[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2872 Enrolled Bill (ENR)]

        H.R.2872

                     One Hundred Eighteenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

         Begun and held at the City of Washington on Wednesday,
         the third day of January, two thousand and twenty-four


                                 An Act


 
  Making further continuing appropriations for the fiscal year ending 
               September 30, 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 Additional 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 ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2024

                        DIVISION B--OTHER MATTERS

Title I--Health and Human Services
Title lI--Compacts
Title lII--Counter-UAS Authorities
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 ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2024

    Sec. 101.  The Continuing Appropriations Act, 2024 (division A of 
Public Law 118-15) is further amended--
        (1) by striking the date specified in section 106(3) and 
    inserting ``March 8, 2024'';
        (2) by striking the date specified in section 106(4) and 
    inserting ``March 1, 2024'';
        (3) in section 123, by striking ``94 days'' and inserting ``129 
    days'' and by striking ``94-day'' and inserting ``129-day'';
        (4) in section 124, by striking ``$663,070,000'' and inserting 
    ``$2,199,260,000''; and
        (5) by adding after section 146 the following new sections:
    ``Sec. 147. (a) Amounts made available by section 101 for 
`Department of Energy--Atomic Energy Defense Activities--National 
Nuclear Security Administration--Weapons Activities' may be apportioned 
up to the rate for operations necessary to mitigate issuing WARN 
notices for `06-D-141 Uranium Processing Facility, Y-12' in an amount 
not to exceed $760,000,000.
    ``(b) The Director of the Office of Management and Budget shall 
notify the Committees on Appropriations of the House of Representatives 
and the Senate not later than 3 days after each use of the authority 
provided in this section, and the Secretary of Energy shall provide a 
weekly report to the Committees specifying the obligations incurred for 
the purposes specified in subsection (a) with amounts made available in 
this Act.
    ``Sec. 148.  Amounts made available by section 101 for `Department 
of Transportation--Federal Aviation Administration--Operations' may be 
apportioned up to the rate for operations necessary to fund mandatory 
pay increases and other inflationary adjustments, to maintain and 
improve air traffic services, to hire and train air traffic 
controllers, and to continue aviation safety oversight, while avoiding 
service reductions.''.
     This division may be cited as the ``Further Additional Continuing 
Appropriations Act, 2024''.

                       DIVISION B--OTHER MATTERS
                   TITLE I--HEALTH AND HUMAN SERVICES
                  Subtitle A--Public Health Extenders

    SEC. 101. 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 $21,834,247 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$21,834,247 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $16,982,192 for the period 
beginning on January 20, 2024, and ending on March 8, 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)) is amended by striking ``and $690,410,959 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$690,410,959 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $536,986,301 for the period 
beginning on January 20, 2024, and ending on March 8, 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)) is amended by striking ``and $53,506,849 for 
the period beginning on November 18, 2023, and ending on January 19, 
2024'' and inserting ``$53,506,849 for the period beginning on November 
18, 2023, and ending on January 19, 2024, and $41,616,438 for the 
period beginning on January 20, 2024, and ending on March 8, 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 201(d) of the Further 
Continuing Appropriations and Other Extensions Act, 2024'' and 
inserting ``section 201(d) of the Further Continuing Appropriations and 
Other Extensions Act, 2024, and section 101(d) of the Further 
Additional Continuing Appropriations and Other Extensions Act, 2024''.
    SEC. 102. 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)) is amended by striking ``and $25,890,411 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$25,890,411 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $20,136,986 for the period 
beginning on January 20, 2024, and ending on March 8, 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)) is amended by striking ``and $25,890,411 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$25,890,411 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $20,136,986 for the period 
beginning on January 20, 2024, and ending on March 8, 2024''.
    SEC. 103. 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 ``January 19, 2024'' and inserting 
``March 8, 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 ``January 19, 2024'' 
and inserting ``March 8, 2024''.
    (c) Section 319L-1(b) of the Public Health Service Act (42 U.S.C. 
247d-7f(b)) is amended by striking ``January 19, 2024'' and inserting 
``March 8, 2024''.
    (d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 
300hh-10b(g)) is amended by striking ``January 19, 2024'' and inserting 
``March 8, 2024''.
    (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh-10c(g)(1)) is amended by striking ``January 19, 2024'' and 
inserting ``March 8, 2024''.
    (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh-10d(g)(1)) is amended by striking ``January 19, 2024'' and 
inserting ``March 8, 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 ``January 19, 2024'' 
and inserting ``March 8, 2024''.

                          Subtitle B--Medicaid

    SEC. 121. 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 by striking ``January 20, 2024'' each place it 
appears and inserting ``March 9, 2024''.
    SEC. 122. MEDICAID IMPROVEMENT FUND REDUCTION.
    Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w-
1(b)(3)(A)) is amended by striking ``$5,796,117,810'' and inserting 
``$5,140,428,729''.

                          Subtitle C--Medicare

    SEC. 131. 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)) is amended by striking ``January 20, 2024'' and inserting 
``March 9, 2024''.
    SEC. 132. MEDICARE IMPROVEMENT FUND.
    Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ``$2,250,795,056'' and inserting 
``$2,197,795,056''.

                       Subtitle D--Human Services

    SEC. 141. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.
    Activities authorized by part B of title IV of the Social Security 
Act shall continue through March 8, 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. 142. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.
    Section 510 of the Social Security Act (42 U.S.C. 710) is amended--
        (1) in subsection (a)(1)--
            (A) by striking ``and'' after ``November 17, 2023,''; and
            (B) by inserting ``and for the period beginning on January 
        20, 2024, and ending on March 8, 2024,'' after ``January 19, 
        2024,''; and
        (2) in subsection (f)(1)--
            (A) by striking ``and'' before ``for the period beginning 
        on November 18, 2023,''; and
            (B) by striking the period at the end and inserting ``, and 
        for the period beginning on January 20, 2024, and ending on 
        March 8, 2024, an amount equal to the pro rata portion of the 
        amount appropriated for the corresponding period for fiscal 
        year 2023.''.
    SEC. 143. 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)--
                (i) by striking ``and'' after ``November 17, 2023,''; 
            and
                (ii) by inserting ``and for the period beginning on 
            January 20, 2024, and ending on March 8, 2024,'' after 
            ``January 19, 2024,''; and
            (B) in subparagraph (B)(i)--
                (i) by striking ``and'' after ``November 17, 2023,''; 
            and
                (ii) by inserting ``, and for the period beginning on 
            January 20, 2024, and ending on March 8, 2024'' after 
            ``January 19, 2024''; and
        (2) in subsection (f)--
            (A) by striking ``and'' before ``for the period beginning 
        on November 18, 2023,''; and
            (B) by striking ``fiscal year 2023.'' and inserting 
        ``fiscal year 2023, and for the period beginning on January 20, 
        2024, and ending on March 8, 2024, an amount equal to the pro 
        rata portion of the amount appropriated for the corresponding 
        period for fiscal year 2023.''.

                           TITLE II--COMPACTS

    SEC. 201. 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(a)(1) of the Continuing Appropriations Act, 2024 and 
Other Extensions Act (Public Law 118-15; 137 Stat. 81; 137 Stat. 114) 
is amended by striking ``February 2, 2024'' and inserting ``March 8, 
2024''.

                   TITLE III--COUNTER-UAS AUTHORITIES

    SEC. 301. COUNTER-UAS AUTHORITIES.
    Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 
124n(i)) is amended by striking ``February 3, 2024'' and inserting 
``March 9, 2024''.

                      TITLE IV--BUDGETARY EFFECTS

    SEC. 401. 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.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.