H. R. 6833—22 
(1) in clause (i), by striking ‘‘October 1, 2022’’ and inserting 
‘‘December 17, 2022’’; and 
(2) in clause (ii)(II), by striking ‘‘October 1, 2022’’ and 
inserting ‘‘December 17, 2022’’. 
(b) CONFORMING AMENDMENTS.— 
(1) EXTENSION OF TARGET AMOUNT.—Section 1886(b)(3)(D) 
of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is 
amended— 
(A) in the matter preceding clause (i), by striking 
‘‘October 1, 2022’’ and inserting ‘‘December 17, 2022’’; and 
(B) in clause (iv), by inserting ‘‘and the portion of 
fiscal year 2023 beginning on October 1, 2022, and ending 
on December 16, 2022,’’ after ‘‘through fiscal year 2022’’. 
(2) PERMITTING HOSPITALS TO DECLINE RECLASSIFICATION.— 
Section 13501(e)(2) of the Omnibus Budget Reconciliation Act 
of 1993 (42 U.S.C. 1395ww note) is amended by striking ‘‘or 
fiscal year 2000 through fiscal year 2022,’’ and inserting ‘‘fiscal 
year 2000 through fiscal year 2022, or the portion of fiscal 
year 2023 beginning on October 1, 2022, and ending on 
December 16, 2022’’. 
SEC. 103. EXTENSION OF INCREASED FMAPS FOR THE TERRITORIES. 
Section 1905(ff) of the Social Security Act (42 U.S.C. 1396d(ff)) 
is amended by striking ‘‘December 13’’ each place it appears and 
inserting ‘‘December 16’’ in each such place. 
SEC. 104. REDUCTION OF MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ‘‘$7,500,000,000’’ and inserting 
‘‘$7,308,000,000’’. 
TITLE II—HUMAN SERVICES 
SEC. 201. EXTENSION OF MATERNAL, INFANT, AND EARLY CHILDHOOD 
HOME VISITING PROGRAMS. 
Activities authorized by section 511 of the Social Security Act 
shall continue through December 16, 2022, in the manner author-
ized for fiscal year 2022, and out of any money in the Treasury 
of the United States not otherwise appropriated, there is hereby 
appropriated for such purpose an amount equal to the pro rata 
portion of the amount appropriated for such activities for fiscal 
year 2022. 
SEC. 202. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS. 
Activities authorized by part B of title IV of the Social Security 
Act shall continue through December 16, 2022, in the manner 
authorized for fiscal year 2022, 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.
H. R. 6833—23 
TITLE III—PUBLIC HEALTH 
SEC. 301. EXTENSION OF THE PROGRAM TO DEEM CERTAIN HEALTH 
PROFESSIONAL VOLUNTEERS EMPLOYEES OF THE PUBLIC 
HEALTH SERVICE UNDER CERTAIN CIRCUMSTANCES. 
(a) IN GENERAL.—Section 224(q) of the Public Health Service 
Act (42 U.S.C. 233(q)) is amended by striking paragraph (6). 
(b) TECHNICAL CORRECTIONS.—Section 224 of the Public Health 
Service Act (42 U.S.C. 233) is amended— 
(1) in subsection (g)(1)(H)(iv), by striking ‘‘this section.’’ 
and inserting ‘‘this section).’’; 
(2) in subsection (k)(3), by inserting ‘‘governing board mem-
bers,’’ after ‘‘officers,’’; 
(3) in subsection (p)(7)(A)(i), by moving the margin of sub-
clause (II) 2 ems to the left; and 
(4) in subsection (q)(5)(A), by striking ‘‘and paragraph (6)’’. 
SEC. 302. EXTENSION OF AUTHORIZATION FOR A COMMISSIONED 
OFFICER OF THE PUBLIC HEALTH SERVICE TO ACCUMU-
LATE EXCESS ANNUAL LEAVE. 
For purposes of annual leave accumulated in fiscal year 2022, 
the authority provided in section 2106 of division C of Public Law 
116–159 (42 U.S.C. 210–1 note) shall apply to such leave by sub-
stituting ‘‘2022’’ for ‘‘2020’’ in subsections (a) and (d)(2). 
TITLE IV—INDIAN HEALTH 
SEC. 401. EXTENSION OF MORATORIUM. 
Section 424(a) of title IV of division G of Public Law 113– 
76 is amended by striking ‘‘October 1, 2019’’ and inserting 
‘‘December 16, 2022’’. 
DIVISION E—VETERANS AFFAIRS 
EXTENSIONS 
TITLE I—EXTENSIONS OF AUTHORITIES 
RELATING TO HEALTH CARE 
SEC. 101. EXTENSION OF AUTHORITY FOR COLLECTION OF COPAY-
MENTS FOR HOSPITAL CARE AND NURSING HOME CARE. 
Section 1710(f)(2)(B) of title 38, United States Code, is amended 
by striking ‘‘September 30, 2022’’ and inserting ‘‘September 30, 
2024’’. 
SEC. 102. EXTENSION OF REQUIREMENT TO PROVIDE NURSING HOME 
CARE TO CERTAIN VETERANS WITH SERVICE-CONNECTED 
DISABILITIES. 
Section 1710A(d) of title 38, United States Code, is amended 
by striking ‘‘September 30, 2022’’ and inserting ‘‘September 30, 
2024’’.
H. R. 6833—24 
SEC. 103. EXTENSION OF AUTHORITY TO CONTINUE DOD–VA HEALTH 
CARE SHARING INCENTIVE FUND. 
Section 8111(d)(3) of title 38, United States Code, is amended 
by striking ‘‘September 30, 2023’’ and inserting ‘‘September 30, 
2026’’. 
SEC. 104. EXTENSION OF AUTHORITY FOR JOINT DEPARTMENT OF 
DEFENSE-DEPARTMENT OF VETERANS AFFAIRS MEDICAL 
FACILITY DEMONSTRATION FUND. 
Section 1704(e) of the National Defense Authorization Act for 
Fiscal Year 2010 (Public Law 111–84; 123 Stat. 2573), as most 
recently amended by section 715 of the National Defense Authoriza-
tion Act for Fiscal Year 2022 (Public Law 117–81; 135 Stat. 1787), 
is amended by striking ‘‘September 30, 2023’’ and inserting ‘‘Sep-
tember 30, 2024’’. 
SEC. 105. EXTENSION OF TEMPORARY EXPANSION OF PAYMENTS AND 
ALLOWANCES FOR BENEFICIARY TRAVEL IN CONNECTION 
WITH VETERANS RECEIVING CARE FROM VET CENTERS. 
Section 104(a) of the Honoring America’s Veterans and Caring 
for Camp Lejeune Families Act of 2012 (Public Law 112–154; 126 
Stat. 1169), as most recently amended by section 3 of the Depart-
ment of Veterans Affairs Expiring Authorities Act of 2021 (Public 
Law 117–42; 135 Stat. 342), is amended by striking ‘‘September 
30, 2022’’ and inserting ‘‘September 30, 2023’’. 
TITLE II—EXTENSIONS OF 
AUTHORITIES RELATING TO BENEFITS 
SEC. 201. EXTENSION OF AUTHORITY TO TRANSPORT INDIVIDUALS 
TO AND FROM DEPARTMENT OF VETERANS AFFAIRS 
FACILITIES. 
Section 111A(a)(2) of title 38, United States Code, is amended 
by striking ‘‘September 30, 2022’’ and inserting ‘‘September 30, 
2024’’. 
SEC. 202. EXTENSION OF AUTHORITY TO MAINTAIN REGIONAL OFFICE 
IN THE REPUBLIC OF THE PHILIPPINES. 
Section 315(b) of title 38, United States Code, is amended 
by striking ‘‘September 30, 2022’’ and inserting ‘‘September 30, 
2024’’. 
SEC. 203. EXTENSION OF AUTHORITY FOR REPORT ON EQUITABLE 
RELIEF PROVIDED DUE TO ADMINISTRATIVE ERROR. 
Section 503(c) of title 38, United States Code, is amended 
by striking ‘‘December 31, 2022’’ and inserting ‘‘December 31, 2024’’. 
SEC. 204. EXTENSION OF AUTHORITY TO PROVIDE ASSISTANCE FOR 
SPECIALLY ADAPTED HOUSING FOR DISABLED VETERANS 
RESIDING TEMPORARILY IN HOUSING OWNED BY A 
FAMILY MEMBER. 
Section 2102A(e) of title 38, United States Code, is amended 
by striking ‘‘December 31, 2022’’ and inserting ‘‘December 31, 2024’’.