‘‘(C) the distribution of awards and fund-
ing for new or expanded services in each of 
rural areas and urban areas; 
‘‘(D) the distribution of awards and fund-
ing for establishing new access points, and the 
number of new access points created; 
‘‘(E) the amount of unexpended funding 
for loan guarantees and loan guarantee author-
ity under title XVI; 
‘‘(F) the rationale for any substantial 
changes in the distribution of funds; 
‘‘(G) the rate of closures for health centers 
and access points; 
‘‘(H) the number and reason for any 
grants 
awarded 
pursuant 
to 
subsection 
(e)(1)(B); and 
‘‘(I) the number and reason for any waiv-
ers provided pursuant to subsection (r)(4).’’; 
and 
(16) in subsection (s) (as so redesignated) by 
adding at the end the following new paragraph: 
‘‘(5) FUNDING FOR PARTICIPATION OF HEALTH 
CENTERS IN ALL OF US RESEARCH PROGRAM.—In 
addition to any amounts made available pursuant to 
subsection (d) of this section, paragraph (1) of this 
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subsection, section 402A of this Act, or section 
10503 of the Patient Protection and Affordable Care 
Act, there is authorized to be appropriated, and 
there is appropriated, out of any monies in the 
Treasury not otherwise appropriated, to the Sec-
retary $25,000,000 for fiscal year 2018 to support 
the participation of health centers in the All of Us 
Research Program under the Precision Medicine Ini-
tiative under section 498E of this Act.’’. 
(c) NATIONAL HEALTH SERVICE CORPS.—Section 
10503(b)(2) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 254b–2(b)(2)), as amended by sec-
tion 3101 of Public Law 115–96, is amended by amending 
subparagraph (F) to read as follows: 
‘‘(F) $310,000,000 for each of fiscal years 
2018 and 2019.’’. 
SEC. 222. EXTENSION FOR SPECIAL DIABETES PROGRAMS. 
(a) SPECIAL DIABETES PROGRAM FOR TYPE I DIA-
BETES.—Subparagraph (D) of section 330B(b)(2) of the 
Public Health Service Act (42 U.S.C. 254c–2(b)(2)), as 
amended by section 3102 of Public Law 115–96, is 
amended to read as follows: 
‘‘(D) $150,000,000 for each of fiscal years 
2018 and 2019.’’. 
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(b) SPECIAL DIABETES PROGRAM FOR INDIANS.— 
Subparagraph (D) of section 330C(c)(2) of the Public 
Health Service Act (42 U.S.C. 254c–3(c)(2)), as amended 
by section 3102 of Public Law 115–96, is amended to read 
as follows: 
‘‘(D) $150,000,000 for each of fiscal years 
2018 and 2019.’’. 
SEC. 223. REAUTHORIZATION OF PROGRAM OF PAYMENTS 
TO TEACHING HEALTH CENTERS THAT OPER-
ATE GRADUATE MEDICAL EDUCATION PRO-
GRAMS. 
(a) PAYMENTS.—Subsection (a) of section 340H of 
the Public Health Service Act (42 U.S.C. 256h) is amend-
ed to read as follows: 
‘‘(a) PAYMENTS.— 
‘‘(1) IN
GENERAL.—Subject to subsection 
(h)(2), the Secretary shall make payments under 
this section for direct expenses and indirect expenses 
to qualified teaching health centers that are listed as 
sponsoring institutions by the relevant accrediting 
body for, as appropriate— 
‘‘(A) maintenance of filled positions at ex-
isting approved graduate medical residency 
training programs; 
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‘‘(B) expansion of existing approved grad-
uate medical residency training programs; and 
‘‘(C) establishment of new approved grad-
uate medical residency training programs. 
‘‘(2) PER RESIDENT AMOUNT.—In making pay-
ments under paragraph (1), the Secretary shall con-
sider the cost of training residents at teaching 
health centers and the implications of the per resi-
dent amount on approved graduate medical resi-
dency training programs at teaching health centers. 
‘‘(3) PRIORITY.—In making payments under 
paragraph (1)(C), the Secretary shall give priority to 
qualified teaching health centers that— 
‘‘(A) serve a health professional shortage 
area with a designation in effect under section 
332 or a medically underserved community (as 
defined in section 799B); or 
‘‘(B) are located in a rural area (as de-
fined in section 1886(d)(2)(D) of the Social Se-
curity Act).’’. 
(b) FUNDING.—Paragraph (1) of section 340H(g) of 
the Public Health Service Act (42 U.S.C. 256h(g)), as 
amended by section 3101 of Public Law 115–96, is 
amended by striking ‘‘and $30,000,000 for the period of 
the first and second quarters of fiscal year 2018’’ and in-
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serting ‘‘and $126,500,000 for each of fiscal years 2018 
and 2019’’. 
(c) ANNUAL REPORTING.—Subsection (h)(1) of sec-
tion 340H of the Public Health Service Act (42 U.S.C. 
256h) is amended— 
(1) by redesignating subparagraph (D) as sub-
paragraph (H); and 
(2) by inserting after subparagraph (C) the fol-
lowing: 
‘‘(D) The number of patients treated by 
residents described in paragraph (4). 
‘‘(E) The number of visits by patients 
treated by residents described in paragraph (4). 
‘‘(F) Of the number of residents described 
in paragraph (4) who completed their residency 
training at the end of such residency academic 
year, the number and percentage of such resi-
dents entering primary care practice (meaning 
any of the areas of practice listed in the defini-
tion of a primary care residency program in 
section 749A). 
‘‘(G) Of the number of residents described 
in paragraph (4) who completed their residency 
training at the end of such residency academic 
year, the number and percentage of such resi-
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dents who entered practice at a health care fa-
cility— 
‘‘(i) primarily serving a health profes-
sional shortage area with a designation in 
effect under section 332 or a medically un-
derserved community (as defined in section 
799B); or 
‘‘(ii) located in a rural area (as de-
fined in section 1886(d)(2)(D) of the So-
cial Security Act).’’. 
(d) REPORT ON TRAINING COSTS.—Not later than 
March 31, 2019, the Secretary of Health and Human 
Services shall submit to the Congress a report on the di-
rect graduate expenses of approved graduate medical resi-
dency training programs, and the indirect expenses associ-
ated with the additional costs of teaching residents, of 
qualified teaching health centers (as such terms are used 
or defined in section 340H of the Public Health Service 
Act (42 U.S.C. 256h)). 
(e) DEFINITION.—Subsection (j) of section 340H of 
the Public Health Service Act (42 U.S.C. 256h) is amend-
ed— 
(1) by redesignating paragraphs (2) and (3) as 
paragraphs (3) and (4), respectively; and 
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(2) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) NEW
APPROVED
GRADUATE
MEDICAL 
RESIDENCY
TRAINING
PROGRAM.—The term ‘new 
approved graduate medical residency training pro-
gram’ means an approved graduate medical resi-
dency training program for which the sponsoring 
qualified teaching health center has not received a 
payment under this section for a previous fiscal year 
(other than pursuant to subsection (a)(1)(C)).’’. 
(f) TECHNICAL CORRECTION.—Subsection (f) of sec-
tion 340H (42 U.S.C. 256h) is amended by striking ‘‘hos-
pital’’ each place it appears and inserting ‘‘teaching health 
center’’. 
(g) PAYMENTS FOR PREVIOUS FISCAL YEARS.—The 
provisions of section 340H of the Public Health Service 
Act (42 U.S.C. 256h), as in effect on the day before the 
date of enactment of Public Law 115–96, shall continue 
to apply with respect to payments under such section for 
fiscal years before fiscal year 2018. 
SEC. 224. EXTENSION FOR FAMILY-TO-FAMILY HEALTH IN-
FORMATION CENTERS. 
Section 501(c) of the Social Security Act (42 U.S.C. 
701(c)) is amended— 
(1) in paragraph (1)(A)— 
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(A) in clause (v), by striking ‘‘and’’ at the 
end; 
(B) in clause (vi), by striking the period at 
the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(vii) $6,000,000 for each of fiscal years 2018 
and 2019.’’; 
(2) in paragraph (3)(C), by inserting before the 
period the following: ‘‘, and with respect to fiscal 
years 2018 and 2019, such centers shall also be de-
veloped in all territories and at least one such center 
shall be developed for Indian tribes’’; and 
(3) by amending paragraph (5) to read as fol-
lows: 
‘‘(5) For purposes of this subsection— 
‘‘(A) the term ‘Indian tribe’ has the meaning 
given such term in section 4 of the Indian Health 
Care Improvement Act (25 U.S.C. 1603); 
‘‘(B) the term ‘State’ means each of the 50 
States and the District of Columbia; and 
‘‘(C) the term ‘territory’ means Puerto Rico, 
Guam, American Samoa, the Virgin Islands, and the 
Northern Mariana Islands.’’. 
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SEC. 225. EXTENSION OF ABSTINENCE EDUCATION; EXTEN-
SION OF PERSONAL RESPONSIBILITY EDU-
CATION PROGRAM. 
(a) ABSTINENCE EDUCATION.—Section 510 of the 
Social Security Act (42 U.S.C. 710) is amended— 
(1) in subsection (a), in the matter preceding 
paragraph (1), by striking ‘‘2017’’ and inserting 
‘‘2019’’; and 
(2) in subsection (d)— 
(A) by striking ‘‘2015 and’’ and inserting 
‘‘2015,’’; and 
(B) by inserting after ‘‘2017’’ the fol-
lowing: ‘‘, and an additional $75,000,000 for 
each of fiscal years 2018 through 2019’’. 
(b) PERSONAL RESPONSIBILITY EDUCATION.— 
(1) IN GENERAL.—Section 513 of the Social 
Security Act (42 U.S.C. 713) is amended— 
(A) in subsection (a)(1)(A), by striking 
‘‘2017’’ and inserting ‘‘2019’’; 
(B) in subsection (a)(4)— 
(i) in subparagraph (A), by striking 
‘‘2017’’ each place it appears and inserting 
‘‘2019’’; and 
(ii) in subparagraph (B)— 
(I) in the subparagraph heading, 
by striking ‘‘3-YEAR GRANTS’’ and in-
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serting 
‘‘COMPETITIVE
PREP 
GRANTS’’; and 
(II) in clause (i), by striking ‘‘so-
licit applications to award 3-year 
grants in each of fiscal years 2012 
through 2017’’ and inserting ‘‘con-
tinue through fiscal year 2019 grants 
awarded for any of fiscal years 2015 
through 2017’’; 
(C) in subsection (c)(1), by inserting after 
‘‘youth with HIV/AIDS,’’ the following: ‘‘vic-
tims of human trafficking,’’; and 
(D) in subsection (f), by striking ‘‘2017’’ 
and inserting ‘‘2019’’. 
(2) EFFECTIVE DATE.—The amendments made 
by this subsection take effect on October 1, 2017. 
SEC. 226. EXTENSION OF HEALTH WORKFORCE DEM-
ONSTRATION PROJECTS FOR LOW-INCOME 
INDIVIDUALS. 
Section 2008(c)(1) of the Social Security Act (42 
U.S.C. 1397g(c)(1)) is amended by striking ‘‘2017’’ and 
inserting ‘‘2019’’. 
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SEC. 227. DELAY OF REDUCTION TO MEDICAID DSH ALLOT-
MENTS. 
Section 1923(f) of the Social Security Act (42 U.S.C. 
1396r–4(f)(7)) is amended— 
(1) in paragraph (7)(A)— 
(A) in clause (i), in the matter preceding 
subclause (I), by striking ‘‘2018 through 2025’’ 
and inserting ‘‘2020 through 2027’’; and 
(B) by amending clause (ii) to read as fol-
lows: 
‘‘(I) $2,000,000,000 for fiscal 
year 2020; 
‘‘(II) $3,000,000,000 for fiscal 
year 2021; 
‘‘(III) $4,000,000,000 for fiscal 
year 2022; 
‘‘(IV) $5,000,000,000 for fiscal 
year 2023; 
‘‘(V) $6,000,000,000 for fiscal 
year 2024; 
‘‘(VI) $7,000,000,000 for fiscal 
year 2025; 
‘‘(VII) $8,000,000,000 for fiscal 
year 2026; and 
‘‘(VIII) $8,000,000,000 for fiscal 
year 2027.’’; and 
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(2) in paragraph (8), by striking ‘‘2025’’ and 
inserting ‘‘2027’’. 
SEC. 228. DELAY OF BIPARTISAN BUDGET ACT OF 2013 
THIRD-PARTY LIABILITY PROVISIONS. 
(a) IN GENERAL.—Section 202(c) of the Bipartisan 
Budget Act of 2013 (Public Law 113–67; 127 Stat. 1177; 
42 U.S.C. 1396a note), as amended by section 211 of the 
Protecting Access to Medicare Act of 2014 (Public Law 
113–93; 128 Stat. 1047; 42 U.S.C. 1396a note) and sec-
tion 220 of the Medicare Access and CHIP Reauthoriza-
tion Act of 2015 (Public Law 114–10), is amended by 
striking ‘‘2017’’ and inserting ‘‘2022’’. 
(b) EFFECTIVE DATE; TREATMENT.—The amend-
ment made by subsection (a) shall take effect on Sep-
tember 30, 2017, and shall apply with respect to claims 
pending, generated, or filed after such date. 
Subtitle C—Continuing the Mater-
nal, Infant, and Early Childhood 
Home Visiting Program 
SEC. 231. CONTINUING EVIDENCE-BASED HOME VISITING 
PROGRAM. 
Section 511(j)(1)(H) of the Social Security Act (42 
U.S.C. 711(j)(1)(H)) is amended by striking ‘‘fiscal year 
2017’’ and inserting ‘‘each of fiscal years 2017 through 
2022’’. 
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114 
(B) by striking subparagraph (B); and 
(2) by adding at the end the following: 
‘‘(12)(A) Not later than January 31 of each fiscal 
year, the Commissioner shall submit to the Committee on 
Ways and Means of the House of Representatives and the 
Committee on Finance of the Senate a report on the total 
number of individuals entitled to benefits under titles II, 
VIII, and XVI, respectively (and the number of individuals 
concurrently entitled to benefits under more than one such 
title), who have a representative payee, the total number 
of such representative payees, and the results of all re-
views of representative payees conducted during the pre-
vious fiscal year in connection with benefits under this 
title, title VIII, or title XVI. Such report shall summarize 
problems identified in such reviews and corrective actions 
taken or planned to be taken to correct such problems, 
and shall include— 
‘‘(i) the number of such reviews; 
‘‘(ii) the results of such reviews; 
‘‘(iii) the number of cases in which the rep-
resentative payee was changed and why; 
‘‘(iv) the number of reviews conducted in re-
sponse to allegations or concerns about the perform-
ance or suitability of the payee; 
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