[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6363 Enrolled Bill (ENR)]
H.R.6363
One Hundred Eighteenth Congress
of the
United States of America
AT THE FIRST SESSION
Begun and held at the City of Washington on Tuesday,
the third day of January, two thousand and twenty-three
An Act
Making further continuing appropriations for fiscal year 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 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 CONTINUING APPROPRIATIONS ACT, 2024
DIVISION B--OTHER MATTERS
Title I--Extensions and Other Matters
Title II--Health and Human Services
Title III--Miscellaneous Extensions
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, 2024
Sec. 101. Division A of the Continuing Appropriations Act, 2024
and Other Extensions Act (Public Law 118-15) is amended--
(1) by striking the date specified in section 106(3) and
inserting ``February 2, 2024, except as provided in paragraph
(4)'';
(2) by inserting after paragraph (3) of section 106 the
following:
``(4) In the case of appropriations and funds made available
and authority granted pursuant to sections 101(1), 101(4), 101(10),
101(12), 134, and 137, January 19, 2024.'';
(3) in section 101(1) by inserting after ``except section
729,'' the following: ``and except that the language under the
heading `Rural Utilities Service--Rural Water and Waste Disposal
Program Account' in title III shall be applied by inserting `direct
loans and,' before `loan guarantees' at the beginning of the first
sentence of the second paragraph,'';
(4) in section 101(10), by inserting before the period ``,
except section 123 as well as the provisions carrying the same
restriction in prior Acts'';
(5) in section 123, by striking ``17 days'' and inserting ``94
days'' and by striking ``17-day'' and inserting ``94-day'';
(6) in section 124, by striking ``$621,270,000'' and inserting
``$663,070,000'';
(7) in section 125, by striking ``During the period covered by
this Act'' and inserting ``Through the date specified in section
106(3) of this Act''; and
(8) by adding after section 137 the following new sections:
``Sec. 138. Section 2(f)(2) of the Undetectable Firearms Act of
1988 (18 U.S.C. 922 note) shall be applied through the date specified
in section 106(3) of this Act by substituting `36' for `35'.
``Sec. 139. Through the date specified in section 106(3) of this
Act, amounts appropriated in section 124 of the Continuing
Appropriations Act, 2023 (division A of Public Law 117-180) may be
charged for any proper expense pursuant to section 1553(b)(1) of title
31, United States Code, notwithstanding the limitation in section
1553(b)(2) of such title.
``Sec. 140. 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 for operations necessary for `Columbia Class Submarine
(AP)' in an amount not to exceed $3,338,413,000.
``Sec. 141. (a) Notwithstanding section 101, section 747 of title
VII of division E of Public Law 117-328 shall be applied through the
date specified in section 106(3) of this Act by--
``(1) substituting `2025' for `2024';
``(2) substituting `2024' for `2023' each place it appears;
``(3) substituting `2023' for `2022' each place it appears; and
``(4) substituting `section 747 of division E of Public Law 117-
328, as in effect on September 30, 2023' for `section 747 of division E
of Public Law 117-103' each place it appears.
``(b) Subsection (a) shall not take effect until the first day of
the first applicable pay period beginning on or after January 1, 2024.
``Sec. 142. Section 302 of title III of Public Law 108-494 shall
be applied by substituting the date specified in section 106(3) of this
Act for `December 31, 2023' each place it appears.
``Sec. 143. Amounts made available by section 101 to the
Department of Homeland Security under the heading `United States Secret
Service--Operations and Support' may be apportioned up to the rate for
operations necessary to carry out activities related to National
Special Security Events and the 2024 Presidential Campaign.
``Sec. 144. Section 1901(e) of the Homeland Security Act of 2002
(6 U.S.C. 591(e)) shall be applied by substituting the date that is 1
day after the date specified in section 106(3) of this Act for `the
date that is 5 years after the date of the enactment of the Countering
Weapons of Mass Destruction Act of 2018'.
``Sec. 145. (a) Amounts made available by section 101 for
`Department of Education--Student Aid Administration' may be
apportioned up to the rate for operations necessary to ensure the
continuation of student loan servicing activities, including supporting
borrowers reentering repayment.
``(b) The limitation in section 302 of division H of Public Law
117-328 regarding transfers increasing any appropriation shall be
applied to transfers to appropriations under the heading `Department of
Education--Student Aid Administration' through the date specified in
section 106(3) of this Act by substituting `10 percent' for `3 percent'
for the purposes of the continuation of basic operations, including
student loan servicing, business process operations, digital customer
care, common origination and disbursement, cybersecurity activities,
and information technology systems.
``Sec. 146. Notwithstanding any other provision of this Act, there
is hereby appropriated for fiscal year 2024, out of any money in the
Treasury not otherwise appropriated, for payment to Katherine Anne
Feinstein, beneficiary of Dianne Feinstein, late a Senator from the
State of California, $174,000.
``This division may be cited as the `Continuing Appropriations Act,
2024'.''.
This division may be cited as the ``Further Continuing
Appropriations Act, 2024''.
DIVISION B--OTHER MATTERS
TITLE I--EXTENSIONS AND OTHER MATTERS
SEC. 101. 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 of the Continuing Appropriations Act, 2024 and Other
Extensions Act (Public Law 118-15; 137 Stat. 81) is amended--
(1) in the section heading, by striking ``compact of free
association with the federated states of micronesia'' and inserting
``compacts of free association with the federated states of
micronesia and the republic of the marshall islands''; and
(2) in subsection (a)(1)--
(A) by striking ``November 17, 2023'' and inserting
``February 2, 2024'';
(B) by inserting ``, section 103(f)(2) of the Compact of
Free Association Amendments Act of 2003 (48 U.S.C.
1921b(f)(2)), and sections 211, 213, and 216 of the Compact of
Free Association between the Government of the United States of
America and the Government of the Republic of the Marshall
Islands set forth in section 201(b) of that Act (48 U.S.C. 1921
note; Public Law 108-188)'' before ``shall,'';
(C) by inserting ``or the Republic of the Marshall Islands,
as applicable'' before ``, continue''; and
(D) by striking ``of that Compact'' and inserting ``of the
applicable Compact''.
SEC. 102. EXTENSION OF AGRICULTURAL PROGRAMS.
(a) Extension.--Except as otherwise provided in this section and
the amendments made by this section, notwithstanding any other
provision of law, the authorities (including any limitations on the
authorities) provided by each provision of the Agriculture Improvement
Act of 2018 (Public Law 115-334; 132 Stat. 4490) and each provision of
law amended by that Act (and for mandatory programs at such funding
levels), as in effect on September 30, 2023, shall continue, and the
authorities shall be carried out, until the later of--
(1) September 30, 2024; or
(2) the date specified in the provision of that Act or the
provision of law amended by that Act.
(b) Discretionary Programs.--Programs carried out using the
authorities described in subsection (a) that are funded by
discretionary appropriations (as defined in section 250(c) of the
Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C.
900(c))) shall be subject to the availability of appropriations.
(c) Commodity Programs.--
(1) In general.--The provisions of law applicable to a covered
commodity (as defined in section 1111 of the Agricultural Act of
2014 (7 U.S.C. 9011)), a loan commodity (as defined in section 1201
of that Act (7 U.S.C. 9031)), sugarcane, or sugar beets for the
2023 crop year pursuant to title I of that Act (7 U.S.C. 9011 et
seq.) and each amendment made by subtitle C of title I of the
Agriculture Improvement Act of 2018 (Public Law 115-334; 132 Stat.
4511) shall be applicable to the 2024 crop year for that covered
commodity, loan commodity, sugarcane, or sugar beets.
(2) Dairy.--
(A) Base production history adjustment for participating
dairy operations with production of less than 5,000,000
pounds.--Section 1405(a) of the Agricultural Act of 2014 (7
U.S.C. 9055(a)) is amended--
(i) in paragraph (1), by inserting ``paragraph (4)
and'' before ``subsection (b)''; and
(ii) by adding at the end the following:
``(4) Base production history adjustment for participating
dairy operations with production of less than 5,000,000 pounds.--
``(A) In general.--If the amount determined under paragraph
(1) is less than 5,000,000 pounds, the production history of
the dairy operation for dairy margin coverage shall be equal
to--
``(i) the amount determined under paragraph (1); plus
``(ii) 75 percent of the amount described in
subparagraph (B).
``(B) Amount.--The amount referred to in subparagraph
(A)(ii) is, with respect to a dairy operation, the amount equal
to--
``(i) the production volume of such dairy operation for
the 2019 milk marketing year; minus
``(ii) the amount determined under paragraph (1).''.
(B) Dairy margin coverage.--
(i) Duration.--Section 1409 of the Agricultural Act of
2014 (7 U.S.C. 9059) is amended by striking ``2023'' and
inserting ``2024''.
(ii) Availability of premium discount.--With respect to
coverage for calendar year 2024, section 1407(g) of the
Agricultural Act of 2014 (7 U.S.C. 9057(g)) shall only
apply to a participating dairy operation with respect to
which the premium was reduced in accordance with that
section for calendar year 2023.
(C) Dairy forward pricing program.--Section 1502(e)(2) of
the Food, Conservation, and Energy Act of 2008 (7 U.S.C.
8772(e)(2)) is amended by striking ``2026'' and inserting
``2027''.
(3) Extension of payment amount.--Section 1116(d) of the
Agricultural Act of 2014 (7 U.S.C. 9016(d)) is amended, in the
matter preceding paragraph (1), by striking ``2018'' and inserting
``2024''.
(4) Suspension of permanent price support authorities.--The
provisions of law specified in--
(A) subsections (a) and (b) of section 1602 of the
Agricultural Act of 2014 (7 U.S.C. 9092)--
(i) shall not be applicable to the 2024 crops of
covered commodities (as defined in section 1111 of that Act
(7 U.S.C. 9011)), cotton, and sugar; and
(ii) shall not be applicable to milk through December
31, 2024; and
(B) section 1602(c) of that Act (7 U.S.C. 9092(c)) shall
not be applicable to the crops of wheat planted for harvest in
calendar year 2024.
(d) Other Programs.--
(1) Conservation.--
(A) Grassroots source water protection program.--Section
1240O(b)(3) of the Food Security Act of 1985 (16 U.S.C. 3839bb-
2(b)(3)) is amended--
(i) by striking the period at the end and inserting ``;
and'';
(ii) by striking ``use $5,000,000'' and inserting the
following: ``use--
``(A) $5,000,000''; and
(iii) by adding at the end the following:
``(B) $1,000,000 beginning in fiscal year 2024, to remain
available until expended.''.
(B) Voluntary public access and habitat incentive
program.--Section 1240R(f)(1) of the Food Security Act of 1985
(16 U.S.C. 3839bb-5(f)(1)) is amended--
(i) by striking ``and'' after ``2018,''; and
(ii) by inserting ``, and $10,000,000 for fiscal year
2024'' before the period at the end.
(C) Feral swine eradication and control pilot program.--
Section 2408(g)(1) of the Agriculture Improvement Act of 2018
(7 U.S.C. 8351 note; Public Law 115-334) is amended by
inserting ``and $15,000,000 for fiscal year 2024'' before the
period at the end.
(2) Trade.--Section 302(h)(2) of the Bill Emerson Humanitarian
Trust Act (7 U.S.C. 1736f-1(h)(2)) is amended by striking ``2023''
and inserting ``2024''.
(3) Nutrition.--Section 203D(d)(5) of the Emergency Food
Assistance Act of 1983 (7 U.S.C. 7507(d)(5)) is amended by striking
``2023'' and inserting ``2024''.
(4) Rural economic development program.--Section 313B(e)(2) of
the Rural Electrification Act of 1936 (7 U.S.C. 940c-2(e)(2)) is
amended by striking ``and 2023'' and inserting ``through 2024''.
(5) Research.--
(A) Scholarships for students.--Section 1446 of the
National Agricultural Research, Extension, and Teaching Policy
Act of 1977 (7 U.S.C. 3222a) is amended--
(i) in subsection (a)(3), by striking ``three'' and
inserting ``4''; and
(ii) in subsection (b)(1)--
(I) by striking ``Of'' and inserting the following:
``(A) Funding.--Of''; and
(II) by adding at the end the following:
``(B) Additional funding.--Not later than 30 days after the
date of enactment of this subparagraph, of the funds of the
Commodity Credit Corporation, the Secretary shall make
available to carry out this section $10,000,000, to remain
available until expended.''.
(B) Urban, indoor, and other emerging agricultural
production research, education, and extension initiative.--
Section 1672E(d)(1) of the Food, Agriculture, Conservation, and
Trade Act of 1990 (7 U.S.C. 5925g(d)(1)) is amended--
(i) by striking the period at the end and inserting ``;
and'';
(ii) by striking ``section $10,000,000'' and inserting
the following: ``section--
``(A) $10,000,000''; and
(iii) by adding at the end the following:
``(B) $2,000,000 for fiscal year 2024, to remain available
until expended.''.
(C) Foundation for food and agriculture research.--Section
7601(g)(1)(A) of the Agricultural Act of 2014 (7 U.S.C.
5939(g)(1)(A)) is amended by adding at the end the following:
``(iii) Additional funding.--Not later than 30 days
after the date of enactment of this clause, of the funds of
the Commodity Credit Corporation, the Secretary shall
transfer to the Foundation to carry out this section
$37,000,000, to remain available until expended.''.
(D) Grazinglands research laboratory.--Section 7502 of the
Food, Conservation, and Energy Act of 2008 (Public Law 110-246;
122 Stat. 2019; 132 Stat. 4817) shall be applied by
substituting ``the period beginning on the date of enactment of
this Act and ending on September 30, 2024'' for ``the 15-year
period beginning on the date of enactment of this Act''.
(6) Energy.--
(A) Biobased markets program.--Section 9002(k)(1) of the
Farm Security and Rural Investment Act of 2002 (7 U.S.C.
8102(k)(1)) is amended by striking ``2023'' and inserting
``2024''.
(B) Bioenergy program for advanced biofuels.--Section
9005(g)(1)(F) of the Farm Security and Rural Investment Act of
2002 (7 U.S.C. 8105(g)(1)(F)) is amended by striking ``2023''
and inserting ``2024''.
(C) Feedstock flexibility program.--Section 9010(b) of the
Farm Security and Rural Investment Act of 2002 (7 U.S.C.
8110(b)) is amended in paragraphs (1)(A) and (2)(A) by striking
``2023'' each place it appears and inserting ``2024''.
(7) Horticulture.--
(A) Organic production and market data initiatives.--
Section 7407(d)(1) of the Farm Security and Rural Investment
Act of 2002 (7 U.S.C. 5925c(d)(1)) is amended--
(i) in subparagraph (A), by striking ``and'' at the
end;
(ii) in subparagraph (B), by striking the period at the
end and inserting ``; and''; and
(iii) by adding at the end the following:
``(C) $1,000,000 for fiscal year 2024.''.
(B) Modernization and improvement of international trade
technology systems and data collection.--Section 2123(c)(4) of
the Organic Foods Production Act of 1990 (7 U.S.C. 6522(c)(4))
is amended, in the matter preceding subparagraph (A), by
inserting ``and $1,000,000 for fiscal year 2024'' after
``2019''.
(C) National organic certification cost-share program.--
Section 10606(d)(1)(C) of the Farm Security and Rural
Investment Act of 2002 (7 U.S.C. 6523(d)(1)(C)) is amended by
striking ``and 2023'' and inserting ``through 2024''.
(D) Multiple crop and pesticide use survey.--Section
10109(c)(1) of the Agriculture Improvement Act of 2018 (Public
Law 115-334; 132 Stat. 4906) is amended by inserting ``and
$100,000 for fiscal year 2024'' after ``2019''.
(8) Miscellaneous.--
(A) Pima agriculture cotton trust fund.--Section 12314 of
the Agricultural Act of 2014 (7 U.S.C. 2101 note; Public Law
113-79) is amended--
(i) in subsection (b), in the matter preceding
paragraph (1), by striking ``2023'' and inserting ``2024'';
and
(ii) in subsection (h), by striking ``2023'' and
inserting ``2024''.
(B) Agriculture wool apparel manufacturers trust fund.--
Section 12315 of the Agricultural Act of 2014 (7 U.S.C. 7101
note; Public Law 113-79) is amended by striking ``2023'' each
place it appears and inserting ``2024''.
(C) Wool research and promotion.--Section 12316(a) of the
Agricultural Act of 2014 (7 U.S.C. 7101 note; Public Law 113-
79) is amended by striking ``2023'' and inserting ``2024''.
(D) Emergency citrus disease research and development trust
fund.--Section 12605(d) of the Agriculture Improvement Act of
2018 (7 U.S.C. 7632 note; Public Law 115-334) is amended by
striking ``2023'' and inserting ``2024''.
(E) Sheep production and marketing grant program.--Section
209(c) of the Agricultural Marketing Act of 1946 (7 U.S.C.
1627a(c)) is amended by inserting ``and $400,000 for fiscal
year 2024,'' after ``2019,''.
(9) Exceptions.--Subsection (a) shall not apply with respect to
mandatory funding under the following provisions of law:
(A) Section 1614(c)(4) of the Agricultural Act of 2014 (7
U.S.C. 9097(c)(4)).
(B) Subparagraphs (A) and (B) of section 1241(a)(1) of the
Food Security Act of 1985 (16 U.S.C. 3841(a)(1)).
(e) Reports.--
(1) In general.--Subject to paragraph (2), any requirement
under a provision of law described in subsection (a) to submit a
report on a recurring basis, and the final report under which was
required to be submitted during fiscal year 2023, shall continue,
and the requirement shall be carried out, on the same recurring
basis, until the later of the dates specified in paragraphs (1) and
(2) of that subsection.
(2) Appropriations required.--If discretionary appropriations
(as defined in section 250(c) of the Balanced Budget and Emergency
Deficit Control Act of 1985 (2 U.S.C. 900(c))) are required to
carry out a reporting requirement described in paragraph (1), the
application of that paragraph to that reporting requirement shall
be subject to the availability of appropriations.
(f) Rescission.--Of the unobligated balances of amounts made
available under section 9003(g)(1)(A) of the Farm Security and Rural
Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)), $177,350,000 is
rescinded.
(g) Effective Date.--This section and the amendments made by this
section (except subsection (f) and the amendments made by subparagraphs
(A) and (C) of subsection (d)(5)) shall be applied and administered as
if this section and those amendments had been enacted on September 30,
2023.
TITLE II--HEALTH AND HUMAN SERVICES
Subtitle A--Public Health Extenders
SEC. 201. 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 $16,635,616 for the period
beginning on October 1, 2023, and ending on November 17, 2023'' and
inserting ``$16,635,616 for the period beginning on October 1, 2023,
and ending on November 17, 2023, and $21,834,247 for the period
beginning on November 18, 2023, and ending on January 19, 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)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``and $526,027,397
for the period beginning on October 1, 2023, and ending on November 17,
2023'' and inserting ``$526,027,397 for the period beginning on October
1, 2023, and ending on November 17, 2023, and $690,410,959 for the
period beginning on November 18, 2023, and ending on January 19,
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)), as amended by the Continuing Appropriations
Act, 2024 and Other Extensions Act, is further amended by striking
``$40,767,123 for the period beginning on October 1, 2023, and ending
on November 17, 2023'' and inserting ``$40,767,123 for the period
beginning on October 1, 2023, and ending on November 17, 2023, and
$53,506,849 for the period beginning on November 18, 2023, and ending
on January 19, 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 2321(d) of the
Continuing Appropriations Act, 2024 and Other Extensions Act'' and
inserting ``section 2321(d) of the Continuing Appropriations Act, 2024
and Other Extensions Act, and section 201(d) of the Further Continuing
Appropriations and Other Extensions Act, 2024''.
SEC. 202. 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)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``$19,726,027 for
the period beginning on October 1, 2023, and ending on November 17,
2023'' and inserting ``$19,726,027 for the period beginning on October
1, 2023, and ending on November 17, 2023, and $25,890,411 for the
period beginning on November 18, 2023, and ending on January 19,
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)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``$19,726,027 for
the period beginning on October 1, 2023, and ending on November 17,
2023'' and inserting ``$19,726,027 for the period beginning on October
1, 2023, and ending on November 17, 2023, and $25,890,411 for the
period beginning on November 18, 2023, and ending on January 19,
2024''.
SEC. 203. 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 ``November 17, 2023'' and inserting
``January 19, 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 ``on the date that is
17 years after the date of enactment of the Pandemic and All-Hazards
Preparedness Act'' and inserting ``after January 19, 2024''.
(c) Section 319L-1(b) of the Public Health Service Act (42 U.S.C.
247d-7f(b)) is amended by striking ``at the end of the 17-year period
that begins on the date of enactment of this Act'' and inserting
``after January 19, 2024''.
(d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C.
300hh-10b(g)) is amended by striking ``November 17, 2023'' and
inserting ``January 19, 2024''.
(2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C.
300hh-10c(g)(1)) is amended by striking ``November 17, 2023'' and
inserting ``January 19, 2024''.
(3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C.
300hh-10d(g)(1)) is amended by striking ``November 17, 2023'' and
inserting ``January 19, 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 ``November 17, 2023''
and inserting ``January 19, 2024''.
Subtitle B--Medicaid
SEC. 301. 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--
(1) in clause (i), by striking ``November 18, 2023'' and
inserting ``January 20, 2024''; and
(2) in clause (ii), by striking ``November 18, 2023'' and
inserting ``January 20, 2024''.
SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION.
Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w-
1(b)(3)(A)), as amended by the Continuing Appropriations Act, 2024 and
Other Extensions Act, is further amended by striking ``$6,357,117,810''
and inserting ``$5,796,117,810''.
Subtitle C--Human Services
SEC. 401. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.
Activities authorized by part B of title IV of the Social Security
Act shall continue through January 19, 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. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.
Section 510 of the Social Security Act (42 U.S.C. 710), as amended
by the Continuing Appropriations Act, 2024 and Other Extensions Act, is
further amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) by striking ``and for the period beginning on
October 1, 2023, and ending on November 17, 2023'' and
inserting ``, for the period beginning on October 1, 2023,
and ending on November 17, 2023, and for the period
beginning on November 18, 2023, and ending on January 19,
2024''; and
(ii) by striking ``with respect to such period'' and
inserting ``with respect to the applicable period'';
(B) in paragraphs (2)(A), by striking ``for the period''
and inserting ``for the applicable period''; and
(C) in paragraphs (2)(B), by striking ``for the period''
and inserting ``for the applicable period''; and
(2) in subsection (f)--
(A) in paragraph (1), by striking ``and for the period
beginning on October 1, 2023, and ending on November 17, 2023,
an amount equal to the pro rata portion of the amount
appropriated for the corresponding period for fiscal year
2023'' and inserting ``for the period beginning on October 1,
2023, and ending on November 17, 2023, an amount equal to the
pro rata portion of the amount appropriated for the
corresponding period for fiscal year 2023, and for the period
beginning on November 18, 2023, and ending on January 19, 2024,
an amount equal to the pro rata portion of the amount
appropriated for the corresponding period for fiscal year
2023''; and
(B) in paragraph (2), by striking ``for the period'' and
inserting ``for the applicable period''.
SEC. 403. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.
Section 513 of the Social Security Act (42 U.S.C. 713), as amended
by the Continuing Appropriations Act, 2024 and Other Extensions Act, is
further amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) in subparagraph (A), by striking ``and for the
period beginning on October 1, 2023, and ending on November
17, 2023,'' and inserting ``, for the period beginning on
October 1, 2023, and ending on November 17, 2023, and for
the period beginning on November 18, 2023, and ending on
January 19, 2024,''; and
(ii) in subparagraph (B)(i), by inserting after
``November 17, 2023'' the following: ``, and for the period
beginning on November 18, 2023, and ending on January 19,
2024'';
(iii) in subparagraph (C)(i), by striking ``for a
fiscal year or the period'' and inserting ``for a fiscal
year or period''; and
(B) in paragraph (3), by striking ``for a fiscal year or
the period'' and inserting ``for a fiscal year or period''; and
(C) in paragraph (4)(A)--
(i) by striking ``for the period'' each place it
appears and inserting ``for each period''; and
(ii) by striking ``for a fiscal year or the period''
and inserting ``for a fiscal year or period'';
(D) in paragraph (4)(B)(i), by striking ``the period
described in paragraph (1)(A)'' and inserting ``each period
described in paragraph (1)(A)'';
(2) in subsection (c), by striking ``for the period described
in subsection (a)(1)(A)'' and inserting ``for a period described in
subsection (a)(1)(A) for fiscal year 2024''; and
(3) in subsection (f)(1), by striking ``2023, and for the
period beginning on October 1, 2023, and ending on November 17,
2023, an amount equal to the pro rata portion of the amount
appropriated for the corresponding period for fiscal year 2023''
and inserting ``2023, for the period beginning on October 1, 2023,
and ending on November 17, 2023, an amount equal to the pro rata
portion of the amount appropriated for the corresponding period for
fiscal year 2023, and for the period beginning on November 18,
2023, and ending on January 19, 2024, an amount equal to the pro
rata portion of the amount appropriated for the corresponding
period for fiscal year 2023''.
Subtitle D--Medicare
SEC. 501. EXTENDING FLOOR FOR WORK GEOGRAPHIC INDEX.
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``January 1, 2024'' and inserting
``January 20, 2024''.
SEC. 502. REVISING PHASE-IN OF MEDICARE CLINICAL LABORATORY TEST
PAYMENT CHANGES.
(a) Revised Phase-in of Reductions From Private Payor Rate
Implementation.--Section 1834A(b)(3) of the Social Security Act (42
U.S.C. 1395m-1(b)(3)) is amended--
(1) in subparagraph (A), by striking ``2026'' and inserting
``2027''; and
(2) in subparagraph (B)--
(A) in clause (ii), by striking ``2023'' and inserting
``2024''; and
(B) in clause (iii), by striking ``2024 through 2026'' and
inserting ``2025 through 2027''.
(b) Revised Reporting Period for Reporting of Private Sector
Payment Rates for Establishment of Medicare Payment Rates.--Section
1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m-1(a)(1)(B))
is amended--
(1) in clause (i), by striking ``2023'' and inserting ``2024'';
and
(2) in clause (ii), by striking ``2024'' each place it appears
and inserting ``2025''.
SEC. 503. MEDICARE IMPROVEMENT FUND.
Section 1898(b)(1) of the Social Security Act (42 U.S.C.
1395iii(b)(1)) is amended by striking ``$180,000,000'' and inserting
``$466,795,056''.
TITLE III--MISCELLANEOUS EXTENSIONS
SEC. 601. COUNTER-UAS AUTHORITIES.
Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C.
124n(i)) is amended by striking ``November 18, 2023'' and inserting
``February 3, 2024''.
TITLE IV--BUDGETARY EFFECTS
SEC. 701. 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.