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Appropriations Committee Releases Fiscal Year 2021 Labor-HHS-Education Funding Bill

July 6, 2020

Legislation increases discretionary funding by $2.4 billion above the 2020 level, investing in education, health care, medical research, and job training so people have a better chance at a better life

To rebuild this nation's aged public health infrastructure and to improve preparedness for future public health threats, the bill provides $24.425 billion in emergency spending tosupport State and local public health departments, public health laboratories, and global health activities

WASHINGTON — The House Appropriations Committee today released the draft fiscal year 2021 Labor, Health and Human Services, Education, and Related Agencies (LHHS) funding bill, which will be considered in subcommittee tomorrow. The legislation includes funding for programs within the Departments of Labor, Health and Human Services, and Education, and other related agencies, including the Social Security Administration.

The LHHS bill supports some of the nation's most critical programs that touch individuals and families throughout their lifespan, from Early Head Start to Social Security. The bill continues to invest in programs that provide opportunities for millions of families, so that every individual has a better chance at a better life – with a good education, a good job, and access to affordable health care.

For fiscal year 2021, the draft bill includes $196.5 billion in overall funding, an increase of $2.4 billion above the FY 2020 enacted level and $20.8 billion above the President's 2021 budget request after accounting for offsets and adjustments.

In addition, to rebuild this nation's aged public health infrastructure, the bill provides $24.425 billion in emergency spending. This funding will support State and local public health departments, public health laboratories, and global health activities, which is critical to national resilience from this and future public health threats. The bill also includes contingency funding to help States meet unanticipated unemployment insurance workloads.

"This spending bill determines the critical federal investments in health, labor, human services, and education, and builds on this subcommittee's efforts at the center of the health and economic crises, both of which have exposed serious disparities," said House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies Chairwoman Rosa DeLauro. "This legislation builds upon our previous emergency and supplemental response packages and represents our critical work to defeat the coronavirus, not surrender to it. From Early Head Start to Social Security, these programs touch individuals and families throughout their lifespan. With this bill, we help our constituents access new cures, new treatments, new research, and new protections to help them and their families live healthier lives. The programs in which we are investing create opportunities and allow America to realize its values and promise. We must work together to deliver the people in this country to the dawn of recovery, not abandon them to an economic collapse."

"This bill resoundingly rejects President Trump's devastating budget cuts and instead increases investments in important priorities that support working families, improve health security, and build a stronger future for all Americans," said House Appropriations Committee Chairwoman Nita M. Lowey. "Critically, the bill will strengthen our response to coronavirus and the accompanying economic crisis through robust funding for state and local public health departments, public health laboratories, and for the accelerated development and production of vaccines and therapeutics. With this bill, we are empowering families and communities and making the investments needed to keep up with America's health care, education, and workforce needs, so every person has a better chance at a better life."

A summary of the draft fiscal year 2021 LHHS funding bill is below. The full text of the bill is here. The subcommittee markup will be webcast live and linked from https://appropriations.house.gov/events/markups.

Bill Summary:

Department of Labor (DOL) – The bill provides a total of $12.7 billion in discretionary appropriations for DOL, an increase of $254 million above the FY 2020 enacted level and $1.6 billion above the President's budget request. Of this amount, the bill includes:

  • $10.2 billion for the Employment Training Administration, an increase of $187 million above the FY 2020 enacted level and $1.5 billion above the President's budget request. Within this amount, the bill includes:
    • $2.9 billion for Workforce Innovation and Opportunity Act State Grants, an increase of $50 million above the FY 2020 enacted level and President's budget request.
    • $96 million for Migrant and Seasonal Farmworkers, an increase of $4 million above the FY 2020 enacted level. The President's budget request proposes to eliminate this program.
    • $103 million for the Reintegration of Ex-Offenders, an increase of $5 million above the FY 2020 enacted level and $10 million above the President's budget request.
    • $185 million for RegisteredApprenticeships, an increase of $10 million above the FY 2020 enacted level and $15 million below the President's budget request. The bill rejects the Administration's proposal to fund Industry Recognized Apprenticeship Programs and continues language allowing funds only to support Registered Apprenticeships.
    • $101 million for YouthBuild, an increase of $6 million above the FY 2020 enacted level and $16 million above the President's budget request.
    • $50 million, an increase of $10 million over the FY 2020 enacted level, to continue and expand Strengthening Community College Training Grants to help meet local and regional labor market demand for a skilled workforce by providing training to workers in in-demand industries at community colleges and four-year partners. The President's budget request proposes to eliminate this program.
    • $1.76 billion for Job Corps, an increase of $12 million above the FY 2020 enacted level and $740 million above the President's budget request.
    • $410 million for the Senior Community Service Employment for Older Americans Program, an increase of $5 million above the FY 2020 enacted level. The President's budget request proposed to eliminate this program.
    • $2.6 billion for operation of the Unemployment Insurance program, an increase of $109 million above the FY 2020 enacted level and the same as the President's budget request. The bill also includes $925 million in emergency contingency funding to help States address spikes in unemployment claims.
    • $78 million for Foreign Labor Certification, an increase of $9 million above the FY 2020 enacted level and $2 million below the President's budget request. Funds will help support Federal oversight and enforcement of regulations and assist States in reviewing and conducting oversight of processing applications.
  • $1.7 billion for Worker Protection Agencies, an increase of $15 million above the FY 2020 enacted level and $5 million below the President's budget request. Within this amount, the bill includes:
    • $246 million for the Wage and Hour Division, an increase of $4 million above the FY 2020 enacted level and $2 million above the President's budget request.
    • $594 million for the Occupational Safety and Health Administration, an increase of $12 million above the FY 2020 enacted level and $17 million above the President's budget request.
    • $42 million for the Office of Labor-Management Standards, a decrease of $1 million below the FY 2020 enacted level and $8 million below the President's budget request.
  • $15 million for the Women's Bureau, an increase of $1 million above the FY 2020 enacted level and $12 million above the President's budget request.
  • $58 million for the Homeless Veterans Reintegration Program, an increase of $3 million above the FY 2020 enacted level and the President's budget request.

Department of Health and Human Services (HHS) – The bill provides a total of $96.4 billion for HHS, an increase of $1.5 billion above the FY 2020 enacted level and $11.1 billion above the President's budget request.

  • National Institutes of Health (NIH) – The bill provides a total of $47 billion for NIH, an increase of $5.5 billion above the FY 2020 enacted level. The bill provides $42 billion in annual appropriations, an increase of $500 million above the 2020 enacted level and $8.6 billion above the President's budget request, as well as $5 billion in emergency appropriations.
    • The bill increases funding for each Institute and Center by no less than 7 percent to support a wide range of critical research on diseases and conditions that affect individuals and families all over the world.
    • Additionally, the bill provides targeted investments in several high-priority areas, including:
      • $5 billion in emergency funding to improve capacity at research institutions;
      • $240 million for Universal Flu Vaccine Research, an increase of $40 million above the FY 2020 enacted level;
      • $3.1 billion for HIV/AIDS research, an increase of $37 million above the FY 2020 enacted level;
      • $2.9 billion for Alzheimer's disease and related dementias research, an increase of $35 million above the FY 2020 enacted level;
      • $65 million for the INCLUDE Down syndrome research initiative, an increase of $5 million above the FY 2020 enacted level;
      • $25 million for firearm injury and mortality prevention research, an increase of $12.5 million above the FY 2020 enacted level;
      • $80 million for Research Centers in Minority Institutions, an increase of $5 million above the FY 2020 enacted level;
      • $397 million for Institutional Development Awards, an increase of $10 million above the FY 2020 enacted level; and
      • Continued robust investments in initiatives such as the Cancer Moonshot, All of Us Precision Medicine Initiative, BRAIN Initiative, Opioids research, combating antibiotic-resistant bacteria, and Clinical and Translational Science Awards
  • ​​Centers for Disease Control and Prevention (CDC) –The bill includes a total of $8 billion for CDC, an increase of $232 million above the FY 2020 enacted level, not including a one-time transfer in 2020 from the Nonrecurring Expenses Fund, and $925 million above the President's budget request. This includes $856 million in transfers from the Prevention and Public Health Fund.

In addition, the bill includes $9 billion in emergency supplemental appropriations for CDC to improve the nation's preparedness for public health emergencies.

  • The bill includes $25 million, an increase of $12.5 million above the FY 2020 enacted level, to specifically support firearm injury and mortality prevention research.
  • The bill includes significant investments in our nation's public health infrastructure including:
    • $50 million for the multi-year effort to modernize public health data surveillance and analytics at CDC, State and local health departments, and the National Center for Health Statistics.
    • $56 million, an increase of $5 million above the FY 2020 enacted level, in public health workforce initiatives.
    • $700 million, an increase of $25 million above the FY 2020 enacted level, for public health emergency preparedness cooperative agreements.
    • $363 million, an increase of $10 million above the FY 2020 enacted level, for epidemiologic and laboratory support at State and eligible public health agencies.
  • The bill provides increases for numerous public health efforts, including:
    • $65 million, an increase of $2 million above the FY 2020 enacted level, for food safety.
    • $240 million, an increase of $10 million above the FY 2020 enacted level, to address tobacco and e-cigarettes.
    • $150 million, an increase of $10 million above the FY 2020 enacted level to support CDC's efforts to reduce new HIV infections by 90 percent in 10 years.
    • $30 million, an increase of $3 million above the FY 2020 enacted level, for the Diabetes Prevention Program.
    • $67 million, an increase of $7 million above the FY 2020 enacted level, for the only Federal program addressing the nation's racial and ethnic health disparities, Racial and Ethnic Approach to Community Health (REACH), including $23 million, an increase of $2 million, for Good Health and Wellness in Indian Country.
    • $68 million, an increase $10 million above the FY 2020 enacted level, for safe motherhood.
    • $15 million, an increase of $5 million above the FY 2020 enacted level, for the health impacts of climate change.
    • $10 million for a new effort focused on social determinates of health.
    • $10 million for a new effort focused on healthy aging.
    • $10 million to continue the Flint, Michigan Lead Exposure Registry.
    • $2 million, an increase of $1 million above the FY 2020 enacted level, for child sexual abuse prevention.
    • $7.5 million, an increase of $2 million above the FY 2020 enacted level, for domestic violence prevention.

The bill includes $9 billion in emergency supplemental funding for the following public health and emergency response activities:

  • $4 billion for enhanced public health prevention efforts, including an influenza vaccination campaign.
  • $2 billion for Public Health Emergency Preparedness cooperative agreements to increase State and local public health emergency response capabilities.
  • $1 billion to improve capabilities at State and local public health laboratories.
  • $1 billion to strengthen global public health preparedness and response capacity.
  • $400 million for the multi-year effort to modernize public health data surveillance and analytics.
  • $400 million for the Infectious Diseases Rapid Response Reserve Fund.
  • $200 million for public health workforce development, including the doubling of the Epidemic Intelligence Service fellowship program.
  • Substance Abuse and Mental Health Services Administration (SAMHSA) – The bill funds SAMHSA at $6 billion – an increase of $96 million above the FY 2020 enacted level and $238 million above the President's budget request. SAMHSA funding includes increased support for:
    • Mental health resources for children and youth including $107 million for Project AWARE, an increase of $5 million above the FY 2020 enacted level; and $72 million for the National Child Traumatic Stress Initiative, an increase of $3 million above the FY 2020 enacted level.
    • Suicide prevention including $21 million for the Zero Suicide program, an increase of $5 million above the FY 2020 enacted level; and $21 million for the Suicide Lifeline, an increase of $2 million above the FY 2020 enacted level.
    • $35 million for a new set-aside in the mental health block grant to support mental health crisis systems.
    • Substance use treatment: $3.8 billion, an increase of $10 million above the FY 2020 enacted level, including continued funding for opioid prevention and treatment, recovery and tribal-focused treatment efforts.
    • Substance abuse prevention: $209 million, an increase of $3 million above the FY 2020 enacted level.
  • Health Resources and Services Administration (HRSA) The bill includes $7.2 billion for HRSA, an increase of $157 million above the 2020 enacted level and $905 million above the President's budget request. The amount includes:
    • $1.65 billion, an increase of $25 million above the FY 2020 enacted level, for the Health Centers program, including $10 million to support school-based health centers;
    • $2.4 billion, an increase of $25 million above the FY 2020 enacted level, for the Ryan White HIV/AIDS program;
    • $65 million in Health Centers and $95 million in the Ryan White HIV/AIDS program for the Domestic HIV/AIDS Initiative;
    • $1.2 billion, an increase of $48 million above the FY 2020 enacted level, for HRSA's Bureau of Health Professions programs to support the medical workforce;
    • $981 million, an increase of $37 million above the FY 2020 enacted level, for programs to improve maternal and child health, including an additional $25 million for the Maternal and Child Health Block Grant;
    • $334 million, an increase of $16 million above the FY 2020 enacted level, for Rural Health Programs, including increases for telehealth and rural hospitals; and
    • $33 million, an increase of $5.5 million above the FY 2020 enacted level, for Organ Transplantation to expand support for living organ donors.
  • Agency for Healthcare Research and Quality (AHRQ) – The bill provides $343 million for AHRQ, an increase of $5 million above the FY 2020 enacted level.
  • Centers for Medicare and Medicaid Services (CMS) – The bill provides $4 billion for CMS administrative expenses, an increase of $315 million above the FY 2020 enacted level and $291 million above the President's budget request. This funding level includes an increase of $10 million above the FY 2020 enacted level for State Survey and Certification activities to support additional health and safety inspections of nursing home facilities.

The bill also directs CMS to use $100 million in carryover funds from ACA user fees to support the ACA Navigators program, as well as outreach, enrollment, and advertising during the ACA open enrollment period.

  • Administration for Children and Families (ACF) – The bill provides $24.8 billion in discretionary funding for ACF, an increase of $317 million above the FY 2020 enacted level and $4.6 billion above the President's budget request.
    • Early childhood programs receive an increase of $275 million above the FY 2020 enacted level:
      • $5.9 billion for the Child Care and Development Block Grant, an increase of $100 million above the FY 2020 enacted level;
      • $10.8 billion for Head Start, an increase of $150 million above the FY 2020 enacted level; and
      • $300 million for Preschool Development Grants, an increase of $25 million above the FY 2020 enacted level.
    • $3.8 billion for the Low Income Home Energy Assistance Program, an increase of $25 million above the FY 2020 enacted level.
    • $750 million for the Community Services Block Grant, an increase of $10 million above the FY 2020 enacted level.
    • $193 million for Child Abuse Prevention and Treatment Act programs, an increase of $12.5 million above the FY 2020 enacted level.
  • Administration for Community Living (ACL) – The bill funds ACL at $2.3 billion, an increase of $56 million above the FY 2020 enacted level and $171 million above the President's budget request. This amount includes:
    • $957 million for Senior Nutrition programs, an increase of $20 million above the FY 2020 enacted level;
    • $400 million for Home and Community-based Supportive Services, an increase of $10 million above the FY 2020 enacted level; and
    • $206 million for Family and Native American Caregivers Services, an increase of $10 million above the FY 2020 enacted level.
  • Office of the Secretary—General Departmental Management – The bill provides $525 million, a reduction of $20 million below the FY 2020 enacted level and an increase of $104 million above the President's budget request. The amount includes:
    • $101 million for the Teen Pregnancy Prevention program, equal to the FY 2020 enacted level.
    • $65 million for the Office of Minority Health, an increase of $6 million above the FY 2020 enacted level.
    • $57 million for the Minority HIV/AIDS Initiative, an increase of $3 million above the FY 2020 enacted level.
    • $37 million for the Office on Women's Health, an increase of $3 million above the FY 2020 enacted level.
    • $5 million for KidneyX, equal to the FY 2020 enacted level, for a public-private partnership to accelerate the development and adoption of novel therapies and technologies to improve the diagnosis and treatment of kidney diseases.
    • No funding for abstinence-only education.
  • Public Health and Social Services Emergency Fund (PHSSEF) – The bill provides $2.8 billion for PHSSEF, an increase of $90 million above the FY 2020 level and $186 million above the President's budget request.

In addition, the bill includes $4.5 billion in emergency supplemental appropriations for BARDA to support advanced research and development and advanced manufacturing of vaccines and therapeutics to improve the nation's preparedness for public health emergencies.

  • $300 million, an increase of $25 million above the FY 2020 enacted level, for Hospital Preparedness Program formula grants.
  • $310 million, an increase of $50 million above the FY 2020 enacted level, for pandemic influenza.
  • $10 million for pediatric disaster care.
  • $5 million for a new effort to support the implementation of the National Biodefense Strategy.
  • $562 million for the Biomedical Advanced Research and Development Authority (BARDA), equal to the FY 2020 enacted and the President's budget request.
  • $735 million for Project BioShield, equal to the FY 2020 enacted level and $200 million above the President's budget request.
  • $705 million for the Strategic National Stockpile, equal to the FY 2020 enacted and the President's budget request.
  • At least $11 million for the National Emerging Special Pathogen Training and Education Center (NETEC) and 10 existing regional Ebola and other special pathogen treatment centers.

The bill includes emergency supplemental funding to support advanced research, development, manufacturing, production, and purchase of vaccines and therapeutics; enhancements to domestic vaccine production facilities; and innovation in antibacterial research and development:

  • $3.5 billion for Biomedical Advanced Research and Development Authority (BARDA) to support advanced research and development, and advanced manufacturing of vaccines and therapeutics.
  • $500 million for BARDA to support and promote innovation in antibacterial research and development.
  • $500 million for BARDA to support U.S.-based next generation vaccine manufacturing facility enhancements.

Public Health Emergency Fund – The bill provides $5 billion to deposit in a permanent emergency fund to ensure the Department of Health and Human Services is able to respond quickly and aggressively to a broad range of public health threats and protect the American people.

Department of Education (ED) – The bill provides a total of $73.5 billion in discretionary appropriations for ED, an increase of $716 million above the FY 2020 enacted level and $6.9 billion above the President's budget request. Of this amount, the bill includes:

  • $16.6 billion for Title I Grants to Local Educational Agencies, an increase of $254 million above the FY 2020 enacted level. The President's budget proposes to eliminate this program.
  • $14.1 billion for Special Education, an increase of $208 million above the FY 2020 enacted level and $108 million above the President's budget request. The amount includes:
    • $13 billion for Part B Grants to States, an increase of $194 million above the FY 2020 enacted level and $94 million above the President's budget request, and
    • $25 million for Special Olympics education programs, an increase of $5 million above the FY 2020 enacted level and the President's budget request.
  • $2.2 billion for Supporting Effective Instruction State Grants (Title II-A), an increase of $23 million above the FY 2020 enacted level. The President's budget proposes to eliminate this program.
  • $797 million for English Language Acquisition, an increase of $10 million above the FY 2020 enacted level. The President's budget proposes to eliminate this program.
  • $1.2 billion for Student Support and Academic Enrichment State Grants, an increase of $10 million above the FY 2020 enacted level. The President's budget proposes to eliminate this program.
  • $1.3 billion for Nita M. Lowey 21st Century Community Learning Centers, an increase of $13 million above the FY 2020 enacted level. The President's budget proposes to eliminate this program.
  • $400 million for the Charter School Program, $40 million below the FY 2020 enacted level. The President's budget request proposes to eliminate this program.
  • $85 million, an increase of $20 million over the FY 2020 enacted level, for grants to expand opportunities in Science, Technology, Engineering, and Math (STEM), includingcomputer science within the Education Innovation and Research program. The President's budget proposes to eliminate this program.
  • $172 million for a Social-Emotional Learning (SEL) Initiative to support SEL and "whole child" approaches to education. Within this amount, the bill provides:
    • $110 million, an increase of $45 million over the FY 2020 enacted level, for grants for evidence-based, field-initiated innovations that address student social, emotional, and cognitive needs within the Education Innovation and Research program. The President's budget proposes to eliminate this program;
    • $22 million to continue funding for grants within the Supporting Effective Educator Development (SEED) program with a priority for teacher professional development and pathways into teaching that provide a strong foundation in child development and learning, including skills for implementing SEL strategies. The President's budget proposes to eliminate this program;
    • $10 million within the School Safety National Activities program to continue funding for grants that will make schools safer by helping LEAs directly increase the number of mental health and child development experts in schools. The President's budget proposes to eliminate this program; and
    • $30 million, an increase of $5 million over the FY 2020 enacted level, for Full-Service Community Schools to provide comprehensive services and expand evidence-based models that meet the holistic needs of children, families, and communities. The President's budget proposes to eliminate this program.
  • Career, Technical and Adult Education—The bill provides $2 billion for Career, Technical and Adult Education, an increase of $25 million above the FY 2020 enacted level and $738 million below the President's budget request. This amount includes:
    • $1.3 billion for CTE State Grants, an increase of $18 million above the FY 2020 enacted level and $662 million below the President's budget request, and
    • $664 million for Adult EducationState Grants, an increase of $7 million above the FY 2020 enacted level and the President's budget request.
  • Student Financial Assistance— The bill provides $24.6 billion for Federal student aid programs, an increase of $45 million above the FY 2020 enacted level and $1.6 billion above the President's budget request. Within this amount, the bill provides:
    • $6,495 for the maximum Pell Grant, an increase of $150 above the FY 2020 enacted level and the President's budget request. The increase will help the maximum award keep pace with inflation.
    • $880 million for the Federal Supplemental Educational Opportunity Grant program, an increase of $15 million above the FY 2020 enacted level. The President's budget request proposes to eliminate this program.
    • $1.2 billion for Federal Work Study, an increase of $30 million above the FY 2020 enacted level and $710 million above the President's budget request.
  • Higher Education— The bill provides $2.6 billion for higher education programs, an increase of $81 million above the FY 2020 enacted level and $768 million above the President's budget request.
    • Within this amount, the bill provides $808 million, an increase of $49 million over the FY 2020 enacted level and $156 million over the President's budget request, to assist primarily Minority Serving Institutions(MSIs) in the Aid for Institutional Development account, including:
      • $344 million for Historically Black Colleges and Universities, an increase of $19 million above the FY 2020 enacted level and the President's budget request.
      • $155 million for Hispanic Serving Institutions, an increase of $12 million above the FY 2020 enacted level. The President's budget proposes to consolidate this and other MSI programs into a single MSI grant program, which the bill rejects.
      • $39 million for Tribally Controlled Colleges and Universities, an increase of $2 million above the FY 2020 enacted level and the President's budget request.
    • The bill also provides investments in the following higher education programs:
      • $1.1 billion for Federal TRIO programs, an increase of $10 million above the FY 2020 enacted level and $150 million above the President's budget request.
      • $370 million for GEAR UP, an increase of $5 million above the FY 2020 enacted level. The President's budget proposes to consolidate the program into the TRIO programs.
      • $52 million for Teacher Quality Partnerships, an increase of $2 million above the FY 2020 enacted level. The President's budget request proposes to eliminate this program.
      • $55 million for the Child Care Access Means Parents in School, an increase of $2 million above the FY 2020 enacted level and $40 million above the President's budget request.
      • $31 million for the Fund for the Improvement of Postsecondary Education, an increase of $6.5 million above the FY 2020 enacted level. The President's budget proposes to eliminate this program. This amount includes:
        • $7 million to continue the Centers of Excellence for Veteran Student Success Program to provide student veterans a one-stop-shop for academic support, networking opportunities, peer mentorship, financing assistance, counseling, and career services.
        • $7 million to continue the Open Textbook Pilot program to support the creation and expand the sustainable use of quality open college textbooks.
        • $7 million to promote the study of modeling and simulation at institutions of higher education, specifically to promote the use of technology in such study through the creation of accurate models that can simulate processes or recreate real life.
        • $5 million for a Basic Needs Grants pilot to help support college students achieve academic success by meeting their basic needs, such as housing, food, transportation, and access to physical and mental health.
        • $2 million for the operation of the National Center for Information and Technical Support for Postsecondary Students with Disabilities.
        • $2 million for a Center of Educational Excellence to help HBCUs increase the number of Black teachers.
        • $1 million to help support gang-involved youth transition to higher education.

Related Agencies –

  • $1.2 billion for the Corporation for National and Community Service (CNCS), an increase of $50 million above the FY 2020 enacted level. The President's budget proposes to eliminate CNCS.
  • Within the total amount, the bill includes:
  • $239 million for Senior Corps programs, an increase of $18 million over the FY 2020 enacted level.
  • $447 million for AmeriCorps, an increase of $18 million over the FY 2020 enacted level.
  • $35 million for National Civilian Community Corps, an increase of $2 million over the FY 2020 enacted level.
  • $515 million for the Corporation for Public Broadcasting (CPB), in 2023 advance funding, an increase of $50 million above the FY 2022 enacted level. In addition, the bill includes $20 million for the interconnection system and system wide infrastructure, equal to the FY 2020 enacted level. The President's budget request proposes to eliminate the CPB.
  • $257 million for the Institute of Museum and Library Services, an increase of $5 million above the FY 2020 enacted level. The President's budget request proposes to eliminate IMLS.
  • $278 million for the National Labor Relations Board (NLRB), an increase of $4 million above the FY 2020 enacted level and $31 million above the President's budget request. Within this amount, the bill includes $1 million and new bill language for the NLRB to establish and administer a process for electronic voting.
  • $13 billion for the Social Security Administration's (SSA) operating expenses, with an increase of $100 million above the FY 2020 enacted level to hire additional staff at field offices, teleservice and processing centers and improve public services.

Policy Provisions

Bolstering Pandemic Response

  • Strategic National Stockpile—The bill includes a new provision requiring a weekly report on the inventory of ventilators and personal protective equipment in the Strategic National Stockpile, as well as an annual professional judgment budget for necessary expenditures to maintain the minimum level of relevant supplies, including in the case of a pandemic.

Supporting Affordable Health Care

  • ACA Navigators—The bill directs CMS to use at least $100 million of carryover ACA user fees to support the ACA Navigators program, as well as outreach, enrollment, and advertising during the ACA open enrollment period.
  • Medicaid Non-Emergency Medical Transportation—The bill includes a new provision prohibiting funds from being used to publish a proposed regulation to limit the Medicaid non-emergency medical transportation benefit for Medicaid beneficiaries.

Protecting Migrants

  • Memorandum of Agreement—The bill includes a provision to prohibit any funding from being used to implement or enforce the Memorandum of Agreement (MOA) between the Office of Refugee Resettlement and the Department of Homeland Security that shares sponsor information with ICE for the purposes of immigration enforcement.
  • Influx Shelters—The bill prohibits funds from being used to house unaccompanied children in the custody of the Office of Refugee Resettlement in influx shelters that are not State-licensed for the care of unaccompanied children.
  • Congressional Oversight—The bill includes a modification of the FY 2020 enacted provision relating to Members of Congress and oversight of facilities responsible for the care of unaccompanied alien children.
  • Counseling Sessions—The bill prohibits the sharing of information provided by unaccompanied children during mental health or therapeutic services with the Department of Homeland Security or the Department of Justice for immigration enforcement.

Defending Reproductive Health Care

  • Title X Family Planning—The bill includes language to override the Administration's gag order and restore grant eligibility to Planned Parenthood and other health clinics that offer the full range of reproductive health services.
  • Teen Pregnancy Prevention Program (TPPP)—The bill includes new language to ensure that TPPP grantees offer medically accurate, complete, and age-appropriate programs, as required by statute.

Protecting Workers Rights

  • Home Health Workers—The bill includes a new provision to block the Administration's regulation to prevent unionized home health workers from using a payroll deduction to pay their union dues.
  • Joint Employer—The bill includes new provisions prohibiting funds from implementing Department of Labor and National Labor Relation Board rules that allow corporations not to be liable for wages and working conditions at their franchisees or contractors.
  • Merit Staffing—The bill includes a new provision prohibiting the use of funds to implement a final rule that would privatize job search functions and other essential services offered through the Employment Service system.

Protecting Civil Rights

  • Protections for the LGBTQ Community—The bill includes a new provision to block the Administration's new regulation that would allow discrimination in health and health education programs against individuals based on LGBTQ status.
  • Preventing Discrimination in Foster Care—The bill includes a new provision prohibiting funds from being awarded to a foster care organization that does not comply with nondiscrimination regulations related to age, disability, sex, race, color, national origin, religion, gender identity, or sexual orientation.
  • School Desegregation—The bill includes language eliminating a 46-year-old education authorizing statute provision that prohibits funds from being used to address school segregation.
  • Title IX—The bill includes a new provision prohibiting funds from implementing the final Title IX regulation regarding how schools respond to sexual assault and harassment and that disproportionately burdens complainants.

Expanding Opportunity and Ensuring Accountability in Education

  • Second Chance Pell—The bill includes new language allowing incarcerated individuals to be eligible for Pell Grants.
  • For-Profit College Accountability—The bill includes new language requiring for-profit colleges to derive more of their revenue from non-Federal sources and includes all Federal education assistance in the calculation.

Supporting People with Disabilities

  • Continuing Disability Reviews—The bill includes a new provision prohibiting the Social Security Administration from finalizing or implementing a new rule that would significantly increase the number and frequency of CDRs, cutting benefits to Social Security and SSI disabled beneficiaries.
  • Administrative Law Judges—The bill includes a new provision prohibiting the Social Security Administration from finalizing or implementing a proposed rule that would replace an individual's right to appeal their denied application for Social Security or SSI benefits before an independent Administrative Law Judges at a hearing, with an appeal before an SSA staff attorney.

Helping Reduce Injection-Related Infections to Save Lives

  • Syringe Exchange—The bill removes a longstanding general provision that prohibited federal funds from being used to purchase syringes as part of a public health campaign to provide services to individuals involved in injection drug use.