[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1974 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 1974
Making further continuing appropriations for the fiscal year ending
September 30, 2025, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 10, 2025
Ms. DeLauro introduced the following bill; which was referred to the
Committee on Appropriations, and in addition to the Committee on the
Budget, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
Making further continuing appropriations 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 ``Further Additional Continuing
Appropriations and Other Extensions Act, 2025''.
SEC. 2. TABLE OF CONTENTS.
Sec. 1. Short Title.
Sec. 2. Table of Contents.
DIVISION A--FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2025
DIVISION B--EXTENSIONS AND OTHER MATTERS
DIVISION A--FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2025
Sec. 101. The Continuing Appropriations Act, 2025 (division A of
Public Law 118-83) is further amended--
(1) by striking the date specified in section 106(3) and
inserting ``April 11, 2025'';
(2) in section 156(b) to read as follows:
``(b) 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' in an amount not to exceed $3,341,300,000.''; and
(3) by adding after section 169 the following new sections:
``Sec. 170. Notwithstanding section 101, section 521(b)(1) of
division C of Public Law 118-42 shall not apply during the period
covered by this Act.
``Sec. 171. 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 of operations necessary for `Completion of Prior Year
Shipbuilding Programs' in an amount not to exceed $1,930,024,000 to
fund prior year shipbuilding cost increases for the following programs
in the following amounts:
``(1) 2013/2025: Carrier Replacement Program, $236,000,000;
``(2) 2016/2025: DDG 51 Program, $10,509,000;
``(3) 2017/2025: Virginia Class Submarine Program,
$219,370,000;
``(4) 2017/2025: DDG 51 Program, $115,600,000;
``(5) 2017/2025: Littoral Combat Ship Program, $8,100,000;
``(6) 2017/2025: LHA Replacement Program, $115,397,000;
``(7) 2018/2025: Virginia Class Submarine Program,
$73,634,000;
``(8) 2018/2025: DDG 51 Program, $107,405,000;
``(9) 2018/2025: Littoral Combat Ship Program, $12,000,000;
``(10) 2018/2025: LPD 17 (Flight II) Amphibious Transport
Dock Program, $19,158,000;
``(11) 2018/2025: Oceanographic Ships Program, $18,000,000;
``(12) 2018/2025: Ship to Shore Connector Program,
$14,694,000;
``(13) 2019/2025: Littoral Combat Ship Program,
$27,900,000;
``(14) 2019/2025: T-AO Fleet Oiler Program, $49,995,000;
``(15) 2019/2025: Ship to Shore Connector Program,
$33,345,000;
``(16) 2020/2025: CVN Refueling Overhauls, $669,171,000;
``(17) 2020/2025: T-AO Fleet Oiler Program, $151,837,000;
``(18) 2020/2025: Towing, Salvage, and Rescue Ship Program,
$978,000;
``(19) 2021/2025: Towing, Salvage, and Rescue Ship Program,
$17,375,000;
``(20) 2022/2025: T-AO Fleet Oiler Program, $13,222,000;
``(21) U2022/2025: Towing, Salvage, and Rescue Ship
Program, $4,234,000; and
``(22) 2023/2025: T-AO Fleet Oiler Program, $12,100,000.
``Sec. 172. In addition to amounts otherwise provided by section
101, for `Federal Emergency Management Agency--Disaster Relief Fund',
there is appropriated $750,000,000, for an additional amount for fiscal
year 2025, to remain available until expended, for major disasters
declared pursuant to the Robert T. Stafford Disaster Relief and
Emergency Assistance Act (42 U.S.C. 5121 et seq.): Provided, That such
amount is designated by the Congress as being for an emergency
requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
and Emergency Deficit Control Act of 1985, and shall be available only
if the President subsequently so designates such amount and transmits
such designation to the Congress.
``Sec. 173. In addition to amounts otherwise provided by section
101, there is appropriated $1,650,000 for the `Office of Navajo and
Hopi Relocation--Salaries and Expenses' to remain available until
expended to carry out responsibilities under the Navajo-Hopi Land
Settlement Act of 1974.
``Sec. 174. Notwithstanding any other provision of this Act, there
is hereby appropriated for fiscal year 2025, for payment to Ashley
Paige Turner, beneficiary of Sylvester Turner, late a Representative
from the State of Texas, $174,000.''.
This division may be cited as the ``Further Additional Continuing
Appropriations Act, 2025''.
DIVISION B--EXTENSIONS AND OTHER MATTERS
TITLE I--HEALTH EXTENSIONS
Subtitle A--Public Health Extenders
SEC. 2101. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH
SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE
GME PROGRAMS.
(a) Extension for Community Health Centers.--Section 10503(b)(1)(I)
of the Patient Protection and Affordable Care Act (42 U.S.C. 254b-
2(b)(1)(I)) is amended by striking the period at the end and inserting
``, and $132,602,740 for the period beginning on April 1, 2025, and
ending on April 11, 2025; and''.
(b) Extension for the National Health Service Corps.--Section
10503(b)(2)(J) of the Patient Protection and Affordable Care Act (42
U.S.C. 254b-2(b)(2)(J)) is amended by inserting ``, and $10,963,593 for
the period beginning on April 1, 2025, and ending on April 11, 2025''
before the period at the end.
(c) Teaching Health Centers That Operate Graduate Medical Education
Programs.--Section 340H(g)(1)(E) of the Public Health Service Act (42
U.S.C. 256h(g)(1)(E)) is amended by inserting ``, and $6,058,748 for
the period beginning on April 1, 2025, and ending on April 11, 2025''
before the period at the end.
(d) Application of Provisions.--Amounts appropriated pursuant to
the amendments made by this section shall be subject to the
requirements contained in Public Law 118-47 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 Amendments.--Section 3014(h)(4) of title 18, United
States Code, is amended by striking ``and section 3101(d) of the Health
Extensions and Other Matters Act, 2025'' and inserting ``section
3101(d) of the Health Extensions and Other Matters Act, 2025, and
section 2101(d) of the Further Additional Continuing Appropriations and
Other Extensions Act, 2025''.
SEC. 2102. EXTENSION OF SPECIAL DIABETES PROGRAMS.
(a) Extension of Special Diabetes Programs for Type I Diabetes.--
Section 330B(b)(2)(F) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(F)) is amended by inserting ``, and $4,798,658 for the period
beginning on April 1, 2025, and ending on April 11, 2025'' before the
period at the end.
(b) Extending Funding for Special Diabetes Programs for Indians.--
Section 330C(c)(2)(F) of the Public Health Service Act (42 U.S.C. 254c-
3(c)(2)(F)) is amended by inserting ``, and $4,798,658 for the period
beginning on April 1, 2025, and ending on April 11, 2025'' before the
period at the end.
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
``April 11, 2025''.
(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 ``March 31, 2025'' and
inserting ``April 11, 2025''.
(c) Section 319L-1(b) of the Public Health Service Act (42 U.S.C.
247d-7f(b)) is amended by striking ``March 31, 2025'' and inserting
``April 11, 2025''.
(d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C.
300hh-10b(g)) is amended by striking ``March 31, 2025'' and inserting
``April 11, 2025''.
(2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C.
300hh-10c(g)(1)) is amended by striking ``March 31, 2025'' and
inserting ``April 11, 2025''.
(3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C.
300hh-10d(g)(1)) is amended by striking ``March 31, 2025'' and
inserting ``April 11, 2025''.
(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 ``March 31, 2025'' and
inserting ``April 11, 2025''.
Subtitle B--Medicare
SEC. 2111. 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), in the matter preceding clause
(i), by striking ``April 1, 2025'' and inserting ``April 12,
2025'';
(2) in subparagraph (C)(i)--
(A) in the matter preceding subclause (I), by
striking ``March 31, 2025'' and inserting ``April 11,
2025'';
(B) in subclause (III), by striking ``March 31,
2025'' and inserting ``April 11, 2025''; and
(C) in subclause (IV), by striking ``April 1,
2025'' and inserting ``April 12, 2025''; and
(3) in subparagraph (D)--
(A) in the matter preceding clause (i), by striking
``March 31, 2025'' and inserting ``April 11, 2025'';
and
(B) in clause (ii), by striking ``March 31, 2025''
and inserting ``April 11, 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. 2112. 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 ``April 12, 2025''; and
(2) in clause (ii)(II), by striking ``April 1, 2025'' and
inserting ``April 12, 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 ``April 12, 2025''; and
(B) in clause (iv), by striking ``March 31, 2025''
and inserting ``April 11, 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 ``March 31,
2025'' and inserting ``April 11, 2025''.
SEC. 2113. 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 ``April 12, 2025''; and
(2) in paragraph (13), by striking ``April 1, 2025'' each
place it appears and inserting ``April 12, 2025'' in each such
place.
SEC. 2114. 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, by striking ``March 31, 2025''
and inserting ``April 11, 2025''; and
(2) in the third sentence, by striking ``March 31, 2025''
and inserting ``April 11, 2025''.
SEC. 2115. 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
striking ``March 31, 2025, $22,500,000'' and inserting ``April 11,
2025, $23,125,000''.
(b) Area Agencies on Aging.--Subsection (b)(1)(B)(xiv) of such
section 119 is amended by striking ``March 31, 2025, $22,500,000'' and
inserting ``April 11, 2025, $23,125,000''.
(c) Aging and Disability Resource Centers.--Subsection
(c)(1)(B)(xiv) of such section 119 is amended by striking ``March 31,
2025, $8,500,000'' and inserting ``April 11, 2025, $8,708,333''.
(d) Coordination of Efforts To Inform Older Americans About
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 ``April 11, 2025, $23,125,000''.
SEC. 2116. 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
``April 12, 2025''.
SEC. 2117. 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 April 11, 2025''; and
(2) in paragraph (4)(C)(iii), by striking ``ending on March
31, 2025'' and inserting ``ending on April 11, 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
inserting ``ending on April 11, 2025''.
(c) Extending Telehealth Services for Federally Qualified Health
Centers and Rural Health Clinics.--Section 1834(m)(8)(A) of the Social
Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by striking ``ending
on March 31, 2025'' and inserting ``ending on April 11, 2025''.
(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 ``April 1,
2025'' and inserting ``April 12, 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 ``April 12, 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 ``April 12, 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
inserting ``ending on April 11, 2025''.
(f) Extending Use of Telehealth To Conduct Face-to-Face Encounter
Prior to Recertification of Eligibility for Hospice Care.--Section
1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C.
1395f(a)(7)(D)(i)(II)) is amended by striking ``ending on March 31,
2025'' and inserting ``ending on April 11, 2025''.
(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. 2118. 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
``April 11, 2025''.
SEC. 2119. 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 ``April 11, 2025''.
SEC. 2120. 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
$1,018,000,000.
Subtitle C--Human Services
SEC. 2131. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.
Section 510 of the Social Security Act (42 U.S.C. 710) is amended--
(1) in subsection (a)(1), by striking ``March 31, 2025''
and inserting ``April 11, 2025''; and
(2) in subsection (f)(1), by striking ``March 31, 2025''
and inserting ``April 11, 2025''.
SEC. 2132. 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 ``March 31, 2025'' and
inserting ``April 11, 2025''; and
(B) in subparagraph (B)(i), by striking ``March 31,
2025'' and inserting ``April 11, 2025''; and
(2) in subsection (f), by striking ``March 31, 2025'' and
inserting ``April 11, 2025''.
SEC. 2133. 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--
(1) by striking ``$3,000,000'' and inserting
``$3,200,000''; and
(2) by striking ``April 1, 2025'' and inserting ``April 12,
2025''.
Subtitle D--Medicaid
SEC. 2141. ELIMINATING CERTAIN DISPROPORTIONATE SHARE HOSPITAL 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 ``April 1'' and inserting
``April 12''; and
(2) in clause (ii), by striking ``April 1'' and inserting
``April 12''.
TITLE II--MISCELLANEOUS EXTENSIONS
SEC. 2201. 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 paragraphs (3) and (4), by striking
``March 14, 2025'' each place it appears and inserting ``April 11,
2025''.
SEC. 2202. 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
``April 11, 2025''.
SEC. 2203. ADDITIONAL SPECIAL ASSESSMENT.
Section 3014 of title 18, United States Code, is amended by
striking ``March 14, 2025'' and inserting ``April 11, 2025''.
SEC. 2204. 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 ``April 11, 2025''.
TITLE III--BUDGETARY EFFECTS
SEC. 2301. 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.
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