US Federal 2023-2024 Regular Session

US Federal House Bill HB4366

Introduced
6/27/23  
Engrossed
9/5/23  
Enrolled
3/8/24  
Passed
3/9/24  
Chaptered
3/9/24  

Caption

Consolidated Appropriations Act, 2024 Counting Veterans' Cancer Act of 2023

Impact

The bill's impact on state laws is significant, particularly regarding healthcare financing and access to services for low-income and vulnerable groups. By extending particular hospital funding programs and enhancing Medicaid provisions, HB 4366 is poised to bolster the operational capabilities of health facilities, especially in rural or underserved areas. This could translate to improved patient care and access to necessary medical resources, which is particularly relevant as states navigate ongoing healthcare challenges and funding constraints.

Summary

House Bill 4366, also known as the Consolidated Appropriations Act, 2024, incorporates various health-related provisions aimed at improving hospital funding, particularly for low-volume hospitals and Medicare-dependent hospitals. The bill extends critical payment adjustments for these facilities and includes measures aimed at supporting mental health services and substance use treatment, especially for vulnerable populations such as veterans and individuals recently released from incarceration. This comprehensive package also addresses some administrative aspects of Medicaid, seeking to enhance continuity of care for eligible individuals.

Sentiment

Sentiment around HB 4366 appears generally positive among healthcare advocates and provider organizations, who see the provisions as critical steps towards ensuring better support for hospitals and healthcare providers while addressing the needs of patients. However, some concerns have been raised regarding the total funding allocations and whether they will sufficiently cover the extensive needs of all addressed sectors, particularly regarding mental health and substance use services. Stakeholders have expressed a cautious optimism, hoping that these funding extensions will indeed lead to better healthcare outcomes.

Contention

Notable contention exists around the adequacy of resources allocated to mental health and substance abuse services, which many advocates argue are still underfunded despite increased attention. Critics question whether the funding extensions will address the long-term systemic issues facing these sectors or if they will merely serve as temporary relief. Additionally, the bill's provisions on Medicaid administration have sparked discussions regarding the balance between comprehensive care and regulatory efficiency, with varying opinions on the best ways to enhance service delivery.

Companion Bills

US HB1453

Related Customs Business Fairness Act of 2023

US SB792

Related Compact Impact Fairness Act of 2023

US HB1571

Related Compact Impact Fairness Act of 2023

US HB3736

Related Extending Access to Addiction Treatment Act

US SB1994

Related Counting Veterans' Cancer Act of 2023

US SB2131

Related Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2024

US SB2127

Related Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024

US HB4368

Related Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2024

US HB4394

Related Energy and Water Development and Related Agencies Appropriations Act, 2024

US SB2321

Related Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024

US SB2437

Related Department of Housing and Urban Development Appropriations Act, 2024

US SB2443

Related Energy and Water Development and Related Agencies Appropriations Act, 2024

US HB4820

Related Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2024

US HB4821

Related Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024

US HR614

Related Providing for consideration of the bill (H.R. 4366) making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2024, and for other purposes; providing for consideration of the joint resolution (S.J. Res. 9) providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Lesser Prairie-Chicken; Threatened Status With Section 4(d) Rule for the Northern Distinct Population Segment and Endangered Status for the Southern Distinct Population Segment"; and providing for consideration of the joint resolution (S.J. Res. 24) providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for Northern Long-Eared Bat".

US SB2605

Related Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024

US HB5893

Related Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024

US SB3136

Related Extending Access to Addiction Treatment Act

US SJR48

Related Compact of Free Association Amendments Act of 2023

US HJR96

Related Compact of Free Association Amendments Act of 2023

US SB3244

Related Helping Seniors Lower Their Health Care Costs Act

US SB3605

Related EVAC Planning Act Emergency Vehicle and Community Planning Act

US HB7091

Related Counting Veterans’ Cancer Act of 2024

US HB7545

Related To amend title XIX of the Social Security Act to include certified community behavioral health clinic services as a State plan option under the Medicaid program, and for other purposes.

US HCR94

Related Directing the Clerk of the House of Representatives to make a correction in the enrollment of H.R. 4366.

US HR1061

Related Consolidated Appropriations Act, 2024 Compact of Free Association Amendments Act of 2024 Department of Housing and Urban Development Appropriations Act, 2024 Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 Energy and Water Development and Related Agencies Appropriations Act, 2024 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2024

Previously Filed As

US HB8469

Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2027

US HB3944

Legislative Branch Appropriations Act, 2026 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2026

US SB283

Creation of a State Debt – Maryland Consolidated Capital Bond Loan of 2026, and the Maryland Consolidated Capital Bond Loans of 2014, 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024, and 2025

US HB5371

Continuing Appropriations Act, 2026 Legislative Branch Appropriations Act, 2026 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2026 Over-the-Counter Monograph Drug User Fee Amendments

US HB391

Creation of a State Debt – Maryland Consolidated Capital Bond Loan of 2026, and the Maryland Consolidated Capital Bond Loans of 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, 2024, and 2025

US SB320

Creation of a State Debt - Maryland Consolidated Capital Bond Loan of 2025, and the Maryland Consolidated Capital Bond Loans of 2011, 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, and 2024

US HB351

Creation of a State Debt - Maryland Consolidated Capital Bond Loan of 2025, and the Maryland Consolidated Capital Bond Loans of 2011, 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023, and 2024

US SB0175

Appropriations: department of military and veterans affairs; appropriations for fiscal year 2025-2026; provide for. Creates appropriation act.

US HB1968

Full-Year Continuing Appropriations and Extensions Act, 2025

US SB74

An Act For The Department Of Veterans Affairs Appropriation For The 2025-2026.

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MD HB390

Budget Bill (Fiscal Year 2027)

MD HB350

Budget Bill (Fiscal Year 2026)

MD SB319

Budget Bill (Fiscal Year 2026)

PA HB1330

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PA SB1220

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026.

PA SB280

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2024, to June 30, 2025, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2024.