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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6363 Introduced in House (IH)]

<DOC>

118th CONGRESS
  1st Session
                                H. R. 6363

Making further continuing appropriations for fiscal year 2024, and for 
                            other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                           November 13, 2023

 Ms. Granger introduced the following bill; which was referred to the 
 Committee on Appropriations, and in addition to the Committee on the 
 Budget, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL

 
Making further continuing appropriations for fiscal year 2024, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Further Continuing Appropriations 
and Other Extensions Act, 2024''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of Contents.
Sec. 3. References.
        DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2024

                       DIVISION B--OTHER MATTERS

Title I--Extensions and Other Matters
Title II--Health and Human Services
Title III--Budgetary Effects

SEC. 3. REFERENCES.

    Except as expressly provided otherwise, any reference to ``this 
Act'' contained in any division of this Act shall be treated as 
referring only to the provisions of that division.

        DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2024

    Sec. 101.  Division A of the Continuing Appropriations Act, 2024 
and Other Extensions Act (Public Law 118-15) is amended--
            (1) by striking the date specified in section 106(3) and 
        inserting ``February 2, 2024, except as provided in paragraph 
        (4)'';
            (2) by inserting after paragraph (3) of section 106 the 
        following:
            ``(4) In the case of appropriations and funds made 
        available and authority granted pursuant to sections 101(1), 
        101(4), 101(10), 101(12), 134, and 137, January 19, 2024.'';
            (3) in section 101(1) by inserting after ``except section 
        729,'' the following: ``and except that the language under the 
        heading `Rural Utilities Service--Rural Water and Waste 
        Disposal Program Account' in title III shall be applied by 
        inserting `direct loans and,' before `loan guarantees' at the 
        beginning of the first sentence of the second paragraph,'';
            (4) in section 101(10), by inserting before the period ``, 
        except section 123 as well as the provisions carrying the same 
        restriction in prior Acts'';
            (5) in section 123, by striking ``17 days'' and inserting 
        ``94 days'' and by striking ``17-day'' and inserting ``94-
        day'';
            (6) in section 124, by striking ``$621,270,000'' and 
        inserting ``$663,070,000'';
            (7) in section 125, by striking ``During the period covered 
        by this Act'' and inserting ``Through the date specified in 
        section 106(3) of this Act''; and
            (8) by adding after section 137 the following new sections:
    ``Sec. 138.  Section 2(f)(2) of the Undetectable Firearms Act of 
1988 (18 U.S.C. 922 note) shall be applied through the date specified 
in section 106(3) of this Act by substituting `36' for `35'.
    ``Sec. 139.  Through the date specified in section 106(3) of this 
Act, amounts appropriated in section 124 of the Continuing 
Appropriations Act, 2023 (division A of Public Law 117-180) may be 
charged for any proper expense pursuant to section 1553(b)(1) of title 
31, United States Code, notwithstanding the limitation in section 
1553(b)(2) of such title.
    ``Sec. 140.  Notwithstanding sections 102 and 104, amounts made 
available by section 101 to the Department of Defense for 
`Procurement--Shipbuilding and Conversion, Navy' may be apportioned up 
to the rate for operations necessary for `Columbia Class Submarine 
(AP)' in an amount not to exceed $3,338,413,000.
    ``Sec. 141. (a) Notwithstanding section 101, section 747 of title 
VII of division E of Public Law 117-328 shall be applied through the 
date specified in section 106(3) of this Act by--
    ``(1) substituting `2025' for `2024';
    ``(2) substituting `2024' for `2023' each place it appears;
    ``(3) substituting `2023' for `2022' each place it appears; and
    ``(4) substituting `section 747 of division E of Public Law 117-
328, as in effect on September 30, 2023' for `section 747 of division E 
of Public Law 117-103' each place it appears.
    ``(b) Subsection (a) shall not take effect until the first day of 
the first applicable pay period beginning on or after January 1, 2024.
    ``Sec. 142.  Section 302 of title III of Public Law 108-494 shall 
be applied by substituting the date specified in section 106(3) of this 
Act for `December 31, 2023' each place it appears.
    ``Sec. 143.  Amounts made available by section 101 to the 
Department of Homeland Security under the heading `United States Secret 
Service--Operations and Support' may be apportioned up to the rate for 
operations necessary to carry out activities related to National 
Special Security Events and the 2024 Presidential Campaign.
    ``Sec. 144.  Section 1901(e) of the Homeland Security Act of 2002 
(6 U.S.C. 591(e)) shall be applied by substituting the date that is 1 
day after the date specified in section 106(3) of this Act for `the 
date that is 5 years after the date of the enactment of the Countering 
Weapons of Mass Destruction Act of 2018'.
    ``Sec. 145. (a) Amounts made available by section 101 for 
`Department of Education--Student Aid Administration' may be 
apportioned up to the rate for operations necessary to ensure the 
continuation of student loan servicing activities, including supporting 
borrowers reentering repayment.
    ``(b) The limitation in section 302 of division H of Public Law 
117-328 regarding transfers increasing any appropriation shall be 
applied to transfers to appropriations under the heading `Department of 
Education--Student Aid Administration' through the date specified in 
section 106(3) of this Act by substituting `10 percent' for `3 percent' 
for the purposes of the continuation of basic operations, including 
student loan servicing, business process operations, digital customer 
care, common origination and disbursement, cybersecurity activities, 
and information technology systems.
    ``Sec. 146.  Notwithstanding any other provision of this Act, there 
is hereby appropriated for fiscal year 2024, out of any money in the 
Treasury not otherwise appropriated, for payment to Katherine Anne 
Feinstein, beneficiary of Dianne Feinstein, late a Senator from the 
State of California, $174,000.
    ``This division may be cited as the `Continuing Appropriations Act, 
2024'.''.
     This division may be cited as the ``Further Continuing 
Appropriations Act, 2024''.

                       DIVISION B--OTHER MATTERS

                 TITLE I--EXTENSIONS AND OTHER MATTERS

SEC. 101. EXTENSION OF CERTAIN PROVISIONS OF THE COMPACTS OF FREE 
              ASSOCIATION WITH THE FEDERATED STATES OF MICRONESIA AND 
              THE REPUBLIC OF THE MARSHALL ISLANDS.

     Section 2101 of the Continuing Appropriations Act, 2024 and Other 
Extensions Act (Public Law 118-15; 137 Stat. 81) is amended--
            (1) in the section heading, by striking ``compact of free 
        association with the federated states of micronesia'' and 
        inserting ``compacts of free association with the federated 
        states of micronesia and the republic of the marshall 
        islands''; and
            (2) in subsection (a)(1)--
                    (A) by striking ``November 17, 2023'' and inserting 
                ``February 2, 2024'' ;
                    (B) by inserting ``, section 103(f)(2) of the 
                Compact of Free Association Amendments Act of 2003 (48 
                U.S.C. 1921b(f)(2)), and sections 211, 213, and 216 of 
                the Compact of Free Association between the Government 
                of the United States of America and the Government of 
                the Republic of the Marshall Islands set forth in 
                section 201(b) of that Act (48 U.S.C. 1921 note; Public 
                Law 108-188)'' before ``shall,'';
                    (C) by inserting ``or the Republic of the Marshall 
                Islands, as applicable'' before ``, continue''; and
                    (D) by striking ``of that Compact'' and inserting 
                ``of the applicable Compact''.

SEC. 102. EXTENSION OF AGRICULTURAL PROGRAMS.

    (a) Extension.--Except as otherwise provided in this section and 
the amendments made by this section, notwithstanding any other 
provision of law, the authorities (including any limitations on the 
authorities) provided by each provision of the Agriculture Improvement 
Act of 2018 (Public Law 115-334; 132 Stat. 4490) and each provision of 
law amended by that Act (and for mandatory programs at such funding 
levels), as in effect on September 30, 2023, shall continue, and the 
authorities shall be carried out, until the later of--
            (1) September 30, 2024; or
            (2) the date specified in the provision of that Act or the 
        provision of law amended by that Act.
    (b) Discretionary Programs.--Programs carried out using the 
authorities described in subsection (a) that are funded by 
discretionary appropriations (as defined in section 250(c) of the 
Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 
900(c))) shall be subject to the availability of appropriations.
    (c) Commodity Programs.--
            (1) In general.--The provisions of law applicable to a 
        covered commodity (as defined in section 1111 of the 
        Agricultural Act of 2014 (7 U.S.C. 9011)), a loan commodity (as 
        defined in section 1201 of that Act (7 U.S.C. 9031)), 
        sugarcane, or sugar beets for the 2023 crop year pursuant to 
        title I of that Act (7 U.S.C. 9011 et seq.) and each amendment 
        made by subtitle C of title I of the Agriculture Improvement 
        Act of 2018 (Public Law 115-334; 132 Stat. 4511) shall be 
        applicable to the 2024 crop year for that covered commodity, 
        loan commodity, sugarcane, or sugar beets.
            (2) Dairy.--
                    (A) Base production history adjustment for 
                participating dairy operations with production of less 
                than 5,000,000 pounds.--Section 1405(a) of the 
                Agricultural Act of 2014 (7 U.S.C. 9055(a)) is 
                amended--
                            (i) in paragraph (1), by inserting 
                        ``paragraph (4) and'' before ``subsection 
                        (b)''; and
                            (ii) by adding at the end the following:
            ``(4) Base production history adjustment for participating 
        dairy operations with production of less than 5,000,000 
        pounds.--
                    ``(A) In general.--If the amount determined under 
                paragraph (1) is less than 5,000,000 pounds, the 
                production history of the dairy operation for dairy 
                margin coverage shall be equal to--
                            ``(i) the amount determined under paragraph 
                        (1); plus
                            ``(ii) 75 percent of the amount described 
                        in subparagraph (B).
                    ``(B) Amount.--The amount referred to in 
                subparagraph (A)(ii) is, with respect to a dairy 
                operation, the amount equal to--
                            ``(i) the production volume of such dairy 
                        operation for the 2019 milk marketing year; 
                        minus
                            ``(ii) the amount determined under 
                        paragraph (1).''.
                    (B) Dairy margin coverage.--
                            (i) Duration.--Section 1409 of the 
                        Agricultural Act of 2014 (7 U.S.C. 9059) is 
                        amended by striking ``2023'' and inserting 
                        ``2024''.
                            (ii) Availability of premium discount.--
                        With respect to coverage for calendar year 
                        2024, section 1407(g) of the Agricultural Act 
                        of 2014 (7 U.S.C. 9057(g)) shall only apply to 
                        a participating dairy operation with respect to 
                        which the premium was reduced in accordance 
                        with that section for calendar year 2023.
                    (C) Dairy forward pricing program.--Section 
                1502(e)(2) of the Food, Conservation, and Energy Act of 
                2008 (7 U.S.C. 8772(e)(2)) is amended by striking 
                ``2026'' and inserting ``2027''.
            (3) Extension of payment amount.--Section 1116(d) of the 
        Agricultural Act of 2014 (7 U.S.C. 9016(d)) is amended, in the 
        matter preceding paragraph (1), by striking ``2018'' and 
        inserting ``2024''.
            (4) Suspension of permanent price support authorities.--The 
        provisions of law specified in--
                    (A) subsections (a) and (b) of section 1602 of the 
                Agricultural Act of 2014 (7 U.S.C. 9092)--
                            (i) shall not be applicable to the 2024 
                        crops of covered commodities (as defined in 
                        section 1111 of that Act (7 U.S.C. 9011)), 
                        cotton, and sugar; and
                            (ii) shall not be applicable to milk 
                        through December 31, 2024; and
                    (B) section 1602(c) of that Act (7 U.S.C. 9092(c)) 
                shall not be applicable to the crops of wheat planted 
                for harvest in calendar year 2024.
    (d) Other Programs.--
            (1) Conservation.--
                    (A) Grassroots source water protection program.--
                Section 1240O(b)(3) of the Food Security Act of 1985 
                (16 U.S.C. 3839bb-2(b)(3)) is amended--
                            (i) by striking the period at the end and 
                        inserting ``; and'';
                            (ii) by striking ``use $5,000,000'' and 
                        inserting the following: ``use--
                    ``(A) $5,000,000''; and
                            (iii) by adding at the end the following:
                    ``(B) $1,000,000 beginning in fiscal year 2024, to 
                remain available until expended.''.
                    (B) Voluntary public access and habitat incentive 
                program.--Section 1240R(f)(1) of the Food Security Act 
                of 1985 (16 U.S.C. 3839bb-5(f)(1)) is amended--
                            (i) by striking ``and'' after ``2018,''; 
                        and
                            (ii) by inserting ``, and $10,000,000 for 
                        fiscal year 2024'' before the period at the 
                        end.
                    (C) Feral swine eradication and control pilot 
                program.--Section 2408(g)(1) of the Agriculture 
                Improvement Act of 2018 (7 U.S.C. 8351 note; Public Law 
                115-334) is amended by inserting ``and $15,000,000 for 
                fiscal year 2024'' before the period at the end.
            (2) Trade.--Section 302(h)(2) of the Bill Emerson 
        Humanitarian Trust Act (7 U.S.C. 1736f-1(h)(2)) is amended by 
        striking ``2023'' and inserting ``2024''.
            (3) Nutrition.--Section 203D(d)(5) of the Emergency Food 
        Assistance Act of 1983 (7 U.S.C. 7507(d)(5)) is amended by 
        striking ``2023'' and inserting ``2024''.
            (4) Rural economic development program.--Section 313B(e)(2) 
        of the Rural Electrification Act of 1936 (7 U.S.C. 940c-
        2(e)(2)) is amended by striking ``and 2023'' and inserting 
        ``through 2024''.
            (5) Research.--
                    (A) Scholarships for students.--Section 1446 of the 
                National Agricultural Research, Extension, and Teaching 
                Policy Act of 1977 (7 U.S.C. 3222a) is amended--
                            (i) in subsection (a)(3), by striking 
                        ``three'' and inserting ``4''; and
                            (ii) in subsection (b)(1)--
                                    (I) by striking ``Of'' and 
                                inserting the following:
                    ``(A) Funding.--Of''; and
                                    (II) by adding at the end the 
                                following:
                    ``(B) Additional funding.--Not later than 30 days 
                after the date of enactment of this subparagraph, of 
                the funds of the Commodity Credit Corporation, the 
                Secretary shall make available to carry out this 
                section $10,000,000, to remain available until 
                expended.''.
                    (B) Urban, indoor, and other emerging agricultural 
                production research, education, and extension 
                initiative.--Section 1672E(d)(1) of the Food, 
                Agriculture, Conservation, and Trade Act of 1990 (7 
                U.S.C. 5925g(d)(1)) is amended--
                            (i) by striking the period at the end and 
                        inserting ``; and'';
                            (ii) by striking ``section $10,000,000'' 
                        and inserting the following: ``section--
                    ``(A) $10,000,000''; and
                            (iii) by adding at the end the following:
                    ``(B) $2,000,000 for fiscal year 2024, to remain 
                available until expended.''.
                    (C) Foundation for food and agriculture research.--
                Section 7601(g)(1)(A) of the Agricultural Act of 2014 
                (7 U.S.C. 5939(g)(1)(A)) is amended by adding at the 
                end the following:
                            ``(iii) Additional funding.--Not later than 
                        30 days after the date of enactment of this 
                        clause, of the funds of the Commodity Credit 
                        Corporation, the Secretary shall transfer to 
                        the Foundation to carry out this section 
                        $37,000,000, to remain available until 
                        expended.''.
                    (D) Grazinglands research laboratory.--Section 7502 
                of the Food, Conservation, and Energy Act of 2008 
                (Public Law 110-246; 122 Stat. 2019; 132 Stat. 4817) 
                shall be applied by substituting ``the period beginning 
                on the date of enactment of this Act and ending on 
                September 30, 2024'' for ``the 15-year period beginning 
                on the date of enactment of this Act''.
            (6) Energy.--
                    (A) Biobased markets program.--Section 9002(k)(1) 
                of the Farm Security and Rural Investment Act of 2002 
                (7 U.S.C. 8102(k)(1)) is amended by striking ``2023'' 
                and inserting ``2024''.
                    (B) Bioenergy program for advanced biofuels.--
                Section 9005(g)(1)(F) of the Farm Security and Rural 
                Investment Act of 2002 (7 U.S.C. 8105(g)(1)(F)) is 
                amended by striking ``2023'' and inserting ``2024''.
                    (C) Feedstock flexibility program.--Section 9010(b) 
                of the Farm Security and Rural Investment Act of 2002 
                (7 U.S.C. 8110(b)) is amended in paragraphs (1)(A) and 
                (2)(A) by striking ``2023'' each place it appears and 
                inserting ``2024''.
            (7) Horticulture.--
                    (A) Organic production and market data 
                initiatives.--Section 7407(d)(1) of the Farm Security 
                and Rural Investment Act of 2002 (7 U.S.C. 5925c(d)(1)) 
                is amended--
                            (i) in subparagraph (A), by striking 
                        ``and'' at the end;
                            (ii) in subparagraph (B), by striking the 
                        period at the end and inserting ``; and''; and
                            (iii) by adding at the end the following:
                    ``(C) $1,000,000 for fiscal year 2024.''.
                    (B) Modernization and improvement of international 
                trade technology systems and data collection.--Section 
                2123(c)(4) of the Organic Foods Production Act of 1990 
                (7 U.S.C. 6522(c)(4)) is amended, in the matter 
                preceding subparagraph (A), by inserting ``and 
                $1,000,000 for fiscal year 2024'' after ``2019''.
                    (C) National organic certification cost-share 
                program.--Section 10606(d)(1)(C) of the Farm Security 
                and Rural Investment Act of 2002 (7 U.S.C. 
                6523(d)(1)(C)) is amended by striking ``and 2023'' and 
                inserting ``through 2024''.
                    (D) Multilple crop and pesticide use survey.--
                Section 10109(c)(1) of the Agriculture Improvement Act 
                of 2018 (Public Law 115-334; 132 Stat. 4906) is amended 
                by inserting ``and $100,000 for fiscal year 2024'' 
                after ``2019''.
            (8) Miscellaneous.--
                    (A) Pima agriculture cotton trust fund.--Section 
                12314 of the Agricultural Act of 2014 (7 U.S.C. 2101 
                note; Public Law 113-79) is amended--
                            (i) in subsection (b), in the matter 
                        preceding paragraph (1), by striking ``2023'' 
                        and inserting ``2024''; and
                            (ii) in subsection (h), by striking 
                        ``2023'' and inserting ``2024''.
                    (B) Agriculture wool apparel manufacturers trust 
                fund.--Section 12315 of the Agricultural Act of 2014 (7 
                U.S.C. 7101 note; Public Law 113-79) is amended by 
                striking ``2023'' each place it appears and inserting 
                ``2024''.
                    (C) Wool research and promotion.--Section 12316(a) 
                of the Agricultural Act of 2014 (7 U.S.C. 7101 note; 
                Public Law 113-79) is amended by striking ``2023'' and 
                inserting ``2024''.
                    (D) Emergency citrus disease research and 
                development trust fund.--Section 12605(d) of the 
                Agriculture Improvement Act of 2018 (7 U.S.C. 7632 
                note; Public Law 115-334) is amended by striking 
                ``2023'' and inserting ``2024''.
                    (E) Sheep production and marketing grant program.--
                Section 209(c) of the Agricultural Marketing Act of 
                1946 (7 U.S.C. 1627a(c)) is amended by inserting ``and 
                $400,000 for fiscal year 2024,'' after ``2019,''.
            (9) Exceptions.--Subsection (a) shall not apply with 
        respect to mandatory funding under the following provisions of 
        law:
                    (A) Section 1614(c)(4) of the Agricultural Act of 
                2014 (7 U.S.C. 9097(c)(4)).
                    (B) Subparagraphs (A) and (B) of section 1241(a)(1) 
                of the Food Security Act of 1985 (16 U.S.C. 
                3841(a)(1)).
    (e) Reports.--
            (1) In general.--Subject to paragraph (2), any requirement 
        under a provision of law described in subsection (a) to submit 
        a report on a recurring basis, and the final report under which 
        was required to be submitted during fiscal year 2023, shall 
        continue, and the requirement shall be carried out, on the same 
        recurring basis, until the later of the dates specified in 
        paragraphs (1) and (2) of that subsection.
            (2) Appropriations required.--If discretionary 
        appropriations (as defined in section 250(c) of the Balanced 
        Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 
        900(c))) are required to carry out a reporting requirement 
        described in paragraph (1), the application of that paragraph 
        to that reporting requirement shall be subject to the 
        availability of appropriations.
    (f) Rescission.--Of the unobligated balances of amounts made 
available under section 9003(g)(1)(A) of the Farm Security and Rural 
Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)), $177,350,000 is 
rescinded.
    (g) Effective Date.--This section and the amendments made by this 
section (except subsection (f) and the amendments made by subparagraphs 
(A) and (C) of subsection (d)(5)) shall be applied and administered as 
if this section and those amendments had been enacted on September 30, 
2023.

                  TITLE II--HEALTH AND HUMAN SERVICES

                  Subtitle A--Public Health Extenders

SEC. 201. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH 
              SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE 
              GME PROGRAMS.

    (a) Teaching Health Centers That Operate Graduate Medical Education 
Programs.--Section 340H(g)(1) of the Public Health Service Act (42 
U.S.C. 256h(g)) is amended by striking ``and $16,635,616 for the period 
beginning on October 1, 2023, and ending on November 17, 2023'' and 
inserting ``$16,635,616 for the period beginning on October 1, 2023, 
and ending on November 17, 2023, and $21,834,247 for the period 
beginning on November 18, 2023, and ending on January 19, 2024''.
    (b) Extension for Community Health Centers.--Section 10503(b)(1)(F) 
of the Patient Protection and Affordable Care Act (42 U.S.C. 254b-
2(b)(1)(F)), as amended by the Continuing Appropriations Act, 2024 and 
Other Extensions Act, is further amended by striking ``and $526,027,397 
for the period beginning on October 1, 2023, and ending on November 17, 
2023'' and inserting ``$526,027,397 for the period beginning on October 
1, 2023, and ending on November 17, 2023, and $690,410,959 for the 
period beginning on November 18, 2023, and ending on January 19, 
2024''.
    (c) Extension for the National Health Service Corps.--Section 
10503(b)(2)(I) of the Patient Protection and Affordable Care Act (42 
U.S.C. 254b-2(b)(2)(I)), as amended by the Continuing Appropriations 
Act, 2024 and Other Extensions Act, is further amended by striking 
``$40,767,123 for the period beginning on October 1, 2023, and ending 
on November 17, 2023'' and inserting ``$40,767,123 for the period 
beginning on October 1, 2023, and ending on November 17, 2023, and 
$53,506,849 for the period beginning on November 18, 2023, and ending 
on January 19, 2024''.
    (d) Application of Provisions.--Amounts appropriated pursuant to 
the amendments made by this section shall be subject to the 
requirements contained in Public Law 117-328 for funds for programs 
authorized under sections 330 through 340 of the Public Health Service 
Act (42 U.S.C. 254b et seq.).
    (e) Conforming Amendment.--Section 3014(h)(4) of title 18, United 
States Code, is amended by striking ``and section 2321(d) of the 
Continuing Appropriations Act, 2024 and Other Extensions Act'' and 
inserting ``section 2321(d) of the Continuing Appropriations Act, 2024 
and Other Extensions Act, and section 201(d) of the Further Continuing 
Appropriations and Other Extensions Act, 2024''.

SEC. 202. EXTENSION OF SPECIAL DIABETES PROGRAMS.

    (a) Extension of Special Diabetes Programs for Type I Diabetes.--
Section 330B(b)(2)(E) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and 
Other Extensions Act, is further amended by striking ``$19,726,027 for 
the period beginning on October 1, 2023, and ending on November 17, 
2023'' and inserting ``$19,726,027 for the period beginning on October 
1, 2023, and ending on November 17, 2023, and $25,890,411 for the 
period beginning on November 18, 2023, and ending on January 19, 
2024''.
    (b) Extending Funding for Special Diabetes Programs for Indians.--
Section 330C(c)(2)(E) of the Public Health Service Act (42 U.S.C. 254c-
3(c)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and 
Other Extensions Act, is further amended by striking ``$19,726,027 for 
the period beginning on October 1, 2023, and ending on November 17, 
2023'' and inserting ``$19,726,027 for the period beginning on October 
1, 2023, and ending on November 17, 2023, and $25,890,411 for the 
period beginning on November 18, 2023, and ending on January 19, 
2024''.

SEC. 203. NATIONAL HEALTH SECURITY EXTENSIONS.

    (a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 
247d(e)(8)) is amended by striking ``November 17, 2023'' and inserting 
``January 19, 2024''.
    (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 
U.S.C. 247d-7e(e)(1)(D)) is amended by striking ``the date that is 17 
years after the date of enactment of the Pandemic and All-Hazards 
Preparedness Act'' and inserting ``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 
``January 19, 2024''.
    (d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 
300hh-10b(g)) is amended by striking ``November 17, 2023'' and 
inserting ``January 19, 2024''.
    (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh-10c(g)(1)) is amended by striking ``November 17, 2023'' and 
inserting ``January 19, 2024''.
    (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh-10d(g)(1)) is amended by striking ``November 17, 2023'' and 
inserting ``January 19, 2024''.
    (e) Section 2812(c)(4)(B) of the Public Health Service Act (42 
U.S.C. 300hh-11(c)(4)(B)) is amended by striking ``November 17, 2023'' 
and inserting ``January 19, 2024''.

                          Subtitle B--Medicaid

SEC. 301. DELAYING CERTAIN DISPROPORTIONATE SHARE PAYMENT CUTS.

    Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended--
            (1) in clause (i), by striking ``November 18, 2023'' and 
        inserting ``January 19, 2024''; and
            (2) in clause (ii), by striking ``November 18, 2023'' and 
        inserting ``January 19, 2024''.

SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION.

    Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w-
1(b)(3)(A)), as amended by the Continuing Appropriations Act, 2024 and 
Other Extensions Act, is further amended by striking ``$6,357,117,810'' 
and inserting ``5,796,117,810''.

                       Subtitle C--Human Services

SEC. 401. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.

    Activities authorized by part B of title IV of the Social Security 
Act shall continue through January 19, 2024, in the manner authorized 
for fiscal year 2023, and out of any money in the Treasury of the 
United States not otherwise appropriated, there are hereby appropriated 
such sums as may be necessary for such purpose.

SEC. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.

    Section 510 of the Social Security Act (42 U.S.C. 710), as amended 
by the Continuing Appropriations Act, 2024 and Other Extensions Act, is 
further amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) by striking ``and for the period 
                        beginning on October 1, 2023, and ending on 
                        November 17, 2023'' and inserting ``, for the 
                        period beginning on October 1, 2023, and ending 
                        on November 17, 2023, and for the period 
                        beginning on November 18, 2023, and ending on 
                        January 19, 2024''; and
                            (ii) by striking ``with respect to such 
                        period'' and inserting ``with respect to the 
                        applicable period'';
                    (B) in paragraphs (2)(A), by striking ``for the 
                period'' and inserting ``for the applicable period''; 
                and
                    (C) in paragraphs (2)(B), by striking ``for the 
                period'' and inserting ``for the applicable period''; 
                and
            (2) in subsection (f)--
                    (A) in paragraph (1), by striking ``and for the 
                period beginning on October 1, 2023, and ending on 
                November 17, 2023, an amount equal to the pro rata 
                portion of the amount appropriated for the 
                corresponding period for fiscal year 2023'' and 
                inserting ``for the period beginning on October 1, 
                2023, and ending on November 17, 2023, an amount equal 
                to the pro rata portion of the amount appropriated for 
                the corresponding period for fiscal year 2023, and for 
                the period beginning on November 18, 2023, and ending 
                on January 19, 2024, an amount equal to the pro rata 
                portion of the amount appropriated for the 
                corresponding period for fiscal year 2023''; and
                    (B) in paragraph (2), by striking ``for the 
                period'' and inserting ``for the applicable period''.

SEC. 403. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.

    Section 513 of the Social Security Act (42 U.S.C. 713), as amended 
by the Continuing Appropriations Act, 2024 and Other Extensions Act, is 
further amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking ``and 
                        for the period beginning on October 1, 2023, 
                        and ending on November 17, 2023,'' and 
                        inserting ``, for the period beginning on 
                        October 1, 2023, and ending on November 17, 
                        2023, and for the period beginning on November 
                        18, 2023, and ending on January 19, 2024,''; 
                        and
                            (ii) in subparagraph (B)(i), by inserting 
                        after ``November 17, 2023'' the following: ``, 
                        and for the period beginning on November 18, 
                        2023, and ending on January 19, 2024'';
                            (iii) in subparagraph (C)(i), by striking 
                        ``for a fiscal year or the period'' and 
                        inserting ``for a fiscal year or period''; and
                    (B) in paragraph (3), by striking ``for a fiscal 
                year or the period'' and inserting ``for a fiscal year 
                or period''; and
                    (C) in paragraph (4)(A)--
                            (i) by striking ``for the period'' each 
                        place it appears and inserting ``for each 
                        period''; and
                            (ii) by striking ``for a fiscal year or the 
                        period'' and inserting ``for a fiscal year or 
                        period'';
                    (D) in paragraph (4)(B)(i), by striking ``the 
                period described in paragraph (1)(A)'' and inserting 
                ``each period described in paragraph (1)(A)'';
            (2) in subsection (c), by striking ``for the period 
        described in subsection (a)(1)(A)'' and inserting ``for a 
        period described in subsection (a)(1)(A) for fiscal year 
        2024''; and
            (3) in subsection (f)(1), by striking ``2023, and for the 
        period beginning on October 1, 2023, and ending on November 17, 
        2023, an amount equal to the pro rata portion of the amount 
        appropriated for the corresponding period for fiscal year 
        2023'' and inserting ``2023, for the period beginning on 
        October 1, 2023, and ending on November 17, 2023, an amount 
        equal to the pro rata portion of the amount appropriated for 
        the corresponding period for fiscal year 2023, and for the 
        period beginning on November 18, 2023, and ending on January 
        19, 2024, an amount equal to the pro rata portion of the amount 
        appropriated for the corresponding period for fiscal year 
        2023''.

                          Subtitle D--Medicare

SEC. 501. EXTENDING FLOOR FOR WORK GEOGRAPHIC INDEX.

    Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``January 1, 2024'' and inserting 
``January 19, 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--BUDGETARY EFFECTS

SEC. 601. BUDGETARY EFFECTS.

    (a) Statutory PAYGO Scorecards.--The budgetary effects of this 
division shall not be entered on either PAYGO scorecard maintained 
pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010.
    (b) Senate PAYGO Scorecards.--The budgetary effects of this 
division shall not be entered on any PAYGO scorecard maintained for 
purposes of section 4106 of H. Con. Res. 71 (115th Congress).
    (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of 
the Budget Scorekeeping Guidelines set forth in the joint explanatory 
statement of the committee of conference accompanying Conference Report 
105-217 and section 250(c)(8) of the Balanced Budget and Emergency 
Deficit Control Act of 1985, the budgetary effects of this division 
shall not be estimated--
            (1) for purposes of section 251 of such Act;
            (2) for purposes of an allocation to the Committee on 
        Appropriations pursuant to section 302(a) of the Congressional 
        Budget Act of 1974; and
            (3) for purposes of paragraph (4)(C) of section 3 of the 
        Statutory Pay-As-You-Go Act of 2010 as being included in an 
        appropriation Act.
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