H. R. 3055 
One Hundred Sixteenth Congress 
of the 
United States of America 
AT THE FIRST SESSION 
Begun and held at the City of Washington on Thursday, 
the third day of January, two thousand and nineteen 
An Act 
Making further continuing appropriations for fiscal year 2020, and for other pur-
poses. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Further Continuing Appropria-
tions Act, 2020, and Further Health Extenders Act of 2019’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
DIVISION A—FURTHER CONTINUING APPROPRIATIONS ACT, 2020 
DIVISION B—HEALTH AND HUMAN SERVICES EXTENDERS AND OTHER 
MATTERS 
Title I—Public Health Extenders 
Title II—Other Health Extenders 
Title III—Medicaid Extenders 
Title IV—Medicare Extenders 
Title V—Human Services Extenders 
Title VI—Miscellaneous Policies 
Title VII—Other Matters 
Title VIII—Budgetary Effects 
SEC. 3. REFERENCES. 
Except as expressly provided otherwise, any reference to ‘‘this 
Act’’ contained in any division of this Act shall be treated as 
referring only to the provisions of that division. 
DIVISION A—FURTHER CONTINUING APPROPRIATIONS 
ACT, 2020 
SEC. 101. The Continuing Appropriations Act, 2020 (division 
A of Public Law 116–59) is amended— 
(1) by striking the date specified in section 106(3) and 
inserting ‘‘December 20, 2019’’; 
(2) by striking section 122 and inserting the following: 
‘‘SEC. 122. Notwithstanding sections 101 and 104, amounts 
are provided for ‘Department of Commerce—Bureau of the Census— 
Periodic Censuses and Programs’ at a rate for operations of 
$7,284,319,000, of which not less than $90,000,000 is for the delivery 
of Mobile Questionnaire Assistance Centers: Provided, That such 
amounts may be apportioned up to the rate for operations necessary 
to maintain the schedule and deliver the required data according 
to statutory deadlines in the 2020 Decennial Census Program: 
Provided further, That the third proviso under such heading in
H. R. 3055—2 
title I of Division C of Public Law 116–6 shall not apply during 
the period covered by this Act.’’; 
(3) in section 136, by striking ‘‘$18,397,500’’ and inserting 
‘‘$26,574,167’’ and by striking ‘‘$631,000’’ and inserting 
‘‘$1,209,111’’; 
(4) in section 138, by striking ‘‘$20,000,000’’ and inserting 
‘‘$30,000,000’’; and 
(5) by inserting after section 145 the following new sections: 
‘‘SEC. 146. Amounts made available by section 101 for ‘Depart-
ment of Agriculture—Domestic Food Programs—Food and Nutrition 
Service—Commodity Assistance Program’ may be apportioned up 
to the rate for operations necessary to maintain the current program 
caseload for the Commodity Supplemental Food Program. 
‘‘SEC. 147. ADJUSTMENTS FOR CERTAIN RATES OF PAY FOR THE 
UNIFORMED SERVICES.— 
‘‘Amounts made available in applicable accounts by section 
101— 
‘‘(1) for monthly basic pay for members of the uniformed 
services under section 203(a) of title 37, United States Code, 
may be apportioned up to the rate for operations necessary 
to provide monthly pay consistent with section 4 of Executive 
Order 13866 of March 28, 2019; and 
‘‘(2) for monthly cadet or midshipmen pay for cadets or 
midshipmen under section 203(c) of title 37, United States 
Code, may be apportioned up to the rate for operations nec-
essary to provide monthly pay consistent with section 4 of 
Executive Order 13866 of March 28, 2019. 
‘‘SEC. 148. In addition to amounts provided in section 101, 
amounts are provided for the Payments in Lieu of Taxes program 
authorized by chapter 69 of title 31, United States Code, at a 
rate for operations of $400,000, to be used solely for administrative 
expenses. 
‘‘SEC. 149. Notwithstanding any other provision of this Act, 
there is hereby appropriated for fiscal year 2020 for payment to 
Maya M. Rockeymoore, widow of Elijah E. Cummings, late a Rep-
resentative from the State of Maryland, $174,000. 
‘‘SEC. 150. Notwithstanding section 251(a)(1) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 and the time-
table in section 254(a) of such Act, the final sequestration report 
for fiscal year 2020 pursuant to section 254(f)(1) of such Act and 
any order for fiscal year 2020 pursuant to section 254(f)(5) of 
such Act shall be issued, for the Congressional Budget Office, 10 
days after the date specified in section 106(3), and for the Office 
of Management and Budget, 15 days after the date specified in 
section 106(3).’’. 
This division may be cited as the ‘‘Further Continuing Appro-
priations Act, 2020’’.
H. R. 3055—3 
DIVISION 
B—HEALTH 
AND 
HUMAN 
SERVICES EXTENDERS 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 inserting 
‘‘December 20, 2019’’. 
(c) TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MED-
ICAL 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 inserting 
‘‘December 20, 2019’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appropriated pursu-
ant to the amendments made by this section for the period begin-
ning 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 section 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 Extenders 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 amended— 
(1) by striking ‘‘$21,369,863’’ and inserting ‘‘$33,287,671’’; 
and 
(2) by striking ‘‘November 21, 2019’’ and inserting 
‘‘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 amended—
H. R. 3055—4 
(1) by striking ‘‘$21,369,863’’ and inserting ‘‘$33,287,671’’; 
and 
(2) by striking ‘‘November 21, 2019’’ and inserting 
‘‘December 20, 2019’’. 
TITLE II—OTHER HEALTH EXTENDERS 
SEC. 1201. EXTENSION OF SEXUAL RISK AVOIDANCE EDUCATION PRO-
GRAM. 
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 preceding subpara-
graph (A), by striking ‘‘November 21, 2019’’ and inserting 
‘‘December 20, 2019’’; and 
(B) in paragraph (2)(A), by striking ‘‘November 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 December 20, 2019’’. 
SEC. 1202. EXTENSION OF PERSONAL RESPONSIBILITY EDUCATION 
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 preceding 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 December 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 PRO-
GRAM. 
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 ALLOTMENTS. 
Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 
1396r–4(f)(7)(A)) is amended by striking ‘‘November 22, 2019’’ each 
place it appears and inserting ‘‘December 21, 2019’’.
H. R. 3055—5 
TITLE IV—MEDICARE EXTENDERS 
SEC. 1401. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSE-
MENT, INPUT, AND SELECTION. 
(a) IN GENERAL.—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 ‘‘$1,069,000 for the 
period beginning on October 1, 2019, and ending on November 
21, 2019’’ and inserting ‘‘$1,665,000 for the period beginning 
on October 1, 2019, and ending on December 20, 2019’’; and 
(2) in the third sentence, by striking ‘‘November 21, 2019’’ 
and inserting ‘‘December 20, 2019’’. 
(b) EFFECTIVE DATE.—The amendments made by subsection 
(a) shall take effect as if included in the enactment of the Continuing 
Appropriations Act, 2020, and Health Extenders Act of 2019 (Public 
Law 116–59). 
SEC. 1402. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR 
LOW-INCOME PROGRAMS. 
(a) ADDITIONAL FUNDING FOR STATE HEALTH INSURANCE PRO-
GRAMS.—Subsection (a)(1)(B) of section 119 of the Medicare 
Improvements for Patients and Providers Act of 2008 (42 U.S.C. 
1395b–3 note), as amended by section 3306 of the Patient Protection 
and Affordable Care Act (Public Law 111–148), section 610 of the 
American Taxpayer Relief Act of 2012 (Public Law 112–240), section 
1110 of the Pathway for SGR Reform Act of 2013 (Public Law 
113–67), section 110 of the Protecting Access to Medicare Act of 
2014 (Public Law 113–93), section 208 of the Medicare Access 
and CHIP Reauthorization Act of 2015 (Public Law 114–10), section 
50207 of division E of the 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 November 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 November 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: