I 
116TH CONGRESS 
2D SESSION 
H. R. 8900 
Making further continuing appropriations for fiscal year 2021, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 8, 2020 
Mrs. LOWEY introduced the following bill; which was referred to the Com-
mittee on Appropriations, and in addition to the Committee on the Budg-
et, for a period to be subsequently determined by the Speaker, in each 
case for consideration of such provisions as fall within the jurisdiction of 
the committee concerned 
A BILL 
Making further continuing appropriations for fiscal year 
2021, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Further Continuing 
Appropriations Act, 2021, and Other Extensions Act’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. References. 
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DIVISION A—FURTHER CONTINUING APPROPRIATIONS ACT, 2021 
DIVISION B—HEALTH EXTENDERS 
Title I—Medicare and Medicaid Extenders 
Title II—Public Health Extenders and Food and Drug Administration Provi-
sions 
Title III—Offsets 
Title IV—Budgetary Effects 
SEC. 3. REFERENCES. 
Except as expressly provided otherwise, any reference 
to ‘‘this Act’’ contained in any division of this Act shall 
be treated as referring only to the provisions of that divi-
sion. 
DIVISION 
A—FURTHER 
CON-
TINUING 
APPROPRIATIONS 
ACT, 2021 
SEC. 101. The Continuing Appropriations Act, 2021 
(division A of Public Law 116–159) is amended by strik-
ing the date specified in section 106(3) and inserting ‘‘De-
cember 18, 2020’’. 
This division may be cited as the ‘‘Further Con-
tinuing Appropriations Act, 2021’’. 
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DIVISION B—HEALTH 
EXTENDERS 
TITLE I—MEDICARE AND 
MEDICAID EXTENDERS 
SEC. 1101. 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)), as amended by section 3801 
of the CARES Act (Public Law 116–136) and section 
2201 of the Continuing Appropriations Act, 2021 and 
Other Extensions Act (Public Law 116–159), is amended 
by striking ‘‘December 12, 2020’’ and inserting ‘‘Decem-
ber 19, 2020’’. 
SEC. 1102. EXTENSION OF FUNDING OUTREACH AND AS-
SISTANCE FOR LOW-INCOME PROGRAMS. 
(a) STATE HEALTH INSURANCE PROGRAMS.—Sub-
section (a)(1)(B)(xi) of section 119 of the Medicare Im-
provements 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 
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(d)(2)(xi) of such section 119, as so amended, is amended 
by striking ‘‘December 11’’ and inserting ‘‘December 18’’. 
SEC. 1103. EXTENSION OF FUNDING FOR QUALITY MEAS-
URE ENDORSEMENT, INPUT, AND SELECTION. 
Section 1890(d)(2) of the Social Security Act (42 
U.S.C. 1395aaa(d)(2)) is amended by striking ‘‘December 
11’’ each place such phrase appears and inserting ‘‘De-
cember 18’’ in each such place. 
SEC. 1104. EXTENSION OF COMMUNITY MENTAL HEALTH 
SERVICES DEMONSTRATION PROGRAM. 
Section 223(d)(3) of the Protecting Access to Medi-
care Act of 2014 (42 U.S.C. 1396a note), as amended by 
Public Law 116–159, is amended by striking ‘‘December 
11’’ and inserting ‘‘December 18’’. 
SEC. 1105. EXTENSION OF SPOUSAL IMPOVERISHMENT 
PROTECTIONS. 
(a) IN GENERAL.—Section 2404 of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 1396r–5 
note), as amended by Public Law 116–159, is amended 
by striking ‘‘December 11’’ and inserting ‘‘December 18’’. 
(b) RULE OF CONSTRUCTION.—Nothing in section 
2404 of Public Law 111–148 (42 U.S.C. 1396r–5 note) 
or section 1902(a)(17) or 1924 of the Social Security Act 
(42 U.S.C. 1396a(a)(17), 1396r–5) shall be construed as 
prohibiting a State from— 
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(1) applying an income or resource disregard 
under a methodology authorized under section 
1902(r)(2) of such Act (42 U.S.C. 1396a(r)(2))— 
(A) to the income or resources of an indi-
vidual 
described 
in 
section 
1902(a)(10)(A)(ii)(VI) of such Act (42 U.S.C. 
1396a(a)(10)(A)(ii)(VI)) (including a disregard 
of the income or resources of such individual’s 
spouse); or 
(B) on the basis of an individual’s need for 
home and community-based services authorized 
under subsection (c), (d), (i), or (k) of section 
1915 of such Act (42 U.S.C. 1396n) or under 
section 1115 of such Act (42 U.S.C. 1315); or 
(2) disregarding an individual’s spousal income 
and assets under a plan amendment to provide med-
ical assistance for home and community-based serv-
ices for individuals by reason of being determined el-
igible under section 1902(a)(10)(C) of such Act (42 
U.S.C. 1396a(a)(10)(C)) or by reason of section 
1902(f) of such Act (42 U.S.C. 1396a(f)) or other-
wise on the basis of a reduction of income based on 
costs incurred for medical or other remedial care 
under which the State disregarded the income and 
assets of the individual’s spouse in determining the 
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initial and ongoing financial eligibility of an indi-
vidual for such services in place of the spousal im-
poverishment provisions applied under section 1924 
of such Act (42 U.S.C. 1396r–5). 
SEC. 1106. EXTENSION OF DELAY OF DSH REDUCTIONS. 
Section 1923(f)(7) of the Social Security Act (42 
U.S.C. 1396r–4(f)(7)(A)) is amended by striking ‘‘Decem-
ber 12’’ each place such phrase appears and inserting 
‘‘December 19’’ in each such place. 
SEC. 1107. EXTENSION OF MONEY FOLLOWS THE PERSON. 
Section 6071(h)(1)(H) of the Deficit Reduction Act 
of 2005 (42 U.S.C. 1396a note) is amended by striking 
‘‘December 11’’ and inserting ‘‘December 18’’. 
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TITLE II—PUBLIC HEALTH EX-
TENDERS 
AND 
FOOD 
AND 
DRUG ADMINISTRATION PRO-
VISIONS 
Subtitle A—Public Health 
Extenders 
SEC. 1201. EXTENDING FUNDING FOR COMMUNITY HEALTH 
CENTERS, 
NATIONAL 
HEALTH 
SERVICE 
CORPS, AND TEACHING HEALTH CENTER 
GME. 
(a) 
COMMUNITY
HEALTH
CENTERS.—Section 
10503(b)(1)(F) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 254b–2(b)(1)(F)) is amended— 
(1) by striking ‘‘$789,041,096’’ and inserting 
‘‘$865,753,425’’; and 
(2) by striking ‘‘December 11, 2020’’ and in-
serting ‘‘December 18, 2020’’. 
(b) NATIONAL HEALTH SERVICE CORPS.—Section 
10503(b)(2)(H) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 254b–2(b)(2)(H)) is amended— 
(1) by striking ‘‘$61,150,685’’ and inserting 
‘‘$67,095,890’’; and 
(2) by striking ‘‘December 11, 2020’’ and in-
serting ‘‘December 18, 2020’’. 
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(c) TEACHING HEALTH CENTERS THAT OPERATE 
GRADUATE MEDICAL EDUCATION PROGRAMS.—Section 
340H(g)(1) of the Public Health Service Act (42 U.S.C. 
256h(g)(1)) is amended— 
(1) by striking ‘‘$24,953,425’’ and inserting 
‘‘$27,379,452’’; and 
(2) by striking ‘‘December 11, 2020’’ and in-
serting ‘‘December 18, 2020’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appro-
priated pursuant to the amendments made by this section 
for the period beginning on December 11, 2020, and end-
ing on December 18, 2020, shall be subject to the require-
ments contained in Public Law 116–94 for funds for pro-
grams authorized under sections 330 through 340 of the 
Public Health Service Act. 
(e) CONFORMING AMENDMENTS.—Paragraph (4) of 
section 3014(h) of title 18, United States Code, as amend-
ed by section 3831(e) of the CARES Act (Public Law 
116–136), is amended— 
(1) by striking ‘‘Social Services Act,,’’ and in-
serting ‘‘Social Services Act,’’; and 
(2) by striking ‘‘and section 2101 of the Con-
tinuing Appropriations Act, 2021 and Other Exten-
sions Act’’ and inserting ‘‘section 2101 of the Con-
tinuing Appropriations Act, 2021 and Other Exten-
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sions Act, and section 1201(d) of the Further Con-
tinuing Appropriations Act, 2021, and Other Exten-
sions Act’’. 
SEC. 1202. DIABETES PROGRAMS. 
(a) SPECIAL DIABETES PROGRAMS FOR TYPE I DIA-
BETES.—Section 330B(b)(2)(D) of the Public Health 
Service Act (42 U.S.C. 254c–2(b)(2)(D)) is amended— 
(1) by striking ‘‘$29,589,042’’ and inserting 
‘‘$32,465,753’’; and 
(2) by striking ‘‘December 11, 2020’’ and in-
serting ‘‘December 18, 2020’’. 
(b) SPECIAL DIABETES PROGRAMS FOR INDIANS.— 
Section 330C(c)(2)(D) of the Public Health Service Act 
(42 U.S.C. 254c–3(c)(2)(D)) is amended— 
(1) by striking ‘‘$29,589,042’’ and inserting 
‘‘$32,465,753’’; and 
(2) by striking ‘‘December 11, 2020’’ and in-
serting ‘‘December 18, 2020’’. 
SEC. 1203. PERSONAL RESPONSIBILITY EDUCATION; SEX-
UAL RISK AVOIDANCE EDUCATION. 
(a) SEXUAL RISK AVOIDANCE EDUCATION.—Section 
510 of the Social Security Act (42 U.S.C. 710) is amended 
by striking ‘‘December 11, 2020’’ each place it appears 
and inserting ‘‘December 18, 2020’’. 
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(b) PERSONAL RESPONSIBILITY EDUCATION.—Sec-
tion 513 of the Social Security Act (42 U.S.C. 713) is 
amended by striking ‘‘December 11, 2020’’ each place it 
appears and inserting ‘‘December 18, 2020’’. 
Subtitle B—Food and Drug 
Administration Provisions 
SEC. 1211. RARE PEDIATRIC DISEASE PRIORITY REVIEW 
VOUCHER EXTENSION. 
Section 529(b)(5) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 360ff(b)(5)) is amended— 
(1) by striking ‘‘December 11, 2020’’ each 
place it appears and inserting ‘‘December 18, 
2020’’; and 
(2) in subparagraph (B), by striking ‘‘Decem-
ber 11, 2022’’ and inserting ‘‘December 18, 2022’’. 
TITLE III—OFFSETS 
SEC. 1301. TRANSPARENCY OF MEDICARE SECONDARY 
PAYER REPORTING INFORMATION. 
Section 1862(b)(8)(G) of the Social Security Act (42 
U.S.C. 395y(b)(8)(G)) is amended— 
(1) by striking ‘‘INFORMATION.—The Sec-
retary’’ and inserting ‘‘INFORMATION.— 
‘‘(i) IN
GENERAL.—The Secretary’’; 
and 
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(2) by adding at the end the following new 
clause: 
‘‘(ii) SPECIFIED
INFORMATION.—In 
responding to any query made on or after 
the date that is 1 year after the date of the 
enactment of this clause from an applica-
ble plan related to a determination de-
scribed in subparagraph (A)(i), the Sec-
retary, notwithstanding any other provision 
of law, shall provide to such applicable 
plan— 
‘‘(I) whether a claimant subject 
to the query is, or during the pre-
ceding 3-year period has been, entitled 
to benefits under the program under 
this title on any basis; and 
‘‘(II) to the extent applicable, the 
plan name and address of any Medi-
care Advantage plan under part C 
and any prescription drug plan under 
part D in which the claimant is en-
rolled or has been enrolled during 
such period.’’. 
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SEC. 1302. DISPENSATION OF NARCOTIC DRUGS FOR THE 
PURPOSE 
OF 
RELIEVING 
ACUTE 
WITH-
DRAWAL SYMPTOMS FROM OPIOID USE DIS-
ORDER. 
Not later than 180 days after the date of enactment 
of this Act, the Attorney General shall revise section 
1306.07(b) of title 21, Code of Federal Regulations, so 
that practitioners, in accordance with applicable State, 
Federal, or local laws relating to controlled substances, are 
allowed to dispense not more than a three-day supply of 
narcotic drugs to one person or for one person’s use at 
one time for the purpose of initiating maintenance treat-
ment or detoxification treatment (or both). 
SEC. 1303. MEDICAID IMPROVEMENT FUND. 
Section 1941(b)(3)(A) of the Social Security Act (42 
U.S.C 1396w–1(b)(3)(A)) is amended by striking 
‘‘$3,446,000,000’’ and inserting ‘‘$3,464,000,000’’. 
TITLE IV—BUDGETARY EFFECTS 
SEC. 1401. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budg-
etary effects of this division shall not be entered on either 
PAYGO scorecard maintained pursuant to section 4(d) of 
the Statutory Pay-As-You-Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary 
effects of this division shall not be entered on any PAYGO 
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scorecard maintained for purposes of section 4106 of H. 
Con. Res. 71 (115th Congress). 
(c) CLASSIFICATION
OF BUDGETARY EFFECTS.— 
Notwithstanding Rule 3 of the Budget Scorekeeping 
Guidelines set forth in the joint explanatory statement of 
the committee of conference accompanying Conference Re-
port 105–217 and section 250(c)(8) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, the 
budgetary effects of this division shall not be estimated— 
(1) for purposes of section 251 of such Act; and 
(2) for purposes of paragraph (4)(C) of section 
3 of the Statutory Pay-As-You-Go Act of 2010 as 
being included in an appropriation Act. 
Æ 
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