United States 119th Congress Status: In Committee 1 R cosponsors

HR 5304 — Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

Last action — Placed on the Union Calendar, Calendar No. 227.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced September 11, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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Prognosis

Stalled 16% · moderate confidence
  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill relates to appropriations as reported by the House Committee.

This bill, reported by the House Committee on Appropriations, is focused on funding allocations. Specific details on the appropriations or their purposes are not provided.

Summary

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026This bill provides FY2026 appropriations to the Departments of Labor, Health and Human Services, and Education; and related agencies.The bill provides appropriations to the Department of Labor forthe Employment and Training Administration,Veterans' Employment and Training,the Employee Benefits Security Administration,the Pension Benefit Guaranty Corporation,the Office of Workers' Compensation Programs,the Wage and Hour Division,the Office of Labor-Management Standards,the Occupational Safety and Health Administration,the Mine Safety and Health Administration,the Bureau of Labor Statistics,the Office of Disability Employment Policy, andDepartmental Management.The bill provides appropriations to the Department of Health and Human Services forthe Health Resources and Services Administration,the Centers for Disease Control and Prevention,the National Institutes of Health,the Substance Abuse and Mental Health Services Administration,the Centers for Medicare and Medicaid Services,the Administration for Children and Families,the Administration for Community Living,the Administration for Strategic Preparedness and Response, andthe Office of the Secretary.The bill provides appropriations to the Department of Education forEducation for the Disadvantaged;Impact Aid;School Improvement Programs;Safe Schools and Citizenship Education;Indian Education;Innovation and Improvement;Special Education;Rehabilitation Services;Special Institutions for Persons with Disabilities;Career, Technical, and Adult Education;Higher Education;Howard University;the College Housing and Academic Facilities Loans Program;the Historically Black College and University Capital Financing Program Account;Student Financial Assistance;Student Aid Administration;the Institute of Education Sciences; andDepartmental Management.The bill also provides appropriations to several related agencies, includingthe America First Corps,the Committee for Purchase From People Who Are Blind or Severely Disabled,the Federal Mediation and Conciliation Service,the Federal Mine Safety and Health Review Commission,the Institute of Museum and Library Services,the Medicaid and CHIP Payment and Access Commission,the Medicare Payment Advisory Commission,the National Council on Disability,the National Labor Relations Board,the National Mediation Board,the Occupational Safety and Health Review Commission,the Railroad Retirement Board, andthe Social Security Administration.The bill also sets forth requirements and restrictions for using funds provided by this and other appropriations acts.

Bill Text

What Congress says this changes

H. Rept. 119-271

Published by the reporting committee Not generated — this is the committee's own “Changes in Existing Law Made by the Bill, as Reported”.

Text to be removed appears in [brackets]. Newly inserted text is italicised in the official report and cannot be marked in this plain-text rendition — read the official PDF ↗ for the authoritative formatting.

changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italics, existing law in which no change 
is proposed is shown in roman):

 ACT OF MARCH 4, 1913

 (Public Law 62-141)

 AN ACT To create a Department of Labor.

 * * * * * * *
 Sec. 11. That this Act (except for section 12) shall take 
effect March fourth, nineteen hundred and thirteen, and all 
Acts or parts of Acts inconsistent with this Act are hereby 
repealed.

SEC. 12. SECURITY DETAIL.

 (a) In General.--The Secretary of Labor is authorized to 
employ law enforcement officers or special agents to provide--
 (1) protection for the Secretary and Deputy Secretary 
 during the performance of official duties by each such 
 officer and during any activity that is preliminary or 
 postliminary to the performance of official duties by 
 each such officer;
 (2) protection, incidental to the protection provided 
 pursuant to paragraph (1), to an individual 
 accompanying each such officer who is participating in 
 an activity or event relating to the official duties of 
 each such officer when there is an articulable threat 
 to such individual;
 (3) continuous protection to the Secretary and Deputy 
 Secretary (including during periods not described in 
 paragraph (1)) if there is an articulable threat of 
 physical harm, in accordance with guidelines 
 established by the Secretary; and
 (4) protection of another senior officer (including a 
 person nominated to be the Secretary during the 
 pendency of such nomination) if there is an articulable 
 threat of physical harm, in accordance with guidelines 
 established by the Secretary.
 (b) Authorities of the Protective Operation.--
 (1) In general.--The Secretary may authorize officers 
 or special agents employed pursuant to subsection (a)--
 (A) to carry firearms;
 (B) to conduct criminal investigations into 
 potential threats to the security of persons 
 protected under this section;
 (C) to make arrests without a warrant for any 
 offense against the United States committed in 
 the presence of such officer or special agent;
 (D) to perform protective intelligence work, 
 including identifying and mitigating potential 
 threats and conducting advance work to review 
 security matters relating to sites and events; 
 and
 (E) coordinate with local law enforcement 
 agencies.
 (2) Guidelines.--The authority provided by this 
 section shall be exercised in accordance with any--
 (A) guidelines issued by the Attorney 
 General; and
 (B) such additional guidelines as may be 
 issued by the Secretary.
 (c) Exception.--The authorities granted under this section 
may be exercised notwithstanding section 1343(b)(1) of Title 
31.
 ---------- 

 COMMUNITY SERVICES BLOCK GRANT ACT

 Subtitle B--Community Services Block Grant Program

 * * * * * * *

SEC. 675C. USES OF FUNDS.

 (a) Grants to Eligible Entities and Other Organizations.--
 (1) In general.--Not less than 90 percent of the 
 funds made available to a State under section 675A or 
 675B shall be used by the State to make grants for the 
 purposes described in section 672 to eligible entities.
 (2) Obligational authority.--Funds distributed to 
 eligible entities through grants made in accordance 
 with paragraph (1) for a fiscal year shall be available 
 for obligation during that fiscal year and the 
 succeeding fiscal year[, subject to paragraph (3)].
 [(3) Recapture and redistribution of unobligated 
 funds.--
 [(A) Amount.--Beginning on October 1, 2000, a 
 State may recapture and redistribute funds 
 distributed to an eligible entity through a 
 grant made under paragraph (1) that are 
 unobligated at the end of a fiscal year if such 
 unobligated funds exceed 20 percent of the 
 amount so distributed to such eligible entity 
 for such fiscal year.
 [(B) Redistribution.--In redistributing funds 
 recaptured in accordance with this paragraph, 
 States shall redistribute such funds to an 
 eligible entity, or require the original 
 recipient of the funds to redistribute the 
 funds to a private, nonprofit organization, 
 located within the community served by the 
 original recipient of the funds, for activities 
 consistent with the purposes of this subtitle.]
 (b) Statewide Activities.--
 (1) Use of remainder.--If a State uses less than 100 
 percent of the grant or allotment received under 
 section 675A or 675B to make grants under subsection 
 (a), the State shall use the remainder of the grant or 
 allotment under section 675A or 675B (subject to 
 paragraph (2)) for activities that may include--
 (A) providing training and technical 
 assistance to those entities in need of such 
 training and assistance;
 (B) coordinating State-operated programs and 
 services, and at the option of the State, 
 locally-operated programs and services, 
 targeted to low-income children and families 
 with services provided by eligible entities and 
 other organizations funded under this subtitle, 
 including detailing appropriate employees of 
 State or local agencies to entities funded 
 under this subtitle, to ensure increased access 
 to services provided by such State or local 
 agencies;
 (C) supporting statewide coordination and 
 communication among eligible entities;
 (D) analyzing the distribution of funds made 
 available under this subtitle within the State 
 to determine if such funds have been targeted 
 to the areas of greatest need;
 (E) supporting asset-building programs for 
 low-income individuals, such as programs 
 supporting individual development accounts;
 (F) supporting innovative programs and 
 activities conducted by community action 
 agencies or other neighborhood-based 
 organizations to eliminate poverty, promote 
 self-sufficiency, and promote community 
 revitalization;
 (G) supporting State charity tax credits as 
 described in subsection (c); and
 (H) supporting other activities, consistent 
 with the purposes of this subtitle.
 (2) Administrative cap.--No State may spend more than 
 the greater of $55,000, or 5 percent, of the grant 
 received under section 675A or State allotment received 
 under section 675B for administrative expenses, 
 including monitoring activities. Funds to be spent for 
 such expenses shall be taken from the portion of the 
 grant under section 675A or State allotment that 
 remains after the State makes grants to eligible 
 entities under subsection (a). The cost of activities 
 conducted under paragraph (1)(A) shall not be 
 considered to be administrative expenses. The startup 
 cost and cost of administrative activities conducted 
 under subsection (c) shall be considered to be 
 administrative expenses.
 (c) Charity Tax Credit.--
 (1) In general.--Subject to paragraph (2), if there 
 is in effect under State law a charity tax credit, the 
 State may use for any purpose the amount of the 
 allotment that is available for expenditure under 
 subsection (b).
 (2) Limit.--The aggregate amount a State may use 
 under paragraph (1) during a fiscal year shall not 
 exceed 100 percent of the revenue loss of the State 
 during the fiscal year that is attributable to the 
 charity tax credit, as determined by the Secretary of 
 the Treasury without regard to any such revenue loss 
 occurring before January 1, 1999.
 (3) Definitions and rules.--In this subsection:
 (A) Charity tax credit.--The term ``charity 
 tax credit'' means a nonrefundable credit 
 against State income tax (or, in the case of a 
 State that does not impose an income tax, a 
 comparable benefit) that is allowable for 
 contributions, in cash or in kind, to qualified 
 charities.
 (B) Qualified charity.--
 (i) In general.--The term ``qualified 
 charity'' means any organization--
 (I) that is--
 (aa) described in 
 section 501(c)(3) of 
 the Internal Revenue 
 Code of 1986 and exempt 
 from tax under section 
 501(a) of such Code;
 (bb) an eligible 
 entity; or
 (cc) a public housing 
 agency as defined in 
 section 3(b)(6) of the 
 United States Housing 
 Act of 1937 (42 U.S.C. 
 1437a(b)(6));
 (II) that is certified by the 
 appropriate State authority as 
 meeting the requirements of 
 clauses (iii) and (iv); and
 (III) if such organization is 
 otherwise required to file a 
 return under section 6033 of 
 such Code, that elects to treat 
 the information required to be 
 furnished by clause (v) as 
 being specified in section 
 6033(b) of such Code.
 (ii) Certain contributions to 
 collection organizations treated as 
 contributions to qualified charity.--
 (I) In general.--A 
 contribution to a collection 
 organization shall be treated 
 as a contribution to a 
 qualified charity if the donor 
 designates in writing that the 
 contribution is for the 
 qualified charity.
 (II) Collection 
 organization.--The term 
 ``collection organization'' 
 means an organization described 
 in section 501(c)(3) of such 
 Code and exempt from tax under 
 section 501(a) of such Code--
 (aa) that solicits 
 and collects gifts and 
 grants that, by 
 agreement, are 
 distributed to 
 qualified charities;
 (bb) that distributes 
 to qualified charities 
 at least 90 percent of 
 the gifts and grants 
 the organization 
 receives that are 
 designated for such 
 qualified charities; 
 and
 (cc) that meets the 
 requirements of clause 
 (vi).
 (iii) Charity must primarily assist 
 poor individuals.--
 (I) In general.--An 
 organization meets the 
 requirements of this clause 
 only if the appropriate State 
 authority reasonably expects 
 that the predominant activity 
 of such organization will be 
 the provision of direct 
 services within the United 
 States to individuals and 
 families whose annual incomes 
 generally do not exceed 185 
 percent of the poverty line in 
 order to prevent or alleviate 
 poverty among such individuals 
 and families.
 (II) No recordkeeping in 
 certain cases.--An organization 
 shall not be required to 
 establish or maintain records 
 with respect to the incomes of 
 individuals and families for 
 purposes of subclause (I) if 
 such individuals or families 
 are members of groups that are 
 generally recognized as 
 including substantially only 
 individuals and families 
 described in subclause (I).
 (III) Food aid and homeless 
 shelters.--Except as otherwise 
 provided by the appropriate 
 State authority, for purposes 
 of subclause (I), services to 
 individuals in the form of--
 (aa) donations of 
 food or meals; or
 (bb) temporary 
 shelter to homeless 
 individuals;
 shall be treated as provided to 
 individuals described in 
 subclause (I) if the location 
 and provision of such services 
 are such that the service 
 provider may reasonably 
 conclude that the beneficiaries 
 of such services are 
 predominantly individuals 
 described in subclause (I).
 (iv) Minimum expense requirement.--
 (I) In general.--An 
 organization meets the 
 requirements of this clause 
 only if the appropriate State 
 authority reasonably expects 
 that the annual poverty program 
 expenses of such organization 
 will not be less than 75 
 percent of the annual aggregate 
 expenses of such organization.
 (II) Poverty program 
 expense.--For purposes of 
 subclause (I)--
 (aa) In general.--The 
 term ``poverty program 
 expense'' means any 
 expense in providing 
 direct services 
 referred to in clause 
 (iii).
 (bb) Exceptions.--
 Such term shall not 
 include any management 
 or general expense, any 
 expense for the purpose 
 of influencing 
 legislation (as defined 
 in section 4911(d) of 
 the Internal Revenue 
 Code of 1986), any 
 expense for the purpose 
 of fundraising, any 
 expense for a legal 
 service provided on 
 behalf of any 
 individual referred to 
 in clause (iii), any 
 expense for providing 
 tuition assistance 
 relating to compulsory 
 school attendance, and 
 any expense that 
 consists of a payment 
 to an affiliate of the 
 organization.
 (v) Reporting requirement.--The 
 information required to be furnished 
 under this clause about an organization 
 is--
 (I) the percentages 
 determined by dividing the 
 following categories of the 
 organization's expenses for the 
 year by the total expenses of 
 the organization for the year: 
 expenses for direct services, 
 management expenses, general 
 expenses, fundraising expenses, 
 and payments to affiliates; and
 (II) the category or 
 categories (including food, 
 shelter, education, substance 
 abuse prevention or treatment, 
 job training, or other) of 
 services that constitute 
 predominant activities of the 
 organization.
 (vi) Additional requirements for 
 collection organizations.--The 
 requirements of this clause are met if 
 the organization--
 (I) maintains separate 
 accounting for revenues and 
 expenses; and
 (II) makes available to the 
 public information on the 
 administrative and fundraising 
 costs of the organization, and 
 information as to the 
 organizations receiving funds 
 from the organization and the 
 amount of such funds.
 (vii) Special rule for states 
 requiring tax uniformity.--In the case 
 of a State--
 (I) that has a constitutional 
 requirement of tax uniformity; 
 and
 (II) that, as of December 31, 
 1997, imposed a tax on personal 
 income with--
 (aa) a single flat 
 rate applicable to all 
 earned and unearned 
 income (except insofar 
 as any amount is not 
 taxed pursuant to tax 
 forgiveness 
 provisions); and
 (bb) no generally 
 available exemptions or 
 deductions to 
 individuals;
 the requirement of paragraph (2) shall 
 be treated as met if the amount of the 
 credit described in paragraph (2) is 
 limited to a uniform percentage (but 
 not greater than 25 percent) of State 
 personal income tax liability 
 (determined without regard to credits).
 (4) Limitation on use of funds for startup and 
 administrative activities.--Except to the extent 
 provided in subsection (b)(2), no part of the aggregate 
 amount a State uses under paragraph (1) may be used to 
 pay for the cost of the startup and administrative 
 activities conducted under this subsection.
 (5) Prohibition on use of funds for legal services or 
 tuition assistance.--No part of the aggregate amount a 
 State uses under paragraph (1) may be used to provide 
 legal services or to provide tuition assistance related 
 to compulsory education requirements (not including 
 tuition assistance for tutoring, camps, skills 
 development, or other supplemental services or 
 training).
 (6) Prohibition on supplanting funds.--No part of the 
 aggregate amount a State uses under paragraph (1) may 
 be used to supplant non-Federal funds that would be 
 available, in the absence of Federal funds, to offset a 
 revenue loss of the State attributable to a charity tax 
 credit.

 * * * * * * *

SEC. 680. DISCRETIONARY AUTHORITY OF THE SECRETARY.

 (a) Grants, Contracts, Arrangements, Loans, and Guarantees.--
 (1) In general.--The Secretary shall, from funds 
 reserved under section 674(b)(3), make grants, loans, 
 or guarantees to States and public agencies and 
 private, nonprofit organizations, or enter into 
 contracts or jointly financed cooperative arrangements 
 with States and public agencies and private, nonprofit 
 organizations (and for-profit organizations, to the 
 extent specified in paragraph (2)(E)) for each of the 
 objectives described in paragraphs (2) through (4).
 (2) Community economic development.--
 (A) Economic development activities.--The 
 Secretary shall make grants described in 
 paragraph (1) on a competitive basis to 
 private, nonprofit organizations that are 
 community development corporations to provide 
 technical and financial assistance for economic 
 development activities designed to address the 
 economic needs of low-income individuals and 
 families by creating employment and business 
 development opportunities.
 (B) Consultation.--The Secretary shall 
 exercise the authority provided under 
 subparagraph (A) after consultation with other 
 relevant Federal officials.
 (C) Governing boards.--For a community 
 development corporation to receive funds to 
 carry out this paragraph, the corporation shall 
 be governed by a board that shall consist of 
 residents of the community and business and 
 civic leaders and shall have as a principal 
 purpose planning, developing, or managing low-
 income housing or community development 
 projects.
 (D) Geographic distribution.--In making 
 grants to carry out this paragraph, the 
 Secretary shall take into consideration the 
 geographic distribution of funding among States 
 and the relative proportion of funding among 
 rural and urban areas.
 (E) Reservation.--Of the amounts made 
 available to carry out this paragraph, the 
 Secretary may reserve not more than 1 percent 
 for each fiscal year to make grants to private, 
 nonprofit organizations or to enter into 
 contracts with private, nonprofit or for-profit 
 organizations to provide technical assistance 
 to aid community development corporations in 
 developing or implementing activities funded to 
 carry out this paragraph and to evaluate 
 activities funded to carry out this paragraph.
 (F) Uses of funds.--Funds made available to 
 carry out this paragraph may be used for 
 financing construction and rehabilitation, and 
 for loans or investments, in private business 
 enterprises, including those owned by community 
 development corporations.
 (G) Ownership of intangible property and 
 earnings.--The Secretary shall establish 
 procedures regarding the disposition of 
 intangible assets and program income that 
 permit such assets acquired with, and program 
 income derived from, grants made under this 
 paragraph, to become the sole property of the 
 grantees after a period of not more than 12 
 years after the end of the grant period for any 
 activity consistent with subsection (a)(2)(A).
 (H) Use of intangible assets.--Intangible 
 assets in the form of loans, equity investments 
 and other debt instruments, and program income 
 may be used by grantees for any eligible 
 purpose consistent with subsection (a)(2)(A).
 (3) Rural community development activities.--The 
 Secretary shall provide the assistance described in 
 paragraph (1) for rural community development 
 activities, which shall include providing--
 (A) grants to private, nonprofit corporations 
 to enable the corporations to provide 
 assistance concerning home repair to rural low-
 income families and concerning planning and 
 developing low-income rural rental housing 
 units; and
 (B) grants to multistate, regional, private, 
 nonprofit organizations to enable the 
 organizations to provide training and technical 
 assistance to small, rural communities 
 concerning meeting their community facility 
 needs.
 (4) Neighborhood innovation projects.--The Secretary 
 shall provide the assistance described in paragraph (1) 
 for neighborhood innovation projects, which shall 
 include providing grants to neighborhood-based private, 
 nonprofit organizations to test or assist in the 
 development of new approaches or methods that will aid 
 in overcoming special problems identified by 
 communities or neighborhoods or otherwise assist in 
 furthering the purposes of this subtitle, and which may 
 include providing assistance for projects that are 
 designed to serve low-income individuals and families 
 who are not being effectively served by other programs.
 (b) Evaluation.--The Secretary shall require all activities 
receiving assistance under this section to be evaluated for 
their effectiveness. Funding for such evaluations shall be 
provided as a stated percentage of the assistance or through a 
separate grant awarded by the Secretary specifically for the 
purpose of evaluation of a particular activity or group of 
activities.
 (c) Annual Report.--The Secretary shall compile an annual 
report containing a summary of the evaluations required in 
subsection (b) and a listing of all activities assisted under 
this section. The Secretary shall annually submit the report to 
the Chairperson of the Committee on Education and the Workforce 
of the House of Representatives and the Chairperson of the 
Committee on Labor and Human Resources of the Senate.

 * * * * * * *

 ---------- 

 PUBLIC HEALTH SERVICE ACT

 * * * * * * *

 TITLE II--ADMINISTRATION AND MISCELLANEOUS PROVISIONS

 * * * * * * *

 Part B--Miscellaneous Provisions

 * * * * * * *

SEC. 245A. CIVIL ACTION FOR CERTAIN VIOLATIONS.

 (a) In General.--A qualified party may, in a civil action, 
obtain appropriate relief with regard to a designated 
violation.
 (b) Definitions.--For purposes of this section:
 (1) Designated violation.--The term ``designated 
 violation'' means an actual or threatened violation 
 of--
 (A) section 507(d) of division D of the 
 Further Consolidated Appropriations Act, 2024 
 (or any subsequent substantially similar 
 provision); or
 (B) any funding condition imposed by the 
 Federal Government pursuant to such section 
 507(d) (or such substantially similar 
 provision).
 (2) Qualified party.--The term ``qualified party'' 
 means--
 (A) the Attorney General of the United 
 States;
 (B) any attorney general of a State; or
 (C) any person or entity adversely affected 
 by the designated violation without regard to 
 whether such person or entity is a health care 
 provider.
 (3) State governmental entity.--The term ``State 
 governmental entity'' means a State, a local government 
 within a State, and any agency or other governmental 
 unit or subdivision of a State, or of such a local 
 government.
 (c) Administrative Remedies Not Required.--An action under 
this section may be commenced, and relief may be granted, 
without regard to whether the party commencing the action has 
sought or exhausted any available administrative remedies.
 (d) Defendants.--An action under this section may be 
maintained against a Federal agency committing a designated 
violation described in subsection (b)(1)(A) or any recipient or 
subrecipient of Federal assistance committing a designated 
violation described in subsection (b)(1)(B), including a State 
governmental entity.
 (e) Nature of Relief.--In an action under this section, the 
court shall grant--
 (1) all appropriate relief, including injunctive 
 relief, declaratory relief, and compensatory damages, 
 to prevent the occurrence, continuance, or repetition 
 of the designated violation and to compensate for 
 losses resulting from the designated violation; and
 (2) to a prevailing plaintiff, reasonable attorneys' 
 fees and litigation costs.
Relief in an action under this section may include money 
damages even if the defendant is a governmental entity.
 (f) Abrogation of State Immunity.--No State or governmental 
official that commits a designated violation shall be immune 
under the Tenth Amendment to the Constitution of the United 
States, the Eleventh Amendment to the Constitution of the 
United States, or any other source of law, from an action under 
subsection (a).

 * * * * * * *

 TITLE VII--HEALTH PROFESSIONS EDUCATION

 * * * * * * *

 PART D--INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES

 * * * * * * *

SEC. 752. CONTINUING EDUCATIONAL SUPPORT FOR HEALTH PROFESSIONALS 
 SERVING IN RURAL AND UNDERSERVED COMMUNITIES.

 (a) In General.--The Secretary, as appropriate, shall make 
grants to, and enter into contracts with, eligible entities to 
support access to accredited continuing medical education for 
primary care physicians and health care providers at community 
health centers or rural health clinics to improve and increase 
access to care for patients in rural and medically underserved 
areas. Such grants or contracts may be used to improve health 
care, increase retention, increase representation of minority 
health care providers, enhance the practice environment, 
increase primary care physician and health care provider 
knowledge, and provide information dissemination and 
educational support to reduce professional isolation through 
the timely dissemination of research findings using relevant 
resources.
 (b) Eligible Entities.--For purposes of this section, the 
term ``eligible entity'' means an entity described in section 
799(b), such as a community health center or rural health 
clinic.
 (c) Application.--An eligible entity desiring to receive an 
award under this section shall submit to the Secretary an 
application at such time, in such manner, and containing such 
information as the Secretary may require.
 (d) Use of Funds.--
 (1) In general.--An eligible entity shall use amounts 
 awarded under a grant or contract under this section to 
 provide innovative supportive activities to enhance 
 education for primary care physicians and health care 
 providers described in subsection (a) through distance 
 learning, continuing educational activities, 
 collaborative conferences, and electronic and 
 telelearning activities, with priority for primary care 
 providers who are seeking additional education in 
 specialty fields such as infectious disease, 
 endocrinology, pediatrics, mental health and substance 
 use disorders, pain management, geriatrics, and other 
 areas, as appropriate, in order to--
 (A) improve retention of primary care 
 physicians and health care providers and 
 increase access to specialty health care 
 services for patients; and
 (B) support access to the integration of 
 specialty care through existing service 
 delivery locations and care across settings.
 (2) Clarification.--Entities may use amounts awarded 
 under a grant or contract under this section for 
 continuing educational activities that include a 
 clinical training component, including in-person 
 patient care, in the respective community health center 
 or rural health clinic, with the primary care physician 
 or health care provider at such site and the clinical 
 specialist from whom such additional training is being 
 provided.
 (e) Administrative Expenses.--An entity that revives a grant 
or contract under this section shall use not more than 5 
percent of the amounts received under the grant or contract 
under this section for administrative expenses.
 (f) Non-duplication of Effort.--The Secretary shall ensure 
that activities under this section do not unnecessarily 
duplicate efforts of other programs overseen by the Health 
Resources and Services Administration, including activities 
described in section 330N.
 (g) Authorization.--There is authorized to be appropriated to 
carry out this section $5,000,000 for each of [fiscal years 
2023 through 2025] fiscal years 2026 through 2028.

 * * * * * * *

 Changes in the Application of Existing Law

 Pursuant to clause 3(f)(1)(A) of rule XIII of the Rules of 
the House of Representatives, the following statements are 
submitted describing the effect of provisions in the 
accompanying bill that directly or indirectly change the 
application of existing law.
 The bill includes a number of provisions which place 
limitations on the use of funds in the bill or change existing 
limitations and that might, under some circumstances, be 
construed as changing the application of existing law:

 TITLE I--DEPARTMENT OF LABOR

 Language is included under ``Employment and Training 
Administration'' providing that allotments to outlying areas 
are not required to be made through the Pacific Region 
Educational Laboratory as provided by section 127 of the 
Workforce Innovation and Opportunity Act (WIOA).
 Language is included under ``Employment and Training 
Administration'' providing that outlying areas may submit a 
single application for consolidated grant awards and may use 
the funds for any of the programs and activities authorized 
under subtitle B of title I of WIOA.
 Language is included under ``Employment and Training 
Administration'' providing amounts made available for 
dislocated workers may be used for State activities or across 
multiple local areas where workers remain dislocated.
 Language is included under ``Employment and Training 
Administration'' providing that technical assistance and 
demonstration projects may provide assistance to new entrants 
in the workforce and incumbent workers.
 Language is included under ``Employment and Training 
Administration'' providing that the Secretary may reserve a 
higher percentage of funds for technical assistance than what 
is provided in section 168(b) of the WIOA.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing funds to States 
to improve operations and modernize State Unemployment 
Insurance systems.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing authority for 
States to use funds to assist other States to carry out 
authorized activities in cases of a major disaster declared by 
the President under the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing that the 
Department of Labor may make payments on behalf of States for 
the use of the National Directory of New Hires.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing that the 
Department of Labor may make payments from funds appropriated 
for States' grants on behalf of States to the entity operating 
the State Information Data Exchange System.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing that 
appropriations for establishing a national one-stop career 
system may be obligated in contracts, grants or agreements with 
States or non-State entities.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing that funds 
available for integrated Unemployment Insurance and Employment 
Service automation may be used by States notwithstanding cost 
allocation principles prescribed under the Office of Management 
and Budget ``Uniform Administrative Requirements, Cost 
Principles, and Audit Requirements for Federal Awards.''
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' providing that the 
Department of Labor may reallot funds among States 
participating in a consortium.
 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' allowing the Secretary to 
collect fees for the costs associated with additional data 
collection, analyses, and reporting services related to the 
National Agricultural Workers Survey.
 Language is included under ``Veterans' Employment and 
Training'' providing that funds may be used for support 
specialists providing intensive services to wounded service 
members, spouses or other family caregivers of the service 
member, and to Gold Star Spouses.
 Language is included under ``Veterans' Employment and 
Training'' providing that the Department may award grants under 
section 2023 of Title 38, United States Code.
 Language is included under ``Veterans' Employment and 
Training'' providing that services may be provided to certain 
homeless or recently incarcerated veterans under section 2021, 
2021A, and 2023 of Title 38, United States Code.
 Language is included under ``Veterans' Employment and 
Training'' providing that the fees assessed pursuant to the 
HIRE Vets Medallion Award Fund shall be available to the 
Secretary for expenses of the HIRE Vets Medallion Award Program 
and that the start date prescribed in the Act shall not apply.
 Language is included under ``Special Benefits'' providing 
that the Department of Labor may use authority to reimburse an 
employer who is not the employer at the time of injury for 
portions of the salary of a reemployed, disabled beneficiary.
 Language is included under ``Special Benefits'' providing 
that funds shall be transferred to the appropriation from 
entities required under 5 U.S.C. 8147(c) as determined by the 
Department of Labor.
 Language is included under ``Special Benefits'' providing 
that of funds transferred from entities under 5 U.S.C. 8147(c), 
specified amounts may be used by the Department of Labor for 
maintenance and data and communications systems, workload 
processing, roll disability management and medical review, and 
program integrity with remaining amounts paid into the 
Treasury.
 Language is included under ``Special Benefits'' providing 
that the Secretary may prescribe regulations requiring 
identification for the filing of benefit claims.
 Language is included under ``Administrative Expenses, 
Energy Employees Occupational Illness Compensation Fund'' 
providing that the Secretary may prescribe regulations for 
requiring identification for the filing of benefit claims.
 Language is included under ``Occupational Safety and Health 
Administration'' providing that up to a certain amount of fees 
collected from the training institute may be retained and used 
for related training and education.
 Language is included under ``Occupational Safety and Health 
Administration'' providing that fees collected from Nationally 
Recognized Testing Laboratories may be used to administer 
laboratory recognition programs that ensure safety of equipment 
used in the workplace.
 Language is included under ``Mine Safety and Health 
Administration'' providing that a specific amount may be 
collected by the National Mine Health and Safety Academy and 
made available for mine safety and health education and 
training.
 Language is included under ``Mine Safety and Health 
Administration'' providing that a specific amount may be 
collected from the approval and certification of equipment and 
materials and made available for other such activities.
 Language is included under ``Mine Safety and Health 
Administration'' providing that the Department of Labor may 
accept lands, buildings, equipment, and other contributions 
from public and private sources for cooperative projects.
 Language is included under ``Mine Safety and Health 
Administration'' providing that the Department of Labor may 
promote health and safety education and training through 
cooperative agreements with States, industry, and safety 
associations.
 Language is included under ``Mine Safety and Health 
Administration'' providing that the Department of Labor may 
recognize the Joseph A. Holmes Safety Association as the 
principal safety association and may provide funds or personnel 
as officers in local chapters or the national organization.
 Language is included under ``General Provisions'' 
prohibiting the use of any funds appropriated for grants under 
section 414(c) of the American Competitiveness and Workforce 
Improvement Act of 1998, for purposes other than competitive 
grants for training individuals over the age of 16 who are not 
currently enrolled in school in the occupations and industries 
for which employers are using H-1B visa to hire foreign 
workers.
 Language is included under ``General Provisions'' allowing 
the Secretary to furnish a certain amount of excess personal 
property to apprenticeship programs through grants, contracts, 
and other arrangements.
 Language is included under ``General Provisions'' modifying 
certain authorities related to the Secretary's security detail.
 Language is included under ``General Provisions'' providing 
that the Secretary may dispose or divest of certain Job Corps 
center property and use the proceeds to carry out the program 
in the same geographic location.

 TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES

 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' overriding the proportional 
funding requirements in the Public Health Service Act for 
sections 751 and 756.
 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' providing permissive 
authority to the Secretary to waive requirements for entities 
awarded funds from sections 751(d)(2)(A) and 751(d)(2)(B).
 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' providing that fees 
collected for the disclosure of information under the 
information reporting requirement program authorized by section 
1921 of the Social Security Act shall be sufficient to recover 
the full costs of the operation program and shall remain 
available until expended to carry out that Act.
 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' allowing funds for the Nurse 
Corps and National Health Service Corps Scholarship and Loan 
programs to be used to make prior year adjustments.
 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' providing funding under the 
National Health Service Corps Loan Repayment Program for 
substance use disorder counselors and placement in Indian 
Health Service facilities.
 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' to provide funds for the 
purpose of establishing or expanding optional community-based 
nurse practitioner fellowship programs.
 Language is included under ``Health Resources and Services 
Administration--Health Workforce'' to provide funds for grants 
to public institutions of higher education meeting certain 
requirements for graduate education for physicians.
 Language is included under ``Health Resources and Services 
Administration--Rural Health'' to provide funding for State 
Offices of Rural Health notwithstanding section 338J(k), which 
terminates the program after an aggregate funding amount.
 Language is included under ``Centers for Disease Control 
and Prevention--CDC-Wide'' related to the implementation of the 
Epidemiology-Laboratory Capacity Grant program.
 Language is included under ``Centers for Disease Control 
and Prevention--Buildings and Facilities'' providing the use of 
funds to support acquisition, renovation, or replacement, of 
the National Institute Occupational Safety and Health's 
underground and surface coal mining research capacity.
 Language is included under ``Substance Use And Mental 
Health Services Administration--Mental Health'' related to data 
infrastructure development.
 Language is included under ``Substance Use And Mental 
Health Services Administration--Mental Health'' requiring that 
5 percent of the Mental Health Block Grant funding be available 
to support evidence-based crisis systems.
 Language is included under ``Substance Use And Mental 
Health Services Administration--Mental Health'' allowing up to 
10 percent of the amounts made available to carry out the 
Children's Mental Health Services program may be used to carry 
out demonstration grants or contracts for early interventions 
for people 25 years and younger at high risk of developing a 
first episode of psychosis.
 Language is included under ``Substance Use And Mental 
Health Services Administration--Mental Health'' exempting the 
Mental Health Block Grant from the evaluation set-aside in 
section 241 of the Public Health Service Act.
 Language is included under ``Substance Use And Mental 
Health Services Administration--Substance Use Services'' 
requiring that 4 percent of State Opioid Response grant funding 
be made available for Indian Tribes or tribal organizations.
 Language is included under ``Administration for Children 
and Families--Low Income Home Energy Assistance'' modifying the 
formula distribution of funds.
 Language is included under ``Administration for Children 
and Families--Refugee and Entrant Assistance'' to exempt the 
matching requirements of certain funds as required in section 
235(c)(6)(C)(iii) of the William Wilberforce Trafficking 
Victims Protection Reauthorization Act of 2008.
 Language is included under ``Administration for Children 
and Families--Payments to States for the Child Care and 
Development Block Grant'' increasing the tribal set-aside.
 Language is included under ``Administration for Children 
and Families--Payments to States for the Child Care and 
Development Block Grant'' to make amounts available for Federal 
administrative expenses.
 Language is included under ``Administration for Children 
and Families--Children and Families Services Programs'' related 
to the calculation of base grants, the Tribal Colleges and 
Universities Head Start Partnership program, and selection 
criteria for Head Start programs operated by Indian tribes.
 Language is included under ``Administration for Children 
and Families--Children and Families Services Programs'' related 
to the allocation of funding in the Family Violence Prevention 
and Services Act.
 Language is included under ``Administration for Community 
Living'' to allow funding provided for adult protective 
services grants under section 2042 of title XX of the Social 
Security Act to be set-aside for Tribes and Tribal 
organizations.
 Language is included limiting the amount of appropriations 
available for the Public Health Service Act Evaluation transfer 
to 2.5 percent.
 Language is included modifying the timeframe when a 
contract may be terminated.
 Language is included requiring that providers of Title X 
services adhere to State laws requiring notification or the 
reporting of child abuse, child molestation, sexual abuse, 
rape, or incest.
 Language is included prohibiting the Secretary from denying 
participation in the Medicare Advantage program to entities who 
do not provide coverage or referrals for abortion services.
 Language is included limiting assignments of Public Health 
Service staff to assist in child survival activities to not 
more than 60 employees.
 Language is included permitting funding for HHS 
international HIV/AIDS and other infectious disease, chronic 
and environmental disease, and other health activities abroad 
to be spent under the State Department Basic Authorities Act of 
1956.
 Language is included granting authority to the Office of 
the Director of the NIH to enter directly into transactions in 
order to implement the NIH Common Fund for medical research and 
permitting the Director to utilize peer review procedures as 
the Director deems appropriate.
 Language is included providing the Biomedical Advanced 
Research and Development Authority ten-year contract authority.
 Language is included directing the Secretary to consider 
current recommendations of the United State Preventive Services 
Task Force with respect to breast cancer screening, 
mammography, and prevention as if such recommendations were a 
reference to such recommendations issued before 2009.
 Language is included allowing HHS to cover travel expenses 
when necessary for employees to obtain medical care when they 
are assigned to duty in a location in response to a public 
health emergency.
 Language is included limiting the circumstances when the 
Secretary may accept donations related to the care of 
unaccompanied alien children.
 Language is included related to allowed uses of funds in 
the Community Services Block Grant program.
 Language is included prohibiting funding from being made 
available to Planned Parenthood Federation of America or its 
affiliates.
 Language is included prohibiting funding from being made 
available for drugs or surgery that alter bodily sex traits as 
interventions for gender dysphoria.
 Language is included allowing for civil actions for certain 
violations.

 TITLE III--DEPARTMENT OF EDUCATION

 Language is included under ``Impact Aid'' allowing 
continued eligibility for students affected by the deployment 
or death of their military parent so long as the children 
attend school in the same local education agency they attended 
prior to the parent's death or deployment.
 Language is included under ``School Improvement Programs'' 
related to the funding limitation for administrative purposes.
 Language is included under ``School Improvement Programs'' 
related to the funding limitation for administrative purposes.
 Language is included under ``Innovation and Improvement'' 
related to the provision of awards under the Charter School 
Program.
 Language is included under ``Innovation and Improvement'' 
related to the provision of awards under the Per-Pupil 
Facilities Aid Program.
 Language is included under ``Innovation and Improvement'' 
related to the period of availability of funding awarded under 
such section.
 Language is included under ``Special Education'' regarding 
the factors to be considered by the Secretary when making 
formula awards to States.
 Language is included under ``Special Education'' outlining 
procedures for reducing a State award because of a failure to 
meet the maintenance of State financial support requirements of 
the Individuals with Disabilities Education Act.
 Language is included under ``Special Education'' permitting 
States to subgrant funds that they reserve for ``Other State-
Level Activities'' under the Grants to States, Preschool Grants 
to States, and Grants for Infants and Families programs.
 Language is included under ``Special Education'' to promote 
continuity of services for eligible infants and their families.
 Language is included under ``Rehabilitation Services'' 
expanding State allowed uses of funding for funding received 
under the Rehabilitation Act.
 Language is included under ``Higher Education'' allowing 
funds to carry out Title VI of the Higher Education Act to be 
used to support visits and study in foreign countries for 
participants in advanced foreign countries by individuals who 
are participating in advanced foreign language training and 
international studies in areas that are vital to United States 
national security and who plan to apply their language skills 
and knowledge of these countries in the fields of government, 
the professions, or international development.
 Language is included under ``Higher Education'' stating the 
section 313(d) of the Higher Education Act does not apply to an 
institution of higher education that is eligible to receive 
funding under section 318 of such Act.
 Language is included under ``Higher Education'' related to 
the provision of awards to institutions of higher education to 
assist the institutions in providing campus-based child care 
services.
 Language is included under ``Higher Education'' allowing 
activities authorized under sections 317(c)(2)(B), 
319(c)(2)(B), and 320(c)(2)(B) of the Higher Education Act to 
include construction and maintenance in classrooms, libraries, 
laboratories, and other instructional facilities.
 Language is included under ``General Provisions'' allowing 
certain institutions to continue to use endowment income for 
student scholarships.
 Language is included under ``General Provisions'' regarding 
the National Advisory Committee on Institutional Quality and 
Integrity.
 Language is included under ``General Provisions'' regarding 
account maintenance fees.

 TITLE IV--RELATED AGENCIES

 Language is included under ``The Committee for Purchase 
from People Who are Blind or Severely Disabled'' requiring that 
written agreements, with certain oversight provisions, be in 
place in order for authorized fees to be charged by certified 
nonprofit agencies.
 Language is included under ``Corporation for National and 
Community Service'' related to the provision of awards.
 Language is included under ``Corporation for National and 
Community Service'' allowing the requirements of section 
112(c)(1)(D) to be met through a determination of need by the 
local community.
 Language is included under ``Corporation for National and 
Community Service'' related to the grantee minimum share 
requirement.
 Language is included under ``Corporation for National and 
Community Service'' limiting the use of an educational award 
under section 148(a)(4) to individuals who are veterans.
 Language is included under ``Corporation for National and 
Community Service'' related to criminal background checks.
 Language is included under ``Corporation for National and 
Community Service'' related to education awards.
 Language is included under ``National Labor Relations 
Board'' related to electronic voting.
 Language is included under ``Railroad Retirement Board--
Limitation on Administration'' related to the hiring of 
attorneys.

 TITLE V--GENERAL PROVISIONS

 Language is included related to the use of funds 
transferred pursuant to Section 4002 of Public Law 111-148.
 Language is included related to public posting requirements 
for programs, projects, or activities funded with Federal 
funds.
 Language is included limiting ability for trust funds 
receiving funding appropriated by this act to fund health 
benefits coverage that includes abortion.
 Language is included related to sincerely held religious 
beliefs and moral convictions.
 Appropriations Not Authorized by Law

 Pursuant to clause 3(f)(1)(B) of rule XIII of the Rules of 
the House of Representatives, the following table lists the 
appropriations in the accompanying bill which are not 
authorized by law for the period concerned:

----------------------------------------------------------------------------------------------------------------
 Appropriations in
 Agency Program Last Year of Authorization Last Year of Appropriations in
 Authorization Level Authorization this Bill
----------------------------------------------------------------------------------------------------------------
DEPARTMENT OF LABOR ETA
 Adult Training.............. FY 2020........... $899,987,000...... $854,649,000...... $885,649,000
 Dislocated Worker Employment FY 2020........... 1,436,137,000..... 1,052,053,000..... 1,095,553,000
 and Training Activities.
 Native Americans............ FY 2020........... 54,137,000........ 55,000,000........ 65,000,000
 YouthBuild.................. FY 2020........... 91,087,000........ 94,534,000........ 105,000,000
 Job Corps................... FY 2020........... 1,983,236,000..... 1,743,655,000..... 880,078,000
 One-Stop Career Centers/ FY 2020........... 70,667,000........ 62,653,000........ 52,893,000
 Labor Market Information.
DEPARTMENT OF HEALTH AND HUMAN
 SERVICES HRSA
 School-Based Health Centers. FY 2013........... 50,000,000........ 47,450,000........ 55,000,000
 Nurse Practitioner Optional N/A............... N/A............... N/A............... 7,000,000
 Fellowship Program.
 Medical Student Education... N/A............... N/A............... N/A............... 75,000,000
 Early Hearing Detection and FY 2022........... 19,522,758........ 17,818,000........ 18,818,000
 Intervention.
 Heritable Disorders......... FY 2019........... 19,900,000........ 18,883,000........ 20,883,000
 Pediatric Mental Health FY 2022........... 9,000,000......... 10,000,000........ 13,000,000
 Access.
 Screening and Treatment for FY 2022........... 5,000,000......... 5,000,000......... 13,500,000
 Maternal Depression.
 Emergency Relief--Part A.... FY 2013........... 789,471,000....... 649,373,000....... 680,752,000
 Comprehensive Care--Part B.. FY 2013........... 1,562,169,000..... 1,314,446,000..... 1,364,878,000
 Organ Transplantation....... FY 1993........... Such Sums......... 2,767,000......... 54,049,000
 Rural Hospital Flexibility FY 2012........... Such Sums......... 41,040,000........ 74,277,000
 Grants.
 State Offices of Rural FY 2002........... Such Sums......... 4,000,000......... 12,500,000
 Health.
CDC
 Sexually Transmitted FY 1998........... Such Sums......... 112,117,000....... 30,000,000
 Infections.
 National Center for Health FY 2003........... Such Sums......... 125,899,000....... 187,397,000
 Statistics.
 WISEWOMAN................... FY 2003........... Such Sums......... 12,419,000........ 34,620,000
 National Cancer Registries.. FY 2003........... Such Sums......... N/A............... 53,440,000
 Asthma Surveillance & Grants FY 2005........... Such Sums......... 32,422,000........ 33,500,000
 Injury Prevention and FY 2005........... Such Sums......... 138,237,000....... 665,329,000
 Control.
 Oral Health Promotion....... FY 2005........... Such Sums......... 11,204,000........ 22,250,000
 Screening, Referrals, and FY 2005........... 40,000,000........ 36,474,000........ 51,000,000
 Education Regarding Lead
 Poisoning.
 Birth Defects, Developmental FY 2007........... Such Sums......... 122,242,000....... 208,560,000
 Disability, Disability and
 Health.
 Breast and Cervical Cancer.. FY 2012........... 275,000,000....... 204,779,000....... 206,380,000
 Public Health Workforce..... FY 2013........... 39,500,000........ 64,000,000........ 71,000,000
 National Diabetes Prevention FY 2014........... Such Sums......... 10,000,000........ 40,300,000
 Program.
 Johanna's Law............... FY 2014........... 18,000,000........ 4,972,000......... 12,000,000
 Section 317 Immunization.... FY 2014........... Such Sums......... 610,847,000....... 699,993,000
 Young Women's Breast Health FY 2019........... 4,900,000......... 4,960,000......... 6,960,000
 Awareness and Support of
 Young Women Diagnosed with
 Breast Cancer (PHSA 399NN).
 Preventive Health Measures FY 2004........... Such Sums......... 14,091,000........ 16,205,000
 with regard to Prostate
 Cancer.
 Combating Antimicrobial FY 2006........... Such Sums......... 17,443,000........ 197,000,000
 Resistance.
 Newborn Screening Quality FY 2019........... 8,000,000......... 17,250,000........ 21,000,000
 Assurance.
 Early Hearing Detection and FY 2022........... 11,852,000........ 10,760,000........ 10,760,000
 Intervention.
 Firefighter Cancer Registry. FY 2022........... 2,500,000......... 2,500,000......... 5,500,000
NIH
 National Institutes of FY 2020........... 36,472,442,775.... 40,954,400,000.... 47,845,000,000
 Health.
SAMHSA
 Protection and Advocacy for FY 2003........... 19,500,000........ 36,146,000........ 40,000,000
 Individuals with Mental
 Illness.
ACF
 Low Income Home Energy FY 2007........... 5,100,000,000..... 2,161,170,000..... 4,035,000,000
 Assistance Program.
 Child Care and Development FY 2020........... 2,748,591,018..... 5,826,000,000..... 8,746,387,000
 Block Grant.
 Children and Families
 Services Programs.
 Adoption and Legal FY 2016........... 43,000,000........ 37,943,000........ 75,000,000
 Guardianship Incentive
 Payments.
 Native American Programs.... FY 2002........... Such Sums......... 45,826,000........ 65,500,000
 Community Services Block FY 2003........... Such Sums......... 645,762,000....... 793,000,000
 Grant.
 Economic Development........ FY 2003........... Such Sums......... 27,082,000........ 22,383,000
 Rural Community Development. FY 2003........... Such Sums......... 7,203,000......... 13,000,000
 Head Start.................. FY 2012........... Such Sums......... 7,968,544,000..... 12,271,820,000
 Runaway and Homeless Youth FY 2013........... Such Sums......... 107,852,000....... 125,283,000
 Programs.
 CAPTA programs.............. FY 2015........... Such Sums......... 143,981,000....... 105,091,000
 Family Violence Programs.... FY 2015........... 178,500,000....... 139,500,000....... 240,000,000
 National Domestic Violence FY 2015........... Such Sums......... 4,500,000......... 20,500,000
 Hotline.
 Child Welfare Services...... FY 2016........... 325,000,000....... 268,735,000....... 268,735,000
 Refugee and Entrant
 Assistance Programs.
 Survivors of Torture........ FY 2007........... 25,000,000........ 9,817,000......... 19,000,000
 Anti-Trafficking in Persons FY2021............ 28,755,000........ 28,755,000........ 30,755,000
 Programs.
ACL
 Lifespan Respite Care....... FY 2011........... 94,810,000........ 2,495,000......... 10,000,000
 State Health Insurance FY 1996........... 10,000,000........ N/A............... 55,242,000
 Assistance Program.
 Developmental Disabilities.. FY 2007........... Such Sums......... 155,115,000....... 190,369,000
 Voting Access for People FY 2005........... 17,410,000........ 13,879,000........ 10,000,000
 with Disabilities.
 Traumatic Brain Injury...... FY 2019........... 8,600,000......... 11,321,000........ 13,118,000
 Paralysis Resource Center... FY 2011........... 25,000,000........ 6,352,000......... 10,700,000
 Limb Loss................... N/A............... N/A............... N/A............... 4,200,000
 Independent Living and the FY 2020........... 214,135,000....... 228,153,000....... 268,183,000
 National Institute on
 Disability, Independent
 Living and Rehabilitation
 Research.
ASPR
 BARDA....................... FY 2024........... 611,700,000....... 1,015,000......... 1,100,000,000
 Strategic National Stockpile FY 2024........... 610,000,000....... 980,000,000....... 1,000,000,000
 Pandemic Influenza.......... FY 2024........... 250,000,000....... 315,000,000....... 315,000,000
 National Disaster Medical FY 2024........... 57,404,000........ 78,904,000........ 78,904,000
 System.
 Hospital Preparedness FY 2024........... 385,000,000....... 305,055,000....... 65,055,000
 Program.
 Medical Reserve Corps....... FY 2024........... 11,200,000........ 6,240,000......... 6,240,000
DEPARTMENT OF EDUCATION
 Title I Grants to LEAs...... FY 2020........... 16,182,345,000.... 16,309,802,000.... 14,626,490,000
 Innovative Approaches to FY 2020........... 180,014,000....... 27,000,000........ 30,000,000
 Literacy.
 Comprehensive Literacy FY 2020........... (include in 192,000,000....... 194,000,000
 Development. program above).
 Impact Aid.................. FY 2020........... 1,388,603,000..... 1,486,112,000..... 1,628,151,000
 Supporting Effective FY 2020........... 2,295,830,000..... 2,131,830,000..... 1,681,441,000
 Instruction State Grants.
 Nita M. Lowey 21st Century FY 2020........... 1,100,000,000..... 1,249,673,000..... 1,329,673,000
 Community Learning Centers.
 Education for Homeless FY 2020........... 85,000,000........ 101,500,000....... 129,000,000
 Children and Youth.
 Education for Native FY 2020........... 32,397,000........ 36,897,000........ 45,897,000
 Hawaiians.
 Alaska Native Education..... FY 2020........... 31,453,000........ 35,953,000........ 44,953,000
 Rural Education............. FY 2020........... 169,840,000....... 185,840,000....... 225,000,000
 Student Support and Academic FY 2020........... 1,600,000,000..... 1,210,000,000..... 1,385,000,000
 Enrichment Grants.
 Indian Education Grants to FY 2020........... 106,525,000....... 105,381,000....... 110,381,000
 Local Educational Agencies.
 Special Programs for Indian FY 2020........... 17,993,000........ 67,993,000........ 72,000,000
 Children.
 Indian Education National FY 2020........... 5,565,000......... 7,365,000......... 17,365,000
 Activities.
 Education Innovation and FY 2020........... 90,611,000........ 190,000,000....... 229,000,000
 Research.
 American History and Civics. FY 2020........... 19,567,000........ 4,815,000......... 23,000,000
 Charter Schools Grants...... FY 2020........... 300,000,000....... 440,000,000....... 500,000,000
 Magnet Schools.............. FY 2020........... 108,530,000....... 107,000,000....... 139,000,000
 School Safety National FY 2020........... 5,000,000......... 105,000,000....... 190,000,000
 Activities.
 Vocational Rehabilitation FY 2021........... 3,675,021,000..... 3,675,021,000..... 4,504,096,000
 State Grants.
 Client Assistance State FY 2021........... 14,098,000........ 13,000,000........ 13,000,000
 Grants.
 Supported Employment State FY 2021........... 32,363,000........ 22,548,000........ 22,548,000
 Grants.
 Training.................... FY 2021........... 39,540,000........ 29,388,000........ 29,388,000
 Demonstration and Training FY 2021........... 6,809,000......... 5,796,000......... 5,796,000
 Programs.
 Services for Older Blind FY 2021........... 39,141,000........ 33,317,000........ 33,317,000
 Individuals.
 Protection and Advocacy of FY 2021........... 20,735,000........ 18,150,000........ 20,150,000
 Individual Rights.
 Helen Keller National Center FY 2004........... Such Sums......... 8,666,000......... 20,000,000
 for Deaf-Blind Youths and
 Adults.
 National Technical Institute FY 2015........... Such Sums......... 67,016,000........ 94,500,000
 for the Deaf.
 Gallaudet University........ FY 2015........... Such Sums......... 120,275,000....... 168,361,000
 Aid for Institutional FY 2015........... Such Sums......... 429,762,000....... 1,031,618,000
 Development.
 Aid for Hispanic-Serving FY 2015........... Such Sums......... 109,223,000....... 228,890,000
 Institutions.
 Federal TRIO Programs....... FY 2015........... Such Sums......... 839,752,000....... 1,195,000,000
 IDEA National Activities.... FY 2010........... Such Sums......... 260,203,000....... 258,560,000
 IDEA Grants for Infants and FY 2010........... Such Sums......... 439,427,000....... 540,000,000
 Families.
RELATED AGENCIES
 Corporation for National and FY 2014........... Such Sums......... 1,049,954,000..... 183,466,000
 Community Service.
----------------------------------------------------------------------------------------------------------------

 Transfers of Funds

 Pursuant to clause 3(f)(2) of rule XIII of the Rules of the 
House of Representatives, the following list includes the 
transfers included in the accompanying bill:

 TITLE I--DEPARTMENT OF LABOR

 JOB CORPS

 Language is included under ``Job Corps'' allowing the 
transfer of funds from the construction, rehabilitation, and 
acquisition account to the operations account.

 STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS

 Language is included under ``State Unemployment Insurance 
and Employment Service Operations'' which provides for the 
transfer of funds to the ``Office of Disability Employment 
Policy.''

 VETERANS' EMPLOYMENT AND TRAINING

 Language is included under ``Veterans' Employment and 
Training'' which provides for the reallocation of funds within 
``Veterans' Employment and Training'' accounts.

 SPECIAL BENEFITS

 Language is included under ``Special Benefits'' which 
provides for the transfer of funds from the ``Postal Service'' 
account.

 BLACK LUNG DISABILITY TRUST FUND

 Language is included under ``Black Lung Disability Trust 
Fund'' which provides for the transfer of funds to the ``Office 
of Works Compensation Programs,'' ``Departmental Management,'' 
and ``Inspector General'' salaries and expenses accounts and to 
the ``Department of the Treasury, Miscellaneous Expenses'' 
account.

 DEPARTMENTAL MANAGEMENT

 Language is included under ``Departmental Management'' 
which provides for the transfer of funds for program evaluation 
to any appropriate account within the Department.

 OFFICE OF DISABILITY EMPLOYMENT POLICY

 Language is included under ``Office of Disability 
Employment Policy'' which provides for the transfer of funds to 
``State Unemployment Insurance and Employment Service 
Operations.''

 GENERAL PROVISIONS

 A general provision is included permitting up to one 
percent of any discretionary appropriation to be transferred 
between an existing program, project, or activity of the 
Department of Labor, provided that no program, project, or 
activity is increased by more than three percent by any such 
transfer.
 A general provision is included permitting the transfer of 
``Employment and Training Administration'' funds for technical 
assistance to ``Program Administration'' when such activities 
would be more effectively performed by Federal employees. The 
provision also authorizes the transfer of 0.5 percent of 
``Employment and Training Administration'' discretionary grants 
to ``Program Administration'' for purposes of program integrity 
activities.
 A general provision is included that allows for the 
transfer of up to 0.75 of funds under the ``Training and 
Employment Services,'' ``Job Corps,'' ``Community Service 
Employment for Older Americans,'' State Unemployment Insurance 
and Employment Service Operations,'' Employee Benefits Security 
Administration,'' ``Office of Workers Compensation Services,'' 
Wage and Hour Division,'' Office of Federal Contract Compliance 
Programs,'' ``Office of Labor Management Standards,'' 
Occupational Safety and Health Administration,'' ``Mine Safety 
and Health Administration,'' Office of Disability Employment 
Policy,'' funds made available for the ``Bureau of 
International Labor Affairs'' and ``Women's Bureau'' within the 
``Departmental Management, Salaries, and Expenses'' account and 
``Veterans' Employment and Training'' accounts to 
``Departmental Management'' for purposes of evaluating programs 
or activities funded under such accounts.

 TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES

 CENTERS FOR DISEASE CONTROL AND PREVENTION

 Language is included under ``Centers for Disease Control 
and Prevention, CDC Wide Activities and Program Support'' for 
funds to be transferred to and merged with the Infectious 
Diseases Rapid Response Reserve Fund.
 Language is included under ``Centers for Disease Control 
and Prevention, Buildings and Facilitates'' that directs that 
prior-year unobligated balances from individual learning 
accounts for former employees be credited and merged with the 
amounts made available for the replacement of the mine safety 
and research facility.

 NATIONAL INSTITUTES OF HEALTH

 Language is included under the ``National Institutes of 
Health, Innovation Account'' to allow the transfer of funds to 
other Institutes and Canters to support activities authorized 
in the 21st Century Cures Act (PL 114-255).

 ADMINISTRATION FOR COMMUNITY LIVING

 Language is included under the ``Administration for 
Community Living, Aging and Disability Services Programs'' for 
the transfer to the Secretary of Agriculture to carry out 
section 311 of the Older Americans Act of 1965.

 GENERAL PROVISIONS

 A general provision that allows up to one percent of any 
discretionary funds to be transferred between existing 
appropriations accounts of the ``Department of Health and Human 
Services,'' provided that no appropriation account is increased 
by more than three percent by such transfer.
 A general provision is included that allows the transfer of 
up to three precent among the institutes and centers of the 
``National Institutes of Health'' from amounts identified as 
funding research pertaining to the human immunodeficiency 
virus.
 A general provision is included that allows for the 
transfer of funding determined to be related to the human 
immunodeficiency virus to the ``Office of AIDS Research.''
 A general provision is included that transfers 1 percent of 
the amounts made available for the ``National Research Service 
Awards'' and the ``National Institutes of Health'' to the 
``Health Resources and Services Administration.''
 A general provision is included to direct the transfer of 
the ``Prevention and Publish Health Fund'' as specified in the 
committee report accompanying the Act.
 A general provision is included that allows the transfer of 
funds related to research on opioid addiction, opioid 
alternatives, stimulant misuse and addiction, pain management, 
and addiction treatment between the institutes and centers of 
the ``National Institute of Health.''
 A general provision is included allowing the transfer of 
funds from the ``Federal Hospital Insurance Trust Fund'' and 
the ``Federal Supplementary Medical Insurance Trust Fund'' to 
the ``Centers for Medicare & Medicaid Services--Program 
Management'' account for purposes of program management related 
to the Medicare program.
 A general provision is included allowing the transfer of 
funds from the ``Non-recurring Expenses Fund'' to ``General 
Departmental Management'' for cybersecurity and allowing for 
the transfer of funds into the ``Nonrecurring Expenses Fund.''

 TITLE III--DEPARTMENT OF EDUCATION

 GENERAL PROVISIONS

 A general provision is included that allows not to exceed 
one percent of any discretionary funds to be transferred 
between existing appropriations accounts of the Department of 
Educations, provided that not appropriation accounts is 
increased by more than three percent by such transfer.
 A general provision is included that allows up to 
$13,000,000 of funding made available for ``Institute of 
Education Sciences'' to be available for the Secretary of 
Education to provide support services to the Institute of 
Education Sciences.
 A general provision is included that allows the transfer of 
funds from the ``Department of Education Nonrecurring Expenses 
Fund'' to Student Aid Administration for purposes of 
information technology and allowing for the transfer of funds 
into the ``Nonrecurring Expenses Fund.''

 TITLE IV--RELATED AGENCIES

 SOCIAL SECURITY ADMINISTRATION

 A provision is included under ``Social Security 
Administration, Limitation on Administrative Expenses'' 
allowing for the transfer of unobligated balances to be 
available until expended for information technology and 
telecommunications hardware and software infrastructure.
 A provision is included under ``Social Security 
Administration'' allowing for the transfer of up to $24,600,000 
to the ``Social Security Administration, Office of Inspector 
General,'' for the costs of jointly operated-co-operative 
disability investigation units.
 Language is included under ``Office of the Inspector 
General'' allowing the transfer of funds from the ``Federal 
Old-Age and Survivors Insurance Trust Fund'' and the ``Federal 
Disability Trust Fund'' for carrying out provisions of the 
Inspector General Act of 1978 as well as allowing the transfer 
of funds from ``Social Security Administration--Limitation on 
Administrative Expenses'' to ``Social Security Administration--
Office of the Inspector General.''

 TITLE V--BILL WIDE GENERAL PROVISIONS

 A general provision is included that allows the Secretaries 
of Labor, Health and Human Services, and Education to transfer 
balances of prior appropriations to accounts corresponding to 
current appropriations.

 RESCISSIONS OF FUNDS

 Pursuant to clause 3(f)(2) of rule XIII of the Rules of the 
House of Representatives, the following table lists the 
rescissions included in the accompanying bill:

------------------------------------------------------------------------
 Program or Activity Amount
------------------------------------------------------------------------
Department of Labor
 Employment and Training Administration Adult $712,000,000
 Training FY 2025 Advance.........................
Department of Health and Human Services
 Nonrecurring Expenses Fund (sec. 234)............. 1,613,000,000
Department of Education
 Education for the Disadvantaged FY 2025 Advance... 938,266,000
 School Improvement Programs Supporting Effective 1,681,441,000
 Instruction State Grants FY 2025 Advance.........
 Nonrecurring Expenses Fund (sec. 310)............. 197,000,000
Title V--General Provisions
 Child Enrollment Contingency Fund (sec. 528)...... 12,835,000,000
 American Rescue Plan Act (sec. 529)............... 183,000,000
------------------------------------------------------------------------

 Disclosure of Earmarks and Congressionally Directed Spending Items

 Pursuant to clause 9 of rule XXI of the Rules of the House 
of Representatives, neither the bill nor this report contains 
any congressional earmarks, limited tax benefits, or limited 
tariff benefits as defined in clause 9 of rule XXI of the Rules 
of the House of Representatives.

Source: H. Rept. 119-271 · govinfo

Action History

  1. The House Committee on Appropriations reported an original measure, H. Rept. 119-271, by Mr. Aderholt.

  2. The House Committee on Appropriations reported an original measure, H. Rept. 119-271, by Mr. Aderholt.

  3. Placed on the Union Calendar, Calendar No. 227.

Sponsors

Sponsorship breakdown

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Co-sponsors (0)

None.

Not signed on (546)

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Frequently asked questions

What does HR 5304 do?
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026This bill provides FY2026 appropriations to the Departments of Labor, Health and Human Services, and Education; and related agencies.The bill provides appropriations to the Department of Labor forthe Employment and Training Administration,Veterans' Employment and Training,the Employee Benefits Security Administration,the Pension Benefit Guaranty Corporation,the Office of Workers' Compensation Programs,the Wage and Hour Division,the Office of Labor-Management Standards,the Occupational Safety and Health Administration,the Mine Safety and Health Administration,the Bureau of Labor Statistics,the Office of Disability Employment Policy, andDepartmental Management.The bill provides appropriations to the Department of Health and Human Services forthe Health Resources and Services Administration,the Centers for Disease Control and Prevention,the National Institutes of Health,the Substance Abuse and Mental Health Services Administration,the Centers for Medicare and Medicaid Services,the Administration for Children and Families,the Administration for Community Living,the Administration for Strategic Preparedness and Response, andthe Office of the Secretary.The bill provides appropriations to the Department of Education forEducation for the Disadvantaged;Impact Aid;School Improvement Programs;Safe Schools and Citizenship Education;Indian Education;Innovation and Improvement;Special Education;Rehabilitation Services;Special Institutions for Persons with Disabilities;Career, Technical, and Adult Education;Higher Education;Howard University;the College Housing and Academic Facilities Loans Program;the Historically Black College and University Capital Financing Program Account;Student Financial Assistance;Student Aid Administration;the Institute of Education Sciences; andDepartmental Management.The bill also provides appropriations to several related agencies, includingthe America First Corps,the Committee for Purchase From People Who Are Blind or Severely Disabled,the Federal Mediation and Conciliation Service,the Federal Mine Safety and Health Review Commission,the Institute of Museum and Library Services,the Medicaid and CHIP Payment and Access Commission,the Medicare Payment Advisory Commission,the National Council on Disability,the National Labor Relations Board,the National Mediation Board,the Occupational Safety and Health Review Commission,the Railroad Retirement Board, andthe Social Security Administration.The bill also sets forth requirements and restrictions for using funds provided by this and other appropriations acts.
Who sponsors HR 5304?
HR 5304 is sponsored by Aderholt, Robert B. (Republican).
What is the current status of HR 5304?
This bill is in committee in the House. Introduced September 11, 2025. It must pass committee before a floor vote.
Where can I track HR 5304?
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