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Yes: 674 • No: 386
119-hr-7148119th CongressWALLET
Consolidated Appropriations Act, 2026
Sponsored By: Representative Cole, Tom [R-OK-4]
Became Law
Summary
Funds the federal government for FY2026 with major appropriations across Defense, Health, Transportation, Housing, Treasury, and Foreign Operations.
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It pairs line‑item dollar totals with policy changes that reshape Medicare and Medicaid rules, require new pharmacy benefit manager transparency and pass‑throughs, boost NIH/CDC and public‑health grants, tighten DoD procurement and domestic sourcing, and set detailed country‑by‑country foreign assistance conditions.
- Families, patients, and seniors see changes to Medicare and Medicaid policy along with large program funding, including state Medicaid grants of about $508.1 billion and Medicare HI/SMI payments near $593.8 billion. Telehealth and Acute Hospital Care at Home flexibilities are extended and new multi‑cancer early detection coverage phases in beginning 2029.
- Communities, renters, and local projects receive housing and infrastructure investments, such as the Community Development Fund around $7.0 billion and the HOME program about $1.3 billion. Tenant‑based vouchers, public housing health and lead grants, and FAA/highway grant lines back workforce and local construction.
- Service members, the defense industrial base, and allied partners face detailed DoD procurement, multiyear contract limits, domestic sourcing rules, and targeted security aid including a $1.0 billion Taiwan initiative and $500 million for Israeli cooperative programs. Transfer, reporting, and Buy American rules shape execution across the department.
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Bill Overview
Analyzed Economic Effects
307 provisions identified: 204 benefits, 39 costs, 64 mixed.
Medicare will cover multi‑cancer tests
Medicare covers Multi‑Cancer Early Detection blood tests on or after January 1, 2029 if the test is cleared or approved and found reasonable and necessary. Until January 1, 2031, payment matches the multi‑target stool DNA test rate. After that, payment is the lower of that rate or the clinical lab fee schedule amount. No payment is made for people under 50, and in 2029 there is no payment under age 65, with the age limit rising one year each year unless USPSTF recommends earlier screening.
More funding for community health and telehealth
The law funds major health programs. It provides $2.571 billion for Ryan White HIV/AIDS care and drug help. Rural health gets $392.9 million, including at least $5 million for rural emergency hospital assistance. HRSA gets $1.076 billion, with $45.55 million for telehealth and $857.793 million for clinic construction and one‑time grants. Title X family planning gets $286.479 million; these funds cannot pay for abortions, and counseling must be nondirective.
Flood insurance extended through September 2026
The National Flood Insurance Program stays authorized through September 30, 2026. If the law is enacted after January 30, 2026, this extension is treated as effective on January 30, 2026. Homeowners in flood‑prone areas keep access to federal flood insurance.
More funding and flex for public housing
The law provides $8.319 billion for 2026 public housing operations and repairs, available through September 30, 2029. $4.687 billion flows by the operating fund formula, $337 million is need‑based for PHAs at risk of a shortfall, and $3.2 billion is for capital. A 25% capital limit applies to these funds, but HUD can waive it and must reply to waiver requests in 14 days. HUD must notify PHAs of formula allocations within 60 days of enactment, and can give bonus awards to high performers. PHAs under receivership or a federal monitor may still apply for and use lead‑hazard grants, including to meet court or settlement orders. HUD can reuse certain old Housing Certificate balances to renew Section 8 project‑based contracts and pay contract administrators.
More funding for project-based rent help
Section 8 project‑based rental assistance gets $18.143 billion starting October 1, 2025, plus $400 million on October 1, 2026. Up to $509 million can pay contract administrators. Funds remain available until spent, and HUD may require surplus residual receipts from projects to be remitted for this use.
More help to reduce homelessness
The law provides $4.417 billion for homeless programs through 2028. It funds emergency shelter, Continuum of Care, rapid re‑housing, youth projects, and data work. Youth age 24 and under do not have to provide third‑party documents to prove eligibility. HUD can also award one‑year transition grants so grantees can move between program types with CoC consent.
More housing help for seniors, disabilities
The law provides $287 million for supportive housing for people with disabilities through September 30, 2029. It also provides $1.031 billion for housing for the elderly, with up to $122 million for service coordinators and existing congregate grants. Funding for current service coordinators must go out within 120 days.
More housing vouchers and faster delivery
About $34.4 billion is available for tenant‑based rental help on October 1, 2025, plus $4.0 billion on October 1, 2026. The law sets renewal and budget rules, reserves up to $400 million for adjustments, and provides $600.622 million for relocations and replacements, with at least $5 million for low‑vacancy areas. HUD may waive some admin rules to speed new Mainstream and Family Unification vouchers but cannot waive tenant rights, rent rules, or fair housing protections.
More SBA funding and loan capacity
The law funds SBA operations and small‑business programs, including $323.118 million for operations and $330 million for training and support. It provides $282 million for SBA disaster loans, with $250 million for major disasters. FY2026 loan ceilings are set: 7(a) at $35.5 billion, 504 at $16.5 billion, SBIC debentures at $6.0 billion, and trust certificates at $15.0 billion. Defense small‑business R&D set‑asides must be taken proportionally across accounts, with detailed reporting, to improve fairness.
Cluster munitions aid and sales banned
The U.S. bars military aid, export licenses, and sales of cluster munitions. A narrow exception applies if submunitions leave no more than 1% unexploded ordnance and use is tightly limited. Transfers for demilitarizing or destroying the weapons are allowed.
Countering Russian influence funding
At least $300 million must go to the Countering Russian Influence Fund. Money comes from several foreign assistance accounts. Any Foreign Military Financing funds in this paragraph stay available until September 30, 2027.
Funds for democracy and rights abroad
The law gives $205.2 million to the Human Rights and Democracy Fund, available through September 30, 2027. It also sets $2.175 billion for democracy programs like elections, media, and rule of law. The State Department must consult Congress before first using HRDF funds, and funds for the National Endowment for Democracy can be used despite some limits.
Funds to fight fentanyl trafficking
At least $150 million must support programs that stop fentanyl, precursors, and other synthetics from entering the U.S. These funds are on top of other money for this purpose.
Global health and family planning funds
Global health programs receive $3.532 billion, available through September 30, 2027. At least $575 million goes to family planning and reproductive health. The law bars funding any group the President finds supports coercive abortion or forced sterilization. Family planning projects must be voluntary, with no quotas or incentives, and must give clear risk and benefit information.
International humanitarian aid funding
The law provides $5.4 billion for international disaster and refugee aid, available until spent. At least $6.5 million supports refugees resettling in Israel. At least $2.97 billion funds disaster relief under section 491 of the Foreign Assistance Act. State must send a spend plan within 30 days and then every quarter through September 30, 2027.
IRS can’t target beliefs in 2026
For fiscal year 2026, the IRS cannot use this law’s funds to target people for exercising First Amendment rights. It also cannot single out groups based on ideology.
Millennium Challenge funding and extensions
The law provides $830 million for the Millennium Challenge Corporation, available until spent. Compacts must obligate, or commit to obligate, all U.S. funding for their duration. MCC may extend compacts in Indonesia, Kosovo, Nepal, and Senegal for up to one year with prior notice to Congress.
Minimum funding for development programs
The law sets minimum amounts for key development work. It includes $691.5 million for basic education, $720 million for food security and agriculture, $274.3 million for biodiversity, and $338.25 million for water and sanitation. It also funds anti‑trafficking, land and forest protection, and research. Some funds carry special safeguards, such as no support for expanding industrial logging into intact tropical forests.
National Security funds with Africa floor
National Security Investment Programs receive $6.767 billion, available through September 30, 2027. At least 15 percent must be used for programs in Africa. Funds must be apportioned to the State Department within 60 days of enactment.
Prevention, stabilization, and disaster readiness
At least $108 million supports the Prevention and Stabilization Fund. Some military financing under this part stays available through September 30, 2027. At least $192.375 million supports natural disaster preparation and mitigation, including in Pacific Islands and other high‑risk areas.
Security aid for Israel, Taiwan, Baltics
The law provides $3.3 billion in military financing grants for Israel, paid within 30 days. It provides $1.0 billion for the Taiwan Security Cooperation Initiative, available through September 30, 2027, with 15‑day advance notice and quarterly reports. It also provides $200 million to support security forces in Estonia, Latvia, and Lithuania, available through September 30, 2027, with similar notice and reports. Some Israel funds must be used for purchases in Israel.
Stricter anti-corruption rules on foreign aid
Direct country aid must meet anti‑corruption standards and face extra notice for large amounts or cash transfers. Aid must be suspended on credible misuse unless a national‑interest reason is given. Governments cannot use these U.S. funds to pay debt to international financial bodies or to China.
Support for women’s jobs and safety
The law directs $150 million to expand women’s economic opportunities. It gives at least $37.5 million to the Madeleine K. Albright Women’s Leadership Program. It sets at least $187.5 million to prevent and respond to gender‑based violence. It provides $112.5 million for Women, Peace, and Security efforts.
No national patient ID without law
Agencies cannot use this Act’s funds to adopt a national unique health identifier for people unless Congress passes a specific law. The exception is when a person acts as an employer or as a health care provider.
Stronger privacy for your online data
Agencies cannot use funds to collect or build datasets with personal details about who visits government websites. Agencies also cannot hire third parties to collect similar personal data about use of private websites. Non‑identifying summaries, voluntary submissions, law enforcement needs, and security actions are allowed. Agencies cannot force providers to disclose stored message contents in ways that break the Fourth Amendment. Funds also cannot be used to violate tax return privacy rules in section 6103.
Keeps federal pay and budgets on track
The law confirms and requires payment of federal personnel pay and benefits and ratifies prior obligations made under FY2026 laws. Agencies must send detailed FY2026 operating plans within 45 days. The State Department must send certain spend plans within 180 days, and Treasury must send an international assistance plan within 90 days. These plans do not replace other required notices to Congress.
Local infrastructure and truck safety grants
The law provides $145 million for local and regional transportation project grants, available until spent. At least 5 percent must go to historically disadvantaged or persistent‑poverty areas. It also provides $536.6 million for motor carrier safety programs, with set amounts for state enforcement, CDL program work, high‑priority safety projects, operator grants, and enforcement training. Total motor carrier safety obligations are capped at $541.6 million in FY2026.
More funding for national parks
The law raises National Park Service operations funding. It increases totals to about $2.901 billion and raises other lines to $157.165 million and $173.070 million. The extra money supports park operations and visitor services.
More funding for rail safety and projects
The law provides $137.426 million for rail infrastructure and safety grants, with $87.426 million for community‑named projects. Eligible work now includes systems planning and project development. The Federal Railroad Administration also gets $264.761 million for safety and operations, with $25 million available until spent.
Stronger Treasury payments and cybersecurity
Treasury’s Bureau of the Fiscal Service gets $391.109 million for FY2026 to run core payment and fiscal systems, with up to $8 million for modernization available through September 30, 2028. Another $59 million funds Treasury cybersecurity through September 30, 2028, including $6 million for CIO oversight. These funds supplement other cybersecurity money.
Major funding for global HIV/AIDS
The government provides $5.8838 billion for global HIV/AIDS work, available until September 30, 2030. Up to $1.25 billion goes to the Global Fund, and up to $22 million covers U.S. administrative costs.
More funding for local health care
Community Health Centers get $4.6 billion for FY2026, plus $1.159 billion for Oct–Dec 2026. The National Health Service Corps gets $350 million for FY2026, plus $88.2 million for Oct–Dec 2026. Each Special Diabetes Program gets $200 million for FY2026, plus $50.41 million for Oct–Dec 2026. Extra outreach through Dec 31, 2027 helps older adults find and use benefits: $30 million for SHIP, $30 million for Area Agencies on Aging, $10 million for ADRCs, and $30 million for coordination.
More Medicare improvement and oversight
The Medicare Improvement Fund rises to $2.062 billion. The law adds $4.4 million for hospice surveys from January 31 to December 31, 2026. It adds $15.1 million for national health care quality‑measure endorsement in FY2027.
More support for moms and children
The law provides $1.18168 billion in fiscal year 2026 for maternal and child health programs, including special projects. States must study maternity, labor, and delivery costs within 30 months and then every five years. HHS gets $3 million to run this and must issue a national analysis. $10 million in grants and help goes to qualifying small rural hospitals. Preterm birth research is extended through fiscal years 2026–2030. Family‑to‑Family Health Information Centers get extended funding through fiscal year 2026, with a special pro‑rata period from October 1 to December 31, 2026.
More funding for job training and apprenticeships
The law funds nearly $4.0 billion for WIOA state and local job training in 2026, plus $1.06 billion for national programs. It includes $285 million to expand apprenticeships, $105 million for YouthBuild, $110 million for ex‑offender reentry (with $30 million for intermediaries), and $65 million for community college‑led training. Migrant and seasonal farmworker eligibility expands to 150% of poverty, with at least 70% of those grants for training services. Labor can also give up to $450,000 in excess equipment to apprenticeship programs to help train apprentices.
More K‑12 funds for low‑income and military students
Title I gets $19.128 billion for disadvantaged students, with specific amounts for basic, concentration, targeted, and finance‑incentive grants. Funds are available July 1, 2026 and October 1, 2026 through September 30, 2027. Impact Aid receives $1.630 billion, and children who lose eligibility due to both parents deploying still count if they stay in the same district. Up to $5 million on October 1, 2025 buys updated LEA‑level census poverty data for fairer allocations.
Boost to weapons and shipbuilding
The law funds Israeli cooperative defense programs with $500 million. It adds $1.676 billion to cover prior‑year Navy shipbuilding cost increases. It invests $500 million to strengthen the solid rocket motor supply chain, with at least $150 million for qualifying second sources. DoD must keep the Navy’s Next Generation Fighter program moving and cannot pause or cancel it. It also provides $290 million to buy two used sealift ships.
Defense research caps and protected aircraft
Funding for defense FFRDC professional technical staff is capped at $2.8863 billion for the year. Within that, no more than $461.3 million is for defense studies and analysis centers. Intelligence program staff are excluded from these caps. The Defense Secretary must report staffing and budget details with the FY2027 request. Money for the E‑7 Wedgetail program must stay on that program and cannot be used to pause or cancel it.
More foreign military financing authority
The law raises the caps on Foreign Military Financing direct loans and loan guarantees by $8 billion each through fiscal year 2027. This expands U.S. financing authority for allied countries. It does not create direct household benefits.
Tools to speed partner military support
Up to $900 million is available for the Special Defense Acquisition Fund through September 30, 2028, with State Department concurrence for foreign sales. DoD may incur up to $350 million in obligations now in anticipation of Kuwait contributions. $150 million is available through September 30, 2027 to replace defense items and reimburse services for Taiwan. DoD may reimburse up to $34 million to Micronesia for land purchases for defense sites in Yap.
More money for airports and flyers
The law funds airport projects with $4.0 billion through September 30, 2028. It also adds $577.356 million more for airport grants. Smaller airports can get a 95% federal share on qualifying projects. Set‑asides back research, technology, and a $15 million small‑community air service program. Some funds target essential air service airports and community‑named projects.
States can move old highway earmarks
States can repurpose highway earmarks that are over 10 years old, have under 10% obligated, and are within about 25 miles of the original project. Repurposed dollars stay available for three fiscal years after DOT is notified. For FY2026, DOT also shifts unused obligation authority after August 1 to states ready to spend, prioritizing those with large unused balances. This helps move stalled road money to projects that can break ground.
New federal credit for projects and defense
The Surface Transportation and Innovative Finance Bureau gets $9.25 million and can collect fees to cover underwriting and servicing for federal credit tools. A DoD capital credit pilot receives $97.77 million to subsidize loans and guarantees, allowing up to $4.39 billion in total loan principal, with up to $2.5 million for admin and transaction costs. These tools help finance large transport and defense‑industrial projects.
Section 8 limits for some students
Section 8 tenant‑based aid is not allowed for students who meet all of these at once: under 24, enrolled in college, unmarried, no dependent child, not a veteran, not a person with disabilities who was receiving Section 8 on November 30, 2005, not a former foster youth at risk of homelessness, and not otherwise individually eligible (and whose parents are not eligible). If every condition applies at the same time, the student cannot receive Section 8 help.
Tighter limits on FHA and HUD loans
FHA’s Mutual Mortgage Insurance Fund new guarantees are capped at $400 billion through September 30, 2027. General and Special Risk guarantees are capped at $35 billion through that date. In FY2026, only $1 million in direct loans can be made for nonprofits or governments buying HUD‑owned homes. Reverse mortgage insurance in FY2026 must have a net subsidy cost of zero or better. FHA, GNMA, and HUD cannot back a refinance or replacement loan if the original mortgage was taken by eminent domain.
Who can be paid in federal jobs
Agencies cannot use these funds to pay employees with duty stations in the continental U.S. unless they are U.S. citizens, lawful permanent residents seeking citizenship on time, admitted refugees or asylees who filed to become permanent residents, or people who owe allegiance to the U.S. People hired before enactment and certain temporary or on‑call roles are exempt. Affidavits are required, and false affidavits are a felony with up to a $4,000 fine and/or up to one year in prison.
Child health contingency fund cut
The law cancels $12.34 billion from the Child Enrollment Contingency Fund this fiscal year. This fund helps states when child enrollment in CHIP or Medicaid is higher than expected. With less money available, states lose contingency support this year.
Sets 2% Medicare payment cut schedule
The law sets a 2.0% Medicare payment reduction for the specified year. When the President submits the FY2033 budget, a sequestration order takes effect so payments are cut 2.0% for the first five months and 0% for the last seven months.
Defense budget trims and rescissions
The law cuts defense funding due to savings and expired authorities. It reduces $550 million for bulk fuel savings, $1.2046 billion across operations and maintenance, and $1.0 billion in RDT&E accounts. It also cancels specific prior‑year line items and trims $1.05 billion due to excess working capital fund cash. Cuts cannot come from National Intelligence or Military Intelligence funds.
Rescinds unused funds across programs
The law cancels unused balances in many areas: $11.661 billion from a prior law, $2.0 billion from American Rescue Plan accounts (with an HHS report due in 60 days), and $1.826 billion from the Nonrecurring Expenses Fund by September 30, 2026. It also rescinds $900 million from Consular and Border Security, $661.25 million from the Millennium Challenge Corporation, $206 million of immigration‑related funds by September 30, 2026, and $300 million from the Treasury Forfeiture Fund by September 30, 2026. Historic Preservation falls by $24 million, and unobligated SIGPR funds are cancelled. Emergency‑designated amounts are excluded.
Leftover rail funds canceled
The law permanently cancels several unobligated rail balances. It includes $928.62 million from high-speed rail capital and smaller amounts for safety, research, and maglev projects. Less money is available for these rail efforts.
Egypt aid with conditions and scholarships
At least $1.425 billion is set for Egypt. This includes at least $125 million for civilian programs, with at least $40 million for higher education and $15 million for scholarships. At least $1.3 billion is military financing available through September 30, 2027. Of that, $320 million is on hold until the Secretary certifies conditions are met, with a waiver allowed for security reasons.
Guardrails on foreign aid levels and pledges
Funds in Titles III–V must meet amounts listed in the bill’s tables. The State Department can cut up to 10 percent (5 percent for some global programs) without extra steps; larger cuts need a written finding, consultation, and cannot exceed 50 percent. Agencies cannot promise future‑year funding for programs in Titles III–VI unless they meet House Report 119‑217 requirements.
Peace Corps funding and abortion limit
The Peace Corps receives $410.5 million, including $7.8 million for the Inspector General, available through September 30, 2027. The agency must consult Congress before opening or closing offices, unless there is a major safety risk. These funds cannot pay for abortions except in a narrow case allowed by earlier law.
Foreign aid: new flex and floors
Up to $850 million forms the America First Opportunity Fund to respond to crises, work with partners, and counter threats, with consultation before first use. At least $155 million backs the Economic Resilience Initiative and at least $185.25 million supports global energy development and security in FY2026. The State Department can move up to 5% among certain accounts (with caps) and shift some security and capital funds under set conditions. The law also sets how “program, project, and activity” is defined for account controls and reprogramming.
Intelligence funds: report and cap
Within 60 days of enactment, the intelligence community must send a baseline report detailing FY2026 requests, adjustments, and items of special interest. Until then, National Intelligence Program funds cannot be reprogrammed unless it is a certified emergency. With OMB approval, up to $1.5 billion can be moved for higher‑priority unforeseen needs, but not for items denied by Congress. Multiple reprogramming requests under this power must be made before June 30, 2026.
Tighter guardrails on agency spending shifts
Money in this Act generally expires at the end of the fiscal year unless the Act says otherwise. Each agency must send a baseline report within 60 days of enactment or lose $100,000 per day from its salaries and expenses. HHS can transfer only up to 1% from any account and can raise any account by no more than 3%, with 15 days’ notice. Agencies cannot shift money to other agencies unless a law allows it. Agencies may keep up to 50% of unobligated salary funds from FY2026 for use through September 30, 2027, with Appropriations approval. DoD and CIA drug‑interdiction funds cannot be moved to other agencies unless Congress allows it in an appropriations law.
GNMA mortgage guarantees capped, staffing funded
New Ginnie Mae (GNMA) guarantee commitments are capped at $550 billion through September 30, 2027. The law provides $56 million for GNMA salaries and expenses through that date. If commitments exceed $155 billion by April 1, 2026, GNMA gets extra salary funds at $100 per $1,000,000 of additional commitments, up to $3 million. Fee receipts count as offsetting collections.
NDAs must preserve whistleblower rights
Agencies cannot use funds to enforce certain NDAs unless they clearly protect your right to report to Congress, Inspectors General, or the Office of Special Counsel. Limited intelligence exceptions apply, and similar 2014 agreements still stand.
Contraceptive coverage required in drug plans
Contracts paid with this Act’s funds cannot include prescription drug coverage unless they also cover contraceptives. Named religious plans and carriers with religious objections are exempt. Plans may not punish staff who decline to provide contraceptives for religious or moral reasons. The law does not require abortion coverage.
Keeps rural hospitals and ambulances funded
Ambulance add‑on payments continue through January 1, 2028. Medicare‑Dependent Hospital deadlines extend to January 1, 2027. CMS must not apply certain Critical Access Hospital distance rules to CAHs certified as of January 1, 2024 that got distance noncompliance notices between December 1, 2024 and January 1, 2026. If a CAH agreement ended only for that reason, CMS must recertify and reinstate it.
Lower drug copays for low-income Medicare
If you have low-income Medicare Part D help, your copays are $1 for generics and preferred multisource drugs, and $3 for others for plan years before 2028. Starting in 2028, generic drugs have a $0 copay. Other copays rise each year by CPI and follow rounding rules set in law.
Medicaid buy‑in opens to more adults
States can choose to cover more people in the Medicaid buy‑in group by removing the under‑65 cap. People age 16 or older who would get SSI except for earning above the SSI limit can be included if the state adopts it. States already running similar groups are not treated as failing this rule before January 1, 2028.
Medicaid stays after military moves
Beginning January 1, 2030, if you move on active-duty orders, the new State must treat you as a resident for Medicaid unless you opt out. If you were on a home and community‑based services waiting list, you stay on it until the State finishes its review and any appeal, or you ask off. Payment for services follows what is offered in the relocation State. HHS gets $1 million each year from 2026–2030 to carry this out.
Medicare Advantage: accurate directories and costs
For plan years starting January 1, 2028, Medicare Advantage plans must keep public provider lists up to date. They must verify at least every 90 days, remove departed providers within 5 business days, and mark unverified entries. Starting in 2029, CMS posts plan accuracy scores. If you relied on a wrong directory, starting in plan year 2028 you pay the lower of in‑network sharing or what applies after the error.
More Medicare coverage for home infusions
Starting the first calendar quarter one year after enactment, some external infusion pumps and home infusion drugs count as appropriate for home use if three rules are met. The drug must need professional supervision, a qualified home infusion supplier must provide or supervise care, and the drug is infused at least 12 times per year or needs pump rates. HHS must tell patients how home cost‑sharing compares to other care settings.
More Medicare telehealth and home care
Medicare keeps expanded telehealth rules through December 31, 2027. The in-person rule for some mental health telehealth visits now starts January 1, 2028. Medicare covers certain cardiopulmonary rehab by live video at home from January 31, 2026 through December 31, 2027. Hospital Care at Home runs through September 30, 2030, with a study due by September 30, 2029 and $2.5 million for CMS in FY2026. The Diabetes Prevention Program can be fully online from 2026–2029, can bill across state lines, and has no enrollment limit during that period.
New PBM pass-throughs for job health plans
For plan years that start 30 months after this law, pharmacy benefit managers must pass 100% of drug rebates and similar payments back to the employer health plan or its insurer. Contracts must allow regular, plain-language, machine‑readable drug cost and rebate reports at least every 6 months. PBMs must send plan money within 90 days after each quarter, and rebate aggregators must pay PBMs within 45 days. Plans can face fewer ERISA penalties if a vendor fails to remit and the plan follows the required steps. The law updates tax‑code cross‑references so these oversight rules apply and funds enforcement at HHS and the HHS Inspector General.
New PBM rules for employer health plans
Employer plans must treat some contracting chains as indirect PBM services and follow fiduciary rules. Service providers must give required disclosures, but not share protected health information. The law also lists more covered services, like recordkeeping, medical management, wellness programs, and stop‑loss insurance.
Stronger PBM and pharmacy rules in Medicare
Starting with plan years on or after January 1, 2028, Medicare drug plans must use PBM contracts that limit pay to real service fees, pass through rebates, allow plan audits, and send yearly drug‑level data to plans and HHS. For plan years on or after January 1, 2029, drug plans must let any pharmacy that accepts standard terms join the network. HHS will also publish reports at least every two years on pharmacy payments, fees, and access, starting with plan years on or after January 1, 2028.
Stronger work to prevent maternal deaths
Maternal mortality review committees must include obstetricians and gynecologists. Committees coordinate more closely on death records. CDC and HRSA share best practices at least yearly. Funding is authorized at $100 million each year for FY2026–FY2030.
TANF cash and services extended through 2026
TANF activities continue through December 31, 2026 as they ran in FY2025. The Treasury provides the funds needed to keep these benefits and services going.
Vaccine injury claims funded in 2026
In fiscal year 2026, the Vaccine Injury Compensation Trust Fund may pay needed claims for covered vaccine injuries or deaths. The money stays available until spent. Administrative costs from the Fund are capped at $15.2 million.
Free legal help for renters at risk
HUD provides $122.5 million for research and help through September 30, 2027. Of this, $7.5 million funds competitive grants to give no‑cost legal help to eligible low‑income tenants facing eviction. At least $5 million supports a distressed cities program. HUD must publish completed research within six months.
More counseling and self-help homeownership funds
HUD provides $57.5 million through September 30, 2027 for housing counseling, including money management and training, with up to $4.5 million for admin services. Another $65 million through September 30, 2028 supports self‑help homeownership and capacity building, including at least $5 million for rural work and $7 million for national rural housing groups.
Stronger protections in assisted housing
HUD can move project‑based assistance between properties in 2026–2027 to preserve units, while keeping unit counts and standards unless HUD finds good cause. If HUD owns, forecloses on, or disposes of a property with Section 8, it must keep rental help attached to units or move it to other housing if on‑site help is not feasible. After failed repairs following a REAC inspection, HUD can replace management, fine owners, reduce payments, or transfer the project. In 2026, Jobs‑Plus rent incentives do not count against certain grants, and PHAs must factor foregone rent into funding and assistance.
Higher DC college grant limits
The law raises the DC college access program’s payment limits. Tuition and fee thresholds go from $10,000 to $15,000 and $50,000 to $75,000. Other limits rise from $2,500 to $3,750 and $12,500 to $18,750. If an award is above a threshold, the payment is reduced proportionally for those students for that year. These changes take effect upon enactment.
More support for Job Corps centers
Job Corps gets $1.760 billion: $1.603 billion for operations (July 1, 2026–June 30, 2027) and $123 million for construction (through June 30, 2029). The Secretary may move up to 15% of construction funds to operations. The Secretary can also sell or partner to rebuild the Treasure Island and Gary Job Corps properties; net proceeds stay available for those Job Corps projects.
No forced arbitration on harassment claims
Federal contractors with contracts over $1 million must not force employees or covered contractors into arbitration for Title VII or sexual assault or harassment claims. Large subcontractors must meet the same rule. The Defense Secretary can grant a national security waiver only with a written decision and 15 business days of public notice before award.
IRS can hire faster to cut backlogs
Treasury can directly hire staff to process backlogged tax returns. This speeds return processing and helps move refunds and notices faster.
Stronger IRS help and privacy
The IRS must protect taxpayer data and fight identity theft. The agency can use funds to improve and staff its 1‑800 help line. It must speed up responses, with special focus on victims of tax‑related crimes.
Help for small HUD properties and conversions
For fiscal years 2026–2028, HUD can forgive or restructure Flex Sub loan debt for small properties on owner request. Properties must have 200 or fewer assisted units, an unpaid balance of $2,000,000 or less, a REAC score of at least 80, and a strong management rating. HUD also can fund cooperative agreements without a new competition to give underwriting and technical help for small properties and conversions.
Lower match for new AmeriCorps grants
Starting with FY2026 awards, AmeriCorps programs get at least a 24% federal share for their first three years. After three years, normal rules in 45 C.F.R. 2521.60 apply, and partial waivers can be granted under 45 C.F.R. 2521.70.
Aid bans tied to Russia aggression
No funds may assist Russia’s central government. Aid is banned to governments that recognize Russian‑occupied parts of Georgia, with a possible national‑interest waiver and public listing. Aid is also banned to governments supporting Russia’s annexation of Ukrainian territory, and U.S. financing may not recognize such control.
Ban transfers of armor-piercing ammo
The law stops transfers of certain armor‑piercing and similar military rounds to nongovernment groups. Exceptions apply for demilitarization, making ammo under a DoD contract, or licensed export. The goal is to keep these rounds out of civilian hands.
Crackdown on fentanyl and Caribbean security
Funds target stopping fentanyl and precursor flows from China, Mexico, and other routes. Money can pay for law‑enforcement cooperation, capacity building, and multilateral work against synthetic drugs. At least $90 million goes to the Caribbean Basin Security Initiative, with extra funding aimed at transit‑zone countries intercepting more drugs and hit hardest by the Haiti crisis.
DoD may accept foreign contributions
The Defense Department can accept money, property, or services from foreign governments to support certain security assistance. Money can be credited to the Defense‑Wide operations account and used for two more fiscal years. DoD must notify Congress on receipt and use, provide delivery timelines, and report quarterly.
Guard and Reserve gear funding
The law provides $800 million for Guard and Reserve equipment. Money is available until September 30, 2028. Chiefs must send modernization priorities within 30 days. Funds cannot buy manned fixed‑wing aircraft or any missiles, munitions, or ammunition.
Limits and reports on agency conferences
Agencies cannot fund a single conference over $500,000 unless they find it is in the national interest and notify Congress. No more than 50 U.S.‑based employees may attend one foreign conference without the same finding and notice. Agencies must report conferences over $100,000 each year and notify Inspectors General about those over $20,000 each quarter.
Limits on moving Guantanamo detainees
The law bars using funds to bring certain Guantanamo detainees into the United States. It also bars transfers to foreign countries unless the Pentagon follows the rules in NDAA 2016 section 1034 and NDAA 2019 section 1035. Money in this Act cannot be used to close or realign the Guantanamo Bay Naval Station.
NGO aid allowed despite country bans
U.S. funds in this law may support NGO programs in countries that face aid bans. The President must notify Congress before using this authority. Existing bans on abortion and involuntary sterilization still apply.
NIH gains flexible deals, tougher oversight
NIH can use flexible “Other Transaction” awards and alternative peer review. NIH must notify Congress if an OTA is expected to exceed $100,000,000. Starting in FY2026, NIH‑funded institutions must finish harassment investigations, even if staff leave. NIH may block award transfers and share findings. NIH can shift up to 3% of HIV research funds between institutes with 15 days’ notice.
No federal funds for lobbying
Agencies and grantees cannot use these funds to lobby or spread propaganda. This includes trying to influence tax increases or gun‑control policy. Normal executive‑legislative relations are still allowed.
No funds for nuclear interceptors
Money in this law cannot be used to research, test, buy, or deploy nuclear‑armed missile interceptors. This ban applies across related programs starting now.
No funds for torture; support reforms
No money in this law may support or justify torture or cruel, inhuman, or degrading treatment by U.S. officials. Funds can help foreign forces stop such abuse. These rules take effect now.
No funds for Wuhan lab work
Funds cannot support any activity by or linked to the Wuhan Institute of Virology. EcoHealth work in China on China‑supported research is barred unless the Defense Secretary grants a national security waiver. Any waiver must be sent to Congress within 14 days and reviewed by the Inspector General within 90 days.
No support for child-soldier forces
Funds in this law cannot support military training or operations that include child soldiers. This covers U.S. assistance that would fund or train foreign forces using minors.
Protect key space and Army programs
The law bars using funds to pause or cancel the Next‑Generation OPIR GEO and Polar satellite programs. It blocks non‑competitive space‑based MTI contracts over $100,000,000. It also forbids moving or using UH‑60 Blackhawk funds to pause or end that program.
State Department can reuse aircraft
When planes are no longer needed in a country, State can repurpose them elsewhere after notifying Congress. Chiefs of Mission coordinate use. Recipients may be asked to cover operations and maintenance, and receipts can go to the Working Capital Fund.
Stricter rules for housing migrant children
Unaccompanied children are generally placed only in state‑licensed facilities. In emergencies, temporary unlicensed sites must meet set safety standards and staff ratios. Waivers last 60 days and cannot continue endlessly. ORR must monitor these sites often and brief Congress on requirements.
Stronger oversight of foreign aid programs
Agencies cannot start, stop, or reorganize certain foreign‑aid programs in FY2026 without first explaining the change or giving 15 days’ notice. A GAO audit reviews all FY2026 West Bank and Gaza funds, including cash transfers, for proper vetting and use. NGOs and contractors must provide audit documents on time or lose funding. Agencies must also consult Congress before reorganizing and include a detailed plan.
Stronger oversight of U.S. foreign aid
When U.S. aid generates local currency, the recipient government must use a separate account and sign monitoring agreements. Within 180 days, State sends Congress a multi‑year plan to improve aid results and sets aside at least $15 million for impact studies. If aid ends or conditions change, State may extend designated funds one more year for the same purpose. State updates fiscal‑transparency standards, makes progress calls within 180 days, and publishes an annual report. Inspectors General receive $62.5 million for foreign‑assistance oversight, with $9.375 million available through September 30, 2027.
Tighter limits on agency fund shifts
Agencies funded by this law must consult Congress 15 days before major funding moves. They must also send written notice 10 days before certain changes, like creating or ending programs. For FY2026, any move over $1,000,000 or 10% (whichever is less) needs 15 days’ advance notice. These rules apply to funds in this Act and some prior-year funds that are still available.
Tighter year-end and carryover spending rules
Money in this law generally cannot be used after the current fiscal year or moved to other accounts unless the law says so. No more than 20% of funds limited to this year may be obligated in the last two months, with an exception for reserve and ROTC training.
U.S. Parole Commission extended to 2031
The United States Parole Commission continues operating from October 1, 2025 through January 30, 2031.
Visa bans for corrupt foreign officials
Foreign officials and their immediate family are barred from U.S. entry if there is credible information of major corruption or gross human‑rights violations. The State Department may refer cases for sanctions, waive in the national interest, and must report every 90 days until September 30, 2027.
War reserve stockpile authority extended
Defense stockpile authority is extended through 2028. This keeps war reserve stockpile programs authorized.
Watchdogs get faster access to records
Agencies funded by this law cannot use money to block Inspectors General from timely access to records. If access is denied, the IG must report it to House and Senate Appropriations within five days.
More funds for alcohol and tobacco bureau
The Alcohol and Tobacco Tax and Trade Bureau gets $157.795 million. It includes $5 million to speed up label and formula reviews and $5 million through September 30, 2028 for trade‑practice enforcement and education. The law also allows lab help for state and local agencies.
Stronger oversight of drugs and labs
The law gives $1.2 million to HHS OIG to refine a DME master list and review high‑risk lab tests. FDA must tell generic makers if their inactive ingredients match the listed drug and explain any differences. Once FDA says they match, it generally cannot reverse that call except in narrow cases. FDA must issue draft guidance within one year and finalize it within a year after the comment period.
Cybersecurity and IT programs extended
Cyber threat‑sharing authority is extended to September 30, 2026. The State and Local Cybersecurity Grant Program also runs through September 30, 2026. The Technology Modernization Fund and Board continue beyond September 30, 2026 under a fixed date.
FAA research and aviation jobs grants
FAA research, engineering, and development gets $290 million through September 30, 2028. Up to $40 million funds aviation workforce programs, including at least $10 million for manufacturing workforce grants and at least $10 million for up to two community colleges (at least $5 million each). Priority goes to institutions near aviation manufacturing and military aviation job centers.
Funding for DOT leadership offices
DOT’s Office of the Secretary gets $187.344 million available through September 30, 2027. The Secretary can move funds among purposes, but no purpose may change by more than 7% without 7 business days’ notice to Congress. Up to $70,000 may fund official receptions, and up to $2.5 million in user fees may be credited.
Funding for trucking safety programs
FMCSA gets $390 million in FY2026 for motor carrier safety operations and programs. At least $63.098 million funds IT upgrades and maintenance and $14.073 million funds research and technology, both available through September 30, 2028.
Keep Amtrak police at 2019 levels
Funds for Amtrak cannot reduce uniformed patrol officers below the May 1, 2019 level. This applies to officers on trains, at stations, facilities, and rights‑of‑way.
Keeps DC local services running in 2027
If no DC appropriation is in effect in FY2027, DC may use local funds at the rates in its approved FY2027 budget. This also applies during a federal CR that does not explicitly address DC. Authority ends when a DC CR or regular DC bill takes effect.
Long Bridge project clears legal hurdle
A D.C. statute section no longer applies to railroads built under the Long Bridge Project between D.C. and Virginia. This helps advance the new rail bridge, added passenger rail capacity, and new bike and pedestrian links.
More notice before highway loans and grants
DOT must give Congress at least 3 days’ notice with project details before approving certain Title 23 credit assistance. For grants under 23 U.S.C. 117, DOT must provide 60 days’ advance notice with an evaluation, justification, and the amount.
National cybersecurity program extended
The National Cybersecurity Protection System authority runs through September 30, 2026. This keeps federal network protections in place.
Protects rural flights and project funding
Existing Essential Air Service contracts cannot be canceled or renegotiated early unless the community asks in writing and the carrier is in compliance. The law also rescinds unused FY2022 National Infrastructure Investments funds on September 30, 2026 and reappropriates the same amount that day, available through September 30, 2031 to finish awarded projects without new competition.
Transit help for 2026 World Cup cities
The law provides $100,250,212 for transit grants to U.S. 2026 World Cup host cities. The Secretary must apportion the money within 30 days. Seventy percent is split by each stadium’s share of total FIFA stadium capacity at apportionment. The rest follows the statute’s rules.
Transit help for 2028 Olympic travel
The law makes $94,316,766 available for planning, capital, and operations to keep people moving for the 2028 Olympics and Paralympics. Grants can cover up to 80% of costs. Aid for a supplemental bus system must cover at least 90%. Funds can be used for up to two fiscal years after the Games end.
More funding for FinCEN enforcement
FinCEN receives $185.193 million, with up to $55 million available through September 30, 2028. The money funds training, systems, assistance to filers, and enforcement against financial crimes.
Breast cancer screening standard preserved
Until January 1, 2028, any law that points to the current USPSTF breast cancer screening guidance must use the version from before 2009. This applies to any screening mammography modality covered under the Social Security Act.
Extended Medicare pay for providers
Higher inpatient pay for low-volume hospitals continues from January 1, 2027 through September 30, 2027 and in FY2028. The physician work geographic index floor stays in place until January 1, 2027. The hospice cap calculation method is extended through 2035. Lab payment cuts are delayed to 2029, and labs report 2025 private payor data during May 1–July 31, 2026 with an April 30 deadline.
Health security authorities extended to Dec 2026
Several national health security and preparedness authorities now run through December 31, 2026. This keeps current emergency and preparedness tools active.
More funds to enforce surprise billing law
The No Surprises Act implementation date moves to December 31, 2026. Funding for this work rises from $14 million to $42.1 million.
More support for health worker well-being
Best practices are shared over 5 years instead of 2. The education effort happens each year. Covered years shift to 2026–2030, and eligible groups can include those reducing paperwork for health workers.
NIH research and evaluation funding
The NIH Office of the Director receives $2.462914 billion for fiscal year 2026, including $180 million for ECHO, $572.401 million for the Common Fund, and at least $106.48 million for women’s health research. $5 million goes to the HHS Inspector General for grant oversight. HHS may use up to 2.5% of Public Health Service Act program funds for evaluation and implementation effectiveness work.
Stronger pediatric drug research and rules
The law funds pediatric drug studies at $25 million per year for fiscal years 2026–2028. It also requires better‑designed pediatric studies for certain targeted cancer drugs, with FDA draft guidance due within 12 months and final guidance after comments. The new application rules apply three years after enactment, and HHS and GAO must report on progress on multi‑year timelines.
WTC Health Program funding grows with enrollment
From FY2026–FY2040, annual funding equals last year’s amount times 1.07, then times the ratio of enrollees year over year (July 1 counts). HHS must report long‑term budget projections through FY2090 within three years.
More H-2B visas and worker extensions
For FY2026, DHS can raise the H-2B visa cap if it finds U.S. workers are not available. The increase can be up to the largest past year of returning H-2B workers when they were exempt from the cap. The law also extends dates for non‑minister religious workers and rural healthcare worker programs to September 30, 2026.
State Department can hire more staff
The State Department may use up to $170 million to hire people on limited appointments in the U.S. and overseas. This hiring authority ends September 30, 2027. Hires are paid from the account they work in.
Back nuclear energy and protect U.S. farms
U.S. representatives at multilateral development banks are directed to support financing and technical help for nuclear energy, including small modular reactors that meet U.S. or OECD safety standards. The law allows creating nuclear energy assistance trust funds. It also blocks Ex‑Im Bank and the DFC from financing foreign export‑oriented farm production that would add to world surpluses and substantially injure U.S. producers, with narrow exceptions or a Board waiver when U.S. industry and jobs benefit more.
Keep enforcing Tariff Act import rules
The law blocks agencies from using this Act’s money to weaken or stop enforcement of Tariff Act section 307. It applies to any decision, rule, or policy that would halt enforcement. This starts on enactment and keeps current import enforcement in place.
More transparency and ethics for agencies
Consulting contracts paid under this Act must be public records and open for inspection, unless other laws say otherwise. Regulators and their agencies cannot take travel payments from the people or firms they regulate. There is an exception for 501(c)(3) charities. These rules apply on enactment.
New PBM transparency and enforcement rules
Group health plans must get full details on PBM rebates, fees, and discounts, with records open to audit each year. The plan—not the PBM—chooses and pays the auditor. PBM companies that run drug benefits are now treated like the plan or employer for tax‑code enforcement tied to these requirements. These steps increase oversight of drug dollars and help plans make sure money flows back as promised.
Protect rural phone support at FCC
The FCC cannot use this Act’s funds to change high‑cost support rules for competitive carriers in ways that conflict with the July 15, 2015 rules. The FCC may create an alternative to Mobility Fund Phase II, but it must keep current support flowing until the new support starts.
Support for rail loans and research
The Secretary can issue direct loans and guarantees for rail projects under the RRIF program as long as any loan or guarantee is outstanding. The law provides $40 million for railroad research, which stays available until spent. Up to $3 million can improve the Transportation Technology Center, and at least $2.5 million funds a rail center of excellence.
Africa and Haiti trade breaks extended
Duty‑free trade preferences under AGOA and certain Haiti programs now run through December 31, 2026. Importers can ask Customs to treat eligible entries made after September 30, 2025 and before enactment as entered on enactment if they file within 180 days. Any refunds are paid within 90 days, without interest.
Stronger U.S. oversight in global finance
Treasury funds global financial enforcement: $237.662 million for Terrorism and Financial Intelligence, including at least $3 million for human‑rights and anti‑corruption work (with up to $16 million available through September 30, 2027). $30 million supports Treasury’s international technical assistance. The CFIUS Fund gets $21 million and may use collected fees to offset costs. Treasury must press international lenders to meet strong safeguards, publish beneficial ownership data, and expand independent evaluations. At least $5 million improves State–Commerce coordination on economic security and commercial relations, without duplicating the Foreign Commercial Service or funding domestic programs.
Longer BARDA contracts for medical needs
Starting in FY2026, BARDA can sign contracts lasting up to 10 program years for research services or security countermeasures. Funds must cover the full period or at least the first year, and include money for estimated termination costs. Contracts must include the required termination clause and congressional notice.
D.C. can’t fund most abortions
The District of Columbia may not use this Act’s funds for abortions except when the mother’s life is in danger or the pregnancy is from rape or incest.
Limits on abortion coverage in FEHB
The law bars using this Act’s funds to pay for abortions or related administration in FEHB plans, except when the mother’s life is at risk or the pregnancy is from rape or incest.
2026 pay limits for wage‑grade feds
For FY2026, prevailing‑rate federal workers have capped increases. After an initial period, raises cannot exceed a formula tied to the general pay adjustment and locality differences. OPM can allow exceptions for hiring or retention. Changes take effect the first pay period after September 30, 2025.
Amtrak overtime capped at $35,000
Amtrak cannot pay an employee more than $35,000 in overtime from these funds unless the Amtrak President grants a waiver for safety or efficiency. Amtrak must report within 60 days after enactment on overtime for 2025 and the prior three years, including how many waivers it issued and monthly overtime paid to waived employees.
Aid to Mexico tied to water, drugs
U.S. aid to Mexico is paused until State certifies Mexico delivered treaty water owed to the U.S. This does not block funds to fight fentanyl and other synthetic drugs. Also, 30% of Title IV funds for Mexico can be used only after State certifies key counternarcotics actions in the past 12 months.
Limits on U.N. funding and councils
Foreign aid funds in Titles III–VI cannot pay U.N. member assessments, arrears, or dues, or cover other countries’ conference costs. Money for the U.N. Human Rights Council is allowed only if State certifies key reforms; otherwise, the U.S. share is withheld and can be moved elsewhere. Funds cannot support the U.N. Commission of Inquiry on the Occupied Palestinian Territory and Israel. State must report by September 30, 2026 on HRC actions and reforms.
No abortion funding in foreign aid
Foreign aid funds under Part I cannot pay for abortions used as family planning or for involuntary sterilization. Funds also cannot promote, coerce, or research those activities. The President may block funds to any country or group that would violate these rules.
Tighter limits on aid to Palestinians
Funds to the Palestinian Authority are blocked unless the President issues a written waiver, which lasts up to 6 months and ends 12 months after enactment. Before funds are used after a waiver, State must certify steps like a single treasury account and actions against incitement. Money cannot pay Gaza‑based PA salaries or aid Hamas, Hamas‑controlled entities, or the PLO. West Bank and Gaza aid requires vetting, GAO access certification, bans on honoring terrorists, and security benchmarks with reports.
Limits on federally funded syringes
This Act’s funds cannot buy needles or syringes for illegal drug injection. An exception applies in areas with a declared or high-risk hepatitis or HIV outbreak and where programs follow local law. Funds also cannot support syringe distribution at sites local health or police deem inappropriate.
NIH facility upgrades face spending caps
For FY2026, NIH institutes and centers may spend no more than $100 million from this law on facility alterations, repairs, or improvements. No single project may exceed $5 million.
Stops Medicare funds for ACA risk corridors
Medicare trust funds and certain CMS management funds under this Act cannot be used for Affordable Care Act risk corridor payments.
Unused Education fund money canceled
The law cancels $160 million in unused balances in the Education Department’s Nonrecurring Expenses Fund by September 30, 2026. From any remaining balances, the Secretary may move up to $60 million to Innovation and Improvement for activities under part C of title IV of ESEA.
Abortion funding exceptions and protections
Public funds may pay for abortions in cases of rape, incest, or when a doctor certifies the pregnancy threatens the woman’s life. States and private entities may use their own non‑Medicaid‑match funds for abortion coverage, including in managed care. No funds in this Act go to governments or programs that punish providers for not performing or referring for abortions.
New conditions on Title X care for minors
Title X grantees must certify they encourage family participation in a minor’s decisions and counsel minors on resisting sexual coercion. Providers must follow state laws on reporting child abuse, rape, or incest.
New fraud checks on DME claims
Starting January 1, 2029, HHS can flag durable medical equipment, prosthetics, and orthotics when many claims come from a clinician who has not treated the patient in the past 24 months. For flagged items given on or after January 1, 2029, HHS may review claims before paying. This can cut fraud but may slow payments for some items.
New rules for off‑campus hospital billing
Medicare will not pay for services at an off‑campus outpatient department on or after January 1, 2028 unless it has its own NPI and timely provider‑based status attestations. HHS will set the attestation process through public rulemaking. Congress gave $20 million to run this, and the HHS Inspector General will report by January 1, 2030.
Job Corps stays open; pay is capped
Civilian Conservation Centers and Job Corps Centers generally cannot close, except for student safety or strict performance reasons, and capacity must be kept. At the same time, Job Corps and ETA funds cannot pay salaries or bonuses above Executive Level II; states may set lower caps for subrecipients. Vendor payments are not subject to the cap.
Overtime rules eased for disaster adjusters
For up to two years after a declared major disaster, claims adjusters who work on disaster claims can be exempt from overtime. To qualify, they must not work for a company that underwrites or sells insurance, must earn at least $591 per week (or a higher federal amount), and must hold any required license. Employers must keep workers’ comp and withhold taxes if required. This rule starts on enactment.
New rules for truckers and haulers
DOT cannot use this law’s funds to enforce electronic logging device rules for drivers hauling livestock or insects. At the same time, DOT must update rules so not meeting driver medical standard 49 CFR 391.11(b)(2) triggers an out‑of‑service order. Drivers and carriers face less ELD enforcement in those hauls but stricter medical rule enforcement.
Stricter rules and incentives for contractors
Businesses that spend this Act’s funds must follow Buy American rules. HUD‑funded agreements get whistleblower protections. Agencies cannot award or renew contracts to companies that skipped the annual veterans employment report, have a recent federal felony, or owe assessed unpaid federal taxes unless they review and decide not to suspend or debar. DoD can place some work with nonprofits for the blind or severely disabled and with firms at least 51% tribally or Native Hawaiian owned. It also sets aside $24.613 million for incentive payments when primes or subs use qualifying Native suppliers on DoD contracts over $500,000.
Aid holds for Central America and Nigeria
Half of certain aid for El Salvador, Guatemala, and Honduras is on hold until anti‑corruption, security, and human‑rights benchmarks are certified. Some programs, like human rights and humanitarian aid, are exempt. For Nigeria, 50% of aid is withheld until safety and support conditions are certified, and a multi‑year audit is required.
Funding to support Palestinian state conditioned
U.S. funds under this law may not support a Palestinian state unless the Secretary of State certifies key steps. The governing entity must commit to peaceful coexistence with Israel, counter terrorism and terror financing, and work with regional partners toward a comprehensive peace.
Limits and reforms on UN funding
No funds in State/Foreign Operations may go to UNRWA for prior years or FY2026; for FY2027 the ban lasts until March 25, 2027. Also, 10% of certain U.S. contributions to UN bodies is withheld until the Secretary of State certifies reforms like public audits, whistleblower protections, travel limits, and staff vetting.
Limits on emergency construction fund transfers
DoD can only use 10 U.S.C. 2808a for repair and construction if the projects are otherwise authorized by law. Transfers from listed appropriations and prior Acts under that authority are prohibited.
More flexibility to spend foreign aid
Agencies can obligate and spend many Title II–VI funds despite certain statutory limits listed in the law. Trade and Development Agency funds are not included. This increases flexibility while keeping other controls in place.
More rights funding; Cuba limits remain
At least $40 million funds international religious freedom programs, focused on countries of particular concern. At least $78.375 million supports global Internet freedom efforts. At least $25 million backs democracy and civil society in Cuba, but funds cannot promote business or weaken the Cuba Restricted List, and aid generally cannot go to Cuban military or security bodies.
Health agencies: facility funds and pay caps
CDC gets $40 million for property and facility work, with tight caps for improvements on non‑federal sites. NIH can keep using multiyear awards in FY2026 up to the amount obligated that way in FY2025. Grant‑paid salaries are capped at the Executive Level II rate, though NIH may fund 100% at that rate. CDC may cover primary and secondary schooling for eligible dependents in U.S. territories, up to Department of Defense cost levels.
Medicaid hospital funding rule changes
Medicaid DSH rules now count certain Medicare or plan payments in hospital calculations. States can use unspent prior-year DSH allotments to raise payment adjustments under limits, and cannot recoup some past payments if they met 2021 rules. Tennessee’s DSH is $35,351,507 for Jan 31–Sept 30, 2026 and $53,100,000 for FY2027.
Medicare Advantage rules on abortion services
Medicare cannot bar an otherwise eligible MA plan just because it refuses to provide, pay for, or refer for abortions. The Secretary must adjust the plan’s capitation payments based on actuarial costs. Plans must tell enrollees how to get information on all Medicare-covered services. Medicare coverage rules do not change.
Narrower exclusivity for orphan drugs
Exclusivity now covers the same approved use or indication within a rare disease, not the entire disease. Other companies may seek approval for different uses in the same disease. The change applies to any designated orphan drug, past or future.
Transplant network fees and EHR access
HHS may collect registration fees from transplant network members for each candidate they list, with public posting of fee amounts and uses. The fee authority ends three years after enactment. The law encourages secure EHR integration for organ referrals and remote access. GAO will review within two years. It also provides $127.009 million for health systems, including $122,000 for Hansen’s Disease Program facility renovations.
More flexibility for local housing and homelessness
Moving to Work housing agencies can use prior Section 8/9 funds for MTW activities, excluding special‑purpose funds. HUD cannot limit use of capital funds for central office costs under 9(g)(1) or (2), and PHAs cannot shift capital funds to operating uses beyond legal limits. Half of certain recaptured McKinney funds go to Treasury; the rest support state and local housing projects, with up to 15% for refinance incentives. CoC grantees may count eligible program income toward match for FY2015–2026 awards. Funds for disability housing PRA contracts remain available to pay valid FY2013–2016 obligations through FY2031.
New H‑2B wage rules and limits
H‑2B wages must be the higher of the employer’s actual wage for similar staff or the local prevailing wage. DOL must accept private wage surveys if they are statistically sound. The law blocks funding to enforce the ‘corresponding employment’ rule and the ‘three‑fourths guarantee,’ and it sets the ‘temporary need’ test to the immigration rule in 8 C.F.R. 214.2(h)(6)(ii)(B).
Defense buying rules and outsourcing limits
DoD funds cannot buy foreign‑made supercomputers unless the Secretary certifies no U.S. option meets a national security need. The Defense Secretary may waive some foreign‑source limits to keep cooperative programs working, but not for ships, certain bearings, food, or specific textiles. DoD also cannot convert civilian jobs to contracts unless a full competition shows at least the lesser of 10% personnel cost savings or $10 million, and the contractor does not gain by skimping on health insurance.
Defense reporting and spending guardrails
Starting with the FY2027 budget, DoD must show detailed allocations and submit quarterly status reports for funds from Public Law 119‑21 until all are spent. DoD must keep FY2024 negotiated indirect cost rate treatment and cannot change those rates. $218,015,597 in Army operations and maintenance stays available until used, and can be transferred or used for contracts tied to projects. DoD can buy armored vehicles for CENTCOM up to $450,000 each and passenger vehicles up to $75,000 each.
Federal IT and service funding rules
Agencies can move money into Treasury’s IT modernization fund, but only up to 5% of an appropriation and with prior approval. Each agency’s Chief Information Officer must approve how IT dollars are allocated. Agencies can transfer up to $29 million in total to GSA’s Federal Citizen Services Fund for FY2026, after a spend plan and a 15‑day notice. Money moved to the IT fund stays available through September 30, 2029; GSA transfers stay available through September 30, 2027.
More competition and Buy American in defense
DoD must give Congress 30 days’ notice before starting some multiyear buys if any year’s economic order quantity or unfunded liability is over $20,000,000. Multiyear deals over $500,000,000 need specific approval, and DoD must do a present‑value cost analysis first. DoD cannot award sole‑source space‑based MTI contracts over $100,000,000. Purchases using this Act’s funds must follow Buy American rules. DoD can use O&M money to buy items up to $350,000 each, or $500,000 for named overseas contingencies. DoD cannot reimburse contractors for restructuring‑related employee bonuses, and it generally cannot sign new contracts with inverted domestic corporations without a national‑security waiver.
New rules for federal purchasing
Agencies can buy commercial information technology without Buy American limits. For FY2026, most federal passenger cars are capped at $40,000 ($41,140 for station wagons), with narrow exceptions for police, demos, and clean‑fuel costs. People and companies convicted of certain federal procurement crimes cannot receive funds from this Act.
Public notice for highway Buy America waivers
Before waiving Buy America rules on Federal‑aid highway projects, the Transportation Secretary must give at least 15 days for public notice and comment. The Secretary must also post any granted waivers on a website. This adds more transparency and may change when waivers are issued.
Stricter rules on foreign aid payments
New U.S. aid deals must say the aid is tax‑free or that the foreign government will reimburse the taxes. If a country taxes FY2026 aid and does not pay it back by September 30, 2027, the U.S. withholds an amount equal to 200% of those taxes from FY2027 aid. De minimis taxes are excluded. The U.S. also bars aid to governments in default on U.S. loans for over one year unless the President finds it in the national interest. When a specific designation becomes impossible under law, agencies may reprogram money within the same foreign‑assistance account, with notice to Congress and under the original terms.
Debt relief funds and policy shifts
The law provides $52 million, available until September 30, 2029, to cover costs of changing or canceling certain foreign debts in multilateral restructurings. The U.S. must vote against multilateral bank loans and assistance to China. Within 90 days, Treasury must report on authorities, accounting, and custody for a Strategic Bitcoin Reserve and digital asset stockpile, and the effects on the Treasury Forfeiture Fund.
Pay cap rule for U.S. directors abroad
The U.S. cannot make payments to an international financial institution if the U.S. executive director’s combined pay exceeds Executive Schedule IV, or if an alternate’s institutional pay exceeds Executive Schedule V. This applies to funds under Title V.
Stronger Buy American for defense parts
DoD funds in this law cannot buy certain steel plate unless it was melted and rolled in the U.S. or Canada. DoD also cannot buy ball or roller bearings unless they are domestically made, with a narrow exception for some commercial products. Military leaders can waive these limits if domestic supply is not available and national security requires it. Existing contracts at enactment are not covered.
One-time payment to lawmaker's widow
The law pays $174,000 one time to Jill Marie LaMalfa, the widow of Representative Douglas L. LaMalfa.
Breastfeeding allowed anywhere on federal property
You may breastfeed your child anywhere in a federal building or on federal property where you are allowed to be. This right is in effect now.
Stronger limits on sharing DMV data
Any recipient of this law’s funds may not share personal DMV information, except as federal law allows. This protects people’s motor‑vehicle record data. The Secretary will not withhold funds from a grantee if a State is noncompliant.
Keeps federal transit benefits on time
DOT can pay transit benefit costs up front for federal agencies and be repaid later. The Working Capital Fund keeps a reserve no larger than one month of benefits. Each agency must fully reimburse the fund for the actual transit benefit cost.
CFTC whistleblower program extended
The CFTC Whistleblower Program stays authorized through September 30, 2026. Eligible tipsters can continue to submit tips and seek awards.
2028 bonuses for APM clinicians
Medicare keeps incentive payments for eligible Alternative Payment Model clinicians in 2028. The incentive rate is 3.1% for 2028.
Better tracking and access for telehealth
By January 1, 2027, Medicare telehealth claims must include special codes when care is through a contracted platform or done incident to a visit. Hospice telehealth recertification visits must include a telehealth modifier starting January 1, 2027. By January 1, 2028, HHS gives clinicians guidance on screening for medication‑related movement disorders, including telehealth best practices and coding. Within one year of enactment, HHS issues best practices for serving patients with limited English during telehealth visits.
Broader respite help for unpaid caregivers
“Family caregiver” now means any unpaid individual, not only adults, for Lifespan Respite Care. Grants are authorized for fiscal years 2026 through 2030.
CDC can cover some quarantine costs
In fiscal year 2026, CDC may use up to $1 million to pay transportation, medical care, treatment, and related costs for people quarantined under federal or state law. The funds remain available until spent.
Easier Medicaid signup for out-of-state providers
States must create a simpler way for eligible out‑of‑state providers to enroll to treat Medicaid patients under age 21. Providers who qualify enroll for five years unless excluded. They must already be enrolled in Medicare or another State plan and pass limited risk screening. This applies to applications submitted three years after enactment.
Fairer paybacks for organ donors
Grant recipients may not consider the organ recipient’s income when reimbursing living donors. The law removes expectations that recipients pay donors. Starting in fiscal year 2027, HHS reports each year on whether donors were fully reimbursed and how much more is needed.
More grants for sickle cell care
The program expands to cover treatment and preventing complications. It authorizes $8.205 million each year for fiscal years 2026–2030 for grants, contracts, or cooperative agreements.
More lodging help for military families
Each military department may move up to $11 million this year to support Fisher Houses and Suites. The law also provides a $5 million grant, available until spent, for the Fisher House Foundation when the Secretary finds it is in the national interest. Fisher Houses offer no‑cost lodging near hospitals for service members and families.
Excess Air Force homes to tribes
The Air Force may give excess relocatable housing units at no cost to recognized tribes in eight States. Units must come from five listed bases, requests go through Operation Walking Shield, and the program must resolve any tribal conflicts. Tribes must remove units within a reasonable time set by the Secretary.
Guard military technician jobs from cuts
Funds cannot be used to cut dual‑status military technician positions just to meet civilian staffing caps. Cuts are only allowed if the military force structure itself is reduced.
HHS overseas work and allowances
HHS can use State‑Department‑like authority for international health work in FY2026. It can pay or reimburse for facilities abroad and make grants to manage them. HHS staff serving overseas can receive pay and benefits like Foreign Service workers, including locality pay tied to Washington, D.C., where applicable.
Uniform transit benefits for federal workers
Transportation can set one set of rules for federal transit passes and benefits. It can set standards for paper and electronic distribution. This streamlines how federal workers receive transit help.
Pharmacies get a Part D complaint path
By January 1, 2029, HHS sets a process for pharmacies to report when a Medicare Part D plan breaks reasonable contract‑term standards. Plans must give documents to HHS. HHS can investigate, block frivolous filers, protect pharmacies from retaliation, and apply penalties when allowed.
IRS alerts on employer tax address changes
The IRS must send a confirmation notice to both the old and new employer addresses when an address changes for employment tax payments. IRS staff must give special consideration to offers‑in‑compromise from taxpayers harmed by third‑party payroll preparer fraud.
Advance notice for DOT loans and grants
Transportation must give Congress advance notice before approving key financing. At least 3 days’ notice is required for TIFIA/RRIF credit approvals, naming the sponsor, project, type of help, and amount. At least 60 days’ notice with evaluation and justification is required before awarding large Section 117 freight/highway grants. These rules take effect now.
Agencies must consult GSA before leases
Executive agencies funded by this law must consult GSA before seeking new leases or construction contracts, and before negotiating replacement leases. Emergency leasing is still allowed during a presidentially declared emergency.
Aid allowed to local governments abroad
Foreign assistance for a nation emerging from instability may also go to its regions, districts, cities, or other local entities. This clarifies who can receive help.
Aid for police and safer prisons abroad
U.S. funds can support civilian police training overseas, including human rights, rule of law, anti‑corruption, disaster response, and community policing. Money is also available to fix inhumane conditions in foreign prisons and detention centers. The State Department must consult Appropriations before using prison funds and within 60 days of enactment.
Blocks aid to abusive or hostile actors
Funds cannot arm or assist foreign units that repress peaceful protest with excessive force unless accountability steps are underway. No funds go to governments that supply lethal weapons to states that support terrorism. Assistance is barred for the Palestinian Broadcasting Corporation, North Korea (with a narrow remains‑recovery exception), and the Taliban.
CNCS donations must add, not replace
Starting in FY2026, donations to AmeriCorps/CNCS must supplement, not replace, current program funds. CNCS and recipients must use donated money to increase resources, not backfill budgets.
Congressional access to child facilities
Members of Congress may enter U.S. facilities that house unaccompanied children for oversight. They must coordinate with the Office of Refugee Resettlement at least two business days before visiting. Visits must not disrupt operations, child welfare, or safety.
Counter-drug funds cannot be transferred
Money set aside for DoD or CIA drug‑interdiction work cannot be moved to another agency unless Congress specifically allows the transfer. This keeps counter‑drug funds focused on their purpose.
Counter-propaganda funds used only abroad
Money to fight foreign propaganda and disinformation can only be used to counter foreign state or non‑state actors abroad. It cannot be used for domestic activities. This rule is effective on enactment.
DHS reimbursable screening extended to 2026
DHS can keep running reimbursable screening services through 2026. This extends the program’s authority for another year.
Fix to Oregon waste project recipient
The law corrects a community project entry to name Oregon Metro as the recipient for a Waste Improvement System. Funding levels do not change.
Fixing DoD damage on tribal lands
At least $12 million is reserved to mitigate environmental damage on Indian lands caused by Defense activities. Funds can pay for tribal training and technical help, documenting damages, and planning and prioritizing repairs.
Forest Service ACES extended to 2026
The Forest Service can keep participating in the ACES program through October 1, 2026.
Funds for State Political-Military office
At least $2.5 million from Diplomatic Programs goes to the State Department’s Bureau of Political‑Military Affairs for stated purposes in the Act’s explanatory statement.
Funds for trafficking and war victims
At least $15 million supports forensic work to fight human trafficking and identify victims of war crimes and genocide. Funds can also help create or maintain genocide memorial sites, with notice to Congress. The aid can be used despite some other laws.
Grants to USO and Red Cross
DoD provides $49 million in grants: $24 million to the USO and $25 million to the American Red Cross. The Secretary of Defense must find each grant serves the national interest.
Guantanamo stays open; no U.S. transfers
Money in this law cannot close or realign the Guantanamo Bay naval station. Funds cannot build or modify U.S. facilities to house covered detainees. Covered detainees cannot be transferred or released into the United States, and foreign transfers must follow specific laws.
Guard can waive nonprofit lease fees
The National Guard Bureau can waive all or part of the price for leasing personal property to certain nonprofits for up to one year. The waiver can cover youth, social, or fraternal groups approved case by case.
HHS must report before tapping funds
HHS may not use section 241 taps or other internal assessments unless this law specifically provides the money and the Secretary sends Congress a report on planned uses. This adds transparency before HHS redirects funds.
IRS must follow strict conference rules
The IRS cannot spend money on conferences unless it follows strict procedures and documentation based on the watchdog report. This aims to prevent waste and improve accountability.
Keep passport and consular services funded
State may transfer funds to keep consular services running in FY2026, with notice to Congress. For 2026 only, some Fraud Prevention and Detection Account fees can help pay consular costs.
Keep ships, U-2s, arms, museums
Funds cannot retire more than one Littoral Combat Ship. The Air Force cannot divest more than eight U‑2 aircraft. DoD cannot destroy certain historic small arms or usable ammo unless certified unsafe. Four named Army museums must stay open.
Labor Department protective officers
The Labor Department can employ officers to protect the Secretary and some senior staff when unique threats exist. These officers can carry firearms, make arrests for crimes they witness, and work with other police. They must follow guidance from the Attorney General and the Labor Secretary.
More funding for Civil Air Patrol
At least $79 million supports Civil Air Patrol operations and gear: $57.9 million for operations and readiness, $17.8 million for aircraft, and $3.3 million for vehicles. The Air Force is urged to waive reimbursement for CAP counter‑drug support.
More oversight of child influx shelters
Agencies must give Congress 15 days’ notice before opening an unlicensed influx shelter for children. The notice must say if it is hard‑sided or soft‑sided and explain the need, such as DHS custody over 72 hours or danger to children. Within 60 days of opening and monthly after, the agency must report the number of children, average stays, and reasons any child remains in care over 60 days.
Navy logistics pilot and pay shift
At least $80 million launches a Navy Platform Supply Vessel pilot to test time‑chartering at least six ships and contract for at least two. The Navy must brief Congress within 180 days. Separately, up to $30 million can shift from Defense‑Wide operations to military pay accounts to support personnel working with eligible outside groups under 10 U.S.C. 2012.
NGOs can earn interest on aid
State Department grantees and contractors may place local currency proceeds from economic aid into interest‑bearing accounts. They can use the interest for the same program purpose, with standard notice to Congress.
Protect historic arms and military museums
Defense funds cannot be used to destroy or demilitarize certain historic small arms or commercially legal ammo unless the Army certifies they are unsafe or unserviceable. The law also keeps four museums open: Rock Island Arsenal Museum (IL), Fort Sill Museum (OK), Army Transportation Museum (VA), and the Patton Museum (KY).
Refugee aid and war-crimes support
The law provides $100 million for the Emergency Refugee and Migration Assistance Fund, available until spent. Amounts above the legal cap move to International Humanitarian Assistance. The President may draw down up to $30 million in goods and services to support UN war‑crimes tribunals when it helps resolve genocide and similar cases, with required notifications.
Stricter rules on PR and contracts
Agencies must give Congress advance notice before spending more than $5,000 on public‑relations contracts. They cannot pay award or incentive fees to poorly performing contractors except under narrow conditions set in federal rules. Funds cannot pay expenses for outside intervenors in hearings. Agencies cannot use these funds to spread information that is deliberately false or misleading.
Training required with lethal foreign aid
Lethal aid packages funded by U.S. peacekeeping or military financing must include combat casualty care training and equipment, awarded competitively. The Secretary may skip this only if the recipient already meets tactical combat casualty care standards. The State Department must also offer international humanitarian law training with lethal aid, except for NATO members, major non‑NATO allies, or countries already complying with IHL.
Trucking safety advisory panel extended
The Motor Carrier Safety Advisory Committee is extended through September 30, 2026. The panel continues to advise on trucking safety.
Ban gag clauses on reporting fraud
Federal funds cannot go to groups that make workers sign rules stopping them from reporting fraud, waste, or abuse to federal investigators. Classified‑information secrecy rules still apply.
FDA opens Abraham Accords office
FDA must establish an Abraham Accords Office within two years in an Accords country, after consultations. The office assigns FDA staff, provides technical help to partner regulators, and shares feedback on U.S. regulatory pathways and manufacturing oversight. FDA must report to Congress within three years.
More FDA transparency on pediatric studies
FDA must evaluate if pediatric study deferral deadlines were met and report that. FDA must also list each penalty, settlement, or payment for violating pediatric study rules, showing the drug, sponsor, and amount.
More transparency on federal grants
Agencies must post funding notices and grant awards from the last 10 years, and program notices and templates from the last 5 years. Grantees must state the percent and dollar amounts paid by federal funds and by non‑government sources in public materials.
No pro‑drug messages in DUI ads
NHTSA cannot use this Act’s funds to run impaired‑driving ads that encourage illegal drug or alcohol use. This rule takes effect now.
Small boost for highway safety training
An extra $130,000 supports NHTSA travel for state management reviews and core training for highway safety staff.
Workers can report fraud without gags
Federal funds cannot support contracts that require employees or contractors to sign gag clauses blocking lawful reports of fraud, waste, or abuse to federal investigators. This does not change classified information nondisclosure rules.
Help for rural and Tribal projects
The law provides $10 million through September 30, 2028 for rural and Tribal infrastructure advancement. DOT can award cooperative agreements for planning, technical help, and capacity building to eligible communities and partners.
IRS staff must train on taxpayer rights
The IRS must train employees on taxpayer rights, courteous treatment, cross‑cultural relations, ethics, and impartial tax law enforcement.
More grants for intercity passenger rail
The law provides $65 million for Federal‑State partnership rail grants, available until spent. Up to 2% can cover oversight. $40 million comes from prior unobligated balances. $5 million goes to rehab Washington Union Station.
New funding for transport research and drones
DOT gets $74.471 million for research and technology, with $56 million available until spent. It funds ARPA‑I ($9 million, at least $7 million to a northeastern university), automated systems safety ($4 million), positioning/navigation/timing demos ($3 million), and drone inspection grants ($10 million, including $1 million to run the program). $30 million goes directly to a university with a nuclear engineering program for resilience and nuclear tech research.
Free DHA care for some Pacific patients
The Defense Health Agency may provide free medical care and transport for civilians from American Samoa, CNMI, the Marshall Islands, the Federated States of Micronesia, Palau, and Guam. This applies when it benefits graduate medical education at DHA facilities in Hawaii.
Rare pediatric drug voucher extended
The priority review voucher program for rare pediatric diseases runs through September 30, 2029. The fee is due when the company files the application. GAO will study the program and report within five years.
Reviews of PBMs and Medicare drug costs
GAO must study how fees and payments tied to drug prices work in the Part D retail supply chain and report within two years. MedPAC must analyze PBM agreements for Part D and MA‑PD plans, including effects on beneficiary out‑of‑pocket costs and pharmacy pay. Congress provides $1 million in FY2026 for this work, and reports follow on a set timeline after data are shared.
HUD Title II grants must be competitive
Grants and other help under Title II must be awarded through a competitive process unless another law clearly says otherwise. Awards must follow HUD’s transparency rules.
More HUD grant notice and advocacy protection
HUD must give Congress at least three full business days’ notice before announcing any grant from this law, listing each award by state and district. HUD funds cannot be used to investigate or prosecute under the Fair Housing Act any otherwise lawful activity done solely to influence a government action or court, including filing a nonfrivolous lawsuit.
Access to National Guard learning gear
Groups can use National Guard Distance Learning equipment when space is available. The Guard sets a case‑by‑case reimbursement. Collected funds stay with the project and do not expire.
E-Verify authorization extended to 2026
The law keeps E‑Verify authorities in place through September 30, 2026. Employers and workers continue to use the system without a lapse.
More flexible H‑2B seafood entries
Seafood employers with approved H‑2B petitions can bring workers anytime within 120 days after the start date without a new petition. For entries after day 90, the employer must redo local labor steps and offer the job to an equally or better qualified U.S. worker who applies and is available. Labor will not treat these later entries as unlawful staggering.
More time and flexibility for research funds
ACF, the Chief Evaluation Office, and certain BLS research funds stay available to obligate through September 30, 2030. Agencies may use a single Treasury account and reobligate unspent research money in the same or next fiscal year for the same purpose. Labor, HHS, and Education can move unspent prior balances into matching current accounts, but only for the original purpose and time period.
No political vetting of science advisors
Agencies cannot ask scientific advisory candidates about political party, voting history, or unrelated political views. Agencies also cannot use funds to spread deliberately false or misleading information.
Set‑asides for health research trainees
One percent of NRSA funds goes to HRSA for primary medical care research tied to certain grantee affiliations. Another one percent goes to AHRQ for health services research. These set‑asides apply each year.
Youth education grants timing updated
Dates for Personal Responsibility Education and Sexual Risk Avoidance grants shift from 2025 to 2026. Some references move to fiscal year 2027. A pro rata period runs from October 1, 2026 through December 31, 2026. Who qualifies does not change.
Easier DOT funding for tribal deals
DOT can move money awarded to Tribes into the Office of Tribal Government Affairs and move it back as needed. DOT can also centralize funds for award, administration, and oversight of certain grants into a single account, and those funds stay available until spent.
FEHB contracts exempt from CAS rules
Contracts under the Federal Employees Health Benefits Program no longer follow federal cost accounting standards. This reduces accounting compliance for FEHB contractors starting on enactment.
Grain inspection rules extended to 2026
Key U.S. Grain Standards Act authorities stay in effect through September 30, 2026. This keeps current grain inspection and grading rules in place for another year.
Tobacco prices higher at base stores
Military stores in the U.S., territories, and possessions cannot sell tobacco below the most competitive local price. Overseas stores must price within the U.S. military retail range. This likely raises or standardizes prices for service members and families on base.
No Social Security credits for fraud
Social Security may not use this Act’s funds to process work‑credit claims based on work done under another person’s SSN when that work led to the claimant’s conviction under section 208(a)(6) or (7). These quarters cannot count toward benefits.
Cap on public housing agency pay
For public housing agency fiscal year 2026, tenant‑based and Section 9 funds cannot pay any salary or bonus above the Executive Schedule Level IV rate. This applies to CEOs and all other agency officials and employees paid with those funds.
DC limits official vehicle use
District of Columbia officers and employees may use official vehicles only for official duties. Commuting is not an official duty except for named on‑call roles and the Mayor and Council Chairman.
No HUD awards for disciplined staff
For this fiscal year, HUD cannot give performance, special act, or spot awards to any HUD employee under administrative discipline, including suspension. The ban does not apply before discipline starts or after a final decision overturns it.
Stricter standards for IRS bonuses
The IRS cannot use these funds to pay bonuses or rehire former employees unless the program considers the worker’s conduct and federal tax compliance.
Tighter rules for DoD travel cards
DoD military and civilian cardholders cannot use government travel cards for gambling or entertainment with topless or nude performers. This applies to travel‑related obligations.
$33M Pakistan aid withheld
$33 million for Pakistan is withheld until State reports Dr. Shakil Afridi is released and cleared of related charges. The funds cannot be obligated until that report is made.
DC cannot fund Schedule I legalization
Federal and District funds in this law cannot be used to legalize or cut penalties for Schedule I drugs or THC derivatives in Washington, DC. This includes recreational uses. The rule applies on enactment.
Drug‑free policy required to spend funds
For FY2026, federal departments and agencies may not use their appropriations unless they have and enforce a written drug‑free workplace policy for their officers and employees.
Limits on drug legalization efforts in DC
Federal funds in this law cannot promote legalizing Schedule I drugs. Normal communications with Congress are allowed. In the District of Columbia, neither federal funds nor DC funds may be used to legalize or reduce penalties for recreational possession, use, or distribution of Schedule I drugs or THC derivatives.
No funding for embryo-destroying research
Federal money in this law cannot be used to create human embryos for research or to conduct research that destroys or risks killing a human embryo beyond federal limits. The law defines “human embryo” broadly. This takes effect now.
Special criminal assessment continues past 2025
The law removes the September 30, 2025 end date for a special criminal assessment. Covered offenders continue to owe this extra assessment after that date.
Library funds tied to internet filters
Libraries must certify compliance with the Children’s Internet Protection Act to receive Library Services and Technology Act funds. Without these certifications, a library cannot receive those funds.
Cuts to manufactured housing funds
The law permanently cancels $5,036,988.73 from a HUD account and $5,200,000 from the Manufactured Housing Fees Trust Fund. This reduces money available for manufactured housing oversight and related work.
No online voting in union elections
The NLRB cannot use these funds to create new rules or directives that let employees vote by electronic means in union representation elections. This starts on enactment and limits new online voting options.
Small set‑aside for higher‑ed evaluations
Education may reserve up to 0.5% of any Higher Education Act program funds in this law (except Title IV‑A, subpart 1) for independent evaluations and outcome data. These funds are available through September 30, 2028 and cannot fund Student Aid Administration. A plan is due to appropriators at least 30 days before first using the set‑aside.
HUD blocks HAPSS‑like contracts
HUD cannot issue or accept bids on solicitations that are substantially the same as the July 27, 2022 HAP Contract Support Services draft. This stops new contracting that mirrors that draft.
Limits on shifting Education funds
The Education Department can move at most 1% from any discretionary account, and no account can rise by more than 3% from transfers. Transfers cannot start new programs or fund items not in this law. Congress must be notified at least 15 days before any transfer.
Bankruptcy fee rule tweak in early 2026
Through the end of the first calendar quarter of 2026, one bankruptcy fee rule applies as if a specific 5‑year phrase were removed. A related 2025 law reference now reads “on or after” instead of “on the,” effective as if enacted right after that law. This can change fees for those filing bankruptcy in that period.
Local hiring allowed with worker safeguards
DOT can back grants or contracts that use local hiring preferences only if three things are certified. A pool of qualified, unemployed local workers is available (not counting apprentices/trainees). Bids must bar displacing current workers just to meet the preference. Any extra costs or delays must not push other projects off the state or regional plans.
Base stores must buy alcohol locally
Military resale outlets in the U.S. must buy beer and wine inside the State (or DC) where the base is located. If a base spans States, purchases may be from any of those States. For non‑contiguous States, the local rule covers all alcohol. For other alcohol in contiguous States and DC, stores must choose the most competitive source.
DC contraception laws and conscience clause
Congress says DC may set rules for contraceptive coverage. Congress also states any DC law should include a conscience exception for religious or moral beliefs. This is guidance, not a federal mandate.
Embassy in Israel stays in Jerusalem
The State Department cannot use these funds to move the U.S. embassy in Israel away from Jerusalem. The current location remains.
Federal networks must block pornography
Computer networks paid for by this Act must block viewing, downloading, and sharing pornography. Law enforcement and victim‑assistance work is exempt for investigations and prosecutions. This rule takes effect on enactment.
Limits on SSA Mexico agreement admin
SSA cannot use these funds to pay staff to administer Social Security payments that exist only because of a U.S.–Mexico totalization agreement. This does not change benefit law but may limit admin spending for those cases.
Limits on White House background checks
The Executive Office of the President cannot use these funds to ask for FBI background reports or IRS tax‑exempt determinations, unless the person consents in writing within 6 months in the same administration or a national security emergency requires it.
No funds to promote gun control
Money in this title cannot be used to advocate or promote gun control. This applies to agencies and recipients of these funds.
No redesign of the $1 bill
Treasury and the Bureau of Engraving and Printing may not spend these funds to redesign the $1 bill. This keeps the current design in place for now.
Only certain flags at State Department
State Department facilities may display only a short list of flags, including the U.S. flag, POW/MIA, Hostage and Wrongful Detainee, the Foreign Service flag, certain domestic, tribal, agency, and foreign sovereign flags.
More transparency for grants and ads
Federal ads and education materials must clearly say they were paid for by U.S. taxpayers. Grantees must show the percent and dollar amounts paid by federal and non‑government sources. Certain agencies must give Congress at least three business days’ notice before awarding or ending many discretionary grants, with limited exceptions. Named non‑Federal entities in the FY2026 disclosure table must keep records and allow GAO access.
No national personal health ID
The government cannot use this Act’s funds to adopt a national unique health identifier without a new law from Congress. This does not stop identifiers used when a person acts as an employer or as a health care provider. The rule starts on enactment.
More flexibility in infrastructure grants
The competitive‑grant minimum is lowered from 40% to 30% for the covered program. If there are not enough strong applications for FY2022–FY2026 funds, DOT can move unused money to other grants in the same section. Moved funds keep their legal treatment.
New steps in pediatric study enforcement
FDA must send a noncompliance letter at 270 days. Sponsors have 45 days to respond, and FDA must review that response before finding lack of due diligence. Certain enforcement can only apply to failures on or after 180 days after enactment.
More transparency and controls at HUD
HUD can fix past formula errors by offsetting future allocations and reallocating recovered amounts, and may spread large offsets over more than one cycle. HUD may transfer up to 10% or $5 million between offices and up to $5 million to an IT Fund, with advance notice and limits. HUD must follow public rulemaking with at least 60‑day comment periods and allow 60 days of public comment before changing annual contributions contracts. HUD may re‑use unspent research funds in the same or next year.
Small transfers for workforce oversight and help
Labor can shift up to 0.5% from Employment and Training Administration accounts to program administration for technical help and program integrity. Up to 0.5% can also move from Job Corps for integrity work. Money moved this way stays available through September 30, 2027.
IRS pause on 501(c)(4) rules
During fiscal year 2026, Treasury and the IRS cannot issue or change broad rules for when a group qualifies as a 501(c)(4) social welfare organization. Agencies must use the standards in place on January 1, 2010 to decide 501(c)(4) status.
D.C. can shift funds to capital
The District of Columbia may move operating money in this Act into enterprise and capital funds, and those dollars keep their authority. D.C. can move some local funds from the past five years back to operating. It cannot use bond or other capital‑financing proceeds for operating costs.
Limits on Labor budget moves
The Labor Department can move up to 1% of a discretionary appropriation between programs in the same year. No single program can be increased by more than 3% using these moves. The Department must notify the Appropriations Committees 15 days before any transfer and cannot create new programs with these funds.
Limits on Treasury and IRS transfers
Treasury cannot shift more than 2% among certain accounts without Appropriations Committee approval. In FY2026, IRS may move up to 2% from any IRS account to its watchdog (TIGTA), again only with advance approval. No account can be raised or lowered by more than 2%.
Targeted global health and development funds
$32.5 million goes to the UN Population Fund but cannot fund abortions or any China country program. UNFPA must keep a separate account, and any planned spending in China triggers a dollar‑for‑dollar cut after March 1 based on a State report due in four months. $12 million goes to the U.S. African Development Foundation, available until September 30, 2027. USADF grantees may invest pending spending, must use interest for the grant, and can get small cap waivers for currency issues.
Treasury can front debt collection costs
Treasury may move money from its Salaries and Expenses account to the Debt Collection Fund to cover collection costs. Transfers must be repaid from amounts collected. This is an internal cash‑flow tool, not new spending.
SEC blocked from political-donation disclosures
The SEC cannot use this Act’s funds to finish or carry out rules about public company disclosures of political contributions, donations to tax‑exempt groups, or trade association dues. This restriction starts on enactment.
Manufactured housing program fees and funding
Up to $14 million from the Manufactured Housing Fees Trust Fund stays available until spent to run safety and standards work. The Secretary may charge fees to program participants for dispute resolution and installation and deposit them into the Trust Fund. The general fund can be used temporarily but is reduced to zero during FY2026 as fees come in.
2026 federal pay limits and OPM fees
In 2026, pay for the Vice President and senior political appointees at or above Executive Schedule IV stays at 2025 levels. Agencies must pay OPM the prior‑year average cost per retirement claim for covered retirements or separation incentives in FY2026. OPM may accept and use court‑approved funds to resolve nonforeign area COLA settlements.
Sponsors & CoSponsors
Sponsor
Cole, Tom [R-OK-4]
OK • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
house vote • 2/3/2026
On Motion to Concur in the Senate Amendments
Yes: 217 • No: 214
senate vote • 1/30/2026
On Passage of the Bill H.R. 7148
Yes: 71 • No: 29
senate vote • 1/29/2026
On Cloture on the Motion to Proceed H.R. 7148
Yes: 45 • No: 55
house vote • 1/22/2026
On Passage
Yes: 341 • No: 88