II 

Calendar No. 248 

118TH CONGRESS 

1ST SESSION H. R. 6363 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 14 (legislative day, NOVEMBER 13), 2023 

Received; read the first time 

NOVEMBER 14, 2023 

Read the second time and placed on the calendar 

AN ACT 

Making further continuing appropriations for fiscal year 

2024, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Further Continuing 

5 Appropriations and Other Extensions Act, 2024’’. 

6 SEC. 2. TABLE OF CONTENTS. 

7 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 


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DIVISION B—OTHER MATTERS 

Title I—Extensions and Other Matters 

Title II—Health and Human Services 

Title III—Miscellaneous Extensions 

Title IV—Budgetary Effects 

1 SEC. 3. REFERENCES. 

2 Except as expressly provided otherwise, any reference 

3 to ‘‘this Act’’ contained in any division of this Act shall 

4 be treated as referring only to the provisions of that divi5 sion. 

6 DIVISION A—FURTHER CONTINUING 

7 APPROPRIATIONS ACT, 2024 

8 SEC. 101. Division A of the Continuing Appropria9 tions Act, 2024 and Other Extensions Act (Public Law 

10 118–15) is amended— 

11 (1) by striking the date specified in section 

12 106(3) and inserting ‘‘February 2, 2024, except as 

13 provided in paragraph (4)’’; 

14 (2) by inserting after paragraph (3) of section 

15 106 the following: 

16 ‘‘(4) In the case of appropriations and funds 

17 made available and authority granted pursuant to 

18 sections 101(1), 101(4), 101(10), 101(12), 134, and 

19 137, January 19, 2024.’’; 

20 (3) in section 101(1) by inserting after ‘‘except 

21 section 729,’’ the following: ‘‘and except that the 

22 language under the heading ‘Rural Utilities ServVerDate Sep 11 2014 00:00 Nov 15, 2023 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H6363.PCS H6363

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1 ice—Rural Water and Waste Disposal Program Ac2 count’ in title III shall be applied by inserting ‘direct 

3 loans and,’ before ‘loan guarantees’ at the beginning 

4 of the first sentence of the second paragraph,’’; 

5 (4) in section 101(10), by inserting before the 

6 period ‘‘, except section 123 as well as the provisions 

7 carrying the same restriction in prior Acts’’; 

8 (5) in section 123, by striking ‘‘17 days’’ and 

9 inserting ‘‘94 days’’ and by striking ‘‘17-day’’ and 

10 inserting ‘‘94-day’’; 

11 (6) in section 124, by striking ‘‘$621,270,000’’ 

12 and inserting ‘‘$663,070,000’’; 

13 (7) in section 125, by striking ‘‘During the pe14 riod covered by this Act’’ and inserting ‘‘Through 

15 the date specified in section 106(3) of this Act’’; and 

16 (8) by adding after section 137 the following 

17 new sections: 

18 ‘‘SEC. 138. Section 2(f)(2) of the Undetectable Fire19 arms Act of 1988 (18 U.S.C. 922 note) shall be applied 

20 through the date specified in section 106(3) of this Act 

21 by substituting ‘36’ for ‘35’. 

22 ‘‘SEC. 139. Through the date specified in section 

23 106(3) of this Act, amounts appropriated in section 124 

24 of the Continuing Appropriations Act, 2023 (division A 

25 of Public Law 117–180) may be charged for any proper 


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1 expense pursuant to section 1553(b)(1) of title 31, United 

2 States Code, notwithstanding the limitation in section 

3 1553(b)(2) of such title. 

4 ‘‘SEC. 140. Notwithstanding sections 102 and 104, 

5 amounts made available by section 101 to the Department 

6 of Defense for ‘Procurement—Shipbuilding and Conver7 sion, Navy’ may be apportioned up to the rate for oper8 ations necessary for ‘Columbia Class Submarine (AP)’ in 

9 an amount not to exceed $3,338,413,000. 

10 ‘‘SEC. 141. (a) Notwithstanding section 101, section 

11 747 of title VII of division E of Public Law 117–328 shall 

12 be applied through the date specified in section 106(3) of 

13 this Act by— 

14 ‘‘(1) substituting ‘2025’ for ‘2024’; 

15 ‘‘(2) substituting ‘2024’ for ‘2023’ each place it ap16 pears; 

17 ‘‘(3) substituting ‘2023’ for ‘2022’ each place it ap18 pears; and 

19 ‘‘(4) substituting ‘section 747 of division E of Public 

20 Law 117–328, as in effect on September 30, 2023’ for 

21 ‘section 747 of division E of Public Law 117–103’ each 

22 place it appears. 

23 ‘‘(b) Subsection (a) shall not take effect until the first 

24 day of the first applicable pay period beginning on or after 

25 January 1, 2024. 


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1 ‘‘SEC. 142. Section 302 of title III of Public Law 

2 108–494 shall be applied by substituting the date specified 

3 in section 106(3) of this Act for ‘December 31, 2023’ each 

4 place it appears. 

5 ‘‘SEC. 143. Amounts made available by section 101 

6 to the Department of Homeland Security under the head7 ing ‘United States Secret Service—Operations and Sup8 port’ may be apportioned up to the rate for operations 

9 necessary to carry out activities related to National Spe10 cial Security Events and the 2024 Presidential Campaign. 

11 ‘‘SEC. 144. Section 1901(e) of the Homeland Secu12 rity Act of 2002 (6 U.S.C. 591(e)) shall be applied by 

13 substituting the date that is 1 day after the date specified 

14 in section 106(3) of this Act for ‘the date that is 5 years 

15 after the date of the enactment of the Countering Weap16 ons of Mass Destruction Act of 2018’. 

17 ‘‘SEC. 145. (a) Amounts made available by section 

18 101 for ‘Department of Education—Student Aid Adminis19 tration’ may be apportioned up to the rate for operations 

20 necessary to ensure the continuation of student loan serv21 icing activities, including supporting borrowers reentering 

22 repayment. 

23 ‘‘(b) The limitation in section 302 of division H of 

24 Public Law 117–328 regarding transfers increasing any 

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1 tions under the heading ‘Department of Education—Stu2 dent Aid Administration’ through the date specified in sec3 tion 106(3) of this Act by substituting ‘10 percent’ for 

4 ‘3 percent’ for the purposes of the continuation of basic 

5 operations, including student loan servicing, business 

6 process operations, digital customer care, common origina7 tion and disbursement, cybersecurity activities, and infor8 mation technology systems. 

9 ‘‘SEC. 146. Notwithstanding any other provision of 

10 this Act, there is hereby appropriated for fiscal year 2024, 

11 out of any money in the Treasury not otherwise appro12 priated, for payment to Katherine Anne Feinstein, bene13 ficiary of Dianne Feinstein, late a Senator from the State 

14 of California, $174,000. 

15 ‘‘This division may be cited as the ‘Continuing Ap16 propriations Act, 2024’.’’. 

17 This division may be cited as the ‘‘Further Con18 tinuing Appropriations Act, 2024’’. 


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1 DIVISION B—OTHER MATTERS 

2 TITLE I—EXTENSIONS AND 

3 OTHER MATTERS 

4 SEC. 101. EXTENSION OF CERTAIN PROVISIONS OF THE 

5 COMPACTS OF FREE ASSOCIATION WITH THE 

6 FEDERATED STATES OF MICRONESIA AND 

7 THE REPUBLIC OF THE MARSHALL ISLANDS. 

8 Section 2101 of the Continuing Appropriations Act, 

9 2024 and Other Extensions Act (Public Law 118–15; 137 

10 Stat. 81) is amended— 

11 (1) in the section heading, by striking ‘‘COM12 PACT OF FREE ASSOCIATION WITH THE FED13 ERATED STATES OF MICRONESIA’’ and inserting 

14 ‘‘COMPACTS OF FREE ASSOCIATION WITH THE

15 FEDERATED STATES OF MICRONESIA AND THE

16 REPUBLIC OF THE MARSHALL ISLANDS’’; and 

17 (2) in subsection (a)(1)— 

18 (A) by striking ‘‘November 17, 2023’’ and 

19 inserting ‘‘February 2, 2024’’ ; 

20 (B) by inserting ‘‘, section 103(f)(2) of the 

21 Compact of Free Association Amendments Act 

22 of 2003 (48 U.S.C. 1921b(f)(2)), and sections 

23 211, 213, and 216 of the Compact of Free As24 sociation between the Government of the United 

25 States of America and the Government of the 


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1 Republic of the Marshall Islands set forth in 

2 section 201(b) of that Act (48 U.S.C. 1921 

3 note; Public Law 108–188)’’ before ‘‘shall,’’; 

4 (C) by inserting ‘‘or the Republic of the 

5 Marshall Islands, as applicable’’ before ‘‘, con6 tinue’’; and 

7 (D) by striking ‘‘of that Compact’’ and in8 serting ‘‘of the applicable Compact’’. 

9 SEC. 102. EXTENSION OF AGRICULTURAL PROGRAMS. 

10 (a) EXTENSION.—Except as otherwise provided in 

11 this section and the amendments made by this section, 

12 notwithstanding any other provision of law, the authorities 

13 (including any limitations on the authorities) provided by 

14 each provision of the Agriculture Improvement Act of 

15 2018 (Public Law 115–334; 132 Stat. 4490) and each 

16 provision of law amended by that Act (and for mandatory 

17 programs at such funding levels), as in effect on Sep18 tember 30, 2023, shall continue, and the authorities shall 

19 be carried out, until the later of— 

20 (1) September 30, 2024; or 

21 (2) the date specified in the provision of that 

22 Act or the provision of law amended by that Act. 

23 (b) DISCRETIONARY PROGRAMS.—Programs carried 

24 out using the authorities described in subsection (a) that 

25 are funded by discretionary appropriations (as defined in 


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1 section 250(c) of the Balanced Budget and Emergency 

2 Deficit Control Act of 1985 (2 U.S.C. 900(c))) shall be 

3 subject to the availability of appropriations. 

4 (c) COMMODITY PROGRAMS.— 

5 (1) IN GENERAL.—The provisions of law appli6 cable to a covered commodity (as defined in section 

7 1111 of the Agricultural Act of 2014 (7 U.S.C. 

8 9011)), a loan commodity (as defined in section 

9 1201 of that Act (7 U.S.C. 9031)), sugarcane, or 

10 sugar beets for the 2023 crop year pursuant to title 

11 I of that Act (7 U.S.C. 9011 et seq.) and each 

12 amendment made by subtitle C of title I of the Agri13 culture Improvement Act of 2018 (Public Law 115– 

14 334; 132 Stat. 4511) shall be applicable to the 2024 

15 crop year for that covered commodity, loan com16 modity, sugarcane, or sugar beets. 

17 (2) DAIRY.— 

18 (A) BASE PRODUCTION HISTORY ADJUST19 MENT FOR PARTICIPATING DAIRY OPERATIONS

20 WITH PRODUCTION OF LESS THAN 5,000,000

21 POUNDS.—Section 1405(a) of the Agricultural 

22 Act of 2014 (7 U.S.C. 9055(a)) is amended— 

23 (i) in paragraph (1), by inserting 

24 ‘‘paragraph (4) and’’ before ‘‘subsection 

25 (b)’’; and 


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1 (ii) by adding at the end the fol2 lowing: 

3 ‘‘(4) BASE PRODUCTION HISTORY ADJUSTMENT

4 FOR PARTICIPATING DAIRY OPERATIONS WITH PRO5 DUCTION OF LESS THAN 5,000,000 POUNDS.— 

6 ‘‘(A) IN GENERAL.—If the amount deter7 mined under paragraph (1) is less than 

8 5,000,000 pounds, the production history of the 

9 dairy operation for dairy margin coverage shall 

10 be equal to— 

11 ‘‘(i) the amount determined under 

12 paragraph (1); plus 

13 ‘‘(ii) 75 percent of the amount de14 scribed in subparagraph (B). 

15 ‘‘(B) AMOUNT.—The amount referred to in 

16 subparagraph (A)(ii) is, with respect to a dairy 

17 operation, the amount equal to— 

18 ‘‘(i) the production volume of such 

19 dairy operation for the 2019 milk mar20 keting year; minus 

21 ‘‘(ii) the amount determined under 

22 paragraph (1).’’. 

23 (B) DAIRY MARGIN COVERAGE.— 

24 (i) DURATION.—Section 1409 of the 

25 Agricultural Act of 2014 (7 U.S.C. 9059) 


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1 is amended by striking ‘‘2023’’ and insert2 ing ‘‘2024’’. 

3 (ii) AVAILABILITY OF PREMIUM DIS4 COUNT.—With respect to coverage for cal5 endar year 2024, section 1407(g) of the 

6 Agricultural Act of 2014 (7 U.S.C. 

7 9057(g)) shall only apply to a participating 

8 dairy operation with respect to which the 

9 premium was reduced in accordance with 

10 that section for calendar year 2023. 

11 (C) DAIRY FORWARD PRICING PROGRAM.— 

12 Section 1502(e)(2) of the Food, Conservation, 

13 and Energy Act of 2008 (7 U.S.C. 8772(e)(2)) 

14 is amended by striking ‘‘2026’’ and inserting 

15 ‘‘2027’’. 

16 (3) EXTENSION OF PAYMENT AMOUNT.—Sec17 tion 1116(d) of the Agricultural Act of 2014 (7 

18 U.S.C. 9016(d)) is amended, in the matter pre19 ceding paragraph (1), by striking ‘‘2018’’ and in20 serting ‘‘2024’’. 

21 (4) SUSPENSION OF PERMANENT PRICE SUP22 PORT AUTHORITIES.—The provisions of law specified 

23 in— 


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1 (A) subsections (a) and (b) of section 1602 

2 of the Agricultural Act of 2014 (7 U.S.C. 

3 9092)— 

4 (i) shall not be applicable to the 2024 

5 crops of covered commodities (as defined 

6 in section 1111 of that Act (7 U.S.C. 

7 9011)), cotton, and sugar; and 

8 (ii) shall not be applicable to milk 

9 through December 31, 2024; and 

10 (B) section 1602(c) of that Act (7 U.S.C. 

11 9092(c)) shall not be applicable to the crops of 

12 wheat planted for harvest in calendar year 

13 2024. 

14 (d) OTHER PROGRAMS.— 

15 (1) CONSERVATION.— 

16 (A) GRASSROOTS SOURCE WATER PROTEC17 TION PROGRAM.—Section 1240O(b)(3) of the 

18 Food Security Act of 1985 (16 U.S.C. 3839bb– 

19 2(b)(3)) is amended— 

20 (i) by striking the period at the end 

21 and inserting ‘‘; and’’; 

22 (ii) by striking ‘‘use $5,000,000’’ and 

23 inserting the following: ‘‘use— 

24 ‘‘(A) $5,000,000’’; and 


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1 (iii) by adding at the end the fol2 lowing: 

3 ‘‘(B) $1,000,000 beginning in fiscal year 

4 2024, to remain available until expended.’’. 

5 (B) VOLUNTARY PUBLIC ACCESS AND

6 HABITAT INCENTIVE PROGRAM.—Section 

7 1240R(f)(1) of the Food Security Act of 1985 

8 (16 U.S.C. 3839bb–5(f)(1)) is amended— 

9 (i) by striking ‘‘and’’ after ‘‘2018,’’; 

10 and 

11 (ii) by inserting ‘‘, and $10,000,000 

12 for fiscal year 2024’’ before the period at 

13 the end. 

14 (C) FERAL SWINE ERADICATION AND CON15 TROL PILOT PROGRAM.—Section 2408(g)(1) of 

16 the Agriculture Improvement Act of 2018 (7 

17 U.S.C. 8351 note; Public Law 115–334) is 

18 amended by inserting ‘‘and $15,000,000 for fis19 cal year 2024’’ before the period at the end. 

20 (2) TRADE.—Section 302(h)(2) of the Bill 

21 Emerson Humanitarian Trust Act (7 U.S.C. 1736f– 

22 1(h)(2)) is amended by striking ‘‘2023’’ and insert23 ing ‘‘2024’’. 

24 (3) NUTRITION.—Section 203D(d)(5) of the 

25 Emergency Food Assistance Act of 1983 (7 U.S.C. 


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1 7507(d)(5)) is amended by striking ‘‘2023’’ and in2 serting ‘‘2024’’. 

3 (4) RURAL ECONOMIC DEVELOPMENT PRO4 GRAM.—Section 313B(e)(2) of the Rural Electrifica5 tion Act of 1936 (7 U.S.C. 940c–2(e)(2)) is amend6 ed by striking ‘‘and 2023’’ and inserting ‘‘through 

7 2024’’. 

8 (5) RESEARCH.— 

9 (A) SCHOLARSHIPS FOR STUDENTS.—Sec10 tion 1446 of the National Agricultural Re11 search, Extension, and Teaching Policy Act of 

12 1977 (7 U.S.C. 3222a) is amended— 

13 (i) in subsection (a)(3), by striking 

14 ‘‘three’’ and inserting ‘‘4’’; and 

15 (ii) in subsection (b)(1)— 

16 (I) by striking ‘‘Of’’ and insert17 ing the following: 

18 ‘‘(A) FUNDING.—Of’’; and 

19 (II) by adding at the end the fol20 lowing: 

21 ‘‘(B) ADDITIONAL FUNDING.—Not later 

22 than 30 days after the date of enactment of 

23 this subparagraph, of the funds of the Com24 modity Credit Corporation, the Secretary shall 

25 make available to carry out this section 


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1 $10,000,000, to remain available until ex2 pended.’’. 

3 (B) URBAN, INDOOR, AND OTHER EMERG4 ING AGRICULTURAL PRODUCTION RESEARCH, 

5 EDUCATION, AND EXTENSION INITIATIVE.—Sec6 tion 1672E(d)(1) of the Food, Agriculture, 

7 Conservation, and Trade Act of 1990 (7 U.S.C. 

8 5925g(d)(1)) is amended— 

9 (i) by striking the period at the end 

10 and inserting ‘‘; and’’; 

11 (ii) by striking ‘‘section $10,000,000’’ 

12 and inserting the following: ‘‘section— 

13 ‘‘(A) $10,000,000’’; and 

14 (iii) by adding at the end the fol15 lowing: 

16 ‘‘(B) $2,000,000 for fiscal year 2024, to 

17 remain available until expended.’’. 

18 (C) FOUNDATION FOR FOOD AND AGRI19 CULTURE RESEARCH.—Section 7601(g)(1)(A) 

20 of the Agricultural Act of 2014 (7 U.S.C. 

21 5939(g)(1)(A)) is amended by adding at the 

22 end the following: 

23 ‘‘(iii) ADDITIONAL FUNDING.—Not 

24 later than 30 days after the date of enact25 ment of this clause, of the funds of the 


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1 Commodity Credit Corporation, the Sec2 retary shall transfer to the Foundation to 

3 carry out this section $37,000,000, to re4 main available until expended.’’. 

5 (D) GRAZINGLANDS RESEARCH LABORA6 TORY.—Section 7502 of the Food, Conserva7 tion, and Energy Act of 2008 (Public Law 

8 110–246; 122 Stat. 2019; 132 Stat. 4817) shall 

9 be applied by substituting ‘‘the period begin10 ning on the date of enactment of this Act and 

11 ending on September 30, 2024’’ for ‘‘the 15- 

12 year period beginning on the date of enactment 

13 of this Act’’. 

14 (6) ENERGY.— 

15 (A) BIOBASED MARKETS PROGRAM.—Sec16 tion 9002(k)(1) of the Farm Security and 

17 Rural Investment Act of 2002 (7 U.S.C. 

18 8102(k)(1)) is amended by striking ‘‘2023’’ and 

19 inserting ‘‘2024’’. 

20 (B) BIOENERGY PROGRAM FOR ADVANCED

21 BIOFUELS.—Section 9005(g)(1)(F) of the Farm 

22 Security and Rural Investment Act of 2002 (7 

23 U.S.C. 8105(g)(1)(F)) is amended by striking 

24 ‘‘2023’’ and inserting ‘‘2024’’. 


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1 (C) FEEDSTOCK FLEXIBILITY PROGRAM.— 

2 Section 9010(b) of the Farm Security and 

3 Rural Investment Act of 2002 (7 U.S.C. 

4 8110(b)) is amended in paragraphs (1)(A) and 

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

6 and inserting ‘‘2024’’. 

7 (7) HORTICULTURE.— 

8 (A) ORGANIC PRODUCTION AND MARKET

9 DATA INITIATIVES.—Section 7407(d)(1) of the 

10 Farm Security and Rural Investment Act of 

11 2002 (7 U.S.C. 5925c(d)(1)) is amended— 

12 (i) in subparagraph (A), by striking 

13 ‘‘and’’ at the end; 

14 (ii) in subparagraph (B), by striking 

15 the period at the end and inserting ‘‘; 

16 and’’; and 

17 (iii) by adding at the end the fol18 lowing: 

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

20 (B) MODERNIZATION AND IMPROVEMENT

21 OF INTERNATIONAL TRADE TECHNOLOGY SYS22 TEMS AND DATA COLLECTION.—Section 

23 2123(c)(4) of the Organic Foods Production 

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

25 in the matter preceding subparagraph (A), by 


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1 inserting ‘‘and $1,000,000 for fiscal year 2024’’ 

2 after ‘‘2019’’. 

3 (C) NATIONAL ORGANIC CERTIFICATION

4 COST-SHARE PROGRAM.—Section 

5 10606(d)(1)(C) of the Farm Security and 

6 Rural Investment Act of 2002 (7 U.S.C. 

7 6523(d)(1)(C)) is amended by striking ‘‘and 

8 2023’’ and inserting ‘‘through 2024’’. 

9 (D) MULTIPLE CROP AND PESTICIDE USE

10 SURVEY.—Section 10109(c)(1) of the Agri11 culture Improvement Act of 2018 (Public Law 

12 115–334; 132 Stat. 4906) is amended by in13 serting ‘‘and $100,000 for fiscal year 2024’’ 

14 after ‘‘2019’’. 

15 (8) MISCELLANEOUS.— 

16 (A) PIMA AGRICULTURE COTTON TRUST

17 FUND.—Section 12314 of the Agricultural Act 

18 of 2014 (7 U.S.C. 2101 note; Public Law 113– 

19 79) is amended— 

20 (i) in subsection (b), in the matter 

21 preceding paragraph (1), by striking 

22 ‘‘2023’’ and inserting ‘‘2024’’; and 

23 (ii) in subsection (h), by striking 

24 ‘‘2023’’ and inserting ‘‘2024’’. 


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1 (B) AGRICULTURE WOOL APPAREL MANU2 FACTURERS TRUST FUND.—Section 12315 of 

3 the Agricultural Act of 2014 (7 U.S.C. 7101 

4 note; Public Law 113–79) is amended by strik5 ing ‘‘2023’’ each place it appears and inserting 

6 ‘‘2024’’. 

7 (C) WOOL RESEARCH AND PROMOTION.— 

8 Section 12316(a) of the Agricultural Act of 

9 2014 (7 U.S.C. 7101 note; Public Law 113–79) 

10 is amended by striking ‘‘2023’’ and inserting 

11 ‘‘2024’’. 

12 (D) EMERGENCY CITRUS DISEASE RE13 SEARCH AND DEVELOPMENT TRUST FUND.— 

14 Section 12605(d) of the Agriculture Improve15 ment Act of 2018 (7 U.S.C. 7632 note; Public 

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

17 and inserting ‘‘2024’’. 

18 (E) SHEEP PRODUCTION AND MARKETING

19 GRANT PROGRAM.—Section 209(c) of the Agri20 cultural Marketing Act of 1946 (7 U.S.C. 

21 1627a(c)) is amended by inserting ‘‘and 

22 $400,000 for fiscal year 2024,’’ after ‘‘2019,’’. 

23 (9) EXCEPTIONS.—Subsection (a) shall not 

24 apply with respect to mandatory funding under the 

25 following provisions of law: 


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1 (A) Section 1614(c)(4) of the Agricultural 

2 Act of 2014 (7 U.S.C. 9097(c)(4)). 

3 (B) Subparagraphs (A) and (B) of section 

4 1241(a)(1) of the Food Security Act of 1985 

5 (16 U.S.C. 3841(a)(1)). 

6 (e) REPORTS.— 

7 (1) IN GENERAL.—Subject to paragraph (2), 

8 any requirement under a provision of law described 

9 in subsection (a) to submit a report on a recurring 

10 basis, and the final report under which was required 

11 to be submitted during fiscal year 2023, shall con12 tinue, and the requirement shall be carried out, on 

13 the same recurring basis, until the later of the dates 

14 specified in paragraphs (1) and (2) of that sub15 section. 

16 (2) APPROPRIATIONS REQUIRED.—If discre17 tionary appropriations (as defined in section 250(c) 

18 of the Balanced Budget and Emergency Deficit Con19 trol Act of 1985 (2 U.S.C. 900(c))) are required to 

20 carry out a reporting requirement described in para21 graph (1), the application of that paragraph to that 

22 reporting requirement shall be subject to the avail23 ability of appropriations. 

24 (f) RESCISSION.—Of the unobligated balances of 

25 amounts made available under section 9003(g)(1)(A) of 


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1 the Farm Security and Rural Investment Act of 2002 (7 

2 U.S.C. 8103(g)(1)(A)), $177,350,000 is rescinded. 

3 (g) EFFECTIVE DATE.—This section and the amend4 ments made by this section (except subsection (f) and the 

5 amendments made by subparagraphs (A) and (C) of sub6 section (d)(5)) shall be applied and administered as if this 

7 section and those amendments had been enacted on Sep8 tember 30, 2023. 

9 TITLE II—HEALTH AND HUMAN 

10 SERVICES 

11 Subtitle A—Public Health 

12 Extenders 

13 SEC. 201. EXTENSION FOR COMMUNITY HEALTH CENTERS, 

14 NATIONAL HEALTH SERVICE CORPS, AND 

15 TEACHING HEALTH CENTERS THAT OPERATE 

16 GME PROGRAMS. 

17 (a) TEACHING HEALTH CENTERS THAT OPERATE

18 GRADUATE MEDICAL EDUCATION PROGRAMS.—Section 

19 340H(g)(1) of the Public Health Service Act (42 U.S.C. 

20 256h(g)) is amended by striking ‘‘and $16,635,616 for the 

21 period beginning on October 1, 2023, and ending on No22 vember 17, 2023’’ and inserting ‘‘$16,635,616 for the pe23 riod beginning on October 1, 2023, and ending on Novem24 ber 17, 2023, and $21,834,247 for the period beginning 

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


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1 (b) EXTENSION FOR COMMUNITY HEALTH CEN2 TERS.—Section 10503(b)(1)(F) of the Patient Protection 

3 and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(F)), as 

4 amended by the Continuing Appropriations Act, 2024 and 

5 Other Extensions Act, is further amended by striking 

6 ‘‘and $526,027,397 for the period beginning on October 

7 1, 2023, and ending on November 17, 2023’’ and inserting 

8 ‘‘$526,027,397 for the period beginning on October 1, 

9 2023, and ending on November 17, 2023, and 

10 $690,410,959 for the period beginning on November 18, 

11 2023, and ending on January 19, 2024’’. 

12 (c) EXTENSION FOR THE NATIONAL HEALTH SERV13 ICE CORPS.—Section 10503(b)(2)(I) of the Patient Pro14 tection and Affordable Care Act (42 U.S.C. 254b– 

15 2(b)(2)(I)), as amended by the Continuing Appropriations 

16 Act, 2024 and Other Extensions Act, is further amended 

17 by striking ‘‘$40,767,123 for the period beginning on Oc18 tober 1, 2023, and ending on November 17, 2023’’ and 

19 inserting ‘‘$40,767,123 for the period beginning on Octo20 ber 1, 2023, and ending on November 17, 2023, and 

21 $53,506,849 for the period beginning on November 18, 

22 2023, and ending on January 19, 2024’’. 

23 (d) APPLICATION OF PROVISIONS.—Amounts appro24 priated pursuant to the amendments made by this section 

25 shall be subject to the requirements contained in Public 


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1 Law 117–328 for funds for programs authorized under 

2 sections 330 through 340 of the Public Health Service Act 

3 (42 U.S.C. 254b et seq.). 

4 (e) CONFORMING AMENDMENT.—Section 3014(h)(4) 

5 of title 18, United States Code, is amended by striking 

6 ‘‘and section 2321(d) of the Continuing Appropriations 

7 Act, 2024 and Other Extensions Act’’ and inserting ‘‘sec8 tion 2321(d) of the Continuing Appropriations Act, 2024 

9 and Other Extensions Act, and section 201(d) of the Fur10 ther Continuing Appropriations and Other Extensions 

11 Act, 2024’’. 

12 SEC. 202. EXTENSION OF SPECIAL DIABETES PROGRAMS. 

13 (a) EXTENSION OF SPECIAL DIABETES PROGRAMS

14 FOR TYPE I DIABETES.—Section 330B(b)(2)(E) of the 

15 Public Health Service Act (42 U.S.C. 254c–2(b)(2)(E)), 

16 as amended by the Continuing Appropriations Act, 2024 

17 and Other Extensions Act, is further amended by striking 

18 ‘‘$19,726,027 for the period beginning on October 1, 

19 2023, and ending on November 17, 2023’’ and inserting 

20 ‘‘$19,726,027 for the period beginning on October 1, 

21 2023, and ending on November 17, 2023, and 

22 $25,890,411 for the period beginning on November 18, 

23 2023, and ending on January 19, 2024’’. 

24 (b) EXTENDING FUNDING FOR SPECIAL DIABETES

25 PROGRAMS FOR INDIANS.—Section 330C(c)(2)(E) of the 


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1 Public Health Service Act (42 U.S.C. 254c–3(c)(2)(E)), 

2 as amended by the Continuing Appropriations Act, 2024 

3 and Other Extensions Act, is further amended by striking 

4 ‘‘$19,726,027 for the period beginning on October 1, 

5 2023, and ending on November 17, 2023’’ and inserting 

6 ‘‘$19,726,027 for the period beginning on October 1, 

7 2023, and ending on November 17, 2023, and 

8 $25,890,411 for the period beginning on November 18, 

9 2023, and ending on January 19, 2024’’. 

10 SEC. 203. NATIONAL HEALTH SECURITY EXTENSIONS. 

11 (a) Section 319(e)(8) of the Public Health Service 

12 Act (42 U.S.C. 247d(e)(8)) is amended by striking ‘‘No13 vember 17, 2023’’ and inserting ‘‘January 19, 2024’’. 

14 (b) Section 319L(e)(1)(D) of the Public Health Serv15 ice Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by strik16 ing ‘‘on the date that is 17 years after the date of enact17 ment of the Pandemic and All-Hazards Preparedness Act’’ 

18 and inserting ‘‘after January 19, 2024’’. 

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

20 Act (42 U.S.C. 247d–7f(b)) is amended by striking ‘‘at 

21 the end of the 17-year period that begins on the date of 

22 enactment of this Act’’ and inserting ‘‘after January 19, 

23 2024’’. 


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1 (d)(1) Section 2811A(g) of the Public Health Service 

2 Act (42 U.S.C. 300hh–10b(g)) is amended by striking 

3 ‘‘November 17, 2023’’ and inserting ‘‘January 19, 2024’’. 

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

5 Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking 

6 ‘‘November 17, 2023’’ and inserting ‘‘January 19, 2024’’. 

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

8 Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking 

9 ‘‘November 17, 2023’’ and inserting ‘‘January 19, 2024’’. 

10 (e) Section 2812(c)(4)(B) of the Public Health Serv11 ice Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by 

12 striking ‘‘November 17, 2023’’ and inserting ‘‘January 19, 

13 2024’’. 

14 Subtitle B—Medicaid 

15 SEC. 301. DELAYING CERTAIN DISPROPORTIONATE SHARE 

16 PAYMENT CUTS. 

17 Section 1923(f)(7)(A) of the Social Security Act (42 

18 U.S.C. 1396r–4(f)(7)(A)) is amended— 

19 (1) in clause (i), by striking ‘‘November 18, 

20 2023’’ and inserting ‘‘January 20, 2024’’; and 

21 (2) in clause (ii), by striking ‘‘November 18, 

22 2023’’ and inserting ‘‘January 20, 2024’’. 

23 SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION. 

24 Section 1941(b)(3)(A) of the Social Security Act (42 

25 U.S.C. 1396w–1(b)(3)(A)), as amended by the Continuing 


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1 Appropriations Act, 2024 and Other Extensions Act, is 

2 further amended by striking ‘‘$6,357,117,810’’ and insert3 ing ‘‘5,796,117,810’’. 

4 Subtitle C—Human Services 

5 SEC. 401. EXTENSION OF CHILD AND FAMILY SERVICES 

6 PROGRAMS. 

7 Activities authorized by part B of title IV of the So8 cial Security Act shall continue through January 19, 

9 2024, in the manner authorized for fiscal year 2023, and 

10 out of any money in the Treasury of the United States 

11 not otherwise appropriated, there are hereby appropriated 

12 such sums as may be necessary for such purpose. 

13 SEC. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTEN14 SION. 

15 Section 510 of the Social Security Act (42 U.S.C. 

16 710), as amended by the Continuing Appropriations Act, 

17 2024 and Other Extensions Act, is further amended— 

18 (1) in subsection (a)— 

19 (A) in paragraph (1)— 

20 (i) by striking ‘‘and for the period be21 ginning on October 1, 2023, and ending on 

22 November 17, 2023’’ and inserting ‘‘, for 

23 the period beginning on October 1, 2023, 

24 and ending on November 17, 2023, and for 

25 the period beginning on November 18, 


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1 2023, and ending on January 19, 2024’’; 

2 and 

3 (ii) by striking ‘‘with respect to such 

4 period’’ and inserting ‘‘with respect to the 

5 applicable period’’; 

6 (B) in paragraphs (2)(A), by striking ‘‘for 

7 the period’’ and inserting ‘‘for the applicable 

8 period’’; and 

9 (C) in paragraphs (2)(B), by striking ‘‘for 

10 the period’’ and inserting ‘‘for the applicable 

11 period’’; and 

12 (2) in subsection (f)— 

13 (A) in paragraph (1), by striking ‘‘and for 

14 the period beginning on October 1, 2023, and 

15 ending on November 17, 2023, an amount 

16 equal to the pro rata portion of the amount ap17 propriated for the corresponding period for fis18 cal year 2023’’ and inserting ‘‘for the period be19 ginning on October 1, 2023, and ending on No20 vember 17, 2023, an amount equal to the pro 

21 rata portion of the amount appropriated for the 

22 corresponding period for fiscal year 2023, and 

23 for the period beginning on November 18, 

24 2023, and ending on January 19, 2024, an 

25 amount equal to the pro rata portion of the 


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1 amount appropriated for the corresponding pe2 riod for fiscal year 2023’’; and 

3 (B) in paragraph (2), by striking ‘‘for the 

4 period’’ and inserting ‘‘for the applicable pe5 riod’’. 

6 SEC. 403. PERSONAL RESPONSIBILITY EDUCATION EXTEN7 SION. 

8 Section 513 of the Social Security Act (42 U.S.C. 

9 713), as amended by the Continuing Appropriations Act, 

10 2024 and Other Extensions Act, is further amended— 

11 (1) in subsection (a)— 

12 (A) in paragraph (1)— 

13 (i) in subparagraph (A), by striking 

14 ‘‘and for the period beginning on October 

15 1, 2023, and ending on November 17, 

16 2023,’’ and inserting ‘‘, for the period be17 ginning on October 1, 2023, and ending on 

18 November 17, 2023, and for the period be19 ginning on November 18, 2023, and end20 ing on January 19, 2024,’’; and 

21 (ii) in subparagraph (B)(i), by insert22 ing after ‘‘November 17, 2023’’ the fol23 lowing: ‘‘, and for the period beginning on 

24 November 18, 2023, and ending on Janu25 ary 19, 2024’’; 


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1 (iii) in subparagraph (C)(i), by strik2 ing ‘‘for a fiscal year or the period’’ and 

3 inserting ‘‘for a fiscal year or period’’; and 

4 (B) in paragraph (3), by striking ‘‘for a 

5 fiscal year or the period’’ and inserting ‘‘for a 

6 fiscal year or period’’; and 

7 (C) in paragraph (4)(A)— 

8 (i) by striking ‘‘for the period’’ each 

9 place it appears and inserting ‘‘for each 

10 period’’; and 

11 (ii) by striking ‘‘for a fiscal year or 

12 the period’’ and inserting ‘‘for a fiscal year 

13 or period’’; 

14 (D) in paragraph (4)(B)(i), by striking 

15 ‘‘the period described in paragraph (1)(A)’’ and 

16 inserting ‘‘each period described in paragraph 

17 (1)(A)’’; 

18 (2) in subsection (c), by striking ‘‘for the period 

19 described in subsection (a)(1)(A)’’ and inserting ‘‘for 

20 a period described in subsection (a)(1)(A) for fiscal 

21 year 2024’’; and 

22 (3) in subsection (f)(1), by striking ‘‘2023, and 

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

24 ending on November 17, 2023, an amount equal to 

25 the pro rata portion of the amount appropriated for 


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1 the corresponding period for fiscal year 2023’’ and 

2 inserting ‘‘2023, for the period beginning on October 

3 1, 2023, and ending on November 17, 2023, an 

4 amount equal to the pro rata portion of the amount 

5 appropriated for the corresponding period for fiscal 

6 year 2023, and for the period beginning on Novem7 ber 18, 2023, and ending on January 19, 2024, an 

8 amount equal to the pro rata portion of the amount 

9 appropriated for the corresponding period for fiscal 

10 year 2023’’. 

11 Subtitle D—Medicare 

12 SEC. 501. EXTENDING FLOOR FOR WORK GEOGRAPHIC 

13 INDEX. 

14 Section 1848(e)(1)(E) of the Social Security Act (42 

15 U.S.C. 1395w–4(e)(1)(E)) is amended by striking ‘‘Janu16 ary 1, 2024’’ and inserting ‘‘January 20, 2024’’. 

17 SEC. 502. REVISING PHASE-IN OF MEDICARE CLINICAL LAB18 ORATORY TEST PAYMENT CHANGES. 

19 (a) REVISED PHASE-IN OF REDUCTIONS FROM PRI20 VATE PAYOR RATE IMPLEMENTATION.—Section 

21 1834A(b)(3) of the Social Security Act (42 U.S.C. 

22 1395m–1(b)(3)) is amended— 

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

24 and inserting ‘‘2027’’; and 

25 (2) in subparagraph (B)— 


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

2 inserting ‘‘2024’’; and 

3 (B) in clause (iii), by striking ‘‘2024 

4 through 2026’’ and inserting ‘‘2025 through 

5 2027’’. 

6 (b) REVISED REPORTING PERIOD FOR REPORTING

7 OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH8 MENT OF MEDICARE PAYMENT RATES.—Section 

9 1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 

10 1395m–1(a)(1)(B)) is amended— 

11 (1) in clause (i), by striking ‘‘2023’’ and insert12 ing ‘‘2024’’; and 

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

14 it appears and inserting ‘‘2025’’. 

15 SEC. 503. MEDICARE IMPROVEMENT FUND. 

16 Section 1898(b)(1) of the Social Security Act (42 

17 U.S.C. 1395iii(b)(1)) is amended by striking 

18 ‘‘$180,000,000’’ and inserting ‘‘$466,795,056’’. 

19 TITLE III—MISCELLANEOUS 

20 EXTENSIONS 

21 SEC. 601. COUNTER-UAS AUTHORITIES. 

22 Section 210G(i) of the Homeland Security Act of 

23 2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘Novem24 ber 18, 2023’’ and inserting ‘‘February 3, 2024’’. 


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1 TITLE IV—BUDGETARY EFFECTS 

2 SEC. 701. BUDGETARY EFFECTS. 

3 (a) STATUTORY PAYGO SCORECARDS.—The budg4 etary effects of this division shall not be entered on either 

5 PAYGO scorecard maintained pursuant to section 4(d) of 

6 the Statutory Pay-As-You-Go Act of 2010. 

7 (b) SENATE PAYGO SCORECARDS.—The budgetary 

8 effects of this division shall not be entered on any PAYGO 

9 scorecard maintained for purposes of section 4106 of H. 

10 Con. Res. 71 (115th Congress). 

11 (c) CLASSIFICATION OF BUDGETARY EFFECTS.— 

12 Notwithstanding Rule 3 of the Budget Scorekeeping 

13 Guidelines set forth in the joint explanatory statement of 

14 the committee of conference accompanying Conference Re15 port 105–217 and section 250(c)(8) of the Balanced 

16 Budget and Emergency Deficit Control Act of 1985, the 

17 budgetary effects of this division shall not be estimated— 

18 (1) for purposes of section 251 of such Act; 

19 (2) for purposes of an allocation to the Com20 mittee on Appropriations pursuant to section 302(a) 

21 of the Congressional Budget Act of 1974; and 


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1 (3) for purposes of paragraph (4)(C) of section 

2 3 of the Statutory Pay-As-You-Go Act of 2010 as 

3 being included in an appropriation Act. 

Passed the House of Representatives November 14, 

2023. 

Attest: KEVIN F. MCCUMBER, 

Clerk. 


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Calendar No. 248 

118TH CONGRESS 

1ST SESSION H. R. 6363 

AN ACT 

Making further continuing appropriations for fiscal 

year 2024, and for other purposes. 

NOVEMBER 14, 2023 

Read the second time and placed on the calendar 


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