[118th Congress Public Law 22]
[From the U.S. Government Publishing Office]



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    FURTHER CONTINUING APPROPRIATIONS AND OTHER EXTENSIONS ACT, 2024

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Public Law 118-22
118th Congress

                                 An Act


 
 Making further continuing appropriations for fiscal year 2024, and for 
         other purposes. <<NOTE: Nov. 17, 2023 -  [H.R. 6363]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, <<NOTE: Further 
Continuing Appropriations and Other Extensions Act, 2024.>> 
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 <<NOTE: Further Continuing Appropriations Act, 
       2024. Applicability. Apportionment.>> --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) <<NOTE: Ante, p. 74.>>  by striking the date specified 
        in section 106(3) and inserting ``February 2, 2024, except as 
        provided in paragraph (4)'';
            (2) <<NOTE: Ante, p. 74.>>  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) <<NOTE: Ante, p. 71.>>  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,'';

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            (4) <<NOTE: Ante, p. 73.>>  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) <<NOTE: 18 USC 3551 note.>>  in section 123, by striking 
        ``17 days'' and inserting ``94 days'' and by striking ``17-day'' 
        and inserting ``94-day'';
            (6) <<NOTE: Ante, p. 78.>>  in section 124, by striking 
        ``$621,270,000'' and inserting ``$663,070,000'';
            (7) <<NOTE: Ante, p. 78.>>  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) <<NOTE: Effective date.>>  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.

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    ``(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. <<NOTE: Katherine Anne Feinstein.>>   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) <<NOTE: 7 USC 9001 note.>>  Extension.--Except as otherwise 
provided in this section and the amendments made by this section, 
notwithstanding any

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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) <<NOTE: Applicability.>>  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) <<NOTE: Time periods. Applicability. 7 
                      USC 9057 note.>>  Availability of premium 
                      discount.--With respect to coverage for calendar 
                      year 2024, section

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                      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) <<NOTE: Time period. 7 USC 9092 note.>>  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.

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        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) <<NOTE: Deadline.>>  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) <<NOTE: Deadline.>>  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) <<NOTE: Applicability. Time period.>>  
                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''.

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                    (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,''.

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            (9) <<NOTE: 7 USC 9001 note.>>  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) <<NOTE: Requirement. Continuation.>>  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) <<NOTE: Applicability. 7 USC 9001 note.>>  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 <<NOTE: Time periods.>> --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

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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''.

[[Page 137 STAT. 121]]

    (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

[[Page 137 STAT. 122]]

                    (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

[[Page 137 STAT. 123]]

        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.

[[Page 137 STAT. 124]]

    (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.

    Approved November 17, 2023.

LEGISLATIVE HISTORY--H.R. 6363:
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CONGRESSIONAL RECORD, Vol. 169 (2023):
            Nov. 14, considered and passed House.
            Nov. 15, considered and passed Senate.

                                  <all>