H. R. 7148—455 
‘‘(2) LIMITATION.—Any subscription by the United States 
to the capital stock of the Bank shall be effective only to 
such extent and in such amounts as are provided in advance 
in appropriations Acts. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the increase in 
the United States subscription to the Bank under subsection (a), 
there is authorized to be appropriated, without fiscal year limita-
tion, $7,800,000,000, for payment by the Secretary of the Treasury 
for callable shares of the Bank.’’. 
AMERICA FIRST OPPORTUNITY FUND 
SEC. 7071. (a) IN GENERAL.—Of the funds appropriated by 
this Act under the headings ‘‘National Security Investment Pro-
grams’’, ‘‘International Narcotics Control and Law Enforcement’’, 
‘‘Peacekeeping Operations’’, and ‘‘Foreign Military Financing Pro-
gram’’, up to $850,000,000 may be made available for the America 
First Opportunity Fund to furnish assistance that makes America 
safer, stronger, and more prosperous by responding to crises, 
engaging proactively with strategic partners, and countering threats 
from adversaries. 
(b) TRANSFER AUTHORITY.—Funds appropriated by this Act 
under the headings ‘‘International Narcotics Control and Law 
Enforcement’’, ‘‘Peacekeeping Operations’’, and ‘‘Foreign Military 
Financing Program’’ and made available for such Fund may be 
transferred to, and merged with, funds appropriated under such 
headings: Provided, That such transfer authority is in addition 
to any other transfer authority provided by this Act or any other 
Act, and is subject to the regular notification procedures of the 
Committees on Appropriations. 
(c) AVAILABILITY.—Funds made available pursuant to this sec-
tion under the heading ‘‘Foreign Military Financing Program’’ may 
remain available until September 30, 2027. 
(d) CONSULTATION.—The Secretary of State shall consult with 
the Committees on Appropriations on the allocation of funds made 
available pursuant to this section not later than 30 days prior 
to the initial obligation of funds. 
RESCISSIONS 
(INCLUDING RESCISSIONS OF FUNDS) 
SEC. 7072. (a) CONSULAR AND BORDER SECURITY PROGRAMS.— 
Of the unobligated balances from amounts made available under 
the heading ‘‘Consular and Border Security Programs’’ from prior 
Acts making appropriations for the Department of State, foreign 
operations, and related programs, $900,000,000 are permanently 
rescinded. 
(b) EDUCATIONAL
AND CULTURAL EXCHANGE PROGRAMS.—Of 
the unobligated balances from amounts made available under the 
heading ‘‘Educational and Cultural Exchange Programs’’ from prior 
Acts making appropriations for the Department of State, foreign 
operations, and related programs, $25,000,000 are permanently 
rescinded. 
(c) DEBT RESTRUCTURING.—Of the unobligated balances from 
amounts made available under the heading ‘‘Debt Restructuring’’ 
from prior Acts making appropriations for the Department of State,
H. R. 7148—456 
foreign operations, and related programs, $63,975,000 are perma-
nently rescinded. 
(d) DEMOCRACY
FUND.—Of the unobligated balances from 
amounts made available under the heading ‘‘Democracy Fund’’ for 
the Bureau for Democracy, Human Rights, and Governance, United 
States Agency for International Development, from prior Acts 
making appropriations for the Department of State, foreign oper-
ations, and related programs, $57,000,000 are permanently 
rescinded. 
(e) MILLENNIUM CHALLENGE CORPORATION.—Of the unobligated 
balances from amounts made available under the heading ‘‘Millen-
nium Challenge Corporation’’ from prior Acts making appropriations 
for the Department of State, foreign operations, and related pro-
grams, $661,250,000 are permanently rescinded. 
(f) INTERNATIONAL NARCOTICS CONTROL AND LAW ENFORCE-
MENT.—Of the unobligated and unexpended balances from amounts 
made available under the heading ‘‘International Narcotics Control 
and Law Enforcement’’ from prior Acts making appropriations for 
the Department of State, foreign operations, and related programs, 
$179,306,000 are permanently rescinded. 
(g) PEACEKEEPING OPERATIONS.—Of the unobligated and unex-
pended balances from amounts made available under the heading 
‘‘Peacekeeping Operations’’ from prior Acts making appropriations 
for the Department of State, foreign operations, and related pro-
grams, $50,000,000 are permanently rescinded. 
(h) RESTRICTION.—No amounts may be rescinded from amounts 
that were previously designated by the Congress as an emergency 
requirement pursuant to a concurrent resolution on the budget 
or section 251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
This division may be cited as the ‘‘National Security, Depart-
ment of State, and Related Programs Appropriations Act, 2026’’. 
DIVISION G—OTHER MATTERS 
SEC. 101. FUNDING LIMITATION. 
Notwithstanding any other provision of any other division of 
this Act, funds appropriated or otherwise made available by division 
F of this Act or other Acts making appropriations for the Depart-
ment of State, foreign operations, and related programs, including 
provisions of Acts providing supplemental appropriations for the 
Department of State, foreign operations, and related programs, 
may not be used for a contribution, grant, or other payment to 
the United Nations Relief and Works Agency, notwithstanding any 
other provision of law— 
(1) for any amounts provided in prior fiscal years or in 
fiscal year 2026; or 
(2) for amounts provided in fiscal year 2027, until March 
25, 2027. 
DIVISION H—FURTHER CONTINUING APPROPRIATIONS 
ACT, 2026 
SEC. 101. The Continuing Appropriations Act, 2026 (division 
A of Public Law 119–37) is amended by striking the date specified 
in section 106(3) and inserting ‘‘February 13, 2026’’.
H. R. 7148—457 
SEC. 102. For the purposes of the Continuing Appropriations 
Act, 2026 (division A of Public Law 119–37), the time covered 
by such division shall be considered to include the period which 
began on or about January 31, 2026, during which there occurred 
a lapse in appropriations. 
SEC. 103. Amounts made available in the Continuing Appropria-
tions Act, 2026 (division A of Public Law 119–37) and the Consoli-
dated Appropriations Act, 2026 for personnel pay, allowances, and 
benefits in each department and agency shall be available for pay-
ments pursuant to subsection (c) of section 1341 of title 31, United 
States Code and such payments shall be made. 
SEC. 104. All obligations incurred and in anticipation of the 
appropriations made and authority granted by the Continuing 
Appropriations Act, 2026 (division A of Public Law 119–37) and 
by the Consolidated Appropriations Act, 2026 for the purposes 
of maintaining the essential level of activity to protect life and 
property and bringing about orderly termination of Government 
function, and for purposes as otherwise authorized by law, are 
hereby ratified and approved if otherwise in accord with the provi-
sions of such Act. 
SEC. 105. Section 213 of title II of division C of the Continuing 
Appropriations, Agriculture, Legislative Branch, Military Construc-
tion and Veterans Affairs, and Extensions Act, 2026, and the 
amendments made by such section, are hereby repealed and shall 
have no force or effect. 
This division may be cited as the ‘‘Further Continuing Appro-
priations Act, 2026’’. 
DIVISION I—AUTHORIZING EXTENDERS 
AND TECHNICAL CORRECTIONS 
SEC. 5001. UNITED STATES GRAIN STANDARDS ACT EXTENSION. 
Sections 7(j)(5), 7A(l)(4), and 21(e) of the United States Grain 
Standards Act (7 U.S.C. 79(j)(5), 79a(l)(4), 87j(e)) shall be applied 
by substituting ‘‘September 30, 2026’’ for ‘‘September 30, 2025’’ 
each place it appears. 
SEC. 5002. COMMODITY FUTURES TRADING COMMISSION WHISTLE-
BLOWER PROGRAM. 
Section 1(b) of Public Law 117–25 (135 Stat. 297; 136 Stat. 
2133; 136 Stat. 5984; 139 Stat. 46) is amended in each of paragraphs 
(3) and (4) by striking ‘‘September 30, 2025’’ and inserting ‘‘Sep-
tember 30, 2026’’. 
SEC. 5003. FOREST SERVICE PARTICIPATION IN ACES PROGRAM. 
Section 8302(b) of the Agricultural Act of 2014 (16 U.S.C. 
3851a(b)) shall be applied by substituting ‘‘October 1, 2026’’ for 
‘‘October 1, 2023’’. 
SEC. 5004. EXTENSION OF NATIONAL FLOOD INSURANCE PROGRAM. 
(a) FINANCING.—Section 1309(a) of the National Flood Insur-
ance Act of 1968 (42 U.S.C. 4016(a)) is amended, in the first 
sentence, by striking ‘‘September 30, 2023’’ and inserting ‘‘Sep-
tember 30, 2026’’.
H. R. 7148—458 
(b) PROGRAM EXPIRATION.—Section 1319 of the National Flood 
Insurance Act of 1968 (42 U.S.C. 4026) is amended by striking 
‘‘September 30, 2023’’ and inserting ‘‘September 30, 2026’’. 
(c) EFFECTIVE DATE.— 
(1) IN
GENERAL.—Subject to paragraph (2), this section 
shall take effect immediately upon the date of enactment of 
this Act. 
(2) ALTERNATE DATE.—If this Act is enacted after January 
30, 2026, this section shall take effect as if enacted on January 
30, 2026. 
SEC. 5005. EXTENSION OF REIMBURSABLE SCREENING SERVICES PRO-
GRAM. 
Section 225(e) of the Department of Homeland Security Appro-
priations Act, 2019 (division A of Public Law 116–6; 49 U.S.C. 
44901 note) is amended by striking ‘‘2025’’ and inserting ‘‘2026’’. 
SEC. 5006. MOTOR CARRIER SAFETY ADVISORY COMMITTEE. 
Section 4144(d) of the Motor Carrier Safety Reauthorization 
Act of 2005 (49 U.S.C. 31100 note; Public Law 109–59) shall be 
applied by substituting ‘‘September 30, 2026’’ for ‘‘September 30, 
2025’’. 
SEC. 
5007. 
NATIONAL 
CYBERSECURITY 
PROTECTION 
SYSTEM 
AUTHORIZATION. 
Section 227(a) of the Federal Cybersecurity Enhancement Act 
of 2015 (6 U.S.C. 1525(a)) is amended by striking ‘‘September 30, 
2025’’ and inserting ‘‘September 30, 2026’’. 
SEC. 5008. CYBERSECURITY INFORMATION SHARING ACT OF 2015. 
Section 111(a) of the Cybersecurity Information Sharing Act 
of 2015 (6 U.S.C. 1510(a)) is amended by striking ‘‘September 30, 
2025’’ and inserting ‘‘September 30, 2026’’. 
SEC. 5009. STATE AND LOCAL CYBERSECURITY GRANT PROGRAM. 
Section 2220A(s)(1) of the Homeland Security Act of 2002 (6 
U.S.C. 665g(s)(1)) is amended by striking ‘‘September 30, 2025’’ 
and inserting ‘‘September 30, 2026’’. 
SEC. 5010. EXTENSION OF THE TECHNOLOGY MODERNIZATION FUND 
AND BOARD. 
Section 1078(f)(1) of the National Defense Authorization Act 
for Fiscal Year 2018 (40 U.S.C. 11301 note) is amended by striking 
‘‘On and after the date that is 2 years after the date on which 
the Comptroller General of the United States issues the third 
report required under subsection (b)(7)(B)’’ and inserting ‘‘After 
September 30, 2026’’. 
SEC. 5011. EXTENSION OF EXISTENCE OF PAROLE COMMISSION. 
Any expiration date established by section 235(b) of the Sen-
tencing Reform Act of 1984 (18 U.S.C. 3551 note; Public Law 
98–473), as such section relates to chapter 311 of title 18, United 
States Code, and the United States Parole Commission, shall not 
apply during the period beginning on October 1, 2025, and ending 
on January 30, 2031. 
SEC. 5012. ADDITIONAL SPECIAL ASSESSMENT. 
Section 3014(a) of title 18, United States Code, is amended 
by striking ‘‘and ending on September 30, 2025’’.
H. R. 7148—459 
SEC. 5013. RURAL HEALTHCARE WORKERS. 
Section 220(c) of the Immigration and Nationality Technical 
Corrections Act of 1994 (8 U.S.C. 1182 note) shall be applied by 
substituting ‘‘September 30, 2026’’ for ‘‘September 30, 2015’’. 
SEC. 5014. E-VERIFY. 
Section 401(b) of the Illegal Immigration Reform and Immigrant 
Responsibility Act of 1996 (8 U.S.C. 1324a note) shall be applied 
by substituting ‘‘September 30, 2026’’ for ‘‘September 30, 2015’’. 
SEC. 5015. NON-MINISTER RELIGIOUS WORKERS. 
Section 101(a)(27)(C)(ii) of the Immigration and Nationality 
Act (8 U.S.C. 1101(a)(27)(C)(ii)) shall be applied by substituting 
‘‘September 30, 2026’’ for ‘‘September 30, 2015’’ each place such 
date appears. 
SEC. 5016. H-2B SUPPLEMENTAL VISA EXEMPTION. 
Notwithstanding the numerical limitation set forth in section 
214(g)(1)(B) of the Immigration and Nationality Act (8 U.S.C. 
1184(g)(1)(B)), the Secretary of Homeland Security, after consulta-
tion with the Secretary of Labor, and upon the determination that 
the needs of United States businesses cannot be satisfied during 
fiscal year 2026 with United States workers who are willing, quali-
fied, and able to perform temporary nonagricultural labor, may 
increase the total number of aliens who may receive a visa under 
section 101(a)(15)(H)(ii)(b) of such Act (8 U.S.C. 1101(a)(15)(H)(ii)(b)) 
in such fiscal year by not more than the highest number of H– 
2B nonimmigrants who participated in the H–2B returning worker 
program in any fiscal year in which returning workers were exempt 
from such numerical limitation. 
SEC. 5017. EMERGENCY AUTHORITY FOR SENTENCING COMMISSION. 
(a) IN GENERAL.—The United States Sentencing Commission 
(in this section, referred to as the ‘‘Commission’’) shall promulgate 
the guidelines or amendments provided for under section 8605(e) 
of the SAFER SKIES Act (title LXXXVI of Public Law 119–60) 
as soon as possible after the date of enactment of such Act, and 
in any event not later than December 31, 2026, notwithstanding 
the deadline under section 994(p) of title 28, United States Code. 
(b) EFFECTIVE
DATE.—The amendments to the guidelines 
promulgated under subsection (a) shall take effect 180 days after 
the date of promulgation by the Commission, except to the extent 
that the effective date is revised or the amendment is otherwise 
modified or disapproved by an Act of Congress, and shall supersede 
any amendment to the contrary contained in the amendments to 
the sentencing guidelines submitted to Congress by the Commission 
on or about May 1, 2026. 
(c) RULE OF CONSTRUCTION.—The requirements of this section 
shall supersede the timeline set forth in section 8605(e)(1) of the 
SAFER SKIES Act (title LXXXVI of Public Law 119–60). 
SEC. 5018. BANKRUPTCY FEES. 
(a) IN GENERAL.—Section 126 of the Continuing Appropriations 
Act, 2026 (division A of the Continuing Appropriations, Agriculture, 
Legislative Branch, Military Construction and Veterans Affairs, 
and Extensions Act, 2026 (Public Law 119–37; 139 Stat. 502)) 
is amended to read as follows:
H. R. 7148—461 
(ii) before the date of the enactment of this Act, 
shall be liquidated or reliquidated as though such entry 
occurred on the date of the enactment of this Act. 
(B) REQUESTS.—A liquidation or reliquidation may be 
made under subparagraph (A) with respect to an entry 
only if a request therefor is filed with the Commissioner 
of U.S. Customs and Border Protection not later than 180 
days after the date of the enactment of this Act that con-
tains sufficient information to enable such Commissioner— 
(i) to locate the entry; or 
(ii) to reconstruct the entry if it cannot be located. 
(C) PAYMENT OF AMOUNTS OWED.—Any amounts owed 
by the United States pursuant to the liquidation or 
reliquidation of an entry of a covered article under subpara-
graph (A) shall be paid, without interest of any kind, not 
later than 90 days after the date of the liquidation or 
reliquidation (as the case may be). 
(D) DEFINITIONS.—In this paragraph: 
(i) COVERED ARTICLE.—The term ‘‘covered article’’ 
means an article from a country that is designated 
by the President as a beneficiary sub-Saharan African 
country under section 104 of the African Growth and 
Opportunity Act (19 U.S.C. 3703) as of the day before 
the date of the enactment of this Act. 
(ii) ENTRY.—The term ‘‘entry’’ includes a with-
drawal from warehouse for consumption. 
(b) EXTENSION OF CUSTOMS USER FEES.— 
(1) IN GENERAL.—Section 13031(j)(3) of the Consolidated 
Omnibus Budget Reconciliation Act of 1985 (19 U.S.C. 58c(j)(3)) 
is amended— 
(A) in subparagraph (A), by striking ‘‘September 30, 
2031’’ and inserting ‘‘December 31, 2031’’; and 
(B) in subparagraph (B)(i), by striking ‘‘September 30, 
2031’’ and inserting ‘‘December 31, 2031’’. 
(2) RATE FOR MERCHANDISE PROCESSING FEES.—Section 503 
of the United States-Korea Free Trade Agreement Implementa-
tion Act (Public Law 112–41;19 U.S.C. 3805 note) is amended 
by striking ‘‘September 30, 2031’’ and inserting ‘‘December 31, 
2031’’. 
SEC. 5020. EXTENSION OF HAITI ECONOMIC LIFT PROGRAM. 
(a) EXTENSION OF SPECIAL RULES FOR HAITI UNDER CARIBBEAN 
BASIN ECONOMIC RECOVERY ACT.—Section 213A of the Caribbean 
Basin Economic Recovery Act (19 U.S.C. 2703a) is amended— 
(1) in subsection (b)— 
(A) in paragraph (1)— 
(i) by amending subparagraph (B)(v)(I) to read as 
follows: 
‘‘(I) 
APPLICABLE
PERCENTAGE.—The 
term 
‘applicable percentage’ means 60 percent or more 
on and after December 20, 2017.’’; and 
(ii) by amending subparagraph (C) to read as fol-
lows: 
‘‘(C) QUANTITATIVE
LIMITATIONS.—The preferential 
treatment described in subparagraph (A) shall be extended, 
during each period after the initial applicable 1-year period, 
to not more than 1.25 percent of the aggregate square
H. R. 7148—462 
meter equivalents of all apparel articles imported into the 
United States in the most recent 12-month period for which 
data are available.’’; and 
(B) in paragraph (2), by striking ‘‘in each of the 16 
succeeding 1-year periods’’ each place it appears and 
inserting ‘‘in any of the succeeding 1-year periods’’; and 
(2) by amending subsection (h) to read as follows: 
‘‘(h) TERMINATION.—The duty-free treatment provided under 
this section shall remain in effect until December 31, 2026.’’. 
(b) RESTORATION
OF ELIGIBILITY
OF CERTAIN ARTICLES
FOR 
PREFERENTIAL TREATMENT.— 
(1) IN GENERAL.—The President shall proclaim such modi-
fications to the Harmonized Tariff Schedule of the United States 
as may be necessary to restore the eligibility of articles 
described in paragraph (2) for preferential treatment under 
section 213A of the Caribbean Basin Economic Recovery Act 
(19 U.S.C. 2703a). 
(2) ARTICLES DESCRIBED.—An article described in this para-
graph is an article that— 
(A) was eligible for preferential treatment under sec-
tion 213A of the Caribbean Basin Economic Recovery Act 
(19 U.S.C. 2703a) on December 20, 2006; and 
(B) became ineligible for such treatment after that 
date and before the date of the enactment of this Act 
as a result of revisions to the Harmonized Tariff Schedule. 
(3) EFFECTIVE
DATE
OF
PROCLAMATION.—A proclamation 
under paragraph (1) shall take effect not earlier than 2 business 
days after the President submits to the Committee on Finance 
of the Senate and the Committee on Ways and Means of the 
House of Representatives a report on the proclamation and 
the reasons for the modifications to the Harmonized Tariff 
Schedule under the proclamation. 
(c) RETROACTIVE APPLICATION.— 
(1) IN GENERAL.—Notwithstanding section 514 of the Tariff 
Act of 1930 (19 U.S.C. 1514) or any other provision of law, 
and subject to paragraph (2), any entry of a covered article 
to which duty-free treatment or other preferential treatment 
under the Caribbean Basin Economic Recovery Act (19 U.S.C. 
2701 et seq.) would have applied if the entry had been made 
before September 30, 2025, that was made— 
(A) on or after September 30, 2025, and 
(B) before the date of the enactment of this Act, 
shall be liquidated or reliquidated as though such entry 
occurred on the date of the enactment of this Act. 
(2) REQUESTS.—A liquidation or reliquidation may be made 
under paragraph (1) with respect to an entry only if a request 
therefor is filed with the Commissioner of U.S. Customs and 
Border Protection not later than 180 days after the date of 
the enactment of this Act that contains sufficient information 
to enable such Commissioner— 
(A) to locate the entry; or 
(B) to reconstruct the entry if it cannot be located. 
(3) PAYMENT OF AMOUNTS OWED.—Any amounts owed by 
the United States pursuant to the liquidation or reliquidation 
of an entry of a covered article under paragraph (1) shall 
be paid, without interest of any kind, not later than 90 days
H. R. 7148—463 
after the date of the liquidation or reliquidation (as the case 
may be). 
(4) DEFINITIONS.—In this subsection: 
(A) COVERED
ARTICLE.—The term ‘‘covered article’’ 
means an article from Haiti. 
(B) ENTRY.—The term ‘‘entry’’ includes a withdrawal 
from warehouse for consumption. 
SEC. 5021. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budgetary effects 
of this division and each succeeding 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 and each succeeding 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 accom-
panying 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 and each succeeding division shall 
not be estimated— 
(1) for purposes of section 251 of such Act; 
(2) for purposes of an allocation to the Committee on Appro-
priations 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. 
DIVISION J—HEALTH CARE EXTENDERS 
SEC. 6001. TABLE OF CONTENTS. 
The table of contents of this division is as follows: 
DIVISION J—HEALTH CARE EXTENDERS 
Sec. 6001. Table of contents. 
TITLE I—MEDICAID 
Sec. 6101. Streamlined enrollment process for eligible out-of-State providers under 
Medicaid and CHIP. 
Sec. 6102. Removing certain age restrictions on Medicaid eligibility for working 
adults with disabilities. 
Sec. 6103. Medicaid State plan requirement for determining residency and coverage 
for military families. 
Sec. 6104. State studies and HHS report on costs of providing maternity, labor, and 
delivery services. 
Sec. 6105. Modifying certain disproportionate share hospital allotments. 
Sec. 6106. Modifying certain limitations on disproportionate share hospital pay-
ment adjustments under the Medicaid program. 
TITLE II—MEDICARE 
Sec. 6201. Extension of increased inpatient hospital payment adjustment for cer-
tain low-volume hospitals. 
Sec. 6202. Extension of the Medicare-dependent hospital (MDH) program. 
Sec. 6203. Extension of add-on payments for ambulance services. 
Sec. 6204. Extending incentive payments for participation in eligible alternative 
payment models. 
Sec. 6205. Extension of funding for quality measure endorsement, input, and selec-
tion.
H. R. 7148—464 
Sec. 6206. Extension of funding outreach and assistance for low-income programs. 
Sec. 6207. Extension of funding for Medicare hospice surveys. 
Sec. 6208. Extension of the work geographic index floor. 
Sec. 6209. Extension of certain telehealth flexibilities. 
Sec. 6210. Extending acute hospital care at home waiver flexibilities. 
Sec. 6211. In-home cardiopulmonary rehabilitation flexibility. 
Sec. 6212. Enhancing certain program integrity requirements for DME under Medi-
care. 
Sec. 6213. Guidance on furnishing services via telehealth to individuals with lim-
ited English proficiency. 
Sec. 6214. Inclusion of virtual diabetes prevention program suppliers in MDPP Ex-
panded Model. 
Sec. 6215. Medication-induced movement disorder outreach and education. 
Sec. 6216. Report on wearable medical devices. 
Sec. 6217. Extension of temporary inclusion of authorized oral antiviral drugs as 
covered part D drugs. 
Sec. 6218. Extension of adjustment to calculation of hospice cap amount under 
Medicare. 
Sec. 6219. Adjustments to Medicare part D cost-sharing reductions for low-income 
individuals. 
Sec. 6220. Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act. 
Sec. 6221. Medicare coverage of multi-cancer early detection screening tests. 
Sec. 6222. Medicare coverage of external infusion pumps and non-self-admin-
istrable home infusion drugs. 
Sec. 6223. Assuring pharmacy access and choice for medicare beneficiaries. 
Sec. 6224. Modernizing and ensuring PBM accountability. 
Sec. 6225. Requiring a separate identification number and an attestation for each 
off-campus outpatient department of a provider. 
Sec. 6226. Revising phase-in of medicare clinical laboratory test payment changes. 
Sec. 6227. Medicare sequestration. 
Sec. 6228. Medicare Improvement Fund. 
TITLE III—HUMAN SERVICES 
Sec. 6301. Sexual risk avoidance education extension. 
Sec. 6302. Personal responsibility education extension. 
Sec. 6303. Extension of funding for family-to-family health information centers. 
Sec. 6304. Extension of the Temporary Assistance for Needy Families Program. 
TITLE IV—PUBLIC HEALTH AND OTHER EXTENDERS 
Subtitle A—Extensions 
Sec. 6401. Extension for community health centers, National Health Service Corps, 
and teaching health centers that operate GME programs. 
Sec. 6402. Extension of special diabetes programs. 
Sec. 6403. Extension of national health security programs. 
Sec. 6404. No Surprises Act implementation. 
Subtitle B—World Trade Center Health Program 
Sec. 6411. 9/11 responder and survivor health funding corrections. 
TITLE V—PUBLIC HEALTH PROGRAMS 
Sec. 6501. Preventing maternal deaths. 
Sec. 6502. Organ Procurement and Transplantation Network. 
Sec. 6503. Honor our living donors. 
Sec. 6504. Program for pediatric studies of drugs. 
Sec. 6505. Sickle cell disease prevention and treatment. 
Sec. 6506. Lifespan respite care. 
Sec. 6507. PREEMIE. 
Sec. 6508. Dr. Lorna Breen health care provider protection. 
TITLE VI—FOOD AND DRUG ADMINISTRATION 
Subtitle A—Mikaela Naylon Give Kids a Chance Act 
Sec. 6601. Research into pediatric uses of drugs; additional authorities of Food and 
Drug Administration regarding molecularly targeted cancer drugs. 
Sec. 6602. Ensuring completion of pediatric study requirements. 
Sec. 6603. FDA report on PREA enforcement. 
Sec. 6604. Extension of authority to issue priority review vouchers to encourage 
treatments for rare pediatric diseases. 
Sec. 6605. Limitations on exclusive approval or licensure of orphan drugs. 
Subtitle B—United States-Abraham Accords Cooperation and Security 
Sec. 6611. Establishment of Abraham Accords Office within Food and Drug Admin-
istration.