Bill > HR5894

This bill makes appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024. * **Department of Labor:** * Funds are appropriated for various programs and activities, including employment and training services, unemployment insurance operations, employee benefits security, and occupational safety and health. Specific dollar amounts for these are not detailed in the provided text, but significant transfer authority is granted. * Restrictions are placed on the use of funds for salaries and bonuses, limiting them to Executive Level II rates for certain programs like Job Corps and Employment and Training Administration recipients. * Funds are prohibited from being used for the procurement of goods or services produced by forced or indentured child labor. * Specific grants for training individuals for occupations where H-1B visas are used are funded. * $2,000,000 is authorized to be provided through grants, cooperative agreements, or contracts to apprenticeship programs for training purposes. * $206,000,000 from the unobligated funds available under section 286(s)(2) of the Immigration and Nationality Act are rescinded. * $712,000,000 is rescinded from amounts made available to the "Employment and Training Administration—Training and Employment Services" from Public Law 117-328. * The bill prohibits the use of federal funds to alter or enforce the final rule on "Independent Contractor Status Under the Fair Labor Standards Act" (January 7, 2021), the rule on "Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights" (December 1, 2022), or specific rules related to the H-2A program. * **Department of Health and Human Services:** * **Health Resources and Services Administration:** * Primary Health Care: $1,858,772,000 * Health Workforce: $1,336,348,000 * Maternal and Child Health: $991,582,000 * Ryan White HIV/AIDS Program: $2,332,535,000 * Health Systems: $101,009,000 * Rural Health: $402,607,000 * HRSA-Wide Activities and Program Support: $215,088,000 * **Centers for Disease Control and Prevention:** * Immunization and Respiratory Diseases: $326,075,000 * HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention: $1,171,056,000 * Emerging and Zoonotic Infectious Diseases: $708,772,000 * Chronic Disease Prevention and Health Promotion: $797,569,000 * Birth Defects, Developmental Disabilities, Disabilities and Health: $205,560,000 * Public Health Scientific Services: $654,497,000 * Environmental Health: $130,850,000 * Injury Prevention and Control: $730,779,000 * National Institute for Occupational Safety and Health: $247,700,000 * Energy Employees Occupational Illness Compensation Program: $55,358,000 * Global Health: $370,772,000 * Public Health Preparedness and Response: $735,000,000 * Buildings and Facilities: $40,000,000 * CDC-Wide Activities and Program Support: $231,428,000 * **National Institutes of Health:** Significant appropriations are made to various institutes, including: * National Cancer Institute: $7,104,159,000 * National Heart, Lung, and Blood Institute: $3,982,345,000 * National Institute of Allergy and Infectious Diseases: $5,062,279,000 * National Institute on Aging: $4,407,623,000 * Office of the Director, NIH: $2,069,459,000 * Buildings and Facilities: $350,000,000 * NIH Innovation Account, Cures Act: $407,000,000 * Advanced Research Projects Agency for Health: $500,000,000 * **Substance Abuse and Mental Health Services Administration:** * Mental Health: $2,706,282,000 * Substance Abuse Treatment: $3,980,103,000 * Substance Abuse Prevention: $179,602,000 * Health Surveillance and Program Support: $109,895,000 * **Centers for Medicare & Medicaid Services:** * Grants to States for Medicaid: $406,956,850,000 (for FY2024 and FY2025 first quarter) * Payments to the Health Care Trust Funds: $476,725,000,000 * Program Management: $3,326,690,000 * Health Care Fraud and Abuse Control Account: $915,000,000 * **Administration for Children and Families:** * Payments to States for Child Support Enforcement and Family Support Programs: $3,309,000,000 (for FY2024 and FY2025 first quarter) * Low Income Home Energy Assistance: $4,011,000,000 * Refugee and Entrant Assistance: $2,756,956,000 * Payments to States for the Child Care and Development Block Grant: $8,021,387,000 * Social Services Block Grant: $1,700,000,000 * Children and Families Services Programs: $13,388,077,000 * Promoting Safe and Stable Families: $345,000,000 and $86,515,000 * Payments for Foster Care and Permanency: $8,594,000,000 (for FY2024 and FY2025 first quarter) * **Administration for Community Living:** * Aging and Disability Services Programs: $2,418,901,000 * **Administration for Strategic Preparedness and Response:** * Research, Development, and Procurement: $3,277,991,000 * Operations and Emergency Response: $342,606,000 * **Office of the Secretary:** * General Departmental Management: $402,341,000 * Medicare Hearings and Appeals: $196,000,000 * Office of the National Coordinator for Health Information Technology: $56,238,000 * Office of Inspector General: $80,000,000 * Office for Civil Rights: $32,000,000 * **Trust Funds:** Payments from the Vaccine Injury Compensation Program Trust Fund are authorized for claims. * **Rescissions:** $206,000,000 from the Immigration and Nationality Act, $1,000,000,000 from the Nonrecurring Expenses Fund, and $11,000,000,000 from another Nonrecurring Expenses Fund are rescinded. * **Restrictions:** The bill includes numerous restrictions on the use of funds, including prohibitions on funding certain abortion-related services, research on human embryos, and the implementation of specific rules and executive orders related to healthcare, discrimination, and gender identity. It also prohibits the use of funds to promote Critical Race Theory or to support certain foreign entities. * **Department of Education:** * Education for the Disadvantaged: $13,055,290,000 * Impact Aid: $1,618,112,000 * School Improvement Programs: $4,850,428,000 * Indian Education: $194,746,000 * Innovation and Improvement: $737,000,000 * Safe Schools and Citizenship Education: $316,000,000 * Special Education: $15,453,264,000 * Rehabilitation Services: $4,397,033,000 * American Printing House for the Blind: $43,431,000 * National Technical Institute for the Deaf: $92,500,000 * Gallaudet University: $165,361,000 * Career, Technical, and Adult Education: $2,191,436,000 * Student Financial Assistance: $22,475,352,000 * Student Aid Administration: $1,769,207,000 * Higher Education: $2,767,239,000 * Howard University: $301,693,000 * College Housing and Academic Facilities Loans Program: $321,000 * Historically Black College and University Capital Financing Program Account: $20,150,000 * Institute of Education Sciences: $707,372,000 * Program Administration: $350,000,000 * Office for Civil Rights: $105,000,000 * Office of Inspector General: $60,000,000 * Rescissions: $8,671,399,000 from "Education for the Disadvantaged" and $1,681,441,000 from "School Improvement Programs" are rescinded. * Restrictions: The bill prohibits the use of funds to implement certain proposed rules related to Title IX of the Education Amendments of 1972 and prohibits funding to institutions that deny rights to religious student organizations. It also restricts the use of funds for student loan servicing and debt relief. * **Related Agencies:** * Committee for Purchase From People Who Are Blind or Severely Disabled: $13,124,000 * Corporation for National and Community Service: $593,347,000 for operating expenses and $60,000,000 for salaries and expenses. * Federal Mediation and Conciliation Service: $53,705,000 * Federal Mine Safety and Health Review Commission: $18,012,000 * Institute of Museum and Library Services: $294,800,000 * Medicaid and CHIP Payment and Access Commission: $9,405,000 * Medicare Payment Advisory Commission: $13,824,000 * National Council on Disability: $3,850,000 * National Labor Relations Board: $200,000,000 * National Mediation Board: $15,113,000 * Occupational Safety and Health Review Commission: $15,449,000 * Railroad Retirement Board: $8,000,000 for the Dual Benefits Payments Account and $103,000,000 for administration. * Social Security Administration: $10,000,000 for trust funds, $45,455,426,000 for the Supplemental Security Income Program, and $11,951,978,000 for administrative expenses. * Office of Inspector General (SSA): $32,000,000. * Rescissions: $243,000,000 from the National Service Trust is rescinded. * Restrictions: The bill prohibits the use of funds by the National Labor Relations Board to issue new administrative directives or regulations that would allow electronic voting in union elections. * **General Provisions:** The bill includes various general provisions, such as prohibiting the use of funds for lobbying, requiring clear disclosure of federal funding in projects, and restricting the use of funds for certain reproductive health services and research. It also includes provisions for transfer of funds between accounts and rescissions of unobligated balances.