819 
•HRES 1061 EH 
cluding amounts made available under the heading ‘‘Office of 
Inspector General’’) to the heading ‘‘Information Technology 
Fund’’ for information technology needs, including for addi-
tional development, modernization, and enhancement, to re-
main available until September 30, 2026: Provided, That the 
total amount of such transfers shall not exceed $5,000,000: 
Provided further, That this transfer authority shall not be 
used to fund information technology projects or activities that 
have known out-year development, modernization, or enhance-
ment costs in excess of $500,000: Provided further, That the 
Secretary shall provide notification to the House and Senate 
Committees on Appropriations no fewer than 3 business days 
in advance of any such transfer. 
SEC. 234. The Secretary shall comply with all process 
requirements, including public notice and comment, when 
seeking to revise any annual contributions contract. 
SEC. 235. There is hereby established in the Treasury 
of the United States a fund to be known as the ‘‘Department 
of Housing and Urban Development Nonrecurring Expenses 
Fund’’ (the Fund): Provided, That unobligated balances of 
expired discretionary funds appropriated for this or any suc-
ceeding fiscal year from the General Fund of the Treasury 
to the Department of Housing and Urban Development by 
this or any other Act may be transferred (not later than the 
end of the fifth fiscal year after the last fiscal year for which
820 
•HRES 1061 EH 
such funds are available for the purposes for which they were 
appropriated) into the Fund: Provided further, That amounts 
deposited in the Fund shall be available until expended, in 
addition to such other funds as may be available for such 
purposes, for capital needs of the Department, including fa-
cilities infrastructure and information technology infrastruc-
ture, subject to approval by the Office of Management and 
Budget: Provided further, That amounts in the Fund may be 
obligated only after the House and Senate Committees on 
Appropriations are notified at least 15 days in advance of the 
planned use of funds. 
SEC. 236. (a) Of the unobligated balances from amounts 
made available under the heading ‘‘Lead Hazard Reduction’’ 
in title II of division L of the Consolidated Appropriations 
Act, 2022 (Public Law 117–103), $65,000,000 is hereby per-
manently rescinded from the amounts specified in paragraph 
(1) under such heading (excluding amounts for areas with the 
highest lead-based paint abatement needs). 
(b) Of the unobligated balances from amounts made 
available under the heading ‘‘Public Housing Fund’’ in title 
II of division L of the Consolidated Appropriations Act, 2023 
(Public Law 117–328), $20,000,000 is hereby permanently 
rescinded from the amounts specified in paragraph (7) under 
such heading.
821 
•HRES 1061 EH 
(c) Any unobligated balances (including any unobligated 
balances of contract authority) included under Treasury Ap-
propriation Fund Symbols 86 X 0129, 86 X 0148, 86 X 
0197, 86 X 0314, 86 X 0315, 86 X 0324, 86 X 0402, 86 
X 4058 and 86 X 8093 are hereby permanently rescinded. 
(d) Any unobligated balances from amounts made avail-
able under the heading ‘‘Self-Help and Assisted Homeowner-
ship Opportunity Program’’ for the program authorized 
under section 1079 of the Carl Levin and Howard P. ‘‘Buck’’ 
McKeon National Defense Authorization Act for Fiscal Year 
2015 (Public Law 113–291) are hereby permanently re-
scinded. 
SEC. 237. None of the funds made available to the De-
partment of Housing and Urban Development in this or prior 
Acts may be used to issue a solicitation or accept bids on any 
solicitation that is substantially equivalent to the draft solici-
tation entitled ‘‘Housing Assistance Payments (HAP) Con-
tract Support Services (HAPSS)’’ posted to www.Sam.gov on 
July 27, 2022. 
SEC. 238. None of the amounts made available in this 
Act may be used to consider family self-sufficiency perform-
ance measures or performance scores in determining funding 
awards for programs receiving family self-sufficiency program 
coordinator funding provided in this Act.
822 
•HRES 1061 EH 
SEC. 239. (a) Funds previously made available in the 
Consolidated Appropriations Act, 2017 (Public Law 115–31) 
for the ‘‘Choice Neighborhoods Initiative’’ that were available 
for obligation through fiscal year 2019 are to remain avail-
able through fiscal year 2025 for the liquidation of valid obli-
gations incurred in fiscal years 2017 through 2019. 
(b) Funds previously made available in the Consolidated 
Appropriations Act, 2018 (Public Law 115–141) for the 
‘‘Choice Neighborhoods Initiative’’ that were available for ob-
ligation through fiscal year 2020 are to remain available 
through fiscal year 2026 for the liquidation of valid obliga-
tions incurred in fiscal years 2018 through 2020. 
(c) Funds previously made available in the Consolidated 
Appropriations Act, 2019 (Public Law 116–6) for the 
‘‘Choice Neighborhoods Initiative’’ that were available for ob-
ligation through fiscal year 2021 are to remain available 
through fiscal year 2027 for the liquidation of valid obliga-
tions incurred in fiscal years 2019 through 2021. 
(d) Funds previously made available in the Further Con-
solidated Appropriations Act, 2020 (Public Law 116–94) for 
the ‘‘Choice Neighborhoods Initiative’’ that were available for 
obligation through fiscal year 2022 are to remain available 
through fiscal year 2028 for the liquidation of valid obliga-
tions incurred in fiscal years 2020 through 2022.
823 
•HRES 1061 EH 
(e) Funds previously made available in the Consolidated 
Appropriations Act, 2021 (Public Law 116–260) for the 
‘‘Choice Neighborhoods Initiative’’ that were available for ob-
ligation through fiscal year 2023 are to remain available 
through fiscal year 2029 for the liquidation of valid obliga-
tions incurred in fiscal years 2021 through 2023. 
(f) Funds previously made available in the Consolidated 
Appropriations Act, 2018 (Public Law 115–141) for ‘‘Lead 
Hazard Reduction’’ that were available for obligation through 
fiscal year 2019 are to remain available through fiscal year 
2026 for the liquidation of valid obligations incurred in fiscal 
years 2018 through 2019. 
SEC. 240. Of the amounts made available for the Office 
of Policy Development and Research under the heading ‘‘Pro-
gram Offices’’, up to $3,500,000, to remain available until 
September 30, 2026, may be transferred to the heading ‘‘In-
formation Technology Fund’’ to be available for the needs of 
the Chief Data Officer, in addition to amounts otherwise 
available, including for additional development, moderniza-
tion, and enhancement: Provided, That the Secretary shall 
notify the House and Senate Committees on Appropriations 
no fewer than 3 business days in advance of any such trans-
fer.
824 
•HRES 1061 EH 
SEC. 241. Section 239 of division L of the Consolidated 
Appropriations Act, 2016 (Public Law 114–113) is amended 
by striking ‘‘2028’’ and inserting ‘‘2038’’. 
SEC. 242. For fiscal years 2024 and 2025, the Secretary 
may issue a 2-year notification of funding opportunity, in-
cluding any alternative procedures or requirements as may be 
necessary to allocate future appropriations in the second 
year, for the award of amounts made available for the con-
tinuum of care program under subtitle C of title IV of the 
McKinney-Vento Homeless Assistance Act (42 U.S.C. 11381 
et seq.), notwithstanding any conflict with the requirements 
of the continuum of care program. 
SEC. 243. The Secretary may, upon a finding that a 
waiver or alternative requirement is necessary for the effec-
tive delivery and administration of funds made available for 
new incremental voucher assistance or renewals for the main-
stream program and the family unification program (includ-
ing the foster youth to independence program) in this and 
prior Acts, waive or specify alternative requirements, other 
than requirements related to tenant rights and protections, 
rent setting, fair housing, nondiscrimination, labor standards, 
and the environment, for— 
(1) section 8(o)(6)(A) of the United States Housing 
Act of 1937 (42 U.S.C. 1437f(o)(6)(A)) and regulatory 
provisions related to the administration of waiting lists,
825 
•HRES 1061 EH 
local preferences, and the initial term and extensions of 
tenant-based vouchers; and 
(2) section 8(x)(2) of the United States Housing 
Act of 1937 (42 U.S.C. 1437f(x)(2)) regarding the tim-
ing of referral of youth leaving foster care. 
This title may be cited as the ‘‘Department of Housing 
and Urban Development Appropriations Act, 2024’’.
826 
•HRES 1061 EH 
TITLE III 
RELATED AGENCIES 
ACCESS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the Access Board, as author-
ized by section 502 of the Rehabilitation Act of 1973 (29 
U.S.C. 792), $9,955,000: Provided, That, notwithstanding 
any other provision of law, there may be credited to this ap-
propriation funds received for publications and training ex-
penses. 
FEDERAL MARITIME COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses of the Federal Maritime Com-
mission as authorized by section 46107 of title 46, United 
States Code, including services as authorized by section 3109 
of title 5, United States Code; hire of passenger motor vehi-
cles as authorized by section 1343(b) of title 31, United 
States Code; and uniforms or allowances therefor, as author-
ized by sections 5901 and 5902 of title 5, United States 
Code, $40,000,000, of which $2,000,000 shall remain avail-
able until September 30, 2025: Provided, That not to exceed 
$3,500 shall be for official reception and representation ex-
penses.
827 
•HRES 1061 EH 
NATIONAL RAILROAD PASSENGER CORPORATION 
OFFICE OF INSPECTOR GENERAL 
SALARIES AND EXPENSES 
For necessary expenses of the Office of Inspector Gen-
eral for the National Railroad Passenger Corporation to carry 
out the provisions of the Inspector General Act of 1978 (5 
U.S.C. App. 3), $29,240,000: Provided, That the Inspector 
General shall have all necessary authority, in carrying out the 
duties specified in such Act, to investigate allegations of 
fraud, including false statements to the Government under 
section 1001 of title 18, United States Code, by any person 
or entity that is subject to regulation by the National Rail-
road Passenger Corporation: Provided further, That the In-
spector General may enter into contracts and other arrange-
ments for audits, studies, analyses, and other services with 
public agencies and with private persons, subject to the appli-
cable laws and regulations that govern the obtaining of such 
services within the National Railroad Passenger Corporation: 
Provided further, That the Inspector General may select, ap-
point, and employ such officers and employees as may be nec-
essary for carrying out the functions, powers, and duties of 
the Office of Inspector General, subject to the applicable laws 
and regulations that govern such selections, appointments, 
and employment within the National Railroad Passenger Cor-
poration: Provided further, That concurrent with the Presi-
828 
•HRES 1061 EH 
dent’s budget request for fiscal year 2025, the Inspector Gen-
eral shall submit to the House and Senate Committees on 
Appropriations a budget request for fiscal year 2025 in simi-
lar format and substance to budget requests submitted by ex-
ecutive agencies of the Federal Government. 
NATIONAL TRANSPORTATION SAFETY BOARD 
SALARIES AND EXPENSES 
For necessary expenses of the National Transportation 
Safety Board, including hire of passenger motor vehicles and 
aircraft; services as authorized by section 3109 of title 5, 
United States Code, but at rates for individuals not to exceed 
the per diem rate equivalent to the rate for a GS–15; uni-
forms, or allowances therefor, as authorized by sections 5901 
and 5902 of title 5, United States Code, $140,000,000, of 
which not to exceed $1,000 may be used for official reception 
and representation expenses. 
NEIGHBORHOOD REINVESTMENT CORPORATION 
PAYMENT TO THE NEIGHBORHOOD REINVESTMENT 
CORPORATION 
For payment to the Neighborhood Reinvestment Cor-
poration for use in neighborhood reinvestment activities, as 
authorized by the Neighborhood Reinvestment Corporation 
Act (42 U.S.C. 8101–8107), $158,000,000.
829 
•HRES 1061 EH 
SURFACE TRANSPORTATION BOARD 
SALARIES AND EXPENSES 
For necessary expenses of the Surface Transportation 
Board, including services authorized by section 3109 of title 
5, United States Code, $47,452,000: Provided, That, notwith-
standing any other provision of law, not to exceed $1,250,000 
from fees established by the Surface Transportation Board 
shall be credited to this appropriation as offsetting collections 
and used for necessary and authorized expenses under this 
heading: Provided further, That the amounts made available 
under this heading from the general fund shall be reduced on 
a dollar-for-dollar basis as such offsetting collections are re-
ceived during fiscal year 2024, to result in a final appropria-
tion from the general fund estimated at not more than 
$46,202,000. 
UNITED STATES INTERAGENCY COUNCIL ON HOMELESSNESS 
OPERATING EXPENSES 
For necessary expenses, including payment of salaries, 
authorized travel, hire of passenger motor vehicles, the rental 
of conference rooms, and the employment of experts and con-
sultants under section 3109 of title 5, United States Code, 
of the United States Interagency Council on Homelessness in 
carrying out the functions pursuant to title II of the McKin-
ney-Vento Homeless Assistance Act, as amended, $4,300,000.
830 
•HRES 1061 EH 
TITLE IV 
GENERAL PROVISIONS—THIS ACT 
SEC. 401. None of the funds in this Act shall be used 
for the planning or execution of any program to pay the ex-
penses of, or otherwise compensate, non-Federal parties in-
tervening in regulatory or adjudicatory proceedings funded in 
this Act. 
SEC. 402. None of the funds appropriated in this Act 
shall remain available for obligation beyond the current fiscal 
year, nor may any be transferred to other appropriations, un-
less expressly so provided herein. 
SEC. 403. The expenditure of any appropriation under 
this Act for any consulting service through a procurement 
contract pursuant to section 3109 of title 5, United States 
Code, shall be limited to those contracts where such expendi-
tures are a matter of public record and available for public 
inspection, except where otherwise provided under existing 
law, or under existing Executive Order issued pursuant to ex-
isting law. 
SEC. 404. (a) None of the funds made available in this 
Act may be obligated or expended for any employee training 
that— 
(1) does not meet identified needs for knowledge, 
skills, and abilities bearing directly upon the perform-
ance of official duties;
831 
•HRES 1061 EH 
(2) contains elements likely to induce high levels of 
emotional response or psychological stress in some par-
ticipants; 
(3) does not require prior employee notification of 
the content and methods to be used in the training and 
written end of course evaluation; 
(4) contains any methods or content associated with 
religious or quasi-religious belief systems or ‘‘new age’’ 
belief systems as defined in Equal Employment Oppor-
tunity Commission Notice N–915.022, dated September 
2, 1988; or 
(5) is offensive to, or designed to change, partici-
pants’ personal values or lifestyle outside the workplace. 
(b) Nothing in this section shall prohibit, restrict, or 
otherwise preclude an agency from conducting training bear-
ing directly upon the performance of official duties. 
SEC. 405. Except as otherwise provided in this Act, none 
of the funds provided in this Act, provided by previous appro-
priations Acts to the agencies or entities funded in this Act 
that remain available for obligation or expenditure in fiscal 
year 2024, or provided from any accounts in the Treasury de-
rived by the collection of fees and available to the agencies 
funded by this Act, shall be available for obligation or ex-
penditure through a reprogramming of funds that— 
(1) creates a new program;
832 
•HRES 1061 EH 
(2) eliminates a program, project, or activity; 
(3) increases funds or personnel for any program, 
project, or activity for which funds have been denied or 
restricted by the Congress; 
(4) proposes to use funds directed for a specific ac-
tivity by either the House or Senate Committees on Ap-
propriations for a different purpose; 
(5) augments existing programs, projects, or activi-
ties in excess of $5,000,000 or 10 percent, whichever is 
less; 
(6) reduces existing programs, projects, or activities 
by $5,000,000 or 10 percent, whichever is less; or 
(7) creates, reorganizes, or restructures a branch, 
division, office, bureau, board, commission, agency, ad-
ministration, or department different from the budget 
justifications submitted to the Committees on Appropria-
tions or the table accompanying the explanatory state-
ment described in section 4 (in the matter preceding di-
vision A of this consolidated Act), whichever is more de-
tailed, unless prior approval is received from the House 
and Senate Committees on Appropriations: 
Provided, That not later than 60 days after the date of enact-
ment of this Act, each agency funded by this Act shall submit 
a report to the Committees on Appropriations of the Senate 
and of the House of Representatives to establish the baseline
833 
•HRES 1061 EH 
for application of reprogramming and transfer authorities for 
the current fiscal year: Provided further, That the report shall 
include— 
(A) a table for each appropriation with a sepa-
rate column to display the prior year enacted level, 
the President’s budget request, adjustments made 
by Congress, adjustments due to enacted rescis-
sions, if appropriate, and the fiscal year enacted 
level; 
(B) a delineation in the table for each appro-
priation and its respective prior year enacted level 
by object class and program, project, and activity as 
detailed in this Act, the table accompanying the ex-
planatory statement described in section 4 (in the 
matter preceding division A of this consolidated 
Act), accompanying reports of the House and Sen-
ate Committees on Appropriations, or in the budget 
appendix for the respective appropriations, which-
ever is more detailed, and shall apply to all items 
for which a dollar amount is specified and to all 
programs for which new budget (obligational) au-
thority is provided, as well as to discretionary 
grants and discretionary grant allocations; and 
(C) an identification of items of special con-
gressional interest.
834 
•HRES 1061 EH 
SEC. 406. Except as otherwise specifically provided by 
law, not to exceed 50 percent of unobligated balances remain-
ing available at the end of fiscal year 2024 from appropria-
tions made available for salaries and expenses for fiscal year 
2024 in this Act, shall remain available through September 
30, 2025, for each such account for the purposes authorized: 
Provided, That a request shall be submitted to the House and 
Senate Committees on Appropriations for approval prior to 
the expenditure of such funds: Provided further, That these 
requests shall be made in compliance with reprogramming 
guidelines under section 405 of this Act. 
SEC. 407. No funds in this Act may be used to support 
any Federal, State, or local projects that seek to use the 
power of eminent domain, unless eminent domain is employed 
only for a public use: Provided, That for purposes of this sec-
tion, public use shall not be construed to include economic de-
velopment that primarily benefits private entities: Provided 
further, That any use of funds for mass transit, railroad, air-
port, seaport or highway projects, as well as utility projects 
which benefit or serve the general public (including energy- 
related, communication-related, water-related and waste-
water-related infrastructure), other structures designated for 
use by the general public or which have other common-carrier 
or public-utility functions that serve the general public and 
are subject to regulation and oversight by the government,
835 
•HRES 1061 EH 
and projects for the removal of an immediate threat to public 
health and safety or brownfields as defined in the Small 
Business Liability Relief and Brownfields Revitalization Act 
(Public Law 107–118) shall be considered a public use for 
purposes of eminent domain. 
SEC. 408. None of the funds made available in this Act 
may be transferred to any department, agency, or instrumen-
tality of the United States Government, except pursuant to 
a transfer made by, or transfer authority provided in, this 
Act or any other appropriations Act. 
SEC. 409. No funds appropriated pursuant to this Act 
may be expended by an entity unless the entity agrees that 
in expending the assistance the entity will comply with sec-
tions 2 through 4 of the Act of March 3, 1933 (41 U.S.C. 
8301–8305, popularly known as the ‘‘Buy American Act’’). 
SEC. 410. No funds appropriated or otherwise made 
available under this Act shall be made available to any person 
or entity that has been convicted of violating the Buy Amer-
ican Act (41 U.S.C. 8301–8305). 
SEC. 411. None of the funds made available in this Act 
may be used for first-class airline accommodations in con-
travention of sections 301–10.122 and 301–10.123 of title 
41, Code of Federal Regulations. 
SEC. 412. None of the funds made available in this Act 
may be used to send or otherwise pay for the attendance of
836 
•HRES 1061 EH 
more than 50 employees of a single agency or department of 
the United States Government, who are stationed in the 
United States, at any single international conference unless 
the relevant Secretary reports to the House and Senate Com-
mittees on Appropriations at least 5 days in advance that 
such attendance is important to the national interest: Pro-
vided, That for purposes of this section the term ‘‘inter-
national conference’’ shall mean a conference occurring out-
side of the United States attended by representatives of the 
United States Government and of foreign governments, inter-
national organizations, or nongovernmental organizations. 
SEC. 413. None of the funds appropriated or otherwise 
made available under this Act may be used by the Surface 
Transportation Board to charge or collect any filing fee for 
rate or practice complaints filed with the Board in an amount 
in excess of the amount authorized for district court civil suit 
filing fees under section 1914 of title 28, United States Code. 
SEC. 414. (a) None of the funds made available in this 
Act may be used to maintain or establish a computer network 
unless such network blocks the viewing, downloading, and ex-
changing of pornography. 
(b) Nothing in subsection (a) shall limit the use of funds 
necessary for any Federal, State, tribal, or local law enforce-
ment agency or any other entity carrying out criminal inves-
tigations, prosecution, or adjudication activities.
837 
•HRES 1061 EH 
SEC. 415. (a) None of the funds made available in this 
Act may be used to deny an Inspector General funded under 
this Act timely access to any records, documents, or other 
materials available to the department or agency over which 
that Inspector General has responsibilities under the Inspec-
tor General Act of 1978 (5 U.S.C. App.), or to prevent or 
impede that Inspector General’s access to such records, docu-
ments, or other materials, under any provision of law, except 
a provision of law that expressly refers to the Inspector Gen-
eral and expressly limits the Inspector General’s right of ac-
cess. 
(b) A department or agency covered by this section shall 
provide its Inspector General with access to all such records, 
documents, and other materials in a timely manner. 
(c) Each Inspector General shall ensure compliance with 
statutory limitations on disclosure relevant to the information 
provided by the establishment over which that Inspector Gen-
eral has responsibilities under the Inspector General Act of 
1978 (5 U.S.C. App.). 
(d) Each Inspector General covered by this section shall 
report to the Committees on Appropriations of the House of 
Representatives and the Senate within 5 calendar days any 
failures to comply with this requirement. 
SEC. 416. None of the funds appropriated or otherwise 
made available by this Act may be used to pay award or in-
838 
•HRES 1061 EH 
centive fees for contractors whose performance has been 
judged to be below satisfactory, behind schedule, over budget, 
or has failed to meet the basic requirements of a contract, 
unless the Agency determines that any such deviations are 
due 
to 
unforeseeable 
events, 
government-driven 
scope 
changes, or are not significant within the overall scope of the 
project and/or program unless such awards or incentive fees 
are consistent with 16.401(e)(2) of the Federal Acquisition 
Regulations. 
SEC. 417. No part of any appropriation contained in this 
Act shall be available to pay the salary for any person filling 
a position, other than a temporary position, formerly held by 
an employee who has left to enter the Armed Forces of the 
United States and has satisfactorily completed his or her pe-
riod of active military or naval service, and has within 90 
days after his or her release from such service or from hos-
pitalization continuing after discharge for a period of not 
more than 1 year, made application for restoration to his or 
her former position and has been certified by the Office of 
Personnel Management as still qualified to perform the duties 
of his or her former position and has not been restored there-
to. 
SEC. 418. (a) None of the funds made available by this 
Act may be used to approve a new foreign air carrier permit 
under sections 41301 through 41305 of title 49, United
839 
•HRES 1061 EH 
States Code, or exemption application under section 40109 of 
that title of an air carrier already holding an air operators 
certificate issued by a country that is party to the U.S.-E.U.- 
Iceland-Norway Air Transport Agreement where such ap-
proval would contravene United States law or Article 17 bis 
of the U.S.-E.U.-Iceland-Norway Air Transport Agreement. 
(b) Nothing in this section shall prohibit, restrict or oth-
erwise preclude the Secretary of Transportation from grant-
ing a foreign air carrier permit or an exemption to such an 
air carrier where such authorization is consistent with the 
U.S.-E.U.-Iceland-Norway Air Transport Agreement and 
United States law. 
SEC. 419. (a) In the table of projects in the explanatory 
statement referenced in section 417 of the Transportation, 
Housing and Urban Development, and Related Agencies Ap-
propriations Act, 2022 (division L of Public Law 117–103)— 
(1) the item relating to ‘‘Midland Center for the 
Arts only for structural improvements’’ is deemed to be 
amended by striking recipient ‘‘City of Midland’’ and in-
serting ‘‘Midland Center for the Arts’’; 
(2) the item relating to ‘‘Barren County Fiscal 
Court—Chapatcha Industrial Park Development’’ is 
deemed to be amended by striking project ‘‘Barren 
County Fiscal Court—Chapatcha Industrial Park Devel-
opment’’ and inserting ‘‘Barren County Fiscal Court—
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•HRES 1061 EH 
Chapatcha Industrial Park or South Cooper Industrial 
Park Development’’; 
(3) the item relating to ‘‘Pasco County Board of 
County Commissioners—Rural Northwest Pasco Com-
munity Park Site Acquisition’’ is deemed to be amended 
by striking ‘‘Northwest’’ and inserting ‘‘Northeast’’; 
(4) the item relating to ‘‘Wood County Development 
Authority—Site Readiness & Redevelopment Downtown 
Parkersburg’’ is deemed to be amended by striking 
‘‘Wood County Development Authority—Site Readiness 
& Redevelopment Downtown Parkersburg’’ and inserting 
‘‘Redevelopment of Downtown Parkersburg’’; 
(5) the item relating to ‘‘Rosemary’s Way Penacook 
Affordable Housing’’ is deemed to be amended by strik-
ing recipient ‘‘CATCH Neighborhood Housing’’ and in-
serting ‘‘Concord Area Trust for Community Housing’’; 
(6) the item relating to ‘‘Lead Safe Home Fund’’ 
is deemed to be amended by striking recipient ‘‘Lead 
Safe Cleveland Coalition’’ and inserting ‘‘Mt. Sinai 
Health Care Foundation’’; 
(7) the item relating to ‘‘Boys & Girls Club in 
Miami Gardens’’ is deemed to be amended by striking 
‘‘Club in Miami Gardens’’ and inserting ‘‘Clubs within 
the Miami-Dade area’’;
841 
•HRES 1061 EH 
(8) the item relating to ‘‘Acquisition of new com-
mercial space’’ is deemed to be amended by striking 
‘‘Acquisition of new commercial space’’ and inserting 
‘‘Renovation of community center’’; 
(9) the item relating to ‘‘North Commons Regional 
Vision’’ is deemed to be amended by striking recipient 
‘‘Minneapolis Park and Recreation Board’’ and inserting 
‘‘City of Minneapolis’’; 
(10) the item relating to ‘‘Electric school bus and 
associated electric vehicle (EV) charging infrastructure’’ 
is deemed to be amended by striking recipient ‘‘Falls 
Church City Public Schools’’ and inserting ‘‘City of Falls 
Church’’; 
(11) the item relating to ‘‘A PLACE 4 ALICE fa-
cility improvement’’ is deemed to be amended by striking 
‘‘A PLACE 4 ALICE facility improvement’’ and insert-
ing ‘‘Affordable Housing and Community Facilities’’; 
and 
(b) In the table of projects entitled ‘‘Community Project 
Funding/Congressionally Directed Spending’’ in the explana-
tory statement for division L of the Consolidated Appropria-
tions Act, 2023 (Public Law 117–328) described in section 
4 in the matter preceding division A of such Act— 
(1) the item relating to ‘‘River Road Homes Afford-
able Housing Infrastructure’’ is deemed to be amended
842 
•HRES 1061 EH 
by striking recipient ‘‘Town of Canaan’’ and inserting 
‘‘Falls Village Housing Trust Inc.’’; 
(2) the item relating to ‘‘The Star Community 
Family Life Center’’ is deemed to be amended by strik-
ing recipient ‘‘The Star Community Family Life Center’’ 
and inserting ‘‘MSBC Five Star Program, Inc.’’; 
(3) the item relating to ‘‘Early Learning Childcare 
Center Construction’’ (recipient ‘‘The Caring Place’’) is 
deemed to be amended by striking ‘‘Early Learning 
Childcare Center Construction’’ and inserting ‘‘CARE 
Center construction’’; 
(4) the item relating to ‘‘Upper Bucks Rail Trail’’ 
is deemed to be amended by striking recipient ‘‘Appa-
lachian Mountain Club’’ and inserting ‘‘The County of 
Bucks’’; 
(5) the item relating to ‘‘YMCA & Albion College 
Initiative of the Washington Gardner Center Building 
Renovation and Expansion’’ is deemed to be amended by 
striking ‘‘YMCA & Albion College Initiative of the Wash-
ington Gardner Center Building Renovation and Expan-
sion’’ and inserting ‘‘Site improvements’’; 
(6) the item relating to ‘‘Wood County Industrial 
Site Readiness and Redevelopment’’ is deemed to be 
amended by striking ‘‘Wood County Industrial Site
843 
•HRES 1061 EH 
Readiness & Redevelopment’’ and inserting ‘‘Redevelop-
ment of Downtown Parkersburg’’; 
(7) the item relating to ‘‘B–360 Educational Cam-
pus’’ is deemed to be amended by striking ‘‘I Am Men-
tality, Inc.’’ and inserting ‘‘B–360 Baltimore, Inc.’’; 
(8) the item relating to ‘‘Riverbrook Regional 
YMCA’’ is deemed to be amended by striking recipient 
‘‘Riverbrook Regional Young Men’s Christian Associa-
tion, Inc.’’ and inserting ‘‘City of Norwalk’’; 
(9) the item relating to ‘‘Miami Veterans Housing 
Project’’ is deemed to be amended by striking recipient 
‘‘United Way Miami’’ and inserting ‘‘CRC Leadership, 
Inc.’’; 
(10) the item relating to ‘‘Supportive Living, Com-
munity Day Services, and Housing Site Project for 
Adults with Intellectual and Developmental Disabilities’’ 
is deemed to be amended by striking ‘‘, Community Day 
Services, and Housing’’; 
(11) the item relating to ‘‘Public Library Addition’’ 
is deemed to be amended by striking ‘‘Addition’’ and in-
serting ‘‘Renovation’’; 
(12) the item relating to ‘‘Renovation of Snelling 
Motel to Affordable Housing for Veterans’’ is deemed to 
be amended by striking ‘‘Snelling Motel to’’ and insert-
ing ‘‘Hotel for’’;
845 
•HRES 1061 EH 
Skagit County’’ and inserting ‘‘Children’s Museum of 
Skagit County’’; and 
(18) the item relating to ‘‘Permanent Supportive 
Housing Properties Acquisition’’ is deemed to be amend-
ed by striking ‘‘Permanent Supportive Housing Prop-
erties Acquisition’’ and inserting ‘‘Permanent Supportive 
Housing Acquisition, Development and Rehabilitation’’. 
SEC. 420. None of the funds made available by this Act 
may be used by the Secretary of Housing and Urban Devel-
opment in contravention of section 312 of the Robert T. Staf-
ford Disaster Relief and Emergency Assistance Act (42 
U.S.C. 5155). 
SEC. 421. None of the funds made available by this Act 
to the Department of Transportation may be used in con-
travention of section 306108 of title 54, United States Code. 
SEC. 422. None of the funds made available by this or 
any other Act may be used to require the use of inward fac-
ing cameras or require a motor carrier to register an appren-
ticeship program with the Department of Labor as a condi-
tion for participation in the safe driver apprenticeship pilot 
program. 
SEC. 423. None of the funds made available by this Act 
may be used by the Department of Housing and Urban De-
velopment to direct a grantee to undertake specific changes 
to existing zoning laws as part of carrying out the final rule
846 
•HRES 1061 EH 
entitled ‘‘Affirmatively Furthering Fair Housing’’ (80 Fed. 
Reg. 42272 (July 16, 2015)) or the notice entitled ‘‘Affirma-
tively Furthering Fair Housing Assessment Tool’’ (79 Fed. 
Reg. 57949 (September 26, 2014)). 
SEC. 424. None of the funds made available by this Act 
may be used in contravention of existing Federal law regard-
ing non-citizen eligibility and ineligibility for occupancy in 
federally assisted housing or for participation in and assist-
ance under Federal housing programs, including section 214 
of the Housing and Community Development Act of 1980 (42 
U.S.C. 1436a) and title IV of the Personal Responsibility and 
Work Opportunity Reconciliation Act of 1996 (8 U.S.C. 1601 
et seq.). 
SEC. 425. Section 127 of title 23, United States Code, 
is amended by inserting at the end the following: 
‘‘(x) CERTAIN
AGRICULTURAL
VEHICLES
IN
THE 
STATE OF MISSISSIPPI.— 
‘‘(1) IN GENERAL.—The State of Mississippi may 
allow, by special permit, the operation of a covered agri-
cultural vehicle on the Interstate System in the State of 
Mississippi if such vehicle does not exceed— 
‘‘(A) a gross vehicle weight of 88,000 pounds; 
and
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•HRES 1061 EH 
‘‘(B) 110 percent of the maximum weight on 
any axle or axle group described in subsection 
(a)(2), including any enforcement tolerance. 
‘‘(2) 
COVERED
AGRICULTURAL
VEHICLE
DE-
FINED.—In this subsection, the term ‘covered agricul-
tural vehicle’ means a vehicle that is transporting un-
processed agricultural crops used for food, feed or fiber, 
or raw or unfinished forest products, including logs, 
pulpwood, biomass or wood chips. 
‘‘(y) OPERATION OF CERTAIN VEHICLES IN WEST 
VIRGINIA.— 
‘‘(1) IN GENERAL.—The State of West Vir-
ginia may allow, by special permit, the operation of 
a vehicle that is transporting materials and equip-
ment on the Interstate System in the State of West 
Virginia if such vehicle does not exceed 110 percent 
of the maximum weight on any axle or axle group 
described in subsection (a)(2), including any en-
forcement tolerance, provided the remaining gross 
vehicle weight requirements of subsection (a) are 
met. 
‘‘(2) DEFINITION.—In this subsection, the 
term ‘materials and equipment’ means materials 
and equipment that are used on a project eligible 
under this chapter.’’.
848 
•HRES 1061 EH 
SEC. 426. None of the funds appropriated or made avail-
able by this division for the Department of Transportation 
for fiscal year 2024 may be used to enforce a mask mandate 
in response to the COVID–19 virus. 
This division may be cited as the ‘‘Transportation, 
Housing and Urban Development, and Related Agencies Ap-
propriations Act, 2024’’.
849 
•HRES 1061 EH 
DIVISION G—OTHER MATTERS 
TITLE I—HEALTH AND HUMAN 
SERVICES 
Subtitle A—Public Health Extenders 
SEC. 101. EXTENSION FOR COMMUNITY HEALTH CENTERS, NA-
TIONAL HEALTH SERVICE CORPS, AND TEACHING 
HEALTH CENTERS THAT OPERATE GME PRO-
GRAMS. 
(a) EXTENSION FOR COMMUNITY HEALTH CENTERS.— 
Section 10503(b)(1)(F) of the Patient Protection and Afford-
able Care Act (42 U.S.C. 254b–2(b)(1)(F)) is amended by 
striking ‘‘and $536,986,301 for the period beginning on Jan-
uary 20, 2024, and ending on March 8, 2024’’ and inserting 
‘‘$536,986,301 for the period beginning on January 20, 
2024, and ending on March 8, 2024, and $3,592,328,767 for 
the period beginning on October 1, 2023, and ending on De-
cember 31, 2024’’. 
(b) EXTENSION FOR THE NATIONAL HEALTH SERVICE 
CORPS.—Section 10503(b)(2)(I) of the Patient Protection 
and Affordable Care Act (42 U.S.C. 254b–2(b)(2)(I)) is 
amended by striking ‘‘and $41,616,438 for the period begin-
ning on January 20, 2024, and ending on March 8, 2024’’ 
and inserting ‘‘$41,616,438 for the period beginning on Jan-
uary 20, 2024, and ending on March 8, 2024, and
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•HRES 1061 EH 
$297,013,699 for the period beginning on October 1, 2023, 
and ending on December 31, 2024’’. 
(c) TEACHING
HEALTH
CENTERS
THAT
OPERATE 
GRADUATE MEDICAL EDUCATION PROGRAMS.— 
(1) IN GENERAL.—Section 340H(g)(1) of the Pub-
lic Health Service Act (42 U.S.C. 256h(g)(1)) is amend-
ed by striking ‘‘and $16,982,192 for the period begin-
ning on January 20, 2024, and ending on March 8, 
2024’’ and inserting ‘‘$16,982,192 for the period begin-
ning on January 20, 2024, and ending on March 8, 
2024, and $164,136,986 for the period beginning on Oc-
tober 1, 2023, and ending on December 31, 2024’’. 
(2) ADDITION
TO
CAPPED
AMOUNTS.—Section 
340H(b)(2) of the Public Health Service Act (42 U.S.C. 
256h(b)(2)) is amended by adding at the end the fol-
lowing: 
‘‘(C) ADDITION.—Notwithstanding any provi-
sion of this section, for the period beginning on Oc-
tober 1, 2023, and ending on December 31, 2024, 
the Secretary may use any amounts made available 
in any fiscal year to carry out this section (includ-
ing amounts recouped under subsection (f)) to make 
payments described in paragraphs (1)(A) and 
(1)(B), in addition to the total amount of funds ap-
propriated under subsection (g).’’.
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•HRES 1061 EH 
(3) REPORT TO CONGRESS.—For the period begin-
ning on October 1, 2023, and ending on December 31, 
2024, the Secretary of Health and Human Services shall 
submit to the Committee on Energy and Commerce of 
the House of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the Senate a 
report specifying— 
(A) the total amount of funds recouped under 
subsection (f) of section 340H of the Public Health 
Service Act (42 U.S.C. 256h); 
(B) the rationale for the funds being recouped; 
and 
(C) the total amount of funds recouped under 
subsection (f) of such section 340H that were used 
pursuant to subsection (b)(2)(C) of such section 
340H to adjust total payment amounts above the 
total amounts appropriated under subsection (g) of 
such section 340H, as amended by paragraph (3). 
(d) APPLICATION
OF
PROVISIONS.—Amounts appro-
priated pursuant to the amendments made by this section 
shall be subject to the requirements contained in Public Law 
117–328 for funds for programs authorized under sections 
330 through 340 of the Public Health Service Act (42 U.S.C. 
254b et seq.).
852 
•HRES 1061 EH 
(e) CONFORMING AMENDMENT.—Section 3014(h)(4) of 
title 18, United States Code, is amended by striking ‘‘and 
section 101(d) of the Further Additional Continuing Appro-
priations and Other Extensions Act, 2024’’ and inserting 
‘‘section 101(d) of the Further Additional Continuing Appro-
priations and Other Extensions Act, 2024, and section 
101(d) of the Consolidated Appropriations Act, 2024’’. 
SEC. 102. EXTENSION OF SPECIAL DIABETES PROGRAMS. 
(a) EXTENSION OF SPECIAL DIABETES PROGRAMS FOR 
TYPE I DIABETES.—Section 330B(b)(2)(E) of the Public 
Health Service Act (42 U.S.C. 254c–2(b)(2)(E)) is amended 
by striking ‘‘and $20,136,986 for the period beginning on 
January 20, 2024, and ending on March 8, 2024’’ and in-
serting ‘‘$20,136,986 for the period beginning on January 
20, 2024, and ending on March 8, 2024, and $130,000,000 
for the period beginning on March 9, 2024, and ending on 
December 31, 2024’’. 
(b) EXTENDING FUNDING FOR SPECIAL DIABETES PRO-
GRAMS FOR INDIANS.—Section 330C(c)(2)(E) of the Public 
Health Service Act (42 U.S.C. 254c–3(c)(2)(E)) is amended 
by striking ‘‘and $20,136,986 for the period beginning on 
January 20, 2024, and ending on March 8, 2024’’ and in-
serting ‘‘$20,136,986 for the period beginning on January 
20, 2024, and ending on March 8, 2024, and $130,000,000
853 
•HRES 1061 EH 
for the period beginning on March 9, 2024, and ending on 
December 31, 2024’’. 
SEC. 103. NATIONAL HEALTH SECURITY EXTENSIONS. 
(a) Section 319(e)(8) of the Public Health Service Act 
(42 U.S.C. 247d(e)(8)) is amended by striking ‘‘March 8, 
2024’’ and inserting ‘‘December 31, 2024’’. 
(b) Section 319L(e)(1)(D) of the Public Health Service 
Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking 
‘‘March 8, 2024’’ and inserting ‘‘December 31, 2024’’. 
(c) Section 319L–1(b) of the Public Health Service Act 
(42 U.S.C. 247d–7f(b)) is amended by striking ‘‘March 8, 
2024’’ and inserting ‘‘December 31, 2024’’. 
(d)(1) Section 2811A(g) of the Public Health Service 
Act (42 U.S.C. 300hh–10b(g)) is amended by striking 
‘‘March 8, 2024’’ and inserting ‘‘December 31, 2024’’. 
(2) Section 2811B(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking 
‘‘March 8, 2024’’ and inserting ‘‘December 31, 2024’’. 
(3) Section 2811C(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking 
‘‘March 8, 2024’’ and inserting ‘‘December 31, 2024’’. 
(e) Section 2812(c)(4)(B) of the Public Health Service 
Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by striking 
‘‘March 8, 2024’’ and inserting ‘‘December 31, 2024’’.
854 
•HRES 1061 EH 
Subtitle B—Medicaid 
SEC. 201. REQUIREMENT FOR STATE MEDICAID PLANS TO PRO-
VIDE 
COVERAGE 
FOR 
MEDICATION-ASSISTED 
TREATMENT. 
(a) IN GENERAL.—Section 1905 of the Social Security 
Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (a)(29), by striking ‘‘for the pe-
riod beginning October 1, 2020, and ending September 
30, 2025,’’ and inserting ‘‘beginning on October 1, 
2020,’’; and 
(2) in subsection (ee)(2), by striking ‘‘for the period 
specified in such paragraph, if before the beginning of 
such period the State certifies to the satisfaction of the 
Secretary’’ and inserting ‘‘if such State certifies, not less 
than every 5 years and to the satisfaction of the Sec-
retary,’’. 
(b) CONFORMING AMENDMENT.—Section 1006(b)(4)(A) 
of the Substance Use-Disorder Prevention that Promotes 
Opioid Recovery and Treatment for Patients and Commu-
nities Act (42 U.S.C. 1396a note) is amended by striking ‘‘, 
and before October 1, 2025’’.
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•HRES 1061 EH 
SEC. 202. COLLECTION AND REPORTING OF COMPREHENSIVE 
DATA FOR SPECIFIED POPULATIONS ENROLLED 
IN MEDICAID AND CHIP. 
Title XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) is amended by adding at the end the following new sec-
tion: 
‘‘SEC. 1948. COLLECTION AND REPORTING OF COMPREHENSIVE 
DATA FOR SPECIFIED POPULATIONS. 
‘‘(a) RECURRING
ANALYSIS
AND
PUBLICATION
OF 
HEALTH CARE DATA RELATED TO TREATMENT FOR SUB-
STANCE USE DISORDER
OR
A MENTAL HEALTH CONDI-
TION.— 
‘‘(1) IN GENERAL.—The Secretary, on an annual 
basis, shall link, analyze, and publish on a publicly avail-
able website data reported by States through the Trans-
formed Medicaid Statistical Information System (T– 
MSIS) (or a successor system) relating to substance use 
disorder and mental health services provided to individ-
uals enrolled under a State plan under this title or a 
State child health plan under title XXI (or under a waiv-
er of such plans) who have been diagnosed with a sub-
stance use disorder or mental health condition, including 
an analysis that is disaggregated by age. Such enrollee 
information shall be de-identified of any personally iden-
tifying information, shall adhere to privacy standards es-
tablished by the Department of Health and Human
856 
•HRES 1061 EH 
Services, and shall be aggregated to protect the privacy 
of enrollees, as necessary. 
‘‘(2) REQUIREMENTS.—The analysis required under 
paragraph (1) shall include, at a minimum, the following 
data for each State (including, to the extent available, 
for the District of Columbia, Puerto Rico, the United 
States Virgin Islands, Guam, the Northern Mariana Is-
lands, and American Samoa): 
‘‘(A) The number and percentage of individuals 
enrolled under the State plan under this title or the 
State child health plan under title XXI (or under 
a waiver of such plans) in each of the major enroll-
ment categories (as defined in a public letter from 
the Medicaid and CHIP Payment and Access Com-
mission to the Secretary) who have been diagnosed 
with— 
‘‘(i) a substance use disorder; 
‘‘(ii) a mental health condition; or 
‘‘(iii) a co-occurring substance use dis-
order and mental health condition. 
‘‘(B) With respect to individuals enrolled under 
the State plan under this title or the State child 
health plan under title XXI (or under a waiver of 
such plans) who have received a diagnosis described 
in subparagraph (A), a list of the substance use dis-
857 
•HRES 1061 EH 
order and mental health treatment services, includ-
ing, to the extent such data are available, specific 
adult and pediatric services by each major type of 
service, such as counseling, intensive home-based 
services, intensive care coordination, crisis services 
tailored to children and youth, peer support serv-
ices, family-to-family support, inpatient hospitaliza-
tion, 
medication-assisted 
treatment, 
residential 
treatment, and other appropriate services as identi-
fied by the Secretary, for which beneficiaries in 
each State received at least 1 service under the 
State plan under this title or the State child health 
plan under title XXI (or under a waiver of such 
plans). 
‘‘(C) With respect to each diagnosis described 
in subparagraph (A), the number and percentage of 
individuals enrolled under the State plan under this 
title or the State child health plan under title XXI 
(or under a waiver of such plans) who have such di-
agnosis and received services for such diagnosis 
under such plan or waiver by each major type of 
treatment service listed under subparagraph (B) 
within each major setting type, such as outpatient, 
inpatient, residential, and other home-based and 
community-based settings.
858 
•HRES 1061 EH 
‘‘(D) The number of services provided under 
the State plan under this title or the State child 
health plan under title XXI (or under a waiver of 
such plans) per individual enrolled under such plan 
or waiver who has a diagnosis described in subpara-
graph (A) for each such diagnosis and each major 
type of treatment service listed under subparagraph 
(B). 
‘‘(E) The number and percentage of individ-
uals enrolled under the State plan under this title 
or the State child health plan under title XXI (or 
under a waiver of such plans) by major enrollment 
category, who have a diagnosis described in sub-
paragraph (A) and received substance use disorder 
or mental health treatment through— 
‘‘(i) a Medicaid managed care entity (as 
defined in section 1932(a)(1)(B)), including 
the number of such individuals who received 
such assistance through a prepaid inpatient 
health plan (as defined by the Secretary) or a 
prepaid ambulatory health plan (as defined by 
the Secretary); 
‘‘(ii) a fee-for-service payment model; or 
‘‘(iii) an alternative payment model, to the 
extent available.
859 
•HRES 1061 EH 
‘‘(F) The number and percentage of individ-
uals enrolled under the State plan under this title 
or the State child health plan under title XXI (or 
under a waiver of such plans) who have a diagnosis 
described in subparagraph (A) and received services 
for a mental health condition or a substance use 
disorder in an outpatient or community-based or 
home-based setting after receiving mental health or 
substance use disorder services in an inpatient or 
residential setting, and the number of mental health 
or substance use disorder services received by such 
individuals in the outpatient or community-based or 
home-based setting. 
‘‘(G) The number and percentage of inpatient 
admissions in which services for a mental health 
condition or substance use disorder were provided 
to an individual enrolled under the State plan under 
this title or the State child health plan under title 
XXI (or under a waiver of such plans) that oc-
curred within 30 days after discharge from a hos-
pital or residential facility in which services for a 
mental health condition or substance use disorder 
previously 
were 
provided 
to 
such 
individual, 
disaggregated by each diagnosis described in sub-
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•HRES 1061 EH 
paragraph (A) and type of facility, to the extent 
such information is available. 
‘‘(H) The number of emergency department 
visits by an individual enrolled under the State plan 
under this title or the State child health plan under 
title XXI (or under a waiver of such plans) who has 
a diagnosis described in subparagraph (A) within 7 
days of such individual being discharged from an 
inpatient stay at a hospital during which services 
for a mental health condition or substance use dis-
order were provided, or from a mental health facil-
ity, an independent psychiatric wing of an acute 
care hospital, an intermediate care facility for indi-
viduals with intellectual disabilities, or a residential 
treatment facility, disaggregated by each diagnosis 
described in subparagraph (A) and type of facility, 
to the extent such information is available. 
‘‘(I) The number and percentage of individuals 
who are enrolled under the State plan under this 
title or the State child health plan under title XXI 
(or under a waiver of such plans) and received an 
assessment for a mental health condition. 
‘‘(J) The number and percentage of individuals 
who are enrolled under the State plan under this 
title or the State child health plan under title XXI
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•HRES 1061 EH 
(or under a waiver of such plans) and received an 
assessment for a substance use disorder. 
‘‘(K) The number of mental health services 
provided to individuals enrolled under the State 
plan under this title or the State child health plan 
under title XXI (or under a waiver of such plans) 
who received an assessment described in subpara-
graph (I) in the 30 days post-assessment. 
‘‘(L) The number of substance use disorder 
treatment services provided to individuals enrolled 
under the State plan under this title or the State 
child health plan under title XXI (or under a waiver 
of such plans) who received an assessment described 
in subparagraph (J) in the 30 days post-assess-
ment. 
‘‘(M) Prescription National Drug Code codes, 
fill dates, and number of days supply of any covered 
outpatient drug (as defined in section 1927(k)(2)) 
that was dispensed to an individual enrolled under 
the State plan under this title or the State child 
health plan under title XXI (or under a waiver of 
such plans) with an episode described in subpara-
graph (G) or (H) during any period that occurs 
after the individual’s discharge date defined in sub-
paragraph (G) or (H) (as applicable), and before
862 
•HRES 1061 EH 
the admission date applicable under subparagraph 
(G) or the date of the emergency department visit 
applicable under subparagraph (H) that were— 
‘‘(i) to treat a mental health condition; or 
‘‘(ii) to treat a substance use disorder. 
‘‘(b) PUBLICATION.— 
‘‘(1) IN GENERAL.—Not later than 18 months after 
the date of enactment of this section, the Secretary shall 
make publicly available the first analysis required by 
subsection (a). 
‘‘(2) ANNUAL UPDATES.—The Secretary shall issue 
an updated version of the analysis required under sub-
section (a) not later than January 1 of each calendar 
year. 
‘‘(3) USE OF T–MSIS DATA.—The analysis required 
under subsection (a) and updates required under para-
graph (4) shall— 
‘‘(A) use data and definitions from the T– 
MSIS data set that is no more than 12 months old 
on the date that the analysis or update is published; 
and 
‘‘(B) as appropriate, include a description with 
respect to each State of the quality and complete-
ness of the data and caveats describing the limita-
tions of the data reported to the Secretary by the
863 
•HRES 1061 EH 
State that is sufficient to communicate the appro-
priate uses for the information. 
‘‘(4) REVISED PUBLICATION.—Beginning not later 
than 3 years after the date of enactment of this section, 
the Secretary annually shall publish a revised publication 
of the analysis required by subsection (a) that allows for 
a research-ready and publicly accessible interface of the 
publication and is developed after consultation with 
stakeholders on the usability of the data contained in the 
publication. 
‘‘(5) MAKING T-MSIS DATA ON SUBSTANCE USE DIS-
ORDERS AND MENTAL HEALTH CONDITIONS AVAILABLE 
TO RESEARCHERS.— 
‘‘(A) REQUIREMENT TO PUBLISH SYSTEM OF 
RECORDS NOTICE.— 
‘‘(i) IN
GENERAL.—Subject to subpara-
graph (B), the Secretary shall publish in the 
Federal Register a system of records notice for 
the data specified in clause (ii) for the Trans-
formed Medicaid Statistical Information Sys-
tem, in accordance with section 552a(e)(4) of 
title 5, United States Code. The notice shall 
outline policies that protect the security and 
privacy of the data that, at a minimum, meet 
the security and privacy policies of SORN 09-
864 
•HRES 1061 EH 
70-0541 for the Medicaid Statistical Informa-
tion System. 
‘‘(ii) REQUIRED DATA.—The data covered 
by the systems of records notice required under 
clause (i) shall be sufficient for researchers and 
States to analyze the prevalence of conditions 
described in subsection (a)(2)(A) in the Med-
icaid and Children’s Health Insurance Pro-
gram beneficiary population and the treatment 
of such conditions under Medicaid across all 
States (including the District of Columbia, 
Puerto Rico, the United States Virgin Islands, 
Guam, the Northern Mariana Islands, and 
American Samoa), forms of treatment, and 
treatment settings. 
‘‘(iii) INITIATION OF DATA-SHARING AC-
TIVITIES.—Not later than January 1, 2025, 
the Secretary shall initiate the data-sharing ac-
tivities outlined in the notice required under 
clause (i). 
‘‘(B) 
SATISFACTION
OF
REQUIREMENT 
THROUGH
EXISTING
SYSTEM
OF
RECORDS
NO-
TICE.—The Secretary shall not be required to pub-
lish a new system of records notice as required 
under subparagraph (A) if, not later than January
865 
•HRES 1061 EH 
1, 2025, the Secretary determines that the system 
of records notice published by the Secretary in the 
Federal Register on February 6, 2019 (84 Fed. 
Reg. 2230), satisfies the requirements described in 
subparagraph (A).’’. 
SEC. 203. MONITORING PRESCRIBING OF ANTIPSYCHOTIC 
MEDICATIONS. 
(a) IN GENERAL.—Section 1902(oo)(1)(B) of the Social 
Security Act (42 U.S.C. 1396a(oo)(1)(B)) is amended— 
(1) in the subparagraph heading, by striking ‘‘BY 
CHILDREN’’; 
(2) by striking ‘‘children enrolled’’ and inserting 
‘‘children generally, children in foster care specifically, 
individuals over the age of 18 receiving home and com-
munity-based 
services 
(as 
defined 
in 
section 
9817(a)(2)(B) of Public Law 117–2), and individuals 
over the age of 18 residing in institutional care settings 
(including nursing facilities, intermediate care facilities 
for individuals with intellectual disabilities, institutions 
for mental diseases, inpatient psychiatric hospitals, and 
other such institutional care settings) enrolled’’; and 
(3) by striking ‘‘not more than the age of 18 years’’ 
through the period at the end and inserting ‘‘subject to 
the program, including information with respect to each
866 
•HRES 1061 EH 
such category of children and individuals over the age of 
18.’’. 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall take effect on the date that is 24 months 
after the date of enactment of this Act. 
SEC. 204. EXTENSION OF STATE OPTION TO PROVIDE MEDICAL 
ASSISTANCE FOR CERTAIN INDIVIDUALS IN INSTI-
TUTIONS FOR MENTAL DISEASES. 
(a) MAKING PERMANENT STATE PLAN AMENDMENT 
OPTION TO PROVIDE MEDICAL ASSISTANCE FOR CERTAIN 
INDIVIDUALS WHO ARE PATIENTS
IN CERTAIN INSTITU-
TIONS FOR MENTAL DISEASES.—Section 1915(l)(1) of the 
Social Security Act (42 U.S.C. 1396n(l)(1)) is amended by 
striking ‘‘With respect to calendar quarters beginning during 
the period beginning October 1, 2019, and ending September 
30, 2023,’’ and inserting ‘‘With respect to calendar quarters 
beginning on or after October 1, 2019,’’. 
(b) MAINTENANCE
OF
EFFORT
REVISION.—Section 
1915(l)(3) of the Social Security Act (42 U.S.C. 1396n(l)(3)) 
is amended— 
(1) in subparagraph (A)— 
(A) by striking ‘‘other than under this title 
from non-Federal funds’’ and all that follows 
through ‘‘subparagraph (B))’’ and inserting ‘‘from
867 
•HRES 1061 EH 
non-Federal funds for items and services (including 
services described in subparagraph (B))’’; and 
(B) by striking ‘‘such items and services’’ and 
all that follows through the period and inserting 
‘‘such items and services for, at the option of the 
State— 
‘‘(i) fiscal year 2018; or 
‘‘(ii) the most recently ended fiscal year as 
of the date the State submits a State plan 
amendment to the Secretary to provide such 
medical assistance in accordance with this sub-
section.’’; 
(2) in subparagraph (B), by striking ‘‘subparagraph 
(A)(ii)’’ and inserting ‘‘subparagraph (A)’’; and 
(3) by adding at the end the following new subpara-
graph: 
‘‘(D) APPLICATION OF MAINTENANCE OF EF-
FORT REQUIREMENTS TO CERTAIN STATES.—In the 
case of a State with a State plan amendment in ef-
fect on September 30, 2023, for the 1-year period 
beginning on the date of enactment of this subpara-
graph, the provisions of subparagraph (A) shall be 
applied as if the amendments to such subparagraph 
made by the Consolidated Appropriations Act, 2024 
had never been made.’’.
868 
•HRES 1061 EH 
(c) ADDITIONAL REQUIREMENTS.— 
(1) IN GENERAL.— 
(A) 
GENERAL
REQUIREMENTS.—Section 
1915(l)(4) of the Social Security Act (42 U.S.C. 
1396n(l)(4)) is amended— 
(i) in subparagraph (A), by striking 
‘‘through (D)’’ and inserting ‘‘through (F)’’; 
(ii) in subparagraph (B)— 
(I) by striking ‘‘Prior to approval of 
a State plan amendment under this sub-
section, the State shall notify the Sec-
retary of how the State will ensure’’ and 
inserting ‘‘The State shall have in place 
evidence-based, substance use disorder- 
specific individual placement criteria and 
utilization management approaches to en-
sure placement of eligible individuals in an 
appropriate level of care, including criteria 
and approaches to ensure’’; and 
(II) by adding at the end the fol-
lowing sentence: ‘‘The State shall notify 
the Secretary at such time and in such 
form and manner as the Secretary shall 
require of such criteria and utilization 
management approaches.’’; and
869 
•HRES 1061 EH 
(iii) by adding at the end the following 
new subparagraph: 
‘‘(E) REVIEW
PROCESS.—The State shall, 
using nationally recognized substance use disorder- 
specific program standards, have in place a process 
to review the compliance of eligible institutions for 
mental diseases with such program standards speci-
fied by the State.’’. 
(B) 
EFFECTIVE
DATE.—The 
amendments 
made by subparagraph (A) shall apply with respect 
to States providing medical assistance for items and 
services pursuant to a State plan amendment under 
section 1915(l) of the Social Security Act (42 
U.S.C. 1396n(l)) in calendar quarters beginning on 
or after October 1, 2025. 
(2) ONE-TIME ASSESSMENT.—Section 1915(l)(4) of 
the Social Security Act (42 U.S.C. 1396n(l)(4)), as 
amended by paragraph (1), is further amended by add-
ing at the end the following new subparagraph: 
‘‘(F) ASSESSMENT.— 
‘‘(i) IN GENERAL.—The State shall, not 
later than 12 months after the approval of a 
State plan amendment described in this sub-
section (or, in the case of a State that has such 
an amendment approved as of September 30,
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•HRES 1061 EH 
2023, not later than 12 months after the date 
of enactment of this subparagraph), commence 
an assessment of— 
‘‘(I) the availability of treatment for 
individuals enrolled under a State plan 
under this title (or waiver of such plan) in 
each level of care described in subpara-
graph (C), including how such availability 
varies by region of the State; and 
‘‘(II) the availability of medication- 
assisted treatment and medically super-
vised withdrawal management services for 
such individuals, including how such avail-
ability varies by region of the State. 
‘‘(ii) REQUIRED COMPLETION.—The State 
shall complete an assessment described in 
clause (i) not later than 12 months after the 
date the State commences such assessment.’’. 
(3) CLARIFICATION OF LEVELS OF CARE.—Section 
1915(l) of the Social Security Act (42 U.S.C. 1396n(l)) 
is amended— 
(A) in paragraph (4)(C)(ii), by striking ‘‘prob-
lems in Dimensions 1, 2, or 3’’ each place it ap-
pears and inserting ‘‘conditions’’; and
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•HRES 1061 EH 
(B) in paragraph (7), by striking subparagraph 
(A) and redesignating subparagraphs (B) through 
(D) as subparagraphs (A) through (C), respectively. 
(d) APPLICATION
TO
CERTAIN
STATES.—Notwith-
standing section 430.20 of title 42, Code of Federal Regula-
tions, the Secretary of Health and Human Services may ap-
prove a request to renew a State plan amendment under sec-
tion 1915(l) of the Social Security Act (42 U.S.C. 1396n(l)) 
with an effective date of October 1, 2023, if the State making 
such request— 
(1) had approval for a State plan amendment under 
such section as of September 30, 2023; and 
(2) submits the request to renew such amendment 
not later than 60 days after the date of enactment of 
this Act. 
SEC. 205. PROHIBITION ON TERMINATION OF ENROLLMENT 
DUE TO INCARCERATION. 
(a) MEDICAID.— 
(1) IN GENERAL.—Section 1902(a)(84)(A) of the 
Social Security Act (42 U.S.C. 1396a(a)(84)(A)), as 
amended by section 5122(a)(2) of the Consolidated Ap-
propriations Act, 2023 (Public Law 117–328), is further 
amended—
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•HRES 1061 EH 
(A) by striking ‘‘under the State plan’’ and in-
serting ‘‘under the State plan (or waiver of such 
plan)’’; 
(B) by striking ‘‘who is an eligible juvenile (as 
defined in subsection (nn)(2))’’; 
(C) by striking ‘‘because the juvenile’’ and in-
serting ‘‘because the individual’’; 
(D) by striking ‘‘during the period the juve-
nile’’ and inserting ‘‘during the period the indi-
vidual’’; 
(E) by inserting ‘‘such an individual who is an 
eligible juvenile (as defined in subsection (nn)(2)) 
and’’ after ‘‘or in the case of’’; and 
(F) by striking ‘‘paragraph (31)’’ and inserting 
‘‘the last numbered paragraph’’. 
(2) EFFECTIVE
DATE.—The amendments made 
by— 
(A) subparagraph (A) of paragraph (1) shall 
take effect on the date of the enactment of this Act; 
and 
(B) subparagraphs (B) through (F) of para-
graph (1) shall take effect on January 1, 2026. 
(b) CHIP.—
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•HRES 1061 EH 
(1) IN GENERAL.—Section 2102(d)(1)(A) of the So-
cial Security Act (42 U.S.C. 1397bb(d)(1)(A)) is amend-
ed— 
(A) by inserting ‘‘or pregnancy-related’’ after 
‘‘child health’’; 
(B) by inserting ‘‘or targeted low-income preg-
nant woman’’ after ‘‘targeted low-income child’’; 
(C) by inserting ‘‘or pregnant woman’’ after 
‘‘because the child’’; and 
(D) by inserting ‘‘or pregnant woman’’ after 
‘‘during the period the child’’. 
(2) EFFECTIVE DATE.—The amendments made by 
paragraph (1) shall apply beginning January 1, 2026. 
(c) TECHNICAL CORRECTIONS.— 
(1) Section 1902(nn)(2)(A) of the Social Security 
Act (42 U.S.C. 1395a(a)(nn)(2)(A)) is amended by 
striking ‘‘State plan’’ and inserting ‘‘State plan (or waiv-
er of such plan)’’. 
(2) Section 1902(nn)(3) of the Social Security Act 
(42 U.S.C. 1396a(nn)(3)), is amended by striking 
‘‘paragraph (31)’’ and inserting ‘‘the last numbered 
paragraph’’. 
(3) Section 5122(a)(1) of the Consolidated Appro-
priations Act, 2023 (Public Law 117–328) is amended 
by striking ‘‘after’’ and all that follows through the pe-
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•HRES 1061 EH 
riod at the end and inserting ‘‘after ‘or in the case of 
an eligible juvenile described in section 1902(a)(84)(D) 
with respect to the screenings, diagnostic services, refer-
rals, and targeted case management services required 
under such section’.’’. 
(4) The fifth sentence of section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d(a)) is amended by 
striking ‘‘paragraph (30)’’ and inserting ‘‘the last num-
bered paragraph’’. 
SEC. 206. ADDRESSING OPERATIONAL BARRIERS TO PROMOTE 
CONTINUITY OF CARE FOR MEDICAID AND CHIP 
BENEFICIARIES FOLLOWING INCARCERATION. 
(a) STATE PLANNING GRANTS.— 
(1) IN GENERAL.—Not later than 12 months after 
the date of enactment of this Act, the Secretary shall 
award grants to States for the purpose of developing 
operational capabilities to promote continuity of care for 
individuals who are inmates of a public institution and 
are eligible for medical assistance under the State Med-
icaid program or are eligible for child health assistance 
or pregnancy-related assistance under the State CHIP. 
(2) USE
OF
FUNDS.—A State may use funds 
awarded under a grant under this subsection for activi-
ties and expenses related to complying with the require-
ment described in section 1902(a)(84)(A) of the Social
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•HRES 1061 EH 
Security Act (42 U.S.C. 1396a(a)(84)(A)) that a State 
shall not terminate eligibility for medical assistance, 
complying 
with 
the 
requirements 
of 
sections 
1902(a)(84)(D) and 2102(d) of the Social Security Act 
(42 U.S.C. 1396a(a)(84)(D), 1397bb(d)), or adopting 
the State plan options described in the subdivision (A) 
following the last numbered paragraph of section 
1905(a) and 2110(b)(7) of the Social Security Act (42 
U.S.C. 1396d(a), 1397jj(b)(7)), or other activities and 
expenses to promote continuity of care for individuals 
described in paragraph (1). Such activities and expenses 
may include— 
(A) identifying and addressing operational 
gaps with respect to complying with such require-
ments or adopting such options, in collaboration 
with public institutions, State human services agen-
cies, Medicaid managed care plans, providers, com-
munity-based organizations, and other stakeholders; 
(B) establishing standardized processes and 
automated systems for activities that may include, 
but are not limited to— 
(i) determining whether an individual is 
enrolled in a State Medicaid program or State 
CHIP at the time such individual becomes an 
inmate of a public institution;
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•HRES 1061 EH 
(ii) allowing an individual who is an in-
mate of a public institution to submit an appli-
cation to enroll or renew coverage in a State 
Medicaid program or State CHIP prior to the 
individual’s release from such public institu-
tion; 
(iii) facilitating the delivery of medical as-
sistance under the State Medicaid program or 
child health assistance or pregnancy-related as-
sistance under the State CHIP to an individual 
who is eligible for such assistance while the in-
dividual is an inmate of a public institution, 
such as by establishing claims processing and 
prior authorization request protocols; and 
(iv) in the case of an eligible individual 
whose coverage under a State Medicaid pro-
gram or State CHIP was suspended while the 
individual was an inmate of a public institu-
tion, restoring such coverage upon such indi-
vidual’s release from the public institution; 
(C) investing in information technology to— 
(i) enable bi-directional information shar-
ing between public institutions, the State Med-
icaid and CHIP agencies, and other entities 
such as managed care plans and providers (in
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•HRES 1061 EH 
a manner consistent with applicable State and 
Federal privacy laws), to support care transi-
tions and coordination of treatment (including 
access to care in the community after release 
from a public institution); and 
(ii) develop indicators to ensure Federal 
financial participation for medical assistance 
furnished under a State Medicaid program or 
child health assistance or pregnancy-related as-
sistance furnished under a State CHIP is 
available only for medical assistance or child 
health assistance or pregnancy-related assist-
ance for items and services for which such par-
ticipation is permitted while an individual is an 
inmate of a public institution; and 
(D) establishing oversight and monitoring 
processes to ensure public institutions and entities 
with which they contract are compliant with any ap-
plicable Medicaid and CHIP requirements. 
(3) LIMITATIONS ON USE OF FUNDS.—A State shall 
not use funds from a grant awarded under this sub-
section to— 
(A) provide medical assistance under a State 
Medicaid program or child health assistance or 
pregnancy-related assistance under a State CHIP to
878 
•HRES 1061 EH 
an individual, or otherwise directly administer 
health care services for an individual; or 
(B) build prisons, jails, or other carceral facili-
ties, or pay for prison, jail, or other carceral facil-
ity-related improvements other than those improve-
ments that are for the direct and primary purpose 
of meeting the health care needs of individuals who 
are incarcerated and who are eligible for medical as-
sistance under the State Medicaid program or child 
health assistance or pregnancy-related assistance 
under the State CHIP. 
(4) ALLOCATION
OF
GRANT
FUNDS.—In deter-
mining the amount of a grant to award to a State that 
applies for a grant under this subsection, the Secretary 
shall consider the following factors, relative to other 
States applying for grants under this subsection: 
(A) The number of individuals in the State 
who were inmates of non-Federal public institutions 
(such as State prisons, local and county jails, tribal 
jails, and youth correctional or detention facilities) 
and were eligible for medical assistance under a 
State Medicaid program at any time in calendar 
year 2022. 
(B) The number of non-Federal public institu-
tions in the State (such as State prisons, local and
879 
•HRES 1061 EH 
county jails, tribal jails, and youth correctional or 
detention facilities). 
(C) The State’s progress in developing, imple-
menting, and operating initiatives to promote con-
tinuity of care for individuals who are inmates of a 
public institution and are eligible for medical assist-
ance under the State Medicaid program or are eligi-
ble for child health assistance or pregnancy-related 
assistance under the State CHIP (with favorable 
consideration given to States with less progress in 
promoting continuity of care for such individuals). 
(5) APPROPRIATION.—There is appropriated to the 
Secretary for fiscal year 2024, out of any funds in the 
Treasury not otherwise appropriated, $113,500,000, to 
remain available until expended, for the purposes of 
awarding and administering grants to States under this 
subsection. 
(b) GUIDANCE TO SUPPORT STATE IMPLEMENTATION 
AND OPERATIONS.— 
(1) IN GENERAL.—Not later than 18 months after 
the date of enactment of this Act, the Secretary shall 
issue detailed guidance to States that addresses common 
implementation and operational challenges States face in 
ensuring access to authorized high-quality, timely, acces-
sible care before, during, and after incarceration for in-
880 
•HRES 1061 EH 
dividuals who are eligible for medical assistance under a 
State Medicaid program or child health assistance or 
pregnancy-related assistance under a State CHIP. 
(2) CONTENT.— 
(A) COMPLIANCE WITH REQUIREMENTS.—The 
guidance required under paragraph (1) shall ad-
dress challenges States face, or are likely to face, in 
complying with the requirement described in section 
1902(a)(84)(A) of the Social Security Act (42 
U.S.C. 1396a(a)(84)(A)) that a State shall not ter-
minate eligibility for medical assistance, complying 
with the requirements of sections 1902(a)(84)(D) 
and 2102(d) of the Social Security Act (42 U.S.C. 
1396a(a)(84)(D), 1397bb(d)), adopting the State 
plan options described in the subdivision (A) fol-
lowing the last numbered paragraph of section 
1905(a) and section 2110(b)(7) of the Social Secu-
rity Act (42 U.S.C. 1396d(a), 1397jj(b)(7)), and 
carrying out other activities that are approved by 
the Secretary to promote continuity of care for indi-
viduals who are inmates of a public institution and 
are eligible for medical assistance under the State 
Medicaid program or are eligible for child health as-
sistance or pregnancy-related assistance under the 
State CHIP.
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•HRES 1061 EH 
(B) BEST PRACTICES AND STRATEGIES.—The 
guidance required under paragraph (1) shall include 
best practices and strategies States can use to ad-
dress implementation and operational challenges re-
lated to the requirements described in subparagraph 
(A), including those related to the following: 
(i) Implementing modifications to improve 
eligibility and enrollment processes, including, 
but not limited to, completing applications for 
assistance under the State Medicaid program 
or the State CHIP on behalf of inmates, trans-
mitting such applications to State Medicaid 
and CHIP agencies, and screening individuals 
who are inmates of public institutions for eligi-
bility for medical assistance that is authorized 
to be furnished to the individual while the indi-
vidual is such an inmate. 
(ii) Clarifying the availability of relevant 
Federal financial participation, including the 
administrative match under sections 1903 and 
2105 of the Social Security Act (42 U.S.C. 
1396b, 1397ee), for activities that directly sup-
port efforts to identify and enroll eligible indi-
viduals in State Medicaid programs and State 
CHIPs and that directly support the provision
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•HRES 1061 EH 
of authorized medical assistance, child health 
assistance, or pregnancy-related assistance, in-
cluding, but not limited to, data sharing and 
exchange, and other necessary functions. 
(iii) Expeditiously conducting screening 
for eligibility under State Medicaid programs 
and State CHIPs for individuals who are in-
mates of a public institution, providing applica-
tion and renewal assistance for those who are 
not yet enrolled in such programs or whose eli-
gibility needs to be renewed, and coordinating 
reinstatement of coverage under such programs 
with managed care enrollment. 
(iv) Ensuring that an individual who is an 
inmate of a public institution and is eligible for 
medical assistance under a State Medicaid pro-
gram or for child health assistance or preg-
nancy-related assistance under a State CHIP 
receives, in a timely fashion, any such assist-
ance for which Federal financial participation 
is authorized, such as, a supply of medications 
or prescription refill upon release and the serv-
ices required under sections 1902(a)(84)(D) 
and 2102(d) of the Social Security Act (42 
U.S.C. 1396a(a)(84)(D), 1397bb(d)).
883 
•HRES 1061 EH 
(v) Establishing community-based pro-
vider networks, including those comprised of 
case managers, for purposes of providing con-
tinuity of care to individuals who are eligible 
for medical assistance under a State Medicaid 
program or child health assistance or preg-
nancy-related assistance under a State CHIP 
before, during, and after incarceration. 
(c) DEFINITIONS.—In this section: 
(1) PUBLIC INSTITUTION.—The term ‘‘public insti-
tution’’ has the meaning given that term in section 
1902(nn)(3) of the Social Security Act (42 U.S.C. 
1396a(nn)(3)). 
(2) SECRETARY.—The term ‘‘Secretary’’ means the 
Secretary of Health and Human Services. 
(3) STATE.—The term ‘‘State’’ has the meaning 
given that term in section 1101(a)(1) of the Social Secu-
rity Act (42 U.S.C. 1301(a)(1)) for purposes of titles 
XIX and XXI of such Act. 
(4) STATE CHIP.—The term ‘‘State CHIP’’ means 
a State child health plan for child health assistance 
under title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.), and includes any waiver of such a plan. 
(5) STATE MEDICAID PROGRAM.—The term ‘‘State 
Medicaid program’’ means a State plan for medical as-
884 
•HRES 1061 EH 
sistance under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.), and includes any waiver of such 
a plan. 
SEC. 207. GUIDANCE RELATING TO IMPROVING THE BEHAV-
IORAL HEALTH WORKFORCE AND INTEGRATION 
OF CARE UNDER MEDICAID AND CHIP. 
(a) GUIDANCE.—Not later than 24 months after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall issue guidance to States regarding the fol-
lowing: 
(1) Opportunities to increase access to the mental 
health and substance use disorder care providers that 
participate in Medicaid or CHIP, which may include 
education, training, recruitment and retention of such 
providers, with a focus on improving the capacity of this 
workforce in rural and underserved areas by increasing 
the number, type, and capacity of providers. The guid-
ance relating to such opportunities shall include the fol-
lowing: 
(A) Best practices from States that have used 
authorities under titles XI, XIX, or XXI of the So-
cial Security Act (42 U.S.C. 1301 et seq., 1396 et 
seq., 1397aa et seq.), including initiatives States
885 
•HRES 1061 EH 
have implemented under waivers under section 1115 
of such Act (42 U.S.C. 1315), for such purposes. 
(B) Opportunities States can leverage to fi-
nance, support, and expand the availability of pro-
viders of community-based mental health and sub-
stance use disorder services who participate in Med-
icaid and CHIP across the continuum of care, in-
cluding through the participation of paraprofes-
sionals with behavioral health expertise, such as cli-
nicians with baccalaureate degrees and peer support 
specialists and including best practices especially 
pertinent to pediatric care. The guidance shall in-
clude examples of innovative policies states have 
adopted to expand access to behavioral health serv-
ices; for example, by establishing more expansive 
and diverse behavioral health workforce roles such 
as certified wellness coaches. 
(C) Best practices related to financing, sup-
porting, and expanding the education and training 
of providers of mental health and substance use dis-
order services in order to increase the workforce of 
such providers who participate in Medicaid and 
CHIP across the continuum of care, including inno-
vative public-private partnerships and including
886 
•HRES 1061 EH 
such practices that are especially pertinent to pedi-
atric care. 
(2) Opportunities to promote the integration of 
mental health or substance use disorder services with 
primary care services. The guidance relating to such op-
portunities shall include the following: 
(A) An overview of State options for adopting 
and expanding value-based payment arrangements 
and alternative payment models, including account-
able care organization-like models and other shared 
savings programs. 
(B) A description of opportunities for States to 
use and align existing authorities and resources to 
finance the integration of mental health or sub-
stance use disorder services with primary care serv-
ices, including with respect to the use of electronic 
health records in mental health care settings and in 
substance use disorder care settings. 
(C) Strategies to support integration of mental 
health or substance use disorder services with pri-
mary care services through the use of non-clinical 
professionals and paraprofessionals, including peer 
support specialists. 
(D) Examples of specific strategies and models 
designed to support integration of mental health or
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•HRES 1061 EH 
substance use disorder services with primary care 
services for differing age groups, including children 
and youth and individuals over the age of 65, which 
may include the collaborative care model or primary 
care behavioral health model for behavioral health 
integration. 
(b) INTEGRATION OF MENTAL HEALTH OR SUBSTANCE 
USE DISORDER SERVICES WITH PRIMARY CARE SERV-
ICES.—For purposes of subsection (a)(2), the term ‘‘integra-
tion of mental health or substance use disorder services with 
primary care services’’ means any of the following: 
(1) The delivery of mental health or substance use 
disorder services in a setting that is physically located in 
the same practice or building as a primary care setting, 
or when at least 1 provider of mental health or sub-
stance use disorder services is available in a primary 
care setting via telehealth. 
(2) The use of behavioral health integration models 
primarily intended for pediatric populations with non-se-
vere mental health needs that are focused on prevention 
and early detection and intervention methods through a 
multidisciplinary collaborative behavioral health team ap-
proach co-managed with primary care, to include same- 
day access to family-focused mental health treatment 
services.
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•HRES 1061 EH 
(3) Having providers of mental health or substance 
use disorder services physically co-located in a primary 
care setting with same-day visit availability. 
(4) Implementing or maintaining enhanced care co-
ordination or targeted case management which includes 
regular interactions between and within care teams. 
(5) Providing mental health or substance use dis-
order screening and follow-up assessments, interventions, 
or services within the same practice or facility as a pri-
mary care or physical service setting. 
(6) The use of assertive community treatment that 
is integrated with or facilitated by a primary care prac-
tice. 
(7) Delivery of integrated primary care and mental 
health care or substance use disorder care in the home 
or in community-based settings for individuals who are 
recipients of Medicaid home and community-based serv-
ices. 
SEC. 208. FUNDING FOR IMPLEMENTATION AND OPERATIONS. 
There is appropriated to the Secretary of Health and 
Human Services for fiscal year 2024, out of any funds in the 
Treasury not otherwise appropriated, to remain available 
until expended—
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•HRES 1061 EH 
(1) $5,000,000, for the purpose of carrying out sec-
tion 203 and the amendments made by such section, and 
sections 206, and 207; and 
(2) $10,000,000 for the recurring collection, anal-
ysis, and publication of health care data under section 
1948 of the Social Security Act, as added by section 
202. 
SEC. 209. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLIN-
IC SERVICES UNDER MEDICAID. 
(a) DEFINITION
OF MEDICAL ASSISTANCE.—Section 
1905 of the Social Security Act (42 U.S.C. 1396d) is amend-
ed— 
(1) in subsection (a)— 
(A) in paragraph (30), by striking ‘‘; and’’ and 
inserting a semicolon; 
(B) by redesignating paragraph (31) as para-
graph (32); and 
(C) by inserting after paragraph (30) the fol-
lowing new paragraph: 
‘‘(31) certified community behavioral health clinic 
services, as defined in subsection (jj); and’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(jj) CERTIFIED
COMMUNITY
BEHAVIORAL
HEALTH 
CLINIC SERVICES.—
890 
•HRES 1061 EH 
‘‘(1) IN GENERAL.—The term ‘certified community 
behavioral health services’ means any of the following 
services when furnished to an individual as a patient of 
a certified community behavioral health clinic (as defined 
in paragraph (2)), in a manner reflecting person-cen-
tered care and which, if not available directly through a 
certified community behavioral health clinic, may be pro-
vided or referred through formal relationships with other 
providers: 
‘‘(A) Crisis mental health services, including 
24-hour mobile crisis teams, emergency crisis inter-
vention services, and crisis stabilization. 
‘‘(B) Screening, assessment, and diagnosis, in-
cluding risk assessment. 
‘‘(C) Patient-centered treatment planning or 
similar processes, including risk assessment and cri-
sis planning. 
‘‘(D) Outpatient mental health and substance 
use services. 
‘‘(E) Outpatient clinic primary care screening 
and monitoring of key health indicators and health 
risk. 
‘‘(F) Intensive case management services. 
‘‘(G) Psychiatric rehabilitation services.
891 
•HRES 1061 EH 
‘‘(H) Peer support and counselor services and 
family supports. 
‘‘(I) Intensive, community-based mental health 
care for members of the armed forces and veterans 
who are eligible for medical assistance, particularly 
such members and veterans located in rural areas, 
provided the care is consistent with minimum clin-
ical mental health guidelines promulgated by the 
Veterans Health Administration, including clinical 
guidelines contained in the Uniform Mental Health 
Services Handbook of such Administration. 
‘‘(2) CERTIFIED COMMUNITY BEHAVIORAL HEALTH 
CLINIC.—The term ‘certified community behavioral 
health clinic’ means an organization that— 
‘‘(A) has been certified by a State as meeting 
the criteria established by the Secretary pursuant to 
subsection (a) of section 223 of the Protecting Ac-
cess to Medicare Act as of January 1, 2024, and 
any subsequent updates to such criteria, regardless 
of whether the State is carrying out a demonstra-
tion program under this title under subsection (d) 
of such section; 
‘‘(B) is engaged in furnishing all of the serv-
ices described in paragraph (1); and
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•HRES 1061 EH 
‘‘(C) agrees, as a condition of the certification 
described in subparagraph (A), to furnish to the 
State or Secretary any data required as part of on-
going monitoring of the organization’s provision of 
services, including encounter data, clinical outcomes 
data, quality data, and such other data as the State 
or Secretary may require.’’. 
(b) EFFECTIVE DATE.—The amendments made by this 
section shall apply with respect to medical assistance fur-
nished on or after the date of enactment of this Act. 
SEC. 210. ELIMINATING CERTAIN DISPROPORTIONATE SHARE 
HOSPITAL PAYMENT CUTS. 
Section 1923(f)(7)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(7)(A)), as amended by section 121 of sub-
title B of title I of division B of the Further Additional Con-
tinuing Appropriations and Other Extensions Act, 2024 
(Public Law 118–35), is amended— 
(1) in clause (i), by striking ‘‘For the period begin-
ning March 9, 2024, and ending September 30, 2024, 
and for each of fiscal years 2025’’ and inserting ‘‘For 
the period beginning January 1, 2025, and ending Sep-
tember 30, 2025, and for each of fiscal years 2026’’; and 
(2) in clause (ii), by striking ‘‘March 9, 2024, and 
ending September 30, 2024, and for each of fiscal years
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2025’’ and inserting ‘‘January 1, 2025, and ending Sep-
tember 30, 2025, and for each of fiscal years 2026’’. 
SEC. 211. PROMOTING VALUE IN MEDICAID MANAGED CARE. 
Section 1903(m)(9)(A) of the Social Security Act (42 
U.S.C. 1396b(m)(9)(A)) is amended by striking ‘‘(and before 
fiscal year 2024)’’. 
SEC. 212. MEDICAID IMPROVEMENT FUND. 
Section 1941(b)(3)(A) of the Social Security Act (42 
U.S.C. 1396w–1(b)(3)(A)), as amended by section 122 of 
subtitle B of title I of division B of the Further Additional 
Continuing Appropriations and Other Extensions Act, 2024 
(Public Law 118–35), is further amended by striking 
‘‘$5,140,428,729’’ and inserting ‘‘$0’’. 
Subtitle C—Medicare 
SEC. 301. EXTENSION OF FUNDING FOR QUALITY MEASURE EN-
DORSEMENT, INPUT, AND SELECTION. 
Section 1890(d)(2) of the Social Security Act (42 U.S.C. 
1395aaa(d)(2)) is amended— 
(1) in the first sentence— 
(A) by striking ‘‘and $20,000,000’’ and insert-
ing ‘‘$20,000,000’’; and 
(B) by inserting the following before the period 
at the end: ‘‘, and $9,000,000 for the period begin-
ning on October 1, 2023, and ending on December 
31, 2024’’; and
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(2) in the third sentence, by striking ‘‘and 2023’’ 
and inserting ‘‘2023, and 2024 and the period beginning 
on October 1, 2024, and ending on December 31, 2024’’. 
SEC. 302. EXTENSION OF FUNDING OUTREACH AND ASSIST-
ANCE FOR LOW-INCOME PROGRAMS. 
(a) STATE
HEALTH
INSURANCE
ASSISTANCE
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), section 1402 of division B of the 
Continuing Appropriations Act, 2020, and Health Extenders 
Act of 2019 (Public Law 116–59), section 1402 of division 
B of the Further Continuing Appropriations Act, 2020, and 
Further Health Extenders Act of 2019 (Public Law 116–69), 
section 103 of division N of the Further Consolidated Appro-
priations Act, 2020 (Public Law 116–94), section 3803 of 
the CARES Act (Public Law 116–136), section 2203 of the
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Continuing Appropriations Act, 2021 and Other Extensions 
Act (Public Law 116–159), section 1102 of the Further Con-
tinuing Appropriations Act, 2021, and Other Extensions Act 
(Public Law 116–215), and section 103 of division CC of the 
Consolidated Appropriations Act, 2021 (Public Law 116– 
260), is amended— 
(1) in clause (xii), by striking ‘‘and’’ at the end; 
(2) in clause (xiii), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by inserting after clause (xiii) the following new 
clause: 
‘‘(xiv) for the period beginning on October 
1, 2023, and ending on December 31, 2024, 
$18,750,000.’’. 
(b) AREA AGENCIES ON AGING.—Subsection (b)(1)(B) 
of such section 119, as so amended, is amended— 
(1) in clause (xii), by striking ‘‘and’’ at the end; 
(2) in clause (xiii), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by inserting after clause (xiii) the following new 
clause: 
‘‘(xiv) for the period beginning on October 
1, 2023, and ending on December 31, 2024, 
$18,750,000.’’.
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(c) AGING AND DISABILITY RESOURCE CENTERS.—Sub-
section (c)(1)(B) of such section 119, as so amended, is 
amended— 
(1) in clause (xii), by striking ‘‘and’’ at the end; 
(2) in clause (xiii), by striking the comma at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (xiii) the following new 
clause: 
‘‘(xiv) for the period beginning on October 
1, 2023, and ending on December 31, 2024, 
$6,250,000.’’. 
(d) COORDINATION
OF EFFORTS
TO INFORM OLDER 
AMERICANS ABOUT BENEFITS AVAILABLE UNDER FEDERAL 
AND STATE PROGRAMS.—Subsection (d)(2) of such section 
119, as so amended, is amended— 
(1) in clause (xii), by striking ‘‘and’’ at the end; 
(2) in clause (xiii), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by inserting after clause (xiii) the following new 
clause: 
‘‘(xiv) for the period beginning on October 
1, 2023, and ending on December 31, 2024, 
$18,750,000.’’.
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SEC. 303. EXTENSION OF THE WORK GEOGRAPHIC INDEX 
FLOOR UNDER THE MEDICARE PROGRAM. 
Section 1848(e)(1)(E) of the Social Security Act (42 
U.S.C. 1395w–4(e)(1)(E)) is amended by striking ‘‘March 9, 
2024’’ and inserting ‘‘January 1, 2025’’. 
SEC. 304. EXTENDING INCENTIVE PAYMENTS FOR PARTICIPA-
TION IN ELIGIBLE ALTERNATIVE PAYMENT MOD-
ELS. 
(a) IN GENERAL.—Section 1833(z) of the Social Secu-
rity Act (42 U.S.C. 1395l(z)) is amended— 
(1) in paragraph (1)(A)— 
(A) by striking ‘‘with 2025’’ and inserting 
‘‘with 2026’’; and 
(B) by inserting ‘‘, or, with respect to 2026, 
1.88 percent’’ after ‘‘3.5 percent’’; 
(2) in paragraph (2)— 
(A) in subparagraph (B)— 
(i) in the heading, by striking ‘‘2025’’ and 
inserting ‘‘2026’’; and 
(ii) in the matter preceding clause (i), by 
striking ‘‘2025’’ and inserting ‘‘2026’’; 
(B) in subparagraph (C)— 
(i) in the heading, by striking ‘‘2026’’ and 
inserting ‘‘2027’’; and 
(ii) in the matter preceding clause (i), by 
striking ‘‘2026’’ and inserting ‘‘2027’’; and
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(C) in subparagraph (D), by striking ‘‘and 
2025’’ and inserting ‘‘2025, and 2026’’; and 
(3) in paragraph (4)(B), by inserting ‘‘, or, with re-
spect to 2026, 1.88 percent’’ after ‘‘3.5 percent’’. 
(b) 
CONFORMING
AMENDMENTS.—Section 
1848(q)(1)(C)(iii) of the Social Security Act (42 U.S.C. 
1395w–4(q)(1)(C)(iii)) is amended— 
(1) in subclause (II), by striking ‘‘2025’’ and insert-
ing ‘‘2026’’; and 
(2) in subclause (III), by striking ‘‘2026’’ and in-
serting ‘‘2027’’. 
SEC. 305. TEMPORARY PAYMENT INCREASE UNDER THE MEDI-
CARE PHYSICIAN FEE SCHEDULE TO ACCOUNT 
FOR EXCEPTIONAL CIRCUMSTANCES AND ATYPI-
CAL TIMING OF ENACTMENT. 
Section 1848(t)(1) of the Social Security Act (42 U.S.C. 
1395w–4(t)(1)) is amended— 
(1) in subparagraph (C), by striking ‘‘and’’ at the 
end; 
(2) in subparagraph (D)— 
(A) by striking ‘‘January 1, 2025’’ and insert-
ing ‘‘March 9, 2024’’; and 
(B) by striking the period at the end and in-
serting ‘‘; and’’; and