H. R. 6363 

One Hundred Eighteenth Congress 

of the 

United States of America 

AT THE FIRST SESSION 

Begun and held at the City of Washington on Tuesday, 

the third day of January, two thousand and twenty-three 

An Act 

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—Miscellaneous Extensions 

Title IV—Budgetary Effects 

SEC. 3. REFERENCES. 

Except as expressly provided otherwise, any reference to ‘‘this 

Act’’ contained in any division of this Act shall be treated as 

referring only to the provisions of that division. 

DIVISION A—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,’’; 
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(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. 
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‘‘(b) The limitation in section 302 of division H of Public Law 

117–328 regarding transfers increasing any appropriation shall be 

applied to transfers to appropriations under the heading ‘Department of Education—Student Aid Administration’ through the date 

specified in section 106(3) of this Act by substituting ‘10 percent’ 

for ‘3 percent’ for the purposes of the continuation of basic operations, including student loan servicing, business process operations, digital customer care, common origination and disbursement, 

cybersecurity activities, and information technology systems. 

‘‘SEC. 146. 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 
H. R. 6363—4 

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 
H. R. 6363—5 

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. 
H. R. 6363—6 

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’’. 
H. R. 6363—7 

(C) FEEDSTOCK FLEXIBILITY PROGRAM.—Section 9010(b) 

of the Farm Security and Rural Investment Act of 2002 

(7 U.S.C. 8110(b)) is amended in paragraphs (1)(A) and 

(2)(A) by striking ‘‘2023’’ each place it appears and inserting 

‘‘2024’’. 

(7) HORTICULTURE.— 

(A) ORGANIC PRODUCTION AND MARKET DATA INITIATIVES.—Section 7407(d)(1) of the Farm Security and Rural 

Investment Act of 2002 (7 U.S.C. 5925c(d)(1)) is amended— 

(i) in subparagraph (A), by striking ‘‘and’’ at the 

end; 

(ii) in subparagraph (B), by striking the period 

at the end and inserting ‘‘; and’’; and 

(iii) by adding at the end the following: 

‘‘(C) $1,000,000 for fiscal year 2024.’’. 

(B) MODERNIZATION AND IMPROVEMENT OF INTERNATIONAL TRADE TECHNOLOGY SYSTEMS AND DATA COLLECTION.—Section 2123(c)(4) of the Organic Foods Production 

Act of 1990 (7 U.S.C. 6522(c)(4)) is amended, in the matter 

preceding subparagraph (A), by inserting ‘‘and $1,000,000 

for fiscal year 2024’’ after ‘‘2019’’. 

(C) NATIONAL ORGANIC CERTIFICATION COST-SHARE PROGRAM.—Section 10606(d)(1)(C) of the Farm Security and 

Rural Investment Act of 2002 (7 U.S.C. 6523(d)(1)(C)) is 

amended by striking ‘‘and 2023’’ and inserting ‘‘through 

2024’’. 

(D) MULTIPLE CROP AND PESTICIDE USE SURVEY.—Section 10109(c)(1) of the Agriculture Improvement Act of 

2018 (Public Law 115–334; 132 Stat. 4906) is amended 

by inserting ‘‘and $100,000 for fiscal year 2024’’ after 

‘‘2019’’. 

(8) MISCELLANEOUS.— 

(A) PIMA AGRICULTURE COTTON TRUST FUND.—Section 

12314 of the Agricultural Act of 2014 (7 U.S.C. 2101 note; 

Public Law 113–79) is amended— 

(i) in subsection (b), in the matter preceding paragraph (1), by striking ‘‘2023’’ and inserting ‘‘2024’’; 

and 

(ii) in subsection (h), by striking ‘‘2023’’ and 

inserting ‘‘2024’’. 

(B) AGRICULTURE WOOL APPAREL MANUFACTURERS

TRUST FUND.—Section 12315 of the Agricultural Act of 2014 

(7 U.S.C. 7101 note; Public Law 113–79) is amended by 

striking ‘‘2023’’ each place it appears and inserting ‘‘2024’’. 

(C) WOOL RESEARCH AND PROMOTION.—Section 

12316(a) of the Agricultural Act of 2014 (7 U.S.C. 7101 

note; Public Law 113–79) is amended by striking ‘‘2023’’ 

and inserting ‘‘2024’’. 

(D) EMERGENCY CITRUS DISEASE RESEARCH AND

DEVELOPMENT TRUST FUND.—Section 12605(d) of the Agriculture Improvement Act of 2018 (7 U.S.C. 7632 note; 

Public Law 115–334) is amended by striking ‘‘2023’’ and 

inserting ‘‘2024’’. 

(E) SHEEP PRODUCTION AND MARKETING GRANT PRO- GRAM.—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,’’. 
H. R. 6363—8 

(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 
H. R. 6363—9 

ending on November 17, 2023, and $690,410,959 for the period 

beginning on November 18, 2023, and ending on January 19, 2024’’. 

(c) EXTENSION FOR THE NATIONAL HEALTH SERVICE CORPS.— 

Section 10503(b)(2)(I) of the Patient Protection and Affordable Care 

Act (42 U.S.C. 254b–2(b)(2)(I)), as amended by the Continuing 

Appropriations Act, 2024 and Other Extensions Act, is further 

amended by striking ‘‘$40,767,123 for the period beginning on 

October 1, 2023, and ending on November 17, 2023’’ and inserting 

‘‘$40,767,123 for the period beginning on October 1, 2023, and 

ending on November 17, 2023, and $53,506,849 for the period 

beginning on November 18, 2023, and ending on January 19, 2024’’. 

(d) APPLICATION OF PROVISIONS.—Amounts appropriated pursuant to the amendments made by this section shall be subject to 

the requirements contained in Public Law 117–328 for funds for 

programs authorized under sections 330 through 340 of the Public 

Health Service Act (42 U.S.C. 254b et seq.). 

(e) CONFORMING AMENDMENT.—Section 3014(h)(4) of title 18, 

United States Code, is amended by striking ‘‘and section 2321(d) 

of the Continuing Appropriations Act, 2024 and Other Extensions 

Act’’ and inserting ‘‘section 2321(d) of the Continuing Appropriations 

Act, 2024 and Other Extensions Act, and section 201(d) of the 

Further Continuing Appropriations and Other Extensions Act, 

2024’’. 

SEC. 202. EXTENSION OF SPECIAL DIABETES PROGRAMS. 

(a) EXTENSION OF SPECIAL DIABETES PROGRAMS FOR TYPE I 

DIABETES.—Section 330B(b)(2)(E) of the Public Health Service Act 

(42 U.S.C. 254c–2(b)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended 

by striking ‘‘$19,726,027 for the period beginning on October 1, 

2023, and ending on November 17, 2023’’ and inserting ‘‘$19,726,027 

for the period beginning on October 1, 2023, and ending on 

November 17, 2023, and $25,890,411 for the period beginning on 

November 18, 2023, and ending on January 19, 2024’’. 

(b) EXTENDING FUNDING FOR SPECIAL DIABETES PROGRAMS FOR

INDIANS.—Section 330C(c)(2)(E) of the Public Health Service Act 

(42 U.S.C. 254c–3(c)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended 

by striking ‘‘$19,726,027 for the period beginning on October 1, 

2023, and ending on November 17, 2023’’ and inserting ‘‘$19,726,027 

for the period beginning on October 1, 2023, and ending on 

November 17, 2023, and $25,890,411 for the period beginning on 

November 18, 2023, and ending on January 19, 2024’’. 

SEC. 203. NATIONAL HEALTH SECURITY EXTENSIONS. 

(a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 

247d(e)(8)) is amended by striking ‘‘November 17, 2023’’ and 

inserting ‘‘January 19, 2024’’. 

(b) Section 319L(e)(1)(D) of the Public Health Service Act (42 

U.S.C. 247d–7e(e)(1)(D)) is amended by striking ‘‘on the date that 

is 17 years after the date of enactment of the Pandemic and AllHazards Preparedness Act’’ and inserting ‘‘after January 19, 2024’’. 

(c) Section 319L–1(b) of the Public Health Service Act (42 

U.S.C. 247d–7f(b)) is amended by striking ‘‘at the end of the 17- 

year period that begins on the date of enactment of this Act’’ 

and inserting ‘‘after January 19, 2024’’. 
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(d)(1) Section 2811A(g) of the Public Health Service Act (42 

U.S.C. 300hh–10b(g)) is amended by striking ‘‘November 17, 2023’’ 

and inserting ‘‘January 19, 2024’’. 

(2) Section 2811B(g)(1) of the Public Health Service Act (42 

U.S.C. 300hh–10c(g)(1)) is amended by striking ‘‘November 17, 

2023’’ and inserting ‘‘January 19, 2024’’. 

(3) Section 2811C(g)(1) of the Public Health Service Act (42 

U.S.C. 300hh–10d(g)(1)) is amended by striking ‘‘November 17, 

2023’’ and inserting ‘‘January 19, 2024’’. 

(e) Section 2812(c)(4)(B) of the Public Health Service Act (42 

U.S.C. 300hh–11(c)(4)(B)) is amended by striking ‘‘November 17, 

2023’’ and inserting ‘‘January 19, 2024’’. 

Subtitle B—Medicaid 

SEC. 301. DELAYING CERTAIN DISPROPORTIONATE SHARE PAYMENT 

CUTS. 

Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 

1396r–4(f)(7)(A)) is amended— 

(1) in clause (i), by striking ‘‘November 18, 2023’’ and 

inserting ‘‘January 20, 2024’’; and 

(2) in clause (ii), by striking ‘‘November 18, 2023’’ and 

inserting ‘‘January 20, 2024’’. 

SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION. 

Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 

1396w–1(b)(3)(A)), as amended by the Continuing Appropriations 

Act, 2024 and Other Extensions Act, is further amended by striking 

‘‘$6,357,117,810’’ and inserting ‘‘$5,796,117,810’’. 

Subtitle C—Human Services 

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

Activities authorized by part B of title IV of the Social Security 

Act shall continue through January 19, 2024, in the manner authorized for fiscal year 2023, and out of any money in the Treasury 

of the United States not otherwise appropriated, there are hereby 

appropriated such sums as may be necessary for such purpose. 

SEC. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION. 

Section 510 of the Social Security Act (42 U.S.C. 710), as 

amended by the Continuing Appropriations Act, 2024 and Other 

Extensions Act, is further amended— 

(1) in subsection (a)— 

(A) in paragraph (1)— 

(i) by striking ‘‘and for the period beginning on 

October 1, 2023, and ending on November 17, 2023’’ 

and inserting ‘‘, for the period beginning on October 

1, 2023, and ending on November 17, 2023, and for 

the period beginning on November 18, 2023, and 

ending on January 19, 2024’’; and 

(ii) by striking ‘‘with respect to such period’’ and 

inserting ‘‘with respect to the applicable period’’; 

(B) in paragraphs (2)(A), by striking ‘‘for the period’’ 

and inserting ‘‘for the applicable period’’; and 
H. R. 6363—11 

(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 
H. R. 6363—12 

to the pro rata portion of the amount appropriated for the 

corresponding period for fiscal year 2023, and for the period 

beginning on November 18, 2023, and ending on January 19, 

2024, an amount equal to the pro rata portion of the amount 

appropriated for the corresponding period for fiscal year 2023’’. 

Subtitle D—Medicare 

SEC. 501. EXTENDING FLOOR FOR WORK GEOGRAPHIC INDEX. 

Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 

1395w–4(e)(1)(E)) is amended by striking ‘‘January 1, 2024’’ and 

inserting ‘‘January 20, 2024’’. 

SEC. 502. REVISING PHASE-IN OF MEDICARE CLINICAL LABORATORY 

TEST PAYMENT CHANGES. 

(a) REVISED PHASE-IN OF REDUCTIONS FROM PRIVATE PAYOR

RATE IMPLEMENTATION.—Section 1834A(b)(3) of the Social Security 

Act (42 U.S.C. 1395m–1(b)(3)) is amended— 

(1) in subparagraph (A), by striking ‘‘2026’’ and inserting 

‘‘2027’’; and 

(2) in subparagraph (B)— 

(A) in clause (ii), by striking ‘‘2023’’ and inserting 

‘‘2024’’; and 

(B) in clause (iii), by striking ‘‘2024 through 2026’’ 

and inserting ‘‘2025 through 2027’’. 

(b) REVISED REPORTING PERIOD FOR REPORTING OF PRIVATE

SECTOR PAYMENT RATES FOR ESTABLISHMENT OF MEDICARE PAY- MENT RATES.—Section 1834A(a)(1)(B) of the Social Security Act 

(42 U.S.C. 1395m–1(a)(1)(B)) is amended— 

(1) in clause (i), by striking ‘‘2023’’ and inserting ‘‘2024’’; 

and 

(2) in clause (ii), by striking ‘‘2024’’ each place it appears 

and inserting ‘‘2025’’. 

SEC. 503. MEDICARE IMPROVEMENT FUND. 

Section 1898(b)(1) of the Social Security Act (42 U.S.C. 

1395iii(b)(1)) is amended by striking ‘‘$180,000,000’’ and inserting 

‘‘$466,795,056’’. 

TITLE III—MISCELLANEOUS 

EXTENSIONS 

SEC. 601. COUNTER-UAS AUTHORITIES. 

Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 

124n(i)) is amended by striking ‘‘November 18, 2023’’ and inserting 

‘‘February 3, 2024’’. 

TITLE IV—BUDGETARY EFFECTS 

SEC. 701. BUDGETARY EFFECTS. 

(a) STATUTORY PAYGO SCORECARDS.—The budgetary effects 

of this division shall not be entered on either PAYGO scorecard 

maintained pursuant to section 4(d) of the Statutory Pay-As-YouGo Act of 2010. 
H. R. 6363—13 

(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. 

Speaker of the House of Representatives. 

Vice President of the United States and

President of the Senate.