H. R. 5371—128
(C) directly or indirectly owned or controlled by an 
agency, instrumentality, or entity described in subpara-
graph (A) or (B); or 
(4) the Department of Homeland Security’s Uyghur Forced 
Labor Prevention Act Entity List. 
(b) APPLICABILITY TO THIRD PARTIES.—The prohibition in sub-
section (a) also applies in cases in which the Secretary has con-
tracted with a third party for the procurement, purchase, or 
expenditure of funds on any of the equipment and software 
described in such subsection. 
(c) DEFINITION.—For purposes of this section, the term ‘‘covered 
information technology equipment’’ shall mean the following equip-
ment used in an office environment: computers, printers, or inter-
operable videoconferencing equipment used in or by the Department 
of Veterans Affairs directly. ‘‘Covered information technology equip-
ment’’ shall not refer to services that use such equipment, including 
cloud services. 
SEC. 259. During the period beginning on October 1, 2025 
and ending on September 30, 2026, none of the funds made available 
by this Act may be used to administer, implement, or enforce 
the final rule issued by the Secretary of Veterans Affairs relating 
to ‘‘Change in Rates VA Pays for Special Modes of Transportation’’ 
(88 Fed. Reg. 10032) and published on February 16, 2023. 
SEC. 260. None of the funds appropriated or otherwise made 
available by this Act may be used to pay award or incentive 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, govern-
ment-driven scope changes, or are not significant within the overall 
scope of the project and/or program and unless such awards or 
incentive fees are consistent with section 16.401(e)(2) of the Federal 
Acquisition Regulation. 
SEC. 261. The Department is directed to maintain staffing 
levels to facilitate the Department’s own goals, including that bene-
fits claims are adjudicated according to the 125 day goal, and 
that healthcare appointments and service are provided in the time-
frames required by statute and regulation. 
SEC. 262. The Department is directed to provide quarterly 
briefings to the Committees on Appropriations of both Houses of 
Congress on the status of implementation of the provisions in 
Public Law 118–42 related to veterans in the Freely Associated 
States (FAS) in a way that is consistent with Congressional intent, 
including engagement with FAS governments, a projected timeline 
for veterans in the FAS to receive hospital care and medical serv-
ices, and an estimate of the cost of implementation. 
SEC. 263. None of the amounts appropriated by this title may 
be obligated or expended to cancel a contract with a value that 
exceeds $10,000,000 until the Secretary of Veterans Affairs has 
submitted to the Committees on Appropriations of both Houses 
of Congress an advance notification and written explanation of 
contingency plans to replace the relevant service being cancelled, 
including any necessary change in the Department’s staffing levels. 
SEC. 264. None of the funds made available by this Act may 
be used to reduce the staffing, hours of operation, or services 
of the Veterans Crisis Line or any other suicide prevention program 
of the Department of Veterans Affairs.
H. R. 5371—129
TITLE III 
RELATED AGENCIES 
AMERICAN BATTLE MONUMENTS COMMISSION 
SALARIES AND EXPENSES 
For necessary expenses, not otherwise provided for, of the 
American Battle Monuments Commission, including the acquisition 
of land or interest in land in foreign countries; purchases and 
repair of uniforms for caretakers of national cemeteries and monu-
ments outside of the United States and its territories and posses-
sions; rent of office and garage space in foreign countries; purchase 
(one-for-one replacement basis only) and hire of passenger motor 
vehicles; not to exceed $15,000 for official reception and representa-
tion expenses; and insurance of official motor vehicles in foreign 
countries, when required by law of such countries, $110,000,000, 
to remain available until expended. 
FOREIGN CURRENCY FLUCTUATIONS ACCOUNT 
For necessary expenses, not otherwise provided for, of the 
American Battle Monuments Commission, such sums as may be 
necessary, to remain available until expended, for purposes author-
ized by section 2109 of title 36, United States Code. 
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS 
SALARIES AND EXPENSES 
For necessary expenses for the operation of the United States 
Court of Appeals for Veterans Claims as authorized by sections 
7251 through 7298 of title 38, United States Code, $49,000,000, 
of which $3,000,000 shall be available until September 30, 2027: 
Provided, That $4,256,000 shall be available for the purpose of 
providing financial assistance as described and in accordance with 
the process and reporting procedures set forth under this heading 
in Public Law 102–229. 
DEPARTMENT OF DEFENSE—CIVIL 
CEMETERIAL EXPENSES, ARMY 
SALARIES AND EXPENSES 
For necessary expenses for maintenance, operation, and 
improvement of Arlington National Cemetery and Soldiers’ and 
Airmen’s Home National Cemetery, including the purchase or lease 
of passenger motor vehicles for replacement on a one-for-one basis 
only, and not to exceed $2,000 for official reception and representa-
tion expenses, $118,780,450, of which not to exceed $15,000,000 
shall remain available until September 30, 2028. In addition, such 
sums as may be necessary for parking maintenance, repairs and 
replacement, to be derived from the ‘‘Lease of Department of 
Defense Real Property for Defense Agencies’’ account.
H. R. 5371—130
ARMED FORCES RETIREMENT HOME 
TRUST FUND 
For expenses necessary for the Armed Forces Retirement Home 
to operate and maintain the Armed Forces Retirement Home—
Washington, District of Columbia, and the Armed Forces Retirement 
Home—Gulfport, Mississippi, to be paid from funds available in 
the Armed Forces Retirement Home Trust Fund, $80,000,000, to 
remain available until September 30, 2027, of which $2,072,000 
shall remain available until expended for construction and renova-
tion of the physical plants at the Armed Forces Retirement Home—
Washington, District of Columbia, and the Armed Forces Retirement 
Home—Gulfport, Mississippi: Provided, That of the amounts made 
available under this heading from funds available in the Armed 
Forces Retirement Home Trust Fund, $27,000,000 shall be paid 
from the general fund of the Treasury to the Trust Fund. 
ADMINISTRATIVE PROVISION 
SEC. 301. Amounts deposited into the special account estab-
lished under 10 U.S.C. 7727 are appropriated and shall be available 
until expended to support activities at the Army National Military 
Cemeteries. 
TITLE IV 
GENERAL PROVISIONS 
SEC. 401. No part of any appropriation contained in this Act 
shall remain available for obligation beyond the current fiscal year 
unless expressly so provided herein. 
SEC. 402. None of the funds made available in this Act may 
be used for any program, project, or activity, when it is made 
known to the Federal entity or official to which the funds are 
made available that the program, project, or activity is not in 
compliance with any Federal law relating to risk assessment, the 
protection of private property rights, or unfunded mandates. 
SEC. 403. All departments and agencies funded under this 
Act are encouraged, within the limits of the existing statutory 
authorities and funding, to expand their use of ‘‘E-Commerce’’ tech-
nologies and procedures in the conduct of their business practices 
and public service activities. 
SEC. 404. Unless stated otherwise, all reports and notifications 
required by this Act shall be submitted to the Subcommittee on 
Military Construction and Veterans Affairs, and Related Agencies 
of the Committee on Appropriations of the House of Representatives 
and the Subcommittee on Military Construction and Veterans 
Affairs, and Related Agencies of the Committee on Appropriations 
of the Senate. 
SEC. 405. None of the funds made available in this Act may 
be transferred to any department, agency, or instrumentality of 
the United States Government except pursuant to a transfer made 
by, or transfer authority provided in, this or any other appropria-
tions Act. 
SEC. 406. None of the funds made available in this Act may 
be used for a project or program named for an individual serving
H. R. 5371—131
as a Member, Delegate, or Resident Commissioner of the United 
States House of Representatives. 
SEC. 407. (a) Any agency receiving funds made available in 
this Act, shall, subject to subsections (b) and (c), post on the public 
Web site of that agency any report required to be submitted by 
the Congress in this or any other Act, upon the determination 
by the head of the agency that it shall serve the national interest. 
(b) Subsection (a) shall not apply to a report if—
(1) the public posting of the report compromises national 
security; or 
(2) the report contains confidential or proprietary informa-
tion. 
(c) The head of the agency posting such report shall do so 
only after such report has been made available to the requesting 
Committee or Committees of Congress for no less than 45 days. 
SEC. 408. (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 exchanging 
of pornography. 
(b) Nothing in subsection (a) shall limit the use of funds nec-
essary for any Federal, State, tribal, or local law enforcement agency 
or any other entity carrying out criminal investigations, prosecution, 
or adjudication activities. 
SEC. 409. None of the funds made available in this Act may 
be used by an agency of the executive branch to pay for first-
class travel by an employee of the agency in contravention of 
sections 301–10.122 through 301–10.124 of title 41, Code of Federal 
Regulations. 
SEC. 410. None of the funds made available in this Act may 
be used to execute a contract for goods or services, including 
construction services, where the contractor has not complied with 
Executive Order No. 12989. 
SEC. 411. None of the funds made available by this Act may 
be used in contravention of section 101(e)(8) of title 10, United 
States Code. 
SEC. 412. (a) IN GENERAL.—None of the funds appropriated 
or otherwise made available to the Department of Defense in this 
Act may be used to construct, renovate, or expand any facility 
in the United States, its territories, or possessions to house any 
individual detained at United States Naval Station, Guanta´namo 
Bay, Cuba, for the purposes of detention or imprisonment in the 
custody or under the control of the Department of Defense. 
(b) The prohibition in subsection (a) shall not apply to any 
modification 
of 
facilities 
at 
United 
States 
Naval 
Station, 
Guanta´namo Bay, Cuba. 
(c) An individual described in this subsection is any individual 
who, as of June 24, 2009, is located at United States Naval Station, 
Guanta´namo Bay, Cuba, and who—
(1) is not a citizen of the United States or a member 
of the Armed Forces of the United States; and 
(2) is—
(A) in the custody or under the effective control of 
the Department of Defense; or 
(B) otherwise under detention at United States Naval 
Station, Guanta´namo Bay, Cuba. 
SEC. 413. None of the funds made available by this Act may 
be used by the Secretary of Veterans Affairs under section 5502
H. R. 5371—132
of title 38, United States Code, in any case arising out of the 
administration by the Secretary of laws and benefits under such 
title, to report a person who is deemed mentally incapacitated, 
mentally incompetent, or to be experiencing an extended loss of 
consciousness as a person who has been adjudicated as a mental 
defective under subsection (d)(4) or (g)(4) of section 922 of title 
18, United States Code, without the order or finding of a judge, 
magistrate, or other judicial authority of competent jurisdiction 
that such person is a danger to himself or herself or others. 
SEC. 414. None of the funds appropriated by this Act may 
be used in any way, directly or indirectly, to influence congressional 
action on any legislation or appropriation matter pending before 
Congress, other than to communicate to Members of Congress as 
described in 18 U.S.C. 1913. 
SEC. 415. The Secretary of Veterans Affairs shall ensure that 
the policies and requirements described in the transmittal sheet 
of the Veterans Health Administration published on August 8, 
2019, titled ‘‘Smoke-Free Policy for Employees at VA Health Care 
Facilities (VHA Directive 1085.01)’’ remain in effect. 
SEC. 416. (a) Each department or agency funded in this or 
any other appropriations Act for fiscal year 2026 shall, no later 
than 60 days after enactment of this Act, report to the Committees 
on Appropriations of the House of Representatives and the Senate 
on funds that are allotted and available for obligation as of the 
end of the reporting period and on obligations as of the end of 
the reporting period: Provided, That such report shall be delineated 
by: (1) program, project, and activity level; (2) public law making 
such funds available; and (3) period of availability: Provided further, 
That such reports shall be transmitted to the Committees monthly 
thereafter, on the fifteenth of each such month, during the period 
of availability of the relevant funds. 
(b) The term ‘‘reporting period’’ as used in this section means 
the month that precedes the date on which the department or 
agency transmits the report to the Committees. 
This division may be cited as the ‘‘Military Construction, Vet-
erans Affairs, and Related Agencies Appropriations Act, 2026’’. 
DIVISION E—EXTENSION OF 
AGRICULTURAL PROGRAMS 
SEC. 5001. UNITED STATES GRAIN STANDARDS ACT EXTENSION. 
(a) Sections 7(j)(5), 7A(l)(4), and 21(e) of the United States 
Grain Standards Act (7 U.S.C. 79(j)(5), 79a(l)(4), 87j(e)) shall be 
applied by substituting ‘‘January 30, 2026’’ for ‘‘September 30, 2025’’ 
each place it appears. 
(b) Sections 7D and 19(a) of the United States Grain Standards 
Act (7 U.S.C. 79d, 87h(a)) shall be applied by substituting ‘‘2026’’ 
for ‘‘2025’’ each place it appears. 
SEC. 5002. EXTENSION OF AGRICULTURAL PROGRAMS. 
(a) EXTENSION.—
(1) IN GENERAL.—Except as otherwise provided in this sec-
tion and the amendments made by this section, notwithstanding 
any other provision of law, the authorities (including any limita-
tions on such authorities) provided by each provision of the 
Agriculture Improvement Act of 2018 (Public Law 115–334;
H. R. 5371—133
132 Stat. 4490) and each provision of law amended by that 
Act (and for mandatory programs at such funding levels) as 
in effect (including pursuant to section 4101 of division D 
of the American Relief Act, 2025 (Public Law 118–158; 138 
Stat. 1767)) on September 30, 2025, shall continue and be 
carried out until the date specified in paragraph (2). 
(2) DATE
SPECIFIED.—With respect to an authority 
described in paragraph (1), the date specified in this paragraph 
is the later of—
(A) September 30, 2026; 
(B) the date specified with respect to such authority 
in the Agriculture Improvement Act of 2018 (Public Law 
115–334; 132 Stat. 4490) or a provision of law amended 
by that Act (Public Law 115–334; 132 Stat. 4490), including 
any amendments made to such provisions by—
(i) titles I and V of Public Law 119–21 (139 Stat. 
80, 137); 
(ii) the Expanding Public Lands Outdoor Recre-
ation Experiences Act (Public Law 118–234; 138 Stat. 
2836); and 
(iii) any other provisions of law enacted after the 
Agriculture Improvement Act of 2018 (Public Law 115–
334; 132 Stat. 4490); and 
(C) the date in effect with respect to such authority 
pursuant to section 4101 of division D of the American 
Relief Act, 2025 (Public Law 118–158; 138 Stat. 1767)). 
(b) DISCRETIONARY PROGRAMS.—Programs carried out using the 
authorities described in subsection (a)(1) that are funded by discre-
tionary appropriations (as defined in section 250(c) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c))) 
shall be subject to the availability of appropriations. 
(c) COMMODITY PROGRAMS.—
(1) DAIRY FORWARD PRICING PROGRAM.—Section 1502(e)(2) 
of the Food, Conservation, and Energy Act of 2008 (7 U.S.C. 
8772(e)(2)) is amended by striking ‘‘2028’’ and inserting ‘‘2029’’. 
(2) SUSPENSION OF PERMANENT PRICE SUPPORT AUTHORI-
TIES.—The provisions of law specified in—
(A) subsections (a) and (b) of section 1602 of the Agri-
cultural Act of 2014 (7 U.S.C. 9092)—
(i) shall not be applicable to the 2026 crops of 
covered commodities (as defined in section 1111 of 
that Act (7 U.S.C. 9011)), cotton, and sugar; and 
(ii) shall not be applicable to milk through 
December 31, 2026; and 
(B) section 1602(c) of that Act (7 U.S.C. 9092(c)) shall 
not be applicable to the crops of wheat planted for harvest 
in calendar year 2026. 
(d) OTHER PROGRAMS.—
(1) TRADE.—Section 302(h)(2) of the Bill Emerson Humani-
tarian Trust Act (7 U.S.C. 1736f–1(h)(2)) is amended by striking 
‘‘September 30, 2025’’ and inserting ‘‘September 30, 2026’’. 
(2) GRAZINGLANDS RESEARCH LABORATORY.—Section 7502 
of the Food, Conservation, and Energy Act of 2008 (Public 
Law 110–246; 122 Stat. 2019; 132 Stat. 4817; 138 Stat. 1769) 
is amended by striking ‘‘2025’’ and inserting ‘‘2026’’. 
(3) ENERGY.—Section 9010(b) of the Farm Security and 
Rural Investment Act of 2002 (7 U.S.C. 8110(b)) is amended
H. R. 5371—134
in paragraphs (1)(A) and (2)(A) by striking ‘‘2025’’ each place 
it appears and inserting ‘‘2026’’. 
(e) EXCEPTIONS.—
(1) COMMODITIES.—Subsection (a) does not apply with 
respect to mandatory funding under section 1614(c)(4) of the 
Agricultural Act of 2014 (7 U.S.C. 9097(c)(4)). 
(2) CONSERVATION.—
(A) MANDATORY
FUNDING.—Subsection (a) does not 
apply with respect to mandatory funding under the fol-
lowing provisions of law: 
(i) Section 1240O(b)(3) of the Food Security Act 
of 1985 (16 U.S.C. 3839bb–2(b)(3)). 
(ii) Subparagraphs (A) and (B) of section 1241(a)(1) 
of the Food Security Act of 1985 (16 U.S.C. 3841(a)(1)) 
for fiscal years 2025 and 2026. 
(B) LIMITATIONS.—Subsection (a) does not apply with 
respect to limitations under the following provisions of 
law: 
(i) Section 1240G of the Food Security Act of 1985 
(16 U.S.C. 3839aa–7). 
(ii) Section 1240L(f) of the Food Security Act of 
1985 (16 U.S.C. 3839aa–24(f)). 
(3) RURAL DEVELOPMENT.—Subsection (a) does not apply 
with respect to mandatory funding under section 313B(e)(2) 
of the Rural Electrification Act of 1936 (7 U.S.C. 940c–2(e)(2)). 
(4) RESEARCH.—Subsection (a) does not apply with respect 
to mandatory funding under the following provisions of law: 
(A) Section 1446(b)(1) of the National Agricultural 
Research, Extension, and Teaching Policy Act of 1977 (7 
U.S.C. 3222a(b)(1)). 
(B) Section 7601(g)(1)(A) of the Agricultural Act of 
2014 (7 U.S.C. 5939(g)(1)(A)). 
(5) ENERGY.—Subsection (a) does not apply with respect 
to mandatory funding under the following provisions of law: 
(A) Section 9002(k)(1) of the Farm Security and Rural 
Investment Act of 2002 (7 U.S.C. 8102(k)(1)). 
(B) Section 9003(g)(1)(A) of the Farm Security and 
Rural Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)). 
(6) HORTICULTURE.—Subsection (a) does not apply with 
respect to mandatory funding under the following provisions 
of law: 
(A) Section 2123(c)(4) of the Organic Foods Production 
Act of 1990 (7 U.S.C. 6522(c)(4)). 
(B) Section 10109(c)(1) of the Agriculture Improvement 
Act of 2018 (Public Law 115–334). 
(7) MISCELLANEOUS.—Subsection (a) does not apply with 
respect to mandatory funding under section 209(c) of the Agri-
cultural Marketing Act of 1946 (7 U.S.C. 1627a(c)). 
(f) REPORTS.—
(1) IN GENERAL.—Subject to paragraph (2), any requirement 
under a provision of law described in paragraph (1) of sub-
section (a) to submit a report on a recurring basis, and the 
final report under which was required to be submitted during 
fiscal year 2025, shall continue, and the requirement shall 
be carried out, on the same recurring basis, until the later 
of the dates specified in paragraph (2) of that subsection.
H. R. 5371—135
(2) APPROPRIATIONS REQUIRED.—If discretionary appropria-
tions (as defined in section 250(c) of the Balanced Budget 
and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c))) 
are required to carry out a reporting requirement described 
in paragraph (1), the application of that paragraph to that 
reporting requirement shall be subject to the availability of 
appropriations. 
(g) EFFECTIVE DATE.—This section and the amendments made 
by this section shall be applied and administered as if this section 
and those amendments had been enacted on September 30, 2025. 
DIVISION F—HEALTH EXTENDERS 
TITLE I—PUBLIC HEALTH EXTENDERS 
SEC. 6101. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL 
HEALTH SERVICE CORPS, AND TEACHING HEALTH CEN-
TERS THAT OPERATE GME PROGRAMS. 
(a) EXTENSION
FOR COMMUNITY HEALTH CENTERS.—Section 
10503(b)(1) of the Patient Protection and Affordable Care Act (42 
U.S.C. 254b–2(b)(1)) is amended—
(1) in subparagraph (I), by striking ‘‘and’’ at the end; and 
(2) by adding at the end the following: 
‘‘(K) $1,423,890,411 for the period beginning on October 
1, 2025, and ending on January 30, 2026; and’’. 
(b) EXTENSION FOR THE NATIONAL HEALTH SERVICE CORPS.—
Section 10503(b)(2) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 254b–2(b)(2)) is amended—
(1) in subparagraph (J), by striking ‘‘and’’ at the end; 
(2) in subparagraph (K), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(L) $115,315,068 for the period beginning on October 
1, 2025, and ending on January 30, 2026.’’. 
(c) TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MED-
ICAL EDUCATION PROGRAMS.—Section 340H(g)(1) of the Public 
Health Service Act (42 U.S.C. 256h(g)(1)) is amended—
(1) in subparagraph (E), by striking ‘‘and’’ at the end; 
(2) in subparagraph (F), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(G) $58,493,151 for the period beginning on October 
1, 2025, and ending on January 30, 2026.’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appropriated pursu-
ant 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.). 
(e) CONFORMING AMENDMENT.—Section 3014(h)(4) of title 18, 
United States Code, is amended by striking ‘‘and section 2101(d) 
of division B of the Full-Year Continuing Appropriations and Exten-
sions Act, 2025’’ and inserting ‘‘section 2101(d) of division B of 
the Full-Year Continuing Appropriations and Extensions Act, 2025, 
and section 6101(d) of the Continuing Appropriations, Agriculture, 
Legislative Branch, Military Construction and Veterans Affairs, 
and Extensions Act, 2026’’.
H. R. 5371—136
SEC. 6102. EXTENSION OF SPECIAL DIABETES PROGRAMS. 
(a) EXTENSION OF SPECIAL DIABETES PROGRAMS FOR TYPE I 
DIABETES.—Section 330B(b)(2) of the Public Health Service Act 
(42 U.S.C. 254c–2(b)(2)) is amended—
(1) in subparagraph (F), by striking ‘‘and’’ at the end; 
(2) in subparagraph (G), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(H) $53,145,205 for the period beginning on October 
1, 2025, and ending on January 30, 2026, to remain avail-
able 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 (F), by striking ‘‘and’’ at the end; 
(2) in subparagraph (G), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(H) $53,145,205 for the period beginning on October 
1, 2025, and ending on January 30, 2026, to remain avail-
able until expended.’’. 
SEC. 6103. 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 ‘‘September 30, 2025’’ and 
inserting ‘‘January 30, 2026’’. 
(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 ‘‘September 30, 
2025’’ and inserting ‘‘January 30, 2026’’. 
(c) Section 319L–1(b) of the Public Health Service Act (42 
U.S.C. 247d–7f(b)) is amended by striking ‘‘September 30, 2025’’ 
and inserting ‘‘January 30, 2026’’. 
(d)(1) Section 2811A(g) of the Public Health Service Act (42 
U.S.C. 300hh–10b(g)) is amended by striking ‘‘September 30, 2025’’ 
and inserting ‘‘January 30, 2026’’. 
(2) Section 2811B(g)(1) of the Public Health Service Act (42 
U.S.C. 300hh–10c(g)(1)) is amended by striking ‘‘September 30, 
2025’’ and inserting ‘‘January 30, 2026’’. 
(3) Section 2811C(g)(1) of the Public Health Service Act (42 
U.S.C. 300hh–10d(g)(1)) is amended by striking ‘‘September 30, 
2025’’ and inserting ‘‘January 30, 2026’’. 
(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 ‘‘September 30, 
2025’’ and inserting ‘‘January 30, 2026’’. 
TITLE II—MEDICARE 
SEC. 6201. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT 
ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS. 
(a) IN GENERAL.—Section 1886(d)(12) of the Social Security 
Act (42 U.S.C. 1395ww(d)(12)) is amended—
(1) in subparagraph (B), by striking ‘‘in fiscal year 2026’’ 
and inserting ‘‘during the portion of fiscal year 2026 beginning 
on January 31, 2026, and ending on September 30, 2026, and 
in fiscal year 2027’’; 
(2) in subparagraph (C)(i)—
H. R. 5371—137
(A) in the matter preceding subclause (I)—
(i) by inserting ‘‘or portion of a fiscal year’’ after 
‘‘for a fiscal year’’; and 
(ii) by inserting ‘‘and the portion of fiscal year 
2026 beginning on October 1, 2025, and ending on 
January 30, 2026’’ after ‘‘through 2025’’; 
(B) in subclause (III), by inserting ‘‘and the portion 
of fiscal year 2026 beginning on October 1, 2025, and 
ending on January 30, 2026’’ after ‘‘through 2025’’; and 
(C) in subclause (IV), by striking ‘‘fiscal year 2026’’ 
and inserting ‘‘the portion of fiscal year 2026 beginning 
on January 31, 2026, and ending on September 30, 2026, 
and fiscal year 2027’’; and 
(3) in subparagraph (D)—
(A) in the matter preceding clause (i), by inserting 
‘‘or during the portion of fiscal year 2026 beginning on 
October 1, 2025, and ending on January 30, 2026’’ after 
‘‘through 2025’’; and 
(B) in clause (ii), by inserting ‘‘and the portion of 
fiscal year 2026 beginning on October 1, 2025, and ending 
on January 30, 2026’’ after ‘‘through 2025’’. 
(b) IMPLEMENTATION.—Notwithstanding any other provision of 
law, the Secretary of Health and Human Services may implement 
the amendments made by this section by program instruction or 
otherwise. 
SEC. 6202. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL 
(MDH) PROGRAM. 
(a) IN GENERAL.—Section 1886(d)(5)(G) of the Social Security 
Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—
(1) in clause (i), by striking ‘‘October 1, 2025’’ and inserting 
‘‘January 31, 2026’’; and 
(2) in clause (ii)(II), by striking ‘‘October 1, 2025’’ and 
inserting ‘‘January 31, 2026’’. 
(b) CONFORMING AMENDMENTS.—
(1) IN GENERAL.—Section 1886(b)(3)(D) of the Social Secu-
rity Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—
(A) in the matter preceding clause (i), by striking 
‘‘October 1, 2025’’ and inserting ‘‘January 31, 2026’’; and 
(B) in clause (iv), by inserting ‘‘and the portion of 
fiscal year 2026 beginning on October 1, 2025, and ending 
on January 30, 2026’’ after ‘‘through fiscal year 2025’’. 
(2) PERMITTING HOSPITALS TO DECLINE RECLASSIFICATION.—
Section 13501(e)(2) of the Omnibus Budget Reconciliation Act 
of 1993 (42 U.S.C. 1395ww note) is amended by inserting 
‘‘, or the portion of fiscal year 2026 beginning on October 
1, 2025, and ending on January 30, 2026’’ after ‘‘through fiscal 
year 2025’’. 
SEC. 6203. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSE-
MENT, 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 $14,030,000’’ and inserting 
‘‘$14,030,000’’; and 
(B) by inserting the following before the period at 
the end: ‘‘, and $13,300,000 for fiscal year 2026’’; and