[Congressional Record Volume 171, Number 48 (Thursday, March 13, 2025)]
[Senate]
[Pages S1748-S1750]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 1269. Mrs. MURRAY submitted an amendment intended to be proposed
by her to the bill H.R. 1968, making further continuing appropriations
and other extensions for the fiscal year ending September 30, 2025, and
for other purposes; which was ordered to lie on the table; as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Further Additional
Continuing Appropriations and Other Extensions Act, 2025''.
SEC. 2. TABLE OF CONTENTS.
Sec. 1. Short Title.
Sec. 2. Table of Contents.
DIVISION A--FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2025
DIVISION B--EXTENSIONS AND OTHER MATTERS
DIVISION A--FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2025
Sec. 101. The Continuing Appropriations Act, 2025
(division A of Public Law 118-83) is further amended--
(1) by striking the date specified in section 106(3) and
inserting ``April 11, 2025'';
(2) in section 156(b) to read as follows:
``(b) 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' in an
amount not to exceed $3,341,300,000.''; and
(3) by adding after section 169 the following new sections:
``Sec. 170. Notwithstanding section 101, section 521(b)(1)
of division C of Public Law 118-42 shall not apply during the
period covered by this Act.
``Sec. 171. 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 of operations necessary for
`Completion of Prior Year Shipbuilding Programs' in an amount
not to exceed $1,930,024,000 to fund prior year shipbuilding
cost increases for the following programs in the following
amounts:
``(1) 2013/2025: Carrier Replacement Program, $236,000,000;
``(2) 2016/2025: DDG 51 Program, $10,509,000;
``(3) 2017/2025: Virginia Class Submarine Program,
$219,370,000;
``(4) 2017/2025: DDG 51 Program, $115,600,000;
``(5) 2017/2025: Littoral Combat Ship Program, $8,100,000;
``(6) 2017/2025: LHA Replacement Program, $115,397,000;
``(7) 2018/2025: Virginia Class Submarine Program,
$73,634,000;
``(8) 2018/2025: DDG 51 Program, $107,405,000;
``(9) 2018/2025: Littoral Combat Ship Program, $12,000,000;
``(10) 2018/2025: LPD 17 (Flight II) Amphibious Transport
Dock Program, $19,158,000;
``(11) 2018/2025: Oceanographic Ships Program, $18,000,000;
``(12) 2018/2025: Ship to Shore Connector Program,
$14,694,000;
``(13) 2019/2025: Littoral Combat Ship Program,
$27,900,000;
``(14) 2019/2025: T-AO Fleet Oiler Program, $49,995,000;
``(15) 2019/2025: Ship to Shore Connector Program,
$33,345,000;
``(16) 2020/2025: CVN Refueling Overhauls, $669,171,000;
``(17) 2020/2025: T-AO Fleet Oiler Program, $151,837,000;
``(18) 2020/2025: Towing, Salvage, and Rescue Ship Program,
$978,000;
``(19) 2021/2025: Towing, Salvage, and Rescue Ship Program,
$17,375,000;
``(20) 2022/2025: T-AO Fleet Oiler Program, $13,222,000;
``(21) U2022/2025: Towing, Salvage, and Rescue Ship
Program, $4,234,000; and
``(22) 2023/2025: T-AO Fleet Oiler Program, $12,100,000.
``Sec. 172. In addition to amounts otherwise provided by
section 101, for `Federal Emergency Management Agency--
Disaster Relief Fund', there is appropriated $750,000,000,
for an additional amount for fiscal year 2025, to remain
available until expended, for major disasters declared
pursuant to the Robert T. Stafford Disaster Relief and
Emergency Assistance Act (42 U.S.C. 5121 et seq.): Provided,
That such amount is
[[Page S1749]]
designated by the Congress as being for an emergency
requirement pursuant to section 251(b)(2)(A)(i) of the
Balanced Budget and Emergency Deficit Control Act of 1985,
and shall be available only if the President subsequently so
designates such amount and transmits such designation to the
Congress.
``Sec. 173. In addition to amounts otherwise provided by
section 101, there is appropriated $1,650,000 for the `Office
of Navajo and Hopi Relocation--Salaries and Expenses' to
remain available until expended to carry out responsibilities
under the Navajo-Hopi Land Settlement Act of 1974.
``Sec. 174. Notwithstanding any other provision of this
Act, there is hereby appropriated for fiscal year 2025, for
payment to Ashley Paige Turner, beneficiary of Sylvester
Turner, late a Representative from the State of Texas,
$174,000.''.
This division may be cited as the ``Further Additional
Continuing Appropriations Act, 2025''.
DIVISION B--EXTENSIONS AND OTHER MATTERS
TITLE I--HEALTH EXTENSIONS
Subtitle A--Public Health Extenders
SEC. 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''.
SEC. 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.
SEC. 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''.
Subtitle B--Medicare
SEC. 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.
SEC. 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''.
SEC. 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.
SEC. 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''.
SEC. 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''.
SEC. 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''.
SEC. 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
[[Page S1750]]
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.
SEC. 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''.
SEC. 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''.
SEC. 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.
Subtitle C--Human Services
SEC. 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''.
SEC. 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''.
SEC. 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''.
Subtitle D--Medicaid
SEC. 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''.
TITLE II--MISCELLANEOUS EXTENSIONS
SEC. 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''.
SEC. 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''.
SEC. 2203. ADDITIONAL SPECIAL ASSESSMENT.
Section 3014 of title 18, United States Code, is amended by
striking ``March 14, 2025'' and inserting ``April 11, 2025''.
SEC. 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''.
TITLE III--BUDGETARY EFFECTS
SEC. 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.
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