$740,200,000, to remain available until expended: Pro-
vided, That up to 20 percent of such amount may be 
transferred to ‘‘Space Operations’’ for necessary expenses 
related to communications facilities and equipment, re-
quired remediation, and alternative operations caused by 
Typhoon Mawar: Provided further, That except as pro-
vided in the preceding proviso, the amounts appropriated 
under this heading in this Act shall not be available for 
transfer under any transfer authority provided for the Na-
tional Aeronautics and Space Administration in an appro-
priation Act for fiscal year 2025: Provided further, That 
the National Aeronautics and Space Administration shall 
submit a spending plan to the Committees on Appropria-
tions of the House of Representatives and the Senate not 
later than 45 days after the date of enactment of this 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. 
TITLE III 
DEPARTMENT OF DEFENSE 
OPERATION AND MAINTENANCE 
OPERATION AND MAINTENANCE, ARMY 
For an additional amount for ‘‘Operation and Main-
tenance, Army’’, $451,894,000, to remain available until 
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September 30, 2025, for necessary expenses related to the 
consequences of severe storms, straight-line winds, torna-
does, microbursts, and hurricanes in calendar years 2023 
and 2024: Provided, That such amount is designated by 
the Congress as being for an emergency requirement pur-
suant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, NAVY 
For an additional amount for ‘‘Operation and Main-
tenance, Navy’’, $1,454,153,000, to remain available until 
September 30, 2025, for necessary expenses related to the 
consequences of Hurricanes Ian, Nicole, Idalia, Helene, 
and Milton, Typhoon Mawar, and severe storms in cal-
endar year 2023: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, MARINE CORPS 
For an additional amount for ‘‘Operation and Main-
tenance, Marine Corps’’, $8,900,000, to remain available 
until September 30, 2025, for necessary expenses related 
to the consequences of Hurricanes Helene and Milton: 
Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
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tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, AIR FORCE 
For an additional amount for ‘‘Operation and Main-
tenance, Air Force’’, $912,778,000, to remain available 
until September 30, 2025, for necessary expenses related 
to the consequences of Hurricanes Helene and Milton and 
Typhoon Mawar: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, SPACE FORCE 
For an additional amount for ‘‘Operation and Main-
tenance, Space Force’’, $90,230,000, to remain available 
until September 30, 2025, for necessary expenses related 
to the consequences of Hurricanes Helene and Milton and 
Typhoon Mawar: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, DEFENSE-WIDE 
For an additional amount for ‘‘Operation and Main-
tenance, Defense-Wide’’, $1,208,000, to remain available 
until September 30, 2025, for necessary expenses related 
to the consequences of Hurricanes Helene and Milton: 
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Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, ARMY RESERVE 
For an additional amount for ‘‘Operation and Main-
tenance, Army Reserve’’, $19,594,000, to remain available 
until September 30, 2025, for necessary expenses related 
to the consequences of Hurricanes Helene and Milton and 
microbursts in calendar year 2024: Provided, 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. 
OPERATION AND MAINTENANCE, AIR FORCE RESERVE 
For an additional amount for ‘‘Operation and Main-
tenance, Air Force Reserve’’, $1,319,000, to remain avail-
able until September 30, 2025, for necessary expenses re-
lated to the consequences of Hurricanes Helene and Mil-
ton and Typhoon Mawar: Provided, That such amount is 
designated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
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OPERATION AND MAINTENANCE, ARMY NATIONAL 
GUARD 
For an additional amount for ‘‘Operation and Main-
tenance, Army National Guard’’, $26,065,000, to remain 
available until September 30, 2025, for necessary expenses 
related to the consequences of Hurricanes Helene and Mil-
ton, Typhoon Mawar, and severe storms in calendar years 
2023 and 2024: Provided, 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 Budg-
et and Emergency Deficit Control Act of 1985. 
OPERATION AND MAINTENANCE, AIR NATIONAL GUARD 
For an additional amount for ‘‘Operation and Main-
tenance, Air National Guard’’, $2,209,000, to remain 
available until September 30, 2025, for necessary expenses 
related to the consequences of Hurricane Helene and Ty-
phoon Mawar: Provided, 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 Budg-
et and Emergency Deficit Control Act of 1985. 
PROCUREMENT 
PROCUREMENT OF AMMUNITION, ARMY 
For an additional amount for ‘‘Procurement of Am-
munition, Army’’, $125,100,000, to remain available until 
September 30, 2027, for necessary expenses related to the 
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consequences of Hurricane Helene: Provided, 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. 
OTHER PROCUREMENT, AIR FORCE 
For an additional amount for ‘‘Other Procurement, 
Air Force’’, $129,722,000, to remain available until Sep-
tember 30, 2027, for necessary expenses related to the 
consequences of Typhoon Mawar: Provided, 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. 
PROCUREMENT, SPACE FORCE 
For an additional amount for ‘‘Procurement, Space 
Force’’, $37,994,000, to remain available until September 
30, 2027, for necessary expenses related to the con-
sequences of Typhoon Mawar: Provided, 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. 
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RESEARCH, DEVELOPMENT, TEST AND 
EVALUATION 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
ARMY 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Army’’, $41,400,000, to re-
main available until September 30, 2026, for necessary ex-
penses related to the consequences of severe storms and 
wave overwash: Provided, 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 Budg-
et and Emergency Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, 
AIR FORCE 
For an additional amount for ‘‘Research, Develop-
ment, Test and Evaluation, Air Force’’, $69,278,000, to 
remain available until September 30, 2026, for necessary 
expenses related to the consequences of Typhoon Mawar: 
Provided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
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OTHER DEPARTMENT OF DEFENSE PROGRAMS 
DEFENSE HEALTH PROGRAM 
For an additional amount for ‘‘Defense Health Pro-
gram’’, $17,362,000, to remain available until September 
30, 2025, for necessary expenses related to the con-
sequences of Hurricanes Helene and Milton: Provided, 
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. 
TITLE IV 
CORPS OF ENGINEERS—CIVIL 
DEPARTMENT OF THE ARMY 
CORPS OF ENGINEERS—CIVIL 
INVESTIGATIONS 
For an additional amount for ‘‘Investigations’’, 
$20,000,000, to remain available until expended, for nec-
essary expenses related to the completion, or initiation and 
completion, of flood and storm damage reduction, includ-
ing shore protection, studies that are currently authorized, 
to reduce risks from future floods and hurricanes, at full 
Federal expense: Provided, That amounts made available 
under this heading in this Act shall be for high-priority 
studies of projects in States and insular areas with a 
major disaster, including for glacial lake outbursts, in cal-
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endar year 2022, 2023, or 2024: Provided further, That 
not later than 60 days after the date of enactment of this 
Act and not less than three business days prior to public 
release, the Chief of Engineers shall submit directly to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a detailed work plan for the funds 
provided under this heading in this Act, including a list 
of study locations, new studies selected to be initiated, the 
total cost for each study selected for funding, the remain-
ing cost for each ongoing study selected for funding, and 
a schedule by fiscal year of the proposed use of such funds: 
Provided further, That the Secretary of the Army shall not 
deviate from the work plan, once the plan has been sub-
mitted to such Committees: Provided further, That funds 
included in a submitted work plan shall be deemed allo-
cated to specific projects and subject to the reprogram-
ming requirements specified in section 101(6) of the En-
ergy and Water Development and Related Agencies Ap-
propriations Act, 2024: Provided further, That beginning 
not later than 60 days after the date of enactment of this 
Act and until all amounts provided under this heading in 
this Act have been expended, the Assistant Secretary of 
the Army for Civil Works shall provide a quarterly report 
directly to such Committees detailing the allocation, obli-
gation, and expenditure of the funds provided under this 
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heading in this 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. 
CONSTRUCTION 
For an additional amount for ‘‘Construction’’, 
$700,000,000, to remain available until expended, for nec-
essary expenses to address emergency situations at Corps 
of Engineers projects, construct Corps of Engineers 
projects, and rehabilitate and repair damages caused by 
natural disasters to Corps of Engineers projects: Provided, 
That of the amount provided under this heading in this 
Act, $100,000,000 shall be used for continuing authorities 
projects to reduce the risk of flooding and storm damage, 
notwithstanding project number or program cost limita-
tions: Provided further, That of the amount provided 
under this heading in this Act, $300,000,000 shall be to 
complete, or initiate and complete, without regard to new 
start or new investment decision considerations, a useful 
increment of work for water-related environmental infra-
structure assistance in States and insular areas that were 
impacted by disasters occurring in or prior to calendar 
year 2024: Provided further, That of the amount provided 
under this heading in this Act, $300,000,000 shall be for 
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projects that have previously received funds under this 
heading in chapter 4 of title X of the Disaster Relief Ap-
propriations Act, 2013 (division A of Public Law 113–2), 
title IV of division B of the Bipartisan Budget Act of 2018 
(Public Law 115–123), or title IV of the Disaster Relief 
Supplemental Appropriations Act, 2022 (division B of 
Public Law 117–43), and for which non-Federal interests 
have entered into binding agreements with the Secretary 
as of the date of enactment of this Act: Provided further, 
That each project receiving funds pursuant to the pre-
ceding proviso shall be subject to the terms and conditions 
of such chapter 4 of title X of the Disaster Relief Appro-
priations Act, 2013 (division A of Public Law 113–2), title 
IV of division B of the Bipartisan Budget Act of 2018 
(Public Law 115–123), or title IV of the Disaster Relief 
Supplemental Appropriations Act, 2022 (division B of 
Public Law 117–43), and as specifically modified by sec-
tion 111 of the Energy and Water Development and Re-
lated Agencies Appropriations Act, 2024 (division D of 
Public Law 118–42), as applicable: Provided further, That 
of the amount provided under this heading in this Act, 
such sums as are necessary to cover the Federal share of 
eligible construction costs for coastal harbors and chan-
nels, and for inland harbors eligible to be derived from 
the Harbor Maintenance Trust Fund under section 101 
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or section 104 of the Water Resources and Development 
Act of 2020 shall be derived from the general fund of the 
Treasury: Provided further, That for projects receiving 
funding under this heading in this Act, the limitation con-
cerning total project costs in section 902 of the Water Re-
sources Development Act of 1986 (Public Law 99–662) 
shall not apply to funds provided under this heading in 
this Act: Provided further, That for any projects using 
funding provided under this heading in this Act, the non- 
Federal cash contribution for projects shall be financed 
in accordance with the provisions of section 103(k) of Pub-
lic Law 99–662 over a period of 30 years from the date 
of completion of the project, separable element, or useful 
increment: Provided further, That any projects initiated 
using funds provided under this heading in this Act shall 
be initiated only after non-Federal interests have entered 
into binding agreements with the Secretary requiring, 
where applicable, the non-Federal interests to pay 100 
percent of the operation, maintenance, repair, replace-
ment, and rehabilitation costs of the project and to hold 
and save the United States free from damages due to the 
construction or operation and maintenance of the project, 
except for damages due to the fault or negligence of the 
United States or its contractors: Provided further, That 
not later than 60 days after the date of enactment of this 
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Act and not less than three business days prior to public 
release, the Chief of Engineers shall submit directly to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a detailed work plan for the funds 
provided under this heading in this Act, including a list 
of project locations, the total cost for all projects, and a 
schedule by fiscal year of proposed use of such funds: Pro-
vided further, That the Secretary shall not deviate from 
the work plan, once the plan has been submitted to such 
Committees: Provided further, That funds included in a 
submitted work plan shall be deemed allocated to specific 
projects and subject to the reprogramming requirements 
specified in section 101(7) of the Energy and Water De-
velopment and Related Agencies Appropriations Act, 
2024: Provided further, That beginning not later than 60 
days after the date of enactment of this Act and until all 
amounts provided under this heading in this Act have been 
expended, the Assistant Secretary of the Army for Civil 
Works shall provide a quarterly report directly to such 
Committees detailing the allocation, obligation, and ex-
penditure of the funds provided under this heading in this 
Act: Provided further, That such amount is designated by 
the Congress as being for an emergency requirement pur-
suant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
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MISSISSIPPI RIVER AND TRIBUTARIES 
For an additional amount for ‘‘Mississippi River and 
Tributaries’’, $50,000,000, to remain available until ex-
pended, for necessary expenses to address emergency situ-
ations at Corps of Engineers projects, and to construct, 
and rehabilitate and repair damages to Corps of Engineers 
projects, caused by natural disasters: Provided, That be-
ginning not later than 60 days after the date of enactment 
of this Act and until all amounts provided under this head-
ing in this Act have been expended, the Assistant Sec-
retary of the Army for Civil Works shall provide a quar-
terly report directly to the Committees on Appropriations 
of the House of Representatives and the Senate detailing 
the allocation, obligation, and expenditure of the funds 
provided under this heading in this 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. 
FLOOD CONTROL AND COASTAL EMERGENCIES 
For an additional amount for ‘‘Flood Control and 
Coastal Emergencies’’, as authorized by section 5 of the 
Act of August 18, 1941 (33 U.S.C. 701n), $745,000,000, 
to remain available until expended, for necessary expenses 
to prepare for flood, hurricane, and other natural disasters 
VerDate Sep 11 2014 
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and support emergency operations, repairs, and other ac-
tivities in response to such disasters, as authorized by law: 
Provided, That funding provided under this heading in 
this Act utilized to repair authorized shore protection 
projects shall restore such projects to their full project 
profile at full Federal expense: Provided further, That be-
ginning not later than 60 days after the date of enactment 
of this Act and until all amounts provided under this head-
ing in this Act have been expended, the Chief of Engineers 
shall provide a quarterly report directly to the Committees 
on Appropriations of the House of Representatives and the 
Senate detailing the allocation, obligation, and expenditure 
of the funds provided under this heading in this Act: Pro-
vided further, That such amount is designated by the Con-
gress 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. 
DEPARTMENT OF THE INTERIOR 
BUREAU OF RECLAMATION 
WATER AND RELATED RESOURCES 
For an additional amount for ‘‘Water and Related 
Resources’’, $74,464,000, to remain available until ex-
pended, of which $27,930,000 shall be for necessary ex-
penses related to the consequences of natural disasters 
that occurring in or prior to calendar year 2024: Provided, 
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That $46,534,000 shall be available for deposit into the 
Aging Infrastructure Account established by section 
9603(d)(1) of the Omnibus Public Land Management Act 
of 2009 (43 U.S.C. 510b(d)(1)), and shall be made avail-
able for reserved or transferred works that have suffered 
a critical failure, in accordance with section 40901(2)(A) 
of division D of Public Law 117–58: 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. 
DEPARTMENT OF ENERGY 
ENERGY PROGRAMS 
STRATEGIC PETROLEUM RESERVE 
For an additional amount for ‘‘Strategic Petroleum 
Reserve’’, $60,000,000, to remain available until ex-
pended, for necessary expenses related to damages caused 
by natural disasters: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
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ATOMIC ENERGY DEFENSE ACTIVITIES 
NATIONAL NUCLEAR SECURITY 
ADMINISTRATION 
WEAPONS ACTIVITIES 
For an additional amount for ‘‘Weapons Activities’’, 
$1,884,000, to remain available until expended, for nec-
essary expenses related to damages caused by Hurricanes 
Helene and Milton: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
ENVIRONMENTAL AND OTHER DEFENSE 
ACTIVITIES 
DEFENSE ENVIRONMENTAL CLEANUP 
For an additional amount for ‘‘Defense Environ-
mental Cleanup’’, $2,415,000, to remain available until 
expended, for necessary expenses related to damages 
caused by Hurricanes Helene and Milton: Provided, 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. 
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TITLE V 
THE JUDICIARY 
SUPREME COURT OF THE UNITED STATES 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $13,597,000, to remain available until expended, 
for protection of the residences of the Supreme Court Jus-
tices: Provided, 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. 
INDEPENDENT AGENCIES 
SMALL BUSINESS ADMINISTRATION 
DISASTER LOANS PROGRAM ACCOUNT 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Disaster Loans Pro-
gram Account’’ for the cost of direct loans authorized by 
section 7(b) of the Small Business Act, $2,249,000,000, 
to remain available until expended, of which $50,000,000 
shall be transferred to ‘‘Small Business Administration— 
Office of Inspector General’’ for audits and reviews of dis-
aster loans and the disaster loans programs, and of which 
$613,000,000 may be transferred to ‘‘Small Business Ad-
ministration—Salaries and Expenses’’ for administrative 
expenses to carry out the disaster loan program authorized 
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by section 7(b) of the Small Business Act: Provided, 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. 
TITLE VI 
DEPARTMENT OF HOMELAND SECURITY 
SECURITY, ENFORCEMENT, AND 
INVESTIGATIONS 
COAST GUARD 
OPERATIONS AND SUPPORT 
For an additional amount for ‘‘Operations and Sup-
port’’, $102,500,000, to remain available until September 
30, 2027, for necessary expenses related to the con-
sequences of the Francis Scott Key Bridge collapse and 
other disasters, including for minor repairs, maintenance, 
and environmental remediation costs: Provided, That the 
Commandant of the Coast Guard shall provide to the 
Committees on Appropriations of the House of Represent-
atives and the Senate an expenditure plan and quarterly 
updates for the expenditure of such funds: Provided fur-
ther, 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. 
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PROCUREMENT, CONSTRUCTION, AND IMPROVEMENTS 
For an additional amount for ‘‘Procurement, Con-
struction, and Improvements’’, $210,200,000, to remain 
available until September 30, 2029, for necessary expenses 
related to the consequences of disasters: Provided, That 
the Commandant of the Coast Guard shall provide to the 
Committees on Appropriations of the House of Represent-
atives and the Senate an expenditure plan and quarterly 
updates for the expenditure of such funds: Provided fur-
ther, 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. 
PROTECTION, PREPAREDNESS, RESPONSE, AND 
RECOVERY 
FEDERAL EMERGENCY MANAGEMENT AGENCY 
DISASTER RELIEF FUND 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Disaster Relief 
Fund’’, $29,000,000,000, to remain available until ex-
pended, of which $28,000,000,000 shall be for major dis-
asters declared pursuant to the Robert T. Stafford Dis-
aster Relief and Emergency Assistance Act (42 U.S.C. 
5121 et seq.): Provided, That $4,000,000 shall be trans-
ferred to ‘‘Office of Inspector General—Operations and 
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Support’’ for audits and investigations funded under 
‘‘Federal Emergency Management Agency—Disaster Re-
lief Fund’’: Provided further, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
HERMIT’S PEAK/CALF CANYON FIRE ASSISTANCE 
ACCOUNT 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Hermit’s Peak/Calf 
Canyon Fire Assistance Account’’, $1,500,000,000, to re-
main available until expended: Provided, That $1,000,000 
shall be transferred to ‘‘Office of Inspector General—Op-
erations and Support’’ for oversight of activities author-
ized by the Hermit’s Peak/Calf Canyon Fire Assistance 
Act: Provided further, That the amounts provided under 
this heading in this Act shall be subject to the reporting 
requirement in the third proviso of section 136 of the Con-
tinuing Appropriations Act, 2023 (division A of Public 
Law 117–180): Provided further, That amounts provided 
under this heading in this Act shall be subject to the same 
authorities and conditions as if such amounts were pro-
vided by title III of the Department of Homeland Security 
Appropriations Act, 2024 (division C of Public Law 118– 
47): Provided further, That such amount is designated by 
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the Congress as being for an emergency requirement pur-
suant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TRAINING, AND 
SERVICES 
FEDERAL LAW ENFORCEMENT TRAINING CENTERS 
PROCUREMENT, CONSTRUCTION, AND IMPROVEMENTS 
For an additional amount for ‘‘Procurement, Con-
struction, and Improvements’’, $14,020,000, to remain 
available until September 30, 2029, for necessary expenses 
relating to the consequences of disasters: Provided, 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. 
TITLE VII 
DEPARTMENT OF THE INTERIOR 
BUREAU OF LAND MANAGEMENT 
MANAGEMENT OF LANDS AND RESOURCES 
For an additional amount for ‘‘Management of Lands 
and Resources’’, $58,115,000, to remain available until 
expended, for necessary expenses related to the con-
sequences of natural disasters occurring in and prior to 
calendar year 2024: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
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quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
UNITED STATES FISH AND WILDLIFE SERVICE 
CONSTRUCTION 
For an additional amount for ‘‘Construction’’, 
$500,000,000, to remain available until expended, for nec-
essary expenses related to the consequences of natural dis-
asters occurring in and prior to calendar year 2024: Pro-
vided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
NATIONAL PARK SERVICE 
HISTORIC PRESERVATION FUND 
For an additional amount for ‘‘Historic Preservation 
Fund’’, $50,000,000, to remain available until expended, 
for necessary expenses related to the consequences of nat-
ural disasters occurring in and prior to calendar year 
2024, including costs to States, Tribes, and territories 
necessary to complete compliance activities required by 
section 306108 of title 54, United States Code, and costs 
needed to administer the program: Provided, That funds 
appropriated under this heading in this Act shall be used 
for historic and cultural resource preservation work that 
meets the Secretary of the Interior’s Standards and 
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Guidelines as published in the Federal Register (Vol. 48, 
No. 190, September 29, 1983), to include Reconstruction 
of National Register listed or eligible sites: Provided fur-
ther, That grants using funds appropriated under this 
heading in this Act shall only be available for areas that 
have received a major disaster declaration pursuant to the 
Robert T. Stafford Disaster Relief and Emergency Assist-
ance Act (42 U.S.C. 5121 et seq.): Provided further, That 
such grants shall not be subject to a non-Federal matching 
requirement: Provided further, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
CONSTRUCTION 
For an additional amount for ‘‘Construction’’, 
$2,262,871,000, to remain available until expended, for 
necessary expenses related to the consequences of disas-
ters, including hurricanes, tropical storms, tornadoes, and 
other severe storms, wildfire, fire, and flooding occurring 
in and prior to calendar year 2024: Provided, 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. 
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UNITED STATES GEOLOGICAL SURVEY 
SURVEYS, INVESTIGATIONS, AND RESEARCH 
For an additional amount for ‘‘Surveys, Investiga-
tions, and Research’’, $2,743,000, to remain available 
until expended, for necessary expenses related to the con-
sequences of natural disasters occurring in and prior to 
calendar year 2024: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
INDIAN AFFAIRS 
BUREAU OF INDIAN AFFAIRS 
OPERATION OF INDIAN PROGRAMS 
For an additional amount for ‘‘Operation of Indian 
Programs’’, $17,765,000, to remain available until ex-
pended, for necessary expenses related to the consequences 
of natural disasters occurring in and prior to calendar 
year 2024: Provided, That such amount is designated by 
the Congress as being for an emergency requirement pur-
suant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
BUREAU OF INDIAN EDUCATION 
EDUCATION CONSTRUCTION 
For an additional amount for ‘‘Education Construc-
tion’’, $153,000,000, to remain available until expended, 
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for necessary expenses related to the consequences of nat-
ural disasters occurring in and prior to calendar year 
2024: Provided, 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. 
OFFICE OF INSPECTOR GENERAL 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $8,000,000, to remain available until expended, 
for oversight of the Department of the Interior activities 
funded by this Act: Provided, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
ENVIRONMENTAL PROTECTION AGENCY 
LEAKING UNDERGROUND STORAGE TANK TRUST FUND 
PROGRAM 
For an additional amount for ‘‘Leaking Underground 
Storage Tank Trust Fund Program’’, $17,000,000, to re-
main available until expended, for necessary expenses re-
lated to the consequences of Hurricanes Helene and 
Hilary: Provided, That such amount is designated by the 
Congress as being for an emergency requirement pursuant 
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to section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
STATE AND TRIBAL ASSISTANCE GRANTS 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $3,000,000,000 to remain available 
until expended, of which $1,230,000,000 shall be for cap-
italization grants for the Clean Water State Revolving 
Funds under title VI of the Federal Water Pollution Con-
trol Act, and of which $1,770,000,000 shall be for capital-
ization grants under section 1452 of the Safe Drinking 
Water Act: Provided, That notwithstanding section 604(a) 
of the Federal Water Pollution Control Act and section 
1452(a)(1)(D) of the Safe Drinking Water Act, funds ap-
propriated under this paragraph in this Act shall be pro-
vided to States or territories in EPA Regions 3, 4, and 
9 in amounts determined by the Administrator of the En-
vironmental Protection Agency for wastewater treatment 
works and drinking water facilities impacted by Hurri-
canes Helene and Milton and Hawaii wildfires: Provided 
further, That notwithstanding the requirements of section 
603(i) of the Federal Water Pollution Control Act and sec-
tion 1452(d) of the Safe Drinking Water Act, for the 
funds appropriated under this paragraph in this Act, each 
State shall use not less than 30 percent of the amount 
of its capitalization grants to provide additional subsidiza-
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tion to eligible recipients in the form of forgiveness of prin-
cipal, negative interest loans or grants, or any combination 
of these: Provided further, That the funds appropriated 
under this paragraph in this Act shall be used for eligible 
projects whose purpose is to reduce flood or fire damage 
risk and vulnerability or to enhance resiliency to rapid hy-
drologic change or natural disaster at treatment works, 
as defined by section 212 of the Federal Water Pollution 
Control Act, or any eligible facilities under section 1452 
of the Safe Drinking Water Act, and for other eligible 
tasks at such treatment works or facilities necessary to 
further such purposes: Provided further, That the funds 
provided under this paragraph in this Act shall not be sub-
ject to the matching or cost share requirements of section 
1452(e) of the Safe Drinking Water Act: Provided further, 
That funds provided under this paragraph in this Act shall 
not be subject to the matching or cost share requirements 
of sections 602(b)(2), 602(b)(3), or 202 of the Federal 
Water Pollution Control Act: Provided further, That the 
Administrator of the Environmental Protection Agency 
may retain up to $5,000,000 of the funds appropriated 
under this paragraph in this Act for management and 
oversight: Provided further, That such amount is des-
ignated by the Congress as being for an emergency re-
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quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $85,000,000, to remain available until 
expended, for capitalization grants for the Clean Water 
State Revolving Funds under title VI of the Federal Water 
Pollution Control Act: Provided, That notwithstanding 
section 604(a) of the Federal Water Pollution Control Act, 
funds appropriated under this paragraph in this Act shall 
be provided to States or territories in EPA Regions 3 and 
4 impacted by Hurricanes Helene and Milton in amounts 
determined by the Administrator of the Environmental 
Protection Agency to improve the resilience of decentral-
ized wastewater treatment systems to flooding, to assess 
the potential to connect homes served by decentralized 
wastewater treatment systems to centralized wastewater 
systems, and to fund such connections: Provided further, 
That notwithstanding the requirements of section 603(i) 
of the Federal Water Pollution Control Act, for the funds 
appropriated under this paragraph in this Act, each State 
shall use 100 percent of the amount of its capitalization 
grants to provide additional subsidization to eligible recipi-
ents in the form of forgiveness of principal, grants, nega-
tive interest loans, other loan forgiveness, and through 
buying, refinancing, or restructuring debt or any combina-
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tion thereof: Provided further, That funds appropriated 
under this paragraph in this Act shall not be subject to 
the matching or cost share requirements of sections 
602(b)(2), 602(b)(3), or 202 of the Federal Water Pollu-
tion Control Act: Provided further, That the Administrator 
of the Environmental Protection Agency may retain up to 
$3,000,000 of the funds appropriated under this para-
graph in this Act for management and oversight: Provided 
further, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $60,000,000, to remain available until 
expended, for necessary expenses to address water emer-
gencies under section 1442(b) of the Safe Drinking Water 
Act (42 U.S.C. 300j–1(b)) or section 504(a) of the Fed-
eral Water Pollution Control Act (33 U.S.C. 1364) in 
States or territories in EPA Regions 3 and 4 impacted 
by Hurricanes Helene and Milton: Provided, That notwith-
standing section 1442(b) of the Safe Drinking Water Act, 
funds appropriated under this paragraph in this Act may 
be used to provide technical assistance and grants regard-
less of whether the emergency situation presents a sub-
stantial danger to public health: Provided further, That 
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notwithstanding section 1442(b) of the Safe Drinking 
Water Act, funds appropriated under this paragraph in 
this Act may be used to provide grants regardless of 
whether such grants will be used to support actions that 
would not otherwise be taken without emergency assist-
ance: Provided further, That funds appropriated under 
this paragraph in this Act may be used to provide tech-
nical assistance and grants under section 1442(b) of the 
Safe Drinking Water Act to any appropriate recipient, as 
determined by the Administrator of the Environmental 
Protection Agency, to assist in responding to and alle-
viating an emergency situation affecting a privately owned 
water system: Provided further, That funds appropriated 
under this paragraph in this Act may be used to take ac-
tions authorized under section 504(a) of the Federal 
Water Pollution Control Act that the Administrator of the 
Environmental Protection Agency deems necessary to pro-
tect the health or welfare of persons affected by a water 
emergency, including other necessary actions and for pro-
viding technical assistance and grants to address such 
water emergency: Provided further, That the Adminis-
trator of the Environmental Protection Agency may retain 
up to $1,000,000 of the funds appropriated under this 
paragraph in this Act for management and oversight: Pro-
vided further, That such amount is designated by the Con-
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gress 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. 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $10,000,000, to remain available until 
expended, for grants and other activities authorized by 
subsections (a) through (c) of section 103 of the Clean 
Air Act (42 U.S.C. 7403) or section 105 of such Act (42 
U.S.C. 7405) for necessary expenses related to the con-
sequences of Hurricanes Milton and Helene, including re-
pair or replacement of damaged air monitoring equipment: 
Provided, That funds appropriated under this paragraph 
in this Act may be awarded noncompetitively: Provided 
further, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $95,000,000, to remain available until 
expended, for the hazardous waste financial assistance 
grants program and other solid waste management activi-
ties for necessary expenses related to the consequences of 
Hurricanes Helene and Milton: Provided, That none of the 
funds appropriated under this paragraph in this Act shall 
be subject to section 3011(b) of the Solid Waste Disposal 
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Act: Provided further, That the Administrator of the Envi-
ronmental Protection Agency may retain up to $500,000 
of the funds appropriated under this paragraph in this Act 
for management and oversight: 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. 
DEPARTMENT OF AGRICULTURE 
FOREST SERVICE 
FOREST SERVICE OPERATIONS 
For an additional amount for ‘‘Forest Service Oper-
ations’’, $68,100,000, to remain available until expended, 
for necessary expenses related to the consequences of cal-
endar year 2022, 2023, and 2024 wildfires, hurricanes, 
and other natural disasters: Provided, 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. 
FOREST AND RANGELAND RESEARCH 
For an additional amount for ‘‘Forest and Rangeland 
Research’’, $26,000,000, to remain available until ex-
pended, for necessary expenses related to the consequences 
of calendar year 2022, 2023, and 2024 wildfires, hurri-
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canes, and other natural disasters: Provided, 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. 
STATE, PRIVATE, AND TRIBAL FORESTRY 
For an additional amount for ‘‘State, Private, and 
Tribal Forestry’’, $208,000,000, to remain available until 
expended, for necessary expenses related to the con-
sequences of calendar year 2022, 2023, and 2024 
wildfires, hurricanes, and other natural disasters: Pro-
vided, That of the amounts made available under this 
heading in this Act, $14,000,000 shall be to provide For-
est Health Protection assistance to States for an emerging 
eastern spruce budworm outbreak approaching the north-
eastern U.S. border: Provided further, That with respect 
to the preceding proviso, an award of financial assistance 
from the Forest Service will not be subject to a non-Fed-
eral cost-share requirement: 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. 
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NATIONAL FOREST SYSTEM 
For an additional amount for ‘‘National Forest Sys-
tem’’, $2,523,000,000, to remain available until expended: 
Provided, That of the amounts made available under this 
heading in this Act, $2,448,000,000 shall be for necessary 
expenses related to the consequences of calendar year 
2022, 2023, and 2024 wildfires, hurricanes, and other 
natural disasters: Provided further, That of the amounts 
made available under this heading in this Act, 
$75,000,000 shall be for the construction or maintenance 
of shaded fuel breaks in the Pacific Regions: Provided fur-
ther, 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. 
CAPITAL IMPROVEMENT AND MAINTENANCE 
For an additional amount for ‘‘Capital Improvement 
and Maintenance’’, $3,525,000,000, to remain available 
until expended, for necessary expenses related to the con-
sequences of calendar year 2022, 2023, and 2024 
wildfires, hurricanes, and other natural disasters: Pro-
vided, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
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GENERAL PROVISIONS—THIS TITLE 
SEC. 2701. Notwithstanding section 3304 of title 5, 
United States Code, and without regard to the provisions 
of sections 3309 through 3318 of such title 5, the Sec-
retary of the Interior and the Secretary of Agriculture, 
acting through the Chief of the Forest Service, may re-
cruit and directly appoint highly qualified individuals into 
the competitive service to address critical hiring needs for 
the planning and execution of the projects and activities 
funded in this title: Provided, That such authority shall 
not apply to positions in the Excepted Service or the Sen-
ior Executive Service: Provided further, That any action 
authorized herein shall be consistent with the merit prin-
ciples of section 2301 of such title 5, and the Department 
of the Interior and the Department of Agriculture shall 
comply with the public notice requirements of section 3327 
of such title 5: Provided further, That the authority under 
this section shall terminate on September 30, 2029: Pro-
vided further, That amounts provided by this section are 
designated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
SEC. 2702. Not later than 45 days after the date of 
enactment of this Act, the agencies receiving funds appro-
priated by this title shall provide a detailed operating plan 
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of anticipated uses of funds made available in this title 
by State and Territory, and by program, project, and ac-
tivity, to the Committees on Appropriations of the House 
of Representatives and the Senate: Provided, That no such 
funds shall be obligated before the operating plans are 
provided to such Committees: Provided further, That such 
plans shall be updated, including obligations and expendi-
tures to date, and submitted to such Committees on Ap-
propriations every 60 days until all such funds are ex-
pended. 
TITLE VIII 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For an additional amount for ‘‘Payments to States 
for the Child Care and Development Block Grant’’, 
$250,000,000, to remain available through September 30, 
2026, for necessary expenses directly related to the con-
sequences of major disasters and emergencies declared 
pursuant to the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5121 et seq.) occur-
ring in 2023 and 2024 (referred to under this heading 
in this Act as ‘‘covered disaster or emergency’’), including 
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activities authorized under section 319(a) of the Public 
Health Service Act: Provided, That the Secretary of 
Health and Human Services shall allocate such funds to 
States, territories, and Tribes based on assessed need not-
withstanding sections 658J and 658O of the Child Care 
and Development Block Grant Act of 1990: Provided fur-
ther, That not to exceed 2 percent of funds appropriated 
in this paragraph may be reserved, to remain available 
until expended, for Federal administration costs: Provided 
further, That such funds may be used for alteration, ren-
ovation, construction, equipment, and other capital im-
provement costs, including for child care facilities without 
regard to section 658F(b) of such Act, and for other ex-
penditures related to child care, as necessary to meet the 
needs of areas affected by a covered disaster or emergency: 
Provided further, That funds made available in this para-
graph may be used without regard to section 658G of such 
Act and with amounts allocated for such purposes ex-
cluded from the calculation of percentages under sub-
section 658E(c)(3) of such Act: Provided further, That 
notwithstanding section 658J(c) of such Act, funds allot-
ted to a State may be obligated by the State in that fiscal 
year or the succeeding three fiscal years: Provided further, 
That Federal interest provisions will not apply to the ren-
ovation or construction of privately-owned family child 
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care homes, and the Secretary of Health and Human 
Services shall develop parameters on the use of funds for 
family child care homes: Provided further, That the Sec-
retary shall not retain Federal interest after a period of 
10 years (from the date on which the funds are made 
available to purchase or improve the property) in any facil-
ity renovated or constructed with funds made available in 
this paragraph: Provided further, That funds made avail-
able in this paragraph shall not be available for costs that 
are reimbursed by the Federal Emergency Management 
Agency, under a contract for insurance, or by self-insur-
ance: Provided further, That funds appropriated in this 
paragraph may be made available to restore amounts, ei-
ther directly or through reimbursement, for obligations in-
curred for such purposes, prior to the date of enactment 
of this Act: Provided further, That such amount is des-
ignated by the Congress as being for an emergency re-
quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985. 
For an additional amount for ‘‘Payments to States 
for the Child Care and Development Block Grant’’, 
$250,000,000, to remain available until September 30, 
2025: Provided, That amounts made available in this 
paragraph shall be available without regard to require-
ments in sections 658E(c)(3)(E) or 658G of the Child 
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Care and Development Block Grant Act: Provided further, 
That payments made to States, territories, Indian Tribes, 
and Tribal organizations from amounts made available in 
this paragraph shall be obligated in this fiscal year or the 
succeeding two fiscal years: Provided further, That 
amounts made available in this paragraph shall be used 
to supplement and not supplant other Federal, State, and 
local public funds expended to provide child care services 
for eligible individuals: 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. 
GENERAL PROVISION—THIS TITLE 
SEC. 2801. Not later than 45 days after the date of 
enactment of this Act, the agencies receiving funds appro-
priated by this title in this Act shall provide a detailed 
operating plan of anticipated uses of funds made available 
in this title in this Act by State and territory, and by pro-
gram, project, and activity, to the Committees on Appro-
priations of the House of Representatives and the Senate: 
Provided, That no such funds shall be obligated before the 
operating plans are provided to such Committees: Pro-
vided further, That such plans shall be updated, including 
obligations to date and anticipated use of funds made 
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available in this title in this Act, and submitted to such 
Committees quarterly until all such funds expire. 
TITLE IX 
LEGISLATIVE BRANCH 
GOVERNMENT ACCOUNTABILITY OFFICE 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $10,000,000, to remain available until expended, 
for audits and investigations related to Hurricanes Helene 
and Milton, and other disasters declared pursuant to the 
Robert T. Stafford Disaster Relief and Emergency Assist-
ance Act (42 U.S.C. 5121 et seq.) in calendar years 2023 
and 2024: Provided, That such amount is designated by 
the Congress as being for an emergency requirement pur-
suant to section 251(b)(2)(A)(i) of the Balanced Budget 
and Emergency Deficit Control Act of 1985. 
TITLE X 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 
For an additional amount for ‘‘Military Construction, 
Navy and Marine Corps’’, $1,127,281,000, to remain 
available until September 30, 2029, for necessary expenses 
related to the consequences of Typhoon Mawar: Provided, 
That not later than 60 days after enactment of this Act, 
the Secretary of the Navy, or their designee, shall submit 
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to the Committees on Appropriations of the House of Rep-
resentatives and the Senate form 1391 for each specific 
project and an expenditure plan for funds provided under 
this heading in this Act: Provided further, That such funds 
may be obligated or expended for design and military con-
struction projects not otherwise authorized by law: Pro-
vided further, That such amount is designated by the Con-
gress 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. 
MILITARY CONSTRUCTION, AIR FORCE 
For an additional amount for ‘‘Military Construction, 
Air Force’’, $487,300,000, to remain available until Sep-
tember 30, 2029, for necessary expenses related to the 
consequences of Typhoon Mawar: Provided, That not later 
than 60 days after enactment of this Act, the Secretary 
of the Air Force, or their designee, shall submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate form 1391 for each specific project 
and an expenditure plan for funds provided under this 
heading in this Act: Provided further, That such funds 
may be obligated or expended for design and military con-
struction projects not otherwise authorized by law: Pro-
vided further, That such amount is designated by the Con-
gress as being for an emergency requirement pursuant to 
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section 251(b)(2)(A)(i) of the Balanced Budget and 
Emergency Deficit Control Act of 1985. 
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD 
For an additional amount for ‘‘Military Construction, 
Army National Guard’’, $21,000,000, to remain available 
until September 30, 2029, for necessary expenses related 
to the consequences of Typhoon Mawar and severe storms 
in calendar year 2023: Provided, That not later than 60 
days after enactment of this Act, the Director of the Army 
National Guard, or their designee, shall submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate form 1391 for each specific project 
and an expenditure plan for funds provided under this 
heading in this Act: Provided further, That such funds 
may be obligated or expended for design and military con-
struction projects not otherwise authorized by law: Pro-
vided further, That such amount is designated by the Con-
gress 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. 
FAMILY HOUSING CONSTRUCTION, NAVY AND MARINE 
CORPS 
For an additional amount for ‘‘Family Housing Con-
struction, Navy and Marine Corps’’, $27,399,000, to re-
main available until September 30, 2029, for necessary ex-
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penses related to the consequences of Typhoon Mawar: 
Provided, That not later than 60 days after enactment of 
this Act, the Secretary of the Navy, or their designee, shall 
submit to the Committees on Appropriations of the House 
of Representatives and the Senate an expenditure plan for 
funds provided under this heading in this Act: Provided 
further, That such amount is designated by the Congress 
as being for an emergency requirement pursuant to sec-
tion 251(b)(2)(A)(i) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985. 
FAMILY HOUSING OPERATION AND MAINTENANCE, 
NAVY AND MARINE CORPS 
For an additional amount for ‘‘Family Housing Oper-
ation and Maintenance, Navy and Marine Corps’’, 
$102,168,000, to remain available until September 30, 
2026, for necessary expenses related to the consequences 
of Typhoon Mawar: Provided, That not later than 60 days 
after enactment of this Act, the Secretary of the Navy, 
or their designee, shall submit to the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate an expenditure plan for funds provided under this 
heading in this 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 
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Balanced Budget and Emergency Deficit Control Act of 
1985. 
DEPARTMENT OF VETERANS AFFAIRS 
VETERANS HEALTH ADMINISTRATION 
MEDICAL SERVICES 
For an additional amount for ‘‘Medical Services’’, 
$19,258,000, to remain available until September 30, 
2027, for necessary expenses related to the consequences 
of Hurricanes Milton and Helene: Provided, 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. 
MEDICAL SUPPORT AND COMPLIANCE 
For an additional amount for ‘‘Medical Support and 
Compliance’’, $330,000, to remain available until Sep-
tember 30, 2027, for necessary expenses related to the 
consequences of Hurricanes Milton and Helene: Provided, 
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. 
MEDICAL FACILITIES 
For an additional amount for ‘‘Medical Facilities’’, 
$41,660,000, to remain available until September 30, 
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2029, for necessary expenses related to the consequences 
of Hurricanes Milton and Helene and other Federally de-
clared disasters occurring in 2023 and 2024: Provided, 
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. 
NATIONAL CEMETERY ADMINISTRATION 
For an additional amount for ‘‘National Cemetery 
Administration’’ for necessary expenses related to the con-
sequences of Hurricanes Milton and Helene, $693,000, to 
remain available until September 30, 2029: Provided, 
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. 
DEPARTMENTAL ADMINISTRATION 
CONSTRUCTION, MAJOR PROJECTS 
For an additional amount for ‘‘Construction, Major 
Projects’’, $4,000,000, to remain available until Sep-
tember 30, 2029, for necessary expenses related to the 
consequences of Hurricanes Milton and Helene: Provided, 
That such amount is designated by the Congress as being 
for an emergency requirement pursuant to section 
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251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
CONSTRUCTION, MINOR PROJECTS 
For an additional amount for ‘‘Construction, Minor 
Projects’’, $2,020,000, to remain available until Sep-
tember 30, 2029, for necessary expenses related to the 
consequences of Hurricanes Milton and Helene: Provided, 
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. 
TITLE XI 
DEPARTMENT OF STATE AND RELATED 
AGENCY 
DEPARTMENT OF STATE 
INTERNATIONAL COMMISSIONS 
INTERNATIONAL BOUNDARY AND WATER COMMISSION, 
UNITED STATES AND MEXICO 
CONSTRUCTION 
For an additional amount for ‘‘Construction’’, 
$250,000,000, to remain available until expended: Pro-
vided, That funds provided under this heading in this Act 
shall be subject to prior consultation with, and the regular 
notification procedures of, the Committees on Appropria-
tions of the House of Representatives and the Senate: Pro-
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vided further, That such amount is designated by the Con-
gress 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. 
TITLE XII 
DEPARTMENT OF TRANSPORTATION 
FEDERAL HIGHWAY ADMINISTRATION 
EMERGENCY RELIEF PROGRAM 
For an additional amount for the ‘‘Emergency Relief 
Program’’ as authorized under section 125 of title 23, 
United States Code, $8,086,020,000, to remain available 
until expended: Provided, That notwithstanding subsection 
(e) of section 120 of title 23, United States Code, for any 
obligations made on or after March 26, 2024, for fiscal 
year 2024, this fiscal year, and hereafter, the Federal 
share for Emergency Relief funds made available under 
section 125 of such title to respond to damage caused by 
the cargo ship Dali to the Francis Scott Key Bridge lo-
cated in Baltimore City and Baltimore and Anne Arundel 
Counties, Maryland, including reconstruction of that 
bridge and its approaches, shall be 100 percent: Provided 
further, That consistent with section 668.105(e) of title 
23, Code of Federal Regulations (or a successor regula-
tion), any insurance proceeds, judgments, settlements, 
penalties, fines, or other compensation for damages, in-
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cluding interest, from whatever source derived, recovered 
by a State, a political subdivision of a State, or a toll au-
thority for repair, including reconstruction, of the Francis 
Scott Key Bridge located in Baltimore City and Baltimore 
and Anne Arundel Counties, Maryland, in response to, or 
as a result of, the damage caused by the cargo ship Dali 
to that bridge and its approaches, shall be used upon re-
ceipt to reduce liability on the repair, including reconstruc-
tion, of such bridge and its approaches from the emer-
gency fund authorized under section 125 of title 23, 
United States Code: Provided further, That any funds re-
covered and used to reduce liability pursuant to the pre-
ceding proviso shall not exceed the total amount of liability 
on the repair, including reconstruction, of the Francis 
Scott Key Bridge located in Baltimore City and Baltimore 
and Anne Arundel Counties, Maryland, and its ap-
proaches, from the emergency fund authorized under sec-
tion 125 of title 23, United States Code: 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. 
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DEPARTMENT OF HOUSING AND URBAN 
DEVELOPMENT 
COMMUNITY PLANNING AND DEVELOPMENT 
COMMUNITY DEVELOPMENT FUND 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for ‘‘Community Develop-
ment Fund’’, $12,039,000,000, to remain available until 
expended, for the same purposes and under the same 
terms and conditions as funds appropriated under such 
heading in title VIII of the Disaster Relief Supplemental 
Appropriations Act, 2022 (Public Law 117–43), except 
that such amounts shall be for major disasters that oc-
curred in 2023 or 2024 and the fourth, tenth, 15th, 16th, 
20th, and 21st provisos under such heading in such Act 
shall not apply: Provided, That the Secretary of Housing 
and Urban Development shall allocate all funds provided 
under this heading in this Act for the total estimate for 
unmet needs including additional mitigation for qualifying 
disasters and publish such allocations in the Federal Reg-
ister no later than January 15, 2025: Provided further, 
That the amount obligated for each qualifying disaster 
area shall be no less than the amounts specified in such 
Federal Register publication, unless such allocation is re-
jected by the grantee: Provided further, That a grantee 
shall submit a plan to the Secretary for approval detailing 
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the proposed use of all funds, including criteria for eligi-
bility and how the use of these funds will address long- 
term recovery and restoration of infrastructure and hous-
ing, economic revitalization, and mitigation in the most 
impacted and distressed areas: Provided further, That un-
obligated balances remaining as of the date of enactment 
of this Act included under Treasury Appropriation Fund 
Symbol 86 X 0162 from Public Laws 108–324, 109–148, 
109–234, 110–252, 110–329, 111–212, 112–55, and 
113–2 shall also be available for the purposes authorized 
under this heading in this Act (except that the amount 
for each set-aside provided herein shall not be exceeded), 
notwithstanding the purposes for which such amounts 
were appropriated: Provided further, That of the amounts 
made available under this heading in this Act, 
$45,000,000 shall be transferred to ‘‘Department of 
Housing and Urban Development—Management and Ad-
ministration—Program Offices’’ for salaries and expenses 
of the Office of Community Planning and Development for 
necessary costs, including information technology costs, of 
administering and overseeing the obligation and expendi-
ture of amounts made available for activities authorized 
under title I of the Housing and Community Development 
Act of 1974 (42 U.S.C. 5301 et seq.) related to disaster 
relief, long-term recovery, restoration of infrastructure 
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and housing, economic revitalization, and mitigation in the 
most impacted and distressed areas resulting from a 
major disaster in this, prior, or future Acts (‘‘this, prior, 
or future disaster Acts’’): Provided further, That of the 
amounts made available under this heading in this Act, 
$1,850,000 shall be transferred to ‘‘Department of Hous-
ing and Urban Development—Information Technology 
Fund’’ for the disaster recovery data portal: Provided fur-
ther, That of the amounts made available under this head-
ing in this Act, $7,000,000 shall be transferred to ‘‘De-
partment of Housing and Urban Development—Office of 
Inspector General’’ for necessary costs of overseeing and 
auditing amounts made available in this, prior, or future 
disaster Acts: Provided further, That of the amounts made 
available under this heading in this Act, $25,000,000 shall 
be made available for capacity building and technical as-
sistance, including assistance on contracting and procure-
ment processes, to support recipients of allocations from 
this, prior, or future disaster Acts: Provided further, That 
amounts made available under this heading in this Act 
may be used by a grantee to assist utilities as part of a 
disaster-related eligible activity under section 105(a) of 
the Housing and Community Development Act of 1974 
(42 U.S.C. 5305(a)): Provided further, That recipients of 
funds made available in this, prior, or future disaster Acts 
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that use such funds to supplement other Federal assist-
ance may adopt, without review or public comment, any 
environmental review, approval, or permit performed by 
a Federal agency, and such adoption shall satisfy the re-
sponsibilities of the recipient with respect to such environ-
mental review, approval or permit, so long as the actions 
covered by the existing environmental review, approval, or 
permit and the actions proposed for these supplemental 
funds are substantially the same: Provided further, That 
the Secretary or a State may, upon receipt of a request 
for release of funds and certification, immediately approve 
the release of funds for any activity or project if the recipi-
ent has adopted an environmental review, approval or per-
mit under the previous proviso or if the activity or project 
is categorically excluded from review under the National 
Environmental Policy Act of 1969 (42 U.S.C. 4321 et 
seq.), notwithstanding section 104(g)(2) of the Housing 
and Community Development Act of 1974 (42 U.S.C. 
5304(g)(2)): Provided further, That such amount and 
amounts repurposed under this heading that were pre-
viously designated by the Congress as an emergency re-
quirement pursuant to a concurrent resolution on the 
budget or the Balanced Budget and Emergency Deficit 
Control Act of 1985 are designated by the Congress as 
being for an emergency requirement pursuant to section 
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251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
TITLE XIII 
GENERAL PROVISIONS 
SEC. 21301. Each amount appropriated or made 
available by this Act is in addition to amounts otherwise 
appropriated for the fiscal year involved. 
SEC. 21302. No part of any appropriation contained 
in this Act shall remain available for obligation beyond 
the current fiscal year unless expressly so provided herein. 
SEC. 21303. Unless otherwise provided for by this 
Act, the additional amounts appropriated by this Act to 
appropriations accounts shall be available under the au-
thorities and conditions applicable to such appropriations 
accounts for fiscal year 2025. 
SEC. 21304. Each amount designated in divisions A 
or B by the Congress as being for an emergency require-
ment pursuant to section 251(b)(2)(A)(i) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 shall 
be available (or repurposed, rescinded, or transferred, if 
applicable) only if the President subsequently so des-
ignates all such amounts and transmits such designations 
to the Congress. 
SEC. 21305. Any amount appropriated by divisions 
A or B, designated by the Congress as an emergency re-
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quirement pursuant to section 251(b)(2)(A)(i) of the Bal-
anced Budget and Emergency Deficit Control Act of 1985, 
and subsequently so designated by the President, and 
transferred pursuant to transfer authorities provided by 
this division shall retain such designation. 
SEC. 21306. Budgetary Effects.— 
(1) STATUTORY
PAYGO
SCORECARDS.—The 
budgetary effects of division C and each succeeding 
division shall not be entered on either PAYGO score-
card maintained pursuant to section 4(d) of the 
Statutory Pay-As-You-Go Act of 2010. 
(2) SENATE PAYGO SCORECARDS.—The budg-
etary effects of division C and each succeeding divi-
sion shall not be entered on any PAYGO scorecard 
maintained for purposes of section 4106 of H. Con. 
Res. 71 (115th Congress). 
(3) 
CLASSIFICATION
OF
BUDGETARY
EF-
FECTS.—Notwithstanding Rule 3 of the Budget 
Scorekeeping Guidelines set forth in the joint ex-
planatory statement of the committee of conference 
accompanying Conference Report 105–217 and sec-
tion 250(c)(8) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985, the budgetary ef-
fects of division C and each succeeding division shall 
not be estimated— 
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(A) for purposes of section 251 of such 
Act; 
(B) for purposes of an allocation to the 
Committee on Appropriations pursuant to sec-
tion 302(a) of the Congressional Budget Act of 
1974; and 
(C) 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. 
(4) BALANCES ON THE PAYGO SCORECARDS.— 
Effective on the date of the adjournment of the sec-
ond session of the 118th Congress, and for the pur-
poses of the annual report issued pursuant to section 
5 of the Statutory Pay-As-You-Go Act of 2010 (2 
U.S.C. 934) after such adjournment and for deter-
mining whether a sequestration order is necessary 
under such section, the balances on the PAYGO 
scorecards established pursuant to paragraphs (4) 
and (5) of section 4(d) of such Act shall be zero. 
This division may be cited as the ‘‘Disaster Relief 
Supplemental Appropriations Act, 2025’’. 
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DIVISION C—HEALTH 
SEC. 3001. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This division may be cited as the 
‘‘Health Extensions and Other Matters Act, 2025’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this division is as follows: 
Sec. 3001. Short title; table of contents. 
TITLE I—PUBLIC HEALTH EXTENDERS 
Sec. 3101. Extension for community health centers, National Health Service 
Corps, and teaching health centers that operate GME pro-
grams. 
Sec. 3102. Extension of special diabetes programs. 
Sec. 3103. National health security extensions. 
TITLE II—MEDICARE 
Sec. 3201. Extension of increased inpatient hospital payment adjustment for 
certain low-volume hospitals. 
Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program. 
Sec. 3203. Extension of add-on payments for ambulance services. 
Sec. 3204. Extension of funding for quality measure endorsement, input, and 
selection. 
Sec. 3205. Extension of funding outreach and assistance for low-income pro-
grams. 
Sec. 3206. Extension of the work geographic index floor. 
Sec. 3207. Extension of certain telehealth flexibilities. 
Sec. 3208. Extending acute hospital care at home waiver authorities. 
Sec. 3209. Extension of temporary inclusion of authorized oral antiviral drugs 
as covered part D drugs. 
Sec. 3210. Medicare improvement fund. 
TITLE III—HUMAN SERVICES 
Sec. 3301. Extension of child and family services programs. 
Sec. 3302. Sexual risk avoidance education extension. 
Sec. 3303. Personal responsibility education extension. 
Sec. 3304. Extension of funding for family-to-family health information centers. 
TITLE IV—MEDICAID 
Sec. 3401. Eliminating certain disproportionate share hospital payment cuts. 
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TITLE I—PUBLIC HEALTH 
EXTENDERS 
SEC. 3101. EXTENSION FOR COMMUNITY HEALTH CENTERS, 
NATIONAL HEALTH SERVICE CORPS, AND 
TEACHING HEALTH CENTERS THAT OPERATE 
GME PROGRAMS. 
(a) EXTENSION
FOR COMMUNITY HEALTH CEN-
TERS.—Section 10503(b)(1) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 254b–2(b)(1)) is amend-
ed— 
(1) in subparagraph (E), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (F), by striking ‘‘, 
$4,000,000,000 for each of fiscal years 2019 
through 2023’’ and all that follows through ‘‘and 
ending on December 31, 2024; and’’ and inserting 
a semicolon; and 
(3) by adding at the end the following: 
‘‘(G) $4,000,000,000 for each of fiscal 
years 2019 through 2023; 
‘‘(H) $526,027,397 for the period begin-
ning on October 1, 2023, and ending on No-
vember 17, 2023, $690,410,959 for the period 
beginning on November 18, 2023, and ending 
on January 19, 2024, $536,986,301 for the pe-
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riod beginning on January 20, 2024, and end-
ing on March 8, 2024, and $3,592,328,767 for 
the period beginning on October 1, 2023, and 
ending on December 31, 2024; and 
‘‘(I) $1,050,410,959 for the period begin-
ning on January 1, 2025, and ending on March 
31, 2025.’’. 
(b) EXTENSION FOR THE NATIONAL HEALTH SERV-
ICE CORPS.—Section 10503(b)(2) of the Patient Protec-
tion and Affordable Care Act (42 U.S.C. 254b–2(b)(2)) 
is amended— 
(1) in subparagraph (H), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (I), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(J) $85,068,493 for the period beginning 
on January 1, 2025, and ending on March 31, 
2025.’’. 
(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— 
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(1) by striking ‘‘not to exceed $230,000,000’’ 
and all that follows through ‘‘and ending on Decem-
ber 31, 2024,’’; and 
(2) by striking the period at the end and insert-
ing the following: ‘‘, not to exceed— 
‘‘(A) $230,000,000, for the period of fiscal 
years 2011 through 2015; 
‘‘(B) $60,000,000 for each of fiscal years 
2016 and 2017; 
‘‘(C) $126,500,000 for each of fiscal years 
2018 through 2023; 
‘‘(D) $16,635,616 for the period beginning 
on October 1, 2023, and ending on November 
17, 2023, $21,834,247 for the period beginning 
on November 18, 2023, and ending on January 
19, 2024, $16,982,192 for the period beginning 
on January 20, 2024, and ending on March 8, 
2024, and $164,136,986 for the period begin-
ning on October 1, 2023, and ending on De-
cember 31, 2024; and 
‘‘(E) $43,150,685 for the period beginning 
on January 1, 2025, and ending on March 31, 
2025.’’. 
(d) APPLICATION OF PROVISIONS.—Amounts appro-
priated pursuant to the amendments made by this section 
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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 AMENDMENTS.—Section 3014(h) 
of title 18, United States Code, is amended— 
(1) in paragraph (1), by striking ‘‘under sub-
paragraphs (E) and (F) of section 10503(b)(1) of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 254b–2(b)(1))’’ and inserting ‘‘under section 
10503(b)(1) of the Patient Protection and Afford-
able Care Act (42 U.S.C. 254b–2(b)(1)) for fiscal 
year 2015 and each subsequent fiscal year (or period 
thereof)’’; and 
(2) in paragraph (4), by striking ‘‘and section 
101(d) of the Consolidated Appropriations Act, 
2024’’ and inserting ‘‘section 101(d) of division G of 
the Consolidated Appropriations Act, 2024, and sec-
tion 3101(d) of the Health Extensions and Other 
Matters Act, 2025’’. 
SEC. 3102. EXTENSION OF SPECIAL DIABETES PROGRAMS. 
(a) EXTENSION OF SPECIAL DIABETES PROGRAMS 
FOR TYPE I DIABETES.—Section 330B(b)(2) of the Pub-
lic Health Service Act (42 U.S.C. 254c–2(b)(2)) is amend-
ed— 
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(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(F) $39,261,745 for the period beginning 
on January 1, 2025, and ending on March 31, 
2025, to remain available until expended.’’. 
(b) EXTENDING FUNDING FOR SPECIAL DIABETES 
PROGRAMS
FOR INDIANS.—Section 330C(c)(2) of the 
Public Health Service Act (42 U.S.C. 254c–3(c)(2)) is 
amended— 
(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(F) $39,261,745 for the period beginning 
on January 1, 2025, and ending on March 31, 
2025, to remain available until expended.’’. 
SEC. 3103. 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 ‘‘De-
cember 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
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(b) Section 319L(e)(1)(D) of the Public Health Serv-
ice Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by strik-
ing ‘‘December 31, 2024’’ and inserting ‘‘March 31, 
2025’’. 
(c) Section 319L–1(b) of the Public Health Service 
Act (42 U.S.C. 247d–7f(b)) is amended by striking ‘‘De-
cember 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
(d)(1) Section 2811A(g) of the Public Health Service 
Act (42 U.S.C. 300hh–10b(g)) is amended by striking 
‘‘December 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
(2) Section 2811B(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking 
‘‘December 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
(3) Section 2811C(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking 
‘‘December 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
(e) Section 2812(c)(4)(B) of the Public Health Serv-
ice Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by 
striking ‘‘December 31, 2024’’ and inserting ‘‘March 31, 
2025’’. 
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TITLE II—MEDICARE 
SEC. 3201. EXTENSION OF INCREASED INPATIENT HOS-
PITAL PAYMENT ADJUSTMENT FOR CERTAIN 
LOW-VOLUME HOSPITALS. 
(a) IN GENERAL.——Section 1886(d)(12) of the So-
cial Security Act (42 U.S.C. 1395ww(d)(12)) is amend-
ed— 
(1) in subparagraph (B), in the matter pre-
ceding clause (i), by striking ‘‘January 1, 2025’’ and 
inserting ‘‘April 1, 2025’’; 
(2) in subparagraph (C)(i)— 
(A) in the matter preceding subclause (I), 
by striking ‘‘December 31, 2024’’ and inserting 
‘‘March 31, 2025’’; 
(B) in subclause (III), by striking ‘‘Decem-
ber 31, 2024’’ and inserting ‘‘March 31, 2025’’; 
and 
(C) in subclause (IV), by striking ‘‘Janu-
ary 1, 2025’’ and inserting ‘‘April 1, 2025’’; 
and 
(3) in subparagraph (D)— 
(A) in the matter preceding clause (i), by 
striking ‘‘December 31, 2024’’ and inserting 
‘‘March 31, 2025’’; and 
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(B) in clause (ii), by striking ‘‘December 
31, 2024’’ and inserting ‘‘March 31, 2025’’. 
(b) IMPLEMENTATION.—Notwithstanding any other 
provision of law, the Secretary of Health and Human 
Services may implement the amendments made by this 
section by program instruction or otherwise. 
SEC. 3202. EXTENSION OF THE MEDICARE-DEPENDENT 
HOSPITAL (MDH) PROGRAM. 
(a) IN GENERAL.——Section 1886(d)(5)(G) of the 
Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is 
amended— 
(1) in clause (i), by striking ‘‘January 1, 2025’’ 
and inserting ‘‘April 1, 2025’’; and 
(2) in clause (ii)(II), by striking ‘‘January 1, 
2025’’ and inserting ‘‘April 1, 2025’’. 
(b) CONFORMING AMENDMENTS.— 
(1) IN
GENERAL.—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 ‘‘January 1, 2025’’ and inserting 
‘‘April 1, 2025’’; and 
(B) in clause (iv), by striking ‘‘January 1, 
2025’’ and inserting ‘‘March 31, 2025’’. 
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100 
(2) PERMITTING HOSPITALS TO DECLINE RE-
CLASSIFICATION.—Section 13501(e)(2) of the Omni-
bus Budget Reconciliation Act of 1993 (42 U.S.C. 
1395ww note) is amended by striking ‘‘December 
31, 2024’’ and inserting ‘‘March 31, 2025’’. 
SEC. 3203. EXTENSION OF ADD-ON PAYMENTS FOR AMBU-
LANCE SERVICES. 
Section 1834(l) of the Social Security Act (42 U.S.C. 
1395m(l)) is amended— 
(1) in paragraph (12)(A), by striking ‘‘January 
1, 2025’’ and inserting ‘‘April 1, 2025’’; and 
(2) in paragraph (13), by striking ‘‘January 1, 
2025’’ each place it appears and inserting ‘‘April 1, 
2025’’ in each such place. 
SEC. 3204. 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)) is amended— 
(1) in the first sentence— 
(A) by striking ‘‘$9,000,000’’ and inserting 
‘‘$11,030,000’’; and 
(B) by striking ‘‘December 31, 2024’’ and 
inserting ‘‘March 31, 2025’’; and 
(2) in the third sentence, by striking ‘‘Decem-
ber 31, 2024’’ and inserting ‘‘March 31, 2025’’. 
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101 
SEC. 3205. EXTENSION OF FUNDING OUTREACH AND AS-
SISTANCE FOR LOW-INCOME PROGRAMS. 
(a) STATE HEALTH INSURANCE ASSISTANCE PRO-
GRAMS.—Subsection (a)(1)(B)(xiv) of section 119 of the 
Medicare Improvements for Patients and Providers Act of 
2008 (42 U.S.C. 1395b–3 note) is amended by striking 
‘‘December 31, 2024, $18,750,000’’ and inserting ‘‘March 
31, 2025, $22,500,000’’. 
(b) 
AREA
AGENCIES
ON
AGING.—Subsection 
(b)(1)(B)(xiv) of such section 119 is amended by striking 
‘‘December 31, 2024, $18,750,000’’ and inserting ‘‘March 
31, 2025, $22,500,000’’. 
(c) AGING AND DISABILITY RESOURCE CENTERS.— 
Subsection (c)(1)(B)(xiv) of such section 119 is amended 
by striking ‘‘December 31, 2024, $6,250,000’’ and insert-
ing ‘‘March 31, 2025, $8,500,000’’. 
(d) COORDINATION OF EFFORTS TO INFORM OLDER 
AMERICANS ABOUT BENEFITS AVAILABLE UNDER FED-
ERAL AND STATE PROGRAMS.—Subsection (d)(2)(xiv) of 
such section 119 is amended by striking ‘‘December 31, 
2024, $18,750,000’’ and inserting ‘‘March 31, 2025, 
$22,500,000’’. 
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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 
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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’’. 
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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. EXTENSION OF CHILD AND FAMILY SERVICES 
PROGRAMS. 
Activities authorized by part B of title IV of the So-
cial Security Act shall continue through March 31, 2025, 
in the manner authorized for fiscal year 2024, 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. 3302. 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 
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106 
(2) in subsection (f)(1), by striking ‘‘December 
31, 2024’’ and inserting ‘‘March 31, 2025’’. 
SEC. 3303. PERSONAL RESPONSIBILITY EDUCATION EXTEN-
SION. 
Section 513 of the Social Security Act (42 U.S.C. 
713) is amended— 
(1) in subsection (a)(1)— 
(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. 3304. 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 
‘‘$2,500,000’’; and 
(2) by striking ‘‘January 1, 2025’’ and insert-
ing ‘‘April 1, 2025’’. 
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107 
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 (iii), by striking ‘‘January 1’’ and 
inserting ‘‘April 1’’. 
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 following authorities (including any limita-
tions on the authorities) as in effect on September 
30, 2024, shall continue and be carried out until the 
date specified in paragraph (2): 
(A) The authorities provided by each provi-
sion of the Agriculture Improvement Act of 
2018 (Public Law 115–334; 132 Stat. 4490) 
(and for mandatory programs at such funding 
levels) and extended by section 102 of division 
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108 
B of the Further Continuing Appropriations 
and Other Extensions Act, 2024 (Public Law 
118–22; 137 Stat. 114). 
(B) The authorities provided by each pro-
vision of law amended by the Agriculture Im-
provement Act of 2018 (Public Law 115–334; 
132 Stat. 4490) (and for mandatory programs 
at such funding levels) and extended by section 
102 of division B of the Further Continuing 
Appropriations and Other Extensions Act, 2024 
(Public Law 118–22; 137 Stat. 114). 
(2) DATE
SPECIFIED.—The date specified in 
this paragraph is the later of— 
(A) September 30, 2025; or 
(B) the date specified in the provision of 
the Agriculture Improvement Act of 2018 (Pub-
lic Law 115–334; 132 Stat. 4490) or the provi-
sion of law amended by the Agriculture Im-
provement Act of 2018 (Public Law 115–334; 
132 Stat. 4490) (and, if applicable, amended by 
section 102 of division B of the Further Con-
tinuing Appropriations and Other Extensions 
Act, 2024 (Public Law 118–22; 132 Stat. 
4490)). 
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109 
(b) DISCRETIONARY PROGRAMS.—Programs carried 
out using the authorities described in subparagraphs (A) 
and (B) of subsection (a)(1) that are funded by discre-
tionary appropriations (as defined in section 250(c) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985 (2 U.S.C. 900(c))) shall be subject to the availability 
of appropriations. 
(c) COMMODITY PROGRAMS.— 
(1) IN GENERAL.—The provisions of law appli-
cable to a covered commodity (as defined in section 
1111 of the Agricultural 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 2024 crop year pursuant to title 
I of that Act (7 U.S.C. 9011 et seq.) (as extended 
by section 102(c)(1) of division B of the Further 
Continuing Appropriations and Other Extensions 
Act, 2024 (7 U.S.C. 9001 note; Public Law 118– 
22)) and each amendment made by subtitle C of 
title I of the Agriculture Improvement Act of 2018 
(Public Law 115–334; 132 Stat. 4511) (as extended 
by that section) shall be applicable to the 2025 crop 
year for that covered commodity, loan commodity, 
sugarcane, or sugar beets. 
(2) DAIRY.— 
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