(1) by striking ‘‘Other Extensions Act,,’’ and 
inserting ‘‘Other Extensions Act,’’; and 
(2) by striking ‘‘and section 301(d) of division 
BB of the Consolidated Appropriations Act, 2021.’’ 
and inserting ‘‘section 301(d) of division BB of the 
Consolidated Appropriations Act, 2021, and section 
2321(d) of the Continuing Appropriations Act, 2024 
and Other Extensions Act’’. 
SEC. 2322. EXTENSION OF SPECIAL DIABETES PROGRAMS. 
(a) EXTENSION OF SPECIAL DIABETES PROGRAMS 
FOR TYPE I DIABETES.—Section 330B(b)(2) of the Pub-
lic Health Service Act (42 U.S.C. 254c–2(b)(2)) is amend-
ed— 
(1) in subparagraph (C), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (D), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(E) $19,726,027 for the period beginning 
on October 1, 2023, and ending on November 
17, 2023, to remain available until expended.’’. 
(b) EXTENDING FUNDING FOR SPECIAL DIABETES 
PROGRAMS
FOR INDIANS.—Section 330C(c)(2) of the 
Public Health Service Act (42 U.S.C. 254c–3(c)(2)) is 
amended—
(1) in subparagraph (C), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (D), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(E) $19,726,027 for the period beginning 
on October 1, 2023, and ending on November 
17, 2023, to remain available until expended.’’. 
Subtitle C—Necessary Authorities 
To Respond to Threats 
SEC. 2331. EXTENSION OF AUTHORITY TO MAKE CERTAIN 
APPOINTMENTS 
OF 
NATIONAL 
DISASTER 
MEDICAL SYSTEM PERSONNEL. 
Section 2812(c)(4)(B) of the Public Health Service 
Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by strik-
ing ‘‘September 30, 2023’’ and inserting ‘‘November 17, 
2023’’. 
SEC. 2332. TEMPORARY REASSIGNMENT OF STATE AND 
LOCAL 
PERSONNEL 
DURING 
A 
PUBLIC 
HEALTH EMERGENCY. 
Section 319(e)(8) of the Public Health Service Act 
(42 U.S.C. 247d(e)(8)) is amended by striking ‘‘Sep-
tember 30, 2023’’ and inserting ‘‘November 17, 2023’’.
SEC. 2333. EXTENSION OF NATIONAL ADVISORY COMMIT-
TEES. 
(a) NATIONAL ADVISORY COMMITTEE ON CHILDREN 
AND DISASTERS.—Section 2811A(g) of the Public Health 
Service Act (42 U.S.C. 300hh–10b(g)) is amended by 
striking ‘‘September 30, 2023’’ and inserting ‘‘November 
17, 2023’’. 
(b) NATIONAL ADVISORY COMMITTEE ON SENIORS 
AND DISASTERS.—Section 2811B(g)(1) of the Public 
Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is 
amended by striking ‘‘September 30, 2023’’ and inserting 
‘‘November 17, 2023’’. 
(c) NATIONAL ADVISORY COMMITTEE ON INDIVID-
UALS
WITH
DISABILITIES
AND
DISASTERS.—Section 
2811C(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh–10d(g)(1)) is amended by striking ‘‘September 30, 
2023’’ and inserting ‘‘November 17, 2023’’. 
Subtitle D—Medicaid 
SEC. 2341. DSH DELAY. 
Section 1923(f)(7)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(7)(A)) is amended— 
(1) in clause (i)— 
(A) in the matter preceding subclause (I), 
by striking ‘‘For each of fiscal years 2024 
through 2027’’ and inserting ‘‘For the period 
beginning November 18, 2023, and ending Sep-
tember 30, 2024, and for each of fiscal years 
2025 through 2027’’; and 
(B) in subclauses (I) and (II), by inserting 
‘‘or period’’ after ‘‘the fiscal year’’ each place it 
appears; and 
(2) in clause (ii), by striking ‘‘for each of fiscal 
years 2024 through 2027’’ and inserting ‘‘for the 
period beginning November 18, 2023, and ending 
September 30, 2024, and for each of fiscal years 
2025 through 2027.’’. 
SEC. 2342. MIF REDUCTION. 
Section 1941(b)(3)(A) of the Social Security Act (42 
U.S.C. 1396w–1(b)(3)(A)) is amended by striking 
‘‘$7,000,000,000’’ and inserting ‘‘$6,357,117,810’’. 
Subtitle E—Human Services 
SEC. 2351. EXTENSION OF CHILD AND FAMILY SERVICES 
PROGRAMS. 
Activities authorized by part B of title IV of the So-
cial Security Act shall continue through November 17, 
2023, in the manner authorized for fiscal year 2023, and 
out of any money in the Treasury of the United States 
not otherwise appropriated, there are hereby appropriated 
such sums as may be necessary for such purpose.
SEC. 2352. SEXUAL RISK AVOIDANCE EDUCATION EXTEN-
SION. 
Section 510 of the Social Security Act (42 U.S.C. 
710) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) in the matter preceding subpara-
graph (A)— 
(I) by inserting ‘‘and for the pe-
riod beginning on October 1, 2023, 
and ending on November 17, 2023’’ 
after ‘‘2023’’; and 
(II) by inserting ‘‘(or, with re-
spect to such period, for fiscal year 
2024)’’ after ‘‘for the fiscal year’’; 
and 
(ii) in subparagraph (A), by inserting 
‘‘or period’’ after ‘‘fiscal year’’ each place 
it appears; and 
(B) in paragraph (2)— 
(i) in subparagraph (A), by inserting 
‘‘and with respect to fiscal year 2024, for 
the period described in paragraph (1)’’ 
after ‘‘2023’’; and 
(ii) in subparagraph (B)(i), by insert-
ing ‘‘(or, with respect to fiscal year 2024,