to encourage ACF to
standardize this process so all grantees have equal opportunity
to apply and are aware of priorities and eligible uses of such
funds.
Native Hawaiian Programs.--The Committee notes that the
American Indian Head Start is inclusive of Native Hawaiian Head
Start agencies. The Committee directs ACF collaborate with
Native Hawaiian leaders in family-based early childhood
learning in order to advance a Head Start experience that is
responsive to the unique and specific needs of the Native
Hawaiian community, and to provide technical assistance to
support providers to become Native Hawaiian Head Start
agencies. ACF is directed to brief the Committee on these
efforts no later than 180 days after enactment of this act.
Quality Improvement Funding.--The Committee includes
$125,000,000 in quality improvement funding. The Committee
strongly believes the flexibility provided by this funding is
necessary for Head Start programs to meet local needs, and
expects funding to be prioritized for recruiting and retaining
quality staff.
Tribal Colleges and Universities-Head Start Partnership
Program.--The Committee recommendation includes $10,000,000 for
the Tribal Colleges and Universities-Head Start Partnership
Program.
Preschool Development Grants
The Committee recommendation includes $315,000,000 for
Preschool Development Grants. This program, as authorized in
the Every Student Succeeds Act (Public Law 114-95), provides
competitive grants to States to improve the coordination,
collaboration, and quality of existing early childhood
programs; improve the transition from early childhood programs
to kindergarten; implement evidence-based practices; improve
professional development for early childhood providers; and
generally improve educational opportunities for children.
The Committee encourages ACF to continue to support States
that choose to use a portion of their renewal grant funding to
award sub-grants to programs in a mixed delivery system across
the State, particularly for low-income and disadvantaged
children prior to entering kindergarten, or to improve the
quality of local programs through the enhancement of early
childhood systems.
Dual Language Learners [DLL].--The Committee encourages ACF
to support States that choose to develop high-quality and
culturally competent dual immersion preschool programs through
Preschool Development Grants. The Committee recommends a focus
on training, professional development, and postsecondary
education for all caregivers, teachers, and directors to meet
the needs of DLLs through dual language acquisition, engaging
culturally and linguistically diverse families, home language
support, and culturally and linguistically appropriate
assessment.
Consolidated Runaway and Homeless Youth Program
The Committee recommendation includes $125,283,000 for the
Consolidated Runaway and Homeless Youth program. This program
supports the Basic Centers program, which provides temporary
shelter, counseling, and after-care services to runaway and
homeless youth under age 18 and their families; the
Transitional Living Program, which provides longer-term shelter
and services for older youth; and a national toll-free runaway
and homeless youth crisis hotline.
The Committee continues to support the ability of grantees
to provide prevention services such as counseling and case
management, regardless of their enrollment in residential
services. The Committee urges ACF to advise grantees that they
are not required to enroll youth in shelter or residential
services, nor require the young person to physically travel to
the grantee's location in order for an at-risk youth to receive
prevention and supportive services.
The Committee continues to encourage the program to notify
applicants if grant applications are successful at least 30
days before the grant begins or no less than 30 days before an
existing grant is set to end.
The Committee again strongly urges the program to ensure
that service delivery and staff training comprehensively
address the individual strengths and needs of youth, as well as
language-appropriate, gender-appropriate interventions that are
culturally sensitive and respectful of the complex social
identities of youth. The Committee strongly believes that no
runaway youth or homeless youth should be excluded from
participation in, be denied the benefits of, or be subject to
discrimination under, any program or activity funded in whole
or in part under the Runaway and Homeless Youth Act, based on
any of the conditions outlined in this paragraph.
Child, Youth, and Family Homelessness.--The Committee is
concerned about the impact of homelessness on the wellbeing and
development of children, youth, and families, including the
instability and overcrowding that accompany child, youth, and
family homelessness. In light of this, the Committee urges ACF
to assess the current state of child, youth, and family
homelessness, including the strengths, barriers, and
opportunities across ACF and HHS to provide two-generation
services to end the cycle of homelessness. In particular, the
Committee urges ACF to develop a plan to lead and coordinate
efforts to provide holistic services to homeless children,
youth, and families to break the cycle of homelessness,
including by identifying existing resources and gaps. The
Committee looks forward to the report outlining progress on
these efforts required in Senate Report 118-84.
Cross System Issues.--The Committee strongly encourages
programs to have the ability to serve youth involved in other
systems (such as child welfare and juvenile justice) that are
not currently housed by that system. The Committee strongly
encourages programs to have the ability to serve youth funded
by systems of care other than the Runaway and Homeless Youth
Act to be housed within the Runaway and Homeless Youth Act
funded program.
National Communications System, National Runaway
Safeline.--The Committee remains concerned with the number of
homeless children and youth and those at risk of homelessness
and the ability of those youth and parents to access
information that can help connect them with the needed
services, resources, and support both at school and in the
community. The Committee encourages ACF to coordinate with the
Department of Education to increase outreach and raise
awareness in school districts and community-based organizations
of services and resources provided by the National Runaway
Safeline.
Education and Prevention Grants to Reduce Sexual Abuse of Runaway Youth
The Committee recommendation includes $21,000,000 for
Education and Prevention Grants to Reduce Sexual Abuse of
Runaway and Homeless Youth. This program provides competitive
grants for street-based outreach and education services for
runaway and homeless youth who are subjected to, or are at risk
of being subjected to, sexual abuse or exploitation.
Child Abuse Prevention and Treatment State Grants
The Committee recommendation includes $110,091,000 for the
Child Abuse Prevention and Treatment State Grant program. This
program provides formula grants to States to improve their
child protective service systems.
Infant Plans of Safe Care.--Within the total, the Committee
recommendation includes $60,000,000 to help States continue to
develop and implement plans of safe care as required by section
106(b)(2)(B)(iii) of the Child Abuse Prevention and Treatment
Act (Public Law 93-247). The Committee again urges HHS to
support States in their implementation of the plans by
providing specialized, non-punitive family support services for
infants and their birth parents affected by substance use
disorders to reduce the need for child welfare or foster care
system involvement. The Committee recognizes the intent of
plans of safe care and encourages these plans to be put into
place before the birth of a child to foster the best outcome
for the baby. The Committee continues to direct HHS to provide
technical assistance to States on best-practices in this area
to address the health, developmental, housing, and treatment
needs of infants and their parents and to evaluate States'
activities on plans of safe care. The Committee also encourages
HHS to provide technical assistance to States on best practices
for developing notification systems that are distinct and
separate from the system used in the State to report child
abuse and neglect in order to promote a public health response
to infants affected by substance use disorders, and not for the
purpose of initiating an investigation of child abuse or
neglect. The Committee also encourages HHS to ensure such
technical assistance includes an emphasis on the role of public
health focused plans of safe care in reducing racial
disproportionality in child protective services investigations
and removals.
Child Abuse Discretionary Activities
The Committee recommendation includes $36,000,000 for Child
Abuse Discretionary Activities. This program supports
discretionary grants for research, demonstration, and technical
assistance to increase the knowledge base of evidence-based
practices and to disseminate information to State and local
child welfare programs.
Child Abuse Hotline.--The Committee continues funding for
this program.
Community-Based Child Abuse Prevention
The Committee recommendation includes $74,660,000 for the
Community-based Child Abuse Prevention program. This program
provides formula grants to States that then disburse funds to
local community-based organizations to improve local child
abuse prevention and treatment efforts, including providing
direct services and improving the coordination between State
and community-based organizations. The Committee recognizes the
importance of prevention and encourages funds to be used for
primary prevention activities and to engage in partnerships at
the State and local level to reduce child abuse and neglect and
provide supports to families.
Child Welfare Services
The Committee recommendation includes $268,735,000 for
Child Welfare Services. This formula grant program helps State
and Tribal public welfare agencies improve their child welfare
services with the goal of keeping families together. These
funds help States and Tribes provide a continuum of services
that prevent child neglect, abuse or exploitation; allow
children to remain with their families, when appropriate;
promote the safety and permanence of children in foster care
and adoptive families; and provide training and professional
development to the child welfare workforce.
The Committee understands that children at risk of entering
foster care achieve better outcomes when families are able to
provide a safe and stable environment for their children,
thereby allowing children to stay safely at home. The Committee
acknowledges ACF's recent regulatory efforts to allow Title IV-
E foster care agencies to claim Federal financial participation
for the administrative cost of an attorney providing legal
representation to eligible children and certain other
individuals involved in foster care and other civil legal
proceedings.
Child Welfare Research, Training, and Demonstration
The Committee recommendation includes $21,984,000 for child
welfare research, training, and demonstration projects. This
program provides grants to public and nonprofit organizations
for demonstration projects that encourage experimental and
promising types of child welfare services, as well as projects
that improve education and training programs for child welfare
service providers.
Centers of Excellence.--The Committee urges ACF to
establish a centers of excellence demonstration program that
will develop, implement, and disseminate evidence-based
programs and best practices related to interventions for youth
transitioning from foster care to adulthood in States with the
highest rates of youth per population involved in the child
welfare system, with a focus on States that have been most
severely affected by substance use disorders. Eligible grantees
should include institutions of higher education in the most
affected States.
Community Partnership Pilot Program.--The Committee urges
ACF to carry out a community partnership pilot program to
provide grants to non-profit organizations building
partnerships between child welfare agencies and local community
organizations, to leverage private dollars, goods, and human
resources in the community to meet the needs of at-risk
children and their families interacting with the child welfare
system, which may include establishing the ability for child
welfare agency employees to seek community support for the
needs of children and families through an electronic portal.
Disseminate Best Practices in the Child Welfare
Workforce.--The Committee recognizes that States, counties, and
not-for-profit agencies have been long engaged in addressing
the child welfare workforce crisis, and many best and promising
practices have emerged through their efforts. The Committee
encourages ACF to compile and disseminate best practices from
one or more current grant recipients on recruitment, retention,
and training efforts and promoting a diverse workforce.
Driver's License Program Foster Youth.--The Committee
encourages the establishment of a demonstration expanding
foster care and adoption assistance programs to provide driving
preparation assistance to foster youth and related training for
foster parents, as well as assistance to States and Tribal
organizations for age-appropriate foster youth to, among other
things, obtain automobile insurance, complete driver's
education, obtain a driver's license, and purchase a vehicle.
Strengthening State ICWA Compliance.--The Committee
recognizes the important role State child welfare agencies play
in ensuring the safety of Indian children who come into contact
with the State child welfare system. The Committee appreciates
the work of the Children's Bureau to support State compliance
with the Indian Child Welfare Act [ICWA] through technical
assistance and through grants to develop strong working
relationships between States and tribes. The Committee
continues $3,000,000 for State-Tribal partnership grants to
build collaborations between States and tribes to better
address the ongoing challenges Tribal communities face.
Further, the Committee recommends ACF, in coordination with the
relevant Federal agencies, develop guidance for States to
better serve Indian children who come into contact with the
child welfare system. This guidance may include best practices
on the timely identification of Indian children and extended
family members; timely notice to Tribes of State child custody
proceedings; foster care or adoptive placements of Indian
children; and case recordkeeping as it relates to transfers of
jurisdiction, termination of parental rights, and insufficient
active efforts, as defined by ICWA.
Adoption Opportunities
The Committee recommends $54,000,000 for the Adoption
Opportunities program. This program funds discretionary grants
to help facilitate the elimination of barriers to adoption and
provide technical assistance to help States increase the number
of children adopted, particularly children with special needs.
The Committee recognizes that adoption arrangements at risk
of a disruption or dissolution that would result in a foster
care placement are eligible for funding under the Family First
Prevention Services Act. However, no programs expressly
designed to meet the needs of these families have been approved
by the Title IV-E Prevention Services Clearinghouse. The
Committee directs not less than $2,000,000 for the evaluation
of such programs that could qualify for funding under the
Family First Prevention Services Act and aim to meet the
evidence standards established by the Title IV-E Prevention
Services Clearinghouse in accordance with the Family First
Prevention Services Act. The Committee encourages ACF to
prioritize the evaluation of programs with existing evidence
and to support studies that can be completed as rapidly as
possible while meeting the evidence standards of the Title IV-E
Prevention Services Clearinghouse.
The Committee recommendation includes $2,000,000 to
continue the National Adoption Competency Mental Health
Training Initiative. This initiative supports ongoing resources
for a national organization with the capacity and expertise to
continuously evaluate and update the training curriculums, and
will provide all States, tribes, and territories the necessary
technical assistance to ensure that the curriculums are
appropriately used by State child welfare and mental health
professionals. This funding should also be used to initiate the
development of derivative trainings for courts and continuing
medical education for medical professionals to ensure
consistency across disciplines. The Committee again recommends
the agency take steps to standardize the National Adoption
Competency Mental Health Training Initiative's curriculum to
provide consistent training in all State child welfare
agencies.
Adoption and Legal Guardianship Incentive Payments
The Committee recommends $75,000,000 for the Adoption and
Legal Guardianship Incentive Payments program. This program
provides formula-based incentive payments to States to
encourage them to increase the number of adoptions of children
from the foster care system, with an emphasis on children who
are the hardest to place.
Social Services Research and Demonstration
The Committee recommends $78,862,000 for Social Services
Research and Demonstration. These funds support research and
evaluation of cost-effective programs that increase the
stability and economic independence of families and contribute
to the healthy development of children and youth.
Benefits Programs.--The Committee recommends the creation
of a pilot program to align Federal assistance programs for
low-income Americans into one application. The result of these
improvements should expand access and enrollment in Federal,
State, Tribal, and local benefits, such as SNAP, WIC, Medicaid,
TANF, and the Housing Choice Voucher program, and improve
coordination of critical services such as mental healthcare and
childcare.
Congressionally Directed Spending.--Within the funds
included in this account, $42,850,000 shall be for the
Congressionally Directed Spending projects, and in the amounts,
as specified in the table titled ``Congressionally Directed
Spending Items'' at the end of this Committee Report.
Diaper Distribution Grant Demonstration.--The Committee
recommendation continues $20,000,000 for the purposes of
carrying out a diaper distribution grant program. The diaper
distribution program will provide grants to social service
agencies or other non-profit organizations specifically for
diaper and diapering supply needs.
Institutional Child Abuse Study.--The Committee provides
$2,000,000 and directs the Secretary to enter into a contract
with the National Academies of Sciences, Engineering, and
Medicine [NASEM] to conduct a study to examine the state of
youth in youth residential programs and make recommendations.
Pursuant to the contract, NASEM shall issue a report informed
by the study conducted that includes identification of the
nature, prevalence, severity, and scope of child abuse,
neglect, and deaths in youth residential programs, including
types of abuse and neglect, causes of abuse, neglect, and
deaths, and criteria used to assess abuse, neglect, and deaths;
identification of all funding sources for youth residential
programs; and identification of existing barriers in policy for
blending and braiding of funding sources to serve youth in
community-based settings.
Preventing Youth Homelessness.--The Committee includes
$4,000,000 to continue the preventing youth homelessness
demonstration program to identify and implement strategies and
services for youth between ages 12 and 26 in order to prevent
homelessness, including strategies designed to serve youth and
young adult populations with a high likelihood of imminently
experiencing homelessness, housing instability, or other forms
of victimization such as human trafficking to include
individuals transitioning out of foster care, the juvenile
justice system, or a residential behavioral health system.
The Committee directs that a portion of funds be made
available to State agencies, tribes, counties, cities, other
units of local government, or community-based organizations for
planning and implementation demonstration grants to provide
primary prevention for youth and young adults at risk of
homelessness. Grantees shall show collaboration with youth with
lived expertise in project design and implementation and funds
may be used to support the establishment and operation of local
youth advisory boards. The remaining funds shall be used to
support the demonstrations through evaluation, training, and
technical assistance and also to support the aligned work of
the National Prevention Learning Collaborative. The Committee
notes that this demonstration program is in addition to other,
ongoing Family and Youth Services Bureau initiatives.
Whole Family Approach to Service Delivery.--The Committee
includes $2,500,000 to again support demonstrations of whole-
family approaches to service delivery across the lifecycle of
families' interaction with benefits programs. The demonstration
project should focus on coordinating and centralizing service
access and delivery, with a special focus on projects that aim
to reduce the impacts of and smooth the benefit cliffs that
working families face as their incomes rise, resulting in the
sudden reduction or elimination of financial benefits. ACF is
encouraged to prioritize demonstration projects in States with
large rural populations and high rates of poverty.
Native American Programs
The Committee recommends $60,500,000 for Native American
programs. These funds support a variety of programs to promote
self-sufficiency and cultural preservation activities among
Native American, Native Hawaiian, Alaska Native, and Pacific
Islander organizations and communities.
Native American Language Preservation.--Within the total,
the Committee recommendation includes $15,000,000 for Native
American language preservation activities, including no less
than $6,000,000 for Native American language immersion
programs, as authorized by section 803C(b)(7)(A)-(B) of the
Native American Programs Act (Public Law 88-452).
Tribal Programs.--The Committee notes the importance of
integrated and tribally-determined, high-quality early
childhood services for Tribal children and their families. The
Committee requests a briefing within 90 days of enactment on
the fiscal year 2025 budget proposal that would allow Tribes to
fully integrate funding across Head Start, CCDBG, and the
Tribal Maternal, Infant, and Early Childhood Home Visiting
programs.
Community Services Block Grant
The Committee recommendation includes $770,000,000, for the
Community Services Block Grant [CSBG]. CSBG is a formula grant
to States and Indian tribes to provide a wide-range of services
to alleviate causes of poverty in communities and to assist
low-income individuals. States are required to pass on at least
90 percent of these funds to local community-based
organizations, the vast majority of which are community action
agencies.
Community Economic Development
The Committee recommendation includes $22,383,000 for the
Community Economic Development program. Community Economic
Development grants fund non-profit, Community Development
Corporations that help communities address the needs of low-
income individuals and families by creating employment and
business development opportunities.
Rural Community Facilities
The Committee recommendation includes $12,000,000 for the
Rural Community Facilities program. The Rural Community
Facilities program provides grants to regional non-profit
organizations to provide technical assistance to small, low-
income rural communities, that are not served by other similar
Federal programs, to help manage, develop, and improve safe
drinking and waste water facilities.
National Domestic Violence Hotline
The Committee recommendation includes $20,500,000 for the
National Domestic Violence Hotline. This national, toll-free
hotline provides critical emergency assistance and information
to victims of domestic violence 24 hours a day.
The Committee recommendation includes continued support for
the StrongHearts Native Helpline, which provides critical
support and resources to meet the unique legal and cultural
needs of American Indians and Alaska Natives affected by
domestic violence.
Family Violence Prevention and Services
The Committee recommendation includes $242,000,000 for
Family Violence Prevention and Services programs. These funds
support programs to prevent family violence and provide
immediate shelter and related assistance for survivors of
domestic violence and their dependents.
Culturally Specific Services for Domestic Violence.--The
Committee understands that women and girls of color are often
disproportionally impacted by domestic violence and sexual
assault yet often lack access to family violence prevention
services in their communities that incorporate or reflect their
specific needs. In order to foster programming for this
community, the Committee continues $7,500,000 for culturally
specific, community-based organizations to provide culturally
specific services for survivors of domestic violence.
Family Violence Prevention and Services Resource Centers.--
The Committee understands the benefits of Family Violence
Prevention and Services Resource Centers to support communities
in building local responses and services for domestic violence
survivors. The Committee includes $2,000,000 for the Alaskan
Native Women's Resource Center, $2,000,000 for the Native
Hawaiian Resource Center on Domestic Violence, and $2,000,000
for the National Indigenous Women's Resource Center to support
critical networking and coalition building between these
communities across the State and the Nation.
Intersection of Domestic Violence, Mental Health,
Substance-use Coercion, Housing Instability, and Child Welfare
Involvement.--The Committee recognizes that research has
consistently demonstrated that experiencing abuse by an
intimate partner is associated with a wide range of mental
health and substance use-related consequences, and it is not
uncommon for an abusive partner to undermine efforts to
maintain their recovery or intentionally use their partner's
struggles with mental health against them. The Committee
supports the work of the Office of Family Violence and
Prevention Services to invest in targeted support for families
affected by domestic violence at the intersection of domestic
violence, housing insecurity, mental health and substance use
conditions, while ensuring families remain together through
recovery and prioritize the best interests of children exposed
to violence in the home.
Chafee Education and Training Vouchers
The Committee recommendation includes $44,257,000 for the
Chafee Education and Training Voucher program. This program
supports vouchers to foster care youth to help pay for expenses
related to postsecondary education and vocational training.
Disaster Human Services Case Management
The Committee recommends $1,864,000 for Disaster Human
Services Case Management. This program assists States in
establishing the capacity to provide case management services
in a timely manner in the event of a disaster. It ensures that
States are able to meet social service needs during disasters
by helping disaster victims prepare recovery plans, referring
them to service providers and Federal Emergency Management
Agency contacts to identify needed assistance, and providing
ongoing support and monitoring through the recovery process.
Program Administration
The Committee recommendation includes $219,000,000 for the
Federal costs of administering ACF programs.
PROMOTING SAFE AND STABLE FAMILIES
Appropriations, 2024.................................... $417,515,000
Budget estimate, 2025................................... 421,515,000
Committee recommendation................................ 417,515,000
The Committee recommends $417,515,000 for the Promoting
Safe and Stable Families program. The Committee recommendation
includes $345,000,000 in mandatory funds authorized by the
Social Security Act (Public Law 74-271) and $72,515,000 in
discretionary appropriations.
This program enables States to operate coordinated programs
of family preservation services, time-limited family
reunification services, community-based family support
services, and adoption promotion and support services.
Family First Clearinghouse.--The Committee includes
$2,750,000 for the Family First Clearinghouse. The Committee
continues to recognize the need to support research into
programs that provide rigorous evaluations of established
foster care prevention and family support programs within the
child welfare population, including programs that support
adoption arrangements at risk of a disruption or dissolution
that would result in foster care placement, provide mental
health prevention and treatment services, substance abuse
prevention and treatment services, in-home parent skill-based
programs, and kinship navigator programs.
Kinship Navigator Programs.--The Committee recommendation
includes $10,000,000 for Kinship Navigator Programs to improve
services for grandparents and other relatives taking primary
responsibility for children, particularly children and families
affected by opioid addiction and substance use disorder. The
Committee encourages HHS to encourage States to collaborate
with agencies with experience serving kinship families both
inside and outside foster care, and to demonstrate how they are
preparing their navigator programs to meet evidence-based
kinship navigator standards included in the Family First
Prevention Services Act (Public Law 115-123).
PAYMENTS FOR FOSTER CARE AND PERMANENCY
Appropriations, 2024.................................... $8,594,000,000
Budget estimate, 2025................................... 6,768,000,000
Committee recommendation................................ 6,768,000,000
The Committee recommends $6,768,000,000 in mandatory funds
for Payments for Foster Care and Permanency. In addition, the
Committee recommends $3,600,000,000 in advance mandatory
funding for the first quarter of fiscal year 2026. These funds
support programs that assist States with the costs of
maintaining eligible children in foster care, prepare children
for living on their own, assist relatives with legal
guardianship of eligible children, and find and support
adoptive homes for children with special needs.
Administration for Community Living
AGING AND DISABILITY SERVICES PROGRAMS
Appropriations, 2024.................................... $2,548,042,000
Budget estimate, 2025................................... 2,634,043,000
Committee recommendation................................ 2,543,817,000
The Committee recommends $2,543,817,000 for the
Administration for Community Living [ACL], which includes
$27,700,000 to be transferred to ACL from the PPH Fund.
ACL was created with the goal of increasing access to
community support for older Americans and people with
disabilities. It is charged with administering programs
authorized under the Older Americans Act [OAA] (Public Law 116-
131) and the Developmental Disabilities Act (Public Law 106-
402), as well as promoting community living policies throughout
the Federal Government for older Americans and people with
disabilities. The Committee continues to fund the Senior
Medicare Patrol Program through the Health Care Fraud and Abuse
Control Account.
Home and Community-Based Supportive Services
The Committee recommends $410,000,000 for the Home and
Community-Based Supportive Services program. This program
provides formula grants to States and territories to fund a
wide-range of social services that enable seniors to remain
independent and in their homes for as long as possible. State
agencies on aging award funds to designated area agencies on
aging that, in turn, make awards to local service providers.
This activity supports services such as transportation, adult
day care, physical fitness programs, and in-home assistance.
Senior Centers.--Senior centers play an important role in
providing programs to combat isolation and loneliness, which
can be risk factors for depression, substance use disorder, and
even suicide. The Committee encourages ACL and the State and
local agencies administering programs funded through the OAA to
provide ample funding to senior centers to support their
general operations and for programming that promotes the health
and well-being of seniors, including fitness and falls
prevention programs, nutrition classes and consultations, and
foot clinics.
Preventive Health Services
The Committee recommends $26,339,000 for Preventive Health
Services. This program funds activities such as medication
management and enhanced fitness and wellness programs. These
programs help seniors stay healthy and avoid chronic disease,
thus reducing the need for costly medical interventions. The
Committee maintains bill language that requires States to use
these funds to support evidence-based models that enhance the
wellness of seniors.
Protection of Vulnerable Older Americans
The Committee recommends $26,658,000 for grants to States
for the Long-term Care Ombudsman program and the Prevention of
Elder Abuse program. Both programs provide formula grants to
States to prevent the abuse, neglect, and exploitation of older
individuals. The Ombudsman program focuses on the needs of
residents of nursing homes and other long-term care facilities,
while the elder abuse prevention program targets the elderly
community at large.
National Family Caregiver Support Program
The Committee recommends $209,000,000 for the National
Family Caregiver Support program. Funds appropriated for this
activity establish a multifaceted support system in each State
for family caregivers, allowing them to care for their loved
ones at home for as long as possible. States may use funding to
provide information to caregivers about available services,
assistance to caregivers in gaining access to services,
caregiver counseling and training, respite care to enable
caregivers to be temporarily relieved from their caregiving
responsibilities, and limited supplemental services that fill
remaining service gaps.
National Family Caregiver Strategy.--The Committee provides
$3,000,000, an increase of $1,000,000, to support demonstration
grants that develop, test, and scale models that implement
commitments and recommended actions from the National Strategy
to Support Family Caregivers. The Committee directs ACL to
provide a briefing for the Committee on Appropriations no later
than 90 days after enactment of this act with an update on the
implementation of this effort.
Direct Care Worker Shortage.--The Committee notes worker
shortages occurring in parts of the direct care sector, such as
aging care and disability care. The Committee notes that such
shortages may be driven by a host of factors which can make it
difficult to recruit and retain qualified workers. Expanding
access to quality, long-term care will become more urgent as
the U.S. population of adults who are 65 and older will grow
substantially in the coming decades. ACL is encouraged to work
with the Department of Labor to study the effects of worker
shortages in the direct care sector and the impact that worker
shortages will have on long-term care affordability and
accessibility.
The Committee notes ACL's recent launch of the Direct Care
Workforce [DCW] Capacity Building Center, which will serve as a
hub to improve home and community-based services and enhance
the direct care workforce. DCW will disseminate best practices
for agency-based and consumer-directed care arrangements, as
well as provide tools, resources, and training to assist state
systems, service providers, and other key stakeholders to
strengthen the direct care workforce. The Committee encourages
ACL, in coordination with DOL and CMS, to examine data on the
potential impacts of worker shortages on long-term care
affordability and accessibility, and looks forward to the
report requested in Senate Report 118-84.
Native American Caregiver Support Program
The Committee recommends $12,000,000 to carry out the
Native American Caregiver Support program. This program
provides grants to Tribes for the support of American Indian,
Alaskan Native, and Native Hawaiian families caring for older
relatives with chronic illness or disability, as well as for
grandparents caring for grandchildren.
Congregate and Home-Delivered Nutrition Services
The Committee recommends $565,342,000 for congregate
nutrition services and $381,342,000 for home-delivered meals.
These programs address the nutritional needs of older
individuals, thus helping them to stay healthy and reduce their
risk of disability. Funded projects must make home-delivered
and congregate meals available at least once per day, 5 days a
week, and each meal must meet a minimum of one-third of daily
dietary requirements. While States receive separate allotments
of funds for congregate meals, home-delivered meals, and
supportive services, they have flexibility to transfer funds
between these programs.
Community-Based Organizations.--The Committee recognizes
the important work of community-based organizations that
provide home-delivered and congregate meals and act as a point
of social connection for vulnerable older adults. The Committee
encourages State units on aging and area agencies on aging to
continue to work with experienced, community-based
organizations, such as Meals on Wheels programs, when selecting
local nutrition providers and distributing OAA funding.
Nutrition Services Incentives Program [NSIP].--The
Committee recommends $112,000,000 for NSIP. NSIP augments
funding for congregate and home-delivered meals provided to
older adults. States and Tribes may choose to receive all or
part of their funding in the form of commodities from the U.S.
Department of Agriculture.
Aging Grants to Indian Tribes and Native Hawaiian Organizations
The Committee recommends $38,264,000 for grants to Native
Americans. This program provides grants to eligible Tribal
organizations for the delivery of nutrition and supportive
services to Native Americans.
In-Home Modifications.--The Committee recognizes the
importance of in-home services in facilitating the ability of
older individuals to remain at home. The Committee encourages
ACL to better understand these needs in Native American
communities and encourages ACL to undertake an evaluation of
the level of need for in-home services that include accessible
home modifications for older individuals who are Native
Americans. In doing so, ACL should also examine the extent to
which current ACL programming is able to meet such needs.
Native American Nutrition and Support Services.--The
Committee is aware of concerns regarding potential barriers to
Indian Tribes accessing programs and resources under title VI
and title III of the OAA. The Committee encourages ACL to
convene with stakeholders to understand these concerns and work
to ensure that programs and resources are reaching Tribal
members.
Aging Network Support Activities
The Committee recommends $30,461,000 for Aging Network
Support activities. These funds support activities that expand
public understanding of aging and the aging process, apply
social research and analysis to improve access to and delivery
of services for older individuals, test innovative ideas and
programs, and provide technical assistance to agencies that
administer programs authorized by the OAA.
EngAGED Update.--The Committee directs ACL to provide an
update in the fiscal year 2026 CJ describing activities funded
and undertaken by the National Resource Center for Engaging
Older Adults. Such update shall include programmatic goals for
fiscal year 2026, budgetary resources proposed for the Center
in fiscal year 2026, and details about the target and served
populations of the Center, including the Center's outreach and
activities with regard to multigenerational family units.
Holocaust Survivor Assistance.--The Committee provides
$8,500,000 for the Holocaust Survivor Assistance program, which
provides supportive services for aging Holocaust survivors and
their families, and to other older adult populations that have
been exposed to and impacted by traumatic events, including
aging military veterans, first responders, victims of childhood
and domestic violence, and survivors of man-made or natural
disasters.
In addition, the Committee continues the programs specified
under this heading and in the amounts specified in the
explanatory statement that accompanied division H of Public Law
117-328.
Alzheimer's Disease Program
The Committee recommends $31,500,000, including $14,700,000
to be transferred from the PPH Fund, for the Alzheimer's
Disease Program which includes Demonstration Grants to States
and the Alzheimer's Disease Initiative. Within this funding,
the Committee supports the continuation of the National
Alzheimer's Call Center, which is available in all States, 24
hours a day, 7 days a week, year-round, to provide expert
advice, crisis counseling, care consultation and information
referral services in at least 140 languages, for persons with
Alzheimer's disease, their family members and informal
caregivers. The Committee recommends no less than $2,000,000 to
continue the National Alzheimer's Call Center.
Lifespan Respite Care
The Committee recommends $11,000,000, an increase of
$1,000,000, for the Lifespan Respite Care program. The Lifespan
Respite Care program provides grants to States to expand
respite care services to family caregivers, improve the local
coordination of respite care resources, and improve access to
and quality of respite care services, thereby reducing family
caregiver strain.
Chronic Disease Self-Management Program
The Committee recommends $8,000,000 to be transferred from
the PPH Fund to ACL for the Chronic Disease Self-Management
Program [CDSMP]. This program assists those with chronic
disease with education to manage their conditions and improve
their health status. Topics covered by the program include
nutrition; appropriate use of medications; fitness; and
effective communications with healthcare providers. Multiple
studies have shown CDSMP to result in significant and
measurable improvements in health and quality of life, as well
as reductions in hospitalizations and emergency room visits.
Elder Falls Prevention
The Committee recommends $7,500,000, including $5,000,000
to be transferred from the PPH Fund, for Elder Falls Prevention
activities at ACL. Preventing falls will help seniors stay
independent and in their homes and avoid costly
hospitalizations and hip fractures, which frequently lead to
nursing home placement.
Elder Rights Support Activities
The Committee recommends $33,874,000 for Elder Rights
Support activities, which support programs that provide
information, training, and technical assistance to legal and
aging services organizations in order to prevent and detect
elder abuse and neglect.
Aging and Disability Resource Centers
The Committee recommendation includes $8,619,000 for Aging
and Disability Resource Centers. These centers provide
information, one-on-one counseling, and access for individuals
to learn about their long-term services and support options
with the goal of allowing seniors and individuals with
disabilities to maintain their independence.
State Health Insurance Assistance Program
The Committee recommends $55,242,000 for State Health
Insurance Assistance Programs, which provide accurate and
understandable health insurance information to Medicare
beneficiaries and their families.
Paralysis Resource Center
The Committee recommends $10,700,000 for the Paralysis
Resource Center [PRC]. This program has long provided
essential, comprehensive information, and referral services
that promote independence and quality of life for the over five
million people living with paralysis and their families. The
Committee directs ACL to support the National PRC at not less
than $10,000,000.
Limb Loss
The Committee recommends $4,200,000 for the Limb Loss
program, which supports programs and activities to improve the
health of people with limb loss and promote their well-being,
quality of life, prevent disease, and provide support to their
families and caregivers. Maintaining these programs is critical
to support independent living within the disability community
across their life course.
Traumatic Brain Injury
The Committee recommends $13,118,000 for the Traumatic
Brain Injury program. The program supports implementation and
planning grants to States for coordination and improvement of
services to individuals and families with traumatic brain
injuries. Such services can include pre-hospital care,
emergency department care, hospital care, rehabilitation,
transitional services, education, employment, long-term
support, and protection and advocacy services.
Developmental Disabilities State Councils
The Committee recommends $81,000,000 for State Councils on
Developmental Disabilities. These Councils work to develop,
improve, and expand the system of services and supports for
people with developmental disabilities at the State and local
level. Councils engage in activities such as training,
educating the public, building capacity, and advocating for
change in State policies with the goal of furthering the
inclusion and integration of individuals with developmental
disabilities in all aspects of community life.
Technical Assistance.--The Committee recommends that ACL
provide not less than $800,000 for technical assistance and
training for the State Councils on Developmental Disabilities.
In addition, the Committee encourages ACL to consult with
Developmental Disabilities Assistance and Bill of Rights Act
[DD Act] stakeholders prior to announcing opportunities for new
technical assistance projects and to notify the Committee prior
to releasing new funding opportunity announcements, grants, or
contract awards with technical assistance funding.
Developmental Disabilities Protection and Advocacy
The Committee recommends $45,000,000 for protection and
advocacy programs for people with developmental disabilities.
This formula grant program provides funds to States to
establish and maintain protection and advocacy systems that
protect the legal and human rights of persons with
developmental disabilities who are receiving treatment,
services, or rehabilitation.
Proper Settings of Care.--The Committee encourages ACL to
consider the needs and desires of patients, families,
caregivers, legal representatives, and other stakeholders, as
well as the need to provide proper settings for care, in its
enforcement of the DD Act.
Voting Access for Individuals with Disabilities
The Committee recommends $10,000,000 to improve voting
access for individuals with disabilities. This program provides
grants to protection and advocacy organizations to ensure that
individuals with disabilities have the opportunity to
participate in every step of the electoral process, including
registering to vote, accessing polling places, and casting a
vote.
Developmental Disabilities Projects of National Significance
The Committee recommends $12,250,000 for projects of
national significance to assist persons with developmental
disabilities. This program funds grants and contracts that
develop new technologies and demonstrate innovative methods to
support the independence, productivity, and integration into
the community of persons with developmental disabilities.
University Centers for Excellence in Developmental Disabilities
The Committee recommends $43,119,000 for the University
Centers for Excellence in Developmental Disabilities [UCEDDs]
to continue to meet their obligations under the DD Act. UCEDDs
provide training, technical assistance, service, research, and
information dissemination to people with disabilities, their
families, State and local government agencies, and providers,
to build the capacity of communities and create improvements in
the service delivery system for people with intellectual and
developmental disabilities [I/DD] and other disabilities,
including those from underrepresented populations. The funding
also will support technical assistance to strengthen and
support the National network of UCEDDs as they disseminate
research, training, and practices nationwide.
Independent Living
The Committee recommends $128,183,000 for the Independent
Living program, which helps ensure that individuals with
disabilities can live productive and independent lives in
society. Funding helps States sustain, improve, and expand
independent living services and establish and support a network
of centers for independent living.
National Institute on Disability, Independent Living, and
Rehabilitation Research [NIDILRR]
The Committee recommends $119,000,000 for the NIDILRR,
which supports research and activities that help to maximize
the full potential of individuals with disabilities in
employment, independent living, and social activities. NIDILRR
is the only government entity charged to focus on the whole
person with a disability and their ability to function
independently and maintain a high quality of life among all
personal, societal and environmental factors. The
recommendation continues funding to support the Traumatic Brain
Injury Model Systems National Data and Statistical Center.
Assistive Technology
The Committee recommends $40,000,000 for Assistive
Technology [AT]. AT provides States with funding to support
individuals with disabilities of all ages to obtain devices and
services that will increase, maintain, or improve their
functional capabilities. With the reauthorization of the 21st
Century Assistive Technology Act, the Committee supports
implementation to meet the increased demand for access to
assistive technology for people with disabilities and older
adults. In doing so, the Committee eliminates the alternative
financing program that duplicates resources already available
under the 21st Century Assistive Technology Act.
Program Administration
The Committee recommends $48,063,000 for program
administration at ACL. These funds support salaries and related
expenses for program management and oversight activities.
Congressionally Directed Spending.--The Committee includes
$22,043,000 for aging and disability services projects, as
specified in the table at the end of this Committee Report.
Administration for Strategic Preparedness and Response
The Committee recommends $3,827,597,000 for the
Administration for Strategic Preparedness and Response [ASPR].
This appropriation supports the activities of ASPR and other
components within the Office of the Secretary to prepare for
the health consequences of bioterrorism and other public health
emergencies, including pandemic influenza.
Department of Defense Coordination.--The Committee
understands the critical role of the Department of Defense
[DoD] in the larger U.S. Government and private sector efforts
to address chemical, biological, radiological, and nuclear
[CBRN] threats as well as emerging infectious diseases. The DoD
possesses unique capabilities that contribute to interagency
efforts to prevent, detect, and respond to outbreaks of
infectious disease worldwide. The Committee encourages
prioritizing and aligning investments in medical
countermeasures among all Federal stakeholders to ensure that
effective countermeasures are developed to meet both military
and civilian needs, and to prevent potential duplication of
efforts. The Committee urges ASPR and DoD to coordinate to
leverage private industry expertise to meet these needs.
Essential Medicines List.--The Committee requests the
Secretary to update and maintain, in consultation with relevant
stakeholders, the list of essential medicines initially
developed in response to Executive Order 13944 (85 Fed. Reg.
49929) to include drugs and active pharmaceutical ingredients
[APIs] that are reasonably likely to be required to respond to
a public health emergency or chemical, biological,
radiological, or nuclear threat, or the shortage of which would
pose a significant threat to the U.S. healthcare system or at-
risk populations.
Interagency Alignment of Biomedical Countermeasures
Research and Development.--The Committee has prioritized
investments in R&D of biodefense medical countermeasures
through several different HHS components, depending on their
particular missions and areas of expertise; however, there are
no rigorous mechanisms in place to ensure the alignment of
medical countermeasures requirements, priorities, projects, and
project transitions across each of the agencies responsible for
various phases of product development, including basic
research, preclinical development, advance development, and
procurement. The Committee urges ASPR to coordinate with the
White House Office of Pandemic Preparedness and Response
[OPPR], and interagency partners that comprise the Public
Health Emergency Medical Countermeasures Enterprise, to improve
alignment and efficiency of medical countermeasures research
and development activities across Federal agencies, especially
to ensure the end-to-end development of needed products,
technologies, or platforms. ASPR is encouraged to work with
NIAID, BARDA, FDA, CDC, related efforts of the Department of
Defense's biodefense R&D programs, and similar R&D programs
funded by the Department of Energy.
Medical Supply Chain Surveillance.--The Committee urges
ASPR, in coordination with FDA, to prioritize the
identification of upstream pharmaceutical supply chain risks to
reduce medicine supply disruptions while also providing
evidence to inform public investment and policy reforms that
build more resilience in the medical supply chain. This
includes the ability to leverage integrated data analytics from
a range of data sources to identify key risk indicators and
improve both demand forecasting and capacity management. The
Committee directs ASPR to identify opportunities to support the
development of capabilities to continually assess the global
supply chain for essential medicines, that covers source
location, volume, and the number of facilities involved in the
production of APIs and key starting materials [KSMs], finished
dosage forms, and other required components. A special emphasis
should be placed on drug shortages, particularly sterile
injectable drugs, which were found to be the drugs most
commonly in short supply in the FDA's report Drug Shortages:
Root Causes and Potential Solutions.
Public Health Emergency Medical Countermeasures Enterprise
[PHEMCE].--The Committee recognizes the importance of the
PHEMCE in ensuring the Nation's preparedness for CBRN and
emerging infectious disease threats. The Committee directs ASPR
to continue to partner with PHEMCE interagency partners in the
execution of those functions. The Committee further directs
ASPR, working with PHEMCE and intelligence community partners,
to provide an annual classified threat briefing to the
Committee, and as situations arise that may materially impact
our medical countermeasure enterprise. This advisory committee
should encompass a diverse array of external partners to ensure
comprehensive expertise in addressing various threats, thus
fortifying the Nation's overall preparedness. To the extent
practicable, PHEMCE's strategic planning and decision-making
around stockpile needs, requirements, and interactions with
other government agencies and the communication of such
decisions should be made in concert with the advisory committee
considering the inputs from private partners. ASPR is directed
to report to the Committee within 120 days of enactment to
provide an update on these activities.
Reporting.--The Committee directs ASPR to brief the
Committees on Appropriations monthly regarding activities
funded by this act and other available appropriations. The
agency shall notify the Committee at least 24 hours in advance
of any obligation greater than $25,000,000 from any
appropriation available to ASPR. Such notification shall
include the source of funding, including the applicable
legislative citation, and a description of the obligation. In
addition, ASPR shall submit a monthly obligation report in
electronic format summarizing the details of these obligations
to the Committees on Appropriations. Such report shall be due
not later than 30 days after the end of each month and shall be
cumulative for the fiscal year with the most recent obligations
listed at the top. Furthermore, the Secretary shall include in
this monthly report the current inventory of COVID-19
therapeutics, as well as the deployment of these therapeutics
during the previous month as reported by States and other
jurisdictions until the inventory is expended.
Report on Essential Medicines Risk Assessment.--The
Committee requests the Secretary, in consultation with the
Secretaries of Defense and Homeland Security as well as the
Director of the Office of Pandemic Preparedness and Response
Policy, to submit a report within 18 months of enactment of
this act, assessing the FDA's updated Essential Medicines List.
Specifically, the report shall assess and identify, to the
extent available: (1) key starting materials and excipients
used in manufacturing the active pharmaceutical ingredients and
drugs on the essential medicines list; (2) the names of the
active pharmaceutical ingredients and drugs on the essential
medicines list that rely on high-risk foreign suppliers for
more than 50 percent of production; (3) current domestic
manufacturing capabilities for drugs and active pharmaceutical
ingredients on the essential medicines list, including their
key starting materials and excipients, and any cost-effective
manufacturing technologies, including advanced manufacturing,
that should or should not be considered; (4) national security
risks, including cybersecurity threats and critical
infrastructure designations; (5) any deficiencies, lack of
authorities, or limitations in policy or process that limit the
Departments of Health and Human Services, Defense, or Homeland
Security to address any national security risks in the
pharmaceutical supply chain; and (6) how the Departments of
Health and Human Services, Defense, or Homeland Security will
mitigate such national security risks, including through its
use of the Defense Production Act.
RESEARCH, DEVELOPMENT, AND PROCUREMENT
Appropriations, 2024.................................... $3,135,000,000
Budget estimate, 2025................................... 3,082,991,000
Committee recommendation................................ 3,250,991,000
The Committee recommends $3,250,991,000 for ASPR's
Research, Development, and Procurement activities. This
appropriation supports the advanced research, development,
regulatory approval, and procurement of life-saving medical
products-drugs, vaccines, therapeutics, diagnostics, and
medical devices-that are collectively known as medical
countermeasures [MCMs]. These MCMs serve as life-saving
technologies during public health emergencies involving CBRN
threats and other emerging threats, while advancing the day-to-
day public health and medical capabilities. In addition to
developing these products, this appropriation also supports
ensuring certain qualifying MCMs and medical supplies are
stockpiled to be ready to deploy when needed.
Biomedical Advanced Research and Development Authority [BARDA]
The Committee recommendation includes $1,070,000,000, an
increase of $55,000,000, for BARDA. BARDA supports the advanced
development of vaccines, therapeutics, diagnostics and devices
for potential serious public health threats, including
chemical, biological, radiological, and nuclear threats,
pandemic influenza, and emerging and re-emerging infectious
diseases. BARDA played a critical role in the COVID-19 and Mpox
outbreak responses, and swiftly acted in response to recent
Marburg, Sudan, and Ebola Zaire outbreaks. The Committee
encourages BARDA to expand its portfolio of partnerships for
broader success.
Antimicrobial Resistance [AMR].--The Committee continues to
support advanced research and development of broad-spectrum
antimicrobials, particularly for multi-drug resistant
pathogens, and next-generation therapeutics that address the
increasing incidence of antimicrobial resistance.
Antimicrobial Resistance Research Using Bispecific
Agents.--The Committee understands that research exists to
develop therapies that directly engage the host immune system
to kill bacterial cells, mirroring treatments in proven cancer
drugs. Such an approach may open the door to new variations of
treatment, allowing for more personalized and more precise
medicinal treatments. The Committee encourages BARDA to invest
in these and additional novel ways to treat bacterial
infections that reduce or circumvent the antimicrobial
resistance seen with conventional antibiotics.
Blood Supply.--The Committee remains concerned about the
vulnerability of the blood supply after the peak COVID
shortages and the HHS Advisory Committee on Blood and Tissue
Safety and Availability report indicating that the blood supply
faces significant threats and challenges. The Committee
supports the report's recommendation to implement new
technologies to improve the safety and reliability of the blood
supply. The BARDA strategic objective to develop next
generation blood products must go beyond treatment of radiation
injuries and be expanded to include products that can be used
regardless of the patient's blood group, expand availability to
all hospitals, prevent shortages, and be suitable for use
throughout the continuum of care including first responders.
Suitable products that are in clinical trials should be
considered a priority for funding. The Committee urges BARDA to
expand the development of freeze-dried hemostatic products,
especially platelet-derived products, to include a wide range
of indications encompassing treatment of hemorrhagic disease,
use in general surgery, obstetrics, and trauma. The Committee
encourages the Secretary to consider a pilot project to expand
manufacturing capacity such that a national inventory adequate
to provide a national response capability can be established.
The Secretary shall provide a biannual report to the Committee
detailing the progress on these efforts.
Biopharmaceutical Manufacturing Partnership [BioMAP].--The
Committee appreciates BARDA taking steps to strengthen our
Nation's MCM enterprise, including through the BioMaP and
supports efforts to expand domestic manufacturing
infrastructure for MCMs. Given the global nature of certain
clinical research, development, and manufacturing activities,
it is critical for BARDA to strengthen, expand, and make
progress in onshoring these programs. Within 120 days of
enactment, BARDA shall brief the Committee on BARDA's plans in
fiscal year 2025 to support the onshoring of MCM development
activities, including actions taken by BioMaP.
CBRN Threats.--The Committee expresses deep concern
regarding the heightened risks posed by CBRN weapons worldwide.
The Committee provides robust funding for BARDA's core national
security mission to protect Americans against these deliberate,
man-made threats. The Committee urges ASPR to prioritize the
development and stockpiling of critical CBRN vaccines,
treatments, and diagnostics to ensure uninterrupted access to
these life-saving MCMs within the Strategic National Stockpile
[SNS]. The Committee encourages ASPR to engage more frequently
with private sector partners to speed the development of new
MCMs and stockpiling of existing MCMs against CBRN threats.
Infectious Diseases.--The Committee supports robust funding
for BARDA's naturally occurring infectious disease programs,
including emerging infectious diseases, AMR, and pandemic
influenza. The Committee encourages BARDA to account for low-
resource settings and vulnerable populations, such as children
and neonates, in its funding decisions to produce tools that
have wide applicability for many geographies in the U.S. and
globally that lack advanced health infrastructure. The
Committee encourages ASPR to project its spending on emerging
infectious diseases, AMR, and pandemic influenza in its annual
5-year budget plan. The Committee requests that BARDA continue
publicly updating its research portfolios to include pathogen,
product, phase, and funding data for all its programs, and to
provide the underlying data in tabular form.
Infectious Disease Outbreaks With Pandemic Potential.--The
Committee supports robust funding for BARDA to engage in
public-private partnerships to support advanced R&D of
innovative platform technologies and MCM programs focused on
(but not limited to) vaccines, therapeutics, diagnostics, and
other MCMs for emerging infectious diseases, including novel
pathogens and viral families with pandemic potential. The
Committee encourages ASPR to prioritize the identification and
development of promising technologies that can be leveraged to
address a range of future pathogens, including virus families
with significant pandemic potential. In addition, the Committee
directs BARDA to allocate no less than $10,000,000 in fiscal
year 2025 to support the Disease X Medical Countermeasure
Program at BARDA for expeditious development of MCMs against
priority viral families, including those effective against
novel pandemic pathogens.
Red Blood Cell Clinical Trial Program.--The Committee urges
BARDA to continue investments in red blood cell pathogen
reduction technology to ensure that completion of technology
development as defined in BARDA contracts is accomplished in
parallel with the clinical trials.
Securing BARDA's Partnerships from Malign Actors.--The
Committee directs BARDA to submit a report to the Committees
within 180 days of enactment on all partnerships with entities
that are based in the People's Republic of China [PRC] or under
the jurisdiction of the PRC government and their subsidiaries.
The report shall include partnerships spanning the entire scope
of BARDA's work including the development of vaccines, drugs,
therapies, and diagnostic tools for public health medical
emergencies such as CBRN accidents, incidents and attacks;
pandemic influenza [PI], and emerging infectious diseases
[EID]. Additionally, the report shall include the type of
agreement that BARDA has entered into with a PRC entity, the
scope of the agreement, the length of the agreement, and what
data or information has been or will be shared with the BARDA
partner.
Whole Blood Platelet Collection.--The Committee urges BARDA
to initiate investments in whole blood platelet technologies
during fiscal year 2025 to achieve timely FDA approval for use
of these technologies in all 50 States to increase sufficient
platelet production capacity for routine blood center
operations and pandemic preparedness as soon after FDA approval
as practicable. Production of whole blood platelets will enable
pandemic preparedness and surge capacity in times of national
disaster when platelet transfusion is required to support
injured patients in the civilian and military population.
Tuberculosis [TB].--Drug resistant TB is identified as a
serious threat level pathogen to the U.S. by the Combating
Antibiotic-Resistant Bacteria Biopharmaceutical Accelerator
[CARB-X]. As drug resistant TB cases are on the rise globally,
the threat to the United States also grows and BARDA's
investment in new TB diagnostics, drugs, and vaccines is
critical. The Committee requests an update on BARDA's
investments in drug resistant TB research in the fiscal year
2026 CJ.
Project Bioshield Special Reserve Fund
The Committee recommendation includes $835,000,000, an
increase of $10,000,000, for Project Bioshield. The Committee
is committed to ensuring the Nation is adequately prepared
against chemical, biological, radiological, and nuclear
attacks. These funds support the acquisition of promising MCMs
developed through BARDA contracts for the most serious public
health threats.
Strategic National Stockpile
The Committee includes $1,010,000,000, an increase of
$30,000,000, for the Strategic National Stockpile [SNS].
Acute Radiation Syndrome [ARS].--The Committee notes ASPR
has the responsibility of developing and procuring MCMs for
naturally occurring and intentional threat agents while
ensuring that these are quickly available in the event of an
emergency, and that these threats include nuclear and
radiological events. The Committee is concerned, however, that
ASPR/SNS has only been able to meet 45 percent of the published
requirement to protect Americans from ARS. Considering the
risks associated with international supply chains and recent
geopolitical developments, the Committee directs ASPR/SNS to
prioritize domestically sourced FDA-approved MCMs for ARS and
thermal burns. Additionally, given the anticipated delays in
treatment initiation due to the extended time needed to deploy
personnel and MCMs in the event of a nuclear or radiological
incident, the Committee urges ASPR/SNS to prioritize FDA-
approved countermeasures with an extended treatment window.
Such countermeasures should be effective for deployment at
least 96 hours after a radiological event. The Committee
requests a report within 30 days of enactment that includes an
update on ASPR's plans to ensure existing ARS products are
maintained at a level that meets the requirement and secure the
continued availability of a diverse set of domestically
manufactured countermeasures that will be effective under
expected conditions of deployment and use.
Feasibility of a Loan Program for MCM Development.--The
Committee recognizes the success of the Department of Energy's
loan programs in advancing national security and high
technology assets and acknowledges the potential benefits of a
similar approach within HHS. Specifically, the Committee
requests ASPR to conduct a comprehensive feasibility analysis
of establishing a Health Security Loan Program within BARDA.
This program would aim to address the critical financing gaps
in the development and commercialization of MCMs across various
stages of the product life cycle. The analysis should consider
the structure and success factors of DOE's Title 17 Innovative
Energy Loan Guarantee Program, evaluating its applicability to
the unique challenges and opportunities in the health security
sector. The report should assess the potential impact of such a
loan program on accelerating the availability of MCMs during
both emergency and non-emergency periods, drawing parallels
with the Small Business Administration's role in providing
loans to small businesses during critical phases of their
development. ASPR is directed to provide a detailed report
within 180 days of enactment. The report should outline the
findings of the feasibility analysis, including any policy
restrictions or limitations that may hinder the implementation
of a Health Security Loan Program, and offer recommendations
for a strategic plan to ensure that agencies responsible for
disease prevention, detection, and outbreak response have
access to the necessary financing mechanisms to support the
development and commercialization of vital MCMs.
Made in America Strategic National Stockpile.--The
Committee is concerned about the Nation's limited
infrastructure to produce essential products such as medical
devices, medical equipment, pharmaceuticals, and personal
protective equipment [PPE]. The Committee strongly urges ASPR
to develop a long-term sustainable procurement plan that gives
preference to and results in purchases directly from domestic
manufacturers to the maximum extent practicable.
Resupply of Nerve Agent Countermeasures.--The Committee
remains concerned that the Nation is not sufficiently prepared
for the threats posed by chemical weapons and nerve agents,
particularly threats to the American public. Anti-convulsant
medicines provide a key means of treatment, yet the SNS
currently stockpiles only diazepam auto-injectors, all of which
expired in October 2023. The Committee notes each of ASPR's
fiscal year 2023, 2024, and 2025 congressional justifications
requested funding to procure FDA-approved next generation
midazolam auto-injectors to resupply the SNS. However, the
Committee is concerned that ASPR does not intend to execute the
appropriated funds for FDA-approved midazolam auto-injectors
from fiscal year 2023 or 2024 and reiterates the request for a
report included in the Consolidated Appropriations Act, 2024
(Public Law 118-47). Therefore, the Committee urges ASPR to
take appropriate steps to resupply the expired stock of anti-
convulsant medicines in the SNS.
Poxvirus Countermeasures.--The Committee commends ASPR for
their role in the successful campaign to stop the 2022 MPox
outbreak in the United States by deploying medical
countermeasures that were previously developed, purchased and
stockpiled for smallpox preparedness. The Committee is
concerned however that there may now be an insufficient supply
of poxvirus vaccine for immunocompromised individuals as well
as poxvirus treatments in the stockpile, especially in light of
the continued national security threat of an intentional or
accidental release of smallpox. The Committee urges ASPR to
prioritize replenishment of MCMs used during the MPox outbreak
and requests a briefing within 60 days of the date of enactment
on the stockpiling requirements for poxvirus vaccine and
therapeutics as included in the 2022 Medical Countermeasure
Preparedness Report, submitted to Congress as part of the
required annual threat based review of the SNS.
Replenishing Influenza Antivirals.--The Committee remains
concerned about the perennial threat of pandemic influenza,
which could be exacerbated by expiring antivirals in the SNS.
The Committee strongly urges HHS to diversify and replenish its
stockpile of emergency influenza antivirals to ensure the
Nation has multiple current treatment options in the event of
an influenza pandemic.
Shelf-life Extension Program [SLEP].--The Committee remains
concerned with aging products in the SNS and the use of the
SLEP for MCMs. While the SLEP can result in cost savings and
efficiencies, it is not a substitute for the timely
replenishment of aging products in stockpile. For example, the
most recent Medical Countermeasures Preparedness Review,
submitted to Congress as part of the required annual threat-
based review of the SNS, found that ASPR often relies on
decades-old products to fulfill current PHEMCE stockpiling
requirements. The Committee remains concerned that efforts to
achieve cost savings through SLEP could negatively impact the
distribution of, patient adherence to, and ultimately consumer
confidence in products in the SNS used during an emergency. In
the annual SNS threat-based review, the Secretary will include
the quantity of each countermeasure that is beyond 10 years of
the initial FDA expiration date and the number of these aged
products in the SLEP that have no industry sponsor.
State Strategic Stockpiles.--The Committee supports a State
stockpile program, as authorized in Public Law 117-328, to
supplement the Federal SNS by allowing States to secure
appropriate drugs, vaccines, and other biological products,
medical devices, and other medical supplies necessary to
respond to a public health emergency or a major disaster. This
may include products for regional threats such as mosquito-
borne diseases and natural disasters such as hurricanes,
tornados, blizzards, or extreme drought. The Committee
recognizes the importance of guidance to States on how best to
establish, expand, procure, replenish, maintain, and manage
State stockpiles, while ensuring appropriate collaboration with
the Federal SNS. ASPR is directed to report to the Committees
within 180 days of enactment to provide an update on plans to
issue guidance related to state stockpiles. The Committee notes
that empowering States to support their own stockpiles and to
stockpile products that may not be procured on the Federal
level will improve States' ability to protect their specific
populations and appropriately prepare for and respond to
emergencies. Therefore, ASPR is encouraged to establish,
expand, or maintain a State stockpile program for States'
specific and unique needs, while ensuring such a program is
appropriately coordinating with the Federal SNS. The Committee
directs ASPR to include an update in the fiscal year 2026 CJ on
its plans to implement the program, including providing a draft
budget.
SNS Transparency.--The SNS has received funding increases
for the past 4 years, on top of the tens of billions of dollars
it received during the COVID-19 pandemic. Yet, the Committee
continues to hear significant concerns with the SNS'
contracting bandwidth and its ability to execute on contracts
in a timely manner. In addition, as products move through
development and are approved by BARDA, which is publicly
disclosed, the Committee does not have transparency on which
products are entering the stockpile and when. Therefore, the
Committee directs ASPR to include in its monthly briefings to
the Committee information on which products approved by BARDA
are being stockpiled. The briefing should be accompanied by a
semiannual report on the contracts executed in the past 6
months. This should be an ongoing listing that will allow the
Committee to continuously track products as they move through
the development pipeline from BARDA through the lifecycle of
product replenishment for all products in the SNS.
Temperature Sensitive Products.--The Committee encourages
ASPR to ensure that vaccines, drugs, and other temperature
sensitive products are packaged, stored, and distributed using
best practices for appropriate temperature control, including
through the use of temperature monitoring technologies that may
be placed on individual packaging.
Pandemic Influenza Preparedness
The Committee recommendation includes $335,991,000, for
Pandemic Influenza Preparedness. This funding supports efforts
to modernize influenza research and development of vaccines and
next-generation influenza medical countermeasures, preparedness
testing and evaluation, as well as critical domestic vaccine
manufacturing infrastructure.
Test-to-Treat.--The Committee believes the test-to-treat
model, which was implemented for COVID-19 in retail pharmacies
and health clinics, can make other infectious disease
treatments available more quickly and reduce disease
transmission and illness severity. The availability of accurate
diagnostics and the rapid prescription of treatments is
especially critical given the recent co-circulation of multiple
respiratory diseases during the winter season. The Committee
believes the test-to-treat model should be evaluated for the
confluence of influenza, COVID-19 and RSV, given the
availability of multiple diagnostic tests and antivirals. The
Committee directs HHS to submit a report to Congress within 120
days of enactment on the findings of the NIH Home Test-to-Treat
demonstration for influenza, lessons learned from the COVID-19
Federal Retail Pharmacy Program, and the design of a potential
test-to-treat demonstration for COVID-19, influenza, and RSV to
serve vulnerable populations.
OPERATIONS, PREPAREDNESS, AND EMERGENCY RESPONSE
Appropriations, 2024.................................... $499,606,000
Budget estimate, 2025................................... 685,097,000
Committee recommendation................................ 576,606,000
The Committee recommends $576,606,000, an increase of
$77,000,000, for ASPR's Operations, Preparedness, and Emergency
Response activities. This appropriation supports the operations
and logistics capabilities across ASPR's programs as well as
the tools and resources necessary to support its emergency
preparedness and response mission. This includes ASPR's
financial management, acquisition, information technology, and
its suite of integrated Federal medical response capabilities
that is prepared to respond when disaster strikes.
HHS Coordination Operations and Response Element [H-
CORE].--The Committee includes $15,000,000 to ensure the
operational coordination and logistical support for the COVID-
19 response and other threats, as they arise.
Supply Chain Control Tower [SCCT] Program.--The Committee
recognizes the importance of the SCCT Program, a voluntary
collaboration between distributor partners and ASPR, to provide
partial visibility for supply chain monitoring and readiness.
In addition to providing insights for demand and supply
forecasting, the Committee encourages ASPR to coordinate with
FDA and CDC to use the SCCT to monitor the availability of a
broader list of essential health and medical products.
Preparedness and Emergency Operations
The Committee includes $31,154,000 for Preparedness and
Emergency Operations. The Preparedness and Emergency Operations
account funds the Office of Emergency Management, which
supports the full spectrum of emergency management
responsibilities, including planning, coordination, logistics,
training, and responding to planned events and unplanned
incidents.
National Disaster Medical System
The Committee includes $81,904,000, an increase of
$3,000,000, for the National Disaster Medical System [NDMS] to
improve the disaster readiness of the Nation by better
coordinating existing assets with States and regions.
Mission Zero.--The Committee includes $4,000,000, for
civilian trauma centers to train and incorporate military
trauma care providers and teams into care centers.
Pediatric Disaster Care.--The Committee includes
$7,000,000, to support the pediatric disaster care program.
Public Health Preparedness Equipment.--The Committee
includes $2,000,000 for ASPR to maintain next generation air
mobility solutions that will ensure more cost-effective health
delivery systems.
Prepositioning Response Medical Caches Outside the
Contiguous United States.--The Committee recognizes the
geographic distance of Hawaii and the U.S. Affiliated Pacific
Islands [USAPI] and the need to pre-position emergency medical
resources in Hawaii to mitigate risks associated with disrupted
transportation networks, communications, and supply chains. The
Committee therefore includes a $3,000,000 increase for NDMS and
directs ASPR to maintain its prepositioning of response medical
caches in Hawaii to serve the State and USAPI. These medical
caches should have a minimum capability to support up to two
38-person Disaster Management Assistance Teams, in order to
provide immediate support to Hawaii and the USAPI during a
public health or disease response.
Health Care Readiness and Recovery
The Committee's recommendation includes $309,055,000, an
increase of $4,000,000, for Health Care Readiness and Recovery
[HCRR], formerly the Hospital Preparedness Program. The HCRR
portfolio includes critical programs and activities that
strengthen healthcare sector readiness to provide innovative,
coordinated, and lifesaving care in the face of emergencies and
disasters. The Committee believes this funding should be
carefully coordinated within communities to continue to provide
our Nation's hospitals and emergency responders the necessary
tools to respond quickly and collaboratively to public health
emergencies. Within HCRR, the Committee includes $240,000,000,
for cooperative agreements, critical support to State, local,
and regional partners to advance healthcare system preparedness
and response.
Biocontainment Care Capabilities.--The Committee requests a
briefing within 60 days of enactment on the planning and design
resource requirements of Next Generation Biocontainment Care
Capabilities at a leading civilian NDMS medical surge pilot
site, as called for in section 741 of the National Defense
Authorization Act for fiscal year 2021.
Collaborative Learning Models.--The Committee notes the use
of technology-enabled collaborative learning models, such as
Project ECHO, during the COVID-19 pandemic and encourages ASPR
to leverage these solutions in its healthcare emergency
preparedness and response.
Medical Innovation for Disaster Response.--The Committee
commends ASPR for its work on medical innovation for disaster
response, and encourages ASPR to continue to build on this work
to improve far forward medical innovation and emergency
responder training. The Committee reiterates the request for a
report included in the Consolidated Appropriations Act, 2024
(Public Law 118-47) describing the potential role of a
federally funded research and development center.
EMS Preparedness and Response Workforce Shortage Program.--
The Committee urges ASPR to address the crippling EMS workforce
shortage, including in underserved, rural, and Tribal areas
and/or address health disparities related to accessing
prehospital ground ambulance healthcare services, including
critical care transport. The Committee encourages ASPR, in
consultation with the National Highway Traffic Safety
Administration's Office of EMS, to develop a national pilot
program of grants to governmental and non-governmental EMS
organizations to support the recruitment and training of
emergency medical technicians and paramedics in underserved,
rural, and Tribal areas and/or addressing health disparities
related to accessing prehospital ground ambulance healthcare
services.
National Special Pathogen System [NSPS].--The Committee
includes $7,500,000, to continue to support the National
Emerging Special Pathogens Training and Education Center
[NETEC], and $21,000,000 to continue to support existing
Regional Emerging Special Pathogen Treatment Centers [RESPTCs]
and Special Pathogen Treatment Centers [SPTCs] to prepare for
future pandemic threats. Funding will support efforts to
maintain and improve the Nation's preparedness against highly
infectious pathogen threats. Funding will continue to be
available to NETEC and RESPTCs for readiness to respond to
outbreaks of infectious diseases, for additional treatment
centers, for special pathogen medical transport and further
establish the National Special Pathogen Systems of Care tier
network.
Regional Disaster Health Response System.--The Committee
includes $7,000,000 to support ASPR's efforts to improve
disaster readiness by better coordinating healthcare
infrastructure and systems with States and across regions. The
Committee urges ASPR to continue improving regional readiness
efforts to increase regional ability to respond to threats,
leverage local, State, and Federal healthcare assets across
coalition and State lines, and improve communications and
coordination among participating agencies.
Trauma Care Readiness and Coordination.--The Committee
includes $4,000,000 to support the efforts of States and
consortia of States to coordinate and improve emergency medical
services and trauma care during a public health emergency. ASPR
shall use these funds to award up to five grants to eligible
entities for the purpose of carrying out research and
demonstration projects to support the improvement of emergency
medical services and trauma care in support of the duties and
functions included in 42 U.S. Code Sec. 300hh-10 (b)(4)(C) of
the Public Health Service Act.
Medical Reserve Corps
The Committee recommendation includes $6,240,000 for the
Medical Reserve Corps [MRC] program, which is a national
network of local volunteer doctors, dentists, nurses,
pharmacists, and other community members. The Committee
appreciates that funding for MRCs has historically been
provided to local units quickly and effectively, thereby
allowing for grants to help build and sustain local
communities' ability to prepare for and respond to emergencies.
The Committee encourages ASPR to continue this locally-driven
approach and to allocate this funding and any remaining funding
from the American Rescue Plan Act via established mechanisms
that provide funds directly to local MRC units, which are made
up of representatives from their communities.
Industrial Based Management and Supply Chain [IBMSC]
The Committee recommends $80,000,000, an increase of
$70,000,000, for ASPR's Pandemic Preparedness and Biodefense
activities. This appropriation supports the permanent
establishment of the Industrial Based Management and Supply
Chain Office to ensure that critical supplies are manufactured
in the United States. It also provides resources to bolster
pandemic preparedness and biodefense against new and emerging
threats, which may include investments to accelerate advanced
development of investigational vaccines, therapeutics and
diagnostics; support emergency manufacturing of critical MCMs
and ancillary supplies; and, to the extent feasible, invest in
the expansion of the domestic medical supply chain.
The Committee recognizes that deployment of cutting-edge
manufacturing technology is an essential component of a
feasible pathway toward a resilient domestic manufacturing base
for medicines, active pharmaceutical ingredients, and
diagnostics. The Committee directs that this funding shall be
used to continue and expand ongoing work to build and validate
advanced manufacturing processes and facilities capable of
storing, producing, and deploying essential medicines and
diagnostics in the event of a national health emergency.
Diagnostic Manufacturing.--The Committee remains concerned
investments made by U.S. headquartered diagnostic companies for
end-to-end domestic manufacturing during the COVID-19 pandemic
are being undone without warm-base investment. Therefore, the
Committee directs the ASPR to invest in public-private
partnerships and create policies for flexible contracting with
U.S. diagnostic test manufacturers to create a sustainable
warm-base and supply chain for end-to-end domestic
manufacturing.
Improving Biomanufacturing Capabilities.--The Committee
urges ASPR to increase coordination with relevant Manufacturing
USA institutes to address pandemic preparedness, CBRN defense,
and emerging biopharmaceutical manufacturing strategies.
Industrial Base Manufacturing and Supply Chain.--The
Committee urges ASPR to prioritize the development of new
Abbreviated New Drug Application [ANDA] by a domestic
manufacturer for priority essential drugs in shortage or at
risk of shortage to have domestic manufacturers able to produce
a drug if it goes into shortage.
Prioritizing Domestic Producers of Essential Medicines.--
The Committee is concerned about drug shortages of essential
medicines. Therefore, the Committee urges ASPR to utilize U.S.
manufactures that are producing critical medicines, like the
antibiotic amoxicillin, over non-U.S. producers.
Rapid Detection of Bioterrorism Agents.--The Committee is
concerned that the Nation is not prepared to rapidly detect
biological agents, such as anthrax, tularemia, melioidosis,
glanders, and plague, even though BARDA has successfully
supported development of diagnostic technologies that detect
such biothreats, in some cases simultaneously. The Committee
strongly urges ASPR to prioritize partnerships with domestic
manufacturers capable of producing rapid diagnostics that can
detect such threats and develop a diagnostic testing
preparedness plan for use during public health emergencies,
disasters, and other serious public health threats.
Strengthening Domestic Manufacturing and Production.--The
Committee commends ASPR for its support of industrial base
management capabilities launched during the COVID-19 pandemic,
including global supply chain situational awareness, market
capabilities, rapid acquisition execution, and coordination of
Defense Production Act [DPA] and Emergency Support Function
[ESF]-8 authorities. This work has been essential to creating a
secure and resilient domestic supply of quality and affordable
essential medicines and PPE. These strategic investments in
domestic technologies and industries ensure our Nation's health
and biosecurity. However, the Committee remains concerned about
the Nation's limited infrastructure to produce essential
products such as medical devices, equipment, pharmaceuticals,
and PPE. The Committee supports efforts by ASPR to expand upon
the domestic industrial base to end the reliance on foreign
sourced medical equipment, PPE, diagnostic tests, medical
devices, and to secure the pipeline for critical medicines,
including antibiotics. The Committee directs IBMSC to use
available funds to continue and expand ongoing work to build
and validate advanced manufacturing processes and facilities
capable of storing, producing, and deploying essential
medicines in the event of a national health emergency. IBMSC
should seek opportunities to expand domestic manufacturing
facilities with end-to-end capabilities to produce bulk drug
substance, support platform technologies for MCMs, and provide
fill-finish capacity. The Committee urges ASPR to use available
funds to support manufacturers in building, expanding,
upgrading, modifying, and/or recommissioning facilities in the
U.S. to increase manufacturing capacity of critical medicines
or their active pharmaceutical ingredients.
Trusted Domestic Vaccine Supplier Capability.--The
Committee continues to recognize the need for domestic
manufacturing of key biological starting materials [KSM],
including plasmid DNA and mRNA, antibodies, and other MCMs, to
ensure timely response to unanticipated health emergencies.
Therefore, the Committee encourages ASPR to expand domestic
manufacturing of KSMs and collaborate with U.S. companies that
have pharmaceutical capabilities to ensure the development and
stockpiling of synthesized medicines for future pandemics and
biothreats.
Warm-Base Manufacturing.--The Committee supports warm-base
surge production capacity contracts with domestic
manufacturers, including NIOSH-approved N95 respirators and
other domestic PPE manufacturers who received Federal funding
to expand manufacturing capacity during the COVID-19 pandemic.
ASPR is encouraged to maintain domestic manufacturing surge
capacity and capabilities to prepare for, or respond to, an
existing or potential public health emergency or otherwise
address threats that pose a significant level of risk to
national security.
Office of the Secretary
GENERAL DEPARTMENTAL MANAGEMENT
Appropriations, 2024.................................... $710,955,000
Budget estimate, 2025................................... 762,917,000
Committee recommendation................................ 727,964,000
The Committee recommends $727,964,000 for General
Departmental Management [GDM]. The recommendation includes
$64,828,000 in transfers available under section 241 of the PHS
Act (Public Law 78-410 as amended).
This appropriation includes an increase of $10,000,000 for
cybersecurity and supports activities that are associated with
the Secretary's role as policy officer and general manager of
the Department. It supports health activities performed by the
Office of the Assistant Secretary for Health [OASH], including
the Office of the Surgeon General. GDM funds also support the
Department's centralized services carried out by several Office
of the Secretary staff divisions, including personnel
management, administrative and management services, information
resources management, intergovernmental relations, legal
services, planning and evaluation, finance and accounting, and
external affairs.
Adult Cellular Therapies.--The Committee encourages the
Department to support collaborative evidence development in
coordination with FDA, NIH, and HRSA. Such efforts should
include a focus on enhancing transparency regarding outcomes
from somatic cellular based therapies that are FDA-approved or
being administered under FDA Investigational New Drug or
Investigational Device Exemption protocols by ensuring that
results are submitted to appropriate databases. The Committee
also encourages engagement of experts and stakeholders to
advance awareness, understanding, and utilization of existing
databases to promote research and development.
AD/RD Early Intervention.--The Committee encourages the
Department to prioritize early interventions for Alzheimer's
disease and related dementias, and to identify and implement a
comprehensive set of actions to assess risk factors for
cognitive decline and dementia. Such an assessment should
emphasize historically underserved communities. Actions should
include: conducting health risk assessments; identifying
opportunities to address known risk factors; examining
incentives to promote brain health; providing payments for
prevention and care delivery models that incorporate brain
health as part of care and treatment of other conditions; and
examining the development and implementation of quality
measures specifically related to brain health.
Alzheimer's Advisory Council.--The Committee is encouraged
by the Department's leadership to ensure that risk reduction is
part of our Nation's plan to end Alzheimer's disease. More than
2 years ago, the Secretary announced that the 2021 plan update
would include a sixth goal (Goal Six) of reducing risk factors
for Alzheimer's disease. The Committee requests a briefing
within 180 days of enactment of this act on progress made
toward meeting that goal. The briefing should include
information on funding allocated toward achieving Goal Six; how
progress is being measured and tracked; and an overview of how
HHS and other Federal agencies are implementing prevention
strategies and working with non-governmental organizations to
meet Goal Six.
Antimicrobial Resistance [AMR].--The Committee continues to
support the Administration's proposal to combat antibiotic-
resistant infections by strengthening national One Health
surveillance efforts, encouraging the development of innovative
diagnostic tests for resistant bacteria, and accelerating the
development of new antibiotics, other therapeutics, and
vaccines. The Committee requests an update in the fiscal year
2026 CJ detailing how HHS and its agencies are coordinating
their AMR-related efforts, as well as domestic and
international AMR trends.
Benzathine Penicillin G L-A [Bicillin L-A].--The Committee
is concerned that Bicillin L-A, the only FDA-approved treatment
for syphilis in pregnant women and infants, has frequently been
in short supply over the last two decades. The Committee
requests a briefing within 180 days of enactment of this act on
HHS efforts to coordinate with CDC and FDA to develop a plan to
ensure an adequate, uninterrupted drug supply and to prevent
future shortages as well as steps to use agency-generated data,
including other drug shortages that may impact Bicillin L-A.
Bereavement Care.--The Committee is concerned that
individuals and families often suffer severe health, social,
and economic declines following the death of a loved one, be it
a child, sibling, spouse, or parent. The Committee encourages
the Secretary to coordinate efforts across HHS to advance
bereavement care for families, including interventions or
programs that could help coping or adaptive processing.
Biotech Reagents.--The Committee is concerned by the
increased reliance on foreign imports of active pharmaceutical
ingredients, which are often made from U.S. exports of basic
organic chemicals and biochemical reagents. The committee
encourages the Secretary to consult with drug manufacturers,
scientific experts, and across Federal agencies to compile a
list of organic chemicals and biochemical reagents required to
produce active pharmaceutical ingredients, biopharmaceutical
treatments, and other medicines listed on the World Health
Organization's essential medicines list. Further, the Secretary
should examine, to the extent possible, additional medical and
non-medical industrial uses of such identified reagents.
Children's Interagency Coordinating Council.--The Committee
is pleased that the Secretary has assigned the Assistant
Secretary for Planning and Evaluation [ASPE] the responsibility
for establishing the Children's Interagency Coordinating
Council. The Committee continues current funding at $3,000,000
for the interagency council's activities. The Committee
requests a briefing within 180 days of enactment of this act on
the interagency council's activities, including efforts to
establish a permanent leadership structure and identify
officials from key agencies across the government who will
participate as members of the council.
Chronic Numbness and Pain after Mastectomy.--The Committee
recognizes research demonstrating that long-term impacts after
mastectomy can lead to significant functional impairment and
quality of life issues for breast cancer survivors. The
Committee is aware of technological procedure advancements that
can restore normal breast functions, such as sensation, and
improve functional impairment, physical safety, and quality of
life for breast cancer survivors. The Committee encourages the
Secretary, in collaboration with other relevant HHS agencies,
to explore technological advances impacting health outcomes
after mastectomy and requests an update in the fiscal year 2026
CJ about this issue.
Confidentiality of Substance Use Disorder Patient
Records.--The Committee recognizes the Department's issuance of
a final rule entitled ``Confidentiality of Substance Use
Disorder [SUD] Patient Records'' and directs HHS to ensure that
providers are informed of the changes made and the impact of
the rule, including through public meetings, webinars, and
guidance. The Committee further directs HHS to clarify how the
Center of Excellence for Protected Health Information will work
to educate providers, including by providing more educational
opportunities through webinars, resources, and other means.
Within 180 days of enactment of this act, the Committee
requests a briefing on efforts to educate providers and
implementation of Subtitle F, Section 7051 of Public Law 115-
271.
Dietary Guidelines.--The Committee recognizes that existing
research has shown that ultra-processed plant-based
alternatives to dairy are not nutritionally equivalent, and
that consumers may not fully understand the nutritional
differences between dairy and plant-based alternatives. The
Committee expects the Secretary of HHS to ensure that the
process for developing the 2025 Dietary Guidelines includes
recommendations that are based on the preponderance of
scientific and medical evidence consistent with section 5341 of
title 7 of the U.S. Code, and that it is fully transparent and
includes a balanced representation of individuals who are
unbiased and free from conflicts of interest.
Embryo Adoption Awareness Campaign.--The Committee includes
funding for the Embryo Adoption Awareness Campaign to educate
Americans about the existence of frozen human embryos
(resulting from in-vitro fertilization), which may be available
for donation/adoption to help other couples build their
families. The Committee includes bill language permitting these
funds also to be used to provide medical and administrative
services to individuals adopting embryos, deemed necessary for
such adoptions, consistent with the Code of Federal
Regulations.
Ending the HIV Epidemic.--The Committee continues support
for this initiative but is concerned by a lack of quantifiable
data showing outcomes of a program started in 2019. Therefore,
the Committee directs HHS to: (1) provide a spend plan to the
Committees no later than 60 days after enactment of this act,
to include resource allocation by State; (2) brief the
Committees on the fiscal year 2025 plans no later than 90 days
after enactment of this act; (3) provide the Committees an
update on the program's performance data since the beginning of
the initiative through the latest available data, making sure
to address each of the initiative's goals and performance
metrics, no later than 180 days after enactment of this act and
updated annually throughout the life of the initiative.
Gene Synthesis Screening and Procurement.--The Committee
recognizes the potential benefits and risks associated with
advances in gene synthesis technology. Given the rapidly
evolving nature of the field, it is critical that adequate
safeguards and oversight mechanisms be in place to ensure the
responsible use of this technology. The Committee encourages
HHS to closely examine agency procurement of gene synthesis
products and equipment, as well as the funding of entities that
purchase gene synthesis products and equipment.
Global Health Research.--The Committee requests an update
in the fiscal year 2026 CJ on how CDC, FDA, BARDA, NIH,
including the Fogarty International Center, and other agencies
jointly coordinate global health research activities with
specific metrics to track progress and collaboration toward
agreed upon health goals.
Hepatitis B Public Health Initiatives.--The Committee
encourages OASH to lead the development of a government wide
coordinated effort to ensure the implementation of the Advisory
Committee on Immunization Practices [ACIP] recommendation that
all adults in the U.S. between 19 and 59 be vaccinated for
hepatitis B and the CDC recommendation that all adults be
screened for hepatitis B. While the vaccination recommendation
was made in November 2021, progress toward implementation has
been slow. Challenges to implementing the screening
recommendations are also emerging. The Committee requests a
briefing in partnership with the CDC within 180 days of
enactment of this act on efforts to implement vaccination and
screening recommendations and urges HHS to take action on its
Viral Hepatitis National Strategic Plan.
Hepatitis C.--The Committee recognizes that millions of
Americans suffer from chronic hepatitis C, which remains the
leading cause of liver cancer and liver transplantation. More
than two thirds of those with hepatitis C, which is curable,
are unaware of their infection. The Committee supports efforts
to increase access to diagnostic testing, including rapid
diagnostics; expand the availability of treatment; and bolster
public health strategies to prevent hepatitis C.
Hospital Cybersecurity Infrastructure.--The Committee
recognizes that cybersecurity has been one of the most
significant investments hospitals have had to make in the past
decade in terms of technology, workforce, and insurance. As the
number of health-related cyber-attacks increase, hospitals are
reporting that cyber insurance premiums are increasing at a
rate of 20-50 percent per year. The Committee encourages the
Administration to work with hospitals, especially small and
rural providers, and other healthcare stakeholders prior to
finalizing any new cybersecurity standards.
Housing-Related Supportive Services.--Individuals who have
serious and complex health challenges, including mental health
and substance use disorders, and chronic medical conditions,
require additional supports to maintain stable housing. The
Committee supports the effort underway in partnership with the
Department of Housing and Urban Development [HUD], CMS, SAMHSA,
ACL, and ASPE to provide direct technical assistance to
communities leveraging existing programs, like Medicaid, to
cover and provide housing-related supportive services and
behavioral healthcare. The Committee directs HHS and HUD to
jointly brief the House and Senate Committees on Appropriations
on this effort within 180 days of enactment of this act.
Liver Disease.--The Committee recognizes that liver disease
is the ninth leading cause of death in the U.S. Metabolic
dysfunction-associated steatotic liver disease [MASLD],
formerly known as nonalcoholic fatty liver disease [NAFLD], is
the most common cause of liver-related morbidity and mortality.
The Committee recommends agencies implement recently updated
nomenclature for MASLD throughout their programs to
appropriately identify, diagnose and treat this deadly disease.
The Committee encourages agencies to build upon and expand
current activities related to MASLD, with a focus on research,
therapeutic development, and public health interventions
Maternal Health.--Research continues to demonstrate that
the United States has higher rates of maternal mortality and
adverse maternal health outcomes than peer countries. The
Committee remains concerned by these findings, and directs HHS
to prioritize efforts to improve maternal health outcomes and
reduce maternal mortality by expanding the maternity care
workforce, advancing equity through the development of a
maternal health quality outcomes measure, and enhancing
postpartum social supports for families. Further, the Committee
directs HHS to focus on efforts to improve coordination across
maternal health programs and requests a report within 180 days
of enactment of this act detailing plans to further such
collaboration and leverage agency expertise.
Medically-Complex and Special Needs Adolescents Aging Out
of the Pediatric Care System.--The Committee recognizes the
importance of continuity of care for medically-complex and
special needs adolescents. The Committee encourages the
Department to examine the challenges associated with
adolescents aging out of the pediatric care system.
National Integrated Heat Health Information System.--The
Committee is encouraged by the Office of the Assistant
Secretary for Health's participation in the interagency efforts
to stand up the National Integrated Heat Health Information
System. The Committee encourages continued collaboration
between HHS and other Federal agencies to inform research
products, services and related projects.
National Parkinson's Project.--The Committee urges the
Secretary to begin implementation of the National Parkinson's
Project, as created by the Dr. Emmanuel Bilirakis and Honorable
Jennifer Wexton National Plan to End Parkinson's Act (Public
Law 118-66). Within 90 days of enactment of this act, the
Department shall provide a report on the projected costs of
full implementation of the act and describe steps the agency
will take to implement the act until full funding is received.
Neglected Tropical Diseases.--The Committee is encouraged
by the use of priority review vouchers for neglected tropical
diseases [NTD] and requests a briefing within 180 days of
enactment of this act on the Department's progress to safeguard
and improve global health, including efforts to promote
research and investment in NTD.
Mental Health Parity.--The Committee encourages the
Secretary to support State insurance departments for the
implementation of mental health parity as authorized in Public
Law 117-328.
Neurodegenerative Disease Diagnostics.--The Committee
supports the efforts of the Department to prevent and
effectively treat neurodegenerative diseases, including
Parkinson's disease, Lewy body dementia, and other related
disorders. The Committee also recognizes that early detection
is imperative to improving health outcomes and patient quality
of life by delaying or halting the progression of such
diseases. To improve the ability of healthcare providers to
diagnose and treat neurodegenerative diseases at an earlier
onset, the Committee encourages HHS to work with stakeholders
to research, develop, and improve access to novel diagnostic
testing for neurodegenerative diseases.
Nonrecurring Expenses Fund [NEF].--The Committee directs
the Secretary to prioritize obligations from resources in the
NEF for projects currently underway, including the CDC NIOSH
facility in Cincinnati, Ohio. The Secretary should complete
outstanding projects in a timely manner and prior to funding
new projects.
Obesity.--The Committee notes that the CDC formally
recognizes obesity as a disease and recommends that it should
be treated with evidence-based therapies. Intensive behavioral
therapy, improved diet and nutrition, and medication, in
addition to surgical procedures, can lead to weight loss and
have the potential to improve health outcomes for those with
obesity-related health conditions including diabetes, coronary
heart disease, and hypertension. Additionally, evidence points
to rural areas and communities of color as having a higher rate
of disease burden. Obesity is a preventable condition with a
significant potential for reduction in burden of disease with
adequate investment in proven prevention measures. The
Committee encourages HHS to take a comprehensive approach to
preventing and treating obesity as a chronic disease, including
collaborating with other Federal agencies and conducting an
evaluation of the work and research being done across HHS
agencies on the costs, risks, and benefits of preventive
measures and treatments, and uptake of medications such as GLP-
1 agonists. The Committee requests a briefing on this effort
within 180 days of enactment of this act.
Obligation Reports.--The Committee directs the Secretary to
submit electronically to the Committees an Excel table
detailing the obligations made in the most recent quarter for
each office and activity funded under this appropriation not
later than 30 days after the end of each quarter.
Pharmaceutical Supply Chain Risk Assessment.--The Committee
directs the Secretary, in consultation with the Secretaries of
Defense and Homeland Security, as well as with the Director of
the Office of Pandemic Preparedness and Response Policy, to
provide a risk assessment of the pharmaceutical supply chain
within 18 months of enactment of this act. The assessment shall
be done in coordination with the private sector and examine
drugs, including generic drugs, to identify a list of
medicines: (1) that are reasonably likely to be required to
respond to a public health emergency or chemical, biological,
radiological, or nuclear [CBRN] threat; (2) whose shortage
would pose a significant threat to the U.S. healthcare system
or at-risk populations; and (3) whose shortage would pose a
risk to national security. The assessment shall also assess and
identify: (1) key starting materials and excipients used in
manufacturing the active pharmaceutical ingredients and drugs
on the list; (2) current domestic manufacturing capabilities;
(3) critical vulnerabilities, including cybersecurity threats;
and (4) any deficiencies, lack of authorities, or limitations
in policy or process that limit the ability of the Departments
of Health and Human Services, Defense, or Homeland Security to
address vulnerabilities in the pharmaceutical supply chain and
how it will mitigate such vulnerabilities.
Programs of All-Inclusive Care for the Elderly.--The
Committee notes that before the COVID-19 pandemic and during
the COVID-19 Public Health Emergency, Programs of All-Inclusive
Care for the Elderly [PACE] were effective in keeping their
medically complex, nursing home eligible population safe at
home. Given the increasing demand for home and community based
services by older adults and those living with disabilities,
within 120 days of enactment of this act, the Committee directs
the Secretary to submit a report providing details of an
implementation plan for PACE-specific model tests that examine
methods of increasing access and affordability for Medicare and
Medicaid beneficiaries.
Rare Diseases.--The Committee recognizes that multiple
Federal departments, agencies and programs exist to address the
needs of people impacted by rare diseases and improve the lives
of members of the rare diseases community. The Committee
recognizes the importance of enhanced coordination and
collaboration across the Federal Government and encourages the
Secretary to initiate efforts to focus on optimizing rare
disease activities across the Federal Government and assess all
Federal agency activities concerning rare diseases.
Rare Kidney Disease Diagnostic Issues.--The Committee
encourages the Secretary to convene a conference focused on
rare kidney disease diagnostic issues. The Committee notes the
need to analyze the impact of the decline of routine urinalysis
on the timely diagnosis of rare kidney disease and on the
quality of patient care as well as the quality and reliability
of kidney biopsy in the diagnosis of rare kidney disease. The
Committee further encourages the Secretary to report to
Congress on whether genetic and genomic testing may improve
preventative care, precision medicine and health outcomes.
Rare Kidney Disease Transplant and Dialysis.--The Committee
notes the high costs of dialysis and transplant associated with
rare kidney disease. The Committee encourages the Secretary to
conduct experiments to evaluate methods for treating rare
kidney disease, particularly those that would delay or
eliminate the need for dialysis and transplant through a
comprehensive study of methods to increase public awareness of
rare kidney disease, including in communities of color. The
Committee requests an update on these activities as part of the
fiscal year 2026 CJ.
Rural News Media and Advertising Campaigns.--The Committee
continues to recognize the critical role local media plays in
delivering public health messages to small or rural
communities. Therefore, the Committee directs the Secretary to
ensure that local media in small or rural markets are part of
Federal public health advertising campaigns. To further this
goal, the Committee directs the Secretary, in coordination with
the Assistant Secretary for Public Affairs and the Department's
media buyer contractors, to utilize local news media in small
or rural areas for HHS and its related agencies' public
advertising campaigns to reach citizens with key health
messages. Local media includes newspapers, including non-daily
newspapers; television; and radio. Within 90 days of enactment
of this act, the Committee directs the Office of the Secretary
to provide a briefing on the efforts of the Department in its
utilization of local media in small and rural areas as part of
the Department's public health advertising campaigns for fiscal
year 2025 and future fiscal years, and the amount of money
allocated to local media in small and rural areas for fiscal
year 2024 broken down by Statewide newspapers, non-daily
newspapers, TV and radio. The Committee also directs the
Assistant Secretary for Public Affairs in consultation with the
CDC's Office of Rural Health to undertake a review of the use
of local media in small and rural communities in an HHS public
health advertising campaign in fiscal year 2025 in several
States to better understand the role of local media as a key
delivery system to reach small and rural communities with
important health messages. The Committee requests a report
detailing this review within 1 year of enactment of this act.
Staffing Reports.--The Committee includes a general
provision requiring the Department to submit a biannual
staffing report to the Committees. The Excel table shall
include: the names, titles, grades, agencies, and divisions of
all of the political appointees, special government employees,
and detailees that were employed by or assigned to the
Department during the previous 180 days.
Substance Use Disorder Treatment Outcomes.--The Committee
recognizes that long-term, evidence-based outcomes research on
various treatment modalities for substance use disorder is
limited. The Committee directs the Department to expand and
coordinate evidence-based, long-term outcomes research for
different modalities of treatment and recovery support for
substance use disorder treatment. Such research should consider
measures of mortality, morbidity, and physical health, as well
as quality-of-life measures, such as employment, criminal
justice involvement, family relationships, and stable housing.
The Department is further directed to conduct research across
the demographic populations of people with substance use
disorders, including those that have historically been under-
researched.
Transparency for Imaging Technology.--Foreign adversaries
are pursuing the collection and exploitation of Americans'
sensitive health data through medical equipment. Therefore, the
Committee directs HHS to provide a report regarding the
procurement of all medical imaging technology by HHS and its
sub agencies from entities that are based in a territory of a
foreign adversary, as defined in 15 CFR section 7.4, or under
the jurisdiction of a foreign adversaries' laws or regulations.
``Medical imaging technology'' refers to any device, software,
or other technology intended for use in medical imaging,
including but not limited to X-ray, MRI, CT, ultrasound, and
other diagnostic or therapeutic imaging modalities.
Vector Borne Diseases.--The Committee commends the
Department for the 2024 release of the National Public Health
Strategy to Prevent and Control Vector Borne Diseases in People
and encourages continued collaboration and innovation to reach
targeted public health outcomes for the United States,
including the target of reducing the number of Lyme disease
cases (laboratory confirmed) 25 percent by 2035.
Wuhan Institute of Virology.--The Committee is encouraged
by the actions taken to debar the Wuhan Institute of Virology,
Chinese Academy of Sciences Capital Construction and EcoHealth
Alliance, Inc. from participating in United States Federal
Government programs and ensure that they are unable to receive
Federal Government funding, pursuant to 42 CFR 180.800.
Accordingly, this bill does not include funding for either
entity. The Committee directs the Department to provide a
report to the Committee within 30 days of enactment of this act
regarding compliance with the debarment, any updates on
debarment proceedings, as appropriate, and ways the Department
is ensuring that Federal funds are not awarded to entities
based on evidence that provides cause for suspension under 2
CFR 180.700 and 180.800.
Teen Pregnancy Prevention
The Committee recommendation includes $101,000,000 for the
Teen Pregnancy Prevention Program [TPPP]. This program supports
competitive grants to public and private entities to replicate
evidence-based teen pregnancy prevention approaches and develop
and evaluate new and innovative approaches to prevent teen
pregnancy and STIs among adolescents. In addition, the
recommendation includes $6,800,000 in transfers available under
section 241 of the PHS Act.
TPPP.--The Committee includes $900,000 for ASPE to support
the TPPP Evidence Review. The Evidence Review is an
independent, systematic, rigorous review of evaluation studies
that informs grant making and provides a clearinghouse of
evidence-based programs for other Federal, State, and community
initiatives.
Office of Minority Health
The Committee recommends $74,835,000 for the Office of
Minority Health [OMH]. The Office focuses on strategies
designed to decrease health disparities and to improve the
health status of racial and ethnic minority populations in the
United States. OMH establishes goals and coordinates all
departmental activity related to identifying and disseminating
innovative and effective approaches for improving health
outcomes for racial and ethnic minority individuals.
Achieving Equitable Maternal Health Outcomes.--The
Committee continues to provide $7,000,000 to support community-
based and other eligible organizations located in geographic
areas with high rates of adverse maternal health outcomes,
particularly among racial and ethnic minority families. The
Department should support activities that include but are not
limited to identifying evidence-based and evidence-informed
practices for: addressing social determinants of health;
promoting evidence-based health literacy, and pregnancy,
childbirth, and parenting education programs; providing support
from perinatal health workers; and providing culturally
congruent, linguistically appropriate, and trauma-informed
training to perinatal health workers.
Asian American, Native Hawaiian, and Pacific Islander
[AANHPI] Youth Mental Health.--The Committee notes with concern
that suicide has been the leading cause of death for AANHPI
youth ages 10 through 24 in recent years. The committee
encourages the Department to examine the prevalence and causes
of behavioral health conditions among AANHPI youth, including
by identifying ways the Department can address this disparity
and improve access to behavioral healthcare for AANHPI youth.
Center for Indigenous Innovation and Health Equity.--The
Committee recognizes the importance of promoting Indigenous
solutions to advance health equity, and continues to provide
$4,000,000 for the Center for Indigenous Innovation and Health
Equity. The Committee recognizes the Center's efforts to
partner with institutions of higher education with a focus on
Indigenous health research, education, and policy among
American Indians and Alaska Natives, as well as a focus on
Indigenous health policy and innovation among Native Hawaiians
and Pacific Islanders. The Committee encourages the Center to
both continue and expand these efforts, including by focusing
on improving health outcomes for Indigenous youth.
Kidney Disease Initiative.--Rates of severe kidney disease
are significantly higher in Black Americans than in other
ethnic groups. The Committee encourages OMH to focus on
activities to reduce genetic kidney disease among populations
disproportionally affected.
Middle Eastern and North African [MENA] Communities.--The
Committee recognizes that accurate and representative health
data may improve the ability for underserved populations to
receive greater access to healthcare services. The Committee
encourages the Department to examine access to its programs and
initiatives for Middle Eastern and North African [MENA]
populations, including by assessing gaps in previously
collected data on race and ethnicity.
Promoting Language Access Services.--The Committee
continues no less than $4,000,000 to support the development of
methods of informing limited English proficient [LEP]
individuals about their right to and the availability of
language access services. The Committee supports the
Department's efforts to improve external communications, which
should include mediums such as television and radio, to reach
LEP communities. The Committee encourages the Department to
review communication practices and create uniform applications
across all HHS agencies to strengthen communication practices
to include digital, television, and radio advertising when
working with LEP communities.
Minority HIV/AIDS
The Committee includes $60,000,000 for the Secretary's
Minority HIV/AIDS Fund to strengthen and expand services
provided by minority-serving community-based organizations
[CBOs] for HIV education and awareness campaigns, testing,
prevention, linkage to care, and engagement in care to racial
and ethnic minority individuals at risk for or living with HIV
in order to address the decline in HIV testing and the
challenges with linkage to and retention in care and treatment
that occurred during the COVID-19 pandemic. Funding may be
prioritized for minority-serving CBOs in the South, which has
the highest burden of HIV of any region nationwide.
Office of Women's Health
The Committee recommends $44,140,000 for the Office of
Women's Health [OWH]. This office develops, stimulates, and
coordinates women's health research, healthcare services, and
public and healthcare professional education across the
Department. It advances important crosscutting initiatives and
develops public-private partnerships, providing leadership and
policy direction to address the disparities in women's health.
The Committee recommendation includes $10,100,000 to combat
violence against women through the State partnership
initiative. This program provides funding to State-level public
and private health programs to partner with domestic and sexual
violence organizations to improve healthcare providers' ability
to help victims of violence and improve prevention programs.
The Committee continues to recommend OWH create a State-level
pilot program to incentivize substance use disorder treatment
providers to be trained on intimate partner violence.
Access to Lactation Support Services.--The Committee
continues to support HHS' initiatives to improve access to
lactation support services for all individuals who choose to
breastfeed. The Committee notes that despite guidance from the
HHS Women's Preventive Services Initiative recommending that
families receive comprehensive lactation support services to
optimize the successful initiation and maintenance of
breastfeeding, many families struggle to gain access to quality
lactation care. The Consolidated Appropriations Act of 2023
(Public Law 117-328) included funding for HHS to enter into an
agreement with the National Academies of Sciences, Engineering,
and Medicine to provide an evidence-based, non-partisan
analysis of the macroeconomic, health, and social costs of U.S.
breastfeeding rates and national breastfeeding goals. The
Committee expects that this analysis should also examine how
health insurers have implemented comprehensive lactation
services, the standards set to determine reimbursement rates
for breastfeeding supplies and services, and the current best
practices used to provide coverage to help women breastfeed.
Eating Disorders.--The Committee remains concerned that
eating disorders have one of the highest fatality rates of any
psychiatric illness, with girls and women at heightened risk
for developing an eating disorder during their lifetime. The
Committee recognizes the efforts of OWH to address eating
disorders, and continues to provide $750,000 for such efforts.
The Committee encourages OWH to address early detection and
treatment protocols for women and girls with or at-risk of
developing an eating disorder, and to examine the lack of
pediatric and adolescent screening in the primary care and
pediatric settings. Further, the Committee encourages OWH to
convene with relevant Federal agencies and stakeholders to
ensure coordination among Federal efforts to address eating
disorders research, prevention, intervention, and treatment,
and gather recommendations for better administration of
existing Federal programs.
Stillbirth Working Group.--Each year 21,000 infants are
lost due to stillbirth and the rate of stillbirth has remained
consistent despite medical advances. Some studies show that one
in four stillbirths are preventable. The Committee urges the
Secretary to carry out the Department-wide implementation of
the Stillbirth Working Group's recommendations and engage in
efforts to promote evidence-based stillbirth awareness and
prevention activities. The Department shall report to the
Committee within 180 days of enactment of this act on progress
made toward implementation of the Working Group's
recommendations and make such report available on the agency's
website.
Women's Health Research Study.--To address the persistent
gaps in knowledge of women's health and improve access to care,
the Committee continues to expect the Secretary to coordinate
with NIH and NASEM in support of research that explores the
proportion of research on conditions that are more common or
unique to women. This research should establish how these
conditions are defined and ensure that it captures conditions
across the lifespan, evaluates sex and gender differences and
racial health disparities, and determine the appropriate level
of funding that is needed to address gaps in women's health
research at NIH and submit to Congress a report containing the
findings and recommendations of the study no later than 18
months after enactment of this act.
White House Initiative on Women's Health Research.--The
Committee supports the Department's work to prioritize and
integrate women's health research across the Federal
Government, including efforts to better address diseases and
conditions that are more likely to occur after menopause, such
as rheumatoid arthritis, heart attack, and osteoporosis.
Office of the Assistant Secretary for Administration
Cybersecurity
The Committee recommends $110,000,000 for information
technology cybersecurity in the Office of the Chief Information
Officer and HHS-wide to strengthen the Department's
cybersecurity posture. These funds provide continuous
monitoring and security incident response coordination for the
Department's computer systems and networks.
Office of National Security
The Committee recommends $8,983,000 for the Office of
National Security to support strategic all-source information,
intelligence, defensive counterintelligence, insider threat
intelligence, enterprise supply chain risk management, security
for classified information, and communications security support
across the Department. These funds sustain the Department's
security and threat awareness and its ability to respond
swiftly and effectively to national and homeland security
threats.
Office of Global Affairs
The Committee recommends $7,009,000 for the HHS Office of
Global Affairs to support its work to lead global health
diplomacy and policy coordination efforts for HHS to strengthen
U.S. health security and pandemic preparedness.
OFFICE OF MEDICARE HEARINGS AND APPEALS
Appropriations, 2024.................................... $196,000,000
Budget estimate, 2025................................... 196,000,000
Committee recommendation................................ 196,000,000
The Committee provides $196,000,000 for the Office of
Medicare Hearings and Appeals [OMHA]. This Office is
responsible for hearing Medicare appeals at the Administrative
Law Judge [ALJ] level, which is the third level of Medicare
claims appeals. OMHA ensures that Medicare beneficiaries who
are dissatisfied with the initial decisions about their
benefits or eligibility can appeal and exercise their right to
a hearing in front of an ALJ.
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY
Appropriations, 2024.................................... $69,238,000
Budget estimate, 2025................................... 86,000,000
Committee recommendation................................ 69,238,000
The Committee makes available $69,238,000 in transfers
available under section 241 of the PHS Act, to the Office of
the National Coordinator for Health Information Technology
[ONC]. ONC is responsible for coordinating Federal health
information systems and collaborating with the private sector
to develop standards for a nationwide interoperable health
information technology infrastructure.
Information Blocking Guidance.--The Committee recognizes
that ONC's rule to implement the interoperability and
information blocking provisions of the 21st Century Cures Act
took significant steps forward to give patients greater access
to and improve the electronic flow of electronic health
information across care settings. Given the significant
penalties and other consequences for information blocking, the
Committee urges ONC to provide regulated entities and other
affected stakeholders with clear, practical guidance regarding
foundational concepts in the rule. Guidance should clearly
outline how regulated entities can evaluate their particular
circumstances and scenarios against the rule's provisions,
including how to identify and apply relevant exceptions to the
information blocking definition.
Health Information Exchanges [HIE].--The Committee
recognizes the importance of electronic health data as a
critical piece to address the health needs and care delivery
challenges of diverse communities. The Committee strongly
encourages HHS to work with States to designate existing
neutral, trusted, and nonprofit HIEs to be the State's health
data utility [HDU]. HDU models are designed and implemented in
alignment with States' policies and priorities to address the
needs of a broader health and healthcare ecosystem. A HDU can
be defined as one or more entities, guided by a diverse
stakeholder governance structure, that combine, enhance, and
exchange disparate electronic health data sets for treatment,
care coordination, quality improvement, population health,
public health emergencies, and other public and community
health purposes. The Committee recognizes that each State
designated HDU is essential in establishing a national
framework that fulfills a current gap in healthcare by
implementing a comprehensive digital health infrastructure as a
public utility that will support data sharing between public
and private health data stakeholders. The Committee directs
HHS, through ONC and other relevant Federal agencies, to
leverage existing authorities, funds, and other resources to
construct policy and regulations that strengthen existing HIE
infrastructure to facilitate their transition into HDUs. If
necessary, the Committee encourages the Secretary to issue
policy guidelines, or best practices, to encourage each State
to designate a HIE or HIEs to be a State's HDU.
Standards for Interoperability.--The Committee continues to
include not less than $5,000,000 to support interoperability
and information sharing efforts related to the implementation
of Fast Healthcare Interoperability Resources standards or
associated implementation standards. Additionally, within 30
days of enactment of this act, the Committee directs ONC to
provide an update on the status of the report requested in
fiscal year 2024 detailing the progress made in implementing
the interoperability provisions of the 21st Century Cures Act
and gaps that remain for full implementation, including the
status of the public release of the report.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2024.................................... $87,000,000
Budget estimate, 2025................................... 97,384,000
Committee recommendation................................ 87,000,000
The Committee recommends $87,000,000 for the HHS Office of
Inspector General [OIG].
OIG conducts audits, investigations, and evaluations of the
programs administered by the Department's operating and staff
divisions, including the recipients of the Department's grant
and contract funds. In doing so, OIG addresses issues of waste,
fraud, and abuse and makes recommendations to improve the
efficiency and effectiveness of the Department's programs and
operations.
OFFICE FOR CIVIL RIGHTS
Appropriations, 2024.................................... $39,798,000
Budget estimate, 2025................................... 56,798,000
Committee recommendation................................ 39,798,000
The Committee recommends $39,798,000 for the Office for
Civil Rights [OCR] in budget authority. OCR is responsible for
enforcing civil rights-related statutes in healthcare and human
services programs. To enforce these statutes, OCR investigates
complaints of discrimination, conducts program reviews to
correct discriminatory practices, and implements programs to
generate voluntary compliance among providers and constituency
groups of health and human services.
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS
Appropriations, 2024.................................... $792,691,000
Budget estimate, 2025................................... 894,795,000
Committee recommendation................................ 894,795,000
The Committee provides an estimated $894,795,000 in
mandatory funds for Retirement Pay and Medical Benefits for
Commissioned Officers of the U.S. Public Health Service. This
account provides for retirement payments to PHS officers who
are retired due to age, disability, or length of service;
payments to survivors of deceased officers; and medical care to
Active Duty and retired officers, as well as their dependents.
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND
Appropriations, 2024....................................................
Budget estimate, 2025................................... $172,492,000
Committee recommendation................................................
The Committee recommendation does not include funding for
the Public Health and Social Services Emergency Fund [PHSSEF].
Funding for activities previously funded within PHSSEF were
reorganized in fiscal year 2024 and funded within the
Administration for Strategic Preparedness and Response and
Office of the Secretary, General Departmental Management. The
Committee recommendation maintains that structure in fiscal
year 2025. In addition, the Committee provides funding for the
Office of Global Affairs [OGA] within the Office of the
Secretary, General Departmental Management.
PREVENTION AND PUBLIC HEALTH FUND
In fiscal year 2025, the level transferred from the PPH
Fund after accounting for sequestration is $1,225,900,000. The
Committee includes bill language in section 222 of this act
that requires that funds be transferred within 45 days of
enactment of this act to the following accounts, for the
following activities, and in the following amounts:
------------------------------------------------------------------------
Committee
Account Program recommendation
------------------------------------------------------------------------
Aging and Disability Services Alzheimer's Disease $14,700,000
Programs. Prevention
Education and
Outreach.
Aging and Disability Services Chronic Disease Self- 8,000,000
Programs. Management.
Aging and Disability Services Falls Prevention.... 5,000,000
Programs.
Immunization and Respiratory Section 317 469,350,000
Diseases. Immunization Grants.
Emerging and Zoonotic Infectious Epidemiology and 40,000,000
Diseases. Laboratory Capacity
Grants.
Emerging and Zoonotic Infectious Healthcare 12,000,000
Diseases. Associated
Infections.
Chronic Disease Prevention and Office of Smoking 141,850,000
Health Promotion. and Health (Tobacco
Prevention/Media &
Quit Lines).
Chronic Disease Prevention and Breast Feeding 9,750,000
Health Promotion. Grants (Hospitals
Promoting
Breastfeeding).
Chronic Disease Prevention and Million Hearts 5,000,000
Health Promotion. Program.
Chronic Disease Prevention and Heart Disease & 57,075,000
Health Promotion. Stroke Prevention
Program.
Chronic Disease Prevention and Diabetes............ 52,275,000
Health Promotion.
Chronic Disease Prevention and Early Care 5,000,000
Health Promotion. Collaboratives.
Public Health and Scientific Data Modernization 182,900,000
Services. Initiative.
Environmental Health............. Lead Poisoning 51,000,000
Prevention.
CDC-Wide Activities.............. Preventive Health 160,000,000
and Health Services
Block Grants.
Mental Health.................... Suicide Prevention 12,000,000
(Garrett Lee Smith).
------------------------------------------------------------------------
General Provisions
Section 201. The bill continues a provision placing a
$50,000 ceiling on official representation expenses.
Section 202. The bill continues a provision limiting the
use of certain grant funds to pay individuals more than an
annual rate of Executive Level II or capping NIH investigator
salaries.
Section 203. The bill continues a provision restricting the
Secretary's use of taps for program evaluation activities
unless a report is submitted to the Committees on
Appropriations of the House of Representatives and the Senate
on the proposed use of funds.
Section 204. The bill continues a provision authorizing the
transfer of up to 2.5 percent of PHS Act (Public Law 78-410)
funds for evaluation activities.
Section 205. The bill continues a provision restricting
transfers of appropriated funds and requires a 15-day
notification to the Committees on Appropriations of the House
of Representatives and the Senate.
Section 206. The bill continues a general provision
allowing National Health Service Corps contracts to be canceled
up to 60 days after award.
Section 207. The bill continues a provision regarding
requirements for family planning applicants.
Section 208. The bill continues language which States that
no provider of services under title X of the PHS Act (Public
Law 78-410) may be exempt from State laws regarding child
abuse.
Section 209. The bill continues language that restricts the
use of funds to carry out the Medicare Advantage Program if the
Secretary denies participation to an otherwise eligible entity.
Section 210. The bill continues a provision prohibiting the
use of funds for lobbying activities related to gun control.
Section 211. The bill continues a provision that limits the
assignment of certain public health personnel.
Section 212. The bill continues a provision that
facilitates the expenditure of funds for international health
activities.
Section 213. The bill continues a provision permitting the
transfer of up to 3 percent of AIDS funds among ICs by the
Director of NIH and the Director of the Office of AIDS Research
at NIH.
Section 214. The bill continues language that requires that
the use of AIDS research funds be determined jointly by the
Director of NIH and the Director of the Office of AIDS Research
and that those funds be allocated directly to the Office of
AIDS Research for distribution to the ICs consistent with the
AIDS research plan.
Section 215. The bill continues a provision authorizing the
Director of NIH to enter into certain transactions to carry out
research in support of the NIH Common Fund.
Section 216. The bill continues a provision permitting NIH
to use up to $100,000,000 of IC funding for construction,
improvements, and repairs of facilities.
Section 217. The bill continues a provision that transfers
funds from NIH to HRSA and AHRQ, to be used for National
Research Service Awards.
Section 218. The bill continues a provision that provides
BARDA with authority to enter into a multiyear contract for up
to 10 years and to repurpose unused termination costs to pay
contract invoices.
Sections 219. The bill continues a provision requiring the
CJ to include certain FTE information with respect to the ACA.
Section 220. The bill continues a provision related to ACA
exchange funding transparency.
Section 221. The bill continues a provision prohibiting
funds for the Risk Corridor program.
Section 222. The bill continues a provision requiring the
Secretary to transfer Prevention and Public Health Fund
resources within 45 days.
Section 223. The bill continues a provision related to
breast cancer screening recommendations.
Section 224. The bill continues a provision on NIH indirect
costs.
Section 225. The bill continues a provision requiring
Congressional notification prior to NIH transfers of opioid
funds internally.
Section 226. The bill continues a provision related to
notifications for ACA enrollment and Community Health Centers
awards.
Section 227. The bill continues a provision related to
Medicare administrative funds.
Section 228. The bill continues a provision requiring
staffing reports.
Section 229. The bill continues a provision on HHS staff
travel for medical care.
Section 230. The bill continues a provision allowing
private donations for the care of unaccompanied children.
Section 231. The bill continues a provision limiting the
use of funds for unlicensed shelters for unaccompanied
children.
Section 232. The bill continues a provision requiring
Congressional notification prior to the use of influx
facilities as shelters for unaccompanied children.
Section 233. The bill continues a provision regarding
Member access to unaccompanied children facilities.
Section 234. The bill continues a provision requiring
monthly reporting of unaccompanied children.
Section 235. The bill continues a provision for CDC
employees dependents' schooling of CDC employees stationed in a
U.S. territory.
Section 236. The bill continues a provision rescinding
funding from the Nonrecurring Expenses Fund.
Section 237. The bill includes a new provision regarding
investigations into harassment, bullying, retaliation or
hostile working conditions at NIH-funded grantees.
TITLE III
DEPARTMENT OF EDUCATION
Any references in this title of the Committee Report to the
``Secretary'' or the ``Department'' shall be interpreted to
mean the Secretary of Education or the Department of Education,
respectively, unless otherwise noted.
Education for the Disadvantaged
Appropriations, 2024.................................... $19,107,790,000
Budget estimate, 2025................................... 19,287,790,000
Committee recommendation................................ 19,387,790,000
The Committee recommends $19,387,790,000, for programs in
the Education for the Disadvantaged account. Funds appropriated
in this account primarily support activities in the 2025-2026
school year.
Grants to Local Educational Agencies
The Committee recommends $18,686,802,000, for the title I-A
grants to local educational agencies [LEAs] program. Title I-A
grants to LEAs provide supplemental education funding,
especially in high-poverty areas, for LEAs to provide extra
academic support to help raise the achievement of eligible
students or, in the case of school-wide programs in which the
vast majority of students participate in title I-A programs,
help all students in high-poverty schools meet challenging
State academic standards. Title I-A grants are distributed
through four ESEA formulas in amounts provided by this act:
basic, concentration, targeted, and the education finance
incentive grant [EFIG].
Of the funds available for title I-A grants to LEAs, up to
$5,000,000 shall be available on October 1, 2024, for transfer
to the Census Bureau for poverty updates; $7,840,625,000 will
become available on July 1, 2025; and $10,841,177,000 will
become available on October 1, 2025. The funds that become
available on July 1, 2025, and October 1, 2025, will remain
available for obligation through September 30, 2026.
The fiscal year 2025 President's budget also proposes to
reserve up to $10,000,000 from amounts available for EFIG and
targeted grants to support voluntary activities to help school
systems address inequities in school funding through voluntary
State school funding equity commissions and voluntary local
educational agency equity reviews. Given the limited allocation
and necessity to invest in formula allocations needed to
sustain investments that assist with academic recovery and
student well-being, the Committee recommendation does not
include this requested authority.
School Support and Improvement.--The Committee appreciates
steps the Department has taken to improve compliance with ESEA
requirements for school support and improvement. These include
the targeted monitoring of ESEA provisions and related July
2023 Dear Colleague on recommendations for implementing related
resource equity provisions of ESEA; additional rounds of
targeted monitoring on school improvement requirements; and
planned issuance of comprehensive guidance on school support
and improvement requirements. The Department must continue to
increase its efforts on ensuring compliance of these
requirements at all levels, including through additional
monitoring directed in the 2024 explanatory statement or its
equivalent, technical assistance, and support. This should also
include consideration of the least burdensome ways to monitor,
support and ensure compliance of SEA, LEA, and school support
and improvement requirements.
The Committee also believes more transparency is needed
around findings and implementation of corrective actions from
comprehensive and targeted monitoring of ESEA school support
and improvement requirements. While the Department's website
has information on its monitoring protocol and reports, it
lacks transparency on all of its monitoring activity and
implementation of corrective actions. The Committee directs the
Department to produce a report that summarizes the Department's
findings and actions it is requiring or recommending SEAs to
take in response to all monitoring and performance reviews of
State implementation of title I-A of the ESEA, including
findings from both comprehensive and targeted program
monitoring, and the implementation of corrective actions and
recommendations from such monitoring. This report must be
provided to the committees of jurisdiction and made publicly
available on the Department's website no later than September
1. Further, the Committee directs the Department to publish the
results of targeted monitoring of State compliance with
provisions under title I-A, including report cards, for
individual States on its website within 30 days of providing
such findings to SEAs. Finally, the Committee requests a
briefing not later than 60 days after enactment on the
Department's completed actions and plans to continue making
progress toward improved SEA, LEA and school implementation of
related requirements and the additional high-quality
educational opportunities being made available to students for
whom such opportunities are not currently available.
GAO Report on School Support and Improvement.--The
Committee appreciates that GAO is ready to initiate the next
report in its body of work on ESEA school support and
improvement requirements. The Committee is particularly
interested in a deeper review of areas where SEA, LEA, and
school implementation and compliance were found to be lacking
in prior studies conducted by GAO, particularly, but not
limited to, implementation of provisions related to
identification of resource inequities. That deeper review
should probe whether any comprehensive support and improvement
[CSI] school improvement plans examined real building-level,
per-pupil spending at the CSI schools compared to other schools
in the LEA and the State and the extent to which the required
needs analyses conducted aligned with best practice,
particularly in measuring the resources provided in relation to
the needs of the students in the CSI schools.
The next report should also include new analysis of the
extent to which and characteristics of schools initially
identified for comprehensive support and improvement have
subsequently been required to implement more rigorous State-
determined actions; the extent to which and characteristics of
schools initially identified for additional targeted support
and improvement have been escalated to comprehensive support
and improvement; and the extent to which and characteristics of
schools identified for comprehensive support and improvement
have subsequently improved performance to exit identification
status and the enabling conditions and types of resources that
contributed to improved school performance. This analysis
should also evaluate the strength and characteristics of the
State exit criteria used to determine whether these additional
targeted and comprehensive support and improvement schools
exited status or faced escalating interventions.
Required Reservation for Students Experiencing
Homelessness.--The Committee reiterates its strong support for
and interest in effective implementation of ESEA's requirement
for LEAs to reserve sufficient title I-A funds to provide
comparable services to students experiencing homelessness,
including by providing educationally related support services
to children in shelters and other locations where children may
live. The Committee appreciates the initial steps the
Department has taken to increase collaboration between State
and local title I-A directors and Education for Homeless
Children and Youth State and local coordinators on determining,
reserving, and using sufficient amounts from the title I-A
program and increasing public transparency of such amounts.
Such services include those not ordinarily provided with title
I-A funds to other students served by title I-A programs such
as all or part of the homeless liaison's salary, education-
related fees, and other necessary items or services.
However, there is concern that LEAs can avoid reserving
funds by stating no students experiencing homelessness are
enrolled. The Committee directs the Department to clarify that
title I-A funds must be reserved to enable LEAs to identify and
support students experiencing homelessness. The Committee looks
forward to seeing the changes that result from these and other
efforts and directs the Department to report in its fiscal year
2026 CJ the specific State policy changes resulting from these
efforts. In addition, the Department should widely disseminate
specific State policy changes resulting from monitoring
findings and recommendations that produce more collaborative
and transparent approaches to the determination of set-aside
amounts under such section providing necessary resources to
fulfill needs assessments conducted for students experiencing
homelessness to meet State challenging academic standards and
effectively take advantage of educational opportunities.
In addition, as was noted in the explanatory statement
accompanying the fiscal year 2023 appropriations act, more must
be done to improve transparency on amounts reserved by LEAs
under section 1113(c)(3)(A). The Committee understands the
Department is planning to analyze the variation of per-
homeless-pupil amounts across LEAs within a State and take
other steps to improve the quality of reported data. However,
this must be accompanied with actions to provide transparency
on amounts reserved and spent with funds available under such
section, including effective technical assistance and support
being provided to title I SEA and LEA leaders and McKinney-
Vento staff on the wide variety of services supported by these
funds, implementation of an adequate needs assessment, and
determination of a sufficient reservation under such section.
The Committee requests a briefing on actions taken and planned
on these issues not later than 45 days after enactment of this
act.
State Reservation for Administration of Title I.--The
Committee bill includes new language proposed in the
President's budget that increases the amount of title I-A funds
States reserve for administration of parts A, C, and D of title
I of the ESEA. The new language provides each State with
administrative resources of the greater of $800,000 or 1
percent of its allotment under such parts of title I and each
outlying area with a reservation of $100,000. In addition, the
new language requires the 1 percent reservation to be
calculated based on fiscal year 2023 enacted appropriations for
such programs. The Committee expects the additional State
capacity enabled by this increase to support improved
implementation of ESEA requirements, particularly school
support and improvement requirements.
Advanced Coursework.--The Committee is aware that the
National Center for Education Statistics School Pulse Panel
reported earlier this year that 84 percent of high schools with
fewer than 25 percent students of color offered advanced
academic courses but just 65 percent of high schools serving 75
percent or more of student of color did the same. This
disparity means students of color are denied opportunities to
Advanced Placement, International Baccalaureate, and dual
enrollment courses that predict more success in college and
careers. The Committee is heartened by recent State and
district actions like opt out policies for identified students
that may help increase equity in advanced course enrollment
policy and use of more than standardized test scores to
identify students for automatic enrollment. The Committee notes
that funds under ESEA may be used to support these and other
efforts to reduce inequities in access to advanced coursework.
The Committee also encourages the Department to resume
collection of pass rates for all Advanced Placement subject
areas.
Comprehensive Literacy State Development Grants
The Committee recommendation includes $194,000,000 for the
Comprehensive Literacy State Development Grants program. This
program provides competitive grants to SEAs that then subgrant
at least 95 percent of such funds to eligible entities to
support efforts to improve the literacy skills of children and
students from birth through 12th grade in high-need schools and
early education programs in a State for each of several age
bands through implementation of evidence-based practices and
interventions. In fiscal year 2025, the program is expected to
support approximately 25 State grant awards and funding
reservations for Bureau of Indian Education schools, the
outlying areas, and national activities, including evaluation.
The President's budget proposes to allow SEAs to reserve 10
percent of its grant funds for evaluation. The Committee bill
does not include the requested language.
Evidence-based Instruction for Students with Language-based
Learning Disabilities.--The Committee is aware ESEA requires
the Secretary to prioritize applications proposing evidence-
based activities to develop or enhance comprehensive literacy
instruction plans that ensure high-quality instruction and
effective strategies in reading and writing for children from
early childhood education through grade 12. The Committee
requests the Department to describe in the fiscal year 2026 CJ
how grantees plan to use fund for activities designed to
strengthen and enhance teacher training on the identification
of language-based learning disabilities and evidence-based
methods of literacy instruction for students with language-
based learning disabilities.
Innovative Approaches to Literacy
The Committee recommendation includes $30,000,000 for the
Innovative Approaches to Literacy program. This program
provides competitive grants to national not-for-profit
organizations and school libraries for providing books and
childhood literacy activities to children and families living
in high-need communities.
The Committee continues to direct the Department to reserve
no less than 50 percent of funds under this program for grants
to develop and enhance effective school library programs, which
may include providing professional development to school
librarians, books, and up-to-date materials to high-need
schools. School library programs increase access to a wide
range of print and electronic resources and provide learning
opportunities for all students, particularly those who are less
likely to have access to such materials at home. The Committee
also encourages the Department to use a portion of the funds
under this program for grants to pediatric literacy programs
that are provided during well-child visits by medical providers
trained in research-based methods of early language and
literacy.
In addition, the Committee directs the Department to ensure
that grants are distributed among eligible entities that will
serve geographically diverse areas, including communities that
are rural, Tribal, or where English is not the primary
language. The Committee also encourages the Department to
include a priority for initiatives that support biliteracy and
multilingual approaches or provide professional development in
multilingual education for existing school staff and teachers.
Migrant Education Program
The Committee recommends $375,626,000 for the title I
Migrant Education program. This funding supports grants to SEAs
to ensure that migratory children receive full and appropriate
opportunities to meet the same challenging State academic
standards that all children are expected to meet and help such
children overcome educational disruption and other factors that
inhibit the ability of such children to succeed in school.
Funding also supports activities to improve interstate and
intrastate coordination of migrant education programs, as well
as identify and improve services to the migrant student
population.
The President's budget proposes new language that would
allow the Department to reserve funds from the Migrant
Education and Neglected and Delinquent programs in this account
and Education for Homeless Children and Youth program in the
school improvement account for competitive grants to States to
improve coordination of services to students eligible for
multiple Federal programs. The Committee bill does not include
the requested language.
Neglected and Delinquent
The Committee recommends $49,239,000 for the Neglected and
Delinquent program. This program, authorized under subpart 1 of
title I-D of the ESEA, provides financial assistance to SEAs
for education services to neglected and delinquent children and
youth in State-run institutions and for juveniles in adult
correctional institutions. States are authorized to set aside
at least 15 percent, but not more than 30 percent, of their
Neglected and Delinquent program funds to help students in
State-operated institutions make the transition into locally
operated programs and to support the successful reentry of
youth offenders who are age 20 or younger and have received a
secondary school diploma or its recognized equivalent. The
Department is authorized to reserve up to 2.5 percent of the
appropriation for national activities, including technical
assistance. The Committee continues to urge the Department to
increase its direct and technical assistance support to further
assist grantees in their efforts to improve and report on
program outcomes.
The President's budget proposes new language that would
allow the Department to reserve funds from the Migrant
Education and Neglected and Delinquent programs in this account
and Education for Homeless Children and Youth program in the
school improvement account for competitive grants to States to
improve coordination of services to students eligible for
multiple Federal programs. The Committee bill does not include
the requested language.
Special Programs for Migrant Students
The Committee recommends $52,123,000 for Special Programs
for Migrant Students, which consist of the High School
Equivalency Program [HEP] and the College Assistance Migrant
Program [CAMP]. HEP projects are 5-year grants to institutions
of higher education and other nonprofit organizations to
recruit migrant students ages 16 and older and provide the
academic and support services needed to help them obtain a high
school equivalency credential and subsequently gain employment,
attain admission to a postsecondary institution or a job
training program, or join the military. CAMP projects are 5-
year grants to institutions of higher education and nonprofit
organizations to provide tutoring, counseling, and financial
assistance to migrant students during their first year of
postsecondary education in order to support postsecondary
education program completion.
The bill does not include language proposed in the budget
which allows the Secretary the ability to fund the highest
quality HEP and CAMP applications regardless of the allocation
requirements of the Higher Education Act.
Impact Aid
Appropriations, 2024.................................... $1,625,151,000
Budget estimate, 2025................................... 1,618,112,000
Committee recommendation................................ 1,645,151,000
The Committee recommends $1,645,151,000, for the Impact Aid
program. Impact Aid provides financial assistance to LEAs
affected by the presence of Federal activities and federally
owned land. These LEAs face unique challenges because they must
educate children living on federally owned land, such as
military bases, while federally owned property is also exempt
from local taxes, a primary source of revenue for LEAs. LEAs
also enroll students residing on private property whose parents
may be exempt from paying sales and income taxes, reducing the
revenue available to support these LEAs.
Basic Support Payments
The Committee recommends $1,490,500,000 for the Basic
Support Payments program. Under this statutory formula,
payments are made on behalf of all categories of federally-
connected children, with a priority placed on making payments
first to 23 heavily impacted LEAs and providing any remaining
funds for regular basic support payments.
Payments for Children With Disabilities
The Committee bill includes $48,316,000 for Payments for
Children With Disabilities. Under this program, additional
payments are made for certain federally connected children
eligible for services under the Individuals with Disabilities
Education Act [IDEA].
Facilities Maintenance
The Committee recommends $4,835,000 for Facilities
Maintenance. This activity provides funding for emergency
repairs and comprehensive capital improvements to certain
school facilities owned by the Department and used by LEAs to
serve federally connected military dependent students. Funds
appropriated for this purpose are available until expended.
Construction
The Committee recommends $20,500,000 for eligible LEAs for
school construction activities allocated through the authority
for competitive grants to LEAs under section 7007(b) of the
ESEA. The bill also allows the funds to be available for
obligation through September 30, 2026.
Payments for Federal Property
The Committee recommends $81,000,000 for Payments for
Federal Property. These payments compensate LEAs specifically
for revenue lost due to the removal of Federal property from
local tax rolls, regardless of whether any federally connected
children attend schools in the LEA.
School Improvement Programs
Appropriations, 2024.................................... $5,776,178,000
Budget estimate, 2025................................... 5,781,178,000
Committee recommendation................................ 5,796.178.000
The Committee recommendation includes $5,796,178,000 for
the School Improvement Programs account.
Supporting Effective Instruction State Grants
The Committee recommends $2,190,080,000 for Supporting
Effective Instruction State Grants. States and LEAs may use
funds for a range of activities related to the certification,
recruitment, professional development, and support of teachers
and administrators. Activities may include reforming teacher
certification and licensure requirements, addressing
alternative routes to State certification of teachers,
recruiting teachers and principals, improving equitable access
to effective teachers, and implementing teacher mentoring
systems, evaluation and support systems, merit pay, and merit-
based performance systems. These funds may also be used by LEAs
to hire teachers to reduce class sizes.
The appropriation for this program primarily supports
activities associated with the 2025-2026 academic year. Of the
funds provided, $508,639,000 will become available on July 1,
2025, and $1,681,441,000 will become available on October 1,
2025. These funds will remain available for obligation through
September 30, 2026.
The Committee notes that title II, part A funds can be
targeted toward effective preparation and professional
development designs that enable teachers and school leaders to
expand their knowledge and skills regarding the science of
child and adolescent learning and development, including
teaching challenging content, teaching diverse learners, and
supporting social-emotional and academic development in
culturally and linguistically responsive ways.
Nita M. Lowey 21st Century Community Learning Centers
The Committee recommends an appropriation of $1,329,673,000
for the Nita M. Lowey 21st Century Community Learning Centers
program. Funds are allocated to States by formula, which in
turn, award at least 95 percent of their allocations to LEAs,
community-based organizations, and other public and private
entities. Grantees use these resources to establish or expand
community learning centers that provide activities offering
significant extended learning opportunities, such as before and
after-school programs, recreational activities, drug and
violence prevention, and family literacy programs for students
and related services to their families. Centers must target
their services to students who attend schools that are eligible
to operate a school-wide program under title I of the ESEA or
serve high percentages of students from low-income families.
State Assessments Grants
The Committee recommends $380,000,000 for the State
Assessments Grants program. This program provides formula
grants to States for the development and implementation of
standards and assessments required by the ESEA, including
improving such assessments through the adoption of through-
course assessments and other innovative assessments that meet
ESEA's requirements. This program may assist States and LEAs in
carrying out audits of their assessment systems to eliminate
low-quality or duplicative assessments. It also provides
competitive grants to States, including consortia of States, to
improve the quality, validity, and reliability of academic
assessments. These competitive grants may also be used to
support State planning leading to an Innovative Assessment
Demonstration Authority [IADA] application. The recommendation
includes nearly $11,000,000 more than the statutorily required
amount for formula grants that would be available for new
competitive grants for state assessments.
Report on Improvements in Assessments.--The Committee
recognizes that assessments serve different purposes, ranging
from formative purposes to inform classroom instruction to
summative purposes to inform school accountability and
improvement. CGSA was authorized to support grantees seeking to
improve both formative and summative assessments, depending on
needs within their States. Not later than 180 days after
enactment, the Committee directs the Department to report on
innovative work it has or is supporting on assessments,
including through awards made through fiscal year 2024 under
the CGSA program. The report shall include an analysis of the
assessment work undertaken by recent CGSA grantees, any best
practices that have emerged from CGSA grantees and how the
Department has shared and will continue to share those and
other best practices with other States in order to help all
States improve their assessments, how CGSA grantees have used
funds to support IADA work, how CGSA grantees have improved
assessments for English learners and students with
disabilities, how CGSA grantees are supporting through-course
assessments to provide more real time data to educators and
parents, and how CGSA grantees are developing more culturally
aware and responsive assessments. Such report shall also
describe how the Department is supporting, monitoring, and
evaluating the CGSA program and its grantees, and include
recommendations for how ongoing innovative assessment work can
better support learning in classrooms, while maintaining the
importance of annual, statewide, summative assessment data that
produces disaggregated results for students and their families.
Education for Homeless Children and Youth
The Committee recommends $129,000,000 for carrying out
education activities authorized by title VII, subtitle B of the
McKinney-Vento Homeless Assistance Act. This program provides
assistance to each State to support an office of the
coordinator of education for homeless children and youth to
develop and implement State plans for educating children and
youth experiencing homelessness, and to make subgrants to LEAs
to support the education of those children and youth. Grants
are made to States based on the total that each State receives
in title I-A grants to LEAs. States must subgrant not less than
75 percent of funds received to LEAs and may reserve remaining
funds for State level activities. Under the McKinney-Vento
Homeless Children and Youth Program, SEAs must ensure that
children and youth experiencing homelessness have equal access
to the same free public education, including a public preschool
education, as is provided to other children and youth.
The Committee bill continues to include language providing
an additional 12 months for educational agencies and
institutions to obligate and expend EHCY funds.
The Committee directs the Department to issue guidance
clarifying that funds provided under title VII, subtitle B of
the McKinney-Vento Homeless Assistance Act may be used for the
provision of extraordinary or emergency assistance needed to
enable homeless children and youths to attend school and
participate fully in school activities as allowed under law.
This should include all of the activities and services outlined
in the Department's September 12, 2023, Dear Colleague Letter
to the Chief State School Officers on the American Rescue
Plan--Homeless Children and Youth Funds, including paying for
short-term, temporary emergency housing (such as a hotel or
motel room) on a case-by-case basis if reasonable and necessary
to facilitate school attendance, and as a last resort when
other funding sources are not readily available.
The President's budget proposes new language that would
allow the Department to reserve funds from the Migrant
Education and Neglected and Delinquent programs in this account
and Education for Homeless Children and Youth program in the
school improvement account for competitive grants to States to
improve coordination of services to students eligible for
multiple Federal programs. The Committee bill does not include
the requested language.
Training and Advisory Services
For Training and Advisory Services authorized by title IV
of the Civil Rights Act (Public Law 88-352), the Committee
recommends $6,575,000. The funds provided will support awards
to operate regional equity assistance centers [EACs]. EACs
provide services to LEAs, SEAs, and other customers upon
request. Activities include disseminating information on
successful practices and legal requirements related to
nondiscrimination in educational programs on the basis of race,
sex, religion, or national origin and evidence-based activities
to improve equity and access to high-quality educational
settings.
Native Hawaiian Education
The Committee recommends $45,897,000 for the Education for
Native Hawaiian program. In addition, the Committee bill
continues a provision that clarifies the use of funds for
administrative costs.
The Committee bill includes $650,000 for the Native
Hawaiian Education Council, which includes an increase of
$150,000 for the Council to fulfill the statutory requirement
for data collection.
The Committee bill continues the set-aside of funds made
available for the Education for Native Hawaiians program for
grants 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.
Alaska Native Education
The Committee recommends $44,953,000 for the Alaska Native
Education. These funds help address the unique educational
needs of Alaska Native schoolchildren. Funds are used for the
development of supplemental educational programs to benefit
Alaska Natives.
Outreach and Program Responsiveness.--The Committee directs
the Department to make every effort to ensure that grants are
awarded well in advance of the school year, to maximize
grantees' ability to hire the necessary staff and have their
programs ready to go with the start of Alaska's school year in
mid-August. The Committee continues to direct the Department to
ensure that Alaska Native Tribes, Alaska Native regional non-
profits, and Alaska Native corporations, particularly those
that have received no or few grants under this program, have
the maximum opportunity to successfully compete for grants
under this program by providing these entities multiple
opportunities for technical assistance in developing successful
applications for these funds, both in Alaska and via various
forms of telecommunications. The Committee also strongly
encourages the Department to include as many peer reviewers as
possible who are Alaska Natives or who have experience with
Alaska Native education and Alaska generally on each peer
review panel.
Use of Funds.--The Committee continues language that allows
funding provided by this program to be used for construction
and overrides the authorizing statute's requirement to make
noncompetitive awards to certain organizations.
Rural Education
The Committee recommends $230,000,000 for rural education
programs. The Committee expects that rural education funding
will be equally divided between the Small, Rural School
Achievement Program, which provides funds to LEAs that serve a
small number of students, and the Rural and Low-Income School
Program, which provides funds to LEAs that serve concentrations
of poor students, regardless of the number of students served.
In 2020, the Department announced that some LEAs were using
alternative poverty data to demonstrate eligibility for the
Rural and Low-Income School Program in place of the U.S. Census
Bureau's Small Area Income and Poverty Estimates, as required
by section 5221(b)(1)(A)(i) of the ESEA. The Department had
routinely accepted these data since the program was created in
2002. In fiscal years 2021, 2022, and 2023, those LEAs that
would have been eliminated abruptly from eligibility were held
harmless at a declining rate that would have continued to fall
through fiscal year 2027. In fiscal year 2024, bill language
was included to hold the affected LEAs harmless at the fiscal
year 2023 level. The Committee has also increased funding for
the Rural Education Achievement Program in the fiscal year 2021
through 2024 bills and recommends an increase of $10,000,000
for this fiscal year. The Committee understands that changes to
eligibility for funding received under this program create very
significant challenges for several LEAs and States, at no fault
of their own, and therefore continues to include bill language
that will hold the affected LEAs harmless at the fiscal year
2023 level during this fiscal year.
Comprehensive Centers
The Committee recommends $50,000,000 for the Comprehensive
Centers program. These funds provide support to a network of
comprehensive centers that are operated by research
organizations, agencies, institutions of higher education, or
partnerships thereof. Centers provide training and technical
assistance identified in annual State service plans to build
the capacity of SEAs and the Bureau of Indian Education [BIE],
and through them LEAs, and schools, to provide a high quality
education to all students.
The Committee is particularly supportive of the work of the
centers in supporting SEAs, LEAs, Tribal Education Agencies,
and schools in selecting, implementing, and sustaining
evidence-based programs, policies, practices, and interventions
and addressing corrective actions or results from audit
findings and ESEA program monitoring. Further, centers play a
critical role in supporting State and local efforts to close
opportunity gaps and improve educational outcomes, particularly
for students attending schools implementing comprehensive
support and improvement or targeted or additional targeted
support and improvement activities. The Committee directs the
Department to brief the Committee not later than 60 days after
enactment on center annual service plans. In addition, the
Committee notes SEAs and LEAs seeking to redesign staffing and
support team-based teaching models can receive technical
assistance and support through the Strengthening and Supporting
the Educator Workforce Content Center and Regional Centers.
Student Support and Academic Enrichment Grants
The Committee recommendation includes $1,390,000,000 for
Student Support and Academic Enrichment [SSAE] Grants. This
program provides formula grants to States based on each State's
share of title I-A grants, which then sub-grant to LEAs, to
help support activities that provide students with a well-
rounded education, ensure safe and supportive learning
environments, and use technology to improve instruction.
Technical Assistance and Capacity Building.--The Committee
appreciates the information provided in the fiscal year 2025 CJ
on expenditures for the 2 percent set-aside for technical
assistance [TA] and capacity building from prior year
appropriations. The reservation for TA and capacity building
should be used to support SEAs and LEAs in carrying out
authorized activities under this program identified by SEAs and
LEAs, which may include support for fostering school diversity
efforts across and within school districts. The Committee
continues to direct the Department to prioritize its TA and
capacity building support for SEAs and LEAs seeking to address
school diversity needs. In future CJs, the Department shall
continue to provide current and planned expenditures for this
reservation and include a plan for how resources will be spent
to provide TA and to build the capacity of SEAs and LEAs.
Further, such information shall also describe how expenditures
for this reservation have and will build upon efforts to foster
school diversity across and within school districts, including
efforts set out by the Department in the May 8, 2023 Notice
Inviting Applications. The Committee also supports plans to use
these TA and capacity building funds for continued support of a
TA center on student attendance and engagement and a new TA
center on student mental and physical health, which will work
in close coordination with the CMS technical assistance center
for school-based services under Medicaid.
Report on Use of Funds.--The Committee directs the
Department to obtain and examine data on State and local
expenditures, outlined by specific authorized activities, and
provide information about how LEAs plan to evaluate the
effectiveness of their activities. The Committee directs the
Department, within 180 days after the enactment of this act, to
provide a briefing to the Committee on implementation of this
directive.
Feminine Hygiene Products.--The Committee notes that SSAE
funds can be used to create more supportive environments for
students. The Committee believes that the inability to access
feminine hygiene products can be a significant barrier to
learning, but it can be alleviated through education,
coordination, and cooperation among community stakeholders.
Therefore, the Committee directs the Departments of Education
and Health and Human Services to collaborate with stakeholders,
including corporate and not-for-profit entities, to disseminate
information regarding the availability of low-cost or donated
feminine hygiene products for any SEA, LEA, or school to
access. Such information should be made available to SEA, LEA,
and school personnel.
School Readiness
Appropriations, 2024....................................................
Budget estimate, 2025................................... $25,000,000
Committee recommendation................................................
The Committee does not include funds for a newly proposed
School Readiness account.
Preschool Incentive Demonstration Program
The Committee recommendation does not include funds for
this proposed demonstration program. The proposed program is
intended to expand access to high-quality preschool for
children eligible to attend title I schools through a mixed-
delivery model.
Indian Education
Appropriations, 2024.................................... $194,746,000
Budget estimate, 2025................................... 194,746,000
Committee recommendation................................ 194,746,000
The Committee recommends $194,746,000 for Indian Education
programs.
Grants to Local Educational Agencies
For grants to LEAs, the Committee recommends $110,381,000.
These funds provide financial support to elementary and
secondary school programs that serve Indian students, including
preschool children. Funds are awarded on a formula basis to
LEAs, schools supported and operated by the Department of the
Interior/Bureau of Indian Education, and in some cases directly
to Indian Tribes.
Special Programs for Indian Children
The Committee recommends $72,000,000 for Special Programs
for Indian Children. Funds are used for demonstration grants to
improve Indian student achievement from early childhood
education through college preparation programs, and for
professional development grants for training Indians who are
preparing to begin careers in teaching and school
administration. The Committee strongly supports the budget
proposal to invest more than $30,000,000 in new grants for
professional development, including for the teacher retention
initiative, to assist eligible entities, including Tribal
colleges and universities, with addressing the need for
teachers and administrators serving Indian students.
The Department is directed to use no less than $5,000,000
of funds available to continue the teacher retention-initiative
intended to help address the shortage of Indian, Alaska Native,
and Native Hawaiian educators and to expand their impact on
students' education. The initiative must support teacher
leadership models as a method to increase the retention of
effective, experienced Indian, Alaska Native, and Native
Hawaiian teachers. Outcomes and models of culturally-responsive
teacher leaders participating in this program must have their
growth and effectiveness measured and these findings should
support the development of evidence-, research- and culturally
responsive teacher leadership models. The Department is
directed to publish such findings within a year of enactment of
this act.
National Activities
The Committee recommends $12,365,000 for National
Activities. Funds are used to expand efforts to improve
research, evaluation, and data collection on the status and
effectiveness of Indian education programs, and to continue
grants to Tribal educational departments for education
administration and planning. The bill includes language
proposed in the President's budget allowing more than 20
percent of these funds to be used for grants for Native
American Language Immersion. The Committee bill also continues
language from the current appropriations act, which allows the
Secretary to make such awards for a period not to exceed 5
years.
Native American Language Immersion Programs.--The
recommendation includes not less than $4,500,000 for Native
American Language Immersion programs. This amount will support
new and continuation awards in fiscal year 2025. Funds for the
Native American Language Immersion program should continue to
be allocated to all types of eligible entities, including both
new and existing language immersion programs and schools, to
support the greatest possible geographical distribution and
language diversity. Further, the Department should continue to
give the same consideration to applicants that propose to
provide partial immersion schools and programs as to full
immersion, as the local Tribes, schools, and other applicants
know best what type of program will most effectively assist
their youth to succeed.
The Committee directs the Department to provide parity in
the treatment to American Indian, Alaska Native and Native
Hawaiian language immersion schools and programs, including the
development of a fair and equitable process to confer with
Native Hawaiian organizations and Hawaiian language education
stakeholders regarding implementation of the Native American
Language program.
Native American Language Resource Centers.--The Committee
recognizes the importance of the Native American Languages
Resource Centers, and that such centers are integral to
supporting the revitalization of such Native American
languages, including by encouraging and supporting the use of
Native American languages as a medium of instruction. In
addition, the Committee recognizes the need to encourage and
support early childhood education programs, elementary schools,
secondary schools, and institutions of higher education to
include Native American languages in the curriculum as the
primary mode of instruction, and in the same manner as other
world languages, including through cooperative agreements and
distance education, and to grant proficiency in Native American
languages the same full academic credit as proficiency in other
world languages. The Committee recommendation includes
$2,965,000 to continue to carry out the policy set forth in
Public Law 117-335 and direction provided in prior fiscal years
to establish Native American Language Resource Centers.
Innovation and Improvement
Appropriations, 2024.................................... $1,203,084,000
Budget estimate, 2025................................... 1,208,000,000
Committee recommendation................................ 1,231,461,000
The Committee recommends $1,231,461,000, for programs
within the Innovation and Improvement account. This amount
includes an additional $116,461,000 provided by a general
provision at the end of this title of the bill.
Education Innovation and Research
The Committee recommendation includes $259,000,000 for the
Education Innovation and Research [EIR] program. This program
supports the creation, development, implementation,
replication, and scaling up of evidence-based, field-initiated
innovations designed to improve student achievement and
attainment for high-need students. EIR incorporates a tiered
evidence framework that provides early-phase, mid-phase, and
expansion and replication grants. This supports interventions
throughout the pipeline, from smaller grants for early stage
projects that are willing to undergo rigorous evaluation to
test their efficacy to larger grants to scale-up proven-
effective interventions that have demonstrated significant
impacts through at least one rigorous evaluation.
Briefing Requirement.--The Committee requests the
Department brief the Committees on the fiscal year 2025 funding
opportunities available under this program, including any
proposed priorities, not less than 14 days prior to publication
in the Federal Register.
Social and Emotional Learning.--The Committee expects the
Department to continue prioritizing and funding quality
applications for eligible social and emotional learning
projects within both the early- and mid-phase evidence tiers.
The Committee strongly encourages EIR funds to be used for
awards for high-quality applications meeting program
requirements and planning to support evidence-based, school-
based mentoring programs in communities with high rates of
violence and for students who experience trauma, low-income
students, students of color, students academically at-risk, and
justice-involved youth. Further, such applications could
include a focus on providing students with life and workforce
skills and experiences needed to be successful in the
workplace.
Data Science Education.--The Committee notes EIR grants in
prior competitions have been awarded for data science education
and learning projects. The Committee continues to encourage the
Department to invite applications that propose the development
and implementation of effective interventions in data science
education.
Grant Priorities.--The Committee notes there is significant
demand from the field to test many types of strategies and to
examine promising techniques that can be scaled-up in different
settings. The Committee expects funds to continue to support
diverse and field-initiated interventions, rather than a single
nationwide program or award focused solely on one area of
educational innovation. The Committee believes the Department
should continue to support new awards to develop, validate and
scale up evidence-based strategies that address the impact of
the COVID-19 pandemic.
High-dosage Tutoring.--The Committee notes the importance
of high-dosage tutoring in accelerating student learning and
supporting student success. As SEAs and LEAs are implementing
and scaling up tutoring programs aligned with research-based
components, the Committee encourages the Department to support
high-dosage tutoring through new awards, particularly expansion
and replication grants, for high-quality applications that meet
program requirements.
Rural Set-Aside.--The Committee supports the required 25
percent set-aside within EIR for rural areas and encourages the
Department to take steps necessary to ensure the set-aside is
met and that EIR funds are awarded to diverse geographic areas.
The Committee encourages the Department to invest in rural,
high-need communities by ensuring grants are awarded to a
diverse set of institutions, affecting varied geographic
locations, including areas with substantial minority students,
which have submitted high quality applications meeting EIR
program requirements.
Focused Math Instruction.--The Committee notes that more
effective approaches are needed to improve math achievement and
outcomes, particularly for students not currently engaged with
high quality learning opportunities needed to eliminate
learning gaps. The Committee notes that several EIR grants
currently are implementing and evaluating project activities
intended to improve outcomes in math for high need students.
The Committee intends funds provided to continue to be
available to support high quality applications focused on
improving math learning and instruction, including applications
that use diagnostic tools to match students with the
appropriate math instruction and learning opportunities needed
for all students to progress on current grade-level content.
Charter School Program
The Committee recommends $440,000,000 for the Charter
School Program [CSP]. This program supports the start-up,
replication, and expansion of high-quality public charter
schools prepared to effectively serve all students.
Program Activities.--The Committee continues last year's
enacted bill language providing increased flexibility within
the program to effectively respond to the changing needs of the
sector and increase the likelihood that Federal funds will be
invested in high-quality charter schools prepared to serve all
students effectively. Both the authorizing statute and prior
year appropriations bills dictated the use of the appropriation
in ways that prevented the Department from allocating funds
based on the number of high quality applications in grant
competitions and emerging needs of the field. To facilitate
this, the Committee expects the Department to run competitions
for charter school programs on similar cycles. The language
will continue to allow the Department to allocate not more than
$140,000,000 for replication and expansion of high-quality
charter schools through the Charter Management Organization
[CMO] program established in ESEA.
The bill also allocates not less than $60,000,000 for
Facilities Grants under section 4304, including the Credit
Enhancement program. The bill also provides not more than
$16,000,000 for national activities to provide technical
assistance, disseminate best practices, and evaluate the impact
of the charter school program. Finally, funds are available for
use under 4305(a)(2) for Developer grants and under section
4303 for State Entity grants. The Committee directs the
Department to provide a briefing on its planned use of
flexibility provided not later than 14 days prior to the
announcement of any notice of proposed priorities, notice
inviting applications for CSP activities, and announcement of
grant awards.
The Committee takes no action on additional language
proposed in the President's budget that would prohibit the
Secretary from making new awards under Charter Schools Grants
that support charter schools that are operated or managed by
for-profit entities, including through contractual
relationships. CSP applicants for State Entity, CMO, and
Developer grant competitions must assure a charter school
supported by CSP funds has not or will not enter into a
contract with a for-profit management organization, including a
nonprofit management organization operated by or on behalf of a
for-profit entity, under which the management organization, or
its related entities, exercises full or substantial
administrative control over the charter school and, thereby,
the CSP project. The Committee expects the Department to
enforce the assurance and related transparency requirements for
the reporting of contracts with for-profit entities.
Technical Assistance.--The Department is directed to
continue to support and evaluate flexibility in the
availability and effective use of CSP State Entity technical
assistance resources; evaluate how such funds are used to
ensure subgrantees are equipped to meet the needs of all
students, and specifically students with disabilities and
English learners as required by law; and, brief the Committees
not later than 90 days after enactment of this act on its
actions and continued plans to effectively oversee the CSP
program.
State Entity Subgrantees.--Under the CSP, State Entities
receive competitive grants that are subsequently distributed as
subgrants to support the opening of new charter schools, the
replication of high-quality charter schools, and the expansion
of high-quality charter schools. As required by ESEA, when
eligible State Entities apply for these grants, they include in
their applications the projected number of subgrants that they
expect to make in each of those three categories. After
completing their subgrant competitions, however, State Entities
will typically find that they must deviate from their initial
projections in order to support the highest-quality applicants,
regardless of category. The Committee notes State Entities
received awards based on the quality of their applications,
including projections of schools to be opened. However, if the
State Entity attempts to but is unable to implement the
approved plan, the timely approval of amendments to subgrant
projections could facilitate the most effective use of these
resources in creating high-quality public educational options
for students. The Committee directs the Secretary to allow
State Entities to diverge from their original projections after
conducting competitions that do not meet subgrant projections
in their approved application, in order to fund the highest-
quality subgrant applicants that meet all Federal requirements.
The Committee further directs the Department to report on the
implementation of this directive in next year's CJ.
Uses of Funds.--The Committee has become aware that grant
recipients under the Charter Schools Grants to State Entities
program encounter delays in their implementation of their
grants because of uncertainty over whether certain uses of
funds are allowable under the ESEA. For example, while section
4303(h) allows funding of ``appropriate, non-sustained
costs...when such costs cannot be met from other sources'', it
is often unclear whether specific costs should be considered
sustained or non-sustained, with the confusion sometimes
emanating from unclear language in the State statutes that
provide funding for charter schools. In other situations, a
funding category such as ``educator compensation'' could
encompass activities that are either sustained or non-
sustained, depending on the manner in which those activities
are carried out. When State Entities grantees are delayed in
making subgrants to charter school developers because the
Department is going through a lengthy and necessary process of
determining whether individual costs are allowable, new charter
schools do not open on schedule, which constrains the ability
of the program to make available high-quality educational
options for students and jeopardizes the ability of State
Entities grantees to use their grant funds in a timely manner.
The Committee therefore strongly urges the Department to
resolve these spending issues in a timely manner and in a
manner that provides grantees with maximum flexibility
consistent with the statute. The Department should allow State
Entities to support all activities listed under section
4303(h), so long as they contribute to the objective of
developing, implementing, expanding, and replicating high-
quality charter schools. The Committee directs the Department
to brief the Committee on the Department's response to this
concern within 90 days of publication of this report and to
provide an update in the fiscal year 2026 CJ on the
Department's implementation of any changes in practice related
to this issue.
No-Cost Extensions.--The Committee is aware that recipients
of grants under the CSP are sometimes unable to complete their
projects within the original project period, often for reasons
beyond their control (such as lower than anticipated
subrecipient applications received, trouble obtaining charter
school authorization, and delays in Department approval of
charter school authorizers, uses of funds, or the allocation of
subgrant funds). Yet, in situations in which a new grant has
been made to an entity in the same State, the Department has
been unwilling to approve no-cost extensions beyond the
automatic 12-month period. The Committee understands that the
Department believes that longer no-cost extensions would
violate the statutory prohibition on a State receiving more
than one grant at a time. The Committee strongly urges the
Department to act favorably on requests for longer extensions
in these situations, including for States receiving a new award
in fiscal year 2024, particularly when an extension would
enable the completion of subgrants made late in the grant
period or when it is clear that the delays in carrying out
project activities were largely unavoidable by the grantees
and, thus, that requests likely meet the requirements of
section 75.261 of the EDGAR regulations. The Committee directs
the Department to brief the Committee on the Department's
response to this concern within 90 days of publication of this
report and to provide an update in the fiscal year 2026 CJ on
the Department's implementation of any changes in practice
related to this issue.
Magnet Schools Assistance
The Committee recommends $139,000,000 for the Magnet
Schools Assistance program. This program supports grants to
LEAs to establish and operate magnet schools that are part of a
court-ordered or federally approved voluntary desegregation
plan. Magnet schools are designed to attract substantial
numbers of students from different social, economic, ethnic,
and racial backgrounds. Grantees may use funds for planning and
promotional materials; salaries of instructional staff;
transportation, as long as such expenses are sustainable beyond
the grant period and not a significant portion of the grant;
and the purchase of technology, educational materials, and
equipment.
Teacher and School Leader Incentive Grants
The Committee recommendation includes $60,000,000 for
Teacher and School Leader Incentive Grants. This program
provides competitive grants to eligible entities to develop,
implement, improve, or expand human capital management systems
or performance-based compensation systems in schools. Funds can
be used for a wide-range of activities, including developing or
improving evaluation and support systems that are based in part
on student achievement; providing principals with necessary
tools to make school-level decisions; implementing a
differentiated salary structure based on a variety of factors;
improving the recruitment and retention of effective teachers,
principals, and other school leaders; and instituting career
advancement opportunities that reward effective teachers,
principals and other school leaders.
Ready-To-Learn Television
The Committee recommendation includes $31,000,000 for the
Ready-to-Learn Television program. This program is designed to
facilitate student academic achievement by leveraging the power
and reach of public television to develop and distribute
educational video programming, and digital content, for
preschool and elementary school children and their parents,
caregivers, and teachers.
Arts in Education
The Committee recommendation includes $36,500,000 for the
Arts in Education program. The funding is used for a program of
competitive awards for assistance for arts education, including
professional development for arts educators, teachers and
principals; developing and disseminating accessible
instructional materials and arts-based educational programming;
and for national and community outreach activities that
strengthen relationships among LEAs, schools, communities and
arts organizations. Funds also are used for evaluation and
dissemination activities.
National Program.--The Committee recommendation includes no
less than $8,000,000 for a national program grant competition.
The Committee includes bill language intended to ensure the
Department does not administer the Arts in Education program
activities in a consolidated grant competition as it did in
fiscal year 2021. The language further requires the Department
to use not less than $8,000,000 for an Arts in Education
National Program competition following priorities and program
requirements of the fiscal year 2022 competition.
Javits Gifted and Talented Students
The Committee recommendation includes $16,500,000 for the
Javits Gifted and Talented Students Education program. Funds
are used for awards to State and local educational agencies,
institutions of higher education, and other public and private
agencies for research, demonstration, and technical assistance
activities designed to enhance the capability of elementary and
secondary schools to meet the special educational needs of
gifted and talented students. Under ESEA, the Department gives
priority to making awards for projects that include evidence-
based activities or that develop new information to improve the
capacity of schools to operate gifted and talented education
programs or to assist schools in identifying and serving
traditionally underserved students
Supporting Effective Educator Development
The Committee recommendation includes $90,000,000 for the
Supporting Effective Educator Development [SEED] program. SEED
provides competitive grants to improve teacher and principal
effectiveness by supporting pathways that help teachers,
principals, or other school leaders with non-traditional
preparation and certification obtain employment in underserved
LEAs; providing evidence-based professional development; and
making services and learning opportunities freely available to
LEAs.
Effective School Leaders.--The Committee recognizes the
significant impact of effective school principals and other
school leaders on student achievement and other student
outcomes, and believes the SEED program provides important
support for helping ensure that more highly trained school
leaders are available for service in schools that have
concentrations of students from low-income families. Therefore,
the Committee directs the Secretary to continue to use a
portion of funds made available for SEED for new awards
supporting the preparation of principals and other school
leaders.
American History and Civics Education
The Committee recommendation includes $23,000,000 for
American History and Civics Education, including $3,000,000 for
Presidential and Congressional Academies for American History
and Civics and $20,000,000 for American History and Civics
Education National Activities.
Presidential Academies for the Teaching of American History
and Civics offer residential workshops to elementary and
secondary school teachers to strengthen their knowledge through
instruction and interaction with primary scholars and
accomplished teachers in these fields. The Congressional
Academies for Students of American History and Civics provide
similar workshops to students to enrich their understanding of
American history and civics.
Statewide Family Engagement Centers
The Committee recommendation includes $20,000,000 for
Statewide Family Engagement Centers. This program provides
competitive grants to statewide organizations to promote and
implement evidence-based family engagement activities in
education programs, and provide training and technical
assistance to SEAs, LEAs, schools, and other organizations for
carrying out such activities.
Fostering Diverse Schools
The budget includes $10,000,000 for the creation of a new
Fostering Diverse Schools program. This new program would
support competitive awards to address voluntary efforts to
increase racial and socioeconomic diversity in preschool
through 12th grade.
While the Committee recommendation does not include
requested bill language and funding for this proposal, the bill
does include investments through a range of authorized programs
that may be used to further racial and socioeconomic diversity
in the Nation's public schools, including capacity building
grants through the student support and academic enrichment
grant program.
Fund for the Improvement of Education
The bill includes a general provision providing an
additional $116,461,000 for this account for projects and
associated amounts and purposes identified in the table at the
end of this Committee Report.
Safe Schools and Citizenship Education
Appropriations, 2024.................................... $457,000,000
Budget estimate, 2025................................... 507,000,000
Committee recommendation................................ 464,000,000
The Committee recommends a total of $464,000,000 for
activities to promote safe schools, healthy students, and
citizenship education.
Promise Neighborhoods
The Committee recommendation includes $93,000,000 for the
Promise Neighborhoods program. This program awards competitive
grants to not-for-profit, community-based organizations for the
development of comprehensive neighborhood programs designed to
combat the effects of poverty and improve educational and life
outcomes for children and youth, from birth through college.
Each Promise Neighborhood grantee serves a high-poverty urban
neighborhood or rural community. Grants are for up to 5 years,
with the final 2 years of funding contingent on grantee
performance against program- and project-level performance
objectives. Further, grants may be extended an additional 2
years beyond the 5-year project period contingent on grantee
performance. The bill continues to provide extended
availability of these funds, to allow the Department more
flexibility for the timing of new awards and maximize the time
for grantee planning activities.
Promise Neighborhoods Extensions.--The Committee is
disappointed that the Department chose to use available funds
in fiscal year 2024 for planning grants for new communities.
The Committee notes with overwhelming concern that planning
grants have only previously been awarded under an authority
that no longer exists within the ESEA. The Department could
have instead used the funds to make statutorily-authorized,
competitive extension awards to high performing current
implementation grantees. The Committee directs the Department
to use any available fiscal year 2025 funds, not being used for
continuation awards, only for 2-year extension grants to high
quality Promise Neighborhood grantees that have demonstrated
improvements in program performance indicators or for new 5-
year implementation awards. If the Departments runs a grant
competition for new 5-year awards, it is directed to allow
previously awarded grantees with programs that may have
recently expired to compete for additional funding for the same
neighborhood, provided they have at least 5 years of
successfully submitting GPRA data, demonstrated improvements in
Promise Neighborhoods indicators, and justify the need for
additional funding for their continued implementation of high
quality plans and evidence-based activities.
School Safety National Activities
The Committee recommendation includes $221,000,000 for
School Safety National Activities, including up to $5,000,000
as necessary for Project SERV, which provides assistance to
schools and institutions of higher education to respond and
recover in the aftermath of violent or traumatic events
disrupting the learning environment. School Safety National
Activities funding also supports several grant and technical
assistance activities intended to improve the safety, health,
and well-being of all students. At the recommended funding
level, sufficient funding is available for continuation grants
for grantees making substantial progress on their awards, and
approximately $30,000,000 is available for new awards as
directed by this Report. The Committee requests a briefing not
later than 14 days prior to the issuance of any notice inviting
applications or notice of proposed priorities.
Mental Health Service Professional Development Grant
Program and School-Based Mental Health Services Grant
Program.--The Committee directs the Department to use any
available funds not needed for continuation awards for grantees
meeting substantial progress or for necessary Project SERV
awards to make additional new awards for these mental health
programs. The Committee encourages the Department to continue
working to support SEAs, LEAs, and IHEs in addressing the
shortage of school-based mental health professionals in our
Nation's K-12 schools by expanding the pipeline of these
professionals and improving districts' ability to recruit and
retain these professionals. The Committee recommendation
includes approximately $80,000,000 for continuation awards for
current grantees under the Mental Health Services Professional
Demonstration Grant Program and approximately $80,000,000 for
continuation awards for current grantees under the School-Based
Mental Health Services Grant to increase the number of well-
trained school counselors, school social workers, and school
psychologists, or other mental health professionals qualified
to provide school-based mental health services. The Bipartisan
Safer Communities Act also provides $100,000,000 each for these
programs for additional continuation grants in fiscal year
2025.
The Committee also urges the Department to begin planning
for how to prioritize applications in future grant competitions
that address the negative effects of social media, problematic
digital technology use, and online safety. The Committee also
directs the Department to ensure that, to the greatest extent
practicable, high-need LEAs and eligible institutions of higher
education (as defined by FR Doc. 2022-21633) have not less 90
days to submit an application. The Department should also
widely publicize to potential applicants the Notice Inviting
Applications and relevant award deadlines. Additionally, the
Department should provide robust technical assistance to
potential applicants, including multiple webinars, and prompt
responses to questions and concerns regarding the application.
The Committee directs the Department to continue including high
rates of substance use and other adverse childhood experiences
in its definition of LEAs with demonstrated need eligible to
receive support under the School-Based Mental Health Services
program. Finally, the Department should consider ways of
executing the matching requirement that most effectively
promotes sustainability of activities after grant funds are
expended.
The Committee recognizes the significant challenges facing
some students, including LGBTQ+ students and students of color,
in regards to bullying and harassment by their peers. The
Committee understands that LGBTQ+ youth are four times more
likely to attempt suicide than their peers. These funds can
help reduce bullying and harassment, improve student well-
being, and ensure every student is able to attend school in a
safe and welcoming environment.
Full Service Community Schools
The Committee recommendation includes $150,000,000 for
Full-Service Community Schools. This program provides support
for the planning, implementation, and operation of full-service
community schools that improve the integration, accessibility,
and effectiveness of services for children and families,
particularly for children attending high-poverty schools,
including high-poverty rural schools.
Equitable Distribution of Awards.--The Full Service
Community Schools program provides support for the planning,
implementation, and operation of full-service community schools
that improve the integration, accessibility, and effectiveness
of services for children and families, particularly for
children attending high-poverty schools, including high-poverty
rural schools. The Committee appreciates the potential of these
Federal investments to improve student outcomes and school
performance. However, the Committee is concerned that the
program is not adequately supporting projects that meet program
criteria in high-poverty rural areas. Additionally, the
Department has awarded multiple awards to some entities while
other entities with qualifying projects have not received
awards. Therefore, the Department is urged to prioritize the
equitable distribution of awards to include high-poverty rural
areas, and to limit granting multiple awards to a single entity
in a given fiscal year when other high-quality applicants exist
in that year.
The Committee bill does not include language proposed in
the President's budget allowing up to $10,000,000 to be awarded
as planning grants.
English Language Acquisition
Appropriations, 2024.................................... $890,000,000
Budget estimate, 2025................................... 940,000,000
Committee recommendation................................ 895,000,000
The Committee recommends an appropriation of $895,000,000
for the English Language Acquisition [ELA] program.
The Department makes formula grants to States based on each
State's share of the Nation's limited-English-proficient and
recent immigrant student population. The program is designed to
increase the capacity of States and school districts to address
the needs of these students. The authorizing statute requires
that 6.5 percent of the appropriation be used to support
national activities, which include professional development
activities designed to increase the number of highly qualified
teachers serving limited-English-proficient students; and a
National Clearinghouse for English Language Acquisition and
Language Instructional Programs. The Committee does not adopt
the proposal to increase this reservation to 8 percent.
National activities funds are available for 2 years.
National Clearinghouse for English Language Acquisition.--
The Committee does not adopt the President's budget proposal to
increase to $4,000,000 the amount of funds that may be reserved
for the National Clearinghouse for English Language Acquisition
and expand the scope of the National Clearinghouse to include
technical assistance and capacity building to support SEAs and
LEAs.
Multilingualism.--The Committee is concerned that the
Office of English Language Acquisition has overemphasized
English-only approaches for the education of English language
learner students, to the detriment of bilingual and dual
language approaches. These approaches have proven more
effective in the teaching of English, as well as academic
content such as reading, math, science, and social studies. The
Committee supports initiatives to build multilingual teacher
pipelines through Grow-Your-Own initiatives and provide
professional development in multilingual education for existing
school staff and teachers. The Committee also supports efforts
for post-secondary fellowships to bolster the multilingual
educator pipeline.
Special Education
Appropriations, 2024.................................... $15,467,264,000
Budget estimate, 2025................................... 15,673,264,000
Committee recommendation................................ 15,768,264,000
The Committee recommends an appropriation of
$15,768,264,000 for special education programs.
Grants to States
The Committee recommendation includes $14,508,704,000 for
IDEA part B Grants to States. This program provides formula
grants to assist States, outlying areas, and other entities in
meeting the costs of providing special education and related
services for children with disabilities. States pass along most
of these funds to LEAs, but may reserve some for program
monitoring, enforcement, technical assistance, and other
activities. The appropriation for this program primarily
supports activities associated with the 2025-2026 academic
year. Of the funds available for this program, $5,225,321,000
will become available on July 1, 2025, and $9,283,383,000 will
become available on October 1, 2025. These funds will remain
available for obligation through September 30, 2026.
Preschool Grants
The Committee recommends $420,000,000 for Preschool Grants.
This program provides formula grants to States to assist them
in making available special education and related services for
children with disabilities aged 3 through 5. States distribute
the bulk of the funds to LEAs. States must serve all eligible
children with disabilities aged 3 through 5 and have an
approved application under the IDEA.
Grants for Infants and Families
The Committee recommends $545,000,000 for the Grants for
Infants and Families program under part C of the IDEA. Part C
of IDEA authorizes formula grants to States, outlying areas,
and other entities to implement State-wide systems for
providing early intervention services to all children with
disabilities, ages 2 and younger, and their families. IDEA also
gives States the option of extending eligibility for part C
services to children 3 and older if they were previously served
under part C and will continue to be served until entrance to
kindergarten. The Committee bill does not include the new
policy proposals included in the President's budget.
State Personnel Development
The Committee recommends $38,630,000 for the State
Personnel Development program. Ninety percent of funds must be
used for professional development activities. The program
supports grants to SEAs to help them reform and improve their
personnel preparation and professional development related to
early intervention, educational, and transition services that
improve outcomes for students with disabilities.
Technical Assistance and Dissemination
The Committee recommends $76,345,000 for Technical
Assistance and Dissemination. This program supports awards for
technical assistance, model demonstration projects, the
dissemination of useful information, and other activities.
Funding supports activities that are designed to improve the
services provided under the IDEA.
Special Olympics.--Within the total, the Committee
recommendation includes $37,000,000 to support activities
authorized by the Special Olympics Sport and Empowerment Act.
This funding supports efforts to expand Special Olympics
programs and the design and implementation of Special Olympics
education programs that can be integrated into classroom
instruction and are consistent with academic content standards.
Personnel Preparation
The Committee recommends $115,000,000 for the Personnel
Preparation program. Funds support competitive awards to help
address State-identified needs for personnel who are qualified
to work with children with disabilities, including special
education teachers and related services personnel. The program
is required to fund several other broad areas, including
training leadership personnel and personnel who work with
children with low-incidence disabilities, and providing
enhanced support for beginning special educators.
Parent Information Centers
The Committee recommends $33,152,000 for Parent Information
Centers. This program makes awards to parent organizations to
support parent training and information centers, including
community parent resource centers. These centers provide
training and information to meet the needs of parents of
children with disabilities living in the areas served by the
centers, particularly underserved parents, and parents of
children who may be inappropriately identified.
Technology and Media Services
The Committee recommends $31,433,000 for Technology and
Media Services. This program makes competitive awards to
support the development, demonstration, and use of technology
and educational media activities of value to children with
disabilities.
Rehabilitation Services
Appropriations, 2024.................................... $4,092,906,000
Budget estimate, 2025................................... 4,397,033,000
Committee recommendation................................ 4,219,297,000
Vocational Rehabilitation State Grants
The Committee recommends $4,076,098,000 in mandatory
funding for Vocational Rehabilitation [VR] State Grants. State
Grants assist States in providing a range of services to help
persons with physical and mental disabilities prepare for and
engage in meaningful employment. The Committee provides an
increase in VR State Grants according to the CPI-U, consistent
with the authorizing statute.
Disability Innovation Fund [DIF].--The Committee directs
the Department to use a portion of DIF funds for competitive
grants, to be awarded in coordination with the Office of
Disability Employment Policy, to eligible entities in
partnership with State VR agencies for innovative strategies
that significantly increase competitive integrated employment
of youth and adults with disabilities. The Committee expects
this will focus on expanding the capacity and the State network
of eligible entities providing employment supports in States,
prioritizing States that have returned funds to RSA or States
from the two lowest quintiles of labor force participation
rates for people with disabilities.
The Committee directs the Department to continue to brief
the Committees on Appropriations; the Committee on Health,
Education, Labor, and Pensions of the Senate; the Committee on
Education and Labor of the House of Representatives; the
Committee on Finance of the Senate; and the Committee on Ways
and Means of the House of Representatives at least every 6
months with updates on activities funded within DIF.
Client Assistance State Grants
The Committee recommends $13,000,000 in discretionary funds
for Client Assistance State Grants. This program funds State
formula grants to help VR clients or client applicants
understand the benefits available to them. States must operate
client assistance programs to receive VR State Grant funds.
Training
The Committee recommends $29,388,000 for training
rehabilitation personnel. This program supports grants to
provide training to new VR staff or upgrade the qualifications
of existing staff.
Demonstration and Training Programs
The Committee recommendation includes $5,796,000 for
demonstration and training programs. These programs support
activities designed to increase employment opportunities for
individuals with disabilities by expanding and improving the
availability and provision of rehabilitation and other
services. The Committee recommendation includes no less than
the fiscal year 2024 enacted level for parent information and
training programs.
Protection and Advocacy of Individual Rights
The Committee recommends $20,150,000 for the Protection and
Advocacy of Individual Rights program. This program provides
grants to agencies to protect and advocate for the legal and
human rights of persons with disabilities who are ineligible
for the protection and advocacy services available through the
Developmental Disabilities Assistance and Bill of Rights Act
(Public Law 106-402) or the Protection and Advocacy for
Individuals with Mental Illness Act (Public Law 99-319).
Supported Employment State Grants
The Committee recommendation includes $22,548,000 for the
Supported Employment State Grants Program. This program
provides grants to States to provide supported employment
services for individuals with the most significant
disabilities, including youth with disabilities.
Independent Living Services for Older Individuals Who Are Blind
The Committee recommends $33,317,000 for Independent Living
State Grants. This program supports assistance to individuals
over age 55 to help them adjust to their blindness and continue
to live independently, including daily living skills training,
counseling, community integration information and referral, the
provision of low-vision and communication devices, and low-
vision screening.
Helen Keller National Center
The Committee recommends $19,000,000 for the Helen Keller
National Center for Deaf-Blind Youth and Adults. The Helen
Keller National Center consists of a national headquarters in
Sands Point, New York, with a residential training and
rehabilitation facility where deaf-blind persons receive
intensive specialized services; a network of 10 regional field
offices that provide referral and counseling assistance to
deaf-blind persons; and an affiliate network of agencies.
Special Institutions for Persons with Disabilities
AMERICAN PRINTING HOUSE FOR THE BLIND
Appropriations, 2024.................................... $43,431,000
Budget estimate, 2025................................... 43,431,000
Committee recommendation................................ 53,431,000
The Committee recommends $53,431,000 to help support
American Printing House for the Blind [APH].
APH provides educational materials to students who are
legally blind and enrolled in elementary and secondary
education programs to help enable such students to fully
participate in and benefit from education programs. The Federal
subsidy provides approximately 65 percent of APH's total sales
income. Materials are distributed free of charge to schools and
States through per capita allotments based on the total number
of students who are blind. Materials provided include
accessible textbooks, assistive technologies and other
educational aids in Braille, large type, recorded form, and
computer applications. Appropriated funds may be used for staff
salaries and expenses, as well as equipment purchases and other
acquisitions, consistent with the purpose of the act to Promote
the Education of the Blind (Public Law 45-186).
The Committee includes funding for APH to develop and
distribute assistive technologies, books in accessible formats,
specially designed educational aids, and the training and
support necessary to assist educators, parents and students who
are blind or visually impaired to participate in and benefit
from education programs. In addition, within amounts provided
for APH, the Committee includes up to $10,000,000 to support
production and distribution of an innovative braille and
tactile display product developed by the Printing House and its
partners. The Committee also includes up to $6,000,000 to
continue the current Center for Assistive Technology Training
regional partnership.
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF
Appropriations, 2024.................................... $92,500,000
Budget estimate, 2025................................... 92,500,000
Committee recommendation................................ 96,500,000
The Committee recommends $96,500,000 for the National
Technical Institute for the Deaf [NTID].
NTID, located on the campus of the Rochester Institute of
Technology in Rochester, New York, was created by Congress in
1965 to provide a residential facility for postsecondary
technical training and education for persons who are deaf. NTID
also provides support services for students who are deaf,
trains professionals in the field of deafness, and conducts
applied research.
Regional STEM Center.--The Committee recommendation
includes up to $9,500,000 to continue NTID's current Regional
STEM Center partnership. The STEM Center program expands NTID's
geographical reach and improves access to postsecondary STEM
education and employment for students who are deaf or hard of
hearing in underserved areas. This has included professional
development for teachers, developing relationships with
business and industry to promote employment opportunities, and
preparing students to be successful in STEM fields.
GALLAUDET UNIVERSITY
Appropriations, 2024.................................... $167,361,000
Budget estimate, 2025................................... 165,361,000
Committee recommendation................................ 171,361,000
The Committee recommends $171,361,000 for Gallaudet
University.
Gallaudet University is a private, not-for-profit
institution offering undergraduate and continuing education
programs for students who are deaf, as well as graduate
programs in fields related to deafness for students who are
hearing and deaf. The university conducts basic and applied
research related to hearing impairments and provides public
service programs for the deaf community.
This funding also supports the Model Secondary School for
the Deaf, which serves as a laboratory for educational
experimentation and development; disseminates curricula,
materials, and models of instruction for students who are deaf;
and prepares adolescents who are deaf for postsecondary
academic or vocational education or the workplace. The
university's Kendall Demonstration Elementary School develops
and provides instruction for children from infancy through age
15.
Early Language Acquisition Project [ELAP].--Within the
total, the Committee recommendation includes $8,500,000 for
ELAP, with its current partner as the lead agent for program
expansion. ELAP supports early language acquisition for
children from birth through age three who are deaf or hard of
hearing. This program also supports activities to improve early
language acquisition training for early educators, caretakers,
and other professionals and allows Gallaudet to expand and
build on its current research in this area, and test and
evaluate interventions in diverse geographic areas.
Career, Technical, and Adult Education
Appropriations, 2024.................................... $2,181,436,000
Budget estimate, 2025................................... 2,268,436,000
Committee recommendation................................ 2,226,436,000
Career and Technical Education
The Committee recommends $1,497,269,000 for Career and
Technical Education [CTE] programs.
State Grants.--The Committee recommends $1,474,848,000 for
CTE State grants. Funds provided under the State grant program
assist States, localities, and outlying areas to expand and
improve their CTE programs and ensure equal access to CTE for
populations with special needs. Persons assisted range from
secondary students in pre-vocational courses through adults who
need retraining to adapt to changing technological and labor
market conditions. Per the authorization of the program, after
reservations for required set-asides and small State minimums,
funds are distributed to a baseline level of the amount awarded
to each State in fiscal year 2018, with any remaining funds
allocated according to a formula based on State population and
State per capita income.
Under the Indian and Hawaiian Natives programs, competitive
grants are awarded to federally recognized Indian Tribes or
Tribal organizations and to organizations primarily serving and
representing Hawaiian Natives for services that are additional
to what these groups receive under other provisions of the
Perkins Act (Public Law 88-210).
Of the funds available for this program, $683,848,000 will
become available July 1, 2025, and $791,000,000 will become
available on October 1, 2025. These funds will remain available
for obligation until September 30, 2026.
National Activities.--The Committee recommendation includes
$22,421,000 for national activities, including up to
$16,100,000 for Innovation and Modernization grants.
The Committee continues to encourage the Department to work
with the Departments of Defense, Labor, and Commerce to develop
a pilot project to increase the quality of, and participation
in, CTE programs related to the skills needed for new submarine
construction.
The Committee strongly encourages the Department to include
a priority for projects that include, as a component of an
innovative career and technical education program, evidence-
based school-based mentoring activities focused on providing
students with social-emotional and other skills and experiences
needed to be successful in the workplace in any new
competitions under the Innovation and Modernization grants
authority.
The Committee requests the Department provide a briefing to
the Committee 180 days after enactment detailing any plans the
Department has to include a priority for grants that support
the establishment of online savings accounts as authorized
under the Innovation and Modernization Grants authority in
section 114(e) of the Perkins Act.
The Committee encourages the Department to update and
reissue the Beyond the Box guidance to support increased access
to higher education for justice-involved individuals.
The Committee recognizes the importance of preparing
students for postsecondary education and the workforce through
the Career Connected High School Program. This program provides
students with access to dual enrollment, work-based learning
opportunities, career navigation systems, and prioritizes
opportunities for students from families with low incomes and
students living in rural areas. The Committee directs the
Department to develop guidance on best practices from grantees
in this program and ways States can adopt and implement these
best practices statewide, including policies to align high
school coursework with postsecondary credit-bearing coursework;
ensure credit transfer; and develop programs of study that
allow students to attain an industry recognized credential in
high school and culminate with an associate, bachelor's or
advanced degree or completion of a Registered Apprenticeship
program after high school.
Adult Education
The Committee recommends $729,167,000 for Adult Education
programs.
Adult Education State Grants.--The Committee recommendation
includes $715,455,000 for Adult Education State Grants which
provide funding for States for programs that assist adults in
becoming literate and in obtaining the skills necessary for
employment and self-sufficiency.
National Leadership Activities.--The Committee recommends
$13,712,000 for adult education national leadership activities.
The Committee encourages the Department to support
technical assistance that will help build the evidence-base of
adult education programs, including supporting States in
prioritizing rigorously evaluated programs and the development
of rigorous evidence such as funding randomized control trials,
quasi-experimental studies and other evaluation methods that
provide for a causal understanding of the effects of programs.
The Committee also encourages the Department to prioritize
activities that reengage adults who have dropped out of the
labor force, with a priority on States that have low labor
participation rates.
Student Financial Assistance
Appropriations, 2024.................................... $24,615,352,000
Budget estimate, 2025................................... 26,716,352,000
Committee recommendation................................ 24,615,352,000
The Committee recommends an appropriation of
$24,615,352,000 for programs under the Student Financial
Assistance account.
Federal Pell Grant Program
The Committee recommends $22,475,352,000 in current year
discretionary funding for the Pell grant program.
The Committee recommendation includes $6,435 for the
discretionary portion of the maximum Pell grant award, an
increase of $100. Combined with mandatory funding, under
current law, this would provide a total maximum award of $7,495
for the 2025-2026 award year.
Pell Grant Restoration and Prison Education Program.--The
Committee continues to recognize the significance of restoring
Pell Grant access for incarcerated individuals and the impact
that will have on reestablishing effective prison education
programs across the country, and ultimately reducing recidivism
rates and saving taxpayer dollars by reducing the overall cost
of incarceration. The Committee directs the Department to
continue the Second Chance Pell Pilot program as the Department
finalizes implementation of the full Pell Grant reinstatement.
The Committee encourages the Department to use the expertise
and best practices from the Pilot to develop guidance and
technical assistance for the new Prison Education Program. The
Committee further directs the Department to work with Second
Chance Pell Pilot sites as they transition to the requirements
under the new Prison Education Program to ensure that
incarcerated students do not experience a gap in their
educational programming. In addition, the Committee strongly
encourages the Department to notify institutions of higher
education (particularly those that operate Second Chance Pell
Pilot sites), the Bureau of Prisons, State departments of
corrections, county and local jail administrators, and
institutional accrediting agencies about the new Prison
Education Program. Further, the Committee expects the
Department will provide technical assistance and guidance to
Second Chance Pell sites to ensure that they have enough time
and information to prepare and apply for Prison Education
Program approval.
As a part of the new Prison Education Program, the
Committee encourages the Department, in coordination with the
Department of Justice, to develop and provide technical
assistance and guidance to participating institutions of higher
education on how to support formerly incarcerated students as
they leave prison, reenter society, and reenroll in
postsecondary education. This guidance should address evidence-
based strategies for helping formerly incarcerated people to
secure housing, employment, and other Federal benefits, as well
as re-enroll in college, access Federal and State financial
aid, and secure campus housing and student employment. The
Department should convey to institutions of higher education
that they should work to ensure that every student who
participates in the new Prison Education Program is able to
reenter their communities successfully post-release.
Experimental Site Initiatives.--The Committee encourages
the Department to pilot activities to support and encourage
accelerated, cost-effective, 3-year bachelor's degree programs,
such as the ``College in 3'' project.
Federal Supplemental Educational Opportunity Grant Program
The Committee recommends $910,000,000 for the Supplemental
Educational Opportunity Grant [SEOG] program. The SEOG program
provides funds to institutions of higher education for need-
based grants to students. Institutions must contribute at least
25 percent toward SEOG awards.
Federal Work-Study Program
The Committee bill provides $1,230,000,000 for the Federal
Work-Study [FWS] program. This program provides grants to
institutions of higher education to help undergraduate,
graduate, and professional students meet the costs of
postsecondary education through part-time employment.
Institutions must provide at least 25 percent of student
earnings.
Within the total for FWS, the Committee recommendation
includes $11,053,000, for the Work Colleges program authorized
under section 448 of the Higher Education Act [HEA] (Public Law
89-329), as amended.
Student Aid Administration
Appropriations, 2024.................................... $2,058,943,000
Budget estimate, 2025................................... 2,659,126,000
Committee recommendation................................ 2,158,943,000
The Committee recommends $2,158,943,000 for the Student Aid
Administration account. These funds are available until
September 30, 2026, and support the Department's student aid
management expenses.
The Committee recommendation includes an increase in
funding to support increased costs associated with servicing
Federal student loans, FAFSA Simplification Act implementation,
and helping support borrowers effectively.
The Committee directs the Department to provide a detailed
spend plan of the planned uses of funds in this account within
45 days of enactment, and to provide quarterly briefings on its
implementation not later than 10 days prior to the start of the
quarter. This should continue to include, but not be limited
to, detailed breakouts by baseline operations and development
efforts; and servicing, student aid core systems, IT
activities, and other Federal Student Aid activities. These
spend plans should also include details on major activities,
including implementation of the Unified Servicing and Data
Solution [USDS], FUTURE Act, and FAFSA Simplification Act, and
other activities as appropriate. Further, the spend plan should
include a crosswalk to activities funded under administrative
costs and servicing activities, and any reallocation of funds
between those two activities should be treated as a
reprogramming of funds, and the Committees should be notified
in advance of any such changes.
The Committee recommendation also continues the requirement
for the Department to provide quarterly briefings on Federal
student loan servicing contracts, including the transition to
USDS. Additionally, the Department is directed to continue to
notify the Committees of awarded contract Change Requests from
the preceding month by the 10th day of the next calendar month
regarding changes to student loan servicing.
Timely FAFSA Launch.--The Committee is concerned about the
challenges students and institutions faced due to the difficult
launch of the Free Application for Federal Student Aid for the
2024-2025 award year. The Committee strongly recommends that
the Department ensures that the FAFSA is available on October 1
and ensures full functionality for the 2025-2026 FAFSA upon
launch. This shall include FAFSA processing, school receipt of
processed FAFSAs, processing of paper FAFSAs, and FAFSA
correction functionality for applicants, institutions of higher
education, and States. In advance of the October 1st launch,
the Committee urges a timely release of the Federal student aid
estimator, the FAFSA demonstration site, communication and
training materials, a user-friendly Pell look-up table,
eligibility and technical guides, and a quick, effective, and
secure process for attaining an FSA ID. Funds provided under
this account should be allocated to improve customer service,
including by conducting rigorous consumer testing as required
by law. The Committee urges the Department to communicate a
timeline for the complete 2025-2026 FAFSA launch as soon as
possible and directs the Department to provide weekly briefings
on the timeline, consumer testing, and bug fixes on the 2025-
2026 FAFSA and related processes, including the creating of the
FSA ID, transmission of ISIRs, and availability of corrections.
The Committee remains concerned about the number of students
whose FAFSA applications remain incomplete after beginning the
application process due to errors that occurred during the
launch of the 2024-2025 FAFSA. To address this issue, the
Department is directed to utilize outreach processes to
identify and assist students who have begun, but not
successfully submitted a complete FAFSA application for both
the 2024-2025 FAFSA and the 2025-2026 FAFSA. The Committee
further directs the Department to provide a detailed launch
plan for the FAFSA for the upcoming award year no later than 10
days after enactment of this act. Should the launch of the form
be delayed after October 1 of the year prior to the upcoming
award year, the Department shall provide the Committees, the
Senate Committee on Health, Education, Labor and Pensions, and
the House Committee on Education and the Workforce with written
notification and a written timeline for the upcoming FAFSA
launch no later than 10 days after enactment of this act and
continue to update the written notification and written
timeline every week until complete.
FAFSA Data.--Not later than 30 days after the date of
enactment of this act, the Secretary shall report to the
Committees, the House Committee on Education and Workforce, and
the Senate Committee on Health, Education, Labor, and Pensions
relevant data compiled for the 2023-2024 and 2024-2025 award
years, which shall include, at minimum: (1) The number of FAFSA
submissions processed by Federal Student Aid; (2) The average
processing turnaround time from the point of FAFSA submission
to disbursal of aid; (3) The number of submissions which
contained inaccuracies thereby requiring resubmission to the
Department; (4) The amount of Federal student aid awarded
broken down by type; and (5) The number of submissions from
students filing during 2023-2024 which resulted in a decrease
in aid under the Student Aid Index formula for 2024-2025.
FAFSA Simplification Impact Analysis.--The Committee is
interested in further analyzing the impact of major formula and
eligibility changes included in the FAFSA Simplification Act,
including increases to income protection allowances, the use of
Federal poverty level for Pell Grant eligibility, receipt of
public benefits, treatment of family farms, and number of
students enrolled in college simultaneously. The Committee
directs the Department to publish a distributional analysis of
the major changes within 180 days of enactment, and to ensure
such analysis is disaggregated by family income and dependency
status, includes estimates of the number of recipients, gains
and losses in aid, and both average and median changes to the
Student Aid Index, as applicable. Additionally, the Committee
encourages the Department to project differences in aid
recipients over time from such changes and include detailed
explanations of such projections.
Unaccompanied Homeless Youth and Other Students Without
Parent or Family Support.--The Committee is concerned that
youth who do not have parental support are experiencing
significant challenges completing the FAFSA and financial aid
process. Students experiencing, or at risk of, homelessness and
who do not have documentation have been incorrectly categorized
as provisionally independent and have been arbitrarily limited
in how they can document their experience with homelessness. In
addition, the FAFSA form unnecessarily limits the provisional
independence options for other students. The Committee directs
the Department to correct these errors for the 2025-2026 cycle
and to issue updated guidance within 60 days that clarifies and
streamlines the ability of unaccompanied homeless youth and
other students who do not have parental support to access
Federal financial aid.
FAFSA Family Farm Impact Study.--The new Student Aid Index
formula included in the FAFSA Simplification Act (Title VII,
Division FF of Public Law 116-260) requires students applying
for Federal student aid to report the net worth of the farms on
which their family resides, which could impact the eligibility
of students to qualify for Federal student aid. The Committee
directs the Department to conduct a study of the 2024-2025
FAFSA data within 90 days of enactment to thoroughly understand
the impact of the requirement for students to report the farms
their families live on as assets for purposes of applying for
Federal student aid.
FAFSA Student Support Strategy.--The Committee shares the
Department's goal of increasing FAFSA completion rates. The
Committee directs the Department to provide a report within 120
days on its efforts to boost FAFSA completion rates for the
2024-2025 award year through the FAFSA Student Support
Strategy, as managed by ECMC, announced on May 6, 2024. This
report shall include detailed information on total funding
obligated from the Federal Student Loan Reserve Fund for ECMC's
use, funding amounts awarded to each grantee by ECMC, how ECMC
selected grantees, how much each grantee spent, a summary of
metrics ECMC and the Department used to measure grantees'
performance, a summary of the types of activities each grantee
used, and whether grantees tracked how many more students
completed the FAFSA as a result of their efforts and if so, the
number of additional students that completed the FAFSA per
grantee.
Interagency Coordination for Benefits Outreach and
Financial Aid.--The Committee notes that students and families
would benefit from additional information on public and tax
benefit programs that can help them meet their basic needs and
cost of attendance, and that the recipients of public and tax
benefit programs would benefit from information on financial
aid to help them enroll in higher education. The FAFSA
Simplification Act supports data-sharing agreements and
interagency coordination and outreach plans for such purposes
under sections 483(c)(3) and 485E(c) of the HEA, respectively.
Within 60 days of enactment, the Committee directs the
Department to provide a briefing on the status of
implementation of these provisions, including the establishment
of data sharing and interagency agreements with Federal
agencies, and other efforts to expand notifications to students
about public and tax benefit programs. Further, the Committee
strongly encourages the Department to promote such outreach
through direct and regular notices to financial aid applicants,
technical assistance to institutions, grant priorities, and
communications with States.
Maintaining Higher Education Transparency and Research.--
The Committee is concerned by reports that existing higher
education research, data collection, reporting, and secure
data-sharing organizations are being limited contrary to
Congressional intent under the FAFSA Simplification Act.
Collecting and publishing timely and relevant student access
and outcome data that does not publicly release personally
identifiable information and related analyses through
mechanisms such as third-party research agreements, agency
surveys, and administrative data collections with strong
privacy protections have been and continue to be essential for
the planning, administration, operation, and evaluation of the
student aid programs and higher education grant programs.
Additionally, students and their families benefit from targeted
outreach and enrollment into public and tax benefit benefits
for which they may be eligible and which help them afford the
cost of college. Such data uses do not result in publicly
disclosing personally identifiable information. The Committee
urges the Department to maintain secure data collection,
reporting that does not publicly release personally
identifiable information, privacy-protected research, and
interagency data-sharing, including tax information such as
income and family size, as part of the administration of the
Federal student aid programs under the HEA. Further, the
Committee directs the Department to reaffirm such data uses in
agency guidance to further transparency, research, evaluation,
and accountability in higher education while still ensuring
student privacy. Further, the Committee directs the Department
to permit the secure use of student and family tax data, in
accordance with Internal Revenue Service guidelines, to satisfy
Federal data collection and reporting requirements.
Return of Title IV Funds.--The Committee continues to
encourage the Department to pursue efforts to simplify and
streamline the Return of Title IV Funds process for
institutions of higher education and students.
Return to Repayment.--The Committee directs the Secretary
to provide monthly briefings and reports to the Committees and
to the Committees on Education and the Workforce of the House
of Representatives and on Health, Education, Labor, and
Pensions of the Senate on student aid administrative activities
and data for Federal student loans during fiscal year 2025.
Information should include, but not be limited to, borrower
status, including the percentage of total borrowers and the
percentage of at-risk borrowers (defined as borrowers who have
one or more of the following risk factors: a previous history
of default, missing a payment in the first 3 months of entering
repayment, not completing their degree program, or pausing
payments multiple times) in repayment in repayment by repayment
plan; the percentage of borrowers and the percentage of at-risk
borrowers who are delinquent or not making payments; share of
borrowers at-risk of defaulting on their student loans
currently in active repayment, by repayment plan; average and
median amount repaid through the duration of repayment by
repayment plan; average and median income of borrowers who
receive forgiveness through IDR; share of borrowers making $0
payments; metrics on communications with borrowers in the
Targeted Early Delinquency Intervention [TEDI] program and
equivalent programs and Fresh Start segment or equivalent
support program such as open and click through rates for emails
and repayment actions; and any changes to communications with
borrowers based on data or behavioral economics assumptions
gathered during communications campaigns. The Committee also
directs the Department to produce and broadly disseminate an
accessible public report that summarizes this data on an annual
basis.
College Scorecard.--The Committee recognizes the value of
institution-level outcomes data, including graduation rates,
student loan repayment rates, and post-college earnings data
for higher education accountability and directs the Department
to update the College Scorecard's data annually. The Committee
also encourages the Department to continue refining the
existing measures on the College Scorecard and examining new
measures to add to maximize transparency about postsecondary
educational opportunities and outcomes for students.
State-Based and Non-Profit Servicing Organizations.--The
Committee continues to note that many State-based and non-
profit servicing organizations have demonstrated and
specialized experience in helping struggling borrowers, and
continues to encourage the Department and Federal student loan
servicers to work with state and nonprofit organizations to
help student and parent borrowers repay their Federal student
loans.
Federal Fund, Operating Fund, and Guaranty Agency
Reporting.--Not later than 180 days after enactment, the
Department is directed to produce and make publicly available
on the FSA Data Center, a report regarding the Federal Funds
authorized under section 422A of the HEA and the Operating
Funds authorized under section 422B of the HEA. The Committee
directs such report to include the following for each guaranty
agency: total amount in the Federal Fund and total amount in
the Operating Fund available for obligation, a list of
obligations (detailed by amount, recipient, and purpose) from
the previous fiscal year from each of the Federal Fund and the
Operating Fund, the total amount the Secretary transferred to
the Operating Fund in the previous fiscal year, changes in the
Federal Fund and Operating Fund and forecasted performance of
the guaranty agencies, and how the Department ensures effective
oversight of both the Federal Fund and any transfers into the
Operating Fund. The report shall also include, for each
guaranty agency, how much from the Federal Fund was obligated
to Project Success for the previous fiscal year, a list of
Project Success partner institutions for that fiscal year, a
summary by partner institution of what Project Success funds
were spent on in that fiscal year, and for each guaranty agency
and partner institution (as applicable), the metrics the
Department is using to evaluate the effectiveness of the
Project Success funds, how the Department selected current
Project Success partner entities, and how many students were
served by each Project Success partner entity. Finally, the
report should include what is communicated to Guaranty Agencies
when Federal funds are released for any grantmaking or
programmatic purposes, including about the duration of project
performance, the timely outlaying of funds for agreed upon
activities, what percent of funds are allowed be held onto by
Guaranty Agencies for administrative or indirect costs, and how
the Department ensures Guaranty Agencies are adhering to basic
grantmaking standards and requirements such as the standards
and requirements other entities are required to adhere to in
EDGAR.
Promoting Safe Campuses.--The Committee is concerned by
reports of increased discrimination on college campuses,
including hate crimes motivated by anti-Semitic and anti-Muslim
prejudice. As Federal Student Aid conducts its fiscal year 2025
work on enforcement of the Jeanne Clery Disclosure of Campus
Security Policy and Campus Crime Statistics Act [Clery Act],
including complaint assessments, media assessments, and program
reviews, the Committee encourages Federal Student Aid to
include institutions where known anti-Semitic or anti-Muslim
hate crimes have occurred during the 2023-2024 academic year in
such assessments and reviews. The Committee further encourages
the Department to issue appropriate and timely fines for
violations of the Clery Act.
Student Loan Dashboard.--The Committee directs the
Department to study the best way to create a government-wide
student loan dashboard that provides prospective students and
their families with comprehensive and easy to understand
information about the availability of Federal student loans and
Federal student loan repayment programs across the Federal
Government, including eligibility requirements, application
information, loan type, and repayment terms. In conducting this
study, the Department shall examine how existing government-
wide resources could be updated and shall consult with the
relevant Federal agencies that administer Federal student loans
and Federal student loan repayment programs, as the Department
determines appropriate. The study shall also include a plan for
how a government-wide student loan dashboard could be
implemented within 180 days of completion of the study. The
Department shall share this study with the Committees, the
Senate Committee on Health, Education, Labor and Pensions, and
the House Committee on Education and the Workforce within 1
year of enactment of this bill.
Higher Education
Appropriations, 2024.................................... $3,283,296,000
Budget estimate, 2025................................... 3,343,247,000
Committee recommendation................................ 3,352,102,000
The Committee recommends an appropriation of $3,352,102,000
for higher education programs.
Aid for Institutional Development
The Committee recommends $1,034,618,000 for Aid for
Institutional Development. These totals do not include
separately authorized and appropriated mandatory funding.
Strengthening Institutions.--The Committee recommends
$113,719,000 to provide competitive, 1-year planning and 5-year
development grants for institutions with a significant
percentage of students with financial need and with low
educational and general expenditures per student in comparison
with similar institutions. Applicants may use these funds to
develop faculty, strengthen academic programs, improve
institutional management, and expand student services.
Hispanic-Serving Institutions [HSIs].--The Committee
recommends $232,257,000 for competitive grants to institutions
at which Hispanic students make up at least 25 percent of
enrollment. Funds may be used for acquisition, rental, or lease
of scientific or laboratory equipment; renovation of
instructional facilities; development of faculty; support for
academic programs; institutional management; and purchase of
educational materials.
The Committee continues to support funding for programs
that promote and support collaboration between Hispanic-serving
institutions and LEAs that serve a significant number or
percentage of Hispanic or Latino students for the purpose of
improving educational attainment, including increasing high
school graduation rates and postsecondary enrollment, transfer,
and completion rates among Hispanic or Latino students, such as
by strengthening pathways to postsecondary and workforce
development programs.
Promoting Postbaccalaureate Opportunities for Hispanic
Americans.--The Committee recommends $27,855,000 for
competitive, 5-year grants to HSIs to help Hispanic Americans
gain entry into and succeed in graduate study. Institutions may
use funding to support low-income students through outreach
programs; academic support services; mentoring and financial
assistance; acquisition, rental, or lease of scientific or
laboratory equipment; construction and other facilities
improvements; and purchase of educational materials.
The Committee continues to encourage the Department to
prioritize awards for projects that support consortiums of HSIs
that award PhDs to develop and test new models of cross-
institutional partnerships that facilitate mutually reinforcing
activities, such as resource-sharing learning communities,
mentorship programs for PhD students, graduate research
experiences, faculty mentor capacity-building, and other uses
associated with the pursuit and completion of PhDs by Hispanic
students.
Strengthening Historically Black Colleges and Universities
[HBCUs].--The Committee recommends $406,865,000 for the
Strengthening HBCUs program. The program makes formula grants
to HBCUs that may be used to purchase equipment; construct and
renovate facilities; develop faculty; support academic
programs; strengthen institutional management; enhance
fundraising activities; provide tutoring and counseling
services to students; and conduct outreach to elementary and
secondary school students.
Strengthening Historically Black Graduate Institutions
[HBGIs].--The Committee recommends $102,776,000 for the
Strengthening HBGIs program. This program provides 5-year
grants to provide scholarships for low-income students and
academic and counseling services to improve student success.
Funds may also be used for construction, maintenance, and
renovation activities; the purchase or lease of scientific and
laboratory equipment; and the establishment of an endowment.
Strengthening Predominantly Black Institutions [PBIs].--The
Committee recommends $22,742,000 for the Strengthening PBIs
program. This program provides 5-year grants to PBIs to plan
and implement programs to enhance their capacity to serve more
low- and middle-income students.
Strengthening Asian American and Native American Pacific
Islander-Serving Institutions [AANAPISIs].--The Committee
recommends $18,957,000 for competitive grants to AANAPISIs that
have an enrollment of undergraduate students that is at least
10 percent Asian American or Native American Pacific Islander
students. Grants may be used to improve their capacity to serve
Asian American and Native American Pacific Islander students
and low-income individuals.
Strengthening Alaska Native and Native Hawaiian-Serving
Institutions [ANNHs].--The Committee recommends $24,916,000 for
the Strengthening ANNHs program. The purpose of this program is
to improve and expand the capacity of institutions serving
Alaska Native and Native Hawaiian students and low-income
individuals. Funds may be used to plan, develop, and implement
activities that encourage faculty and curriculum development;
improve administrative management; renovate educational
facilities; enhance student services; purchase library and
other educational materials; and provide education or
counseling services designed to improve the financial and
economic literacy of students or their families. The Committee
includes new bill language that will permit ANNH grantees to
use funding for construction and maintenance of classrooms,
libraries, and other instructional facilities.
Strengthening Native American-Serving Non-Tribal
Institutions.--The Committee recommends $11,630,000 for this
program, which serves institutions that enroll at least 10
percent Native American students and at least 50 percent low-
income students. This program helps institutions plan, develop,
and implement activities that encourage faculty and curriculum
development; improve administrative management; renovate
educational facilities; enhance student services; and purchase
library and other educational materials. The Committee includes
new bill language that will permit grantees to use funding for
construction and maintenance of classrooms, libraries, and
other instructional facilities.
Strengthening Tribally Controlled Colleges and Universities
[TCCUs].--The Committee recommends $52,569,000 for this
program. Tribal colleges and universities rely on a portion of
the funds provided to address developmental needs, including
faculty development, curriculum, and student services. Funds
can also be used for construction and renovation. The Committee
notes that our Nation's Tribal colleges and universities have
significant unmet infrastructure needs. Tribal colleges are
also uniquely situated--they often lack access to State funding
and other resources available to other public institutions of
higher education. The GAO is directed to conduct a study on the
infrastructure and construction needs of Tribal colleges and
universities, including access to broadband, and include
recommendations for how the Federal Government can best address
the unique needs and treaty obligations of Tribal colleges and
universities.
Strengthening Master's Degree Programs at Historically
Black Colleges and Universities.--The Committee recommends
$20,332,000 for this program, authorized by section 723 of the
HEA. This program provides grants to specified colleges and
universities making a substantial contribution to graduate
education opportunities at the master's level in mathematics,
engineering, the physical or natural sciences, computer
science, information technology, nursing, allied health, or
other scientific disciplines.
International Education and Foreign Language Studies
The bill includes a total of $85,664,000 for International
Education and Foreign Language Studies programs. Funds are used
to increase the number of experts in foreign languages and area
or international studies to meet national security needs
through visits and study in foreign countries.
Domestic Programs.--The Committee recommends $75,353,000
for domestic program activities related to international
education and foreign language studies under title VI of the
HEA. Funds are used to support centers, programs, and
fellowships. The Committee urges the Secretary to preserve the
program's longstanding focus on activities and institutions
that address the Nation's need for a strong training and
research capacity in foreign languages and international
studies, including increasing the pool of international experts
in areas that are essential to national security and economic
competitiveness.
Overseas Programs.--The Committee recommends $10,311,000
for overseas programs authorized under the Mutual Educational
and Cultural Exchange Act of 1961 (Public Law 87-256),
popularly known as the Fulbright-Hays Act. Funding is provided
for group, faculty, or doctoral dissertation research abroad,
as well as special bilateral projects. Grants focus on training
American instructors and students to improve foreign language
and area studies education in the United States.
Institute for International Public Policy [IIPP].--The
Committee recognizes the important role played by institutions
of higher education, particularly HBCUs and other minority-
serving institutions [MSIs], in educating future cohorts of
foreign service professionals representing of our Nation. Title
VI of the HEA authorizes grants to establish an IIPP. This
funding supports consortium of one or more HBCUs or MSIs to
develop career pathways for students from underrepresented
backgrounds to develop language competence, engage in overseas
study, participate in foreign policy seminars, and acquire
internship experiences. The Committee supports a relaunch of
this program to assist the State Department, USAID, and other
international affairs agencies in recruiting top talent at a
time when complex global challenges are on the rise amidst
ongoing staffing shortages. The Committee requests the
Department to provide a briefing to the Committees within 120
days of enactment about how the Department could support
efforts to strengthen the pipeline of individuals into foreign
policy careers and include options for how IIPP could be
relaunched in its fiscal year 2026 CJs.
Model Transition Programs for Students With Intellectual Disabilities
into Higher Education
The Committee recommendation includes $13,800,000 for the
Model Transition Programs for Students with Intellectual
Disabilities into Higher Education [TPSID] program. The TPSID
program provides competitive grants to institutions of higher
education or consortia of institutions of higher education to
enable them to create or expand high quality, inclusive model
comprehensive transition and postsecondary programs for
students with intellectual disabilities. The TPSID program also
supports a national Coordinating Center and a technical
assistance center to translate and disseminate research and
best practices to IHEs more broadly.
Minority Science and Engineering Improvement
The Committee recommends $16,370,000 for the Minority
Science and Engineering Improvement program. Funds are used to
provide discretionary grants to institutions with minority
enrollments greater than 50 percent to purchase equipment,
develop curricula, and support advanced faculty training.
Grants are intended to improve science and engineering
education programs and increase the number of minority students
in the fields of science, mathematics, and engineering.
Tribally Controlled Postsecondary Career and Technical Institutions
The Committee recommends $11,953,000 for tribally
controlled postsecondary vocational institutions. This program
provides grants for the operation and improvement of tribally
controlled postsecondary vocational institutions to ensure
continued and expanding opportunities for Indian students.
Federal TRIO Programs
The Committee recommends $1,211,000,000 for Federal TRIO
programs, which provide a variety of services to improve
postsecondary education opportunities for low-income
individuals and first-generation college students. This
includes: Upward Bound which offers disadvantaged high school
students academic services to develop the skills and motivation
needed to pursue and complete a postsecondary education;
Student Support Services which provides developmental
instruction, counseling, summer programs, and grant aid to
disadvantaged college students to help them complete their
postsecondary education; Talent Search which identifies and
counsels individuals between ages 11 and 27 regarding
opportunities for completing high school and enrolling in
postsecondary education; Educational Opportunity Centers [EOC]
which provide information and counseling on available financial
and academic assistance to low-income adults who are first-
generation college students; and the Ronald E. McNair
Postbaccalaureate Achievement Program which supports research
internships, seminars, tutoring, and other activities to
encourage disadvantaged college students to enroll in doctoral
programs.
The Committee continues to direct the Department to include
estimated funding for each TRIO program in the operating plan
required under section 516 of this act.
TRIO and Justice-Impacted Students.--The Committee
recognizes that EOCs have a long history of helping justice-
impacted adults to enroll in college. The restoration of Pell
Grants for people in prison presents an opportunity for EOCs to
reach more students. The Committee encourages the Department to
provide technical assistance and guidance to EOCs on best
practices for supporting justice-impacted students, including
examples of programs that can serve as models to others. In
addition, the Committee encourages the Department to consider
how other TRIO programs can support justice-impacted students
and provide guidance to institutions of higher education.
Gaining Early Awareness and Readiness for Undergraduate Programs [GEAR
UP]
The Committee recommends $393,000,000 for GEAR UP, which
provides grants to States and partnerships of colleges, middle
and high schools, and community organizations to assist cohorts
or students in middle and high schools serving a high
percentage of low-income students. Services provided help
students prepare for and pursue a postsecondary education.
The Committee directs the Department to announce Notices
Inviting Applications for New Awards for State Grants and
Partnership Grants in the Federal Register. In such notice for
State Grants, the Committee directs the Department to uphold
the longstanding guidance that States may only administer one
active State GEAR UP grant at a time. The Secretary is directed
to provide written guidance in the Federal Register notifying
applicants that only States without an active State GEAR UP
grant, or States that have an active State GEAR UP grant that
is scheduled to end prior to October 1, 2025 will be eligible
to receive a new State GEAR UP award funded in whole or in part
by this appropriation. In making new awards, the Department
shall ensure that not less than 33 percent of the new award
funds are allocated to State awards, and that not less than 33
percent of the new award funds are allocated to Partnerships
awards, as described in section 404(b) of the HEA. The
Secretary is further directed to ensure that no request from a
State Grant applicant to receive an exception to the GEAR UP
scholarship described in section 404E(b)(2) of the HEA shall be
denied on the basis of 34 CFR 694.14(c)(3).
Graduate Assistance in Areas of National Need
The Committee recommends $23,547,000 to support the
Graduate Assistance in Areas of National Need [GAANN] program.
GAANN supports fellowships through 3-year competitive grants to
graduate academic departments and programs in scientific and
technical fields and other areas of national need as determined
by the Secretary. Fellowship recipients must have excellent
academic records and high financial need and must be pursuing
doctoral degrees or the highest graduate degrees in their
academic field. Each fellowship consists of a student stipend
to cover living costs and an institutional payment to cover
each fellow's tuition and other expenses. Institutions of
higher education must match 25 percent of the grant amount.
Teacher Quality Partnership Program
The Committee recommends $70,000,000 for the Teacher
Quality Partnership [TQP] program. The TQP program helps
improve the quality of teachers working in high-need schools
and early childhood education programs by supporting teacher
preparation and residency programs.
The Committee recognizes the increasing number of and
demand for ``Grow Your Own'' teacher preparation programs in
our Nation. The Committee urges the Department to continue to
support ``Grow Your Own'' teacher preparation programs, with a
focus on programs that increase recruitment efforts in local
communities, provide high quality pathways into the profession,
improve teacher retention, and improve student outcomes.
The Committee also notes the need to ensure future teachers
are well trained in data literacy, including how to use data in
the classroom to differentiate instruction and improve student
outcomes. The Committee urges the Department to prioritize TQP
funding for applicants that seek to develop data literacy
skills in future teachers.
Educator Specialization.--The Committee encourages the
Department to add a new priority in future competitions for
projects that support the development of new systems of
workforce development for teachers that include supports, clear
pathways to advancement, and promote teacher retention.
Child Care Access Means Parents in Schools
The Committee recommendation includes $80,000,000 for the
Child Care Access Means Parents in Schools [CCAMPIS] program.
This program provides competitive grants to institutions of
higher education to establish or support campus-based child
care programs, to help support needs and participation of low-
income parents in post-secondary education.
The Committee directs the Department to prioritize grants
to eligible entities serving a significant percentage of Pell-
eligible or other low-income students. The Committee urges the
Department to prioritize grants to eligible entities that
propose flexible child care arrangements (such as evening,
weekend, and drop-in child care) in any future competition. The
Committee further urges the Department to prioritize grantees
who will conduct direct outreach to parenting students
regarding State and Federal public benefits, the Child Tax
Credit, and education tax benefits for which the student parent
may be eligible. The Committee also urges the Department to
require new grantees to collect data on the total number of
parenting students enrolled at the institution and the number
of parenting students served by CCAMPIS grant funds.
Additionally, the Committee strongly encourages the Department
to assist grantees in leveraging other funding opportunities to
help parenting students afford child care, by providing
technical assistance and other support to grantees.
Fund for the Improvement of Post-Secondary Education
The Committee recommendation includes $191,000,000 for the
Fund for the Improvement of Post-Secondary Education.
Basic Needs Systems Grants.--The Committee recommendation
includes $15,000,000 for competitive grants to IHEs (as defined
in section 101 of the HEA), consortia of such IHEs, systems of
higher education, or States to advance systemic solutions to
student basic needs insecurity. Such grants shall include one
or more of the following activities: establishing processes to
automatically identify and conduct outreach students who may be
eligible for public and tax benefit programs; conducting
surveys or assessments of student basic needs security,
including surveys of student needs conducted upon enrollment;
providing referrals or case management to students to enroll in
local, State, and Federal public and tax benefit programs; or
coordinating and collaborating with government and community-
based organizations to execute such activities. Activities may
also include providing direct services such as temporary or
affordable housing, free or subsidized food, access to on-
campus childcare, and connecting students to mental and
behavioral health services, so long as such activities are part
of systemic plan to address and prevent student basic needs
insecurity. The Committee directs the Department to prioritize
eligible entities enrolling or serving a significant percentage
of Pell-eligible or other low-income students, including
community colleges, HBCUs, and other MSIs.
Centers of Excellence for Veteran Student Success
Program.--The Committee recommendation includes $9,000,000 for
the Centers of Excellence for Veteran Student Success Program.
Open Textbook Pilot.--The Committee recommendation includes
$9,000,000 for the Open Textbook Pilot program. The Committee
directs the Department to issue a notice inviting applications,
allow for a 60-day application period, and make a significant
number of grant awards under the same terms and conditions as
in prior years.
National Center for Information and Technical Support for
Postsecondary Students with Disabilities.--The Committee
recommendation includes $2,000,000 for the continued operation
of the National Center for Information and Technical Support
for Postsecondary Students with Disabilities, also known as the
National Center for College Students with Disabilities, as
authorized under section 777(a) of the HEA.
Postsecondary Student Success Grants.--The Committee
recommendation includes $50,000,000 for Postsecondary Student
Success Grants, to scale evidence-based practices and reforms
to improve postsecondary retention and completion rates among
underserved students. These funds support grants to States,
TCCUs, and systems of institutions of higher education to
implement or expand evidence-based, statewide, and
institutional level practices and reforms that improve student
outcomes, including enrollment, retention, transfer, and
completion among underserved students including students of
color, low-income students, students with disabilities,
students in need of remediation, first generation college
students, homeless youth, foster youth, and student parents.
The Committee directs the Department continue to carry out this
program as a tiered-evidence competition, and require rigorous
independent evaluations of grantee projects. The Committee
further directs the Secretary to prioritize the awarding of
Postsecondary Student Success grants to institutions of higher
education that serve a significant percentage of Pell-eligible
or other low-income students and that have a demonstrated
commitment to implementing evidence-based strategies to improve
student outcomes for such underserved students.
Research and Development Infrastructure Investments at
HBCUs, TCCUs, and MSIs.--The Committee recommendation includes
$51,000,000 to increase the capacity of HBCUs, TCCUs, and MSIs
to conduct innovative research in emerging technology and
industries. These funds support planning and implementation
grants designed to promote transformational investments in
research infrastructure, such as physical infrastructure,
capital improvement, research-related equipment, and hiring and
retaining of faculty and research-related staff.
Rural Postsecondary and Economic Development Grant
Program.--The Committee recommendation includes $50,000,000 for
the Rural Postsecondary and Economic Development [RPED] Grant
Program. The Committee recognizes that rural-serving
institutions and communities face unique challenges and
barriers. In particular, smaller, rural-serving colleges,
universities and non-profit organizations may have
significantly fewer staff, and less experience, in preparing to
respond to Federal grant opportunities. The Committee
encourages the Department to consider ways to better support
rural applicants by recognizing the unique challenges facing
rural communities, including but not limited to providing
greater flexibility, longer application timelines, and targeted
technical assistance for RPED grants.
Transitioning Gang Involved Youth.--The Committee
recommendation includes $5,000,000 for the Transitioning Gang
Involved Youth program.
Congressionally Directed Spending
The Committee recommendation includes $206,150,000 for the
projects, and in the amounts, specified in the table at the end
of this Committee Report.
Hawkins Centers of Excellence
The Committee recommendation includes $15,000,000 for
Hawkins Centers of Excellence. This program supports the
expansion and improvement of teacher education programs at
HBCUs and other MSIs in order to support diverse, well-
prepared, and effective educators.
The Committee recognizes the importance of high-quality
teacher preparation on student learning and teacher retention,
and therefore directs the Secretary to prioritize grants to
eligible institutions that propose to establish or scale up
high-quality teacher preparation pathways that offer extensive
preservice clinical training and mentoring by exemplary
teachers in grade and subject areas deemed high need by their
state. The Committee also recognizes the value of a diverse
teacher workforce and directs the Secretary to prioritize
grants to eligible institutions that commit to providing
scholarships or grants, based on financial need, as well as
academic supports to help teacher candidates successfully
complete the preparation program and state licensure
requirements, and to publicly report on these efforts and
outcomes.
Howard University
Appropriations, 2024.................................... $304,018,000
Budget estimate, 2025................................... 297,018,000
Committee recommendation................................ 297,018,000
The Committee recommends an appropriation of $297,018,000
for Howard University. Located in the District of Columbia,
Howard offers undergraduate, graduate, and professional degrees
through 12 schools and colleges. The university also
administers the Howard University Hospital. The Committee
recommends, within the funds provided, not less than $3,405,000
for the endowment program.
Howard University Hospital.--Within the funds provided, the
Committee recommendation includes $70,325,000 for Howard
University Hospital. The hospital provides inpatient and
outpatient care, as well as training in the health professions.
It also serves as a major acute and ambulatory care center for
the District of Columbia and functions as a major teaching
facility attached to the university. The Federal appropriation
provides partial funding for the hospital's operations.
Within the Committee's recommendation for the Howard
University Hospital, the Committee includes $43,000,000 to
support continued construction of a new Howard University
Hospital. The new hospital will provide inpatient and
outpatient care, as well as health professional training and
other necessary services and will continue to serve as a major
acute and ambulatory care center for the District of Columbia.
As a condition of receiving these funds, the Hospital must
continue to be maintained as the teaching hospital for Howard
University and continue succession agreements with its union.
The Committee recommended funding level fulfills the remaining
planned Federal contribution to support construction of the new
hospital.
College Housing and Academic Facilities Loans Program
Appropriations, 2024.................................... $298,000
Budget estimate, 2025................................... 328,000
Committee recommendation................................ 298,000
The Committee recommends $298,000 for Federal
administration of the CHAFL, College Housing Loans, and Higher
Education Facilities Loans programs. Prior to fiscal year 1994,
these programs provided financing for the construction,
reconstruction, and renovation of housing, academic, and other
educational facilities. While no new loans have been awarded
since fiscal year 1993, costs for administering the outstanding
loans will continue through 2030. These funds will be used to
reimburse the Department for administrative expenses incurred
in managing the existing loan portfolio.
HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL FINANCING PROGRAM
ACCOUNT
Appropriations, 2024.................................... $20,678,000
Budget estimate, 2025................................... 20,731,000
Committee recommendation................................ 20,678,000
The Committee recommends $20,678,000 for the HBCU Capital
Financing Program. The HBCU Capital Financing Program makes
capital available to HBCUs for construction, renovation, and
repair of academic facilities by providing a Federal guarantee
for private sector construction bonds. Construction loans will
be made from the proceeds of the sale of the bonds.
The Committee recommendation includes $20,150,000 for loan
subsidy costs in guaranteed loan authority under this program.
This will support an estimated $344,444,444 in new loan volume
in fiscal year 2025. In addition, the Committee recommendations
includes $528,000 for administrative expenses.
Institute of Education Sciences
Appropriations, 2024.................................... $793,106,000
Budget estimate, 2025................................... 815,455,000
Committee recommendation................................ 798,106,000
The Committee recommends $798,106,000 for the IES. This
amount includes $73,500,000 for administrative expenses and
centralized support costs for the Institute of Education
Sciences.
This account supports education research, development,
dissemination, utilization and evaluation; data collection and
analysis activities; the assessment of student progress; and
administrative expenses related to such activities. Funds
provided to IES are available for obligation for 2 fiscal
years.
Under the Education Sciences Reform Act of 2002 [ESRA],
Congress established IES to provide national leadership in
expanding fundamental knowledge and understanding of education
from early childhood through postsecondary study. ESRA required
IES, in carrying out its mission, ``to compile statistics,
develop products, and conduct research, evaluations, and wide
dissemination activities in areas of demonstrated national need
and ensure that such activities conform to high standards of
quality, integrity, and accuracy and are objective, secular,
neutral, and nonideological and are free of partisan political
influence.''
Program Administration.--The Committee recommendation
includes $73,500,000 for administrative expenses and
centralized support costs. Section 312 of this act ensures
sufficient funding for centralized support costs is available
and properly charged to this appropriation. The Committee
directs the Department, IES and NCES to work together to
provide in the fiscal year 2026 and future CJs, as well as the
fiscal year 2025 operating plan the amount for NCES
administrative expenses supported by this program
administration appropriation.
Not later than 30 days after enactment of this act and each
quarter thereafter, the Committee directs the IES Director and
NCES Commissioner to submit administrative and staffing plans
for their respective centers outlining staffing ceilings by
national center, the factors considered in allocating staffing
ceilings by national center, actual FTE by national center, and
an explanation by national center for FTE changes from the
preceding quarter.
RESEARCH, DEVELOPMENT, AND DISSEMINATION
The Committee recommends $245,000,000 for education
research, development, evaluation, and national dissemination
activities. These funds support activities that are aimed at
expanding fundamental knowledge of education and promoting the
use of research and development findings in the design of
efforts to improve education outcomes for students.
Accelerate, Transform, and Scale Initiative.--The Committee
supports steps IES has taken to use funds for creating
scalable, high impact solutions to improve education outcomes
for all learners and eliminate persistent achievement and
attainment gaps, including through pilot efforts modeled on
Federal advanced research projects agencies. This includes the
updated Transformative Research in the Education Sciences
program, which is supporting partnerships between researchers,
industry professionals, and education agencies to propose
transformative solutions to intractable education problems
leveraging advances in technology combined with research
insights from the learning sciences. The Committee requests
quarterly updates on progress on the initiative including the
Seedlings to Scale program.
Data Sciences.--The Committee notes NCER established three
Methods Training programs in Data Science through the fiscal
year 2023 appropriation. The Committee continues to make
funding available that may support research, development, and
training in data science education to support the expansion of
and capacity for instruction needed for students to compete in
the changing economy. The Committee believes the IES should
continue to make funds available to identify and scale
research-based interventions to support data science and data
literacy development among teachers and students, especially
among underserved populations. The Committee requests an update
on such plans in both the fiscal year 2025 operating plan and
fiscal year 2026 CJ.
Collaborative Education Research.--The Committee recognizes
the ongoing collaborative efforts between IES and the National
Science Foundation [NSF], including through the resources
provided to the IES via the American Rescue Plan that support
two NSF National Artificial Intelligence [AI] Research
Institutes focused on education. The Committee encourages IES
to pursue additional collaborative efforts with NSF and
expedite the identification of evidence-based innovations in
education.
The Future of Education Research at IES.--The Committee is
aware IES sought expert assistance in requesting the National
Academies of Sciences, Engineering and Medicine [NASEM] provide
guidance on the future of education research, which resulted in
the publication of the ``The Future of Education Research at
IES''. The Committee encourages IES to continue implementation
of recommendations made in the report and requests the fiscal
year 2025 operating plan include a discussion of actions taken
and planned.
STATISTICS
The Committee recommends $121,500,000 for data gathering
and statistical analysis activities at the National Center for
Education Statistics [NCES].
NCES is headed by a Commissioner appointed by the President
and has statutory authority without supervision or approval of
the Director for carrying out the work of NCES. The
Commissioner also serves as the Department's Chief Statistical
Officer under the Foundations for Evidence-Based Policymaking
Act of 2018. NCES collects data on educational institutions at
all levels, longitudinal data on student progress, and data
relevant to public policy. NCES also provides technical
assistance to SEAs, LEAs, and postsecondary institutions.
Activities are carried out directly and through grants and
contracts.
A Vision and Roadmap for Education Statistics.--The
Committee is aware IES sought expert assistance in requesting
NASEM to ``recommend a portfolio of activities and products for
NCES, review developments in the acquisition and use of data,
consider current and future priorities, and suggest desirable
changes'', which resulted in the publication of the ``A Vision
and Roadmap for Education Statistics''. The Committee believes
the Secretary, Commissioner and Director of IES should continue
to support NCES in independently developing, producing, and
disseminating statistics pursuant to recommendations of the
NASEM report. The Commissioner, and, as applicable, Secretary
and Director are directed to include in the required operating
plan actions taken since the report's release and future
actions and associated timeline to fully implement related
recommendations. The Committee also encourages NCES to continue
implementation of other recommendations made in the report and
requests the fiscal year 2025 operating plan include a
discussion of actions taken and planned.
Information on College Admissions.--The Committee is aware
of the lack of data available demonstrating how legacy status,
or relationship to alumni of the institution, factors in first-
time, first-year, degree-seeking admissions decisions. Starting
with the 2022-2023 IPEDS admission surveys, NCES began to ask
if IHEs consider legacy status. The Committee understands that
NCES is planning to continue to ask if IHEs consider legacy
status in the 2025-2026 and 2026-2027 IPEDS admissions surveys,
and believes this will provide important information about
considerations for admissions. The Committee also understands
that in the 2025-2026 and 2026-2027 admissions surveys, NCES
has proposed to collect data on applications, admissions, and
subsequent enrollment for early decision and early action as
well as data on applications and admissions that can be
disaggregated by race, gender, enrollment type and ethnicity.
The Committee believes this data will be beneficial to multiple
stakeholders. The Committee also believes data on applications
from, admission of, and enrollments by applicants with legacy
status at any institutions that provide legacy preferences and
data on early action, early decision, and legacy admissions
disaggregated by race and ethnicity would be beneficial.
Rural Statistics.--The Committee recognizes NCES's role in
collecting statistical information on school districts and
education activities, and its use of locale codes for
determining rural districts. However, these current
classifications do not properly measure rurality in mountainous
regions, such as the Appalachian Mountains. The Committee urges
NCES to adopt the Road Ruggedness Scale, as defined in the
United States Department of Agriculture Economic Research
Service's published Characterizing Rugged Terrain in the United
States report, into their definition of rural. The Committee
requests a description of the work, timeline and resource needs
to implement such adoption in the NCES operating plan for
fiscal year 2025.
National Postsecondary Student Aid Study [NPSAS].--The
Committee is extremely concerned about NCES's continued plan to
revise the NPSAS data collection schedule without sufficient
stakeholder engagement and consideration of the important
information NPSAS provides to researchers, policymakers, and
the public. The Committee believes that NPSAS plays a vital
role in postsecondary empirical research and analysis and
reiterates the directive in the explanatory statement
accompanying Public Law 118-47 to restore the study's
traditional data collection schedule to every two years, for
NPSAS 2024 and NPSAS 2026, with a student interview included
every four years, for NPSAS 2024 and NPSAS 2028. NCES is
directed to brief the Committee not later than 60 days after
enactment of this act on how they intend to come into
compliance with this directive.
REGIONAL EDUCATIONAL LABORATORIES
The Committee recommends $53,733,000 to continue support
for the Regional Educational Laboratories [REL] program.
The laboratories are responsible for promoting the
effective use and development of knowledge and evidence in
broad-based systemic strategies to increase student learning
and well-being and further school improvement efforts. The
Committee urges IES to continue its efforts to strengthen the
connections between practitioners and the research community,
so that federally supported research is timely, relevant, and
responsive to the needs of the field, helps build capacity of
LEAs and SEAs to effectively integrate evidence use in
decision-making and is effectively utilized in education policy
and practice.
The Committee does not adopt the proposal to rescind
$15,000,000 from the prior year appropriation, noting the IES'
fiscal year 2024 operating plan indicated that the enactment of
this proposal would prevent IES from being able to meet
continuation costs for existing REL activities should IES
continue to receive the fiscal year 2024 enacted level through
fiscal year 2027.
RESEARCH AND INNOVATION IN SPECIAL EDUCATION
The Committee recommends $64,255,000 for research and
innovation in special education conducted by the National
Center for Special Education Research.
The Center addresses gaps in scientific knowledge to
improve policies and practices in special education and early
intervention services and outcomes for infants, toddlers, and
children with disabilities.
SPECIAL EDUCATION STUDIES AND EVALUATIONS
The Committee recommends $13,318,000 for special education
studies and evaluations.
This program supports competitive grants, contracts, and
cooperative agreements to assess the implementation of IDEA.
Funds are also used to evaluate the effectiveness of State and
local efforts to deliver special education services and early
intervention programs.
STATEWIDE DATA SYSTEMS
The Committee recommendation includes $33,500,000 for the
Statewide Data Systems program.
This program supports competitive grants to SEAs to support
the development, maintenance, and expansion of State
longitudinal data systems. Support for these systems will
further strengthen State data infrastructure and linkages;
contribute to improved data access, and use for evidence-based
policymaking; and build capacity in States to secure and
protect data. Early childhood, postsecondary, and workforce
information systems may be linked to such systems or developed
with program funds. The bill also continues to allow up to
$6,000,000 to be used for awards to improve data coordination,
quality, and use, including support for the Privacy Technical
Assistance Center that serves as a resource on privacy issues
for SEAs and LEAs, the postsecondary education community, and
others engaged in building and using education data systems.
The Committee does not adopt the proposal to rescind
$10,000,000 from the prior year appropriation, noting the IES'
fiscal year 2024 operating plan indicated that the enactment of
this proposal would prevent IES from being able to meet
continuation costs for current grants and activities should IES
continue to receive the fiscal year 2024 enacted level through
fiscal year 2027.
ASSESSMENT
The Committee recommends $193,300,000 to provide support
for the National Assessment of Educational Progress [NAEP], a
congressionally mandated assessment created to measure and
report the educational achievement of American students in a
range of subjects and analyze trends over time.
Within the funds appropriated, the Committee recommends
$8,300,000 for the National Assessment Governing Board [NAGB],
which is responsible for formulating policy for NAEP.
The Committee recommendation continues support of
$10,000,000 for research and development investments activities
to modernize and innovate assessments while reducing future
program costs. NAGB and NCES should continue to consult with
the authorizing and appropriations committees of Congress as it
considers strategies, including those identified by NASEM, in
achieving cost efficiencies in and upgrades of its assessment
program. Further, the Committee requests that the fiscal year
2026 CJ and fiscal year 2025 operating plan describe
implemented and planned strategies for cost efficiencies and
necessary research and development projects.
Family Structure and NAEP Scores.--The Committee recognizes
the importance of a child's home environment in shaping that
child's development and key outcomes later in life, including
educational progress. Recognizing this critical importance, the
Committee urges NAGB to work with NCES to collect and report
student data, such as attendance, grade point average, and
performance on the National Assessment of Educational Progress.
To the fullest extent possible, reporting should be
disaggregated by family structure, socioeconomic status,
gender, race/ethnicity as well as the intersection of these
characteristics.
The Committee is aware that reporting for NAEP 2024 will
include a new index measure of socioeconomic status to
supplement data collected on eligibility for the National
School Lunch Program, and the NCES online achievement gap
dashboard allows analyses of race/ethnicity gaps by other
demographic characteristics. The Committee urges the NAGB to
explore collecting richer data about family background on NAEP
and should describe in its fiscal year 2025 operating plan
options for doing so.
Departmental Management
PROGRAM ADMINISTRATION
Appropriations, 2024.................................... $419,907,000
Budget estimate, 2025................................... 476,846,000
Committee recommendation................................ 419,907,000
The Committee recommends $419,907,000 for program
administration.
Funds support personnel compensation and benefits, travel,
rent, communications, utilities, printing, equipment and
supplies, automated data processing, and other services
required to award, administer, and monitor Federal education
programs. Support for program evaluation and studies and
advisory councils is also provided under this account.
Campus Antisemitism.--The Committee is deeply concerned
with reports of increased discrimination and harassment on
college campuses, including incidences of antisemitic
discrimination and harassment. The Committee encourages the
Department to offer guidance to institutions of higher
education for the development of campus policies to combat
religiously-based discrimination, harassment, and other
incidents. The Committee also encourages the Department to
offer guidance to institutions of higher education to encourage
the prompt reporting of instances in which a member of the
University community violates the institution's policies
regarding discrimination and harassment, any disciplinary
actions taken by the institution in response to such
violations, and how the reporting of such violations and
disciplinary actions is conducted in a manner that complies
with all applicable privacy laws and policies.
Campus Climate Surveys.--The Committee remains interested
in the Department's work to develop a Federal campus climate
survey on sexual misconduct, which would be administered in
accordance with the Violence Against Women Act of 2022 (Public
Law 117-103). The Committee directs the Department to brief the
Committees on the Department's survey as well as the plans to
pilot and evaluate the survey instrument, including its plans
to consult with stakeholders and provide an analysis of the
campus climate survey landscape and the appropriateness of the
Federal survey interval, based on the results of the campus
climate survey landscape assessment, peer-review research,
consultation with survey experts, and other considerations,
such as the length of the survey and differences in campus
communities and available resources.
Collaboration Between Airport Authorities and Educational
Institutions.--Airport authorities can play an important role
in providing economic development, workforce development, and
educational opportunities. The Committee encourages the
Department to consider actions that could support greater
collaboration between airport authorities and educational
institutions that helps engage and support students and create
and improve pathways into high-quality jobs.
College Costs.--The Committee is concerned by the increase
in college costs over the past 20 years and how those increases
have contributed to growing student loan debt. The Committee
notes that the Department annually publishes the College
Affordability and Transparency List as required by the HEA. The
College Affordability and Transparency List provides valuable
information for students and families on the most and least
expensive IHEs by both published tuition and net price. The
Committee directs the Department to ensure that this important
resource is prominently displayed on the Department's website,
including on the College Scorecard website. The Committee also
encourages the Department to note on the College Scorecard
profile of any IHE, such IHE's inclusion on the College
Affordability and Transparency List, if applicable.
Competitive Grant Priorities for Rural Areas.--The
Committee continues to encourage the Department to continue
efforts to ensure competitive grants are reaching rural areas
so that support and solutions developed with Federal funding
are relevant to and available in such areas.
Comprehensive Literacy Resources.--The Committee believes
it is important for all educators to be prepared to provide
high-quality comprehensive literacy instruction for students.
Free online comprehensive literacy resources with a specific
focus on children in kindergarten through sixth grade that are
evidence-based and build upon existing programs that leverage
public partnerships and multidisciplinary tools could assist
educators with being more prepared to provide such instruction.
Consultation and Briefing Requirement.--The Committee is
disappointed with the Department's compliance with the
consultation and briefing requirement included in the 2024
explanatory statement. The Committee believes the Department
can plan its program development activities in such a way to
allow meaningful consultation with the Committee. The Committee
directs the Department to consult with the Committee on any
Department action expected to significantly increase or
decrease current or future costs of programs it administers. In
addition, the Committee directs the Department to consult with
the Committee on any execution action related to any program or
activity for which a directive is included in this report not
later than 4 weeks prior to a public announcement related to
such action. Further, the Committee directs the Department to
brief the Committee on any action covered by this consultation
requirement, including consideration and incorporation of
feedback during such initial consultation, not later than 1
week prior to a public announcement related to such action.
This paragraph does not replace a more specific directive for a
program or activity included in this report.
Cybersecurity Education.--The Committee recognizes the
rapid changes involved in cybersecurity secondary and
postsecondary educational opportunities. The Committee
encourages the Department to support efforts to improve
educational offerings for cybersecurity education.
Discretionary Grant Program Management.--There continues to
be a concern that the Department's late publication of notices
inviting applications and awarding of discretionary grant
program funds late in the fiscal year limits the use of Federal
funds toward timely and maximal achievement of grantee
performance and program objectives. The Department is directed
to develop and implement a plan to execute its discretionary
grant programs in a timely way, through publication of notices
inviting applications and obligation of grant funds earlier in
the fiscal year. The Department shall also provide the
Committee with an update on accelerated execution timelines for
its discretionary grant programs within 120 days of enactment
of this act, as well as in the Forecast of Funding
Opportunities under the Department of Education Grant Programs
for fiscal year 2026.
Educator Equity Reporting.--The Committee commends the
Department's work to support implementation of and enforce the
educator equity requirements in section 1111(g)(1)(B) of the
ESEA. The Committee directs continued efforts by the Department
to work with each State to publicly report in an accessible
manner not less than every 2 years progress made to ensure low-
income and minority children enrolled in public schools are not
served at disproportionate rates by ineffective, out-of-field,
or inexperienced teachers. The Committee requests a briefing
not later than 60 days after enactment of this act on the
Department's planned support and monitoring efforts and
corrective actions and recommendations implemented by States.
Evidence-Based Grant Making.--The Committee directs the
Department to use demonstrated evidence of effectiveness as
part of the selection criteria through its Education Department
General Administrative Regulations, consistent with
authorizations, for all competitive grant programs. Further,
non-competitive formula grant funds have a range of evidence
requirements and preferences and the Committee directs the
Department to support entities receiving funding through those
programs through enhancements to its technical assistance and
support activities.
Foreign Influence.--Under section 117 of the HEA,
institutions of higher education receiving Federal financial
assistance are required to disclose gifts from, or contracts
with, foreign sources if the value is $250,000 or more. They
must also disclose ownership or control by a foreign source.
The Committee strongly urges the Department to work with IHEs
to ensure they are fully complying with this statutory
requirement. The Department shall report to the Committee on
any steps that it has taken to address undue foreign influence
within IHEs and K-12 schools and any actions that it has taken
to ensure IHEs are fully complying with section 117 of the HEA.
The Department shall also report to the Committee on the
presence and influence of Confucius Institutes and Confucius
Classrooms and their successor programs as well as the amount
of Federal funding for foreign language studies that IHEs with
a Confucius Institute or a successor program have received in
the last decade and whether such Federal funding was utilized
by the Confucius Institute or successor program.
Foundation for Evidence-Based Policymaking Act.--The
Committee continues to believe that the execution of the
Foundations for Evidence-Based Policymaking Act will enhance
the evidence-building capacity of Federal agencies, strengthen
privacy protections, improve secure access to data, and provide
more and higher quality evidence to policymakers. Therefore,
the Committee directs the Department to continue to include in
the fiscal year 2026 and future CJs updates on the
implementation and planned implementation of such act for the
current and future budget years.
GAO Report.--The Committee notes that the conditions
identified in GAO's 2020 report on school facilities remain a
challenge for under-resourced LEAs, including small and rural
LEAs, and high-need urban LEAs. The deteriorated conditions
described in the GAO 2020 report, natural disasters, and
extreme weather have put additional strains on school
facilities, costing students valuable instructional time. The
Committee directs GAO to conduct a study on the impact of the
physical state of school facilities on instructional time,
including the number of instructional days lost due to facility
issues, and the barriers under-resources LEAs face in accessing
Federal, State, local, and other resources to address facility
challenges. The GAO study shall also examine effective
practices to assist under-resourced LEAs in accessing Federal,
State, local, and other resources to address facility
challenges and State and local efforts to provide such
assistance and support to under-resourced LEAs in meeting
modern standards for health, safety, and educational
suitability.
``Grow Your Own'' Teacher Development.--The Committee
recognizes the potential efficacy and increasing presence of
``Grow Your Own'' teacher development programs, including
through the use of funds under the Teacher Quality Partnerships
and other Federal education funding streams. The Committee
looks forward to receiving the report requested last year on
best practices for ``Grow Your Own'' programs in increasing
teacher diversity, recruitment efforts within local
communities, access to high-quality pathways into the
profession, and teacher retention, and reducing teacher
shortages. The report should identify current opportunities to
use funds available from the Department to support ``Grow Your
Own'' programs and additional Federal opportunities for
consideration.
High-Quality Tutoring/Title I Evidence-Based
Interventions.--The Committee notes that to remediate
significant learning disparities from longstanding inequities
in access to high-quality instruction, particularly among
historically disadvantaged students, many LEAs have dedicated
title I and other Federal resources to support academic
tutoring. Research shows that using high-quality, evidence-
based tutoring programs with evidence of effectiveness as
defined in the 2015 reauthorization of the ESEA can
significantly improve achievement levels in reading and math.
These proven systems include three to five sessions a week,
integrated as part of the school day, delivered by a human
tutor in person or virtually to a group of one to not more than
four students at a time; and use a well-structured process,
high-quality materials designed for tutoring during the school
day, ongoing professional development and coaching for tutors,
and assessment tools to benchmark student achievement. Proven
tutoring models can bring struggling students up to the
achievement level of their peers. The Committee encourages the
Department to promote and provide technical assistance to LEAs
and support partnerships between LEAs and education-related
community-based organizations to implement evidence-based
tutoring models.
Integrating Data and Strengthening Data Privacy.--The
Committee urges the Secretary in conjunction with the Secretary
of Labor to provide guidance and technical assistance on
integrated data systems, including acceptable methods for
sharing wage record and confidential unemployment compensation
information with such data systems, while protecting student
and worker privacy. This guidance should build on and expand
the guidance issued by the Privacy Technical Assistance Center
in January 2017 (PTAC-IB-4).
Late Liquidation.--The Committee emphasizes that Office of
Management and Budget regulation 2 CFR 200.344(b) gives the
Department broad flexibility to extend the period for
liquidating financial obligations incurred under grants awarded
by the Department. The Committee appreciates that the
Department has announced a policy and process for ESSER
liquidation extensions for ARP well in advance of the
obligation and liquidation deadlines. The Committee continues
to emphasize the importance of the Department minimizing the
administrative burden of ARP ESSER late liquidation requests on
SEAs and LEAs to the extent practicable, including by not
requiring excessive documentation. The Department shall provide
sufficient clarity in its guidance, and predictability in its
process, in order to ensure that LEAs are able to enter into
contracts for allowable costs as reasonable and necessary
during the obligation period regardless of the contract's
liquidation end date, as long as it is within the authorized
late liquidation period and the LEA intends to submit an
appropriate late liquidation request to the SEA. Given the
number of transactions potentially eligible for liquidation
extension, and the varying needs of SEAs and subgrantees across
the country, the Committee encourages the Department to permit
SEAs to submit multiple requests and amend liquidation
extension requests as often as reasonably necessary to add and
subtract transactions and subgrantees as circumstances and
extension needs change related to an allowable, reasonable,
necessary, and timely obligation. The Committee also
appreciates the Department' work to educate auditors about the
late liquidation process.
Nonrecurring Expenses Fund.--As part of the annual CJ, the
Department is directed to include the anticipated balances
available for transfer into and uses of the Nonrecurring
Expenses Fund [NEF] for the current and budget fiscal years.
Additionally, the Department is directed to provide the
Committees quarterly reports for all ongoing projects. The
report shall include the following for each project: a
description and timeline for each project; the date the project
was notified to the Committees; total obligations to date;
obligations for the prior fiscal year; anticipated obligations
for current fiscal year; any expected future obligations; and
the total unobligated balance in the Fund. In addition, the
Committee requests biannual reports on expired balances that
are eligible for transfer to the NEF. Such report shall include
the Treasury Account Fund Symbol, program name, unobligated
balance, and unexpended balance. Such report shall be
transmitted 30 days after the close of the second quarter and
within 45 days after the close of the fourth quarter of the
fiscal year.
Nursing Instructor Workforce.--The Committee is concerned
with the shortages in the nursing educator workforce, which
leads to fewer qualified nurses in the workforce. Graduating
more nursing students will improve health outcomes and increase
access to high-quality healthcare. The Committee supports
funding to IHEs to increase the number of qualified faculty to
teach students wanting to enroll in nursing programs.
Pooled Evaluation Authority.--The Committee requests that
the Department provide a report to the Committee on the planned
use of pooled evaluation funds under section 8601 of the ESEA,
consistent with the required plan under such section, not later
than 15 days prior to any transfer of funds.
Post-Secondary Transfer Articulation Agreements.--Transfer
articulation agreements between community colleges and 4-year
IHEs can play an important role in promoting access,
affordability, and completion in higher education. The
Committee encourages the Department to gather input from States
that have implemented comprehensive statewide programs to
determine best practices for implementation, enhancement, or
scaling-up of agreements. The Department should also seek input
from States that do not have comprehensive statewide programs
to identify barriers to scaling-up agreements. This information
should be disseminated to States by the Department with the
goal of further enhancing or implementing statewide transfer
articulation agreements.
Program Administration.--The Committee remains concerned
about the Department's prioritization of staff resources in the
Program Administration account. The fiscal year 2023 agreement
directed the Department to begin rebalancing the agency's ratio
of career staff to non-career staff, to prioritize career staff
for executing core programs at the Department, and not to
expand its non-career staff on board above the December 2022
levels. Despite the clear Congressional directive, the level of
non-career staff remained above the December 2022 level for all
of fiscal year 2023. For this reason, the fiscal year 2024 bill
included new language prohibiting funds from being used on or
after August 15, 2024, to support a non-career employee number
that is more than the number of non-career employees as of
December 31, 2022. The Committee looks forward to the
Department coming into compliance with the fiscal year 2024
requirement and continues to include bill language for fiscal
year 2025 prohibiting funds from being used to support a number
of non-career employees that is above the number of non-career
employees as of December 31, 2022.
Protecting Personally-Identifiable Information.--The
Committee continues to direct the Department to ensure that its
employees, contractors, and grantees, including States that
receive funds from Statewide Longitudinal Data System grants,
adhere to the strictest and highest standards for protecting
personally identifiable information.
Reporting and Data Collection on Professional
Qualifications of Educators.--The Committee is aware that the
Department, National Center for Education Statistics, and
Office for Civil Rights each collect data on the
characteristics and qualifications of teachers, principals, and
other school leaders. This includes required State plan and
reporting requirements under section 1111 of the ESEA for
States to report on professional qualifications of teachers in
the State, including information on inexperienced teachers,
teachers teaching with emergency or provisional credentials,
and teachers who are not teaching in the subject or field for
which the teacher is certified or licensed. It also includes
information collected through the National Teacher and
Principal Survey and Civil Rights Data Collection. The
Committee requests a briefing not later than 90 days after
enactment on planned collections, including on the extent to
which planned collections will include information in the
aggregate, and disaggregated by high poverty and low poverty
schools, on the number of teachers, principals and other school
leaders employed, demographic characteristics, experience, and
the number of full-time teachers employed who meet and don't
meet all State license, certificate, and endorsement
requirements including specifically by mathematics, science,
English as a second language, and special education.
Reports to Congress.--The Department is directed to provide
5 business days' notice to the Committee before release of any
congressionally directed report.
Responsiveness to GAO.--The Committee notes that there have
been prior engagements where the Department unnecessarily
delayed in providing GAO with timely and complete information
in response to GAO requests. The Committee directs the
Department to provide timely and complete information to GAO on
its engagements within timeframes as GAO may specify. The
Committee further directs GAO to develop timeliness criteria to
measure the Department's responsiveness to GAO requests for
information. GAO activities are crucial to Congressional
oversight, and the development of such criteria will assist GAO
in the timely completion of work. GAO should consult with the
Department, as GAO determines appropriate, in developing such
criteria.
Staffing Report.--Consistent with the fiscal year 2024
explanatory statement, not later than 30 days after enactment,
the Department is directed to provide the Committee an
operating plan identifying the total FTE and non-personnel
allocations supported by the program administration
appropriation in total for the Department, and FTE and non-
personnel allocations for each program office supported by the
program administration appropriation provided in this act. In
addition, the Department shall provide on a monthly basis the
number of on-board staff, attrition, approved hires not yet on-
boarded and projected full-year FTE usage, including approved
hires, and actual non-personnel expenses, for each program
office supported by, and in total for, the program
administration appropriation provided in this act. The monthly
reports should be detailed by career and non-career staff. In
addition, the Department shall separately identify in such
plans and reports total FTE allocations supported by other
funding sources. The Department shall also provide the
Committee on a biannual basis an excel file which includes the
names, titles, grades, program office, and date of hire of all
of the political appointees that were employed by the
Department during the previous 180 days.
State and Local Report Cards.--The Committee is
disappointed the Department has yet to provide the required
briefing on monitoring and support intended to ensure SEA and
LEA compliance with report card requirements of ESEA. The
Committee looks forward to the briefing and the Department's
continued reviews of all State report cards, monitoring, and
support intended to achieve compliance with the law and
information being available in accessible and understandable
formats for parents, caregivers, policymakers, and communities.
Further, the Committee looks forward to increased transparency
related to monitoring and review findings and corrective
actions implemented on report card requirements as directed in
the Education for the Disadvantaged account of this Report.
Supporting Principals and School Leaders.--Principals and
school leaders are critical to both student outcomes and
teacher retention. The Committee notes the Department's stated
intent to comply with fiscal year 2023 explanatory statement
language and reiterates the directive that the Department issue
guidance to SEAs and LEAs on the use of Federal funds across
various programs, including title I-A and title II-A of the
ESEA, for implementing evidence-based strategies to recruit,
prepare, support, and retain strong principals and school
leaders.
Team-Based Models of Instruction.--The Committee encourages
the Department to support the expansion of team teaching and
projects that would promote educator specialization and
differentiated educator roles in the classroom. This would
support innovative work taking place nationwide to design new
systems of workforce development for teachers that include
supports, clear pathways to advancement, and promote teacher
retention.
OFFICE FOR CIVIL RIGHTS
Appropriations, 2024.................................... $140,000,000
Budget estimate, 2025................................... 162,359,000
Committee recommendation................................ 150,000,000
The Committee recommends $150,000,000 for the Office for
Civil Rights [OCR].
OCR is responsible for the enforcement of laws that
prohibit discrimination on the basis of race, color, national
origin, sex, disability, and age in all programs and
institutions that receive financial assistance from the
Department. To carry out this responsibility, OCR investigates
and resolves discrimination complaints, monitors desegregation
and equal educational opportunity plans, reviews possible
discriminatory practices by recipients of Federal education
funds, and provides technical assistance to recipients of funds
to help them meet these civil rights requirements.
Combatting Antisemitism.--The Committee is concerned by
reports of increased discrimination, including antisemitic
harassment, in our Nation's education system. The Committee
appreciates the administration's development of the first-ever
U.S. National Strategy to Counter Antisemitism and OCR's
release of a Dear Colleague letter reminding schools of their
legal obligations under title VI to provide all students,
including Jewish students, an environment free from
discrimination. OCR complaints regarding shared ancestry
represent less than 1 percent of outstanding cases. The
Committee recognizes OCR's need for additional resources and
provides OCR an increase of $10,000,000 for combatting
antisemitism and helping schools understand and comply with
their legal obligations under title VI. The Committee directs
OCR to use funds for timely processing of all current and
incoming shared ancestry complaints and directed
investigations, including those relating to antisemitism. The
Committee further directs the Department to provide the
Committees and the Senate Committee on Health, Education, Labor
and Pensions and the House Committee on Education and the
Workforce with quarterly reports on the status of OCR shared
ancestry investigations, including those related to
antisemitism, and an initial report no later than 30 days after
enactment of this act. Such reports should include a brief
overview, including timeline, status of the investigation, and
any actions taken by OCR.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2024.................................... $67,500,000
Budget estimate, 2025................................... 77,497,000
Committee recommendation................................ 67,500,000
The Committee recommends $67,500,00 for OIG. Of this
amount, $3,000,000 is available until expended to provide
flexibility for hiring delays and the year-end return of funds
for common support provided by the Department that may turn out
costing less than anticipated.
OIG has the authority to investigate all departmental
programs and administrative activities, including those under
contract or grant, to prevent and detect fraud and abuse, and
to ensure the quality and integrity of those programs. The
Office investigates alleged misuse of Federal funds and
conducts audits to determine compliance with laws and
regulations, efficiency of operations, and effectiveness in
achieving program goals.
Higher Education.--The Committee is concerned by the
challenges and delays faced by students in receiving student
aid and IHEs in processing financial aid requests due to the
challenges, errors, and delays in the Department's
implementation of changes to the Free Application for Federal
Student Aid through the Student Aid and Borrower Eligibility
Reform [SABER] Initiative required by the FAFSA Simplification
Act and the FUTURE Act. The Committee directs OIG to prioritize
management and systems evaluations of the Office of Federal
Student Aid and the Office of Postsecondary Education that are
underway and fast track newly opened investigations. The
Committee further directs OIG to fully brief the Committees,
the Senate Committee on Health, Education, Labor and Pensions,
and the House Committee on Education and the Workforce on
findings and recommendations from such evaluations and
investigations no later than 90 days after enactment of this
act.
General Provisions
Section 301. The bill continues a provision prohibiting the
use of funds to prevent the implementation of programs of
voluntary prayer and meditation in public schools.
Section 302. The bill continues a provision giving the
Secretary authority to transfer up to 1 percent of any
discretionary funds between appropriations.
Section 303. The bill continues a provision making
evaluation funds pooled under section 8601 of the ESEA
available for obligation on a forward-funded basis.
Section 304. The bill continues a general provision
allowing certain institutions to continue to use endowment
income for student scholarships.
Section 305. The bill continues a provision extending
authorization of the National Advisory Committee on
Institutional Quality and Integrity.
Section 306. The bill continues a provision extending
authority to provide account maintenance fees to guarantee
agencies.
Section 307. The bill continues a provision regarding
servicing of Federal Perkins Loans.
Section 308. The bill includes a provision rescinding
mandatory funding to pay for mandatory costs of increasing the
maximum discretionary Pell award.
Section. 309. The bill continues a provision regarding
administrative costs for Public Service Loan Forgiveness.
Section. 310. The bill continues a provision allowing up to
0.5 percent of funds appropriated in this act for programs
authorized under the HEA, except for the Pell Grant program, to
be used for evaluation of any HEA program.
Section 311. The bill modifies a provision regarding
Congressionally Directed Spending within the Innovation and
Improvement account.
Section 312. The bill continues a provision regarding
centralized support services for IES.
TITLE IV
RELATED AGENCIES
Committee for Purchase From People who are Blind or Severely Disabled
SALARIES AND EXPENSES
Appropriations, 2024.................................... $13,124,000
Budget estimate, 2025................................... 14,800,000
Committee recommendation................................ 13,124,000
The Committee recommends $13,124,000 for the Committee for
Purchase from People Who Are Blind or Severely Disabled
[Commission], of which no less than $3,150,000 shall be made
available for the Office of Inspector General.
The Commission provides employment opportunities to
approximately 40,000 Americans who are blind or severely
disabled each year. The primary purpose of this program is to
increase the employment opportunities for people who are blind
or have other severe disabilities and, whenever possible, to
prepare them to engage in competitive employment. Encompassing
nearly $4,000,000,000 in products and services procured, it is
the Federal Government's largest employment program for the
severely disabled.
Reports.--The Committee continues to request the reports
listed under this heading in the explanatory statement
accompanying Public Law 118-47.
Corporation for National and Community Service
The Corporation for National and Community Service [CNCS]
was established to enhance opportunities for national and
community service. CNCS administers programs authorized under
the Domestic Volunteer Service Act (Public Law 93-113), the
National and Community Service Trust Act (Public Law 103-82),
and the SERVE America Act (Public Law 111-13). Grants are
awarded to States, public and private nonprofit organizations,
and other entities to create service opportunities for
students, out-of-school youth, adults, and seniors.
The Committee recommendation for CNCS provides a total
program level of $1,277,806,000.
OPERATING EXPENSES
Appropriations, 2024.................................... $975,525,000
Budget estimate, 2025................................... 1,046,276,000
Committee recommendation................................ 1,010,525,000
The Committee recommends $1,010,525,000 for the operating
expenses of CNCS.
Volunteers in Service to America [VISTA]
The Committee recommends $103,285,000 for VISTA. This
program provides capacity building for small, community-based
organizations with a mission of combating poverty. VISTA
members raise resources, recruit and organize volunteers, and
establish and expand programs in housing, employment, health,
and economic development activities.
National Senior Volunteer Corps
The Committee recommends $236,917,000 for the National
Senior Volunteer Corps programs, a collection of programs that
connect Americans older than the age of 55 with opportunities
to contribute their job skills and expertise to community
projects and organizations. These programs include the Retired
Senior Volunteer Program, the Foster Grandparent Program, and
the Senior Companion Program.
AmeriCorps State and National Grants
The Committee recommends $592,094,000 for AmeriCorps State
and National Grants, which provide funds to local and national
organizations and agencies to address community needs in
education, public safety, health, and the environment. Each of
these organizations and agencies, in turn, uses its AmeriCorps
funding to recruit, place, and supervise AmeriCorps members.
AmeriCorps members receive a modest living allowance and other
benefits proportional to their level of time commitment.
Alumni Engagement Activities.--The Committee commends CNCS
for its current comprehensive planning process on service
alumni engagement and its prioritization of the post-service
member and volunteer experience in its 2022-2026 annual plan,
including objectives 2.3 and 3.4. The Committee notes
significant Congressional and stakeholder interest in those
activities, including strengthening identification with the
AmeriCorps brand; expanding education and workforce pipelines;
soliciting feedback from alumni on member experience; directory
data sharing; and interagency collaboration on national,
public, and military service. The Committee encourages CNCS to
support these and other alumni engagement activities.
Civic Bridge Building.--The Committee supports CNCS' goal
of uniting Americans through national service and recognizes
that service is a proven model of civic bridge building. To
advance these shared goals, the Committee continues to
encourage CNCS to consider awarding grants, within existing
competitions, to: (1) support civic bridge building programs
and projects to reduce polarization and community divisions;
and (2) provide training in civic bridge building skills and
techniques to CNCS members and host sites and provide resources
that can be publicly disseminated to support local civic bridge
building efforts, among other activities.
Collaboration on Outreach and Recruitment.--The Committee
commends recent collaboration among the Department of Defense,
CNCS, the Selective Service System, Peace Corps, and the Office
of Personnel Management on raising public awareness about
military and national service opportunities. The Committee
directs these agencies to continue exploring mutually
beneficial ways to promote each agency's service opportunities,
including sharing market research, providing ineligible or non-
selected applicants with information about other forms of
service, piloting joint recruitment efforts, and providing
information to individuals transitioning out of military and
national service about other opportunities to serve. The
Committee requests a briefing from CNCS no later than 60 days
after enactment that provides an update on these collaboration
efforts.
Commission Investment Fund [CIF].--The Committee
recommendation includes no less than the fiscal year 2024 level
for the CIF, which provides funds to State commissions for
training and technical assistance activities to expand the
capacity of current and potential AmeriCorps programs,
particularly in underserved areas.
Fixed Price Grant Program.--The Committee believes the
fixed amount AmeriCorps State and National grant is a flexible,
useful grant vehicle that helps minimize risk and lowers
administrative burden on grantees. Section 129(l) of the
National and Community Service Act of 1990, as amended by
Public Law 111-13, provides the agency with the authority to
adopt other terms and conditions based on the risks associated
with the Fixed Price grant program. The Committee encourages
CNCS to review the risks associated with the current drawdown
formula that only allows recipients to incrementally receive
awarded grant funds as service hours are recorded by enrolled
members. The Committee notes that this formula may not always
account for the many start-of-service program costs and the
expenses grantees incur, regardless of whether a member serves
a full term. The Committee urges CNCS to review, and if
appropriate, modify the drawdown formula to cover allowable
grant expenses that occur at the start of year and to minimize
the impact that under-enrollment, attrition, and service hour
disruptions can have on grantee operations. CNCS should report
to the Committees, in the fiscal year 2026 CJ, on the
modifications CNCS may make and if any congressional action is
required to authorize or help implement the changes.
Impact in Communities.--The Committee notes that for the
past 3 years, CNCS has used supplemental funds from the
American Rescue Plan Act to invest in AmeriCorps member living
allowances, as directed by Congress. Now, CNCS must balance
those increases amid relatively constrained program funding.
This has placed additional pressure on AmeriCorps programs
around the country and resulted in fewer slots and some
programs no longer operating. The Committee urges CNCS to take
a balanced approach when assessing the impacts of increasing
living allowances and protecting service opportunities.
Additionally, the Committee encourages CNCS to pursue any
flexibilities to support programs. The Committee notes it
provided CNCS with the authority to fund certain member service
positions under 1,700 hours to help provide flexibility for
programs to continue to operate and best meet the needs of
their local communities.
National Civilian Community Corps [NCCC]
The Committee recommendation includes $37,735,000 for NCCC,
a full-time, team-based residential program for men and women
ages 18 to 24. Members are assigned to one of five campuses for
a 10-month service commitment.
Innovation, Demonstration, and Assistance Activities
The Committee recommendation includes $14,706,000 for
innovation, demonstration, and assistance activities.
Volunteer Generation Fund.--Within the total, the Committee
recommendation includes $8,558,000 for the Volunteer Generation
Fund authorized under section 198P of the SERVE America Act
(Public Law 111-13).
National Days of Service.--The Committee recommendation
includes $6,148,000 for National Days of Service including the
September 11th National Day of Service and Remembrance and the
Martin Luther King, Jr. National Day of Service. CNCS may give
priority to making grants, entering into Cooperative
Agreements, or providing other forms of support to eligible
organizations with expertise in: representing families of
victims of the September 11, 2001 terrorist attacks and other
impacted constituencies; promoting the establishment of
September 11 as an annually recognized National Day of Service
and Remembrance; and organizing volunteers to engage in service
to meet community needs and advance the life and teachings of
Dr. Martin Luther King, Jr.
Service Learning.--The Committee encourages CNCS to
continue to be a convener of the important work surrounding
service learning, including programs in public schools and
institutions of higher education.
Evaluation
The Committee recommendation includes $6,250,000 for CNCS
evaluation activities.
Effective Interventions.--The Committee is aware of CNCS
initiatives to help service providers apply scientific
evaluation methods to better understand interventions and
encourages CNCS to continue its use of randomized control
trials to build causal evidence for effective interventions.
State Commission Grants
The Committee recommendation includes $19,538,000 for State
Commission Grants.
THE NATIONAL SERVICE TRUST
Appropriations, 2024.................................... $180,000,000
Budget estimate, 2025................................... 159,951,000
Committee recommendation................................ 160,000,000
The Committee recommends an appropriation of $160,000,000
for the National Service Trust.
The National Service Trust makes payments of Segal
education awards, pays interest that accrues on qualified
student loans for AmeriCorps participants during terms of
service in approved national service positions, and makes other
payments entitled to members who serve in the programs of CNCS.
SALARIES AND EXPENSES
Appropriations, 2024.................................... $99,686,000
Budget estimate, 2025................................... 127,104,000
Committee recommendation................................ 99,686,000
The Committee recommends an appropriation of $99,686,000
for CNCS salaries and expenses. The salaries and expenses
appropriation provides funds for staff salaries, benefits,
travel, training, rent, equipment, and other operating expenses
necessary for management of CNCS programs and activities.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2024.................................... $7,595,000
Budget estimate, 2025................................... 8,762,000
Committee recommendation................................ 7,595,000
The Committee recommends an appropriation of $7,595,000 for
the CNCS OIG. The OIG's goals are to increase organizational
efficiency and effectiveness within the Corporation and to
prevent fraud, waste, and abuse.
ADMINISTRATIVE PROVISIONS
The Committee recommendation includes the following general
provisions for CNCS: requiring CNCS to make any significant
changes to program requirements or policy through rule making
(section 401); stipulating minimum share requirements (section
402); requiring that donations supplement and not supplant
operations (section 403); aligning requirements regarding the
use of Education Awards at GI bill-eligible institutions
(section 404); allowing the required background check of
certain applicants to be processed by States under terms of the
National Child Protection Act (Public Law103-209) (section
405); allowing CNCS to fund certain member service positions
under 1,700 hours (section 406); and modifying VISTA members'
education awards (section 407).
Corporation for Public Broadcasting
Appropriations, 2024.................................... $595,000,000
Budget estimate, 2025/2027.............................. 655,000,000
Committee recommendation................................ 595,000,000
The Committee recommends $595,000,000 for the Corporation
for Public Broadcasting [CPB]. This includes $535,000,000 as a
2-year advance appropriation for fiscal year 2027 for CPB to
carry out its statutory mission of sustaining the public-
private partnership underpinning public media and $60,000,000
for fiscal year 2025 for continued support of CPB in replacing,
upgrading, and maintaining the public broadcasting
interconnection system and further investing in system-wide
infrastructure and services.
The majority of the advance appropriation goes directly to
local public television and radio stations to support their
programming. CPB funds also support the creation of content for
radio, television, and other platforms; system support
activities that benefit the entire public broadcasting
community; and CPB's administrative costs. This funding
supports America's local public television and radio stations
and their mission of developing and ensuring universal access
to noncommercial, high-quality programming and
telecommunications services for the American public.
Interconnection.--Recognizing technology's power to create
further cost efficiencies across the public media system, the
Committee recommendation maintains an investment of $60,000,000
in current year funds for continued support of CPB's efforts to
replace and upgrade the public broadcasting interconnection
system and invest in system-wide infrastructure and services
that benefit the American people. The bill does not include
proposed language that would allow operational expenses for
interconnection currently paid out of the six percent system
support fund to instead be paid using the interconnection
appropriation.
Programming.--The Committee supports section 396(g)(1)(A)
of the Communications Act of 1934, as amended, which authorizes
CPB to ``facilitate the full development of public
telecommunications in which programs of high quality,
diversity, creativity, excellence, and innovation, which are
obtained from diverse sources, will be made available to public
telecommunications entities,'' and reminds the CPB that it is
to maintain a ``strict adherence to objectivity and balance in
all programs or series of programs of a controversial nature.''
The Committee further underscores the importance of
incorporating diverse points of view throughout public media
programming, consistent with editorial standards of balance,
objectivity, fairness, accuracy, and transparency. Including
diverse points of view is essential to maintaining the trust
that the American public has placed in public broadcasting and
the bipartisan support of Congress for public broadcasting.
Federal Mediation and Conciliation Service
SALARIES AND EXPENSES
Appropriations, 2024.................................... $53,705,000
Budget estimate, 2025................................... 53,705,000
Committee recommendation................................ 53,705,000
The Committee recommends $53,705,000 for the Federal
Mediation and Conciliation Service [FMCS]. FMCS provides
mediation, conciliation, and arbitration services to labor and
management organizations to prevent and minimize work stoppages
and promote stable labor-management relationships. FMCS is also
authorized to provide dispute resolution consultation and
training to all Federal agencies.
Federal Mine Safety and Health Review Commission
SALARIES AND EXPENSES
Appropriations, 2024.................................... $18,012,000
Budget estimate, 2025................................... 17,572,000
Committee recommendation................................ 17,572,000
The Committee recommends $17,572,000 for the Federal Mine
Safety and Health Review Commission [FMSHRC], which provides
administrative trial and appellate review of legal disputes
under the Federal Mine Safety and Health Act of 1977 (Public
Law 91-173). Most cases involve civil penalties proposed by
MSHA. FMSHRC's administrative law judges [ALJs] decide cases at
the trial level and the five-member Commission provides review
of the ALJ's decisions.
Institute of Museum and Library Services
OFFICE OF MUSEUM AND LIBRARIES: GRANTS AND ADMINISTRATION
Appropriations, 2024.................................... $294,800,000
Budget estimate, 2025................................... 280,000,000
Committee recommendation................................ 294,800,000
The Committee recommends $294,800,000 for the Institute of
Museum and Library Services [IMLS]. This agency supports
programs for museums and libraries that encourage innovation,
provide lifelong learning opportunities, promote cultural and
civic engagement, and improve access to a variety of services
and information.
Information Literacy Task Force.--The Committee
recommendation includes $2,000,000 to continue work on
information literacy, including the continuation and expansion
of the Information Literacy Taskforce in accordance with the
priorities and guidelines described in the explanatory
statement accompanying Public Law 117-103 and Public Law 117-
328. The Committee also notes the recent launch of the
Information Literacy website and urges IMLS to further develop
the portal of resources bridging information literacy research
and best practices for advancing information literacy within
communities. Similarly, the Committee directs the IMLS to
submit a report to the Committees on information literacy
activities implemented, including any outreach to, and
engagement with, adult education stakeholders and entities
implementing Taskforce priorities in the Digital Equity Act
related to digital equity and inclusion within 1 year of the
date of enactment of this act. Such report should also include
Task Force recommendations on areas for future research.
America250.--The Committee recognizes IMLS's commitment to
the 250th Anniversary of the founding of the United States in
coordination with the Semiquincentennial Commission Act of
2016. The Committee continues to recognize the important role
of IMLS in supporting existing activities and pilot projects
that will enhance civic engagement, innovation, and community
collaboration by convening museum and library professionals,
facilitating community-driven discussions, and supporting
partnership grants to museums and libraries in preparation for
the 250th Anniversary.
Tribal Consortia Eligibility.--The Committee continues to
instruct IMLS to issue guidance on how consortia of Indian
tribes or Tribal organizations could be eligible to apply for
Tribal library and related grants.
Museum and Library Facilities.--The Committee continues to
be concerned about the physical condition of library and museum
facilities. The Committee looks forward to receiving the GAO
report required in Senate Report 118-84 on this issue. In
addition, the Committee appreciates IMLS's work to conduct a
study on this issue and looks forward to the publication of the
resulting report.
Within the total for IMLS, the Committee recommendation
includes the amounts below:
----------------------------------------------------------------------------------------------------------------
Fiscal year
Budget activity 2024 Fiscal year Committee
appropriation 2025 request recommendation
----------------------------------------------------------------------------------------------------------------
Library Services Technology Act [LSTA]:
Grants to States............................................ 180,000,000 177,200,000 183,000,000
Native American Library Services............................ 5,763,000 5,263,000 5,763,000
National Leadership: Libraries.............................. 15,287,000 12,787,000 15,287,000
Laura Bush 21st Century Librarian........................... 10,000,000 8,000,000 10,000,000
-----------------------------------------------
Subtotal, LSTA............................................ 211,050,000 203,250,000 214,050,000
===============================================
Museum Services Act:
Museums for America......................................... 27,330,000 26,000,000 28,730,000
21st Century Museum Professional............................ 2,000,000 1,000,000 1,000,000
Native American/Hawaiian Museum Services.................... 3,772,000 2,772,000 3,772,000
National Leadership: Museums................................ 10,348,000 8,848,000 9,348,000
-----------------------------------------------
Subtotal, MSA............................................. 43,450,000 38,620,000 42,850,000
===============================================
African American History and Culture Act.................... 6,000,000 4,200,000 4,200,000
National Museum of the American Latino Act.................. 6,000,000 3,900,000 4,200,000
Research, Analysis and Data Collection...................... 5,650,000 5,500,000 5,500,000
Administration.............................................. 22,650,000 24,530,000 24,000,000
-----------------------------------------------
IMLS, Total............................................. 294,800,000 280,000,000 294,800,000
----------------------------------------------------------------------------------------------------------------
Medicaid and Chip Payment and Access Commission
SALARIES AND EXPENSES
Appropriations, 2024.................................... $9,405,000
Budget estimate, 2025................................... 10,698,000
Committee recommendation................................ 10,000,000
The Committee recommends $10,000,000 for the Medicaid and
CHIP Payment and Access Commission [MACPAC]. This commission
was established in the Children's Health Insurance Program
Reauthorization Act of 2009 (Public Law 111-3) and is tasked
with reviewing State and Federal Medicaid and Children's Health
Insurance Program access and payment policies and making
recommendations to Congress, the Secretary of HHS, and the
States on a wide range of issues affecting those programs. The
Committee recommendation will allow MACPAC to continue to carry
out these activities.
Medicare Payment Advisory Commission
SALARIES AND EXPENSES
Appropriations, 2024.................................... $13,824,000
Budget estimate, 2025................................... 14,477,000
Committee recommendation................................ 14,477,000
The Committee recommends $14,477,000 for the Medicare
Payment Advisory Commission, which provides independent policy
and technical advice on issues affecting the Medicare program.
National Council on Disability
SALARIES AND EXPENSES
Appropriations, 2024.................................... $3,850,000
Budget estimate, 2025................................... 4,000,000
Committee recommendation................................ 4,000,000
The Committee recommends $4,000,000 for the National
Council on Disability [NCD]. NCD is mandated to make
recommendations to the President, Congress, the Rehabilitation
Services Administration, and the National Institute on
Disability, Independent Living, and Rehabilitation Research on
issues of concern to individuals with disabilities. The Council
gathers information on the implementation, effectiveness, and
impact of the Americans with Disabilities Act (Public Law 101-
336) and examines emerging policy issues as they affect persons
with disabilities and their ability to enter or re-enter the
Nation's workforce and to live independently.
National Labor Relations Board
SALARIES AND EXPENSES
Appropriations, 2024.................................... $299,224,000
Budget estimate, 2025................................... 320,002,000
Committee recommendation................................ 299,224,000
The Committee recommends $299,224,000 for the National
Labor Relations Board [NLRB], which administers and enforces
the National Labor Relations Act of 1935 (Public Law 74-198)
and protects employee and employer rights provided under that
act. The Committee maintains language restricting the use of
electronic voting.
National Mediation Board
SALARIES AND EXPENSES
Appropriations, 2024.................................... $15,113,000
Budget estimate, 2025................................... 15,113,000
Committee recommendation................................ 15,113,000
The Committee recommends $15,113,000 for the National
Mediation Board [NMB], which mediates labor-management
relations in the railroad and airline industries under the
Railway Labor Act (Public Law 88-542). The NMB mediates
collective bargaining disputes, conducts elections to determine
the choice of employee bargaining representatives, and
administers arbitration of employee grievances.
Occupational Safety and Health Review Commission
SALARIES AND EXPENSES
Appropriations, 2024.................................... $15,449,000
Budget estimate, 2025................................... 16,278,000
Committee recommendation................................ 15,449,000
The Committee recommends $15,449,000 for the Occupational
Safety and Health Review Commission [OSHRC]. OSHRC serves as a
court to resolve disputes between OSHA and employers charged
with violations of health and safety standards enforced by
OSHA.
Railroad Retirement Board
The Railroad Retirement Board [RRB] administers the
retirement/survivor and unemployment/sickness insurance benefit
programs for railroad workers and their families under the
Railroad Retirement Act (Public Law 93-445) and Railroad
Unemployment Insurance Act (Public Law 100-647).
DUAL BENEFITS PAYMENTS ACCOUNT
Appropriations, 2024.................................... $8,000,000
Budget estimate, 2025................................... 7,000,000
Committee recommendation................................ 7,000,000
The Committee recommends $7,000,000 for the Dual Benefits
Payments Account together with any estimated income derived
from income taxes on vested dual benefits. This appropriation
provides for vested dual benefit payments to beneficiaries
covered under both the railroad retirement and Social Security
systems.
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNTS
Appropriations, 2024.................................... $150,000
Budget estimate, 2025................................... 150,000
Committee recommendation................................ 150,000
The Committee recommends $150,000 for Federal Payments to
the Railroad Retirement Account. These funds reimburse the
railroad retirement trust funds for interest earned on non-
negotiated checks.
LIMITATION ON ADMINISTRATION
Appropriations, 2024.................................... $126,000,000
Budget estimate, 2025................................... 134,000,000
Committee recommendation................................ 129,000,000
The Committee recommends $129,000,000 for RRB's costs
associated with the administration of railroad retirement/
survivor and unemployment/sickness benefit programs. This
account limits the amount of funds in the railroad retirement
and railroad unemployment insurance trust funds that may be
used by the Board for administrative expenses.
The Committee continues to request annual updates on the
project status, including timelines to completion, total
anticipated cost of development, funding obligations, and
contracts for RRB's fully funded information technology
modernization system.
The Committee maintains bill language giving RRB the
authority to hire new attorneys in the excepted service.
LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2024.................................... $14,000,000
Budget estimate, 2025................................... 14,600,000
Committee recommendation................................ 14,000,000
The Committee recommends $14,000,000 for RRB Office of the
Inspector General. This Office conducts audits and
investigations to protect the integrity of the RRB trust funds
and provides comprehensive oversight of all RRB operations and
programs.
Social Security Administration
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS
Appropriations, 2024.................................... $10,000,000
Budget estimate, 2025................................... 15,000,000
Committee recommendation................................ 15,000,000
The Committee recommends $15,000,000 in mandatory funds for
payments to Social Security trust funds. This account
reimburses the Old Age and Survivors Insurance [OASI] and
Disability Insurance [DI] trust funds for special payments to
certain uninsured persons, costs incurred administering pension
reform activities, and the value of the interest for benefit
checks issued but not negotiated. This appropriation restores
the trust funds to the same financial position they would have
been in had they not borne these costs and they were properly
charged to general revenues.
SUPPLEMENTAL SECURITY INCOME PROGRAM
Appropriations, 2024.................................... $45,365,042,000
Budget estimate, 2025................................... 46,555,635,000
Committee recommendation................................ 46,388,833,000
The Committee recommends $46,388,833,000 in fiscal year
2025 mandatory funds for the SSI program. This is in addition
to the $21,700,000,000 provided in the fiscal year 2024
appropriations act for the first quarter of fiscal year 2025.
In addition, the Committee recommends $22,100,000,000 in
advance funding for the first quarter of fiscal year 2026. The
SSI program guarantees a minimum level of income to individuals
who are disabled, blind, or older than age 65, and meet certain
income and resource limitations.
Federal Benefit Payments
The Committee recommendation includes a fiscal year 2025
program level of $63,108,000,000 for Federal benefit payments.
Beneficiary Services
The Committee recommendation includes $144,000,000 in new
mandatory budget authority for beneficiary services.
These funds reimburse vocational rehabilitation [VR]
agencies for successfully rehabilitating disabled SSI
recipients by helping them achieve and sustain productive,
self-supporting work activity. Funds also support the Ticket to
Work program that provides SSI recipients with a ticket to
offer employment networks [ENs], including VR agencies, in
exchange for employment and support services. Instead of
reimbursing ENs for specific services, the Ticket to Work
program pays ENs based on recipients achieving certain
milestones and outcomes.
Research and Demonstration
The Committee recommendation includes $91,000,000 in
mandatory funds for research and demonstration projects
conducted under sections 1110, 1115, and 1144 of the Social
Security Act (Public Law 74-271), as amended. These funds
support a variety of research and demonstration projects
designed to improve the disability process, promote self-
sufficiency and assist individuals in returning to work,
encourage savings and retirement planning through financial
literacy, and generally provide analytical and data resources
for use in preparing and reviewing policy proposals.
Administrative Expenses
The Committee recommendation includes $4,745,833,000 for
SSI program administrative expenses. This appropriation funds
the SSI program's share of administrative expenses incurred
through the Limitation on Administrative Expenses [LAE]
account.
LIMITATION ON ADMINISTRATIVE EXPENSES
Appropriations, 2024.................................... $14,225,978,000
Budget estimate, 2025................................... 15,400,924,000
Committee recommendation................................ 14,734,978,000
This account provides resources for SSA to administer the
OASI, DI, and SSI programs, and to support CMS in administering
the Medicare program. The LAE account is funded by the Social
Security and Medicare trust funds for their share of
administrative expenses, the general fund for the SSI program's
share of administrative expenses, and applicable user fees.
These funds support core administrative activities including
processing retirement and disability claims, conducting
hearings to review disability determination appeals, issuing
Social Security numbers and cards, processing individuals'
annual earnings information, and ensuring the integrity of
Social Security programs through continuing disability reviews
[CDR] and SSI redeterminations of non-medical eligibility.
The Committee recommendation includes $1,903,000,000 for
program integrity activities, including CDRs, SSI
redeterminations of non-medical eligibility, and Cooperative
Disability Investigations units. This includes $273,000,000 in
base funding and $1,630,000,000 in cap adjustment funding, as
authorized and specified in the Fiscal Responsibility Act of
2023.
The Committee recommendation also includes up to
$171,000,000 for administrative activities funded from user
fees. This includes up to $170,000,000 in fees collected from
States that request SSA to administer State SSI supplementary
payments and up to $1,000,000 from fees collected from non-
attorney claimant representatives.
The Committee recommendation also includes not less than
$2,993,000 for the Social Security Advisory Board. This board
advises the Commissioner of Social Security and makes
recommendations to Congress and the President on policies
relating to the OASI, DI, and SSI programs.
Cooperative Disability Investigations [CDI].--The Committee
directs SSA to provide an update in its fiscal year 2026 CJ on
CDI units, including updates on the program's projected savings
to SSA's disability programs, total recovery amounts, and
projected savings to other Federal and State programs. Such
updates shall also include suggestions regarding other ways
Federal and State agencies may partner on anti-fraud
initiatives with respect to Social Security programs.
Disability Claims Backlogs.--The Committee recognizes that
disability claim and reconsideration processing times have been
increasing in recent years. To ensure that disability claims
are processed in a timely and efficient manner, the Committee
continues to direct SSA to prioritize funding, to the greatest
extent possible, toward reducing the initial disability claims
backlog and other disability benefit workloads, including by
directing resources and workload assistance to areas with the
greatest need. The Committee continues to direct SSA to provide
monthly reports to the Committee on key agency performance
metrics, including but not limited to initial disability
claims, reconsiderations, and hearings.
IT Modernization Procurement Policies.--In the Office of
Management and Budget's [OMB], Managing Information as a
Strategic Resource, Circular No. A-130, OMB requires that
agency information technology [IT] investments ``implement an
Agile development approach, as appropriate.'' According to the
SSA's OIG report titled ``Agile Software Development at the
Social Security Administration'', SSA is not using Agile best
practices consistently across all its software development
projects. In the analysis, OIG identified instances in which
SSA did not follow key Agile development best practices related
to delivery of planned work; appropriate development of system
requirements, capabilities, and features; size and composition
of Agile development teams; definition of team policies and
other basic practices; lessons learned; human-centered design
practices; testing; and peer reviews. The Committee recommends
SSA work with General Services Administration on future IT
Modernization projects.
Outreach to People with Disabilities and Experiencing
Homelessness.--The Committee strongly encourages SSA to expand
outreach to potential beneficiaries, prioritizing underserved
communities and individuals most likely to need support,
including those experiencing homelessness. The Committee
encourages SSA to leverage its existing Federal and State
relationships to identify individuals who may be eligible for
the SSI and SSDI programs. The Committee directs SSA to include
information in its fiscal year 2026 CJ on such efforts.
Reducing Submission of Physical Documentation.--Pursuant to
Executive Order 14058, Transforming Federal Customer Experience
and Service Delivery to Rebuild Trust in Government, SSA is
directed to identify ``potential opportunities for policy
reforms that can support modernized customer experiences while
ensuring original or physical documentation requirements remain
where there is a statutory or strong policy rationale.'' SSA
was also directed to ``develop a mobile-accessible, online
process so that any individual applying for or receiving
services from the Social Security Administration can upload
forms, documentation, evidence, or correspondence associated
with their transaction without the need for service-specific
tools or traveling to a field office.'' The Committee looks
forward to receiving the report requested under this heading in
Senate Report 118-84.
Staffing Plan.--The Committee notes the importance of
ensuring SSA has the necessary workforce to operate efficiently
and provide high-quality service to program beneficiaries. The
Committee requests SSA continue to provide a quarterly staffing
report detailing FTEs and new hires by component. These reports
shall include the total number of new hires, departed
employees, net change in FTEs, and funds obligated and expended
on new hires, broken down by programmatic area. These reports
should also include a written hiring plan detailing SSA's
strategy to enhance its recruitment and retention, its
implementation of the strategy, and recommended administrative
and legislative actions to enhance the agency's recruitment and
retention.
Supplemental Security Income Application Simplification.--
The complexity of the SSI program and the application process,
compounded by long wait times in the field offices and on the
National 800 number, can make it difficult for individuals to
apply for benefits. This is an even bigger challenge given the
individuals relying on SSI, including those experiencing
homelessness, diagnosed with a terminal illness, and disabled
veterans. It is also one of SSA's most resource intensive and
time-consuming workloads that contributes to SSA's overall
service delivery challenges and funding needs. The Committee
strongly encourages SSA to prioritize simplifying the SSI
application and making it available online. As many components
of the SSI application are required by statute, simplification
may require legislative changes. The Committee looks forward to
receiving the report requested under this heading in Senate
Report 118-84.
Improving Effectuation of Disability Benefits.--The Social
Security Advisory Board published a report, ``Effectuation of
Disability Benefits,'' which examined the agency's effectuation
process, focusing on SSDI and SSI awards. The report found
significant variance in processing time based on the type of
benefit and the stage in which the claim was awarded. The
Committee directs SSA to submit a report to the Committees, the
House Committee on Ways and Means, and the Senate Committee on
Finance within 180 days regarding proposed changes to improve
the speed and accuracy of effectuation.
Beneficiary Information on Claims Timing.--The Committee is
concerned many retiring beneficiaries make their claiming
decision without a full understanding of the financial
implications of benefit reductions for early retirement or
delayed retirement credits. The Committee requests a report in
the fiscal year 2026 CJ describing SSA's protocols, operating
procedures, and informational materials (including
nomenclature) used to inform retiring beneficiaries of how
changes in their claiming date may affect their monthly benefit
after claiming. Such report shall also include changes to such
protocols, procedures, materials, and nomenclature SSA has
considered using to help beneficiaries make more informed
decisions regarding the timing of their retirement claim and
improve the public's understanding of the effect of different
claiming strategies.
Ticket to Work Improvements.--The Committee recognizes that
the Ticket to Work program may be underutilized and can provide
important resources for individuals looking to return to work.
The Committee encourages SSA to work to identify ways to
improve the program's effectiveness through existing and
relevant statutory authorities.
Modernization of Production of Notices.--The Committee
supports SSA's efforts to modernize its systems, which produce
18-20 million Social Security cards annually and 12 million
notices per year. As the agency moves forward these efforts,
the Committee encourages SSA to leverage existing commercial
off-the-shelf technology and techniques, including color, when
appropriate to improve the readability of important notices, as
well as improve accessibility and service, increase security,
reduce costs, and increase redundancy and efficiency. The
Committee directs SSA to provide information in the 2026 CJ
regarding SSA's modernization strategy, and how the agency is
looking to take advantage of modern technology and design
techniques to improve readability, accessibility, and service
to beneficiaries and reduce costs to taxpayers.
IT Activities.--The Committee directs SSA to provide a
report to the Committee, within 90 days of enactment of this
act, detailing the number and amount of contracts, grants, and
cooperative agreements awarded for the purpose of maintaining,
expanding, and/or modernizing/enhancing its information
technology capabilities and infrastructure. Such report shall
include, at a minimum, the name of the contractor or grantee,
the amount of funding, the contract duration, the governmental
purpose, and the programmatic area(s) within SSA's IT portfolio
(as described on Table 3.26-Appendix A of the fiscal year 2025
CJ) the contract serves.
Rural and Frontier Service Delivery.--The Committee is
concerned that senior citizens and Americans with disabilities
in rural and frontier areas of the Nation are unable to access
in-person Social Security services and that access by phone or
videoconference is limited. The Committee strongly urges SSA to
evaluate its service delivery options in rural and frontier
areas and, when feasible, implement expanded access to options
that have been most effective for residents of these areas to
ensure that SSA is able to provide timely assistance, whether
in-person, by phone, or by videoconference.
Survivor Benefits Processing.--The Committee notes the
importance of ensuring that timely, quality beneficiary
services are rendered to current and prospective recipients of
survivors benefits. The Committee emphasizes that, as with
other types of Social Security benefits, the timing of claiming
and associated services can be critical for the livelihood of
survivors, especially child beneficiaries.
Vocational Guidelines.--The Committee is aware that
implementation of the Occupational Information System [OIS]
project, which aims to bring the vocational list used in
disability determinations in line with current job
opportunities, is ongoing. The Committee notes that SSA has
obligated and expended significant resources and time on this
project to-date. Therefore, the Committee directs SSA, within
90 days of enactment of this act, to provide a briefing to the
Committees on Appropriations and Finance of the Senate and the
Committees on Appropriations and Ways and Means of the House of
Representatives regarding SSA's status in making these changes
to occupational data, completed actions to-date, and planned
actions for this project over the coming fiscal year.
Work Incentives Planning and Assistance [WIPA] and
Protection and Advocacy for Beneficiaries of Social Security
[PABSS].--The Committee recommendation includes $23,000,000 for
WIPA and $10,000,000 for PABSS, the same as the comparable
fiscal year 2024 levels, respectively. These programs provide
valuable services to help Social Security disability
beneficiaries return to work. The Committee notes that delayed
suitability determinations have in some cases significantly
affected the ability of PABSS grantees to carry out their
mission to protect the rights and best interests of individuals
with disabilities.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2024.................................... $114,665,000
Budget estimate, 2025................................... 121,254,000
Committee recommendation................................ 114,665,000
The Committee recommends $114,665,000 for SSA's OIG. This
includes $82,665,000 funded from the OASI and DI trust funds
for those programs' share of OIG's expenses and $32,000,000
funded from general revenues for the SSI program's share of
expenses.
Combating Social Security Impersonation Scams.--The
Committee continues to commend the work that SSA OIG has done
to combat Social Security impersonation scams. The Committee
again encourages SSA OIG to prioritize work with SSA to
increase awareness of this scam and to pursue the criminals
perpetrating this fraud.
TITLE V
GENERAL PROVISIONS
Section 501. The bill continues a provision authorizing
transfers of unexpended balances.
Section 502. The bill continues a provision limiting
funding to 1-year availability unless otherwise specified.
Section 503. The bill continues a provision limiting
lobbying and related activities.
Section 504. The bill modifies a provision limiting
official representation expenses.
Section 505. The bill continues a provision clarifying the
requirement to identify Federal funding made available in this
act as a component of State and local grant funds in all public
materials related to such funds.
Sections 506 and 507. The bill continues provisions
limiting the use of funds for abortions.
Section. 508. The bill continues a provision restricting
human embryo research.
Section 509. The bill continues a provision limiting the
use of funds for promotion of legalization of controlled
substances.
Section 510. The bill continues a provision prohibiting the
use of funds to promulgate regulations regarding the individual
health identifier.
Section 511. The bill continues a provision limiting the
use of funds to enter into or review contracts with entities
subject to the requirement in section 4212(d) of title 38,
United States Code, if the report required by that section has
not been submitted.
Section 512. The bill continues a provision prohibiting the
transfer of funds made available in this act to any department,
agency, or instrumentality of the U.S. Government, except as
otherwise provided by this or any other act.
Section 513. The bill continues a provision prohibiting
Federal funding in this act for libraries unless they are in
compliance with the Children's Internet Protection Act (Public
Law 106-554).
Section 514. The bill continues a provision maintaining a
procedure for reprogramming of funds.
Section 515. The bill continues a provision prohibiting
candidates for scientific advisory committees from having to
disclose their political activities.
Section 516. The bill continues a provision requiring each
department and related agency to submit an operating plan.
Section 517. The bill continues a provision requiring the
Secretaries of Labor, Health and Human Services, and Education
to submit a report on the number and amounts of contracts,
grants, and cooperative agreements awarded by the Departments
on a noncompetitive basis.
Section 518. The bill continues a provision prohibiting SSA
from processing earnings for work performed under a fraudulent
social security number if based on a conviction for a violation
under section 208(a)(6) or (7) of the Social Security Act
(Public Law 74-271).
Section 519. The bill continues a provision prohibiting SSA
from establishing a totalization agreement with Mexico.
Section 520. The bill continues a provision requiring
computer networks to block pornography.
Section 521. The bill continues a provision related to
reporting requirements for conference spending.
Section 522. The bill continues a provision related to
advertisement costs.
Section 523. The bill modifies a provision on Performance
Partnerships.
Section 524. The bill continues a provision regarding
reporting status of balances of appropriations.
Section 525. The bill continues a provision on grant
notifications.
Section 526. The bill continues a provision regarding
funding for programs that carry out distribution of sterile
needles or syringes.
Section 527. The bill continues a provision requiring
questions for the record be submitted within 45 days of
receipt.
Section 528. The bill includes a new provision providing an
additional $5,000,000 available for obligation through
September 30, 2029 solely for costs necessary to modernize
NLRB's outdated case management system and information
technology [IT] infrastructure that are negatively affecting
case-handling efficiency and exposing increased cybersecurity
risks. The NLRB is directed to report annually on the spending
of these IT modernization funds and progress toward upgrading
its case management system.
Section 529. The bill modifies a provision rescinding funds
from the Children's Health Insurance Program child enrollment
contingency fund.
Sections 530. The bill includes a provision rescinding
funds from the Children's Insurance Program.
Section 531. The bill includes a provision rescinding funds
from section 2401 of the American Rescue Plan Act of 2021
(Public Law 117-2).
Section 532. The bill continues a provision related to
research and evaluation funding flexibility.
Section 533. The bill includes a new provision regarding
amounts available in this act designated as an emergency
requirement.
COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE STANDING RULES OF THE
SENATE
Paragraph 7 of rule XVI requires that Committee reports on
general appropriations bills identify each Committee amendment
to the House bill ``which proposes an item of appropriation
which is not made to carry out the provisions of an existing
law, a treaty stipulation, or an act or resolution previously
passed by the Senate during that session.''
The Committee is filing an original bill, which is not
covered under this rule, but reports this information in the
spirit of full disclosure.
The Committee recommends funding for the following programs
and activities which currently lack authorization: Workforce
Innovation and Opportunity Act programs; Trade Adjustment
Assistance; School-Based Health Centers; Nurse Education Loan
Repayment; Education and Training Related to Geriatrics; Mental
and Behavioral Health Training; Children's Hospital Graduate
Medical Education; Title XVII of the PHS Act; Ryan White CARE
Act; Ending the HIV Epidemic; Universal Newborn Hearing
Screening; Organ Transplantation; Family Planning; Rural Health
programs; Traumatic Brain Injury programs; Autism
Collaboration, Accountability, Research, Education, and Support
Act; Public Health Improvement Act; Firefighter Cancer Registry
Act of 2018; Cybersecurity and National Security programs;
Healthy Start; Telehealth; Health Professions Education
Partnership Act; Children's Health Act; Women's Health Research
and Prevention Amendments of 1998; Birth Defects Prevention,
Preventive Health Amendments of 1993; Research on Health Costs,
Quality, and Outcomes; Substance Use and Mental Health Services
programs; Protection and Advocacy for Individuals with Mental
Illness; State Opioid Response Grants; Low Income Home Energy
Assistance Program; Refugee and Entrant Assistance programs;
Child Care and Development Block Grant; Children and Families
Services Programs; Head Start; Preschool Development Grants;
Runaway and Homeless Youth programs; Adoption and Legal
Guardianship Incentive Payments; CAPTA programs; Family
Violence programs; National Domestic Violence Hotline; Child
Welfare Services; Developmental Disabilities programs; Voting
Access for Individuals with Disabilities; Native American
Programs; Community Services Block Grant Act programs; National
Institutes of Health; Assets for Independence; Alzheimer's
Disease Demonstration Grants; Office of Disease Prevention and
Health Promotion; Assistive Technology Act; Elementary and
Secondary Education Act of 1965; Rehabilitation Act of 1973
programs; Helen Keller National Center Act; Education of the
Deaf Act; Adult Education and Family Literacy Act programs;
Education Sciences Reform Act; Parts C and D of the Individuals
with Disabilities Education Act; Special Olympics Sport and
Empowerment Act of 2004; Corporation for Public Broadcasting;
Corporation for National and Community Service; National
Council on Disability; Older Americans Act; Second Chance Act;
Work Incentive Planning and Assistance; and Protection and
Advocacy for Beneficiaries of Social Security.
COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE STANDING RULES OF THE
SENATE
Pursuant to paragraph 7(c) of rule XXVI, on August 1, 2024,
the Committee ordered favorably reported an original bill (S.
4942) making appropriations for the Departments of Labor,
Health and Human Services, and Education, and related agencies
for the fiscal year ending September 30, 2025, and for other
purposes, provided, that the bill be subject to amendment and
that the bill be consistent with its budget allocation, and
provided that the Chair of the Committee or her designee be
authorized to offer the substance of the original bill as a
Committee amendment in the nature of a substitute to the House
companion measure, by a recorded vote of 25-3, a quorum being
present. The vote was as follows:
Yeas Nays
Chair Murray Mr. Hagerty
Mr. Durbin Mr. Rubio
Mr. Reed Mrs. Fischer
Mr. Tester
Mrs. Shaheen
Mr. Merkley
Mr. Coons
Mr. Schatz
Ms. Baldwin
Mr. Murphy
Mr. Manchin
Mr. Van Hollen
Mr. Heinrich
Mr. Peters
Ms. Sinema
Ms. Collins
Mr. McConnell
Ms. Murkowski
Mr. Graham
Mr. Moran
Mr. Boozman
Mrs. Capito
Mr. Kennedy
Mrs. Hyde-Smith
Mrs. Britt
COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE STANDING RULES OF THE
SENATE
Paragraph 12 of rule XXVI requires that the Committee
report on a bill or joint resolution repealing or amending any
statute or part of any statute include ``(a) the text of the
statute or part thereof which is proposed to be repealed; and
(b) a comparative print of that part of the bill or joint
resolution making the amendment and of the statute or part
thereof proposed to be amended, showing by stricken-through
type and italics, parallel columns, or other appropriate
typographical devices the omissions and insertions which would
be made by the bill or joint resolution if enacted in the form
recommended by the Committee.''
In compliance with this rule, changes in existing law
proposed to be made by the bill are shown as follows: existing
law to be omitted is enclosed in black brackets; new matter is
printed in italic; and existing law in which no change is
proposed is shown in roman.
TITLE 20--EDUCATION
Chapter 28--Higher Education Resources and Student Assistance
Subchapter I--General Provisions
PART B--ADDITIONAL GENERAL PROVISIONS
Sec. 1011c. National Advisory Committee on Institutional Quality and
Integrity
(a) Establishment
* * * * * * *
(f) Termination
The Committee shall terminate on September 30, [2021] 2025.
* * * * * * *
Subchapter IV--Student Assistance
PART D--WILLIAM D. FORD FEDERAL DIRECT LOAN PROGRAM
Sec. 1087h. Funds for administrative expenses
(a) Administrative expenses
(1) Mandatory funds for fiscal year 2006
* * * * * * *
(4) Continuing mandatory funds for account maintenance fees
For each of the fiscal years 2007 through [2021] 2025,
there shall be available to the Secretary, from funds not
otherwise appropriated, funds to be obligated for account
maintenance fees payable to guaranty agencies under part B and
calculated in accordance with subsection (b).
------
TITLE 29--LABOR
Chapter 12--Department of Labor
Sec. 551. Establishment of Department; Secretary; seal
There shall be an executive department in the Government to
be called the Department of Labor, with a Secretary of Labor,
who shall be the head thereof, to be appointed by the
President, by and with the advice and consent of the Senate,
and whose tenure of office shall be like that of the heads of
the other executive departments. The provisions of title 4 of
the Revised Statutes, including all amendments thereto, shall
be applicable to said department. The purpose of the Department
of Labor shall be to foster, promote, and develop the welfare
of the wage earners of the United States, to improve their
working conditions, and to advance their opportunities for
profitable employment. The said Secretary shall cause a seal of
office to be made for the said department of such device as the
President shall approve and judicial notice shall be taken of
the said seal.
(a) In General.--The Secretary of Labor is authorized to
employ law enforcement officers or special agents to--
(1) provide protection for the Secretary of Labor
during the workday of the Secretary and during any
activity that is preliminary or postliminary to the
performance of official duties by the Secretary;
(2) provide protection, incidental to the
protection provided to the Secretary, to a member of
the immediate family of the Secretary who is
participating in an activity or event relating to the
official duties of the Secretary;
(3) provide continuous protection to the Secretary
(including during periods not described in paragraph
(1)) and to the members of the immediate family of the
Secretary if there is a unique and articulable threat
of physical harm, in accordance with guidelines
established by the Secretary; and
(4) provide protection to the Deputy Secretary of
Labor or another senior officer representing the
Secretary of Labor at a public event if there is a
unique and articulable threat of physical harm, in
accordance with guidelines established by the
Secretary.
(b) Authorities.--The Secretary of Labor may authorize a
law enforcement officer or special agent employed under
subsection (a), for the purpose of performing the duties
authorized under subsection (a), to--
(1) carry firearms;
(2) make arrests without a warrant for any offense
against the United States committed in the presence of
such officer or special agent;
(3) perform protective intelligence work, including
identifying and mitigating potential threats and
conducting advance work to review security matters
relating to sites and events;
(4) coordinate with local law enforcement agencies;
and
(5) initiate criminal and other investigations into
potential threats to the security of the Secretary, in
coordination with the Inspector General of the
Department of Labor.
(c) Compliance With Guidelines.--A law enforcement officer
or special agent employed under subsection (a) shall exercise
any authority provided under this section in accordance with
any--
(1) guidelines issued by the Attorney General; and
(2) guidelines prescribed by the Secretary of
Labor.
------
NATIONAL AND COMMUNITY SERVICE ACT OF 1990, PUBLIC LAW 101-610
TITLE I--NATIONAL AND COMMUNITY SERVICE STATE GRANT PROGRAM
Subtitle D--National Service Trust and Provision of Educational Awards
SEC. 148. DISBURSEMENT OF EDUCATIONAL AWARDS.
(a) In General.--
* * * * * * *
(f) Transfer of Educational Awards.--
(1) In general.-- * * *
(2) Conditions for transfer.--An educational award
may be transferred under this subsection if--
(A)(i) the award is a national service
educational award for service in [a national
service program that receives a grant under
subtitle C] an approved national service
position; and
------
CONSOLIDATED APPROPRIATIONS ACT, 2014,
PUBLIC LAW 113-76
DIVISION H--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND
EDUCATION, AND RELATED AGENCIES APPROPRIATIONS ACT, 2014
TITLE V
GENERAL PROVISIONS
Sec. 526. (a) Definitions.-- * * *
* * * * * * *
(b) Use of Discretionary Funds in [Fiscal Year 2014] Fiscal
Year 2025.-- * * *
* * * * * * *
(c) Performance Partnership Agreements.--Federal agencies
may use Federal discretionary funds, as authorized in
subsection (b), to participate in a Performance Partnership
Pilot only in accordance with the terms of a Performance
Partnership Agreement that--
(1) is entered into between--
* * * * * * *
(2) specifies, at a minimum, the following
information: (A) the length of the Agreement (which
shall not extend beyond [September 30, 2018] September
30, 2029);
* * * * * * *
(e) Transfer Authority.--For the purpose of carrying out
the Pilot in accordance with the Performance Partnership
Agreement, and subject to the written approval of the Director
of the Office of Management and Budget, the head of each
participating Federal agency may transfer Federal discretionary
funds that are being used in the Pilot to an account of the
lead Federal administering agency that includes Federal
discretionary funds that are being used in the Pilot. Subject
to the waiver authority under subsection (f), such transferred
funds shall remain available for the same purposes for which
such funds were originally appropriated: Provided, That such
transferred funds shall remain available for obligation by the
Federal Government until the expiration of the period of
availability for those Federal discretionary funds (which are
being used in the Pilot) that have the longest period of
availability, except that any such transferred funds shall not
remain available beyond [September 30, 2018] September 30,
2029.
------
FURTHER CONSOLIDATED APPROPRIATIONS ACT, 2024, PUBLIC LAW 118-47
DIVISION C--DEPARTMENT OF HOMELAND SECURITY APPROPRIATIONS ACT, 2024
TITLE V
GENERAL PROVISIONS
Sec. 547. Notwithstanding the amounts made available for
vocational rehabilitation services pursuant to title I of the
Rehabilitation Act in ``Department of Education--Rehabilitation
Services'' in division D of this Act and notwithstanding
sections 100(b)(1) and 100(c)(2) of the Rehabilitation Act,
each State shall be entitled to an allotment equal to the
amount such State received pursuant to section 110(a) of the
Rehabilitation Act for the fiscal year ending September 30,
2023, prior to any additions or reductions under section 110(b)
or section 111(a)(2)(B): Provided, That, of such amounts made
available under the heading ``Department of Education--
Rehabilitation Services'' in division D of this Act,
$286,791,761 is hereby rescinded: [Provided further, That, for
fiscal year 2025, each State shall be entitled to an allotment
pursuant to section 110(b) of the Rehabilitation Act that shall
be calculated as if this section were not in effect in fiscal
year 2024.] Provided further, That, for fiscal year 2025, each
State shall be entitled to an allotment pursuant to section
110(a) of the Rehabilitation Act that shall be calculated as if
the percentage change in the Consumer Price Index determined
under section 100(c) of such Act was not used to set the amount
of the appropriation in fiscal year 2024.
------
BUDGETARY IMPACT OF BILL
PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 308(A), PUBLIC LAW 93-344, AS
AMENDED
[In millions of dollars]
----------------------------------------------------------------------------------------------------------------
Budget authority Outlays
---------------------------------------------------
Committee Amount in Committee Amount in
allocation bill allocation bill
----------------------------------------------------------------------------------------------------------------
Comparison of amounts in the bill with the subcommittee
allocation for 2025: Subcommittee on Labor, HHS, Education,
and Related Agencies:
Mandatory............................................... 1,150,142 1,150,142 1,148,619 \1\1,148,61
9
Discretionary........................................... 198,655 198,655 250,586 \1\240,215
Defense............................................. ........... ........... NA NA
Non-defense......................................... 198,655 198,655 NA NA
Projection of outlays associated with the recommendation:
2025.................................................... ........... ........... ........... \2\1,260,15
8
2026.................................................... ........... ........... ........... 117,056
2027.................................................... ........... ........... ........... 37,795
2028.................................................... ........... ........... ........... 7,139
2029 and future years................................... ........... ........... ........... 1,563
Financial assistance to State and local governments for NA 469,750 NA \2\639,571
2025.......................................................
----------------------------------------------------------------------------------------------------------------
\1\Includes outlays from prior-year budget authority.
\2\Excludes outlays from prior-year budget authority.
NA: Not applicable.
NOTE.--Consistent with the funding recommended in the bill for continuing disability reviews and
redeterminations, for health care fraud and abuse control, for reemployment services and eligibility
assessments, and for emergency requirements in accordance with subparagraphs (B), (C), (E), and (A)(i) of the
Balanced Budget and Emergency Deficit Control Act of 1985, the Committee anticipates that the Budget Committee
will provide, at the appropriate time, a 302(a) allocation for the Committee on Appropriations reflecting a
net upward adjustment of $9,531,000,000 in budget authority plus the associated outlays. Pursuant to section
1001(b)(3)(B) of the 21st Century Cures Act (Public Law 114-255), $127,000,000 in budget authority and the
resulting outlays do not count for the purposes of estimates under the Congressional Budget and Impoundment
Control Act of 1974 or the Balanced Budget and Emergency Deficit Control Act of 1985.
DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING ITEMS
The Constitution vests in the Congress the power of the
purse. The Committee believes strongly that Congress should
make the decisions on how to allocate the people's money. As
defined in Rule XLIV of the Standing Rules of the Senate, the
term ``congressionally directed spending item'' means a
provision or report language included primarily at the request
of a Senator, providing, authorizing, or recommending a
specific amount of discretionary budget authority, credit
authority, or other spending authority for a contract, loan,
loan guarantee, grant, loan authority, or other expenditure
with or to an entity, or targeted to a specific State, locality
or congressional district, other than through a statutory or
administrative, formula-driven, or competitive award process.
For each item, a Member is required to provide a
certification that neither the Member nor the Member's
immediate family has a pecuniary interest in such
congressionally directed spending item. Such certifications are
available to the public on the website of the Senate Committee
on Appropriations (https://www.appropriations.senate.gov/
congressionally-directed-spending-requests). Following is a
list of congressionally directed spending items included in the
Senate recommendation discussed in this explanatory statement,
along with the name of each Senator who submitted a request to
the Committee of jurisdiction for each item so identified.
Neither the Committee recommendation nor this report contains
any limited tax benefits or limited tariff benefits as defined
in rule XLIV.
CONGRESSIONALLY DIRECTED SPENDING ITEMS
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department Account Project Amount Requestor(s)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Akron Metropolitan Housing Authority (AMHA), OH, 1,563,000 Brown
Administration. for expanding workforce training and providing
supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Alaska Joint Electrical Apprenticeship & Training 1,000,000 Murkowski
Administration. Trust, AK, for the purchase of equipment and
supplies for workforce training programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Alaska Primary Care Association, AK, for a 1,722,000 Murkowski
Administration. workforce development program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training AltaMed Health Services Corporation, CA, for 995,000 Butler, Padilla
Administration. healthcare workforce training, which may include
tuition and fees and purchasing equipment and
training materials.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Androscoggin Home Health Services Inc DBA 192,000 Collins
Administration. Androscoggin Home Healthcare & Hospice, ME, for
a nurse practitioner fellowship program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Applied Behavioral Rehabilitation Institute, 120,000 Blumenthal, Murphy
Administration. Inc., CT, for workforce development programming,
including supportive services for veterans.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Arouet Foundation, AZ, for a reentry workforce 600,000 Sinema
Administration. program, including for the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training ASI, Inc., IL, for providing employment and 750,000 Durbin
Administration. training services, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Baltimore Alliance for Careers in Healthcare, MD, 579,000 Cardin, Van Hollen
Administration. for an apprenticeship program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Bay Consortium Workforce Development Board, VA, 319,000 Kaine, Warner
Administration. for improving education and workforce training,
which may include the purchase of technology and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Blackstone Valley Community Action Program, Inc. 110,000 Reed
Administration. (BVCAP), RI, for improving job training services
at a career development center.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training CASA, Inc., MD, for expanding workforce training, 1,000,000 Cardin, Van Hollen
Administration. including the purchase of equipment and
materials.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training CCARC, Inc., CT, for supporting a manufacturing 189,000 Blumenthal, Murphy
Administration. internship program and workforce development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Cecil College, MD, for improving commercial truck 109,000 Cardin, Van Hollen
Administration. driver workforce training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Central Council Tlingit & Haida Indian Tribes of 1,000,000 Murkowski
Administration. Alaska, AK, for pre-apprenticeship programs,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Central Minnesota Jobs and Training Services, 445,000 Klobuchar, Smith
Administration. Inc., MN, for workforce development programs,
which may include purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Central Washington University, WA, for education 1,700,000 Murray
Administration. and workforce training opportunities for
students, which may include stipends and tuition
payments.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training City and County of Denver, CO, for supporting a 1,000,000 Bennet, Hickenlooper
Administration. youth work-based learning program, including
wages for participants and supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training City of Detroit, MI, for summer workforce 2,000,000 Peters, Stabenow
Administration. development for youth, including wages for youth
participants.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training City of New Haven, CT, for a career learning 2,500,000 Blumenthal, Murphy
Administration. center, which may include the purchase of
equipment and lab materials.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Cloud County Community College, KS, for the 800,000 Moran
Administration. purchase of equipment and supplies for workforce
training programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training College of Southern Maryland, MD, for education 732,000 Cardin, Van Hollen
Administration. and training in water and wastewater treatment
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Columbus Urban League, OH, for improving 398,000 Brown
Administration. workforce training opportunities, including the
purchase of technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Community Forgiveness and Restoration Initiative, 250,000 Casey
Administration. PA, for expanding workforce development
opportunities and career services, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training CT Puerto Rican Forum dba Center for Latino 1,184,000 Blumenthal, Murphy
Administration. Progress, CT, for workforce development
programming, including the purchase of equipment
and stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training DAY ONE Early Learning Community, Inc., NY, for 1,500,000 Gillibrand, Schumer
Administration. establishing a teacher apprenticeship program,
including rental costs and purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Delaware County Community College, PA, for 500,000 Casey, Fetterman
Administration. workforce training, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Delaware Workforce Development Board, DE, for 10,000,000 Carper
Administration. expanding workforce development opportunities,
including work-based learning opportunities,
internships, and career navigation opportunities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Dover Adult Learning Center, NH, for healthcare 100,000 Shaheen
Administration. workforce training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Drink at the Well, Inc., MD, for expanding 190,000 Cardin, Van Hollen
Administration. workforce development programming and providing
wrap around services, including child care.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Early Childhood Center of Excellence at Santa Fe 201,000 Heinrich
Administration. Community College, NM, for expanding
apprenticeships and pre-apprenticeships,
including providing stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Educate Maine, ME, for the purchase of career and 4,000,000 Collins, King
Administration. technical education equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Elliot Health System, NH, for expanding workforce 460,000 Shaheen
Administration. training, which may include providing
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Forest Workforce Training Institute, AL, for a 1,320,000 Britt
Administration. forest workforce training program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Forge City Works, CT, for a culinary job training 500,000 Blumenthal, Murphy
Administration. program, which may include supportive services,
purchasing equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Generation West Virginia, WV, for a youth 891,000 Capito, Manchin
Administration. workforce training program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Global Refuge, MD, for expanding workforce 300,000 Cardin, Van Hollen
Administration. development programming, including supportive
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Goodwill Industries of Kanawha Valley, WV, for 425,000 Capito, Manchin
Administration. mobile workforce development services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Goodwill Industries of the Valleys, VA, for 2,100,000 Kaine, Warner
Administration. education and workforce training, which may
include the purchase of classroom supplies and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Greater Lake City Alliance, SC, for a workforce 983,000 Graham
Administration. training program, including the purchase of
equipment and curriculum.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Habitat for Humanity of Greater Providence & East 500,000 Reed, Whitehouse
Administration. Bay, RI, for a workforce development program in
the construction industry, which may include
financial aid, stipends, and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Hanley Center for Health Leadership and Education 1,000,000 Collins, King
Administration. DBA Maine Medical Education Trust, ME, for a
certified nursing assistant training program,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Health Tech Alley, MD, for expanding workforce 300,000 Cardin, Van Hollen
Administration. training and apprenticeships, including
supportive services and stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Hispanic Federation, Inc., NY, for workforce 620,000 Schumer
Administration. development, which may include technology,
supplies, and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training International Brotherhood of Electrical Workers, 347,000 Gillibrand, Schumer
Administration. Local Union 43, NY, for an apprenticeship
program, including the purchase of equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training International Institute of New England, NH, for 250,000 Shaheen
Administration. expanding workforce training and services to
refugees and immigrants, which may include
purchase of equipment and a van.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training JEVS Human Services, PA, for healthcare workforce 331,000 Fetterman
Administration. training, including purchasing supplies and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Johnstown Area Regional Industries (JARI), PA, 300,000 Casey
Administration. for expanding a workforce training program,
which may include providing stipends and
purchasing technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Joint Iron Workers Apprenticeship aka Iron 505,000 Brown
Administration. Workers Local 17 Training Fund, OH, for
expanding apprenticeship and pre-apprenticeship
training, including the purchase of equipment,
apprentice tool kits, and rental costs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training KNOX, Inc., CT, for a green jobs apprenticeship 231,000 Blumenthal, Murphy
Administration. program, which may include stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Lincoln University of Pennsylvania, PA, for 1,000,000 Casey, Fetterman
Administration. creating a career training program, including
the purchase of equipment and rental fees.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Literacy Council of Northern Virginia, dba 1,150,000 Kaine, Warner
Administration. English Empowerment Center, VA, for adult
education and training, including for the
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Literacy Pittsburgh, PA, for workforce training 462,000 Fetterman
Administration. and career development programs, including for
purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Local 412 Outreach and Education Foundation, NM, 870,000 Heinrich
Administration. for expanding workforce training, including the
purchase of equipment and classroom supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Local Initiatives Support Corporation, OH, for 700,000 Brown
Administration. expanding workforce training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Lomakatsi Restoration Project, OR, for an inter- 1,300,000 Merkley, Wyden
Administration. tribal forestry workforce training program,
which may include the purchase of equipment and
tools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Los Angeles Conservation Corps, CA, for a 350,000 Butler, Padilla
Administration. workforce training program for youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Lucas Metropolitan Housing, OH, for 500,000 Brown
Administration. apprenticeship programming, including the
purchase of work tools and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Massachusetts Down Syndrome Congress, Inc., MA, 723,000 Markey, Warren
Administration. for workforce training, including equipment and
participant stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Maui Arts & Cultural Center, HI, for workforce 1,050,000 Hirono, Schatz
Administration. development, including technology and rental
expenses.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Mesalands Community College, NM, for improving 4,000,000 Heinrich
Administration. energy workforce training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Mid-Atlantic States Career and Education Center, 137,000 Booker
Administration. NJ, for improving workforce training, including
the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Ministers Conference Empowerment Center CDC, 600,000 Cardin, Van Hollen
Administration. Inc., MD, for expanding education and workforce
training, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Mississippi Coding Academies, MS, for a STEM 750,000 Hyde-Smith
Administration. program, including equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Mississippi State University, MS, to support 5,500,000 Hyde-Smith, Wicker
Administration. manufacturing workforce training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Mixed Magic Theatre & Cultural Events, RI, for a 100,000 Reed, Whitehouse
Administration. workforce training program, including providing
stipends and purchasing supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Mobile Area Education Foundation, AL, for a youth 1,250,000 Britt
Administration. workforce training program, including tuition.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Moraine Park Technical College, WI, for improving 1,149,000 Baldwin
Administration. education and workforce training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training National Forest Foundation--New Mexico, NM, for 500,000 Lujan
Administration. supporting workforce training and a conservation
corps, which may include the purchase of
equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training New Mexico Department of Workforce Solutions, NM, 200,000 Heinrich, Lujan
Administration. for supporting apprenticeships and pre-
apprenticeships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training New Mexico Reentry Center, NM, for providing job 1,517,000 Heinrich
Administration. training programs, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Newport Community School, RI, for workforce 125,000 Reed
Administration. training, including purchasing equipment and
supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training North Country Home Health & Hospice Agency, Inc., 165,000 Shaheen
Administration. NH, for workforce training in palliative care,
including purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Northwest Regional Workforce Investment Board, 370,000 Blumenthal, Murphy
Administration. CT, for a re-entry job training program, which
may include providing supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training NPower, OH, for providing workforce training, 500,000 Brown
Administration. including purchasing technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Nudlaghi Leadership Institute, AK, for a youth 100,000 Murkowski
Administration. workforce development camp, including
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training PIVOT, Inc., MD, for expanding workforce training 350,000 Cardin, Van Hollen
Administration. for justice-involved individuals.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Plattsburgh-North Country Chamber of Commerce, 270,000 Gillibrand, Schumer
Administration. NY, for workforce training, including the
purchase of equipment, technology, and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training PMichael Boone Foundation, PA, for providing 200,000 Casey
Administration. workforce training, which may include the
purchase of equipment, student financial aid,
and other supports.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Polytech Adult Education, DE, for expanding 2,024,000 Carper, Coons
Administration. workforce training, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Preservation Maryland, MD, for expanding 970,000 Cardin, Van Hollen
Administration. workforce development opportunities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Prince George's Community College, MD, for pre- 619,000 Cardin, Van Hollen
Administration. apprenticeships and workforce training,
including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Progreso Latino, Inc., RI, for adult education... 150,000 Reed, Whitehouse
Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Renewable Energy Alaska Project, AK, for a 730,000 Murkowski
Administration. workforce training program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Rhode Island Manufacturing Institute DBA We Make 480,000 Reed
Administration. RI, RI, for job training and employment
placement services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Riverzedge Arts Project, Inc., RI, for a job 100,000 Reed
Administration. training program, including purchasing equipment
and wages.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Rural Alaska Community Action Program, Inc., AK, 3,000,000 Murkowski
Administration. for a workforce training program, including
curriculum development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training San Juan College, NM, for supporting workforce 1,000,000 Lujan
Administration. training for commercial drivers, which may
include the purchase of vehicles for training
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training San Juan College, NM, for workforce training, 85,000 Heinrich
Administration. including the purchase of equipment to improve
training opportunities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Sealaska Heritage Institute, AK, for a cultural 500,000 Murkowski
Administration. workforce development program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training SMART Local Union No. 49 JATC, NM, for expanding 1,200,000 Heinrich
Administration. apprenticeship programs, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Somerset County Technology Center, PA, for 250,000 Casey
Administration. expanding an aeronautics and welding workforce
training program, including stipends, tuition
assistance, and the purchase of technician tools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training South Central Workforce Development Board, VA, 750,000 Kaine, Warner
Administration. for improving education and workforce training
opportunities, which may include providing
stipends or financial aid tuition and the
purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Southern Virginia Higher Education Center, VA, 750,000 Kaine, Warner
Administration. for technology workforce training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Southwest Washington Workforce Development 1,000,000 Murray
Administration. Council, DBA Workforce Southwest Washington
(WSW), WA, for education and workforce
development programming, which may include
supportive services and tuition.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Southwest Wisconsin Workforce Development Board, 1,000,000 Baldwin
Administration. WI, for workforce development projects, which
may include stipends and the purchase of
equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training St. Michaels Community Center, MD, for expanding 104,000 Cardin, Van Hollen
Administration. workforce development programming and wraparound
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training State of Arizona Office of Economic Opportunity, 2,000,000 Kelly
Administration. AZ, for supporting apprenticeship programs,
which may include the purchase of equipment and
providing stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Survivor Ventures, VA, for providing workforce 405,000 Kaine, Warner
Administration. development, which may include providing
supportive services and financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Tech Goes Home Incorporated, MA, for workforce 750,000 Markey, Warren
Administration. development in digital skills and digital
literacy, which may include the purchase of
equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training The Alliance for Working Together (AWT) 250,000 Brown
Administration. Foundation, OH, for expanding workforce training
programs, including the hiring of instructors.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training The Arc Alliance, PA, for workforce training 580,000 Fetterman
Administration. activities and improving services for
individuals with disabilities, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training The Chrysalis Center, CA, for workforce training, 465,000 Butler, Padilla
Administration. which may include scholarships and other
supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training The Father Laurence (Larry) Tracy Advocacy 220,000 Schumer
Administration. Center, Inc., NY, for workforce training, which
may include stipends, equipment, and rental
costs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training The Patuxent Partnership, MD, for expanding 575,000 Cardin, Van Hollen
Administration. apprenticeship programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training The Precision Institute, DE, for expanding 1,100,000 Carper, Coons
Administration. workforce training, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training TriCounty Community Network, PA, for expanding a 250,000 Casey
Administration. college and career readiness program, including
student stipends and supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Trying Together, PA, for expanding workforce 500,000 Casey, Fetterman
Administration. training for child care workers, including
providing wraparound supports.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Twin Cities R!SE, MN, for workforce development 1,542,000 Klobuchar, Smith
Administration. in the transportation sector, which may include
purchasing equipment and tools, and providing
stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training United Mine Workers of America Career Centers, 500,000 Casey
Administration. Inc., PA, for workforce training for workers in
coal communities, which may include equipment
and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training University of Alaska Southeast, AK, for a 160,000 Murkowski
Administration. maritime workforce development program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training University of Georgia Research Foundation, GA, 301,000 Ossoff, Warnock
Administration. for agricultural education and workforce
training, which may include the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Urban League of Greater Atlanta (ULGA), GA, for 1,204,000 Ossoff
Administration. workforce development, which may include
stipends, rent, and purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Urban League of Greater Southwestern Ohio, OH, 500,000 Brown
Administration. for expanding apprenticeships and pre-
apprenticeships, including stipends and the
purchase of technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Variety the Children's Charity of the Delaware 250,000 Casey
Administration. Valley, PA, for workforce training, which may
include the purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Vehicles for Change, Inc., MD, for expanding 667,000 Cardin, Van Hollen
Administration. workforce training, including the purchase of
equipment and trainee stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Veterans Watchmaker Initiative, DE, for workforce 369,000 Coons
Administration. training for veterans, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training VIPER Transitions, AK, for a transitional 1,025,000 Murkowski
Administration. employment program for veterans.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Wide Angle Youth Media, MD, for a pre- 649,000 Cardin, Van Hollen
Administration. apprenticeship program, including supplies and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Wisconsin Registry of Interpreters for the Deaf, 500,000 Baldwin
Administration. WI, for improving education and training for
interpreters, which may include providing
scholarships and mentoring.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Work Readiness Academy, OH, for workforce 350,000 Brown
Administration. training opportunities for individuals from
underserved communities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Workforce Development Board of South Central 2,000,000 Baldwin
Administration. Wisconsin, WI, for apprenticeship support,
including apprenticeship navigators.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Workforce Solutions for North Central PA, PA, for 200,000 Casey
Administration. expanding workforce training, including the
purchase of equipment and covering tuition.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Young Women's Christian Association of O'ahu, HI, 1,051,000 Schatz
Administration. for workforce development, education, and
apprenticeships, including purchasing equipment
and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training Youngstown State University, OH, for providing 258,000 Brown
Administration. workforce training and coursework for in-demand
careers, which may include technology and
financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Labor Employment and Training YouthBuild Preparatory Academy, RI, for youth 750,000 Reed
Administration. workforce development, including purchasing
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Abraham Baldwin Agricultural College, GA, for 424,000 Warnock
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Acadia Hospital Corporation DBA Northern Light 421,000 Collins, King
Services Administration. Acadia Hospital, ME, for behavioral health
technology and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Adelante Healthcare Inc., AZ, for facilities and 2,500,000 Kelly
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services AdventHealth Shawnee Mission, KS, for facilities 100,000 Moran
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services AIDS Resource Alliance, Inc., PA, for equipment.. 375,000 Casey, Fetterman
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Alaska Native Tribal Health Consortium, AK, for 3,000,000 Murkowski
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Alternative Community Resource Program, Inc. 1,000,000 Fetterman
Services Administration. (ACRP), PA, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Amador Health Center, Inc., NM, for facilities 291,000 Lujan
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Amani Center, OR, for facilities and equipment... 1,023,000 Merkley, Wyden
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Amherst H. Wilder Foundation, MN, for facilities 1,500,000 Klobuchar, Smith
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Ammonoosuc Community Health Services, Inc., NH, 250,000 Shaheen
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Anchorage Community Mental Health Services Inc 1,930,000 Murkowski
Services Administration. dba Alaska Behavioral Health, AK, for facilities
and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Appalachian Regional Healthcare, Inc., WV, for 500,000 Capito, Manchin
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Arctic Slope Native Association Ltd., AK, for 1,500,000 Murkowski
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Arkansas State University--Newport, AR, for 8,000,000 Boozman
Services Administration. facilities and equipment, including rural health
workforce training activities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Arkansas State University, AR, for facilities and 10,000,000 Boozman
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Athens Neighborhood Health Center, GA, for 1,000,000 Ossoff
Services Administration. equipment, including mobile clinics.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Atlantic Health System, NJ, for facilities and 750,000 Booker
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services AtlanticCare Health System, NJ, for equipment.... 1,000,000 Booker
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bailey's Crossroads Health Access Partnership, 500,000 Kaine, Warner
Services Administration. Inc. (D/B/A Culmore Clinic), VA, for facilities
and equipment, including information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bangor Nursing and Rehabilitation Center, ME, for 1,062,000 Collins, King
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Barrow Neurological Institute, AZ, for equipment. 700,000 Sinema
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Barstow Community College, CA, for a rural mental 750,000 Butler, Padilla
Services Administration. health program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Beacon Clinic for Health and Hope, PA, for 12,000 Fetterman
Services Administration. equipment, including information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Beebe Healthcare, DE, for facilities and 1,775,000 Carper, Coons
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Behavioral Health and Developmental Services of 110,000 Shaheen
Services Administration. Strafford County, Inc., NH, for facilities and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bennett County Hospital, SD, for facilities and 3,318,000 Rounds
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bethel Family Clinic, AK, for rural health care 220,000 Murkowski
Services Administration. services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Birdie's Haven Health Clinic, PA, for programming 20,000 Fetterman
Services Administration. and personnel.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Blackstone Valley Community Health Care, Inc., 500,000 Reed, Whitehouse
Services Administration. RI, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Blue Mountain Heart to Heart, WA, for facilities 1,000,000 Cantwell
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Board of Trustees of the University of Illinois, 700,000 Durbin
Services Administration. IL, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bridgton Hospital, ME, for facilities and 5,094,000 Collins
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Brightpoint Community College, VA, for facilities 314,000 Kaine, Warner
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Buckskin Fire District, AZ, for equipment........ 394,000 Kelly
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bucksport Regional Health Center, ME, for 1,491,000 Collins
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Bullhead City Fire Department, AZ, for equipment, 351,000 Kelly, Sinema
Services Administration. including an ambulance.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services C.A.R.E. Clinic, MN, for facilities and equipment 1,100,000 Klobuchar, Smith
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services CAMC Greenbrier Valley Medical Center, WV, for 1,500,000 Capito, Manchin
Services Administration. equipment, including health information
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Camden County College, NJ, for equipment......... 185,000 Booker
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Cameron County Ambulance Service Inc., PA, for 352,000 Casey, Fetterman
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Cancer Support Community (CSC), OH, for cancer 150,000 Brown
Services Administration. support services in rural counties.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Canton Potsdam Hospital, NY, for facilities and 870,000 Gillibrand, Schumer
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Capital Hospice DBA Capital Caring Health, VA, 263,000 Kaine, Warner
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Caring Hands Healthcare Centers, Inc., OK, for 950,000 Mullin
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Carroll County Youth Service Bureau, MD, for 1,000,000 Cardin, Van Hollen
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Catskills Hatzalah Inc., NY, for the purchase of 870,000 Schumer
Services Administration. ambulances.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Centerville Clinics, Inc., PA, for equipment..... 250,000 Casey
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Central Arizona Fire and Medical Authority, AZ, 788,000 Kelly, Sinema
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Central Oklahoma Family Medical Center, OK, for 1,500,000 Mullin
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Central Oregon Community College, OR, for 3,000,000 Merkley, Wyden
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Charles County Department of Health, MD, for 36,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Chase Brexton Health Services, Inc., MD, for 944,000 Cardin, Van Hollen
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Cherokee County Local Government, NC, for 3,000,000 Tillis
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services CHI Memorial Hospital Georgia, GA, for equipment. 964,000 Ossoff
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Children's Hospital of Orange County, CA, for 1,204,000 Butler, Padilla
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Children's Mercy Kansas City, KS, for facilities 3,000,000 Moran
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Children's National Medical Center, MD, for 600,000 Cardin, Van Hollen
Services Administration. equipment, including a mobile clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services ChristianaCare Health Services, DE, for 4,308,000 Carper, Coons
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Circle the City, AZ, for equipment............... 340,000 Sinema
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Citizens Medical Center, LA, for equipment....... 2,000,000 Kennedy
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Carlin, NV, for equipment................ 97,000 Cortez Masto, Rosen
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Chicago, IL, for facilities and equipment 1,000,000 Duckworth
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Clarksburg, WV, for equipment............ 266,000 Manchin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of East Point, GA, for equipment............ 302,000 Ossoff, Warnock
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Fairbanks, AK, for equipment............. 728,000 Murkowski
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Fairbanks, AK, for facilities and 1,640,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Lexington, VA, for facilities and 2,500,000 Kaine, Warner
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Livonia, MI, for facilities and equipment 115,000 Peters, Stabenow
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Nogales, AZ, for equipment............... 550,000 Kelly, Sinema
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Saginaw, MI, for facilities and equipment 2,000,000 Peters, Stabenow
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services City of Wells, NV, for expanding primary health 333,000 Cortez Masto, Rosen
Services Administration. care services, including imaging and testing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Clackamas County, OR, for facilities and 2,500,000 Merkley, Wyden
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Clear Path for Veterans New England, Inc., MA, 97,000 Markey, Warren
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Coastal Community Health Services, GA, for 500,000 Warnock
Services Administration. equipment, including mobile units.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services CODAC Behavioral Healthcare, RI, for facilities 852,000 Reed, Whitehouse
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Cold Spring Harbor Laboratory, NY, for facilities 2,370,000 Schumer
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Coleman Health Services, OH, for facilities and 1,500,000 Brown
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Colorado State University, CO, for facilities and 1,500,000 Bennet, Hickenlooper
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Community Clinic of Maui, Inc. dba Malama I Ke 2,370,000 Hirono
Services Administration. Ola Health Center, HI, for expanding rural
health services, including an electronic health
records system.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Community Health & Dental Care, Inc., PA, for 228,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Community Health Care Systems, GA, for equipment, 475,000 Ossoff
Services Administration. including a mobile clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Community Health Care, Inc., IL, for equipment... 328,000 Durbin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Community Health Connections, Inc., MA, for 1,500,000 Markey, Warren
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Compass Health, WA, for facilities and equipment. 2,400,000 Murray
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Concord University, WV, for facilities and 5,000,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Confederated Tribes of Coos, Lower Umpqua, and 1,041,000 Merkley, Wyden
Services Administration. Siuslaw Indians, OR, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Coosa County Emergency Management Agency, AL, for 300,000 Britt
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Cornerstone Care, Inc., PA, for facilities and 500,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services County of Cheshire Administration, NH, for 936,000 Shaheen
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services County of Delaware, PA, for facilities and 1,000,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services County of Union, NJ, for facilities and equipment 2,000,000 Booker
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Creighton University Health Sciences-- Phoenix 1,000,000 Sinema
Services Administration. Campus, AZ, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Crenshaw Community Hospital, AL, for equipment... 18,000 Britt
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Cullman Regional Medical Center, AL, for 1,000,000 Tuberville
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Daily Planet Health Services, VA, for facilities 500,000 Kaine, Warner
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Dar a Luz Birth and Health Center, NM, for 2,063,000 Heinrich
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Dartmouth Health, NH, for a doula training 205,000 Shaheen
Services Administration. program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Dartmouth Health, NH, for facilities and 900,000 Shaheen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Day Kimball Hospital, CT, for facilities and 838,000 Blumenthal, Murphy
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Day One, RI, for facilities and equipment........ 990,000 Whitehouse
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Delta Health System, MS, for equipment........... 1,250,000 Wicker
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Denver Health & Hospital Authority, CO, for 3,000,000 Bennet, Hickenlooper
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Desert Hills Fire District, AZ, for equipment.... 224,000 Kelly, Sinema
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Dodge County Hospital Authority, GA, for 583,000 Warnock
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Dona Ana County, NM, for equipment to expand 35,000 Lujan
Services Administration. telehealth services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Dr. Terry Sinclair Health Clinic, VA, for 55,000 Kaine, Warner
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Duncan Valley Rural Fire District, AZ, for 181,000 Kelly
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Eagle View Community Health System, IL, for a 550,000 Duckworth
Services Administration. mobile clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services East Adams Rural Healthcare, WA, for facilities 2,500,000 Murray
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services East Central University, OK, for equipment....... 3,033,000 Mullin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Eastern Maine Community College, ME, for 5,308,000 Collins
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Eastern Maine Health Care Systems DBA Northern 1,555,000 Collins
Services Administration. Light Health, ME, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Emory University, GA, for equipment.............. 476,000 Ossoff, Warnock
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Erie County Health Department, OH, for facilities 2,000,000 Brown
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Erie County Medical Center Corporation, NY, for 870,000 Gillibrand, Schumer
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Escambia County Health Care Authority d/b/a 700,000 Britt
Services Administration. McMillan Hospital, AL, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Evergreen Treatment Services, WA, for facilities 3,000,000 Cantwell
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services EvergreenHealth Monroe, WA, for facilities and 1,500,000 Murray
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Exceptional Care for Children, DE, for facilities 1,000,000 Coons
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Fairfield Medical Center (FMC), OH, for equipment 1,500,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Family & Children's Aid, Inc., CT, for facilities 350,000 Blumenthal, Murphy
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Family and Children's Center of Wisconsin, WI, 1,200,000 Baldwin
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Family Tree, Inc. (DBA Family Tree Clinic), MN, 334,000 Klobuchar, Smith
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services First 5 FUNdamentals, WA, for equipment, 320,000 Murray
Services Administration. including information technology and virtual
interpretation services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Fisher-Titus Medical Center, OH, for equipment... 495,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Florence Crittenton Services of Arizona, AZ, for 500,000 Sinema
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Florence-Darlington Technical College, SC, for 1,000,000 Graham
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Floyd Healthcare Management inc. d/b/a/ Atrium 1,500,000 Ossoff, Warnock
Services Administration. Health Floyd, GA, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services For All Seasons, Inc., MD, for facilities and 1,000,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Franklin Community Health Network (MaineHealth), 10,988,000 Collins
Services Administration. ME, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Frontier Behavioral Health, WA, for facilities 2,000,000 Cantwell
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Gallup Community Health, NM, to expand behavioral 750,000 Heinrich, Lujan
Services Administration. and specialty care services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Gloucester Mathews Care Clinic, VA, for 136,000 Kaine, Warner
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Grande Ronde Hospital, OR, for facilities and 1,356,000 Merkley, Wyden
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Grant County Commission, WV, for equipment....... 250,000 Capito, Manchin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Great Lakes Inter-Tribal Council, Inc., WI, for 4,700,000 Baldwin
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Great Lakes Recovery Centers, MI, for facilities 3,000,000 Stabenow
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Greater Fairbanks Community Hospital Foundation, 3,000,000 Murkowski
Services Administration. AK, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Greater Health Now, WA, for a rural maternal 2,100,000 Murray
Services Administration. health initiative, including transportation.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Greenwood Genetic Center, SC, for facilities and 1,106,000 Graham
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Gunderson La Crosse Medical Center Campus, WI, 1,000,000 Baldwin
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hale Makua Health Services, HI, for facilities 1,260,000 Hirono, Schatz
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Harney District Hospital, OR, for facilities and 1,250,000 Merkley, Wyden
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Harry E. Davis Partnership for Children's Oral 526,000 Collins, King
Services Administration. Health, ME, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Health Brigade, VA, for facilities and equipment. 750,000 Kaine, Warner
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Health Emergency Lifeline Programs DBA Corktown 3,000,000 Stabenow
Services Administration. Health, MI, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Healthcare Authority of the City of Eufaula, AL 500,000 Britt
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services HealthReach Community Health Centers, ME, for 500,000 Collins, King
Services Administration. facilities and equipment, including software
licenses.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hennepin Technical College Foundation, MN, for 1,771,000 Klobuchar, Smith
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Heritage Health and Housing, Inc., NY, for 2,000,000 Gillibrand, Schumer
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hocking Valley Community Hospital (HVCH), OH, for 1,500,000 Brown
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Holzer Health System, OH, for facilities and 500,000 Brown
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hope Unlimited, Inc., KS, for facilities and 2,700,000 Moran
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hospital Authority of Ben Hill, GA, for 1,500,000 Warnock
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hospital Authority of Irwin County, GA, for 1,450,000 Ossoff, Warnock
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hospital Development Co. dba Roane General 2,225,000 Capito, Manchin
Services Administration. Hospital, WV, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Hoy Recovery Program, Inc., NM, for facilities 280,000 Lujan
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Illinois Eye Institute, IL, for facilities and 500,000 Duckworth
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Inclusion Connections, KS, for facilities and 3,000,000 Moran
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Inspira Health Network, NJ, for equipment........ 2,000,000 Booker
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Interior Aids Association, AK, for facilities and 1,200,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jackson County Health Department, IL, for 176,000 Duckworth
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jackson Hospital and Clinic, AL, for facilities 6,000,000 Britt
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jackson Laboratory, ME, for facilities and 3,031,000 Collins, King
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jackson Parish Hospital, LA, for facilities and 4,000,000 Cassidy, Kennedy
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jackson-Hillsdale Community Mental Health Board 2,308,000 Stabenow
Services Administration. DBA LifeWays, MI, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jefferson County Commission, WV, for facilities 500,000 Capito
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Jewels School Inc., MD, for facilities and 350,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Julia Hospice and Palliative Care, PA, for 750,000 Casey
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Kent County Memorial Hospital, RI, for facilities 320,000 Reed, Whitehouse
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Ketchikan Gateway Borough, AK, for equipment..... 694,000 Murkowski
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Keystone Rural Health Consortia, Inc., PA, for 100,000 Casey, Fetterman
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services La Clinica Del Pueblo, CO, for facilities and 100,000 Bennet, Hickenlooper
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lamoille Health Partners, Inc., VT, for a rural 1,000,000 Sanders
Services Administration. community paramedicine program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lamprey Health Care, Inc., NH, for facilities and 250,000 Shaheen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services LaSalle General Hospital (LaSalle Parish Hospital 3,420,000 Kennedy
Services Administration. Service District No. 2), LA, for facilities and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lawrence General Hospital, MA, for facilities and 2,863,000 Markey, Warren
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lebanon Valley Volunteers in Medicine, PA, for 115,000 Fetterman
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Leo A Hoffmann Center, MN, for facilities and 750,000 Klobuchar, Smith
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Liberation Programs, Inc., CT, for facilities and 3,000,000 Blumenthal, Murphy
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Limen House, Inc., DE, for facilities and 1,000,000 Carper, Coons
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lonesome Pine Community Hospital (Norton 683,000 Kaine, Warner
Services Administration. Community Hospital), VA, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Los Angeles County Department of Mental Health, 1,500,000 Butler, Padilla
Services Administration. CA, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lowell Community Health Center, MA, for 1,000,000 Markey, Warren
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Lummi Nation, WA, for facilities and equipment... 10,400,000 Cantwell, Murray
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Maine Behavioral Healthcare (MaineHealth), ME, 3,927,000 Collins, King
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Maine Veterans' Homes, ME, for facilities and 2,946,000 Collins, King
Services Administration. equipment, including information technology for
health records.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services MaineGeneral Health, ME, for facilities and 11,750,000 Collins, King
Services Administration. equipment, including information technology for
health records.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Maniilaq Association, AK, for facilities and 1,000,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Maricopa County Special Health Care District dba 755,000 Sinema
Services Administration. Valleywise Health, AZ, for facilities and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Marion County Health Department, WV, for 320,000 Manchin
Services Administration. equipment, including a mobile clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mariposa Community Health Center, Inc., AZ, for 1,500,000 Sinema
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Marshall University Research Corporation, WV, for 15,000,000 Capito, Manchin
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Martinsville Henry County Coalition for Health 772,000 Kaine, Warner
Services Administration. and Wellness, VA, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Maryhaven, Inc., OH, for facilities and equipment 1,000,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mary's Shelter DBA Mary's Path, CA, for 376,000 Butler
Services Administration. facilities and equipment, including information
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mat-Su Health Services, AK, for facilities and 350,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Maui Memorial Medical Center, HI, for equipment.. 645,000 Hirono, Schatz
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services McCall Foundation, Inc. dba McCall Behavioral 263,000 Blumenthal, Murphy
Services Administration. Health Network, CT, for equipment, including a
mobile clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services McLeod Health, SC, for facilities and equipment.. 2,580,000 Graham
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Medical College of Wisconsin, WI, for equipment.. 2,300,000 Baldwin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Meeker Memorial Hospital and Clinics, MN, for 12,000 Klobuchar, Smith
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Memorial Health System, MS, for facilities and 5,600,000 Hyde-Smith, Wicker
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Memorial Health System, OH, for equipment........ 2,000,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Memorial Hospital Belleville, IL, for equipment.. 1,250,000 Durbin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Meritus Healthcare Foundation, MD, for health 215,000 Cardin, Van Hollen
Services Administration. services and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Misericordia University, PA, for facilities and 250,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mississippi Methodist Hospital & Rehabilitation 2,000,000 Hyde-Smith
Services Administration. Center, Inc., MS, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mississippi Organ Recovery Agency, MS, for 1,000,000 Hyde-Smith
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mississippi Public Health Institute, MS, for 3,500,000 Hyde-Smith, Wicker
Services Administration. equipment and information technology to improve
rural maternal health outcomes.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mon Health Medical Center, WV, for facilities and 3,000,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mon Health Medical Center, WV, for facilities and 4,250,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mon Health Medical Center, WV, for facilities and 5,000,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Monroe County Health Care Authority, d/b/a Monroe 500,000 Britt, Tuberville
Services Administration. County Hospital, AL, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Montefiore Nyack Foundation, NY, for facilities 2,387,000 Gillibrand
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Montefiore St. Luke's Cornwall, NY, for 870,000 Schumer
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Morrow County Health District, OR, for equipment. 567,000 Merkley, Wyden
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Mount Desert Island Biological Laboratory, ME, 1,975,000 Collins, King
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Murray State College, OK, for facilities and 5,000,000 Mullin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Muslim Association of Puget Sound, WA, for 2,500,000 Murray
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services National Jewish Health, CO, for facilities and 2,450,000 Bennet
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services National Veterans Wellness and Healing Center in 3,028,000 Lujan
Services Administration. Angel Fire, Inc., NM, for facilities and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Nazareth University, NY, for facilities and 870,000 Gillibrand, Schumer
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Neighborhood Health, VA, for facilities and 1,664,000 Kaine, Warner
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Neosho Memorial Regional Medical Center, KS, for 1,220,000 Moran
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Nevada Department of Health and Human Services, 5,500,000 Cortez Masto, Rosen
Services Administration. NV, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services New England College, NH, for facilities and 775,000 Shaheen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services New Mexico Department of Health, NM, for disease 750,000 Heinrich, Lujan
Services Administration. intervention specialists.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services New Mexico Poison Control Center (Fiscal Agent: 1,484,000 Heinrich, Lujan
Services Administration. University of New Mexico), NM, for expanding
substance use disorder outreach and services,
including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services New Mexico State University, NM, for a rural 750,000 Heinrich
Services Administration. residency training program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services New York Stem Cell Foundation, Inc., NY, for 5,000,000 Gillibrand, Schumer
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services North Penn Comprehensive Health Services, PA, for 1,000,000 Fetterman
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Northeast Oregon Area Health Education Center, 163,000 Merkley, Wyden
Services Administration. Inc., OR, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Northeastern Oklahoma Community Health Centers, 1,500,000 Mullin
Services Administration. Inc., OK, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Northeastern Vermont Regional Hospital, VT, for 1,410,000 Welch
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Northwest Colorado Health, CO, for facilities and 500,000 Bennet, Hickenlooper
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Northwest Mississippi Regional Medical Center, 850,000 Hyde-Smith
Services Administration. MS, for facilities and equipment, including
information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Norwalk Community Health Center, Inc., CT, for 907,000 Blumenthal, Murphy
Services Administration. equipment, including a mobile unit and
information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services NYC Health + Hospitals/Queens, NY, for facilities 870,000 Gillibrand, Schumer
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services NYU Langone Hospitals, NY, for equipment......... 870,000 Schumer
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Ochsner LSU Health--Monroe Medical Center, LA, 1,186,000 Kennedy
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Odyssey House Louisiana, Inc., LA, for facilities 2,000,000 Cassidy
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services OhioHealth, OH, for equipment.................... 600,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Oklahoma Primary Care Association, OK, for 2,500,000 Mullin
Services Administration. equipment, including telehealth and information
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Olivet Medical Ministries dba Lackey Clinic, VA, 507,000 Kaine, Warner
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Olympic Medical Center, WA, for facilities and 1,500,000 Cantwell, Murray
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services One Community Health, WA, for facilities and 1,000,000 Cantwell, Murray
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Oregon Institute of Technology, OR, for 1,700,000 Merkley, Wyden
Services Administration. equipment, including mobile dental clinics.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services OSF HealthCare System, IL, for facilities and 2,000,000 Durbin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Oshun Family Center, PA, for facilities and 750,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services OU Medicine, Inc. d.b.a. OU Health, OK, for 4,585,000 Mullin
Services Administration. equipment, including information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Parkland College District 505, IL, for facilities 3,500,000 Durbin
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Penn State College of Medicine, PA, for community 500,000 Casey
Services Administration. outreach and training, including vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Penn State Health Holy Spirit Medical Center, PA, 500,000 Casey
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pennsylvania Association for the Blind, PA, for 665,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pennsylvania Organization for Women in Early 515,000 Casey
Services Administration. Recovery, PA, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Petersburg Medical Center, AK, for facilities and 3,000,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Philadelphia College of Osteopathic Medicine, GA, 910,000 Ossoff, Warnock
Services Administration. for equipment, including a mobile training unit.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Philander Smith University, AR, for facilities 7,150,000 Boozman
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Phoenix Children's, AZ, for facilities and 1,500,000 Sinema
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pines Health Services, ME, for facilities and 8,900,000 Collins
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pocahontas County Commission, WV, for equipment.. 150,000 Capito, Manchin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Portland Recovery Community Center, ME, for 2,647,000 Collins, King
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Princeton Health Care Center, WV, for facilities 10,000,000 Capito, Manchin
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Prisma Health--Upstate, SC, for facilities and 8,000,000 Graham
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pueblo Community Health Center, CO, for 475,000 Bennet, Hickenlooper
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pueblo of Pojoaque, NM, for facilities and 2,304,000 Heinrich
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Pyramid Lake Paiute Tribe, NV, for facilities and 4,000,000 Cortez Masto, Rosen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Racine County, WI, for facilities and equipment.. 5,000,000 Baldwin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Range Mental Health Center, MN, for facilities 1,136,000 Klobuchar, Smith
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Recovery Wellness Initiative, ME, for facilities 229,000 Collins, King
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Rhode Island Free Clinic, RI, for telehealth 145,000 Reed
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services RI Department of Behavioral Health, Developmental 4,200,000 Reed, Whitehouse
Services Administration. Disabilities and Hospitals, RI, for the purchase
of hospital beds.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Richland Parish Hospital, LA, for facilities and 2,000,000 Cassidy
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Ridgecrest Regional Hospital, CA, for a rural 1,000,000 Butler, Padilla
Services Administration. mental health program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Rivier University, NH, for equipment............. 317,000 Shaheen
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Roper St. Francis Hospital, SC, for facilities 5,000,000 Graham
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Rumford Hospital, ME, for facilities and 6,425,000 Collins
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Rural Alaska Emergency Services Inc., AK, for 2,000,000 Murkowski
Services Administration. rural health emergency services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Saint Francis hospital, DE, for facilities and 1,323,000 Carper, Coons
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services San Luis Fire Department, AZ, for equipment, 587,000 Kelly
Services Administration. including information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Sauk Valley Voices of Recovery, IL, for 156,000 Duckworth
Services Administration. equipment, including a mobile clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Sea Mar Community Health Centers, WA, for 1,650,000 Murray
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Seasons Housing, WA, for facilities and equipment 833,000 Cantwell
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Seattle Children's Hospital, WA, for facilities 3,000,000 Murray
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services SECU Family House at UNC Hospitals, NC, for 316,000 Tillis
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Self Regional Healthcare, SC, for facilities and 5,300,000 Graham
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Self-Help Movement, Inc., PA, for facilities and 1,000,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Seven Hills New Hampshire, Inc., NH, for 3,000,000 Shaheen
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Sharkey Issaquena Community Hospital, MS, for 9,000,000 Wicker
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Shawnee Health Service and Development 1,150,000 Durbin
Services Administration. Corporation, IL, for equipment, including
information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Sinai Hospital of Baltimore, Inc., MD, for 212,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Slippery Rock University of Pennsylvania, PA, for 500,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Smithsburg Emergency Medical Services, Inc., MD, 250,000 Cardin, Van Hollen
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services South Georgia Medical Center, GA, for equipment.. 1,500,000 Ossoff, Warnock
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services South Shore Hospital, MA, for facilities and 2,000,000 Markey, Warren
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southcentral Foundation, AK, for facilities and 5,000,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services SouthEast Alaska Regional Health Consortium, AK, 2,500,000 Murkowski
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southeast Technical College, SD, for facilities 5,500,000 Rounds
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southern Highlands Community Mental Health 708,000 Capito, Manchin
Services Administration. Center, WV, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southern Regional Medical Center, GA, for 1,000,000 Ossoff
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southern Research Institute, AL, for facilities 3,000,000 Britt
Services Administration. and equipment, including information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southwest Health System, Inc., CO, for facilities 410,000 Bennet, Hickenlooper
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Southwest Minnesota State University (SMSU) 1,136,000 Klobuchar, Smith
Services Administration. Foundation, Inc., MN, for facilities and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Spartanburg Regional Healthcare System, SC, for 8,000,000 Graham
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Spokane County, WA, for facilities and equipment. 3,000,000 Cantwell, Murray
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Spurwink Services, Inc., ME, for facilities and 5,666,000 Collins, King
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services St. Joseph Hospital of Nashua, N.H., NH, for 2,750,000 Shaheen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services St. Joseph Hospital, ME, for facilities and 700,000 Collins, King
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services St. Mary's Regional Medical Center, ME, for 2,542,000 Collins, King
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services St. Tammany Health System, LA, for facilities and 1,050,000 Kennedy
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services State of Hawaii Department of Corrections and 867,000 Hirono, Schatz
Services Administration. Rehabilitation, HI, for equipment for telehealth
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services State University of New York Upstate Medical 870,000 Gillibrand, Schumer
Services Administration. University, NY, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Statewide Office on Homelessness and Housing 1,000,000 Hirono
Services Administration. Solutions, HI, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services StayWell Health Care Inc., CT, for facilities and 400,000 Blumenthal, Murphy
Services Administration. equipment, including information technology and
an electronic health records system.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Stroger Hospital, IL, for equipment.............. 500,000 Duckworth
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Sunrise Community Health, CO, for facilities and 3,000,000 Bennet, Hickenlooper
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Temple University Hospital, PA, for equipment.... 880,000 Fetterman
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services TGen, AZ, for facilities and equipment........... 1,500,000 Sinema
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Board of Trustees of Southern Illinois 1,100,000 Durbin
Services Administration. University (School of Dental Medicine), IL, for
facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Center for Discovery, Inc., NY, for equipment 275,000 Schumer
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Children's Advocacy Center of Delaware, DE, 312,000 Coons
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Children's Inn at NIH, MD, for facilities and 1,155,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The City of Friend, NE, for facilities and 2,500,000 Fischer
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The HealthCare Connection, OH, for equipment..... 750,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Kline Galland Center, WA, for facilities and 2,500,000 Murray
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Mary Imogene Bassett Hospital dba Bassett 820,000 Gillibrand, Schumer
Services Administration. Medical Center, NY, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Medical University of South Carolina (MUSC), 8,000,000 Graham
Services Administration. SC, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Mental Health Association of Oregon, OR, for 750,000 Merkley, Wyden
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Mental Health Center of Greater Manchester, 770,000 Shaheen
Services Administration. NH, for facilities and equipment, including
information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The MetroHealth System, OH, for facilities and 2,000,000 Brown
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The Queen's Health System, HI, for facilities and 2,000,000 Schatz
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services The State University of New York at Albany, NY, 1,370,000 Gillibrand, Schumer
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Thomas Jefferson University and Jefferson Health, 350,000 Fetterman
Services Administration. PA, for equipment, including vehicles and
information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Three Lower Counties Community Services, Inc. D/b/ 90,000 Cardin, Van Hollen
Services Administration. a Chesapeake Health Care, MD, for facilities and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Tidelands Health, SC, for facilities and 8,000,000 Graham
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Tidewater Community College Educational 842,000 Kaine, Warner
Services Administration. Foundation, VA, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Town of Gouldsboro, ME, for equipment............ 421,000 Collins, King
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Town of South Kingstown, RI, for equipment....... 425,000 Reed
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Town of Waldoboro, ME, for equipment............. 306,000 Collins, King
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Trident Technical College, SC, for facilities and 1,700,000 Graham
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Troy Community Hospital, PA, for facilities and 484,000 Casey
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Tucson Medical Center, AZ, for facilities and 1,500,000 Sinema
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Tuerk House, Inc., MD, for facilities and 500,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Tufts University School of Dental Medicine, MA, 760,000 Markey, Warren
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Uncompahgre Combined Clinics, CO, for patient 100,000 Bennet, Hickenlooper
Services Administration. transportation services, including a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University Health Partners of Hawaii, HI, for a 1,997,000 Schatz
Services Administration. rural maternal health initiative, including
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University Hospitals, OH, for equipment.......... 400,000 Brown
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Alaska, AK, for equipment.......... 500,000 Murkowski
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Alaska, AK, for facilities and 725,000 Murkowski
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas--Fort Smith, AR, for 15,000,000 Boozman
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, AR, 2,000,000 Boozman
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, AR, 3,000,000 Boozman
Services Administration. for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, AR, 2,000,000 Boozman
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, AR, 5,000,000 Boozman
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas for Medical Sciences, AR, 12,000,000 Boozman
Services Administration. for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Arkansas Hope--Texarkana, AR, for 7,000,000 Boozman
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Detroit Mercy, VT, for facilities 4,600,000 Sanders, Welch
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Kansas Hospital, KS, for facilities 10,000,000 Moran
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Kansas Hospital, KS, for facilities 10,000,000 Moran
Services Administration. and imaging equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Kentucky, KY, for facilities and 15,000,000 McConnell
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Louisiana at Monroe College of 906,000 Kennedy
Services Administration. Health Sciences, LA, for equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Louisiana Lafayette, LA, for 10,000,000 Kennedy
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Louisville, KY, for equipment to 9,385,000 McConnell
Services Administration. support precision medicine research.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Louisville, KY, for facilities and 12,500,000 McConnell
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Louisville, KY, for facilities and 8,000,000 McConnell
Services Administration. equipment, including information technology to
support precision medicine.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Maine System, ME, for facilities 1,900,000 Collins
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Mississippi Medical Center, MS, for 5,275,000 Hyde-Smith
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Mississippi, MS, for facilities and 8,000,000 Hyde-Smith, Wicker
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Nebraska Board of Regents, NE, for 12,000,000 Fischer
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Nebraska Board of Regents, NE, for 500,000 Fischer
Services Administration. rural telehealth services, including equipment
and information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Nevada, Reno, NV, for facilities 3,049,000 Cortez Masto, Rosen
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of New Mexico, NM, for rural 1,540,000 Lujan
Services Administration. telehealth, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of North Georgia, GA, for facilities 600,000 Ossoff, Warnock
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of South Carolina Aiken, SC, for 2,500,000 Graham
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Southern Mississippi, MS, for 343,000 Hyde-Smith, Wicker
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Vermont and State Agricultural 850,000 Welch
Services Administration. College, VT, for a community health worker
program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Vermont Health Network, VT, for 1,040,000 Welch
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of West Alabama, AL, for facilities 2,200,000 Britt
Services Administration. and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services University of Wisconsin-Milwaukee School of 300,000 Baldwin
Services Administration. Nursing, WI, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Upland Hills Health, WI, for facilities and 5,000,000 Baldwin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Valley Family Health Care, Inc., OR, for 1,500,000 Merkley, Wyden
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Valley Healthcare System Inc., GA, for equipment. 105,000 Warnock
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Valley Hope Association Foundation, KS, for 4,000,000 Moran
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Valley-Wide Health Systems, Inc., CO, for 500,000 Bennet, Hickenlooper
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Verde Valley Fire District, AZ, for equipment, 361,000 Kelly, Sinema
Services Administration. including an ambulance.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Versiti, WI, for facilities and equipment........ 3,000,000 Baldwin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Veterans Recovery Resources, AL, for equipment... 2,000,000 Britt
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Virginia Community Healthcare Association, VA, 342,000 Kaine, Warner
Services Administration. for a nutrition program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services VNA Home Health & Hospice DBA Northern Light Home 82,000 Collins, King
Services Administration. Care & Hospice, ME, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Voices of Hope, Inc., MD, for facilities and 107,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Wabash General Hospital District, IL, for 1,300,000 Durbin
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Walworth County, WI, for facilities and equipment 1,500,000 Baldwin
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Warren General Hospital, PA, for equipment....... 500,000 Casey
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Wasco County, OR, for facilities and equipment... 1,658,000 Merkley, Wyden
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Washington Poison Center, WA, for equipment, 250,000 Murray
Services Administration. including information technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Washington State Hospital Association, WA, for a 1,000,000 Cantwell, Murray
Services Administration. rural maternal health initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Wayne General Hospital, MS, for equipment........ 737,000 Hyde-Smith
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Weirton Medical Center, WV, for facilities and 2,450,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services West Hawaii Community Health Center dba Hawaii 1,500,000 Hirono, Schatz
Services Administration. Island Community Health Center, HI, for
facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services West Virginia University, WV, for facilities and 15,000,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Western Maine Health (MaineHealth), ME, for 10,810,000 Collins
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Whitfield Regional Hospital, AL, for equipment... 1,000,000 Tuberville
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Wichita State University, KS, for equipment...... 10,000,000 Moran
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Wilkes University, PA, for facilities and 500,000 Casey, Fetterman
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services WomenCare dba FamilyCare Health Centers, WV, for 1,748,000 Capito, Manchin
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Woodlawn Fire Department, PA, for equipment, 200,000 Fetterman
Services Administration. including vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Worcester County Health Department, MD, for 52,000 Cardin, Van Hollen
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services WVU Medicine Rockefeller Neuroscience Institute, 11,934,000 Capito, Manchin
Services Administration. WV, for facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Xavier University, LA, for facilities and 4,000,000 Cassidy
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Yavapai Regional Medical Centers, AZ, for 228,000 Kelly, Sinema
Services Administration. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services York County Community Action Corporation, ME, for 715,000 Collins
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services York Hospital, ME, for facilities and equipment, 6,337,000 Collins, King
Services Administration. including information technology for health
records.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Youngstown City Health District, OH, for 100,000 Brown
Services Administration. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Health Resources and Services Yuma Regional Medical Center, AZ, for equipment.. 880,000 Sinema
Services Administration.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental 4th Dimension Sobriety, WI, for behavioral health 400,000 Baldwin
Services Health Services Administration. services including peer support services
training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Alaska Eating Disorders Alliance, AK, for 250,000 Murkowski
Services Health Services Administration. behavioral health services to address eating
disorders.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Alcohol, Drug Addiction, and Mental Health 500,000 Brown
Services Health Services Administration. Services Board of Hancock County, OH, to develop
youth mental health programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Amos House, RI, for mental and behavioral health 540,000 Reed, Whitehouse
Services Health Services Administration. services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Ann & Robert H. Lurie Children's Hospital of 1,000,000 Durbin
Services Health Services Administration. Chicago, IL, for mental health and trauma
services for pediatric patients.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Axiom Community of Recovery, AZ, for substance 400,000 Sinema
Services Health Services Administration. use disorder treatment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Bhutanese Community in Harrisburg, PA, for mental 160,000 Casey
Services Health Services Administration. health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental BirdieLight, OH, for a substance use prevention 120,000 Brown
Services Health Services Administration. program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Boys & Girls Club Fox Valley, Inc., WI, for 1,000,000 Baldwin
Services Health Services Administration. mental health programming for children and youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Brazilian Worker Center, Inc., MA, for mental 250,000 Markey, Warren
Services Health Services Administration. health and wellness programming, including
trauma services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Centro Latino de New Hampshire, NH, for mental 299,000 Shaheen
Services Health Services Administration. health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Child Health and Development Institute of 371,000 Blumenthal, Murphy
Services Health Services Administration. Connecticut, Inc., CT, for a substance use
prevention and education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Children's Friend and Service, RI, for mental 430,000 Whitehouse
Services Health Services Administration. health services for low income families in early
childhood settings.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Chinese-American Planning Council, Inc., NY, for 300,000 Gillibrand, Schumer
Services Health Services Administration. mental health and supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental City of Chicago, IL, for an overdose prevention 1,387,000 Duckworth
Services Health Services Administration. program and substance use services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental City of Grand Rapids, MI, for a crisis 130,000 Peters, Stabenow
Services Health Services Administration. intervention program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental City of Long Beach, CA, for a community crisis 989,000 Butler, Padilla
Services Health Services Administration. response program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental City of Lynn, MA, for mental and behavioral 500,000 Markey, Warren
Services Health Services Administration. health care services through an alternative
response team.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental City of Portland, OR, for a mobile medication 1,500,000 Merkley, Wyden
Services Health Services Administration. program to prevent drug overdoses.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental City of Seattle, WA, to support overdose-response 1,600,000 Cantwell, Murray
Services Health Services Administration. teams.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Clark County, NV, for behavioral health services 3,514,000 Cortez Masto, Rosen
Services Health Services Administration. for children and youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Coalicion De Lideres Latinos, GA, for mental 150,000 Ossoff
Services Health Services Administration. health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Community Health Partnership, CO, to address 839,000 Bennet, Hickenlooper
Services Health Services Administration. mental and behavioral health disparities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Copiah-Lincoln Community College, MS, for mental 303,000 Hyde-Smith
Services Health Services Administration. and behavioral health services, including
telehealth services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Cornell Scott-Hill Health Corporation, CT, for 822,000 Blumenthal, Murphy
Services Health Services Administration. substance use disorder treatment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental County of Kent, MI, for behavioral health crisis 750,000 Peters, Stabenow
Services Health Services Administration. services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Covenant House International, NY, for behavioral 320,000 Gillibrand, Schumer
Services Health Services Administration. health services for youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Department of New Jersey Veterans of Foreign 280,000 Booker
Services Health Services Administration. Wars, Inc., NJ, for mental health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Eluna, MA, for a grief support and counseling 111,000 Markey, Warren
Services Health Services Administration. program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Fair Haven Community Health Clinic, Inc., CT, for 381,000 Blumenthal, Murphy
Services Health Services Administration. behavioral health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Family Resource Center of the Roaring Fork 250,000 Bennet, Hickenlooper
Services Health Services Administration. Schools, CO, for mental health services for
students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Finishing Trades Institute of the Upper Midwest 1,176,000 Klobuchar, Smith
Services Health Services Administration. Trust Fund, MN, for mental health and supportive
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental For All Ages, Inc., CT, to support the mental 222,000 Blumenthal, Murphy
Services Health Services Administration. health and wellness of college students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental GameChanger, WV, for substance use prevention and 100,000 Manchin
Services Health Services Administration. education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Global Partnership to End Human Trafficking 105,000 Blumenthal, Murphy
Services Health Services Administration. Corporation, CT, for behavioral health services
for survivors.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Hawaii Department of Human Services, Office of 850,000 Schatz
Services Health Services Administration. Youth Services, HI, for a youth suicide
prevention program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Herren Project, RI, for a substance use disorder 100,000 Reed
Services Health Services Administration. recovery program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Honor Wellness Center, Inc., CT, for mental 50,000 Blumenthal, Murphy
Services Health Services Administration. health support and training including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Hope Coalition, NC, for youth substance use 1,014,000 Tillis
Services Health Services Administration. prevention, treatment, and mental health
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental HopeHealth Hospice & Palliative Care, RI, for 350,000 Reed, Whitehouse
Services Health Services Administration. mental health services and grief counseling.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental International Association of Fire Fighters Local 500,000 Lujan
Services Health Services Administration. 244/New Mexico Professional Fire Fighters
Association, NM, for behavioral health care and
substance use disorder treatment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental International Rescue Committee, WA, for mental 330,000 Murray
Services Health Services Administration. health services for immigrants and refugees.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Jacob's Ladder Assistance Fund, Inc., WV, for 200,000 Capito, Manchin
Services Health Services Administration. substance use disorder and mental health
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental James Biever Police-Community Alliance, PA, for a 39,000 Casey
Services Health Services Administration. mental and behavioral health crisis training
program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Johnson Health Center, VT, for substance use 2,385,000 Sanders
Services Health Services Administration. disorder and mental health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Journey to Recovery Community Center, VT, for a 1,065,000 Welch
Services Health Services Administration. substance use treatment program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Juanita Strong Forever Project, AK, for youth 100,000 Murkowski
Services Health Services Administration. substance use prevention and behavioral health
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Lesbian and Gay Community Services Center, Inc., 220,000 Gillibrand, Schumer
Services Health Services Administration. NY, for mental health care services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental LGBT Center of Greater Reading, PA, for mental 565,000 Casey, Fetterman
Services Health Services Administration. health care for at-risk and underserved
populations.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Lifeline Horse Rescue and Rehabilitation, Inc., 88,000 Cardin, Van Hollen
Services Health Services Administration. Lifeline Equine Therapy Services (LETS), MD, for
mental health and suicide prevention programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Lily's Place, WV, for mental health services for 589,000 Capito
Services Health Services Administration. first responders.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Lines for Life, OR, for youth mental health 1,611,000 Merkley, Wyden
Services Health Services Administration. support through a peer-to-peer crisis line.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Maui Family Support Services, Inc., HI, for a 29,000 Schatz
Services Health Services Administration. substance use prevention program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Monarch School Project, CA, for mental health 708,000 Butler, Padilla
Services Health Services Administration. services for at-risk youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental NAMI Michigan, MI, for youth mental health 2,415,000 Stabenow
Services Health Services Administration. programming, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental NAMI New Hampshire, NH, for an overdose 444,000 Shaheen
Services Health Services Administration. prevention program, including training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental NAMI St. Tammany, LA, for mental and behavioral 500,000 Cassidy
Services Health Services Administration. health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental National Alliance Mental Illness Albuquerque, NM, 300,000 Heinrich
Services Health Services Administration. for mental health and substance use disorder
treatment services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Nevada Department of Education, NV, for mental 511,000 Cortez Masto, Rosen
Services Health Services Administration. health programming for youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental New Mexico Alliance of Boys & Girls Clubs, NM, 636,000 Heinrich
Services Health Services Administration. for mental health programming for youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental New Mexico Chronic Disease Prevention Council, 130,000 Lujan
Services Health Services Administration. NM, for a peer support network to improve
behavioral health care outcomes.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental NH Black Women Health Project, NH, for a mental 400,000 Shaheen
Services Health Services Administration. health and resiliency program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Not My Child, Inc., MD, for substance use 200,000 Cardin, Van Hollen
Services Health Services Administration. disorder recovery services and education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Once Upon A Preemie, Inc., PA, for mental health 275,000 Fetterman
Services Health Services Administration. education programming for providers to support
families of premature infants.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Penn State University, PA, for a coordinated 500,000 Casey
Services Health Services Administration. response to substance use disorders in order to
improve outcomes.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Pennsylvania School-Based Health Alliance, PA, to 350,000 Casey
Services Health Services Administration. support mental health screenings and services
for youth, including data collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Rady Children's Hospital, CA, to improve access 1,800,000 Butler, Padilla
Services Health Services Administration. to mental health services for pediatric patients.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental ReadyKids, Inc., VA, for mental health and 200,000 Kaine, Warner
Services Health Services Administration. counseling services for youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Resilience Resource Center, PA, for mental health 350,000 Fetterman
Services Health Services Administration. services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Rosecrance, Inc., IL, for behavioral health care 800,000 Duckworth
Services Health Services Administration. services for veterans.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental San Juan County Partnership, NM, for a substance 307,000 Lujan
Services Health Services Administration. use prevention program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Sinai Health System, IL, for a trauma recovery 1,500,000 Durbin
Services Health Services Administration. program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Southwest Washington Accountable Community of 750,000 Cantwell, Murray
Services Health Services Administration. Health, WA, for a mobile substance use disorder
medical clinic, including a vehicle and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Starfish Family Services, MI, for substance use 1,400,000 Stabenow
Services Health Services Administration. disorder treatment and mental health care
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental STRYV365, WI, for mental health programming for 100,000 Baldwin
Services Health Services Administration. youth, including professional development for
youth-serving organizations.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Taos Pueblo Health and Community Services, NM, 331,000 Heinrich
Services Health Services Administration. for peer-led recovery programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental The Carnegie Hall Corporation, NY, for a program 870,000 Gillibrand, Schumer
Services Health Services Administration. to promote mental wellbeing for children and
families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental The Martinsburg Initiative, Inc., WV, for youth 520,000 Capito, Manchin
Services Health Services Administration. substance use prevention and mental health
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental The Salvation Army, CO, for mental and behavioral 600,000 Bennet, Hickenlooper
Services Health Services Administration. health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental The Trevor Project, CA, for a crisis intervention 1,050,000 Butler
Services Health Services Administration. training program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Tides Family Services, RI, for a mental and 527,000 Whitehouse
Services Health Services Administration. behavioral health program for at-risk youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Turning Point Center, VT, for a community-based 167,000 Welch
Services Health Services Administration. program to reduce substance use and address
mental health needs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Unified School District #233--Olathe Public 1,100,000 Moran
Services Health Services Administration. Schools, KS, for school-based mental health
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental University of Alaska, AK, for mental and 250,000 Murkowski
Services Health Services Administration. behavioral health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental University of Oregon, OR, to support pediatric 2,980,000 Merkley, Wyden
Services Health Services Administration. mental and behavioral health care, including
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental University of Rhode Island, RI, for mental health 1,500,000 Reed, Whitehouse
Services Health Services Administration. programming for youth, including trainings.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Valley Family Health Care, Inc., OR, for a 816,000 Merkley, Wyden
Services Health Services Administration. substance use disorder treatment program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Vinfen, Corporation, MA, for a mental health 554,000 Markey, Warren
Services Health Services Administration. crisis and substance use disorder treatment
program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Virginia Telemental Health Initiative, VA, for 299,000 Kaine, Warner
Services Health Services Administration. mental health counseling through telemedicine.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Voices of September 11, Inc., CT, for resources 350,000 Blumenthal, Murphy
Services Health Services Administration. and information for individuals impacted by
tragedy.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Volunteers of America of Alaska, AK, for mental 1,000,000 Murkowski
Services Health Services Administration. and behavioral health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Wellspring, Inc., ME, for mental health and 125,000 King
Services Health Services Administration. recovery services, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental West Care Wisconsin, WI, for a mobile mental 575,000 Baldwin
Services Health Services Administration. health clinic.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Wichita Children's Home, KS, for mental and 350,000 Moran
Services Health Services Administration. behavioral health services, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Windham Region Chamber of Commerce Foundation, 380,000 Blumenthal, Murphy
Services Health Services Administration. CT, for mental health and supportive services
for veterans.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Wyoming County Human Services, PA, for an in- 147,000 Casey
Services Health Services Administration. home, behavioral health therapy program for
mothers.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental YMCA of Silicon Valley, CA, for mental health 736,000 Butler, Padilla
Services Health Services Administration. programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Substance Abuse and Mental Youth Advocate Programs, Inc., CT, for prevention 2,000,000 Blumenthal, Murphy
Services Health Services Administration. programming and behavioral health services for
youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Adult Friends for Youth, HI, to support at-risk 367,000 Schatz
Services Families. youth through counseling and supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Aloha United Way, HI, to support referral and 800,000 Hirono, Schatz
Services Families. helpline services for basic needs, crisis, and
disaster response.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and American Chinese Christian Education and Social 50,000 Markey, Warren
Services Families. Services (ACCESS), MA, to support afterschool
programming for low income children.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Anne Arundel County Food Bank, MD, to support low 173,000 Cardin, Van Hollen
Services Families. income families through food distribution,
including the purchase of a refrigerated vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Asian Girls Ignite, CO, to support a mentorship 238,000 Bennet, Hickenlooper
Services Families. program for girls.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Baltimore Urban Leadership Foundation, Inc., MD, 50,000 Cardin, Van Hollen
Services Families. for services for at-risk youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Bangladeshi American Society Inc., NY, for 184,000 Schumer
Services Families. services for low income individuals and
families, including food.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Battered Women's Legal Advocacy Project D/B/A 1,000,000 Klobuchar, Smith
Services Families. Standpoint, MN, to support survivors of child
abuse and domestic violence.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Beautiful Day, RI, to support self-sufficiency 1,210,000 Reed
Services Families. through a food entrepreneurship program,
including child care and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Big Brothers Big Sisters of Alaska, AK, for a 100,000 Murkowski
Services Families. mentoring program for vulnerable youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Boulder Food Rescue, CO, for a food purchasing 132,000 Bennet, Hickenlooper
Services Families. and education program for low income
individuals, including the purchase of food and
supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Center for Housing and Health, IL, for supportive 1,300,000 Durbin
Services Families. services for at-risk individuals, including
housing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Churches United For Fair Housing, Inc., NY, for a 420,000 Schumer
Services Families. program to support low income families to find
and maintain affordable housing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and City of Whitewater, WI, to reduce poverty through 85,000 Baldwin
Services Families. an immigrant liaison.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Commonwealth of Massachusetts United Ways, MA, to 1,500,000 Markey, Warren
Services Families. reduce poverty for low income individuals and
families, including for the purchase of food.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Cradles to Crayons, PA, to support low income 548,000 Fetterman
Services Families. children and families, including through the
purchase of supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Davinci Center for Community Progress, RI, for 250,000 Reed
Services Families. community services for at-risk individuals.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Divine Konnections Inc., MN, for child abuse 136,000 Klobuchar, Smith
Services Families. prevention and supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Dorcas International Institute of Rhode Island, 680,000 Reed
Services Families. RI, for a refugee assistance program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Easter Seals North Georgia, Inc., GA, for 767,000 Ossoff, Warnock
Services Families. programming to support children and families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Elena's Light, CT, for programming for refugee 325,000 Blumenthal, Murphy
Services Families. families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and EP International Ministries, Inc., MD, to 97,000 Cardin, Van Hollen
Services Families. decrease food insecurity through a mobile meal
program, including the purchase of vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Essex County Legal Aid Association, Inc., NJ, for 500,000 Booker
Services Families. legal services for children.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Federal Hill House Association, RI, for community 410,000 Reed
Services Families. services and programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Feeding Westchester, NY, for a food delivery 220,000 Gillibrand, Schumer
Services Families. program for at-risk individuals, including food.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Foundation for Black Women's Wellness, WI, for 1,167,000 Baldwin
Services Families. programming to enhance economic security and
family stability for at-risk women and families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Friendly House, Inc., MA, to support individuals 50,000 Markey, Warren
Services Families. and families facing housing insecurity.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Haa Yaitx'u Saiani, AK, for supportive services 100,000 Murkowski
Services Families. for kinship households.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Hawaii Children's Action Network, HI, to help 150,000 Schatz
Services Families. reduce economic disparities through community
engagement training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Homes for Families, OH, for support and training 100,000 Brown
Services Families. for low income individuals.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Hosea Feed the Hungry and Homeless Inc., GA, to 244,000 Ossoff, Warnock
Services Families. support low income communities at risk of food
insecurity, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Jackson Leadership Foundation, MS, for a youth 160,000 Hyde-Smith
Services Families. mentoring program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Jasmin Child Care and Preschool, MN, for child 500,000 Klobuchar, Smith
Services Families. care services and professional development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Joshua Homes Community Development Corporation, 513,000 Cardin, Van Hollen
Services Families. MD, to reduce poverty, including through housing
counseling and financial coaching.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Justice For Housing, Inc., MA, to support at-risk 250,000 Markey, Warren
Services Families. families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Lakeside Education Network d.b.a Lakeside Youth 475,000 Casey
Services Families. Network, PA, for a parenting education program
for Head Start parents and staff.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Las Cumbres Community Services, NM, for a 333,000 Heinrich, Lujan
Services Families. kindship care program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Legal Aid of West Virginia, WV, for a program to 470,000 Capito, Manchin
Services Families. provide legal services to prevent homelessness
and child abuse.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Marjaree Mason Center, CA, for crisis services 1,500,000 Butler
Services Families. and support for domestic violence survivors.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Metropolitan New York Coordinating Council on 670,000 Gillibrand, Schumer
Services Families. Jewish Poverty, NY, for supportive services for
low income individuals, including food.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Mitzvah Circle Foundation, PA, to support low 650,000 Fetterman
Services Families. income populations, including through the
purchase of supplies and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Mothers in Arms (dba Motherful), OH, for services 500,000 Brown
Services Families. for low income mothers.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and New Hampshire Children's Trust, Inc., NH, to 500,000 Shaheen
Services Families. prevent child abuse and neglect.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and New Jersey Coalition to End Domestic Violence 500,000 Booker
Services Families. (NJCEDV), NJ, for services for survivors of
domestic violence, including housing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and New Orleans Health Department, LA, for newborn 500,000 Cassidy
Services Families. supply kits.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and NH Hunger Solutions, NH, to support low income 430,000 Shaheen
Services Families. individuals and families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Ohio County Family Resource Network, Inc., WV, to 100,000 Capito, Manchin
Services Families. provide assistance to low income individuals,
including food and hygiene products.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Partners in Development Foundation, HI, to 2,000,000 Hirono, Schatz
Services Families. support low income families and children through
a financial literacy program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Pennsylvania Coalition Against Domestic Violence, 500,000 Casey
Services Families. PA, for services for survivors of domestic
violence, including housing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Polar Cubs Childcare Center, MN, for child care 50,000 Klobuchar, Smith
Services Families. services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and PorchLight, A Family Justice Center, CO, for 620,000 Bennet, Hickenlooper
Services Families. services for survivors of domestic violence or
abuse.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Rhode Island Community Food Bank Association, RI, 210,000 Reed
Services Families. to reduce poverty, including through the
purchase of food and a truck.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Share Our Spare, IL, to support family relief 387,000 Duckworth
Services Families. initiatives for low income families, including
supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and St. Christopher's Hospital for Children, PA, to 497,000 Fetterman
Services Families. support low income children and families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Team for West Virginia Children, WV, for a child 118,000 Capito
Services Families. abuse prevention program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The Children's Law Center, Inc., CT, to support 100,000 Blumenthal, Murphy
Services Families. legal representation for children in family
court.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The Community Investment Alliance, CO, for 800,000 Bennet, Hickenlooper
Services Families. supportive services, including housing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The ELISHA Project, RI, for supportive services 350,000 Whitehouse
Services Families. for veterans, including food.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The Family Tree, MD, for a home visiting program 300,000 Cardin, Van Hollen
Services Families. to support new parents and infants.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The Housing Collective, CT, for a data platform 500,000 Blumenthal, Murphy
Services Families. to connect low income individuals with
affordable housing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The Northern Lighthouse, Inc., ME, to support a 80,000 Collins
Services Families. youth emergency shelter and transitional living
program, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and The Northern Lighthouse, ME, for mental health 339,000 King
Services Families. services for homeless youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Tidewater Electrical Joint Apprenticeship and 442,000 Kaine, Warner
Services Families. Training Committee (Tidewater JATC) 501(c)(6),
VA, for child care assistance.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and TRWIB, Inc. (DBA Partner4Work), PA, to support 450,000 Casey
Services Families. low income families through child care services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and United Way of Aroostook, ME, to improve childcare 182,000 Collins, King
Services Families. services, including professional development,
curriculum, and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and United Way of the Blue Mountains, WA, to expand 1,000,000 Murray
Services Families. access to childcare, including through community
workforce development and teacher training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and University of Arkansas for Medical Sciences, AR, 8,000,000 Boozman
Services Families. for an infant and maternal mortality prevention
program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Valley Youth House Committee, Inc., PA, for an in- 511,000 Casey
Services Families. home family therapy training program to support
stable families and reduce foster care
placements.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Volunteers of America South Central Louisiana, 1,500,000 Cassidy
Services Families. Inc., LA, for supportive services for at-risk
youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Wakeman Memorial Association, CT, for after 300,000 Blumenthal, Murphy
Services Families. school programming for youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and West Virginia CASA Association, Inc., WV, for a 1,010,000 Manchin
Services Families. program to prevent and address child abuse and
neglect.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Western Pennsylvania Diaper Bank, PA, for a 200,000 Casey, Fetterman
Services Families. mobile diaper distribution program, including
for the purchase of a vehicle and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Children and Wisconsin Child Abuse and Neglect Prevention 1,000,000 Baldwin
Services Families. Board, WI, for child abuse prevention.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community All Out Adventures, Inc., MA, for vehicles and 101,000 Markey, Warren
Services Living. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Amputee Center, WV, for supportive services for 175,000 Capito, Manchin
Services Living. individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Anchorage Coalition to End Homelessness, AK, for 1,439,000 Murkowski
Services Living. expanding services and supports for older
individuals and individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Appalachian Agency for Senior Citizens, VA, for 75,000 Kaine, Warner
Services Living. supportive services for older adults, including
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Berks Encore, Inc., PA, for supportive services 500,000 Casey
Services Living. for older adults, including food.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Borough of East Rutherford, NJ, for the purchase 29,000 Booker, Menendez
Services Living. of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Cabell County Community Services Organization, 73,000 Manchin
Services Living. WV, for delivery vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Chinese Mutual Aid Association, IL, for 135,000 Duckworth
Services Living. facilities and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Citizens for Independence & Access d.b.a. Center 125,000 Casey, Fetterman
Services Living. for Independent Living Opportunities, PA, for
training, staffing, and supplies to expand
supportive services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community City of Hyattsville, MD, for supportive services 106,000 Cardin, Van Hollen
Services Living. for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Coalition for Food and Health Equity, NJ, for a 200,000 Booker
Services Living. meal delivery program, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Denver Regional Council of Governments, CO, for 853,000 Bennet, Hickenlooper
Services Living. supportive services for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community End Hunger in Calvert County, MD, for supportive 275,000 Cardin, Van Hollen
Services Living. services for individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Family Service-Upper Ohio Valley, WV, for 200,000 Manchin
Services Living. supportive services for older adults, including
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Friendship Community, PA, for vehicles and 450,000 Casey
Services Living. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Goodwill Industries of Northern New England, ME, 649,000 Collins, King
Services Living. for enhancing community accessibility for
individuals with disabilities, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Great Bay Services, Inc., ME, for enhancing 204,000 Collins
Services Living. community accessibility for individuals with
disabilities, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Green Acres Regional Center, DBA LeSage Water 150,000 Manchin
Services Living. Division, WV, for vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Hands On Hartford, CT, for supportive services 585,000 Blumenthal, Murphy
Services Living. for seniors and individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Hawaii Good Food Alliance, HI, for a meal program 500,000 Schatz
Services Living. for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Helping Harvest Fresh Food Bank, PA, for a meal 750,000 Casey
Services Living. distribution program for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community J-HAP Inc., MN, for supportive services for 50,000 Klobuchar, Smith
Services Living. individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Jin Huo Community, Inc., OH, for supportive 400,000 Brown
Services Living. services for older adults, including evaluation
and translation services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Madison House Autism Foundation, MD, for 650,000 Cardin, Van Hollen
Services Living. supportive services for individuals with
disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Marshall University Research Corporation, WV, for 1,697,000 Capito, Manchin
Services Living. helping expand access to services and supports
for older individuals.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Meristem, Inc., CA, for programming and 800,000 Padilla
Services Living. supportive services for individuals with
disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Middlesex United Way, CT, for supportive services 75,000 Blumenthal, Murphy
Services Living. for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Minnesota Assistance Council for Veterans, MN, 975,000 Klobuchar, Smith
Services Living. for supportive services for older veterans.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community National Asian Pacific Center on Aging, WA, for 1,000,000 Murray
Services Living. outreach and helpline services for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community New York City Ballet, Inc., NY, for programming 223,000 Gillibrand, Schumer
Services Living. for individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community NextStep Fitness Raleigh, Inc., NC, for expanding 677,000 Tillis
Services Living. services and supports for individuals with
disabilities, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community NextStep Kansas City, Inc., KS, for expanding 500,000 Moran
Services Living. services and supports for individuals with
disabilities, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Open Up, PA, for programming for individuals with 200,000 Casey
Services Living. disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community OPTIONS, Inc., LA, for expanding access to 660,000 Cassidy
Services Living. services and supports for individuals with
disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Ossipee Concerned Citizens, NH, for supportive 100,000 Shaheen
Services Living. services for older adults, including meals.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Ranch Hope, Inc., NJ, for supportive services and 500,000 Booker
Services Living. equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community SilverSource, Inc., CT, for supportive services 200,000 Blumenthal, Murphy
Services Living. for older adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Special Olympics New Jersey, NJ, for health and 500,000 Booker
Services Living. wellness programming for individuals with
disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Team Gleason Foundation, LA, for addressing the 3,000,000 Cassidy, Kennedy
Services Living. needs of individuals with ALS, including the
purchase of equipment and assistive technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Telespond Senior Services, Inc., PA, for 500,000 Casey
Services Living. supportive services and vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community The Arc of Blackstone Valley, RI, for vehicles 120,000 Reed
Services Living. and charging stations.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community The Arc of Pennsylvania, PA, for the development 500,000 Casey
Services Living. and dissemination of resources to support
individuals with disabilities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community The Arc of Southern MD, MD, for supportive 239,000 Cardin, Van Hollen
Services Living. services for individuals with disabilities,
including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community The Autism Project, RI, for programming for 160,000 Reed
Services Living. individuals with autism.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Vermont Association of Area Agencies on Aging, 243,000 Sanders
Services Living. VT, for supportive services for older adults,
including meal deliveries.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Health & Human Administration for Community Vermont Association of Senior Centers and Meal 500,000 Sanders
Services Living. Providers, VT, for supportive services for older
adults.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... ``I Have a Dream'' Foundation of Boulder County, 600,000 Bennet, Hickenlooper
CO, for a two-generation education initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... 50CAN, INC. dba HawaiiKidsCAN, HI, for tutoring, 80,000 Hirono, Schatz
including postsecondary financial aid for
participants.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... ACCESS, MI, for out-of-school time programming... 1,200,000 Stabenow
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Accokeek Foundation, Inc., MD, for environmental 425,000 Cardin, Van Hollen
education programs and implementation of social
studies and environmental literacy framework,
including the purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Achieve Twin Cities, MN, for college and career 1,500,000 Klobuchar, Smith
readiness programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Aha Punana Leo, HI, for an early childhood 1,160,000 Hirono, Schatz
education Hawaiian language immersion program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Alaska Council of School Administrators, AK, for 200,000 Murkowski
teacher professional development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Alaska Native Heritage Center, AK, for an 300,000 Murkowski
afterschool program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Alaska Resource Education, AK, for a STEM and 150,000 Murkowski
natural resources education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Albany State University Foundation, GA, to 784,000 Warnock
improve literacy through summer reading camps,
including the purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Alpena Community College, MI, for dual enrollment 750,000 Peters, Stabenow
and early college programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Altera, WA, for early childhood education and 500,000 Murray
literacy programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Annapolis and Anne Arundel County Scholarship 200,000 Cardin, Van Hollen
Trust, MD, for educational programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Arts Council of Greater New Haven, CT, for youth 98,000 Blumenthal, Murphy
arts journalism initiative, including student
stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Asian Americans for Equality, Inc., NY, for 150,000 Gillibrand, Schumer
college readiness and access programming and
youth development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Association of Alaska School Boards, AK, for a 500,000 Murkowski
youth mentoring program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Aviation Career Enrichment Inc., GA, for STEM 785,000 Warnock
education, including aviation workforce
development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Ballet After Dark, Inc., MD, for a comprehensive 1,071,000 Cardin, Van Hollen
program for girls and young women focused on
wellness, health education, mentorship, and
leadership training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Baltimore SquashWise, Inc., MD, for youth 200,000 Cardin, Van Hollen
development programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Best Buddies International, Inc., LA, for the 274,000 Kennedy
Best Buddies in Louisiana inclusion project.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Best Buddies International, Inc., MA, to 400,000 Markey, Warren
establish and deliver community-based inclusion
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Best Buddies International, Inc., NC, for the 250,000 Tillis
Best Buddies in North Carolina inclusion project.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Big Brothers Big Sisters of Puget Sound, WA, for 1,000,000 Murray
career pathways and training programs for
secondary students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Big Brothers Big Sisters of Rhode Island, RI, for 100,000 Reed, Whitehouse
a youth mentoring program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Big Picture Philadelphia, PA, for school-based 350,000 Fetterman
health and wellness services and nutrition
education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Big Sister Association of Greater Boston, MA, for 251,000 Markey, Warren
school-based mentoring programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys & Girls Club of Allentown, PA, for equipment 165,000 Casey
for an out-of-school time education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys & Girls Club of East Providence, RI, for 650,000 Reed
youth programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys & Girls Club of the Big Island, HI, for 683,000 Hirono
afterschool, academic support, substance abuse
prevention, and nutrition programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys & Girls Clubs of Central Virginia, VA, to 61,000 Kaine, Warner
increase out-of-school time program
participation through the expansion of
transportation services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys & Girls Clubs of Contra Costa, CA, for 900,000 Butler, Padilla
afterschool and summer youth development
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys & Girls Clubs of Warwick, RI, for youth 485,000 Reed
programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys and Girls Club of Delaware, DE, for out-of- 455,000 Carper, Coons
school time youth support services, including
mentoring, social emotional learning, and mental
health.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys and Girls Club of Maui, Inc., HI, for youth 700,000 Hirono, Schatz
wellness and mental health programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Boys and Girls Clubs of Southcentral Alaska, AK, 800,000 Murkowski
for an out-of-school time program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Brockton Public Schools, MA, to replace laptop 2,128,000 Markey, Warren
computers.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Cal Ripken, Sr. Foundation, MD, for a STEM 1,000,000 Cardin, Van Hollen
education initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Career Girls, CA, for college and career 100,000 Butler, Padilla
readiness programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Ceeds of Peace, HI, to expand the community 835,000 Hirono
school model at Hawaii public schools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Chariho Regional School District, RI, for 120,000 Whitehouse
tutoring and out of school time programming,
including the purchase of vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Chesapeake Bay Outward Bound School, MD, for 250,000 Cardin, Van Hollen
experiential outdoor learning, including vehicle
expenses.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Children's Foundation of Mississippi, MS, for a 698,000 Hyde-Smith
project to improve education outcomes.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Children's Theatre of Charleston, Inc., WV, for 100,000 Capito, Manchin
arts education, including for the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Citizens Campaign Fund for the Environment, NY, 100,000 Schumer
for an environmental education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... City of Charleston, WV, for youth nutrition and 500,000 Capito, Manchin
nutrition education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... City of North Las Vegas, NV, for literacy and 2,569,000 Cortez Masto, Rosen
educational access expansion, including the
acquisition of four vehicles for mobile library
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Cloverleaf Music Associates, OH, for equipment 9,000 Brown
for school music programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... College Visions, RI, for college preparedness and 723,000 Reed, Whitehouse
access programming, including student stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Collinsville Area Vocational Center, IL, for 3,000,000 Duckworth
equipment for education program expansion.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Communities in Schools of Washington State, WA, 900,000 Murray
for student mental health programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Community Health Center, Inc. of Connecticut, CT, 550,000 Blumenthal, Murphy
for environmental and health education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Concilio de Organizaciones Hispanas, PA, for 716,000 Fetterman
pathways to high school graduation, training,
mentorships, apprenticeships, internships, and
career readiness programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Connecticut Historical Society dba Connecticut 1,000,000 Blumenthal, Murphy
Museum of Culture and History, CT, for civic
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Connecticut Junior Republic Association, Inc., 1,650,000 Blumenthal, Murphy
dba CJR, CT, for school-based behavioral and
mental health services, including student
incentives.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Connecticut Public Broadcasting, Inc., CT, for 709,000 Blumenthal, Murphy
educational programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Consortium for Hawaii Ecological Engineering 444,000 Hirono, Schatz
Education dba Malama Aina Foundation, HI, for
education programs of the Kahikina Learning
Center.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Contemporary American Theater Festival, Inc. 150,000 Capito, Manchin
(CATF), WV, for educational programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Corning Museum of Glass, NY, for education 820,000 Gillibrand, Schumer
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Crenshaw County School District, AL, for the 114,000 Britt
purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... CUNY School of Labor and Urban Studies 520,000 Gillibrand, Schumer
Foundation, Inc., NY, for the Public Service
Training Corps, including scholarships and
stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... DC Regional Community Care Coalition, MD, for 100,000 Cardin, Van Hollen
early childhood education services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Deming Public Schools, NM, to develop career and 125,000 Heinrich
technical education programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... DePaul University, IL, for the Center for Middle 720,000 Durbin
School Civic Leadership, including stipends and
tuition support.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Doc Wayne Youth Services, Inc., MA, for youth 400,000 Markey, Warren
development and mental health services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Domestic Violence Crisis Center, CT, for youth 108,000 Blumenthal, Murphy
violence prevention education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Dual Language Education of New Mexico, NM, to 321,000 Heinrich
improve student outcomes through culturally and
linguistically responsive professional
development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Educating for Leadership, Inc., AK, to improve 1,623,000 Murkowski
student safety.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Employ Milwaukee, WI, for career exploration and 1,200,000 Baldwin
youth development, including youth stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Empower Yourself ltd, MA, for STEM education and 150,000 Markey, Warren
financial literacy programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Fairmont State University, WV, for a dual 3,869,000 Capito, Manchin
enrollment program for foster youth, including
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Families and Schools Together (FAST), WI, for 1,140,000 Baldwin
family engagement programs in Wisconsin.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Farm Fresh Rhode Island, RI, for farm to school 250,000 Whitehouse
programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Flagman, Inc., CT, for road safety education in 1,473,000 Blumenthal, Murphy
Connecticut schools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Forrest County Agricultural High School District, 600,000 Hyde-Smith
MS, for the purchase of equipment, technology,
and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Friendly House, Inc., AZ, for education, 1,000,000 Sinema
training, and support services for immigrants,
refugees and underserved populations.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Future Focused Education, NM, for youth mental 500,000 Heinrich
health services and career pathways, including
stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Gadsden Independent School District, NM, for 250,000 Heinrich
workforce and career readiness, including paid
youth internships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Genesee Valley Outdoor Learning Center, MD, for 40,000 Cardin, Van Hollen
social-emotional learning through outdoor
experiences.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Girls on the Run International, MN, to increase 500,000 Klobuchar, Smith
access to programming in underserved communities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Goldbelt Heritage Foundation, AK, for culturally 750,000 Murkowski
responsive curriculum and career pathways for
Indigenous youth, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Hall County School District Meat Science Center, 700,000 Warnock
GA, for a career pathway program in meat
processing.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Hawaii Department of Education, HI, for Hawaiian 1,000,000 Schatz
language and culture-based educator workforce
development initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Heights Philadelphia, PA, for college and career 200,000 Casey
readiness programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Hispano Roundtable of New Mexico, NM, for STEAM 500,000 Heinrich, Lujan
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Homewood Children's Village, PA, to expand 250,000 Casey
services in community schools in Pittsburgh.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Howard County Conservancy, MD, for an 50,000 Cardin, Van Hollen
environmental education program including career
awareness.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... i3 Academy Charter School Network, AL, for the 345,000 Britt
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Inupiat Community of the Arctic Slope, AK, for a 500,000 Murkowski
teacher apprenticeship and mentoring program,
including instructor stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Jacob's Pillow Dance Festival, Inc., MA, for an 375,000 Markey, Warren
arts education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... James City County, VA, for a STEAM bookmobile for 300,000 Kaine, Warner
early childhood and education for children,
including the purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Jumpstart for Young Children, Inc., MA, for the 250,000 Markey, Warren
Accelerated Workforce program for early
childhood education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... KAMP Hawaii, HI, for mentoring and education 350,000 Schatz
programming, including the purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Kansas Children's Discovery Center, KS, for an 1,400,000 Moran
afterschool STEM program, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Keene Housing Kids Collaborative, NH, to expand 247,000 Shaheen
out-of-school time programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Kent Intermediate School District, MI, to expand 750,000 Peters
career and technical education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Keyz 2 The Future, CA, for an educational 100,000 Butler
initiative, including leadership development and
trauma-informed care.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Lanai High and Elementary School (LHES) 120,000 Hirono
Foundation, HI, to develop the community school
model at Lanai High and Elementary School.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Las Vegas Library District, NV, for the Teachers 1,400,000 Cortez Masto, Rosen
in Libraries tutoring program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Leaders of Tomorrow Youth Center, MD, for after- 50,000 Cardin, Van Hollen
school therapeutic mentoring and art therapy
services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Learning Point Alaska, AK, for a tutoring program 300,000 Murkowski
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Learning Undefeated, Inc., MD, for mobile STEM 500,000 Cardin, Van Hollen
lab and STEM pathway program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Liberty Science Center, NJ, for environmental 559,000 Booker, Menendez
education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Life Through Music, MD, for music education, 50,000 Cardin, Van Hollen
including stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Lincoln Center for the Performing Arts, Inc., NY, 870,000 Gillibrand, Schumer
for arts education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Living Classrooms Foundation, MD, for music 575,000 Cardin, Van Hollen
education, including the purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Long Island Children's Museum, NY, for an 420,000 Gillibrand, Schumer
education initiative, including improved student
access from underserved communities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Manufacturing Serving Our Schools Alliance, WI, 3,000,000 Baldwin
to acquire equipment for manufacturing education
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Maryland Institute College of Art, MD, for an art 400,000 Cardin, Van Hollen
and design college pathway program, including
student stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Maryland State Department of Education (MSDE), 500,000 Cardin, Van Hollen
MD, to improve access to and quality of early
childhood education through a statewide,
centralized enrollment system.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Melwood Horticultural Training Center, Inc., MD, 250,000 Cardin, Van Hollen
for an afterschool program, including career
awareness activities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Mid-Shore Community Foundation--Bellevue Passage 90,000 Cardin, Van Hollen
Museum, MD, for STEAM education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Milwaukee Jewish Federation, WI, for education on 312,000 Baldwin
and prevention of antisemitism.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Mllinocket School Department, ME, for equipment, 1,560,000 King
textbooks and educational materials for
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Montclair Film Festival Inc., NJ, for film 80,000 Booker
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Mount Hope Community Center, RI, for a youth 220,000 Reed
reading program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Music Hall Center for the Performing Arts, MI, 2,500,000 Stabenow
for equipment for arts education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... National Aviation Hall of Fame (NAHF), OH, for 51,000 Brown
support for an aviation education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New Hampshire School Principals Foundation, NH, 342,000 Shaheen
for a workforce development program for school
leaders.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New Jersey Performing Arts Center, NJ, for 552,000 Booker, Menendez
equipment and technology for arts education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New Mexico State University, NM, for a statewide 250,000 Heinrich
bilingual education initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New Neighbor Connections, NH, for a newcomer 300,000 Shaheen
student family engagement program for immigrant
and refugee students and their families.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New Urban Arts, RI, for an out-of-school time 350,000 Whitehouse
program in environmental and outdoor education,
including youth stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New Urban Arts, RI, for arts education and 150,000 Reed
curriculum development, including student
stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... New York Edge, Inc., NY, to improve afterschool 420,000 Gillibrand, Schumer
programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... North Slope Borough School District, AK, for 500,000 Murkowski
culturally relevant curriculum and instruction.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Northeastern Pennsylvania Educational Television 500,000 Casey
Association, PA, for STEM education, media
literacy, and education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Northfield Public Schools, MN, for expansion of 100,000 Klobuchar, Smith
Full-Service Community schools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Ocean Exploration Trust, CT, for an education 407,000 Blumenthal, Murphy
initiative, including traveling exhibit
development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Onward We Learn, RI, for college access and 600,000 Reed, Whitehouse
support services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Operation Shoestring, MS, for an out of school 515,000 Hyde-Smith
time program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Overlake Service League dba Bellevue Lifespring, 250,000 Murray
WA, for educational services for children
experiencing homelessness.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Ozark City Schools Career Center, AL, for a 350,000 Britt
mobile welding lab, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Partnership for Children and Youth, CA, to 700,000 Butler
improve access to expanded learning programs
through a workforce development initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... PATCH--People Attentive to Children, HI, to 250,000 Hirono
improve school readiness through expansion of a
credentialing program for early childhood
practitioners, including stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Philharmonic-Symphony Society of New York, Inc., 1,370,000 Gillibrand, Schumer
NY, for music education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Pierce County, WA, to improve early childhood 500,000 Cantwell, Murray
education readiness and outcomes.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Progreso Latino, Inc., RI, for early childhood 150,000 Reed, Whitehouse
education and out of school time programs,
including the purchase of vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Project SYNCERE, IL, for equipment for STEM 200,000 Duckworth
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Reach for the Top Therapy Services, NH, to expand 181,000 Shaheen
speech language and communication services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Reach Out and Read Rhode Island, RI, for a child 60,000 Reed
literacy program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Read Aloud West Virginia, WV, for a literacy 54,000 Capito, Manchin
program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Reading Assist, DE, to expand tutoring programs.. 1,000,000 Coons
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Reading Partners, MD, for literacy tutoring for 800,000 Cardin, Van Hollen
students in Baltimore City and Baltimore County.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Reading Science Center, PA, to expand education 220,000 Casey
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Regional School Unit #3, ME, for a day treatment 250,000 King
program for public school-aged children
experiencing mental health and behavior
challenges.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Rhode Island Black Storytellers, RI, for youth 180,000 Reed
educational programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Rhode Island Environmental Education Association, 100,000 Reed
Inc., RI, for environmental education, including
participant stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Rhode Island Philharmonic Orchestra & Music 450,000 Reed
School, RI, for youth music education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... RI Department of State, RI, for youth civic 120,000 Reed, Whitehouse
education programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Richland School District, PA, for early childhood 250,000 Casey
literacy and STEAM education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Roundabout Theatre Company, Inc., NY, for arts 870,000 Gillibrand, Schumer
education and trauma-informed training,
including incentives.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... SciTech2U Inc., MD, for seismic quake lab 159,000 Cardin, Van Hollen
education initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Shiawassee Regional Education Service District, 267,000 Peters
MI, for equipment for career and technical
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Society of Hispanic Professional Engineers, CA, 236,000 Butler, Padilla
for STEM education programming at two middle
schools in San Diego and Los Angeles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... South Carolina Department of Education, SC, for 500,000 Graham
Liberty STEAM Charter School to support the
expansion of an additional grade.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Space Foundation, CO, for STEM education in rural 261,000 Bennet, Hickenlooper
and underserved communities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Squash and Education Alliance, NY, for youth 420,000 Gillibrand, Schumer
development and education programs, which may
include lease of a vehicle, stipends, and
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... St. Ann's Warehouse, Inc., NY, for arts education 100,000 Schumer
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... St. George Municipal School Unit, ME, for the 272,000 Collins
purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Sunrise of Philadelphia, PA, for an out-of-school 250,000 Casey
time education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... SWAN Scaling Walls A Note At A Time, PA, for an 250,000 Casey
out-of-school time education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Tacoma School District No. 10 DBA Tacoma Public 500,000 Murray
Schools, WA, to develop a maritime skills
program for secondary students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Teach For America Bay Area, CA, for the Ignite 240,000 Butler, Padilla
tutoring program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Teach For America Greater Baton Rouge, LA, for a 620,000 Cassidy
high-dosage tutoring program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Team Long Run, ME, for a literacy program........ 250,000 Collins
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Thai Community USA NYC, NY, for out of school 100,000 Schumer
time programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Brooklyn Academy of Music, Inc., NY, to 870,000 Gillibrand, Schumer
expand and improve educational programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Citizen Science Lab, PA, to expand STEM 500,000 Casey
education programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Da Vinci Discovery Center of Science and 385,000 Casey
Technology, Inc., PA, for an out-of-school time
STEAM education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Filipino Veterans Recognition and Education 1,000,000 Hirono, Schatz
Project, HI, to expand the Duty to Country
Education project.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Learning Community, RI, for outdoor learning, 250,000 Reed, Whitehouse
including the purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Midtown Management Group Inc. dba Inside 170,000 Gillibrand, Schumer
Broadway, NY, for a career awareness program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Narragansett Indian Tribe, RI, for out-of- 500,000 Reed, Whitehouse
school time programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The National Aquarium, MD, for environmental 215,000 Cardin, Van Hollen
education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... The Possible Zone, MA, for dual enrollment, 800,000 Markey, Warren
career pathways, out-of-school time, and social
emotional learning programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Theatre Development Fund, Inc., NY, for a mobile 570,000 Gillibrand, Schumer
arts education program, which may include
purchase of a vehicle.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Thomasville City Schools, GA, for literacy 675,000 Ossoff
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Three Rivers Education Foundation, NM, for an 250,000 Heinrich
early childhood literacy initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Tibetan Community of New York & New Jersey, NY, 420,000 Schumer
for out of school time programming, including
language instruction, education, and college
access programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Town of Fontana Dam, NC, for an out-of-school 750,000 Tillis
time program, including stipends and the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Town of Westerly, RI, for out of school time 1,000,000 Reed, Whitehouse
educational programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Tree of Life, Inc., PA, for educational 1,200,000 Casey, Fetterman
initiatives on antisemitism and identity-based
hate for elementary and secondary education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Tucson Children's Museum, Inc., AZ, for equipment 1,000,000 Sinema
and exhibit development for STEAM education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... United Way of Berks County, PA, for afterschool 500,000 Casey
literacy tutoring, including tutor stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... United Way of Kenosha County, WI, for literacy 200,000 Baldwin
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... University of New Mexico, NM, for indigenous 798,000 Lujan
language preservation and child language
development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... University of New Mexico, NM, to improve reading 450,000 Heinrich, Lujan
outcomes for students at-risk for dyslexia from
culturally and linguistically diverse
backgrounds.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Urban League of Greater Cleveland, OH, for 500,000 Brown
education, youth development, and college and
career readiness programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Ute Mountain Ute Tribe, CO, for Ute language and 1,400,000 Bennet, Hickenlooper
history preservation and year-round student
programs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Virginia Commemorations, Inc., VA, for curriculum 900,000 Kaine, Warner
development, educational materials and
resources, and educator training.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Vision to Learn, OR, for vision care services for 1,369,000 Merkley, Wyden
students in under-resourced schools, including
the purchase of mobile vision clinic and two
vehicles.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Wagner Free Institute of Science, PA, to expand 200,000 Casey, Fetterman
STEAM education programs to four North
Philadelphia schools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Washington County Public Schools, VA, for 750,000 Kaine, Warner
equipment and installation of accessible
playgrounds at Greendale Elementary and Abingdon
Elementary Schools.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... West Virginia State University, WV, for 500,000 Manchin
agricultural education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... West Virginia Symphony Orchestra, WV, for arts 600,000 Capito, Manchin
education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... White Mountain Science Inc., NH, to expand STEM 118,000 Shaheen
education programming.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... White Salmon Valley School District, WA, to 100,000 Murray
expand after-school programming for under-
resourced and low-income students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Windham Regional Career Center, VT, for career 4,500,000 Sanders
and technical education, including subgrants for
the acquisition of equipment and vehicles and
educator compensation.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Winona State University, MN, for a high school to 430,000 Klobuchar, Smith
health care career initiative.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... Youth Guidance, IL, for mentoring programs, 500,000 Durbin
including student incentives.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Innovation and Improvement..... YWCA Tri-County Area, PA, for trauma-informed 250,000 Casey
care in early childhood education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... 2nd LT RICHARD W COLLINS III FOUNDATION, MD, for 50,000 Cardin, Van Hollen
educational programming, including coursework
and internships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Alabama Community College System, AL, for the 5,746,000 Britt
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Alaska Christian College, AK, for career and 300,000 Murkowski
technical education, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Albertus Magnus College, CT, for improving a 718,000 Blumenthal, Murphy
nursing program, including scholarships and the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Anoka Technical College, MN, for improving 400,000 Klobuchar, Smith
education and training, which may include the
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Baker University, KS, for the purchase of 2,000,000 Moran
equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Barton Community College, KS, for the purchase of 425,000 Moran
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Bay Path University, MA, for preparing and 975,000 Markey, Warren
training educators, which may include providing
financial aid and purchasing technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Bethany College, WV, for modernizing STEM 500,000 Manchin
laboratories, which may include the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... California State University, Stanislaus, CA, for 748,000 Butler, Padilla
nursing education, including financial aid and
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Canisius University, NY, for supporting a student 220,000 Gillibrand, Schumer
success center, including equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Cape Cod Community College, MA, to improve health 1,732,000 Markey, Warren
sciences education, including purchasing
equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Cape Fear Community College, NC, to support 650,000 Tillis
technical education, including the purchase of
equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Central Maine Community College, ME, for the 861,000 Collins, King
purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Central New Mexico Community College, NM, for 1,135,000 Heinrich, Lujan
expanding education and training in clean
energy, including the purchase of equipment and
providing scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Century College, MN, for expanding access to open 405,000 Klobuchar, Smith
educational resources for students, which may
include purchasing texts and equipment, and
providing stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Chamber of Commerce of the Borough of Queens, NY, 1,500,000 Gillibrand, Schumer
for a cybersecurity education and training
program, including the purchase of technology
and equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Charleston Southern University, SC, to support 1,500,000 Graham
aeronautics education, including for the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Cincinnati State Technical and Community College, 1,000,000 Brown
OH, for expanding a postsecondary student
support program, including academic supports and
financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... City College of San Francisco, CA, for a 1,000,000 Padilla
transportation program to help postsecondary
students access education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Clayton State University, GA, for a crime scene 421,000 Ossoff, Warnock
investigation laboratory, which may include the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Clemson University, SC, for veterinary education, 7,000,000 Graham
including the purchase of equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... College of Charleston, SC, for applied sciences 695,000 Graham
education, including scholarships and the
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... College of Dupage, IL, for improving electric 350,000 Duckworth
vehicle education and training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... College of Southern Nevada, NV, for improving 1,368,000 Cortez Masto, Rosen
education and training, including purchasing
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... College Unbound, RI, for supporting parenting 800,000 Reed
students and their children, including providing
scholarships and childcare.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... CollegeTracks, MD, for expanding programming for 300,000 Cardin, Van Hollen
first generation and low-income students,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Collegiate Directions, Inc., MD, for expanding 65,000 Cardin, Van Hollen
supports for low-income students in the college
admissions and financial aid application
processes.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Community College of Rhode Island, RI, for health 180,000 Reed, Whitehouse
education, including purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Community College of Vermont, VT, for increasing 1,350,000 Sanders
health education in rural areas, which may
include stipends and child care.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Cuyahoga Community College, OH, for improving 500,000 Brown
educational opportunities and supporting
workforce development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Dalton State College, GA, for an educator 545,000 Ossoff, Warnock
pathways program, including educator stipends
and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Delaware State University, DE, for improving a 210,000 Coons
neuroscience education program, which may
include the purchase of technology and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Delaware State University, DE, for supporting an 1,491,000 Carper, Coons
occupational therapy education program,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Delta State University, MS, for aviation 2,000,000 Hyde-Smith
education, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... East Carolina University, NC, for 6,500,000 Tillis
biomanufacturing education, including the
purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Eastern Mennonite University, VA, for improving 1,253,000 Kaine, Warner
STEM education programs, which may include the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Elizabeth City State University, NC, for the 3,900,000 Tillis
purchase of aviation equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Fairmont State University, WV, for the purchase 1,650,000 Capito, Manchin
of aviation equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Fairmont State University, WV, for the purchase 712,000 Capito, Manchin
of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Ferris State University, MI, for college access 500,000 Peters, Stabenow
and success programming, including providing
financial aid and scholarships to students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Flint Hills Technical College, KS, for the 320,000 Moran
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Future 5, CT, for a college access and success 559,000 Blumenthal, Murphy
program, which may include financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Garden City Community College, KS, for the 465,000 Moran
purchase of equipment, technology, and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Goucher College, MD, for expanding programming 200,000 Cardin, Van Hollen
for first generation and low-income students,
including laptops, books, and mental health
supports.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Grand Valley State University, MI, for improving 1,000,000 Peters, Stabenow
education for veterans and underserved students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Great Basin College, NV, for improving education, 3,641,000 Cortez Masto, Rosen
including purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Great Bay Community College, NH, for improving 895,000 Shaheen
education and workforce training, including
purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Green River College, WA, for increasing 750,000 Murray
educational opportunities for military families,
which may include providing financial aid and
purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Hampton Roads Educational Telecommunications 678,000 Kaine, Warner
Association dba WHRO Public Media, VA, for a
student internship program, which may include
purchasing equipment and technology and
providing salaries, including intern salaries.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Harford Community College, MD, for expanding 329,000 Cardin, Van Hollen
education and workforce training opportunities,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Hesston College, KS, for the purchase of 800,000 Moran
equipment, technology, and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Highland Community College, KS, for the purchase 45,000 Moran
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Hinds Community College, MS, for aviation 1,500,000 Hyde-Smith
education, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Hinds Community College, MS, for the purchase of 236,000 Hyde-Smith
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Hocking College, OH, for healthcare education and 2,750,000 Brown
training, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Hostos Community College, City University of New 870,000 Gillibrand, Schumer
York, NY, for education and workforce training,
including the purchase of equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Husson University, ME, to support marketing 1,100,000 Collins, King
education, including for the purchase of
equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Illinois Wesleyan University, IL, for improving 1,000,000 Durbin
nursing and health sciences education, including
the purchase of equipment and classroom
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Independence Community College, KS, for the 300,000 Moran
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Institute of American Indian Arts, NM, for 250,000 Heinrich
improving computer science education, which may
include purchasing equipment and technology and
providing financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Jackson College, MI, for AI education and 600,000 Peters, Stabenow
research, including purchasing equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Jeremiah Program, MD, for supporting students in 139,000 Cardin, Van Hollen
postsecondary or graduate education, including
financial aid, scholarships, and child care.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Kansas State University, KS, for the purchase of 4,900,000 Moran
equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Kent State University College of Nursing, OH, for 279,000 Brown
nursing education, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Lake Superior State University, MI, for improving 600,000 Peters, Stabenow
a sustainability education program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Lane Community College, OR, for improving 1,600,000 Merkley, Wyden
education and apprenticeship opportunities,
including the purchase of equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Lehigh Carbon Community College, PA, for 560,000 Casey
expanding health care education and workforce
training, including the purchase of a vehicle to
serve as a mobile teaching unit.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Los Rios Community College District, CA, for 1,200,000 Butler, Padilla
expanding an adult learner program, which may
include purchasing technology and providing
financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Louisiana Christian University, LA, for the 1,200,000 Cassidy, Kennedy
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Loyola College of Nursing and Health, LA, for 2,850,000 Cassidy
nursing education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Macomb Community College, MI, for academic 230,000 Peters, Stabenow
support services, including the purchase of
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Maine Maritime Academy, ME, for maritime 2,400,000 Collins, King
education, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Maine Maritime Academy, ME, for the purchase of 2,800,000 Collins
equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Marquette University School of Dentistry (MUSOD), 2,000,000 Baldwin
WI, for dental education, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Marshall University Research Corporation, WV, for 1,000,000 Capito, Manchin
improving classrooms, which may include the
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mid-America Christian University, OK, for the 776,000 Mullin
purchase of equipment, technology, and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Millersville University of Pennsylvania, PA, for 400,000 Casey
expanding education and training opportunities,
including the purchase of technology and
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Milwaukee Area Technical College, WI, for 1,100,000 Baldwin
supporting parenting students, including
providing financial aid and scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Minnesota State University Moorhead, MN, for 901,000 Klobuchar, Smith
improving education and training for counselors,
including financial aid and stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mississippi College, MS, to support physician 1,000,000 Hyde-Smith, Wicker
assistant education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mississippi Community College Board, MS, to 3,465,000 Hyde-Smith
expand nursing degree programs, including for
faculty stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mississippi State University, MS, for the 5,221,000 Hyde-Smith, Wicker
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mississippi State University, MS, to support 1,000,000 Hyde-Smith, Wicker
physician assistant education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mohave Community College, AZ, for supporting 2,500,000 Kelly, Sinema
advanced manufacturing workforce training
programs, which may include the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mohawk Valley Community College, NY, for 870,000 Schumer
education and workforce training, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Morehouse College, GA, for improving research 500,000 Warnock
opportunities for postsecondary students, which
may include providing student financial aid,
stipends and purchasing technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Mott Community College, MI, for increasing 660,000 Peters
student completion and persistence, including
providing child care to parenting students and
other supportive services and purchasing
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Nashua Community College, NH, for air traffic 337,000 Shaheen
control workforce training, including purchasing
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... New Jersey Institute of Technology, NJ, for 1,000,000 Booker
cybersecurity education, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... New Mexico State University, NM, for developing 480,000 Heinrich
educational materials and programming, including
providing stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northampton County Area Community College, PA, 500,000 Casey
for expanding education and workforce training,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northcentral Technical College, WI, for 3,126,000 Baldwin
firefighter education and workforce development,
which may include providing financial aid,
purchasing equipment and supplies, and
apprenticeship wages.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northern Arizona University, AZ, for supporting 150,000 Kelly, Sinema
nurse education and training, which may include
the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northern Maine Community College, ME, to support 500,000 Collins, King
nursing and allied health education, including
the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northern Michigan University, MI, for improving 606,000 Peters
cybersecurity education, including purchasing
equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northern New Mexico College, NM, for improving 40,000 Heinrich, Lujan
healthcare career pathways, including curriculum
development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Northwest Technical College, MN, for improving 1,900,000 Klobuchar, Smith
manufacturing education and training programs,
which may include the purchase of equipment and
providing stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Nunez Community College, LA, for a wind energy 500,000 Cassidy
technology program, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Old Dominion University, VA, for supporting 1,000,000 Kaine, Warner
students in postsecondary education, which may
include purchasing equipment and addressing
student basic needs such as food insecurity.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Owens State Community College, OH, for medical 1,000,000 Brown
and healthcare education, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Parkland College, IL, for expanding aviation 1,050,000 Duckworth
education and training, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Piedmont Technical College, SC, for a mobile 1,250,000 Graham
welding lab, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Pierpont Community and Technical College, WV, to 424,000 Capito, Manchin
increase student access, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Pivotal Connections, CA, for a college coaching 1,400,000 Butler
program, including financial aid and
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Portland Community College, OR, for increasing 854,000 Merkley, Wyden
access to education and training opportunities,
which may include providing scholarships, child
care stipends, and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Pratt Community College, KS, for the purchase of 1,400,000 Moran
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Providence College, RI, for improving 800,000 Reed, Whitehouse
neuroscience education, which may include
providing financial aid and purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Quincy University, IL, for expanding doctorate 1,320,000 Durbin
degree programs, including the purchase of
equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Randolph College, VA, for improving STEM 1,500,000 Kaine, Warner
education programs, which may include the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Red Lake Nation College, MN, for improving 666,000 Klobuchar, Smith
postsecondary and career pathways programs,
including purchase of technology and internship
stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Rensselaer Polytechnic Institute, NY, for 870,000 Gillibrand, Schumer
education and workforce training, including the
purchase of equipment and technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Rhode Island College, RI, for college access and 1,300,000 Reed, Whitehouse
success programming, including providing
financial aid and scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Rhode Island College, RI, for improving 1,509,000 Reed, Whitehouse
cybersecurity and technology education programs,
including the purchase of equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Roger Williams University, RI, for an education 360,000 Whitehouse
fellowship program, which may include financial
aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Roxbury Community College, MA, for improving 1,500,000 Markey, Warren
education and workforce training, which may
include purchasing equipment, providing
financial aid and scholarships, and purchasing
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Saginaw Valley State University, MI, for 1,500,000 Peters, Stabenow
improving environmental research opportunities
for students, including purchasing equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Salisbury University, MD, for improving 65,000 Cardin, Van Hollen
educational opportunities for transfer students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Salus University in Partnership with Drexel 250,000 Casey
University, PA, for improving optometry
education, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Schoolcraft Community College District, MI, for 2,000,000 Peters
an apprenticeship program, including purchasing
equipment and providing financial aid and
student stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Siena College, NY, for STEM education, including 670,000 Schumer
the purchase of equipment and stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... South Dakota State University College of Nursing, 4,700,000 Rounds
SD, for the purchase of equipment, technology,
and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Southern Arkansas University Tech, AR, for the 5,000,000 Boozman
purchase of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Southern University and A&M College, LA, for 1,030,000 Cassidy
student support services, including stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Southside Virginia Community College, VA, for 940,000 Kaine, Warner
improving criminal justice education programs,
which may include purchasing equipment and
providing financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... St. Cloud Technical & Community College, MN, for 1,136,000 Klobuchar, Smith
improving an aircraft maintenance training
program, which may include purchasing equipment
and student supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... St. Mary's College of Maryland, MD, for expanding 114,000 Cardin, Van Hollen
educational opportunities, including the
purchase of equipment and rental costs.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Stark State College, OH, for first responder 352,000 Brown
education and training, including the purchase
of equipment and tests.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Teachers College, Columbia University, NY, for 420,000 Gillibrand, Schumer
supporting a teacher residency program and
improving teacher preparation.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... The Research Foundation for the State University 640,000 Gillibrand, Schumer
of New York (SUNY Oswego), NY, for education and
research, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Thomas College, ME, for STEM education, including 1,750,000 Collins, King
curriculum and the purchase of equipment,
technology, and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Tiffin University, OH, for improving education 1,000,000 Brown
and workforce development opportunities,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Truckee Meadows Community College, NV, for 2,000,000 Cortez Masto, Rosen
advanced manufacturing education and training,
which may include purchasing equipment and
technology upgrades.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Tuskegee University, AL, for an aviation and 5,290,000 Britt
aerotechnology program, including scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University at Buffalo, NY, for education and 1,370,000 Schumer
workforce development, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Alaska Anchorage, AK, to expand an 1,000,000 Murkowski
aviation maintenance technology program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Charleston, WV, for improvements to 6,000,000 Manchin
a university library, which may include
purchasing equipment and upgrading technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Maine System, ME, for the purchase 3,000,000 Collins
of equipment and supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Maryland, MD, for expanding college 225,000 Cardin, Van Hollen
access programming and early career counseling,
including facility rentals and scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Nevada Las Vegas, NV, for improving 1,000,000 Cortez Masto, Rosen
research opportunities for students, including
the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Nevada, Las Vegas, NV, for nursing 2,397,000 Cortez Masto, Rosen
education, including purchasing equipment and
supplies.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Nevada, Reno, NV, for improving 550,000 Cortez Masto, Rosen
nursing education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of New Hampshire, NH, for improving 1,900,000 Shaheen
health education and workforce training, which
may include financial aid and stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of New Mexico, NM, for implementing a 512,000 Heinrich, Lujan
teacher residency program.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Northern Colorado, CO, for 860,000 Bennet, Hickenlooper
improving education research opportunities for
postsecondary students, including the purchase
of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... University of Vermont and State Agricultural 2,713,000 Welch
College, VT, for improving a laboratory
technician program, including purchase of
equipment and for providing financial aid.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Urban League of Greater Hartford, CT, for college 150,000 Blumenthal, Murphy
success programming including financial aid and
stipends, school supplies and the purchase of
technology equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Vermont State Colleges System, VT, for education 2,500,000 Welch
and training, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Virginia Commonwealth University, VA, for 430,000 Kaine, Warner
supporting internship opportunities that provide
work-based learning experiences for first-
generation, low-income, and underrepresented
students, which may include stipends.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Washburn Institute of Technology, KS, for the 1,600,000 Moran
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Washington & Jefferson College, PA, for expanding 150,000 Casey
nursing education.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Waubonsee Community College, IL, for improving 250,000 Duckworth
education opportunities for parenting students,
including purchasing technology upgrades and
accessible furniture.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Wesleyan University, CT, for improving education 700,000 Blumenthal, Murphy
programs, including providing financial aid and
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... West Virginia State University Research and 500,000 Capito, Manchin
Development Corporation, WV, for a cybersecurity
degree program, including equipment and
scholarships.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... West Virginia University, WV, for a data science 2,640,000 Capito, Manchin
program, including curriculum development.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... West Virginia University, WV, for a digital 2,400,000 Capito, Manchin
network system, including the purchase of
equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... West Virginia Wesleyan College, WV, for improving 500,000 Capito, Manchin
heating and cooling systems, which may include
the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Western Colorado University, CO, for nursing 394,000 Bennet, Hickenlooper
education, including the purchase of equipment
and technology, financial aid for students, and
supportive services for students.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Western Michigan University, MI, for education 909,000 Peters
and training in aviation, including equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Western Nevada College, NV, for improving STEM 2,093,000 Cortez Masto, Rosen
education, including purchasing equipment and
technology.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... William Carey University, MS, for a nursing 500,000 Hyde-Smith
program, including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Wilson College, PA, for establishing an 400,000 Casey
occupational therapy doctorate program,
including the purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Department of Education Higher Education............... Wor-Wic Community College, MD, for education and 214,000 Cardin, Van Hollen
training in the culinary arts, including the
purchase of equipment.
--------------------------------------------------------------------------------------------------------------------------------------------------------
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2024 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL FOR FISCAL
YEAR 2025
[In thousands of dollars]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Senate Committee recommendation
compared with (+ or -)
Item 2024 Budget estimate Committee -----------------------------------
appropriation recommendation 2024
appropriation Budget estimate
--------------------------------------------------------------------------------------------------------------------------------------------------------
TITLE I--DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
Training and Employment Services
Grants to States:
Adult Training, current year appropriations............... 173,649 173,649 173,649 ................ ................
Available from prior year appropriations.............. 712,000 712,000 712,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, available this fiscal year.............. 885,649 885,649 885,649 ................ ................
Advance appropriation FY 2026......................... 712,000 712,000 712,000 ................ ................
less prior year appropriations........................ -712,000 -712,000 -712,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, appropriated in this bill............... 885,649 885,649 885,649 ................ ................
Youth Training............................................ 948,130 948,130 948,130 ................ ................
Dislocated Worker Assistance, current year appropriations. 235,553 235,553 235,553 ................ ................
Available from prior year appropriations.............. 860,000 860,000 860,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, available this fiscal year.............. 1,095,553 1,095,553 1,095,553 ................ ................
Advance appropriation FY 2026......................... 860,000 860,000 860,000 ................ ................
less prior year appropriations........................ -860,000 -860,000 -860,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, appropriated in this bill............... 1,095,553 1,095,553 1,095,553 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Grants to States............................ 2,929,332 2,929,332 2,929,332 ................ ................
Current year appropriations....................... (1,357,332) (1,357,332) (1,357,332) ................ ................
Advance appropriations............................ (1,572,000) (1,572,000) (1,572,000) ................ ................
National Programs:
Dislocated Worker Assistance National Reserve:
Current year appropriations........................... 100,859 77,859 102,859 +2,000 +25,000
Available from prior year appropriations.............. 200,000 200,000 200,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, available this fiscal year.............. 300,859 277,859 302,859 +2,000 +25,000
Advance appropriations FY 2026........................ 200,000 200,000 200,000 ................ ................
less prior year appropriations........................ -200,000 -200,000 -200,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, appropriated in this bill............... 300,859 277,859 302,859 +2,000 +25,000
-----------------------------------------------------------------------------------------
Subtotal, Dislocated Worker Assistance................ 1,396,412 1,373,412 1,398,412 +2,000 +25,000
Native American programs.................................. 60,000 60,000 60,000 ................ ................
Migrant and Seasonal Farmworker programs.................. 97,396 97,396 97,396 ................ ................
YouthBuild activities..................................... 105,000 105,000 110,000 +5,000 +5,000
Reintegration of Ex-Offenders............................. 115,000 120,000 115,000 ................ -5,000
Workforce Data Quality Initiative......................... 6,000 6,000 6,000 ................ ................
Apprenticeship programs................................... 285,000 335,000 290,000 +5,000 -45,000
Community Project Funding / Congressionally Directed 107,834 ................ 109,082 +1,248 +109,082
Spending.................................................
-----------------------------------------------------------------------------------------
Subtotal, National Programs........................... 1,077,089 1,001,255 1,090,337 +13,248 +89,082
Current year appropriations....................... 877,089 801,255 890,337 +13,248 +89,082
Advance appropriations................................ 200,000 200,000 200,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Training and Employment Services............... 4,006,421 3,930,587 4,019,669 +13,248 +89,082
=========================================================================================
Current year appropriations....................... (2,234,421) (2,158,587) (2,247,669) (+13,248) (+89,082)
Advance appropriations............................ (1,772,000) (1,772,000) (1,772,000) ................ ................
Job Corps
Operations.................................................... 1,603,325 1,605,741 1,603,325 ................ -2,416
Construction, Rehabilitation and Acquisition.................. 123,000 123,000 123,000 ................ ................
Administration................................................ 33,830 35,635 33,830 ................ -1,805
-----------------------------------------------------------------------------------------
Total, Job Corps.......................................... 1,760,155 1,764,376 1,760,155 ................ -4,221
=========================================================================================
Community Service Employment For Older Americans.............. 405,000 405,000 405,000 ................ ................
Federal Unemployment Benefits and Allowances (indefinite)..... 30,700 33,900 33,900 +3,200 ................
State Unemployment Insurance and Employment Service Operations
Unemployment Insurance [UI] Compensation (trust fund)......... ................ ................ ................ ................ ................
State Administration...................................... 2,750,635 3,025,274 2,775,635 +25,000 -249,639
Reemployment Services and Eligibility Assessments (RESEA)-- 117,000 117,000 117,000 ................ ................
UI integrity.............................................
RESEA cap adjustment...................................... 265,000 271,000 271,000 +6,000 ................
UI Integrity Center of Excellence......................... 9,000 9,000 9,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Unemployment Compensation................... 3,141,635 3,422,274 3,172,635 +31,000 -249,639
Unemployment Insurance National Activities (trust fund)... 18,000 48,000 18,000 ................ -30,000
Employment Service [ES]:
Grants to States:
Federal Funds......................................... 21,413 21,413 21,413 ................ ................
Trust Funds........................................... 653,639 658,639 653,639 ................ -5,000
-----------------------------------------------------------------------------------------
Subtotal, Grants to States........................ 675,052 680,052 675,052 ................ -5,000
ES National Activities (trust fund)....................... 25,000 25,000 25,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Employment Service.......................... 700,052 705,052 700,052 ................ -5,000
Federal Funds..................................... (21,413) (21,413) (21,413) ................ ................
Trust Funds....................................... (678,639) (683,639) (678,639) ................ (-5,000)
Foreign Labor Certifications:
Federal Administration.................................... 60,528 64,168 61,528 +1,000 -2,640
Grants to States.......................................... 23,282 23,282 23,282 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Foreign Labor Certification................. 83,810 87,450 84,810 +1,000 -2,640
One-Stop Career Centers/Labor Market Information.............. 62,653 62,653 62,653 ................ ................
-----------------------------------------------------------------------------------------
Total, State Unemployment Insurance and Employment Service 4,006,150 4,325,429 4,038,150 +32,000 -287,279
Operations...............................................
=========================================================================================
Federal Funds......................................... (84,066) (84,066) (84,066) ................ ................
Trust Funds........................................... (3,922,084) (4,241,363) (3,954,084) (+32,000) (-287,279)
Program Administration
Training and Employment....................................... 68,919 71,504 68,919 ................ -2,585
Trust Funds............................................... 9,253 9,531 9,253 ................ -278
Employment Security........................................... 3,621 4,155 3,621 ................ -534
Trust Funds............................................... 42,574 49,149 42,574 ................ -6,575
Apprenticeship Services....................................... 38,913 40,340 38,913 ................ -1,427
Executive Direction........................................... 7,447 7,735 7,447 ................ -288
Trust Funds............................................... 2,188 2,254 2,188 ................ -66
-----------------------------------------------------------------------------------------
Total, Program Administration......................... 172,915 184,668 172,915 ................ -11,753
=========================================================================================
Federal Funds..................................... (118,900) (123,734) (118,900) ................ (-4,834)
Trust Funds....................................... (54,015) (60,934) (54,015) ................ (-6,919)
-----------------------------------------------------------------------------------------
Total, Employment and Training Administration......... 10,381,341 10,643,960 10,429,789 +48,448 -214,171
=========================================================================================
Federal Funds..................................... 6,405,242 6,341,663 6,421,690 +16,448 +80,027
Current year appropriations................... (4,633,242) (4,569,663) (4,649,690) (+16,448) (+80,027)
Advance appropriations........................ (1,772,000) (1,772,000) (1,772,000) ................ ................
Trust Funds....................................... 3,976,099 4,302,297 4,008,099 +32,000 -294,198
VETERANS EMPLOYMENT AND TRAINING SERVICE
Veterans' Employment and Training Service
State Administration, Grants.................................. 185,000 185,000 185,000 ................ ................
Transition Assistance Program................................. 34,379 34,379 34,379 ................ ................
Federal Administration........................................ 47,048 49,008 47,048 ................ -1,960
National Veterans' Employment and Training Services Institute. 3,414 3,414 3,414 ................ ................
Homeless Veterans' Programs................................... 65,500 65,500 65,500 ................ ................
-----------------------------------------------------------------------------------------
Total, Veterans' Employment and Training.................. 335,341 337,301 335,341 ................ -1,960
=========================================================================================
Federal Funds......................................... 65,500 65,500 65,500 ................ ................
Trust Funds........................................... (269,841) (271,801) (269,841) ................ (-1,960)
EMPLOYEE BENEFITS SECURITY ADMINISTRATION
Salaries and Expenses
Enforcement and Participant Assistance........................ ................ 169,535 ................ ................ -169,535
Policy and Compliance Assistance.............................. ................ 24,607 ................ ................ -24,607
Executive Leadership, Program Oversight and Administration.... ................ 11,521 ................ ................ -11,521
Employee benefits security programs........................... 191,100 ................ 206,100 +15,000 +206,100
-----------------------------------------------------------------------------------------
Total, Employee Benefits Security Administration.......... 191,100 205,663 206,100 +15,000 +437
=========================================================================================
PENSION BENEFIT GUARANTY CORPORATION
Pension Benefit Guaranty Corporation Fund..................... (512,900) (514,063) (514,063) (+1,163) ................
OFFICE OF WORKERS' COMPENSATION PROGRAMS
Salaries and Expenses......................................... 120,500 128,271 120,500 ................ -7,771
Trust Funds............................................... 2,205 2,274 2,205 ................ -69
-----------------------------------------------------------------------------------------
Total, Salaries and Expenses.......................... 122,705 130,545 122,705 ................ -7,840
=========================================================================================
Special Benefits
Federal Employees' Compensation Benefits...................... 698,000 724,670 724,670 +26,670 ................
Longshore and Harbor Workers' Benefits........................ 2,000 2,000 2,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Special Benefits................................... 700,000 726,670 726,670 +26,670 ................
=========================================================================================
Energy Employees Occupational Illness Compensation Fund
Administrative Expenses....................................... 66,532 66,966 66,966 +434 ................
Special Benefits for Disabled Coal Miners
Benefit Payments.............................................. 28,000 26,200 26,200 -1,800 ................
Administration................................................ 5,140 5,167 5,167 +27 ................
-----------------------------------------------------------------------------------------
Subtotal, available this fiscal year...................... 33,140 31,367 31,367 -1,773 ................
Advance appropriations, FY 2026, 1st quarter.................. 7,000 6,000 6,000 -1,000 ................
Less prior year advance appropriations........................ -10,250 -7,000 -7,000 +3,250 ................
-----------------------------------------------------------------------------------------
Total, appropriated in this bill.......................... 29,890 30,367 30,367 +477 ................
=========================================================================================
Black Lung Disability Trust Fund
Benefit Payments and Interest on Advances..................... 366,906 391,827 391,827 +24,921 ................
Workers' Compensation Programs, Salaries and Expenses......... 44,059 51,580 51,580 +7,521 ................
Departmental Management, Salaries and Expenses................ 41,178 41,570 41,570 +392 ................
Departmental Management, Inspector General.................... 368 373 373 +5 ................
-----------------------------------------------------------------------------------------
Subtotal, Black Lung Disability Trust Fund................ 452,511 485,350 485,350 +32,839 ................
Treasury Department Administrative Costs...................... 356 356 356 ................ ................
-----------------------------------------------------------------------------------------
Total, Black Lung Disability Trust Fund................... 452,867 485,706 485,706 +32,839 ................
=========================================================================================
Total, Office of Workers' Compensation Programs........... 1,371,994 1,440,254 1,432,414 +60,420 -7,840
=========================================================================================
Federal Funds......................................... 1,369,789 1,437,980 1,430,209 +60,420 -7,771
Current year appropriations....................... (1,362,789) (1,431,980) (1,424,209) (+61,420) (-7,771)
Advance appropriations............................ (7,000) (6,000) (6,000) (-1,000) ................
Trust Funds........................................... 2,205 2,274 2,205 ................ -69
WAGE AND HOUR DIVISION
Salaries and Expenses......................................... 260,000 294,901 267,500 +7,500 -27,401
OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS
Salaries and Expenses......................................... 110,976 116,132 110,976 ................ -5,156
OFFICE OF LABOR-MANAGEMENT STANDARDS
Salaries and Expenses......................................... 48,515 50,845 48,515 ................ -2,330
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
Salaries and Expenses
Safety and Health Standards................................... 21,000 21,476 21,000 ................ -476
Federal Enforcement........................................... 243,000 261,635 246,000 +3,000 -15,635
Whistleblower enforcement..................................... 22,500 23,121 22,500 ................ -621
State Programs................................................ 120,000 120,000 121,000 +1,000 +1,000
Technical Support............................................. 26,000 26,483 26,000 ................ -483
Compliance Assistance:
Federal Assistance........................................ 78,262 80,561 79,262 +1,000 -1,299
State Consultation Grants................................. 63,160 63,160 63,160 ................ ................
Training Grants........................................... 12,787 12,787 12,787 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Compliance Assistance....................... 154,209 156,508 155,209 +1,000 -1,299
Safety and Health Statistics.................................. 35,500 35,915 35,500 ................ -415
Executive Direction and Administration........................ 10,100 10,325 10,100 ................ -225
-----------------------------------------------------------------------------------------
Total, Occupational Safety and Health Administration...... 632,309 655,463 637,309 +5,000 -18,154
=========================================================================================
MINE SAFETY AND HEALTH ADMINISTRATION
Salaries and Expenses
Mine Safety and Health Enforcement............................ 265,774 279,923 268,774 +3,000 -11,149
Standards Development......................................... 5,000 5,235 5,000 ................ -235
Assessments................................................... 7,191 7,549 7,191 ................ -358
Educational Policy and Development............................ 39,820 41,051 41,020 +1,200 -31
Technical Support............................................. 36,041 37,730 36,841 +800 -889
Program Evaluation and Information Resources [PEIR]........... 17,990 18,273 17,990 ................ -283
Program Administration........................................ 16,000 16,777 16,000 ................ -777
-----------------------------------------------------------------------------------------
Total, Mine Safety and Health Administration.............. 387,816 406,538 392,816 +5,000 -13,722
=========================================================================================
Total, Labor Enforcement Agencies......................... 1,753,421 1,860,087 1,785,921 +32,500 -74,166
=========================================================================================
Federal Funds......................................... (1,751,216) (1,857,813) (1,783,716) (+32,500) (-74,097)
Trust Funds........................................... (2,205) (2,274) (2,205) ................ (-69)
BUREAU OF LABOR STATISTICS
Salaries and Expenses
Employment and Unemployment Statistics........................ 243,952 253,058 248,952 +5,000 -4,106
Labor Market Information (trust fund)......................... 68,000 68,000 68,000 ................ ................
Prices and Cost of Living..................................... 246,000 247,521 246,000 ................ -1,521
Compensation and Working Conditions........................... 91,000 92,554 91,000 ................ -1,554
Productivity and Technology................................... 12,000 13,244 12,000 ................ -1,244
Executive Direction and Staff Services........................ 37,000 38,409 37,000 ................ -1,409
-----------------------------------------------------------------------------------------
Total, Bureau of Labor Statistics......................... 697,952 712,786 702,952 +5,000 -9,834
=========================================================================================
Federal Funds......................................... 629,952 644,786 634,952 +5,000 -9,834
Trust Funds........................................... 68,000 68,000 68,000 ................ ................
DEPARTMENTAL MANAGEMENT
Salaries and Expenses
Executive Direction........................................... 32,658 35,876 32,658 ................ -3,218
Departmental Program Evaluation............................... 4,281 8,613 4,281 ................ -4,332
Legal Services................................................ 130,754 145,245 134,754 +4,000 -10,491
Trust Funds............................................... 308 308 308 ................ ................
International Labor Affairs................................... 116,125 162,395 118,125 +2,000 -44,270
Administration and Management................................. 30,804 31,991 30,804 ................ -1,187
Adjudication.................................................. 37,000 38,405 37,000 ................ -1,405
Women's Bureau................................................ 23,000 26,282 24,000 +1,000 -2,282
Civil Rights Activities....................................... 7,586 9,252 7,586 ................ -1,666
Chief Financial Officer....................................... 5,681 5,883 5,681 ................ -202
GSA Technology Transformation................................. ................ 1,351 ................ ................ -1,351
-----------------------------------------------------------------------------------------
Total, Salaries and Expenses.............................. 388,197 465,601 395,197 +7,000 -70,404
=========================================================================================
Federal Funds......................................... (387,889) (465,293) (394,889) (+7,000) (-70,404)
Trust Funds........................................... (308) (308) (308) ................ ................
IT Modernization
Departmental support systems.................................. 6,889 6,889 6,889 ................ ................
Infrastructure technology modernization....................... 22,380 28,397 22,380 ................ -6,017
-----------------------------------------------------------------------------------------
Total, IT Modernization................................... 29,269 35,286 29,269 ................ -6,017
=========================================================================================
Office of Inspector General
Program Activities............................................ 91,187 100,396 91,187 ................ -9,209
Trust Funds............................................... 5,841 5,841 5,841 ................ ................
-----------------------------------------------------------------------------------------
Total, Office of Inspector General.................... 97,028 106,237 97,028 ................ -9,209
=========================================================================================
Total, Departmental Management........................ 514,494 607,124 521,494 +7,000 -85,630
=========================================================================================
Federal Funds..................................... (508,345) (600,975) (515,345) (+7,000) (-85,630)
Trust Funds....................................... (6,149) (6,149) (6,149) ................ ................
OFFICE OF DISABILITY EMPLOYMENT POLICY
Salaries and Expenses......................................... 43,000 44,876 43,000 ................ -1,876
-----------------------------------------------------------------------------------------
Total, Workforce Innovation and Opportunity Act Programs.. 5,766,576 5,694,963 5,779,824 +13,248 +84,861
=========================================================================================
Current year appropriations........................... (3,994,576) (3,922,963) (4,007,824) (+13,248) (+84,861)
Advance appropriations................................ (1,772,000) (1,772,000) (1,772,000) ................ ................
GENERAL PROVISIONS--DEPARTMENT OF LABOR
Treasure Island Job Corps Facility (Sec 111).................. ................ 1,000 1,000 +1,000 ................
Proceeds from Job Corps facilities (Sec 114).................. 1,000 1,000 ................ -1,000 -1,000
-----------------------------------------------------------------------------------------
Subtotal, Title I General Provisions...................... 1,000 2,000 1,000 ................ -1,000
-----------------------------------------------------------------------------------------
Total, title I, Department of Labor....................... 14,975,838 15,517,843 15,129,206 +153,368 -388,637
=========================================================================================
Federal Funds......................................... (10,653,544) (10,867,322) (10,774,912) (+121,368) (-92,410)
Current year appropriations....................... (8,874,544) (9,089,322) (8,996,912) (+122,368) (-92,410)
Advance appropriations............................ (1,779,000) (1,778,000) (1,778,000) (-1,000) ................
Trust Funds........................................... (4,322,294) (4,650,521) (4,354,294) (+32,000) (-296,227)
-----------------------------------------------------------------------------------------
Total, Title I Department of Labor discretionary.......... 13,695,849 14,174,234 13,785,597 +89,748 -388,637
=========================================================================================
Advance appropriations............................ (-10,250) (-7,000) (-7,000) (+3,250) ................
TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES
PUBLIC HEALTH SERVICE
HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)
Primary Health Care
Health Centers................................................ 1,857,772 1,857,772 1,857,772 ................ ................
Free Clinics Medical Malpractice.............................. 1,000 1,000 1,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Primary Health Care................................ 1,858,772 1,858,772 1,858,772 ................ ................
=========================================================================================
Health Workforce
National Health Service Corps (NHSC).......................... 128,600 125,600 128,600 ................ +3,000
Health Professions Training................................... ................ ................ ................ ................ ................
Centers of Excellence..................................... 28,422 28,422 28,422 ................ ................
Health Careers Opportunity Program........................ 16,000 16,000 16,000 ................ ................
Faculty Loan Repayment.................................... 2,310 2,310 2,310 ................ ................
Scholarships for Disadvantaged Students................... 55,014 55,014 55,014 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Training for Diversity...................... 101,746 101,746 101,746 ................ ................
Primary Care Training and Enhancement......................... 49,924 49,924 49,924 ................ ................
Oral Health Training.......................................... 42,673 42,673 42,673 ................ ................
Interdisciplinary Community-Based Linkages:
Area Health Education Centers............................. 47,000 47,000 47,000 ................ ................
Geriatric Workforce Enhancement Program................... 48,245 47,245 49,245 +1,000 +2,000
Mental and Behavioral Health.............................. 44,053 ................ 44,053 ................ +44,053
Behavioral Health Workforce Education and Training........ 113,000 253,553 113,000 ................ -140,553
-----------------------------------------------------------------------------------------
Subtotal, Interdisciplinary Community-Based Linkages.. 252,298 347,798 253,298 +1,000 -94,500
=========================================================================================
Substance Use Disorder Treatment and Recovery Loan Repayment 40,000 ................ 65,000 +25,000 +65,000
Program......................................................
Workforce Information and Analysis............................ 5,663 5,663 5,663 ................ ................
Public Health and Preventive Medicine programs................ 18,000 18,000 18,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Health Professions Education and Training (Title 510,304 565,804 536,304 +26,000 -29,500
VII).....................................................
Nursing Workforce Development Programs:
Advanced Nursing Education................................ 89,581 99,581 89,581 ................ -10,000
Nurse Education, Practice, Quality, and Retention......... 64,413 69,413 69,413 +5,000 ................
Nurse Practitioner Optional Fellowship Program............ 6,000 6,000 6,000 ................ ................
Nursing Workforce Diversity............................... 24,343 24,343 24,343 ................ ................
Nurse Corps Loan Repayment and Scholarship................ 92,635 92,635 92,635 ................ ................
Nursing Faculty Loan Program.............................. 28,500 28,500 28,500 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Nursing Workforce Development Programs 305,472 320,472 310,472 +5,000 -10,000
(Title VIII).........................................
-----------------------------------------------------------------------------------------
Subtotal, Health Professions (Titles VII and VIII)........ 815,776 886,276 846,776 +31,000 -39,500
Children's Hospitals Graduate Medical Education............... 390,000 385,000 390,000 ................ +5,000
Medical Student Education..................................... 60,000 50,500 36,000 -24,000 -14,500
Pediatric Specialty Loan Repayment (Sec 775).................. 10,000 10,000 10,000 ................ ................
Health Care Workforce Innovation Program...................... ................ 10,000 ................ ................ -10,000
National Practitioner Data Bank............................... 18,814 18,814 18,814 ................ ................
User Fees................................................. -18,814 -18,814 -18,814 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Health Workforce............................ 1,404,376 1,467,376 1,411,376 +7,000 -56,000
Maternal and Child Health
Maternal and Child Health Services Block Grant:
Maternal and Child Health Services Block Grant............ 603,584 603,584 603,584 ................ ................
Special Projects of National Significance................. 210,116 228,130 213,116 +3,000 -15,014
-----------------------------------------------------------------------------------------
Subtotal, MCH Block Grant............................. 813,700 831,714 816,700 +3,000 -15,014
Sickle Cell Disease........................................... 8,205 8,205 8,205 ................ ................
Autism and Other Developmental Disabilities................... 56,344 56,344 56,344 ................ ................
Heritable Disorders........................................... 20,883 20,883 20,883 ................ ................
Healthy Start................................................. 145,000 172,000 145,250 +250 -26,750
Early Hearing Detection and Intervention...................... 18,818 18,818 18,818 ................ ................
Emergency Medical Services for Children....................... 24,334 24,334 24,334 ................ ................
Screening and Treatment for Maternal Mental Health and 11,000 15,500 12,000 +1,000 -3,500
Substance Use Disorders......................................
Pediatric Mental Health Care Access........................... 13,000 13,000 14,000 +1,000 +1,000
Innovation for Maternal Health................................ 15,300 30,300 17,800 +2,500 -12,500
Maternal Mental Health Hotline................................ 7,000 7,000 8,000 +1,000 +1,000
Poison Control Centers........................................ 26,846 26,846 28,846 +2,000 +2,000
Integrated Services for Pregnant and Postpartum Women......... 10,000 10,000 10,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Maternal and Child Health....................... 1,170,430 1,234,944 1,181,180 +10,750 -53,764
Ryan White HIV/AIDS Program
Emergency Assistance (Part A)................................. 680,752 680,752 680,752 ................ ................
Comprehensive Care Programs (Part B).......................... 1,364,878 1,364,878 1,364,878 ................ ................
AIDS Drug Assistance Program [ADAP] (NA).................. (900,313) (900,313) (900,313) ................ ................
Early Intervention Program (Part C)........................... 208,970 208,970 208,970 ................ ................
Children, Youth, Women, and Families (Part D)................. 77,935 77,935 77,935 ................ ................
AIDS Dental Services (Part F)................................. 13,620 13,620 13,620 ................ ................
Education and Training Centers (Part F)....................... 34,886 34,886 34,886 ................ ................
Special Projects of Regional and National Significance........ 25,000 25,000 25,000 ................ ................
Ending the HIV/AIDS Epidemic Initiative....................... 165,000 175,000 165,000 ................ -10,000
-----------------------------------------------------------------------------------------
Subtotal, Ryan White HIV/AIDS program..................... 2,571,041 2,581,041 2,571,041 ................ -10,000
=========================================================================================
Health Systems
Organ Transplantation......................................... 54,049 67,049 67,049 +13,000 ................
National Cord Blood Inventory................................. 19,266 19,266 19,266 ................ ................
C W Bill Young Cell Transplantation Program................... 33,009 33,009 33,009 ................ ................
Hansen's Disease Services..................................... 13,706 13,706 13,706 ................ ................
Hansen's Disease Program--Buildings and Facilities............ 122 122 122 ................ ................
Payment to Hawaii, Treatment of Hansen's...................... 1,857 1,857 1,857 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Health Systems.................................. 122,009 135,009 135,009 +13,000 ................
Rural Health
Rural Outreach Grants......................................... 100,975 92,975 105,975 +5,000 +13,000
Rural Health Policy Development............................... 11,076 11,076 12,076 +1,000 +1,000
Rural Hospital Flexibility Grants............................. 64,277 64,277 64,277 ................ ................
State Offices of Rural Health................................. 12,500 12,500 14,500 +2,000 +2,000
Black Lung Clinics............................................ 12,190 12,190 12,190 ................ ................
Radiation Exposure Screening and Education Program............ 1,889 1,889 1,889 ................ ................
Rural Communities Opioid Response............................. 145,000 145,000 155,000 +10,000 +10,000
Rural Residency............................................... 12,700 12,500 14,000 +1,300 +1,500
Rural Hospital Stabilization.................................. 4,000 ................ 6,000 +2,000 +6,000
-----------------------------------------------------------------------------------------
Subtotal, Rural Health.................................... 364,607 352,407 385,907 +21,300 +33,500
Family Planning (Title X)..................................... 286,479 390,000 286,479 ................ -103,521
HRSA-Wide Activities and Program Support
Program Management............................................ 165,300 163,800 165,300 ................ +1,500
Community Project Funding / Congressionally Directed Spending. 890,788 ................ 871,077 -19,711 +871,077
Office of Pharmacy Affairs (340B Program)..................... 12,238 12,238 12,238 ................ ................
Office for the Advancement of Telehealth...................... 42,050 38,050 44,050 +2,000 +6,000
-----------------------------------------------------------------------------------------
Subtotal, HRSA-Wide Activities and Program Support........ 1,110,376 214,088 1,092,665 -17,711 +878,577
=========================================================================================
Total, Health Resources and Services...................... 8,888,090 8,233,637 8,922,429 +34,339 +688,792
=========================================================================================
Vaccine Injury Compensation Program Trust Fund
Post-FY 1988 Claims........................................... 261,497 266,727 266,727 +5,230 ................
HRSA Administrative expenses.................................. 15,200 20,200 15,200 ................ -5,000
-----------------------------------------------------------------------------------------
Total, Vaccine Injury Compensation Trust Fund............. 276,697 286,927 281,927 +5,230 -5,000
=========================================================================================
Covered Countermeasures Process Fund.......................... 7,000 10,000 7,000 ................ -3,000
-----------------------------------------------------------------------------------------
Total, Health Resources and Services Administration....... 9,171,787 8,530,564 9,211,356 +39,569 +680,792
=========================================================================================
Discretionary......................................... (8,910,290) (8,263,837) (8,944,629) (+34,339) (+680,792)
Mandatory............................................. (261,497) (266,727) (266,727) (+5,230) ................
CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)
Immunization and Respiratory Diseases......................... 237,358 499,941 464,941 +227,583 -35,000
Prevention and Public Health Fund......................... (681,933) (469,350) (469,350) (-212,583) ................
-----------------------------------------------------------------------------------------
Subtotal.............................................. 919,291 969,291 934,291 +15,000 -35,000
HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and 1,391,056 1,391,056 1,394,056 +3,000 +3,000
Tuberculosis Prevention......................................
Emerging and Zoonotic Infectious Diseases..................... 708,272 728,772 753,272 +45,000 +24,500
Prevention and Public Health Fund......................... (52,000) (52,000) (52,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, EZID program level.......................... 760,272 780,772 805,272 +45,000 +24,500
Chronic Disease Prevention and Health Promotion............... 1,192,647 1,304,464 1,192,964 +317 -111,500
Prevention and Public Health Fund......................... (241,267) (254,950) (270,950) (+29,683) (+16,000)
-----------------------------------------------------------------------------------------
Subtotal, Chronic Disease Prevention and Health 1,433,914 1,559,414 1,463,914 +30,000 -95,500
Promotion, program level.............................
Birth Defects, Developmental Disabilities, Disabilities and 206,060 205,560 210,060 +4,000 +4,500
Health.......................................................
-----------------------------------------------------------------------------------------
Subtotal: Birth Defects and Developmental Disabilities, 206,060 205,560 210,060 +4,000 +4,500
program level............................................
=========================================================================================
Public Health Scientific Services............................. 711,553 621,197 481,564 -229,989 -139,633
Evaluation Funding (PHS Act Sec 241)...................... (42,944) ................ (110,033) (+67,089) (+110,033)
Prevention and Public Health Fund......................... ................ (182,900) (182,900) (+182,900) ................
-----------------------------------------------------------------------------------------
Subtotal, Public Health Scientific Services, program 754,497 804,097 774,497 +20,000 -29,600
level................................................
Environmental Health.......................................... 191,850 249,850 193,850 +2,000 -56,000
Prevention and Public Health Fund......................... (51,000) (17,000) (51,000) ................ (+34,000)
-----------------------------------------------------------------------------------------
Subtotal, Environmental Health, program level......... 242,850 266,850 244,850 +2,000 -22,000
Injury Prevention and Control................................. 761,379 843,379 776,379 +15,000 -67,000
Evaluation Funding (PHS Act Sec 241).......................... ................ (100,000) ................ ................ (-100,000)
-----------------------------------------------------------------------------------------
Subtotal, Injury Prevention and Control, program level.... 761,379 843,379 776,379 +15,000 -67,000
National Institute for Occupational Safety and Health......... 362,800 363,200 364,030 +1,230 +830
Energy Employees Occupational Illness Compensation Program.... 55,358 55,358 55,358 ................ ................
Global Health................................................. 692,843 692,843 697,613 +4,770 +4,770
Public Health Preparedness and Response....................... 938,200 943,300 953,200 +15,000 +9,900
CDC-Wide Activities and Program Support:
Preventive Health and Health Services Block Grant (160,000) (160,000) (160,000) ................ ................
(Prevention and Public Health Fund)......................
Office of the Director.................................... 128,570 128,570 131,570 +3,000 +3,000
Reserve Fund.............................................. 25,000 35,000 25,000 ................ -10,000
Public Health Infrastructure and Capacity................. 350,000 350,000 365,000 +15,000 +15,000
-----------------------------------------------------------------------------------------
Subtotal, Public Health Infrastructure and Capacity... 350,000 350,000 365,000 +15,000 +15,000
Prevention and Public Health Fund......................... ................ (50,000) ................ ................ (-50,000)
-----------------------------------------------------------------------------------------
Subtotal, Center for Forecasting and Outbreak ................ 50,000 ................ ................ -50,000
Analytics............................................
-----------------------------------------------------------------------------------------
Subtotal, CDC-Wide Activities............................. 503,570 513,570 521,570 +18,000 +8,000
=========================================================================================
(Prevention and Public Health Fund)....................... (160,000) (210,000) (160,000) ................ (-50,000)
Buildings and Facilities...................................... 40,000 40,000 40,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Centers for Disease Control and Prevention......... 7,992,946 8,452,490 8,098,857 +105,911 -353,633
=========================================================================================
Discretionary......................................... (7,937,588) (8,397,132) (8,043,499) (+105,911) (-353,633)
Mandatory............................................. (55,358) (55,358) (55,358) ................ ................
(Evaluation Funding (PHS Act Sec 241)).................... (42,944) (100,000) (110,033) (+67,089) (+10,033)
(Prevention and Public Health Fund)....................... (1,186,200) (1,186,200) (1,186,200) ................ ................
-----------------------------------------------------------------------------------------
Total, Centers for Disease Control, program level......... (9,222,090) (9,738,690) (9,395,090) (+173,000) (-343,600)
=========================================================================================
NATIONAL INSTITUTES OF HEALTH (NIH)
National Cancer Institute (NCI)............................... 7,224,159 7,839,141 7,274,159 +50,000 -564,982
Additional funding (emergency)............................ ................ ................ 216,000 +216,000 +216,000
-----------------------------------------------------------------------------------------
Subtotal, NCI, program level.......................... 7,224,159 7,839,141 7,490,159 +266,000 -348,982
National Heart, Lung, and Blood Institute (NHLBI)............. 3,982,345 3,997,086 3,982,345 ................ -14,741
-----------------------------------------------------------------------------------------
Subtotal, NHLBI, program level............................ 3,982,345 3,997,086 3,982,345 ................ -14,741
National Institute of Dental and Craniofacial Research (NIDCR) 520,163 521,695 520,163 ................ -1,532
-----------------------------------------------------------------------------------------
Subtotal, NIDCR, program level............................ 520,163 521,695 520,163 ................ -1,532
National Institute of Diabetes and Digestive and Kidney 2,310,721 2,309,991 2,360,721 +50,000 +50,730
Diseases [NIDDK].............................................
-----------------------------------------------------------------------------------------
Subtotal, NIDDK, program level............................ 2,310,721 2,309,991 2,360,721 +50,000 +50,730
National Institute of Neurological Disorders and Stroke 2,603,925 2,788,327 2,772,425 +168,500 -15,902
(NINDS)......................................................
Additional funding (emergency)............................ ................ ................ 179,500 +179,500 +179,500
-----------------------------------------------------------------------------------------
Subtotal, NINDS, program level........................ 2,603,925 2,788,327 2,951,925 +348,000 +163,598
National Institute of Allergy and Infectious Diseases (NIAID). 6,562,279 6,581,291 6,692,279 +130,000 +110,988
National Institute of General Medical Sciences (NIGMS)........ 1,832,197 1,230,893 1,857,197 +25,000 +626,304
Evaluation Funding (PHS Act Sec 241)...................... (1,412,482) (2,018,482) (1,412,482) ................ (-606,000)
-----------------------------------------------------------------------------------------
Subtotal, NIGMS, program level........................ 3,244,679 3,249,375 3,269,679 +25,000 +20,304
Eunice Kennedy Shriver National Institute of Child Health and 1,759,078 1,766,415 1,779,078 +20,000 +12,663
Human Development (NICHD)....................................
-----------------------------------------------------------------------------------------
Subtotal, NICHD, program level............................ 1,759,078 1,766,415 1,779,078 +20,000 +12,663
National Eye Institute (NEI).................................. 896,549 898,818 896,549 ................ -2,269
-----------------------------------------------------------------------------------------
Subtotal, NEI, program level.............................. 896,549 898,818 896,549 ................ -2,269
National Institute of Environmental Health Sciences (NIEHS)... 913,979 916,791 913,979 ................ -2,812
-----------------------------------------------------------------------------------------
Subtotal, NIEHS, program level............................ 913,979 916,791 913,979 ................ -2,812
National Institute on Aging (NIA)............................. 4,507,623 4,425,295 4,645,123 +137,500 +219,828
-----------------------------------------------------------------------------------------
Subtotal, NIA, program level.............................. 4,507,623 4,425,295 4,645,123 +137,500 +219,828
National Institute of Arthritis and Musculoskeletal and Skin 685,465 689,697 685,465 ................ -4,232
Diseases (NIAMS).............................................
-----------------------------------------------------------------------------------------
Subtotal, NIAMS, program level............................ 685,465 689,697 685,465 ................ -4,232
National Institute on Deafness and Other Communication 534,333 535,929 534,333 ................ -1,596
Disorders (NIDCD)............................................
-----------------------------------------------------------------------------------------
Subtotal, NIDCD, program level............................ 534,333 535,929 534,333 ................ -1,596
National Institute of Nursing Research (NINR)................. 197,693 198,263 197,693 ................ -570
-----------------------------------------------------------------------------------------
Subtotal, NINR, program level............................. 197,693 198,263 197,693 ................ -570
National Institute on Alcohol Abuse and Alcoholism (NIAAA).... 595,318 598,903 595,318 ................ -3,585
-----------------------------------------------------------------------------------------
Subtotal, NIAAA, program level............................ 595,318 598,903 595,318 ................ -3,585
National Institute on Drug Abuse (NIDA)....................... 1,662,695 1,668,343 1,667,695 +5,000 -648
-----------------------------------------------------------------------------------------
Subtotal, NIDA, program level............................. 1,662,695 1,668,343 1,667,695 +5,000 -648
National Institute of Mental Health (NIMH).................... 2,187,843 2,503,162 2,462,843 +275,000 -40,319
Additional funding (emergency)............................ ................ ................ 179,500 +179,500 +179,500
-----------------------------------------------------------------------------------------
Subtotal, NIMH, program level......................... 2,187,843 2,503,162 2,642,343 +454,500 +139,181
National Human Genome Research Institute (NHGRI).............. 663,200 663,660 663,200 ................ -460
-----------------------------------------------------------------------------------------
Subtotal, NHGRI, program level............................ 663,200 663,660 663,200 ................ -460
National Institute of Biomedical Imaging and Bioengineering 440,627 441,944 440,627 ................ -1,317
(NIBIB)......................................................
-----------------------------------------------------------------------------------------
Subtotal, NIBIB, program level............................ 440,627 441,944 440,627 ................ -1,317
National Center for Complementary and Integrative Health 170,384 170,894 170,384 ................ -510
(NCCIH)......................................................
-----------------------------------------------------------------------------------------
Subtotal, NCCIH, program level............................ 170,384 170,894 170,384 ................ -510
National Institute on Minority Health and Health Disparities 534,395 526,710 539,395 +5,000 +12,685
(NIMHD)......................................................
John E Fogarty International Center (FIC)..................... 95,162 95,415 95,162 ................ -253
National Library of Medicine (NLM)............................ 497,548 526,796 597,548 +100,000 +70,752
-----------------------------------------------------------------------------------------
Subtotal, NLM, program level.............................. 497,548 526,796 597,548 +100,000 +70,752
National Center for Advancing Translational Sciences (NCATS).. 928,323 926,086 933,323 +5,000 +7,237
-----------------------------------------------------------------------------------------
Subtotal, NCATS, program level............................ 928,323 926,086 933,323 +5,000 +7,237
Office of the Director........................................ 2,592,914 3,000,855 2,471,914 -121,000 -528,941
Common Fund (non-add)..................................... (672,401) (722,401) (692,401) (+20,000) (-30,000)
Office of Research on Women's Health (non-add)............ (76,480) (153,909) (76,480) ................ (-77,429)
Gabriella Miller Kids First Research Act.................. 12,600 12,600 12,600 ................ ................
Additional funding (emergency)............................ ................ ................ 625,000 +625,000 +625,000
-----------------------------------------------------------------------------------------
Subtotal, Office of the Director...................... 2,605,514 3,013,455 3,109,514 +504,000 +96,059
Buildings and Facilities...................................... 350,000 350,000 350,000 ................ ................
NIH Innovation Account, CURES Act............................. (407,000) (127,000) (127,000) (-280,000) ................
-----------------------------------------------------------------------------------------
Subtotal, B&F, program level.............................. 757,000 477,000 477,000 -280,000 ................
=========================================================================================
Advanced Research Projects Agency for Health (ARPA-H) 1/...... 1,500,000 1,500,000 1,500,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, National Institutes of Health................... 46,761,518 47,685,000 48,811,518 +2,050,000 +1,126,518
-----------------------------------------------------------------------------------------
Total, National Institutes of Health (with CURES Act 47,168,518 47,812,000 48,938,518 +1,770,000 +1,126,518
funding).................................................
=========================================================================================
(Evaluation Funding (PHS Act Sec 241)).................... (1,412,482) (2,018,482) (1,412,482) ................ (-606,000)
-----------------------------------------------------------------------------------------
Total, National Institutes of Health, program level (with 48,581,000 49,830,482 50,351,000 +1,770,000 +520,518
CURES and PHS Evaluation Act Funding)....................
=========================================================================================
Total, NIH program level (excluding ARPA-H)............... 47,081,000 48,330,482 48,851,000 +1,770,000 +520,518
=========================================================================================
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
(SAMHSA)
Mental Health
Programs of Regional and National Significance................ 1,068,453 1,226,953 1,107,453 +39,000 -119,500
Prevention and Public Health Fund......................... (12,000) (12,000) (12,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal.............................................. 1,080,453 1,238,953 1,119,453 +39,000 -119,500
Mental Health Block Grant (MHBG).............................. 986,532 1,021,532 1,021,532 +35,000 ................
Evaluation Funding (PHS Act Sec 241)...................... (21,039) (21,039) (21,039) ................ ................
-----------------------------------------------------------------------------------------
Subtotal.............................................. 1,007,571 1,042,571 1,042,571 +35,000 ................
Certified Community Behavioral Health Clinics................. 385,000 450,000 400,000 +15,000 -50,000
National Child Traumatic Stress Initiative.................... 98,887 93,887 103,887 +5,000 +10,000
Children's Mental Health Services............................. 130,000 180,000 130,000 ................ -50,000
Projects for Assistance in Transition from Homelessness (PATH) 66,635 66,635 66,635 ................ ................
Protection and Advocacy for Individuals with Mental Illness 40,000 40,000 40,000 ................ ................
(PAIMI)......................................................
-----------------------------------------------------------------------------------------
Subtotal, Mental Health................................... 2,775,507 3,079,007 2,869,507 +94,000 -209,500
(Evaluation Funding (PHS Act Sec 241)).................... (21,039) (21,039) (21,039) ................ ................
(Prevention and Public Health Fund)....................... (12,000) (12,000) (12,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Mental Health program level..................... 2,808,546 3,112,046 2,902,546 +94,000 -209,500
Substance Abuse Treatment
Programs of Regional and National Significance................ 574,219 588,969 585,219 +11,000 -3,750
Evaluation Funding (PHS Act Sec 241)...................... (2,000) (2,000) (2,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal.............................................. 576,219 590,969 587,219 +11,000 -3,750
Substance Use Prevention, Treatment, and Recovery Services 1,928,879 1,928,879 1,968,879 +40,000 +40,000
Block Grant..................................................
Evaluation Funding (PHS Act Sec 241)...................... (79,200) (79,200) (79,200) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Substance Use Prevention, Treatment, and 2,008,079 2,008,079 2,048,079 +40,000 +40,000
Recovery Services Block Grant, program level.........
State Opioid Response grants.................................. 1,575,000 1,595,000 1,000,000 -575,000 -595,000
Additional funding (emergency)............................ ................ ................ 600,000 +600,000 +600,000
-----------------------------------------------------------------------------------------
Subtotal, State Opioid Response Grants................ 1,575,000 1,595,000 1,600,000 +25,000 +5,000
-----------------------------------------------------------------------------------------
Subtotal, Substance Abuse Treatment................... 4,078,098 4,112,848 4,154,098 +76,000 +41,250
(Evaluation Funding (PHS Act Sec 241))................ (81,200) (81,200) (81,200) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Substance Abuse Treatment, program level.... 4,159,298 4,194,048 4,235,298 +76,000 +41,250
Substance Abuse Prevention
Programs of Regional and National Significance................ 236,879 236,879 246,879 +10,000 +10,000
Health Surveillance and Program Support
Health Surveillance and Program Support....................... 138,155 141,155 138,155 ................ -3,000
Community Project Funding / Congressionally Directed Spending. 72,090 ................ 63,337 -8,753 +63,337
Evaluation Funding (PHS Act Sec 241)...................... (31,428) (31,428) (31,428) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Health Surveillance and Program Support 241,673 172,583 232,920 -8,753 +60,337
program level........................................
-----------------------------------------------------------------------------------------
Total, SAMHSA......................................... 7,300,729 7,569,889 7,471,976 +171,247 -97,913
=========================================================================================
(Evaluation Funding (PHS Act Sec 241))................ (133,667) (133,667) (133,667) ................ ................
(Prevention and Public Health Fund)................... (12,000) (12,000) (12,000) ................ ................
-----------------------------------------------------------------------------------------
Total, SAMHSA, program level.......................... 7,446,396 7,715,556 7,617,643 +171,247 -97,913
=========================================================================================
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ)
Healthcare Research and Quality
Research on Health Costs, Quality, and Outcomes:
Federal Funds............................................. 224,109 235,067 230,109 +6,000 -4,958
-----------------------------------------------------------------------------------------
Subtotal, Research on Health Costs, Quality, and 224,109 235,067 230,109 +6,000 -4,958
Outcomes, program level..............................
Medical Expenditures Panel Surveys:
Federal Funds............................................. 71,791 74,621 72,791 +1,000 -1,830
Program Support:
Appropriation............................................. 73,100 77,657 73,100 ................ -4,557
-----------------------------------------------------------------------------------------
Total, AHRQ........................................... 369,000 387,345 376,000 +7,000 -11,345
=========================================================================================
(Evaluation Funding (PHS Act Sec 241))................ ................ ................ ................ ................ ................
-----------------------------------------------------------------------------------------
Total, AHRQ, program level............................ 369,000 387,345 376,000 +7,000 -11,345
=========================================================================================
Total, Public Health Service with CURES Act funding... 72,002,980 72,752,288 74,096,707 +2,093,727 +1,344,419
=========================================================================================
Total, Public Health Service, program level........... 74,790,273 76,202,637 76,951,089 +2,160,816 +748,452
=========================================================================================
CENTERS FOR MEDICARE AND MEDICAID SERVICES
Grants to States for Medicaid
Medicaid Current Law Benefits................................. 574,100,474 595,086,095 595,086,095 +20,985,621 ................
State and Local Administration................................ 24,622,000 26,392,000 26,392,000 +1,770,000 ................
Vaccines for Children......................................... 5,814,850 7,711,718 7,711,718 +1,896,868 ................
-----------------------------------------------------------------------------------------
Total, Medicaid program level, available this fiscal year. 604,537,324 629,189,813 629,189,813 +24,652,489 ................
=========================================================================================
Less appropriations provided in prior years........... -197,580,474 -245,580,414 -245,580,414 -47,999,940 ................
-----------------------------------------------------------------------------------------
Total, Grants to States for Medicaid...................... 406,956,850 383,609,399 383,609,399 -23,347,451 ................
=========================================================================================
New advance, 1st quarter, FY 2026..................... 245,580,414 261,063,820 261,063,820 +15,483,406 ................
-----------------------------------------------------------------------------------------
Total, Grants to States for Medicaid, appropriated in this 652,537,264 644,673,219 644,673,219 -7,864,045 ................
bill.....................................................
=========================================================================================
Payments to the Health Care Trust Funds
Supplemental Medical Insurance................................ 373,973,000 408,939,000 408,939,000 +34,966,000 ................
Federal Uninsured Payment..................................... 44,000 37,000 37,000 -7,000 ................
Program Management............................................ 1,000,000 1,000,000 1,000,000 ................ ................
General Revenue for Part D Benefit............................ 100,805,000 110,786,000 110,786,000 +9,981,000 ................
General Revenue for Part D Administration..................... 523,000 613,000 613,000 +90,000 ................
HCFAC Reimbursement........................................... 375,000 377,000 377,000 +2,000 ................
State Low-Income Determination for Part D..................... 5,000 5,000 5,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Payments to Trust Funds............................ 476,725,000 521,757,000 521,757,000 +45,032,000 ................
=========================================================================================
Program Management
Research, Demonstration, and Evaluation....................... 20,054 ................ 20,054 ................ +20,054
Program Operations............................................ 2,479,823 2,979,051 2,479,823 ................ -499,228
State Survey and Certification................................ 397,334 492,334 397,334 ................ -95,000
Federal Administration........................................ 772,533 857,615 772,533 ................ -85,082
-----------------------------------------------------------------------------------------
Subtotal, Program Management.............................. 3,669,744 4,329,000 3,669,744 ................ -659,256
-----------------------------------------------------------------------------------------
Total, Program Management................................. 3,669,744 4,329,000 3,669,744 ................ -659,256
=========================================================================================
Health Care Fraud and Abuse Control Account
Centers for Medicare and Medicaid Services.................... 675,058 703,868 699,058 +24,000 -4,810
HHS Office of Inspector General............................... 107,735 111,508 108,735 +1,000 -2,773
Department of Justice......................................... 132,207 125,624 133,207 +1,000 +7,583
Senior Medicare Patrol (non-add).............................. (35,000) (35,000) (35,000) ................ ................
-----------------------------------------------------------------------------------------
Total, Health Care Fraud and Abuse Control................ 915,000 941,000 941,000 +26,000 ................
=========================================================================================
Program integrity (cap adjustment).................... (604,000) (630,000) (630,000) (+26,000) ................
-----------------------------------------------------------------------------------------
Total, Centers for Medicare and Medicaid Services......... 1,133,847,008 1,171,700,219 1,171,040,963 +37,193,955 -659,256
=========================================================================================
Federal funds......................................... (1,129,262,264) (1,166,430,219) (1,166,430,219) (+37,167,955) ................
Current year appropriations....................... (883,681,850) (905,366,399) (905,366,399) (+21,684,549) ................
Advance appropriations............................ (245,580,414) (261,063,820) (261,063,820) (+15,483,406) ................
Trust Funds........................................... (4,584,744) (5,270,000) (4,610,744) (+26,000) (-659,256)
ADMINISTRATION FOR CHILDREN AND FAMILIES (ACF)
Payments to States for Child Support Enforcement and Family
Support Programs
Payments to Territories....................................... 33,000 33,000 33,000 ................ ................
Repatriation.................................................. 18,199 22,656 22,656 +4,457 ................
-----------------------------------------------------------------------------------------
Subtotal, Payments to States for Child Support Enforcement 51,199 55,656 55,656 +4,457 ................
and Family Support Programs..............................
Child Support Enforcement:
State and Local Administration............................ 3,840,888 4,540,071 4,540,071 +699,183 ................
Federal Incentive Payments................................ 706,913 718,273 718,273 +11,360 ................
Access and Visitation..................................... 10,000 10,000 10,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Child Support Enforcement................... 4,557,801 5,268,344 5,268,344 +710,543 ................
-----------------------------------------------------------------------------------------
Total, Child Support Enforcement and Family Support 4,609,000 5,324,000 5,324,000 +715,000 ................
Payments, program level available this fiscal year.......
=========================================================================================
New advance, 1st quarter, FY 2026..................... 1,400,000 1,600,000 1,700,000 +300,000 +100,000
Less appropriations provided in prior years........... -1,300,000 -1,400,000 -1,400,000 -100,000 ................
-----------------------------------------------------------------------------------------
Total, Current Year....................................... 3,309,000 3,924,000 3,924,000 +615,000 ................
=========================================================================================
Total, Child Support Enforcement and Family Support 4,709,000 5,524,000 5,624,000 +915,000 +100,000
Payments, appropriated in this bill......................
=========================================================================================
Low Income Home Energy Assistance
Formula Grants................................................ 4,025,000 1,536,000 1,625,000 -2,400,000 +89,000
Additional funding (emergency)............................ ................ 2,575,000 2,500,000 +2,500,000 -75,000
-----------------------------------------------------------------------------------------
Subtotal.............................................. 4,025,000 4,111,000 4,125,000 +100,000 +14,000
-----------------------------------------------------------------------------------------
Total, LIHEAP, program level.......................... 4,025,000 4,111,000 4,125,000 +100,000 +14,000
=========================================================================================
Refugee and Entrant Assistance
Transitional and Medical Services............................. 564,000 564,000 591,000 +27,000 +27,000
Refugee Support Services...................................... 307,201 307,201 307,201 ................ ................
Victims of Trafficking........................................ 30,755 30,755 31,755 +1,000 +1,000
Unaccompanied Children........................................ 5,406,258 5,506,258 5,406,258 ................ -100,000
Survivors of Torture.......................................... 19,000 19,000 19,000 ................ ................
Additional funding (emergency)................................ ................ 2,914,179 ................ ................ -2,914,179
-----------------------------------------------------------------------------------------
Total, Refugee and Entrant Assistance..................... 6,327,214 9,341,393 6,355,214 +28,000 -2,986,179
=========================================================================================
Total, Refugee and Entrant Assistance excluding 6,327,214 6,427,214 6,355,214 +28,000 -72,000
emergencies..............................................
=========================================================================================
Promoting Safe and Stable Families
Promoting Safe and Stable Families............................ 345,000 345,000 345,000 ................ ................
Discretionary Funds....................................... 72,515 76,515 72,515 ................ -4,000
-----------------------------------------------------------------------------------------
Total, Promoting Safe and Stable Families............. 417,515 421,515 417,515 ................ -4,000
=========================================================================================
Payments to States for the Child Care and Development Block 8,746,387 8,521,387 9,846,387 +1,100,000 +1,325,000
Grant........................................................
Additional funding (emergency)............................ ................ ................ 500,000 +500,000 +500,000
-----------------------------------------------------------------------------------------
Subtotal, Payments to States for the Child Care and 8,746,387 8,521,387 10,346,387 +1,600,000 +1,825,000
Development Block Grant..............................
Social Services Block Grant (Title XX)........................ 1,700,000 1,700,000 1,700,000 ................ ................
Children and Families Services Programs
Programs for Children, Youth and Families:
Head Start................................................ 12,271,820 12,540,519 12,271,820 ................ -268,699
Additional funding (emergency)............................ ................ ................ 700,000 +700,000 +700,000
-----------------------------------------------------------------------------------------
Subtotal, Head Start.................................. 12,271,820 12,540,519 12,971,820 +700,000 +431,301
Preschool Development Grants.............................. 315,000 250,000 315,000 ................ +65,000
Runaway and Homeless Youth Program........................ 125,283 125,283 125,283 ................ ................
Prevention Grants to Reduce Abuse of Runaway Youth........ 21,000 21,000 21,000 ................ ................
Child Abuse State Grants.................................. 105,091 105,091 110,091 +5,000 +5,000
Child Abuse Discretionary Activities...................... 36,000 38,000 36,000 ................ -2,000
Community Based Child Abuse Prevention.................... 70,660 90,000 74,660 +4,000 -15,340
Child Welfare Services.................................... 268,735 268,735 268,735 ................ ................
Child Welfare Research, Training, and Demonstration....... 21,984 45,984 21,984 ................ -24,000
Adoption Opportunities.................................... 53,000 51,000 54,000 +1,000 +3,000
Adoption and Legal Guardianship Incentive Payments........ 75,000 75,000 75,000 ................ ................
Social Services Research and Demonstration................ 35,012 30,512 36,012 +1,000 +5,500
Community Project Funding / Congressionally Directed 40,011 ................ 42,850 +2,839 +42,850
Spending.............................................
Native American Programs...................................... 60,500 65,500 60,500 ................ -5,000
Community Services:
Community Services Block Grant Act programs:
Grants to States for Community Services............... 770,000 770,000 770,000 ................ ................
Economic Development.................................. 22,383 22,383 22,383 ................ ................
Rural Community Facilities............................ 12,000 12,000 12,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Community Services Block Grant Act 804,383 804,383 804,383 ................ ................
programs.........................................
National Domestic Violence Hotline............................ 20,500 20,500 20,500 ................ ................
Family Violence Prevention and Services....................... 240,000 240,000 242,000 +2,000 +2,000
Chafee Education and Training Vouchers........................ 44,257 48,257 44,257 ................ -4,000
Disaster Human Services Case Management....................... 1,864 1,864 1,864 ................ ................
Program Direction............................................. 219,000 230,500 219,000 ................ -11,500
-----------------------------------------------------------------------------------------
Total, Children and Families Services Programs............ 14,829,100 15,052,128 15,544,939 +715,839 +492,811
=========================================================================================
Payments for Foster Care and Permanency
Foster Care................................................... 6,615,000 4,796,000 4,796,000 -1,819,000 ................
Adoption Assistance........................................... 4,706,000 4,659,000 4,659,000 -47,000 ................
Guardianship.................................................. 330,000 365,000 365,000 +35,000 ................
Independent Living............................................ 143,000 143,000 143,000 ................ ................
Foster Care Prevention Services............................... ................ 205,000 205,000 +205,000 ................
-----------------------------------------------------------------------------------------
Total, Payments to States available this fiscal year...... 11,794,000 10,168,000 10,168,000 -1,626,000 ................
=========================================================================================
Advance appropriations, 1st quarter, FY 2026.............. 3,400,000 3,600,000 3,600,000 +200,000 ................
less appropriations provided in prior years............... -3,200,000 -3,400,000 -3,400,000 -200,000 ................
-----------------------------------------------------------------------------------------
Total, Current Year....................................... 8,594,000 6,768,000 6,768,000 -1,826,000 ................
=========================================================================================
Total, Payments to States available in this bill...... 11,994,000 10,368,000 10,368,000 -1,626,000 ................
=========================================================================================
Total, Administration for Children and Families........... 52,748,216 55,039,423 54,481,055 +1,732,839 -558,368
=========================================================================================
Current year appropriations........................... (47,948,216) (49,839,423) (49,181,055) (+1,232,839) (-658,368)
Advance appropriations................................ (4,800,000) (5,200,000) (5,300,000) (+500,000) (+100,000)
-----------------------------------------------------------------------------------------
Total, Administration for Children and Families, (34,000,216) (37,102,423) (36,444,055) (+2,443,839) (-658,368)
discretionary............................................
=========================================================================================
Total, ACF (excluding emergencies)........................ 52,748,216 49,550,244 50,781,055 -1,967,161 +1,230,811
=========================================================================================
ADMINISTRATION FOR COMMUNITY LIVING
Aging and Disability Services Programs
Grants to States:
Home and Community-Based Supportive Services.............. 410,000 410,000 410,000 ................ ................
Preventive Health......................................... 26,339 26,339 26,339 ................ ................
Protection of Vulnerable Older Americans-Title VII........ 26,658 26,658 26,658 ................ ................
-----------------------------------------------------------------------------------------
Subtotal.............................................. 462,997 462,997 462,997 ................ ................
Family Caregivers......................................... 207,000 205,000 209,000 +2,000 +4,000
Native American Caregivers Support........................ 12,000 12,000 12,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Caregivers.................................. 219,000 217,000 221,000 +2,000 +4,000
Nutrition:
Congregate Meals...................................... 565,342 621,692 565,342 ................ -56,350
Home Delivered Meals.................................. 381,342 447,692 381,342 ................ -66,350
Nutrition Services Incentive Program.................. 112,000 80,069 112,000 ................ +31,931
-----------------------------------------------------------------------------------------
Subtotal, Nutrition................................... 1,058,684 1,149,453 1,058,684 ................ -90,769
-----------------------------------------------------------------------------------------
Subtotal, Grants to States............................ 1,740,681 1,829,450 1,742,681 +2,000 -86,769
Grants for Native Americans................................... 38,264 38,264 38,264 ................ ................
Aging Network Support Activities.............................. 30,461 40,461 30,461 ................ -10,000
Alzheimer's Disease Program:
Appropriation............................................. 16,800 16,800 16,800 ................ ................
Prevention and Public Health Fund......................... (14,700) (14,700) (14,700) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Alzheimer's Disease Demonstrations, program 31,500 31,500 31,500 ................ ................
level................................................
=========================================================================================
Lifespan Respite Care......................................... 10,000 10,000 11,000 +1,000 +1,000
Chronic Disease Self-Management:
Prevention and Public Health Fund......................... (8,000) (8,000) (8,000) ................ ................
Elder Falls Prevention:
Appropriation............................................. 2,500 2,500 2,500 ................ ................
Prevention and Public Health Fund......................... (5,000) (5,000) (5,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Elder Falls Prevention, program level....... 7,500 7,500 7,500 ................ ................
Elder Rights Support Activities............................... 33,874 33,874 33,874 ................ ................
Aging and Disability Resources................................ 8,619 8,619 8,619 ................ ................
State Health Insurance Assistance Program (SHIP).............. 55,242 55,242 55,242 ................ ................
Paralysis Resource Center:
Appropriation............................................. 10,700 10,700 10,700 ................ ................
Limb Loss Resource Center:
Appropriation............................................. 4,200 4,200 4,200 ................ ................
Traumatic Brain Injury:
Appropriation............................................. 13,118 13,118 13,118 ................ ................
Developmental Disabilities Programs:
State Councils............................................ 81,000 81,000 81,000 ................ ................
Protection and Advocacy................................... 45,000 45,000 45,000 ................ ................
Voting Access for Individuals with Disabilities........... 10,000 10,000 10,000 ................ ................
Developmental Disabilities Projects of National 12,250 15,350 12,250 ................ -3,100
Significance.............................................
University Centers for Excellence in Developmental 43,119 43,119 43,119 ................ ................
Disabilities.............................................
-----------------------------------------------------------------------------------------
Subtotal, Developmental Disabilities Programs......... 191,369 194,469 191,369 ................ -3,100
Workforce Innovation and Opportunity Act:
Independent Living........................................ 128,183 132,083 128,183 ................ -3,900
National Institute on Disability, Independent Living, and 119,000 119,000 119,000 ................ ................
Rehabilitation Research..................................
Assistive Technology...................................... 40,000 40,000 40,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Workforce Innovation and Opportunity Act.... 287,183 291,083 287,183 ................ -3,900
Community Project Funding / Congressionally Directed Spending. 29,268 ................ 22,043 -7,225 +22,043
Program Administration........................................ 48,063 55,063 48,063 ................ -7,000
White House Conference on Aging............................... ................ 2,500 ................ ................ -2,500
-----------------------------------------------------------------------------------------
Total, Administration for Community Living................ 2,520,342 2,606,343 2,516,117 -4,225 -90,226
=========================================================================================
Federal funds......................................... (2,465,100) (2,551,101) (2,460,875) (-4,225) (-90,226)
Trust Funds........................................... (55,242) (55,242) (55,242) ................ ................
(Prevention and Public Health Fund)....................... (27,700) (27,700) (27,700) ................ ................
-----------------------------------------------------------------------------------------
Total, Administration for Community Living, program level. 2,548,042 2,634,043 2,543,817 -4,225 -90,226
=========================================================================================
ADMINISTRATION FOR STRATEGIC PREPAREDNESS AND RESPONSE-1/
Research, Development, and Procurement
Biomedical Advanced Research and Development Authority (BARDA) 1,015,000 970,000 320,000 -695,000 -650,000
Additional funding (emergency)............................ ................ ................ 750,000 +750,000 +750,000
Project BioShield............................................. 825,000 820,000 85,000 -740,000 -735,000
Additional funding (emergency)............................ ................ ................ 750,000 +750,000 +750,000
Strategic National Stockpile.................................. 980,000 965,000 1,010,000 +30,000 +45,000
Pandemic Influenza Preparedness:
Pandemic Influenza Preparedness........................... 315,000 327,991 335,991 +20,991 +8,000
Pandemic Influenza Balances (non-add)..................... (20,000) ................ ................ (-20,000) ................
-----------------------------------------------------------------------------------------
Subtotal, Pandemic Influenza Preparedness, program (335,000) (327,991) (335,991) (+991) (+8,000)
level................................................
-----------------------------------------------------------------------------------------
Subtotal Research, Development, and Procurement....... 3,135,000 3,082,991 3,250,991 +115,991 +168,000
Operations, Preparedness, and Emergency Response
Operations.................................................... 34,376 79,867 34,376 ................ -45,491
H-Core........................................................ 15,000 75,000 15,000 ................ -60,000
Preparedness and Emergency Operations......................... 31,154 31,154 31,154 ................ ................
National Disaster Medical System.............................. 78,904 65,904 81,904 +3,000 +16,000
Hospital Preparedness Program................................. 305,055 317,055 309,055 +4,000 -8,000
Formula Grants (non-add).................................. (240,000) (240,000) (240,000) ................ ................
Policy and Planning........................................... 14,877 14,877 14,877 ................ ................
Medical Reserve Corps......................................... 6,240 6,240 6,240 ................ ................
Preparedness and Response Innovation.......................... 4,000 ................ 4,000 ................ +4,000
Pandemic Preparedness and Biodefense.......................... 10,000 ................ 80,000 +70,000 +80,000
Biodefense Production of Medical Countermeasures and Essential ................ 95,000 ................ ................ -95,000
Medicines....................................................
-----------------------------------------------------------------------------------------
Subtotal, Pandemic Preparedness and Biodefense............ 10,000 95,000 80,000 +70,000 -15,000
-----------------------------------------------------------------------------------------
Subtotal, Operations and Emergency Response............... 499,606 685,097 576,606 +77,000 -108,491
-----------------------------------------------------------------------------------------
Total, Administration for Strategic Preparedness and 3,634,606 3,768,088 3,827,597 +192,991 +59,509
Response.................................................
=========================================================================================
DEPARTMENTAL MANAGEMENT 1/
General Departmental Management
General Departmental Management, Federal Funds................ 221,169 228,503 221,169 ................ -7,334
Other Programs, Projects, and Activities (PPAs)............... ................ 13,462 ................ ................ -13,462
Teen Pregnancy Prevention Community Grants.................... 101,000 101,000 101,000 ................ ................
Evaluation Funding (PHS Act Sec 241)...................... (6,800) (7,400) (6,800) ................ (-600)
-----------------------------------------------------------------------------------------
Subtotal, Teen Pregnancy Prevention Community Grants, 107,800 108,400 107,800 ................ -600
program level........................................
Sexual Risk Avoidance......................................... 35,000 ................ 35,000 ................ +35,000
Office of Minority Health..................................... 74,835 74,835 74,835 ................ ................
Office on Women's Health...................................... 44,140 54,140 44,140 ................ -10,000
Minority HIV/AIDS Fund........................................ 60,000 60,000 60,000 ................ ................
Embryo Adoption Awareness Campaign............................ 1,000 1,000 1,000 ................ ................
Planning and Evaluation, Evaluation Funding (PHS Act Sec 241). (58,028) (67,094) (58,028) ................ (-9,066)
-----------------------------------------------------------------------------------------
Subtotal, General Departmental Management................. 537,144 532,940 537,144 ................ +4,204
Cybersecurity............................................. 100,000 ................ 110,000 +10,000 +110,000
Office of National Security............................... 8,983 ................ 8,983 ................ +8,983
Office of Global Affairs...................................... ................ ................ 7,009 +7,009 +7,009
-----------------------------------------------------------------------------------------
Total, General Departmental Management.................... 646,127 532,940 663,136 +17,009 +130,196
=========================================================================================
(Evaluation Funding (PHS Act Sec 241)).................... (64,828) (74,494) (64,828) ................ (-9,666)
-----------------------------------------------------------------------------------------
Total, General Departmental Management fiscal year program 710,955 607,434 727,964 +17,009 +120,530
level....................................................
=========================================================================================
Office for Civil Rights
Federal Funds................................................. 39,798 56,798 39,798 ................ -17,000
Office of the National Coordinator for Health Information
Technology:
Evaluation Funding (PHS Act Sec 241)...................... (69,238) (86,000) (69,238) ................ (-16,762)
-----------------------------------------------------------------------------------------
Total, Program Level.................................. 69,238 86,000 69,238 ................ -16,762
=========================================================================================
Medicare Hearings and Appeals................................. 196,000 196,000 196,000 ................ ................
Public Health and Social Services Emergency Fund (PHSSEF) 1/
Cybersecurity............................................. ................ 140,500 ................ ................ -140,500
Office of National Security............................... ................ 14,983 ................ ................ -14,983
Public Health Emergency Fund.................................. ................ 7,009 ................ ................ -7,009
Supply Chain Coordination Office.............................. ................ 10,000 ................ ................ -10,000
-----------------------------------------------------------------------------------------
Total, PHSSEF............................................. ................ 172,492 ................ ................ -172,492
=========================================================================================
Customer Experience
Customer Experience........................................... ................ 14,000 ................ ................ -14,000
Office of the Inspector General
Office of Inspector General................................... 87,000 97,384 87,000 ................ -10,384
Retirement Pay and Medical Benefits for Commissioned Officers
Retirement Payments........................................... 657,647 725,619 725,619 +67,972 ................
Survivors Benefits............................................ 37,681 46,719 46,719 +9,038 ................
Dependents' Medical Care...................................... 97,363 122,457 122,457 +25,094 ................
-----------------------------------------------------------------------------------------
Total, Medical Benefits for Commissioned Officers......... 792,691 894,795 894,795 +102,104 ................
=========================================================================================
Total, Office of the Secretary............................ 1,761,616 1,964,409 1,880,729 +119,113 -83,680
=========================================================================================
Federal Funds......................................... (1,565,616) (1,768,409) (1,684,729) (+119,113) (-83,680)
Trust Funds........................................... (196,000) (196,000) (196,000) ................ ................
(Evaluation Funding (PHS Act Sec 241)).................... (134,066) (160,494) (134,066) ................ (-26,428)
-----------------------------------------------------------------------------------------
Total, Office of the Secretary, program level............. 1,895,682 2,124,903 2,014,795 +119,113 -110,108
=========================================================================================
GENERAL PROVISIONS DEPARTMENT OF HEALTH AND HUMAN SERVICES
Medicare Operations (Sec 227)................................. 455,000 ................ 525,000 +70,000 +525,000
-----------------------------------------------------------------------------------------
Total, Title II, Department of Health and Human Services.. 1,266,562,768 1,307,703,770 1,308,241,168 +41,678,400 +537,398
=========================================================================================
Federal Funds......................................... 1,260,995,085 1,301,895,601 1,302,572,255 +41,577,170 +676,654
Current Year appropriations....................... (1,010,614,671) (1,030,142,602) (1,029,208,435) (+18,593,764) (-934,167)
Emergency appropriations.......................... ................ (5,489,179) (7,000,000) (+7,000,000) (+1,510,821)
Advance appropriations, FY 2026................... (250,380,414) (266,263,820) (266,363,820) (+15,983,406) (+100,000)
Trust Funds........................................... (5,567,683) (5,808,169) (5,668,913) (+101,230) (-139,256)
CURES Act................................................. (407,000) (127,000) (127,000) (-280,000) ................
Prevention and Public Health Fund......................... (1,225,900) (1,225,900) (1,225,900) ................ ................
-----------------------------------------------------------------------------------------
Total, Title II, Department of Health and Human Services 117,442,958 122,119,671 122,557,069 +5,114,111 +437,398
discretionary............................................
=========================================================================================
TITLE III--DEPARTMENT OF EDUCATION
OFFICE OF ELEMENTARY AND SECONDARY EDUCATION
Education for the Disadvantaged
Grants to Local Educational Agencies (LEAs)................... ................ ................ ................ ................ ................
Basic Grants:
Appropriations from prior year advances................... 763,776 763,776 763,776 ................ ................
Forward funded............................................ 5,690,625 5,690,625 5,690,625 ................ ................
Current appropriation..................................... 5,000 5,000 5,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Basic Grants available this fiscal year..... 5,695,625 5,695,625 5,695,625 ................ ................
Advance appropriations, FY 2026........................... 763,776 763,776 763,776 ................ ................
less appropriations available from prior year advances.... -763,776 -763,776 -763,776 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Basic Grants, appropriated in this bill..... 6,459,401 6,459,401 6,459,401 ................ ................
Concentration Grants:
Appropriations from prior year advances............... 1,362,301 1,362,301 1,362,301 ................ ................
Advance appropriations FY 2026........................ 1,362,301 1,362,301 1,362,301 ................ ................
less appropriations provided from prior year advances. -1,362,301 -1,362,301 -1,362,301 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Concentration Grants, appropriated in this 1,362,301 1,362,301 1,362,301 ................ ................
bill.................................................
Targeted Grants:
Appropriations from prior year advances............... 4,357,550 4,357,550 4,357,550 ................ ................
Forward funded........................................ 935,000 1,025,000 1,075,000 +140,000 +50,000
-----------------------------------------------------------------------------------------
Subtotal, Targeted Grants available this fiscal year.. 5,292,550 5,382,550 5,432,550 +140,000 +50,000
Advance appropriations FY 2026........................ 4,357,550 4,357,550 4,357,550 ................ ................
less appropriations provided from prior year advances. -4,357,550 -4,357,550 -4,357,550 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Targeted Grants, appropriated in this bill.. 5,292,550 5,382,550 5,432,550 +140,000 +50,000
Education Finance Incentive Grants:
Appropriations from prior year advances............... 4,357,550 4,357,550 4,357,550 ................ ................
Forward Funded........................................ 935,000 1,025,000 1,075,000 +140,000 +50,000
Advance appropriations, FY 2026....................... 4,357,550 4,357,550 4,357,550 ................ ................
less appropriations provided from prior year advances. -4,357,550 -4,357,550 -4,357,550 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Education Finance Incentive Grants, 5,292,550 5,382,550 5,432,550 +140,000 +50,000
appropriated in this bill............................
-----------------------------------------------------------------------------------------
Subtotal, Grants to LEAs, fiscal year program level... 18,406,802 18,586,802 18,686,802 +280,000 +100,000
Innovative Approaches to Literacy............................. 30,000 30,000 30,000 ................ ................
Comprehensive literacy development grants..................... 194,000 194,000 194,000 ................ ................
State Agency Programs:
Migrant................................................... 375,626 375,626 375,626 ................ ................
Neglected and Delinquent/High Risk Youth.................. 49,239 49,239 49,239 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, State Agency Programs....................... 424,865 424,865 424,865 ................ ................
Special Programs for Migrant Students (Sec 418A, HEA)......... 52,123 52,123 52,123 ................ ................
-----------------------------------------------------------------------------------------
Total, Education for the Disadvantaged.................... 19,107,790 19,287,790 19,387,790 +280,000 +100,000
=========================================================================================
Current year appropriations........................... (8,266,613) (8,446,613) (8,546,613) (+280,000) (+100,000)
(Forward Funded).................................. (8,179,490) (8,359,490) (8,459,490) (+280,000) (+100,000)
Advance appropriations................................ (10,841,177) (10,841,177) (10,841,177) ................ ................
Impact Aid
Basic Support Payments........................................ 1,474,000 1,468,242 1,490,500 +16,500 +22,258
Payments for Children with Disabilities....................... 48,316 48,316 48,316 ................ ................
Facilities Maintenance (Sec 8008)............................. 4,835 4,835 4,835 ................ ................
Construction (Sec 8007)....................................... 19,000 18,406 20,500 +1,500 +2,094
Payments for Federal Property (Sec 8002)...................... 79,000 78,313 81,000 +2,000 +2,687
-----------------------------------------------------------------------------------------
Total, Impact aid......................................... 1,625,151 1,618,112 1,645,151 +20,000 +27,039
=========================================================================================
School Improvement Programs 2/
Supporting Effective Instruction State Grants................. 508,639 508,639 508,639 ................ ................
Appropriations from prior year advances................... 1,681,441 1,681,441 1,681,441 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Supporting Effective Instruction State 2,190,080 2,190,080 2,190,080 ................ ................
Grants available this fiscal year....................
Advance appropriations, FY 2026........................... 1,681,441 1,681,441 1,681,441 ................ ................
less appropriations provided from prior year advances..... -1,681,441 -1,681,441 -1,681,441 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Supporting Effective Instruction State 2,190,080 2,190,080 2,190,080 ................ ................
Grants appropriated in this bill.....................
State Assessments............................................. 380,000 390,000 380,000 ................ -10,000
Education for Homeless Children and Youth..................... 129,000 129,000 129,000 ................ ................
Training and Advisory Services (Civil Rights)................. 6,575 6,575 6,575 ................ ................
Nita M Lowey 21st Century Community Learning Centers.......... 1,329,673 1,329,673 1,329,673 ................ ................
Student Support and Academic Enrichment grants................ 1,380,000 1,380,000 1,390,000 +10,000 +10,000
Rural Education............................................... 220,000 215,000 230,000 +10,000 +15,000
Native Hawaiian Education..................................... 45,897 45,897 45,897 ................ ................
Alaska Native Education....................................... 44,953 44,953 44,953 ................ ................
Comprehensive Centers......................................... 50,000 50,000 50,000 ................ ................
-----------------------------------------------------------------------------------------
Total, School Improvement Programs........................ 5,776,178 5,781,178 5,796,178 +20,000 +15,000
=========================================================================================
Current year appropriations........................... (4,094,737) (4,099,737) (4,114,737) (+20,000) (+15,000)
(Forward Funded).................................. (3,947,312) (3,952,312) (3,967,312) (+20,000) (+15,000)
Advance appropriations................................ (1,681,441) (1,681,441) (1,681,441) ................ ................
School Readiness
Preschool Incentive Demonstration Program (legislative ................ 25,000 ................ ................ -25,000
proposal)....................................................
Safe Schools and Citizenship Education
Promise Neighborhoods......................................... 91,000 91,000 93,000 +2,000 +2,000
School Safety National Activities............................. 216,000 216,000 221,000 +5,000 +5,000
Full-Service Community Schools................................ 150,000 200,000 150,000 ................ -50,000
-----------------------------------------------------------------------------------------
Total, Safe Schools and Citizenship Education............. 457,000 507,000 464,000 +7,000 -43,000
=========================================================================================
Indian Education
Grants to Local Educational Agencies.......................... 110,381 110,381 110,381 ................ ................
Federal Programs:
Special Programs for Indian Children...................... 72,000 72,000 72,000 ................ ................
National Activities....................................... 12,365 12,365 12,365 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Federal Programs............................ 84,365 84,365 84,365 ................ ................
-----------------------------------------------------------------------------------------
Total, Indian Education................................... 194,746 194,746 194,746 ................ ................
=========================================================================================
Total, Office of Elementary and Secondary Education....... 27,160,865 27,413,826 27,487,865 +327,000 +74,039
=========================================================================================
Innovation and Improvement
American History and Civics Academies......................... 3,000 3,000 3,000 ................ ................
American History and Civics National Activities............... 20,000 20,000 20,000 ................ ................
Teacher and School Leader Incentive Grants.................... 60,000 173,000 60,000 ................ -113,000
Supporting Effective Educator Development (SEED).............. 90,000 90,000 90,000 ................ ................
Charter Schools Grants........................................ 440,000 400,000 440,000 ................ +40,000
Magnet Schools Assistance..................................... 139,000 139,000 139,000 ................ ................
Ready-to-Learn Television..................................... 31,000 31,000 31,000 ................ ................
Arts in Education............................................. 36,500 36,500 36,500 ................ ................
Javits Gifted and Talented Education.......................... 16,500 16,500 16,500 ................ ................
Statewide Family Engagement Centers........................... 20,000 20,000 20,000 ................ ................
Education Innovation and Research............................. 259,000 269,000 259,000 ................ -10,000
Fostering Diverse Schools (legislative proposal).............. ................ 10,000 ................ ................ -10,000
-----------------------------------------------------------------------------------------
Total, Office of Innovation and Improvement............... 1,115,000 1,208,000 1,115,000 ................ -93,000
=========================================================================================
OFFICE OF ENGLISH LANGUAGE ACQUISITION
English Language Acquisition
Current year appropriations................................... 57,850 75,200 58,175 +325 -17,025
Forward funded................................................ 832,150 864,800 836,825 +4,675 -27,975
-----------------------------------------------------------------------------------------
Total, Office of English Language Acquisition............. 890,000 940,000 895,000 +5,000 -45,000
=========================================================================================
OFFICE OF SPECIAL EDUCATION AND REHABILIITATIVE SERVICES
Special Education
State Grants:
Grants to States Part B current year...................... 4,930,321 5,110,321 5,225,321 +295,000 +115,000
Part B advance from prior year........................ (9,283,383) (9,283,383) (9,283,383) ................ ................
Grants to States Part B (FY 2026)......................... 9,283,383 9,283,383 9,283,383 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, program level............................... 14,213,704 14,393,704 14,508,704 +295,000 +115,000
Preschool Grants.......................................... 420,000 425,000 420,000 ................ -5,000
Grants for Infants and Families........................... 540,000 545,000 545,000 +5,000 ................
-----------------------------------------------------------------------------------------
Subtotal, program level............................... 15,173,704 15,363,704 15,473,704 +300,000 +110,000
IDEA National Activities (current funded):
State Personnel Development............................... 38,630 38,630 38,630 ................ ................
Technical Assistance and Dissemination.................... 39,345 45,345 39,345 ................ -6,000
Personnel Preparation..................................... 115,000 125,000 115,000 ................ -10,000
Parent Information Centers................................ 33,152 33,152 33,152 ................ ................
Educational Technology, Media, and Materials.............. 31,433 31,433 31,433 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, IDEA National Activities.................... 257,560 273,560 257,560 ................ -16,000
Special Olympics Education Programs........................... 36,000 36,000 37,000 +1,000 +1,000
-----------------------------------------------------------------------------------------
Total, Special Education.................................. 15,467,264 15,673,264 15,768,264 +301,000 +95,000
=========================================================================================
Current Year appropriations........................... (6,183,881) (6,389,881) (6,484,881) (+301,000) (+95,000)
(Forward Funded).................................. (5,890,321) (6,080,321) (6,190,321) (+300,000) (+110,000)
Advance appropriations................................ (9,283,383) (9,283,383) (9,283,383) ................ ................
Rehabilitation Services
Vocational Rehabilitation State Grants........................ 3,949,707 4,253,834 4,076,098 +126,391 -177,736
Client Assistance State grants................................ 13,000 13,000 13,000 ................ ................
Training...................................................... 29,388 23,388 29,388 ................ +6,000
Demonstration and Training programs........................... 5,796 11,796 5,796 ................ -6,000
Protection and Advocacy of Individual Rights [PAIR]........... 20,150 20,150 20,150 ................ ................
Supported Employment State grants............................. 22,548 22,548 22,548 ................ ................
Services for Older Blind Individuals.......................... 33,317 33,317 33,317 ................ ................
Helen Keller National Center for Deaf/Blind Youth and......... ................ ................ ................ ................ ................
Adults.................................................... 19,000 19,000 19,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Rehabilitation Services........................ 4,092,906 4,397,033 4,219,297 +126,391 -177,736
=========================================================================================
(Discretionary)................................... (143,199) (143,199) (143,199) ................ ................
(Mandatory)....................................... (3,949,707) (4,253,834) (4,076,098) (+126,391) (-177,736)
Special Institutions for Persons with Disabilities
American Printing House for the Blind......................... 43,431 43,431 53,431 +10,000 +10,000
National Technical Institute for the Deaf [NTID]:
Operations................................................ 92,500 92,500 96,500 +4,000 +4,000
Gallaudet University:
Operations................................................ 167,361 165,361 171,361 +4,000 +6,000
-----------------------------------------------------------------------------------------
Total, Special Institutions for Persons with 303,292 301,292 321,292 +18,000 +20,000
Disabilities.........................................
=========================================================================================
Total, Office of Special Education and Rehabilitative 19,863,462 20,371,589 20,308,853 +445,391 -62,736
Services.............................................
=========================================================================================
OFFICE OF CAREER, TECHNICAL, AND ADULT EDUCATION
Career, Technical, and Adult Education 2/
Career and Technical Education:
Basic State Grants:
State Grants.......................................... 648,848 678,848 683,848 +35,000 +5,000
Appropriations available from prior year advances..... 791,000 791,000 791,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Basic State Grants, fiscal year program 1,439,848 1,469,848 1,474,848 +35,000 +5,000
level............................................
=========================================================================================
Advance appropriations, FY 2026....................... 791,000 791,000 791,000 ................ ................
less appropriations provided in prior years........... -791,000 -791,000 -791,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Basic State Grants appropriated in this 1,439,848 1,469,848 1,474,848 +35,000 +5,000
bill.............................................
National Programs......................................... 12,421 64,421 22,421 +10,000 -42,000
-----------------------------------------------------------------------------------------
Subtotal, Career Education............................ 1,452,269 1,534,269 1,497,269 +45,000 -37,000
Adult Education:
State Grants/Adult Basic and Literacy Education:
State Grants, forward funded.......................... 715,455 715,455 715,455 ................ ................
National Leadership Activities............................ 13,712 18,712 13,712 ................ -5,000
-----------------------------------------------------------------------------------------
Subtotal, Adult Education............................. 729,167 734,167 729,167 ................ -5,000
-----------------------------------------------------------------------------------------
Total, Office of Career, Technical, and Adult 2,181,436 2,268,436 2,226,436 +45,000 -42,000
Education............................................
=========================================================================================
Current Year appropriations....................... (1,390,436) (1,477,436) (1,435,436) (+45,000) (-42,000)
(Forward Funded).............................. (1,390,436) (1,477,436) (1,435,436) (+45,000) (-42,000)
Advance appropriations............................ (791,000) (791,000) (791,000) ................ ................
OFFICE OF POSTSECONDARY EDUCATION
Higher Education 2/
Aid for Institutional Development:
Strengthening Institutions Program........................ 112,070 140,000 113,719 +1,649 -26,281
Developing Hispanic-Serving Institutions.................. 228,890 246,547 232,257 +3,367 -14,290
Promoting Postbaccalaureate Opportunities for Hispanic 27,451 29,769 27,855 +404 -1,914
Americans................................................
Strengthening Historically Black Colleges and Universities 400,966 431,585 406,865 +5,899 -24,720
(HBCUs)..................................................
Strengthening Historically Black Graduate Institutions.... 101,286 108,462 102,776 +1,490 -5,686
Strengthening Predominantly Black Institutions............ 22,412 23,672 22,742 +330 -930
Strengthening Asian American and Native American Pacific 18,682 19,899 18,957 +275 -942
Islander-Serving Institutions............................
Strengthening Alaska Native and Native Hawaiian-Serving 24,555 25,840 24,916 +361 -924
Institutions.............................................
Strengthening Native American-Serving Nontribal 11,462 11,595 11,630 +168 +35
Institutions.............................................
Strengthening Tribal Colleges............................. 51,807 56,408 52,569 +762 -3,839
Strengthening HBCU Masters programs....................... 20,037 21,269 20,332 +295 -937
-----------------------------------------------------------------------------------------
Subtotal, Aid for Institutional Development........... 1,019,618 1,115,046 1,034,618 +15,000 -80,428
International Education and Foreign Language:
Domestic Programs......................................... 75,353 73,282 75,353 ................ +2,071
Overseas Programs......................................... 10,311 8,249 10,311 ................ +2,062
-----------------------------------------------------------------------------------------
Subtotal, International Education and Foreign Language 85,664 81,531 85,664 ................ +4,133
Transition and Postsecondary Programs for Students with 13,800 13,800 13,800 ................ ................
Intellectual Disabilities....................................
Minority Science and Engineering Improvement.................. 16,370 16,370 16,370 ................ ................
Tribally Controlled Postsec Voc/Tech Institutions............. 11,953 11,953 11,953 ................ ................
Federal TRIO Programs......................................... 1,191,000 1,211,000 1,211,000 +20,000 ................
GEAR UP....................................................... 388,000 398,000 393,000 +5,000 -5,000
Graduate Assistance in Areas of National Need................. 23,547 23,547 23,547 ................ ................
Teacher Quality Partnerships.................................. 70,000 95,000 70,000 ................ -25,000
Child Care Access Means Parents in School..................... 75,000 80,000 80,000 +5,000 ................
Fund for the Improvement of Postsecondary Education (FIPSE)... 171,000 262,000 191,000 +20,000 -71,000
Community Project Funding / Congressionally Directed Spending. 202,344 ................ 206,150 +3,806 +206,150
Hawkins Centers of Excellence................................. 15,000 30,000 15,000 ................ -15,000
Graduate Fellowships to Prepare Faculty....................... ................ 5,000 ................ ................ -5,000
-----------------------------------------------------------------------------------------
Total, Higher Education................................... 3,283,296 3,343,247 3,352,102 +68,806 +8,855
=========================================================================================
Howard University
Academic Program.............................................. 223,288 223,288 223,288 ................ ................
Endowment Program............................................. 3,405 3,405 3,405 ................ ................
Howard University Hospital.................................... 77,325 70,325 70,325 -7,000 ................
-----------------------------------------------------------------------------------------
Total, Howard University.................................. 304,018 297,018 297,018 -7,000 ................
=========================================================================================
College Housing and Academic Facilities Loans Program......... 298 328 298 ................ -30
Historically Black College and University [HBCU] Capital
Financing Program Account
HBCU Federal Administration................................... 528 581 528 ................ -53
HBCU Loan Subsidies........................................... 20,150 20,150 20,150 ................ ................
-----------------------------------------------------------------------------------------
Total, HBCU Capital Financing Program Account............. 20,678 20,731 20,678 ................ -53
=========================================================================================
Total, Office of Postsecondary Education.................. 3,608,290 3,661,324 3,670,096 +61,806 +8,772
=========================================================================================
OFFICE OF FEDERAL STUDENT AID
Student Financial Assistance
Pell Grants--maximum grant (NA)............................... (6,335) (6,435) (6,435) (+100) ................
Pell Grants................................................... 22,475,352 24,576,352 22,475,352 ................ -2,101,000
Federal Supplemental Educational Opportunity Grants........... 910,000 910,000 910,000 ................ ................
Federal Work Study............................................ 1,230,000 1,230,000 1,230,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Student Financial Assistance....................... 24,615,352 26,716,352 24,615,352 ................ -2,101,000
=========================================================================================
Student Aid Administration
Salaries and Expenses......................................... 1,058,943 1,334,743 1,098,943 +40,000 -235,800
Servicing Activities.......................................... 1,000,000 1,324,383 1,060,000 +60,000 -264,383
-----------------------------------------------------------------------------------------
Total, Student Aid Administration......................... 2,058,943 2,659,126 2,158,943 +100,000 -500,183
=========================================================================================
Total, Office of Federal Student Aid...................... 26,674,295 29,375,478 26,774,295 +100,000 -2,601,183
=========================================================================================
INSTITUTE OF EDUCATION SCIENCES (IES)
Research, Development, and Dissemination...................... 245,000 245,000 245,000 ................ ................
Statistics.................................................... 121,500 121,500 121,500 ................ ................
Regional Educational Laboratories............................. 53,733 58,733 53,733 ................ -5,000
Research in Special Education................................. 64,255 64,255 64,255 ................ ................
Special Education Studies and Evaluations..................... 13,318 13,318 13,318 ................ ................
Statewide Longitudinal Data Systems........................... 28,500 38,500 33,500 +5,000 -5,000
Assessment:
National Assessment....................................... 185,000 185,000 185,000 ................ ................
National Assessment Governing Board....................... 8,300 8,299 8,300 ................ +1
-----------------------------------------------------------------------------------------
Subtotal, Assessment.................................. 193,300 193,299 193,300 ................ +1
Program Administration........................................ 73,500 80,850 73,500 ................ -7,350
-----------------------------------------------------------------------------------------
Total, Institute of Education Sciences.................... 793,106 815,455 798,106 +5,000 -17,349
=========================================================================================
DEPARTMENTAL MANAGEMENT
Program Administration:
Salaries and Expenses..................................... 419,907 476,846 419,907 ................ -56,939
Office for Civil Rights....................................... 140,000 162,359 150,000 +10,000 -12,359
Office of Inspector General................................... 67,500 77,497 67,500 ................ -9,997
-----------------------------------------------------------------------------------------
Total, Departmental Management............................ 627,407 716,702 637,407 +10,000 -79,295
=========================================================================================
GENERAL PROVISIONS DEPARTMENT OF EDUCATION
Community Project Funding / Congressionally Directed Spending. 88,084 ................ 116,461 +28,377 +116,461
-----------------------------------------------------------------------------------------
Total, Title III, Department of Education................. 83,001,945 86,770,810 84,029,519 +1,027,574 -2,741,291
=========================================================================================
Current Year appropriations........................... (60,404,944) (64,173,809) (61,432,518) (+1,027,574) (-2,741,291)
Advance appropriations................................ (22,597,001) (22,597,001) (22,597,001) ................ ................
-----------------------------------------------------------------------------------------
Total, Title III Related Agencies discretionary........... 79,052,238 82,516,976 79,953,421 +901,183 -2,563,555
=========================================================================================
TITLE IV--RELATED AGENCIES
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERLY
DISABLED
Salaries and Expenses......................................... 13,124 14,800 13,124 ................ -1,676
Office of Inspector General............................... (3,150) ................ (3,150) ................ (+3,150)
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE
Operating Expenses
Domestic Volunteer Service Programs:
Volunteers in Service to America [VISTA].................. 103,285 136,517 103,285 ................ -33,232
National Senior Volunteer Corps:
Foster Grandparents Program........................... 125,363 124,625 125,363 ................ +738
Senior Companion Program.............................. 56,449 54,303 56,449 ................ +2,146
Retired Senior Volunteer Program...................... 55,105 56,510 55,105 ................ -1,405
-----------------------------------------------------------------------------------------
Subtotal, Senior Volunteer Corps.................. 236,917 235,438 236,917 ................ +1,479
-----------------------------------------------------------------------------------------
Subtotal, Domestic Volunteer Service Programs......... 340,202 371,955 340,202 ................ -31,753
National and Community Service Programs:
AmeriCorps State and National Grants...................... 557,094 591,336 592,094 +35,000 +758
Innovation, Assistance, and Other Activities.............. 14,706 14,706 14,706 ................ ................
Evaluation................................................ 6,250 6,250 6,250 ................ ................
National Civilian Community Corps (subtitle E)............ 37,735 42,491 37,735 ................ -4,756
State Commission Support Grants........................... 19,538 19,538 19,538 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, National and Community Service Programs..... 635,323 674,321 670,323 +35,000 -3,998
-----------------------------------------------------------------------------------------
Total, Operating expenses................................. 975,525 1,046,276 1,010,525 +35,000 -35,751
=========================================================================================
Payment to the National Service Trust......................... 180,000 159,951 160,000 -20,000 +49
Salaries and Expenses......................................... 99,686 127,104 99,686 ................ -27,418
Office of Inspector General................................... 7,595 8,762 7,595 ................ -1,167
-----------------------------------------------------------------------------------------
Total, Corporation for National and Community Service..... 1,262,806 1,342,093 1,277,806 +15,000 -64,287
=========================================================================================
CORPORATION FOR PUBLIC BROADCASTING
Appropriation available from FY 2023 advance.................. 525,000 535,000 535,000 +10,000 ................
-----------------------------------------------------------------------------------------
Total, available this fiscal year......................... 525,000 535,000 535,000 +10,000 ................
=========================================================================================
Advance appropriation, FY 2027................................ 535,000 595,000 535,000 ................ -60,000
less appropriations provided from prior year advances (FY -525,000 -535,000 -535,000 -10,000 ................
2023)........................................................
Public television interconnection system...................... 60,000 60,000 60,000 ................ ................
-----------------------------------------------------------------------------------------
Total Corporation for Public Broadcasting, appropriated in 595,000 655,000 595,000 ................ -60,000
this bill................................................
=========================================================================================
FEDERAL MEDIATION AND CONCILIATION SERVICE
Salaries and Expenses......................................... 53,705 53,705 53,705 ................ ................
FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION
Salaries and Expenses......................................... 18,012 17,572 17,572 -440 ................
INSTITUTE OF MUSEUM AND LIBRARY SERVICES
Office of Museum and Library Services: Grants and 294,800 280,000 294,800 ................ +14,800
Administration...............................................
MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION
Salaries and Expenses......................................... 9,405 10,698 10,000 +595 -698
MEDICARE PAYMENT ADVISORY COMMISSION
Salaries and Expenses......................................... 13,824 14,477 14,477 +653 ................
NATIONAL COUNCIL ON DISABILITY
Salaries and Expenses......................................... 3,850 4,000 4,000 +150 ................
NATIONAL LABOR RELATIONS BOARD
Salaries and Expenses......................................... 299,224 320,002 299,224 ................ -20,778
NATIONAL MEDIATION BOARD
Salaries and Expenses......................................... 15,113 15,113 15,113 ................ ................
OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION
Salaries and Expenses......................................... 15,449 16,278 15,449 ................ -829
RAILROAD RETIREMENT BOARD
Dual Benefits Payments Account................................ 8,000 7,000 7,000 -1,000 ................
Less Income Tax Receipts on Dual Benefits................. -1,000 ................ ................ +1,000 ................
-----------------------------------------------------------------------------------------
Subtotal, Dual Benefits............................... 7,000 7,000 7,000 ................ ................
Federal Payments to the Railroad Retirement Accounts.......... 150 150 150 ................ ................
Limitation on administrative expenses......................... 126,000 134,000 129,000 +3,000 -5,000
Limitation on the Office of Inspector General................. 14,000 14,600 14,000 ................ -600
-----------------------------------------------------------------------------------------
Total, Railroad Retirement Board.......................... 147,150 155,750 150,150 +3,000 -5,600
=========================================================================================
SOCIAL SECURITY ADMINISTRATION
Payments to Social Security Trust Funds....................... 10,000 15,000 15,000 +5,000 ................
Supplemental Security Income Program
Federal Benefit Payments...................................... 56,328,000 63,108,000 63,108,000 +6,780,000 ................
Beneficiary Services.......................................... 137,000 144,000 144,000 +7,000 ................
Research and Demonstration.................................... 91,000 91,000 91,000 ................ ................
Administration................................................ 4,609,042 4,912,635 4,745,833 +136,791 -166,802
-----------------------------------------------------------------------------------------
Subtotal, available this fiscal year...................... 61,165,042 68,255,635 68,088,833 +6,923,791 -166,802
Less appropriations provided from prior year advances......... -15,800,000 -21,700,000 -21,700,000 -5,900,000 ................
-----------------------------------------------------------------------------------------
Subtotal, current year appropriation...................... 45,365,042 46,555,635 46,388,833 +1,023,791 -166,802
-----------------------------------------------------------------------------------------
Subtotal, Mandatory....................................... 40,756,000 41,643,000 41,643,000 +887,000 ................
Advance appropriations, 1st quarter, FY 2026.................. 21,700,000 22,100,000 22,100,000 +400,000 ................
-----------------------------------------------------------------------------------------
Total, SSI program appropriated in this bill.............. 67,065,042 68,655,635 68,488,833 +1,423,791 -166,802
=========================================================================================
Limitation on Administrative Expenses
OASI/DI Trust Funds........................................... 5,961,023 6,082,378 5,776,834 -184,189 -305,544
HI/SMI Trust Funds............................................ 3,114,163 3,888,986 3,695,543 +581,380 -193,443
Social Security Advisory Board................................ 2,700 3,150 2,993 +293 -157
SSI........................................................... 3,147,092 3,353,410 3,186,608 +39,516 -166,802
-----------------------------------------------------------------------------------------
Subtotal.................................................. 12,224,978 13,327,924 12,661,978 +437,000 -665,946
User Fees:
SSI User Fee activities................................... 150,000 170,000 170,000 +20,000 ................
SSPA User Fee Activities.................................. 1,000 1,000 1,000 ................ ................
CBO adjustment........................................ -1,000 -1,000 -1,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, User fees............................... 150,000 170,000 170,000 +20,000 ................
-----------------------------------------------------------------------------------------
Subtotal, Limitation on administrative expenses....... 12,374,978 13,497,924 12,831,978 +457,000 -665,946
Program Integrity:
OASDI Trust Funds......................................... 389,050 343,775 343,775 -45,275 ................
SSI....................................................... 1,461,950 1,559,225 1,559,225 +97,275 ................
-----------------------------------------------------------------------------------------
Subtotal, Program integrity funding................... 1,851,000 1,903,000 1,903,000 +52,000 ................
Base Program Integrity............................ (273,000) (273,000) (273,000) ................ ................
Program Integrity (cap adjustment)................ (1,578,000) (1,630,000) (1,630,000) (+52,000) ................
-----------------------------------------------------------------------------------------
Total, Limitation on Administrative Expenses.......... 14,225,978 15,400,924 14,734,978 +509,000 -665,946
=========================================================================================
Total, Limitation on Administrative Expenses (less 14,075,978 15,230,924 14,564,978 +489,000 -665,946
user fees)...........................................
=========================================================================================
Office of Inspector General
Federal Funds................................................. 32,000 34,000 32,000 ................ -2,000
Trust Funds................................................... 82,665 87,254 82,665 ................ -4,589
-----------------------------------------------------------------------------------------
Total, Office of Inspector General........................ 114,665 121,254 114,665 ................ -6,589
=========================================================================================
Adjustment: Trust fund transfers from general revenues........ -4,609,042 -4,912,635 -4,745,833 -136,791 +166,802
-----------------------------------------------------------------------------------------
Total, Social Security Administration..................... 76,806,643 79,280,178 78,607,643 +1,801,000 -672,535
=========================================================================================
Federal funds......................................... (67,257,042) (68,874,635) (68,705,833) (+1,448,791) (-168,802)
Current year...................................... (45,557,042) (46,774,635) (46,605,833) (+1,048,791) (-168,802)
New advances, 1st quarter, FY 2026................ (21,700,000) (22,100,000) (22,100,000) (+400,000) ................
Trust funds........................................... (9,549,601) (10,405,543) (9,901,810) (+352,209) (-503,733)
-----------------------------------------------------------------------------------------
Total, Title IV, Related Agencies......................... 79,548,105 82,179,666 81,368,063 +1,819,958 -811,603
=========================================================================================
Federal Funds......................................... (69,844,680) (71,611,046) (71,308,776) (+1,464,096) (-302,270)
Current Year...................................... (47,609,680) (48,916,046) (48,673,776) (+1,064,096) (-242,270)
FY 2026 Advance................................... (21,700,000) (22,100,000) (22,100,000) (+400,000) ................
FY 2027 Advance................................... (535,000) (595,000) (535,000) ................ (-60,000)
Trust Funds........................................... (9,703,425) (10,568,620) (10,059,287) (+355,862) (-509,333)
-----------------------------------------------------------------------------------------
Total, Title IV Related Agencies discretionary............ 17,081,955 18,421,516 17,609,913 +527,958 -811,603
=========================================================================================
Grand total................................................... 1,444,088,656 1,492,172,089 1,488,767,956 +44,679,300 -3,404,133
=========================================================================================
(Mandatory)............................................... (1,216,815,656) (1,254,939,692) (1,254,861,956) (+38,046,300) (-77,736)
(Discretionary)........................................... (227,273,000) (237,232,397) (233,906,000) (+6,633,000) (-3,326,397)
DISCRETIONARY RESCISSIONS
Nonrecurring expenses fund, HHS (rescission).................. -1,250,000 -490,000 -1,656,000 -406,000 -1,166,000
Nonrecurring expenses fund, HHS (rescission) (emergency)...... ................ -10,000 ................ ................ +10,000
Adoption Incentives (rescission).............................. -70,000 -71,000 ................ +70,000 +71,000
Institute of Education Sciences (Sec314) (rescission)......... ................ -25,000 ................ ................ +25,000
Nonrecurring expenses fund, Education (rescission)............ -25,000 ................ ................ +25,000 ................
CNCS National Service Trust (rescission)...................... -243,000 -25,000 -15,000 +228,000 +10,000
Dislocated Worker National Reserve (rescission)............... -75,000 ................ -65,000 +10,000 -65,000
-----------------------------------------------------------------------------------------
Total, Discretionary Rescissions.......................... -1,663,000 -621,000 -1,736,000 -73,000 -1,115,000
=========================================================================================
CHANGES IN MANDATORY PROGRAMS (CHIMPS)
Surplus property (DOL)........................................ 2,000 2,000 ................ -2,000 -2,000
H-1B (rescission) (DOL)....................................... -206,000 ................ -217,000 -11,000 -217,000
Child Enrollment Contingency Fund (HHS-CMS)................... -14,224,000 -21,380,813 -21,380,813 -7,156,813 ................
Performance Bonus Payments (HHS-CMS).......................... ................ -12,550,000 ................ ................ +12,550,000
Children's Health Insurance Program Allotments to States (HHS- ................ -7,425,187 -2,028,187 -2,028,187 +5,397,000
CMS).........................................................
Pell: Increase maximum award.................................. ................ 15,000 15,000 +15,000 ................
Pell max award (rescission)................................... ................ -15,000 -15,000 -15,000 ................
Vocational Rehabilitation (Education)......................... ................ -415,000 -314,000 -314,000 +101,000
Internal Revenue Service Operations (rescission).............. -10,000,000 ................ ................ +10,000,000 ................
American Rescue Plan balances (rescission).................... -4,309,000 ................ -10,000 +4,299,000 -10,000
-----------------------------------------------------------------------------------------
Total, Changes in Mandatory Programs...................... -28,737,000 -41,769,000 -23,950,000 +4,787,000 +17,819,000
=========================================================================================
OTHER APPROPRIATIONS
THE INFRASTRUCTURE INVESTMENT AND JOBS ACT, 2022
(P L 117-58)
DIVISION J--APPROPRIATIONS
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Low Income Home Energy Assistance:
Appropriations available from prior year (emergency)...... (100,000) (100,000) (100,000) ................ ................
-----------------------------------------------------------------------------------------
Total, Low Income Home Energy Assistance.............. ................ ................ ................ ................ ................
=========================================================================================
Total, Infrastructure Investment and Jobs Act............. ................ ................ ................ ................ ................
=========================================================================================
BIPARTISAN SAFER COMMUNITIES SUPPLEMENTAL APPROPRIATIONS ACT,
2022
(P L 117-159)
DIVISION B--APPROPRIATIONS
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Workforce (by transfer) (emergency).................... (12,000) (12,000) (12,000) ................ ................
Maternal and Child Health (by transfer) (emergency)........... (20,000) (20,000) (20,000) ................ ................
-----------------------------------------------------------------------------------------
Total, Health Resources and Services Administration....... ................ ................ ................ ................ ................
=========================================================================================
Substance Abuse and Mental Health Services Administration
Health Surveillance and Program Support:
Appropriations available from prior year advances (162,500) (162,500) (162,500) ................ ................
(emergency)..............................................
-----------------------------------------------------------------------------------------
Total, Health Surveillance and Program Support........ ................ ................ ................ ................ ................
=========================================================================================
Office of the Secretary
Public Health and Social Services Emergency Fund:
(transfer out) (emergency)................................ (-32,000) (-32,000) (-32,000) ................ ................
Appropriations available from prior year advances (32,000) (32,000) (32,000) ................ ................
(emergency)..............................................
-----------------------------------------------------------------------------------------
Total, Public Health and Social Services Emergency ................ ................ ................ ................ ................
Fund.................................................
=========================================================================================
Total Department of Health and Human Services............. ................ ................ ................ ................ ................
=========================================================================================
DEPARTMENT OF EDUCATION
Safe Schools and Citizenship Education:
Appropriations available from prior year advances (200,000) (200,000) (200,000) ................ ................
(emergency)..............................................
-----------------------------------------------------------------------------------------
Total, Safe Schools and Citizenship Education......... ................ ................ ................ ................ ................
=========================================================================================
Total, Bipartisan Safer Communities Supplemental ................ ................ ................ ................ ................
Appropriations Act, 2022.............................
=========================================================================================
UKRAINE SECURITY SUPPLEMENTAL APPROPRIATIONS ACT, 2024
Administration for Children and Families
Refugee and Entrant Assistance (emergency)................ 481,000 ................ ................ -481,000 ................
GENERAL PROVISIONS
Refugee and Entrant Assistance (emergency).................... 50,000 ................ ................ -50,000 ................
-----------------------------------------------------------------------------------------
Total, Ukraine Security Supplemental Appropriations Act, 531,000 ................ ................ -531,000 ................
2024.....................................................
=========================================================================================
Total, Other Appropriations............................... 531,000 ................ ................ -531,000 ................
=========================================================================================
Grand Total................................................... 1,414,219,656 1,449,782,089 1,463,081,956 +48,862,300 +13,299,867
=========================================================================================
Appropriations............................................ (1,113,281,839) (1,110,567,779) (1,124,603,641) (+11,321,802) (+14,035,862)
Emergency appropriations.................................. (531,000) (5,489,179) (7,000,000) (+6,469,000) (+1,510,821)
Trust funds............................................... (19,593,402) (21,027,310) (20,082,494) (+489,092) (-944,816)
Advance Appropriations, FY 2025........................... (296,456,415) (312,738,821) (312,838,821) (+16,382,406) (+100,000)
Advance appropriations, FY 2026........................... (535,000) (595,000) (535,000) ................ (-60,000)
Rescissions............................................... (-16,178,000) (-626,000) (-1,978,000) (+14,200,000) (-1,352,000)
21st Century CURES Act funding................................ (407,000) (127,000) (127,000) (-280,000) ................
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