[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6363 Placed on Calendar Senate (PCS)]
<DOC>
Calendar No. 248
118th CONGRESS
1st Session
H. R. 6363
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
November 14 (legislative day, November 13), 2023
Received; read the first time
November 14, 2023
Read the second time and placed on the calendar
_______________________________________________________________________
AN ACT
Making further continuing appropriations for fiscal year 2024, 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 ``Further Continuing Appropriations
and Other Extensions Act, 2024''.
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--FURTHER CONTINUING APPROPRIATIONS ACT, 2024
DIVISION B--OTHER MATTERS
Title I--Extensions and Other Matters
Title II--Health and Human Services
Title III--Miscellaneous Extensions
Title IV--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.
DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2024
Sec. 101. Division A of the Continuing Appropriations Act, 2024
and Other Extensions Act (Public Law 118-15) is amended--
(1) by striking the date specified in section 106(3) and
inserting ``February 2, 2024, except as provided in paragraph
(4)'';
(2) by inserting after paragraph (3) of section 106 the
following:
``(4) In the case of appropriations and funds made
available and authority granted pursuant to sections 101(1),
101(4), 101(10), 101(12), 134, and 137, January 19, 2024.'';
(3) in section 101(1) by inserting after ``except section
729,'' the following: ``and except that the language under the
heading `Rural Utilities Service--Rural Water and Waste
Disposal Program Account' in title III shall be applied by
inserting `direct loans and,' before `loan guarantees' at the
beginning of the first sentence of the second paragraph,'';
(4) in section 101(10), by inserting before the period ``,
except section 123 as well as the provisions carrying the same
restriction in prior Acts'';
(5) in section 123, by striking ``17 days'' and inserting
``94 days'' and by striking ``17-day'' and inserting ``94-
day'';
(6) in section 124, by striking ``$621,270,000'' and
inserting ``$663,070,000'';
(7) in section 125, by striking ``During the period covered
by this Act'' and inserting ``Through the date specified in
section 106(3) of this Act''; and
(8) by adding after section 137 the following new sections:
``Sec. 138. Section 2(f)(2) of the Undetectable Firearms Act of
1988 (18 U.S.C. 922 note) shall be applied through the date specified
in section 106(3) of this Act by substituting `36' for `35'.
``Sec. 139. Through the date specified in section 106(3) of this
Act, amounts appropriated in section 124 of the Continuing
Appropriations Act, 2023 (division A of Public Law 117-180) may be
charged for any proper expense pursuant to section 1553(b)(1) of title
31, United States Code, notwithstanding the limitation in section
1553(b)(2) of such title.
``Sec. 140. Notwithstanding sections 102 and 104, amounts made
available by section 101 to the Department of Defense for
`Procurement--Shipbuilding and Conversion, Navy' may be apportioned up
to the rate for operations necessary for `Columbia Class Submarine
(AP)' in an amount not to exceed $3,338,413,000.
``Sec. 141. (a) Notwithstanding section 101, section 747 of title
VII of division E of Public Law 117-328 shall be applied through the
date specified in section 106(3) of this Act by--
``(1) substituting `2025' for `2024';
``(2) substituting `2024' for `2023' each place it appears;
``(3) substituting `2023' for `2022' each place it appears; and
``(4) substituting `section 747 of division E of Public Law 117-
328, as in effect on September 30, 2023' for `section 747 of division E
of Public Law 117-103' each place it appears.
``(b) Subsection (a) shall not take effect until the first day of
the first applicable pay period beginning on or after January 1, 2024.
``Sec. 142. Section 302 of title III of Public Law 108-494 shall
be applied by substituting the date specified in section 106(3) of this
Act for `December 31, 2023' each place it appears.
``Sec. 143. Amounts made available by section 101 to the
Department of Homeland Security under the heading `United States Secret
Service--Operations and Support' may be apportioned up to the rate for
operations necessary to carry out activities related to National
Special Security Events and the 2024 Presidential Campaign.
``Sec. 144. Section 1901(e) of the Homeland Security Act of 2002
(6 U.S.C. 591(e)) shall be applied by substituting the date that is 1
day after the date specified in section 106(3) of this Act for `the
date that is 5 years after the date of the enactment of the Countering
Weapons of Mass Destruction Act of 2018'.
``Sec. 145. (a) Amounts made available by section 101 for
`Department of Education--Student Aid Administration' may be
apportioned up to the rate for operations necessary to ensure the
continuation of student loan servicing activities, including supporting
borrowers reentering repayment.
``(b) The limitation in section 302 of division H of Public Law
117-328 regarding transfers increasing any appropriation shall be
applied to transfers to appropriations under the heading `Department of
Education--Student Aid Administration' through the date specified in
section 106(3) of this Act by substituting `10 percent' for `3 percent'
for the purposes of the continuation of basic operations, including
student loan servicing, business process operations, digital customer
care, common origination and disbursement, cybersecurity activities,
and information technology systems.
``Sec. 146. Notwithstanding any other provision of this Act, there
is hereby appropriated for fiscal year 2024, out of any money in the
Treasury not otherwise appropriated, for payment to Katherine Anne
Feinstein, beneficiary of Dianne Feinstein, late a Senator from the
State of California, $174,000.
``This division may be cited as the `Continuing Appropriations Act,
2024'.''.
This division may be cited as the ``Further Continuing
Appropriations Act, 2024''.
DIVISION B--OTHER MATTERS
TITLE I--EXTENSIONS AND OTHER MATTERS
SEC. 101. EXTENSION OF CERTAIN PROVISIONS OF THE COMPACTS OF FREE
ASSOCIATION WITH THE FEDERATED STATES OF MICRONESIA AND
THE REPUBLIC OF THE MARSHALL ISLANDS.
Section 2101 of the Continuing Appropriations Act, 2024 and Other
Extensions Act (Public Law 118-15; 137 Stat. 81) is amended--
(1) in the section heading, by striking ``compact of free
association with the federated states of micronesia'' and
inserting ``compacts of free association with the federated
states of micronesia and the republic of the marshall
islands''; and
(2) in subsection (a)(1)--
(A) by striking ``November 17, 2023'' and inserting
``February 2, 2024'' ;
(B) by inserting ``, section 103(f)(2) of the
Compact of Free Association Amendments Act of 2003 (48
U.S.C. 1921b(f)(2)), and sections 211, 213, and 216 of
the Compact of Free Association between the Government
of the United States of America and the Government of
the Republic of the Marshall Islands set forth in
section 201(b) of that Act (48 U.S.C. 1921 note; Public
Law 108-188)'' before ``shall,'';
(C) by inserting ``or the Republic of the Marshall
Islands, as applicable'' before ``, continue''; and
(D) by striking ``of that Compact'' and inserting
``of the applicable Compact''.
SEC. 102. EXTENSION OF AGRICULTURAL PROGRAMS.
(a) Extension.--Except as otherwise provided in this section and
the amendments made by this section, notwithstanding any other
provision of law, the authorities (including any limitations on the
authorities) provided by each provision of the Agriculture Improvement
Act of 2018 (Public Law 115-334; 132 Stat. 4490) and each provision of
law amended by that Act (and for mandatory programs at such funding
levels), as in effect on September 30, 2023, shall continue, and the
authorities shall be carried out, until the later of--
(1) September 30, 2024; or
(2) the date specified in the provision of that Act or the
provision of law amended by that Act.
(b) Discretionary Programs.--Programs carried out using the
authorities described in subsection (a) that are funded by
discretionary appropriations (as defined in section 250(c) of the
Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C.
900(c))) shall be subject to the availability of appropriations.
(c) Commodity Programs.--
(1) In general.--The provisions of law applicable to a
covered commodity (as defined in section 1111 of the
Agricultural Act of 2014 (7 U.S.C. 9011)), a loan commodity (as
defined in section 1201 of that Act (7 U.S.C. 9031)),
sugarcane, or sugar beets for the 2023 crop year pursuant to
title I of that Act (7 U.S.C. 9011 et seq.) and each amendment
made by subtitle C of title I of the Agriculture Improvement
Act of 2018 (Public Law 115-334; 132 Stat. 4511) shall be
applicable to the 2024 crop year for that covered commodity,
loan commodity, sugarcane, or sugar beets.
(2) Dairy.--
(A) Base production history adjustment for
participating dairy operations with production of less
than 5,000,000 pounds.--Section 1405(a) of the
Agricultural Act of 2014 (7 U.S.C. 9055(a)) is
amended--
(i) in paragraph (1), by inserting
``paragraph (4) and'' before ``subsection
(b)''; and
(ii) by adding at the end the following:
``(4) Base production history adjustment for participating
dairy operations with production of less than 5,000,000
pounds.--
``(A) In general.--If the amount determined under
paragraph (1) is less than 5,000,000 pounds, the
production history of the dairy operation for dairy
margin coverage shall be equal to--
``(i) the amount determined under paragraph
(1); plus
``(ii) 75 percent of the amount described
in subparagraph (B).
``(B) Amount.--The amount referred to in
subparagraph (A)(ii) is, with respect to a dairy
operation, the amount equal to--
``(i) the production volume of such dairy
operation for the 2019 milk marketing year;
minus
``(ii) the amount determined under
paragraph (1).''.
(B) Dairy margin coverage.--
(i) Duration.--Section 1409 of the
Agricultural Act of 2014 (7 U.S.C. 9059) is
amended by striking ``2023'' and inserting
``2024''.
(ii) Availability of premium discount.--
With respect to coverage for calendar year
2024, section 1407(g) of the Agricultural Act
of 2014 (7 U.S.C. 9057(g)) shall only apply to
a participating dairy operation with respect to
which the premium was reduced in accordance
with that section for calendar year 2023.
(C) Dairy forward pricing program.--Section
1502(e)(2) of the Food, Conservation, and Energy Act of
2008 (7 U.S.C. 8772(e)(2)) is amended by striking
``2026'' and inserting ``2027''.
(3) Extension of payment amount.--Section 1116(d) of the
Agricultural Act of 2014 (7 U.S.C. 9016(d)) is amended, in the
matter preceding paragraph (1), by striking ``2018'' and
inserting ``2024''.
(4) Suspension of permanent price support authorities.--The
provisions of law specified in--
(A) subsections (a) and (b) of section 1602 of the
Agricultural Act of 2014 (7 U.S.C. 9092)--
(i) shall not be applicable to the 2024
crops of covered commodities (as defined in
section 1111 of that Act (7 U.S.C. 9011)),
cotton, and sugar; and
(ii) shall not be applicable to milk
through December 31, 2024; and
(B) section 1602(c) of that Act (7 U.S.C. 9092(c))
shall not be applicable to the crops of wheat planted
for harvest in calendar year 2024.
(d) Other Programs.--
(1) Conservation.--
(A) Grassroots source water protection program.--
Section 1240O(b)(3) of the Food Security Act of 1985
(16 U.S.C. 3839bb-2(b)(3)) is amended--
(i) by striking the period at the end and
inserting ``; and'';
(ii) by striking ``use $5,000,000'' and
inserting the following: ``use--
``(A) $5,000,000''; and
(iii) by adding at the end the following:
``(B) $1,000,000 beginning in fiscal year 2024, to
remain available until expended.''.
(B) Voluntary public access and habitat incentive
program.--Section 1240R(f)(1) of the Food Security Act
of 1985 (16 U.S.C. 3839bb-5(f)(1)) is amended--
(i) by striking ``and'' after ``2018,'';
and
(ii) by inserting ``, and $10,000,000 for
fiscal year 2024'' before the period at the
end.
(C) Feral swine eradication and control pilot
program.--Section 2408(g)(1) of the Agriculture
Improvement Act of 2018 (7 U.S.C. 8351 note; Public Law
115-334) is amended by inserting ``and $15,000,000 for
fiscal year 2024'' before the period at the end.
(2) Trade.--Section 302(h)(2) of the Bill Emerson
Humanitarian Trust Act (7 U.S.C. 1736f-1(h)(2)) is amended by
striking ``2023'' and inserting ``2024''.
(3) Nutrition.--Section 203D(d)(5) of the Emergency Food
Assistance Act of 1983 (7 U.S.C. 7507(d)(5)) is amended by
striking ``2023'' and inserting ``2024''.
(4) Rural economic development program.--Section 313B(e)(2)
of the Rural Electrification Act of 1936 (7 U.S.C. 940c-
2(e)(2)) is amended by striking ``and 2023'' and inserting
``through 2024''.
(5) Research.--
(A) Scholarships for students.--Section 1446 of the
National Agricultural Research, Extension, and Teaching
Policy Act of 1977 (7 U.S.C. 3222a) is amended--
(i) in subsection (a)(3), by striking
``three'' and inserting ``4''; and
(ii) in subsection (b)(1)--
(I) by striking ``Of'' and
inserting the following:
``(A) Funding.--Of''; and
(II) by adding at the end the
following:
``(B) Additional funding.--Not later than 30 days
after the date of enactment of this subparagraph, of
the funds of the Commodity Credit Corporation, the
Secretary shall make available to carry out this
section $10,000,000, to remain available until
expended.''.
(B) Urban, indoor, and other emerging agricultural
production research, education, and extension
initiative.--Section 1672E(d)(1) of the Food,
Agriculture, Conservation, and Trade Act of 1990 (7
U.S.C. 5925g(d)(1)) is amended--
(i) by striking the period at the end and
inserting ``; and'';
(ii) by striking ``section $10,000,000''
and inserting the following: ``section--
``(A) $10,000,000''; and
(iii) by adding at the end the following:
``(B) $2,000,000 for fiscal year 2024, to remain
available until expended.''.
(C) Foundation for food and agriculture research.--
Section 7601(g)(1)(A) of the Agricultural Act of 2014
(7 U.S.C. 5939(g)(1)(A)) is amended by adding at the
end the following:
``(iii) Additional funding.--Not later than
30 days after the date of enactment of this
clause, of the funds of the Commodity Credit
Corporation, the Secretary shall transfer to
the Foundation to carry out this section
$37,000,000, to remain available until
expended.''.
(D) Grazinglands research laboratory.--Section 7502
of the Food, Conservation, and Energy Act of 2008
(Public Law 110-246; 122 Stat. 2019; 132 Stat. 4817)
shall be applied by substituting ``the period beginning
on the date of enactment of this Act and ending on
September 30, 2024'' for ``the 15-year period beginning
on the date of enactment of this Act''.
(6) Energy.--
(A) Biobased markets program.--Section 9002(k)(1)
of the Farm Security and Rural Investment Act of 2002
(7 U.S.C. 8102(k)(1)) is amended by striking ``2023''
and inserting ``2024''.
(B) Bioenergy program for advanced biofuels.--
Section 9005(g)(1)(F) of the Farm Security and Rural
Investment Act of 2002 (7 U.S.C. 8105(g)(1)(F)) is
amended by striking ``2023'' and inserting ``2024''.
(C) Feedstock flexibility program.--Section 9010(b)
of the Farm Security and Rural Investment Act of 2002
(7 U.S.C. 8110(b)) is amended in paragraphs (1)(A) and
(2)(A) by striking ``2023'' each place it appears and
inserting ``2024''.
(7) Horticulture.--
(A) Organic production and market data
initiatives.--Section 7407(d)(1) of the Farm Security
and Rural Investment Act of 2002 (7 U.S.C. 5925c(d)(1))
is amended--
(i) in subparagraph (A), by striking
``and'' at the end;
(ii) in subparagraph (B), by striking the
period at the end and inserting ``; and''; and
(iii) by adding at the end the following:
``(C) $1,000,000 for fiscal year 2024.''.
(B) Modernization and improvement of international
trade technology systems and data collection.--Section
2123(c)(4) of the Organic Foods Production Act of 1990
(7 U.S.C. 6522(c)(4)) is amended, in the matter
preceding subparagraph (A), by inserting ``and
$1,000,000 for fiscal year 2024'' after ``2019''.
(C) National organic certification cost-share
program.--Section 10606(d)(1)(C) of the Farm Security
and Rural Investment Act of 2002 (7 U.S.C.
6523(d)(1)(C)) is amended by striking ``and 2023'' and
inserting ``through 2024''.
(D) Multiple crop and pesticide use survey.--
Section 10109(c)(1) of the Agriculture Improvement Act
of 2018 (Public Law 115-334; 132 Stat. 4906) is amended
by inserting ``and $100,000 for fiscal year 2024''
after ``2019''.
(8) Miscellaneous.--
(A) Pima agriculture cotton trust fund.--Section
12314 of the Agricultural Act of 2014 (7 U.S.C. 2101
note; Public Law 113-79) is amended--
(i) in subsection (b), in the matter
preceding paragraph (1), by striking ``2023''
and inserting ``2024''; and
(ii) in subsection (h), by striking
``2023'' and inserting ``2024''.
(B) Agriculture wool apparel manufacturers trust
fund.--Section 12315 of the Agricultural Act of 2014 (7
U.S.C. 7101 note; Public Law 113-79) is amended by
striking ``2023'' each place it appears and inserting
``2024''.
(C) Wool research and promotion.--Section 12316(a)
of the Agricultural Act of 2014 (7 U.S.C. 7101 note;
Public Law 113-79) is amended by striking ``2023'' and
inserting ``2024''.
(D) Emergency citrus disease research and
development trust fund.--Section 12605(d) of the
Agriculture Improvement Act of 2018 (7 U.S.C. 7632
note; Public Law 115-334) is amended by striking
``2023'' and inserting ``2024''.
(E) Sheep production and marketing grant program.--
Section 209(c) of the Agricultural Marketing Act of
1946 (7 U.S.C. 1627a(c)) is amended by inserting ``and
$400,000 for fiscal year 2024,'' after ``2019,''.
(9) Exceptions.--Subsection (a) shall not apply with
respect to mandatory funding under the following provisions of
law:
(A) Section 1614(c)(4) of the Agricultural Act of
2014 (7 U.S.C. 9097(c)(4)).
(B) Subparagraphs (A) and (B) of section 1241(a)(1)
of the Food Security Act of 1985 (16 U.S.C.
3841(a)(1)).
(e) Reports.--
(1) In general.--Subject to paragraph (2), any requirement
under a provision of law described in subsection (a) to submit
a report on a recurring basis, and the final report under which
was required to be submitted during fiscal year 2023, shall
continue, and the requirement shall be carried out, on the same
recurring basis, until the later of the dates specified in
paragraphs (1) and (2) of that subsection.
(2) Appropriations required.--If discretionary
appropriations (as defined in section 250(c) of the Balanced
Budget and Emergency Deficit Control Act of 1985 (2 U.S.C.
900(c))) are required to carry out a reporting requirement
described in paragraph (1), the application of that paragraph
to that reporting requirement shall be subject to the
availability of appropriations.
(f) Rescission.--Of the unobligated balances of amounts made
available under section 9003(g)(1)(A) of the Farm Security and Rural
Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)), $177,350,000 is
rescinded.
(g) Effective Date.--This section and the amendments made by this
section (except subsection (f) and the amendments made by subparagraphs
(A) and (C) of subsection (d)(5)) shall be applied and administered as
if this section and those amendments had been enacted on September 30,
2023.
TITLE II--HEALTH AND HUMAN SERVICES
Subtitle A--Public Health Extenders
SEC. 201. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH
SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE
GME PROGRAMS.
(a) 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)) is amended by striking ``and $16,635,616 for the period
beginning on October 1, 2023, and ending on November 17, 2023'' and
inserting ``$16,635,616 for the period beginning on October 1, 2023,
and ending on November 17, 2023, and $21,834,247 for the period
beginning on November 18, 2023, and ending on January 19, 2024''.
(b) Extension for Community Health Centers.--Section 10503(b)(1)(F)
of the Patient Protection and Affordable Care Act (42 U.S.C. 254b-
2(b)(1)(F)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``and $526,027,397
for the period beginning on October 1, 2023, and ending on November 17,
2023'' and inserting ``$526,027,397 for the period beginning on October
1, 2023, and ending on November 17, 2023, and $690,410,959 for the
period beginning on November 18, 2023, and ending on January 19,
2024''.
(c) Extension for the National Health Service Corps.--Section
10503(b)(2)(I) of the Patient Protection and Affordable Care Act (42
U.S.C. 254b-2(b)(2)(I)), as amended by the Continuing Appropriations
Act, 2024 and Other Extensions Act, is further amended by striking
``$40,767,123 for the period beginning on October 1, 2023, and ending
on November 17, 2023'' and inserting ``$40,767,123 for the period
beginning on October 1, 2023, and ending on November 17, 2023, and
$53,506,849 for the period beginning on November 18, 2023, and ending
on January 19, 2024''.
(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
authorized under sections 330 through 340 of the Public Health Service
Act (42 U.S.C. 254b et seq.).
(e) Conforming Amendment.--Section 3014(h)(4) of title 18, United
States Code, is amended by striking ``and section 2321(d) of the
Continuing Appropriations Act, 2024 and Other Extensions Act'' and
inserting ``section 2321(d) of the Continuing Appropriations Act, 2024
and Other Extensions Act, and section 201(d) of the Further Continuing
Appropriations and Other Extensions Act, 2024''.
SEC. 202. EXTENSION OF SPECIAL DIABETES PROGRAMS.
(a) Extension of Special Diabetes Programs for Type I Diabetes.--
Section 330B(b)(2)(E) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``$19,726,027 for
the period beginning on October 1, 2023, and ending on November 17,
2023'' and inserting ``$19,726,027 for the period beginning on October
1, 2023, and ending on November 17, 2023, and $25,890,411 for the
period beginning on November 18, 2023, and ending on January 19,
2024''.
(b) Extending Funding for Special Diabetes Programs for Indians.--
Section 330C(c)(2)(E) of the Public Health Service Act (42 U.S.C. 254c-
3(c)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``$19,726,027 for
the period beginning on October 1, 2023, and ending on November 17,
2023'' and inserting ``$19,726,027 for the period beginning on October
1, 2023, and ending on November 17, 2023, and $25,890,411 for the
period beginning on November 18, 2023, and ending on January 19,
2024''.
SEC. 203. 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 ``November 17, 2023'' and inserting
``January 19, 2024''.
(b) Section 319L(e)(1)(D) of the Public Health Service Act (42
U.S.C. 247d-7e(e)(1)(D)) is amended by striking ``on the date that is
17 years after the date of enactment of the Pandemic and All-Hazards
Preparedness Act'' and inserting ``after January 19, 2024''.
(c) Section 319L-1(b) of the Public Health Service Act (42 U.S.C.
247d-7f(b)) is amended by striking ``at the end of the 17-year period
that begins on the date of enactment of this Act'' and inserting
``after January 19, 2024''.
(d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C.
300hh-10b(g)) is amended by striking ``November 17, 2023'' and
inserting ``January 19, 2024''.
(2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C.
300hh-10c(g)(1)) is amended by striking ``November 17, 2023'' and
inserting ``January 19, 2024''.
(3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C.
300hh-10d(g)(1)) is amended by striking ``November 17, 2023'' and
inserting ``January 19, 2024''.
(e) Section 2812(c)(4)(B) of the Public Health Service Act (42
U.S.C. 300hh-11(c)(4)(B)) is amended by striking ``November 17, 2023''
and inserting ``January 19, 2024''.
Subtitle B--Medicaid
SEC. 301. DELAYING CERTAIN DISPROPORTIONATE SHARE PAYMENT CUTS.
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), by striking ``November 18, 2023'' and
inserting ``January 20, 2024''; and
(2) in clause (ii), by striking ``November 18, 2023'' and
inserting ``January 20, 2024''.
SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION.
Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w-
1(b)(3)(A)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``$6,357,117,810''
and inserting ``5,796,117,810''.
Subtitle C--Human Services
SEC. 401. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.
Activities authorized by part B of title IV of the Social Security
Act shall continue through January 19, 2024, in the manner authorized
for fiscal year 2023, and out of any money in the Treasury of the
United States not otherwise appropriated, there are hereby appropriated
such sums as may be necessary for such purpose.
SEC. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.
Section 510 of the Social Security Act (42 U.S.C. 710), as amended
by the Continuing Appropriations Act, 2024 and Other Extensions Act, is
further amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) by striking ``and for the period
beginning on October 1, 2023, and ending on
November 17, 2023'' and inserting ``, for the
period beginning on October 1, 2023, and ending
on November 17, 2023, and for the period
beginning on November 18, 2023, and ending on
January 19, 2024''; and
(ii) by striking ``with respect to such
period'' and inserting ``with respect to the
applicable period'';
(B) in paragraphs (2)(A), by striking ``for the
period'' and inserting ``for the applicable period'';
and
(C) in paragraphs (2)(B), by striking ``for the
period'' and inserting ``for the applicable period'';
and
(2) in subsection (f)--
(A) in paragraph (1), by striking ``and for the
period beginning on October 1, 2023, and ending on
November 17, 2023, an amount equal to the pro rata
portion of the amount appropriated for the
corresponding period for fiscal year 2023'' and
inserting ``for the period beginning on October 1,
2023, and ending on November 17, 2023, an amount equal
to the pro rata portion of the amount appropriated for
the corresponding period for fiscal year 2023, and for
the period beginning on November 18, 2023, and ending
on January 19, 2024, an amount equal to the pro rata
portion of the amount appropriated for the
corresponding period for fiscal year 2023''; and
(B) in paragraph (2), by striking ``for the
period'' and inserting ``for the applicable period''.
SEC. 403. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.
Section 513 of the Social Security Act (42 U.S.C. 713), as amended
by the Continuing Appropriations Act, 2024 and Other Extensions Act, is
further amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) in subparagraph (A), by striking ``and
for the period beginning on October 1, 2023,
and ending on November 17, 2023,'' and
inserting ``, for the period beginning on
October 1, 2023, and ending on November 17,
2023, and for the period beginning on November
18, 2023, and ending on January 19, 2024,'';
and
(ii) in subparagraph (B)(i), by inserting
after ``November 17, 2023'' the following: ``,
and for the period beginning on November 18,
2023, and ending on January 19, 2024'';
(iii) in subparagraph (C)(i), by striking
``for a fiscal year or the period'' and
inserting ``for a fiscal year or period''; and
(B) in paragraph (3), by striking ``for a fiscal
year or the period'' and inserting ``for a fiscal year
or period''; and
(C) in paragraph (4)(A)--
(i) by striking ``for the period'' each
place it appears and inserting ``for each
period''; and
(ii) by striking ``for a fiscal year or the
period'' and inserting ``for a fiscal year or
period'';
(D) in paragraph (4)(B)(i), by striking ``the
period described in paragraph (1)(A)'' and inserting
``each period described in paragraph (1)(A)'';
(2) in subsection (c), by striking ``for the period
described in subsection (a)(1)(A)'' and inserting ``for a
period described in subsection (a)(1)(A) for fiscal year
2024''; and
(3) in subsection (f)(1), by striking ``2023, and for the
period beginning on October 1, 2023, and ending on November 17,
2023, an amount equal to the pro rata portion of the amount
appropriated for the corresponding period for fiscal year
2023'' and inserting ``2023, for the period beginning on
October 1, 2023, and ending on November 17, 2023, an amount
equal to the pro rata portion of the amount appropriated for
the corresponding period for fiscal year 2023, and for the
period beginning on November 18, 2023, and ending on January
19, 2024, an amount equal to the pro rata portion of the amount
appropriated for the corresponding period for fiscal year
2023''.
Subtitle D--Medicare
SEC. 501. EXTENDING FLOOR FOR WORK GEOGRAPHIC INDEX.
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``January 1, 2024'' and inserting
``January 20, 2024''.
SEC. 502. REVISING PHASE-IN OF MEDICARE CLINICAL LABORATORY TEST
PAYMENT CHANGES.
(a) Revised Phase-in of Reductions From Private Payor Rate
Implementation.--Section 1834A(b)(3) of the Social Security Act (42
U.S.C. 1395m-1(b)(3)) is amended--
(1) in subparagraph (A), by striking ``2026'' and inserting
``2027''; and
(2) in subparagraph (B)--
(A) in clause (ii), by striking ``2023'' and
inserting ``2024''; and
(B) in clause (iii), by striking ``2024 through
2026'' and inserting ``2025 through 2027''.
(b) Revised Reporting Period for Reporting of Private Sector
Payment Rates for Establishment of Medicare Payment Rates.--Section
1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(1)(B))
is amended--
(1) in clause (i), by striking ``2023'' and inserting
``2024''; and
(2) in clause (ii), by striking ``2024'' each place it
appears and inserting ``2025''.
SEC. 503. MEDICARE IMPROVEMENT FUND.
Section 1898(b)(1) of the Social Security Act (42 U.S.C.
1395iii(b)(1)) is amended by striking ``$180,000,000'' and inserting
``$466,795,056''.
TITLE III--MISCELLANEOUS EXTENSIONS
SEC. 601. COUNTER-UAS AUTHORITIES.
Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C.
124n(i)) is amended by striking ``November 18, 2023'' and inserting
``February 3, 2024''.
TITLE IV--BUDGETARY EFFECTS
SEC. 701. BUDGETARY EFFECTS.
(a) Statutory PAYGO Scorecards.--The budgetary effects of this
division shall not be entered on either PAYGO scorecard maintained
pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010.
(b) Senate PAYGO Scorecards.--The budgetary effects of this
division shall not be entered on any PAYGO scorecard maintained for
purposes of section 4106 of H. Con. Res. 71 (115th Congress).
(c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of
the Budget Scorekeeping Guidelines set forth in the joint explanatory
statement of the committee of conference accompanying Conference Report
105-217 and section 250(c)(8) of the Balanced Budget and Emergency
Deficit Control Act of 1985, the budgetary effects of this division
shall not be estimated--
(1) for purposes of section 251 of such Act;
(2) for purposes of an allocation to the Committee on
Appropriations pursuant to section 302(a) of the Congressional
Budget Act of 1974; and
(3) for purposes of paragraph (4)(C) of section 3 of the
Statutory Pay-As-You-Go Act of 2010 as being included in an
appropriation Act.
Passed the House of Representatives November 14, 2023.
Attest:
KEVIN F. MCCUMBER,
Clerk.
Calendar No. 248
118th CONGRESS
1st Session
H. R. 6363
_______________________________________________________________________
AN ACT
Making further continuing appropriations for fiscal year 2024, and for
other purposes.
_______________________________________________________________________
November 14, 2023
Read the second time and placed on the calendar