Title: Further Continuing Appropriations Act, 2021, and Other Extensions Act
Policy area: Economics and Public Finance

Summary:
Further Continuing Appropriations Act, 2021, and Other Extensions Act
This bill provides continuing FY2021 appropriations to federal agencies through December 18, 2020, and extends several expiring health programs.
It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2021 appropriations bills have not been enacted when the existing CR expires on December 11, 2020.
The bill includes provisions that


[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8900 Introduced in House (IH)]

<DOC>






116th CONGRESS
  2d Session
                                H. R. 8900

Making further continuing appropriations for fiscal year 2021, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            December 8, 2020

  Mrs. Lowey introduced the following bill; which was referred to the 
 Committee on Appropriations, and in addition to the Committee on the 
 Budget, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
Making further continuing appropriations for fiscal year 2021, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Further Continuing Appropriations 
Act, 2021, and Other Extensions Act''.

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--FURTHER CONTINUING APPROPRIATIONS ACT, 2021

                      DIVISION B--HEALTH EXTENDERS

Title I--Medicare and Medicaid Extenders
Title II--Public Health Extenders and Food and Drug Administration 
                            Provisions
Title III--Offsets
Title IV--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 division.

        DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2021

    Sec. 101.  The Continuing Appropriations Act, 2021 (division A of 
Public Law 116-159) is amended by striking the date specified in 
section 106(3) and inserting ``December 18, 2020''.
     This division may be cited as the ``Further Continuing 
Appropriations Act, 2021''.

                      DIVISION B--HEALTH EXTENDERS

                TITLE I--MEDICARE AND MEDICAID EXTENDERS

SEC. 1101. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR UNDER THE 
              MEDICARE PROGRAM.

    Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)), as amended by section 3801 of the CARES Act (Public Law 
116-136) and section 2201 of the Continuing Appropriations Act, 2021 
and Other Extensions Act (Public Law 116-159), is amended by striking 
``December 12, 2020'' and inserting ``December 19, 2020''.

SEC. 1102. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME 
              PROGRAMS.

    (a) State Health Insurance Programs.--Subsection (a)(1)(B)(xi) of 
section 119 of the Medicare Improvements for Patients and Providers Act 
of 2008 (42 U.S.C. 1395b-3 note), as amended by section 3306 of the 
Patient Protection and Affordable Care Act (Public Law 111-148), 
section 610 of the American Taxpayer Relief Act of 2012 (Public Law 
112-240), section 1110 of the Pathway for SGR Reform Act of 2013 
(Public Law 113-67), section 110 of the Protecting Access to Medicare 
Act of 2014 (Public Law 113-93), section 208 of the Medicare Access and 
CHIP Reauthorization Act of 2015 (Public Law 114-10), section 50207 of 
division E of the Bipartisan Budget Act of 2018 (Public Law 115-123), 
section 1402 of division B of the Continuing Appropriations Act, 2020, 
and Health Extenders Act of 2019 (Public Law 116-59), section 1402 of 
division B of the Further Continuing Appropriations Act, 2020, and 
Further Health Extenders Act of 2019 (Public Law 116-69), section 103 
of division N of the Further Consolidated Appropriations Act, 2020 
(Public Law 116-94), section 3803 of the CARES Act (Public Law 116-
136), and section 2203 of the Continuing Appropriations Act, 2021 and 
Other Extensions Act (Public Law 116-159), is amended by striking 
``December 11'' and inserting ``December 18''.
    (b) Area Agencies on Aging.--Subsection (b)(1)(B)(xi) of such 
section 119, as so amended, is amended by striking ``December 11'' and 
inserting ``December 18''.
    (c) Aging and Disability Resource Centers.--Subsection 
(c)(1)(B)(xi) of such section 119, as so amended, is amended by 
striking ``December 11'' and inserting ``December 18''.
    (d) Contract With the National Center for Benefits and Outreach 
Enrollment.--Subsection (d)(2)(xi) of such section 119, as so amended, 
is amended by striking ``December 11'' and inserting ``December 18''.

SEC. 1103. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT, 
              AND SELECTION.

    Section 1890(d)(2) of the Social Security Act (42 U.S.C. 
1395aaa(d)(2)) is amended by striking ``December 11'' each place such 
phrase appears and inserting ``December 18'' in each such place.

SEC. 1104. EXTENSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION 
              PROGRAM.

    Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 
(42 U.S.C. 1396a note), as amended by Public Law 116-159, is amended by 
striking ``December 11'' and inserting ``December 18''.

SEC. 1105. EXTENSION OF SPOUSAL IMPOVERISHMENT PROTECTIONS.

    (a) In General.--Section 2404 of the Patient Protection and 
Affordable Care Act (42 U.S.C. 1396r-5 note), as amended by Public Law 
116-159, is amended by striking ``December 11'' and inserting 
``December 18''.
    (b) Rule of Construction.--Nothing in section 2404 of Public Law 
111-148 (42 U.S.C. 1396r-5 note) or section 1902(a)(17) or 1924 of the 
Social Security Act (42 U.S.C. 1396a(a)(17), 1396r-5) shall be 
construed as prohibiting a State from--
            (1) applying an income or resource disregard under a 
        methodology authorized under section 1902(r)(2) of such Act (42 
        U.S.C. 1396a(r)(2))--
                    (A) to the income or resources of an individual 
                described in section 1902(a)(10)(A)(ii)(VI) of such Act 
                (42 U.S.C. 1396a(a)(10)(A)(ii)(VI)) (including a 
                disregard of the income or resources of such 
                individual's spouse); or
                    (B) on the basis of an individual's need for home 
                and community-based services authorized under 
                subsection (c), (d), (i), or (k) of section 1915 of 
                such Act (42 U.S.C. 1396n) or under section 1115 of 
                such Act (42 U.S.C. 1315); or
            (2) disregarding an individual's spousal income and assets 
        under a plan amendment to provide medical assistance for home 
        and community-based services for individuals by reason of being 
        determined eligible under section 1902(a)(10)(C) of such Act 
        (42 U.S.C. 1396a(a)(10)(C)) or by reason of section 1902(f) of 
        such Act (42 U.S.C. 1396a(f)) or otherwise on the basis of a 
        reduction of income based on costs incurred for medical or 
        other remedial care under which the State disregarded the 
        income and assets of the individual's spouse in determining the 
        initial and ongoing financial eligibility of an individual for 
        such services in place of the spousal impoverishment provisions 
        applied under section 1924 of such Act (42 U.S.C. 1396r-5).

SEC. 1106. EXTENSION OF DELAY OF DSH REDUCTIONS.

    Section 1923(f)(7) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended by striking ``December 12'' each place such 
phrase appears and inserting ``December 19'' in each such place.

SEC. 1107. EXTENSION OF MONEY FOLLOWS THE PERSON.

    Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 (42 
U.S.C. 1396a note) is amended by striking ``December 11'' and inserting 
``December 18''.

  TITLE II--PUBLIC HEALTH EXTENDERS AND FOOD AND DRUG ADMINISTRATION 
                               PROVISIONS

                  Subtitle A--Public Health Extenders

SEC. 1201. EXTENDING FUNDING FOR COMMUNITY HEALTH CENTERS, NATIONAL 
              HEALTH SERVICE CORPS, AND TEACHING HEALTH CENTER GME.

    (a) Community Health Centers.--Section 10503(b)(1)(F) of the 
Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(1)(F)) 
is amended--
            (1) by striking ``$789,041,096'' and inserting 
        ``$865,753,425''; and
            (2) by striking ``December 11, 2020'' and inserting 
        ``December 18, 2020''.
    (b) National Health Service Corps.--Section 10503(b)(2)(H) of the 
Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(2)(H)) 
is amended--
            (1) by striking ``$61,150,685'' and inserting 
        ``$67,095,890''; and
            (2) by striking ``December 11, 2020'' and inserting 
        ``December 18, 2020''.
    (c) Teaching Health Centers That Operate Graduate Medical Education 
Programs.--Section 340H(g)(1) of the Public Health Service Act (42 
U.S.C. 256h(g)(1)) is amended--
            (1) by striking ``$24,953,425'' and inserting 
        ``$27,379,452''; and
            (2) by striking ``December 11, 2020'' and inserting 
        ``December 18, 2020''.
    (d) Application of Provisions.--Amounts appropriated pursuant to 
the amendments made by this section for the period beginning on 
December 11, 2020, and ending on December 18, 2020, shall be subject to 
the requirements contained in Public Law 116-94 for funds for programs 
authorized under sections 330 through 340 of the Public Health Service 
Act.
    (e) Conforming Amendments.--Paragraph (4) of section 3014(h) of 
title 18, United States Code, as amended by section 3831(e) of the 
CARES Act (Public Law 116-136), is amended--
            (1) by striking ``Social Services Act,,'' and inserting 
        ``Social Services Act,''; and
            (2) by striking ``and section 2101 of the Continuing 
        Appropriations Act, 2021 and Other Extensions Act'' and 
        inserting ``section 2101 of the Continuing Appropriations Act, 
        2021 and Other Extensions Act, and section 1201(d) of the 
        Further Continuing Appropriations Act, 2021, and Other 
        Extensions Act''.

SEC. 1202. DIABETES PROGRAMS.

    (a) Special Diabetes Programs for Type I Diabetes.--Section 
330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(D)) is amended--
            (1) by striking ``$29,589,042'' and inserting 
        ``$32,465,753''; and
            (2) by striking ``December 11, 2020'' and inserting 
        ``December 18, 2020''.
    (b) Special Diabetes Programs for Indians.--Section 330C(c)(2)(D) 
of the Public Health Service Act (42 U.S.C. 254c-3(c)(2)(D)) is 
amended--
            (1) by striking ``$29,589,042'' and inserting 
        ``$32,465,753''; and
            (2) by striking ``December 11, 2020'' and inserting 
        ``December 18, 2020''.

SEC. 1203. PERSONAL RESPONSIBILITY EDUCATION; SEXUAL RISK AVOIDANCE 
              EDUCATION.

    (a) Sexual Risk Avoidance Education.--Section 510 of the Social 
Security Act (42 U.S.C. 710) is amended by striking ``December 11, 
2020'' each place it appears and inserting ``December 18, 2020''.
    (b) Personal Responsibility Education.--Section 513 of the Social 
Security Act (42 U.S.C. 713) is amended by striking ``December 11, 
2020'' each place it appears and inserting ``December 18, 2020''.

          Subtitle B--Food and Drug Administration Provisions

SEC. 1211. RARE PEDIATRIC DISEASE PRIORITY REVIEW VOUCHER EXTENSION.

    Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 360ff(b)(5)) is amended--
            (1) by striking ``December 11, 2020'' each place it appears 
        and inserting ``December 18, 2020''; and
            (2) in subparagraph (B), by striking ``December 11, 2022'' 
        and inserting ``December 18, 2022''.

                           TITLE III--OFFSETS

SEC. 1301. TRANSPARENCY OF MEDICARE SECONDARY PAYER REPORTING 
              INFORMATION.

    Section 1862(b)(8)(G) of the Social Security Act (42 U.S.C. 
395y(b)(8)(G)) is amended--
            (1) by striking ``information.--The Secretary'' and 
        inserting ``information.--
                            ``(i) In general.--The Secretary''; and
            (2) by adding at the end the following new clause:
                            ``(ii) Specified information.--In 
                        responding to any query made on or after the 
                        date that is 1 year after the date of the 
                        enactment of this clause from an applicable 
                        plan related to a determination described in 
                        subparagraph (A)(i), the Secretary, 
                        notwithstanding any other provision of law, 
                        shall provide to such applicable plan--
                                    ``(I) whether a claimant subject to 
                                the query is, or during the preceding 
                                3-year period has been, entitled to 
                                benefits under the program under this 
                                title on any basis; and
                                    ``(II) to the extent applicable, 
                                the plan name and address of any 
                                Medicare Advantage plan under part C 
                                and any prescription drug plan under 
                                part D in which the claimant is 
                                enrolled or has been enrolled during 
                                such period.''.

SEC. 1302. DISPENSATION OF NARCOTIC DRUGS FOR THE PURPOSE OF RELIEVING 
              ACUTE WITHDRAWAL SYMPTOMS FROM OPIOID USE DISORDER.

    Not later than 180 days after the date of enactment of this Act, 
the Attorney General shall revise section 1306.07(b) of title 21, Code 
of Federal Regulations, so that practitioners, in accordance with 
applicable State, Federal, or local laws relating to controlled 
substances, are allowed to dispense not more than a three-day supply of 
narcotic drugs to one person or for one person's use at one time for 
the purpose of initiating maintenance treatment or detoxification 
treatment (or both).

SEC. 1303. MEDICAID IMPROVEMENT FUND.

    Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C 1396w-
1(b)(3)(A)) is amended by striking ``$3,446,000,000'' and inserting 
``$3,464,000,000''.

                      TITLE IV--BUDGETARY EFFECTS

SEC. 1401. BUDGETARY EFFECTS.

    (a) Statutory PAYGO Scorecards.--The budgetary 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 Report 
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; and
            (2) 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.
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