I One Hundred Eighteenth Congress of the United States of America At the Second Session Begun and held at the City of Washington on Wednesday, the third day of January, two thousand and twenty-four H. R. 2872 AN ACT Making further continuing appropriations for the fiscal year ending September 30, 2024, and for other purposes.

1. Short Title This Act may be cited as the Further Additional Continuing Appropriations and Other Extensions Act, 2024 . 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 Additional Continuing Appropriations Act, 2024 Division B—Other Matters Title I—Health and Human Services Title lI—Compacts Title lII—Counter-UAS Authorities Title IV—Budgetary Effects 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. A FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2024 101. The Continuing Appropriations Act, 2024 (division A of Public Law 118–15 ) is further amended— (1) by striking the date specified in section 106(3) and inserting March 8, 2024 ; (2) by striking the date specified in section 106(4) and inserting March 1, 2024 ; (3) in section 123, by striking 94 days and inserting 129 days and by striking 94-day and inserting 129-day ; (4) in section 124, by striking $663,070,000 and inserting $2,199,260,000 ; and (5) by adding after section 146 the following new sections: 147. (a) Amounts made available by section 101 for Department of Energy—Atomic Energy Defense Activities—National Nuclear Security Administration—Weapons Activities may be apportioned up to the rate for operations necessary to mitigate issuing WARN notices for 06–D–141 Uranium Processing Facility, Y–12 in an amount not to exceed $760,000,000. (b) The Director of the Office of Management and Budget shall notify the Committees on Appropriations of the House of Representatives and the Senate not later than 3 days after each use of the authority provided in this section, and the Secretary of Energy shall provide a weekly report to the Committees specifying the obligations incurred for the purposes specified in subsection (a) with amounts made available in this Act. 148. Amounts made available by section 101 for Department of Transportation—Federal Aviation Administration—Operations may be apportioned up to the rate for operations necessary to fund mandatory pay increases and other inflationary adjustments, to maintain and improve air traffic services, to hire and train air traffic controllers, and to continue aviation safety oversight, while avoiding service reductions. . This division may be cited as the Further Additional Continuing Appropriations Act, 2024 . B Other Matters I Health and Human Services A Public Health Extenders 101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) 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) ) is amended by striking and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024 and inserting $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024 . (b) Extension for 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 by striking and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024 and inserting $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024 . (c) Extension for the National Health Service Corps Section 10503(b)(2)(I) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(I) ) is amended by striking and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024 and inserting $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act ( 42 U.S.C. 254b et seq. ). (e) Conforming amendment Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 201(d) of the Further Continuing Appropriations and Other Extensions Act, 2024 and inserting section 201(d) of the Further Continuing Appropriations and Other Extensions Act, 2024, and section 101(d) of the Further Additional Continuing Appropriations and Other Extensions Act, 2024 . 102. Extension of special diabetes programs (a) Extension of special diabetes programs for Type I diabetes Section 330B(b)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(E) ) is amended by striking and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 and inserting $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $20,136,986 for the period beginning on January 20, 2024, and ending on March 8, 2024 . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(E) ) is amended by striking and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 and inserting $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $20,136,986 for the period beginning on January 20, 2024, and ending on March 8, 2024 . 103. National Health Security Extensions (a) Section 319(e)(8) of the Public Health Service Act ( 42 U.S.C. 247d(e)(8) ) is amended by striking January 19, 2024 and inserting March 8, 2024 . (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking January 19, 2024 and inserting March 8, 2024 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking January 19, 2024 and inserting March 8, 2024 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking January 19, 2024 and inserting March 8, 2024 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking January 19, 2024 and inserting March 8, 2024 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking January 19, 2024 and inserting March 8, 2024 . (e) Section 2812(c)(4)(B) of the Public Health Service Act ( 42 U.S.C. 300hh–11(c)(4)(B) ) is amended by striking January 19, 2024 and inserting March 8, 2024 . B Medicaid 121. 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 by striking January 20, 2024 each place it appears and inserting March 9, 2024 . 122. Medicaid improvement fund reduction Section 1941(b)(3)(A) of the Social Security Act ( 42 U.S.C. 1396w–1(b)(3)(A) ) is amended by striking $5,796,117,810 and inserting $5,140,428,729 . C Medicare 131. 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) ) is amended by striking January 20, 2024 and inserting March 9, 2024 . 132. Medicare improvement fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) ) is amended by striking $2,250,795,056 and inserting $2,197,795,056 . D Human Services 141. Extension of child and family services programs Activities authorized by part B of title IV of the Social Security Act shall continue through March 8, 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. 142. Sexual risk avoidance education extension Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended— (1) in subsection (a)(1)— (A) by striking and after November 17, 2023, ; and (B) by inserting and for the period beginning on January 20, 2024, and ending on March 8, 2024, after January 19, 2024, ; and (2) in subsection (f)(1)— (A) by striking and before for the period beginning on November 18, 2023, ; and (B) by striking the period at the end and inserting , and for the period beginning on January 20, 2024, and ending on March 8, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023. . 143. Personal responsibility education extension Section 513 of the Social Security Act ( 42 U.S.C. 713 ) is amended— (1) in subsection (a)(1)— (A) in subparagraph (A), in the matter preceding clause (i)— (i) by striking and after November 17, 2023, ; and (ii) by inserting and for the period beginning on January 20, 2024, and ending on March 8, 2024, after January 19, 2024, ; and (B) in subparagraph (B)(i)— (i) by striking and after November 17, 2023, ; and (ii) by inserting , and for the period beginning on January 20, 2024, and ending on March 8, 2024 after January 19, 2024 ; and (2) in subsection (f)— (A) by striking and before for the period beginning on November 18, 2023, ; and (B) by striking fiscal year 2023. and inserting fiscal year 2023, and for the period beginning on January 20, 2024, and ending on March 8, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023. . II Compacts 201. Extension of certain provisions of the compacts of free association with the Federated States of Micronesia and the Republic of the Marshall Islands Section 2101(a)(1) of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ; 137 Stat. 81; 137 Stat. 114) is amended by striking February 2, 2024 and inserting March 8, 2024 . III Counter-UAS Authorities 301. Counter-UAS Authorities Section 210G(i) of the Homeland Security Act of 2002 ( 6 U.S.C. 124n(i) ) is amended by striking February 3, 2024 and inserting March 9, 2024 . IV Budgetary Effects 401. 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; (2) for purposes of an allocation to the Committee 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.

Speaker of the House of Representatives. Vice President of the United States and President of the Senate.