(d)(1) Section 2811A(g) of the Public Health Service 
Act (42 U.S.C. 300hh–10b(g)) is amended by striking 
‘‘November 17, 2023’’ and inserting ‘‘January 19, 2024’’. 
(2) Section 2811B(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking 
‘‘November 17, 2023’’ and inserting ‘‘January 19, 2024’’. 
(3) Section 2811C(g)(1) of the Public Health Service 
Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking 
‘‘November 17, 2023’’ and inserting ‘‘January 19, 2024’’. 
(e) Section 2812(c)(4)(B) of the Public Health Serv-
ice Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by 
striking ‘‘November 17, 2023’’ and inserting ‘‘January 19, 
2024’’. 
Subtitle B—Medicaid 
SEC. 301. DELAYING CERTAIN DISPROPORTIONATE SHARE 
PAYMENT CUTS. 
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), by striking ‘‘November 18, 
2023’’ and inserting ‘‘January 20, 2024’’; and 
(2) in clause (ii), by striking ‘‘November 18, 
2023’’ and inserting ‘‘January 20, 2024’’. 
SEC. 302. MEDICAID IMPROVEMENT FUND REDUCTION. 
Section 1941(b)(3)(A) of the Social Security Act (42 
U.S.C. 1396w–1(b)(3)(A)), as amended by the Continuing
Appropriations Act, 2024 and Other Extensions Act, is 
further amended by striking ‘‘$6,357,117,810’’ and insert-
ing ‘‘5,796,117,810’’. 
Subtitle C—Human Services 
SEC. 401. EXTENSION OF CHILD AND FAMILY SERVICES 
PROGRAMS. 
Activities authorized by part B of title IV of the So-
cial Security Act shall continue through January 19, 
2024, in the manner authorized for fiscal year 2023, and 
out of any money in the Treasury of the United States 
not otherwise appropriated, there are hereby appropriated 
such sums as may be necessary for such purpose. 
SEC. 402. SEXUAL RISK AVOIDANCE EDUCATION EXTEN-
SION. 
Section 510 of the Social Security Act (42 U.S.C. 
710), as amended by the Continuing Appropriations Act, 
2024 and Other Extensions Act, is further amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘and for the period be-
ginning on October 1, 2023, and ending on 
November 17, 2023’’ and inserting ‘‘, for 
the period beginning on October 1, 2023, 
and ending on November 17, 2023, and for 
the period beginning on November 18,
2023, and ending on January 19, 2024’’; 
and 
(ii) by striking ‘‘with respect to such 
period’’ and inserting ‘‘with respect to the 
applicable period’’; 
(B) in paragraphs (2)(A), by striking ‘‘for 
the period’’ and inserting ‘‘for the applicable 
period’’; and 
(C) in paragraphs (2)(B), by striking ‘‘for 
the period’’ and inserting ‘‘for the applicable 
period’’; and 
(2) in subsection (f)— 
(A) in paragraph (1), by striking ‘‘and for 
the period beginning on October 1, 2023, and 
ending on November 17, 2023, an amount 
equal to the pro rata portion of the amount ap-
propriated for the corresponding period for fis-
cal year 2023’’ and inserting ‘‘for the period be-
ginning on October 1, 2023, and ending on No-
vember 17, 2023, an amount equal to the pro 
rata portion of the amount appropriated for the 
corresponding period for fiscal year 2023, and 
for the period beginning on November 18, 
2023, and ending on January 19, 2024, an 
amount equal to the pro rata portion of the
amount appropriated for the corresponding pe-
riod for fiscal year 2023’’; and 
(B) in paragraph (2), by striking ‘‘for the 
period’’ and inserting ‘‘for the applicable pe-
riod’’. 
SEC. 403. PERSONAL RESPONSIBILITY EDUCATION EXTEN-
SION. 
Section 513 of the Social Security Act (42 U.S.C. 
713), as amended by the Continuing Appropriations Act, 
2024 and Other Extensions Act, is further amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) in subparagraph (A), by striking 
‘‘and for the period beginning on October 
1, 2023, and ending on November 17, 
2023,’’ and inserting ‘‘, for the period be-
ginning on October 1, 2023, and ending on 
November 17, 2023, and for the period be-
ginning on November 18, 2023, and end-
ing on January 19, 2024,’’; and 
(ii) in subparagraph (B)(i), by insert-
ing after ‘‘November 17, 2023’’ the fol-
lowing: ‘‘, and for the period beginning on 
November 18, 2023, and ending on Janu-
ary 19, 2024’’;
(iii) in subparagraph (C)(i), by strik-
ing ‘‘for a fiscal year or the period’’ and 
inserting ‘‘for a fiscal year or period’’; and 
(B) in paragraph (3), by striking ‘‘for a 
fiscal year or the period’’ and inserting ‘‘for a 
fiscal year or period’’; and 
(C) in paragraph (4)(A)— 
(i) by striking ‘‘for the period’’ each 
place it appears and inserting ‘‘for each 
period’’; and 
(ii) by striking ‘‘for a fiscal year or 
the period’’ and inserting ‘‘for a fiscal year 
or period’’; 
(D) in paragraph (4)(B)(i), by striking 
‘‘the period described in paragraph (1)(A)’’ and 
inserting ‘‘each period described in paragraph 
(1)(A)’’; 
(2) in subsection (c), by striking ‘‘for the period 
described in subsection (a)(1)(A)’’ and inserting ‘‘for 
a period described in subsection (a)(1)(A) for fiscal 
year 2024’’; and 
(3) in subsection (f)(1), by striking ‘‘2023, and 
for the period beginning on October 1, 2023, and 
ending on November 17, 2023, an amount equal to 
the pro rata portion of the amount appropriated for
(A) in clause (ii), by striking ‘‘2023’’ and 
inserting ‘‘2024’’; and 
(B) in clause (iii), by striking ‘‘2024 
through 2026’’ and inserting ‘‘2025 through 
2027’’. 
(b) REVISED REPORTING PERIOD FOR REPORTING 
OF PRIVATE SECTOR PAYMENT RATES FOR ESTABLISH-
MENT
OF
MEDICARE
PAYMENT
RATES.—Section 
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 ‘‘2023’’ and insert-
ing ‘‘2024’’; and 
(2) in clause (ii), by striking ‘‘2024’’ each place 
it appears and inserting ‘‘2025’’. 
SEC. 503. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395iii(b)(1)) 
is 
amended 
by 
striking 
‘‘$180,000,000’’ and inserting ‘‘$466,795,056’’. 
TITLE III—MISCELLANEOUS 
EXTENSIONS 
SEC. 601. COUNTER-UAS AUTHORITIES. 
Section 210G(i) of the Homeland Security Act of 
2002 (6 U.S.C. 124n(i)) is amended by striking ‘‘Novem-
ber 18, 2023’’ and inserting ‘‘February 3, 2024’’.
TITLE IV—BUDGETARY EFFECTS 
SEC. 701. 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. 
Passed the House of Representatives November 14, 
2023. 
Attest: 
Clerk.
118TH CONGRESS 
1ST SESSION 
H. R. 6363 
AN ACT 
Making further continuing appropriations for fiscal 
year 2024, and for other purposes.