; and (B) consists of an integrated process that consists of a series of two or more unit operations. (3) Institution of higher education The term institution of higher education has the meaning given such term in section 101(a) of the Higher Education Act of 1965 ( 20 U.S.C. 1001(a) ). (4) Secretary The term Secretary means the Secretary of Health and Human Services, acting through the Commissioner of Food and Drugs. . (b) Transition rule Section 3016 of the 21st Century Cures Act ( 21 U.S.C. 399h ), as in effect on the day before the date of the enactment of this section, shall apply with respect to grants awarded under such section before such date of enactment. D Public Health Extenders 70541. Extension for community health centers, the National Health Service Corps, and teaching health centers that operate GME programs (a) Community health centers Section 10503(b)(1) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1) ) is amended— (1) in subparagraph (E), by striking and at the end; (2) in subparagraph (F), by striking , $4,000,000,000 for fiscal year 2019, and $2,575,342,466 for the period beginning on October 1, 2019, and ending on May 22, 2020; and and inserting a semicolon; and (3) by adding at the end the following: (G) $4,000,000,000 for each of fiscal years 2019 and 2020; and (H) $668,493,151 for the period beginning on October 1, 2020, and ending on November 30, 2020; and . (b) National health service corps Section 10503(b)(2) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2) ) is amended— (1) in subparagraph (F), by striking and 2019; and and inserting through 2020; and