II 

116TH CONGRESS 

2D SESSION H. R. 8900 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 9, 2020 

Received 

AN ACT 

Making further continuing appropriations for fiscal year 

2021, 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, 


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1 SECTION 1. SHORT TITLE. 

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

3 Appropriations Act, 2021, and Other Extensions Act’’. 

4 SEC. 2. TABLE OF CONTENTS. 

5 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 

6 SEC. 3. REFERENCES. 

7 Except as expressly provided otherwise, any reference 

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

9 be treated as referring only to the provisions of that divi10 sion. 

11 DIVISION A—FURTHER CON12 TINUING APPROPRIATIONS 

13 ACT, 2021 

14 SEC. 101. The Continuing Appropriations Act, 2021 

15 (division A of Public Law 116–159) is amended by strik16 ing the date specified in section 106(3) and inserting ‘‘De17 cember 18, 2020’’. 

18 This division may be cited as the ‘‘Further Con19 tinuing Appropriations Act, 2021’’. 


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1 DIVISION B—HEALTH 

2 EXTENDERS 

3 TITLE I—MEDICARE AND 

4 MEDICAID EXTENDERS 

5 SEC. 1101. EXTENSION OF THE WORK GEOGRAPHIC INDEX 

6 FLOOR UNDER THE MEDICARE PROGRAM. 

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

8 U.S.C. 1395w–4(e)(1)(E)), as amended by section 3801 

9 of the CARES Act (Public Law 116–136) and section 

10 2201 of the Continuing Appropriations Act, 2021 and 

11 Other Extensions Act (Public Law 116–159), is amended 

12 by striking ‘‘December 12, 2020’’ and inserting ‘‘Decem13 ber 19, 2020’’. 

14 SEC. 1102. EXTENSION OF FUNDING OUTREACH AND AS15 SISTANCE FOR LOW-INCOME PROGRAMS. 

16 (a) STATE HEALTH INSURANCE PROGRAMS.—Sub17 section (a)(1)(B)(xi) of section 119 of the Medicare Im18 provements for Patients and Providers Act of 2008 (42 

19 U.S.C. 1395b–3 note), as amended by section 3306 of the 

20 Patient Protection and Affordable Care Act (Public Law 

21 111–148), section 610 of the American Taxpayer Relief 

22 Act of 2012 (Public Law 112–240), section 1110 of the 

23 Pathway for SGR Reform Act of 2013 (Public Law 113– 

24 67), section 110 of the Protecting Access to Medicare Act 

25 of 2014 (Public Law 113–93), section 208 of the Medicare 


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1 Access and CHIP Reauthorization Act of 2015 (Public 

2 Law 114–10), section 50207 of division E of the Bipar3 tisan Budget Act of 2018 (Public Law 115–123), section 

4 1402 of division B of the Continuing Appropriations Act, 

5 2020, and Health Extenders Act of 2019 (Public Law 

6 116–59), section 1402 of division B of the Further Con7 tinuing Appropriations Act, 2020, and Further Health 

8 Extenders Act of 2019 (Public Law 116–69), section 103 

9 of division N of the Further Consolidated Appropriations 

10 Act, 2020 (Public Law 116–94), section 3803 of the 

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

12 the Continuing Appropriations Act, 2021 and Other Ex13 tensions Act (Public Law 116–159), is amended by strik14 ing ‘‘December 11’’ and inserting ‘‘December 18’’. 

15 (b) AREA AGENCIES ON AGING.—Subsection 

16 (b)(1)(B)(xi) of such section 119, as so amended, is 

17 amended by striking ‘‘December 11’’ and inserting ‘‘De18 cember 18’’. 

19 (c) AGING AND DISABILITY RESOURCE CENTERS.— 

20 Subsection (c)(1)(B)(xi) of such section 119, as so amend21 ed, is amended by striking ‘‘December 11’’ and inserting 

22 ‘‘December 18’’. 

23 (d) CONTRACT WITH THE NATIONAL CENTER FOR

24 BENEFITS AND OUTREACH ENROLLMENT.—Subsection 


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1 (d)(2)(xi) of such section 119, as so amended, is amended 

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

3 SEC. 1103. EXTENSION OF FUNDING FOR QUALITY MEAS4 URE ENDORSEMENT, INPUT, AND SELECTION. 

5 Section 1890(d)(2) of the Social Security Act (42 

6 U.S.C. 1395aaa(d)(2)) is amended by striking ‘‘December 

7 11’’ each place such phrase appears and inserting ‘‘De8 cember 18’’ in each such place. 

9 SEC. 1104. EXTENSION OF COMMUNITY MENTAL HEALTH 

10 SERVICES DEMONSTRATION PROGRAM. 

11 Section 223(d)(3) of the Protecting Access to Medi12 care Act of 2014 (42 U.S.C. 1396a note), as amended by 

13 Public Law 116–159, is amended by striking ‘‘December 

14 11’’ and inserting ‘‘December 18’’. 

15 SEC. 1105. EXTENSION OF SPOUSAL IMPOVERISHMENT 

16 PROTECTIONS. 

17 (a) IN GENERAL.—Section 2404 of the Patient Pro18 tection and Affordable Care Act (42 U.S.C. 1396r–5 

19 note), as amended by Public Law 116–159, is amended 

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

21 (b) RULE OF CONSTRUCTION.—Nothing in section 

22 2404 of Public Law 111–148 (42 U.S.C. 1396r–5 note) 

23 or section 1902(a)(17) or 1924 of the Social Security Act 

24 (42 U.S.C. 1396a(a)(17), 1396r–5) shall be construed as 

25 prohibiting a State from— 


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1 (1) applying an income or resource disregard 

2 under a methodology authorized under section 

3 1902(r)(2) of such Act (42 U.S.C. 1396a(r)(2))— 

4 (A) to the income or resources of an indi5 vidual described in section 

6 1902(a)(10)(A)(ii)(VI) of such Act (42 U.S.C. 

7 1396a(a)(10)(A)(ii)(VI)) (including a disregard 

8 of the income or resources of such individual’s 

9 spouse); or 

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

11 home and community-based services authorized 

12 under subsection (c), (d), (i), or (k) of section 

13 1915 of such Act (42 U.S.C. 1396n) or under 

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

15 (2) disregarding an individual’s spousal income 

16 and assets under a plan amendment to provide med17 ical assistance for home and community-based serv18 ices for individuals by reason of being determined el19 igible under section 1902(a)(10)(C) of such Act (42 

20 U.S.C. 1396a(a)(10)(C)) or by reason of section 

21 1902(f) of such Act (42 U.S.C. 1396a(f)) or other22 wise on the basis of a reduction of income based on 

23 costs incurred for medical or other remedial care 

24 under which the State disregarded the income and 

25 assets of the individual’s spouse in determining the 


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1 initial and ongoing financial eligibility of an indi2 vidual for such services in place of the spousal im3 poverishment provisions applied under section 1924 

4 of such Act (42 U.S.C. 1396r–5). 

5 SEC. 1106. EXTENSION OF DELAY OF DSH REDUCTIONS. 

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

7 U.S.C. 1396r–4(f)(7)(A)) is amended by striking ‘‘Decem8 ber 12’’ each place such phrase appears and inserting 

9 ‘‘December 19’’ in each such place. 

10 SEC. 1107. EXTENSION OF MONEY FOLLOWS THE PERSON. 

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

12 of 2005 (42 U.S.C. 1396a note) is amended by striking 

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


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1 TITLE II—PUBLIC HEALTH EX2 TENDERS AND FOOD AND 

3 DRUG ADMINISTRATION PRO4 VISIONS 

5 Subtitle A—Public Health 

6 Extenders 

7 SEC. 1201. EXTENDING FUNDING FOR COMMUNITY HEALTH 

8 CENTERS, NATIONAL HEALTH SERVICE 

9 CORPS, AND TEACHING HEALTH CENTER 

10 GME. 

11 (a) COMMUNITY HEALTH CENTERS.—Section 

12 10503(b)(1)(F) of the Patient Protection and Affordable 

13 Care Act (42 U.S.C. 254b–2(b)(1)(F)) is amended— 

14 (1) by striking ‘‘$789,041,096’’ and inserting 

15 ‘‘$865,753,425’’; and 

16 (2) by striking ‘‘December 11, 2020’’ and in17 serting ‘‘December 18, 2020’’. 

18 (b) NATIONAL HEALTH SERVICE CORPS.—Section 

19 10503(b)(2)(H) of the Patient Protection and Affordable 

20 Care Act (42 U.S.C. 254b–2(b)(2)(H)) is amended— 

21 (1) by striking ‘‘$61,150,685’’ and inserting 

22 ‘‘$67,095,890’’; and 

23 (2) by striking ‘‘December 11, 2020’’ and in24 serting ‘‘December 18, 2020’’. 


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1 (c) TEACHING HEALTH CENTERS THAT OPERATE

2 GRADUATE MEDICAL EDUCATION PROGRAMS.—Section 

3 340H(g)(1) of the Public Health Service Act (42 U.S.C. 

4 256h(g)(1)) is amended— 

5 (1) by striking ‘‘$24,953,425’’ and inserting 

6 ‘‘$27,379,452’’; and 

7 (2) by striking ‘‘December 11, 2020’’ and in8 serting ‘‘December 18, 2020’’. 

9 (d) APPLICATION OF PROVISIONS.—Amounts appro10 priated pursuant to the amendments made by this section 

11 for the period beginning on December 11, 2020, and end12 ing on December 18, 2020, shall be subject to the require13 ments contained in Public Law 116–94 for funds for pro14 grams authorized under sections 330 through 340 of the 

15 Public Health Service Act. 

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

17 section 3014(h) of title 18, United States Code, as amend18 ed by section 3831(e) of the CARES Act (Public Law 

19 116–136), is amended— 

20 (1) by striking ‘‘Social Services Act,,’’ and in21 serting ‘‘Social Services Act,’’; and 

22 (2) by striking ‘‘and section 2101 of the Con23 tinuing Appropriations Act, 2021 and Other Exten24 sions Act’’ and inserting ‘‘section 2101 of the Con25 tinuing Appropriations Act, 2021 and Other ExtenVerDate Sep 11 2014 21:51 Jan 04, 2021 Jkt 019200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H8900.RDS H8900

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1 sions Act, and section 1201(d) of the Further Con2 tinuing Appropriations Act, 2021, and Other Exten3 sions Act’’. 

4 SEC. 1202. DIABETES PROGRAMS. 

5 (a) SPECIAL DIABETES PROGRAMS FOR TYPE I DIA6 BETES.—Section 330B(b)(2)(D) of the Public Health 

7 Service Act (42 U.S.C. 254c–2(b)(2)(D)) is amended— 

8 (1) by striking ‘‘$29,589,042’’ and inserting 

9 ‘‘$32,465,753’’; and 

10 (2) by striking ‘‘December 11, 2020’’ and in11 serting ‘‘December 18, 2020’’. 

12 (b) SPECIAL DIABETES PROGRAMS FOR INDIANS.— 

13 Section 330C(c)(2)(D) of the Public Health Service Act 

14 (42 U.S.C. 254c–3(c)(2)(D)) is amended— 

15 (1) by striking ‘‘$29,589,042’’ and inserting 

16 ‘‘$32,465,753’’; and 

17 (2) by striking ‘‘December 11, 2020’’ and in18 serting ‘‘December 18, 2020’’. 

19 SEC. 1203. PERSONAL RESPONSIBILITY EDUCATION; SEX20 UAL RISK AVOIDANCE EDUCATION. 

21 (a) SEXUAL RISK AVOIDANCE EDUCATION.—Section 

22 510 of the Social Security Act (42 U.S.C. 710) is amended 

23 by striking ‘‘December 11, 2020’’ each place it appears 

24 and inserting ‘‘December 18, 2020’’. 


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1 (b) PERSONAL RESPONSIBILITY EDUCATION.—Sec2 tion 513 of the Social Security Act (42 U.S.C. 713) is 

3 amended by striking ‘‘December 11, 2020’’ each place it 

4 appears and inserting ‘‘December 18, 2020’’. 

5 Subtitle B—Food and Drug 

6 Administration Provisions 

7 SEC. 1211. RARE PEDIATRIC DISEASE PRIORITY REVIEW 

8 VOUCHER EXTENSION. 

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

10 Cosmetic Act (21 U.S.C. 360ff(b)(5)) is amended— 

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

12 place it appears and inserting ‘‘December 18, 

13 2020’’; and 

14 (2) in subparagraph (B), by striking ‘‘Decem15 ber 11, 2022’’ and inserting ‘‘December 18, 2022’’. 

16 TITLE III—OFFSETS 

17 SEC. 1301. TRANSPARENCY OF MEDICARE SECONDARY 

18 PAYER REPORTING INFORMATION. 

19 Section 1862(b)(8)(G) of the Social Security Act (42 

20 U.S.C. 395y(b)(8)(G)) is amended— 

21 (1) by striking ‘‘INFORMATION.—The Sec22 retary’’ and inserting ‘‘INFORMATION.— 

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

24 and 


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1 (2) by adding at the end the following new 

2 clause: 

3 ‘‘(ii) SPECIFIED INFORMATION.—In 

4 responding to any query made on or after 

5 the date that is 1 year after the date of the 

6 enactment of this clause from an applica7 ble plan related to a determination de8 scribed in subparagraph (A)(i), the Sec9 retary, notwithstanding any other provision 

10 of law, shall provide to such applicable 

11 plan— 

12 ‘‘(I) whether a claimant subject 

13 to the query is, or during the pre14 ceding 3-year period has been, entitled 

15 to benefits under the program under 

16 this title on any basis; and 

17 ‘‘(II) to the extent applicable, the 

18 plan name and address of any Medi19 care Advantage plan under part C 

20 and any prescription drug plan under 

21 part D in which the claimant is en22 rolled or has been enrolled during 

23 such period.’’. 


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1 SEC. 1302. DISPENSATION OF NARCOTIC DRUGS FOR THE 

2 PURPOSE OF RELIEVING ACUTE WITH3 DRAWAL SYMPTOMS FROM OPIOID USE DIS4 ORDER. 

5 Not later than 180 days after the date of enactment 

6 of this Act, the Attorney General shall revise section 

7 1306.07(b) of title 21, Code of Federal Regulations, so 

8 that practitioners, in accordance with applicable State, 

9 Federal, or local laws relating to controlled substances, are 

10 allowed to dispense not more than a three-day supply of 

11 narcotic drugs to one person or for one person’s use at 

12 one time for the purpose of initiating maintenance treat13 ment or detoxification treatment (or both). 

14 SEC. 1303. MEDICAID IMPROVEMENT FUND. 

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

16 U.S.C 1396w–1(b)(3)(A)) is amended by striking 

17 ‘‘$3,446,000,000’’ and inserting ‘‘$3,464,000,000’’. 

18 TITLE IV—BUDGETARY EFFECTS 

19 SEC. 1401. BUDGETARY EFFECTS. 

20 (a) STATUTORY PAYGO SCORECARDS.—The budg21 etary effects of this division shall not be entered on either 

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

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

24 (b) SENATE PAYGO SCORECARDS.—The budgetary 

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


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1 scorecard maintained for purposes of section 4106 of H. 

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

3 (c) CLASSIFICATION OF BUDGETARY EFFECTS.— 

4 Notwithstanding Rule 3 of the Budget Scorekeeping 

5 Guidelines set forth in the joint explanatory statement of 

6 the committee of conference accompanying Conference Re7 port 105–217 and section 250(c)(8) of the Balanced 

8 Budget and Emergency Deficit Control Act of 1985, the 

9 budgetary effects of this division shall not be estimated— 

10 (1) for purposes of section 251 of such Act; and 

11 (2) for purposes of paragraph (4)(C) of section 

12 3 of the Statutory Pay-As-You-Go Act of 2010 as 

13 being included in an appropriation Act. 

Passed the House of Representatives December 9, 

2020. 

Attest: CHERYL L. JOHNSON, 

Clerk. 


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