--- Placed on Calendar (Senate)
+++ Enrolled
@@ -1,47 +1,35 @@
[From the U.S. Government Publishing Office]
-[H.R. 1968 Placed on Calendar Senate (PCS)]
-
-<DOC>
-
-Calendar No. 26
-119th CONGRESS
-1st Session
-H. R. 1968
-
-_______________________________________________________________________
-
-IN THE SENATE OF THE UNITED STATES
-
-March 11 (legislative day, March 10), 2025
-
-Received; read the first time
-
-March 11, 2025
-
-Read the second time and placed on the calendar
-
-_______________________________________________________________________
-
-AN ACT
+[H.R. 1968 Enrolled Bill (ENR)]
+
+H.R.1968
+
+One Hundred Nineteenth Congress
+
+of the
+
+United States of America
+
+AT THE FIRST SESSION
+
+Begun and held at the City of Washington on Friday,
+the third day of January, two thousand and twenty-five
+
+An Act
Making further continuing appropriations and other extensions for the
fiscal year ending September 30, 2025, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
-
SECTION 1. SHORT TITLE.
-
This Act may be cited as the ``Full-Year Continuing Appropriations
and Extensions Act, 2025''.
-
SEC. 2. TABLE OF CONTENTS.
-
The table of contents of this Act is as follows:
-
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
+
DIVISION A--FULL-YEAR CONTINUING APPROPRIATIONS ACT, 2025
TITLE I--GENERAL PROVISIONS
@@ -69,8 +57,7 @@
TITLE XI--MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND RELATED AGENCIES
-TITLE XII--DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND RELATED
-PROGRAMS
+TITLE XII--DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS
TITLE XIII--TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED
AGENCIES
@@ -80,10 +67,11 @@
TITLE I--PUBLIC HEALTH EXTENDERS
Sec. 2101. Extension for community health centers, National Health
-Service Corps, and teaching health centers
-that operate GME programs.
+Service Corps, and teaching health centers that operate GME
+programs.
Sec. 2102. Extension of special diabetes programs.
Sec. 2103. National health security extensions.
+
TITLE II--MEDICARE
Sec. 2201. Extension of increased inpatient hospital payment adjustment
@@ -97,19 +85,22 @@
Sec. 2206. Extension of the work geographic index floor.
Sec. 2207. Extension of certain telehealth flexibilities.
Sec. 2208. Extending acute hospital care at home waiver authorities.
-Sec. 2209. Extension of temporary inclusion of authorized oral
-antiviral drugs as covered part D drugs.
+Sec. 2209. Extension of temporary inclusion of authorized oral antiviral
+drugs as covered part D drugs.
Sec. 2210. Medicare improvement fund.
Sec. 2211. Medicare sequestration.
+
TITLE III--HUMAN SERVICES
Sec. 2301. Sexual risk avoidance education extension.
Sec. 2302. Personal responsibility education extension.
Sec. 2303. Extension of funding for family-to-family health information
centers.
+
TITLE IV--MEDICAID
Sec. 2401. Delaying Medicaid DSH reductions.
+
DIVISION C--OTHER MATTERS
Sec. 3101. Commodity futures trading commission whistleblower program.
@@ -117,12 +108,9 @@
aircraft.
Sec. 3103. Additional special assessment.
Sec. 3104. National cybersecurity protection system authorization.
-Sec. 3105. Extension of temporary order for fentanyl-related
-substances.
+Sec. 3105. Extension of temporary order for fentanyl-related substances.
Sec. 3106. Budgetary effects.
-
SEC. 3. REFERENCES.
-
Except as expressly provided otherwise, any reference to ``this
Act'' contained in any division of this Act shall be treated as
referring only to the provisions of that division.
@@ -148,83 +136,77 @@
Administration, and Related Agencies Appropriations Act, 2024
(division B of Public Law 118-42).
(2) The Commerce, Justice, Science, and Related Agencies
-Appropriations Act, 2024 (division C of Public Law 118-42),
-except section 510 shall be applied by substituting
-``$1,900,000,000'' for ``$1,353,000,000'', except section
-521(a)(1) shall be applied by substituting ``$30,000,000'' for
-``$35,000,000'', except section 521(a)(4) shall be applied by
-substituting ``$9,560,000,000'' for ``$12,440,000,000'', except
-section 521(b)(3) shall be applied by substituting
-``$15,000,000'' for ``$5,000,000'', except section 521(b)(4)
-shall be applied by substituting ``$125,000,000'' for
+Appropriations Act, 2024 (division C of Public Law 118-42), except
+section 510 shall be applied by substituting ``$1,900,000,000'' for
+``$1,353,000,000'', except section 521(a)(1) shall be applied by
+substituting ``$30,000,000'' for ``$35,000,000'', except section
+521(a)(4) shall be applied by substituting ``$9,560,000,000'' for
+``$12,440,000,000'', except section 521(b)(3) shall be applied by
+substituting ``$15,000,000'' for ``$5,000,000'', except section
+521(b)(4) shall be applied by substituting ``$125,000,000'' for
``$120,000,000'', except section 521(b)(5) shall be applied by
-substituting ``$20,000,000'' for ``$15,000,000'', except
-section 521(c)(1) shall be applied by substituting
-``$300,000,000'' for ``$131,572,000'', except section 521(c)(2)
-shall be applied by substituting ``$250,000,000'' for
-``$500,000,000'', except section 521(f) shall be applied by
-inserting `` or title II of division C of Public Law 118-42''
-after ``117-328'', and except sections 222, 521(a)(2),
-521(a)(3), 521(a)(5), 521(b)(1), and 521(b)(2).
+substituting ``$20,000,000'' for ``$15,000,000'', except section
+521(c)(1) shall be applied by substituting ``$300,000,000'' for
+``$131,572,000'', except section 521(c)(2) shall be applied by
+substituting ``$250,000,000'' for ``$500,000,000'', except section
+521(f) shall be applied by inserting `` or title II of division C
+of Public Law 118-42'' after ``117-328'', and except sections 222,
+521(a)(2), 521(a)(3), 521(a)(5), 521(b)(1), and 521(b)(2).
(3) The Department of Defense Appropriations Act, 2024
(division A of Public Law 118-47).
(4) The Energy and Water Development and Related Agencies
-Appropriations Act, 2024 (division D of Public Law 118-42),
-except the third proviso under the heading ``Corps of
-Engineers--Civil--Construction'', and except sections 307, 311,
-and 312.
+Appropriations Act, 2024 (division D of Public Law 118-42), except
+the third proviso under the heading ``Corps of Engineers--Civil--
+Construction'', and except sections 307, 311, and 312.
(5) The Financial Services and General Government
-Appropriations Act, 2024 (division B of Public Law 118-47),
-except section 635 shall be applied by substituting
-``$400,000,000'' for ``$387,500,000'', except the last proviso
-under the heading ``Federal Payment for Defender Services in
-District of Columbia Courts'' shall be applied by substituting
-``$12,000,000'' for ``$25,000,000'', and except sections 636,
-637, 638, and 639.
+Appropriations Act, 2024 (division B of Public Law 118-47), except
+section 635 shall be applied by substituting ``$400,000,000'' for
+``$387,500,000'', except the last proviso under the heading
+``Federal Payment for Defender Services in District of Columbia
+Courts'' shall be applied by substituting ``$12,000,000'' for
+``$25,000,000'', and except sections 636, 637, 638, and 639.
(6) The Department of Homeland Security Appropriations Act,
-2024 (division C of Public Law 118-47), except sections 543
-through 546, and including sections 102 through 105 of title I
-of division G of Public Law 118-47.
-(7) The Department of the Interior, Environment, and
-Related Agencies Appropriations Act, 2024 (division E of Public
-Law 118-42), except the fourth and fifth paragraphs under the
-heading ``National Park Service--Administrative Provisions'',
-except the eighteenth proviso under the first paragraph under
-the heading ``Environmental Protection Agency--State and Tribal
-Assistance Grants'', and except sections 446 through 448.
-(8) The Departments of Labor, Health and Human Services,
-and Education, and Related Agencies Appropriations Act, 2024
-(division D of Public Law 118-47), except section 240 shall be
-applied by substituting ``$1,471,000,000'' for
-``$1,250,000,000'' and by substituting ``2025, except that no
-amounts may be rescinded from amounts that were previously
-designated by the Congress as being for an emergency
-requirement pursuant to a concurrent resolution on the budget
-or the Balanced Budget and Emergency Deficit Control Act of
-1985'' for ``2024'' in such section, except sections 241 and
-310, except the amount included in section 528 shall be applied
-by substituting ``$13,059,000,000'' for ``$14,224,000,000'',
-and except the amount included in section 529 shall be applied
-by substituting ``$160,000,000'' for ``$4,309,000,000''.
-(9) The Legislative Branch Appropriations Act, 2024
-(division E of Public Law 118-47), except the matter under the
-heading ``Joint Items, Joint Congressional Committee on
-Inaugural Ceremonies of 2025'', and including section 7 in the
-matter preceding division A of Public Law 118-47.
-(10) The Military Construction, Veterans Affairs, and
-Related Agencies Appropriations Act, 2024 (division A of Public
-Law 118-42), except the second provisos under the headings
-``Veterans Health Administration, Medical Services'',
-``Veterans Health Administration, Medical Community Care'', and
-``Veterans Health Administration, Medical Support and
-Compliance''.
-(11) The Department of State, Foreign Operations, and
-Related Programs Appropriations Act, 2024 (division F of Public
-Law 118-47), except sections 7074(e) and 7075(a).
+2024 (division C of Public Law 118-47), except sections 543 through
+546, and including sections 102 through 105 of title I of division
+G of Public Law 118-47.
+(7) The Department of the Interior, Environment, and Related
+Agencies Appropriations Act, 2024 (division E of Public Law 118-
+42), except the fourth and fifth paragraphs under the heading
+``National Park Service--Administrative Provisions'', except the
+eighteenth proviso under the first paragraph under the heading
+``Environmental Protection Agency--State and Tribal Assistance
+Grants'', and except sections 446 through 448.
+(8) The Departments of Labor, Health and Human Services, and
+Education, and Related Agencies Appropriations Act, 2024 (division
+D of Public Law 118-47), except section 240 shall be applied by
+substituting ``$1,471,000,000'' for ``$1,250,000,000'' and by
+substituting ``2025, except that no amounts may be rescinded from
+amounts that were previously designated by the Congress as being
+for an emergency requirement pursuant to a concurrent resolution on
+the budget or the Balanced Budget and Emergency Deficit Control Act
+of 1985'' for ``2024'' in such section, except sections 241 and
+310, except the amount included in section 528 shall be applied by
+substituting ``$13,059,000,000'' for ``$14,224,000,000'', and
+except the amount included in section 529 shall be applied by
+substituting ``$160,000,000'' for ``$4,309,000,000''.
+(9) The Legislative Branch Appropriations Act, 2024 (division E
+of Public Law 118-47), except the matter under the heading ``Joint
+Items, Joint Congressional Committee on Inaugural Ceremonies of
+2025'', and including section 7 in the matter preceding division A
+of Public Law 118-47.
+(10) The Military Construction, Veterans Affairs, and Related
+Agencies Appropriations Act, 2024 (division A of Public Law 118-
+42), except the second provisos under the headings ``Veterans
+Health Administration, Medical Services'', ``Veterans Health
+Administration, Medical Community Care'', and ``Veterans Health
+Administration, Medical Support and Compliance''.
+(11) The Department of State, Foreign Operations, and Related
+Programs Appropriations Act, 2024 (division F of Public Law 118-
+47), except sections 7074(e) and 7075(a).
(12) The Transportation, Housing and Urban Development, and
-Related Agencies Appropriations Act, 2024 (division F of Public
-Law 118-42), except sections 108, 109B, 119G, 125, 154, 165,
-171, and 236.
+Related Agencies Appropriations Act, 2024 (division F of Public Law
+118-42), except sections 108, 109B, 119G, 125, 154, 165, 171, and
+236.
(b) For purposes of this division, the term ``level'' means an
amount.
(c) The level referred to in subsection (a) shall be the amounts
@@ -270,27 +252,24 @@
the following amounts shall be available for the following accounts for
advance payments for the first quarter of fiscal year 2026:
(1) ``Department of Labor--Office of Workers' Compensation
-Programs--Special Benefits for Disabled Coal Miners'', for
-benefit payments under title IV of the Federal Mine Safety and
-Health Act of 1977, $6,000,000, to remain available until
-expended.
+Programs--Special Benefits for Disabled Coal Miners'', for benefit
+payments under title IV of the Federal Mine Safety and Health Act
+of 1977, $6,000,000, to remain available until expended.
(2) ``Department of Health and Human Services--Centers for
-Medicare & Medicaid Services--Grants to States for Medicaid'',
-for payments to States or in the case of section 1928 on behalf
-of States under title XIX of the Social Security Act,
+Medicare & Medicaid Services--Grants to States for Medicaid'', for
+payments to States or in the case of section 1928 on behalf of
+States under title XIX of the Social Security Act,
$261,063,820,000, to remain available until expended.
-(3) ``Department of Health and Human Services--
-Administration for Children and Families--Payments to States
-for Child Support Enforcement and Family Support Programs'',
-for payments to States or other non-Federal entities under
-titles I, IV-D, X, XI, XIV, and XVI of the Social Security Act
-and the Act of July 5, 1960 (24 U.S.C. ch. 9), $1,600,000,000,
-to remain available until expended.
-(4) ``Department of Health and Human Services--
-Administration for Children and Families--Payments for Foster
-Care and Permanency'', for payments to States or other non-
-Federal entities under title IV-E of the Social Security Act,
-$3,600,000,000.
+(3) ``Department of Health and Human Services--Administration
+for Children and Families--Payments to States for Child Support
+Enforcement and Family Support Programs'', for payments to States
+or other non-Federal entities under titles I, IV-D, X, XI, XIV, and
+XVI of the Social Security Act and the Act of July 5, 1960 (24
+U.S.C. ch. 9), $1,600,000,000, to remain available until expended.
+(4) ``Department of Health and Human Services--Administration
+for Children and Families--Payments for Foster Care and
+Permanency'', for payments to States or other non-Federal entities
+under title IV-E of the Social Security Act, $3,600,000,000.
(5) ``Social Security Administration--Supplemental Security
Income Program'', for benefit payments under title XVI of the
Social Security Act, $22,100,000,000, to remain available until
@@ -330,16 +309,16 @@
(c) shall submit to the Committees on Appropriations of the House of
Representatives and the Senate a spending, expenditure, or operating
plan for fiscal year 2025--
-(1) at the program, project, or activity level (or, for
-foreign assistance programs funded in the Department of State,
-Foreign Operations, and Related Programs Appropriations Act, at
-the country, regional, and central program level, and for any
+(1) at the program, project, or activity level (or, for foreign
+assistance programs funded in the Department of State, Foreign
+Operations, and Related Programs Appropriations Act, at the
+country, regional, and central program level, and for any
international organization); or
-(2) as applicable, at any greater level of detail required
-for funds covered by such a plan in an appropriations Act
-referred to in section 1101, in the joint explanatory statement
-accompanying such Act, or in committee report language
-incorporated by reference in such joint explanatory statement.
+(2) as applicable, at any greater level of detail required for
+funds covered by such a plan in an appropriations Act referred to
+in section 1101, in the joint explanatory statement accompanying
+such Act, or in committee report language incorporated by reference
+in such joint explanatory statement.
(b) If a sequestration is ordered by the President under section
254 of the Balanced Budget and Emergency Deficit Control Act of 1985,
the spending, expenditure, or operating plan required by this section
@@ -367,10 +346,9 @@
(16) The National Aeronautics and Space Administration.
(17) The National Science Foundation.
(18) The Judiciary.
-(19) With respect to amounts made available under the
-heading ``Executive Office of the President and Funds
-Appropriated to the President'', agencies funded under such
-heading.
+(19) With respect to amounts made available under the heading
+``Executive Office of the President and Funds Appropriated to the
+President'', agencies funded under such heading.
(20) The Federal Communications Commission.
(21) The General Services Administration.
(22) The Office of Personnel Management.
@@ -395,9 +373,9 @@
fiscal year 2025, by each department and agency, using funds made
available by this division. Such report shall--
(1) set forth obligations by account; and
-(2) compare the obligations incurred in the period covered
-by the report to the obligations incurred in the same period in
-fiscal year 2024.
+(2) compare the obligations incurred in the period covered by
+the report to the obligations incurred in the same period in fiscal
+year 2024.
Sec. 1115. During the period covered by this Act, section 235(b)
of the Sentencing Reform Act of 1984 (18 U.S.C. 3551 note; Public Law
98-473; 98 Stat. 2032), as such section relates to chapter 311 of title
@@ -415,46 +393,43 @@
Sec. 1201. Notwithstanding section 1101 of this Act, the level for
each of the following accounts shall be as follows:
-(1) $0 for ``Department of Agriculture--Agricultural
-Programs--Agricultural Research Service--Buildings and
-Facilities''.
+(1) $0 for ``Department of Agriculture--Agricultural Programs--
+Agricultural Research Service--Buildings and Facilities''.
(2) $1,147,750,000 for ``Department of Agriculture--
-Agricultural Programs--Animal and Plant Health Inspection
-Service--Salaries and Expenses''.
+Agricultural Programs--Animal and Plant Health Inspection Service--
+Salaries and Expenses''.
(3) $895,754,000 for ``Department of Agriculture--Farm
Production and Conservation Programs--Natural Resources
Conservation Service--Conservation Operations''.
(4) $14,650,000 for ``Department of Agriculture--Farm
Production and Conservation Programs--Natural Resources
-Conservation Service--Watershed and Flood Prevention
-Operations''.
+Conservation Service--Watershed and Flood Prevention Operations''.
(5) $478,487,000 for ``Department of Agriculture--Rural
Development Programs--Rural Utilities Service--Rural Water and
Waste Disposal Program Account''.
(6) $40,000,000 for ``Department of Agriculture--Rural
-Development Programs--Rural Utilities Service--Distance
-Learning, Telemedicine, and Broadband Program'', for grants for
-telemedicine and distance learning services in rural areas, as
-authorized by 7 U.S.C. 950aaa et seq.
+Development Programs--Rural Utilities Service--Distance Learning,
+Telemedicine, and Broadband Program'', for grants for telemedicine
+and distance learning services in rural areas, as authorized by 7
+U.S.C. 950aaa et seq.
(7) $90,000,000 for ``Department of Agriculture--Rural
-Development Programs--Rural Utilities Service--Distance
-Learning, Telemedicine, and Broadband Program'', for the cost
-to continue a broadband loan and grant pilot program
-established by section 779 of division A of the Consolidated
-Appropriations Act, 2018 (Public Law 115-141) under the Rural
-Electrification Act of 1936, as amended (7 U.S.C. 901 et seq.).
+Development Programs--Rural Utilities Service--Distance Learning,
+Telemedicine, and Broadband Program'', for the cost to continue a
+broadband loan and grant pilot program established by section 779
+of division A of the Consolidated Appropriations Act, 2018 (Public
+Law 115-141) under the Rural Electrification Act of 1936, as
+amended (7 U.S.C. 901 et seq.).
Sec. 1202. Notwithstanding section 1101 of this Act, the level for
each of the following accounts shall be as follows:
(1) $1,214,009,000 for ``Department of Agriculture--
Agricultural Programs--Food Safety and Inspection Service''.
-(2) $516,070,000 for ``Department of Agriculture--Domestic
-Food Programs--Food and Nutrition Service--Commodity Assistance
+(2) $516,070,000 for ``Department of Agriculture--Domestic Food
+Programs--Food and Nutrition Service--Commodity Assistance
Program'', of which $425,000,000 shall be for the Commodity
Supplemental Food Program.
-(3) $7,597,000,000 for ``Department of Agriculture--
-Domestic Food Programs--Food and Nutrition Service--Special
-Supplemental Nutrition Program for Women, Infants, and Children
-(WIC)''.
+(3) $7,597,000,000 for ``Department of Agriculture--Domestic
+Food Programs--Food and Nutrition Service--Special Supplemental
+Nutrition Program for Women, Infants, and Children (WIC)''.
Sec. 1203. (a) Section 260 of the Agricultural Marketing Act of
1946 (7 U.S.C. 1636i) is amended by striking ``2024'' and inserting
``2025''.
@@ -539,60 +514,54 @@
47 shall be as follows:
(1) $51,181,397,000 for ``Military Personnel, Army''.
(2) $38,813,378,000 for ``Military Personnel, Navy''.
-(3) $16,151,382,000 for ``Military Personnel, Marine
-Corps''.
+(3) $16,151,382,000 for ``Military Personnel, Marine Corps''.
(4) $37,023,437,000 for ``Military Personnel, Air Force''.
(5) $1,312,347,000 for ``Military Personnel, Space Force''.
(6) $5,490,830,000 for ``Reserve Personnel, Army''.
(7) $2,566,620,000 for ``Reserve Personnel, Navy''.
(8) $944,225,000 for ``Reserve Personnel, Marine Corps''.
(9) $2,597,273,000 for ``Reserve Personnel, Air Force''.
-(10) $10,019,623,000 for ``National Guard Personnel,
-Army''.
+(10) $10,019,623,000 for ``National Guard Personnel, Army''.
(11) $5,287,499,000 for ``National Guard Personnel, Air
Force''.
Sec. 1402. Notwithstanding section 1101, the level for
appropriations accounts under title II of division A of Public Law 118-
47 shall be as follows:
-(1) $57,968,853,000 for ``Operation and Maintenance,
-Army''.
-(2) $73,657,268,000 for ``Operation and Maintenance,
-Navy''.
+(1) $57,968,853,000 for ``Operation and Maintenance, Army''.
+(2) $73,657,268,000 for ``Operation and Maintenance, Navy''.
(3) $10,183,272,000 for ``Operation and Maintenance, Marine
Corps''.
(4) $63,239,279,000 for ``Operation and Maintenance, Air
Force''.
(5) $5,070,915,000 for ``Operation and Maintenance, Space
Force''.
-(6) $53,376,465,000 for ``Operation and Maintenance,
-Defense-Wide''.
+(6) $53,376,465,000 for ``Operation and Maintenance, Defense-
+Wide''.
(7) $528,699,000 for ``Counter-ISIS Train and Equip Fund''.
(8) $3,233,517,000 for ``Operation and Maintenance, Army
Reserve''.
(9) $1,316,518,000 for ``Operation and Maintenance, Navy
Reserve''.
-(10) $334,258,000 for ``Operation and Maintenance, Marine
-Corps Reserve''.
-(11) $4,029,224,000 for ``Operation and Maintenance, Air
-Force Reserve''.
+(10) $334,258,000 for ``Operation and Maintenance, Marine Corps
+Reserve''.
+(11) $4,029,224,000 for ``Operation and Maintenance, Air Force
+Reserve''.
(12) $8,408,317,000 for ``Operation and Maintenance, Army
National Guard''.
(13) $7,249,086,000 for ``Operation and Maintenance, Air
National Guard''.
-(14) $21,035,000 for ``United States Court of Appeals for
-the Armed Forces''.
+(14) $21,035,000 for ``United States Court of Appeals for the
+Armed Forces''.
(15) $283,069,000 for ``Environmental Restoration, Army''.
(16) $343,591,000 for ``Environmental Restoration, Navy''.
-(17) $330,524,000 for ``Environmental Restoration, Air
-Force''.
+(17) $330,524,000 for ``Environmental Restoration, Air Force''.
(18) $9,480,000 for ``Environmental Restoration, Defense-
Wide''.
(19) $236,475,000 for ``Environmental Restoration, Formerly
Used Defense Sites''.
-(20) $115,335,000 for ``Overseas Humanitarian, Disaster,
-and Civic Aid''.
-(21) $296,076,000 for ``Cooperative Threat Reduction
-Account''.
+(20) $115,335,000 for ``Overseas Humanitarian, Disaster, and
+Civic Aid''.
+(21) $296,076,000 for ``Cooperative Threat Reduction Account''.
(22) $56,176,000 for ``Defense Acquisition Workforce
Development Account''.
Sec. 1403. Notwithstanding section 1101, the level for
@@ -606,21 +575,19 @@
(5) $8,677,094,000 for ``Other Procurement, Army''.
(6) $15,918,954,000 for ``Aircraft Procurement, Navy''.
(7) $6,348,511,000 for ``Weapons Procurement, Navy''.
-(8) $1,598,584,000 for ``Procurement of Ammunition, Navy
-and Marine Corps''.
+(8) $1,598,584,000 for ``Procurement of Ammunition, Navy and
+Marine Corps''.
(9) $15,142,773,000 for ``Other Procurement, Navy''.
(10) $3,803,608,000 for ``Procurement, Marine Corps''.
-(11) $19,899,019,000 for ``Aircraft Procurement, Air
-Force''.
+(11) $19,899,019,000 for ``Aircraft Procurement, Air Force''.
(12) $4,258,672,000 for ``Missile Procurement, Air Force''.
-(13) $550,646,000 for ``Procurement of Ammunition, Air
-Force''.
+(13) $550,646,000 for ``Procurement of Ammunition, Air Force''.
(14) $30,978,191,000 for ``Other Procurement, Air Force''.
(15) $3,900,769,000 for ``Procurement, Space Force''.
(16) $5,719,307,000 for ``Procurement, Defense-Wide''.
(17) $463,377,000 for ``Defense Production Act Purchases''.
-(18) $850,000,000 for ``National Guard and Reserve
-Equipment Account''.
+(18) $850,000,000 for ``National Guard and Reserve Equipment
+Account''.
Sec. 1404. Notwithstanding section 1101, the level for
``Shipbuilding and Conversion, Navy'' shall be $33,331,952,000, as
follows:
@@ -667,25 +634,24 @@
Sec. 1407. Notwithstanding section 1101, the level for
appropriations accounts under title VI of division A of Public Law 118-
47 shall be as follows:
-(1) $40,395,072,000 for ``Defense Health Program'':
-Provided, That the amounts included under such heading shall be
-applied to funds appropriated by this Act by substituting
-``$38,300,769,000'' for ``$36,639,695,000'',
-``$20,599,128,000'' for ``$19,757,403,000'', ``$398,867,000''
-for ``$381,881,000'', ``$1,695,436,000'' for
-``$2,877,048,000'', and ``$650,000,000'' for
+(1) $40,395,072,000 for ``Defense Health Program'': Provided,
+That the amounts included under such heading shall be applied to
+funds appropriated by this Act by substituting ``$38,300,769,000''
+for ``$36,639,695,000'', ``$20,599,128,000'' for
+``$19,757,403,000'', ``$398,867,000'' for ``$381,881,000'',
+``$1,695,436,000'' for ``$2,877,048,000'', and ``$650,000,000'' for
``$1,509,000,000''.
(2) $775,507,000 for ``Chemical Agents and Munitions
-Destruction, Defense'': Provided, That the amounts included
-under such heading shall be applied to funds appropriated by
-this Act by striking ``$57,875,000'' and substituting
-``$20,745,000'' for ``$89,284,000'', ``$13,945,000'' for
-``$23,676,000'', ``$6,800,000'' for ``$34,199,000'', and
-``$754,762,000'' for ``$1,002,560,000''.
+Destruction, Defense'': Provided, That the amounts included under
+such heading shall be applied to funds appropriated by this Act by
+striking ``$57,875,000'' and substituting ``$20,745,000'' for
+``$89,284,000'', ``$13,945,000'' for ``$23,676,000'',
+``$6,800,000'' for ``$34,199,000'', and ``$754,762,000'' for
+``$1,002,560,000''.
(3) $1,110,436,000 for ``Drug Interdiction and Counter-Drug
-Activities, Defense'': Provided, That the amounts included
-under such heading shall be applied to funds appropriated by
-this Act by substituting ``$653,702,000'' for ``$702,962,000'',
+Activities, Defense'': Provided, That the amounts included under
+such heading shall be applied to funds appropriated by this Act by
+substituting ``$653,702,000'' for ``$702,962,000'',
``$135,567,000'' for ``$138,313,000'', ``$295,000,000'' for
``$305,786,000'', and ``$26,167,000'' for ``$30,000,000''.
(4) $539,769,000 for ``Office of the Inspector General'':
@@ -714,10 +680,10 @@
section may not extend the period of availability of funds transferred
beyond the period of availability for obligation of such funds as
provided to such funds in division A of Public Law 118-47.
-(b) Notwithstanding section 1101, section 8005 of division
-A of Public Law 118-47 shall be applied to funds appropriated
-by this Act by substituting ``$8,000,000,000'' for the dollar
-amount in such section.
+(b) Notwithstanding section 1101, section 8005 of division A of
+Public Law 118-47 shall be applied to funds appropriated by this
+Act by substituting ``$8,000,000,000'' for the dollar amount in
+such section.
Sec. 1413. Section 8026 of division A of Public Law 118-47 shall
be applied by substituting ``$2,886,300,000'' for ``$2,857,803,000''
and ``$461,300,000'' for ``$456,803,000''. Subsection (e) of such
@@ -749,18 +715,16 @@
$50,000,000;
(9) ``Cooperative Threat Reduction Account'', 2024/2026,
$91,000,000;
-(10) ``Aircraft Procurement, Navy'', 2024/2026,
-$48,050,000;
+(10) ``Aircraft Procurement, Navy'', 2024/2026, $48,050,000;
(11) ``Aircraft Procurement, Air Force'', 2024/2026,
$65,000,000;
-(12) ``Other Procurement, Air Force'', 2024/2026,
-$188,300,000;
+(12) ``Other Procurement, Air Force'', 2024/2026, $188,300,000;
(13) ``Procurement, Space Force'', 2024/2026, $46,300,000;
(14) ``Procurement, Defense-Wide'', 2024/2026, $14,777,000;
(15) ``Research, Development, Test and Evaluation, Navy'',
2024/2025, $51,395,000;
-(16) ``Research, Development, Test and Evaluation, Air
-Force'', 2024/2025, $408,942,000;
+(16) ``Research, Development, Test and Evaluation, Air Force'',
+2024/2025, $408,942,000;
(17) ``Research, Development, Test and Evaluation, Space
Force'', 2024/2025, $111,665,000; and
(18) ``Research, Development, Test and Evaluation, Defense-
@@ -769,71 +733,63 @@
Act, $2,390,024,000 shall be available until September 30, 2025, to
fund prior year shipbuilding costs increases for the following
programs:
-(1) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2013/2025: Carrier Replacement Program, $236,000,000;
-(2) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2016/2025: DDG-51 Program, $10,509,000;
-(3) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2016/2025: Towing, Salvage, and Rescue Ship Program,
-$60,000,000;
-(4) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2017/2025: Virginia Class Submarine Program,
-$219,370,000;
-(5) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2017/2025: DDG-51 Program, $115,600,000;
-(6) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2017/2025: Littoral Combat Ship Program, $8,100,000;
-(7) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2017/2025: LHA Replacement Program, $115,397,000;
-(8) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2018/2025: Virginia Class Submarine Program,
-$73,634,000;
-(9) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2018/2025: DDG-51 Program, $107,405,000;
-(10) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2018/2025: Littoral Combat Ship Program, $12,000,000;
-(11) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2018/2025: LPD 17 (Flight II) Amphibious Transport Dock
-Program, $19,158,000;
-(12) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2018/2025: Oceanographic Ships Program, $18,000,000;
-(13) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2018/2025: Ship to Shore Connector Program,
-$14,694,000;
-(14) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2019/2025: Littoral Combat Ship Program, $27,900,000;
-(15) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2019/2025: T-AO Fleet Oiler Program, $49,995,000;
-(16) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2019/2025: Ship to Shore Connector Program,
-$33,345,000;
-(17) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2020/2025: CVN Refueling Overhauls, $669,171,000;
-(18) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2020/2025: FFG-Frigate Program, $105,413,000;
-(19) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2020/2025: T-AO Fleet Oiler Program, $151,837,000;
-(20) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2020/2025: Towing, Salvage, and Rescue Ship Program,
-$978,000;
-(21) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2021/2025: FFG-Frigate Program, $76,580,000;
-(22) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2021/2025: Towing, Salvage, and Rescue Ship Program,
-$17,375,000;
-(23) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2022/2025: FFG-Frigate Program, $64,940,000;
-(24) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2022/2025: T-AO Fleet Oiler Program, $13,222,000;
-(25) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2022/2025: Towing, Salvage, and Rescue Ship Program,
-$4,234,000;
-(26) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2023/2025: FFG-Frigate Program, $54,308,000;
-(27) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2023/2025: T-AO Fleet Oiler Program, $12,100,000; and
-(28) Under the heading ``Shipbuilding and Conversion,
-Navy'', 2024/2025: FFG-Frigate Program, $98,759,000.
+(1) Under the heading ``Shipbuilding and Conversion, Navy'',
+2013/2025: Carrier Replacement Program, $236,000,000;
+(2) Under the heading ``Shipbuilding and Conversion, Navy'',
+2016/2025: DDG-51 Program, $10,509,000;
+(3) Under the heading ``Shipbuilding and Conversion, Navy'',
+2016/2025: Towing, Salvage, and Rescue Ship Program, $60,000,000;
+(4) Under the heading ``Shipbuilding and Conversion, Navy'',
+2017/2025: Virginia Class Submarine Program, $219,370,000;
+(5) Under the heading ``Shipbuilding and Conversion, Navy'',
+2017/2025: DDG-51 Program, $115,600,000;
+(6) Under the heading ``Shipbuilding and Conversion, Navy'',
+2017/2025: Littoral Combat Ship Program, $8,100,000;
+(7) Under the heading ``Shipbuilding and Conversion, Navy'',
+2017/2025: LHA Replacement Program, $115,397,000;
+(8) Under the heading ``Shipbuilding and Conversion, Navy'',
+2018/2025: Virginia Class Submarine Program, $73,634,000;
+(9) Under the heading ``Shipbuilding and Conversion, Navy'',
+2018/2025: DDG-51 Program, $107,405,000;
+(10) Under the heading ``Shipbuilding and Conversion, Navy'',
+2018/2025: Littoral Combat Ship Program, $12,000,000;
+(11) Under the heading ``Shipbuilding and Conversion, Navy'',
+2018/2025: LPD 17 (Flight II) Amphibious Transport Dock Program,
+$19,158,000;
+(12) Under the heading ``Shipbuilding and Conversion, Navy'',
+2018/2025: Oceanographic Ships Program, $18,000,000;
+(13) Under the heading ``Shipbuilding and Conversion, Navy'',
+2018/2025: Ship to Shore Connector Program, $14,694,000;
+(14) Under the heading ``Shipbuilding and Conversion, Navy'',
+2019/2025: Littoral Combat Ship Program, $27,900,000;
+(15) Under the heading ``Shipbuilding and Conversion, Navy'',
+2019/2025: T-AO Fleet Oiler Program, $49,995,000;
+(16) Under the heading ``Shipbuilding and Conversion, Navy'',
+2019/2025: Ship to Shore Connector Program, $33,345,000;
+(17) Under the heading ``Shipbuilding and Conversion, Navy'',
+2020/2025: CVN Refueling Overhauls, $669,171,000;
+(18) Under the heading ``Shipbuilding and Conversion, Navy'',
+2020/2025: FFG-Frigate Program, $105,413,000;
+(19) Under the heading ``Shipbuilding and Conversion, Navy'',
+2020/2025: T-AO Fleet Oiler Program, $151,837,000;
+(20) Under the heading ``Shipbuilding and Conversion, Navy'',
+2020/2025: Towing, Salvage, and Rescue Ship Program, $978,000;
+(21) Under the heading ``Shipbuilding and Conversion, Navy'',
+2021/2025: FFG-Frigate Program, $76,580,000;
+(22) Under the heading ``Shipbuilding and Conversion, Navy'',
+2021/2025: Towing, Salvage, and Rescue Ship Program, $17,375,000;
+(23) Under the heading ``Shipbuilding and Conversion, Navy'',
+2022/2025: FFG-Frigate Program, $64,940,000;
+(24) Under the heading ``Shipbuilding and Conversion, Navy'',
+2022/2025: T-AO Fleet Oiler Program, $13,222,000;
+(25) Under the heading ``Shipbuilding and Conversion, Navy'',
+2022/2025: Towing, Salvage, and Rescue Ship Program, $4,234,000;
+(26) Under the heading ``Shipbuilding and Conversion, Navy'',
+2023/2025: FFG-Frigate Program, $54,308,000;
+(27) Under the heading ``Shipbuilding and Conversion, Navy'',
+2023/2025: T-AO Fleet Oiler Program, $12,100,000; and
+(28) Under the heading ``Shipbuilding and Conversion, Navy'',
+2024/2025: FFG-Frigate Program, $98,759,000.
Sec. 1418. The last paragraph in section 8010 of division A of
Public Law 118-47 shall be applied by striking ``Naval Strike Missile''
and all that follows before the period and inserting ``CH-53K Heavy
@@ -1155,9 +1111,8 @@
``September 30, 2023''.
(b)(1) Subject to paragraph (2), this section shall become
effective immediately upon enactment of this Act.
-(2) If this Act is enacted after March 14, 2025, this
-section shall be applied as if it were in effect on March 14,
-2025.
+(2) If this Act is enacted after March 14, 2025, this section
+shall be applied as if it were in effect on March 14, 2025.
TITLE VIII--DEPARTMENT OF THE INTERIOR, ENVIRONMENT, AND RELATED
AGENCIES
@@ -1221,8 +1176,8 @@
Sec. 1804. (a) Notwithstanding section 1101 of this Act, the level
for ``Department of Health and Human Services--Indian Health Service--
Indian Health Facilities'' shall be--
-(1) $3,920,000 for amounts in the first appropriation in
-the matter preceding the first proviso under such heading; and
+(1) $3,920,000 for amounts in the first appropriation in the
+matter preceding the first proviso under such heading; and
(2) $289,306,000 for Sanitation Facilities Construction and
Health Care Facilities Construction:
Provided, That amounts included in the fourth proviso under such
@@ -1269,8 +1224,7 @@
Act of 1985.
(b) This section shall--
(1) take effect on the day of enactment of this Act; and
-(2) be applied as if it were in effect on September 30,
-2024.
+(2) be applied as if it were in effect on September 30, 2024.
Sec. 1809. Section 113 of division G of Public Law 113-76 shall be
applied by substituting ``2025'' for ``2024''.
@@ -1643,10 +1597,9 @@
Appropriations Act, 2003 (Public Law 108-11; 117 Stat. 576) is amended
under the heading ``Loan Guarantees to Israel''--
(1) in the matter preceding the first proviso, by striking
-``September 30, 2029'' and inserting ``September 30, 2030'';
-and
-(2) in the second proviso, by striking ``September 30,
-2029'' and inserting ``September 30, 2030''.
+``September 30, 2029'' and inserting ``September 30, 2030''; and
+(2) in the second proviso, by striking ``September 30, 2029''
+and inserting ``September 30, 2030''.
(d) Section 514(b)(2)(A) of the Foreign Assistance Act of 1961 (22
U.S.C. 2321h(b)(2)(A)) is amended by striking ``2023'' and all that
follows through the end of the sentence and inserting ``2023 through
@@ -1760,40 +1713,37 @@
Appropriations Act, 2025''.
DIVISION B--HEALTH
-
TITLE I--PUBLIC HEALTH EXTENDERS
SEC. 2101. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH
-SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE
-GME PROGRAMS.
-
+SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE GME PROGRAMS.
(a) Extension for 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 (H), by striking ``and'' at the end;
-(2) in subparagraph (I), by striking the period at the end
-and inserting and inserting ``; and''; and
+(2) in subparagraph (I), by striking the period at the end and
+inserting and inserting ``; and''; and
(3) by adding at the end the following:
-``(J) $2,135,835,616 for the period beginning on
-April 1, 2025, and ending on September 30, 2025; and''.
+``(J) $2,135,835,616 for the period beginning on April 1,
+2025, and ending on September 30, 2025; and''.
(b) Extension for the 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 (I), by striking ``and'' at the end;
-(2) in subparagraph (J), by striking the period at the end
-and inserting ``; and''; and
+(2) in subparagraph (J), by striking the period at the end and
+inserting ``; and''; and
(3) by adding at the end the following:
-``(K) $172,972,603 for the period beginning on
-April 1, 2025, and ending on September 30, 2025.''.
+``(K) $172,972,603 for the period beginning on April 1,
+2025, and ending on September 30, 2025.''.
(c) Teaching Health Centers That Operate Graduate Medical Education
Programs.--Section 340H(g)(1) of the Public Health Service Act (42
U.S.C. 256h(g)(1)) is amended--
(1) in subparagraph (D), by striking ``and'' at the end;
-(2) in subparagraph (E), by striking the period at the end
-and inserting ``; and''; and
+(2) in subparagraph (E), by striking the period at the end and
+inserting ``; and''; and
(3) by adding at the end the following:
-``(F) $87,739,726 for the period beginning on April
-1, 2025, and ending on September 30, 2025.''.
+``(F) $87,739,726 for the period beginning on April 1,
+2025, and ending on September 30, 2025.''.
(d) Application of Provisions.--Amounts appropriated pursuant to
the amendments made by this section shall be subject to the
requirements contained in Public Law 117-328 for funds for programs
@@ -1805,32 +1755,28 @@
3101(d) of the Health Extensions and Other Matters Act, 2025, and
section 2101(d) of division B of the Full-Year Continuing
Appropriations and Extensions Act, 2025''.
-
SEC. 2102. EXTENSION OF SPECIAL DIABETES PROGRAMS.
-
(a) Extension of Special Diabetes Programs for Type I Diabetes.--
Section 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)) is amended--
(1) in subparagraph (E), by striking ``and'' at the end;
-(2) in subparagraph (F), by striking the period at the end
-and inserting ``; and''; and
+(2) in subparagraph (F), by striking the period at the end and
+inserting ``; and''; and
(3) by adding at the end the following:
-``(G) $79,832,215 for the period beginning on April
-1, 2025, and ending on September 30, 2025, to remain
-available until expended.''.
+``(G) $79,832,215 for the period beginning on April 1,
+2025, and ending on September 30, 2025, to remain available
+until expended.''.
(b) Extending Funding for Special Diabetes Programs for Indians.--
Section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c-
3(c)(2)) is amended--
(1) in subparagraph (E), by striking ``and'' at the end;
-(2) in subparagraph (F), by striking the period at the end
-and inserting ``; and''; and
+(2) in subparagraph (F), by striking the period at the end and
+inserting ``; and''; and
(3) by adding at the end the following:
-``(G) $79,832,215 for the period beginning on April
-1, 2025, and ending on September 30, 2025, to remain
-available until expended.''.
-
+``(G) $79,832,215 for the period beginning on April 1,
+2025, and ending on September 30, 2025, to remain available
+until expended.''.
SEC. 2103. NATIONAL HEALTH SECURITY EXTENSIONS.
-
(a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C.
247d(e)(8)) is amended by striking ``March 31, 2025'' and inserting
``September 30, 2025''.
@@ -1857,77 +1803,63 @@
SEC. 2201. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT
FOR CERTAIN LOW-VOLUME HOSPITALS.
-
(a) In General.--Section 1886(d)(12) of the Social Security Act (42
U.S.C. 1395ww(d)(12)) is amended--
-(1) in subparagraph (B), by striking ``during the portion
-of fiscal year 2025 beginning on April 1, 2025, and ending on
+(1) in subparagraph (B), by striking ``during the portion of
+fiscal year 2025 beginning on April 1, 2025, and ending on
September 30, 2025, and'';
(2) in subparagraph (C)(i)--
(A) in the matter preceding subclause (I)--
-(i) by striking ``or portion of a fiscal
-year''; and
-(ii) by striking ``2024 and the portion of
-fiscal year 2025 beginning on October 1, 2024,
-and ending on March 31, 2025'' and inserting
-``2025'';
-(B) in subclause (III), by striking ``2024 and the
-portion of fiscal year 2025 beginning on October 1,
-2024, and ending on March 31, 2025'' and inserting
-``2025''; and
-(C) in subclause (IV), by striking ``the portion of
-fiscal year 2025 beginning on April 1, 2025, and ending
-on September 30, 2025, and''; and
+(i) by striking ``or portion of a fiscal year''; and
+(ii) by striking ``2024 and the portion of fiscal year
+2025 beginning on October 1, 2024, and ending on March 31,
+2025'' and inserting ``2025'';
+(B) in subclause (III), by striking ``2024 and the portion
+of fiscal year 2025 beginning on October 1, 2024, and ending on
+March 31, 2025'' and inserting ``2025''; and
+(C) in subclause (IV), by striking ``the portion of fiscal
+year 2025 beginning on April 1, 2025, and ending on September
+30, 2025, and''; and
(3) in subparagraph (D)--
-(A) in the matter preceding clause (i), by striking
-``2024 or during the portion of fiscal year 2025
-beginning on October 1, 2024, and ending on March 31,
-2025'' and inserting ``2025''; and
-(B) in clause (ii), by striking ``2024 and the
-portion of fiscal year 2025 beginning on October 1,
-2024, and ending on March 31, 2025'' and inserting
-``2025''.
+(A) in the matter preceding clause (i), by striking ``2024
+or during the portion of fiscal year 2025 beginning on October
+1, 2024, and ending on March 31, 2025'' and inserting ``2025'';
+and
+(B) in clause (ii), by striking ``2024 and the portion of
+fiscal year 2025 beginning on October 1, 2024, and ending on
+March 31, 2025'' and inserting ``2025''.
(b) Implementation.--Notwithstanding any other provision of law,
the Secretary of Health and Human Services may implement the amendments
made by this section by program instruction or otherwise.
-
SEC. 2202. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.
-
(a) In General.--Section 1886(d)(5)(G) of the Social Security Act
(42 U.S.C. 1395ww(d)(5)(G)) is amended--
-(1) in clause (i), by striking ``April 1, 2025'' and
-inserting ``October 1, 2025''; and
+(1) in clause (i), by striking ``April 1, 2025'' and inserting
+``October 1, 2025''; and
(2) in clause (ii)(II), by striking ``April 1, 2025'' and
inserting ``October 1, 2025''.
(b) Conforming Amendments.--
-(1) In general.--Section 1886(b)(3)(D) of the Social
-Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended--
-(A) in the matter preceding clause (i), by striking
-``April 1, 2025'' and inserting ``October 1, 2025'';
-and
-(B) in clause (iv), by striking ``2024 and the
-portion of fiscal year 2025 beginning on October 1,
-2024, and ending on March 31, 2025'' and inserting
-``2025''.
-(2) Permitting hospitals to decline reclassification.--
-Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of
-1993 (42 U.S.C. 1395ww note) is amended by striking ``2024, or
-the portion of fiscal year 2025 beginning on October 1, 2024,
-and ending on March 31, 2025'' and inserting ``2025''.
-
+(1) In general.--Section 1886(b)(3)(D) of the Social Security
+Act (42 U.S.C. 1395ww(b)(3)(D)) is amended--
+(A) in the matter preceding clause (i), by striking ``April
+1, 2025'' and inserting ``October 1, 2025''; and
+(B) in clause (iv), by striking ``2024 and the portion of
+fiscal year 2025 beginning on October 1, 2024, and ending on
+March 31, 2025'' and inserting ``2025''.
+(2) Permitting hospitals to decline reclassification.--Section
+13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42
+U.S.C. 1395ww note) is amended by striking ``2024, or the portion
+of fiscal year 2025 beginning on October 1, 2024, and ending on
+March 31, 2025'' and inserting ``2025''.
SEC. 2203. EXTENSION OF ADD-ON PAYMENTS FOR AMBULANCE SERVICES.
-
Section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) is
amended--
(1) in paragraph (12)(A), by striking ``April 1, 2025'' and
inserting ``October 1, 2025''; and
-(2) in paragraph (13), by striking ``April 1, 2025'' each
-place it appears and inserting ``October 1, 2025'' in each such
-place.
-
+(2) in paragraph (13), by striking ``April 1, 2025'' each place
+it appears and inserting ``October 1, 2025'' in each such place.
SEC. 2204. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT,
AND SELECTION.
-
Section 1890(d)(2) of the Social Security Act (42 U.S.C.
1395aaa(d)(2)) is amended--
(1) in the first sentence--
@@ -1935,12 +1867,10 @@
``$14,030,000''; and
(B) by striking ``March 31, 2025'' and inserting
``September 30, 2025''; and
-(2) in the third sentence, by striking ``March 31, 2025''
-and inserting ``September 30, 2025''.
-
+(2) in the third sentence, by striking ``March 31, 2025'' and
+inserting ``September 30, 2025''.
SEC. 2205. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME
PROGRAMS.
-
(a) State Health Insurance Assistance Programs.--Subsection
(a)(1)(B)(xiv) of section 119 of the Medicare Improvements for Patients
and Providers Act of 2008 (42 U.S.C. 1395b-3 note) is amended by
@@ -1956,22 +1886,18 @@
Benefits Available Under Federal and State Programs.--Subsection
(d)(2)(xiv) of such section 119 is amended by striking ``March 31,
2025, $22,500,000'' and inserting ``September 30, 2025, $30,000,000''.
-
SEC. 2206. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR.
-
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``April 1, 2025'' and inserting
``October 1, 2025''.
-
SEC. 2207. EXTENSION OF CERTAIN TELEHEALTH FLEXIBILITIES.
-
(a) Removing Geographic Requirements and Expanding Originating
Sites for Telehealth Services.--Section 1834(m) of the Social Security
Act (42 U.S.C. 1395m(m)) is amended--
-(1) in paragraph (2)(B)(iii), by striking ``ending March
-31, 2025'' and inserting ``ending September 30, 2025''; and
-(2) in paragraph (4)(C)(iii), by striking ``ending on March
-31, 2025'' and inserting ``ending on September 30, 2025''.
+(1) in paragraph (2)(B)(iii), by striking ``ending March 31,
+2025'' and inserting ``ending September 30, 2025''; and
+(2) in paragraph (4)(C)(iii), by striking ``ending on March 31,
+2025'' and inserting ``ending on September 30, 2025''.
(b) Expanding Practitioners Eligible To Furnish Telehealth
Services.--Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C.
1395m(m)(4)(E)) is amended by striking ``ending on March 31, 2025'' and
@@ -1983,20 +1909,19 @@
(d) Delaying the In-Person Requirements Under Medicare for Mental
Health Services Furnished Through Telehealth and Telecommunications
Technology.--
-(1) Delay in requirements for mental health services
-furnished through telehealth.--Section 1834(m)(7)(B)(i) of the
-Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended,
-in the matter preceding subclause (I), by striking ``on or
-after April 1, 2025'' and inserting ``on or after October 1,
-2025,''.
-(2) Mental health visits furnished by rural health
-clinics.--Section 1834(y)(2) of the Social Security Act (42
-U.S.C. 1395m(y)(2)) is amended by striking ``April 1, 2025''
+(1) Delay in requirements for mental health services furnished
+through telehealth.--Section 1834(m)(7)(B)(i) of the Social
+Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended, in the
+matter preceding subclause (I), by striking ``on or after April 1,
+2025'' and inserting ``on or after October 1, 2025,''.
+(2) Mental health visits furnished by rural health clinics.--
+Section 1834(y)(2) of the Social Security Act (42 U.S.C.
+1395m(y)(2)) is amended by striking ``April 1, 2025'' and inserting
+``October 1, 2025''.
+(3) Mental health visits furnished by federally qualified
+health centers.--Section 1834(o)(4)(B) of the Social Security Act
+(42 U.S.C. 1395m(o)(4)(B)) is amended by striking ``April 1, 2025''
and inserting ``October 1, 2025''.
-(3) Mental health visits furnished by federally qualified
-health centers.--Section 1834(o)(4)(B) of the Social Security
-Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking ``April
-1, 2025'' and inserting ``October 1, 2025''.
(e) Allowing for the Furnishing of Audio-only Telehealth
Services.--Section 1834(m)(9) of the Social Security Act (42 U.S.C.
1395m(m)(9)) is amended by striking ``ending on March 31, 2025'' and
@@ -2009,72 +1934,58 @@
(g) Program Instruction Authority.--The Secretary of Health and
Human Services may implement the amendments made by this section
through program instruction or otherwise.
-
SEC. 2208. EXTENDING ACUTE HOSPITAL CARE AT HOME WAIVER AUTHORITIES.
-
Section 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc-
7(a)(1)) is amended by striking ``March 31, 2025'' and inserting
``September 30, 2025''.
-
SEC. 2209. EXTENSION OF TEMPORARY INCLUSION OF AUTHORIZED ORAL
ANTIVIRAL DRUGS AS COVERED PART D DRUGS.
-
Section 1860D-2(e)(1)(C) of the Social Security Act (42 U.S.C.
1395w-102(e)(1)(C)) is amended by striking ``March 31, 2025'' and
inserting ``September 30, 2025''.
-
SEC. 2210. MEDICARE IMPROVEMENT FUND.
-
Section 1898(b)(1) of the Social Security Act (42 U.S.C.
1395iii(b)(1)) is amended by striking ``$1,251,000,000'' and inserting
``$1,804,000,000''.
-
SEC. 2211. MEDICARE SEQUESTRATION.
-
Section 251A(6)(D) of the Balanced Budget and Emergency Deficit
Control Act of 1985 (2 U.S.C. 901a(6)(D)) is amended--
-(1) in clause (i), by striking ``8 months'' and inserting
-``10 months''; and
-(2) in clause (ii), by striking ``4 months'' and inserting
-``2 months''.
+(1) in clause (i), by striking ``8 months'' and inserting ``10
+months''; and
+(2) in clause (ii), by striking ``4 months'' and inserting ``2
+months''.
TITLE III--HUMAN SERVICES
SEC. 2301. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.
-
Section 510 of the Social Security Act (42 U.S.C. 710) is amended--
(1) in subsection (a)(1)--
-(A) by striking ``the period beginning on October
-1, 2024, and ending on March 31, 2025'' and inserting
-``fiscal year 2025''; and
+(A) by striking ``the period beginning on October 1, 2024,
+and ending on March 31, 2025'' and inserting ``fiscal year
+2025''; and
(B) by striking ``or 2025''; and
-(2) in subsection (f)(1), by striking ``the period
-beginning on October 1, 2024, and ending on March 31, 2025, an
-amount equal to the pro rata portion of the amount appropriated
-for the corresponding period for'' and inserting ``for fiscal
-year 2025, an amount equal to the amount appropriated for''.
-
+(2) in subsection (f)(1), by striking ``the period beginning on
+October 1, 2024, and ending on March 31, 2025, an amount equal to
+the pro rata portion of the amount appropriated for the
+corresponding period for'' and inserting ``for fiscal year 2025, an
+amount equal to the amount appropriated for''.
SEC. 2302. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.
-
Section 513 of the Social Security Act (42 U.S.C. 713) is amended--
(1) in subsection (a)(1)--
-(A) in subparagraph (A), in the matter preceding
-clause (i), by striking ``the period beginning on
-October 1, 2024, and ending on March 31, 2025'' and
-inserting ``fiscal year 2025''; and
-(B) in subparagraph (B)(i), by striking ``the
-period beginning on October 1, 2024, and ending on
-March 31, 2025'' and inserting ``fiscal year 2025'';
+(A) in subparagraph (A), in the matter preceding clause
+(i), by striking ``the period beginning on October 1, 2024, and
+ending on March 31, 2025'' and inserting ``fiscal year 2025'';
and
-(2) in subsection (f), by striking ``the period beginning
-on October 1, 2024, and ending on March 31, 2025, an amount
-equal to the pro rata portion of the amount appropriated for
-the corresponding period'' and inserting ``fiscal year 2025, an
-amount equal to the amount appropriated for fiscal year 2024''.
-
+(B) in subparagraph (B)(i), by striking ``the period
+beginning on October 1, 2024, and ending on March 31, 2025''
+and inserting ``fiscal year 2025''; and
+(2) in subsection (f), by striking ``the period beginning on
+October 1, 2024, and ending on March 31, 2025, an amount equal to
+the pro rata portion of the amount appropriated for the
+corresponding period'' and inserting ``fiscal year 2025, an amount
+equal to the amount appropriated for fiscal year 2024''.
SEC. 2303. EXTENSION OF FUNDING FOR FAMILY-TO-FAMILY HEALTH INFORMATION
CENTERS.
-
Section 501(c)(1)(A)(viii) of the Social Security Act (42 U.S.C.
701(c)(1)(A)(viii)) is amended by striking ``$3,000,000 for the portion
of fiscal year 2025 before April 1, 2025.'' and inserting ``$6,000,000
@@ -2083,62 +1994,48 @@
TITLE IV--MEDICAID
SEC. 2401. DELAYING MEDICAID DSH REDUCTIONS.
-
Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended--
(1) in clause (i)--
(A) in the matter preceding subclause (I)--
-(i) by striking ``For the period beginning
-April 1, 2025, and ending September 30, 2025,
-and for'' and inserting ``For''; and
-(ii) by striking ``through 2027'' and
-inserting ``through 2028'';
-(B) in subclause (I), by striking ``or period'';
-and
-(C) in subclause (II), by striking ``or period'';
-and
+(i) by striking ``For the period beginning April 1,
+2025, and ending September 30, 2025, and for'' and
+inserting ``For''; and
+(ii) by striking ``through 2027'' and inserting
+``through 2028'';
+(B) in subclause (I), by striking ``or period''; and
+(C) in subclause (II), by striking ``or period''; and
(2) in clause (ii)--
-(A) by striking ``for the period beginning April 1,
-2025, and ending September 30, 2025, and''; and
-(B) by striking ``through 2027'' and inserting
-``through 2028''.
+(A) by striking ``for the period beginning April 1, 2025,
+and ending September 30, 2025, and''; and
+(B) by striking ``through 2027'' and inserting ``through
+2028''.
DIVISION C--OTHER MATTERS
SEC. 3101. COMMODITY FUTURES TRADING COMMISSION WHISTLEBLOWER PROGRAM.
-
Section 1(b) of Public Law 117-25 (135 Stat. 297; 136 Stat. 2133;
136 Stat. 5984) is amended in each of paragraphs (3) and (4) by
striking ``March 14, 2025'' and inserting ``September 30, 2025''.
-
SEC. 3102. PROTECTION OF CERTAIN FACILITIES AND ASSETS FROM UNMANNED
AIRCRAFT.
-
Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C.
124n(i)) is amended by striking ``March 14, 2025'' and inserting
``September 30, 2025''.
-
SEC. 3103. ADDITIONAL SPECIAL ASSESSMENT.
-
Section 3014 of title 18, United States Code, is amended by
striking ``March 14, 2025'' and inserting ``September 30, 2025''.
-
SEC. 3104. NATIONAL CYBERSECURITY PROTECTION SYSTEM AUTHORIZATION.
-
Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015
(6 U.S.C. 1525(a)) is amended by striking ``March 14, 2025'' and
inserting ``September 30, 2025''.
-
SEC. 3105. EXTENSION OF TEMPORARY ORDER FOR FENTANYL-RELATED
SUBSTANCES.
-
Effective as if included in the enactment of the Temporary
Reauthorization and Study of the Emergency Scheduling of Fentanyl
Analogues Act (Public Law 116-114), section 2 of such Act is amended by
striking ``March 31, 2025'' and inserting ``September 30, 2025''.
-
SEC. 3106. BUDGETARY EFFECTS.
-
(a) Statutory PAYGO Scorecards.--The budgetary effects of divisions
B and C shall not be entered on either PAYGO scorecard maintained
pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010.
@@ -2159,30 +2056,7 @@
Statutory Pay-As-You-Go Act of 2010 as being included in an
appropriation Act.
-Passed the House of Representatives March 11, 2025.
-
-Attest:
-
-KEVIN F. MCCUMBER,
-
-Clerk.
-Calendar No. 26
-
-119th CONGRESS
-
-1st Session
-
-H. R. 1968
-
-_______________________________________________________________________
-
-AN ACT
-
-Making further continuing appropriations and other extensions for the
-fiscal year ending September 30, 2025, and for other purposes.
-
-_______________________________________________________________________
-
-March 11, 2025
-
-Read the second time and placed on the calendar
+Speaker of the House of Representatives.
+
+Vice President of the United States and
+President of the Senate.