; Omnibus COVID-19 Health Care Staff Vaccination”, which was issued by the Centers for Medicare and Medicaid Services on November 5, 2021, or any substantially similar rule. 244. None of the funds in this Act may be used to implement, administer, or enforce Executive Order 13988, entitled ‘Preventing and Combating Discrimination on the Basis of Gender Identity or Sexual Orientation,’ published by the Executive Office of the President on January 25, 2021 (86 Fed. Reg. 7023). 245. Beginning on the fourth day following the date of enactment of this Act, the aggregate dollar amount appropriated under the heading Department of Health and Human Services—Office of the Secretary—General Departmental Management shall be reduced by $1,000 for each day on which the Secretary of Health and Human Services fails to submit to the Congress the fiscal year 2023 and 2024 Moyer Report. 246. None of the funds appropriated under this act may be used to require any project under title X of the PHS Act to refer for abortions: Provided, That no provider of services under title X of the PHS Act shall be required to subvert or operate in conflict with any State law limiting referral for abortion/pregnancy counseling. 247. Title II of the Public Health Service Act ( 42 U.S.C. 202 et seq. ) is amended by inserting after section 245 the following: 245A. Civil action for certain violations (a) In general A qualified party may, in a civil action, obtain appropriate relief with regard to a designated violation. (b) Definitions For purposes of this section: (1) Designated violation The term designated violation means an actual or threatened violation of— (A) section 507(d) of division H of the Consolidated Appropriations Act, 2023 (or any subsequent substantially similar provision); or (B) any funding condition imposed by the Federal Government pursuant to such section 507(d) (or such provision). (2) Qualified party The term qualified party means— (A) the Attorney General of the United States; (B) any attorney general of a State