[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8900 Engrossed in House (EH)]
<DOC>
116th CONGRESS
2d Session
H. R. 8900
_______________________________________________________________________
AN ACT
Making further continuing appropriations for fiscal year 2021, 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
Act, 2021, and Other Extensions Act''.
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, 2021
DIVISION B--HEALTH EXTENDERS
Title I--Medicare and Medicaid Extenders
Title II--Public Health Extenders and Food and Drug Administration
Provisions
Title III--Offsets
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, 2021
Sec. 101. The Continuing Appropriations Act, 2021 (division A of
Public Law 116-159) is amended by striking the date specified in
section 106(3) and inserting ``December 18, 2020''.
This division may be cited as the ``Further Continuing
Appropriations Act, 2021''.
DIVISION B--HEALTH EXTENDERS
TITLE I--MEDICARE AND MEDICAID EXTENDERS
SEC. 1101. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR UNDER THE
MEDICARE PROGRAM.
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)), as amended by section 3801 of the CARES Act (Public Law
116-136) and section 2201 of the Continuing Appropriations Act, 2021
and Other Extensions Act (Public Law 116-159), is amended by striking
``December 12, 2020'' and inserting ``December 19, 2020''.
SEC. 1102. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME
PROGRAMS.
(a) State Health Insurance Programs.--Subsection (a)(1)(B)(xi) of
section 119 of the Medicare Improvements for Patients and Providers Act
of 2008 (42 U.S.C. 1395b-3 note), as amended by section 3306 of the
Patient Protection and Affordable Care Act (Public Law 111-148),
section 610 of the American Taxpayer Relief Act of 2012 (Public Law
112-240), section 1110 of the Pathway for SGR Reform Act of 2013
(Public Law 113-67), section 110 of the Protecting Access to Medicare
Act of 2014 (Public Law 113-93), section 208 of the Medicare Access and
CHIP Reauthorization Act of 2015 (Public Law 114-10), section 50207 of
division E of the Bipartisan Budget Act of 2018 (Public Law 115-123),
section 1402 of division B of the Continuing Appropriations Act, 2020,
and Health Extenders Act of 2019 (Public Law 116-59), section 1402 of
division B of the Further Continuing Appropriations Act, 2020, and
Further Health Extenders Act of 2019 (Public Law 116-69), section 103
of division N of the Further Consolidated Appropriations Act, 2020
(Public Law 116-94), section 3803 of the CARES Act (Public Law 116-
136), and section 2203 of the Continuing Appropriations Act, 2021 and
Other Extensions Act (Public Law 116-159), is amended by striking
``December 11'' and inserting ``December 18''.
(b) Area Agencies on Aging.--Subsection (b)(1)(B)(xi) of such
section 119, as so amended, is amended by striking ``December 11'' and
inserting ``December 18''.
(c) Aging and Disability Resource Centers.--Subsection
(c)(1)(B)(xi) of such section 119, as so amended, is amended by
striking ``December 11'' and inserting ``December 18''.
(d) Contract With the National Center for Benefits and Outreach
Enrollment.--Subsection (d)(2)(xi) of such section 119, as so amended,
is amended by striking ``December 11'' and inserting ``December 18''.
SEC. 1103. 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 by striking ``December 11'' each place such
phrase appears and inserting ``December 18'' in each such place.
SEC. 1104. EXTENSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION
PROGRAM.
Section 223(d)(3) of the Protecting Access to Medicare Act of 2014
(42 U.S.C. 1396a note), as amended by Public Law 116-159, is amended by
striking ``December 11'' and inserting ``December 18''.
SEC. 1105. EXTENSION OF SPOUSAL IMPOVERISHMENT PROTECTIONS.
(a) In General.--Section 2404 of the Patient Protection and
Affordable Care Act (42 U.S.C. 1396r-5 note), as amended by Public Law
116-159, is amended by striking ``December 11'' and inserting
``December 18''.
(b) Rule of Construction.--Nothing in section 2404 of Public Law
111-148 (42 U.S.C. 1396r-5 note) or section 1902(a)(17) or 1924 of the
Social Security Act (42 U.S.C. 1396a(a)(17), 1396r-5) shall be
construed as prohibiting a State from--
(1) applying an income or resource disregard under a
methodology authorized under section 1902(r)(2) of such Act (42
U.S.C. 1396a(r)(2))--
(A) to the income or resources of an individual
described in section 1902(a)(10)(A)(ii)(VI) of such Act
(42 U.S.C. 1396a(a)(10)(A)(ii)(VI)) (including a
disregard of the income or resources of such
individual's spouse); or
(B) on the basis of an individual's need for home
and community-based services authorized under
subsection (c), (d), (i), or (k) of section 1915 of
such Act (42 U.S.C. 1396n) or under section 1115 of
such Act (42 U.S.C. 1315); or
(2) disregarding an individual's spousal income and assets
under a plan amendment to provide medical assistance for home
and community-based services for individuals by reason of being
determined eligible under section 1902(a)(10)(C) of such Act
(42 U.S.C. 1396a(a)(10)(C)) or by reason of section 1902(f) of
such Act (42 U.S.C. 1396a(f)) or otherwise on the basis of a
reduction of income based on costs incurred for medical or
other remedial care under which the State disregarded the
income and assets of the individual's spouse in determining the
initial and ongoing financial eligibility of an individual for
such services in place of the spousal impoverishment provisions
applied under section 1924 of such Act (42 U.S.C. 1396r-5).
SEC. 1106. EXTENSION OF DELAY OF DSH REDUCTIONS.
Section 1923(f)(7) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended by striking ``December 12'' each place such
phrase appears and inserting ``December 19'' in each such place.
SEC. 1107. EXTENSION OF MONEY FOLLOWS THE PERSON.
Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 (42
U.S.C. 1396a note) is amended by striking ``December 11'' and inserting
``December 18''.
TITLE II--PUBLIC HEALTH EXTENDERS AND FOOD AND DRUG ADMINISTRATION
PROVISIONS
Subtitle A--Public Health Extenders
SEC. 1201. EXTENDING FUNDING FOR COMMUNITY HEALTH CENTERS, NATIONAL
HEALTH SERVICE CORPS, AND TEACHING HEALTH CENTER GME.
(a) 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))
is amended--
(1) by striking ``$789,041,096'' and inserting
``$865,753,425''; and
(2) by striking ``December 11, 2020'' and inserting
``December 18, 2020''.
(b) National Health Service Corps.--Section 10503(b)(2)(H) of the
Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(2)(H))
is amended--
(1) by striking ``$61,150,685'' and inserting
``$67,095,890''; and
(2) by striking ``December 11, 2020'' and inserting
``December 18, 2020''.
(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) by striking ``$24,953,425'' and inserting
``$27,379,452''; and
(2) by striking ``December 11, 2020'' and inserting
``December 18, 2020''.
(d) Application of Provisions.--Amounts appropriated pursuant to
the amendments made by this section for the period beginning on
December 11, 2020, and ending on December 18, 2020, shall be subject to
the requirements contained in Public Law 116-94 for funds for programs
authorized under sections 330 through 340 of the Public Health Service
Act.
(e) Conforming Amendments.--Paragraph (4) of section 3014(h) of
title 18, United States Code, as amended by section 3831(e) of the
CARES Act (Public Law 116-136), is amended--
(1) by striking ``Social Services Act,,'' and inserting
``Social Services Act,''; and
(2) by striking ``and section 2101 of the Continuing
Appropriations Act, 2021 and Other Extensions Act'' and
inserting ``section 2101 of the Continuing Appropriations Act,
2021 and Other Extensions Act, and section 1201(d) of the
Further Continuing Appropriations Act, 2021, and Other
Extensions Act''.
SEC. 1202. DIABETES PROGRAMS.
(a) Special Diabetes Programs for Type I Diabetes.--Section
330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(D)) is amended--
(1) by striking ``$29,589,042'' and inserting
``$32,465,753''; and
(2) by striking ``December 11, 2020'' and inserting
``December 18, 2020''.
(b) Special Diabetes Programs for Indians.--Section 330C(c)(2)(D)
of the Public Health Service Act (42 U.S.C. 254c-3(c)(2)(D)) is
amended--
(1) by striking ``$29,589,042'' and inserting
``$32,465,753''; and
(2) by striking ``December 11, 2020'' and inserting
``December 18, 2020''.
SEC. 1203. PERSONAL RESPONSIBILITY EDUCATION; SEXUAL RISK AVOIDANCE
EDUCATION.
(a) Sexual Risk Avoidance Education.--Section 510 of the Social
Security Act (42 U.S.C. 710) is amended by striking ``December 11,
2020'' each place it appears and inserting ``December 18, 2020''.
(b) Personal Responsibility Education.--Section 513 of the Social
Security Act (42 U.S.C. 713) is amended by striking ``December 11,
2020'' each place it appears and inserting ``December 18, 2020''.
Subtitle B--Food and Drug Administration Provisions
SEC. 1211. RARE PEDIATRIC DISEASE PRIORITY REVIEW VOUCHER EXTENSION.
Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act (21
U.S.C. 360ff(b)(5)) is amended--
(1) by striking ``December 11, 2020'' each place it appears
and inserting ``December 18, 2020''; and
(2) in subparagraph (B), by striking ``December 11, 2022''
and inserting ``December 18, 2022''.
TITLE III--OFFSETS
SEC. 1301. TRANSPARENCY OF MEDICARE SECONDARY PAYER REPORTING
INFORMATION.
Section 1862(b)(8)(G) of the Social Security Act (42 U.S.C.
395y(b)(8)(G)) is amended--
(1) by striking ``information.--The Secretary'' and
inserting ``information.--
``(i) In general.--The Secretary''; and
(2) by adding at the end the following new clause:
``(ii) Specified information.--In
responding to any query made on or after the
date that is 1 year after the date of the
enactment of this clause from an applicable
plan related to a determination described in
subparagraph (A)(i), the Secretary,
notwithstanding any other provision of law,
shall provide to such applicable plan--
``(I) whether a claimant subject to
the query is, or during the preceding
3-year period has been, entitled to
benefits under the program under this
title on any basis; and
``(II) to the extent applicable,
the plan name and address of any
Medicare Advantage plan under part C
and any prescription drug plan under
part D in which the claimant is
enrolled or has been enrolled during
such period.''.
SEC. 1302. DISPENSATION OF NARCOTIC DRUGS FOR THE PURPOSE OF RELIEVING
ACUTE WITHDRAWAL SYMPTOMS FROM OPIOID USE DISORDER.
Not later than 180 days after the date of enactment of this Act,
the Attorney General shall revise section 1306.07(b) of title 21, Code
of Federal Regulations, so that practitioners, in accordance with
applicable State, Federal, or local laws relating to controlled
substances, are allowed to dispense not more than a three-day supply of
narcotic drugs to one person or for one person's use at one time for
the purpose of initiating maintenance treatment or detoxification
treatment (or both).
SEC. 1303. MEDICAID IMPROVEMENT FUND.
Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C 1396w-
1(b)(3)(A)) is amended by striking ``$3,446,000,000'' and inserting
``$3,464,000,000''.
TITLE IV--BUDGETARY EFFECTS
SEC. 1401. 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; and
(2) 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 December 9, 2020.
Attest:
Clerk.
116th CONGRESS
2d Session
H. R. 8900
_______________________________________________________________________
AN ACT
Making further continuing appropriations for fiscal year 2021, and for
other purposes.