I 
117TH CONGRESS 
2D SESSION 
H. R. 9525 
Making continuing appropriations for fiscal year 2023, extending various 
health programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 14, 2022 
Mr. ROY introduced the following bill; which was referred to the Committee 
on Appropriations, and in addition to the Committee on the Budget, 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 com-
mittee concerned 
A BILL 
Making continuing appropriations for fiscal year 2023, 
extending various health programs, 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 ‘‘Continuing Appropria-
tions and Health Extenders Act of 2022’’. 
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TITLE I—CONTINUING 
APPROPRIATIONS 
SEC. 101. EXTENSION OF APPROPRIATIONS. 
Section 106(3) of division A of the Continuing Appro-
priations and Ukraine Supplemental Appropriations Act, 
2023 (Public Law 117–180; 136 Stat. 2116) is amended 
by striking ‘‘December 16, 2022’’ and inserting ‘‘February 
3, 2023’’. 
SEC. 102. PAYGO REPORT. 
Notwithstanding subsection (a) of section 5 of the 
Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 934), the 
Office of Management and Budget shall make publicly 
available the annual PAYGO report required under such 
subsection for 2022 and prepare any order required under 
subsection (b) of such section not later than February 4, 
2023. 
TITLE 
II—EXTENSIONS, 
TECH-
NICAL 
CORRECTIONS, 
AND 
OTHER MATTERS 
SEC. 201. EXTENSION OF FCC AUCTION AUTHORITY. 
Section 309(j)(11) of the Communications Act of 
1934 (47 U.S.C. 309(j)(11)) is amended by striking ‘‘De-
cember 16, 2022’’ and inserting ‘‘February 3, 2023’’. 
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SEC. 202. EXTENSION OF AUTHORIZATION FOR SPECIAL AS-
SESSMENT FOR DOMESTIC TRAFFICKING VIC-
TIMS’ FUND. 
Section 3014(a) of title 18, United States Code, is 
amended, in the matter preceding paragraph (1), by strik-
ing ‘‘December 16, 2022’’ and inserting ‘‘February 3, 
2023’’. 
SEC. 203. EXTENSION OF COMMODITY FUTURES TRADING 
COMMISSION CUSTOMER PROTECTION FUND 
EXPENSES ACCOUNT. 
Section 1(b) of Public Law 117–25 (135 Stat. 297) 
is amended by striking ‘‘December 16, 2022’’ each place 
it appears and inserting ‘‘February 3, 2023’’. 
TITLE III—HEALTH AND HUMAN 
SERVICES EXTENSIONS 
Subtitle A—Medicare and Medicaid 
SEC. 301. EXTENSION OF INCREASED INPATIENT HOSPITAL 
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 ‘‘December 17, 2022’’ 
and inserting ‘‘February 4, 2023’’; 
(2) in subparagraph (C)(i)— 
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Subtitle B—Human Services 
SEC. 311. EXTENSION OF MATERNAL, INFANT, AND EARLY 
CHILDHOOD HOME VISITING PROGRAMS. 
Activities authorized by section 511 of the Social Se-
curity Act shall continue through February 3, 2023, in 
the manner authorized for fiscal year 2022, and out of 
any money in the Treasury of the United States not other-
wise appropriated, there is hereby appropriated for such 
purpose an amount equal to the pro rata portion of the 
amount appropriated for such activities for fiscal year 
2022. 
SEC. 312. EXTENSION OF CHILD AND FAMILY SERVICES 
PROGRAMS. 
Activities authorized by part B of title IV of the So-
cial Security Act shall continue through February 3, 2023, 
in the manner authorized for fiscal year 2022, 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. 
Subtitle C—Indian Health 
SEC. 321. EXTENSION OF MORATORIUM RELATING TO 
FUNDS FOR HEALTH CARE SERVICES FOR 
CERTAIN ALASKA NATIVE VILLAGES. 
Section 424(a) of the Department of the Interior, En-
vironment, and Related Agencies Appropriations Act, 
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2014 (Public Law 113–76; 128 Stat. 343; 132 Stat. 693; 
136 Stat. 2136) is amended by striking ‘‘December 16, 
2022’’ and inserting ‘‘February 3, 2023’’. 
TITLE IV—REAUTHORIZATION 
OF OTHER PROVISIONS 
SEC. 401. REAUTHORIZATION OF THE BEST PHARMA-
CEUTICALS FOR CHILDREN PROGRAM. 
Section 409I(d)(1) of the Public Health Service Act 
(42 U.S.C. 284m(d)(1)) is amended by striking 
‘‘$5,273,973 for the period beginning on October 1, 2022 
and ending on December 16, 2022’’ and inserting 
‘‘$8,630,138 for the period beginning on October 1, 2022, 
and ending on February 3, 2023’’. 
SEC. 402. REAUTHORIZATION OF THE HUMANITARIAN DE-
VICE EXEMPTION INCENTIVE. 
Section 520(m)(6)(A)(iv) of the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 360j(m)(6)(A)(iv)) is 
amended by striking ‘‘December 17, 2022’’ and inserting 
‘‘February 4, 2023’’. 
SEC. 403. REAUTHORIZATION OF THE PEDIATRIC DEVICE 
CONSORTIA PROGRAM. 
Section 305(e) of the Food and Drug Administration 
Amendments Act of 2007 (Public Law 110–85; 42 U.S.C. 
282 note) is amended by striking ‘‘$1,107,534 for the pe-
riod beginning on October 1, 2022, and ending on Decem-
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ber 16, 2022’’ and inserting ‘‘$1,812,328 for the period 
beginning on October 1, 2022, and ending on February 
3, 2023’’. 
SEC. 404. REAUTHORIZATION OF PROVISION PERTAINING 
TO 
DRUGS 
CONTAINING 
SINGLE 
ENANTIOMERS. 
Section 505(u)(4) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 355(u)(4)) is amended by strik-
ing ‘‘December 17, 2022’’ and inserting ‘‘February 4, 
2023’’. 
SEC. 405. REAUTHORIZATION OF THE CRITICAL PATH PUB-
LIC-PRIVATE PARTNERSHIP. 
Section 566(f) of the Federal Food, Drug, and Cos-
metic Act (21 U.S.C. 360bbb–5(f)) is amended by striking 
‘‘$1,265,753 for the period beginning on October 1, 2022 
and ending on December 16, 2022’’ and inserting 
‘‘$2,071,232 for the period beginning on October 1, 2022, 
and ending on February 3, 2023’’. 
SEC. 406. REAUTHORIZATION OF ORPHAN DRUG GRANTS. 
Section 5(c) of the Orphan Drug Act (21 U.S.C. 
360ee(c)) is amended by striking ‘‘$6,328,767 for the pe-
riod beginning on October 1, 2022, and ending on Decem-
ber 16, 2022’’ and inserting ‘‘$10,356,164 for the period 
beginning on October 1, 2022, and ending on February 
3, 2023’’. 
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SEC. 407. REAUTHORIZATION OF CERTAIN DEVICE INSPEC-
TIONS. 
Section 704(g)(11) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 374(g)(11)) is amended by strik-
ing ‘‘December 17, 2022’’ and inserting ‘‘February 4, 
2023’’. 
SEC. 408. REAUTHORIZATION OF REPORTING REQUIRE-
MENTS 
RELATED 
TO 
PENDING 
GENERIC 
DRUG APPLICATIONS AND PRIORITY REVIEW 
APPLICATIONS. 
Section 807 of the FDA Reauthorization Act of 2017 
(Public Law 115–52) is amended, in the matter preceding 
paragraph (1), by striking ‘‘December 16, 2022’’ and in-
serting ‘‘February 3, 2023’’. 
Æ 
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