3(a)(7) and 3(a)(10) and sections 3(a)(8) and 3(a)(9) of 
such Act: Provided further, That no apparent successful 
candidate shall receive more than $7,221,863 for activities 
authorized by sections 3(a)(1) through 3(a)(7) and 
3(a)(10) of such Act and $1,000,000 for activities author-
ized by sections 3(a)(8) and 3(a)(9) of such Act: Provided 
further, That such amounts may be transferred and cred-
ited to the ‘‘Acquisition Services Fund’’ or the ‘‘Federal 
Buildings Fund’’ to reimburse obligations incurred prior 
to enactment of this Act for the purposes provided herein 
related to the Presidential election in 2024: Provided fur-
ther, That in the case of two or more possible apparent 
successful candidates, after a sole apparent successful can-
didate is determined, the remaining funds allotted to any 
unsuccessful candidate shall be permanently rescinded: 
Provided further, That amounts available under this sec-
tion shall be in addition to any other amounts available 
for such purposes. 
(b) Notwithstanding section 101, no funds are pro-
vided by this Act for ‘‘General Services Administration— 
Pre-Election Presidential Transition’’. 
SEC. 130. In addition to amounts otherwise provided 
by section 101, for ‘‘National Archives and Records Ad-
ministration—Operating Expenses’’, there is appropriated 
$23,000,000, for an additional amount for fiscal year 
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2025, to remain available until September 30, 2025, to 
carry out transition responsibilities of the Archivist of the 
United States under sections 2201 through 2209 of title 
44, United States Code (commonly known as the ‘‘Presi-
dential Records Act of 1978’’), in addition to amounts oth-
erwise available for such purposes. 
SEC. 131. Notwithstanding section 101, the matter 
preceding the first proviso under the heading ‘‘Office of 
Personnel Management—Salaries and Expenses’’ in divi-
sion B of Public Law 118–47 shall be applied by sub-
stituting ‘‘$190,784,000’’ for ‘‘$219,076,000’’ and the 
second proviso under such heading in such division of such 
Act shall be applied by substituting ‘‘$245,267,000’’ for 
‘‘$192,975,000’’. 
SEC. 132. Notwithstanding section 104, amounts 
made available by section 101 to the Department of 
Homeland Security for ‘‘Coast Guard—Procurement, 
Construction, and Improvements’’ may be used for close-
out costs relating to the C–27J missionization program. 
SEC. 133. During the period covered by this Act, sec-
tion 11223(b)(2) of division K of Public Law 117–263 
shall be applied by substituting ‘‘shall not apply’’ for 
‘‘shall apply’’. 
SEC. 134. Amounts made available by section 101 to 
the Department of Homeland Security under the heading 
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‘‘Federal Emergency Management Agency—Disaster Re-
lief Fund’’ may be apportioned up to the rate for oper-
ations necessary to carry out response and recovery activi-
ties under the Robert T. Stafford Disaster Relief and 
Emergency Assistance Act (42 U.S.C. 5121 et seq.). 
SEC. 135. Amounts made available by section 101 to 
the Department of Homeland Security for ‘‘United States 
Secret Service—Operations and Support’’ may be appor-
tioned up to the rate for operations necessary to carry out 
protective operations, including activities related to Na-
tional Special Security Events and the 2024 Presidential 
Campaign. 
SEC. 136. In addition to amounts otherwise provided 
by section 101, there is appropriated to the Department 
of Homeland Security for ‘‘United States Secret Service— 
Operations and Support’’, $231,000,000, for an additional 
amount for fiscal year 2025, to remain available until Sep-
tember 30, 2025, for operations necessary to carry out 
protective operations including the 2024 Presidential 
Campaign and National Special Security Events: Pro-
vided, That not later than 30 days after the date of enact-
ment of this Act, the Director of the United States Secret 
Service shall provide to the Committees on Appropriations 
of the House of Representatives and the Senate an ex-
penditure plan that identifies, by program, project, and 
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activity, the funding obligated for the purposes specified 
in this section with amounts for ‘‘Operations and Sup-
port’’ in this Act and shall provide to the Committees 
monthly reports on the execution of such expenditure plan: 
Provided further, That such amounts may not be obligated 
until the Secretary of the Department of Homeland Secu-
rity transmits to the House of Representatives Task Force 
on the Attempted Assassination of Donald J. Trump and 
the Senate Committee on Homeland Security and Govern-
mental Affairs the Mission Assurance Report: Provided 
further, That within 15 days of enactment of this Act, the 
Secretary of the Department of Homeland Security shall 
provide to the House of Representatives Task Force on 
the Attempted Assassination of Donald J. Trump all ma-
terials responsive to such Task Force’s letters transmitted 
on August 12, 2024, and August 28, 2024: Provided fur-
ther, That the Director of the Secret Service shall respond 
in a timely manner to oversight inquiries (including re-
quests for documents, information, and testimony from 
any Secret Service personnel) on protective operations 
funded in this Act or in Public Law 118–47 from the 
House of Representatives Task Force on the Attempted 
Assassination of Donald J. Trump; the Committees on 
Appropriations, Homeland Security, Oversight and Ac-
countability, and Judiciary of the House of Representa-
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tives; and the Committees on Appropriations, Judiciary, 
and Homeland Security and Governmental Affairs of the 
Senate, or any subcommittees thereof: Provided further, 
That responses shall be considered timely if provided on 
or before the deadline specified by the requesting com-
mittee or subcommittee. 
SEC. 137. (a) Sections 1309(a) and 1319 of the Na-
tional Flood Insurance Act of 1968 (42 U.S.C. 4016(a) 
and 4026) shall be applied by substituting the date speci-
fied in section 106(3) of this Act for ‘‘September 30, 
2023’’. 
(b)(1) Subject to paragraph (2), this section shall be-
come effective immediately upon enactment of this Act. 
(2) If this Act is enacted after September 30, 2024, 
this section shall be applied as if it were in effect on Sep-
tember 30, 2024. 
SEC. 138. (a) During the period covered by this Act, 
section 104 of the Hermit’s Peak/Calf Canyon Fire Assist-
ance Act (division G of Public Law 117–180) shall be ap-
plied by substituting the date specified in section 106(3) 
of this Act for ‘‘2 years after the date on which regulations 
are first promulgated under subsection (f)’’, and ‘‘May 31, 
2024’’. 
(b) Amounts repurposed pursuant to this section that 
were previously designated by the Congress as an emer-
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gency requirement pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985 or a concurrent 
resolution on the budget are designated as an emergency 
requirement pursuant to section 251(b)(2)(A)(i) of the 
Balanced Budget and Emergency Deficit Control Act of 
1985. 
SEC. 139. In addition to amounts otherwise provided 
by section 101, amounts are provided for ‘‘Department of 
the Interior—National Park Service—Operation of the 
National Park System’’ at a rate for operations of 
$5,000,000, for an additional amount for security and vis-
itor safety activities related to the Presidential Inaugural 
Ceremonies. 
SEC. 140. (a) Funds previously made available in the 
Further Additional Supplemental Appropriations for Dis-
aster Relief Requirements Act, 2018 (subdivision 1 of divi-
sion B of Public Law 115–123) for the ‘‘National Park 
Service—Historic Preservation Fund’’ that were available 
for obligation through fiscal year 2019 are to remain avail-
able through fiscal year 2026 for the liquidation of valid 
obligations incurred in fiscal years 2018 and 2019: Pro-
vided, That amounts repurposed pursuant to this section 
that were previously designated by the Congress as an 
emergency requirement pursuant to the Balanced Budget 
and Emergency Deficit Control Act of 1985 are des-
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ignated as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
(b)(1) Subject to paragraph (2), this section shall be-
come effective immediately upon enactment of this Act. 
(2) If this Act is enacted after September 30, 2024, 
this section shall be applied as if it were in effect on Sep-
tember 30, 2024. 
SEC. 141. Amounts made available by section 101 for 
‘‘Department of Agriculture—Forest Service—Wildland 
Fire Management’’ may be apportioned up to the rate for 
operations necessary for wildfire suppression activities. 
SEC. 142. (a) In addition to amounts otherwise pro-
vided by section 101, amounts are provided for ‘‘Depart-
ment of Health and Human Services—Indian Health 
Service—Indian Health Services’’ at a rate for operations 
of $24,262,000, for an additional amount for costs of 
staffing and operating facilities that were opened, ren-
ovated, or expanded in fiscal years 2024 and 2025, and 
such amounts may be apportioned up to the rate for oper-
ations necessary to staff and operate such facilities. 
(b) In addition to amounts otherwise provided by sec-
tion 101, amounts are provided for ‘‘Department of 
Health and Human Services—Indian Health Service—In-
dian Health Facilities’’ at a rate for operations of 
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$2,060,000, for an additional amount for costs of staffing 
and operating facilities that were opened, renovated, or ex-
panded in fiscal years 2024 and 2025, and such amounts 
may be apportioned up to the rate for operations necessary 
to staff and operate such facilities. 
SEC. 143. During the period covered by this Act, sec-
tion 113 of division G of Public Law 113–76, as amended 
by Public Law 116–6, shall be applied by substituting 
‘‘2025’’ for ‘‘2024’’. 
SEC. 144. In addition to amounts otherwise provided 
by section 101, amounts are provided for ‘‘Department of 
Labor—Bureau of Labor Statistics—Salaries and Ex-
penses’’ at a rate for operations of $6,000,000, for an ad-
ditional amount for the Current Population Survey. 
SEC. 145. Activities authorized by part A of title IV 
(other than under section 403(c) or 418) and section 
1108(b) of the Social Security Act shall continue through 
the date specified in section 106(3), in the manner author-
ized 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 nec-
essary for such purpose. 
SEC. 146. Notwithstanding any other provision of 
this Act, there is appropriated— 
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(1) for payment to the heirs at law of Sheila 
Jackson Lee, late a Representative from the State of 
Texas, $174,000; 
(2) for payment to Elsie M. Pascrell, widow of 
William Pascrell, Jr., late a Representative from the 
State of New Jersey, $174,000; and 
(3) for payment to Beatrice Y. Payne, widow of 
Donald M. Payne, Jr., late a Representative from 
the State of New Jersey, $174,000. 
SEC. 147. Notwithstanding sections 102 and 104, 
amounts made available by section 101 to the Department 
of Defense for ‘‘Military Construction, Navy’’ may be used 
by the Secretary of the Navy to carry out military con-
struction not otherwise authorized by law for a Trident 
Refit Facility project at Naval Submarine Base Kings 
Bay. 
SEC. 148. Notwithstanding section 101, section 126 
of division A of Public Law 118–42 shall be applied by 
substituting ‘‘fiscal year 2017, 2018, 2019, and 2020’’ for 
‘‘fiscal year 2017, 2018, and 2019’’. 
SEC. 149. (a) The remaining unobligated balances as 
of September 30, 2024, from amounts made available 
until September 30, 2024, for ‘‘Departmental Administra-
tion—Construction, Major Projects’’ in title II of division 
F of the Further Consolidated Appropriations Act, 2020 
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(Public Law 116–94) are hereby rescinded, and in addi-
tion to amounts otherwise provided by section 101, an 
amount of additional new budget authority equivalent to 
the amount rescinded pursuant to this section is hereby 
appropriated on September 30, 2024, for an additional 
amount for fiscal year 2024, to remain available until Sep-
tember 30, 2029, and shall be available for the same pur-
poses and under the same authorities provided under such 
heading in Public Law 116–94, in addition to other funds 
as may be available for such purposes. 
(b)(1) Subject to paragraph (2), this section shall be-
come effective immediately upon enactment of this Act. 
(2) If this Act is enacted after September 30, 2024, 
this section shall be applied as if it were in effect on Sep-
tember 30, 2024. 
SEC. 150. Amounts made available by section 101 for 
‘‘Department of Transportation—Office of the Sec-
retary—Payments to Air Carriers’’ may be apportioned up 
to the rate for operations necessary to maintain Essential 
Air Service program operations. 
SEC. 151. During the period covered by this Act, the 
Secretary of Housing and Urban Development may use 
the unobligated balances of amounts made available in 
prior fiscal years in the second paragraph under the head-
ing ‘‘Department of Housing and Urban Development— 
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Public and Indian Housing—Tenant-Based Rental Assist-
ance’’ to support additional allocations under subpara-
graph (D) of paragraph (1) and subparagraph (B) of 
paragraph (4) of such heading to prevent the termination 
of rental assistance for families as a result of insufficient 
funding in the calendar year 2024 funding cycle: Provided, 
That amounts repurposed pursuant to this section that 
were previously designated by the Congress as an emer-
gency requirement pursuant to a concurrent resolution on 
the budget or the Balanced Budget and Emergency Def-
icit Control Act of 1985 are 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. 
SEC. 152. During the period covered by this Act, sec-
tion 517 of title 10, United States Code, shall not apply 
with respect to the Coast Guard. 
This division may be cited as the ‘‘Continuing Appro-
priations Act, 2025’’. 
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DIVISION B—EXTENSIONS 
TITLE I—MISCELLANEOUS 
EXTENSIONS 
SEC. 101. PROTECTION OF CERTAIN FACILITIES AND AS-
SETS FROM UNMANNED AIRCRAFT. 
Section 210G(i) of the Homeland Security Act of 
2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘October 
1, 2024’’ and inserting ‘‘December 20, 2024’’. 
SEC. 102. JOINT TASK FORCES. 
Section 708(b)(13) of the Homeland Security Act of 
2002 (6 U.S.C. 348(b)(13)) shall be applied by sub-
stituting ‘‘December 20, 2024’’ for ‘‘September 30, 
2024’’. 
SEC. 103. NATIONAL CYBERSECURITY PROTECTION SYS-
TEM AUTHORIZATION. 
Section 227(a) of the Federal Cybersecurity En-
hancement Act of 2015 (6 U.S.C. 1525(a)) is amended 
by striking ‘‘September 30, 2024’’ and inserting ‘‘Decem-
ber 20, 2024’’. 
SEC. 104. CHESAPEAKE AND OHIO CANAL NATIONAL HIS-
TORICAL PARK COMMISSION. 
Section 6(g) of the Chesapeake and Ohio Canal De-
velopment Act (16 U.S.C. 410y–4(g)) is amended by strik-
ing ‘‘40’’ and all that follows through the period at the 
end and inserting ‘‘on December 20, 2024.’’. 
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(2) in subsection (b)(2)(C), by striking ‘‘Sep-
tember 30, 2024’’ and inserting ‘‘December 20, 
2024’’; and 
(3) by adding at the end the following: 
‘‘(e) COMPTROLLER GENERAL.— 
‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this subsection, the Comp-
troller General of the United States shall submit to 
the Committee on Agriculture of the House of Rep-
resentatives and the Committee on Agriculture, Nu-
trition, and Forestry of the Senate a report that ex-
amines risks related to supplemental nutrition as-
sistance program electronic benefit transfer payment 
system security, including the risk of stolen benefits 
through card skimming, card cloning, and other 
similar methods. 
‘‘(2) CONTENTS.—The report under paragraph 
(1) shall include an assessment of— 
‘‘(A) the extent to which the Department 
of Agriculture manages payment system secu-
rity, including risks related to stolen benefits, 
compared to leading industry practices; 
‘‘(B) the manner in which States, retailers, 
and other relevant entities manage risks related 
to stolen benefits; 
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‘‘(C) the oversight of and guidance pro-
vided by the Secretary to States regarding sto-
len benefits; and 
‘‘(D) recommendations and policy options 
for— 
‘‘(i) improving how the Department of 
Agriculture and other relevant entities 
manage payment system security risks, in-
cluding those related to stolen benefits; 
and 
‘‘(ii) how the Department of Agri-
culture may best share those improvements 
with States, retailers, and other relevant 
entities.’’. 
SEC. 106. EXTENSION OF FOREST SERVICE PARTICIPATION 
IN ACES PROGRAM. 
Section 8302(b) of the Agricultural Act of 2014 (16 
U.S.C. 3851a(b)) shall be applied by substituting ‘‘1 day 
after December 20, 2024’’ for ‘‘October 1, 2023’’. 
SEC. 107. EXTENSION OF GOOD NEIGHBOR AUTHORITY. 
Section 8206(b)(2)(C)(ii) of the Agricultural Act of 
2014 (16 U.S.C. 2113a(b)(2)(C)(ii)) shall be applied by 
substituting ‘‘1 day after December 20, 2024’’ for ‘‘Octo-
ber 1, 2024’’. 
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SEC. 108. TEMPORARY EXTENSION OF FOOD FOR PEACE 
ACT. 
The authorities provided by each provision of the 
Food for Peace Act (7 U.S.C. 1691 et seq.), as in effect 
on September 30, 2024, shall remain in effect through De-
cember 20, 2024. 
SEC. 109. OVERSEAS PAY COMPARABILITY AND LIMITA-
TION. 
(a) IN GENERAL.—The authority provided under sec-
tion 1113 of the Supplemental Appropriations Act, 2009 
(Public Law 111–32; 123 Stat. 1904) shall remain in ef-
fect through December 20, 2024. 
(b) LIMITATION.—The authority described in sub-
section (a) may not be used to pay an eligible member 
of the Foreign Service (as defined in section 1113(b) of 
the Supplemental Appropriations Act, 2009 (Public Law 
111–32; 123 Stat. 1904)) a locality-based comparability 
payment (stated as a percentage) that exceeds two-thirds 
of the amount of the locality-based comparability payment 
(stated as a percentage) that would be payable to such 
member under section 5304 of title 5, United States Code, 
if such member’s official duty station were in the District 
of Columbia. 
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SEC. 110. PROVISIONS RELATED TO THE COMPACT OF 
FREE ASSOCIATION WITH THE REPUBLIC OF 
PALAU. 
(a) FEDERAL PROGRAMS
AND SERVICES AGREE-
MENT WITH THE GOVERNMENT OF THE REPUBLIC OF 
PALAU.—During the period beginning on October 1, 
2024, and ending on the date on which a new Federal 
programs and services agreement with the Government of 
the Republic of Palau enters into force, any activities de-
scribed in sections 132 and 221(a) of the Compact of Free 
Association between the Government of the United States 
of America and the Government of the Republic of Palau 
set forth in section 201 of Public Law 99–658 (48 U.S.C. 
1931 note) shall, with the mutual consent of the Govern-
ment of the Republic of Palau, continue in the manner 
authorized and required for fiscal year 2024 under the 
amended agreements described in subsections (b) and (f) 
of section 462 of that Compact. 
(b) AMENDMENTS RELATED TO THE 2024 FEDERAL 
PROGRAMS AND SERVICES AGREEMENT WITH THE RE-
PUBLIC OF PALAU.— 
(1) Section 204(e) of the Compact of Free As-
sociation Amendments Act of 2024 (48 U.S.C. 
1983(e)) is amended— 
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(A) in paragraph (4), by redesignating 
subparagraphs (A) and (B) as clauses (i) and 
(ii), respectively, and indenting appropriately; 
(B) 
by 
redesignating 
paragraphs 
(1) 
through (4) as subparagraphs (A) through (D), 
respectively, and indenting appropriately; 
(C) in the matter preceding subparagraph 
(A) (as so redesignated), by striking ‘‘An agree-
ment’’ and inserting the following: 
‘‘(1) IN GENERAL.—An agreement’’; and 
(D) by adding at the end the following: 
‘‘(2) FEDERAL
PROGRAMS
AND
SERVICES 
AGREEMENT WITH THE REPUBLIC OF PALAU.—Sub-
paragraphs (A) and (D)(iii) of section 101(c)(2) of 
Public Law 99–658 (48 U.S.C. 1931(c)(2)) and sub-
section (d)(2)(A) shall not apply to an agreement 
that would amend, change, or terminate the agree-
ment described in section 462(f) of the U.S.-Palau 
Compact.’’. 
(2) Section 210(a)(2) of the Compact of Free 
Association Amendments Act of 2024 (48 U.S.C. 
1989(a)(2)) is amended— 
(A) in subparagraph (D), by striking 
‘‘and’’ at the end; 
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(B) by redesignating subparagraph (E) as 
subparagraph (F); and 
(C) by inserting after subparagraph (D) 
the following: 
‘‘(E) with respect to the Federal Deposit 
Insurance Corporation, any applicable Federal 
programs and services agreement between the 
United States and the Republic of Palau; and’’. 
SEC. 111. UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT CIVIL SERVICE ANNUITANT 
WAIVER. 
Section 625(j)(1)(B) of the Foreign Assistance Act 
of 1961 (22 U.S.C. 2385(j)(1)(B)) shall be applied by 
striking ‘‘October 1, 2010’’ and inserting ‘‘December 20, 
2024’’. 
SEC. 112. UNITED STATES AGENCY FOR INTERNATIONAL 
DEVELOPMENT INSPECTOR GENERAL ANNU-
ITANT WAIVER. 
The authorities provided under section 1015(b) of the 
Supplemental Appropriations Act, 2010 (Public Law 111– 
212; 124 Stat. 2332)— 
(1) shall remain in effect through December 20, 
2024; and 
(2) may be used to facilitate the assignment of 
persons for oversight of programs in countries with 
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a humanitarian disaster or complex emergency dec-
laration. 
SEC. 113. EXTENSION OF HONG KONG HUMAN RIGHTS AND 
DEMOCRACY ACT OF 2019. 
Section 7(h) of the Hong Kong Human Rights and 
Democracy Act of 2019 (Public Law 116–76; 22 U.S.C. 
5701 note) is amended by striking ‘‘the date that is 5 
years after the date of the enactment of this Act’’ and 
inserting ‘‘December 20, 2024’’. 
SEC. 114. EXTENSION OF TRANSFERS OF AIR TRAFFIC SYS-
TEMS ACQUIRED WITH AIP FUNDING. 
Section 728(b) of the FAA Reauthorization Act of 
2024 (Public Law 118–63) is amended by striking ‘‘Octo-
ber 1, 2024’’ and inserting ‘‘December 20, 2024’’. 
TITLE II—HEALTH EXTENDERS 
Subtitle A—Public Health 
SEC. 201. EXTENSION OF PROGRAMS RELATING TO AUTISM. 
(a) DEVELOPMENTAL DISABILITIES SURVEILLANCE 
AND RESEARCH PROGRAM.—Section 399AA(e) of the 
Public Health Service Act (42 U.S.C. 280i(e)) is amended 
by striking ‘‘September 30, 2024’’ and inserting ‘‘Decem-
ber 20, 2024’’. 
(b) AUTISM EDUCATION, EARLY DETECTION, AND 
INTERVENTION.—Section 399BB(g) of the Public Health 
Service Act (42 U.S.C. 280i–1(g)) is amended by striking 
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‘‘September 30, 2024’’ and inserting ‘‘December 20, 
2024’’. 
(c) INTERAGENCY
AUTISM
COORDINATING
COM-
MITTEE.—Section 399CC(f) of the Public Health Service 
Act (42 U.S.C. 280i–2(f)) is amended by striking ‘‘Sep-
tember 30, 2024’’ and inserting ‘‘December 20, 2024’’. 
SEC. 202. EXTENSION OF AUTHORITY TO ISSUE PRIORITY 
REVIEW VOUCHERS TO ENCOURAGE TREAT-
MENTS FOR RARE PEDIATRIC DISEASES. 
Section 529(b)(5) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 360ff(b)(5)) is amended by strik-
ing ‘‘September 30, 2024’’ each place it appears and in-
serting ‘‘December 20, 2024’’. 
SEC. 203. NO SURPRISES ACT IMPLEMENTATION FUNDING. 
Section 118(a) of title I of division BB of the Consoli-
dated Appropriations Act, 2021 (Public Law 116–260) is 
amended by striking ‘‘through 2024’’ and inserting 
‘‘through September 30, 2025’’. 
Subtitle B—Medicaid 
SEC. 211. MEDICAID FUNDING FOR THE NORTHERN MAR-
IANA ISLANDS. 
Section 1108(g) of the Social Security Act (42 U.S.C. 
1308) is amended— 
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(1) in paragraph (2), in the matter preceding 
subparagraph (A), by striking ‘‘and (5)’’ and insert-
ing ‘‘, (5), and (14)’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(14) ADDITIONAL INCREASE FOR THE NORTH-
ERN MARIANA ISLANDS.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
increase the total amount otherwise determined 
under this subsection for the Northern Mariana 
Islands for the period beginning on October 1, 
2022, and ending on September 30, 2024, by 
$27,100,000. 
‘‘(B) SPECIAL RULES.—The increase de-
scribed in subparagraph (A)— 
‘‘(i) shall apply to the total amount 
certified by the Secretary under title XIX 
for payment to the Northern Mariana Is-
lands for services attributable to fiscal year 
2023 or 2024, notwithstanding that pay-
ments for any such services are made by 
the Northern Mariana Islands in fiscal 
year 2025; and 
‘‘(ii) shall be in addition to the 
amount calculated under paragraph (2) for 
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the Northern Mariana Islands for fiscal 
years 2023 and 2024 and shall not be 
taken into account in calculating an 
amount under paragraph (2) for the 
Northern Mariana Islands for fiscal year 
2025 or a subsequent fiscal year.’’. 
Subtitle C—Medicare 
SEC. 221. REVISING PHASE-IN OF MEDICARE CLINICAL LAB-
ORATORY TEST PAYMENT CHANGES. 
(a) REVISED PHASE-IN OF REDUCTIONS FROM PRI-
VATE
PAYOR
RATE
IMPLEMENTATION.—Section 
1834A(b)(3) of the Social Security Act (42 U.S.C. 
1395m–1(b)(3)) is amended— 
(1) in subparagraph (A), by striking ‘‘2027’’ 
and inserting ‘‘2028’’; and 
(2) in subparagraph (B)— 
(A) in clause (ii), by striking ‘‘2024’’ and 
inserting ‘‘2025’’; and 
(B) in clause (iii), by striking ‘‘2025 
through 2027’’ and inserting ‘‘2026 through 
2028’’. 
(b) REVISED REPORTING PERIOD FOR REPORTING 
OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH-
MENT
OF
MEDICARE
PAYMENT
RATES.—Section 
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1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 
1395m–1(a)(1)(B)) is amended— 
(1) in clause (i), by striking ‘‘2024’’ and insert-
ing ‘‘2025’’; and 
(2) in clause (ii), by striking ‘‘2025’’ each place 
it appears and inserting ‘‘2026’’. 
SEC. 222. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 1395iii(b)(1)) is amended by striking ‘‘2022, $0’’ 
and inserting ‘‘2026, $3,197,000,000’’. 
TITLE III—VETERANS 
EXTENDERS 
Subtitle A—Health Care 
SEC. 301. EXTENSION OF AUTHORITY FOR COLLECTION OF 
COPAYMENTS 
FOR 
HOSPITAL 
CARE 
AND 
NURSING HOME CARE. 
Section 1710(f)(2)(B) of title 38, United States 
Code, is amended by striking ‘‘September 30, 2024’’ and 
inserting ‘‘September 30, 2025’’. 
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SEC. 302. EXTENSION OF REQUIREMENT TO PROVIDE 
NURSING HOME CARE TO CERTAIN VET-
ERANS WITH SERVICE-CONNECTED DISABIL-
ITIES. 
Section 1710A(d) of title 38, United States Code, is 
amended by striking ‘‘September 30, 2024’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 303. EXTENSION OF EXPANSION OF RURAL ACCESS 
NETWORK 
FOR 
GROWTH 
ENHANCEMENT 
PROGRAM OF THE DEPARTMENT OF VET-
ERANS AFFAIRS. 
Section 2(d) of the Sgt. Ketchum Rural Veterans 
Mental Health Act of 2021 (Public Law 117–21; 38 
U.S.C. 1712A note) is amended by striking ‘‘2024’’ and 
inserting ‘‘2025’’. 
SEC. 304. EXTENSION OF PILOT PROGRAM TO PROVIDE 
VETERANS 
ACCESS 
TO 
COMPLEMENTARY 
AND 
INTEGRATIVE 
HEALTH 
PROGRAMS 
THROUGH ANIMAL THERAPY, AGRITHERAPY, 
SPORTS AND RECREATION THERAPY, ART 
THERAPY, AND POSTTRAUMATIC GROWTH 
PROGRAMS. 
Section 203(d)(1) of the Scott Hannon Veterans 
Mental Health Care Improvement Act of 2019 (Public 
Law 116–171; 38 U.S.C. 1712A note) is amended by 
striking ‘‘for a three-year period beginning on the com-
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mencement of the pilot program’’ and inserting ‘‘until 
September 30, 2025’’. 
SEC. 305. EXTENSION OF AUTHORITY FOR JOINT DEPART-
MENT OF DEFENSE-DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL FACILITY DEM-
ONSTRATION FUND. 
Section 1704(e) of the National Defense Authoriza-
tion Act for Fiscal Year 2010 (Public Law 111–84; 123 
Stat. 2573), as most recently amended by section 104 of 
division E of the Continuing Appropriations and Ukraine 
Supplemental Appropriations Act, 2023 (Public Law 117– 
180; 136 Stat. 2137), is amended by striking ‘‘September 
30, 2024’’ and inserting ‘‘September 30, 2025’’. 
Subtitle B—Memorial Affairs 
SEC. 311. EXTENSION OF ENTITLEMENT TO MEMORIAL 
HEADSTONES AND MARKERS FOR COMMEMO-
RATION OF VETERANS AND CERTAIN INDI-
VIDUALS. 
Section 2306(b)(2) of title 38, United States Code, 
is amended by striking ‘‘October 1, 2024’’ both places it 
appears and inserting ‘‘September 30, 2025’’. 
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SEC. 312. EXTENSION OF AUTHORITY TO BURY REMAINS OF 
CERTAIN SPOUSES AND CHILDREN IN NA-
TIONAL CEMETERIES. 
Section 2402(a)(5) of title 38, United States Code, 
is amended by striking ‘‘October 1, 2024’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 313. AUTHORITY FOR USE OF FLAT GRAVE MARKERS 
AT SANTA FE NATIONAL CEMETERY, NEW 
MEXICO. 
Section 2404(c)(2) of title 38, United States Code, 
is amended— 
(1) in subparagraph (D), by striking ‘‘; and’’ 
and inserting a period 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 new sub-
paragraph: 
‘‘(F) in the case of Santa Fe National Ceme-
tery, New Mexico, the Secretary may provide for flat 
grave markers in any section of such cemetery in 
which flat markers were in use on December 22, 
2023.’’. 
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Subtitle C—Homelessness 
SEC. 321. EXTENSION OF AUTHORITY TO PROVIDE ASSIST-
ANCE FOR SPECIALLY ADAPTED HOUSING 
FOR DISABLED VETERANS RESIDING TEMPO-
RARILY IN HOUSING OWNED BY A FAMILY 
MEMBER. 
Section 2102A(e) of title 38, United States Code, is 
amended by striking ‘‘December 31, 2024’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 322. EXTENSION OF AUTHORITY FOR SPECIALLY 
ADAPTED HOUSING ASSISTIVE TECHNOLOGY 
GRANT PROGRAM. 
Section 2108(g) of title 38, United States Code, is 
amended by striking ‘‘September 30, 2024’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 323. EXTENSION OF AUTHORIZATION OF APPROPRIA-
TIONS FOR HOMELESS WOMEN VETERANS 
AND HOMELESS VETERANS WITH CHILDREN 
REINTEGRATION GRANT PROGRAM. 
Section 2021A(f)(1) of title 38, United States Code, 
is amended by striking ‘‘2024’’ and inserting ‘‘2025’’. 
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SEC. 324. EXTENSION OF AUTHORITY FOR TREATMENT AND 
REHABILITATION FOR SERIOUSLY MENTALLY 
ILL AND HOMELESS VETERANS. 
(a) GENERAL TREATMENT.—Section 2031(b) of title 
38, United States Code, is amended by striking ‘‘Sep-
tember 30, 2024’’ and inserting ‘‘September 30, 2025’’. 
(b) ADDITIONAL
SERVICES
AT
CERTAIN
LOCA-
TIONS.—Section 2033(d) of such title is amended by strik-
ing ‘‘September 30, 2024’’ and inserting ‘‘September 30, 
2025’’. 
SEC. 325. EXTENSION OF FUNDING FOR FINANCIAL ASSIST-
ANCE FOR SUPPORTIVE SERVICES FOR VERY 
LOW-INCOME VETERAN FAMILIES IN PERMA-
NENT HOUSING. 
(a) IN GENERAL.—Section 2044(e)(H) of title 38, 
United States Code, is amended by striking ‘‘2024’’ and 
inserting ‘‘2025’’. 
(b) TECHNICAL AMENDMENT.—Section 2044(e) of 
such title is amended by redesignating subparagraphs (A) 
through (H) as paragraphs (1) through (8), respectively. 
SEC. 326. EXTENSION OF FUNDING FOR GRANT PROGRAM 
FOR HOMELESS VETERANS WITH SPECIAL 
NEEDS. 
Section 2061(d)(1) of title 38, United States Code, 
is amended by striking ‘‘2024’’ and inserting ‘‘2025’’. 
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Subtitle D—Other Authorities 
SEC. 331. EXTENSION OF AUTHORITY TO TRANSPORT INDI-
VIDUALS TO AND FROM DEPARTMENT OF 
VETERANS AFFAIRS FACILITIES. 
Section 111A(a)(2) of title 38, United States Code, 
is amended by striking ‘‘September 30, 2024’’ and insert-
ing ‘‘September 30, 2025’’. 
SEC. 332. EXTENSION OF TESTIMONIAL SUBPOENA AU-
THORITY OF INSPECTOR GENERAL OF THE 
DEPARTMENT OF VETERANS AFFAIRS. 
Section 312(d)(7)(A) of title 38, United States Code, 
is amended by striking ‘‘May 31, 2025’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 333. EXTENSION OF AUTHORITY TO MAINTAIN RE-
GIONAL OFFICE IN THE REPUBLIC OF THE 
PHILIPPINES. 
Section 315(b) of title 38, United States Code, is 
amended by striking ‘‘September 30, 2024’’ and inserting 
‘‘September 30, 2025’’. 
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SEC. 334. EXTENSION AND MODIFICATION OF AUTHORITY 
FOR MONTHLY ASSISTANCE ALLOWANCE FOR 
DISABLED 
VETERANS 
TRAINING 
IN 
PARALYMPIC AND OLYMPIC SPORTS PRO-
GRAM. 
Section 322 of title 38, United States Code, is 
amended— 
(1) by striking ‘‘the United States Olympic 
Committee’’ each place it appears and inserting ‘‘the 
United States Olympic & Paralympic Committee’’; 
(2) in subsection (a), by striking ‘‘Veterans 
Benefits Administration’’ and inserting ‘‘Veterans 
Health Administration’’; and 
(3) in subsection (d), by amending paragraph 
(4) to read as follows: 
‘‘(4) There is authorized to be appropriated to carry 
out this subsection the following: 
‘‘(A) For each of fiscal years 2010 through 
2023, $2,000,000. 
‘‘(B) For each of fiscal years 2024 through 
2027, $2,500,000.’’. 
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SEC. 335. EXTENSION OF AUTHORITY FOR REPORT ON EQ-
UITABLE RELIEF PROVIDED DUE TO ADMIN-
ISTRATIVE ERROR. 
Section 503(c) of title 38, United States Code, is 
amended, in the second sentence, by striking ‘‘December 
31, 2024’’ and inserting ‘‘December 31, 2025’’. 
SEC. 336. MODIFICATION OF CERTAIN HOUSING LOAN 
FEES. 
The loan fee table in section 3729(b)(2) of title 38, 
United States Code, is amended by striking ‘‘November 
15, 2031’’ each place it appears and inserting ‘‘November 
29, 2031’’. 
SEC. 337. EXTENSION OF AUTHORITY FOR TRANSFER OF 
REAL PROPERTY. 
Section 8118(a)(5) of title 38, United States Code, 
is amended by striking ‘‘September 30, 2024’’ and insert-
ing ‘‘September 30, 2025’’. 
SEC. 338. EXTENSION OF REQUIREMENTS RELATING TO 
CHIEF FINANCIAL OFFICER OF THE DEPART-
MENT. 
Section 7103 of the Johnny Isakson and David P. 
Roe, M.D. Veterans Health Care and Benefits Improve-
ment Act of 2020 (Public Law 116–315) is amended by 
striking ‘‘for fiscal year 2022 and each of the next three 
subsequent fiscal years’’ and inserting ‘‘for each of fiscal 
years 2026 through 2029’’. 
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TITLE IV—BUDGETARY EFFECTS 
SEC. 401. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budg-
etary effects of this division shall not be entered on either 
PAYGO scorecard maintained pursuant to section 4(d) of 
the Statutory Pay-As-You-Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary 
effects of this division shall not be entered on any PAYGO 
scorecard maintained for purposes of section 4106 of H. 
Con. Res. 71 (115th Congress). 
(c) CLASSIFICATION
OF BUDGETARY EFFECTS.— 
Notwithstanding Rule 3 of the Budget Scorekeeping 
Guidelines set forth in the joint explanatory statement of 
the committee of conference accompanying Conference Re-
port 105–217 and section 250(c)(8) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, the 
budgetary effects of this division shall not be estimated— 
(1) for purposes of section 251 of such Act; 
(2) for purposes of an allocation to the Com-
mittee on Appropriations pursuant to section 302(a) 
of the Congressional Budget Act of 1974; and 
(3) for purposes of paragraph (4)(C) of section 
3 of the Statutory Pay-As-You-Go Act of 2010 as 
being included in an appropriation Act. 
Æ 
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