H. R. 6363—3 
‘‘(b) The limitation in section 302 of division H of Public Law 
117–328 regarding transfers increasing any appropriation shall be 
applied to transfers to appropriations under the heading ‘Depart-
ment of Education—Student Aid Administration’ through the date 
specified in section 106(3) of this Act by substituting ‘10 percent’ 
for ‘3 percent’ for the purposes of the continuation of basic oper-
ations, including student loan servicing, business process oper-
ations, digital customer care, common origination and disbursement, 
cybersecurity activities, and information technology systems. 
‘‘SEC. 146. Notwithstanding any other provision of this Act, 
there is hereby appropriated for fiscal year 2024, out of any money 
in the Treasury not otherwise appropriated, for payment to Kath-
erine Anne Feinstein, beneficiary of Dianne Feinstein, late a Sen-
ator from the State of California, $174,000. 
‘‘This division may be cited as the ‘Continuing Appropriations 
Act, 2024’.’’. 
This division may be cited as the ‘‘Further Continuing Appro-
priations Act, 2024’’. 
DIVISION B—OTHER MATTERS 
TITLE I—EXTENSIONS AND OTHER 
MATTERS 
SEC. 101. EXTENSION OF CERTAIN PROVISIONS OF THE COMPACTS 
OF FREE ASSOCIATION WITH THE FEDERATED STATES OF 
MICRONESIA AND THE REPUBLIC OF THE MARSHALL 
ISLANDS. 
Section 2101 of the Continuing Appropriations Act, 2024 and 
Other Extensions Act (Public Law 118–15; 137 Stat. 81) is 
amended— 
(1) in the section heading, by striking ‘‘COMPACT OF FREE 
ASSOCIATION WITH THE FEDERATED STATES OF MICRONESIA’’ 
and inserting ‘‘COMPACTS OF FREE ASSOCIATION WITH THE 
FEDERATED STATES OF MICRONESIA AND THE REPUBLIC OF 
THE MARSHALL ISLANDS’’; and 
(2) in subsection (a)(1)— 
(A) by striking ‘‘November 17, 2023’’ and inserting 
‘‘February 2, 2024’’; 
(B) by inserting ‘‘, section 103(f)(2) of the Compact 
of Free Association Amendments Act of 2003 (48 U.S.C. 
1921b(f)(2)), and sections 211, 213, and 216 of the Compact 
of Free Association between the Government of the United 
States of America and the Government of the Republic 
of the Marshall Islands set forth in section 201(b) of that 
Act (48 U.S.C. 1921 note; Public Law 108–188)’’ before 
‘‘shall,’’; 
(C) by inserting ‘‘or the Republic of the Marshall 
Islands, as applicable’’ before ‘‘, continue’’; and 
(D) by striking ‘‘of that Compact’’ and inserting ‘‘of 
the applicable Compact’’. 
SEC. 102. EXTENSION OF AGRICULTURAL PROGRAMS. 
(a) EXTENSION.—Except as otherwise provided in this section 
and the amendments made by this section, notwithstanding any
H. R. 6363—4 
other provision of law, the authorities (including any limitations 
on the 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 on September 30, 
2023, shall continue, and the authorities shall be carried out, until 
the later of— 
(1) September 30, 2024; or 
(2) the date specified in the provision of that Act or the 
provision of law amended by that Act. 
(b) DISCRETIONARY PROGRAMS.—Programs carried out using the 
authorities described in subsection (a) that are funded by discre-
tionary appropriations (as defined in section 250(c) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c))) 
shall be subject to the availability of appropriations. 
(c) COMMODITY PROGRAMS.— 
(1) IN GENERAL.—The provisions of law applicable to a 
covered commodity (as defined in section 1111 of the Agricul-
tural Act of 2014 (7 U.S.C. 9011)), a loan commodity (as defined 
in section 1201 of that Act (7 U.S.C. 9031)), sugarcane, or 
sugar beets for the 2023 crop year pursuant to title I of that 
Act (7 U.S.C. 9011 et seq.) and each amendment made by 
subtitle C of title I of the Agriculture Improvement Act of 
2018 (Public Law 115–334; 132 Stat. 4511) shall be applicable 
to the 2024 crop year for that covered commodity, loan com-
modity, sugarcane, or sugar beets. 
(2) DAIRY.— 
(A) BASE
PRODUCTION
HISTORY
ADJUSTMENT
FOR 
PARTICIPATING
DAIRY
OPERATIONS
WITH
PRODUCTION
OF 
LESS THAN 5,000,000 POUNDS.—Section 1405(a) of the Agri-
cultural Act of 2014 (7 U.S.C. 9055(a)) is amended— 
(i) in paragraph (1), by inserting ‘‘paragraph (4) 
and’’ before ‘‘subsection (b)’’; and 
(ii) by adding at the end the following: 
‘‘(4) BASE PRODUCTION HISTORY ADJUSTMENT FOR PARTICI-
PATING
DAIRY
OPERATIONS
WITH
PRODUCTION
OF
LESS
THAN 
5,000,000 POUNDS.— 
‘‘(A) IN GENERAL.—If the amount determined under 
paragraph (1) is less than 5,000,000 pounds, the production 
history of the dairy operation for dairy margin coverage 
shall be equal to— 
‘‘(i) the amount determined under paragraph (1); 
plus 
‘‘(ii) 75 percent of the amount described in subpara-
graph (B). 
‘‘(B) AMOUNT.—The amount referred to in subpara-
graph (A)(ii) is, with respect to a dairy operation, the 
amount equal to— 
‘‘(i) the production volume of such dairy operation 
for the 2019 milk marketing year; minus 
‘‘(ii) the amount determined under paragraph (1).’’. 
(B) DAIRY MARGIN COVERAGE.— 
(i) DURATION.—Section 1409 of the Agricultural 
Act of 2014 (7 U.S.C. 9059) is amended by striking 
‘‘2023’’ and inserting ‘‘2024’’. 
(ii) AVAILABILITY
OF
PREMIUM
DISCOUNT.—With 
respect to coverage for calendar year 2024, section
H. R. 6363—5 
1407(g) of the Agricultural Act of 2014 (7 U.S.C. 
9057(g)) shall only apply to a participating dairy oper-
ation with respect to which the premium was reduced 
in accordance with that section for calendar year 2023. 
(C) 
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 ‘‘2026’’ 
and inserting ‘‘2027’’. 
(3) EXTENSION OF PAYMENT AMOUNT.—Section 1116(d) of 
the Agricultural Act of 2014 (7 U.S.C. 9016(d)) is amended, 
in the matter preceding paragraph (1), by striking ‘‘2018’’ and 
inserting ‘‘2024’’. 
(4) SUSPENSION OF PERMANENT PRICE SUPPORT AUTHORI-
TIES.—The provisions of law specified in— 
(A) subsections (a) and (b) of section 1602 of the Agri-
cultural Act of 2014 (7 U.S.C. 9092)— 
(i) shall not be applicable to the 2024 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, 2024; and 
(B) section 1602(c) of that Act (7 U.S.C. 9092(c)) shall 
not be applicable to the crops of wheat planted for harvest 
in calendar year 2024. 
(d) OTHER PROGRAMS.— 
(1) CONSERVATION.— 
(A) GRASSROOTS
SOURCE
WATER
PROTECTION
PRO-
GRAM.—Section 1240O(b)(3) of the Food Security Act of 
1985 (16 U.S.C. 3839bb–2(b)(3)) is amended— 
(i) by striking the period at the end and inserting 
‘‘; and’’; 
(ii) by striking ‘‘use $5,000,000’’ and inserting the 
following: ‘‘use— 
‘‘(A) $5,000,000’’; and 
(iii) by adding at the end the following: 
‘‘(B) $1,000,000 beginning in fiscal year 2024, to remain 
available until expended.’’. 
(B) VOLUNTARY PUBLIC ACCESS AND HABITAT INCENTIVE 
PROGRAM.—Section 1240R(f)(1) of the Food Security Act 
of 1985 (16 U.S.C. 3839bb–5(f)(1)) is amended— 
(i) by striking ‘‘and’’ after ‘‘2018,’’; and 
(ii) by inserting ‘‘, and $10,000,000 for fiscal year 
2024’’ before the period at the end. 
(C) FERAL SWINE ERADICATION AND CONTROL PILOT PRO-
GRAM.—Section 2408(g)(1) of the Agriculture Improvement 
Act of 2018 (7 U.S.C. 8351 note; Public Law 115–334) 
is amended by inserting ‘‘and $15,000,000 for fiscal year 
2024’’ before the period at the end. 
(2) TRADE.—Section 302(h)(2) of the Bill Emerson Humani-
tarian Trust Act (7 U.S.C. 1736f–1(h)(2)) is amended by striking 
‘‘2023’’ and inserting ‘‘2024’’. 
(3) NUTRITION.—Section 203D(d)(5) of the Emergency Food 
Assistance Act of 1983 (7 U.S.C. 7507(d)(5)) is amended by 
striking ‘‘2023’’ and inserting ‘‘2024’’. 
(4) RURAL
ECONOMIC
DEVELOPMENT
PROGRAM.—Section 
313B(e)(2) of the Rural Electrification Act of 1936 (7 U.S.C.
H. R. 6363—6 
940c–2(e)(2)) is amended by striking ‘‘and 2023’’ and inserting 
‘‘through 2024’’. 
(5) RESEARCH.— 
(A) SCHOLARSHIPS FOR STUDENTS.—Section 1446 of the 
National Agricultural Research, Extension, and Teaching 
Policy Act of 1977 (7 U.S.C. 3222a) is amended— 
(i) in subsection (a)(3), by striking ‘‘three’’ and 
inserting ‘‘4’’; and 
(ii) in subsection (b)(1)— 
(I) by striking ‘‘Of’’ and inserting the following: 
‘‘(A) FUNDING.—Of’’; and 
(II) by adding at the end the following: 
‘‘(B) ADDITIONAL
FUNDING.—Not later than 30 days 
after the date of enactment of this subparagraph, of the 
funds of the Commodity Credit Corporation, the Secretary 
shall make available to carry out this section $10,000,000, 
to remain available until expended.’’. 
(B) URBAN, INDOOR, AND OTHER EMERGING AGRICUL-
TURAL PRODUCTION RESEARCH, EDUCATION, AND EXTENSION 
INITIATIVE.—Section 1672E(d)(1) of the Food, Agriculture, 
Conservation, and Trade Act of 1990 (7 U.S.C. 5925g(d)(1)) 
is amended— 
(i) by striking the period at the end and inserting 
‘‘; and’’; 
(ii) by striking ‘‘section $10,000,000’’ and inserting 
the following: ‘‘section— 
‘‘(A) $10,000,000’’; and 
(iii) by adding at the end the following: 
‘‘(B) $2,000,000 for fiscal year 2024, to remain available 
until expended.’’. 
(C) 
FOUNDATION
FOR
FOOD
AND
AGRICULTURE 
RESEARCH.—Section 7601(g)(1)(A) of the Agricultural Act 
of 2014 (7 U.S.C. 5939(g)(1)(A)) is amended by adding 
at the end the following: 
‘‘(iii) ADDITIONAL
FUNDING.—Not later than 30 
days after the date of enactment of this clause, of 
the funds of the Commodity Credit Corporation, the 
Secretary shall transfer to the Foundation to carry 
out this section $37,000,000, to remain available until 
expended.’’. 
(D) GRAZINGLANDS
RESEARCH
LABORATORY.—Section 
7502 of the Food, Conservation, and Energy Act of 2008 
(Public Law 110–246; 122 Stat. 2019; 132 Stat. 4817) shall 
be applied by substituting ‘‘the period beginning on the 
date of enactment of this Act and ending on September 
30, 2024’’ for ‘‘the 15-year period beginning on the date 
of enactment of this Act’’. 
(6) ENERGY.— 
(A) BIOBASED MARKETS PROGRAM.—Section 9002(k)(1) 
of the Farm Security and Rural Investment Act of 2002 
(7 U.S.C. 8102(k)(1)) is amended by striking ‘‘2023’’ and 
inserting ‘‘2024’’. 
(B) BIOENERGY PROGRAM FOR ADVANCED BIOFUELS.— 
Section 9005(g)(1)(F) of the Farm Security and Rural 
Investment Act of 2002 (7 U.S.C. 8105(g)(1)(F)) is amended 
by striking ‘‘2023’’ and inserting ‘‘2024’’.
H. R. 6363—7 
(C) FEEDSTOCK FLEXIBILITY PROGRAM.—Section 9010(b) 
of the Farm Security and Rural Investment Act of 2002 
(7 U.S.C. 8110(b)) is amended in paragraphs (1)(A) and 
(2)(A) by striking ‘‘2023’’ each place it appears and inserting 
‘‘2024’’. 
(7) HORTICULTURE.— 
(A) ORGANIC PRODUCTION AND MARKET DATA INITIA-
TIVES.—Section 7407(d)(1) of the Farm Security and Rural 
Investment Act of 2002 (7 U.S.C. 5925c(d)(1)) is amended— 
(i) in subparagraph (A), by striking ‘‘and’’ at the 
end; 
(ii) in subparagraph (B), by striking the period 
at the end and inserting ‘‘; and’’; and 
(iii) by adding at the end the following: 
‘‘(C) $1,000,000 for fiscal year 2024.’’. 
(B) MODERNIZATION
AND
IMPROVEMENT
OF
INTER-
NATIONAL TRADE TECHNOLOGY SYSTEMS AND DATA COLLEC-
TION.—Section 2123(c)(4) of the Organic Foods Production 
Act of 1990 (7 U.S.C. 6522(c)(4)) is amended, in the matter 
preceding subparagraph (A), by inserting ‘‘and $1,000,000 
for fiscal year 2024’’ after ‘‘2019’’. 
(C) NATIONAL ORGANIC CERTIFICATION COST-SHARE PRO-
GRAM.—Section 10606(d)(1)(C) of the Farm Security and 
Rural Investment Act of 2002 (7 U.S.C. 6523(d)(1)(C)) is 
amended by striking ‘‘and 2023’’ and inserting ‘‘through 
2024’’. 
(D) MULTIPLE CROP AND PESTICIDE USE SURVEY.—Sec-
tion 10109(c)(1) of the Agriculture Improvement Act of 
2018 (Public Law 115–334; 132 Stat. 4906) is amended 
by inserting ‘‘and $100,000 for fiscal year 2024’’ after 
‘‘2019’’. 
(8) MISCELLANEOUS.— 
(A) PIMA AGRICULTURE COTTON TRUST FUND.—Section 
12314 of the Agricultural Act of 2014 (7 U.S.C. 2101 note; 
Public Law 113–79) is amended— 
(i) in subsection (b), in the matter preceding para-
graph (1), by striking ‘‘2023’’ and inserting ‘‘2024’’; 
and 
(ii) in subsection (h), by striking ‘‘2023’’ and 
inserting ‘‘2024’’. 
(B) AGRICULTURE
WOOL
APPAREL
MANUFACTURERS 
TRUST FUND.—Section 12315 of the Agricultural Act of 2014 
(7 U.S.C. 7101 note; Public Law 113–79) is amended by 
striking ‘‘2023’’ each place it appears and inserting ‘‘2024’’. 
(C) 
WOOL
RESEARCH
AND
PROMOTION.—Section 
12316(a) of the Agricultural Act of 2014 (7 U.S.C. 7101 
note; Public Law 113–79) is amended by striking ‘‘2023’’ 
and inserting ‘‘2024’’. 
(D) EMERGENCY
CITRUS
DISEASE
RESEARCH
AND 
DEVELOPMENT TRUST FUND.—Section 12605(d) of the Agri-
culture Improvement Act of 2018 (7 U.S.C. 7632 note; 
Public Law 115–334) is amended by striking ‘‘2023’’ and 
inserting ‘‘2024’’. 
(E) SHEEP PRODUCTION AND MARKETING GRANT PRO-
GRAM.—Section 209(c) of the Agricultural Marketing Act 
of 1946 (7 U.S.C. 1627a(c)) is amended by inserting ‘‘and 
$400,000 for fiscal year 2024,’’ after ‘‘2019,’’.
H. R. 6363—8 
(9) EXCEPTIONS.—Subsection (a) shall 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) Subparagraphs (A) and (B) of section 1241(a)(1) 
of the Food Security Act of 1985 (16 U.S.C. 3841(a)(1)). 
(e) REPORTS.— 
(1) IN GENERAL.—Subject to paragraph (2), any requirement 
under a provision of law described in subsection (a) to submit 
a report on a recurring basis, and the final report under which 
was required to be submitted during fiscal year 2023, shall 
continue, and the requirement shall be carried out, on the 
same recurring basis, until the later of the dates specified 
in paragraphs (1) and (2) of that subsection. 
(2) APPROPRIATIONS REQUIRED.—If discretionary appropria-
tions (as defined in section 250(c) of the Balanced Budget 
and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c))) 
are required to carry out a reporting requirement described 
in paragraph (1), the application of that paragraph to that 
reporting requirement shall be subject to the availability of 
appropriations. 
(f) RESCISSION.—Of the unobligated balances of amounts made 
available under section 9003(g)(1)(A) of the Farm Security and 
Rural Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)), $177,350,000 
is rescinded. 
(g) EFFECTIVE DATE.—This section and the amendments made 
by this section (except subsection (f) and the amendments made 
by subparagraphs (A) and (C) of subsection (d)(5)) shall be applied 
and administered as if this section and those amendments had 
been enacted on September 30, 2023. 
TITLE II—HEALTH AND HUMAN 
SERVICES 
Subtitle A—Public Health Extenders 
SEC. 201. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL 
HEALTH SERVICE CORPS, AND TEACHING HEALTH CEN-
TERS THAT OPERATE GME PROGRAMS. 
(a) TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MED-
ICAL EDUCATION PROGRAMS.—Section 340H(g)(1) of the Public 
Health Service Act (42 U.S.C. 256h(g)) is amended by striking 
‘‘and $16,635,616 for the period beginning on October 1, 2023, 
and ending on November 17, 2023’’ and inserting ‘‘$16,635,616 
for the period beginning on October 1, 2023, and ending on 
November 17, 2023, and $21,834,247 for the period beginning on 
November 18, 2023, and ending on January 19, 2024’’. 
(b) EXTENSION
FOR 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)), as amended by the Continuing Appro-
priations Act, 2024 and Other Extensions Act, is further amended 
by striking ‘‘and $526,027,397 for the period beginning on October 
1, 2023, and ending on November 17, 2023’’ and inserting 
‘‘$526,027,397 for the period beginning on October 1, 2023, and
H. R. 6363—9 
ending on November 17, 2023, and $690,410,959 for the period 
beginning on November 18, 2023, and ending on January 19, 2024’’. 
(c) EXTENSION FOR THE NATIONAL HEALTH SERVICE CORPS.— 
Section 10503(b)(2)(I) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 254b–2(b)(2)(I)), as amended by the Continuing 
Appropriations Act, 2024 and Other Extensions Act, is further 
amended by striking ‘‘$40,767,123 for the period beginning on 
October 1, 2023, and ending on November 17, 2023’’ and inserting 
‘‘$40,767,123 for the period beginning on October 1, 2023, and 
ending on November 17, 2023, and $53,506,849 for the period 
beginning on November 18, 2023, and ending on January 19, 2024’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appropriated pursu-
ant to the amendments made by this section shall be subject to 
the requirements contained in Public Law 117–328 for funds for 
programs authorized under sections 330 through 340 of the Public 
Health Service Act (42 U.S.C. 254b et seq.). 
(e) CONFORMING AMENDMENT.—Section 3014(h)(4) of title 18, 
United States Code, is amended by striking ‘‘and section 2321(d) 
of the Continuing Appropriations Act, 2024 and Other Extensions 
Act’’ and inserting ‘‘section 2321(d) of the Continuing Appropriations 
Act, 2024 and Other Extensions Act, and section 201(d) of the 
Further Continuing Appropriations and Other Extensions Act, 
2024’’. 
SEC. 202. EXTENSION OF SPECIAL DIABETES PROGRAMS. 
(a) EXTENSION OF SPECIAL DIABETES PROGRAMS FOR TYPE I 
DIABETES.—Section 330B(b)(2)(E) of the Public Health Service Act 
(42 U.S.C. 254c–2(b)(2)(E)), as amended by the Continuing Appro-
priations Act, 2024 and Other Extensions Act, is further amended 
by striking ‘‘$19,726,027 for the period beginning on October 1, 
2023, and ending on November 17, 2023’’ and inserting ‘‘$19,726,027 
for the period beginning on October 1, 2023, and ending on 
November 17, 2023, and $25,890,411 for the period beginning on 
November 18, 2023, and ending on January 19, 2024’’. 
(b) EXTENDING FUNDING FOR SPECIAL DIABETES PROGRAMS FOR 
INDIANS.—Section 330C(c)(2)(E) of the Public Health Service Act 
(42 U.S.C. 254c–3(c)(2)(E)), as amended by the Continuing Appro-
priations Act, 2024 and Other Extensions Act, is further amended 
by striking ‘‘$19,726,027 for the period beginning on October 1, 
2023, and ending on November 17, 2023’’ and inserting ‘‘$19,726,027 
for the period beginning on October 1, 2023, and ending on 
November 17, 2023, and $25,890,411 for the period beginning on 
November 18, 2023, and ending on January 19, 2024’’. 
SEC. 203. NATIONAL HEALTH SECURITY EXTENSIONS. 
(a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 
247d(e)(8)) is amended by striking ‘‘November 17, 2023’’ and 
inserting ‘‘January 19, 2024’’. 
(b) Section 319L(e)(1)(D) of the Public Health Service Act (42 
U.S.C. 247d–7e(e)(1)(D)) is amended by striking ‘‘on the date that 
is 17 years after the date of enactment of the Pandemic and All- 
Hazards Preparedness Act’’ and inserting ‘‘after January 19, 2024’’. 
(c) Section 319L–1(b) of the Public Health Service Act (42 
U.S.C. 247d–7f(b)) is amended by striking ‘‘at the end of the 17- 
year period that begins on the date of enactment of this Act’’ 
and inserting ‘‘after January 19, 2024’’.
H. R. 6363—10 
(d)(1) Section 2811A(g) of the Public Health Service Act (42 
U.S.C. 300hh–10b(g)) is amended by striking ‘‘November 17, 2023’’ 
and inserting ‘‘January 19, 2024’’. 
(2) Section 2811B(g)(1) of the Public Health Service Act (42 
U.S.C. 300hh–10c(g)(1)) is amended by striking ‘‘November 17, 
2023’’ and inserting ‘‘January 19, 2024’’. 
(3) Section 2811C(g)(1) of the Public Health Service Act (42 
U.S.C. 300hh–10d(g)(1)) is amended by striking ‘‘November 17, 
2023’’ and inserting ‘‘January 19, 2024’’. 
(e) Section 2812(c)(4)(B) of the Public Health Service Act (42 
U.S.C. 300hh–11(c)(4)(B)) is amended by striking ‘‘November 17, 
2023’’ and inserting ‘‘January 19, 2024’’. 
Subtitle B—Medicaid 
SEC. 301. DELAYING CERTAIN DISPROPORTIONATE SHARE 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 ‘‘November 18, 2023’’ and 
inserting ‘‘January 20, 2024’’; and 
(2) in clause (ii), by striking ‘‘November 18, 2023’’ and 
inserting ‘‘January 20, 2024’’. 
SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION. 
Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 
1396w–1(b)(3)(A)), as amended by the Continuing Appropriations 
Act, 2024 and Other Extensions Act, is further amended by striking 
‘‘$6,357,117,810’’ and inserting ‘‘$5,796,117,810’’. 
Subtitle C—Human Services 
SEC. 401. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS. 
Activities authorized by part B of title IV of the Social Security 
Act shall continue through January 19, 2024, in the manner author-
ized for fiscal year 2023, and out of any money in the Treasury 
of the United States not otherwise appropriated, there are hereby 
appropriated such sums as may be necessary for such purpose. 
SEC. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION. 
Section 510 of the Social Security Act (42 U.S.C. 710), as 
amended by the Continuing Appropriations Act, 2024 and Other 
Extensions Act, is further amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘and for the period beginning on 
October 1, 2023, and ending on November 17, 2023’’ 
and inserting ‘‘, for the period beginning on October 
1, 2023, and ending on November 17, 2023, and for 
the period beginning on November 18, 2023, and 
ending on January 19, 2024’’; and 
(ii) by striking ‘‘with respect to such period’’ and 
inserting ‘‘with respect to the applicable period’’; 
(B) in paragraphs (2)(A), by striking ‘‘for the period’’ 
and inserting ‘‘for the applicable period’’; and
H. R. 6363—11 
(C) in paragraphs (2)(B), by striking ‘‘for the period’’ 
and inserting ‘‘for the applicable period’’; and 
(2) in subsection (f)— 
(A) in paragraph (1), by striking ‘‘and for the period 
beginning on October 1, 2023, and ending on November 
17, 2023, an amount equal to the pro rata portion of the 
amount appropriated for the corresponding period for fiscal 
year 2023’’ and inserting ‘‘for the period beginning on 
October 1, 2023, and ending on November 17, 2023, an 
amount equal to the pro rata portion of the amount appro-
priated for the corresponding period for fiscal year 2023, 
and for the period beginning on November 18, 2023, and 
ending on January 19, 2024, an amount equal to the pro 
rata portion of the amount appropriated for the cor-
responding period for fiscal year 2023’’; and 
(B) in paragraph (2), by striking ‘‘for the period’’ and 
inserting ‘‘for the applicable period’’. 
SEC. 403. PERSONAL RESPONSIBILITY EDUCATION EXTENSION. 
Section 513 of the Social Security Act (42 U.S.C. 713), as 
amended by the Continuing Appropriations Act, 2024 and Other 
Extensions Act, is further amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) in subparagraph (A), by striking ‘‘and for the 
period beginning on October 1, 2023, and ending on 
November 17, 2023,’’ and inserting ‘‘, for the period 
beginning on October 1, 2023, and ending on November 
17, 2023, and for the period beginning on November 
18, 2023, and ending on January 19, 2024,’’; and 
(ii) in subparagraph (B)(i), by inserting after 
‘‘November 17, 2023’’ the following: ‘‘, and for the period 
beginning on November 18, 2023, and ending on 
January 19, 2024’’; 
(iii) in subparagraph (C)(i), by striking ‘‘for a fiscal 
year or the period’’ and inserting ‘‘for a fiscal year 
or period’’; and 
(B) in paragraph (3), by striking ‘‘for a fiscal year 
or the period’’ and inserting ‘‘for a fiscal year or period’’; 
and 
(C) in paragraph (4)(A)— 
(i) by striking ‘‘for the period’’ each place it appears 
and inserting ‘‘for each period’’; and 
(ii) by striking ‘‘for a fiscal year or the period’’ 
and inserting ‘‘for a fiscal year or period’’; 
(D) in paragraph (4)(B)(i), by striking ‘‘the period 
described in paragraph (1)(A)’’ and inserting ‘‘each period 
described in paragraph (1)(A)’’; 
(2) in subsection (c), by striking ‘‘for the period described 
in subsection (a)(1)(A)’’ and inserting ‘‘for a period described 
in subsection (a)(1)(A) for fiscal year 2024’’; and 
(3) in subsection (f)(1), by striking ‘‘2023, and for the period 
beginning on October 1, 2023, and ending on November 17, 
2023, an amount equal to the pro rata portion of the amount 
appropriated for the corresponding period for fiscal year 2023’’ 
and inserting ‘‘2023, for the period beginning on October 1, 
2023, and ending on November 17, 2023, an amount equal
H. R. 6363—12 
to the pro rata portion of the amount appropriated for the 
corresponding period for fiscal year 2023, and for the period 
beginning on November 18, 2023, and ending on January 19, 
2024, an amount equal to the pro rata portion of the amount 
appropriated for the corresponding period for fiscal year 2023’’. 
Subtitle D—Medicare 
SEC. 501. EXTENDING FLOOR FOR WORK GEOGRAPHIC INDEX. 
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 
1395w–4(e)(1)(E)) is amended by striking ‘‘January 1, 2024’’ and 
inserting ‘‘January 20, 2024’’. 
SEC. 502. REVISING PHASE-IN OF MEDICARE CLINICAL LABORATORY 
TEST PAYMENT CHANGES. 
(a) REVISED PHASE-IN OF REDUCTIONS FROM PRIVATE PAYOR 
RATE IMPLEMENTATION.—Section 1834A(b)(3) of the Social Security 
Act (42 U.S.C. 1395m–1(b)(3)) is amended— 
(1) in subparagraph (A), by striking ‘‘2026’’ and inserting 
‘‘2027’’; and 
(2) in subparagraph (B)— 
(A) in clause (ii), by striking ‘‘2023’’ and inserting 
‘‘2024’’; and 
(B) in clause (iii), by striking ‘‘2024 through 2026’’ 
and inserting ‘‘2025 through 2027’’. 
(b) REVISED REPORTING PERIOD FOR REPORTING OF PRIVATE 
SECTOR PAYMENT RATES FOR ESTABLISHMENT OF MEDICARE PAY-
MENT RATES.—Section 1834A(a)(1)(B) of the Social Security Act 
(42 U.S.C. 1395m–1(a)(1)(B)) is amended— 
(1) in clause (i), by striking ‘‘2023’’ and inserting ‘‘2024’’; 
and 
(2) in clause (ii), by striking ‘‘2024’’ each place it appears 
and inserting ‘‘2025’’. 
SEC. 503. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ‘‘$180,000,000’’ and inserting 
‘‘$466,795,056’’. 
TITLE III—MISCELLANEOUS 
EXTENSIONS 
SEC. 601. COUNTER-UAS AUTHORITIES. 
Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 
124n(i)) is amended by striking ‘‘November 18, 2023’’ and inserting 
‘‘February 3, 2024’’. 
TITLE IV—BUDGETARY EFFECTS 
SEC. 701. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budgetary effects 
of this division shall not be entered on either PAYGO scorecard 
maintained pursuant to section 4(d) of the Statutory Pay-As-You- 
Go Act of 2010.
H. R. 6363—13 
(b) SENATE PAYGO SCORECARDS.—The budgetary effects of this 
division shall not be entered on any PAYGO scorecard maintained 
for purposes of section 4106 of H. Con. Res. 71 (115th Congress). 
(c) CLASSIFICATION OF BUDGETARY EFFECTS.—Notwithstanding 
Rule 3 of the Budget Scorekeeping Guidelines set forth in the 
joint explanatory statement of the committee of conference accom-
panying Conference Report 105–217 and section 250(c)(8) of the 
Balanced Budget and Emergency Deficit Control Act of 1985, the 
budgetary effects of this division shall not be estimated— 
(1) for purposes of section 251 of such Act; 
(2) for purposes of an allocation to the Committee on Appro-
priations pursuant to section 302(a) of the Congressional 
Budget Act of 1974; and 
(3) for purposes of paragraph (4)(C) of section 3 of the 
Statutory Pay-As-You-Go Act of 2010 as being included in an 
appropriation Act. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.