This division may be cited as the ‘‘Further Continuing 
Appropriations Act, 2020’’. 
DIVISION 
B—HEALTH 
AND 
HUMAN 
SERVICES 
EXTEND-
ERS AND OTHER MATTERS 
TITLE I—PUBLIC HEALTH 
EXTENDERS 
SEC. 1101. EXTENSION FOR COMMUNITY HEALTH CENTERS, 
THE NATIONAL HEALTH SERVICE CORPS, AND 
TEACHING HEALTH CENTERS THAT OPERATE 
GME PROGRAMS. 
(a) 
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 by— 
(1) 
striking 
‘‘$569,863,014’’ 
and 
inserting 
‘‘$887,671,223’’; and 
(2) striking ‘‘November 21, 2019’’ and inserting 
‘‘December 20, 2019’’. 
(b) NATIONAL HEALTH SERVICE CORPS.—Section 
10503(b)(2) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 254b–2(b)(2)(G)) is amended— 
(1) by striking ‘‘$44,164,384’’ and inserting 
‘‘$68,794,521’’; and 
(2) by striking ‘‘November 21, 2019’’ and insert-
ing ‘‘December 20, 2019’’.
(c) TEACHING HEALTH CENTERS THAT OPERATE 
GRADUATE
MEDICAL
EDUCATION
PROGRAMS.—Section 
340H(g)(1) of the Public Health Service Act (42 U.S.C. 
256h(g)(1)) is amended— 
(1) by striking ‘‘$18,021,918’’ and inserting 
‘‘$28,072,603’’; and 
(2) by striking ‘‘November 21, 2019’’ and insert-
ing ‘‘December 20, 2019’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appro-
priated pursuant to the amendments made by this section 
for the period beginning on October 1, 2019, and ending 
on December 20, 2019, shall be subject to the requirements 
contained in Public Law 115–245 for funds for programs 
authorized under sections 330 through 340 of the Public 
Health Service Act (42 U.S.C. 254 through 256). 
(e) CONFORMING AMENDMENT.—Paragraph (4) of sec-
tion 3014(h) of title 18, United States Code, as amended 
by section 1101(e) of division B of Public Law 116–59, is 
amended by striking ‘‘and section 1101(d) of division B of 
the Continuing Appropriations Act, 2020, and Health Ex-
tenders Act of 2019’’ and inserting ‘‘, section 1101(d) of 
division B of the Continuing Appropriations Act, 2020, and 
Health Extenders Act of 2019, and section 1101(d) of the 
Further Continuing Appropriations Act, 2020, and Further 
Health Extenders Act of 2019’’.
SEC. 1102. DIABETES PROGRAMS. 
(a) TYPE I.—Section 330B(b)(2)(D) of the Public 
Health Service Act (42 U.S.C. 254c–2(b)(2)(D)) is amend-
ed— 
(1) by striking ‘‘$21,369,863’’ and inserting 
‘‘$33,287,671’’; and 
(2) by striking ‘‘November 21, 2019’’ and insert-
ing ‘‘December 20, 2019’’. 
(b) INDIANS.—Section 330C(c)(2)(D) of the Public 
Health Service Act (42 U.S.C. 254c–3(c)(2)(D)) is amend-
ed— 
(1) by striking ‘‘$21,369,863’’ and inserting 
‘‘$33,287,671’’; and 
(2) by striking ‘‘November 21, 2019’’ and insert-
ing ‘‘December 20, 2019’’. 
TITLE II—OTHER HEALTH 
EXTENDERS 
SEC. 1201. EXTENSION OF SEXUAL RISK AVOIDANCE EDU-
CATION PROGRAM. 
Section 510 of the Social Security Act (42 U.S.C. 710) 
is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘November 
21, 2019’’ and inserting ‘‘December 20, 2019’’; 
and
(B) in paragraph (2)(A), by striking ‘‘No-
vember 21, 2019’’ and inserting ‘‘December 20, 
2019’’; and 
(2) in subsection (f)(1), by striking ‘‘$10,684,931 
for the period beginning October 1, 2019, and ending 
November 21, 2019’’ and inserting ‘‘$16,643,836 for 
the period beginning October 1, 2019, and ending De-
cember 20, 2019’’. 
SEC. 1202. EXTENSION OF PERSONAL RESPONSIBILITY EDU-
CATION PROGRAM. 
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 pre-
ceding clause (i), by striking ‘‘November 21, 
2019’’ and inserting ‘‘December 20, 2019’’; and 
(B) in subparagraph (B)(i), by striking 
‘‘November 21, 2019’’ and inserting ‘‘December 
20, 2019’’; and 
(2) in subsection (f), by striking ‘‘$10,684,931 
for the period beginning October 1, 2019, and ending 
November 21, 2019’’ and inserting ‘‘$16,643,836 for 
the period beginning October 1, 2019, and ending De-
cember 20, 2019’’.
TITLE III—MEDICAID 
EXTENDERS 
SEC. 1301. EXTENSION OF COMMUNITY MENTAL HEALTH 
SERVICES DEMONSTRATION PROGRAM. 
Section 223(d)(3) of the Protecting Access to Medicare 
Act of 2014 (42 U.S.C. 1396a note) is amended by striking 
‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. 
SEC. 1302. TEMPORARY INCREASE IN FEDERAL MEDICAL 
ASSISTANCE PERCENTAGE FOR TERRITORIES 
UNDER MEDICAID PROGRAM. 
Subsection (ff) of section 1905 of the Social Security 
Act (42 U.S.C. 1396d) is amended by striking ‘‘November 
21, 2019’’ and inserting ‘‘December 20, 2019’’. 
SEC. 1303. DELAY OF REDUCTIONS IN MEDICAID DSH AL-
LOTMENTS. 
Section 1923(f)(7)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(7)(A)) is amended by striking ‘‘Novem-
ber 22, 2019’’ each place it appears and inserting ‘‘Decem-
ber 21, 2019’’. 
TITLE IV—MEDICARE 
EXTENDERS 
SEC. 1401. EXTENSION OF FUNDING FOR QUALITY MEAS-
URE ENDORSEMENT, INPUT, AND SELECTION. 
(a) IN GENERAL.—Section 1890(d)(2) of the Social Se-
curity Act (42 U.S.C. 1395aaa(d)(2)) is amended—
Bipartisan Budget Act of 2018 (Public Law 115–123), and 
section 1402 of the Continuing Appropriations Act, 2020, 
and Health Extenders Act of 2019 (Public Law 116–59), 
is amended— 
(1) in clause (ix), by striking ‘‘and’’ at the end; 
(2) in clause (x), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (x) the following 
new clause: 
‘‘(xi) for the period beginning on No-
vember 22, 2019, and ending on December 
20, 2019, of $1,033,000.’’. 
(b) ADDITIONAL FUNDING FOR AREA AGENCIES ON 
AGING.—Subsection (b)(1)(B) of such section 119, as so 
amended, is amended— 
(1) in clause (ix), by striking ‘‘and’’ at the end; 
(2) in clause (x), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (x) the following 
new clause: 
‘‘(xi) for the period beginning on No-
vember 22, 2019, and ending on December 
20, 2019, of $597,000.’’.
(c) ADDITIONAL FUNDING FOR AGING AND DISABILITY 
RESOURCE CENTERS.—Subsection (c)(1)(B) of such section 
119, as so amended, is amended— 
(1) in clause (ix), by striking ‘‘and’’ at the end; 
(2) in clause (x), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (x) the following 
new clause: 
‘‘(xi) for the period beginning on No-
vember 22, 2019, and ending on December 
20, 2019, of $397,000.’’. 
(d) ADDITIONAL FUNDING FOR CONTRACT WITH THE 
NATIONAL CENTER FOR BENEFITS AND OUTREACH EN-
ROLLMENT.—Subsection (d)(2) of such section 119, as so 
amended, is amended— 
(1) in clause (ix), by striking ‘‘and’’ at the end; 
(2) in clause (x), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (x) the following 
new clause: 
‘‘(xi) for the period beginning on No-
vember 22, 2019, and ending on December 
20, 2019, of $953,000.’’.
SEC. 1403. EXTENSION OF TERMINATION DATE OF PATIENT- 
CENTERED 
OUTCOMES 
RESEARCH 
TRUST 
FUND. 
Section 9511(f) of the Internal Revenue Code of 1986 
is amended by striking ‘‘November 21’’ and inserting ‘‘De-
cember 20’’. 
TITLE V—HUMAN SERVICES 
EXTENDERS 
SEC. 1501. EXTENSION OF DEMONSTRATION PROJECTS TO 
ADDRESS 
HEALTH 
PROFESSIONS 
WORK-
FORCE NEEDS. 
Activities authorized by section 2008 of the Social Se-
curity Act shall continue through December 20, 2019, in 
the manner authorized for fiscal year 2019, 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. Grants and payments 
may be made pursuant to this authority through the date 
so specified at the pro rata portion of the total amount au-
thorized for such activities in fiscal year 2019. 
SEC. 1502. EXTENSION OF THE TEMPORARY ASSISTANCE 
FOR NEEDY FAMILIES PROGRAM AND RE-
LATED PROGRAMS. 
Activities authorized by part A of title IV and section 
1108(b) of the Social Security Act shall continue through 
December 20, 2019, in the manner authorized for fiscal year
2019, and out of any money in the Treasury of the United 
States not otherwise appropriated, there are hereby appro-
priated such sums as may be necessary for such purpose. 
TITLE VI—MISCELLANEOUS 
POLICIES 
SEC. 1601. ALASKA NATIVE REGIONAL HEALTH ENTITIES. 
Section 424(a) of the Consolidated Appropriations Act, 
2014 (Public Law 113–76), as amended by section 428 of 
the Consolidated Appropriations Act, 2018 (Public Law 
115–141), shall be applied by substituting ‘‘December 20, 
2019’’ for ‘‘October 1, 2019’’. 
SEC. 1602. MEDICAID IMPROVEMENT FUND. 
Section 1941(b) of the Social Security Act (42 U.S.C. 
1396w–1(b)) is amended in paragraph (3)(A) by striking 
‘‘$2,387,000,000’’ and inserting ‘‘$1,960,000,000’’. 
TITLE VII—OTHER MATTERS 
SEC. 1701. UNITED STATES VICTIMS OF STATE SPONSORED 
TERRORISM FUND CLARIFICATION ACT. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘United States Victims of State Sponsored Terrorism Fund 
Clarification Act’’. 
(b) TECHNICAL
CORRECTIONS
TO
THE
USVSST 
FUND.—
(1) IN GENERAL.—The Justice for United States 
Victims of State Sponsored Terrorism Act (34 U.S.C. 
20144) is amended— 
(A) in subsection (b)— 
(i) in paragraph (1)(B), by striking 
‘‘section.’’ and inserting ‘‘section, except 
that, during the 1-year period beginning on 
the date of enactment of the United States 
Victims of State Sponsored Terrorism Fund 
Clarification Act, the Special Master may 
utilize an additional 5 full-time equivalent 
Department of Justice personnel.’’; and 
(ii) in paragraph (2)(A), by striking 
‘‘Such notice is’’ and inserting the fol-
lowing: ‘‘Not later than 30 days after the 
date of enactment of the United States Vic-
tims of State Sponsored Terrorism Fund 
Clarification Act, the Special Master shall 
update, as necessary as a result of the en-
actment of such Act, such procedures and 
other guidance previously issued by the Spe-
cial Master. Such notice and any updates to 
that notice or other guidance are’’; 
(B) in subsection (c)—
(i) in paragraph (2)(B), by striking 
‘‘January 20, 1981’’ and all that follows 
through ‘‘Columbia’’ and inserting ‘‘Janu-
ary 20, 1981’’; and 
(ii) in paragraph (3)(A)— 
(I) in clause (i)(II), by striking 
the period at the end and inserting the 
following: ‘‘, except that any United 
States person with an eligible claim 
described in paragraph (2)(B) who did 
not have an eligible claim before the 
date of enactment of the United States 
Victims of State Sponsored Terrorism 
Fund Clarification Act shall have 90 
days from the date of enactment of 
such Act to submit an application for 
payment.’’; and 
(II) in clause (ii), by striking the 
period at the end and inserting the fol-
lowing: ‘‘, unless the final judgment 
was awarded to a 9/11 victim, 9/11 
spouse, or 9/11 dependent before the 
date of enactment of the United States 
Victims of State Sponsored Terrorism 
Fund Clarification Act, in which case
such United States person shall have 
90 days from the date of enactment of 
such Act to submit an application for 
payment.’’; 
(C) in subsection (d)— 
(i) in paragraph (3)(A), by striking 
clauses (i) and (ii) and inserting the fol-
lowing: 
‘‘(i) PRO RATA BASIS.—Except as pro-
vided in subparagraph (B) and subject to 
the limitations described in clause (ii), the 
Special Master shall carry out paragraph 
(1), by— 
‘‘(I) dividing all available funds 
in half and allocating 50 percent of the 
available funds to non-9/11 related vic-
tims of state sponsored terrorism and 
the remaining 50 percent of the avail-
able funds to 9/11 related victims of 
state sponsored terrorism; 
‘‘(II) further dividing the funds 
allocated to non-9/11 related victims of 
state sponsored terrorism on a pro rata 
basis, based on the amounts out-
standing 
and 
unpaid 
on 
eligible
claims, until such amounts have been 
paid in full or the Fund is closed; and 
‘‘(III) further dividing the funds 
allocated to 9/11 related victims of 
state sponsored terrorism on a pro rata 
basis, based on the amounts out-
standing 
and 
unpaid 
on 
eligible 
claims, until such amounts have been 
paid in full or the Fund is closed. 
‘‘(ii) LIMITATIONS.—The limitations 
described in this clause are as follows: 
‘‘(I) In the event that a United 
States person has an eligible claim 
that exceeds $20,000,000, the Special 
Master shall treat that claim as if it 
were for $20,000,000 for purposes of 
this section. 
‘‘(II) In the event that a non-9/11 
related victim of state sponsored ter-
rorism and the immediate family 
members of such person have claims 
that 
if 
aggregated 
would 
exceed 
$35,000,000, the Special Master shall, 
for purposes of this section, reduce such 
claims on a pro rata basis such that in
the aggregate such claims do not exceed 
$35,000,000. 
‘‘(III) In the event that a 9/11 
victim, 9/11 spouse, or 9/11 dependent 
and the immediate family members of 
such person (who are also 9/11 victims, 
9/11 spouses, or 9/11 dependents) have 
claims that if aggregated would exceed 
$35,000,000, the Special Master shall, 
for purposes of this section, reduce such 
claims on a pro rata basis such that in 
the aggregate such claims do not exceed 
$35,000,000. 
‘‘(IV) In the event that a 9/11 
family member and the family mem-
bers of such person (who are also 9/11 
family members) have claims that if 
aggregated would exceed $20,000,000, 
the Special Master shall, for purposes 
of this section, reduce such claims on a 
pro rata basis such that in the aggre-
gate 
such 
claims 
do 
not 
exceed 
$20,000,000.’’; and 
(ii) in paragraph (4)—
(I) by striking ‘‘On’’ and insert-
ing the following: 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), on’’; and 
(II) by adding at the end the fol-
lowing: 
‘‘(B) THIRD ROUND PAYMENTS.—The Spe-
cial Master shall authorize third-round payments 
to satisfy eligible claims under this section not 
earlier than 90 days, and not later than 180 
days, after the date of enactment of the United 
States Victims of State Sponsored Terrorism 
Fund Clarification Act. The Special Master shall 
accept applications from eligible applicants (con-
sistent with the deadlines for application submis-
sion prescribed in subsection (c)(3)) until the 
date that is 90 days after the date of enactment 
of the United States Victims of State Sponsored 
Terrorism Fund Clarification Act.’’; 
(D) in subsection (e)— 
(i) in paragraph (2)(A)(ii)— 
(I) by striking ‘‘One-half’’ and in-
serting ‘‘Seventy-five percent’’; and 
(II) by striking ‘‘one-half’’ and 
inserting ‘‘seventy-five percent’’; and