HR 1968 PCS
(B) by striking ‘‘March 31, 2025’’ and in-
serting ‘‘September 30, 2025’’; and 
(2) in the third sentence, by striking ‘‘March 
31, 2025’’ and inserting ‘‘September 30, 2025’’. 
SEC. 2205. 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 
‘‘March 31, 2025, $22,500,000’’ and inserting ‘‘Sep-
tember 30, 2025, $30,000,000’’. 
(b) 
AREA
AGENCIES
ON
AGING.—Subsection 
(b)(1)(B)(xiv) of such section 119 is amended by striking 
‘‘March 31, 2025, $22,500,000’’ and inserting ‘‘Sep-
tember 30, 2025, $30,000,000’’. 
(c) AGING AND DISABILITY RESOURCE CENTERS.— 
Subsection (c)(1)(B)(xiv) of such section 119 is amended 
by striking ‘‘March 31, 2025, $8,500,000’’ and inserting 
‘‘September 30, 2025, $10,000,000’’. 
(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 ‘‘March 31, 2025, 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00090
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
$22,500,000’’ and inserting ‘‘September 30, 2025, 
$30,000,000’’. 
SEC. 2206. EXTENSION OF THE WORK GEOGRAPHIC INDEX 
FLOOR. 
Section 1848(e)(1)(E) of the Social Security Act (42 
U.S.C. 1395w–4(e)(1)(E)) is amended by striking ‘‘April 
1, 2025’’ and inserting ‘‘October 1, 2025’’. 
SEC. 2207. EXTENSION OF CERTAIN TELEHEALTH FLEXI-
BILITIES. 
(a) REMOVING GEOGRAPHIC REQUIREMENTS
AND 
EXPANDING
ORIGINATING
SITES
FOR
TELEHEALTH 
SERVICES.—Section 1834(m) of the Social Security Act 
(42 U.S.C. 1395m(m)) is amended— 
(1) in paragraph (2)(B)(iii), by striking ‘‘end-
ing March 31, 2025’’ and inserting ‘‘ending Sep-
tember 30, 2025’’; and 
(2) in paragraph (4)(C)(iii), by striking ‘‘ending 
on March 31, 2025’’ and inserting ‘‘ending on Sep-
tember 30, 2025’’. 
(b) EXPANDING PRACTITIONERS ELIGIBLE TO FUR-
NISH TELEHEALTH SERVICES.—Section 1834(m)(4)(E) 
of the Social Security Act (42 U.S.C. 1395m(m)(4)(E)) 
is amended by striking ‘‘ending on March 31, 2025’’ and 
inserting ‘‘ending on September 30, 2025’’. 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00091
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
(c) EXTENDING TELEHEALTH SERVICES FOR FED-
ERALLY
QUALIFIED
HEALTH
CENTERS
AND
RURAL 
HEALTH CLINICS.—Section 1834(m)(8)(A) of the Social 
Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by 
striking ‘‘ending on March 31, 2025’’ and inserting ‘‘end-
ing on September 30, 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 April 1, 2025’’ and inserting 
‘‘on or after October 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 ‘‘April 1, 2025’’ and inserting 
‘‘October 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. 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00092
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
1395m(o)(4)(B)) is amended by striking ‘‘April 1, 
2025’’ and inserting ‘‘October 1, 2025’’. 
(e) ALLOWING FOR THE FURNISHING OF AUDIO- 
ONLY TELEHEALTH SERVICES.—Section 1834(m)(9) of 
the Social Security Act (42 U.S.C. 1395m(m)(9)) is 
amended by striking ‘‘ending on March 31, 2025’’ and in-
serting ‘‘ending on September 30, 2025’’. 
(f) EXTENDING USE OF TELEHEALTH TO CONDUCT 
FACE-TO-FACE ENCOUNTER PRIOR TO RECERTIFICATION 
OF
ELIGIBILITY
FOR
HOSPICE
CARE.—Section 
1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 
1395f(a)(7)(D)(i)(II)) is amended by striking ‘‘ending on 
March 31, 2025’’ and inserting ‘‘ending on September 30, 
2025’’. 
(g) PROGRAM INSTRUCTION AUTHORITY.—The Sec-
retary of Health and Human Services may implement the 
amendments made by this section through program in-
struction or otherwise. 
SEC. 2208. EXTENDING ACUTE HOSPITAL CARE AT HOME 
WAIVER AUTHORITIES. 
Section 1866G(a)(1) of the Social Security Act (42 
U.S.C. 1395cc–7(a)(1)) is amended by striking ‘‘March 
31, 2025’’ and inserting ‘‘September 30, 2025’’. 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00093
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
SEC. 2209. 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 
‘‘March 31, 2025’’ and inserting ‘‘September 30, 2025’’. 
SEC. 2210. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$1,251,000,000’’ and inserting ‘‘$1,804,000,000’’. 
SEC. 2211. MEDICARE SEQUESTRATION. 
Section 251A(6)(D) of the Balanced Budget and 
Emergency Deficit Control Act of 1985 (2 U.S.C. 
901a(6)(D)) is amended— 
(1) in clause (i), by striking ‘‘8 months’’ and 
inserting ‘‘10 months’’; and 
(2) in clause (ii), by striking ‘‘4 months’’ and 
inserting ‘‘2 months’’. 
TITLE III—HUMAN SERVICES 
SEC. 2301. 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)— 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00094
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
(A) by striking ‘‘the period beginning on 
October 1, 2024, and ending on March 31, 
2025’’ and inserting ‘‘fiscal year 2025’’; and 
(B) by striking ‘‘or 2025’’; and 
(2) in subsection (f)(1), by striking ‘‘the period 
beginning on October 1, 2024, and ending on March 
31, 2025, an amount equal to the pro rata portion 
of the amount appropriated for the corresponding 
period for’’ and inserting ‘‘for fiscal year 2025, an 
amount equal to the amount appropriated for’’. 
SEC. 2302. PERSONAL RESPONSIBILITY EDUCATION EXTEN-
SION. 
Section 513 of the Social Security Act (42 U.S.C. 
713) is amended— 
(1) in subsection (a)(1)— 
(A) in subparagraph (A), in the matter 
preceding clause (i), by striking ‘‘the period be-
ginning on October 1, 2024, and ending on 
March 31, 2025’’ and inserting ‘‘fiscal year 
2025’’; and 
(B) in subparagraph (B)(i), by striking 
‘‘the period beginning on October 1, 2024, and 
ending on March 31, 2025’’ and inserting ‘‘fis-
cal year 2025’’; and 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00095
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
(2) in subsection (f), by striking ‘‘the period be-
ginning on October 1, 2024, and ending on March 
31, 2025, an amount equal to the pro rata portion 
of the amount appropriated for the corresponding 
period’’ and inserting ‘‘fiscal year 2025, an amount 
equal to the amount appropriated for fiscal year 
2024’’. 
SEC. 2303. 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 by striking 
‘‘$3,000,000 for the portion of fiscal year 2025 before 
April 1, 2025.’’ and inserting ‘‘$6,000,000 for fiscal year 
2025’’. 
TITLE IV—MEDICAID 
SEC. 2401. DELAYING MEDICAID DSH REDUCTIONS. 
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)— 
(A) in the matter preceding subclause 
(I)— 
(i) by striking ‘‘For the period begin-
ning April 1, 2025, and ending September 
30, 2025, and for’’ and inserting ‘‘For’’; 
and 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00096
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
(ii) by striking ‘‘through 2027’’ and 
inserting ‘‘through 2028’’; 
(B) in subclause (I), by striking ‘‘or pe-
riod’’; and 
(C) in subclause (II), by striking ‘‘or pe-
riod’’; and 
(2) in clause (ii)— 
(A) by striking ‘‘for the period beginning 
April 1, 2025, and ending September 30, 2025, 
and’’; and 
(B) by striking ‘‘through 2027’’ and in-
serting ‘‘through 2028’’. 
DIVISION C—OTHER MATTERS 
SEC. 3101. COMMODITY FUTURES TRADING COMMISSION 
WHISTLEBLOWER PROGRAM. 
Section 1(b) of Public Law 117–25 (135 Stat. 297; 
136 Stat. 2133; 136 Stat. 5984) is amended in each of 
paragraphs (3) and (4) by striking ‘‘March 14, 2025’’ and 
inserting ‘‘September 30, 2025’’. 
SEC. 3102. PROTECTION OF CERTAIN FACILITIES AND AS-
SETS FROM UNMANNED AIRCRAFT. 
Section 210G(i) of the Homeland Security Act of 
2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘March 
14, 2025’’ and inserting ‘‘September 30, 2025’’. 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00097
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
SEC. 3103. ADDITIONAL SPECIAL ASSESSMENT. 
Section 3014 of title 18, United States Code, is 
amended by striking ‘‘March 14, 2025’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 3104. 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 ‘‘March 14, 2025’’ and inserting ‘‘September 
30, 2025’’. 
SEC. 
3105. 
EXTENSION 
OF 
TEMPORARY 
ORDER 
FOR 
FENTANYL-RELATED SUBSTANCES. 
Effective as if included in the enactment of the Tem-
porary Reauthorization and Study of the Emergency 
Scheduling of Fentanyl Analogues Act (Public Law 116– 
114), section 2 of such Act is amended by striking ‘‘March 
31, 2025’’ and inserting ‘‘September 30, 2025’’. 
SEC. 3106. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budg-
etary effects of divisions B and C 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 divisions B and C shall not be entered on any 
PAYGO scorecard maintained for purposes of section 
4106 of H. Con. Res. 71 (115th Congress). 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00098
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
HR 1968 PCS
(c) CLASSIFICATION
OF BUDGETARY EFFECTS.— 
Notwithstanding Rule 3 of the Budget Scorekeeping 
Guidelines set forth in the joint explanatory statement of 
the committee of conference accompanying Conference Re-
port 105–217 and section 250(c)(8) of the Balanced 
Budget and Emergency Deficit Control Act of 1985, the 
budgetary effects of divisions B and C shall not be esti-
mated— 
(1) for purposes of section 251 of such Act; 
(2) for purposes of an allocation to the Com-
mittee on Appropriations pursuant to section 302(a) 
of the Congressional Budget Act of 1974; and 
(3) for purposes of paragraph (4)(C) of section 
3 of the Statutory Pay-As-You-Go Act of 2010 as 
being included in an appropriation Act. 
Passed the House of Representatives March 11, 
2025. 
Attest: 
KEVIN F. MCCUMBER, 
Clerk. 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00099
Fmt 6652
Sfmt 6201
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB
Calendar No. 26 
119TH CONGRESS 
1ST SESSION 
H. R. 1968 
AN ACT 
Making further continuing appropriations and other 
extensions for the fiscal year ending September 
30, 2025, and for other purposes. 
MARCH 11, 2025 
Read the second time and placed on the calendar 
VerDate Sep 11 2014 
02:20 Mar 12, 2025
Jkt 059200
PO 00000
Frm 00100
Fmt 6651
Sfmt 6651
E:\BILLS\H1968.PCS
H1968
kjohnson on DSK7ZCZBW3PROD with $$_JOB