II 
Calendar No. 552 
116TH CONGRESS 
2D SESSION 
H. R. 8337 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 22, 2020 
Received; read the first time 
SEPTEMBER 23, 2020 
Read the second time and placed on the calendar 
AN ACT 
Making 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 ‘‘Continuing Appropria-
tions 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. 
DIVISION A—CONTINUING APPROPRIATIONS ACT, 2021 
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DIVISION B—SURFACE TRANSPORTATION PROGRAM EXTENSION 
Title I—Surface Transportation Programs 
Title II—Trust Funds 
DIVISION C—HEALTH EXTENDERS 
Title I—Public Health Extenders 
Title II—Medicare Extenders 
Title III—Medicaid Extenders 
Title IV—Medicare Part B Premium Adjustment 
Title V—Accelerated and Advance Payment Programs 
Title VI—Offsets 
DIVISION D—OTHER MATTERS 
Title I—Emergency Stopgap USCIS Stabilization Act 
Title II—United States Parole Commission Extension 
Title III—Antitrust Criminal Penalty Enhancement and Reform Permanent Ex-
tension Act 
Title IV—Community Services and Supports 
Title V—Budgetary Effects 
Title VI—Nutrition and Commodities Programs 
DIVISION E—DEPARTMENT OF VETERANS AFFAIRS EXTENSIONS 
Title I—Extensions of Authorities Relating to Health Care 
Title II—Extensions of Authorities Relating to Benefits 
Title III—Extensions of Authorities Relating to Homeless Veterans 
Title IV—Extensions of Other Authorities and Other Matters 
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—CONTINUING 
APPROPRIATIONS ACT, 2021 
The following sums are hereby appropriated, out of 
any money in the Treasury not otherwise appropriated, 
and out of applicable corporate or other revenues, receipts, 
and funds, for the several departments, agencies, corpora-
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tions, and other organizational units of Government for 
fiscal year 2021, and for other purposes, namely: 
SEC. 101. Such amounts as may be necessary, at a 
rate for operations as provided in the applicable appro-
priations Acts for fiscal year 2020 and under the authority 
and conditions provided in such Acts, for continuing 
projects or activities (including the costs of direct loans 
and loan guarantees) that are not otherwise specifically 
provided for in this Act, that were conducted in fiscal year 
2020, and for which appropriations, funds, or other au-
thority were made available in the following appropriations 
Acts: 
(1) The Agriculture, Rural Development, Food 
and Drug Administration, and Related Agencies Ap-
propriations Act, 2020 (division B of Public Law 
116–94), except sections 791 and 792. 
(2) The Commerce, Justice, Science, and Re-
lated Agencies Appropriations Act, 2020 (division B 
of Public Law 116–93), except the last proviso 
under the heading ‘‘Department of Commerce—Bu-
reau of the Census—Periodic Censuses and Pro-
grams’’. 
(3) The Department of Defense Appropriations 
Act, 2020 (division A of Public Law 116–93), except 
title X. 
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(4) The Energy and Water Development and 
Related Agencies Appropriations Act, 2020 (division 
C of Public Law 116–94). 
(5) The Financial Services and General Govern-
ment Appropriations Act, 2020 (division C of Public 
Law 116–93). 
(6) The Department of Homeland Security Ap-
propriations Act, 2020 (division D of Public Law 
116–93) (except for amounts in title II of division 
D of Public Law 116–93 that were designated by 
the Congress as being for an emergency requirement 
pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 
1985), and title I of division I of Public Law 116– 
94. 
(7) The Department of the Interior, Environ-
ment, and Related Agencies Appropriations Act, 
2020 (division D of Public Law 116–94). 
(8) The Departments of Labor, Health and 
Human Services, and Education, and Related Agen-
cies Appropriations Act, 2020 (division A of Public 
Law 116–94). 
(9) The Legislative Branch Appropriations Act, 
2020 (division E of Public Law 116–94), and sec-
tion 7 of Public Law 116–94. 
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of fiscal year 2021 because of distributions of funding to 
States, foreign countries, grantees, or others, such high 
initial rates of operation or complete distribution shall not 
be made, and no grants shall be awarded for such pro-
grams funded by this Act that would impinge on final 
funding prerogatives. 
SEC. 110. This Act shall be implemented so that only 
the most limited funding action of that permitted in the 
Act shall be taken in order to provide for continuation of 
projects and activities. 
SEC. 111. (a) For entitlements and other mandatory 
payments whose budget authority was provided in appro-
priations Acts for fiscal year 2020, and for activities under 
the Food and Nutrition Act of 2008, activities shall be 
continued at the rate to maintain program levels under 
current law, under the authority and conditions provided 
in the applicable appropriations Act for fiscal year 2020, 
to be continued through the date specified in section 
106(3). 
(b) Notwithstanding section 106, obligations for man-
datory payments due on or about the first day of any 
month that begins after October 2020 but not later than 
30 days after the date specified in section 106(3) may con-
tinue to be made, and funds shall be available for such 
payments. 
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SEC. 112. Amounts made available under section 101 
for civilian personnel compensation and benefits in each 
department and agency may be apportioned up to the rate 
for operations necessary to avoid furloughs within such de-
partment or agency, consistent with the applicable appro-
priations Act for fiscal year 2020, except that such author-
ity provided under this section shall not be used until after 
the department or agency has taken all necessary actions 
to reduce or defer non-personnel-related administrative ex-
penses. 
SEC. 113. Funds appropriated by this Act may be 
obligated and expended notwithstanding section 10 of 
Public Law 91–672 (22 U.S.C. 2412), section 15 of the 
State Department Basic Authorities Act of 1956 (22 
U.S.C. 2680), section 313 of the Foreign Relations Au-
thorization Act, Fiscal Years 1994 and 1995 (22 U.S.C. 
6212), and section 504(a)(1) of the National Security Act 
of 1947 (50 U.S.C. 3094(a)(1)). 
SEC. 114. (a) Each amount incorporated by reference 
in this Act that was previously designated by the Congress 
for Overseas Contingency Operations/Global War on Ter-
rorism or as an emergency requirement pursuant to sec-
tion 251(b)(2)(A) of the Balanced Budget and Emergency 
Deficit Control Act of 1985 or as being for disaster relief 
pursuant to section 251(b)(2)(D) of such Act is des-
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ignated by the Congress for Overseas Contingency Oper-
ations/Global War on Terrorism or as an emergency re-
quirement pursuant to section 251(b)(2)(A) of such Act 
or as being for disaster relief pursuant to section 
251(b)(2)(D) of such Act, respectively. 
(b) Section 6 of Public Law 116–94 shall apply to 
amounts designated in subsection (a) and sections 126 
and 163 of this Act for Overseas Contingency Operations/ 
Global War on Terrorism or as an emergency requirement. 
(c) This section shall become effective immediately 
upon enactment of this Act, and shall remain in effect 
through the date in section 106(3). 
SEC. 115. (a) Rescissions or cancellations of discre-
tionary budget authority that continue pursuant to section 
101 in Treasury Appropriations Fund Symbols (TAFS)— 
(1) to which other appropriations are not pro-
vided by this Act, but for which there is a current 
applicable TAFS that does receive an appropriation 
in this Act; or 
(2) which are no-year TAFS and receive other 
appropriations in this Act, 
may be continued instead by reducing the rate for oper-
ations otherwise provided by section 101 for such current 
applicable TAFS, as long as doing so does not impinge 
on the final funding prerogatives of the Congress. 
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(b) Rescissions or cancellations described in sub-
section (a) shall continue in an amount equal to the lesser 
of— 
(1) the amount specified for rescission or can-
cellation in the applicable appropriations Act ref-
erenced in section 101 of this Act; or 
(2) the amount of balances available, as of Oc-
tober 1, 2020, from the funds specified for rescission 
or cancellation in the applicable appropriations Act 
referenced in section 101 of this Act. 
(c) No later than November 20, 2020, the Director 
of the Office of Management and Budget shall provide to 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate a comprehensive list of the 
rescissions or cancellations that will continue pursuant to 
section 101: Provided, That the information in such com-
prehensive list shall be periodically updated to reflect any 
subsequent changes in the amount of balances available, 
as of October 1, 2020, from the funds specified for rescis-
sion or cancellation in the applicable appropriations Act 
referenced in section 101, and such updates shall be trans-
mitted to the Committees on Appropriations of the House 
of Representatives and the Senate upon request. 
SEC. 116. Notwithstanding section 101, amounts are 
available in the ‘‘Rural Utilities Service—Rural Water and 
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Waste Disposal Program Account’’ of the Department of 
Agriculture for gross obligations for the principal amount 
of direct and guaranteed loans as authorized by section 
306 and described in section 381E(d)(2) of the Consoli-
dated Farm and Rural Development Act, as follows: 
$1,400,000,000 for direct loans; and $50,000,000 for 
guaranteed loans. 
SEC. 117. Amounts made available by section 101 for 
‘‘Department of Agriculture—Food and Nutrition Serv-
ice—Child Nutrition Programs’’ to carry out section 
749(g) of the Agriculture, Rural Development, Food and 
Drug Administration, and Related Agencies Appropria-
tions Act, 2010 (Public Law 111–80) may be apportioned 
up to the rate for operations necessary to ensure that the 
program can be fully operational by May 2021. 
SEC. 118. Amounts made available by section 101 for 
‘‘Department of Agriculture—Domestic Food Programs— 
Food and Nutrition Service—Commodity Assistance Pro-
gram’’ may be apportioned up to the rate for operations 
necessary to maintain current program caseload in the 
Commodity Supplemental Food Program. 
SEC. 119. Amounts made available by section 101 for 
‘‘Farm Service Agency—Agricultural Credit Insurance 
Fund Program Account’’ may be apportioned up to the 
rate for operations necessary to accommodate approved 
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applications for direct and guaranteed farm ownership 
loans, as authorized by 7 U.S.C. 1922 et seq. 
SEC. 120. Section 260 of the Agricultural Marketing 
Act of 1946 (7 U.S.C. 1636i) and section 942 of the Live-
stock Mandatory Reporting Act of 1999 (7 U.S.C. 1635 
note; Public Law 106–78) shall be applied by substituting 
the date specified in section 106(3) of this Act for ‘‘Sep-
tember 30, 2020’’. 
SEC. 121. (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 
the date specified in section 106(3) of this Act for ‘‘Sep-
tember 30, 2020’’ each place it appears. 
(b) Sections 7D and 19 of the United States Grain 
Standards Act (7 U.S.C. 79d, 87h) shall be applied by 
substituting ‘‘2021’’ for ‘‘2020’’. 
SEC. 122. Section 7605(b) of the Agriculture Im-
provement Act of 2018 (7 U.S.C. 5940 note; Public Law 
115–334) is amended by striking ‘‘the date that is 1 year 
after the date on which the Secretary establishes a plan 
under section 297C of the Agricultural Marketing Act of 
1946’’ and inserting ‘‘September 30, 2021’’. 
SEC. 123. Notwithstanding section 101, the second 
paragraph under the heading ‘‘Department of Health and 
Human Services—Food and Drug Administration—Sala-
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ries and Expenses’’ in title VI of division B of Public Law 
116–94 shall be applied by striking ‘‘, contingent upon the 
enactment of the Over-the-Counter Monograph User Fee 
Act of 2019,’’. 
SEC. 124. Notwithstanding section 101, amounts are 
provided for ‘‘Department of Commerce—Bureau of the 
Census—Periodic Censuses and Programs’’ at a rate for 
operations of $1,514,709,000: Provided, That amounts 
made available under such heading by this Act may be 
apportioned up to the rate for operations necessary to con-
duct the 2020 Decennial Census Program. 
SEC. 125. (a)(1) Notwithstanding any other provision 
of this Act, the Secretary of the Navy may enter into a 
contract, beginning with fiscal year 2021, for the procure-
ment of up to two Columbia class submarines. 
(2) With respect to a contract entered into 
under subsection (a), the Secretary of the Navy may 
use incremental funding to make payments under 
the contract. 
(3) Any contract entered into under subsection 
(a) shall provide that— 
(A) any obligation of the United States to 
make a payment under the contract is subject 
to the availability of appropriations for that 
purpose; and 
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(B) total liability of the Federal Govern-
ment for termination of any contract entered 
into shall be limited to the total amount of 
funding obligated to the contract at time of ter-
mination. 
(b) Notwithstanding sections 102 and 104, amounts 
made available by section 101 to the Department of De-
fense for ‘‘Shipbuilding and Conversion, Navy’’ may be ap-
portioned up to the rate for operations necessary for 
‘‘Ohio Replacement Submarine (Full Funding)’’ in an 
amount not to exceed $1,620,270,000. 
SEC. 126. (a) The remaining unobligated balances of 
funds as of September 30, 2020, from amounts made 
available to ‘‘Department of Defense—Other Department 
of Defense Programs—Office of the Inspector General’’ 
in title III of division B of the CARES Act (Public Law 
116–136), are hereby rescinded, and, in addition to 
amounts otherwise provided by section 101, an amount of 
additional new budget authority equivalent to the amount 
rescinded pursuant to this subsection is hereby appro-
priated on September 30, 2020, for an additional amount 
for fiscal year 2020, to remain available until September 
30, 2021, and shall be available for the same purposes, 
in addition to other funds as may be available for such 
purposes, and under the same authorities for which the 
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funds were originally provided in Public Law 116–136: 
Provided, That the amounts rescinded pursuant to this 
subsection that were previously designated by the Con-
gress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985 are designated by the Con-
gress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of that Act: Provided further, That such 
amount is designated by the Congress as being for an 
emergency 
requirement 
pursuant 
to 
section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
(b)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, or if the designation in section 114(b) occurs 
after September 30, 2020, this section shall be ap-
plied as if it were in effect on September 30, 2020. 
SEC. 127. (a) No funds shall be transferred directly 
from ‘‘Department of Energy—Power Marketing Admin-
istration—Colorado River Basins Power Marketing Fund, 
Western Area Power Administration’’ to the general fund 
of the Treasury in fiscal year 2020. 
(b)(1) This section shall become effective immediately 
upon enactment of this Act. 
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(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 128. (a) Section 104(c) of the Reclamation 
States Emergency Drought Relief Act of 1991 (43 U.S.C. 
2214(c)) shall be applied by substituting the date specified 
in section 106(3) of this Act for ‘‘September 30, 2020’’. 
(b) Section 301 of the Reclamation States Emergency 
Drought Relief Act of 1991 (43 U.S.C. 2241) shall be ap-
plied by substituting ‘‘2006 through 2021’’ for ‘‘2006 
through 2020’’. 
SEC. 129. Section 3007(a)(5)(A)(i)(II)(bb) of the 
Scholarships for Opportunity and Results Act (sec. 38– 
1853.07(a)(5)(A)(i)(II)(bb), D.C. Official Code) is amend-
ed by striking ‘‘5 years’’ and inserting ‘‘6 years’’. 
SEC. 130. Notwithstanding any other provision of 
this Act, except section 106, the District of Columbia may 
expend local funds made available under the heading ‘‘Dis-
trict of Columbia—District of Columbia Funds’’ for such 
programs and activities under the District of Columbia 
Appropriations Act, 2020 (title IV of division C of Public 
Law 116–93) at the rate set forth in the Fiscal Year 2021 
Local Budget Act of 2020 (D.C. Act 23–408), as modified 
as of the date of enactment of this Act. 
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SEC. 131. In addition to the amounts otherwise pro-
vided by section 101, for ‘‘District of Columbia—Federal 
Payment for Emergency Planning and Security Costs in 
the District of Columbia’’, there is appropriated 
$13,000,000, for an additional amount for fiscal year 
2021, to remain available until expended, for costs associ-
ated with the Presidential Inauguration held in January 
2021. 
SEC. 132. Notwithstanding section 101, the matter 
preceding the first proviso under the heading ‘‘Small Busi-
ness Administration—Business Loans Program Account’’ 
in title V of division C of Public Law 116–93 shall be 
applied by substituting ‘‘$15,000,000’’ for ‘‘$99,000,000’’ 
and the third proviso shall be applied as if the language 
read as follows: ‘‘Provided further, That commitments for 
general business loans authorized under paragraphs (1) 
through (35) of section 7(a) of the Small Business Act 
shall not exceed $30,000,000,000 for a combination of 
amortizing term loans and the aggregated maximum line 
of credit provided by revolving loans:’’: Provided, That 
amounts made available under such heading by this Act 
may be apportioned up to the rate for operations necessary 
to accommodate increased demand for commitments for 
general business loans authorized under paragraphs (1) 
through (35) of section 7(a) of the Small Business Act 
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(15 U.S.C. 636(a)) and for commitments to guarantee 
loans for debentures under section 303(b) of the Small 
Business Investment Act of 1958 (15 U.S.C 683(b)). 
SEC. 133. Amounts made available by section 101 for 
‘‘Small Business Administration—Disaster Loans Pro-
gram Account’’ may be apportioned up to the rate for op-
erations necessary to accommodate increased demand for 
commitments for disaster administrative expenses. 
SEC. 134. (a) Notwithstanding section 101, amounts 
are provided for ‘‘General Services Administration—Ex-
penses, Presidential Transition’’ for necessary expenses to 
carry out the Presidential Transition Act of 1963 (3 
U.S.C. 102 note), at a rate for operations of $9,900,000, 
of which not to exceed $1,000,000 is for activities author-
ized by sections 3(a)(8) and 3(a)(9) of such Act: Provided, 
That such amounts may be transferred and credited to 
the ‘‘Acquisition Services Fund’’ or ‘‘Federal Buildings 
Fund’’ to reimburse obligations incurred prior to enact-
ment of this Act for the purposes provided herein related 
to the Presidential election in 2020: Provided further, That 
amounts available under this section shall be in addition 
to any other amounts available for such purposes. 
(b) Notwithstanding section 101, no funds are pro-
vided by this Act for ‘‘General Services Administration— 
Pre-Election Presidential Transition’’. 
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SEC. 135. Amounts made available by section 101 for 
‘‘General Services Administration—Real Property Activi-
ties—Federal Buildings Fund—Limitations on Avail-
ability of Revenue’’ may be apportioned up to the rate for 
operations necessary for monthly rental of space oper-
ations. 
SEC. 136. Notwithstanding section 101, for expenses 
of the Office of Administration to carry out the Presi-
dential Transition Act of 1963, as amended, and similar 
expenses, in addition to amounts otherwise appropriated 
by law, amounts are provided to ‘‘Presidential Transition 
Administrative Support’’ at a rate for operations of 
$8,000,000: Provided, That such funds may be trans-
ferred to other accounts that provide funding for offices 
within the Executive Office of the President and the Office 
of the Vice President in this Act or any other Act, to carry 
out such purposes: Provided further, That such amounts 
may be apportioned up to the rate for operations necessary 
to carry out such responsibilities. 
SEC. 137. In addition to amounts provided in section 
101, an additional amount is provided for ‘‘National Ar-
chives and Records Administration—Operating Expenses’’ 
to carry out transition responsibilities of the Archivist of 
the United States under sections 2201 through 2207 of 
title 44, United States Code (commonly known as the 
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‘‘Presidential Records Act of 1978’’) in the event of a 
Presidential Transition at a rate for operations of 
$18,000,000: Provided, That such amounts may be appor-
tioned up to the rate for operations necessary to carry out 
such responsibilities. 
SEC. 138. Amounts made available by section 101 for 
‘‘Office of Personnel Management—Salaries and Ex-
penses’’, including amounts to be transferred from the ap-
propriate trust funds of the Office of Personnel Manage-
ment without regard to other statutes, may be apportioned 
up to the rate for operations necessary to cover any ex-
pected shortfall in administrative expenses resulting from 
the transfer of the National Background Investigations 
Bureau function to the Department of Defense. 
SEC. 139. Section 2(b)(2)(C)(i) of the Temporary 
Bankruptcy Judgeships Extension Act of 2012 (28 U.S.C. 
152 note; Public Law 112–121) is amended (with regard 
to the 1st vacancy in the eastern district of Tennessee) 
by striking ‘‘5 years’’ and inserting ‘‘9 years’’. 
SEC. 140. Section 3610 of division A of the CARES 
Act (Public Law 116–136) shall be applied by substituting 
the date in section 106(3) of this Act for ‘‘September 30, 
2020’’. 
SEC. 141. Amounts made available by section 101 to 
the Department of Homeland Security for ‘‘Office of the 
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Secretary and Executive Management—Operations and 
Support’’, ‘‘Management Directorate—Operations and 
Support’’, and ‘‘Intelligence, Analysis, and Operations Co-
ordination—Operations and Support’’ may be apportioned 
up to the rate for operations necessary to carry out activi-
ties previously funded by the Working Capital Fund of 
the Department of Homeland Security, consistent with the 
fiscal year 2021 President’s Budget proposal, submitted 
pursuant to section 1105(a) of title 31, United States 
Code, and accompanying justification materials. 
SEC. 142. Amounts made available by section 101 to 
the Department of Homeland Security under the heading 
‘‘Coast Guard—Operations and Support’’ may be avail-
able for the pay and benefits of Coast Guard Yard and 
Vessel 
Documentation 
personnel, 
Non-Appropriated 
Funds personnel, and for Morale, Welfare and Recreation 
Programs. 
SEC. 143. Section 9307(f)(1) of title 46, United 
States Code shall be applied by substituting the date speci-
fied in section 106(3) of this Act for ‘‘September 30, 
2020’’. 
SEC. 144. Amounts made available by section 101 to 
the Department of Homeland Security under the heading 
‘‘Cybersecurity and Infrastructure Security Agency’’ may 
be obligated in the account and budget structure set forth 
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in H.R. 7669 and the accompanying House Report 116– 
458, as reported by the House Committee on Appropria-
tions on July 15, 2020. 
SEC. 145. Amounts made available by section 101 to 
the Department of Homeland Security under the heading 
‘‘Federal Emergency Management Agency—Disaster Re-
lief Fund’’ may be apportioned up to the rate for oper-
ations necessary to carry out response and recovery activi-
ties under the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5121 et seq.). 
SEC. 146. (a) Section 1309(a) of the National Flood 
Insurance Act of 1968 (42 U.S.C. 4016(a)) is amended 
by striking ‘‘September 30, 2019’’ and inserting ‘‘Sep-
tember 30, 2021’’. 
(b) Section 1319 of the National Flood Insurance Act 
of 1968 (42 U.S.C. 4026) is amended by striking ‘‘Sep-
tember 30, 2019’’ and inserting ‘‘September 30, 2021’’. 
(c)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 147. (a) Notwithstanding section 101, the fol-
lowing shall be applied by substituting ‘‘$0’’ for— 
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(1) ‘‘$32,300,000’’ in the first paragraph under 
the heading ‘‘Bureau of Land Management—Land 
Acquisition’’; 
(2) ‘‘$10,000,000’’, and ‘‘$320,000’’ in the first 
paragraph under the heading ‘‘United States Fish 
and Wildlife Service—Land Acquisition’’; 
(3) ‘‘$3,628,000’’ in the second paragraph 
under the heading ‘‘United States Fish and Wildlife 
Service—Land Acquisition’’; 
(4) ‘‘$30,800,000’’ and ‘‘$23,702,000’’ for 
‘‘$54,502,000’’ in the first paragraph under the 
heading ‘‘United States Fish and Wildlife Service— 
Cooperative 
Endangered 
Species 
Conservation 
Fund’’; 
(5) 
‘‘$208,400,000’’, 
‘‘$140,000,000’’, 
and 
‘‘$13,000,000’’ in the first paragraph under the 
heading ‘‘National Park Service—Land Acquisition 
and State Assistance’’; 
(6) ‘‘$63,990,000’’ and ‘‘$283,000,000’’ for 
‘‘$346,990,000’’ under the heading ‘‘Forest Serv-
ice—State and Private Forestry’’; and 
(7) ‘‘$78,898,000’’ in the first paragraph under 
the heading ‘‘Forest Service—Land Acquisition’’. 
(b) Notwithstanding section 101, the first paragraph 
under the heading ‘‘United States Fish and Wildlife Serv-
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ice—Land Acquisition’’ shall be applied by substituting 
‘‘$7,550,000’’ for ‘‘$70,715,000’’. 
(c) Amounts made available by section 101 to the De-
partment of the Interior for ‘‘Departmental Offices—Of-
fice of the Secretary—Departmental Operations’’ may be 
apportioned up to the rate for operations necessary to 
fund the Appraisal and Valuation Services Office and such 
amounts shall be derived from the Land and Water Con-
servation Fund. 
SEC. 148. Amounts made available by section 101 to 
the Forest Service may be obligated in the account and 
budget structure set forth in the table provided by the Sec-
retary of Agriculture to the Committees on Appropriations 
of the Senate and the House of Representatives prior to 
the end of fiscal year 2020 pursuant to section 435(d) 
of the Department of the Interior, Environment, and Re-
lated Agencies Appropriations Act, 2020 (division D of 
Public Law 116–94): Provided, That amounts made avail-
able by section 101 under the heading ‘‘Forest Service— 
National Forest System’’ shall be available for the base 
salary and expenses of employees that carry out the func-
tions funded by the ‘‘Capital Improvement and Mainte-
nance’’ account, the ‘‘Range Betterment Fund’’ account, 
and the ‘‘Management of National Forests for Subsistence 
Uses’’ account and may be apportioned up to the rate for 
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operations necessary to fund such base salary and ex-
penses of such employees. 
SEC. 149. Activities authorized by part A of title IV 
and section 1108(b) of the Social Security Act shall con-
tinue through the date specified in section 106(3) of this 
Act, in the manner authorized for fiscal year 2020, 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: Pro-
vided, That grants under section 418 of the Social Secu-
rity Act shall be issued on the same basis as grants under 
section 403(a)(1) of such Act. 
SEC. 150. (a) The remaining unobligated balances of 
funds as of September 30, 2020, from amounts credited 
and merged pursuant to the second proviso under the 
heading ‘‘Department of Health and Human Services— 
Centers for Disease Control and Prevention—Buildings 
and Facilities’’ in title II of the Departments of Labor, 
Health and Human Services, Education, and Related 
Agencies Appropriations Act, 2016 (division H of Public 
Law 114–113) are hereby rescinded, and, in addition to 
amounts otherwise provided by section 101, an amount of 
additional new budget authority equivalent to the amount 
rescinded pursuant to this subsection is hereby appro-
priated on September 30, 2020, for an additional amount 
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for fiscal year 2020, to remain available until September 
30, 2025, and shall be available for the same purposes, 
in addition to other funds as may be available for such 
purposes, and under the same authorities for which the 
funds were originally transferred and merged pursuant to 
Public Law 114–113. 
(b)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 151. (a) Notwithstanding section 101, section 
529 of division A of Public Law 116–94 shall be applied 
by substituting ‘‘$1,150,000,000’’ for ‘‘$3,169,819,000’’ 
and by substituting ‘‘section 2104(a)(24)’’ for ‘‘section 
2104(a)(23)’’. 
(b) Notwithstanding section 101, section 530 of divi-
sion A of Public Law 116–94 shall be applied by sub-
stituting ‘‘$11,005,661,000’’ for ‘‘$6,093,181,000’’. 
SEC. 152. (a) Funds made available in Public Law 
113–235 to the accounts of the National Institutes of 
Health that were available for obligation through fiscal 
year 2015 and were obligated for multi-year research 
grants shall be available through fiscal year 2021 for the 
liquidation of valid obligations incurred in fiscal year 2015 
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if the Director of the National Institutes of Health deter-
mines the project suffered an interruption of activities at-
tributable to SARS–CoV–2. 
(b)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 153. (a) Funds made available in Public Law 
113–76 under the heading ‘‘Rehabilitation Services and 
Disability Research’’ that were available for obligation 
through fiscal year 2015 for the Automated Personaliza-
tion Computing Project pursuant to the first four provisos 
under that heading in that Act are to remain available 
through fiscal year 2021 for the liquidation of valid obliga-
tions incurred in fiscal years 2014 or 2015. 
(b)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 154. Section 114(f) of the Higher Education 
Act of 1965 (20 U.S.C. 1011c(f)) shall be applied by sub-
stituting the date specified in section 106(3) of this Act 
for ‘‘September 30, 2020’’. 
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SEC. 155. Section 458(a)(4) of the Higher Education 
Act of 1965 (20 U.S.C. 1087h(a)(4)) shall be applied 
through the date specified in section 106(3) of this Act 
by substituting ‘‘2021’’ for ‘‘2020’’. 
SEC. 156. (a) The remaining unobligated balances of 
funds as of September 30, 2020, from amounts made 
available to ‘‘Corporation for National and Community 
Service—Salaries and Expenses’’ in title IV of division A 
of the Further Consolidated Appropriations Act, 2020 
(Public Law 116–94), are hereby rescinded, and in addi-
tion to amounts otherwise provided by section 101, an 
amount of additional new budget authority equivalent to 
the amount rescinded pursuant to this subsection is here-
by appropriated on September 30, 2020, for an additional 
amount for fiscal year 2020, to remain available until Sep-
tember 30, 2021, and shall be available for the same pur-
poses, in addition to other funds as may be available for 
such purposes, and under the same authorities for which 
the funds were originally provided in Public Law 116–94. 
(b) The remaining unobligated balances of funds as 
of September 30, 2020, from amounts made available to 
‘‘Corporation for National and Community Service—Op-
erating Expenses’’ in title IV of division A of the Further 
Consolidated Appropriations Act, 2020 (Public Law 116– 
94), are hereby rescinded, and in addition to amounts oth-
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erwise provided by section 101, an amount of additional 
new budget authority equivalent to the amount rescinded 
pursuant to this subsection is hereby appropriated on Sep-
tember 30, 2020, for an additional amount for fiscal year 
2020, to remain available until September 30, 2021, and 
shall be available for the same purposes, in addition to 
other funds as may be available for such purposes, and 
under the same authorities for which the funds were origi-
nally provided in Public Law 116–94: Provided, That any 
amounts appropriated by the preceding proviso shall not 
be subject to the allotment requirements otherwise appli-
cable under sections 129(a), (b), (d), and (e) of the Na-
tional and Community Service Act of 1993. 
(c) The remaining unobligated balances of funds as 
of September 30, 2020, from amounts made available to 
‘‘Corporation for National and Community Service—Of-
fice of Inspector General’’ in title IV of division A of the 
Further Consolidated Appropriations Act, 2020 (Public 
Law 116–94), are hereby rescinded, and in addition to 
amounts otherwise provided by section 101, an amount of 
additional new budget authority equivalent to the amount 
rescinded pursuant to this subsection is hereby appro-
priated on September 30, 2020, for an additional amount 
for fiscal year 2020, to remain available until September 
30, 2021, and shall be available for the same purposes, 
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in addition to other funds as may be available for such 
purposes, and under the same authorities for which the 
funds were originally provided in Public Law 116–94. 
(d)(1) Section 3514(b) of title III of division A of 
Public Law 116–136 is hereby repealed, and such section 
shall be applied hereafter as if such subsection had never 
been enacted. 
(2)(A) IN
GENERAL.—The amounts provided 
under this subsection are designated as an emer-
gency requirement pursuant to section 4(g) of the 
Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 
933(g)). 
(B) DESIGNATION
IN
THE
SENATE.—In 
the Senate, this subsection is designated as an 
emergency requirement pursuant to section 
4112(a) of H. Con. Res. 71 (115th Congress), 
the concurrent resolution on the budget for fis-
cal year 2018. 
(C) CLASSIFICATION OF BUDGETARY EF-
FECTS.—Notwithstanding Rule 3 of the Budget 
Scorekeeping Guidelines set forth in the joint 
explanatory statement of the committee of con-
ference accompanying Conference Report 105– 
217 and section 250(c)(7) and (c)(8) of the 
Balanced Budget and Emergency Deficit Con-
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trol Act of 1985, the budgetary effects of this 
subsection— 
(i) shall not be estimated for purposes 
of section 251 of such Act; 
(ii) shall not be estimated for pur-
poses of paragraph (4)(C) of section 3 of 
the Statutory Pay As-You-Go Act of 2010 
as being included in an appropriation Act; 
and 
(iii) shall be treated as if they were 
contained in a PAYGO Act, as defined by 
section 3(7) of the Statutory Pay-As-You- 
Go Act of 2010 (2 U.S.C. 932(7)). 
(e)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 157. Notwithstanding any other provision of 
this Act, there is hereby appropriated for fiscal year 2021 
for payment to the John R. Lewis Revocable Trust, bene-
ficiary of John R. Lewis, late a Representative from the 
State of Georgia, $174,000. 
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SEC. 158. Notwithstanding section 101, amounts are 
provided for ‘‘House of Representatives—Salaries and Ex-
penses’’ at a rate for operations of $1,383,725,000. 
SEC. 159. Notwithstanding any other provision of 
this Act— 
(1) the authority of the Library of Congress to 
reimburse the Little Scholars Child Development 
Center at the Library of Congress under section 
19004 of the CARES Act (2 U.S.C. 162b note; 134 
Stat. 578) shall remain in effect with respect to sal-
aries incurred until the termination of the public 
health emergency declared pursuant to section 319 
of the Public Health Service Act (42 U.S.C. 247d) 
resulting from the COVID–19 pandemic; and 
(2) the authority of the Government Account-
ability Office to reimburse the Tiny Findings Child 
Development Center under section 19009 of the 
CARES Act (134 Stat. 579) shall remain in effect 
with respect to salaries incurred until the termi-
nation of the public health emergency declared pur-
suant to section 319 of the Public Health Service 
Act (42 U.S.C. 247d) resulting from the COVID–19 
pandemic. 
(3) Section 19005(a) of the CARES Act (2 
U.S.C. 1816b note; 134 Stat. 578) shall be amended 
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by striking ‘‘for not more than 16 weeks’’ and in-
serting in its place ‘‘until the termination of the 
public health emergency declared pursuant to section 
319 of the Public Health Service Act (42 U.S.C. 
247d) resulting from the COVID–19 pandemic’’. 
SEC. 160. (a) EXTENSION.—Notwithstanding sec-
tions 3902(a) and 3904(b) of title 41, United States Code, 
if the performance or delivery of services procured under 
a severable service contract of the Library of Congress is 
delayed or otherwise affected by the COVID–19 Pan-
demic, the period for the performance or delivery of serv-
ices under the contract may be extended for a period 
equivalent to the delay or suspension of services, but not 
exceeding an additional 12 months. 
(b) CONTRACTS COVERED.—This section applies with 
respect to contracts for severable services procured for a 
period beginning in fiscal year 2019 or fiscal year 2020. 
SEC. 161. Effective upon enactment of this Act, the 
matter preceding the first proviso under the heading ‘‘De-
partment of Veterans Affairs—Veterans Benefits Admin-
istration—Compensation and Pensions’’ in division F of 
Public Law 116–94 is amended by replacing ‘‘shall become 
available on October 1, 2020:’’ with ‘‘, to remain available 
until expended and to become available on October 1, 
2020:’’. 
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SEC. 162. Amounts made available by section 101 for 
‘‘Department of Veterans Affairs—Departmental Admin-
istration—Veterans Electronic Health Record’’ may be 
apportioned up to the rate for operations necessary to 
maintain support activities related to implementation and 
maintenance of a Veterans Electronic Health Record sys-
tem, including contractual costs associated with operations 
authorized by section 3109 of title 5, United States Code, 
and salaries and expenses of employees hired under titles 
5 and 38, United States Code. 
SEC. 163. Notwithstanding section 106 of this Act, 
at any time during fiscal year 2021, the Secretary of Vet-
erans Affairs may transfer up to $140,000,000 of the un-
obligated balances available under the heading ‘‘Depart-
ment of Veterans Affairs—Veterans Health Administra-
tion—Medical Services’’ in title X of division B of the 
Coronavirus Aid, Relief, and Economic Security Act (Pub-
lic Law 116–136) to the ‘‘Canteen Service Revolving 
Fund’’ of the Department to prevent, prepare for, and re-
spond to coronavirus, domestically or internationally: Pro-
vided, That amounts so transferred shall be for offsetting 
the losses resulting from the coronavirus pandemic of Vet-
erans Canteen Service collections pursuant to chapter 78 
of title 38, United States Code: Provided further, That the 
transferred amounts shall be in addition to any other 
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funds made available for this purpose: Provided further, 
That amounts transferred under this section that were 
previously designated by the Congress as an emergency 
requirement pursuant to the Balanced Budget and Emer-
gency Deficit Control Act of 1985 are designated by the 
Congress as an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
SEC. 164. Amounts made available by section 101 to 
the Department of State for ‘‘Administration of Foreign 
Affairs—Repatriation Loans Program Account’’ may be 
apportioned up to the rate for operations necessary to ac-
commodate increased demand for commitments for repa-
triation loans authorized by section 4(b)(2)(B) of the 
State Department Basic Authorities Act of 1956 (22 
U.S.C. 2671(b)(2)(B)). 
SEC. 165. Section 21009 of the Coronavirus Aid, Re-
lief, and Economic Security Act (Public Law 116–136) 
shall continue in effect through the date specified in sec-
tion 106 of this Act. 
SEC. 166. (a) During the period covered by this Act, 
section 1(b)(1) of the Passport Act of June 4, 1920 (22 
U.S.C. 214(b)(1)) shall be applied by substituting ‘‘the 
costs of providing consular services’’ for ‘‘such costs’’. 
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(b) During the period covered by this Act, discre-
tionary amounts made available by section 101 to the De-
partment of State in title I under the heading ‘‘Adminis-
tration of Foreign Affairs’’ and discretionary unobligated 
balances under such heading from prior Acts making ap-
propriations for the Department of State, foreign oper-
ations, and related programs, may be transferred to the 
Consular and Border Security Programs account if the 
Secretary of State determines and reports to the Commit-
tees on Appropriations that to do so is necessary to sus-
tain consular operations, following consultation with such 
Committees: Provided, That such transfer authority is in 
addition to any transfer authority otherwise available in 
this Act and under any other provision of law: Provided 
further, That no amounts may be transferred from 
amounts designated for Overseas Contingency Operations/ 
Global War on Terrorism or as emergency requirements 
pursuant to a concurrent resolution on the budget or sec-
tion 251(b)(2)(A) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
(c) Amounts made available by section 101 to the De-
partment of State for ‘‘Diplomatic Programs’’ may be ap-
portioned up to the rate for operations necessary to sus-
tain consular operations, and the obligation of such appor-
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tioned funds shall be subject to the regular notification 
procedures of the Committees on Appropriations. 
SEC. 167. Notwithstanding any other provision of 
this Act, and subject to the regular notification procedures 
of the Committees on Appropriations, the limitations in 
section 7044(e)(2) of division G of Public Law 116–94 
shall not apply to funds made available in this Act or in 
the Department of State, Foreign Operations, and Related 
Programs Appropriations Act, 2020, for disaster relief; to 
protect human rights, locate and identify missing persons, 
and assist victims of torture; to promote justice, account-
ability, and reconciliation; to enhance maritime security 
and domain awareness; and for International Military 
Education and Training. 
SEC. 168. Section 1334 of the Foreign Affairs Re-
form and Restructuring Act of 1998 (22 U.S.C. 6553) is 
amended by striking ‘‘October 1, 2020’’ and inserting 
‘‘October 1, 2021’’. 
SEC. 169. (a) The remaining unobligated balances of 
funds, as of September 30, 2020, from amounts made 
available to ‘‘Department of Transportation—Office of the 
Secretary—National Infrastructure Investments’’ in title 
I of division K of the Consolidated Appropriations Act, 
2017 (Public Law 115–31), other than such funds admin-
istratively allocated to carry out the administration and 
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oversight of awards under the national infrastructure in-
vestments program, are hereby rescinded, and in addition 
to amounts otherwise provided by section 101, an amount 
of additional new budget authority equivalent to the 
amount rescinded pursuant to this subsection is hereby 
appropriated on September 30, 2020, for an additional 
amount for fiscal year 2020, to remain available until Sep-
tember 30, 2021, in addition to other funds as may be 
available for such purposes, and shall be available, without 
additional competition, for completing the funding of 
awards made pursuant to the fiscal year 2017 National 
Infrastructure Investments grants (also known as the Bet-
ter Utilizing Investments to Leverage Development, or 
BUILD grants). 
(b) The remaining unobligated balances of funds, as 
of September 30, 2020, from amounts made available to 
‘‘Department of Transportation—Office of the Sec-
retary—National Infrastructure Investments’’ in title I of 
division L of the Consolidated Appropriations Act, 2018 
(Public Law 115–141), other than such funds administra-
tively allocated to carry out the administration and over-
sight of awards under the national infrastructure invest-
ments program, are hereby rescinded, and in addition to 
amounts otherwise provided by section 101, an amount of 
additional new budget authority equivalent to the amount 
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rescinded pursuant to this subsection is hereby appro-
priated on September 30, 2020, for an additional amount 
for fiscal year 2020, to remain available until September 
30, 2021, in addition to other funds as may be available 
for such purposes, and shall be available, without addi-
tional competition, for completing the funding of awards 
made pursuant to the fiscal year 2018 National Infra-
structure Investments grants (also known as the Better 
Utilizing Investments to Leverage Development, or 
BUILD grants). 
(c)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 170. Notwithstanding section 101, the matter 
preceding the first proviso under the heading ‘‘Govern-
ment National Mortgage Association—Guarantees of 
Mortgage-Backed Securities Loan Guarantee Program 
Account’’ in the Further Consolidated Appropriations Act, 
2020 (Public Law 116–94) shall be applied by sub-
stituting ‘‘$1,278,000,000,000’’ for ‘‘$550,000,000,000’’: 
Provided, That amounts made available under such head-
ing by this Act may be apportioned up to the rate for oper-
ations necessary to accommodate increased demand for 
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new commitments to issue guarantees to carry out the 
purposes of section 306 of the National Housing Act as 
amended (12 U.S.C. 1721(g)). 
SEC. 171. (a) Funds previously made available in the 
Consolidated and Further Continuing Appropriations Act, 
2013 (Public Law 113–6) for the ‘‘Choice Neighborhoods 
Initiative’’ that were available for obligation through fiscal 
year 2015 are to remain available through fiscal year 2021 
for the liquidation of valid obligations incurred in fiscal 
years 2013 through 2015. 
(b)(1) This section shall become effective immediately 
upon enactment of this Act. 
(2) If this Act is enacted after September 30, 
2020, this section shall be applied as if it were in 
effect on September 30, 2020. 
SEC. 172. Amounts made available by section 101 to 
the Department of Housing and Urban Development for 
‘‘Housing Programs—Housing for the Elderly’’ may be 
apportioned up to the rate for operations necessary to— 
(1) maintain project rental assistance for the elderly 
under section 202(c)(2) of the Housing Act of 1959 (12 
U.S.C. 1701q(2)), including making amendments to con-
tracts for such assistance and renewing expiring contracts 
for such assistance for up to a 1-year term; and 
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(2) be available to make awards to existing 
grantees to continue, without competition, dem-
onstration programs to test housing with services 
models for the elderly that demonstrate the potential 
to delay or avoid the need for nursing home care. 
SEC. 173. Amounts provided by section 111 to the 
Department of Agriculture for ‘‘Corporations—Com-
modity Credit Corporation Fund—Reimbursement for Net 
Realized Losses’’ may be used, prior to the completion of 
the report described in section 2 of the Act of August 17, 
1961 (15 U.S.C. 713a-11), to reimburse the Commodity 
Credit Corporation for net realized losses sustained, but 
not previously reimbursed, as of September 17, 2020. 
This Act may be cited as the ‘‘Continuing Appropria-
tions Act, 2021’’. 
DIVISION B—SURFACE TRANS-
PORTATION 
PROGRAM 
EX-
TENSION 
TITLE I—SURFACE 
TRANSPORTATION PROGRAMS 
SEC. 1101. EXTENSION OF FEDERAL SURFACE TRANSPOR-
TATION PROGRAMS. 
(a) IN GENERAL.—Except as otherwise provided in 
this division, the requirements, authorities, conditions, eli-
gibilities, limitations, and other provisions authorized 
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SEC. 1104. RAIL-RELATED PROVISIONS. 
(a) FEDERAL FUNDING FOR OPERATING LOSSES.— 
Section 24321 of title 49, United States Code, is amend-
ed— 
(1) by striking subsection (d); and 
(2) by redesignating subsection (e) as sub-
section (d). 
(b) DIRECT LOANS AND LOAN GUARANTEES.—Sec-
tion 502(b)(3) of the Railroad Revitalization and Regu-
latory Reform Act of 1976 (45 U.S.C. 822(b)(3)) is 
amended by striking ‘‘September 30, 2020’’ and inserting 
‘‘September 30, 2021’’. 
SEC. 1105. SUSPENSION FOR EXTENSION PERIOD OF AD-
JUSTMENTS 
FOR 
ADDITIONAL 
DEPOSITS 
INTO HIGHWAY TRUST FUND. 
Section 105 of title 23, United States Code, shall not 
apply to monies deposited into the Highway Trust Fund 
by this division. 
SEC. 1106. PROHIBITION ON USE OF FUNDS. 
None of the funds authorized in this division or any 
other Act may be used to adjust apportionments for the 
Mass Transit Account of the Highway Trust Fund or 
withhold funds from apportionments for the Mass Transit 
Account of the Highway Trust Fund pursuant to section 
9503(e)(4) of the Internal Revenue Code of 1986 in fiscal 
year 2021. 
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SEC. 1107. APPALACHIAN REGIONAL COMMISSION. 
(a) AUTHORIZATION OF APPROPRIATIONS.—Section 
14703 of title 40, United States Code, is amended— 
(1) in subsection (a)(5) by striking ‘‘2020’’ and 
inserting ‘‘2021’’; and 
(2) in subsection (c) by striking ‘‘2020’’ and in-
serting ‘‘2021’’. 
(b) TERMINATION.—Section 14704 of title 40, 
United States Code, is amended by striking ‘‘2020’’ and 
inserting ‘‘2021’’. 
TITLE II—TRUST FUNDS 
SEC. 1201. EXTENSION OF HIGHWAY TRUST FUND EXPENDI-
TURE AUTHORITY. 
Section 9503 of the Internal Revenue Code of 1986 
is amended— 
(1) by striking ‘‘October 1, 2020’’ in sub-
sections (b)(6)(B), (c)(1), and (e)(3) and inserting 
‘‘October 1, 2021’’; and 
(2) by striking ‘‘FAST Act’’ in subsections 
(c)(1) and (e)(3) and inserting ‘‘Continuing Appro-
priations Act, 2021 and Other Extensions Act’’. 
SEC. 1202. SPORT FISH RESTORATION AND BOATING TRUST 
FUND. 
Section 9504 of the Internal Revenue Code of 1986 
is amended— 
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(1) by striking ‘‘FAST Act’’ each place it ap-
pears in subsection (b)(2) and inserting ‘‘Continuing 
Appropriations Act, 2021 and Other Extensions 
Act’’; and 
(2) by striking ‘‘October 1, 2020’’ in subsection 
(d)(2) and inserting ‘‘October 1, 2021’’. 
SEC. 1203. LEAKING UNDERGROUND STORAGE TANK TRUST 
FUND. 
Section 9508(e)(2) of the Internal Revenue Code of 
1986 is amended by striking ‘‘October 1, 2020’’ and in-
serting ‘‘October 1, 2021’’. 
SEC. 1204. FURTHER ADDITIONAL TRANSFERS TO HIGHWAY 
TRUST FUND. 
Subsection (f) of section 9503 of the Internal Rev-
enue Code of 1986 is amended by redesignating paragraph 
(10) as paragraph (11) and by inserting after paragraph 
(9) the following new paragraph: 
‘‘(10) 
FURTHER
TRANSFERS
TO
TRUST 
FUND.—Out of money in the Treasury not otherwise 
appropriated, there is hereby appropriated— 
‘‘(A) $10,400,000,000 to the Highway Ac-
count (as defined in subsection (e)(5)(B)) in 
the Highway Trust Fund; and 
‘‘(B) $3,200,000,000 to the Mass Transit 
Account in the Highway Trust Fund.’’. 
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SEC. 1205. ADDITIONAL TRANSFER TO TRUST FUND. 
Section 9502 of the Internal Revenue Code of 1986 
is amended by adding at the end the following: 
‘‘(f) ADDITIONAL TRANSFER TO TRUST FUND.—Out 
of money in the Treasury not otherwise appropriated, 
there is hereby appropriated $14,000,000,000 to the Air-
port and Airway Trust Fund.’’. 
DIVISION C—HEALTH 
EXTENDERS 
TITLE I—PUBLIC HEALTH 
EXTENDERS 
SEC. 2101. COMMUNITY HEALTH CENTERS, NATIONAL 
HEALTH SERVICE CORPS, AND TEACHING 
HEALTH CENTERS THAT OPERATE GRAD-
UATE MEDICAL EDUCATION PROGRAMS. 
(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 ‘‘$668,493,151’’ and inserting 
‘‘$789,041,096’’; and 
(2) by striking ‘‘November 30, 2020’’ and in-
serting ‘‘December 11, 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— 
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(1) by striking ‘‘$51,808,219’’ and inserting 
‘‘$61,150,685’’; and 
(2) by striking ‘‘November 30, 2020’’ and in-
serting ‘‘December 11, 2020’’. 
(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 ‘‘$21,141,096’’ and inserting 
‘‘$24,953,425’’; and 
(2) by striking ‘‘November 30, 2020’’ and in-
serting ‘‘December 11, 2020’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appro-
priated pursuant to the amendments made by this section 
for the period beginning on October 1, 2020, through De-
cember 11, 2020, shall be subject to the requirements con-
tained in Public Law 116–94 for funds for programs au-
thorized under sections 330 through 340 of the Public 
Health Service Act (42 U.S.C. 254 through 256). 
(e) CONFORMING AMENDMENT.—Paragraph (4) of 
section 3014(h) of title 18, United States Code, is amend-
ed— 
(1) by striking ‘‘Social Services Act,,,’’ and in-
serting ‘‘Social Services Act,’’; and 
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(2) by striking ‘‘and section 3831 of the 
CARES Act’’ and inserting ‘‘, section 3831 of the 
CARES Act, and section 2101 of the Continuing 
Appropriations Act, 2021 and Other Extensions 
Act’’. 
SEC. 2102. 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 ‘‘$25,068,493’’ and inserting 
‘‘$29,589,042’’; and 
(2) by striking ‘‘November 30, 2020’’ and in-
serting ‘‘December 11, 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 ‘‘$25,068,493’’ and inserting 
‘‘$29,589,042’’; and 
(2) by striking ‘‘November 30, 2020’’ and in-
serting ‘‘December 11, 2020’’. 
SEC. 2103. PERSONAL RESPONSIBILITY EDUCATION. 
Section 513 of the Social Security Act (42 U.S.C. 
713) is amended by striking ‘‘November 30, 2020’’ each 
place it appears and inserting ‘‘December 11, 2020’’. 
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SEC. 2104. SEXUAL RISK AVOIDANCE EDUCATION. 
Section 510 of the Social Security Act (42 U.S.C. 
710) is amended— 
(1) by striking ‘‘November 30, 2020’’ each 
place it appears and inserting ‘‘December 11, 
2020’’; 
(2) in subsection (a)(2)(B)(i), by striking ‘‘such 
period, for fiscal year 2020’’ and inserting ‘‘the pe-
riod described in subparagraph (A), for fiscal year 
2021’’; and 
(3) in subsection (f)(2), by striking ‘‘and 2019’’ 
and inserting ‘‘through 2020,’’. 
SEC. 2105. 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 ‘‘September 30, 2020’’ each 
place it appears and inserting ‘‘December 11, 
2020’’; and 
(2) in subparagraph (B), by striking ‘‘Sep-
tember 30, 2022’’ and inserting ‘‘December 11, 
2022’’. 
SEC. 2106. AUTHORIZATION TO ACCUMULATE EXCESS AN-
NUAL LEAVE. 
(a) IN GENERAL.—Notwithstanding section 219 of 
the Public Health Service Act (42 U.S.C. 210–1), a com-
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missioned officer of the Public Health Service who, except 
for this section, would lose at the end of the fiscal year 
2020 accumulated annual leave in excess of 60 days, may 
retain such amounts of accumulated annual leave in excess 
of 60 days. 
(b) USE OF EXCESS LEAVE.—Annual leave retained 
pursuant to subsection (a) shall be lost unless it is used 
by the officer no later than September 30, 2023. 
(c) APPLICABILITY.—This section shall not apply to 
an officer on terminal leave preceding separation, retire-
ment, or release from active duty, as of the effective date 
specified in subsection (d). 
(d) EFFECTIVE DATE.—This section shall become ef-
fective on the earlier of— 
(1) the date of the enactment of this Act; or 
(2) September 30, 2020. 
SEC. 2107. HHS SERVICES AND SUPPLY FUND. 
Effective as if included in the enactment of the para-
graph beginning with ‘‘Service and supply fund:’’ under 
the heading ‘‘Public Health Service’’ in the Federal Secu-
rity Agency Appropriation Act, 1946 (42 U.S.C. 231), 
such paragraph shall be applied with respect to any fiscal 
year as though the phrase ‘‘central services’’ referred to 
central services for any Federal agency. 
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TITLE II—MEDICARE 
EXTENDERS 
SEC. 2201. 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), is amended by 
striking ‘‘December 1, 2020’’ and inserting ‘‘December 
12, 2020’’. 
SEC. 2202. 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)), as amended by section 3802 of the 
CARES Act (Public Law 116–136), is amended— 
(1) in the first sentence, by striking ‘‘November 
30, 2020’’ and inserting ‘‘December 11, 2020’’; and 
(2) in the third sentence, by striking ‘‘Novem-
ber 30, 2020’’ and inserting ‘‘December 11, 2020’’. 
SEC. 2203. EXTENSION OF FUNDING OUTREACH AND AS-
SISTANCE FOR LOW-INCOME PROGRAMS. 
(a) STATE HEALTH INSURANCE PROGRAMS.—Sub-
section (a)(1)(B) of section 119 of the Medicare Improve-
ments 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– 
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148), section 610 of the American Taxpayer Relief Act 
of 2012 (Public Law 112–240), section 1110 of the Path-
way 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 Bipar-
tisan 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 Con-
tinuing Appropriations Act, 2020, and Further Health 
Extenders Act of 2019 (Public Law 116–69), section 103 
of division N of the Further Consolidated Appropriations 
Act, 2020 (Public Law 116–94), and section 3803 of the 
CARES Act (Public Law 116–136) is amended in clause 
(xi) by striking ‘‘November 30, 2020’’ and inserting ‘‘De-
cember 11, 2020’’. 
(b) 
AREA
AGENCIES
ON
AGING.—Subsection 
(b)(1)(B) of such section 119, as so amended, is amended 
in clause (xi) by striking ‘‘November 30, 2020’’ and insert-
ing ‘‘December 11, 2020’’. 
(c) AGING AND DISABILITY RESOURCE CENTERS.— 
Subsection (c)(1)(B) of such section 119, as so amended, 
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is amended in clause (xi) by striking ‘‘November 30, 
2020’’ and inserting ‘‘December 11, 2020’’. 
(d) CONTRACT WITH THE NATIONAL CENTER FOR 
BENEFITS
AND OUTREACH ENROLLMENT.—Subsection 
(d)(2) of such section 119, as so amended, is amended 
in clause (xi) by striking ‘‘November 30, 2020’’ and insert-
ing ‘‘December 11, 2020’’. 
TITLE III—MEDICAID 
EXTENDERS 
SEC. 2301. EXTENSION OF MONEY FOLLOWS THE PERSON 
REBALANCING DEMONSTRATION. 
Section 6071(h)(1)(H) of the Deficit Reduction Act 
of 2005 (42 U.S.C. 1396a note), as inserted by section 
3811 of the CARES Act (Public Law 116–136), is amend-
ed by striking ‘‘November 30, 2020’’ and inserting ‘‘De-
cember 11, 2020’’. 
SEC. 2302. 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 section 3812 of the CARES Act 
(Public Law 116–136), is amended by striking ‘‘November 
30, 2020’’ and inserting ‘‘December 11, 2020’’. 
(b) RULE OF CONSTRUCTION.—Nothing in section 
2404 of Public Law 111–148 (42 U.S.C. 1396r–5 note) 
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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— 
(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 
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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 
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. 2303. DELAY OF DSH REDUCTIONS. 
Section 1923(f)(7)(A) of the Social Security Act (42 
U.S.C. 1396r–4(f)(7)(A)), as amended by section 3813 of 
the CARES Act (Public Law 116–136), is amended— 
(1) in clause (i), in the matter preceding sub-
clause (I), by striking ‘‘December 1, 2020’’ and in-
serting ‘‘December 12, 2020’’; and 
(2) in clause (ii)(I), by striking ‘‘December 1, 
2020’’ and inserting ‘‘December 12, 2020’’. 
SEC. 2304. 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 
section 3814 of the CARES Act (Public Law 116–136), 
is amended by striking ‘‘November 30, 2020’’ and insert-
ing ‘‘December 11, 2020’’. 
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TITLE IV—MEDICARE PART B 
PREMIUM ADJUSTMENT 
SEC. 2401. 2021 MEDICARE PART B PREMIUM AND DEDUCT-
IBLE. 
(a) 2021 PREMIUM AND DEDUCTIBLE AND REPAY-
MENT THROUGH FUTURE PREMIUMS.—Section 1839(a) 
of the Social Security Act (42 U.S.C. 1395r(a)) is amend-
ed— 
(1) in the second sentence of paragraph (1), by 
striking ‘‘(5) and (6)’’ and inserting ‘‘(5), (6), and 
(7)’’; 
(2) in paragraph (6)(C)— 
(A) in clause (i), by striking ‘‘section 
1844(d)(1)’’ and inserting ‘‘subsections (d)(1) 
and (e)(1) of section 1844’’; and 
(B) in clause (ii), by striking ‘‘paragraph 
(5)’’ and inserting ‘‘paragraphs (5) and (7)’’; 
and 
(3) by adding at the end the following: 
‘‘(7)(A) In applying this part (including subsection 
(i) and section 1833(b)), the monthly actuarial rate for 
enrollees age 65 and over for 2021 shall be determined 
to be equal to the sum of— 
‘‘(i) the monthly actuarial rate for enrollees age 
65 and over for 2020; plus 
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‘‘(ii) 25 percent of the difference between such 
rate for 2020 and the preliminary monthly actuarial 
rate for enrollees age 65 and over for 2021 (as esti-
mated under subparagraph (B)). 
‘‘(B) For purposes of subparagraph (A)(ii), the Sec-
retary shall estimate a preliminary monthly actuarial rate 
for enrollees age 65 and over for 2021 using the method-
ology described in paragraph (1) and as if subparagraph 
(A) of this paragraph did not apply. The Secretary shall 
make the estimate under the previous sentence as if the 
transfers described in section 1844(f)(1) have been 
made.’’. 
(b) TRANSITIONAL GOVERNMENT CONTRIBUTION.— 
Section 1844 of the Social Security Act (42 U.S.C. 
1395w) is amended— 
(1) in subsection (a), by adding at the end the 
following new sentence: ‘‘In applying paragraph (1), 
the amounts transferred under subsection (e)(1) 
with respect to enrollees described in subparagraphs 
(A) and (B) of such subsection shall be treated as 
premiums payable and deposited in the Trust Fund 
under subparagraphs (A) and (B), respectively, of 
paragraph (1).’’; and 
(2) by adding at the end the following: 
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‘‘(e)(1) For 2021, there shall be transferred from the 
General Fund to the Trust Fund an amount, as estimated 
by the Chief Actuary of the Centers for Medicare & Med-
icaid Services, equal to the reduction in aggregate pre-
miums payable under this part for a month in such year 
(excluding any changes in amounts collected under section 
1839(i)) that are attributable to the application of section 
1839(a)(7) with respect to— 
‘‘(A) enrollees age 65 and over; and 
‘‘(B) enrollees under age 65. 
Such amounts shall be transferred from time to time as 
appropriate. 
‘‘(2) Premium increases affected under section 
1839(a)(6) shall not be taken into account in applying 
subsection (a). 
‘‘(3) There shall be transferred from the Trust Fund 
to the General Fund of the Treasury amounts equivalent 
to the additional premiums payable as a result of the ap-
plication of section 1839(a)(6), excluding the aggregate 
payments attributable to the application of section 
1839(i)(3)(A)(ii)(II).’’. 
(c) ADDITIONAL TRANSITIONAL GOVERNMENT CON-
TRIBUTION.—Section 1844 of the Social Security Act (42 
U.S.C. 1395w), as amended by subsection (b)(2), is 
amended by adding at the end the following: 
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‘‘(f)(1) There shall be transferred from the General 
Fund of the Treasury to the Trust Fund an amount, as 
estimated by the Chief Actuary of the Centers for Medi-
care & Medicaid Services, equal to amounts paid in ad-
vance for items and services under this part during the 
period beginning on the first day of the emergency period 
described in section 1135(g)(1)(B) and ending on the date 
of the enactment of this paragraph. 
‘‘(2) There shall be transferred from the Trust Fund 
to the General Fund of the Treasury amounts equivalent 
to the sum of— 
‘‘(A) the amounts by which claims have offset 
(in whole or in part) the amount of such payments 
described in paragraph (1); and 
‘‘(B) the amount of such payments that have 
been repaid (in whole or in part). 
‘‘(3) Amounts described in paragraphs (1) and (2) 
shall be transferred from time to time as appropriate.’’. 
(d) 
INDENTATION
CORRECTION.—Section 
1839(i)(3)(A)(ii) of the Social Security Act (42 U.S.C. 
1395r(i)(3)(A)(ii)) is amended by moving the indentation 
of subclause (I) two ems to the right. 
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TITLE V—ACCELERATED AND 
ADVANCE PAYMENT PROGRAMS 
SEC. 2501. MODIFYING ACCELERATED AND ADVANCE PAY-
MENT PROGRAMS UNDER PARTS A AND B OF 
THE 
MEDICARE 
PROGRAM 
DURING 
THE 
COVID–19 EMERGENCY. 
(a) SPECIAL REPAYMENT RULES AND OTHER MODI-
FICATIONS.— 
(1) PART A.— 
(A) IN GENERAL.—Section 1815(f)(2)(C) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395g(f)(2)(C)) is amended to read as follows: 
‘‘(C) In the case of a payment made under the 
terms of the program under subsection (e)(3), in-
cluding such program as expanded pursuant to this 
subsection, on or after the date of the enactment of 
the CARES Act and so made during the emergency 
period described in section 1135(g)(1)(B), upon re-
quest of a hospital, the Secretary shall— 
‘‘(i) provide 1 year before payments for 
items and services furnished by the hospital are 
offset to recoup payments under such program; 
‘‘(ii) provide that any such offset be an 
amount equal to— 
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‘‘(I) during the first 11 months in 
which any such offsets are made with re-
spect to payment for items and services 
furnished by the hospital, 25 percent of the 
amount of such payment for such items 
and services; and 
‘‘(II) during the succeeding 6 months, 
50 percent of the amount of such payment 
for such items and services; and 
‘‘(iii) allow 29 months from the date of the 
first payment under such program to such pro-
vider before requiring that the outstanding bal-
ance be paid in full.’’. 
(B) AUTHORITY
FOR
DISCRETION.—Sec-
tion 1815(f)(2)(A)(ii) of the Social Security Act 
(42 U.S.C. 1395g(f)(2)(A)(ii)) is amended by 
inserting ‘‘(or, with respect to requests sub-
mitted to the Secretary after April 26, 2020, 
may)’’after ‘‘shall.’’. 
(C) APPLICATION TO OTHER PART A PRO-
VIDERS.— 
(i) IN
GENERAL.—In the case of a 
payment made under the terms of an ap-
plicable program (as defined in clause (ii)), 
on or after the date of the enactment of 
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the CARES Act (Public Law 116–136) 
and so made during the emergency period 
described in section 1135(g)(1)(B) of the 
Social Security Act (42 U.S.C. 1320b– 
5(g)(1)(B)), upon request of an applicable 
provider (as defined in clause (iii)), the 
provisions of section 1815(f)(2)(C) of such 
Act (42 U.S.C. 1395g(f)(2)(C)), as amend-
ed by subparagraph (A), shall apply with 
respect to such payment in the same man-
ner as such provisions apply with respect 
to a payment made under the terms of the 
program under subsection (e)(3) of section 
1815 of such Act (42 U.S.C. 1395g), in-
cluding such program as expanded pursu-
ant to subsection (f) of such section, on or 
after the date of the enactment of the 
CARES Act (Public Law 116–136) and so 
made during such emergency period. 
(ii) 
APPLICABLE
PROGRAM
DE-
FINED.—In this clause, the term ‘‘applica-
ble program’’ means— 
(I) the programs under sections 
413.64(g), 
412.541(f), 
412.632(e), 
412.116(f), 413.350(d), or 418.307 of 
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title 42, Code of Federal Regulations 
(or any successor regulations); and 
(II) any other comparable pro-
gram under part A of title XVIII of 
the Social Security Act, as determined 
by the Secretary. 
(iii) APPLICABLE PROVIDER.—In this 
clause, the term ‘‘applicable provider’’ 
means a provider of services that is eligible 
for payment under an applicable program. 
(2) PART B.— 
(A) IN GENERAL.—In the case of a pay-
ment made under the terms of the program de-
scribed in section 421.214 of title 42, Code of 
Federal Regulations (or any successor regula-
tion) on or after the date of the enactment of 
the CARES Act (Public Law 116–136) and so 
made during the emergency period described in 
section 1135(g)(1)(B) of the Social Security 
Act (42 U.S.C. 1320b–5(g)(1)(B)), the Sec-
retary of Health and Human Services shall, 
upon request of the provider of services or sup-
plier receiving such payment— 
(i) provide 1 year before payments for 
items and services furnished by such pro-
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vider or supplier are offset to recoup pay-
ments under such program; 
(ii) provide that any such offset be an 
amount equal to— 
(I) during the first 11 months in 
which any such offsets are made with 
respect to payment for items and 
services furnished by such provider or 
supplier, 25 percent of the amount of 
such payment for such items and 
services; and 
(II) during the succeeding 6 
months, 50 percent of the amount of 
such payment for such items and 
services; and 
(iii) allow 29 months from the date of 
the first payment under such program to 
such provider or supplier before requiring 
that the outstanding balance be paid in 
full. 
(B) LIMITATION ON FURTHER PART B AD-
VANCE PAYMENTS.—With respect to the period 
of the emergency period described in section 
1135(g)(1)(B) of the Social Security Act (42 
U.S.C. 1320b-5(g)(1)(B)) beginning on the 
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date of the enactment of this Act, the total 
amount of payments made under the terms of 
the program described in section 421.214 of 
title 42, Code of Federal Regulations (or any 
successor regulation)— 
(i) for the portion of 2020 occurring 
during such period of the emergency period 
and for each year, shall not exceed 
$10,000,000; 
(ii) for each year beginning and end-
ing during such period of the emergency 
period, shall not exceed $10,000,000; and 
(iii) for the last year beginning during 
such period of the emergency period, the 
portion of such last year occurring during 
such period of the emergency period, shall 
not exceed $10,000,000. 
(b) INTEREST RATES.— 
(1) PART A.— 
(A) IN GENERAL.—Section 1815(d) of the 
Social Security Act (42 U.S.C. 1395g(d)) is 
amended by inserting before the period at the 
end the following: ‘‘(or, in the case of such a 
determination made with respect to a payment 
made on or after the date of the enactment of 
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the CARES Act and during the emergency pe-
riod described in section 1135(g)(1)(B) under 
the program under subsection (e)(3), including 
such program as expanded pursuant to sub-
section (f), at a rate of 4 percent)’’. 
(B) APPLICATION TO OTHER PART A PRO-
VIDERS.—In the case of a determination under 
section 1815(d) of the Social Security Act (42 
U.S.C. 1395g(d)) with respect to a payment 
made on or after the date of the enactment of 
the CARES Act (Public Law 116–136) and 
during the emergency period described in sec-
tion 1135(g)(1)(B) of the Social Security Act 
(42 U.S.C. 1320b–5(g)(1)(B)) under an appli-
cable program (as defined in subsection 
(a)(1)(C)(ii)), the amendment made by sub-
paragraph (A) shall apply with respect to such 
determination in the same manner as such 
amendment applies with respect to a payment 
made on or after the date of the enactment of 
the CARES Act (Public Law 116–136) and 
during such emergency period under the pro-
gram under subsection (e)(3) of section 1815 of 
such Act (42 U.S.C. 1395g), including such 
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program as expanded pursuant to subsection (f) 
of such section. 
(2) PART B.—Section 1833(j) of the Social Se-
curity Act (42 U.S.C. 1395l(j)) is amended by in-
serting before the period at the end the following: 
‘‘(or, in the case of such a determination made with 
respect to a payment made on or after the date of 
the enactment of the CARES Act and during the 
emergency period described in section 1135(g)(1)(B) 
under the program described in section 421.214 of 
title 42, Code of Federal Regulations (or any suc-
cessor regulation), at a rate of 4 percent)’’. 
(c) PUBLICATION OF DATA.— 
(1) DATA DURING COVID–19 EMERGENCY.— 
(A) INITIAL PUBLICATION.—Not later than 
2 weeks after the date of the enactment of this 
section, the Secretary shall post on the public 
website of the Centers for Medicare & Medicaid 
Services data that includes the following infor-
mation with respect to specified payments (as 
defined in paragraph (3)(E)) made as of such 
date and for which data is available: 
(i) The total amount of such pay-
ments made under each applicable pay-
ment program (as defined in paragraph 
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(3)(A)), including a specification of the 
percentage of such payments so made from 
the Federal Hospital Insurance Trust 
Fund established under section 1817 of 
the Social Security Act (42 U.S.C. 1395i) 
and the percentage of such payments so 
made from the Federal Supplementary In-
surance Trust Fund established under sec-
tion 1841 of such Act (42 U.S.C. 1395t) 
under each such program. 
(ii) The amount of specified payments 
made under each such program by type of 
provider of services or supplier receiving 
such payments. 
(iii) The Centers for Medicare & Med-
icaid Services certification number or other 
appropriate number of, and the amount of 
such payments received by, each provider 
of services and supplier receiving such pay-
ments. 
(B) 
INTERIM
PUBLICATION.—Every 
weeks thereafter during the emergency period, 
if any specified payments are made that were 
not included in a preceding publication of data 
under this paragraph, the Secretary shall post 
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