To require the United States Interagency Council on Homelessness to submit a report on improving health and housing outcomes for chronically homeless individuals, individuals with behavioral health conditions, and children.
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Senate amendment submitted
May 16, 2016
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Senate amendment submitted
May 16, 2016
Senate amendment agreed to: Amendment SA 3921 as modified agreed to in Senate by Voice Vote.(text as modified: CR S2815)
May 16, 2016
Senate amendment proposed (on the floor): Amendment SA 3921 proposed by Senator Collins for Senator Franken to Amendment SA 3896.(consideration: CR S2814-2815)
May 16, 2016
Senate amendment submitted
May 16, 2016
Amendment SA 3921 proposed by Senator Collins for Senator Franken to Amendment SA 3896. (consideration: CR S2814-2815) To require the United States Interagency Council on Homelessness to submit a report on improving health and housing outcomes for chronically homeless individuals, individuals with behavioral health conditions, and children.
May 16, 2016
Amendment SA 3921 as modified agreed to in Senate by Voice Vote. (text as modified: CR S2815)
May 16, 2016
Text
Modified
TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED AGENCIES APPROPRIATIONS ACT, 2016 Ms. COLLINS. Mr. President, what is the pending business? The PRESIDING OFFICER. H.R. 2577 is the pending business, which the clerk will report. The senior assistant legislative clerk read as follows: A bill (H.R. 2577) making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2016, and for other purposes. Pending: Collins amendment No. 3896, in the nature of a substitute. McConnell (for Lee) amendment No. 3897 (to amendment No. 3896), to prohibit the use of funds to carry out a rule and notice of the Department of Housing and Urban Development. McConnell (for Nelson/Rubio) amendment No. 3898 (to amendment No. 3896), making supplemental appropriations for fiscal year 2016 to respond to Zika virus. McConnell (for Cornyn/Johnson) amendment No. 3899 (to amendment No. 3896), making emergency supplemental appropriations for the fiscal year ending September 30, 2016. McConnell (for Blunt) amendment No. 3900 (to amendment No. 3896), Zika response and preparedness. The PRESIDING OFFICER. The Senator from Maine. Ms. COLLINS. Mr. President, we are working very hard on both sides of the aisle. Senator Reed and I have been discussing a package of amendments which we ultimately hope to approve by unanimous consent. We are making sure that it is a balanced package, reflecting both Republican and Democratic initiatives. These are amendments that are acceptable to both of us as managers of the bill, but we are waiting for the process to work its way through. My hope is that we might be able to do it this evening, but if not this evening, then perhaps we will be able to turn to it first thing in the morning. I thank the Presiding Officer and suggest the absence of a quorum. The PRESIDING OFFICER. The clerk will call the roll. The senior assistant legislative clerk proceeded to call the roll. Ms. COLLINS. Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. The PRESIDING OFFICER. Without objection, it is so ordered. Amendments Nos. 3903; 3909; 3917; 3919; 3922; and 3921, as Modified, to Amendment No. 3896 Ms. COLLINS. Mr. President, I ask unanimous consent that the following amendments be called up en bloc and reported by number: Heitkamp No. 3903; Barrasso No. 3909; Ayotte No. 3917; Mikulski-Shelby No. 3919; Feinstein-Portman No. 3922; and Franken-Tillis No. 3921, as modified. The PRESIDING OFFICER. Without objection, it is so ordered. The clerk will report the amendments by number. The senior assistant legislative clerk read as follows: The Senator from Maine [Ms. Collins], for others, proposes amendments numbered 3903; 3909; 3917; 3919; 3922; and 3921, as modified, en bloc to amendment No. 3896. The amendments are as follows: Amendment No. 3903 (Purpose: To require a report on the economic and infrastructure effects on airports of collegiate aviation flight training operations) On page 26, after line 21, add the following: Sec. 119J. (a) Not later than one year after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report assessing the importance of collegiate aviation flight training operations and the effect of such operations on the economy and infrastructure of airports in the National Plan of Integrated Airport Systems. (b) In the report required by subsection (a), the Comptroller General shall include the following: (1) An assessment of the total capacity of collegiate aviation flight training programs in the United States to meet the needs of the United States to train commercial pilots. (2) An assessment of the footprint of collegiate aviation flight training operations at the airports in the United States. (3) An assessment of whether infrastructure beyond that necessary for operations of commercial air carriers is needed at airports at which collegiate aviation flight training operations are conducted. (4) If such infrastructure is needed, an estimate of the cost of such infrastructure. (5) An identification of funding sources, available before the date of the enactment of this Act or that may become available after such date of enactment, that may be used to construct such infrastructure. (6) Recommendations for improving technical and financial assistance to airports to construct such infrastructure. Amendment No. 3909 (Purpose: To allow Indian tribes to use certain funds to construct housing for certain skilled workers) On page 103, line 18, insert ``and, notwithstanding title I of that Act (42 U.S.C. 5301 et seq.), eligible Indian tribes may use funds made available under this paragraph for the construction of housing for law enforcement, health care, educational, technical, and other skilled workers'' after ``title)''. Amendment No. 3917 (Purpose: To prohibit the use of funds for the Continuum of Care program of the Department of Housing and Urban Development unless the program allows for zero-tolerance recovery housing) In the matter under the heading ``homeless assistance grants'' under the heading ``Community Planning and Development'' in title II of division A, insert before the period at the end the following: ``: Provided further, That none of the funds provided under this heading shall be available for the continuum of care program unless the Secretary ensures that zero-tolerance recovery housing programs are eligible to receive funds under the continuum of care program''. [[Page S2815]] Amendment No. 3919 (Purpose: To provide for safety improvements on transit systems) At the appropriate place in title I of division A, insert the following: Sec. __. Notwithstanding any other provision of this Act-- (1) the total amount made available under the heading ``administrative expenses'' under the heading ``Federal Transit Administration'' shall be $113,165,000; and (2) the total amount made available under the heading ``salaries and expenses'' under the heading ``Office of the Secretary'' shall be $113,896,000. Amendment No. 3922 (Purpose: To allow jurisdictions to maintain access to certain funds deposited in their HOME Investment Trust Fund that would otherwise expire) At the appropriate place in title II of division A, insert the following: Sec. __. Section 218(g) of the Cranston-Gonzalez National Affordable Housing Act (42 U.S.C. 12748(g)) shall not apply with respect to the right of a jurisdiction to draw funds from its HOME Investment Trust Fund that otherwise [expired or would] expire in 2016, 2017, 2018, or 2019 under that section. amendment 3921, as modified (Purpose: To require the United States Interagency Council on Homelessness to submit a report on improving health and housing outcomes for chronically homeless individuals, individuals with behavioral health conditions, and children) At the appropriate place in division A, insert the following: Sec. __. Not later than 24 months after the date of enactment of this Act, the United States Interagency Council on Homelessness shall submit to Congress a report that assesses how Federal housing programs and Federal health programs could better collaborate to reduce costs and improve health and housing outcomes, in particular for-- (1) chronically homeless individuals; (2) homeless individuals with behavioral health conditions; and (3) homeless children, including infants, in families that-- (A) receive housing assistance under programs administered by the Federal Government; or (B) could benefit from grant programs administered by the Federal Government. Ms. COLLINS. I ask unanimous consent that the Senate now vote on these amendments en bloc. The PRESIDING OFFICER. Without objection, it is so ordered. Ms. COLLINS. I know of no further debate on these amendments. The PRESIDING OFFICER. Is there further debate? The PRESIDING OFFICER. If not, the question is on agreeing to the amendments en bloc. The amendments (Nos. 3903; 3909; 3917; 3919; 3922; and 3921, as modified) were agreed to en bloc. Amendment No. 3899, As Modified Ms. COLLINS. Mr. President, I ask unanimous consent that the Cornyn amendment No. 3899 be modified with the changes that are at the desk. The PRESIDING OFFICER. Without objection, it is so ordered. The amendment, as modified, is as follows: (Purpose: Making emergency supplemental appropriations for the fiscal year ending September 30, 2016, and for other purposes) At the appropriate place in division B, insert the following: TITLE __ ZIKA RESPONSE AND PREPAREDNESS CHAPTER 1 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration primary health care For an additional amount for fiscal year 2016 for ``Primary Health Care'', $40,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally: Provided, That funds appropriated in this paragraph shall be used to expand the delivery of primary health services authorized by section 330 of the Public Health Service (``PHS'') Act in Puerto Rico and other territories: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. health workforce For an additional amount for fiscal year 2016 for ``Health Workforce'', $6,000,000 to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally: Provided, That funds appropriated in this paragraph may, for purposes of providing primary health services in areas affected by Zika virus or other vector-borne diseases, be used to assign National Health Service Corps (``NHSC'') members to Puerto Rico and other Territories, notwithstanding the assignment priorities and limitations in or under sections 333(a)(1)(D), 333(b), or 333A(a) of the PHS Act, and to make NHSC Loan Repayment Program awards under section 338B of such Act: Provided further, That for purposes of the previous proviso, section 331(a)(3)(D) of the PHS Act shall be applied as if the term ``primary health services'' included health services regarding pediatric subspecialists: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. maternal and child health For an additional amount for fiscal year 2016 for ``Maternal and Child Health'', $5,000,000 to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally: Provided, That funds appropriated in this paragraph may be awarded for projects of regional and national significance in Puerto Rico and other Territories authorized under section 501 of the Social Security Act, notwithstanding section 502 of such Act: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Centers for Disease Control and Prevention cdc-wide activities and program support For an additional amount for fiscal year 2016 for ``CDC- Wide Activities and Program Support'', $449,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally; and to carry out titles II, III, and XVII of the PHS Act with respect to domestic preparedness and global health: Provided, That products purchased with these funds may, at the discretion of the Secretary of Health and Human Services, be deposited in the Strategic National Stockpile under section 319F-2 of the PHS Act: Provided further, That funds may be used for purchase and insurance of official motor vehicles in foreign countries: Provided further, That the provisions in section 317S of the PHS Act shall not apply to the use of funds appropriated in this paragraph: Provided further, That funds appropriated in this paragraph may be used for grants for the construction, alteration, or renovation of nonfederally owned facilities to improve preparedness and response capability at the State and local level: Provided further, That of the amount appropriated in this paragraph, $88,000,000 may be used to reimburse accounts administered by the Centers for Disease Control and Prevention for obligations incurred for Zika virus response prior to the enactment of this Act: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. National Institutes of Health national institute of allergy and infectious diseases For an additional amount for fiscal year 2016 for ``National Institute of Allergy and Infectious Diseases'', $200,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally, including expenses related to carrying out section 301 and title IV of the PHS Act: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Office of the Secretary public health and social services emergency fund (including transfer of funds) For an additional amount for fiscal year 2016 for ``Public Health and Social Services Emergency Fund'', $150,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally; to develop necessary countermeasures and vaccines, including the development and purchase of vaccines, therapeutics, diagnostics, necessary medical supplies, and administrative activities; for carrying out titles II, III, and XVII of the PHS Act with respect to domestic preparedness and global health; and for additional payments for distribution as provided for under the ``Social Services Block Grant Program'': Provided, That funds appropriated in this paragraph may be used to procure security countermeasures (as defined in section 319F-2(c)(1)(B) of the PHS Act, as amended by this Act): Provided further, That paragraphs (1) and (7)(C) of subsection (c) of section 319F-2 of the PHS Act, but no other provisions of such section, shall apply to such security countermeasures procured with funds appropriated in this paragraph: Provided further, That products purchased with funds appropriated in this paragraph may, at the discretion of the Secretary of Health and Human Services, be deposited in the Strategic National Stockpile under section 319F-2 of the PHS Act: Provided further, That countermeasures related to the Zika virus procured [[Page S2816]] with funds appropriated in this paragraph shall be deemed to be security countermeasures as defined in section 319F- 2(c)(1) of the PHS Act, and paragraph (7)(C), but no other provision, of such section 319F-2(c) shall apply to procurements of such countermeasures: Provided further, That $75,000,000 shall be transferred to ``Social Services Block Grant'' for health services, notwithstanding section 2005(a)(4) of the Social Security Act, in territories with active or local transmission cases of the Zika virus, as confirmed by the Centers for Disease Control and Prevention: Provided further, That the Secretary of Health and Human Services shall distribute funds transferred to the ``Social Services Block Grant'' in this paragraph to such territories in accordance with objective criteria that are made available to the public: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provisions--This Chapter (including transfer of funds) Sec. __. For purposes of preventing, preparing for, and responding to Zika virus, other vector-borne diseases, and related health outcomes domestically and internationally, the Secretary of Health and Human Services may use funds provided in this chapter to acquire, lease, construct, alter, renovate, equip, furnish, or manage facilities outside of the United States, as necessary to conduct such programs, in consultation with the Secretary of State, either directly for the use of the United States Government or for the use, pursuant to grants, direct assistance, or cooperative agreements, of public or nonprofit private institutions or agencies in participating foreign countries. Sec. __. Funds appropriated by this chapter may be used by the heads of the Department of Health and Human Services, Department of State, and the Agency for International Development to appoint, without regard to the provisions of sections 3309 through 3319 of title 5 of the United States Code, candidates needed for positions to perform critical work relating to Zika response for which-- (1) public notice has been given; and (2) the Secretary of Health and Human Services has determined that such a public health threat exists. Sec. __. Funds appropriated in this chapter may be transferred to, and merged with, other appropriation accounts under the headings ``Centers for Disease Control and Prevention'', ``Public Health and Social Services Emergency Fund'', ``Health Resources and Services Administration'', and ``National Institutes of Health'' for the purposes specified in this chapter following consultation with the Office of Management and Budget: Provided, That the Committees on Appropriations shall be notified 10 days in advance of any such transfer: Provided further, That, upon a determination that all or part of the funds transferred from an appropriation are not necessary, such amounts may be transferred back to that appropriation: Provided further, That none of the funds made available by this chapter may be transferred pursuant to the authority in section 206 of division G of Public Law 113-235 or section 241(a) of the PHS Act. Sec. __. Not later than 30 days after enactment of this Act, the Secretary of Health and Human Services shall provide a detailed spend plan of anticipated uses of funds made available in this chapter, including estimated personnel and administrative costs, to the Committees on Appropriations. The Secretary of Health and Human Services should also provide quarterly obligation updates to the Committees until all funds are expended or expire. CHAPTER 2 DEPARTMENT OF STATE Administration of Foreign Affairs diplomatic and consular programs For an additional amount for fiscal year 2016 for ``Diplomatic and Consular Programs'', $14,594,000, to remain available until September 30, 2017, for necessary expenses to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That up to $4,000,000 may be made available for medical evacuation costs of any other Department or agency of the United States under the Chief of Mission authority, and may be transferred to any other appropriation of such Department or agency for such costs: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. emergencies in the diplomatic and consular service For an additional amount for fiscal year 2016 for ``Emergencies in the Diplomatic and Consular Services'', $4,000,000 for necessary expenses to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases, to remain available until expended: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. repatriation loans program account For an additional amount for fiscal year 2016 for ``Repatriation Loans Program Account'' for the cost of direct loans, $1,000,000, to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases, to remain available until expended: Provided, That such costs, including costs of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That such funds are available to subsidize an additional amount of gross obligations for the principal amount of direct loans not to exceed $1,880,406: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. United States Agency for International Development funds appropriated to the president operating expenses For an additional amount for fiscal year 2016 for ``Operating Expenses'', $10,000,000, to remain available until September 30, 2017, for necessary expenses to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Bilateral Economic Assistance funds appropriated to the president global health programs For an additional amount for fiscal year 2016 for ``Global Health Programs'', $211,000,000, to remain available until expended, for necessary expenses for assistance or research to prevent, treat, or otherwise respond to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That such funds may be made available for multi-year funding commitments to incentivize the development of global health technologies, following consultation with the Committees on Appropriations: Provided further, That none of the funds appropriated in this chapter may be made available for the Grand Challenges for Development program: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. International Security Assistance department of state nonproliferation, anti-terrorism, demining and related programs For an additional amount for fiscal year 2016 for ``Nonproliferation, Anti-Terrorism, Demining and Related Programs'', $4,000,000, to remain available until September 30, 2017, for necessary expenses to support response and research efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Multilateral Assistance funds appropriated to the president international organizations and programs For an additional amount for fiscal year 2016 for ``International Organizations and Programs'', $13,500,000, to remain available until September 30, 2017, for necessary expenses to support response and research efforts related to the Zika virus and related health outcomes, other vector- borne diseases, or other infectious diseases: Provided, That section 307(a) of the Foreign Assistance Act of 1961 shall not apply to funds appropriated under this heading: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provisions--This Chapter (including transfer of funds) Sec. __. (a) Funds appropriated by this chapter under the headings ``Global Health Programs'', ``Nonproliferation, Anti-terrorism, Demining and Related Programs'', ``International Organizations and Programs'', and ``Operating Expenses'' may be transferred to, and merged with, funds appropriated by this chapter under such headings to carry out the purposes of this chapter. (b) Funds appropriated by this chapter under the headings ``Diplomatic and Consular Programs'', ``Emergencies in the Diplomatic and Consular Service'', and ``Repatriation Loans Program Account'' may be transferred to, and merged with, funds appropriated by this chapter under such headings to carry out the purposes of this chapter. (c) The transfer authorities provided by this section are in addition to any other transfer authority provided by law. (d) Upon a determination that all or part of the funds transferred pursuant to the authorities provided by this section are not necessary for such purposes, such amounts may be transferred back to such appropriations. (e) No funds shall be transferred pursuant to this section unless at least 15 days prior to making such transfer the Secretary of State or the Administrator of the United [[Page S2817]] States Agency for International Development (USAID), as appropriate, notifies the Committees on Appropriations in writing of the details of any such transfer. notification requirement Sec. __. Funds appropriated by this chapter that are made available to respond to the Zika virus outbreak, other vector-borne diseases, or other infectious diseases shall not be available for obligation unless the Secretary of State or the USAID Administrator, as appropriate, notifies the Committees on Appropriations in writing at least 15 days in advance of such obligation. spend plan requirement Sec. __. Not later than 45 days after the date of enactment of this Act and prior to the obligation of funds made available by this chapter to respond to the Zika virus outbreak, other vector-borne diseases, or other infectious diseases, the Secretary of State and the USAID Administrator, as appropriate, shall submit spend plans to the Committees on Appropriations on the anticipated uses of funds on a country and project basis, including estimated personnel and administrative costs: Provided, That such plans shall be updated and submitted to the Committee on Appropriations every 90 days until September 30, 2017, and every 180 days thereafter until all funds have been fully expended. comptroller general oversight Sec. __. Of the funds appropriated by this chapter, up to $500,000 shall be made available to the Comptroller General of the United States, to remain available until expended, for oversight of activities supported pursuant to this chapter with funds appropriated by this chapter: Provided, That the Secretary of State and USAID Administrator, as appropriate, and the Comptroller General shall consult with the Committees on Appropriations prior to obligating such funds. rescission Sec. __. Of the unobligated balances available under the heading ``Operating Expenses'' in title IX of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2015 (division J of Public Law 113-235), $10,000,000 are rescinded: Provided, That such amounts are designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. CHAPTER 3 REMOVING BARRIERS TO COMBATING THE ZIKA VIRUS AND MOSQUITO-BORNE TRANSMISSION OF DISEASE removing barriers to combating the zika virus and mosquito-borne transmission of disease Sec. __. Section 402 of the Federal Water Pollution Control Act (33 U.S.C. 1342) is amended by adding at the end the following: ``(s) Mosquito Control Waiver.--Notwithstanding any other provision of this section, the Administrator (or a State, in the case of a permit program approved under subsection (b)) shall not require a permit for a discharge from the application by an entity authorized under State or local law, such as a vector control district, of a pesticide in compliance with all relevant requirements of the Federal Insecticide, Fungicide, and Rodenticide Act (7 U.S.C. 136 et seq.) to control mosquitos or mosquito larvae to protect the public health and welfare, including for the prevention or control of the Zika virus, West Nile virus, or dengue fever. The Administrator shall not directly or indirectly require any State to require such a permit.''. CHAPTER 4 GENERAL PROVISIONS--THIS TITLE extension of authorities and provisions Sec. __. Unless otherwise provided for by this title, the additional amounts appropriated pursuant to this title for fiscal year 2016 are subject to the requirements for funds contained in the Consolidated Appropriations Act, 2016 (Public Law 114-113). personal service contractors Sec. __. Funds made available by this title to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases may be used to enter into contracts with individuals for the provision of personal services (as described in section 104 of part 37 of title 48, Code of Federal Regulations (48 CFR 37.104)), within the United States and abroad, subject to prior consultation with, and the notification procedures of, the Committees on Appropriations: Provided, That such individuals may not be deemed employees of the United States for the purpose of any law administered by the Office of Personnel Management. designation requirement Sec. __. Each amount designated in this title by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available (or rescinded, if applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress. effective date Sec. __. This title shall become effective immediately upon enactment of this Act. recission Sec. __. From amounts appropriated for the Prevention and Public Health Fund under section 4002 of the Patient Protection and Affordable Care Act (42 U.S.C. 300u-11)-- (1) for fiscal year 2017, $931,000,000 shall be rescinded on the date on which such amounts are available for obligation; and (2) for fiscal year 2018, $200,000,000 shall be rescinded on the date on which such amounts are available for obligation. short title Sec. __. This title may be cited as the ``Emergency Supplemental Appropriations for Zika Response and Preparedness Act, 2016''. Amendment No. 3900, as Modified Ms. COLLINS. Mr. President, I ask unanimous consent that the Blunt amendment No. 3900 be modified with the changes that are at the desk. The PRESIDING OFFICER. Without objection, it is so ordered. The amendment, as modified, is as follows: (Purpose: Zika response and preparedness) At the appropriate place in division B, insert the following: TITLE __ ZIKA RESPONSE AND PREPAREDNESS CHAPTER 1 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration primary health care For an additional amount for fiscal year 2016 for ``Primary Health Care'', $40,000,000 to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally: Provided, That funds appropriated in this paragraph shall be used to expand the delivery of primary health services authorized by section 330 of the Public Health Service (``PHS'') Act in Puerto Rico and other territories: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. health workforce For an additional amount for fiscal year 2016 for ``Health Workforce'', $6,000,000 to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally: Provided, That funds appropriated in this paragraph may, for purposes of providing primary health services in areas affected by Zika virus or other vector-borne diseases, be used to assign National Health Service Corps (``NHSC'') members to Puerto Rico and other Territories, notwithstanding the assignment priorities and limitations in or under sections 333(a)(1)(D), 333(b), or 333A(a) of the PHS Act, and to make NHSC Loan Repayment Program awards under section 338B of such Act: Provided further, That for purposes of the previous proviso, section 331(a)(3)(D) of the PHS Act shall be applied as if the term ``primary health services'' included health services regarding pediatric subspecialists: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. maternal and child health For an additional amount for fiscal year 2016 for ``Maternal and Child Health'', $5,000,000 to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally: Provided, That funds appropriated in this paragraph may be awarded for projects of regional and national significance in Puerto Rico and other Territories authorized under section 501 of the Social Security Act, notwithstanding section 502 of such Act: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Centers for Disease Control and Prevention cdc-wide activities and program support For an additional amount for fiscal year 2016 for ``CDC- Wide Activities and Program Support'', $449,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally; and to carry out titles II, III, and XVII of the PHS Act with respect to domestic preparedness and global health: Provided, That products purchased with these funds may, at the discretion of the Secretary of Health and Human Services, be deposited in the Strategic National Stockpile under section 319F-2 of the PHS Act: Provided further, That funds may be used for purchase and insurance of official motor vehicles in foreign countries: Provided further, That the provisions in section 317S of the PHS Act shall not apply to the use of funds appropriated in this paragraph: Provided further, That funds appropriated in this paragraph may be used for grants for the construction, alteration, or renovation of non-federally owned facilities to improve preparedness and response capability at the State and local level: Provided further, That of the amount appropriated in this paragraph, $88,000,000 may be [[Page S2818]] used to reimburse accounts administered by the Centers for Disease Control and Prevention for obligations incurred for Zika virus response prior to the enactment of this Act: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. National Institutes of Health national institute of allergy and infectious diseases For an additional amount for fiscal year 2016 for ``National Institute of Allergy and Infectious Diseases'', $200,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally, including expenses related to carrying out section 301 and title IV of the PHS Act: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Office of the Secretary public health and social services emergency fund (including transfer of funds) For an additional amount for fiscal year 2016 for ``Public Health and Social Services Emergency Fund'', $150,000,000, to remain available until September 30, 2017, to prevent, prepare for, and respond to Zika virus, other vector-borne diseases, and related health outcomes, domestically and internationally; to develop necessary countermeasures and vaccines, including the development and purchase of vaccines, therapeutics, diagnostics, necessary medical supplies, and administrative activities; for carrying out titles II, III, and XVII of the PHS Act with respect to domestic preparedness and global health; and for additional payments for distribution as provided for under the ``Social Services Block Grant Program'': Provided, That funds appropriated in this paragraph may be used to procure security countermeasures (as defined in section 319F-2(c)(1)(B) of the PHS Act, as amended by this Act): Provided further, That paragraphs (1) and (7)(C) of subsection (c) of section 319F-2 of the PHS Act, but no other provisions of such section, shall apply to such security countermeasures procured with funds appropriated in this paragraph: Provided further, That products purchased with funds appropriated in this paragraph may, at the discretion of the Secretary of Health and Human Services, be deposited in the Strategic National Stockpile under section 319F-2 of the PHS Act: Provided further, That countermeasures related to the Zika virus procured with funds appropriated in this paragraph shall be deemed to be security countermeasures as defined in section 319F-2(c)(1) of the PHS Act, and paragraph (7)(C), but no other provision, of such section 319F-2(c) shall apply to procurements of such countermeasures: Provided further, That $75,000,000 shall be transferred to ``Social Services Block Grant'' for health services, notwithstanding section 2005(a)(4) of the Social Security Act, in territories with active or local transmission cases of the Zika virus, as confirmed by the Centers for Disease Control and Prevention: Provided further, That the Secretary of Health and Human Services shall distribute funds transferred to the ``Social Services Block Grant'' in this paragraph to such territories in accordance with objective criteria that are made available to the public: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provisions--This Chapter (including transfer of funds) Sec. __. For purposes of preventing, preparing for, and responding to Zika virus, other vector-borne diseases, and related health outcomes domestically and internationally, the Secretary of Health and Human Services may use funds provided in this chapter to acquire, lease, construct, alter, renovate, equip, furnish, or manage facilities outside of the United States, as necessary to conduct such programs, in consultation with the Secretary of State, either directly for the use of the United States Government or for the use, pursuant to grants, direct assistance, or cooperative agreements, of public or nonprofit private institutions or agencies in participating foreign countries. Sec. __. Funds appropriated by this chapter may be used by the heads of the Department of Health and Human Services, Department of State, and the Agency for International Development to appoint, without regard to the provisions of sections 3309 through 3319 of title 5 of the United States Code, candidates needed for positions to perform critical work relating to Zika response for which-- (1) public notice has been given; and (2) the Secretary of Health and Human Services has determined that such a public health threat exists. Sec. __. Funds appropriated in this chapter may be transferred to, and merged with, other appropriation accounts under the headings ``Centers for Disease Control and Prevention'', ``Public Health and Social Services Emergency Fund'', ``Health Resources and Services Administration'', and ``National Institutes of Health'' for the purposes specified in this chapter following consultation with the Office of Management and Budget: Provided, That the Committees on Appropriations shall be notified 10 days in advance of any such transfer: Provided further, That, upon a determination that all or part of the funds transferred from an appropriation are not necessary, such amounts may be transferred back to that appropriation: Provided further, That none of the funds made available by this chapter may be transferred pursuant to the authority in section 206 of division G of Public Law 113-235 or section 241(a) of the PHS Act. Sec. __. Not later than 30 days after enactment of this Act, the Secretary of Health and Human Services shall provide a detailed spend plan of anticipated uses of funds made available in this chapter, including estimated personnel and administrative costs, to the Committees on Appropriations. The Secretary of Health and Human Services should also provide quarterly obligation updates to the Committees until all funds are expended or expire. CHAPTER 2 DEPARTMENT OF STATE Administration of Foreign Affairs diplomatic and consular programs For an additional amount for fiscal year 2016 for ``Diplomatic and Consular Programs'', $14,594,000, to remain available until September 30, 2017, for necessary expenses to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That up to $4,000,000 may be made available for medical evacuation costs of any other Department or agency of the United States under Chief of Mission authority, and may be transferred to any other appropriation of such Department or agency for such costs: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. emergencies in the diplomatic and consular service For an additional amount for fiscal year 2016 for ``Emergencies in the Diplomatic and Consular Service'', $4,000,000 for necessary expenses to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases, to remain available until expended: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. repatriation loans program account For an additional amount for fiscal year 2016 for ``Repatriation Loans Program Account'' for the cost of direct loans, $1,000,000, to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases, to remain available until expended: Provided, That such costs, including costs of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That such funds are available to subsidize an additional amount of gross obligations for the principal amount of direct loans not to exceed $1,880,406: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. United States Agency for International Development funds appropriated to the president operating expenses For an additional amount for fiscal year 2016 for ``Operating Expenses'', $10,000,000, to remain available until September 30, 2017, for necessary expenses to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Bilateral Economic Assistance funds appropriated to the president global health programs For an additional amount for fiscal year 2016 for ``Global Health Programs'', $211,000,000, to remain available until expended, for necessary expenses for assistance or research to prevent, treat, or otherwise respond to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases: Provided, That such funds may be made available for multi-year funding commitments to incentivize the development of global health technologies, following consultation with the Committees on Appropriations: Provided further, That none of the funds appropriated in this chapter may be made available for the Grand Challenges for Development program: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. International Security Assistance department of state nonproliferation, anti-terrorism, demining and related programs For an additional amount for fiscal year 2016 for ``Nonproliferation, Anti-terrorism, Demining and Related Programs'', $4,000,000, [[Page S2819]] to remain available until September 30, 2017, for necessary expenses to support response and research efforts related to the Zika virus and related health outcomes, other vector- borne diseases, or other infectious diseases: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Multilateral Assistance funds appropriated to the president international organizations and programs For an additional amount for fiscal year 2016 for ``International Organizations and Programs'', $13,500,000, to remain available until September 30, 2017 for necessary expenses to support response and research efforts related to the Zika virus and related health outcomes, other vector- borne diseases, or other infectious diseases: Provided, That section 307(a) of the Foreign Assistance Act of 1961 shall not apply to funds appropriated under this heading: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provisions--This Chapter (including transfer of funds) Sec. __. (a) Funds appropriated by this chapter under the headings ``Global Health Programs'', ``Nonproliferation, Anti-terrorism, Demining and Related Programs'', ``International Organizations and Programs'', and ``Operating Expenses'' may be transferred to, and merged with, funds appropriated by this chapter under such headings to carry out the purposes of this chapter. (b) Funds appropriated by this chapter under the headings ``Diplomatic and Consular Programs'', ``Emergencies in the Diplomatic and Consular Service'', and ``Repatriation Loans Program Account'' may be transferred to, and merged with, funds appropriated by this chapter under such headings to carry out the purposes of this chapter. (c) The transfer authorities provided by this section are in addition to any other transfer authority provided by law. (d) Upon a determination that all or part of the funds transferred pursuant to the authorities provided by this section are not necessary for such purposes, such amounts may be transferred back to such appropriations. (e) No funds shall be transferred pursuant to this section unless at least 15 days prior to making such transfer the Secretary of State or the Administrator of the United States Agency for International Development (USAID), as appropriate, notifies the Committees on Appropriations in writing of the details of any such transfer. notification requirement Sec. __. Funds appropriated by this chapter that are made available to respond to the Zika virus outbreak, other vector-borne diseases, or other infectious diseases shall not be available for obligation unless the Secretary of State or the USAID Administrator, as appropriate, notifies the Committees on Appropriations in writing at least 15 days in advance of such obligation. spend plan requirement Sec. __. Not later than 45 days after enactment of this Act and prior to the obligation of funds made available by this chapter to respond to the Zika virus outbreak, other vector-borne diseases, or other infectious diseases, the Secretary of State and the USAID Administrator, as appropriate, shall submit spend plans to the Committees on Appropriations on the anticipated uses of funds on a country and project basis, including estimated personnel and administrative costs: Provided, That such plans shall be updated and submitted to the Committee on Appropriations every 90 days until September 30, 2017, and every 180 days thereafter until all funds have been fully expended. comptroller general oversight Sec. __. Of the funds appropriated by this chapter, up to $500,000 shall be made available to the Comptroller General of the United States, to remain available until expended, for oversight of activities supported pursuant to this chapter with funds appropriated by this chapter: Provided, That the Secretary of State and USAID Administrator, as appropriate, and the Comptroller General shall consult with the Committees on Appropriations prior to obligating such funds. rescission Sec. __. Of the unobligated balances available under the heading ``Operating Expenses'' in title IX of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2015 (division J of Public Law 113-235), $10,000,000 are rescinded: Provided, That such amounts are designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. CHAPTER 3 GENERAL PROVISIONS--THIS TITLE extension of authorities and provisions Sec. __. Unless otherwise provided for by this title, the additional amounts appropriated pursuant to this title for fiscal year 2016 are subject to the requirements for funds contained in the Consolidated Appropriations Act, 2016 (Public Law 114-113). personal service contractors Sec. __. Funds made available by this title to support response efforts related to the Zika virus and related health outcomes, other vector-borne diseases, or other infectious diseases may be used to enter into contracts with individuals for the provision of personal services (as described in section 104 of part 37 of title 48, Code of Federal Regulations (48 CFR 37.104)), within the United States and abroad, subject to prior consultation with, and the notification procedures of, the Committees on Appropriations: Provided, That such individuals may not be deemed employees of the United States for the purpose of any law administered by the Office of Personnel Management. designation requirement Sec. __. Each amount designated in this title by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available (or rescinded, if applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress. effective date Sec. __. This title shall become effective immediately upon enactment of this Act. Ms. COLLINS. Mr. President, that allowed us to move forward on the appropriations bill we are now considering. I am very pleased, and I thank the ranking member for working so cooperatively, and I thank all of the sponsors of these amendments for working with us so we can start to make real progress on this appropriations bill. ____________________