; 38 U.S.C. 8103 note), as amended, to provide additional funds or to fund an escalation clause under such section of such Act: Provided, That before such unobligated balances are obligated pursuant to this section, the Secretary of Veterans Affairs shall request from the Committees on Appropriations of both Houses of Congress the authority to obligate such unobligated balances and such Committees issue an approval, or absent a response, a period of 30 days has elapsed: Provided further, That the request to obligate such unobligated balances must provide Congress notice that the entity described in section 2(a)(2) of Public Law 114–294 , as amended, has exhausted available cost containment approaches as set forth in the agreement under section 2(c) of such Public Law. 255. (a) None of the funds made available in this Act may be used to implement, administer, or otherwise carry out the Department of Veterans Affairs interim final rule published on September 9, 2022, or any successor to such rule, or to propose, promulgate, or implement any substantially similar rule or policy. (b) None of the funds appropriated in this Act shall be expended for any abortion, including through a medical benefits package or health benefits program that includes coverage of abortion. (c) The limitations established in subsection (b) shall not apply to an abortion— (1) if the pregnancy is the result of an act of rape or incest