DIVISION D—OTHER MATTERS 
TITLE 
I—EXTENSIONS, 
TECH-
NICAL 
CORRECTIONS, 
AND 
OTHER MATTERS 
SEC. 3101. EXTENSION OF AUTHORITY TO MAKE CERTAIN 
APPOINTMENTS FOR NATIONAL DISASTER 
MEDICAL SYSTEM. 
Section 2812(c)(4)(B) of the Public Health Service 
Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by strik-
ing ‘‘September 30, 2021’’ and inserting ‘‘December 3, 
2021’’. 
SEC. 3102. EXTENDING CERTAIN WAIVER AUTHORITIES. 
(a) NATIONAL SCHOOL LUNCH PROGRAM REQUIRE-
MENT
WAIVERS
ADDRESSING
COVID–19.—Section 
2202(e) of the Families First Coronavirus Response Act 
(Public Law 116–127; 42 U.S.C. 1760 note) is amended 
by striking ‘‘September 30, 2021’’ and inserting ‘‘June 
30, 2022: Provided, That such waivers shall only apply 
to school year 2021–2022’’. 
(b) FUNDING.—There are hereby appropriated, out 
of any funds in the Treasury not otherwise appropriated, 
such sums as may be necessary to carry out this section. 
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SEC. 3103. 
Section 3014(a) of title 18, United States Code, is 
amended by striking ‘‘September 30, 2021’’ and inserting 
‘‘December 31, 2021’’. 
SEC. 
3104. 
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 (as amended by Public Law 
117–12) is amended by striking ‘‘October 22, 2021’’ and 
inserting ‘‘January 28, 2022’’. 
SEC. 3105. EXTENDING THE INCREASED FEDERAL MEDICAL 
ASSISTANCE 
PERCENTAGE 
FOR 
TERRI-
TORIES. 
(a) IN GENERAL.—Section 1905(ff) of the Social Se-
curity Act (42 U.S.C. 1396d(ff)) is amended— 
(1) in paragraph (2), by striking ‘‘September 
30, 2021’’ and inserting ‘‘December 3, 2021’’ ; and 
(2) in paragraph (3), by striking ‘‘September 
30, 2021’’ and inserting ‘‘December 3, 2021’’. 
(b) GAO REVIEW.—Not later than November 15, 
2021, the Comptroller General of the United States shall 
review the determination of the allotment for Puerto Rico 
for fiscal year 2022 under section 1108(g) of the Social 
Security Act (42 U.S.C. 1308(g)), and include in the re-
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view the legal opinion of the Comptroller General on the 
most plausible plain reading of how such fiscal year 2022 
allotment level should be calculated. 
SEC. 3106. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$165,000,000’’ and inserting ‘‘$69,000,000’’. 
TITLE II—BUDGETARY EFFECTS 
SEC. 3201. 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; 
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(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. 
TITLE III—TEMPORARY EXTEN-
SION OF PUBLIC DEBT LIMIT 
SEC. 3301. TEMPORARY EXTENSION OF PUBLIC DEBT 
LIMIT. 
(a) IN GENERAL.—Section 3101(b) of title 31, 
United States Code, shall not apply for the period begin-
ning on the date of the enactment of this Act and ending 
on December 16, 2022. 
(b) SPECIAL RULE RELATING
TO OBLIGATIONS 
ISSUED DURING EXTENSION PERIOD.—Effective on De-
cember 17, 2022, the limitation in effect under section 
3101(b) of title 31, United States Code, shall be increased 
to the extent that— 
(1) the face amount of obligations issued under 
chapter 31 of such title and the face amount of obli-
gations whose principal and interest are guaranteed 
by the United States Government (except guaran-
teed obligations held by the Secretary of the Treas-
ury) outstanding on December 17, 2022, exceeds 
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(2) the face amount of such obligations out-
standing on the date of the enactment of this Act. 
(c) EXTENSION LIMITED TO NECESSARY OBLIGA-
TIONS.—An obligation shall not be taken into account 
under subsection (b)(1) unless the issuance of such obliga-
tion was necessary to fund a commitment incurred pursu-
ant to law by the Federal Government that required pay-
ment before December 17, 2022. 
Æ 
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