H. R. 6833—18 
the Secretary of Defense, in coordination with the Secretary of 
State, shall provide a written report to the Committees on Appro-
priations, Armed Services, and Foreign Affairs of the House of 
Representatives and the Committees on Appropriations, Armed 
Services, and Foreign Relations of the Senate describing United 
States security assistance provided to Ukraine since the February 
24, 2022, Russian invasion of Ukraine, including a comprehensive 
list of the defense articles and services provided to Ukraine and 
the associated authority and funding used to provide such articles 
and services: Provided, That such report shall be submitted in 
unclassified form, but may be accompanied by a classified annex. 
TITLE II 
DEPARTMENT OF ENERGY 
ATOMIC ENERGY DEFENSE ACTIVITIES 
NATIONAL NUCLEAR SECURITY ADMINISTRATION 
DEFENSE NUCLEAR NONPROLIFERATION 
For an additional amount for ‘‘Defense Nuclear Nonprolifera-
tion’’, $35,000,000, to remain available until expended, to respond 
to the situation in Ukraine and for related expenses. 
TITLE III 
BILATERAL ECONOMIC ASSISTANCE 
FUNDS APPROPRIATED TO THE PRESIDENT 
ECONOMIC SUPPORT FUND 
For an additional amount for ‘‘Economic Support Fund’’, 
$4,500,000,000, to remain available until September 30, 2024, for 
assistance for Ukraine: Provided, That funds appropriated under 
this heading in this Act may be made available notwithstanding 
any other provision of law that restricts assistance to foreign coun-
tries and may be made available as contributions. 
GENERAL PROVISIONS—THIS TITLE 
SEC. 1301. During fiscal year 2023, section 506(a)(1) of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2318(a)(1)) shall be 
applied by substituting ‘‘$3,700,000,000’’ for ‘‘$100,000,000’’. 
SEC. 1302. (a) Funds appropriated by this title shall be made 
available for direct financial support for the Government of Ukraine, 
including for Ukrainian first responders, and may be made available 
as a cash transfer subject to the requirements of subsection (b): 
Provided, That such funds shall be provided on a reimbursable 
basis and matched by sources other than the United States Govern-
ment, to the maximum extent practicable: Provided further, That 
the Secretary of State or the Administrator of the United States 
Agency for International Development, as appropriate, shall ensure 
third-party monitoring of such funds: Provided further, That at 
least 15 days prior to the initial obligation of such funds, the 
Secretary of State, following consultation with the Administrator
H. R. 6833—19 
of the United States Agency for International Development, shall 
certify and report to the appropriate congressional committees that 
mechanisms for monitoring and oversight of such funds are in 
place and functioning and that the Government of Ukraine has 
in place substantial safeguards to prevent corruption and ensure 
accountability of such funds: Provided further, That not less than 
45 days after the initial obligation of such funds, the Inspectors 
General of the Department of State and the United States Agency 
for International Development shall submit a report to the appro-
priate congressional committees detailing and assessing the mecha-
nisms for monitoring and safeguards described in the previous 
proviso. 
(b) Funds made available to the Government of Ukraine as 
a cash transfer under subsection (a) shall be subject to a memo-
randum of understanding between the Governments of the United 
States and Ukraine that describes how the funds proposed to be 
made available will be used and the appropriate safeguards to 
ensure transparency and accountability: Provided, That such assist-
ance shall be maintained in a separate, auditable account and 
may not be comingled with any other funds. 
(c) The Secretary of State or the Administrator of the United 
States Agency for International Development, as appropriate, shall 
report to the appropriate congressional committees on the uses 
of funds provided for direct financial support to the Government 
of Ukraine pursuant to subsection (a) not later than 45 days after 
the date of enactment of this Act and every 45 days thereafter 
until all such funds have been expended: Provided, That such 
report shall include a detailed description of the use of such funds, 
including categories and amounts, the intended results and the 
results achieved, a summary of other donor contributions, and a 
description of the efforts undertaken by the Secretary and Adminis-
trator to increase other donor contributions for direct financial 
support: Provided further, That such report shall also include the 
metrics established to measure such results. 
(d) Funds made available for the purposes of subsection (a) 
shall be subject to the regular notification procedures of the 
Committees on Appropriations of the House of Representatives and 
the Senate. 
TITLE IV 
GENERAL PROVISIONS—THIS ACT 
SEC. 1401. Each amount appropriated or made available by 
this Act is in addition to amounts otherwise appropriated for the 
fiscal year involved. 
SEC. 1402. 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. 1403. Unless otherwise provided for by this Act, the addi-
tional amounts appropriated by this Act to appropriations accounts 
shall be available under the authorities and conditions applicable 
to such appropriations accounts for fiscal year 2023. 
SEC. 1404. Each amount provided by this division is designated 
by the Congress as being for an emergency requirement pursuant 
to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concur-
rent resolution on the budget for fiscal year 2022, and section
H. R. 6833—20 
1(e) of H. Res. 1151 (117th Congress), as engrossed in the House 
of Representatives on June 8, 2022. 
This division may be cited as the ‘‘Ukraine Supplemental Appro-
priations Act, 2023’’. 
DIVISION C—OTHER MATTERS 
TITLE I—EXTENSIONS, TECHNICAL 
CORRECTIONS, AND OTHER MATTERS 
SEC. 101. EXTENSION OF FCC AUCTION AUTHORITY. 
Section 309(j)(11) of the Communications Act of 1934 (47 U.S.C. 
309(j)(11)) is amended by striking ‘‘September 30, 2022’’ and 
inserting ‘‘December 16, 2022’’. 
SEC. 102. EXTENSION OF AUTHORIZATION FOR SPECIAL ASSESSMENT 
FOR DOMESTIC TRAFFICKING VICTIMS’ FUND. 
Section 3014(a) of title 18, United States Code, is amended, 
in the matter preceding paragraph (1), by striking ‘‘September 
30, 2022’’ and inserting ‘‘December 16, 2022’’. 
SEC. 103. UNITED STATES PAROLE COMMISSION EXTENSION. 
(a) SHORT TITLE.—This section may be cited as the ‘‘United 
States Parole Commission Extension Act of 2022’’. 
(b) AMENDMENT OF SENTENCING REFORM ACT OF 1984.—For 
purposes of section 235(b) of the Sentencing Reform Act of 1984 
(18 U.S.C. 3551 note; Public Law 98–473; 98 Stat. 2032), as such 
section relates to chapter 311 of title 18, United States Code, 
and the United States Parole Commission, each reference in such 
section to ‘‘35 years’’ or ‘‘35-year period’’ shall be deemed a reference 
to ‘‘35 years and 46 days’’ or ‘‘35-year and 46-day period’’, respec-
tively. 
SEC. 104. EXTENSION OF COMMODITY FUTURES TRADING COMMISSION 
CUSTOMER PROTECTION FUND EXPENSES ACCOUNT. 
Section 1(b) of Public Law 117–25 (135 Stat. 297) is amended 
by striking ‘‘October 1, 2022’’ each place it appears and inserting 
‘‘December 16, 2022’’. 
TITLE II—BUDGETARY EFFECTS 
SEC. 201. BUDGETARY EFFECTS. 
(a) STATUTORY PAYGO SCORECARDS.—The budgetary effects 
of this division and each succeeding 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 and each succeeding 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 accom-
panying Conference Report 105–217 and section 250(c)(8) of the 
Balanced Budget and Emergency Deficit Control Act of 1985, the
H. R. 6833—21 
budgetary effects of this division and each succeeding division shall 
not be estimated— 
(1) for purposes of section 251 of such Act; 
(2) for purposes of an allocation to the Committee on Appro-
priations 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. 
DIVISION D—HEALTH AND HUMAN 
SERVICES EXTENSIONS 
TITLE I—MEDICARE AND MEDICAID 
SEC. 101. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT 
ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS. 
(a) IN GENERAL.—Section 1886(d)(12) of the Social Security 
Act (42 U.S.C. 1395ww(d)(12)) is amended— 
(1) in subparagraph (B), in the matter preceding clause 
(i), by striking ‘‘in fiscal year 2023 and subsequent fiscal years’’ 
and inserting ‘‘during the portion of fiscal year 2023 beginning 
on December 17, 2022, and ending on September 30, 2023, 
and in fiscal year 2024 and subsequent fiscal years’’; 
(2) in subparagraph (C)(i)— 
(A) in the matter preceding subclause (I)— 
(i) by inserting ‘‘or portion of a fiscal year’’ after 
‘‘for a fiscal year’’; and 
(ii) by inserting ‘‘and the portion of fiscal year 
2023 beginning on October 1, 2022, and ending on 
December 16, 2022’’ after ‘‘through 2022’’; 
(B) in subclause (III), by inserting ‘‘and the portion 
of fiscal year 2023 beginning on October 1, 2022, and 
ending on December 16, 2022’’ after ‘‘through 2022’’; and 
(C) in subclause (IV), by striking ‘‘fiscal year 2023’’ 
and inserting ‘‘the portion of fiscal year 2023 beginning 
on December 17, 2022, and ending on September 30, 2023, 
and fiscal year 2024’’; and 
(3) in subparagraph (D)— 
(A) in the matter preceding clause (i), by inserting 
‘‘or during the portion of fiscal year 2023 beginning on 
October 1, 2022, and ending on December 16, 2022’’ after 
‘‘through 2022’’; and 
(B) in clause (ii), by inserting ‘‘and the portion of 
fiscal year 2023 beginning on October 1, 2022, and ending 
on December 16, 2022’’ after ‘‘through 2022’’. 
(b) IMPLEMENTATION.—Notwithstanding any other provision of 
law, the Secretary of Health and Human Services may implement 
the provisions of, including the amendments made by, this section 
by program instruction or otherwise. 
SEC. 102. 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—