Last action was on 9-18-2025
Current status is Referred to the Committee on Appropriations, and in addition to the Committees on Ways and Means, and 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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This Act may be cited as the "Continuing Appropriations and Extensions and Other Matters Act, 2026".
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.
(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 (I), by striking "; and" and inserting a semicolon; and
(2) - by adding at the end the following:
(K) - $373,698,630 for the period beginning on October 1, 2025, and ending on October 31, 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 (J), by striking "; and" and inserting a semicolon;
(2) - in subparagraph (K), by striking the period and inserting "; and"; and
(3) - by adding at the end the following:
(L) - $30,897,398 for the period beginning on October 1, 2025, and ending on October 31, 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 (E), by striking "; and" and inserting a semicolon;
(2) - in subparagraph (F), by striking the period and inserting "; and"; and
(3) - by adding at the end the following:
(G) - $17,074,653 for the period beginning on October 1, 2025, and ending on October 31, 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 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 2101(d) of division B of the Full-Year Continuing Appropriations and Extensions Act, 2025" and inserting "section 2101(d) of division B of the Full-Year Continuing Appropriations and Extensions Act, 2025, and section 2101(d) of the Continuing Appropriations and Extensions and Other Matters Act, 2026".
(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 (F), by striking "; and" and inserting a semicolon;
(2) - in subparagraph (G), by striking the period and inserting "; and"; and
(3) - by adding at the end the following:
(H) - $13,523,490 for the period beginning on October 1, 2025, and ending on October 31, 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 (F), by striking "; and" and inserting a semicolon;
(2) - in subparagraph (G), by striking the period and inserting "; and"; and
(3) - by adding at the end the following:
(H) - $13,523,490 for the period beginning on October 1, 2025, and ending on October 31, 2025, to remain available until expended.
(a) - Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 247d(e)(8)) is amended by striking "September 30, 2025" and inserting "October 31, 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 "September 30, 2025" and inserting "October 31, 2025".
(c) - Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
(d)
(1) - Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
(2) - Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
(3) - Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking "September 30, 2025" and inserting "October 31, 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 "September 30, 2025" and inserting "October 31, 2025".
(a) No Surprises Act implementation funding - Section 118(a) of the No Surprises Act (Public Law 116–260) is amended by inserting ", and an additional $67,000,000 for fiscal year 2026, to remain available until expended" before the period at the end.
(b) National technical assistance center on grandfamilies and kinship families - Section 2922(a) of the American Rescue Plan Act of 2021 (42 U.S.C. 3020g(a)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
(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 "in fiscal year 2026 and subsequent fiscal years" and inserting "during the portion of fiscal year 2026 beginning on November 1, 2025, and ending on September 30, 2026, and in fiscal year 2027 and subsequent fiscal years";
(2) - in subparagraph (C)(i)—
(A) - in the matter preceding subclause (I)—
(i) - by inserting "or portion of a fiscal year" after "for a fiscal year"; and
(ii) - by inserting "and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025" after "through 2025";
(B) - in subclause (III), by inserting "and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025" after "through 2025"; and
(C) - in subclause (IV), by striking "fiscal year 2026" and inserting "the portion of fiscal year 2026 beginning on November 1, 2025, and ending on September 30, 2026, and fiscal year 2027"; and
(3) - in subparagraph (D)—
(A) - in the matter preceding clause (i), by inserting "or during the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025" after "through 2025"; and
(B) - in clause (ii), by inserting "and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025" after "through 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.
(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 "October 1, 2025" and inserting "November 1, 2025"; and
(2) - in clause (ii)(II), by striking "October 1, 2025" and inserting "November 1, 2025".
(b) Conforming amendments
(1) Extension of target amount - 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 "October 1, 2025" and inserting "November 1, 2025"; and
(B) - in clause (iv), by inserting "and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025," after "through fiscal year 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 inserting "or the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025," after "through fiscal year 2025".
Section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) is amended—
(1) - in paragraph (12)(A), by striking "October 1, 2025" and inserting "November 1, 2025"; and
(2) - in paragraph (13), by striking "October 1, 2025" each place it appears and inserting "November 1, 2025" in each such place.
Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended—
(1) - in the first sentence—
(A) - by striking "and $14,030,000" and inserting "$14,030,000"; and
(B) - by inserting the following before the period at the end: ", and $416,666 for the period beginning on October 1, 2025, and ending on October 31, 2025"; and
(2) - in the third sentence, by striking "September 30, 2025" and inserting "October 31, 2025".
(a) State health insurance assistance programs - Subsection (a)(1)(B) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (42 U.S.C. 1395b–3 note) is amended—
(1) - in clause (xiii), by striking "and" at the end;
(2) - in clause (xiv), by striking the period at the end and inserting "; and"; and
(3) - by inserting after clause (xiv) the following new clause:
(xv) - for the period beginning on October 1, 2025, and ending on October 31, 2025, $1,250,000.
(b) Area agencies on aging - Subsection (b)(1)(B) of such section 119 is amended—
(1) - in clause (xiii), by striking "and" at the end;
(2) - in clause (xiv), by striking the period at the end and inserting "; and"; and
(3) - by inserting after clause (xiv) the following new clause:
(xv) - for the period beginning on October 1, 2025, and ending on October 31, 2025, $1,250,000.
(c) Aging and disability resource centers - Subsection (c)(1)(B) of such section 119 is amended—
(1) - in clause (xiii), by striking "and" at the end;
(2) - in clause (xiv), by striking the period at the end and inserting "; and"; and
(3) - by inserting after clause (xiv) the following new clause:
(xv) - for the period beginning on October 1, 2025, and ending on October 31, 2025, $416,667.
(d) Coordination of efforts To inform older Americans about benefits available under Federal and State programs - Subsection (d)(2) of such section 119 is amended—
(1) - in clause (xiii), by striking "and" at the end;
(2) - in clause (xiv), by striking the period at the end and inserting "; and"; and
(3) - by inserting after clause (xiv) the following new clause:
(xv) - for the period beginning on October 1, 2025, and ending on October 31, 2025, $1,250,000.
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(E)) is amended by striking "October 1, 2025" and inserting "November 1, 2025".
(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 September 30, 2025" and inserting "ending October 31, 2025"; and
(2) - in paragraph (4)(C)(iii), by striking "ending on September 30, 2025" and inserting "ending on October 31, 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 September 30, 2025" and inserting "ending on October 31, 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 September 30, 2025" and inserting "ending on October 31, 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 "on or after October 1, 2025" and inserting "on or after November 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 "October 1, 2025" and inserting "November 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 "October 1, 2025" and inserting "November 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 September 30, 2025" and inserting "ending on October 31, 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 September 30, 2025" and inserting "ending on October 31, 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.
Section 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 1860D–2(e)(1)(C) of the Social Security Act (42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking "$1,804,000,000" and inserting "$1,033,000,000".
Section 510 of the Social Security Act (42 U.S.C. 710) is amended—
(1) - in subsection (a)(1), by striking "and for fiscal year 2025" and inserting "for fiscal year 2025, and for the period beginning on October 1, 2025, and ending on October 31, 2025"; and
(2) - in subsection (f)(1)—
(A) - by striking "and for for fiscal year 2025" and inserting "for fiscal year 2025"; and
(B) - by inserting before the period at the end the following: ", and for the period beginning on October 1, 2025, and ending on October 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2024".
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 "and for fiscal year 2025" and inserting "for fiscal year 2025, and for the period beginning on October 1, 2025, and ending on October 31, 2025"; and
(B) - in subparagraph (B)(i), by striking "and for fiscal year 2025" and inserting "for fiscal year 2025, and for the period beginning on October 1, 2025, and ending on October 31, 2025"; and
(2) - in subsection (f), by striking "and for fiscal year 2025, an amount equal to the amount appropriated for fiscal year 2024 for fiscal year 2024" and inserting "for fiscal year 2025, an amount equal to the amount appropriated for fiscal year 2024, and for the period beginning on October 1, 2025, and ending on October 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2024".
Section 501(c)(1)(A) of the Social Security Act (42 U.S.C. 701(c)(1)(A)) is amended by striking "and" at the end of clause (vii), by inserting "; and" at the end of clause (viii), and by adding at the end the following new clause:
(ix) - for the period beginning on October 1, 2025, and ending on October 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2025.
(a) Extending Tennessee DSH allotments - Section 1923(f)(6)(A)(vi) of the Social Security Act (42 U.S.C. 1396r–4(f)(6)(A)(vi)) is amended—
(1) - in the heading, by inserting "and for a portion of fiscal year 2026" after "2025"; and
(2) - by inserting ", and the DSH allotment for Tennessee for the period beginning on October 1, 2025, and ending on October 31, 2025, shall be $4,509,863" before the period at the end.
(b) Delaying Medicaid DSH reductions - Section 1923(f) of the Social Security Act (42 U.S.C. 1396r–4(f)) is amended—
(1) - in paragraph (7)(A)—
(A) - in clause (i)—
(i) - in the matter preceding subclause (I), by striking "each of fiscal years 2026 through 2028" and inserting "the period beginning November 1, 2025, and ending September 30, 2026, and for each of fiscal years 2027 and 2028";
(ii) - in subclause (I), by striking "fiscal year." and inserting "fiscal year or period."; and
(iii) - in subclause (II), by inserting "or period" after "fiscal year" the first place it appears; and
(B) - in clause (ii), by striking "each of fiscal years 2026 through 2028" and inserting "the period beginning November 1, 2025, and ending September 30, 2026, and for each of fiscal years 2027 and 2028"; and
(2) - in paragraph (8), by striking "2027" and inserting "2028".
Section 223(d) of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note) is amended—
(1) - in paragraph (3), by striking "September 30, 2025" and inserting "October 31, 2025"; and
(2) - in paragraph (5)(C)(iii)(I), by striking "September 30, 2025" and inserting "October 31, 2025".
Subtitle B of title VII of the Act titled "An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14" (Public Law 119–21) is repealed and any law or regulation referred to in such subtitle shall be applied as if such subtitle and the amendments made by such subtitle had not been enacted.
(a) In general - Subparagraph (A) of section 36B(c)(1) of the Internal Revenue Code of 1986 is amended by striking "but does not exceed 400 percent".
(b) Applicable percentages
(1) In general - Subparagraph (A) of section 36B(b)(3) of the Internal Revenue Code of 1986 is amended to read as follows:
(A) Applicable percentage - The applicable percentage for any taxable year shall be the percentage such that the applicable percentage for any taxpayer whose household income is within an income tier specified in the following table shall increase, on a sliding scale in a linear manner, from the initial premium percentage to the final premium percentage specified in such table for such income tier:
(2) Conforming amendments relating to affordability of coverage
(A) - Paragraph (1) of section 36B(c) of such Code is amended by striking subparagraph (E).
(B) - Subparagraph (C) of section 36B(c)(2) of such Code is amended by striking clause (iv).
(C) - Paragraph (4) of section 36B(c) of such Code is amended by striking subparagraph (F).
(c) Effective date - The amendments made by this section shall apply to taxable years beginning after December 31, 2025.
Section 1710A(d) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 111A(a)(2) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 2044(e) of title 38, United States Code, is amended by adding at the end the following new paragraph:
(9) - $35,000,000 for October 1 through October 31, 2025.
Section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 (Public Law 116–171; 38 U.S.C. 1720F note) is amended—
(1) - in subsection (j), by striking "the date that is three years after the date on which the first grant is awarded under this section" and inserting "October 31, 2025"; and
(2) - in subsection (p), by inserting before the period at the end the following: "and, for the period beginning on October 1, 2025, and ending on October 31, 2025, such sums as may be necessary".
Section 315(b) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 3699(c)(2)(C) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
(a) General treatment - Section 2031(b) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
(b) Additional services at certain locations - Section 2033(d) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 2061(d) of title 38, United States Code, is amended—
(1) - by redesignating paragraph (2) as paragraph (3); and
(2) - by inserting after paragraph (1) the following new paragraph (2):
(2) - From amounts appropriated to the Department for "Medical Services" for October 1 through October 31, 2025, $416,667 shall be available for the purposes of the program under this section.
Section 1710(f)(2)(B) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 2(d) of the Sgt. Ketchum Rural Veterans Mental Health Act of 2021 (Public Law 117–21; 38 U.S.C. 1712A note) is amended by inserting before the period at the end the following: "and, for the period beginning on October 1, 2025, and ending on October 31, 2025, $100,000".
Section 2102A(e) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 2108(g) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 2021A(f)(1) of title 38, United States Code, is amended by inserting before the period at the end the following: "and, for the period beginning on October 1, 2025, and ending on October 31, 2025, $83,334".
Section 3733(a)(8) of title 38, United States Code, is amended—
(1) - in the matter preceding subparagraph (A), by striking "September 30, 2025" and inserting "October 31, 2025"; and
(2) - in subparagraph (C), by striking "September 30, 2025" and inserting "October 31, 2025".
Section 312(d)(7)(A) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 8118(a)(5) of title 38, United States Code, is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 1(b) of Public Law 117–25 (135 Stat. 297; 136 Stat. 2133; 136 Stat. 5984; 138 Stat. 1771; 139 Stat. 46) is amended in each of paragraphs (3) and (4) by striking "September 30, 2025" each place it appears and inserting "October 31, 2025".
Section 8302(b) of the Agricultural Act of 2014 (16 U.S.C. 3851a(b)) shall be applied by substituting "1 day after October 31, 2025" for "October 1, 2023".
The authorities provided by each provision of the Food for Peace Act (7 U.S.C. 1691 et seq.), as in effect on September 30, 2025, shall remain in effect through October 31, 2025.
(a) In general - Sections 7(j)(5), 7A(l)(4), and 21(e) of the United States Grain Standards Act (7 U.S.C. 79(j)(5), 79a(l)(4), 87j(e)) shall be applied by substituting "October 31, 2025" for "September 30, 2025" each place it appears.
(b) Limitation on administrative and supervisory costs - The limitation described in section 7D of the United States Grain Standards Act (7 U.S.C. 79d) shall apply to the period beginning on October 1, 2025, and ending on October 31, 2025.
Section 717(a) of the Defense Production Act of 1950 (50 U.S.C. 4564(a)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 166(b)(5)(A) of title 23, United States Code, is amended, in the matter preceding clause (i), by striking "September 30, 2025" and inserting "October 31, 2025".
Section 601(a)(12)(G) of title 23, United States Code, is amended, in the matter preceding clause (i), by striking "September 30, 2025" and inserting "October 31, 2025".
Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 124n(i)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015 (6 U.S.C. 1525(a)) is amended by striking "September 30, 2025 " and inserting "October 31, 2025".
Section 2220A(s)(2) of the Homeland Security Act of 2002 (6 U.S.C. 665g(s)(2)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 111(a) of the Cybersecurity Information Sharing Act of 2015 (6 U.S.C. 1510(a)) is amended by striking "September 30, 2025" and inserting "October 31, 2025".
Section 3014(a) of title 18, United States Code, is amended, in the matter preceding paragraph (1), by striking "September 30, 2025" and inserting "October 31, 2025".
Section 1424(a) of the BUILD Act of 2018 (22 U.S.C. 9624(a)) is amended by striking "the date that is 7 years after the date of the enactment of this Act" and inserting "October 31, 2025".
(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.