H. R. 8900 

One Hundred Sixteenth Congress 

of the 

United States of America 

AT THE SECOND SESSION 

Begun and held at the City of Washington on Friday, 

the third day of January, two thousand and twenty 

An Act 

Making further continuing appropriations for fiscal year 2021, 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 Act, 2021, and Other Extensions Act’’. 

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, 2021 

DIVISION B—HEALTH EXTENDERS 

Title I—Medicare and Medicaid Extenders 

Title II—Public Health Extenders and Food and Drug Administration Provisions 

Title III—Offsets 

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, 2021 

SEC. 101. The Continuing Appropriations Act, 2021 (division 

A of Public Law 116–159) is amended by striking the date specified 

in section 106(3) and inserting ‘‘December 18, 2020’’. 

This division may be cited as the ‘‘Further Continuing Appropriations Act, 2021’’. 
H. R. 8900—2 

DIVISION B—HEALTH EXTENDERS 

TITLE I—MEDICARE AND MEDICAID 

EXTENDERS 

SEC. 1101. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR 

UNDER THE MEDICARE PROGRAM. 

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

1395w–4(e)(1)(E)), as amended by section 3801 of the CARES Act 

(Public Law 116–136) and section 2201 of the Continuing Appropriations Act, 2021 and Other Extensions Act (Public Law 116–159), 

is amended by striking ‘‘December 12, 2020’’ and inserting 

‘‘December 19, 2020’’. 

SEC. 1102. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR 

LOW-INCOME PROGRAMS. 

(a) STATE HEALTH INSURANCE PROGRAMS.—Subsection 

(a)(1)(B)(xi) of section 119 of the Medicare Improvements for 

Patients and Providers Act of 2008 (42 U.S.C. 1395b–3 note), as 

amended by section 3306 of the Patient Protection and Affordable 

Care Act (Public Law 111–148), section 610 of the American Taxpayer Relief Act of 2012 (Public Law 112–240), section 1110 of 

the Pathway for SGR Reform Act of 2013 (Public Law 113–67), 

section 110 of the Protecting Access to Medicare Act of 2014 (Public 

Law 113–93), section 208 of the Medicare Access and CHIP 

Reauthorization Act of 2015 (Public Law 114–10), section 50207 

of division E of the Bipartisan Budget Act of 2018 (Public Law 

115–123), section 1402 of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 (Public Law 

116–59), section 1402 of division B of the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 

(Public Law 116–69), section 103 of division N of the Further 

Consolidated Appropriations Act, 2020 (Public Law 116–94), section 

3803 of the CARES Act (Public Law 116–136), and section 2203 

of the Continuing Appropriations Act, 2021 and Other Extensions 

Act (Public Law 116–159), is amended by striking ‘‘December 11’’ 

and inserting ‘‘December 18’’. 

(b) AREA AGENCIES ON AGING.—Subsection (b)(1)(B)(xi) of such 

section 119, as so amended, is amended by striking ‘‘December 

11’’ and inserting ‘‘December 18’’. 

(c) AGING AND DISABILITY RESOURCE CENTERS.—Subsection 

(c)(1)(B)(xi) of such section 119, as so amended, is amended by 

striking ‘‘December 11’’ and inserting ‘‘December 18’’. 

(d) CONTRACT WITH THE NATIONAL CENTER FOR BENEFITS AND

OUTREACH ENROLLMENT.—Subsection (d)(2)(xi) of such section 119, 

as so amended, is amended by striking ‘‘December 11’’ and inserting 

‘‘December 18’’. 

SEC. 1103. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT, AND SELECTION. 

Section 1890(d)(2) of the Social Security Act (42 U.S.C. 

1395aaa(d)(2)) is amended by striking ‘‘December 11’’ each place 

such phrase appears and inserting ‘‘December 18’’ in each such 

place. 
H. R. 8900—3 

SEC. 1104. EXTENSION OF COMMUNITY MENTAL HEALTH SERVICES 

DEMONSTRATION PROGRAM. 

Section 223(d)(3) of the Protecting Access to Medicare Act of 

2014 (42 U.S.C. 1396a note), as amended by Public Law 116– 

159, is amended by striking ‘‘December 11’’ and inserting ‘‘December 

18’’. 

SEC. 1105. EXTENSION OF SPOUSAL IMPOVERISHMENT PROTECTIONS. 

(a) IN GENERAL.—Section 2404 of the Patient Protection and 

Affordable Care Act (42 U.S.C. 1396r–5 note), as amended by Public 

Law 116–159, is amended by striking ‘‘December 11’’ and inserting 

‘‘December 18’’. 

(b) RULE OF CONSTRUCTION.—Nothing in section 2404 of Public 

Law 111–148 (42 U.S.C. 1396r–5 note) or section 1902(a)(17) or 

1924 of the Social Security Act (42 U.S.C. 1396a(a)(17), 1396r– 

5) shall be construed as prohibiting a State from— 

(1) applying an income or resource disregard under a methodology authorized under section 1902(r)(2) of such Act (42 

U.S.C. 1396a(r)(2))— 

(A) to the income or resources of an individual 

described in section 1902(a)(10)(A)(ii)(VI) of such Act (42 

U.S.C. 1396a(a)(10)(A)(ii)(VI)) (including a disregard of the 

income or resources of such individual’s spouse); or 

(B) on the basis of an individual’s need for home and 

community-based services authorized under subsection (c), 

(d), (i), or (k) of section 1915 of such Act (42 U.S.C. 1396n) 

or under section 1115 of such Act (42 U.S.C. 1315); or 

(2) disregarding an individual’s spousal income and assets 

under a plan amendment to provide medical assistance for 

home and community-based services for individuals by reason 

of being determined eligible under section 1902(a)(10)(C) of 

such Act (42 U.S.C. 1396a(a)(10)(C)) or by reason of section 

1902(f) of such Act (42 U.S.C. 1396a(f)) or otherwise on the 

basis of a reduction of income based on costs incurred for 

medical or other remedial care under which the State disregarded the income and assets of the individual’s spouse in 

determining the initial and ongoing financial eligibility of an 

individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act (42 

U.S.C. 1396r–5). 

SEC. 1106. EXTENSION OF DELAY OF DSH REDUCTIONS. 

Section 1923(f)(7) of the Social Security Act (42 U.S.C. 1396r– 

4(f)(7)(A)) is amended by striking ‘‘December 12’’ each place such 

phrase appears and inserting ‘‘December 19’’ in each such place. 

SEC. 1107. EXTENSION OF MONEY FOLLOWS THE PERSON. 

Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 (42 

U.S.C. 1396a note) is amended by striking ‘‘December 11’’ and 

inserting ‘‘December 18’’. 
H. R. 8900—4 

TITLE II—PUBLIC HEALTH EXTENDERS 

AND FOOD AND DRUG ADMINISTRATION PROVISIONS 

Subtitle A—Public Health Extenders 

SEC. 1201. EXTENDING FUNDING FOR COMMUNITY HEALTH CENTERS, 

NATIONAL HEALTH SERVICE CORPS, AND TEACHING 

HEALTH CENTER GME. 

(a) 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)) is amended— 

(1) by striking ‘‘$789,041,096’’ and inserting ‘‘$865,753,425’’; 

and 

(2) by striking ‘‘December 11, 2020’’ and inserting 

‘‘December 18, 2020’’. 

(b) NATIONAL HEALTH SERVICE CORPS.—Section 10503(b)(2)(H) 

of the Patient Protection and Affordable Care Act (42 U.S.C. 254b– 

2(b)(2)(H)) is amended— 

(1) by striking ‘‘$61,150,685’’ and inserting ‘‘$67,095,890’’; 

and 

(2) by striking ‘‘December 11, 2020’’ and inserting 

‘‘December 18, 2020’’. 

(c) 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)(1)) is amended— 

(1) by striking ‘‘$24,953,425’’ and inserting ‘‘$27,379,452’’; 

and 

(2) by striking ‘‘December 11, 2020’’ and inserting 

‘‘December 18, 2020’’. 

(d) APPLICATION OF PROVISIONS.—Amounts appropriated pursuant to the amendments made by this section for the period beginning on December 11, 2020, and ending on December 18, 2020, 

shall be subject to the requirements contained in Public Law 116– 

94 for funds for programs authorized under sections 330 through 

340 of the Public Health Service Act. 

(e) CONFORMING AMENDMENTS.—Paragraph (4) of section 

3014(h) of title 18, United States Code, as amended by section 

3831(e) of the CARES Act (Public Law 116–136), is amended— 

(1) by striking ‘‘Social Services Act,,’’ and inserting ‘‘Social 

Services Act,’’; and 

(2) by striking ‘‘and section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act’’ and inserting 

‘‘section 2101 of the Continuing Appropriations Act, 2021 and 

Other Extensions Act, and section 1201(d) of the Further Continuing Appropriations Act, 2021, and Other Extensions Act’’. 

SEC. 1202. DIABETES PROGRAMS. 

(a) SPECIAL DIABETES PROGRAMS FOR TYPE I DIABETES.—Section 330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 

254c–2(b)(2)(D)) is amended— 

(1) by striking ‘‘$29,589,042’’ and inserting ‘‘$32,465,753’’; 

and 

(2) by striking ‘‘December 11, 2020’’ and inserting 

‘‘December 18, 2020’’. 
H. R. 8900—5 

(b) SPECIAL DIABETES PROGRAMS FOR INDIANS.—Section 

330C(c)(2)(D) of the Public Health Service Act (42 U.S.C. 254c– 

3(c)(2)(D)) is amended— 

(1) by striking ‘‘$29,589,042’’ and inserting ‘‘$32,465,753’’; 

and 

(2) by striking ‘‘December 11, 2020’’ and inserting 

‘‘December 18, 2020’’. 

SEC. 1203. PERSONAL RESPONSIBILITY EDUCATION; SEXUAL RISK 

AVOIDANCE EDUCATION. 

(a) SEXUAL RISK AVOIDANCE EDUCATION.—Section 510 of the 

Social Security Act (42 U.S.C. 710) is amended by striking 

‘‘December 11, 2020’’ each place it appears and inserting ‘‘December 

18, 2020’’. 

(b) PERSONAL RESPONSIBILITY EDUCATION.—Section 513 of the 

Social Security Act (42 U.S.C. 713) is amended by striking 

‘‘December 11, 2020’’ each place it appears and inserting ‘‘December 

18, 2020’’. 

Subtitle B—Food and Drug Administration 

Provisions 

SEC. 1211. RARE PEDIATRIC DISEASE PRIORITY REVIEW VOUCHER 

EXTENSION. 

Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act 

(21 U.S.C. 360ff(b)(5)) is amended— 

(1) by striking ‘‘December 11, 2020’’ each place it appears 

and inserting ‘‘December 18, 2020’’; and 

(2) in subparagraph (B), by striking ‘‘December 11, 2022’’ 

and inserting ‘‘December 18, 2022’’. 

TITLE III—OFFSETS 

SEC. 1301. TRANSPARENCY OF MEDICARE SECONDARY PAYER 

REPORTING INFORMATION. 

Section 1862(b)(8)(G) of the Social Security Act (42 U.S.C. 

395y(b)(8)(G)) is amended— 

(1) by striking ‘‘INFORMATION.—The Secretary’’ and 

inserting ‘‘INFORMATION.— 

‘‘(i) IN GENERAL.—The Secretary’’; and 

(2) by adding at the end the following new clause: 

‘‘(ii) SPECIFIED INFORMATION.—In responding to 

any query made on or after the date that is 1 year 

after the date of the enactment of this clause from 

an applicable plan related to a determination described 

in subparagraph (A)(i), the Secretary, notwithstanding 

any other provision of law, shall provide to such 

applicable plan— 

‘‘(I) whether a claimant subject to the query 

is, or during the preceding 3-year period has been, 

entitled to benefits under the program under this 

title on any basis; and 

‘‘(II) to the extent applicable, the plan name 

and address of any Medicare Advantage plan 

under part C and any prescription drug plan under 
H. R. 8900—6 

part D in which the claimant is enrolled or has 

been enrolled during such period.’’. 

SEC. 1302. DISPENSATION OF NARCOTIC DRUGS FOR THE PURPOSE 

OF RELIEVING ACUTE WITHDRAWAL SYMPTOMS FROM 

OPIOID USE DISORDER. 

Not later than 180 days after the date of enactment of this 

Act, the Attorney General shall revise section 1306.07(b) of title 

21, Code of Federal Regulations, so that practitioners, in accordance 

with applicable State, Federal, or local laws relating to controlled 

substances, are allowed to dispense not more than a three-day 

supply of narcotic drugs to one person or for one person’s use 

at one time for the purpose of initiating maintenance treatment 

or detoxification treatment (or both). 

SEC. 1303. MEDICAID IMPROVEMENT FUND. 

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

1396w–1(b)(3)(A)) is amended by striking ‘‘$3,446,000,000’’ and 

inserting ‘‘$3,464,000,000’’. 

TITLE IV—BUDGETARY EFFECTS 

SEC. 1401. 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. 

(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; and 
H. R. 8900—7 

(2) 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.