HR9260119th CongressWALLET

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027

Sponsored By: Representative Aderholt, Robert B. [R-AL-4]

In Committee

Summary

FY2027 funding for Labor, Health, and Education. This bill would set program-by-program FY2027 appropriations for the Departments of Labor, Health and Human Services, and Education and attach policy riders that restrict certain types of research, abortion-related uses of funds, and procurement from specified foreign entities.

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  • Families and children: Would boost support for early learning and family services, including Head Start at about $12.4 billion and the Child Care and Development Block Grant at $8.8 billion, plus funding for child support and low-income energy help.
  • Workers and workforce training: Would fund Workforce Innovation and Opportunity Act activities, National Apprenticeship supports, and Job Corps operations while capping Job Corps salaries at Executive Level II and allowing up to $450,000 of excess property to apprenticeship programs.
  • Health, seniors, and research: Would provide large Medicaid grants to States (about $468.7 billion) and substantial NIH and CDC funding, including ARPA-H at $1.5 billion, while prohibiting specified research practices and limiting funding tied to certain foreign entities.

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Bill Overview

Analyzed Economic Effects

43 provisions identified: 10 benefits, 19 costs, 14 mixed.

More CDC funding and authority

If enacted, the bill would give the Centers for Disease Control and Prevention specific funding and new authorities. It would provide $40 million for buildings, $815.872 million for emerging and zoonotic infectious diseases, and $406.57 million for CDC-wide activities. Some funds would remain available until spent and some through September 30, 2028. The bill would also allow limited uses such as support for an aircraft contract and small official reception expenses when approved by the Director.

HRSA workforce: set funding priorities

If enacted, $1,438,876,000 would be appropriated for HRSA health workforce programs. If enacted, amounts for the National Health Service Corps would remain available until expended, with at least 15% set aside for loan repayment to providers serving in IHS facilities, Tribally‑Operated 638 programs, and Urban Indian Health Programs. If enacted, $8,000,000 would be set aside for payments to individuals serving in Maternity Care Health Professional Target Areas.

More funding for primary care

If enacted, the bill would increase funding for primary health care and related rural programs. It would provide $1.858772 billion for primary health care, set ceilings on some section 224 activities, and give $648.432 million for HRSA cross-cutting activities including $45.55 million for telehealth and $420.344 million for community projects. The bill would also fund rural health programs with $475.765 million and set aside $100 million to split equally among eligible small rural hospitals (those with no more than 50 beds and wage index under 0.90), with up to 10% usable for administrative costs.

Undergraduate subsidized loans end

If enacted, the bill would end eligibility for undergraduate Federal Direct subsidized (Stafford) loans for any period of instruction beginning on or after July 1, 2027. The bill would set the maximum unsubsidized loan amount equal to the usual unsubsidized limit plus the amount the student would have received in subsidized loans. Some limited transitional rules would apply for people who meet certain criteria as of June 30, 2027.

Abortion funding and training limits

If enacted, no funds in this Act could be used for abortions or for health plans that cover abortions, except for rape, incest, or life‑threatening cases certified by a physician. If enacted, the bill would bar using Act funds to require Title X projects to refer for abortions and would require Title X applicants to certify they encourage family participation for minors and counsel minors on resisting coercion, while keeping providers subject to State child‑abuse reporting laws. If enacted, hospitals and training programs could not use Act funds to offer abortion training unless participants voluntarily opt in, and trainees could not be discriminated against for opting out.

Cancel $1.9 billion exchange fees

If enacted, the bill would rescind $1.9 billion of offsetting collections from fees charged to qualified health plans sold through ACA Exchanges. That reduces the fee receipts available to support Exchange operations.

Hold $12.33 billion in child funds

If enacted, $12.33 billion of amounts in the Child Enrollment Contingency Fund and income from investing those amounts would not be available for obligation this fiscal year. That money would not be available to support programs that rely on the fund during this year.

Rescind education nonrecurring fund balances

If enacted, the bill would rescind unobligated balances in two nonrecurring expense funds used by the Department of Education and related accounts. It would rescind $250 million from one DOE Nonrecurring Expenses Fund and $2.0 billion from another named Nonrecurring Expenses Fund, not later than September 30, 2027, except for amounts Congress previously designated as emergency.

Medicare payment model limits

If enacted, the bill would bar using these funds to implement CMS‑5056‑N, a prior authorization model for traditional Medicare. If enacted, the bill would also bar using certain Medicare trust fund or CMS Program Management funds to make payments under the ACA risk corridors provision (section 1342(b)(1)). Both restrictions would take effect upon enactment.

Higher education funding and rules

If enacted, the bill would set Title IV amounts to $16.27 billion for FY2027 and $1.236 billion for FY2028 and each year after for the cited clause. It would allow some Title III/V endowments to use income for scholarships and require TRIO program funding to be at least FY2026 levels with award deadlines. If enacted, advanced nursing programs must be treated as professional degree programs for Title IV, and the Department of Education could not use funds here to implement two specific Department rules (borrower defense and the 90/10 change). The bill would also bar Act funds for colleges that enter covered STEM partnerships with PRC‑controlled entities and for institutions that fail to take administrative action against antisemitism. The Secretary may reserve up to 0.5% of HEA program amounts for independent evaluations.

Vaccine injury claims and payments

If enacted, the Vaccine Injury Compensation Program Trust Fund would be allowed to pay claims for vaccine-related injury or death for vaccines given after September 30, 1988. Those claim payments would remain available until spent. The bill would also permit up to $15.2 million from the Trust Fund for necessary administrative expenses.

Parents get more school notices

If enacted, K–12 schools that receive money under this bill would have to tell parents promptly about a student's gender identity or a student's wish to express a different identity. Schools could only withhold information from parents when required by a court order, a law‑enforcement investigation, or State law on abuse or neglect. If enacted, local districts could not use money in this bill for student‑involved active shooter drills unless students under 16 can opt out with a parent's or guardian's consent. Schools that do not follow these rules could lose Act funding.

Notice and reporting for influx sites

If enacted, the Secretary must notify the House and Senate Appropriations Committees at least 15 days before opening any unlicensed influx facility for unaccompanied children. The notice must say whether the facility is hard‑ or soft‑sided and explain why children would otherwise stay in DHS custody more than 72 hours or be in danger. Within 60 days of opening and monthly after, the Secretary must report how many children are there, average length of stay, and for any child there more than 60 days the reason for the delay.

Shield religious marriage expression from penalties

If enacted, the bill would bar the federal government from taking discriminatory action against a person for speaking or acting on a sincere religious belief that marriage is or should be a union of one man and one woman. Discriminatory action would include changing tax treatment, denying grants or contracts, withholding benefits, or denying accreditation, licenses, or access to federal property or forums. The bill would direct agencies to treat someone as accredited or licensed for federal purposes if they would be but for such discriminatory actions.

Extend research and statistics funding

If enacted, funds for research, evaluation, and statistics at the Administration for Children and Families, the Chief Evaluation Office, and the Bureau of Labor Statistics would be available for obligation through September 30, 2031. These offices could pool funds in a single Treasury account when funded from multiple appropriations and deobligate and reobligate unspent contract amounts in the same or the next fiscal year for the same purposes.

Long-term contracts for biomedical research

If enacted, the bill would let the Biomedical Advanced Research and Development Authority sign contracts lasting more than one year and up to ten program years for research services or medical countermeasures. Contracts may be used only when funds are available and obligated for the full contract period or the first year with estimated termination costs provided. Contracts must include a termination clause and meet congressional notice rules.

No reimbursement for marijuana claims

If enacted, Federal workers' compensation programs covered by this bill could not authorize, provide, reimburse, or otherwise recognize marijuana or cannabis‑derived substances as a compensable medical treatment or benefit, even if marijuana's federal schedule changes. This would apply to programs including the Federal Employees' Compensation Act.

Overtime and seasonal worker pay rules

If enacted, claims adjusters working on major disaster claims could be exempt from federal overtime rules for two years after a disaster if they meet conditions, including averaging at least $591 per week, obtaining required licenses, and working for employers that meet insurance and tax withholding rules. If enacted, the Adverse Effect Wage Rate used for H‑2A/H‑2B agricultural programs would be frozen at the level in effect on October 2, 2025 for the fiscal year covered by this Act. Both changes would affect pay and employer costs.

Ban on CRT and DEI trainings

If enacted, the bill would bar federal funds from being used for diversity, equity, and inclusion programs that promote Critical Race Theory or related concepts. It would also prohibit funds for programs that teach a long list of specific ideas about race or sex. The ban would apply to federal agencies and recipients of federal funds and would take effect upon enactment.

Cancel $213 million immigration balances

If enacted, the bill would permanently rescind $213 million of unobligated funds available under a named Immigration and Nationality Act provision. The rescission must occur by September 30, 2027 and would reduce available balances for immigration-related accounts.

New limits on Social Security admin

If enacted, the bill would bar using funds in this Act to pay SSA employees to administer benefit payments that exist only because of a U.S.–Mexico totalization agreement. It would also bar the agency from processing claims for quarters of coverage based on work done under another person's Social Security number when that use led to certain convictions. These changes could stop some people from getting credit or benefits tied to those rules.

Block OSHA heat safety rule

If enacted, the bill would bar using funds in this Act to finalize, implement, or enforce OSHA's proposed "Heat Injury and Illness Prevention" standard published in the Federal Register on August 30, 2024, or any substantially similar standard.

College funding tied to campus rules

If enacted, the bill would condition this Act's funds to colleges on several campus policies. Institutions would need a policy banning antisemitic conduct that creates a hostile environment and would have to take administrative action against students or staff who commit antisemitic acts to keep funding. Public institutions could lose funds if they deny religious student organizations rights or official recognition because of their beliefs. The bill would also bar funds for institutions that allow someone born male to play in women’s or girls’ athletics.

Libraries must certify internet safety

If enacted, the bill would bar Library Services and Technology Act funds from going to any covered library unless the library makes the statutory internet-safety certifications required by the Children's Internet Protection Act. Libraries that do not provide those certifications would be ineligible for these Act funds.

New federal procurement limits

If enacted, the bill would bar agencies from entering into or renewing federal contracts with entities that failed to file a required veterans employment report. It would require that funds not be used to buy goods or services made in whole or part by forced or indentured child labor in industries and countries the Department of Labor identified before enactment. For fiscal year 2027, the bill would also bar buying office computers, printers, or interoperable videoconferencing services from vendors with any ownership stake by the People's Republic of China.

Changes to AmeriCorps and awards

If enacted, new AmeriCorps programs would need a 24% minimum non‑federal share for the first three years they get AmeriCorps funding. If enacted for FY2027, an education award under section 148(a)(4) may be limited to veterans. If you complete at least 1,200 service hours in not more than one year, you would be eligible for a national service education award equal to 70% of the standard award, and the CNCS CEO may give pro‑rated awards to some early‑exit participants.

Job Corps and training program protections

If enacted, Job Corps campuses could not be paused or closed using Act funds unless the Secretary gives written notice to the campus operator and local Members of Congress and identifies conditions for resumption. If enacted, the bill would bar changing or ending the Labor‑Agriculture interagency agreement and would limit closures of Civilian Conservation Centers and Job Corps Centers to strict safety and performance tests while retaining program capacity. For FY2027, Job Corps operators could accept grants, donations, and in‑kind help that carry out subtitle C of WIOA but not to meet certain contract obligations. The Secretary may dispose of Treasure Island and Gary Job Corps property and use net proceeds for Job Corps projects. The Secretary may transfer small shares of ETA and Job Corps funds for integrity and technical assistance, and DOL could move up to 1% between programs with a 3% cap on any program's increase. The bill also limits certain DOL training grants to training for occupations where employers hire H‑1B workers.

Changes to H-2 temporary worker rules

If enacted, the bill would make several H-2A and H-2B rule changes. It would bar use of funds to enforce some Department of Labor definitions and adopt the 8 CFR "temporary need" test for H-2B admissions. It would set the H-2B prevailing wage as the higher of the employer's actual local wage or the prevailing occupational wage and require acceptance of private wage surveys unless they are statistically unsound. For seafood employers, an approved H-2B petition could cover arrivals during a 120-day window with extra posting and recruitment rules after day 90. The bill would also bar issuing new H-2A prevailing wage determinations and permanently bar employers convicted or found liable for certain trafficking offenses from getting H-2B certifications.

Limits on federally funded research

If enacted, the bill would bar Act funds from supporting specific foreign labs and organizations (for example, certain named entities and labs owned or controlled by listed foreign governments) and would bar gain-of-function research. It would ban using funds to create human embryos for research or to conduct research that destroys embryos. The bill would also bar fetal tissue from induced abortions, limit some painful dog and cat experiments with narrow exceptions, ban vertebrate-animal research studying interventions to alter biological sex, restrict research promoting legalization of Schedule I drugs except when strong medical evidence or trials exist, and limit certain firearm-policy research while allowing medical research on gunshot care.

New set‑asides for program evaluations

If enacted, the Secretary of Labor could reserve up to 0.75% from each listed Labor appropriation to fund evaluations and transfer those funds to the Office of the Chief Evaluation Officer. If enacted, 2.5% of amounts appropriated for programs under the Public Health Service Act would be set aside for the Act's purposes or for evaluating those programs, and HHS must send a report to Appropriations committees before other taps. Reserved DOL evaluation funds would be available through September 30, 2028.

Private suits for funding violations

If enacted, the bill would allow the U.S. Attorney General, a state attorney general, or any person or entity adversely affected to sue for certain designated funding violations. Courts could award injunctive and declaratory relief, compensatory damages, and attorneys' fees. Plaintiffs would not have to exhaust administrative remedies, and State or governmental immunity for these violations is abrogated.

Rules for unaccompanied child custody

If enacted, the bill would let a Senator or Representative visit facilities that hold unaccompanied alien children for oversight if they notify the Office of Refugee Resettlement at least two business days ahead; visits may be denied only if they interfere with child welfare or safety. The bill would also bar using these funds to place an unaccompanied child with a sponsor who is not lawfully admitted or who is deportable under the Immigration and Nationality Act.

Changes to NIH research and training

If enacted, the bill would allow up to $100 million across NIH for facility repairs and cap single projects at $5 million. It would direct 1% of NRSA funds to HRSA and 1% to AHRQ each year. It would fund medical student education grants at no less than $1 million per year, with up to five-year awards and non‑Federal match limits of 10% per year. At the same time, the bill would cancel FY2027 money for the Patient-Centered Outcomes Research Trust Fund and rescind $162 million of certain unobligated ARP balances.

Limits on certain public health programs

If enacted, the bill would bar Act funds from being used to provide information promoting access to or facilitating abortions. It would bar buying sterile needles or syringes for injecting illegal drugs, with a narrow exception for non-purchase program elements when a state or local health department and CDC find a significant hepatitis or HIV outbreak risk and the program follows state law. The bill would ban using funds to run supervised consumption facilities that permit Schedule I drug use onsite. It would bar using funds to create COVID-19 mask or vaccine mandates and would bar Act funds for interventions intended to change a person's biological sex. The bill would also block agencies from adopting a unique health identifier until Congress approves it and would bar certain HHS emergency actions that would limit Second Amendment rights. It would limit some activities of the underage drinking committee.

Research funding and NIH flexibilities

If enacted, NIH could limit fiscal year 2027 multiyear award obligations to no more than the amount it obligated for multiyear awards in FY2025. If enacted, the NIH Director could enter into transactions other than contracts, grants, or cooperative agreements for specified research and use alternative peer review procedures. If enacted, NIH leadership could transfer up to 3% of identified HIV research funds among institutes and centers with 15‑day notice to Appropriations Committees.

Donations and transparency for child services

If enacted, HHS could accept private gifts for Early Head Start into a separate Treasury account and must use those gifts to add to, not replace, federal funds. The Department could also accept donations for care of unaccompanied children for items like medical goods, screenings, school supplies, and clothing. The bill would require donations to the Corporation for National and Community Service to supplement, not supplant, existing program money. The bill would also require monthly public reports to Congress on children separated by DHS and transferred to HHS, including counts, ages, where separations happened, and reported causes.

Ban electronic union election voting

If enacted, the bill would bar the National Labor Relations Board from issuing any new rule or administrative directive that allows employees to vote by electronic means in elections to choose a bargaining representative.

Ban pornography on federal networks

If enacted, the bill would bar using funds in this Act to run or set up any computer network unless that network blocks viewing, downloading, and exchanging pornography. The restriction would not limit funding needed for law enforcement or criminal investigations. This rule would take effect on enactment.

Libraries must certify internet filters

If enacted, libraries covered by the cited law would have to make the certifications required by the Children’s Internet Protection Act to receive Library Services and Technology Act funds under this bill. Libraries that do not make those certifications could lose those federal funds.

Caps on salaries from job grants

If enacted, the bill would bar recipients or subrecipients of Employment and Training Administration funds from using those federal funds to pay any person's salary or bonus above Executive Level II. The same salary/bonus limit would apply to Job Corps funds. Vendors providing goods and services would not be covered, and States may set lower subgrant limits.

Congress must get grant notices

If enacted, the Departments of Labor, Health and Human Services, and Education, and the Corporation for National and Community Service would have to notify the House and Senate Appropriations Committees at least three full business days before announcing or notifying applicants of many new or non‑competing continuation grants. Emergency response grants and awards made in the last 10 business days of the fiscal or program year are exceptions.

Limits on advocacy and grant disclosures

If enacted, the bill would bar using funds in this Act for publicity or propaganda to influence legislation or to promote proposed tax increases or product restrictions, with exceptions for normal communications with legislatures. For fiscal year 2027, CNCS staff could not disclose covered grant selection information outside authorized CNCS personnel, and CNCS would need notice-and-comment rulemaking for major program changes. The bill would also bar using Act funds to disseminate information that is deliberately false or misleading.

Education Dept. transfer and timing rules

If enacted, the Department of Education could transfer up to 1% of any discretionary appropriation in this Act between accounts, and no single account could be increased by more than 3% by such transfers. If enacted, up to $13 million could be used from Program Administration to provide support services to the Institute of Education Sciences, with transfers between accounts allowed to cover shortfalls and Appropriations committees notified 14 days before transfers. If enacted, consolidated ESEA evaluation funds could be obligated from July 1, 2027, through September 30, 2028.

Sponsors & CoSponsors

Sponsor

Aderholt, Robert B. [R-AL-4]

AL • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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