| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 1974 |
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| 5 | 5 | | Making further continuing appropriations for the fiscal year ending September |
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| 6 | 6 | | 30, 2025, and for other purposes. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | MARCH10, 2025 |
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| 9 | 9 | | Ms. D |
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| 10 | 10 | | ELAUROintroduced the following bill; which was referred to the Com- |
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| 11 | 11 | | mittee on Appropriations, and in addition to the Committee on the Budg- |
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| 12 | 12 | | et, for a period to be subsequently determined by the Speaker, in each |
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| 13 | 13 | | case for consideration of such provisions as fall within the jurisdiction of |
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| 14 | 14 | | the committee concerned |
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| 15 | 15 | | A BILL |
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| 16 | 16 | | Making further continuing appropriations for the fiscal year |
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| 17 | 17 | | ending September 30, 2025, and for other purposes. |
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| 18 | 18 | | Be it enacted by the Senate and House of Representa-1 |
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| 19 | 19 | | tives of the United States of America in Congress assembled, 2 |
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| 20 | 20 | | SECTION 1. SHORT TITLE. 3 |
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| 21 | 21 | | This Act may be cited as the ‘‘Further Additional 4 |
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| 22 | 22 | | Continuing Appropriations and Other Extensions Act, 5 |
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| 23 | 23 | | 2025’’. 6 |
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| 24 | 24 | | SEC. 2. TABLE OF CONTENTS. 7 |
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| 25 | 25 | | Sec. 1. Short Title. |
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| 26 | 26 | | Sec. 2. Table of Contents. |
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| 28 | 28 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 29 | 29 | | •HR 1974 IH |
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| 30 | 30 | | DIVISION A—FURTHER ADDITIONAL CONTINUING |
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| 31 | 31 | | APPROPRIATIONS ACT, 2025 |
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| 32 | 32 | | DIVISION B—EXTENSIONS AND OTHER MATTERS |
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| 33 | 33 | | DIVISION A—FURTHER ADDITIONAL 1 |
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| 34 | 34 | | CONTINUING APPROPRIATIONS ACT, 2025 2 |
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| 35 | 35 | | S |
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| 36 | 36 | | EC. 101. The Continuing Appropriations Act, 2025 3 |
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| 37 | 37 | | (division A of Public Law 118–83) is further amended— 4 |
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| 38 | 38 | | (1) by striking the date specified in section 5 |
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| 39 | 39 | | 106(3) and inserting ‘‘April 11, 2025’’; 6 |
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| 40 | 40 | | (2) in section 156(b) to read as follows: 7 |
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| 41 | 41 | | ‘‘(b) Amounts made available by section 101 to the 8 |
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| 42 | 42 | | Department of Defense for ‘Procurement—Shipbuilding 9 |
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| 43 | 43 | | and Conversion, Navy’ may be apportioned up to the rate 10 |
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| 44 | 44 | | for operations necessary for ‘Columbia Class Submarine’ 11 |
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| 45 | 45 | | in an amount not to exceed $3,341,300,000.’’; and 12 |
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| 46 | 46 | | (3) by adding after section 169 the following 13 |
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| 47 | 47 | | new sections: 14 |
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| 48 | 48 | | ‘‘S |
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| 49 | 49 | | EC. 170. Notwithstanding section 101, section 15 |
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| 50 | 50 | | 521(b)(1) of division C of Public Law 118–42 shall not 16 |
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| 51 | 51 | | apply during the period covered by this Act. 17 |
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| 52 | 52 | | ‘‘S |
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| 53 | 53 | | EC. 171. Notwithstanding sections 102 and 104, 18 |
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| 54 | 54 | | amounts made available by section 101 to the Department 19 |
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| 55 | 55 | | of Defense for ‘Procurement—Shipbuilding and Conver-20 |
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| 56 | 56 | | sion, Navy’ may be apportioned up to the rate of oper-21 |
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| 57 | 57 | | ations necessary for ‘Completion of Prior Year Ship-22 |
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| 58 | 58 | | building Programs’ in an amount not to exceed 23 |
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| 60 | 60 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 61 | 61 | | •HR 1974 IH |
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| 62 | 62 | | $1,930,024,000 to fund prior year shipbuilding cost in-1 |
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| 63 | 63 | | creases for the following programs in the following 2 |
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| 64 | 64 | | amounts: 3 |
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| 65 | 65 | | ‘‘(1) 2013/2025: Carrier Replacement Program, 4 |
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| 66 | 66 | | $236,000,000; 5 |
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| 67 | 67 | | ‘‘(2) 2016/2025: DDG 51 Program, 6 |
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| 68 | 68 | | $10,509,000; 7 |
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| 69 | 69 | | ‘‘(3) 2017/2025: Virginia Class Submarine Pro-8 |
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| 70 | 70 | | gram, $219,370,000; 9 |
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| 71 | 71 | | ‘‘(4) 2017/2025: DDG 51 Program, 10 |
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| 72 | 72 | | $115,600,000; 11 |
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| 73 | 73 | | ‘‘(5) 2017/2025: Littoral Combat Ship Pro-12 |
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| 74 | 74 | | gram, $8,100,000; 13 |
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| 75 | 75 | | ‘‘(6) 2017/2025: LHA Replacement Program, 14 |
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| 76 | 76 | | $115,397,000; 15 |
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| 77 | 77 | | ‘‘(7) 2018/2025: Virginia Class Submarine Pro-16 |
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| 78 | 78 | | gram, $73,634,000; 17 |
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| 79 | 79 | | ‘‘(8) 2018/2025: DDG 51 Program, 18 |
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| 80 | 80 | | $107,405,000; 19 |
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| 81 | 81 | | ‘‘(9) 2018/2025: Littoral Combat Ship Pro-20 |
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| 82 | 82 | | gram, $12,000,000; 21 |
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| 83 | 83 | | ‘‘(10) 2018/2025: LPD 17 (Flight II) Amphib-22 |
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| 84 | 84 | | ious Transport Dock Program, $19,158,000; 23 |
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| 85 | 85 | | ‘‘(11) 2018/2025: Oceanographic Ships Pro-24 |
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| 86 | 86 | | gram, $18,000,000; 25 |
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| 89 | 89 | | •HR 1974 IH |
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| 90 | 90 | | ‘‘(12) 2018/2025: Ship to Shore Connector Pro-1 |
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| 91 | 91 | | gram, $14,694,000; 2 |
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| 92 | 92 | | ‘‘(13) 2019/2025: Littoral Combat Ship Pro-3 |
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| 93 | 93 | | gram, $27,900,000; 4 |
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| 94 | 94 | | ‘‘(14) 2019/2025: T–AO Fleet Oiler Program, 5 |
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| 95 | 95 | | $49,995,000; 6 |
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| 96 | 96 | | ‘‘(15) 2019/2025: Ship to Shore Connector Pro-7 |
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| 97 | 97 | | gram, $33,345,000; 8 |
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| 98 | 98 | | ‘‘(16) 2020/2025: CVN Refueling Overhauls, 9 |
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| 99 | 99 | | $669,171,000; 10 |
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| 100 | 100 | | ‘‘(17) 2020/2025: T–AO Fleet Oiler Program, 11 |
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| 101 | 101 | | $151,837,000; 12 |
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| 102 | 102 | | ‘‘(18) 2020/2025: Towing, Salvage, and Rescue 13 |
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| 103 | 103 | | Ship Program, $978,000; 14 |
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| 104 | 104 | | ‘‘(19) 2021/2025: Towing, Salvage, and Rescue 15 |
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| 105 | 105 | | Ship Program, $17,375,000; 16 |
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| 106 | 106 | | ‘‘(20) 2022/2025: T–AO Fleet Oiler Program, 17 |
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| 107 | 107 | | $13,222,000; 18 |
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| 108 | 108 | | ‘‘(21) U2022/2025: Towing, Salvage, and Res-19 |
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| 109 | 109 | | cue Ship Program, $4,234,000; and 20 |
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| 110 | 110 | | ‘‘(22) 2023/2025: T–AO Fleet Oiler Program, 21 |
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| 111 | 111 | | $12,100,000. 22 |
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| 112 | 112 | | ‘‘S |
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| 113 | 113 | | EC. 172. In addition to amounts otherwise pro-23 |
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| 114 | 114 | | vided by section 101, for ‘Federal Emergency Manage-24 |
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| 115 | 115 | | ment Agency—Disaster Relief Fund’, there is appro-25 |
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| 118 | 118 | | •HR 1974 IH |
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| 119 | 119 | | priated $750,000,000, for an additional amount for fiscal 1 |
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| 120 | 120 | | year 2025, to remain available until expended, for major 2 |
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| 121 | 121 | | disasters declared pursuant to the Robert T. Stafford Dis-3 |
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| 122 | 122 | | aster Relief and Emergency Assistance Act (42 U.S.C. 4 |
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| 123 | 123 | | 5121 et seq.): Provided, That such amount is designated 5 |
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| 124 | 124 | | by the Congress as being for an emergency requirement 6 |
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| 125 | 125 | | pursuant to section 251(b)(2)(A)(i) of the Balanced Budg-7 |
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| 126 | 126 | | et and Emergency Deficit Control Act of 1985, and shall 8 |
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| 127 | 127 | | be available only if the President subsequently so des-9 |
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| 128 | 128 | | ignates such amount and transmits such designation to 10 |
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| 129 | 129 | | the Congress. 11 |
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| 130 | 130 | | ‘‘S |
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| 131 | 131 | | EC. 173. In addition to amounts otherwise pro-12 |
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| 132 | 132 | | vided by section 101, there is appropriated $1,650,000 for 13 |
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| 133 | 133 | | the ‘Office of Navajo and Hopi Relocation—Salaries and 14 |
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| 134 | 134 | | Expenses’ to remain available until expended to carry out 15 |
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| 135 | 135 | | responsibilities under the Navajo-Hopi Land Settlement 16 |
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| 136 | 136 | | Act of 1974. 17 |
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| 137 | 137 | | ‘‘S |
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| 138 | 138 | | EC. 174. Notwithstanding any other provision of 18 |
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| 139 | 139 | | this Act, there is hereby appropriated for fiscal year 2025, 19 |
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| 140 | 140 | | for payment to Ashley Paige Turner, beneficiary of Syl-20 |
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| 141 | 141 | | vester Turner, late a Representative from the State of 21 |
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| 142 | 142 | | Texas, $174,000.’’. 22 |
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| 143 | 143 | | This division may be cited as the ‘‘Further Additional 23 |
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| 144 | 144 | | Continuing Appropriations Act, 2025’’. 24 |
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| 147 | 147 | | •HR 1974 IH |
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| 148 | 148 | | DIVISION B—EXTENSIONS AND 1 |
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| 149 | 149 | | OTHER MATTERS 2 |
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| 150 | 150 | | TITLE I—HEALTH EXTENSIONS 3 |
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| 151 | 151 | | Subtitle A—Public Health 4 |
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| 152 | 152 | | Extenders 5 |
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| 153 | 153 | | SEC. 2101. EXTENSION FOR COMMUNITY HEALTH CENTERS, 6 |
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| 154 | 154 | | NATIONAL HEALTH SERVICE CORPS, AND 7 |
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| 155 | 155 | | TEACHING HEALTH CENTERS THAT OPERATE 8 |
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| 156 | 156 | | GME PROGRAMS. 9 |
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| 157 | 157 | | (a) E |
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| 158 | 158 | | XTENSION FOR COMMUNITYHEALTHCEN-10 |
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| 159 | 159 | | TERS.—Section 10503(b)(1)(I) of the Patient Protection 11 |
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| 160 | 160 | | and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(I)) is 12 |
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| 161 | 161 | | amended by striking the period at the end and inserting 13 |
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| 162 | 162 | | ‘‘, and $132,602,740 for the period beginning on April 1, 14 |
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| 163 | 163 | | 2025, and ending on April 11, 2025; and’’. 15 |
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| 164 | 164 | | (b) E |
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| 165 | 165 | | XTENSION FOR THE NATIONALHEALTHSERV-16 |
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| 166 | 166 | | ICECORPS.—Section 10503(b)(2)(J) of the Patient Pro-17 |
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| 167 | 167 | | tection and Affordable Care Act (42 U.S.C. 254b– 18 |
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| 168 | 168 | | 2(b)(2)(J)) is amended by inserting ‘‘, and $10,963,593 19 |
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| 169 | 169 | | for the period beginning on April 1, 2025, and ending on 20 |
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| 170 | 170 | | April 11, 2025’’ before the period at the end. 21 |
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| 171 | 171 | | (c) T |
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| 172 | 172 | | EACHINGHEALTHCENTERSTHATOPERATE 22 |
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| 173 | 173 | | G |
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| 174 | 174 | | RADUATEMEDICALEDUCATIONPROGRAMS.—Section 23 |
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| 175 | 175 | | 340H(g)(1)(E) of the Public Health Service Act (42 24 |
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| 176 | 176 | | U.S.C. 256h(g)(1)(E)) is amended by inserting ‘‘, and 25 |
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| 179 | 179 | | •HR 1974 IH |
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| 180 | 180 | | $6,058,748 for the period beginning on April 1, 2025, and 1 |
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| 181 | 181 | | ending on April 11, 2025’’ before the period at the end. 2 |
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| 182 | 182 | | (d) A |
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| 183 | 183 | | PPLICATION OFPROVISIONS.—Amounts appro-3 |
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| 184 | 184 | | priated pursuant to the amendments made by this section 4 |
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| 185 | 185 | | shall be subject to the requirements contained in Public 5 |
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| 186 | 186 | | Law 118–47 for funds for programs authorized under sec-6 |
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| 187 | 187 | | tions 330 through 340 of the Public Health Service Act 7 |
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| 188 | 188 | | (42 U.S.C. 254b et seq.). 8 |
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| 189 | 189 | | (e) C |
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| 190 | 190 | | ONFORMING AMENDMENTS.—Section 9 |
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| 191 | 191 | | 3014(h)(4) of title 18, United States Code, is amended 10 |
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| 192 | 192 | | by striking ‘‘and section 3101(d) of the Health Extensions 11 |
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| 193 | 193 | | and Other Matters Act, 2025’’ and inserting ‘‘section 12 |
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| 194 | 194 | | 3101(d) of the Health Extensions and Other Matters Act, 13 |
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| 195 | 195 | | 2025, and section 2101(d) of the Further Additional Con-14 |
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| 196 | 196 | | tinuing Appropriations and Other Extensions Act, 2025’’. 15 |
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| 197 | 197 | | SEC. 2102. EXTENSION OF SPECIAL DIABETES PROGRAMS. 16 |
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| 198 | 198 | | (a) E |
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| 199 | 199 | | XTENSION OFSPECIALDIABETESPROGRAMS 17 |
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| 200 | 200 | | FORTYPEI DIABETES.—Section 330B(b)(2)(F) of the 18 |
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| 201 | 201 | | Public Health Service Act (42 U.S.C. 254c–2(b)(2)(F)) 19 |
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| 202 | 202 | | is amended by inserting ‘‘, and $4,798,658 for the period 20 |
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| 203 | 203 | | beginning on April 1, 2025, and ending on April 11, 21 |
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| 204 | 204 | | 2025’’ before the period at the end. 22 |
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| 205 | 205 | | (b) E |
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| 206 | 206 | | XTENDINGFUNDING FORSPECIALDIABETES 23 |
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| 207 | 207 | | P |
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| 208 | 208 | | ROGRAMS FORINDIANS.—Section 330C(c)(2)(F) of the 24 |
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| 209 | 209 | | Public Health Service Act (42 U.S.C. 254c–3(c)(2)(F)) is 25 |
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| 212 | 212 | | •HR 1974 IH |
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| 213 | 213 | | amended by inserting ‘‘, and $4,798,658 for the period 1 |
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| 214 | 214 | | beginning on April 1, 2025, and ending on April 11, 2 |
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| 215 | 215 | | 2025’’ before the period at the end. 3 |
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| 216 | 216 | | SEC. 2103. NATIONAL HEALTH SECURITY EXTENSIONS. 4 |
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| 217 | 217 | | (a) Section 319(e)(8) of the Public Health Service 5 |
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| 218 | 218 | | Act (42 U.S.C. 247d(e)(8)) is amended by striking 6 |
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| 219 | 219 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 7 |
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| 220 | 220 | | (b) Section 319L(e)(1)(D) of the Public Health Serv-8 |
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| 221 | 221 | | ice Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by strik-9 |
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| 222 | 222 | | ing ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 10 |
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| 223 | 223 | | (c) Section 319L–1(b) of the Public Health Service 11 |
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| 224 | 224 | | Act (42 U.S.C. 247d–7f(b)) is amended by striking 12 |
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| 225 | 225 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 13 |
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| 226 | 226 | | (d)(1) Section 2811A(g) of the Public Health Service 14 |
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| 227 | 227 | | Act (42 U.S.C. 300hh–10b(g)) is amended by striking 15 |
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| 228 | 228 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 16 |
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| 229 | 229 | | (2) Section 2811B(g)(1) of the Public Health Service 17 |
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| 230 | 230 | | Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking 18 |
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| 231 | 231 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 19 |
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| 232 | 232 | | (3) Section 2811C(g)(1) of the Public Health Service 20 |
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| 233 | 233 | | Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking 21 |
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| 234 | 234 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 22 |
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| 235 | 235 | | (e) Section 2812(c)(4)(B) of the Public Health Serv-23 |
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| 236 | 236 | | ice Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by 24 |
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| 239 | 239 | | •HR 1974 IH |
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| 240 | 240 | | striking ‘‘March 31, 2025’’ and inserting ‘‘April 11, 1 |
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| 241 | 241 | | 2025’’. 2 |
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| 242 | 242 | | Subtitle B—Medicare 3 |
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| 243 | 243 | | SEC. 2111. EXTENSION OF INCREASED INPATIENT HOS-4 |
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| 244 | 244 | | PITAL PAYMENT ADJUSTMENT FOR CERTAIN 5 |
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| 245 | 245 | | LOW-VOLUME HOSPITALS. 6 |
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| 246 | 246 | | (a) I |
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| 247 | 247 | | NGENERAL.—Section 1886(d)(12) of the Social 7 |
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| 248 | 248 | | Security Act (42 U.S.C. 1395ww(d)(12)) is amended— 8 |
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| 249 | 249 | | (1) in subparagraph (B), in the matter pre-9 |
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| 250 | 250 | | ceding clause (i), by striking ‘‘April 1, 2025’’ and in-10 |
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| 251 | 251 | | serting ‘‘April 12, 2025’’; 11 |
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| 252 | 252 | | (2) in subparagraph (C)(i)— 12 |
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| 253 | 253 | | (A) in the matter preceding subclause (I), 13 |
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| 254 | 254 | | by striking ‘‘March 31, 2025’’ and inserting 14 |
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| 255 | 255 | | ‘‘April 11, 2025’’; 15 |
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| 256 | 256 | | (B) in subclause (III), by striking ‘‘March 16 |
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| 257 | 257 | | 31, 2025’’ and inserting ‘‘April 11, 2025’’; and 17 |
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| 258 | 258 | | (C) in subclause (IV), by striking ‘‘April 1, 18 |
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| 259 | 259 | | 2025’’ and inserting ‘‘April 12, 2025’’; and 19 |
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| 260 | 260 | | (3) in subparagraph (D)— 20 |
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| 261 | 261 | | (A) in the matter preceding clause (i), by 21 |
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| 262 | 262 | | striking ‘‘March 31, 2025’’ and inserting ‘‘April 22 |
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| 263 | 263 | | 11, 2025’’; and 23 |
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| 264 | 264 | | (B) in clause (ii), by striking ‘‘March 31, 24 |
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| 265 | 265 | | 2025’’ and inserting ‘‘April 11, 2025’’. 25 |
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| 268 | 268 | | •HR 1974 IH |
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| 269 | 269 | | (b) IMPLEMENTATION.—Notwithstanding any other 1 |
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| 270 | 270 | | provision of law, the Secretary of Health and Human 2 |
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| 271 | 271 | | Services may implement the amendments made by this 3 |
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| 272 | 272 | | section by program instruction or otherwise. 4 |
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| 273 | 273 | | SEC. 2112. EXTENSION OF THE MEDICARE-DEPENDENT 5 |
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| 274 | 274 | | HOSPITAL (MDH) PROGRAM. 6 |
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| 275 | 275 | | (a) I |
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| 276 | 276 | | NGENERAL.—Section 1886(d)(5)(G) of the So-7 |
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| 277 | 277 | | cial Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amend-8 |
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| 278 | 278 | | ed— 9 |
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| 279 | 279 | | (1) in clause (i), by striking ‘‘April 1, 2025’’ 10 |
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| 280 | 280 | | and inserting ‘‘April 12, 2025’’; and 11 |
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| 281 | 281 | | (2) in clause (ii)(II), by striking ‘‘April 1, 12 |
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| 282 | 282 | | 2025’’ and inserting ‘‘April 12, 2025’’. 13 |
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| 283 | 283 | | (b) C |
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| 284 | 284 | | ONFORMINGAMENDMENTS.— 14 |
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| 285 | 285 | | (1) I |
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| 286 | 286 | | N GENERAL.—Section 1886(b)(3)(D) of 15 |
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| 287 | 287 | | the Social Security Act (42 U.S.C. 16 |
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| 288 | 288 | | 1395ww(b)(3)(D)) is amended— 17 |
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| 289 | 289 | | (A) in the matter preceding clause (i), by 18 |
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| 290 | 290 | | striking ‘‘April 1, 2025’’ and inserting ‘‘April 19 |
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| 291 | 291 | | 12, 2025’’; and 20 |
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| 292 | 292 | | (B) in clause (iv), by striking ‘‘March 31, 21 |
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| 293 | 293 | | 2025’’ and inserting ‘‘April 11, 2025’’. 22 |
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| 294 | 294 | | (2) P |
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| 295 | 295 | | ERMITTING HOSPITALS TO DECLINE RE -23 |
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| 296 | 296 | | CLASSIFICATION.—Section 13501(e)(2) of the Omni-24 |
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| 297 | 297 | | bus Budget Reconciliation Act of 1993 (42 U.S.C. 25 |
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| 300 | 300 | | •HR 1974 IH |
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| 301 | 301 | | 1395ww note) is amended by striking ‘‘March 31, 1 |
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| 302 | 302 | | 2025’’ and inserting ‘‘April 11, 2025’’. 2 |
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| 303 | 303 | | SEC. 2113. EXTENSION OF ADD-ON PAYMENTS FOR AMBU-3 |
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| 304 | 304 | | LANCE SERVICES. 4 |
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| 305 | 305 | | Section 1834(l) of the Social Security Act (42 U.S.C. 5 |
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| 306 | 306 | | 1395m(l)) is amended— 6 |
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| 307 | 307 | | (1) in paragraph (12)(A), by striking ‘‘April 1, 7 |
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| 308 | 308 | | 2025’’ and inserting ‘‘April 12, 2025’’; and 8 |
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| 309 | 309 | | (2) in paragraph (13), by striking ‘‘April 1, 9 |
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| 310 | 310 | | 2025’’ each place it appears and inserting ‘‘April 12, 10 |
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| 311 | 311 | | 2025’’ in each such place. 11 |
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| 312 | 312 | | SEC. 2114. EXTENSION OF FUNDING FOR QUALITY MEAS-12 |
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| 313 | 313 | | URE ENDORSEMENT, INPUT, AND SELECTION. 13 |
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| 314 | 314 | | Section 1890(d)(2) of the Social Security Act (42 14 |
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| 315 | 315 | | U.S.C. 1395aaa(d)(2)) is amended— 15 |
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| 316 | 316 | | (1) in the first sentence, by striking ‘‘March 31, 16 |
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| 317 | 317 | | 2025’’ and inserting ‘‘April 11, 2025’’; and 17 |
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| 318 | 318 | | (2) in the third sentence, by striking ‘‘March 18 |
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| 319 | 319 | | 31, 2025’’ and inserting ‘‘April 11, 2025’’. 19 |
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| 320 | 320 | | SEC. 2115. EXTENSION OF FUNDING OUTREACH AND AS-20 |
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| 321 | 321 | | SISTANCE FOR LOW-INCOME PROGRAMS. 21 |
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| 322 | 322 | | (a) S |
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| 323 | 323 | | TATEHEALTHINSURANCEASSISTANCEPRO-22 |
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| 324 | 324 | | GRAMS.—Subsection (a)(1)(B)(xiv) of section 119 of the 23 |
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| 325 | 325 | | Medicare Improvements for Patients and Providers Act of 24 |
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| 326 | 326 | | 2008 (42 U.S.C. 1395b–3 note) is amended by striking 25 |
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| 329 | 329 | | •HR 1974 IH |
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| 330 | 330 | | ‘‘March 31, 2025, $22,500,000’’ and inserting ‘‘April 11, 1 |
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| 331 | 331 | | 2025, $23,125,000’’. 2 |
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| 332 | 332 | | (b) A |
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| 333 | 333 | | REAAGENCIES ON AGING.—Subsection 3 |
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| 334 | 334 | | (b)(1)(B)(xiv) of such section 119 is amended by striking 4 |
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| 335 | 335 | | ‘‘March 31, 2025, $22,500,000’’ and inserting ‘‘April 11, 5 |
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| 336 | 336 | | 2025, $23,125,000’’. 6 |
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| 337 | 337 | | (c) A |
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| 338 | 338 | | GING ANDDISABILITYRESOURCECENTERS.— 7 |
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| 339 | 339 | | Subsection (c)(1)(B)(xiv) of such section 119 is amended 8 |
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| 340 | 340 | | by striking ‘‘March 31, 2025, $8,500,000’’ and inserting 9 |
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| 341 | 341 | | ‘‘April 11, 2025, $8,708,333’’. 10 |
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| 342 | 342 | | (d) C |
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| 343 | 343 | | OORDINATION OFEFFORTSTOINFORMOLDER 11 |
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| 344 | 344 | | A |
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| 345 | 345 | | MERICANSABOUTBENEFITSAVAILABLEUNDERFED-12 |
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| 346 | 346 | | ERAL ANDSTATEPROGRAMS.—Subsection (d)(2)(xiv) of 13 |
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| 347 | 347 | | such section 119 is amended by striking ‘‘March 31, 2025, 14 |
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| 348 | 348 | | $22,500,000’’ and inserting ‘‘April 11, 2025, 15 |
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| 349 | 349 | | $23,125,000’’. 16 |
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| 350 | 350 | | SEC. 2116. EXTENSION OF THE WORK GEOGRAPHIC INDEX 17 |
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| 351 | 351 | | FLOOR. 18 |
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| 352 | 352 | | Section 1848(e)(1)(E) of the Social Security Act (42 19 |
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| 353 | 353 | | U.S.C. 1395w–4(e)(1)(E)) is amended by striking ‘‘April 20 |
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| 354 | 354 | | 1, 2025’’ and inserting ‘‘April 12, 2025’’. 21 |
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| 355 | 355 | | SEC. 2117. EXTENSION OF CERTAIN TELEHEALTH FLEXI-22 |
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| 356 | 356 | | BILITIES. 23 |
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| 357 | 357 | | (a) R |
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| 358 | 358 | | EMOVINGGEOGRAPHICREQUIREMENTS AND 24 |
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| 359 | 359 | | E |
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| 360 | 360 | | XPANDINGORIGINATINGSITES FOR TELEHEALTH 25 |
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| 363 | 363 | | •HR 1974 IH |
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| 364 | 364 | | SERVICES.—Section 1834(m) of the Social Security Act 1 |
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| 365 | 365 | | (42 U.S.C. 1395m(m)) is amended— 2 |
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| 366 | 366 | | (1) in paragraph (2)(B)(iii), by striking ‘‘end-3 |
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| 367 | 367 | | ing March 31, 2025’’ and inserting ‘‘ending April 4 |
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| 368 | 368 | | 11, 2025’’; and 5 |
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| 369 | 369 | | (2) in paragraph (4)(C)(iii), by striking ‘‘ending 6 |
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| 370 | 370 | | on March 31, 2025’’ and inserting ‘‘ending on April 7 |
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| 371 | 371 | | 11, 2025’’. 8 |
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| 372 | 372 | | (b) E |
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| 373 | 373 | | XPANDINGPRACTITIONERSELIGIBLETOFUR-9 |
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| 374 | 374 | | NISHTELEHEALTH SERVICES.—Section 1834(m)(4)(E) 10 |
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| 375 | 375 | | of the Social Security Act (42 U.S.C. 1395m(m)(4)(E)) 11 |
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| 376 | 376 | | is amended by striking ‘‘ending on March 31, 2025’’ and 12 |
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| 377 | 377 | | inserting ‘‘ending on April 11, 2025’’. 13 |
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| 378 | 378 | | (c) E |
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| 379 | 379 | | XTENDINGTELEHEALTHSERVICES FORFED-14 |
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| 380 | 380 | | ERALLYQUALIFIEDHEALTHCENTERS AND RURAL 15 |
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| 381 | 381 | | H |
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| 382 | 382 | | EALTHCLINICS.—Section 1834(m)(8)(A) of the Social 16 |
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| 383 | 383 | | Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by 17 |
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| 384 | 384 | | striking ‘‘ending on March 31, 2025’’ and inserting ‘‘end-18 |
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| 385 | 385 | | ing on April 11, 2025’’. 19 |
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| 386 | 386 | | (d) D |
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| 387 | 387 | | ELAYING THE IN-PERSONREQUIREMENTS 20 |
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| 388 | 388 | | U |
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| 389 | 389 | | NDERMEDICARE FOR MENTALHEALTHSERVICES 21 |
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| 390 | 390 | | F |
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| 391 | 391 | | URNISHED THROUGH TELEHEALTH AND TELE-22 |
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| 392 | 392 | | COMMUNICATIONS TECHNOLOGY.— 23 |
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| 393 | 393 | | (1) D |
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| 394 | 394 | | ELAY IN REQUIREMENTS FOR MENTAL 24 |
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| 395 | 395 | | HEALTH SERVICES FURNISHED THROUGH TELE -25 |
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| 397 | 397 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 14 |
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| 398 | 398 | | •HR 1974 IH |
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| 399 | 399 | | HEALTH.—Section 1834(m)(7)(B)(i) of the Social 1 |
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| 400 | 400 | | Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is 2 |
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| 401 | 401 | | amended, in the matter preceding subclause (I), by 3 |
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| 402 | 402 | | striking ‘‘April 1, 2025’’ and inserting ‘‘April 12, 4 |
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| 403 | 403 | | 2025’’. 5 |
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| 404 | 404 | | (2) M |
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| 405 | 405 | | ENTAL HEALTH VISITS FURNISHED BY 6 |
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| 406 | 406 | | RURAL HEALTH CLINICS .—Section 1834(y)(2) of the 7 |
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| 407 | 407 | | Social Security Act (42 U.S.C. 1395m(y)(2)) is 8 |
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| 408 | 408 | | amended by striking ‘‘April 1, 2025’’ and inserting 9 |
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| 409 | 409 | | ‘‘April 12, 2025’’. 10 |
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| 410 | 410 | | (3) M |
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| 411 | 411 | | ENTAL HEALTH VISITS FURNISHED BY 11 |
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| 412 | 412 | | FEDERALLY QUALIFIED HEALTH CENTERS .—Section 12 |
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| 413 | 413 | | 1834(o)(4)(B) of the Social Security Act (42 U.S.C. 13 |
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| 414 | 414 | | 1395m(o)(4)(B)) is amended by striking ‘‘April 1, 14 |
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| 415 | 415 | | 2025’’ and inserting ‘‘April 12, 2025.’’. 15 |
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| 416 | 416 | | (e) A |
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| 417 | 417 | | LLOWING FOR THE FURNISHING OF AUDIO- 16 |
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| 418 | 418 | | ONLYTELEHEALTH SERVICES.—Section 1834(m)(9) of 17 |
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| 419 | 419 | | the Social Security Act (42 U.S.C. 1395m(m)(9)) is 18 |
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| 420 | 420 | | amended by striking ‘‘ending on March 31, 2025’’ and in-19 |
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| 421 | 421 | | serting ‘‘ending on April 11, 2025’’. 20 |
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| 422 | 422 | | (f) E |
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| 423 | 423 | | XTENDINGUSE OFTELEHEALTH TO CONDUCT 21 |
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| 424 | 424 | | F |
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| 425 | 425 | | ACE-TO-FACEENCOUNTERPRIOR TORECERTIFICATION 22 |
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| 426 | 426 | | OFELIGIBILITY FOR HOSPICECARE.—Section 23 |
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| 427 | 427 | | 1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 24 |
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| 428 | 428 | | 1395f(a)(7)(D)(i)(II)) is amended by striking ‘‘ending on 25 |
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| 431 | 431 | | •HR 1974 IH |
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| 432 | 432 | | March 31, 2025’’ and inserting ‘‘ending on April 11, 1 |
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| 433 | 433 | | 2025’’. 2 |
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| 434 | 434 | | (g) P |
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| 435 | 435 | | ROGRAMINSTRUCTIONAUTHORITY.—The Sec-3 |
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| 436 | 436 | | retary of Health and Human Services may implement the 4 |
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| 437 | 437 | | amendments made by this section through program in-5 |
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| 438 | 438 | | struction or otherwise. 6 |
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| 439 | 439 | | SEC. 2118. EXTENDING ACUTE HOSPITAL CARE AT HOME 7 |
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| 440 | 440 | | WAIVER AUTHORITIES. 8 |
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| 441 | 441 | | Section 1866G(a)(1) of the Social Security Act (42 9 |
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| 442 | 442 | | U.S.C. 1395cc–7(a)(1)) is amended by striking ‘‘March 10 |
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| 443 | 443 | | 31, 2025’’ and inserting ‘‘April 11, 2025’’. 11 |
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| 444 | 444 | | SEC. 2119. EXTENSION OF TEMPORARY INCLUSION OF AU-12 |
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| 445 | 445 | | THORIZED ORAL ANTIVIRAL DRUGS AS COV-13 |
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| 446 | 446 | | ERED PART D DRUGS. 14 |
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| 447 | 447 | | Section 1860D–2(e)(1)(C) of the Social Security Act 15 |
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| 448 | 448 | | (42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking 16 |
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| 449 | 449 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 17 |
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| 450 | 450 | | SEC. 2120. MEDICARE IMPROVEMENT FUND. 18 |
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| 451 | 451 | | Section 1898(b)(1) of the Social Security Act (42 19 |
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| 452 | 452 | | U.S.C. 1395iii(b)(1)) is amended by striking 20 |
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| 453 | 453 | | ‘‘$1,251,000,000’’ and inserting $1,018,000,000. 21 |
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| 456 | 456 | | •HR 1974 IH |
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| 457 | 457 | | Subtitle C—Human Services 1 |
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| 458 | 458 | | SEC. 2131. SEXUAL RISK AVOIDANCE EDUCATION EXTEN-2 |
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| 459 | 459 | | SION. 3 |
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| 460 | 460 | | Section 510 of the Social Security Act (42 U.S.C. 4 |
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| 461 | 461 | | 710) is amended— 5 |
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| 462 | 462 | | (1) in subsection (a)(1), by striking ‘‘March 31, 6 |
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| 463 | 463 | | 2025’’ and inserting ‘‘April 11, 2025’’; and 7 |
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| 464 | 464 | | (2) in subsection (f)(1), by striking ‘‘March 31, 8 |
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| 465 | 465 | | 2025’’ and inserting ‘‘April 11, 2025’’. 9 |
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| 466 | 466 | | SEC. 2132. PERSONAL RESPONSIBILITY EDUCATION EXTEN-10 |
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| 467 | 467 | | SION. 11 |
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| 468 | 468 | | Section 513 of the Social Security Act (42 U.S.C. 12 |
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| 469 | 469 | | 713) is amended— 13 |
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| 470 | 470 | | (1) in subsection (a)(1)— 14 |
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| 471 | 471 | | (A) in subparagraph (A), in the matter 15 |
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| 472 | 472 | | preceding clause (i), by striking ‘‘March 31, 16 |
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| 473 | 473 | | 2025’’ and inserting ‘‘April 11, 2025’’; and 17 |
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| 474 | 474 | | (B) in subparagraph (B)(i), by striking 18 |
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| 475 | 475 | | ‘‘March 31, 2025’’ and inserting ‘‘April 11, 19 |
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| 476 | 476 | | 2025’’; and 20 |
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| 477 | 477 | | (2) in subsection (f), by striking ‘‘March 31, 21 |
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| 478 | 478 | | 2025’’ and inserting ‘‘April 11, 2025’’. 22 |
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| 481 | 481 | | •HR 1974 IH |
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| 482 | 482 | | SEC. 2133. EXTENSION OF FUNDING FOR FAMILY-TO-FAM-1 |
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| 483 | 483 | | ILY HEALTH INFORMATION CENTERS. 2 |
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| 484 | 484 | | Section 501(c)(1)(A)(viii) of the Social Security Act 3 |
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| 485 | 485 | | (42 U.S.C. 701(c)(1)(A)(viii)) is amended— 4 |
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| 486 | 486 | | (1) by striking ‘‘$3,000,000’’ and inserting 5 |
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| 487 | 487 | | ‘‘$3,200,000’’; and 6 |
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| 488 | 488 | | (2) by striking ‘‘April 1, 2025’’ and inserting 7 |
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| 489 | 489 | | ‘‘April 12, 2025’’. 8 |
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| 490 | 490 | | Subtitle D—Medicaid 9 |
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| 491 | 491 | | SEC. 2141. ELIMINATING CERTAIN DISPROPORTIONATE 10 |
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| 492 | 492 | | SHARE HOSPITAL PAYMENT CUTS. 11 |
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| 493 | 493 | | Section 1923(f)(7)(A) of the Social Security Act (42 12 |
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| 494 | 494 | | U.S.C. 1396r- 4(f)(7)(A)) is amended— 13 |
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| 495 | 495 | | (1) in clause (i), by striking ‘‘April 1’’ and in-14 |
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| 496 | 496 | | serting ‘‘April 12’’; and 15 |
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| 497 | 497 | | (2) in clause (ii), by striking ‘‘April 1’’ and in-16 |
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| 498 | 498 | | serting ‘‘April 12’’. 17 |
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| 499 | 499 | | TITLE II—MISCELLANEOUS 18 |
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| 500 | 500 | | EXTENSIONS 19 |
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| 501 | 501 | | SEC. 2201. COMMODITY FUTURES TRADING COMMISSION 20 |
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| 502 | 502 | | WHISTLEBLOWER PROGRAM. 21 |
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| 503 | 503 | | Section 1(b) of Public Law 117–25 (135 Stat. 297; 22 |
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| 504 | 504 | | 136 Stat. 2133; 136 Stat. 5984) is amended, in para-23 |
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| 505 | 505 | | graphs (3) and (4), by striking ‘‘March 14, 2025’’ each 24 |
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| 506 | 506 | | place it appears and inserting ‘‘April 11, 2025’’. 25 |
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| 509 | 509 | | •HR 1974 IH |
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| 510 | 510 | | SEC. 2202. PROTECTION OF CERTAIN FACILITIES AND AS-1 |
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| 511 | 511 | | SETS FROM UNMANNED AIRCRAFT. 2 |
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| 512 | 512 | | Section 210G(i) of the Homeland Security Act of 3 |
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| 513 | 513 | | 2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘March 4 |
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| 514 | 514 | | 14, 2025’’ and inserting ‘‘April 11, 2025’’. 5 |
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| 515 | 515 | | SEC. 2203. ADDITIONAL SPECIAL ASSESSMENT. 6 |
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| 516 | 516 | | Section 3014 of title 18, United States Code, is 7 |
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| 517 | 517 | | amended by striking ‘‘March 14, 2025’’ and inserting 8 |
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| 518 | 518 | | ‘‘April 11, 2025’’. 9 |
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| 519 | 519 | | SEC. 2204. NATIONAL CYBERSECURITY PROTECTION SYS-10 |
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| 520 | 520 | | TEM AUTHORIZATION. 11 |
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| 521 | 521 | | Section 227(a) of the Federal Cybersecurity En-12 |
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| 522 | 522 | | hancement Act of 2015 (6 U.S.C. 1525(a)) is amended 13 |
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| 523 | 523 | | by striking ‘‘March 14, 2025’’ and inserting ‘‘April 11, 14 |
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| 524 | 524 | | 2025’’. 15 |
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| 525 | 525 | | TITLE III—BUDGETARY EFFECTS 16 |
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| 526 | 526 | | SEC. 2301. BUDGETARY EFFECTS. 17 |
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| 527 | 527 | | (a) S |
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| 528 | 528 | | TATUTORYPAYGO SCORECARDS.—The budg-18 |
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| 529 | 529 | | etary effects of this division shall not be entered on either 19 |
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| 530 | 530 | | PAYGO scorecard maintained pursuant to section 4(d) of 20 |
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| 531 | 531 | | the Statutory Pay-As-You-Go Act of 2010. 21 |
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| 532 | 532 | | (b) S |
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| 533 | 533 | | ENATEPAYGO SCORECARDS.—The budgetary 22 |
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| 534 | 534 | | effects of this division shall not be entered on any PAYGO 23 |
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| 535 | 535 | | scorecard maintained for purposes of section 4106 of H. 24 |
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| 536 | 536 | | Con. Res. 71 (115th Congress). 25 |
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| 539 | 539 | | •HR 1974 IH |
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| 540 | 540 | | (c) CLASSIFICATION OF BUDGETARYEFFECTS.— 1 |
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| 541 | 541 | | Notwithstanding Rule 3 of the Budget Scorekeeping 2 |
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| 542 | 542 | | Guidelines set forth in the joint explanatory statement of 3 |
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| 543 | 543 | | the committee of conference accompanying Conference Re-4 |
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| 544 | 544 | | port 105–217 and section 250(c)(8) of the Balanced 5 |
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| 545 | 545 | | Budget and Emergency Deficit Control Act of 1985, the 6 |
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| 546 | 546 | | budgetary effects of this division shall not be estimated— 7 |
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| 547 | 547 | | (1) for purposes of section 251 of such Act; 8 |
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| 548 | 548 | | (2) for purposes of an allocation to the Com-9 |
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| 549 | 549 | | mittee on Appropriations pursuant to section 302(a) 10 |
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| 550 | 550 | | of the Congressional Budget Act of 1974; and 11 |
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| 551 | 551 | | (3) for purposes of paragraph (4)(C) of section 12 |
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| 552 | 552 | | 3 of the Statutory Pay-As-You-Go Act of 2010 as 13 |
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| 553 | 553 | | being included in an appropriation Act. 14 |
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| 554 | 554 | | Æ |
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