I 
119TH CONGRESS 
1ST SESSION H. R. 1974 
Making further continuing appropriations for the fiscal year ending September 
30, 2025, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 10, 2025 
Ms. DELAURO introduced the following bill; which was referred to the Com-
mittee on Appropriations, and in addition to the Committee on the Budg-
et, for a period to be subsequently determined by the Speaker, in each 
case for consideration of such provisions as fall within the jurisdiction of 
the committee concerned 
A BILL 
Making further continuing appropriations for the fiscal year 
ending September 30, 2025, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Further Additional 
Continuing Appropriations and Other Extensions Act, 
2025’’. 
SEC. 2. TABLE OF CONTENTS. 
Sec. 1. Short Title. 
Sec. 2. Table of Contents. 
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DIVISION A—FURTHER ADDITIONAL CONTINUING 
APPROPRIATIONS ACT, 2025 
DIVISION B—EXTENSIONS AND OTHER MATTERS 
DIVISION A—FURTHER ADDITIONAL 
CONTINUING APPROPRIATIONS ACT, 2025 
SEC. 101. The Continuing Appropriations Act, 2025 
(division A of Public Law 118–83) is further amended— 
(1) by striking the date specified in section 
106(3) and inserting ‘‘April 11, 2025’’; 
(2) in section 156(b) to read as follows: 
‘‘(b) Amounts made available by section 101 to the 
Department of Defense for ‘Procurement—Shipbuilding 
and Conversion, Navy’ may be apportioned up to the rate 
for operations necessary for ‘Columbia Class Submarine’ 
in an amount not to exceed $3,341,300,000.’’; and 
(3) by adding after section 169 the following 
new sections: 
‘‘SEC. 170. Notwithstanding section 101, section 
521(b)(1) of division C of Public Law 118–42 shall not 
apply during the period covered by this Act. 
‘‘SEC. 171. Notwithstanding sections 102 and 104, 
amounts made available by section 101 to the Department 
of Defense for ‘Procurement—Shipbuilding and Conver-
sion, Navy’ may be apportioned up to the rate of oper-
ations necessary for ‘Completion of Prior Year Ship-
building Programs’ in an amount not to exceed 
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$1,930,024,000 to fund prior year shipbuilding cost in-
creases for the following programs in the following 
amounts: 
‘‘(1) 2013/2025: Carrier Replacement Program, 
$236,000,000; 
‘‘(2) 
2016/2025: 
DDG 
Program, 
$10,509,000; 
‘‘(3) 2017/2025: Virginia Class Submarine Pro-
gram, $219,370,000; 
‘‘(4) 
2017/2025: 
DDG 
Program, 
$115,600,000; 
‘‘(5) 2017/2025: Littoral Combat Ship Pro-
gram, $8,100,000; 
‘‘(6) 2017/2025: LHA Replacement Program, 
$115,397,000; 
‘‘(7) 2018/2025: Virginia Class Submarine Pro-
gram, $73,634,000; 
‘‘(8) 
2018/2025: 
DDG 
Program, 
$107,405,000; 
‘‘(9) 2018/2025: Littoral Combat Ship Pro-
gram, $12,000,000; 
‘‘(10) 2018/2025: LPD 17 (Flight II) Amphib-
ious Transport Dock Program, $19,158,000; 
‘‘(11) 2018/2025: Oceanographic Ships Pro-
gram, $18,000,000; 
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‘‘(12) 2018/2025: Ship to Shore Connector Pro-
gram, $14,694,000; 
‘‘(13) 2019/2025: Littoral Combat Ship Pro-
gram, $27,900,000; 
‘‘(14) 2019/2025: T–AO Fleet Oiler Program, 
$49,995,000; 
‘‘(15) 2019/2025: Ship to Shore Connector Pro-
gram, $33,345,000; 
‘‘(16) 2020/2025: CVN Refueling Overhauls, 
$669,171,000; 
‘‘(17) 2020/2025: T–AO Fleet Oiler Program, 
$151,837,000; 
‘‘(18) 2020/2025: Towing, Salvage, and Rescue 
Ship Program, $978,000; 
‘‘(19) 2021/2025: Towing, Salvage, and Rescue 
Ship Program, $17,375,000; 
‘‘(20) 2022/2025: T–AO Fleet Oiler Program, 
$13,222,000; 
‘‘(21) U2022/2025: Towing, Salvage, and Res-
cue Ship Program, $4,234,000; and 
‘‘(22) 2023/2025: T–AO Fleet Oiler Program, 
$12,100,000. 
‘‘SEC. 172. In addition to amounts otherwise pro-
vided by section 101, for ‘Federal Emergency Manage-
ment Agency—Disaster Relief Fund’, there is appro-
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priated $750,000,000, for an additional amount for fiscal 
year 2025, to remain available until expended, for major 
disasters declared pursuant to the Robert T. Stafford Dis-
aster Relief and Emergency Assistance Act (42 U.S.C. 
5121 et seq.): 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 Budg-
et and Emergency Deficit Control Act of 1985, and shall 
be available only if the President subsequently so des-
ignates such amount and transmits such designation to 
the Congress. 
‘‘SEC. 173. In addition to amounts otherwise pro-
vided by section 101, there is appropriated $1,650,000 for 
the ‘Office of Navajo and Hopi Relocation—Salaries and 
Expenses’ to remain available until expended to carry out 
responsibilities under the Navajo-Hopi Land Settlement 
Act of 1974. 
‘‘SEC. 174. Notwithstanding any other provision of 
this Act, there is hereby appropriated for fiscal year 2025, 
for payment to Ashley Paige Turner, beneficiary of Syl-
vester Turner, late a Representative from the State of 
Texas, $174,000.’’. 
This division may be cited as the ‘‘Further Additional 
Continuing Appropriations Act, 2025’’. 
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DIVISION B—EXTENSIONS AND 
OTHER MATTERS 
TITLE I—HEALTH EXTENSIONS 
Subtitle A—Public Health 
Extenders 
SEC. 2101. EXTENSION FOR COMMUNITY HEALTH CENTERS, 
NATIONAL HEALTH SERVICE CORPS, AND 
TEACHING HEALTH CENTERS THAT OPERATE 
GME PROGRAMS. 
(a) EXTENSION
FOR COMMUNITY HEALTH CEN-
TERS.—Section 10503(b)(1)(I) of the Patient Protection 
and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(I)) is 
amended by striking the period at the end and inserting 
‘‘, and $132,602,740 for the period beginning on April 1, 
2025, and ending on April 11, 2025; and’’. 
(b) EXTENSION FOR THE NATIONAL HEALTH SERV-
ICE CORPS.—Section 10503(b)(2)(J) of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 254b– 
2(b)(2)(J)) is amended by inserting ‘‘, and $10,963,593 
for the period beginning on April 1, 2025, and ending on 
April 11, 2025’’ before the period at the end. 
(c) TEACHING HEALTH CENTERS THAT OPERATE 
GRADUATE MEDICAL EDUCATION PROGRAMS.—Section 
340H(g)(1)(E) of the Public Health Service Act (42 
U.S.C. 256h(g)(1)(E)) is amended by inserting ‘‘, and 
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$6,058,748 for the period beginning on April 1, 2025, and 
ending on April 11, 2025’’ before the period at the end. 
(d) APPLICATION OF PROVISIONS.—Amounts appro-
priated pursuant to the amendments made by this section 
shall be subject to the requirements contained in Public 
Law 118–47 for funds for programs authorized under sec-
tions 330 through 340 of the Public Health Service Act 
(42 U.S.C. 254b et seq.). 
(e) 
CONFORMING
AMENDMENTS.—Section 
3014(h)(4) of title 18, United States Code, is amended 
by striking ‘‘and section 3101(d) of the Health Extensions 
and Other Matters Act, 2025’’ and inserting ‘‘section 
3101(d) of the Health Extensions and Other Matters Act, 
2025, and section 2101(d) of the Further Additional Con-
tinuing Appropriations and Other Extensions Act, 2025’’. 
SEC. 2102. EXTENSION OF SPECIAL DIABETES PROGRAMS. 
(a) EXTENSION OF SPECIAL DIABETES PROGRAMS 
FOR TYPE I DIABETES.—Section 330B(b)(2)(F) of the 
Public Health Service Act (42 U.S.C. 254c–2(b)(2)(F)) 
is amended by inserting ‘‘, and $4,798,658 for the period 
beginning on April 1, 2025, and ending on April 11, 
2025’’ before the period at the end. 
(b) EXTENDING FUNDING FOR SPECIAL DIABETES 
PROGRAMS FOR INDIANS.—Section 330C(c)(2)(F) of the 
Public Health Service Act (42 U.S.C. 254c–3(c)(2)(F)) is 
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amended by inserting ‘‘, and $4,798,658 for the period 
beginning on April 1, 2025, and ending on April 11, 
2025’’ before the period at the end. 
SEC. 2103. NATIONAL HEALTH SECURITY EXTENSIONS. 
(a) Section 319(e)(8) of the Public Health Service 
Act (42 U.S.C. 247d(e)(8)) is amended by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
(b) Section 319L(e)(1)(D) of the Public Health Serv-
ice Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by strik-
ing ‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
(c) Section 319L–1(b) of the Public Health Service 
Act (42 U.S.C. 247d–7f(b)) is amended by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
(d)(1) Section 2811A(g) of the Public Health Service 
Act (42 U.S.C. 300hh–10b(g)) is amended by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
(2) Section 2811B(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
(3) Section 2811C(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
(e) Section 2812(c)(4)(B) of the Public Health Serv-
ice Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by 
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striking ‘‘March 31, 2025’’ and inserting ‘‘April 11, 
2025’’. 
Subtitle B—Medicare 
SEC. 2111. EXTENSION OF INCREASED INPATIENT HOS-
PITAL PAYMENT ADJUSTMENT FOR CERTAIN 
LOW-VOLUME HOSPITALS. 
(a) IN GENERAL.—Section 1886(d)(12) of the Social 
Security Act (42 U.S.C. 1395ww(d)(12)) is amended— 
(1) in subparagraph (B), in the matter pre-
ceding clause (i), by striking ‘‘April 1, 2025’’ and in-
serting ‘‘April 12, 2025’’; 
(2) in subparagraph (C)(i)— 
(A) in the matter preceding subclause (I), 
by striking ‘‘March 31, 2025’’ and inserting 
‘‘April 11, 2025’’; 
(B) in subclause (III), by striking ‘‘March 
31, 2025’’ and inserting ‘‘April 11, 2025’’; and 
(C) in subclause (IV), by striking ‘‘April 1, 
2025’’ and inserting ‘‘April 12, 2025’’; and 
(3) in subparagraph (D)— 
(A) in the matter preceding clause (i), by 
striking ‘‘March 31, 2025’’ and inserting ‘‘April 
11, 2025’’; and 
(B) in clause (ii), by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’. 
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(b) IMPLEMENTATION.—Notwithstanding any other 
provision of law, the Secretary of Health and Human 
Services may implement the amendments made by this 
section by program instruction or otherwise. 
SEC. 2112. EXTENSION OF THE MEDICARE-DEPENDENT 
HOSPITAL (MDH) PROGRAM. 
(a) IN GENERAL.—Section 1886(d)(5)(G) of the So-
cial Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amend-
ed— 
(1) in clause (i), by striking ‘‘April 1, 2025’’ 
and inserting ‘‘April 12, 2025’’; and 
(2) in clause (ii)(II), by striking ‘‘April 1, 
2025’’ and inserting ‘‘April 12, 2025’’. 
(b) CONFORMING AMENDMENTS.— 
(1) IN
GENERAL.—Section 1886(b)(3)(D) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395ww(b)(3)(D)) is amended— 
(A) in the matter preceding clause (i), by 
striking ‘‘April 1, 2025’’ and inserting ‘‘April 
12, 2025’’; and 
(B) in clause (iv), by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’. 
(2) PERMITTING HOSPITALS TO DECLINE RE-
CLASSIFICATION.—Section 13501(e)(2) of the Omni-
bus Budget Reconciliation Act of 1993 (42 U.S.C. 
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1395ww note) is amended by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’. 
SEC. 2113. EXTENSION OF ADD-ON PAYMENTS FOR AMBU-
LANCE SERVICES. 
Section 1834(l) of the Social Security Act (42 U.S.C. 
1395m(l)) is amended— 
(1) in paragraph (12)(A), by striking ‘‘April 1, 
2025’’ and inserting ‘‘April 12, 2025’’; and 
(2) in paragraph (13), by striking ‘‘April 1, 
2025’’ each place it appears and inserting ‘‘April 12, 
2025’’ in each such place. 
SEC. 2114. EXTENSION OF FUNDING FOR QUALITY MEAS-
URE ENDORSEMENT, INPUT, AND SELECTION. 
Section 1890(d)(2) of the Social Security Act (42 
U.S.C. 1395aaa(d)(2)) is amended— 
(1) in the first sentence, by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’; and 
(2) in the third sentence, by striking ‘‘March 
31, 2025’’ and inserting ‘‘April 11, 2025’’. 
SEC. 2115. EXTENSION OF FUNDING OUTREACH AND AS-
SISTANCE FOR LOW-INCOME PROGRAMS. 
(a) STATE HEALTH INSURANCE ASSISTANCE PRO-
GRAMS.—Subsection (a)(1)(B)(xiv) of section 119 of the 
Medicare Improvements for Patients and Providers Act of 
2008 (42 U.S.C. 1395b–3 note) is amended by striking 
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HEALTH.—Section 1834(m)(7)(B)(i) of the Social 
Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is 
amended, in the matter preceding subclause (I), by 
striking ‘‘April 1, 2025’’ and inserting ‘‘April 12, 
2025’’. 
(2) MENTAL
HEALTH
VISITS
FURNISHED
BY 
RURAL HEALTH CLINICS.—Section 1834(y)(2) of the 
Social Security Act (42 U.S.C. 1395m(y)(2)) is 
amended by striking ‘‘April 1, 2025’’ and inserting 
‘‘April 12, 2025’’. 
(3) MENTAL
HEALTH
VISITS
FURNISHED
BY 
FEDERALLY QUALIFIED HEALTH CENTERS.—Section 
1834(o)(4)(B) of the Social Security Act (42 U.S.C. 
1395m(o)(4)(B)) is amended by striking ‘‘April 1, 
2025’’ and inserting ‘‘April 12, 2025.’’. 
(e) ALLOWING FOR THE FURNISHING OF AUDIO- 
ONLY TELEHEALTH SERVICES.—Section 1834(m)(9) of 
the Social Security Act (42 U.S.C. 1395m(m)(9)) is 
amended by striking ‘‘ending on March 31, 2025’’ and in-
serting ‘‘ending on April 11, 2025’’. 
(f) EXTENDING USE OF TELEHEALTH TO CONDUCT 
FACE-TO-FACE ENCOUNTER PRIOR TO RECERTIFICATION 
OF
ELIGIBILITY
FOR
HOSPICE
CARE.—Section 
1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 
1395f(a)(7)(D)(i)(II)) is amended by striking ‘‘ending on 
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March 31, 2025’’ and inserting ‘‘ending on April 11, 
2025’’. 
(g) PROGRAM INSTRUCTION AUTHORITY.—The Sec-
retary of Health and Human Services may implement the 
amendments made by this section through program in-
struction or otherwise. 
SEC. 2118. EXTENDING ACUTE HOSPITAL CARE AT HOME 
WAIVER AUTHORITIES. 
Section 1866G(a)(1) of the Social Security Act (42 
U.S.C. 1395cc–7(a)(1)) is amended by striking ‘‘March 
31, 2025’’ and inserting ‘‘April 11, 2025’’. 
SEC. 2119. EXTENSION OF TEMPORARY INCLUSION OF AU-
THORIZED ORAL ANTIVIRAL DRUGS AS COV-
ERED PART D DRUGS. 
Section 1860D–2(e)(1)(C) of the Social Security Act 
(42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 2025’’. 
SEC. 2120. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$1,251,000,000’’ and inserting $1,018,000,000. 
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Subtitle C—Human Services 
SEC. 2131. SEXUAL RISK AVOIDANCE EDUCATION EXTEN-
SION. 
Section 510 of the Social Security Act (42 U.S.C. 
710) is amended— 
(1) in subsection (a)(1), by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’; and 
(2) in subsection (f)(1), by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’. 
SEC. 2132. PERSONAL RESPONSIBILITY EDUCATION EXTEN-
SION. 
Section 513 of the Social Security Act (42 U.S.C. 
713) is amended— 
(1) in subsection (a)(1)— 
(A) in subparagraph (A), in the matter 
preceding clause (i), by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’; and 
(B) in subparagraph (B)(i), by striking 
‘‘March 31, 2025’’ and inserting ‘‘April 11, 
2025’’; and 
(2) in subsection (f), by striking ‘‘March 31, 
2025’’ and inserting ‘‘April 11, 2025’’. 
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SEC. 2133. EXTENSION OF FUNDING FOR FAMILY-TO-FAM-
ILY HEALTH INFORMATION CENTERS. 
Section 501(c)(1)(A)(viii) of the Social Security Act 
(42 U.S.C. 701(c)(1)(A)(viii)) is amended— 
(1) by striking ‘‘$3,000,000’’ and inserting 
‘‘$3,200,000’’; and 
(2) by striking ‘‘April 1, 2025’’ and inserting 
‘‘April 12, 2025’’. 
Subtitle D—Medicaid 
SEC. 2141. ELIMINATING CERTAIN DISPROPORTIONATE 
SHARE HOSPITAL PAYMENT CUTS. 
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), by striking ‘‘April 1’’ and in-
serting ‘‘April 12’’; and 
(2) in clause (ii), by striking ‘‘April 1’’ and in-
serting ‘‘April 12’’. 
TITLE II—MISCELLANEOUS 
EXTENSIONS 
SEC. 2201. COMMODITY FUTURES TRADING COMMISSION 
WHISTLEBLOWER PROGRAM. 
Section 1(b) of Public Law 117–25 (135 Stat. 297; 
136 Stat. 2133; 136 Stat. 5984) is amended, in para-
graphs (3) and (4), by striking ‘‘March 14, 2025’’ each 
place it appears and inserting ‘‘April 11, 2025’’. 
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SEC. 2202. PROTECTION OF CERTAIN FACILITIES AND AS-
SETS FROM UNMANNED AIRCRAFT. 
Section 210G(i) of the Homeland Security Act of 
2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘March 
14, 2025’’ and inserting ‘‘April 11, 2025’’. 
SEC. 2203. ADDITIONAL SPECIAL ASSESSMENT. 
Section 3014 of title 18, United States Code, is 
amended by striking ‘‘March 14, 2025’’ and inserting 
‘‘April 11, 2025’’. 
SEC. 2204. NATIONAL CYBERSECURITY PROTECTION SYS-
TEM AUTHORIZATION. 
Section 227(a) of the Federal Cybersecurity En-
hancement Act of 2015 (6 U.S.C. 1525(a)) is amended 
by striking ‘‘March 14, 2025’’ and inserting ‘‘April 11, 
2025’’. 
TITLE III—BUDGETARY EFFECTS 
SEC. 2301. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budg-
etary 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). 
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(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 Re-
port 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 Com-
mittee 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. 
Æ 
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