103 
striking ‘‘ending on December 31, 2024’’ and inserting 
‘‘ending on March 31, 2025’’. 
(d) DELAYING
THE
IN-PERSON
REQUIREMENTS 
UNDER MEDICARE
FOR MENTAL HEALTH SERVICES 
FURNISHED
THROUGH
TELEHEALTH
AND
TELE-
COMMUNICATIONS TECHNOLOGY.— 
(1) DELAY
IN
REQUIREMENTS
FOR
MENTAL 
HEALTH
SERVICES
FURNISHED
THROUGH
TELE-
HEALTH.—Section 1834(m)(7)(B)(i) of the Social 
Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is 
amended, in the matter preceding subclause (I), by 
striking ‘‘on or after’’ and all that follows through 
‘‘described in section 1135(g)(1)(B))’’ and inserting 
‘‘on or after April 1, 2025’’. 
(2) MENTAL
HEALTH
VISITS
FURNISHED
BY 
RURAL HEALTH CLINICS.—Section 1834(y)(2) of the 
Social Security Act (42 U.S.C. 1395m(y)(2)) is 
amended by striking ‘‘January 1, 2025’’ and all that 
follows through the period at the end and inserting 
‘‘April 1, 2025.’’. 
(3) MENTAL
HEALTH
VISITS
FURNISHED
BY 
FEDERALLY QUALIFIED HEALTH CENTERS.—Section 
1834(o)(4)(B) of the Social Security Act (42 U.S.C. 
1395m(o)(4)(B)) is amended by striking ‘‘January
104 
1, 2025’’ and all that follows through the period at 
the end and inserting ‘‘April 1, 2025.’’. 
(e) ALLOWING FOR THE FURNISHING OF AUDIO- 
ONLY TELEHEALTH SERVICES.—Section 1834(m)(9) of 
the Social Security Act (42 U.S.C. 1395m(m)(9)) is 
amended by striking ‘‘ending on December 31, 2024’’ and 
inserting ‘‘ending on March 31, 2025’’. 
(f) EXTENDING USE OF TELEHEALTH TO CONDUCT 
FACE-TO-FACE ENCOUNTER PRIOR TO RECERTIFICATION 
OF
ELIGIBILITY
FOR
HOSPICE
CARE.—Section 
1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 
1395f(a)(7)(D)(i)(II)) is amended by striking ‘‘ending on 
December 31, 2024’’ and inserting ‘‘ending on March 31, 
2025’’. 
(g) PROGRAM INSTRUCTION AUTHORITY.—The Sec-
retary of Health and Human Services may implement the 
amendments made by this section through program in-
struction or otherwise. 
SEC. 3208. EXTENDING ACUTE HOSPITAL CARE AT HOME 
WAIVER AUTHORITIES. 
Section 1866G(a)(1) of the Social Security Act (42 
U.S.C. 1395cc–7(a)(1)) is amended by striking ‘‘Decem-
ber 31, 2024’’ and inserting ‘‘March 31, 2025’’.
105 
SEC. 3209. EXTENSION OF TEMPORARY INCLUSION OF AU-
THORIZED ORAL ANTIVIRAL DRUGS AS COV-
ERED PART D DRUGS. 
Section 1860D–2(e)(1)(C) of the Social Security Act 
(42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking 
‘‘December 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
SEC. 3210. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$3,197,000,000’’ and inserting ‘‘$1,251,000,000’’. 
TITLE III—HUMAN SERVICES 
SEC. 3301. SEXUAL RISK AVOIDANCE EDUCATION EXTEN-
SION. 
Section 510 of the Social Security Act (42 U.S.C. 
710) is amended— 
(1) in subsection (a)(1), by striking ‘‘December 
31, 2024’’ and inserting ‘‘March 31, 2025’’; and 
(2) in subsection (f)(1), by striking ‘‘December 
31, 2024’’ and inserting ‘‘March 31, 2025’’. 
SEC. 3302. PERSONAL RESPONSIBILITY EDUCATION EXTEN-
SION. 
Section 513 of the Social Security Act (42 U.S.C. 
713) is amended— 
(1) in subsection (a)(1)—
106 
(A) in subparagraph (A), in the matter 
preceding clause (i), by striking ‘‘December 31, 
2024’’ and inserting ‘‘March 31, 2025’’; and 
(B) in subparagraph (B)(i), by striking 
‘‘December 31, 2024’’ and inserting ‘‘March 
31, 2025’’; and 
(2) in subsection (f), by striking ‘‘December 31, 
2024’’ and inserting ‘‘March 31, 2025’’. 
SEC. 3303. EXTENSION OF FUNDING FOR FAMILY-TO-FAM-
ILY HEALTH INFORMATION CENTERS. 
Section 501(c)(1)(A)(viii) of the Social Security Act 
(42 U.S.C. 701(c)(1)(A)(viii)) is amended— 
(1) by striking ‘‘$1,500,000’’ and inserting 
‘‘$3,000,000’’; and 
(2) by striking ‘‘January 1, 2025’’ and insert-
ing ‘‘April 1, 2025’’. 
TITLE IV—MEDICAID 
SEC. 3401. ELIMINATING CERTAIN DISPROPORTIONATE 
SHARE HOSPITAL PAYMENT CUTS. 
Section 1923(f)(7)(A) of the Social Security Act (42 
U.S.C. 1396r- 4(f)(7)(A)) is amended— 
(1) in clause (i), by striking ‘‘January 1’’ and 
inserting ‘‘April 1’’; and 
(2) in clause (ii), by striking ‘‘January 1’’ and 
inserting ‘‘April 1’’.
107 
DIVISION D—EXTENSION OF 
AGRICULTURAL PROGRAMS 
SEC. 4101. EXTENSION OF AGRICULTURAL PROGRAMS. 
(a) EXTENSION.— 
(1) IN
GENERAL.—Except as otherwise pro-
vided in this section and the amendments made by 
this section, notwithstanding any other provision of 
law, the authorities (including any limitations on 
such authorities) provided by each provision of the 
Agriculture Improvement Act of 2018 (Public Law 
115–334; 132 Stat. 4490) and each provision of law 
amended by that Act (and for mandatory programs 
at such funding levels) as in effect (including pursu-
ant to section 102 of division B of the Further Con-
tinuing Appropriations and Other Extensions Act, 
2024 (Public Law 118–22)) on September 30, 2024, 
shall continue and be carried out until the date spec-
ified in paragraph (2). 
(2) DATE SPECIFIED.—With respect to an au-
thority described in paragraph (1), the date specified 
in this paragraph is the later of— 
(A) September 30, 2025; 
(B) the date specified with respect to such 
authority in the Agriculture Improvement Act 
of 2018 (Public Law 115–334; 132 Stat. 4490)
110 
dairy operation with respect to which the 
premium was reduced in accordance with 
that section (as applied to such partici-
pating dairy operation pursuant to section 
102(c)(2)(B)(ii) of division B of the Fur-
ther Continuing Appropriations and Other 
Extensions Act, 2024 (Public Law 118– 
22)) for calendar year 2024. 
(B) 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 ‘‘2027’’ and inserting 
‘‘2028’’. 
(5) SUSPENSION OF PERMANENT PRICE SUP-
PORT AUTHORITIES.—The provisions of law specified 
in— 
(A) subsections (a) and (b) of section 1602 
of the Agricultural Act of 2014 (7 U.S.C. 
9092)— 
(i) shall not be applicable to the 2025 
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, 2025; and
111 
(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 
2025. 
(d) OTHER PROGRAMS.— 
(1) TRADE.—Section 302(h)(2) of the Bill 
Emerson Humanitarian Trust Act (7 U.S.C. 1736f– 
1(h)(2)) is amended by striking ‘‘September 30, 
2024’’ and inserting ‘‘September 30, 2025’’. 
(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) is amended to read as follows: 
‘‘SEC. 7502. GRAZINGLANDS RESEARCH LABORATORY. 
‘‘Except as otherwise specifically authorized by law 
and notwithstanding any other provision of law, the Fed-
eral land and facilities at El Reno, Oklahoma, adminis-
tered by the Secretary (as of the date of enactment of this 
Act) as the Grazinglands Research Laboratory, shall not 
at any time, in whole or in part, be declared to be excess 
or surplus Federal property under chapter 5 of subtitle 
I of title 40, United States Code, or otherwise be conveyed 
or transferred in whole or in part, for the period beginning 
on the date of the enactment of this Act and ending on 
September 30, 2025.’’.
112 
(3) ENERGY.—Section 9010(b) of the Farm Se-
curity and Rural Investment Act of 2002 (7 U.S.C. 
8110(b)) is amended in paragraphs (1)(A) and 
(2)(A) by striking ‘‘2024’’ each place it appears and 
inserting ‘‘2025’’. 
(e) EXCEPTIONS.— 
(1) COMMODITIES.—Subsection (a) does not 
apply with respect to mandatory funding under the 
following provisions of law: 
(A) Section 1614(c)(4) of the Agricultural 
Act of 2014 (7 U.S.C. 9097(c)(4)). 
(B) Section 12314(h) of the Agricultural 
Act of 2014 (7 U.S.C. 2101 note; Public Law 
113–79). 
(C) Section 12315(f) of the Agricultural 
Act of 2014 (7 U.S.C. 7101 note; Public Law 
113–79). 
(D) Section 12316(a) of the Agricultural 
Act of 2014 (7 U.S.C. 7101 note; Public Law 
113–79). 
(2) CONSERVATION.— 
(A) MANDATORY
FUNDING.—Subsection 
(a) does not apply with respect to mandatory 
funding under the following provisions of law 
for fiscal years 2024 and 2025:
113 
(i) Section 1240O(b)(3) of the Food 
Security Act of 1985 (16 U.S.C. 3839bb– 
2(b)(3)). 
(ii) Section 1240R(f)(1) of the Food 
Security Act of 1985 (16 U.S.C. 3839bb– 
5(f)(1)). 
(iii) Subparagraphs (A) and (B) of 
section 1241(a)(1) of the Food Security 
Act of 1985 (16 U.S.C. 3841(a)(1)). 
(iv) Section 2408(g)(1) of the Agri-
culture Improvement Act of 2018 (7 
U.S.C. 8351 note). 
(B) LIMITATIONS.—Subsection (a) does 
not apply with respect to limitations under the 
following provisions of law: 
(i) Section 1240G of the Food Secu-
rity Act of 1985 (16 U.S.C. 3839aa–7). 
(ii) Section 1240L(f) of the Food Se-
curity Act of 1985 (16 U.S.C. 3839aa– 
24(f)). 
(3) NUTRITION.—Subsection (a) does not apply 
with respect to the mandatory funding in section 
203D(d)(5) of the Emergency Food Assistance Act 
of 1983 (7 U.S.C. 7507(d)(5)).
114 
(4) RURAL
DEVELOPMENT.—Subsection (a) 
does not apply with respect to the mandatory fund-
ing in section 313B(e)(2) of the Rural Electrifica-
tion Act of 1936 (7 U.S.C. 940c–2(e)(2)). 
(5) RESEARCH.—Subsection (a) does not apply 
with respect to mandatory funding under the fol-
lowing provisions of law: 
(A) Section 1446(b)(1) of the National Ag-
ricultural Research, Extension, and Teaching 
Policy Act of 1977 (7 U.S.C. 3222a(b)(1)). 
(B) Section 1672E(d)(1) of the Food, Ag-
riculture, Conservation, and Trade Act of 1990 
(7 U.S.C. 5925g(d)(1)). 
(C) Section 7601(g)(1)(A) of the Agricul-
tural Act of 2014 (7 U.S.C. 5939(g)(1)(A)). 
(6) ENERGY.—Subsection (a) does not apply 
with respect to mandatory funding under the fol-
lowing provisions of law: 
(A) Section 9002(k)(1) of the Farm Secu-
rity and Rural Investment Act of 2002 (7 
U.S.C. 8102(k)(1)). 
(B) Section 9003(g)(1)(A) of the Farm Se-
curity and Rural Investment Act of 2002 (7 
U.S.C. 8103(g)(1)(A)).
115 
(C) Section 9005(g)(1) of the Farm Secu-
rity and Rural Investment Act of 2002 (7 
U.S.C. 8105(g)(1)). 
(7) HORTICULTURE.—Subsection (a) does not 
apply with respect to mandatory funding under the 
following provisions of law: 
(A) Section 7407(d)(1) of the Farm Secu-
rity and Rural Investment Act of 2002 (7 
U.S.C. 5925c(d)(1)). 
(B) Section 2123(c)(4) of the Organic 
Foods Production Act of 1990 (7 U.S.C. 
6522(c)(4)). 
(C) Section 10606(d)(1)(C) of the Farm 
Security and Rural Investment Act of 2002 (7 
U.S.C. 6523(d)(1)(C)). 
(D) Section 10109(c)(1) of the Agriculture 
Improvement Act of 2018 (Public Law 115– 
334). 
(8) MISCELLANEOUS.—Subsection (a) does not 
apply with respect to mandatory funding under the 
following provisions of law: 
(A) Section 209(c) of the Agricultural 
Marketing Act of 1946 (7 U.S.C. 1627a(c)).
116 
(B) Section 12605(d) of the Agriculture 
Improvement Act of 2018 (7 U.S.C. 7632 
note). 
(f) REPORTS.— 
(1) IN GENERAL.—Subject to paragraph (2), 
any requirement under a provision of law described 
in paragraph (1) of subsection (a) to submit a re-
port on a recurring basis, and the final report under 
which was required to be submitted during fiscal 
year 2024, 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. 
(2) APPROPRIATIONS
REQUIRED.—If discre-
tionary appropriations (as defined in section 250(c) 
of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985 (2 U.S.C. 900(c))) are required to 
carry out a reporting requirement described in para-
graph (1), the application of that paragraph to that 
reporting requirement shall be subject to the avail-
ability of appropriations. 
(g) EFFECTIVE DATE.—This section and the amend-
ments made by this section shall be applied and adminis-
tered as if this section and those amendments had been 
enacted on September 30, 2024.
117 
DIVISION E—OTHER MATTERS 
SEC. 5101. COMMODITY FUTURES TRADING COMMISSION 
WHISTLEBLOWER PROGRAM. 
(a) IN GENERAL.—Section 1(b) of Public Law 117– 
25 (135 Stat. 297; 136 Stat. 2133; 136 Stat. 5984) is 
amended, in paragraphs (3) and (4), by striking ‘‘October 
1, 2024’’ each place it appears and inserting ‘‘March 14, 
2025’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect as if enacted on September 
30, 2024. 
SEC. 5102. PROTECTION OF CERTAIN FACILITIES AND AS-
SETS FROM UNMANNED AIRCRAFT. 
Section 210G(i) of the Homeland Security Act of 
2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘Decem-
ber 20, 2024’’ and inserting ‘‘March 14, 2025’’. 
SEC. 5103. ADDITIONAL SPECIAL ASSESSMENT. 
Section 3014 of title 18, United States Code, is 
amended by striking ‘‘December 23, 2024’’ and inserting 
‘‘March 14, 2025’’. 
SEC. 5104. NATIONAL CYBERSECURITY PROTECTION SYS-
TEM AUTHORIZATION. 
Section 227(a) of the Federal Cybersecurity En-
hancement Act of 2015 (6 U.S.C. 1525(a)) is amended
118 
by striking ‘‘December 20, 2024’’ and inserting ‘‘March 
14, 2025’’. 
SEC. 
5105. 
EXTENSION 
OF 
TEMPORARY 
ORDER 
FOR 
FENTANYL-RELATED SUBSTANCES. 
Effective as if included in the enactment of the Tem-
porary Reauthorization and Study of the Emergency 
Scheduling of Fentanyl Analogues Act (Public Law 116– 
114), section 2 of such Act is amended by striking ‘‘De-
cember 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
Passed the House of Representatives December 20, 
2024. 
Attest: 
Clerk.
118TH CONGRESS 
2D SESSION 
H. R. 10545 
AN ACT 
Making further continuing appropriations for the 
fiscal year ending September 30, 2025, and for 
other purposes.