The annual spending bill funds the Departments of Labor, Health and Human Services, and Education and related agencies for the budget year ending September 30, 2027. It sets dollar amounts for major programs that reach most households — about $468.7 billion in Medicaid grants to states, $12.4 billion for Head Start, $8.8 billion for child care assistance, $16.8 billion in Title I aid for high-poverty schools, $15.5 billion for special education, $4.1 billion for home energy assistance, $51.6 billion in Supplemental Security Income, and tens of billions for National Institutes of Health research, while keeping the maximum Pell Grant at $6,385. Alongside the funding, it carries dozens of policy “riders” — conditions that change what agencies may or may not do. On labor, it blocks a pending OSHA heat-illness safety standard, freezes the wage floor for H-2A farmworkers, and loosens wage rules for H-2B guest workers. On health, it continues the long-standing Hyde and Weldon abortion restrictions, bars federal money for certain abortion-providing family-planning organizations, blocks a new Medicare prior-authorization model, and restricts funding for gender-transition medical care, gun-injury research framed as a public-health issue, and COVID mask or vaccine mandates. On education, it ends new subsidized student loans for undergraduates starting July 2027, bars funds for diversity, equity, and inclusion programs, conditions school funding on parental-notification and women's-athletics rules, and protects voluntary school prayer and religious student groups. It also rescinds billions in prior funding — including $1.9 billion in Affordable Care Act exchange fees, a $12.33 billion CHIP contingency fund held back, and a $2 billion HHS reserve — and adds many new reporting and oversight requirements on how agencies spend the money.
Corporate Benefits
- NIH indirect-cost reimbursement — Capped at 30% for endowment-taxed universities (Sec 223)
- H-2B seafood-employer hiring flexibility — 120-day worker-crossing window without refiling (Sec 109)
Average Household Impact
- Medicaid grants to states — Funded at $468.7 billion for FY2027
- Head Start — Funded at $12.37 billion
- Child Care and Development Block Grant — Funded at $8.84 billion
- Title I aid for high-poverty schools — Funded at $16.79 billion
- Special education (IDEA) — Funded at $15.5 billion
- Home energy assistance (LIHEAP) — Funded at $4.06 billion
- Supplemental Security Income — Funded at $51.6 billion
- NIH biomedical research — Funded at roughly $50 billion across institutes
- Maximum Pell Grant — Set at $6,385 for the 2027-2028 award year
- Breast-cancer-screening coverage — Pre-2009 mammography recommendations preserved (Sec 222)
- Job Corps centers — Closures restricted absent set criteria and notice (Sec 114, 119)
- TRIO programs for low-income and first-generation students — Protected at FY2026 levels (Sec 323)
- Subsidized Stafford loans for undergraduates — Eliminated for terms starting July 1, 2027 (Sec 319)
- Workforce adult-training funds — $712 million rescinded (Title I)
- K-12 school-improvement funds — $1.68 billion rescinded (Title III)
- CHIP Child Enrollment Contingency Fund — $12.33 billion held unavailable (Sec 528)
- ACA Exchange user-fee collections — $1.9 billion rescinded (Sec 531)
- Patient-Centered Outcomes Research Trust Fund — FY2027 funds rescinded (Sec 530)
- Medicare prior-authorization (WISeR) model — Blocked in traditional Medicare (Sec 252)
- OSHA heat-illness prevention standard — Barred from finalization or enforcement (Sec 117)
- H-2A adverse-effect wage rate — Frozen at the October 2, 2025 level (Sec 116)
- H-2A prevailing-wage determinations — New determinations blocked (Sec 121)
- H-2B prevailing-wage floor — Private employer surveys accepted over federal data (Sec 110)
- H-2B corresponding-employment and three-fourths guarantee — Enforcement barred (Sec 111)
- Funding for gender-transition medical interventions — Barred across this Act (Sec 243)
- Marijuana as a federal workers'-comp benefit — Barred regardless of rescheduling (Sec 532)
- Funds for syringe purchases and supervised consumption sites — Restricted, with HIV/hepatitis exception (Sec 525)
- Federal funding for certain abortion-providing family-planning entities — Barred for entities meeting set criteria (Sec 240)
- Federal funds for abortion — Barred except rape, incest, or life endangerment (Sec 506-507)
Civil Liberties
- Voluntary school prayer and meditation — Funds barred from preventing implementation (Sec 301)
- Religious student-organization access — Public-college funding conditioned on equal treatment (Sec 315)
- Religious and moral-conviction protections — Federal penalties barred over man-woman marriage belief (Sec 533)
- Conscience protections for declining abortion — Funding barred to governments that penalize non-participants (Sec 507d)
- Conscience protections in abortion training — Opt-in required for medical trainees (Sec 239)
- Civil-suit access for conscience-rule violations — New private right of action created (Sec 246)
- State sovereign immunity — Abrogated for conscience-rule violations (Sec 246)
- Second Amendment protections — Public-health-emergency orders barred from restricting gun rights (Sec 245)
- COVID-19 mask and vaccine mandates — Barred from funding (Sec 539)
- Parental-notification policies — K-12 funding conditioned on notifying parents on gender identity (Sec 314)
- School athletics eligibility for women's programs — Restricted to birth sex as a funding condition (Sec 313)
- Funding for diversity, equity, and inclusion programs — Barred across this Act (Sec 535)
- Funding for specified race or sex training concepts — Barred (Sec 536)
Transparency & Accountability
- Non-competitive award reporting — Quarterly reports on awards over $500K required (Sec 517)
- Reprogramming notification — Advance congressional consultation and notice required (Sec 514)
- Agency operating plans — Program-level plans required within 45 days (Sec 516)
- Appropriations-balance reporting — Quarterly status-of-balances reports required (Sec 523)
- ACA spending and staffing disclosure — Annual reporting required (Sec 218-219)
- Scientific-advisory-committee safeguards — Political-affiliation questions to candidates barred (Sec 515)
- Job Corps closure notice — Written notice required before pausing a campus (Sec 119)
- Congressional oversight access to child-migrant facilities — Entry for oversight guaranteed (Sec 232)
- Family-separation reporting — Monthly public reports on separated children required (Sec 233)
- Title X provider reporting — Held to state child-abuse reporting laws (Sec 208)
- NIH peer-review procedures — Waived for certain “other transaction” research authority (Sec 214)
- Procurement and competition rules — Waived for Treasure Island and Gary Job Corps Center sales (Sec 113)
Congressional Summary
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027This bill provides FY2027 appropriations to the Departments of Labor, Health and Human Services, and Education; and related agencies.The bill provides appropriations to the Department of Labor forthe Employment and Training Administration,the Veterans' Employment and Training Service,the Employee Benefits Security Administration,the Pension Benefit Guaranty Corporation,the Wage and Hour Division,the Office of Labor-Management Standards,the Office of Workers' Compensation Programs,the Occupational Safety and Health Administration,the Mine Safety and Health Administration,the Bureau of Labor Statistics,the Office of Disability Employment Policy, andDepartmental Management.The bill provides appropriations to the Department of Health and Human Services forthe Health Resources and Services Administration,the Centers for Disease Control and Prevention,the National Institutes of Health,the Substance Abuse and Mental Health Services Administration,the Centers for Medicare and Medicaid Services,the Administration for Children and Families,the Administration for Community Living,the Administration for Strategic Preparedness and Response, andthe Office of the Secretary.The bill provides appropriations to the Department of Education forthe Office of Elementary and Secondary Education;the Office of Special Education and Rehabilitative Services;the Office of Career, Technical, and Adult Education;the Office of Federal Student Aid;the Office of Postsecondary Education;the Institute of Education Sciences; andDepartmental Management.The bill also provides appropriations to several related agencies, includingthe Committee for Purchase From People Who Are Blind or Severely Disabled,the Corporation for National and Community Service,the Federal Mediation and Conciliation Service,the Federal Mine Safety and Health Review Commission,the Institute of Museum and Library Services,the Medicaid and CHIP Payment and Access Commission,the Medicare Payment Advisory Commission,the National Council on Disability,the National Labor Relations Board,the National Mediation Board,the Occupational Safety and Health Review Commission,the Railroad Retirement Board, andthe Social Security Administration.The bill also sets forth requirements and restrictions for using funds provided by this and other appropriations acts.
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Reported to House
- Action Date
- 2026-06-11
- Date Added
- 2026-06-19
- Source
- Congress.gov →
Like reading a bill in plain English?
We're building an app that does this for every bill in Congress and lets you tell your reps how you want them to vote. We're a small team getting ready to launch, and we're trying to show investors that real people want this. Be one of them. Help us get it built. Leave your email and we'll tell you the moment the app is ready.