Continuing Appropriations and Extensions Act, 2025

Making continuing appropriations and extensions for fiscal year 2025, and for other purposes. 1. Short title This Act may be cited as the Continuing Appropriations and Extensions Act, 2025 2. Table of Contents The table of contents for this Act is as follows: Sec. 1. Short title. Sec. 2. Table of Contents. Sec. 3. References. Division A—Continuing Appropriations Act, 2025 Division B—Extensions Title I—MISCELLANEOUS EXTENSIONS Title II—HEALTH EXTENDERS Title III—VETERANS EXTENDERS Title IV—BUDGETARY EFFECTS 3. References Except as expressly provided otherwise, any reference to this Act A Continuing Appropriations Act, 2025 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 2025, and for other purposes, namely: 101. Such amounts as may be necessary, at a rate for operations as provided in the applicable appropriations Acts for fiscal year 2024 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 2024, 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, 2024 (division B of Public Law 118–42 (2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42 (3) The Department of Defense Appropriations Act, 2024 (division A of Public Law 118–47 (4) The Energy and Water Development and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–42 (5) The Financial Services and General Government Appropriations Act, 2024 (division B of Public Law 118–47 (6) The Department of Homeland Security Appropriations Act, 2024 (division C of Public Law 118–47 Public Law 118–47 (7) The Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 (division E of Public Law 118–42 (8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47 (9) The Legislative Branch Appropriations Act, 2024 (division E of Public Law 118–47 Joint Items—Joint Congressional Committee on Inaugural Ceremonies of 2025 Public Law 118–47 (10) The Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 (division A of Public Law 118–42 (11) The Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024 (division F of Public Law 118–47 (12) The Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2024 (division F of Public Law 118–42 102. (a) No appropriation or funds made available or authority granted pursuant to section 101 for the Department of Defense shall be used for: (1) the new production of items not funded for production in fiscal year 2024 or prior years; (2) the increase in production rates above those sustained with fiscal year 2024 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 2024. (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. 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. 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 2024. 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. 106. Unless otherwise provided for in this Act or in the applicable appropriations Act for fiscal year 2025, 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 2025 without any provision for such project or activity. (3) December 20, 2024. 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. 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. 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 2025 because of distributions of funding to States, foreign countries, grantees, or others, such high initial rates of operation or complete distribution shall not be made, and no grants shall be awarded for such programs funded by this Act that would impinge on final funding prerogatives. 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. 111. (a) For entitlements and other mandatory payments whose budget authority was provided in appropriations Acts for fiscal year 2024, 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 2024, 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 2024 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. 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 2024, 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. 113. Funds appropriated by this Act may be obligated and expended notwithstanding section 10 of Public Law 91–672 22 U.S.C. 2412 22 U.S.C. 2680 22 U.S.C. 6212 50 U.S.C. 3094(a)(1) 114. (a) Each amount incorporated by reference in this Act that was previously 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 or as being for disaster relief pursuant to section 251(b)(2)(D) of such Act is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of such Act or as being for disaster relief pursuant to section 251(b)(2)(D) of such Act, respectively. (b) Section 6 of Public Laws 118–42 and 118–47 shall apply to amounts designated in subsection (a) and sections 138, 140, and 151 of this Act as an emergency requirement. (c) Each amount incorporated by reference in this Act that was previously designated in division B of Public Law 117–159 Public Law 117–58 Public Law 117–328 Public Law 118–5 (d) This section shall become effective immediately upon enactment of this Act, and shall remain in effect through the date in section 106(3). 115. (a) Rescissions or cancellations of discretionary budget authority that continue pursuant to section 101 in Treasury Appropriations Fund Symbols (TAFS)— (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, 2024, 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 18, 2024, 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 116. Amounts made available by section 101 for Farm Service Agency—Agricultural Credit Insurance Fund Program Account 7 U.S.C. 1922 et seq. 7 U.S.C. 1941 et seq. 117. Amounts made available by section 101 for Rural Housing Service—Rural Community Facilities Program Account 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) 119. Amounts made available by section 101 for Domestic Food Programs—Food and Nutrition Service—Commodity Assistance Program 120. Section 260 of the Agricultural Marketing Act of 1946 ( 7 U.S.C. 1636i 7 U.S.C. 1635 Public Law 106–78 September 30, 2024 121. During the period covered by this Act, section 235(b) of the Sentencing Reform Act of 1984 ( 18 U.S.C. 3551 Public Law 98–473 chapter 311 37 36 122. Notwithstanding section 104, amounts made available by section 101 for Corps of Engineers—Civil—Operation and Maintenance 123. During the period covered by this Act, section 3 of Public Law 106–392 2025 2024 124. Notwithstanding section 106, for the duration of fiscal year 2025, amounts made available under section 601(f)(3) of the Social Security Act ( 42 U.S.C. 801(f)(3) 125. Notwithstanding section 101, for Executive Office of the President—Office of Administration—Presidential Transition Administrative Support 3 U.S.C. 102 Provided 126. In addition to amounts otherwise provided by section 101, amounts are provided for District of Columbia—Federal Payment for Emergency Planning and Security Costs in the District of Columbia Provided 127. (a) The matter preceding the first proviso under the heading Federal Payment to the District of Columbia Public Defender Service Public Law 118–47 , for costs associated with relocation under a replacement lease for headquarters offices, field offices, and related facilities (b) (1) Subject to paragraph (2), subsection (a) shall become effective immediately upon enactment of this Act. (2) If this Act is enacted after September 30, 2024, subsection (a) shall be applied as if it were in effect on September 30, 2024. (c) Notwithstanding section 101, the matter preceding the first proviso under the heading Federal Payment to the District of Columbia Public Defender Service Public Law 118–47 , of which $3,000,000 shall remain available until September 30, 2026 128. 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 Public Law 118–47 129. (a) Notwithstanding section 101, for General Services Administration—Expenses, Presidential Transition 3 U.S.C. 102 Provided Provided further Provided further Acquisition Services Fund Federal Buildings Fund Provided further Provided further (b) Notwithstanding section 101, no funds are provided by this Act for General Services Administration—Pre-Election Presidential Transition 130. In addition to amounts otherwise provided by section 101, for National Archives and Records Administration—Operating Expenses Presidential Records Act of 1978 131. Notwithstanding section 101, the matter preceding the first proviso under the heading Office of Personnel Management—Salaries and Expenses Public Law 118–47 $190,784,000 $219,076,000 $245,267,000 $192,975,000 132. Notwithstanding section 104, amounts made available by section 101 to the Department of Homeland Security for Coast Guard—Procurement, Construction, and Improvements 133. During the period covered by this Act, section 11223(b)(2) of division K of Public Law 117–263 shall not apply shall apply 134. Amounts made available by section 101 to the Department of Homeland Security under the heading Federal Emergency Management Agency—Disaster Relief Fund 42 U.S.C. 5121 et seq. 135. Amounts made available by section 101 to the Department of Homeland Security for United States Secret Service—Operations and Support 136. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Homeland Security for United States Secret Service—Operations and Support Provided Operations and Support Provided further Provided further Provided further Public Law 118–47 Provided further 137. (a) Sections 1309(a) and 1319 of the National Flood Insurance Act of 1968 ( 42 U.S.C. 4016(a) 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, 2024, this section shall be applied as if it were in effect on September 30, 2024. 138. (a) During the period covered by this Act, section 104 of the Hermit’s Peak/Calf Canyon Fire Assistance Act (division G of Public Law 117–180 (b) Amounts repurposed pursuant to this section that were previously designated by the Congress as an emergency requirement pursuant to the Balanced Budget and Emergency Deficit Control Act of 1985 or a concurrent resolution on the budget are designated as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 139. In addition to amounts otherwise provided by section 101, amounts are provided for Department of the Interior—National Park Service—Operation of the National Park System 140. (a) Funds previously made available in the Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (subdivision 1 of division B of Public Law 115–123 National Park Service—Historic Preservation Fund Provided (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, 2024, this section shall be applied as if it were in effect on September 30, 2024. 141. Amounts made available by section 101 for Department of Agriculture—Forest Service—Wildland Fire Management 142. (a) In addition to amounts otherwise provided by section 101, amounts are provided for Department of Health and Human Services—Indian Health Service—Indian Health Services (b) In addition to amounts otherwise provided by section 101, amounts are provided for Department of Health and Human Services—Indian Health Service—Indian Health Facilities 143. During the period covered by this Act, section 113 of division G of Public Law 113–76 Public Law 116–6 2025 2024 144. In addition to amounts otherwise provided by section 101, amounts are provided for Department of Labor—Bureau of Labor Statistics—Salaries and Expenses 145. 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 2024, 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. 146. Notwithstanding any other provision of this Act, there is appropriated— (1) for payment to the heirs at law of Sheila Jackson Lee, late a Representative from the State of Texas, $174,000; (2) for payment to Elsie M. Pascrell, widow of William Pascrell, Jr., late a Representative from the State of New Jersey, $174,000; and (3) for payment to Beatrice Y. Payne, widow of Donald M. Payne, Jr., late a Representative from the State of New Jersey, $174,000. 147. Notwithstanding sections 102 and 104, amounts made available by section 101 to the Department of Defense for Military Construction, Navy 148. Notwithstanding section 101, section 126 of division A of Public Law 118–42 fiscal year 2017, 2018, 2019, and 2020 fiscal year 2017, 2018, and 2019 149. (a) The remaining unobligated balances as of September 30, 2024, from amounts made available until September 30, 2024, for Departmental Administration—Construction, Major Projects Public Law 116–94 Public Law 116–94 (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, 2024, this section shall be applied as if it were in effect on September 30, 2024. 150. Amounts made available by section 101 for Department of Transportation—Office of the Secretary—Payments to Air Carriers 151. During the period covered by this Act, the Secretary of Housing and Urban Development may use the unobligated balances of amounts made available in prior fiscal years in the second paragraph under the heading Department of Housing and Urban Development—Public and Indian Housing—Tenant-Based Rental Assistance Provided 152. During the period covered by this Act, section 517 of title 10, United States Code, shall not apply with respect to the Coast Guard. This division may be cited as the Continuing Appropriations Act, 2025 B Extensions I MISCELLANEOUS EXTENSIONS 101. 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) October 1, 2024 December 20, 2024 102. Joint Task Forces Section 708(b)(13) of the Homeland Security Act of 2002 ( 6 U.S.C. 348(b)(13) December 20, 2024 September 30, 2024 103. National Cybersecurity Protection System Authorization Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015 ( 6 U.S.C. 1525(a) September 30, 2024 December 20, 2024 104. Chesapeake and Ohio Canal National Historical Park Commission Section 6(g) of the Chesapeake and Ohio Canal Development Act ( 16 U.S.C. 410y–4(g) 40 on December 20, 2024. 105. EBT benefit fraud prevention Section 501 of division HH of the Consolidated Appropriations Act, 2023 ( 7 U.S.C. 2016a (1) in subsection (a)— (A) in paragraph (4)(A)(iii), by striking to the maximum extent practicable, (B) in paragraph (5)— (i) in the matter preceding subparagraph (A), by striking October December (ii) in subparagraph (A), by striking to the maximum extent practicable, (iii) in subparagraph (C), by striking and (iv) by redesignating subparagraph (D) as subparagraph (E); (v) by inserting after subparagraph (C) the following: (D) a comparison of State plans related to reimbursement, prevention, and other relevant procedures approved in accordance with subsection (b)(1)(A); and ; and (vi) in subparagraph (E) (as so redesignated), by inserting and proactively consistently (2) in subsection (b)(2)(C), by striking September 30, 2024 December 20, 2024 (3) by adding at the end the following: (e) Comptroller general (1) In general Not later than 1 year after the date of enactment of this subsection, the Comptroller General of the United States shall submit to the Committee on Agriculture of the House of Representatives and the Committee on Agriculture, Nutrition, and Forestry of the Senate a report that examines risks related to supplemental nutrition assistance program electronic benefit transfer payment system security, including the risk of stolen benefits through card skimming, card cloning, and other similar methods. (2) Contents The report under paragraph (1) shall include an assessment of— (A) the extent to which the Department of Agriculture manages payment system security, including risks related to stolen benefits, compared to leading industry practices; (B) the manner in which States, retailers, and other relevant entities manage risks related to stolen benefits; (C) the oversight of and guidance provided by the Secretary to States regarding stolen benefits; and (D) recommendations and policy options for— (i) improving how the Department of Agriculture and other relevant entities manage payment system security risks, including those related to stolen benefits; and (ii) how the Department of Agriculture may best share those improvements with States, retailers, and other relevant entities. . 106. Extension of Forest Service Participation in ACES Program Section 8302(b) of the Agricultural Act of 2014 ( 16 U.S.C. 3851a(b) 1 day after December 20, 2024 October 1, 2023 107. Extension of Good Neighbor Authority Section 8206(b)(2)(C)(ii) of the Agricultural Act of 2014 ( 16 U.S.C. 2113a(b)(2)(C)(ii) 1 day after December 20, 2024 October 1, 2024 108. Temporary extension of Food for Peace Act The authorities provided by each provision of the Food for Peace Act ( 7 U.S.C. 1691 et seq. 109. Overseas pay comparability and limitation (a) In general The authority provided under section 1113 of the Supplemental Appropriations Act, 2009 ( Public Law 111–32 (b) Limitation The authority described in subsection (a) may not be used to pay an eligible member of the Foreign Service (as defined in section 1113(b) of the Supplemental Appropriations Act, 2009 ( Public Law 111–32 110. Provisions related to the compact of free association with the Republic of Palau (a) Federal programs and services agreement with the Government of the Republic of Palau During the period beginning on October 1, 2024, and ending on the date on which a new Federal programs and services agreement with the Government of the Republic of Palau enters into force, any activities described in sections 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 Palau set forth in section 201 of Public Law 99–658 48 U.S.C. 1931 (b) Amendments related to the 2024 Federal programs and services agreement with the Republic of Palau (1) Section 204(e) of the Compact of Free Association Amendments Act of 2024 ( 48 U.S.C. 1983(e) (A) in paragraph (4), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and indenting appropriately; (B) by redesignating paragraphs (1) through (4) as subparagraphs (A) through (D), respectively, and indenting appropriately; (C) in the matter preceding subparagraph (A) (as so redesignated), by striking An agreement (1) In general An agreement ; and (D) by adding at the end the following: (2) Federal Programs and Services Agreement with the Republic of Palau Subparagraphs (A) and (D)(iii) of section 101(c)(2) of Public Law 99–658 48 U.S.C. 1931(c)(2) . (2) Section 210(a)(2) of the Compact of Free Association Amendments Act of 2024 ( 48 U.S.C. 1989(a)(2) (A) in subparagraph (D), by striking and (B) by redesignating subparagraph (E) as subparagraph (F); and (C) by inserting after subparagraph (D) the following: (E) with respect to the Federal Deposit Insurance Corporation, any applicable Federal programs and services agreement between the United States and the Republic of Palau; and . 111. United States Agency for International Development Civil Service annuitant waiver Section 625(j)(1)(B) of the Foreign Assistance Act of 1961 ( 22 U.S.C. 2385(j)(1)(B) October 1, 2010 December 20, 2024 112. United States Agency for International Development Inspector General annuitant waiver The authorities provided under section 1015(b) of the Supplemental Appropriations Act, 2010 ( Public Law 111–212 (1) shall remain in effect through December 20, 2024; and (2) may be used to facilitate the assignment of persons for oversight of programs in countries with a humanitarian disaster or complex emergency declaration. 113. Extension of Hong Kong Human Rights and Democracy Act of 2019 Section 7(h) of the Hong Kong Human Rights and Democracy Act of 2019 ( Public Law 116–76 22 U.S.C. 5701 the date that is 5 years after the date of the enactment of this Act December 20, 2024 114. Extension of transfers of air traffic systems acquired with AIP funding Section 728(b) of the FAA Reauthorization Act of 2024 ( Public Law 118–63 October 1, 2024 December 20, 2024 II HEALTH EXTENDERS A Public Health 201. Extension of programs relating to autism (a) Developmental disabilities surveillance and research program Section 399AA(e) of the Public Health Service Act ( 42 U.S.C. 280i(e) September 30, 2024 December 20, 2024 (b) Autism education, early detection, and intervention Section 399BB(g) of the Public Health Service Act ( 42 U.S.C. 280i–1(g) September 30, 2024 December 20, 2024 (c) Interagency autism coordinating committee Section 399CC(f) of the Public Health Service Act ( 42 U.S.C. 280i–2(f) September 30, 2024 December 20, 2024 202. Extension of authority to issue priority review vouchers to encourage treatments for rare pediatric diseases Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 360ff(b)(5) September 30, 2024 December 20, 2024 203. No Surprises Act implementation funding Section 118(a) of title I of division BB of the Consolidated Appropriations Act, 2021 ( Public Law 116–260 through 2024 through September 30, 2025 B Medicaid 211. Medicaid funding for the Northern Mariana Islands Section 1108(g) of the Social Security Act ( 42 U.S.C. 1308 (1) in paragraph (2), in the matter preceding subparagraph (A), by striking and (5) , (5), and (14) (2) by adding at the end the following new paragraph: (14) Additional increase for the Northern Mariana Islands (A) In general The Secretary shall increase the total amount otherwise determined under this subsection for the Northern Mariana Islands for the period beginning on October 1, 2022, and ending on September 30, 2024, by $27,100,000. (B) Special rules The increase described in subparagraph (A)— (i) shall apply to the total amount certified by the Secretary under title XIX for payment to the Northern Mariana Islands for services attributable to fiscal year 2023 or 2024, notwithstanding that payments for any such services are made by the Northern Mariana Islands in fiscal year 2025; and (ii) shall be in addition to the amount calculated under paragraph (2) for the Northern Mariana Islands for fiscal years 2023 and 2024 and shall not be taken into account in calculating an amount under paragraph (2) for the Northern Mariana Islands for fiscal year 2025 or a subsequent fiscal year. . C Medicare 221. Revising phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-In of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) (1) in subparagraph (A), by striking 2027 2028 (2) in subparagraph (B)— (A) in clause (ii), by striking 2024 2025 (B) in clause (iii), by striking 2025 through 2027 2026 through 2028 (b) Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates Section 1834A(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(1)(B) (1) in clause (i), by striking 2024 2025 (2) in clause (ii), by striking 2025 2026 222. Medicare Improvement Fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) 2022, $0 2026, $3,197,000,000 III VETERANS EXTENDERS A Health Care 301. Extension of authority for collection of copayments for hospital care and nursing home care Section 1710(f)(2)(B) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 302. Extension of requirement to provide nursing home care to certain veterans with service-connected disabilities Section 1710A(d) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 303. Extension of expansion of rural access network for growth enhancement program of the Department of Veterans Affairs Section 2(d) of the Sgt. Ketchum Rural Veterans Mental Health Act of 2021 ( Public Law 117–21 38 U.S.C. 1712A 2024 2025 304. Extension of pilot program to provide veterans access to complementary and integrative health programs through animal therapy, agritherapy, sports and recreation therapy, art therapy, and posttraumatic growth programs Section 203(d)(1) of the Scott Hannon Veterans Mental Health Care Improvement Act of 2019 ( Public Law 116–171 38 U.S.C. 1712A for a three-year period beginning on the commencement of the pilot program until September 30, 2025 305. Extension of authority for joint Department of Defense-Department of Veterans Affairs medical facility demonstration fund Section 1704(e) of the National Defense Authorization Act for Fiscal Year 2010 ( Public Law 111–84 Public Law 117–180 September 30, 2024 September 30, 2025 B Memorial affairs 311. Extension of entitlement to memorial headstones and markers for commemoration of veterans and certain individuals Section 2306(b)(2) of title 38, United States Code, is amended by striking October 1, 2024 September 30, 2025 312. Extension of authority to bury remains of certain spouses and children in national cemeteries Section 2402(a)(5) of title 38, United States Code, is amended by striking October 1, 2024 September 30, 2025 313. Authority for use of flat grave markers at Santa Fe National Cemetery, New Mexico Section 2404(c)(2) of title 38, United States Code, is amended— (1) in subparagraph (D), by striking ; and (2) in subparagraph (E), by striking the period at the end and inserting ; and (3) by adding at the end the following new subparagraph: (F) in the case of Santa Fe National Cemetery, New Mexico, the Secretary may provide for flat grave markers in any section of such cemetery in which flat markers were in use on December 22, 2023. . C Homelessness 321. Extension of authority to provide assistance for specially adapted housing for disabled veterans residing temporarily in housing owned by a family member Section 2102A(e) of title 38, United States Code, is amended by striking December 31, 2024 September 30, 2025 322. Extension of authority for specially adapted housing assistive technology grant program Section 2108(g) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 323. Extension of authorization of appropriations for homeless women veterans and homeless veterans with children reintegration grant program Section 2021A(f)(1) of title 38, United States Code, is amended by striking 2024 2025 324. Extension of authority for treatment and rehabilitation for seriously mentally ill and homeless veterans (a) General treatment Section 2031(b) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 (b) Additional services at certain locations Section 2033(d) of such title is amended by striking September 30, 2024 September 30, 2025 325. Extension of funding for financial assistance for supportive services for very low-income veteran families in permanent housing (a) In general Section 2044(e)(H) of title 38, United States Code, is amended by striking 2024 2025 (b) Technical amendment Section 2044(e) of such title is amended by redesignating subparagraphs (A) through (H) as paragraphs (1) through (8), respectively. 326. Extension of funding for grant program for homeless veterans with special needs Section 2061(d)(1) of title 38, United States Code, is amended by striking 2024 2025 D Other Authorities 331. Extension of authority to transport individuals to and from Department of Veterans Affairs facilities Section 111A(a)(2) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 332. Extension of testimonial subpoena authority of Inspector General of the Department of Veterans Affairs Section 312(d)(7)(A) of title 38, United States Code, is amended by striking May 31, 2025 September 30, 2025 333. Extension of authority to maintain regional office in the Republic of the Philippines Section 315(b) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 334. Extension and modification of authority for monthly assistance allowance for disabled veterans training in Paralympic and Olympic sports program Section 322 of title 38, United States Code, is amended— (1) by striking the United States Olympic Committee the United States Olympic & Paralympic Committee (2) in subsection (a), by striking Veterans Benefits Administration Veterans Health Administration (3) in subsection (d), by amending paragraph (4) to read as follows: (4) There is authorized to be appropriated to carry out this subsection the following: (A) For each of fiscal years 2010 through 2023, $2,000,000. (B) For each of fiscal years 2024 through 2027, $2,500,000. . 335. Extension of authority for report on equitable relief provided due to administrative error Section 503(c) of title 38, United States Code, is amended, in the second sentence, by striking December 31, 2024 December 31, 2025 336. Modification of certain housing loan fees The loan fee table in section 3729(b)(2) of title 38, United States Code, is amended by striking November 15, 2031 November 29, 2031 337. Extension of authority for transfer of real property Section 8118(a)(5) of title 38, United States Code, is amended by striking September 30, 2024 September 30, 2025 338. Extension of requirements relating to Chief Financial Officer of the Department Section 7103 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020 ( Public Law 116–315 for fiscal year 2022 and each of the next three subsequent fiscal years for each of fiscal years 2026 through 2029 IV BUDGETARY EFFECTS 401. 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 (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.

Summary: Continuing Appropriations and Extensions Act, 2025This bill provides continuing FY2025 appropriations for federal agencies, provides additional funding for the U.S. Secret Service, and extends various expiring programs and authorities.Specifically, the bill provides continuing FY2025 appropriations to federal agencies through the earlier of December 20, 2024, or the enactment of the applicable appropriations act. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when FY2025 begins on October 1, 2024.&nbsp;The CR funds most programs and activities at the FY2024 levels with several exceptions that provide funding flexibility and additional appropriations for various programs. For example, the bill provides additional funding for the Secret Service to carry out protective operations, including for the 2024 presidential campaign and National Special Security Events.&nbsp;In addition, the bill extends several expiring programs and authorities, includingseveral public health programs,various programs and authorities related to veterans,the National Flood Insurance Program,the Temporary Assistance for Needy Families (TANF) program,the Food for Peace program,the authorities of the&nbsp;U.S. Parole Commission,the Department of Homeland Security (DHS) National Cybersecurity Protection System,authorities for DHS and the Department of Justice to take certain actions to mitigate a credible threat from an unmanned aircraft system,&nbsp;several Department of Agriculture programs and authorities,the Department of Defense's authority to use funds for certain military construction projects, andauthorities for sanctions related to human rights abuses in Hong Kong.&nbsp;&nbsp;