119TH CONGRESS 
1ST SESSION H. R. 1968 
AN ACT 
Making further continuing appropriations and other exten-
sions for the fiscal year ending September 30, 2025, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Full-Year Continuing 
Appropriations and Extensions Act, 2025’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. References. 
DIVISION A—FULL-YEAR CONTINUING APPROPRIATIONS ACT, 
2025 
TITLE I—GENERAL PROVISIONS 
TITLE II—AGRICULTURE, RURAL DEVELOPMENT, FOOD AND 
DRUG ADMINISTRATION, AND RELATED AGENCIES 
TITLE III—COMMERCE, JUSTICE, SCIENCE, AND RELATED 
AGENCIES 
TITLE IV—DEPARTMENT OF DEFENSE 
TITLE V—ENERGY AND WATER DEVELOPMENT AND RELATED 
AGENCIES 
TITLE VI—FINANCIAL SERVICES AND GENERAL GOVERNMENT 
TITLE VII—DEPARTMENT OF HOMELAND SECURITY 
TITLE VIII—DEPARTMENT OF THE INTERIOR, ENVIRONMENT, 
AND RELATED AGENCIES 
TITLE IX—DEPARTMENTS OF LABOR, HEALTH AND HUMAN 
SERVICES, AND EDUCATION, AND RELATED AGENCIES 
TITLE X—LEGISLATIVE BRANCH 
TITLE XI—MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND 
RELATED AGENCIES 
TITLE XII—DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND 
RELATED PROGRAMS 
TITLE XIII—TRANSPORTATION, HOUSING AND URBAN 
DEVELOPMENT, AND RELATED AGENCIES 
DIVISION B—HEALTH 
TITLE I—PUBLIC HEALTH EXTENDERS 
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Sec. 2101. Extension for community health centers, National Health Service 
Corps, and teaching health centers that operate GME pro-
grams. 
Sec. 2102. Extension of special diabetes programs. 
Sec. 2103. National health security extensions. 
TITLE II—MEDICARE 
Sec. 2201. Extension of increased inpatient hospital payment adjustment for 
certain low-volume hospitals. 
Sec. 2202. Extension of the Medicare-dependent hospital (MDH) program. 
Sec. 2203. Extension of add-on payments for ambulance services. 
Sec. 2204. Extension of funding for quality measure endorsement, input, and 
selection. 
Sec. 2205. Extension of funding outreach and assistance for low-income pro-
grams. 
Sec. 2206. Extension of the work geographic index floor. 
Sec. 2207. Extension of certain telehealth flexibilities. 
Sec. 2208. Extending acute hospital care at home waiver authorities. 
Sec. 2209. Extension of temporary inclusion of authorized oral antiviral drugs 
as covered part D drugs. 
Sec. 2210. Medicare improvement fund. 
Sec. 2211. Medicare sequestration. 
TITLE III—HUMAN SERVICES 
Sec. 2301. Sexual risk avoidance education extension. 
Sec. 2302. Personal responsibility education extension. 
Sec. 2303. Extension of funding for family-to-family health information centers. 
TITLE IV—MEDICAID 
Sec. 2401. Delaying Medicaid DSH reductions. 
DIVISION C—OTHER MATTERS 
Sec. 3101. Commodity futures trading commission whistleblower program. 
Sec. 3102. Protection of certain facilities and assets from unmanned aircraft. 
Sec. 3103. Additional special assessment. 
Sec. 3104. National cybersecurity protection system authorization. 
Sec. 3105. Extension of temporary order for fentanyl-related substances. 
Sec. 3106. Budgetary effects. 
SEC. 3. REFERENCES. 
Except as expressly provided otherwise, any reference 
to ‘‘this Act’’ contained in any division of this Act shall 
be treated as referring only to the provisions of that divi-
sion. 
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DIVISION A—FULL-YEAR CONTINUING 
APPROPRIATIONS ACT, 2025 
The following sums are hereby appropriated, out of 
any money in the Treasury not otherwise appropriated, 
and out of applicable corporate or other revenues, receipts, 
and funds, for the several departments, agencies, corpora-
tions, and other organizational units of Government for 
fiscal year 2025, and for other purposes, namely: 
TITLE I—GENERAL PROVISIONS 
SEC. 1101. (a) Such amounts as may be necessary, 
at the level specified in subsection (c) and under the au-
thority and conditions provided in applicable appropria-
tions Acts for fiscal year 2024, for projects or activities 
(including the costs of direct loans and loan guarantees) 
that are not otherwise specifically provided for, and for 
which appropriations, funds, or other authority were made 
available in the following appropriations Acts: 
(1) The Agriculture, Rural Development, Food 
and Drug Administration, and Related Agencies Ap-
propriations Act, 2024 (division B of Public Law 
118–42). 
(2) The Commerce, Justice, Science, and Re-
lated Agencies Appropriations Act, 2024 (division C 
of Public Law 118–42), except section 510 shall be 
applied 
by 
substituting 
‘‘$1,900,000,000’’ 
for 
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‘‘$1,353,000,000’’, except section 521(a)(1) shall be 
applied 
by 
substituting 
‘‘$30,000,000’’ 
for 
‘‘$35,000,000’’, except section 521(a)(4) shall be ap-
plied 
by 
substituting 
‘‘$9,560,000,000’’ 
for 
‘‘$12,440,000,000’’, except section 521(b)(3) shall 
be applied by substituting ‘‘$15,000,000’’ for 
‘‘$5,000,000’’, except section 521(b)(4) shall be ap-
plied 
by 
substituting 
‘‘$125,000,000’’ 
for 
‘‘$120,000,000’’, except section 521(b)(5) shall be 
applied 
by 
substituting 
‘‘$20,000,000’’ 
for 
‘‘$15,000,000’’, except section 521(c)(1) shall be ap-
plied 
by 
substituting 
‘‘$300,000,000’’ 
for 
‘‘$131,572,000’’, except section 521(c)(2) shall be 
applied 
by 
substituting 
‘‘$250,000,000’’ 
for 
‘‘$500,000,000’’, except section 521(f) shall be ap-
plied by inserting ‘‘ or title II of division C of Public 
Law 118–42’’ after ‘‘117–328’’, and except sections 
222, 521(a)(2), 521(a)(3), 521(a)(5), 521(b)(1), and 
521(b)(2). 
(3) The Department of Defense Appropriations 
Act, 2024 (division A of Public Law 118–47). 
(4) The Energy and Water Development and 
Related Agencies Appropriations Act, 2024 (division 
D of Public Law 118–42), except the third proviso 
under the heading ‘‘Corps of Engineers—Civil— 
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