Consolidated Appropriations Act, 2026: dollars in this law

“... tary, for such purposes; (3) $3,000,000 shall be made available for the Reconciliation/Vietnamese Wartime Accounting Initiative; and (4) $3,500,000 shall be made available for higher education programs.”

“(b) Pakistan.--Of the funds appropriated under titles III and IV of this Act that are made available for assistance for Pakistan, $33,000,000 shall be withheld from obligation until the Secretary of State reports to the Committees on Appropriations ...”

“... - (1) Democracy programs.--Of the funds appropriated by this Act under the heading ``National Security Investment Programs'', not less than $25,000,000 shall be made available to promote democracy and strengthen civil society in Cuba, including to ...”

“... n armed forces.--Of the funds appropriated by this Act under the headings ``Peacekeeping Operations'' and ``Foreign Military Financing Program'', up to $5,000,000 may be made available for non-lethal assistance and operational support for the Haitian Arm ...”

“(i) Nicaragua.--Of the funds appropriated by this Act under the heading ``National Security Investment Programs'', not less than $15,000,000 shall be made available for democracy and religious freedom programs for Nicaragua.”

“(k) The Caribbean.--Of the funds appropriated by this Act under titles III and IV, not less than $90,000,000 shall be made available for the Caribbean Basin Security Initiative: Provided, That funds made available ab ...”

“(l) Venezuela.--Of the funds appropriated by this Act under the heading ``National Security Investment Programs'', $50,000,000 should be made available for democracy programs for Venezuela.”

“(e) Other Matters.--Of the funds appropriated by this Act under the heading ``National Security Investment Programs'', not less than $500,000,000 shall be made available, notwithstanding any other provision of law, except section 7047 of this Act, for as ...”

“... ``International Narcotics Control and Law Enforcement'', ``International Military Education and Training'', and ``Foreign Military Financing Program'', not less than $300,000,000 shall be made available to carry out the purposes of the Countering Russian Influence Fund, as authorized b ...”

“... Organizations.-- (1) Of the funds made available by this Act under the heading ``International Organizations and Programs'', not less than $5,000,000 shall be made available for the placement of United States citizens in the Junior Professional Offic ...”

“... Junior Professional Officer Programme. (2) Of the funds made available by this Act under the heading ``Diplomatic Programs'', not less than $750,000 shall be made available to enhance the competitiveness of United States citizens for leader ...”

“(k) Transfer Authority.--Of the funds appropriated by this Act under the heading ``National Security Investment Programs'', up to $466,514,000 may be transferred to, and merged with, funds available under the headings ``Contri ...”

“... de or other violations of international humanitarian law, the President may direct a drawdown pursuant to section 552(c) of the Foreign Assistance Act of 1961 of up to $30,000,000 of commodities and services for the United Nations War Crimes Tribunal established with regard to the forme ...”

“Sec. 7050. Of the funds appropriated by this Act, not less than $78,375,000 shall be made available for programs to promote Internet freedom globally, consistent with section 9707 of t ...”

“Sec. 7057. (a) Contribution.--Of the funds made available under the heading ``International Organizations and Programs'' in this Act for fiscal year 2026, $32,500,000 shall be made available for the United Nations Population Fund (UNFPA).”

“... osis, and Malaria Act of 2003 (117 Stat. 711; 22 U.S.C. 7601 et seq.), as amended: Provided, That of the funds appropriated under title III of this Act, not less than $575,000,000 should be made available for family planning/reproductive health, including in areas where population growth ...”

“... national interest to respond to a Public Health Emergency of International Concern, not to exceed an aggregate total of $200,000,000 of the funds appropriated by this Act under the headings ``Global Health Programs'', ``National Secu ...”

“... nsferred to, and merged with, funds appropriated under such headings for the purposes of this paragraph. (3) Emergency reserve fund.--Up to $20,000,000 of the funds made available under the heading ``Global Health Programs'' may be made availa ...”

“(e) Initiative.--Of the funds appropriated by this Act under the heading ``Global Health Programs'', not less than $50,000,000 shall be made available for a Prevention, Treatment, and Response Initiative for the prevention and treatme ...”

“(b) Women's Economic Empowerment.--Of the funds appropriated under title III of this Act, $150,000,000 shall be made available to expand economic opportunities for women by increasing the number and capacity of ...”

“(c) Madeleine K. Albright Women's Leadership Program.--Of the funds appropriated under title III of this Act, not less than $37,500,000 shall be made available for the Madeleine K. Albright Women's Leadership Program, as established by section ...”

“(d) Gender-Based Violence.-- (1) Of the funds appropriated under titles III and IV of this Act, not less than $187,500,000 shall be made available to implement a multi-year strategy to prevent and respond to gender ...”

“... urity.--Of the funds appropriated by this Act under the headings ``National Security Investment Programs'' and ``International Narcotics Control and Law Enforcement'', $112,500,000 should be made available to support a multi-year strategy to expand, and improve coordination of, United St ...”

“... and Higher Education.-- (1) Basic education.-- (A) Of the funds appropriated under title III of this Act, not less than $691,500,000 shall be made available for the Nita M. Lowey Basic Education Fund, and suc ...”

“... activities. (B) Of the funds appropriated under title III of this Act for assistance for basic education programs, $152,000,000 shall be made available for contributions to multilateral partnerships that support educatio ...”

“... to multilateral partnerships that support education. (2) Higher education.--Of the funds appropriated by title III of this Act, not less than $203,250,000 shall be made available for assistance for higher education: Provided, ...”

“... ll be subject to the regular notification procedures of the Committees on Appropriations: Provided further, That of such amount, not less than $50,000,000 shall be made available for higher education programs pursuant to section 7060(a)(3) of the Departme ...”

“... procedures of the Committees on Appropriations. (2)(A) Of the funds appropriated under title III of this Act, not less than $274,313,000 shall be made available for biodiversity conservation programs, including for marine conser ...”

“... ed States to oppose any financing of any such activity. (B)(i) Of the funds appropriated under titles III and IV of this Act, not less than $89,063,000 shall be made available to combat the transnational threat of wildlife poaching and traffic ...”

“... is in the national security interest of the United States. (C) Of the funds appropriated under titles III and IV of this Act, not less than $12,500,000 shall be made available for the prevention of illegal logging practices consistent with the ...”

“... he prevention of illegal logging practices consistent with the Lacey Act (16 U.S.C. 3371 et seq./section 8204 of Public Law 110-246), and not less than $12,500,000 shall be made available to reduce deforestation: Provided, That such funds shall be allocat ...”

“... the matter preceding division A of this consolidated Act). (3) Of the funds appropriated under titles III and IV of this Act, not less than $131,813,000 shall be made available for land use, management, and protection programs.”

“(c) Development Programs.--Of the funds appropriated by this Act under the heading ``National Security Investment Programs'', not less than $13,875,000 shall be made available for cooperative development programs.”

“(e) Food Security and Agricultural Development.-- (1) Uses of funds.--Of the funds appropriated by title III of this Act, not less than $720,000,000 shall be made available for food security and agricultural development programs to carry ou ...”

“... y and agricultural development programs to carry out the purposes of the Global Food Security Act of 2016 (Public Law 114-195), including not less than $175,000,000 for international agricultural research, of which not less than $72,000,000 shall be made a ...”

“... ecurity Act of 2016 (Public Law 114-195), including not less than $175,000,000 for international agricultural research, of which not less than $72,000,000 shall be made available for the Feed the Future Innovation Labs, including for the purposes enumerat ...”

“... Public Law 115-334). (2) Feed the future private sector engagement.--Of the funds made available pursuant to this subsection, not less than $20,000,000 shall be made available to support private sector investment in food security, including as catalyti ...”

“... funds appropriated by title III of this Act and prior Acts making appropriations for the Department of State, foreign operations, and related programs, not less than $100,000,000 shall be made available for a public-private partnership foundation for food security, if legislation estab ...”

“... is Act under the headings ``National Security Investment Programs'' and ``International Narcotics Control and Law Enforcement'', not less than $105,625,000 shall be made available for activities to combat trafficking in persons internationally, including f ...”

“... lable for activities to combat trafficking in persons internationally, including for the Program to End Modern Slavery, of which not less than $89,500,000 shall be from funds made available under the heading ``International Narcotics Control and Law Enfor ...”

“(h) Water and Sanitation.--Of the funds appropriated by this Act, not less than $338,250,000 shall be made available for water supply and sanitation projects pursuant to section 136 of the Foreign Assi ...”

“... han $338,250,000 shall be made available for water supply and sanitation projects pursuant to section 136 of the Foreign Assistance Act of 1961, of which not less than $169,125,000 shall be for programs in sub-Saharan Africa.”

“... s''-- (A) as authorized by section 810 of the United States Information and Educational Exchange Act, not to exceed $5,000,000, to remain available until expended, may be credited to this appropriation from fees or othe ...”

“... rograms and from fees from educational advising and counseling and exchange visitor programs; and (B) not to exceed $15,000, which shall be derived from reimbursements, surcharges, and fees for use of ...”

“... with section 204 of the Admiral James W. Nance and Meg Donovan Foreign Relations Authorization Act, Fiscal Years 2000 and 2001 (22 U.S.C. 2452b), up to $25,000,000 of the amounts made available under the heading ``Diplomatic Programs'' in this Act may be ...”

“Sec. 7065. (a) Authority.--Up to $170,000,000 of the funds made available in title III of this Act pursuant to or to carry out the provisions of part I of ...”

“... orcement'', ``Nonproliferation, Anti- terrorism, Demining and Related Programs'', ``Peacekeeping Operations'', and ``Foreign Military Financing Program'', not less than $108,000,000 shall be made available for the Prevention and Stabilization Fund for the purposes enumerated in section 50 ...”

“(b) Of the funds appropriated under title III of this Act, not less than $192,375,000 shall be made available for natural disaster preparation and mitigation efforts, including in Pacific Island ...”

“``(a) In General.--The United States Governor of the International Development Association may contribute on behalf of the United States $3,198,552,000 to the twenty-first replenishment of the resources of the Association, subject to obtaining the necessary a ...”

“... riations.--In order to pay for the United States contribution provided for in subsection (a), there are authorized to be appropriated, without fiscal year limitation, $3,198,552,000 for payment by the Secretary of the Treasury.''. (2) Multilateral development bank support for nu ...”

“``(a) In General.--The United States Governor of the Fund may contribute on behalf of the United States $174,440,000 to the thirteenth replenishment of the resources of the Fund, subject to obtaining the necessary appropriat ...”

“... riations.--In order to pay for the United States contribution provided for in subsection (a), there are authorized to be appropriated, without fiscal year limitation, $174,440,000 for payment by the Secretary of the Treasury.''.”

“... iations.--For the increase in the United States subscription to the Bank under subsection (a), there is authorized to be appropriated, without fiscal year limitation, $7,800,000,000, for payment by the Secretary of the Treasury for callable shares of the Bank.''.”

“... ecurity Investment Programs'', ``International Narcotics Control and Law Enforcement'', ``Peacekeeping Operations'', and ``Foreign Military Financing Program'', up to $850,000,000 may be made available for the America First Opportunity Fund to furnish assistance that makes America safer, ...”

“... der the heading ``Consular and Border Security Programs'' from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $900,000,000 are permanently rescinded.”

“... he heading ``Educational and Cultural Exchange Programs'' from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $25,000,000 are permanently rescinded.”

“... the heading ``Debt Restructuring'' from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $63,975,000 are permanently rescinded.”

“... ance, United States Agency for International Development, from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $57,000,000 are permanently rescinded.”

“... ble under the heading ``Millennium Challenge Corporation'' from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $661,250,000 are permanently rescinded.”

“... ng ``International Narcotics Control and Law Enforcement'' from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $179,306,000 are permanently rescinded.”

“... de available under the heading ``Peacekeeping Operations'' from prior Acts making appropriations for the Department of State, foreign operations, and related programs, $50,000,000 are permanently rescinded.”

“(b) Implementation Funding.--There are appropriated, out of any funds in the Treasury not otherwise obligated, $1,000,000 for each of fiscal years 2026 through 2030, to remain available until expended, to the Secretary of Health a ...”

“... y services. (4) Assistance to small hospitals in compiling cost information.--There are appropriated to the Secretary for fiscal year 2026, $10,000,000 for the purpose of providing grants and technical assistance to a hospital described in paragraph (3 ...”

“... lementation Funding.--In addition to the amount appropriated under subsection (a)(4), there are appropriated, out of any funds in the Treasury not otherwise obligated, $3,000,000 for fiscal year 2026, to remain available until expended, to the Secretary of Health and Human Services for ...”

“... ting ``, and the DSH allotment for Tennessee for the portion of fiscal year 2026 beginning on January 31, 2026, and ending September 30, 2026, shall be $35,351,507, which may be claimed as fiscal year 2026 uncompensated care costs, and the DSH allotment f ...”

“... 351,507, which may be claimed as fiscal year 2026 uncompensated care costs, and the DSH allotment for Tennessee for fiscal year 2027, shall be $53,100,000'' before the period.”

“... Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended-- (1) in the first sentence-- (A) by striking ``and $13,300,000'' and inserting ``$13,300,000''; and (B) by inserting the following befo ...”

“... (42 U.S.C. 1395aaa(d)(2)) is amended-- (1) in the first sentence-- (A) by striking ``and $13,300,000'' and inserting ``$13,300,000''; and (B) by inserting the following before the period at the end: ``, ...”

“... 3,300,000'' and inserting ``$13,300,000''; and (B) by inserting the following before the period at the end: ``, and $15,100,000 for fiscal year 2027''; and (2) in the third sentence, by striking ``and 2026'' and inse ...”

“... ew clause: ``(xvi) for the period beginning on January 31, 2026, and ending on December 31, 2027, $30,000,000.''.”

“... ew clause: ``(xvi) for the period beginning on January 31, 2026, and ending on December 31, 2027, $30,000,000.''.”

“... ew clause: ``(xvi) for the period beginning on January 31, 2026, and ending on December 31, 2027, $10,000,000.''.”

“... g after clause (xv) the following new clause: ``(xvi) for the period beginning on January 31, 2026, and ending on December 31, 2027, $30,000,000.''. SEC. 6207. EXTENSION OF FUNDING FOR MEDICARE HOSPICE SURVEYS.”

“... ), by striking the period at the end and inserting ``; and''; and (3) by adding at the end the following new subparagraph: ``(D) $4,400,000 for the period beginning on January 31, 2026, and ending on December 31, 2026, to remain ...”

“... r Medicare & Medicaid Services Program Management Account for fiscal year 2026, out of any amounts in the Treasury not otherwise appropriated, $2,500,000, to remain available until expended, for purposes of carrying out this section.''; and ...”

“... available, there is appropriated to the Inspector General of the Department of Health and Human Services, out of any money in the Treasury not otherwise appropriated, $1,200,000 for fiscal year 2026, to remain available until expended, to carry out this section. SEC. 6213. ...”

“... Social Security Act (42 U.S.C. 1395w- 114(a)) is amended-- (1) in paragraph (1)(D)(ii), by striking ``that does not exceed $1 for'' and all that follows through the period at the end and inserting "that does not exceed-- `` ...”

“... preferred drug that is a multiple source drug (as defined in section 1927(k)(7)(A)(i)), $1 or, if less, the copayment ...”

“... lause (iii); and ``(bb) for any other drug, $3 or, if less, the copayment amount applicable to an ...”

“... h subsequent plan year-- ``(aa) for a generic drug, $0; ``(bb) for a preferred drug ...”

“... under clause (iii). Any amount established under item (bb) or (cc) of subclause (II), that is based on an increase of $1 or $3, that is not a multiple of 5 cents or 10 cents, respectiv ...”

“... Any amount established under item (bb) or (cc) of subclause (II), that is based on an increase of $1 or $3, that is not a multiple of 5 cents or 10 cents, respectively, shall be rounded to the ...”

“... Medicare & Medicaid Services Program Management Account, out of any money in the Treasury not otherwise appropriated, $4,000,000 for fiscal year 2026, to remain available until expended, to carry out the amendments ...”

“... ilable, there is appropriated to the Centers for Medicare & Medicaid Services Program Management Account, out of any money in the Treasury not otherwise appropriated, $2,000,000 for fiscal year 2026, to remain available until expended, to carry out this section. SEC. 6222. MEDICARE COV ...”

“... ilable, there is appropriated to the Centers for Medicare & Medicaid Services Program Management Account, out of any money in the Treasury not otherwise appropriated, $188,000,000 for fiscal year 2026, to remain available until expended, to carry out this section. SEC. 6224. MODERNIZING ...”

“... Medicare & Medicaid Services Program Management Account, out of any money in the Treasury not otherwise appropriated, $113,000,000 for fiscal year 2026, to remain available until expended, to carry out this ...”

“... r General of the Department of Health and Human Services, out of any money in the Treasury not otherwise appropriated, $20,000,000 for fiscal year 2026, to remain available until expended, to carry out this ...”

“... ise available, there is appropriated to the Medicare Payment Advisory Commission, out of any money in the Treasury not otherwise appropriated, $1,000,000 for fiscal year 2026, to remain available until expended, to carry out this subsection. SEC. 6225. R ...”

“... Management Account for fiscal year 2026, out of any amounts in the Treasury not otherwise appropriated, $20,000,000, to remain available until expended, for purposes of carrying out this ...”

“Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking ``$1,403,000,000'' and inserting ``$2,062,000,000''.”

“Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking ``$1,403,000,000'' and inserting ``$2,062,000,000''.”

“... ion and Affordable Care Act (42 U.S.C. 254b-2(b)(1)) is amended by striking subparagraphs (H), (I), (J), and (K) and inserting the following: ``(H) $4,236,712,328 for fiscal year 2024; ``(I) $4,295,287,671 for fiscal year 2025; ``(J ...”

“... d by striking subparagraphs (H), (I), (J), and (K) and inserting the following: ``(H) $4,236,712,328 for fiscal year 2024; ``(I) $4,295,287,671 for fiscal year 2025; ``(J) $4,600,000,000 for fiscal year 2026; and ...”

“... ng the following: ``(H) $4,236,712,328 for fiscal year 2024; ``(I) $4,295,287,671 for fiscal year 2025; ``(J) $4,600,000,000 for fiscal year 2026; and ``(K) $1,159,452,055 for the period beginning on ...”

“... al year 2024; ``(I) $4,295,287,671 for fiscal year 2025; ``(J) $4,600,000,000 for fiscal year 2026; and ``(K) $1,159,452,055 for the period beginning on October 1, 2026, and ending on December 31, 2026; and''.”

“... ion and Affordable Care Act (42 U.S.C. 254b-2(b)(2)) is amended by striking subparagraphs (I), (J), (K), and (L) and inserting the following: ``(I) $341,208,605 for fiscal year 2024; ``(J) $349,736,600 for fiscal year 2025; ``(K) ...”

“... ded by striking subparagraphs (I), (J), (K), and (L) and inserting the following: ``(I) $341,208,605 for fiscal year 2024; ``(J) $349,736,600 for fiscal year 2025; ``(K) $350,000,000 for fiscal year 2026; and ...”

“... erting the following: ``(I) $341,208,605 for fiscal year 2024; ``(J) $349,736,600 for fiscal year 2025; ``(K) $350,000,000 for fiscal year 2026; and ``(L) $88,219,178 for the period begin ...”

“... ``(J) $349,736,600 for fiscal year 2025; ``(K) $350,000,000 for fiscal year 2026; and ``(L) $88,219,178 for the period beginning on October 1, 2026, and ending on December 31, 2026.''.”

“... Public Health Service Act (42 U.S.C. 256h(g)(1)) is amended by striking subparagraphs (D), (E), (F), and (G) and inserting the following: `` ``(D) $168,915,878 for fiscal year 2024; ``(E) $181,563,574 for fiscal year 2025; ``(F) ...”