H. R. 5860 

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 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 ‘‘Continuing Appropriations Act, 

2024 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—CONTINUING APPROPRIATIONS ACT, 2024 

DIVISION B—OTHER MATTERS 

TITLE I—EXTENSIONS AND OTHER MATTERS 

TITLE II—FAA EXTENSION 

TITLE III—HEALTH AND HUMAN SERVICES 

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—CONTINUING APPROPRIATIONS ACT, 2024 

The following sums are hereby appropriated, out of any money 

in the Treasury not otherwise appropriated, and out of applicable 

corporate or other revenues, receipts, and funds, for the several 

departments, agencies, corporations, and other organizational units 

of Government for fiscal year 2024, and for other purposes, namely: 

SEC. 101. Such amounts as may be necessary, at a rate for 

operations as provided in the applicable appropriations Acts for 

fiscal year 2023 and under the authority and conditions provided 

in such Acts, for continuing projects or activities (including the 

costs of direct loans and loan guarantees) that are not otherwise 

specifically provided for in this Act, that were conducted in fiscal 

year 2023, and for which appropriations, funds, or other authority 

were made available in the following appropriations Acts: 

(1) The Agriculture, Rural Development, Food and Drug 

Administration, and Related Agencies Appropriations Act, 2023 

(division A of Public Law 117–328), except section 729, and 
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including the matter under the headings ‘‘Food for Peace Title 

II Grants’’ and ‘‘McGovern-Dole International Food for Education and Child Nutrition Program Grants’’ in title I of division 

M of Public Law 117–328, the matter under the headings 

‘‘Agricultural Research Service—Buildings and Facilities’’, 

‘‘Food Safety and Inspection Service’’, ‘‘Rural Housing Service— 

Rural Community Facilities Program Account’’ (except all that 

follows after ‘‘expended’’ in such matter and except that such 

matter shall be applied by substituting ‘‘$25,300,000’’ for 

‘‘$75,300,000’’), and ‘‘Rural Utilities Service—Rural Water and 

Waste Disposal Program Account’’ (except all that follows after 

‘‘expended’’ in such matter and except that such matter shall 

be applied by substituting ‘‘$60,000,000’’ for ‘‘$325,000,000’’) 

in title I of division N of Public Law 117–328, and section 

2102 in title I of such division N. 

(2) The Commerce, Justice, Science, and Related Agencies 

Appropriations Act, 2023 (division B of Public Law 117–328), 

except section 540, and except section 521(d)(1) shall be applied 

by substituting ‘‘$122,572,000’’ for ‘‘$705,768,000’’, and 

including the matter under the headings ‘‘Federal Prison 

System—Buildings and Facilities’’ and ‘‘National Science 

Foundation—STEM Education’’ (except all that follows after 

‘‘2024’’ in such matter and except that such matter shall be 

applied by substituting ‘‘$92,000,000’’ for ‘‘$217,000,000’’) in 

title II of division N of Public Law 117–328, and the second 

paragraph under each of the headings ‘‘National Oceanic and 

Atmospheric Administration—Operations, Research, and Facilities’’ (except all that follows after ‘‘2024’’ in such paragraph 

and except that such paragraph shall be applied by substituting 

‘‘$42,000,000’’ for ‘‘$62,000,000’’), ‘‘National Oceanic and 

Atmospheric Administration—Procurement, Acquisition and 

Construction’’, ‘‘National Aeronautics and Space Administration—Construction and Environmental Compliance and Restoration’’, and ‘‘National Science Foundation—Research and 

Related Activities’’ (except all that follows after ‘‘2024’’ in such 

paragraph and except that such paragraph shall be applied 

by substituting ‘‘$608,162,000’’ for ‘‘$818,162,000’’) in title II 

of such division N. 

(3) The Department of Defense Appropriations Act, 2023 

(division C of Public Law 117–328). 

(4) The Energy and Water Development and Related Agencies Appropriations Act, 2023 (division D of Public Law 117– 

328), except the first proviso under the heading ‘‘SPR Petroleum 

Account’’, and except the second paragraph under the heading 

‘‘Title 17 Innovative Technology Loan Guarantee Program’’, 

and including the matter under the heading ‘‘Energy Programs—Nuclear Energy’’ in title III of division M of Public 

Law 117–328 and the second paragraph under each of the 

headings ‘‘Corps of Engineers—Civil—Department of the 

Army—Construction’’ and ‘‘Corps of Engineers—Civil—Department of the Army—Operation and Maintenance’’ in title IV 

of division N of Public Law 117–328. 

(5) The Financial Services and General Government Appropriations Act, 2023 (division E of Public Law 117–328). 

(6) The Department of Homeland Security Appropriations 

Act, 2023 (division F of Public Law 117–328), section 2602 
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of title VI of division N of Public Law 117–328, and title 

III of division O of Public Law 117–328. 

(7) The Department of the Interior, Environment, and 

Related Agencies Appropriations Act, 2023 (division G of Public 

Law 117–328), except section 443, and including the second 

paragraph under each of the headings ‘‘Department of the 

Interior—Departmental Offices—Department-Wide Programs— 

Wildland Fire Management’’ and ‘‘Related Agencies—Department of Agriculture—Forest Service—Wildland Fire Management’’ in title VII of division N of Public Law 117–328. 

(8) The Departments of Labor, Health and Human Services, 

and Education, and Related Agencies Appropriations Act, 2023 

(division H of Public Law 117–328), section 145 of division 

A of Public Law 117–180, and the second paragraph under 

the heading ‘‘Administration for Children and Families—Low 

Income Home Energy Assistance’’ in title VIII of division N 

of Public Law 117–328. 

(9) The Legislative Branch Appropriations Act, 2023 (division I of Public Law 117–328), and section 6 in the matter 

preceding division A of Public Law 117–328. 

(10) The Military Construction, Veterans Affairs, and 

Related Agencies Appropriations Act, 2023 (division J of Public 

Law 117–328). 

(11) The Department of State, Foreign Operations, and 

Related Programs Appropriations Act, 2023 (division K of Public 

Law 117–328), except section 7069, and including the matter 

under the headings ‘‘Department of State—Administration of 

Foreign Affairs—Diplomatic Programs’’ (except all that follows 

after ‘‘2024’’ in such matter and except that such matter shall 

be applied by substituting ‘‘$87,054,000’’ for ‘‘$147,054,000’’), 

‘‘Bilateral Economic Assistance—Funds Appropriated to the 

President—International Disaster Assistance’’ (except all that 

follows after ‘‘expended’’ in such matter and except that such 

matter shall be applied by substituting ‘‘$637,902,000’’ for 

‘‘$937,902,000’’), ‘‘Bilateral Economic Assistance—Funds Appropriated to the President—Assistance for Europe, Eurasia and 

Central Asia’’, ‘‘Bilateral Economic Assistance—Department of 

State—Migration and Refugee Assistance’’ (except all that follows after ‘‘expended’’ in such matter and except that such 

matter shall be applied by substituting ‘‘$915,048,000’’ for 

‘‘$1,535,048,000’’), and ‘‘International Security Assistance— 

Department of State—International Narcotics Control and Law 

Enforcement’’ (except all that follows after ‘‘2024’’ in such 

matter and except that such matter shall be applied by substituting ‘‘$74,996,000’’ for ‘‘$374,996,000’’) in title VII of division M of Public Law 117–328. 

(12) The Transportation, Housing and Urban Development, 

and Related Agencies Appropriations Act, 2023 (division L of 

Public Law 117–328), except sections 153 and 420, and 

including the matter under the headings ‘‘Public and Indian 

Housing— Tenant-Based Rental Assistance’’ and ‘‘Housing Programs—Project-Based Rental Assistance’’ in title X of division 

N of Public Law 117–328. 

SEC. 102. (a) No appropriation or funds made available or 

authority granted pursuant to section 101 for the Department of 

Defense shall be used for: 
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(1) the new production of items not funded for production 

in fiscal year 2023 or prior years; 

(2) the increase in production rates above those sustained 

with fiscal year 2023 funds; or 

(3) the initiation, resumption, or continuation of any 

project, activity, operation, or organization (defined as any 

project, subproject, activity, budget activity, program element, 

and subprogram within a program element, and for any investment items defined as a P–1 line item in a budget activity 

within an appropriation account and an R–1 line item that 

includes a program element and subprogram element within 

an appropriation account) for which appropriations, funds, or 

other authority were not available during fiscal year 2023. 

(b) No appropriation or funds made available or authority 

granted pursuant to section 101 for the Department of Defense 

shall be used to initiate multi-year procurements utilizing advance 

procurement funding for economic order quantity procurement 

unless specifically appropriated later. 

SEC. 103. Appropriations made by section 101 shall be available 

to the extent and in the manner that would be provided by the 

pertinent appropriations Act. 

SEC. 104. Except as otherwise provided in section 102, no 

appropriation or funds made available or authority granted pursuant to section 101 shall be used to initiate or resume any project 

or activity for which appropriations, funds, or other authority were 

not available during fiscal year 2023. 

SEC. 105. Appropriations made and authority granted pursuant 

to this Act shall cover all obligations or expenditures incurred 

for any project or activity during the period for which funds or 

authority for such project or activity are available under this Act. 

SEC. 106. Unless otherwise provided for in this Act or in the 

applicable appropriations Act for fiscal year 2024, appropriations 

and funds made available and authority granted pursuant to this 

Act shall be available until whichever of the following first occurs: 

(1) The enactment into law of an appropriation for any 

project or activity provided for in this Act. 

(2) The enactment into law of the applicable appropriations 

Act for fiscal year 2024 without any provision for such project 

or activity. 

(3) November 17, 2023. 

SEC. 107. Expenditures made pursuant to this Act shall be 

charged to the applicable appropriation, fund, or authorization 

whenever a bill in which such applicable appropriation, fund, or 

authorization is contained is enacted into law. 

SEC. 108. Appropriations made and funds made available by 

or authority granted pursuant to this Act may be used without 

regard to the time limitations for submission and approval of apportionments set forth in section 1513 of title 31, United States Code, 

but nothing in this Act may be construed to waive any other 

provision of law governing the apportionment of funds. 

SEC. 109. Notwithstanding any other provision of this Act, 

except section 106, for those programs that would otherwise have 

high initial rates of operation or complete distribution of appropriations at the beginning of fiscal year 2024 because of distributions 

of funding to States, foreign countries, grantees, or others, such 

high initial rates of operation or complete distribution shall not 
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be made, and no grants shall be awarded for such programs funded 

by this Act that would impinge on final funding prerogatives. 

SEC. 110. This Act shall be implemented so that only the 

most limited funding action of that permitted in the Act shall 

be taken in order to provide for continuation of projects and activities. 

SEC. 111. (a) For entitlements and other mandatory payments 

whose budget authority was provided in appropriations Acts for 

fiscal year 2023, except the matter under the heading ‘‘Cost of 

War Toxic Exposures Fund’’ in title II of division J of Public Law 

117–328, and for activities under the Food and Nutrition Act of 

2008, activities shall be continued at the rate to maintain program 

levels under current law, under the authority and conditions provided in the applicable appropriations Act for fiscal year 2023, 

to be continued through the date specified in section 106(3). 

(b) Notwithstanding section 106, obligations for mandatory payments due on or about the first day of any month that begins 

after October 2023 but not later than 30 days after the date specified 

in section 106(3) may continue to be made, and funds shall be 

available for such payments. 

SEC. 112. Amounts made available under section 101 for civilian 

personnel compensation and benefits in each department and 

agency may be apportioned up to the rate for operations necessary 

to avoid furloughs within such department or agency, consistent 

with the applicable appropriations Act for fiscal year 2023, except 

that such authority provided under this section shall not be used 

until after the department or agency has taken all necessary actions 

to reduce or defer non-personnel-related administrative expenses. 

SEC. 113. Funds appropriated by this Act may be obligated 

and expended notwithstanding section 10 of Public Law 91–672 

(22 U.S.C. 2412), section 15 of the State Department Basic Authorities Act of 1956 (22 U.S.C. 2680), section 313 of the Foreign Relations Authorization Act, Fiscal Years 1994 and 1995 (22 U.S.C. 

6212), and section 504(a)(1) of the National Security Act of 1947 

(50 U.S.C. 3094(a)(1)). 

SEC. 114. (a)(1) For each amount incorporated by reference 

in this Act from amounts provided by division M or N of Public 

Law 117–328, each section or paragraph of an account providing 

each such amount, as applicable, shall be applied as if that section 

or paragraph ended with the following sentence: ‘‘The amount provided herein is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget 

and Emergency Deficit Control Act of 1985.’’. 

(2) Each amount incorporated by reference in this Act that 

was previously designated by the Congress as an emergency requirement pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th 

Congress), the concurrent resolution on the budget for fiscal year 

2022, and section 1(e) of H. Res. 1151 (117th Congress), as engrossed 

in the House of Representatives on June 8, 2022, or as being 

for disaster relief pursuant to a concurrent resolution on the budget 

in the Senate and section 1(f) of H. Res. 1151 (117th Congress), 

as engrossed in the House of Representatives on June 8, 2022, 

is designated by the Congress as being an emergency requirement 

pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and 

Emergency Deficit Control Act of 1985 or as being for disaster 

relief pursuant to section 251(b)(2)(D) of such Act, respectively. 
H. R. 5860—6 

(b)(1) Each amount incorporated by reference in this Act that 

was specified to meet the terms of section 4004(b)(5)(B) of S. Con. 

Res. 14 (117th Congress), the concurrent resolution on the budget 

for fiscal year 2022, and section 1(g)(2) of H. Res. 1151 (117th 

Congress), as engrossed in the House of Representatives on June 

8, 2022, or as additional new budget authority for purposes of 

section 4004(b)(5) of such concurrent resolution and section 1(g) 

of such House resolution, is provided to meet the terms of section 

251(b)(2)(F)(ii)(I) of the Balanced Budget and Emergency Deficit 

Control Act of 1985, or is additional new budget authority as 

specified for purposes of section 251(b)(2)(F) of such Act, respectively. 

(2) Each amount incorporated by reference in this Act for 

‘‘Department of Labor—Employment and Training Administration— 

State Unemployment Insurance and Employment Service Operations’’ that was specified to meet the terms of a concurrent resolution on the budget in the Senate and section 1(j)(2) of H. Res. 

1151 (117th Congress), as engrossed in the House of Representatives 

on June 8, 2022, or as additional new budget authority for purposes 

of a concurrent resolution on the budget in the Senate and section 

1(j) of such House resolution, is provided to meet the terms of 

section 251(b)(2)(E)(ii) of the Balanced Budget and Emergency Deficit Control Act of 1985, or is additional new budget authority 

as specified for the purposes of section 251(b)(2)(E) of such Act, 

respectively. 

(3) Each amount incorporated by reference in this Act for 

‘‘Department of Health and Human Services— Centers for Medicare 

& Medicaid Services—Health Care Fraud and Abuse Control 

Account’’ that was specified to meet the terms of a concurrent 

resolution on the budget in the Senate, or as additional new budget 

authority for purposes of a concurrent resolution on the budget 

in the Senate and section 1(h) of H. Res. 1151 (117th Congress), 

as engrossed in the House of Representatives on June 8, 2022, 

is provided to meet the terms of section 251(b)(2)(C)(ii) of the 

Balanced Budget and Emergency Deficit Control Act of 1985, or 

is additional new budget authority as specified for the purposes 

of section 251(b)(2)(C) of such Act, respectively. 

(4) Each amount incorporated by reference in this Act for 

‘‘Social Security Administration—Limitation on Administrative 

Expenses’’ that was specified to meet the terms of a concurrent 

resolution on the budget in the Senate, or as additional new budget 

authority for purposes of a concurrent resolution on the budget 

in the Senate and section 1(i) of H. Res. 1151 (117th Congress), 

as engrossed in the House of Representatives on June 8, 2022, 

is provided to meet the terms of section 251(b)(2)(B)(ii)(III) of the 

Balanced Budget and Emergency Deficit Control Act of 1985, or 

is additional new budget authority as specified for the purposes 

of section 251(b)(2)(B) of such Act, respectively. 

(c) Each amount designated in this Act by the Congress as 

an emergency requirement pursuant to section 251(b)(2)(A)(i) of 

the Balanced Budget and Emergency Deficit Control Act of 1985 

shall be available (or repurposed or rescinded, if applicable) only 

if the President subsequently so designates all such amounts and 

transmits such designations to the Congress. 

SEC. 115. (a) Rescissions or cancellations of discretionary budget 

authority that continue pursuant to section 101 in Treasury Appropriations Fund Symbols (TAFS)— 
H. R. 5860—7 

(1) to which other appropriations are not provided by this 

Act, but for which there is a current applicable TAFS that 

does receive an appropriation in this Act; or 

(2) which are no-year TAFS and receive other appropriations in this Act, may be continued instead by reducing the 

rate for operations otherwise provided by section 101 for such 

current applicable TAFS, as long as doing so does not impinge 

on the final funding prerogatives of the Congress. 

(b) Rescissions or cancellations described in subsection (a) shall 

continue in an amount equal to the lesser of— 

(1) the amount specified for rescission or cancellation in 

the applicable appropriations Act referenced in section 101 

of this Act; or 

(2) the amount of balances available, as of October 1, 

2023, from the funds specified for rescission or cancellation 

in the applicable appropriations Act referenced in section 101 

of this Act. 

(c) No later than November 17, 2023, the Director of the Office 

of Management and Budget shall provide to the Committees on 

Appropriations of the House of Representatives and the Senate 

a comprehensive list of the rescissions or cancellations that will 

continue pursuant to section 101: Provided, That the information 

in such comprehensive list shall be periodically updated to reflect 

any subsequent changes in the amount of balances available, as 

of October 1, 2023, from the funds specified for rescission or cancellation in the applicable appropriations Act referenced in section 

101, and such updates shall be transmitted to the Committees 

on Appropriations of the House of Representatives and the Senate 

upon request. 

SEC. 116. Amounts made available by section 101 for ‘‘Farm 

Service Agency—Agricultural Credit Insurance Fund Program 

Account’’ may be apportioned up to the rate for operations necessary 

to accommodate approved applications for direct and guaranteed 

farm ownership loans, as authorized by 7 U.S.C. 1922 et seq. 

SEC. 117. Amounts made available by section 101 for ‘‘Rural 

Housing Service—Rental Assistance Program’’ may be apportioned 

up to the rate for operations necessary to maintain activities as 

authorized by section 521(a)(2) of the Housing Act of 1949. 

SEC. 118. Amounts made available by section 101 for ‘‘Domestic 

Food Programs—Food and Nutrition Service—Special Supplemental 

Nutrition Program for Women, Infants, and Children (WIC)’’ may 

be apportioned at the rate for operations necessary to maintain 

participation. 

SEC. 119. Amounts made available by section 101 for ‘‘Domestic 

Food Programs—Food and Nutrition Service—Commodity Assistance Program’’ may be apportioned up to the rate for operations 

necessary to maintain current program caseload in the Commodity 

Supplemental Food Program. 

SEC. 120. Section 260 of the Agricultural Marketing Act of 

1946 (7 U.S.C. 1636i) and section 942 of the Livestock Mandatory 

Reporting Act of 1999 (7 U.S.C. 1635 note; Public Law 106–78) 

shall be applied by substituting the date specified in section 106(3) 

of this Act for ‘‘September 30, 2023’’. 

SEC. 121. Amounts made available by section 101 for ‘‘National 

Telecommunications and Information Administration—Salaries and 

Expenses’’ may be apportioned up to the rate for operations necessary to administer broadband programs. 
H. R. 5860—8 

SEC. 122. (a) Funds previously made available in the Consolidated Appropriations Act, 2017 (Public Law 115–31) and the 

Consolidated Appropriations Act, 2018 (Public Law 115–141) under 

the heading ‘‘National Aeronautics and Space Administration— 

Space Operations’’ that were available for obligation through fiscal 

year 2018 and fiscal year 2019, respectively, are to remain available 

through fiscal year 2024 for the liquidation of valid obligations 

incurred in fiscal years 2017 through 2019. 

(b)(1) Subject to paragraph (2), this section shall become effective immediately upon enactment of this Act. 

(2) If this Act is enacted after September 30, 2023, this section 

shall be applied as if it were in effect on September 30, 2023. 

SEC. 123. For purposes of section 235(b) of the Sentencing 

Reform Act of 1984 (18 U.S.C. 3551 note; Public Law 98–473; 

98 Stat. 2032), as such section relates to chapter 311 of title 18, 

United States Code, and the United States Parole Commission, 

each reference in such section to ‘‘36 years’’ or ‘‘36-year period’’ 

shall be deemed a reference to ‘‘36 years and 17 days’’ or ‘‘36- 

year and 17-day period’’, respectively. 

SEC. 124. Notwithstanding sections 102 and 104, amounts made 

available by section 101 to the Department of Defense for ‘‘Shipbuilding and Conversion, Navy’’ may be apportioned up to the 

rate for operations necessary for ‘‘Ohio Replacement Submarine 

(Full Funding)’’ in an amount not to exceed $621,270,000 for the 

procurement of one Columbia Class Submarine. 

SEC. 125. During the period covered by this Act, section 

714(b)(2)(B) of title 10, United States Code, shall be applied by 

substituting ‘‘four years’’ for ‘‘two years’’. 

SEC. 126. Notwithstanding section 101, the matter preceding 

the first proviso under the heading ‘‘Office of Personnel Management—Salaries and Expenses’’ in division E of Public Law 117– 

328 shall be applied by substituting ‘‘$219,076,000’’ for 

‘‘$190,784,000’’. 

SEC. 127. Notwithstanding any other provision of this Act, 

except section 106, the District of Columbia may expend local funds 

made available under the heading ‘‘District of Columbia—District 

of Columbia Funds’’ for such programs and activities under the 

District of Columbia Appropriations Act, 2023 (title IV of division 

E of Public Law 117–328) at the rate set forth in the Fiscal Year 

2024 Local Budget Act of 2023 (D.C. Act 25–161), as modified 

as of the date of enactment of this Act. 

SEC. 128. Amounts made available by section 101 to the Department of Homeland Security under the heading ‘‘Federal Emergency 

Management Agency—Disaster Relief Fund’’ may be apportioned 

up to the rate for operations necessary to carry out response and 

recovery activities under the Robert T. Stafford Disaster Relief 

and Emergency Assistance Act (42 U.S.C. 5121 et seq.). 

SEC. 129. In addition to amounts otherwise provided by section 

101, for ‘‘Federal Emergency Management Agency—Disaster Relief 

Fund’’, there is appropriated $16,000,000,000, for an additional 

amount for fiscal year 2024, to remain available until expended, 

of which $2,000,000 shall be transferred to ‘‘Office of the Inspector 

General—Operations and Support’’ for audits and investigations 

of activities funded under ‘‘Federal Emergency Management 

Agency—Disaster Relief Fund’’ and $15,500,000,000 shall be for 

major disasters declared pursuant to the Robert T. Stafford Disaster 

Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.): 
H. R. 5860—9 

Provided, That such amount is designated by the Congress as 

being for an emergency requirement pursuant to section 

251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 

SEC. 130. (a) Sections 1309(a) and 1319 of the National Flood 

Insurance Act of 1968 (42 U.S.C. 4016(a) and 4026) shall be applied 

by substituting the date specified in section 106(3) of this Act 

for ‘‘September 30, 2023’’. 

(b)(1) Subject to paragraph (2), this section shall become effective immediately upon enactment of this Act. 

(2) If this Act is enacted after September 30, 2023, this section 

shall be applied as if it were in effect on September 30, 2023. 

SEC. 131. Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015 (6 U.S.C. 1525(a)) shall be applied by substituting 

the date specified in section 106(3) of this Act for ‘‘September 

30, 2023’’. 

SEC. 132. Amounts made available by section 101 for ‘‘Department of the Interior—Department-Wide Programs—Wildland Fire 

Management’’ and ‘‘Department of Agriculture—Forest Service— 

Wildland Fire Management’’ shall be available for the Federal 

wildland firefighter base salary increase provided under section 

40803(d)(4)(B) of Public Law 117–58 and may be apportioned up 

to the rate for operations necessary to continue to fund such base 

salary increase. 

SEC. 133. Activities authorized by part A of title IV (other 

than under section 403(c) or 418) and section 1108(b) of the Social 

Security Act shall continue through the date specified in section 

106(3), 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. 134. Notwithstanding section 101, section 126 of division 

J of Public Law 117–328 shall be applied during the period covered 

by this Act by substituting ‘‘fiscal year 2017, fiscal year 2018, 

and fiscal year 2019’’ for ‘‘fiscal year 2017 and fiscal year 2018’’. 

SEC. 135. The authority provided by section 2401 of the Afghanistan Supplemental Appropriations Act, 2022 (division C of Public 

Law 117–43) shall continue in effect through the date specified 

in section 106(3) of this Act. 

SEC. 136. Notwithstanding section 101, the matter under the 

heading ‘‘Bilateral Economic Assistance—Independent Agencies— 

Millennium Challenge Corporation’’ in title III of division K of 

Public Law 117–328 shall be applied by inserting the following 

new provisos before the last proviso: ‘‘Provided further, That the 

member of the Board described in section 604(c)(3)(B)(ii) of the 

Millennium Challenge Act of 2003, as amended (22 U.S.C. 

7703(c)(3)(B)(ii)), whose term began on September 16, 2019, shall 

continue to serve in such appointment until March 31, 2024: Provided further, That in the event that a new member of the Board 

described in section 604(c)(3)(B) of such Act (22 U.S.C. 7703(c)(3)(B)) 

is appointed prior to March 31, 2024, the term of the member 

of the Board whose term began on September 16, 2019, shall 

terminate as of the date of such appointment:’’. 

SEC. 137. Notwithstanding section 101, the matter preceding 

the first proviso under the heading ‘‘Department of Transportation— 

Federal Aviation Administration—Facilities and Equipment’’ in title 
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I of division L of Public Law 117–328 shall be applied by substituting ‘‘$617,000,000’’ for ‘‘$570,000,000’’ and substituting 

‘‘$2,174,200,000’’ for ‘‘$2,221,200,000’’. 
H. R. 5860—11 

DIVISION B—OTHER MATTERS 

TITLE I—EXTENSIONS AND OTHER 

MATTERS 

SEC. 2101. EXTENSION OF CERTAIN PROVISIONS OF THE COMPACT 

OF FREE ASSOCIATION WITH THE FEDERATED STATES 

OF MICRONESIA AND THE FEDERAL PROGRAM AND SERVICES AGREEMENTS WITH THE FEDERATED STATES OF 

MICRONESIA AND THE REPUBLIC OF THE MARSHALL 

ISLANDS. 

(a) GRANT AND OTHER FINANCIAL ASSISTANCE.— 

(1) IN GENERAL.—During the period beginning on October 

1, 2023, and ending on November 17, 2023, any activities 

described in sections 211, 212, and 215 of the Compact of 

Free Association between the Government of the United States 

of America and the Government of the Federated States of 

Micronesia set forth in section 201(a) of the Compact of Free 

Association Amendments Act of 2003 (48 U.S.C. 1921 note; 

Public Law 108–188) shall, with the mutual consent of the 

Federated States of Micronesia, continue in the manner authorized and required for fiscal year 2023 under the agreements 

described in paragraphs (4) and (5) of section 462(b) of that 

Compact. 

(2) FUNDING.—There is appropriated, out of any money 

in the Treasury not otherwise appropriated, to carry out the 

activities authorized under paragraph (1) an amount equal 

to the pro rata portion of the amount appropriated for those 

activities for fiscal year 2023. 

(b) FEDERAL PROGRAMS AND SERVICES.—During the period 

beginning on October 1, 2023, and ending on the date on which 

a new Federal programs and services agreement with the applicable 

country enters into force, any activities described in sections 131, 

132, and 221(a) of the Compact of Free Association between the 

Government of the United States of America and the Government 

of the Federated States of Micronesia set forth in section 201(a) 

of the Compact of Free Association Amendments Act of 2003 (48 

U.S.C. 1921 note; Public Law 108–188) and sections 131, 132, 

and 221(a) 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 shall, with the mutual consent of the Federated States 

of Micronesia or the Republic of the Marshall Islands, as applicable, 

continue in the manner authorized and required for fiscal year 

2023 under the agreement described in section 462(b)(1) of the 

Compact of Free Association between the Government of the United 

States of America and the Government of the Federated States 

of Micronesia set forth in section 201(a) of that Act and the agreement described in section 462(b)(1) 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, respectively. 
H. R. 5860—12 

SEC. 2102. EXTENSION OF DEADLINE TO PROMULGATE CERTAIN REGULATIONS. 

Section 413(a) of the Indian Self-Determination and Education 

Assistance Act (25 U.S.C. 5373(a)) is amended— 

(1) in paragraph (2), by striking ‘‘21 months’’ and inserting 

‘‘38 months’’; and 

(2) in paragraph (3), by striking ‘‘30 months’’ and inserting 

‘‘50 months’’. 

TITLE II—FAA EXTENSION 

Subtitle A—Federal Aviation Programs 

SEC. 2201. AIRPORT IMPROVEMENT PROGRAM. 

(a) AUTHORIZATION OF APPROPRIATIONS.—Section 48103(a) of 

title 49, United States Code, is amended— 

(1) in paragraph (5) by striking the ‘‘and’’ at the end; 

(2) in paragraph (6) by striking the period at the end 

and inserting ‘‘; and’’; and 

(3) by adding at the end the following: 

‘‘(7) $842,076,502 for the period beginning on October 1, 

2023, and ending on December 31, 2023.’’. 

(b) OBLIGATION AUTHORITY.—Subject to limitations specified 

in advance in appropriation Acts, sums made available pursuant 

to the amendment made by subsection (a) may be obligated at 

any time through September 30, 2024, and shall remain available 

until expended. 

(c) PROGRAM IMPLEMENTATION.—For purposes of calculating 

funding apportionments and meeting other requirements under sections 47114, 47115, 47116, and 47117 of title 49, United States 

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

on December 31, 2023, the Administrator of the Federal Aviation 

Administration shall— 

(1) first calculate such funding apportionments on an 

annualized basis as if the total amount available under section 

48103 of such title for fiscal year 2024 was $3,350,000,000; 

and 

(2) then reduce by 75 percent— 

(A) all funding apportionment amounts calculated 

under paragraph (1); and 

(B) amounts made available pursuant to subsections 

(b) and (f)(2) of section 47117 of such title. 

(d) EXTENSION OF PROJECT GRANT AUTHORITY.—Section 

47104(c) of title 49, United States Code, is amended in the matter 

preceding paragraph (1) by striking ‘‘September 30, 2023,’’ and 

inserting ‘‘December 31, 2023,’’. 

(e) EXTENSION OF SPECIAL RULE FOR APPORTIONMENTS.—Section 47114(c)(1)(J) of title 49, United States Code, is amended 

by striking ‘‘2023 to’’ and inserting ‘‘2023, and for the period beginning on October 1, 2023, and ending on December 31, 2023, to’’. 

SEC. 2202. EXTENSION OF EXPIRING AUTHORITIES; MISCELLANEOUS 

AUTHORIZATIONS. 

(a) AUTHORITY TO PROVIDE INSURANCE.—Section 44310(b) of 

title 49, United States Code, is amended by striking ‘‘September 

30, 2023’’ and inserting ‘‘December 31, 2023’’. 
H. R. 5860—13 

(b) UNMANNED AIRCRAFT TEST RANGES.—Section 44803(h) of 

title 49, United States Code, is amended by striking ‘‘September 

30, 2023’’ and inserting ‘‘December 31, 2023’’. 

(c) SPECIAL AUTHORITY FOR CERTAIN UNMANNED AIRCRAFT SYSTEMS.—Section 44807(d) of title 49, United States Code, is amended 

by striking ‘‘September 30, 2023’’ and inserting ‘‘December 31, 

2023’’. 

(d) EXTENSION OF AIRPORT SAFETY AND AIRSPACE HAZARD MITIGATION AND ENFORCEMENT.—Section 44810(h) of title 49, United 

States Code, is amended by striking ‘‘September 30, 2023’’ and 

inserting ‘‘December 31, 2023’’. 

(e) COMPETITIVE ACCESS REPORTING REQUIREMENT.—Section 

47107(r)(3) of title 49, United States Code, is amended by striking 

‘‘October 1, 2023’’ and inserting ‘‘January 1, 2024’’. 

(f) MARSHALL ISLANDS, MICRONESIA, AND PALAU.—Section 

47115(i) of title 49, United States Code, is amended by inserting 

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

on December 31, 2023’’ after ‘‘fiscal years 2018 through 2023’’. 

(g) SUPPLEMENTAL DISCRETIONARY FUNDS.—Section 

47115(j)(4)(A) of title 49, United States Code, is amended by 

inserting at the end the following: 

‘‘(vi) $140,401,803 for the period beginning on 

October 1, 2023, and ending on December 31, 2023.’’. 

(h) COMPATIBLE LAND USE PLANNING AND PROJECTS BY STATE

AND LOCAL GOVERNMENTS.—Section 47141(f) of title 49, United 

States Code, is amended by striking ‘‘September 30, 2023’’ and 

inserting ‘‘December 31, 2023’’. 

(i) NON-MOVEMENT AREA SURVEILLANCE PILOT PROGRAM.—Section 47143(c) of title 49, United States Code, is amended by striking 

‘‘October 1, 2023’’ and inserting ‘‘January 1, 2024’’. 

(j) WEATHER REPORTING PROGRAMS.—Section 48105 of title 49, 

United States Code, is amended by adding at the end the following: 

‘‘(5) $9,803,278 for the period beginning on October 1, 2023, 

and ending on December 31, 2023.’’. 

(k) LEARNING PERIOD.—Section 50905(c)(9) of title 51, United 

States Code, is amended by striking ‘‘October 1, 2023’’ and inserting 

‘‘January 1, 2024’’. 

(l) MIDWAY ISLAND AIRPORT.—Section 186(d) of the Vision 100— 

Century of Aviation Reauthorization Act (Public Law 108–176; 117 

Stat. 2518) is amended by inserting ‘‘and for the period beginning 

on October 1, 2023, and ending on December 31, 2023,’’ after ‘‘fiscal 

years 2018 through 2023’’. 

(m) FINAL ORDER ESTABLISHING MILEAGE AND ADJUSTMENT

ELIGIBILITY.—Section 409(d) of the Vision 100—Century of Aviation 

Reauthorization Act (49 U.S.C. 41731 note) is amended by striking 

‘‘September 30, 2023’’ and inserting ‘‘December 31, 2023’’. 

(n) CONTRACT WEATHER OBSERVERS.—Section 2306(b) of the 

FAA Extension, Safety, and Security Act of 2016 (Public Law 114– 

190; 130 Stat. 641) is amended by striking ‘‘October 1, 2023’’ and 

inserting ‘‘January 1, 2024’’. 

(o) REMOTE TOWER PILOT PROGRAM.—Section 161(a)(10) of the 

FAA Reauthorization Act of 2018 (49 U.S.C. 47104 note) is amended 

by striking ‘‘September 30, 2023’’ and inserting ‘‘December 31, 

2023’’. 

(p) AIRPORT ACCESS ROADS IN REMOTE LOCATIONS; STORAGE

FACILITIES FOR SNOW REMOVAL EQUIPMENT.—Section 162 of the 

FAA Reauthorization Act of 2018 (49 U.S.C. 47102 note) is amended 
H. R. 5860—14 

by inserting ‘‘and for the period beginning on October 1, 2023, 

and ending on December 31, 2023’’ after ‘‘fiscal years 2018 through 

2023’’. 

(q) UAS REMOTE DETECTION AND IDENTIFICATION PILOT PROGRAM.—Section 372(d) of the FAA Reauthorization Act of 2018 

(49 U.S.C. 44810 note) is amended by striking ‘‘September 30, 

2023’’ and inserting ‘‘December 31, 2023’’. 

(r) ADVISORY COMMITTEE FOR AVIATION CONSUMER PROTECTION.—Section 411(h) of the FAA Modernization and Reform Act 

of 2012 (49 U.S.C. 42301 note) is amended by striking ‘‘September 

30, 2023’’ and inserting ‘‘December 31, 2023’’. 

(s) AVIATION CONSUMER ADVOCATE.—Section 424(e) of the FAA 

Reauthorization Act of 2018 (49 U.S.C. 42302 note) is amended 

by striking ‘‘September 30, 2023’’ and inserting ‘‘December 31, 

2023’’. 

(t) ADVISORY COMMITTEE ON AIR TRAVEL NEEDS OF PASSENGERS

WITH DISABILITIES.—Section 439(g) of the FAA Reauthorization 

Act of 2018 (49 U.S.C. 41705 note) is amended by striking ‘‘September 30, 2023’’ and inserting ‘‘December 31, 2023’’. 

(u) ENHANCED TRAFFIC SERVICES.—Section 547(e) of the FAA 

Reauthorization Act of 2018 (49 U.S.C. 40103 note) is amended 

by striking ‘‘September 30, 2023’’ and inserting ‘‘December 31, 

2023’’. 

(v) PILOT PROGRAM FOR REDEVELOPMENT OF AIRPORT PROPERTIES.—Section 822(k) of the FAA Modernization and Reform Act 

of 2012 (49 U.S.C. 47141 note) is amended by striking ‘‘September 

30, 2023’’ and inserting ‘‘December 31, 2023’’. 

SEC. 2203. FEDERAL AVIATION ADMINISTRATION OPERATIONS. 

Section 106(k) of title 49, United States Code, is amended— 

(1) in paragraph (1)— 

(A) in subparagraph (E) by striking ‘‘and’’ at the end; 

(B) in subparagraph (F) by striking the period at the 

end and inserting ‘‘; and’’; and 

(C) by inserting after subparagraph (F) the following: 

‘‘(G) $2,995,027,322 for the period beginning on October 

1, 2023, and ending on December 31, 2023.’’; and 

(2) in paragraph (3) by inserting ‘‘and for the period beginning on October 1, 2023, and ending on December 31, 2023’’ 

after ‘‘fiscal years 2018 through 2023’’. 

SEC. 2204. AIR NAVIGATION FACILITIES AND EQUIPMENT. 

Section 48101(a) of title 49, United States Code, is amended 

by adding at the end the following: 

‘‘(7) $740,273,224 for the period beginning on October 1, 

2023, and ending on December 31, 2023.’’. 

SEC. 2205. RESEARCH, ENGINEERING, AND DEVELOPMENT. 

Section 48102(a) of title 49, United States Code, is amended— 

(1) in paragraph (14), by striking ‘‘and’’; 

(2) in paragraph (15) by striking the period at the end 

and inserting ‘‘; and’’; and 

(3) by adding at the end the following: 

‘‘(16) $64,098,360 for the period beginning on October 1, 

2023, and ending on December 31, 2023.’’. 
H. R. 5860—15 

SEC. 2206. SMALL COMMUNITY AIR SERVICE. 

(a) ESSENTIAL AIR SERVICE AUTHORIZATION.—Section 

41742(a)(2) of title 49, United States Code, is amended by striking 

‘‘2023’’ and inserting ‘‘2023, and $89,191,486 for the period beginning on October 1, 2023, and ending on December 31, 2023,’’. 

(b) AIRPORTS NOT RECEIVING SUFFICIENT SERVICE.—Section 

41743(e)(2) of title 49, United States Code, is amended by inserting 

‘‘, and $2,513,661 for the period beginning on October 1, 2023, 

and ending on December 31, 2023,’’ after ‘‘fiscal years 2018 through 

2023’’. 

Subtitle B—Aviation Revenue Provisions 

SEC. 2211. EXPENDITURE AUTHORITY FROM AIRPORT AND AIRWAY 

TRUST FUND. 

(a) IN GENERAL.—Section 9502(d)(1) of the Internal Revenue 

Code of 1986 is amended— 

(1) in the matter preceding subparagraph (A) by striking 

‘‘October 1, 2023’’ and inserting ‘‘January 1, 2024’’; and 

(2) in subparagraph (A) by striking the semicolon at the 

end and inserting ‘‘or title II of division B of the Continuing 

Appropriations Act, 2024 and Other Extensions Act;’’. 

(b) CONFORMING AMENDMENT.—Section 9502(e)(2) of such Code 

is amended by striking ‘‘October 1, 2023’’ and inserting ‘‘January 

1, 2024’’. 

SEC. 2212. EXTENSION OF TAXES FUNDING AIRPORT AND AIRWAY 

TRUST FUND. 

(a) FUEL TAXES.—Section 4081(d)(2)(B) of the Internal Revenue 

Code of 1986 is amended by striking ‘‘September 30, 2023’’ and 

inserting ‘‘December 31, 2023’’. 

(b) TICKET TAXES.— 

(1) PERSONS.—Section 4261(k)(1)(A)(ii) of such Code is 

amended by striking ‘‘September 30, 2023’’ and inserting 

‘‘December 31, 2023’’. 

(2) PROPERTY.—Section 4271(d)(1)(A)(ii) of such Code is 

amended by striking ‘‘September 30, 2023’’ and inserting 

‘‘December 31, 2023’’. 

(c) FRACTIONAL OWNERSHIP PROGRAMS.— 

(1) FUEL TAX.—Section 4043(d) of such Code is amended 

by striking ‘‘September 30, 2023’’ and inserting ‘‘December 31, 

2023’’. 

(2) TREATMENT AS NONCOMMERCIAL AVIATION.—Section 

4083(b) of such Code is amended by striking ‘‘October 1, 2023’’ 

and inserting ‘‘January 1, 2024’’. 

(3) EXEMPTION FROM TICKET TAX.—Section 4261(j) of such 

Code is amended by striking ‘‘September 30, 2023’’ and 

inserting ‘‘December 31, 2023’’. 
H. R. 5860—16 

Subtitle C—Expiring Counter-UAS 

Authorities 

SEC. 2221. PROTECTION OF CERTAIN FACILITIES AND ASSETS FROM 

UNMANNED AIRCRAFT. 

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

124n(i)) is amended by striking ‘‘on the date that is 4 years after 

the date of enactment of this section’’ and inserting ‘‘on November 

18, 2023’’. 

TITLE III—HEALTH AND HUMAN 

SERVICES 

Subtitle A—Animal Drug and Animal 

Generic Drug User Fee Amendments 

CHAPTER 1—FEES RELATING TO ANIMAL DRUGS 

SEC. 2301. SHORT TITLE; FINDING. 

(a) SHORT TITLE.—This chapter may be cited as the ‘‘Animal 

Drug User Fee Amendments of 2023’’. 

(b) FINDING.—Congress finds that the fees authorized by the 

amendments made in this chapter will be dedicated toward expediting the animal drug development process and the review of 

new and supplemental animal drug applications and investigational 

animal drug submissions as set forth in the goals identified for 

purposes of part 4 of subchapter C of chapter VII of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–11 et seq.), in the 

letters from the Secretary of Health and Human Services to the 

Chairman of the Committee on Energy and Commerce of the House 

of Representatives and the Chairman of the Committee on Health, 

Education, Labor, and Pensions of the Senate as set forth in the 

Congressional Record. 

SEC. 2302. DEFINITIONS. 

Section 739 of the Federal Food, Drug, and Cosmetic Act (21 

U.S.C. 379j–11) is amended— 

(1) in paragraph (3), by striking ‘‘national drug code’’ and 

inserting ‘‘National Drug Code’’; and 

(2) by amending paragraph (8)(I) to read as follows: 

‘‘(I) The activities necessary for implementation of the 

United States and European Union Mutual Recognition 

Agreement for Pharmaceutical Good Manufacturing Practice Inspections, and the United States and United 

Kingdom Mutual Recognition Agreement Sectoral Annex 

for Pharmaceutical Good Manufacturing Practices, and 

other mutual recognition agreements, with respect to 

animal drug products subject to review, including 

implementation activities prior to and following product 

approval.’’. 
H. R. 5860—17 

SEC. 2303. AUTHORITY TO ASSESS AND USE ANIMAL DRUG FEES. 

(a) IN GENERAL.—Section 740(a)(1)(A)(ii) of the Federal Food, 

Drug, and Cosmetic Act (21 U.S.C. 379j– 12(a)(1)(A)(ii)) is 

amended— 

(1) in subclause (I), by striking ‘‘and’’ at the end; 

(2) in subclause (II), by striking the period at the end 

and inserting ‘‘; and’’; and 

(3) by adding at the end the following: 

‘‘(III) an application for conditional approval 

under section 571 of a new animal drug for which 

an animal drug application submitted under section 512(b)(1) has been previously approved under 

section 512(d)(1) for another intended use.’’. 

(b) FEE REVENUE AMOUNTS.—Section 740(b)(1) of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(b)(1)) is amended 

to read as follows: 

‘‘(1) IN GENERAL.—Subject to subsections (c), (d), (f), and 

(g), for each of fiscal years 2024 through 2028, the fees required 

under subsection (a) shall be established to generate a total 

revenue amount of $33,500,000.’’. 

(c) ANNUAL FEE SETTING; ADJUSTMENTS.— 

(1) ANNUAL FEE SETTING.—Section 740(c)(1) of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(c)(1)) is 

amended to read as follows: 

‘‘(1) ANNUAL FEE SETTING.—Not later than 60 days before 

the start of each fiscal year beginning after September 30, 

2023, the Secretary shall— 

‘‘(A) establish for that fiscal year animal drug application fees, supplemental animal drug application fees, 

animal drug sponsor fees, animal drug establishment fees, 

and animal drug product fees based on the revenue 

amounts established under subsection (b) and the adjustments provided under this subsection; and 

‘‘(B) publish such fee revenue amounts and fees in 

the Federal Register.’’. 

(2) INFLATION ADJUSTMENT.—Section 740(c)(2) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(c)(2)) 

is amended— 

(A) in subparagraph (A)— 

(i) in the matter preceding clause (i), by striking 

‘‘2020’’ and inserting ‘‘2025’’; and 

(ii) in clause (iii), by striking ‘‘Baltimore’’ and 

inserting ‘‘Arlington-Alexandria’’; and 

(B) in subparagraph (B), by striking ‘‘2020’’ and 

inserting ‘‘2025’’. 

(3) WORKLOAD ADJUSTMENTS.—Section 740(c)(3) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(c)(3)) 

is amended— 

(A) in subparagraph (A)— 

(i) in the matter preceding clause (i)— 

(I) by striking ‘‘2020’’ and inserting ‘‘2025’’; 

and 

(II) by striking ‘‘subparagraphs (B) and (C)’’ 

and inserting ‘‘subparagraph (B)’’; 

(ii) in clause (i) by striking ‘‘and’’ at the end; and 

(iii) by striking clause (ii) and inserting the following: 
H. R. 5860—18 

‘‘(ii) such adjustment shall be made for each fiscal 

year that the adjustment determined by the Secretary 

is greater than 3 percent, except for the first fiscal 

year that the adjustment is greater than 3 percent; 

and 

‘‘(iii) the Secretary shall publish in the Federal 

Register notice under paragraph (1) the amount of 

such adjustment and the supporting methodologies.’’; 

(B) by striking subparagraph (B); and 

(C) by redesignating subparagraph (C) as subparagraph (B). 

(4) FINAL YEAR ADJUSTMENT.—Section 740(c)(4) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(c)(4)) 

is amended to read as follows: 

‘‘(4) OPERATING RESERVE ADJUSTMENT.— 

‘‘(A) IN GENERAL.—For fiscal year 2025 and each subsequent fiscal year, after the fee revenue amount established 

under subsection (b) is adjusted in accordance with paragraphs (2) and (3), the Secretary shall— 

‘‘(i) increase the fee revenue amount for such fiscal 

year, if necessary to provide an operating reserve of 

not less than 12 weeks; or 

‘‘(ii) if the Secretary has an operating reserve in 

excess of the number of weeks specified in subparagraph (C) for that fiscal year, the Secretary shall 

decrease the fee revenue amount to provide not more 

than the number of weeks specified in subparagraph 

(C) for that fiscal year. 

‘‘(B) CARRYOVER USER FEES.—For purposes of this paragraph, the operating reserve of carryover user fees for 

the process for the review of animal drug applications 

does not include carryover user fees that have not been 

appropriated. 

‘‘(C) NUMBER OF WEEKS OF OPERATING RESERVES.— 

The number of weeks of operating reserves specified in 

this subparagraph is— 

‘‘(i) 22 weeks for fiscal year 2025; 

‘‘(ii) 20 weeks for fiscal year 2026; 

‘‘(iii) 18 weeks for fiscal year 2027; and 

‘‘(iv) 16 weeks for fiscal year 2028. 

‘‘(D) PUBLICATION.—If an adjustment to the operating 

reserve is made under this paragraph, the Secretary shall 

publish in the Federal Register notice under paragraph 

(1) the rationale for the amount of the adjustment and 

the supporting methodologies.’’. 

(d) EXEMPTION FROM FEES.—Section 740(d)(4) of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(d)(4)) is amended 

to read as follows: 

‘‘(4) EXEMPTION FROM FEES.—Fees under paragraphs (2), 

(3), and (4) of subsection (a) shall not apply with respect to 

any person who is the named applicant or sponsor of an animal 

drug application, supplemental animal drug application, or 

investigational animal drug submission if such application or 

submission involves the intentional genomic alteration of an 

animal that is intended to produce a drug, device, or biological 

product subject to fees under section 736, 738, 744B, or 744H.’’. 

(e) CREDITING AND AVAILABILITY OF FEES.— 
H. R. 5860—19 

(1) AUTHORIZATION OF APPROPRIATIONS.—Section 740(g)(3) 

of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j– 

12(g)(3)) is amended by striking ‘‘2019 through 2023’’ and 

inserting ‘‘2024 through 2028’’. 

(2) COLLECTION SHORTFALLS.—Section 740(g) of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–12(g)) is 

amended— 

(A) in paragraph (3), by striking ‘‘and paragraph (5)’’; 

and 

(B) by striking paragraph (5). 

SEC. 2304. REAUTHORIZATION; REPORTING REQUIREMENTS. 

Section 740A of the Federal Food, Drug, and Cosmetic Act 

(21 U.S.C. 379j–13) is amended— 

(1) in subsection (a), by striking ‘‘2018’’ and inserting 

‘‘2023’’; 

(2) by striking ‘‘2019’’ each place it appears in subsections 

(a) and (b) and inserting ‘‘2024’’; and 

(3) in subsection (d)— 

(A) in paragraph (1), by striking ‘‘2023’’ and inserting 

‘‘2028’’; and 

(B) in paragraph (5), by striking ‘‘2023’’ and inserting 

‘‘2028’’. 

SEC. 2305. SAVINGS CLAUSE. 

Notwithstanding the amendments made by this chapter, part 

4 of subchapter C of chapter VII of the Federal Food, Drug, and 

Cosmetic Act (21 U.S.C. 379j–11 et seq.), as in effect on the day 

before the date of enactment of this chapter, shall continue to 

be in effect with respect to animal drug applications and supplemental animal drug applications (as defined in such part as of 

such day) that on or after October 1, 2018, but before October 

1, 2023, were accepted by the Food and Drug Administration for 

filing with respect to assessing and collecting any fee required 

by such part for a fiscal year prior to fiscal year 2024. 

SEC. 2306. EFFECTIVE DATE. 

The amendments made by this chapter shall take effect on 

October 1, 2023, or the date of the enactment of this Act, whichever 

is later, except that fees under part 4 of subchapter C of chapter 

VII of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j– 

11 et seq.), as amended by this chapter, shall be assessed for 

animal drug applications and supplemental animal drug applications received on or after October 1, 2023, regardless of the date 

of the enactment of this Act. 

SEC. 2307. SUNSET DATES. 

(a) AUTHORIZATION.—Sections 739 and 740 of the Federal Food, 

Drug, and Cosmetic Act (21 U.S.C. 21 U.S.C. 379j–11; 379j–12) 

shall cease to be effective October 1, 2028. 

(b) REPORTING REQUIREMENTS.—Section 740A of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–13) shall cease to 

be effective January 31, 2029. 

(c) PREVIOUS SUNSET PROVISION.—Effective October 1, 2023, 

subsections (a) and (b) of section 107 of the Animal Drug User 

Fee Amendments of 2018 (Public Law 115–234) are repealed. 
H. R. 5860—20 

CHAPTER 2—FEES RELATING TO GENERIC ANIMAL 

DRUGS 

SEC. 2311. SHORT TITLE; FINDING. 

(a) SHORT TITLE.—This chapter may be cited as the ‘‘Animal 

Generic Drug User Fee Amendments of 2023’’. 

(b) FINDING.—Congress finds that the fees authorized by the 

amendments made in this chapter will be dedicated toward expediting the generic new animal drug development process and the 

review of abbreviated applications for generic new animal drugs, 

supplemental abbreviated applications for generic new animal 

drugs, and investigational submissions for generic new animal drugs 

as set forth in the goals identified for purposes of part 5 of subchapter C of chapter VII of the Federal Food, Drug, and Cosmetic 

Act (21 U.S.C. 379j–21 et seq.), in the letters from the Secretary 

of Health and Human Services to the Chairman of the Committee 

on Energy and Commerce of the House of Representatives and 

the Chairman of the Committee on Health, Education, Labor, and 

Pensions of the Senate as set forth in the Congressional Record. 

SEC. 2312. AUTHORITY TO ASSESS AND USE GENERIC NEW ANIMAL 

DRUG FEES. 

(a) GENERIC INVESTIGATIONAL NEW ANIMAL DRUG FILE FEE.— 

Section 741(a) of the Federal Food, Drug, and Cosmetic Act (21 

U.S.C. 379j–21(a)) is amended by adding at the end the following: 

‘‘(4) GENERIC INVESTIGATIONAL NEW ANIMAL DRUG FILE

FEE.— 

‘‘(A) IN GENERAL.— 

‘‘(i) NEW FILE REQUEST.—Each person that submits 

a request to establish a generic investigational new 

animal drug file on or after October 1, 2023, shall 

be assessed a fee as established under subsection (c). 

‘‘(ii) NEW SUBMISSION TO ESTABLISHED FILE.—Each 

person that makes a submission to a generic investigational new animal drug file on or after October 1, 

2023, where such file was established prior to October 

1, 2023, shall be assessed a fee for the first submission 

on or after October 1, 2023, as established under subsection (c). 

‘‘(B) PAYMENT.— 

‘‘(i) NEW FILE REQUEST.—The fee required by 

subparagraph (A)(i) shall be due upon submission of 

the request to establish the generic investigational new 

animal drug file. 

‘‘(ii) NEW SUBMISSION TO ESTABLISHED FILE.—The 

fee required by subparagraph (A)(ii) shall be due upon 

the first submission to the generic investigational new 

animal drug file. 

‘‘(C) EXCEPTIONS.— 

‘‘(i) TERMINATING AN EXISTING GENERIC INVESTIGATIONAL NEW ANIMAL DRUG FILE.—If a person makes 

a submission to the generic investigational new animal 

drug file to terminate that file, the person shall not 

be subject to a fee under subparagraph (A)(ii) for that 

submission. 

‘‘(ii) TRANSFERRING AN EXISTING GENERIC INVESTIGATIONAL NEW ANIMAL DRUG FILE.—If a person makes 
H. R. 5860—21 

a submission to the generic investigational new animal 

drug file to transfer that file to a different generic 

new animal drug sponsor, the person shall not be 

subject to a fee under subparagraph (A)(ii) for that 

submission.’’. 

(b) FEE REVENUE AMOUNTS.—Section 741(b) of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j– 21(b)) is amended— 

(1) in paragraph (1)— 

(A) by striking ‘‘2019 through 2023’’ and inserting 

‘‘2024 through 2028’’; and 

(B) by striking ‘‘$18,336,340’’ and inserting 

‘‘$25,000,000’’; and 

(2) in paragraph (2)— 

(A) in subparagraph (A)— 

(i) by striking ‘‘25 percent’’ and inserting ‘‘20 percent’’; and 

(ii) by inserting before the semicolon at the end 

the following: ‘‘and fees under subsection (a)(4) 

(relating to generic investigational new animal drug 

files)’’; 

(B) in subparagraph (B), by striking ‘‘37.5 percent’’ 

and inserting ‘‘40 percent’’; and 

(C) in subparagraph (C), by striking ‘‘37.5 percent’’ 

and inserting ‘‘40 percent’’. 

(c) ANNUAL FEE SETTING; ADJUSTMENTS.— 

(1) ANNUAL FEE SETTING.—Section 741(c)(1) of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j–21(c)(1)) is 

amended to read as follows: 

‘‘(1) ANNUAL FEE SETTING.—The Secretary shall establish, 

not later than 60 days before the start of each fiscal year 

beginning after September 30, 2023, for that fiscal year— 

‘‘(A) abbreviated application fees that are based on 

the revenue amounts established under subsection (b), the 

adjustments provided under this subsection, and the 

amount of fees anticipated to be collected under subsection 

(a)(4) during that fiscal year; 

‘‘(B) generic new animal drug sponsor fees, and generic 

new animal drug product fees, based on the revenue 

amounts established under subsection (b) and the adjustments provided under this subsection; and 

‘‘(C) a generic investigational new animal drug file 

fee of $50,000 for each request or submission described 

in subsection (a)(4)(A).’’. 

(2) INFLATION ADJUSTMENT.—Section 741(c)(2) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–21(c)(2)) 

is amended— 

(A) in subparagraph (A)— 

(i) in the matter preceding clause (i), by striking 

‘‘2020’’ and inserting ‘‘2025’’; and 

(ii) in clause (iii), by striking ‘‘Baltimore’’ and 

inserting ‘‘Arlington-Alexandria’’; and 

(B) in subparagraph (B), by striking ‘‘2020’’ and 

inserting ‘‘2025’’. 

(3) WORKLOAD ADJUSTMENT.—Section 741(c)(3) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–21(c)(3)) 

is amended— 

(A) in subparagraph (A)— 
H. R. 5860—22 

(i) in the matter preceding clause (i), by striking 

‘‘2020’’ and inserting ‘‘2025’’; 

(ii) in clause (i)— 

(I) by striking ‘‘and investigational generic new 

animal drug protocol submissions’’ and inserting 

‘‘investigational generic new animal drug protocol 

submissions, requests to establish a generic investigational new animal drug file, and generic investigational new animal drug meeting requests’’; and 

(II) by striking ‘‘; and’’ and inserting a semicolon; 

(iii) by redesignating clause (ii) as clause (iii); and 

(iv) by inserting after clause (i) the following: 

‘‘(ii) if the workload adjustment calculated by the 

Secretary under clause (i) exceeds 25 percent, the Secretary shall use 25 percent for the adjustment; and’’; 

and 

(B) in subparagraph (B), by striking ‘‘2021 through 

2023’’ and inserting ‘‘2026 through 2028’’. 

(4) FINAL YEAR ADJUSTMENT.—Section 741(c)(4) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–21(c)(4)) 

is amended— 

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

inserting ‘‘2028’’; and 

(B) by striking ‘‘2024’’ and inserting ‘‘2029’’. 

(d) FEE WAIVER OR REDUCTION; EXEMPTION FROM FEES.—Subsection (d) of section 741 of the Federal Food, Drug, and Cosmetic 

Act (21 U.S.C. 379j–21) is amended to read as follows: 

‘‘(d) FEE WAIVER OR REDUCTION.—The Secretary shall grant 

a waiver from, or a reduction of, one or more fees assessed under 

subsection (a) where the Secretary finds that the generic new 

animal drug is intended solely to provide for a minor use or minor 

species indication.’’. 

(e) EFFECT OF FAILURE TO PAY FEES.—Section 741(e) of the 

Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–21(e)) is 

amended by striking ‘‘The Secretary may discontinue’’ and inserting 

‘‘A request to establish a generic investigational new animal drug 

file that is submitted by a person subject to fees under subsection 

(a) shall be considered incomplete and shall not be accepted for 

action by the Secretary until all fees owed by such person have 

been paid. The Secretary may discontinue’’. 

(f) ASSESSMENT OF FEES.—Section 741(f)(2) of the Federal Food, 

Drug, and Cosmetic Act (21 U.S.C. 379j– 21(f)(2)) is amended by 

striking ‘‘sponsors, and generic new animal drug products at any 

time’’ and inserting ‘‘products, generic new animal drug sponsors, 

and generic investigational new animal drug files at any time’’. 

(g) CREDITING AND AVAILABILITY OF FEES.—Section 741(g) of 

the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j–21(g)) 

is amended— 

(1) in paragraph (3), by striking ‘‘2019 through 2023’’ and 

inserting ‘‘2024 through 2028’’; 

(2) by striking the second paragraph (4) (relating to Offset), 

as added by section 202 of the Animal Generic Drug User 

Fee Amendments of 2013 (Public Law 113–14); and 

(3) by adding at the end the following: 
H. R. 5860—23 

‘‘(5) RECOVERY OF COLLECTION SHORTFALLS.—The amount 

of fees otherwise authorized to be collected under this section 

shall be increased— 

‘‘(A) for fiscal year 2026, by the amount, if any, by 

which the amount collected under this section and appropriated for fiscal year 2024 falls below the amount of fees 

authorized for fiscal year 2024 under paragraph (3); 

‘‘(B) for fiscal year 2027, by the amount, if any, by 

which the amount collected under this section and appropriated for fiscal year 2025 falls below the amount of fees 

authorized for fiscal year 2025 under paragraph (3); and 

‘‘(C) for fiscal year 2028, by the amount, if any, by 

which the amount collected under this section and appropriated for fiscal years 2026 and 2027 (including estimated 

collections for fiscal year 2027) falls below the amount 

of fees authorized for such fiscal years under paragraph 

(3).’’. 

(h) DEFINITIONS.—Section 741(k) of the Federal Food, Drug, 

and Cosmetic Act (21 U.S.C. 379j–21(k)) is amended— 

(1) by redesignating paragraphs (8), (9), (10), and (11) 

as paragraphs (9), (10), (11), and (13), respectively; 

(2) by inserting after paragraph (7) the following: 

‘‘(8) GENERIC INVESTIGATIONAL NEW ANIMAL DRUG MEETING

REQUEST.—The term ‘generic investigational new animal drug 

meeting request’ means a request submitted by a generic new 

animal drug sponsor to meet with the Secretary to discuss 

an investigational submission for a generic new animal drug.’’; 

(3) in paragraph (11) (as so redesignated), by adding at 

the end the following: 

‘‘(I) The activities necessary for exploration and 

implementation of the United States and European Union 

Mutual Recognition Agreement for Pharmaceutical Good 

Manufacturing Practice Inspections, and the United States 

and United Kingdom Mutual Recognition Agreement Sectoral Annex for Pharmaceutical Good Manufacturing Practices, and other mutual recognition agreements, with 

respect to generic new animal drug products subject to 

review, including implementation activities prior to and 

following product approval.’’; and 

(4) by inserting after paragraph (11) (as so redesignated) 

the following: 

‘‘(12) REQUEST TO ESTABLISH A GENERIC INVESTIGATIONAL

NEW ANIMAL DRUG FILE.—The term ‘request to establish a 

generic investigational new animal drug file’ means the submission to the Secretary of a request to establish a generic investigational new animal drug file to contain investigational 

submissions for a generic new animal drug.’’. 

SEC. 2313. REAUTHORIZATION; REPORTING REQUIREMENTS. 

Section 742 of the Federal Food, Drug, and Cosmetic Act (21 

U.S.C. 379j–22) is amended— 

(1) in subsection (a), by striking ‘‘2018’’ and inserting 

‘‘2023’’; 

(2) by striking ‘‘2019’’ each place it appears in subsections 

(a) and (b) and inserting ‘‘2024’’; and 

(3) in subsection (d), by striking ‘‘2023’’ each place it 

appears and inserting ‘‘2028’’. 
H. R. 5860—24 

SEC. 2314. SAVINGS CLAUSE. 

Notwithstanding the amendments made by this chapter, part 

5 of subchapter C of chapter VII of the Federal Food, Drug, and 

Cosmetic Act (21 U.S.C. 379j–21 et seq.), as in effect on the day 

before the date of enactment of this chapter, shall continue to 

be in effect with respect to abbreviated applications for a generic 

new animal drug and supplemental abbreviated applications for 

a generic new animal drug (as defined in such part as of such 

day) that on or after October 1, 2018, but before October 1, 2023, 

were accepted by the Food and Drug Administration for filing 

with respect to assessing and collecting any fee required by such 

part for a fiscal year prior to fiscal year 2024. 

SEC. 2315. EFFECTIVE DATE. 

The amendments made by this chapter shall take effect on 

October 1, 2023, or the date of the enactment of this Act, whichever 

is later, except that fees under part 5 of subchapter C of chapter 

VII of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 379j– 

21 et seq.), as amended by this chapter, shall be assessed for 

abbreviated applications for a generic new animal drug and supplemental abbreviated applications for a generic new animal drug 

received on or after October 1, 2023, regardless of the date of 

enactment of this Act. 

SEC. 2316. SUNSET DATES. 

(a) AUTHORIZATION.—Section 741 of the Federal Food, Drug, 

and Cosmetic Act (21 U.S.C. 379j–21) shall cease to be effective 

October 1, 2028. 

(b) REPORTING REQUIREMENTS.—Section 742 of the Federal 

Food, Drug, and Cosmetic Act (21 U.S.C. 379j– 22) shall cease 

to be effective January 31, 2029. 

(c) PREVIOUS SUNSET PROVISION.—Effective October 1, 2023, 

subsections (a) and (b) of section 206 of the Animal Generic Drug 

User Fee Amendments of 2018 (Public Law 115–234) are repealed. 

Subtitle B—Public Health Extenders 

SEC. 2321. 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) of the Public Health 

Service Act (42 U.S.C. 256h(g)) is amended— 

(1) by striking ‘‘and $126,500,000’’ and inserting 

‘‘$126,500,000’’; and 

(2) by inserting ‘‘and $16,635,616 for the period beginning 

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

‘‘to remain available’’. 

(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)) is amended— 

(1) by striking ‘‘and $4,000,000,000’’ and inserting ‘‘, 

$4,000,000,000’’; and 

(2) by inserting ‘‘, and $526,027,397 for the period beginning 

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

the semicolon. 
H. R. 5860—25 

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

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

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

(1) in subparagraph (G), by striking ‘‘and’’ at the end; 

(2) in subparagraph (H), by striking the period at the 

end and inserting ‘‘; and’’; and 

(3) by adding at the end the following: 

‘‘(I) $40,767,123 for the period beginning on October 

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

(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) TECHNICAL AND CONFORMING AMENDMENT.—Section 

3014(h)(4) of title 18, United States Code, is amended— 

(1) by striking ‘‘Other Extensions Act,,’’ and inserting 

‘‘Other Extensions Act,’’; and 

(2) by striking ‘‘and section 301(d) of division BB of the 

Consolidated Appropriations Act, 2021.’’ and inserting ‘‘section 

301(d) of division BB of the Consolidated Appropriations Act, 

2021, and section 2321(d) of the Continuing Appropriations 

Act, 2024 and Other Extensions Act’’. 

SEC. 2322. EXTENSION OF SPECIAL DIABETES PROGRAMS. 

(a) EXTENSION OF SPECIAL DIABETES PROGRAMS FOR TYPE I 

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

(42 U.S.C. 254c–2(b)(2)) is amended— 

(1) in subparagraph (C), by striking ‘‘and’’ at the end; 

(2) in subparagraph (D), by striking the period and 

inserting ‘‘; and’’; and 

(3) by adding at the end the following: 

‘‘(E) $19,726,027 for the period beginning on October 

1, 2023, and ending on November 17, 2023, to remain 

available until expended.’’. 

(b) EXTENDING FUNDING FOR SPECIAL DIABETES PROGRAMS FOR

INDIANS.—Section 330C(c)(2) of the Public Health Service Act (42 

U.S.C. 254c–3(c)(2)) is amended— 

(1) in subparagraph (C), by striking ‘‘and’’ at the end; 

(2) in subparagraph (D), by striking the period and 

inserting ‘‘; and’’; and 

(3) by adding at the end the following: ‘‘(E) $19,726,027 for the period beginning on October 

1, 2023, and ending on November 17, 2023, to remain 

available until expended.’’. 

Subtitle C—Necessary Authorities To 

Respond to Threats 

SEC. 2331. EXTENSION OF AUTHORITY TO MAKE CERTAIN APPOINTMENTS OF NATIONAL DISASTER MEDICAL SYSTEM PERSONNEL. 

Section 2812(c)(4)(B) of the Public Health Service Act (42 U.S.C. 

300hh–11(c)(4)(B)) is amended by striking ‘‘September 30, 2023’’ 

and inserting ‘‘November 17, 2023’’. 
H. R. 5860—26 

SEC. 2332. TEMPORARY REASSIGNMENT OF STATE AND LOCAL PERSONNEL DURING A PUBLIC HEALTH EMERGENCY. 

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

247d(e)(8)) is amended by striking ‘‘September 30, 2023’’ and 

inserting ‘‘November 17, 2023’’. 

SEC. 2333. EXTENSION OF NATIONAL ADVISORY COMMITTEES. 

(a) NATIONAL ADVISORY COMMITTEE ON CHILDREN AND DISAS- TERS.—Section 2811A(g) of the Public Health Service Act (42 U.S.C. 

300hh–10b(g)) is amended by striking ‘‘September 30, 2023’’ and 

inserting ‘‘November 17, 2023’’. 

(b) NATIONAL ADVISORY COMMITTEE ON SENIORS AND DISASTERS.—Section 2811B(g)(1) of the Public Health Service Act (42 

U.S.C. 300hh–10c(g)(1)) is amended by striking ‘‘September 30, 

2023’’ and inserting ‘‘November 17, 2023’’. 

(c) NATIONAL ADVISORY COMMITTEE ON INDIVIDUALS WITH

DISABILITIES AND DISASTERS.—Section 2811C(g)(1) of the Public 

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

striking ‘‘September 30, 2023’’ and inserting ‘‘November 17, 2023’’. 

Subtitle D—Medicaid 

SEC. 2341. DSH DELAY. 

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)— 

(A) in the matter preceding subclause (I), by striking 

‘‘For each of fiscal years 2024 through 2027’’ and inserting 

‘‘For the period beginning November 18, 2023, and ending 

September 30, 2024, and for each of fiscal years 2025 

through 2027’’; and 

(B) in subclauses (I) and (II), by inserting ‘‘or period’’ 

after ‘‘the fiscal year’’ each place it appears; and 

(2) in clause (ii), by striking ‘‘for each of fiscal years 2024 

through 2027’’ and inserting ‘‘for the period beginning 

November 18, 2023, and ending September 30, 2024, and for 

each of fiscal years 2025 through 2027.’’. 

SEC. 2342. MIF REDUCTION. 

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

1396w–1(b)(3)(A)) is amended by striking ‘‘$7,000,000,000’’ and 

inserting ‘‘$6,357,117,810’’. 

Subtitle E—Human Services 

SEC. 2351. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS. 

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

Act shall continue through November 17, 2023, 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. 2352. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION. 

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

amended— 
H. R. 5860—27 

(1) in subsection (a)— 

(A) in paragraph (1)— 

(i) in the matter preceding subparagraph (A)— 

(I) by inserting ‘‘and for the period beginning 

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

2023’’ after ‘‘2023’’; and 

(II) by inserting ‘‘(or, with respect to such 

period, for fiscal year 2024)’’ after ‘‘for the fiscal 

year’’; and 

(ii) in subparagraph (A), by inserting ‘‘or period’’ 

after ‘‘fiscal year’’ each place it appears; and 

(B) in paragraph (2)— 

(i) in subparagraph (A), by inserting ‘‘and with 

respect to fiscal year 2024, for the period described 

in paragraph (1)’’ after ‘‘2023’’; and 

(ii) in subparagraph (B)(i), by inserting ‘‘(or, with 

respect to fiscal year 2024, for the period described 

in paragraph (1))’’ after ‘‘for the fiscal year’’; and 

(2) in subsection (f)— 

(A) in paragraph (1), by inserting ‘‘, 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’’ after ‘‘2023’’; and 

(B) in paragraph (2), by inserting ‘‘and for the period 

described in paragraph (1),’’ after ‘‘2023,’’. 

SEC. 2353. PERSONAL RESPONSIBILITY EDUCATION EXTENSION. 

Section 513 of the Social Security Act (42 U.S.C. 713) is 

amended— 

(1) in subsection (a)— 

(A) in paragraph (1)— 

(i) in subparagraph (A)— 

(I) in the matter preceding clause (i), by 

inserting ‘‘and for the period beginning on October 

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

‘‘2023’’; and 

(II) in clause (i), by inserting ‘‘or period’’ after 

‘‘for the fiscal year’’; 

(ii) in subparagraph (B)(i), by inserting the following after the period: ‘‘The previous sentence shall 

not apply with respect to State allotments under this 

paragraph for the period beginning on October 1, 2023, 

and ending on November 17, 2023.’’; and 

(iii) in subparagraph (C)(i)— 

(I) by inserting ‘‘or the period described in 

subparagraph (A)’’ after ‘‘for a fiscal year’’; and 

(II) by inserting ‘‘or period’’ after ‘‘the fiscal 

year’’; 

(B) in paragraph (3)— 

(i) by inserting ‘‘or the period described in paragraph (1)(A)’’ after ‘‘for a fiscal year’’; and 

(ii) by inserting ‘‘or period’’ after ‘‘such fiscal year’’; 

and 

(C) in paragraph (4)— 
H. R. 5860—28 

(i) by inserting ‘‘and for the period described in 

paragraph (1)(A)’’ after ‘‘fiscal years 2010 through 

2023’’; 

(ii) by inserting ‘‘and for the period so described’’ 

after ‘‘fiscal years 2012 through 2023’’; and 

(iii) by inserting ‘‘or the period so described’’ after 

‘‘for a fiscal year’’; 

(2) in subsection (c)— 

(A) in each of paragraphs (1) and (2), by striking 

‘‘From’’ and inserting ‘‘Subject to paragraph (3), from’’; and 

(B) by adding at the end the following: 

‘‘(3) EXCEPTION.—Paragraphs (1) and (2) shall not apply 

with respect to any amount appropriated under subsection (f) 

for the period described in subsection (a)(1)(A).’’; and 

(3) in subsection (f), by inserting ‘‘, 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’’ 

after ‘‘2023’’. 

TITLE IV—BUDGETARY EFFECTS 

SEC. 2401. BUDGETARY EFFECTS. 

(a) STATUTORY PAYGO SCORECARDS.—The budgetary effects of 

this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go 

Act of 2010. 

(b) SENATE PAYGO SCORECARDS.—The budgetary effects of this 

division shall not be entered on any PAYGO scorecard maintained 

for purposes of section 4106 of H. Con. Res. 71 (115th Congress). 

(c) CLASSIFICATION OF BUDGETARY EFFECTS.—Notwithstanding 

Rule 3 of the Budget Scorekeeping Guidelines set forth in the 

joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the 

Balanced Budget and Emergency Deficit Control Act of 1985, the 

budgetary effects of this division shall not be estimated— 

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

(2) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional 

Budget Act of 1974; and 
H. R. 5860—29 

(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.