119-HR1974
Further Additional Continuing Appropriations and Other Extensions Act, 2025
Last action was on 3-10-2025
SenateCurrent status is 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.
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119th CONGRESS
1st Session
H. R. 1974
1. Short title2. Table of contents2101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs2102. Extension of special diabetes programs2103. National health security extensions2111. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals2112. Extension of the Medicare-dependent hospital (MDH) program2113. Extension of add-on payments for ambulance services2114. Extension of funding for quality measure endorsement, input, and selection2115. Extension of funding outreach and assistance for low-income programs2116. Extension of the work geographic index floor2117. Extension of certain telehealth flexibilities2118. Extending acute hospital care at home waiver authorities2119. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs2120. Medicare improvement fund2131. Sexual risk avoidance education extension2132. Personal responsibility education extension2133. Extension of funding for family-to-family health information centers2141. Eliminating certain disproportionate share hospital payment cuts2201. Commodity Futures Trading Commission whistleblower program2202. Protection of certain facilities and assets from unmanned aircraft2203. Additional special assessment2204. National Cybersecurity Protection System authorization2301. Budgetary effects1. Short title
This Act may be cited as the "Further Additional Continuing Appropriations and Other Extensions Act, 2025".
2. Table of contents
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".
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.
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".
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.
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".
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.
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".
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".
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".
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.
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".
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".
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.
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".
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".
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".
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".
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".
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".
2203. Additional special assessment
Section 3014 of title 18, United States Code, is amended by striking "March 14, 2025" and inserting "April 11, 2025".
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".
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.