H. R. 1437 
One Hundred Seventeenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Monday, 
the third day of January, two thousand and twenty-two 
An Act 
Making further continuing appropriations for the fiscal year ending September 
30, 2023, and for other purposes. 
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 and Extensions Act, 2023’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short Title. 
Sec. 2. Table of Contents. 
Sec. 3. References. 
Sec. 4. Payment to Widows and Heirs of Deceased Members of Congress. 
DIVISION A—FURTHER CONTINUING APPROPRIATIONS ACT, 2023 
DIVISION B—OTHER MATTERS 
Title I—Extensions 
Title II—Budgetary Effects 
DIVISION C—HEALTH AND HUMAN SERVICES 
Title I—Medicare and Medicaid 
Title II—Human Services 
Title III—Extension of FDA Authorizations 
Title IV—Indian Health 
DIVISION D—PRECIP ACT 
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. 
SEC. 4. PAYMENT TO WIDOWS AND HEIRS OF DECEASED MEMBERS 
OF CONGRESS. 
There is hereby appropriated for fiscal year 2023, out of any 
money in the Treasury not otherwise appropriated, for payment 
to Colette Wallace McEachin, beneficiary of Aston Donald 
McEachin, late a Representative from the Commonwealth of Vir-
ginia, $174,000. 
DIVISION A—FURTHER CONTINUING APPROPRIATIONS 
ACT, 2023 
SEC. 101. The Continuing Appropriations Act, 2023 (division 
A of Public Law 117–180) is amended—
H. R. 1437—2 
(1) by striking the date specified in section 106(3) and 
inserting ‘‘December 23, 2022’’; 
(2) by adding after section 157 the following new section: 
‘‘SEC. 158. During the period covered by this Act, section 227(a) 
of the Federal Cybersecurity Enhancement Act of 2015 (6 U.S.C. 
1525) shall not apply.’’. 
This division may be cited as the ‘‘Further Continuing Appro-
priations Act, 2023’’. 
DIVISION B—OTHER MATTERS 
TITLE I—EXTENSIONS 
SEC. 101. 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 ‘‘December 16, 2022’’ and 
inserting ‘‘December 23, 2022’’. 
SEC. 102. EXTENSION OF AUTHORIZATION FOR SPECIAL ASSESSMENT 
FOR DOMESTIC TRAFFICKING VICTIMS’ FUND. 
Section 3014(a) of title 18, United States Code, is amended, 
in the matter preceding paragraph (1), by striking ‘‘December 16, 
2022’’ and inserting ‘‘December 23, 2022’’. 
SEC. 103. UNITED STATES PAROLE COMMISSION EXTENSION. 
(a) SHORT TITLE.—This section may be cited as the ‘‘United 
States Parole Commission Further Extension Act of 2022’’. 
(b) AMENDMENT OF SENTENCING REFORM ACT OF 1984.—For 
purposes of section 235(b) of the Sentencing Reform Act of 1984 
(18 U.S.C. 3551 note; Public Law 98–473; 98 Stat. 2032), as such 
section relates to chapter 311 of title 18, United States Code, 
and the United States Parole Commission, each reference in such 
section to ‘‘35 years’’ or ‘‘35-year period’’ shall be deemed a reference 
to ‘‘35 years and 53 days’’ or ‘‘35-year and 53-day period’’, respec-
tively. 
SEC. 104. EXTENSION OF COMMODITY FUTURES TRADING COMMISSION 
CUSTOMER PROTECTION FUND EXPENSES ACCOUNT. 
Section 1(b) of Public Law 117–25 (135 Stat. 297), as amended 
by section 104 of division C of the Continuing Appropriations and 
Ukraine Supplemental Appropriations Act, 2023 is amended by 
striking ‘‘December 16, 2022’’ each place it appears and inserting 
‘‘December 23, 2022’’. 
TITLE II—BUDGETARY EFFECTS 
SEC. 201. 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).
H. R. 1437—3 
(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 C—HEALTH AND HUMAN 
SERVICES 
TITLE I—MEDICARE AND MEDICAID 
SEC. 101. 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 preceding clause 
(i), by striking ‘‘December 17, 2022’’ and inserting ‘‘December 
24, 2022’’; 
(2) in subparagraph (C)(i)— 
(A) in the matter preceding subclause (I), by striking 
‘‘December 16, 2022’’ and inserting ‘‘December 23, 2022’’; 
(B) in subclause (III), by striking ‘‘December 16, 2022’ ’’ 
and inserting ‘‘December 23, 2022’’; and 
(C) in subclause (IV), by striking ‘‘December 17, 2022’’ 
and inserting ‘‘December 24, 2022’’; and 
(3) in subparagraph (D)— 
(A) in the matter preceding clause (i), by striking 
‘‘December 16, 2022’ ’’ and inserting ‘‘December 23, 2022’’; 
and 
(B) in clause (ii), by striking ‘‘December 16, 2022’ ’’ 
and inserting ‘‘December 23, 2022’’. 
(b) IMPLEMENTATION.—Notwithstanding any other provision of 
law, the Secretary of Health and Human Services may implement 
the provisions of, including the amendments made by, this section 
by program instruction or otherwise. 
SEC. 102. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL PRO-
GRAM. 
(a) IN GENERAL.—Section 1886(d)(5)(G) of the Social Security 
Act (42 U.S.C. 1395ww(d)(5)(G)) is amended— 
(1) in clause (i), by striking ‘‘December 17, 2022’’ and 
inserting ‘‘December 24, 2022’’; and 
(2) in clause (ii)(II), by striking ‘‘December 17, 2022’’ and 
inserting ‘‘December 24, 2022’’. 
(b) CONFORMING AMENDMENTS.—
H. R. 1437—4 
(1) EXTENSION OF TARGET AMOUNTS.—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 
‘‘December 17, 2022’’ and inserting ‘‘December 24, 2022’’; 
and 
(B) in clause (iv), by striking ‘‘December 16, 2022,’’ 
and inserting ‘‘December 23, 2022’’. 
(2) PERMITTING HOSPITALS TO DECLINE RECLASSIFICATION.— 
Section 13501(e)(2) of the Omnibus Budget Reconciliation Act 
of 1993 (42 U.S.C. 1395ww note) is amended by striking 
‘‘December 16, 2022’’ and inserting ‘‘December 23, 2022’’. 
SEC. 103. EXTENSION OF INCREASED FMAPS UNDER MEDICAID FOR 
THE TERRITORIES. 
Section 1905(ff) of the Social Security Act (42 U.S.C. 1396d(ff)) 
is amended— 
(1) in paragraph (2), by striking ‘‘December 16, 2022’’ and 
inserting ‘‘December 23, 2022’’; and 
(2) in paragraph (3), by striking ‘‘December 16, 2022’’ and 
inserting ‘‘December 23, 2022’’. 
SEC. 104. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ‘‘$7,308,000,000’’ and inserting 
‘‘$7,278,000,000’’. 
TITLE II—HUMAN SERVICES 
SEC. 201. EXTENSION OF MATERNAL, INFANT, AND EARLY CHILDHOOD 
HOME VISITING PROGRAMS. 
Activities authorized by section 511 of the Social Security Act 
shall continue through December 23, 2022, and out of any money 
in the Treasury of the United States not otherwise 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. 202. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS. 
Activities authorized by part B of title IV of the Social Security 
Act shall continue through December 23, 2022, 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. 
TITLE III—EXTENSION OF FDA 
AUTHORIZATIONS 
SEC. 301. REAUTHORIZATION OF THE CRITICAL PATH PUBLIC-PRIVATE 
PARTNERSHIP. 
Section 566(f) of the Federal Food, Drug, and Cosmetic 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
H. R. 1437—6 
TITLE IV—INDIAN HEALTH 
SEC. 401. EXTENSION OF MORATORIUM. 
Section 424(a) of title IV of division G of Public Law 113– 
76 is amended by striking ‘‘December 16, 2022’’ and inserting 
‘‘December 24, 2022’’. 
DIVISION D—PRECIP ACT 
SEC. 1. SHORT TITLE. 
This Act may be cited as the ‘‘Providing Research and Estimates 
of Changes In Precipitation Act’’ or the ‘‘PRECIP Act’’. 
SEC. 2. AMENDMENT TO THE WEATHER RESEARCH AND FORECASTING 
INNOVATION ACT OF 2017 RELATING TO IMPROVING FED-
ERAL PRECIPITATION INFORMATION. 
(a) IN GENERAL.—The Weather Research and Forecasting 
Innovation Act of 2017 (15 U.S.C. 8501 et seq.) is amended by 
adding at the end the following: 
‘‘TITLE VI—IMPROVING FEDERAL 
PRECIPITATION INFORMATION 
‘‘SEC. 601. STUDY ON PRECIPITATION ESTIMATION. 
‘‘(a) IN GENERAL.—Not later than 90 days after the date of 
enactment of the PRECIP Act, the Administrator, in consultation 
with other Federal agencies as appropriate, shall seek to enter 
an agreement with the National Academies— 
‘‘(1) to conduct a study on the state of practice and research 
needs for precipitation estimation, including probable maximum 
precipitation estimation; and 
‘‘(2) to submit, not later than 24 months after the date 
on which such agreement is finalized, to the Committee on 
Science, Space, and Technology of the House of Representatives 
and the Committee on Commerce, Science, and Transportation 
of the Senate, and make publicly available on a website, a 
report on the results of the study under paragraph (1). 
‘‘(b) STUDY.—The report under subsection (a) shall include the 
following: 
‘‘(1) An examination of the current state of practice for 
precipitation estimation at scales appropriate for decisionmaker 
needs, and rationale for further evolution of this field. 
‘‘(2) An evaluation of best practices for precipitation esti-
mation that are based on the best-available science, include 
considerations of non-stationarity, and can be utilized by the 
user community. 
‘‘(3) A framework for— 
‘‘(A) the development of a National Guidance Document 
for estimating extreme precipitation in future conditions; 
and 
‘‘(B) evaluation of the strengths and challenges of the 
full spectrum of approaches, including for probable max-
imum precipitation studies.
H. R. 1437—7 
‘‘(4) A description of existing research needs in the field 
of precipitation estimation in order to modernize current meth-
odologies and consider non-stationarity. 
‘‘(5) A description of in-situ, airborne, and space-based 
observation requirements, that could enhance precipitation esti-
mation and development of models, including an examination 
of the use of geographic information systems and geospatial 
technology for integration, analysis, and visualization of 
precipitation data. 
‘‘(6) A recommended plan for a Federal research and 
development program, including specifications for costs, time-
frames, and responsible agencies for addressing identified 
research needs. 
‘‘(7) An analysis of the respective roles in precipitation 
estimation of various Federal agencies, academia, State, tribal, 
territorial, and local governments, and other public and private 
stakeholders. 
‘‘(8) Recommendations for data management to promote 
long-term needs such as enabling retrospective analyses and 
data discoverability, interoperability, and reuse. 
‘‘(9) Recommendations for how data and services from the 
entire enterprise can be best leveraged by the Federal Govern-
ment. 
‘‘(10) A description of non-Federal precipitation data, its 
accessibility by the Federal Government, and ways for National 
Oceanic and Atmospheric Administration to improve or expand 
such datasets. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
$1,500,000 to the National Oceanic and Atmospheric Administration 
to carry out this study. 
‘‘SEC. 602. IMPROVING PROBABLE MAXIMUM PRECIPITATION ESTI-
MATES. 
‘‘(a) IN GENERAL.—Not later than 90 days after the date on 
which the National Academies makes public the report under sec-
tion 601, the Administrator, in consideration of the report rec-
ommendations, shall consult with relevant partners, including users 
of the data, on the development of a plan to— 
‘‘(1) not later than 6 years after the completion of such 
report and not less than every 10 years thereafter, update 
probable maximum precipitation estimates for the United 
States, such that each update considers non-stationarity; 
‘‘(2) coordinate with partners to conduct research in the 
field of extreme precipitation estimation, in accordance with 
the research needs identified in such report; 
‘‘(3) make publicly available, in a searchable, interoperable 
format, all probable maximum precipitation studies developed 
by the National Oceanic and Atmospheric Administration that 
the Administrator has the legal right to redistribute and 
deemed to be at an appropriate state of development on an 
internet website of the National Oceanic and Atmospheric 
Administration; and 
‘‘(4) ensure all probable maximum precipitation estimate 
data, products, and supporting documentation and metadata 
developed by the National Oceanic and Atmospheric Adminis-
tration are preserved, curated, and served by the National 
Oceanic and Atmospheric Administration, as appropriate.
H. R. 1437—8 
‘‘(b) NATIONAL GUIDANCE DOCUMENT FOR THE DEVELOPMENT 
OF PROBABLE MAXIMUM PRECIPITATION ESTIMATES.—The Adminis-
trator, in collaboration with Federal agencies, State, territorial, 
Tribal and local governments, academia, and other partners the 
Administrator deems appropriate, shall develop a National Guid-
ance Document that— 
‘‘(1) provides best practices that can be followed by Federal 
and State regulatory agencies, private meteorological consult-
ants, and other users that perform probable maximum 
precipitation studies; 
‘‘(2) considers the recommendations provided in the 
National Academies study under section 601; 
‘‘(3) facilitates review of probable maximum precipitation 
studies by regulatory agencies; and 
‘‘(4) provides confidence in regional and site-specific prob-
able maximum precipitation estimates. 
‘‘(c) PUBLICATION.—Not later than 2 years after the date on 
which the National Academies makes public the report under sec-
tion 601, the Administrator shall make publicly available the 
National Guidance Document under subsection (b) on an internet 
website of the National Oceanic and Atmospheric Administration. 
‘‘(d) UPDATES.—The Administrator shall update the National 
Guidance Document not less than once every 10 years after the 
publication of the National Guidance Document under subsection 
(c) and publish such updates in accordance with such subsection. 
‘‘SEC. 603. DEFINITIONS. 
‘‘In this title: 
‘‘(1) ADMINISTRATOR.—The term ‘Administrator’ means the 
Under Secretary of Commerce for Oceans and Atmosphere and 
Administrator of the National Oceanic and Atmospheric 
Administration. 
‘‘(2) NATIONAL ACADEMIES.—The term ‘National Academies’ 
means the National Academies of Sciences, Engineering, and 
Medicine. 
‘‘(3) UNITED
STATES.—The term ‘United States’ means, 
collectively, each State of the United States, the District of 
Columbia, the Commonwealth of Puerto Rico, American Samoa, 
Guam, the Commonwealth of the Northern Mariana Islands, 
the Virgin Islands of the United States, and any other territory 
or possession of the United States.’’. 
(b) CONFORMING AMENDMENT.—Section 1(b) of the Weather 
Research and Forecasting Innovation Act of 2017 (15 U.S.C. 8501 
note) is amended in the table of contents by adding at the end 
the following: 
‘‘TITLE VI—IMPROVING FEDERAL PRECIPITATION INFORMATION 
‘‘Sec. 601. Study on precipitation estimation.
H. R. 1437—9 
‘‘Sec. 602. Improving probable maximum precipitation estimates. 
‘‘Sec. 603. Definitions.’’. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.