II 118th CONGRESS 2d Session H. R. 10545 IN THE SENATE OF THE UNITED STATES December 20 (legislative day, December 16), 2024 Received AN ACT Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes.

1. Short title This Act may be cited as the American Relief Act, 2025 . 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, 2025 Division B—Disaster Relief Supplemental Appropriations Act, 2025 Division C—Health Sec. 3001. Short title; table of contents. Title I—Public health extenders Sec. 3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs. Sec. 3102. Extension of special diabetes programs. Sec. 3103. National health security extensions. Title II—Medicare Sec. 3201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals. Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program. Sec. 3203. Extension of add-on payments for ambulance services. Sec. 3204. Extension of funding for quality measure endorsement, input, and selection. Sec. 3205. Extension of funding outreach and assistance for low-income programs. Sec. 3206. Extension of the work geographic index floor. Sec. 3207. Extension of certain telehealth flexibilities. Sec. 3208. Extending acute hospital care at home waiver authorities. Sec. 3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs. Sec. 3210. Medicare improvement fund. Title III—Human services Sec. 3301. Sexual risk avoidance education extension. Sec. 3302. Personal responsibility education extension. Sec. 3303. Extension of funding for family-to-family health information centers. Title IV—Medicaid Sec. 3401. Eliminating certain disproportionate share hospital payment cuts. Division D—Extension of Agricultural Programs Sec. 4101. Extension of agricultural programs. Division E—Other matters Sec. 5101. Commodity futures trading commission whistleblower program. Sec. 5102. Protection of certain facilities and assets from unmanned aircraft. Sec. 5103. Additional special assessment. Sec. 5104. National cybersecurity protection system authorization. Sec. 5105. Extension of temporary order for fentanyl-related substances. 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 Continuing Appropriations Act, 2025 101. The Continuing Appropriations Act, 2025 (division A of Public Law 118–83 ) is amended— (1) by striking the date specified in section 106(3) and inserting March 14, 2025 ; (2) in section 126 to read as follows: 126. Notwithstanding section 101, amounts are provided for District of Columbia—Federal Payment for Emergency Planning and Security Costs in the District of Columbia at a rate for operations of $90,000,000, of which not less than $50,000,000 shall be for costs associated with the Presidential Inauguration to be held in January 2025: Provided , That such amounts may be apportioned up to the rate for operations necessary to maintain emergency planning and security activities. ; and (3) by adding after section 152 the following new sections: 153. Amounts made available by section 101 for Department of Commerce—National Oceanic and Atmospheric Administration—Procurement, Acquisition and Construction may be apportioned up to the rate for operations necessary to maintain the acquisition schedule for Geostationary Earth Orbit in an amount not to exceed $625,000,000. 154. Amounts made available by section 101 for Department of Justice—Justice Operations, Management and Accountability—Justice Information Sharing Technology may be apportioned up to the rate for operations necessary to carry out proactive vulnerability detection and penetration testing activities. 155. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Justice for Federal Bureau of Investigation—Salaries and Expenses , $16,668,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 156. (a) Amounts made available by section 101 to the Department of Defense for Procurement—Shipbuilding and Conversion, Navy , may be apportioned up to the rate for operations necessary for Columbia Class Submarine (AP) in an amount not to exceed $5,996,130,000. (b) Amounts made available by section 101 to the Department of Defense for Procurement—Shipbuilding and Conversion, Navy may be apportioned up to the rate for operations necessary for Columbia Class Submarine in an amount not to exceed $2,922,300,000. 157. (a) In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for Procurement—Shipbuilding and Conversion, Navy , $5,691,000,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2029, for the Virginia Class Submarine program and for workforce wage and non-executive salary improvements for other nuclear-powered vessel programs: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. (b) Amounts appropriated by subsection (a) may be used to incrementally fund contract obligations for the improvement of workforce wages and non-executive level salaries on new or existing contracts pertaining to the Virginia Class Submarine program or to other nuclear-powered vessel programs. 158. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for Operation and Maintenance—Defense-Wide , $913,440,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided , That the amount provided by this section may be transferred to accounts under the headings Operation and Maintenance , Procurement , and Research, Development, Test and Evaluation : Provided further , That funds transferred pursuant to the preceding proviso shall be merged with and available for the same purpose and for the same time period as the appropriations to which the funds are transferred: Provided further , That any transfer authority provided herein is in addition to any other transfer authority provided by law: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 159. (a) Amounts made available by section 101 for Department of Energy—Atomic Energy Defense Activities—Environmental and Other Defense Activities—Other Defense Activities may be apportioned up to the rate for operations necessary to sustain specialized security activities. (b) The Director of the Office of Management and Budget and the Secretary of Energy 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 subsection (a). 160. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Energy for Atomic Energy Defense Activities—Environmental and Other Defense Activities—Other Defense Activities , $1,750,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 161. During the period covered by this Act, section 10609(a) of the Northwestern New Mexico Rural Water Projects Act (subtitle B of title X of Public Law 111–11 ) shall be applied by substituting $1,640,000,000 for $870,000,000 and 2025 for 2024 . 162. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of the Treasury for Departmental Offices—Office of Terrorism and Financial Intelligence—Salaries and Expenses , $908,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 163. Section 302 of title III of Public Law 108–494 shall be applied by substituting the date specified in section 106(3) of this Act for December 31, 2024 each place it appears. 164. (a) Notwithstanding section 101, section 747 of title VII of division B of Public Law 118–47 shall be applied through the date specified in section 106(3) of this Act by— (1) substituting 2024 for 2023 each place it appears; (2) substituting 2025 for 2024 each place it appears; (3) substituting 2026 for 2025 ; and (4) substituting section 747 of division B of Public Law 118–47 , as in effect on September 30, 2024 for section 747 of division E of Public Law 117–328 each place it appears. (b) Subsection (a) shall not take effect until the first day of the first applicable pay period beginning on or after January 1, 2025. 165. Amounts made available by section 101 for Department of Education—Student Aid Administration may be apportioned up to the rate for operations necessary to ensure the continuation of student loan servicing activities and student aid application and eligibility determination processes. 166. During the period covered by this Act, section 123 of division A of Public Law 118–42 and the provisions carrying the same restriction in prior Acts making appropriations to the Department of Defense for military construction shall not apply to unobligated balances from prior year appropriations made available under the heading Department of Defense—Military Construction, Army and such balances may be obligated for an access road project at Arlington National Cemetery. 167. (a) Notwithstanding section 101, the second proviso under the heading Department of Veterans Affairs—Veterans Health Administration—Medical Services shall not apply during the period covered by this Act. (b) Notwithstanding section 101, the second proviso under the heading Department of Veterans Affairs—Veterans Health Administration—Medical Community Care shall not apply during the period covered by this Act. (c) Notwithstanding section 101, the second proviso under the heading Department of Veterans Affairs—Veterans Health Administration—Medical Support and Compliance shall not apply during the period covered by this Act. 168. Notwithstanding section 101, the fifth and sixth provisos under the heading Millennium Challenge Corporation in division F of Public Law 118–47 shall be applied by substituting December 31, 2025 for December 31, 2024 each place it appears. 169. 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 Continuing Appropriations Act, 2025 . B Disaster Relief Supplemental Appropriations Act, 2025 The following sums are appropriated, out of any money in the Treasury not otherwise appropriated, for the fiscal year ending September 30, 2025, and for other purposes, namely: I Department of Agriculture Agricultural Programs Processing, Research, and Marketing Office of the Secretary For an additional amount for Office of the Secretary , $30,780,000,000, to remain available until expended, for necessary expenses related to losses of revenue, quality or production of crops (including milk, on-farm stored commodities, crops prevented from planting, and harvested adulterated wine grapes), trees, bushes, and vines, as a consequence of droughts, wildfires, hurricanes, floods, derechos, excessive heat, tornadoes, winter storms, freeze, including a polar vortex, smoke exposure, and excessive moisture occurring in calendar years 2023 and 2024 under such terms and conditions as determined by the Secretary of Agriculture (referred to in this title as Secretary ): Provided , That of the amounts provided in this paragraph under this heading in this Act, the Secretary shall use up to $2,000,000,000 to provide assistance to producers of livestock, as determined by the Secretary, for losses incurred during calendar years 2023 and 2024 due to drought, wildfires, or floods: Provided further , That the Secretary may provide assistance for such losses in the form of block grants to eligible States and territories and such assistance may include compensation to producers, as determined by the Secretary, for timber (including payments to non-Federal forest landowners), citrus, pecan, and poultry (including infrastructure) losses, and for agricultural producers who have suffered losses due to the failure of Mexico to deliver water to the United States in accordance with the 1944 Water Treaty: Provided further , That of the amounts provided under this heading in this Act, the Secretary shall offer individualized technical assistance to interested non-insured producers to help them apply for assistance made available under this heading: Provided further, That of the amounts made available under this paragraph under this heading in this Act, the Secretary may use up to $30,000,000, for reimbursement for administrative and operating expenses available for crop insurance contracts for 2022 and 2023 reinsurance years in a manner consistent with Section 771 of the Consolidated Appropriations Act, 2023 ( Public Law 117–328 ): Provided further, That of the amounts made available under this paragraph under this heading in this Act, and without regard to 44 U.S.C. 3501 et. seq., the Secretary shall use $3,000,000 to carry out regular testing for the purposes of verifying and validating the methodology and protocols of the inspection of molasses at any United States ports of entry, including whether the molasses meets each statutory requirement without the use of additives or blending, relevant definitional explanatory notes, and each property typical of molasses in the United States as directed in Senate Report 118–193: Provided further , That at the election of a processor eligible for a loan under section 156 of the Federal Agriculture Improvement and Reform Act of 1996 ( 7 U.S.C. 7272 ) or a cooperative processor of dairy, the Secretary shall make payments for losses in 2023 and 2024 to such processors (to be paid to producers, as determined by such processors) in lieu of payments to producers and under the same terms and conditions as payments made to processors pursuant to title I of the Additional Supplemental Appropriations for Disaster Relief Act, 2019 ( Public Law 116–20 ) under the heading Department of Agriculture—Agricultural Programs—Processing, Research and Marketing—Office of the Secretary , as last amended by section 791(c) of title VII of division B of the Further Consolidated Appropriations Act, 2020 ( Public Law 116–94 ): Provided further , That notwithstanding section 760.1503(j) of title 7, Code of Federal Regulations, in the event that a processor described in the preceding proviso does not elect to receive payments under such clause, the Secretary shall make direct payments to producers under this heading in this Act: Provided further, That the total amount of payments received under this paragraph under this heading in this Act for producers who did not obtain a policy or plan of insurance for an insurable commodity for the applicable crop year under the Federal Crop Insurance Act ( 7 U.S.C. 1501 et seq. ) for the crop incurring the losses or did not file the required paperwork and pay the service fee by the applicable State filing deadline for a noninsurable commodity for the applicable crop year under Noninsured Crop Disaster Assistance Program for the crop incurring the losses shall not exceed 70 percent of the loss as determined by the Secretary, except the Secretary shall provide payments not to exceed 90 percent of the producer’s revenue losses as determined by the Secretary if the Secretary determines a de minimis amount of a producer’s revenue loss is attributable to crops for which the producer did not insure or obtain Noninsured Crop Disaster Assistance Program coverage: Provided further , That the amount provided in this paragraph under this heading in this Act shall be subject to the terms and conditions set forth in the first, second, sixth, seventh, eighth, ninth, tenth, and 12th provisos under this heading in title I of the Disaster Relief Supplemental Appropriations Act, 2022 (division B of Public Law 117–43 ), except that such ninth proviso under such heading shall be applied by substituting 2023 and 2024 for 2020 and 2021 and the Secretary shall apply a separate payment limit for economic assistance payments: Provided further, That not later than 120 days after the enactment of this Act, and for each fiscal quarter thereafter until the amounts provided under this heading in this Act are expended, the Secretary shall report to the Committees on Appropriations of the House of Representatives and the Senate on the implementation of any programs provided for under this heading in this Act specifying the type, amount, and method of such assistance by State and territory: Provided further , That of the amounts provided in this paragraph, $10,000,000,000 shall be made available for the Secretary to make economic assistance available pursuant to section 2102 of this title in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. For an additional amount for Office of the Secretary , $220,000,000, to remain available until expended, for the Secretary to provide assistance in the form of block grants to eligible States to provide compensation to producers for necessary expenses related to crop, timber, and livestock losses, including on-farm infrastructure, as a consequence of any weather event in 2023 or 2024 that a State, in its sole discretion, determines warrants such relief: Provided, That eligible States are those States with a net farm income for 2023 of less than $250,000,000, as recorded in the data in the Economic Research Service publication Farm Income and Wealth Statistics as of December 3, 2024, and fewer than eight thousand farms and an average farm size of fewer than one thousand acres per farm, as recorded in the National Agricultural Statistics Service publication Farms and Land in Farms 2023 Summary (February, 2024) : Provided further, That the Secretary shall work with eligible States on any necessary terms and conditions of the block grants, fully taking in account the needs of each State: Provided further, That any such terms and conditions may not impose additional costs on producers: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Office of Inspector General For an additional amount for Office of Inspector General , $7,500,000, to remain available until expended, for audits, investigations, and other oversight of projects and activities carried out with funds made available to the Department of Agriculture in this Act: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Agricultural Research Service Buildings and Facilities For an additional amount for Buildings and Facilities , $42,500,000, to remain available until expended: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Farm Production and Conservation Programs Farm Service Agency Emergency Forest Restoration Program For an additional amount for Emergency Forest Restoration Program , $356,535,000, to remain available until expended: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Emergency Conservation Program For an additional amount for Emergency Conservation Program , $828,000,000, to remain available until expended: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Natural Resources Conservation Service Emergency Watershed Protection Program For an additional amount for Emergency Watershed Protection Program for necessary expenses for the Emergency Watershed Protection Program, $920,000,000, to remain available until expended: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Rural Development Programs Rural Development Disaster Assistance Fund For an additional amount for the Rural Development Disaster Assistance Fund as authorized under section 6945 of title 7, United States Code, as amended by this Act, $362,500,000, to remain available until expended: Provided , That section 6945(b) of title 7, United States Code, shall apply to amounts provided under this heading in this Act: Provided further , That amounts provided under this heading in this Act may not be transferred pursuant to section 2257 of title 7, United States Code: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Domestic Food Programs Food and Nutrition Service Commodity Assistance Program For an additional amount for Commodity Assistance Program for the emergency food assistance program as authorized by section 27(a) of the Food and Nutrition Act of 2008 ( 7 U.S.C. 2036(a) ) and section 204(a)(1) of the Emergency Food Assistance Act of 1983 ( 7 U.S.C. 7508(a)(1) ), $25,000,000, to remain available until September 30, 2026: Provided , That such funds shall be for infrastructure needs related to the consequences of a major disaster declaration pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ) in calendar years 2023 and 2024: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provisions—This Title 2101. Section 10101 of the Disaster Relief and Recovery Supplemental Appropriations Act, 2008 (division B of Public Law 110–329 ; 7 U.S.C. 6945 ) is amended— (1) in subsection (b)— (A) in the first sentence— (i) by striking for authorized activities and inserting , in the form of loans, grants, loan guarantees, or cooperative agreements, for any authorized activity ; (ii) by striking or between President and the Secretary of Agriculture and inserting a comma; and (iii) by inserting after the Secretary of Agriculture the following: , or the Governor of a State or Territory ; (B) in the second sentence, inserting after to carry out the activity , the following: , but shall not be limited to the original form of assistance, if any ; and (C) by inserting after the first sentence, as so amended, the following: The cost of such direct and guaranteed loans, including the cost of modifying loans, shall be as defined in section 502 of the Congressional Budget Act of 1974. ; and (2) in subsection (c), to read as follows— (c) Waiver of activity or project limitations For any activity or project for which amounts in the Rural Development Disaster Assistance Fund will be obligated under subsection (b)— (1) the Secretary of Agriculture may waive any limits on population, income, age, and duplication with respect to replacement of damaged or destroyed utilities, or cost-sharing otherwise applicable, except that, if the amounts proposed to be obligated in connection with the disaster would exceed the amount specified in subsection (h), the notification required by that subsection shall include information and justification with regard to any waivers to be granted under this subsection; (2) the Secretary of Agriculture may use alternative sources of income data provided by local, regional, State, or Federal government sources to determine program eligibility; and (3) with respect to grants authorized by 7 U.S.C. 1926(a)(19) , the Secretary of Agriculture shall not require the applicant to demonstrate that it is unable to finance the proposed project from its own resources, or through commercial credit at reasonable rates and terms, or other funding sources without grant assistance. . (3) Amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 2102. (a) (1) With respect to the 2024 crop year, if the Secretary determines that the expected gross return per acre for an eligible commodity determined under paragraph (2) is less than the expected cost of production per acre for that eligible commodity determined under paragraph (3), the Secretary shall, not later than 90 days after the date of enactment of this Act, make a 1-time economic assistance payment to each producer of that eligible commodity during that crop year. (2) The expected gross return per acre for an eligible commodity referred to in paragraph (1) shall be equal to— (A) in the case of wheat, corn, grain sorghum, barley, oats, cotton, rice, and soybeans, the product obtained by multiplying— (i) the projected average farm price for the applicable eligible commodity for the 2024–2025 marketing year contained in the most recent World Agricultural Supply and Demand Estimates published before the date of enactment of this Act by the World Agricultural Outlook Board; and (ii) the national average harvested yield per acre for the applicable eligible commodity for the most recent 10 crop years, as determined by the Secretary; and (B) in the case of each eligible commodity not specified in subparagraph (A), a comparable estimate of gross returns, as determined by the Secretary. (3) The expected cost of production per acre for an eligible commodity referred to in paragraph (1) shall be equal to— (A) in the case of wheat, corn, grain sorghum, barley, oats, cotton, rice, and soybeans, the total costs listed for the 2024 crop year with respect to the applicable eligible commodity contained in the most recent data product entitled national average cost-of-production forecasts for major U.S. field crops published by the Economic Research Service; and (B) in the case of each eligible commodity not specified in subparagraph (A), a comparable total estimated cost-of-production, as determined by the Secretary. (4) (A) The amount of an economic assistance payment to a producer for an eligible commodity under paragraph (1) shall be equal to 26 percent of the product obtained by multiplying— (i) the economic loss for that eligible commodity determined under subparagraph (B); and (ii) the eligible acres of that eligible commodity on the farm determined under subparagraph (C). (B) For purposes of subparagraph (A)(i), the economic loss for an eligible commodity shall be equal to the difference between— (i) the expected cost of production per acre for that eligible commodity, as determined under paragraph (3); and (ii) the expected gross return per acre for that eligible commodity, as determined under paragraph (2). (C) For purposes of subparagraph (A)(ii), the eligible acres of an eligible commodity on a farm shall be equal to the sum obtained by adding— (i) the acreage planted on the farm to that eligible commodity for harvest, grazing, haying, silage, or other similar purposes for the 2024 crop year; and (ii) an amount equal to 50 percent of the acreage on the farm that was prevented from being planted during the 2024 crop year to that eligible commodity because of drought, flood, or other natural disaster, or other condition beyond the control of the producers on the farm, as determined by the Secretary. (D) For purposes of subparagraph (C)(i), the Secretary shall consider acreage planted to include any land devoted to planted acres for accepted skip-row planting patterns, as determined by the Secretary. (E) If the Secretary determines there is insufficient data to determine the comparable estimate of gross returns with respect to an eligible commodity under paragraph (2)(B) or a comparable total estimated cost-of-production with respect to an eligible commodity under paragraph (3)(B), the Secretary shall use data related to a similarly situated commodity for purposes of determining the payment amount under this paragraph. (5) In no case shall the amount of an economic assistance payment to a producer for an eligible commodity under paragraph (1) be equal to less than the product obtained by multiplying— (A) 8 percent of the reference price for the eligible commodity described in section 1111(19) of the Agricultural Act of 2014 ( 7 U.S.C. 9011(19) ); (B) the national average payment yield for the eligible commodity described in section 1111(15) of that Act ( 7 U.S.C. 9011(15) ); and (C) the number of eligible acres for the eligible commodity described in paragraph (4)(C). (b) (1) Except as provided in paragraph (2), sections 1001, 1001A, 1001B, and 1001C of the Food Security Act of 1985 ( 7 U.S.C. 1308 , 1308–1, 1308–2, 1308–3) shall apply with respect to assistance provided under this section. (2) The total amount of payments received, directly or indirectly, by a person or legal entity (except a joint venture or general partnership) under this section may not exceed— (A) $125,000, if less than 75 percent of the average gross income of the person or legal entity for the 2020, 2021, and 2022 tax years is derived from farming, ranching, or silviculture activities; and (B) $250,000, if not less than 75 percent of the average gross income of the person or legal entity for the 2020, 2021, and 2022 tax years is derived from farming, ranching, or silviculture activities. (3) The payment limitations under paragraph (2) shall be separate from annual payment limitations under any other program. (c) In this section: (1) The terms extra-long staple cotton and producer have the meanings given those terms in section 1111 of the Agricultural Act of 2014 ( 7 U.S.C. 9011 ). (2) The term cotton means extra-long staple cotton and upland cotton. (3) (A) The term eligible commodity means a loan commodity (as defined in section 1201(a) of the Agricultural Act of 2014 ( 7 U.S.C. 9031(a) ). (B) The term eligible commodity does not include graded wool, nongraded wool, mohair, or honey. (4) The terms legal entity and person have the meanings given those terms in section 1001(a) of the Food Security Act of 1985 ( 7 U.S.C. 1308(a) ). (5) The term rice means long grain rice and medium grain rice. (6) The term Secretary means the Secretary of Agriculture. (d) Amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. II Department of Commerce Economic Development Administration Economic Development Assistance Programs (INCLUDING TRANSFERS OF FUNDS) For an additional amount for Economic Development Assistance Programs , $1,510,000,000, to remain available until expended, pursuant to sections 209 and 703 of the Public Works and Economic Development Act (42 U.S.C. 3149 and 3233), for economic adjustment assistance related to flood mitigation, disaster relief, long-term recovery, and restoration of infrastructure in areas that received a major disaster designation as a result of hurricanes, wildfires, severe storms and flooding, tornadoes, and other natural disasters occurring in calendar years 2023 and 2024 under the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ): Provided , That within the amount appropriated under this heading in this Act, up to 3 percent of funds may be transferred to Salaries and Expenses for administration and oversight activities: Provided further , That within the amount appropriated under this heading in this Act, $10,000,000 shall be transferred to the Delta Regional Authority ( 7 U.S.C. 2009aa et seq. ): Provided further , That the Delta Regional Authority shall notify the Committees on Appropriations of the House of Representatives and the Senate 15 days prior to the obligation of the amounts made available under the preceding proviso: Provided further , That the Secretary of Commerce is authorized to appoint and fix the compensation of such temporary personnel as may be necessary to implement the requirements under this heading in this Act, without regard to the provisions of title 5, United States Code, governing appointments in the competitive service: Provided further , That within the amount appropriated under this heading in this Act, $7,000,000 shall be transferred to Departmental Management—Office of Inspector General for carrying out investigations and audits related to the funding provided under this heading in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. National Oceanic and Atmospheric Administration Operations, Research, and Facilities For an additional amount for Operations, Research, and Facilities for necessary expenses related to the consequences of hurricanes, typhoons, flooding, wildfires, and other disasters in calendar years 2023 and 2024, $244,000,000, to remain available until September 30, 2026, as follows: (1) $144,000,000 for repair and replacement of observing assets, real property, and equipment; for marine debris assessment and removal; and for mapping, charting, and geodesy services; and (2) $100,000,000 for necessary expenses related to the consequences of tornadoes, hurricanes, typhoons, flooding, and wildfires in calendar year 2024; Provided , That the National Oceanic and Atmospheric Administration shall submit a spending plan to the Committees on Appropriations of the House of Representatives and the Senate not later than 45 days after the date of enactment of this Act: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Procurement, Acquisition and Construction For an additional amount for Procurement, Acquisition and Construction for necessary expenses related to the consequences of hurricanes, typhoons, wildfires, volcanoes, and other disasters in calendar years 2022, 2023 and 2024, $499,000,000, to remain available until expended, as follows: (1) $100,000,000 for repair and replacement of observing assets, real property, and equipment; and (2) $399,000,000 for the acquisition of hurricane hunter aircraft and related expenses as authorized under section 11708 of division K of Public Law 117–263 : Provided , That the National Oceanic and Atmospheric Administration shall submit a spending plan to the Committees on Appropriations of the House of Representatives and the Senate not later than 45 days after the date of enactment of this Act: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Fisheries Disaster Assistance For an additional amount for Fisheries Disaster Assistance for necessary expenses associated with fishery resource disaster relief as authorized by law, $300,000,000, to remain available until expended: Provided , That notwithstanding section 312(a)(3)(A) of the Magnuson-Stevens Fishery Conservation and Management Act ( 18 U.S.C. 1861a(a)(3)(A) ), any request for a fishery resource disaster determination in Tribal salmon and urchin fisheries received by the Secretary prior to September 30, 2025, may be evaluated by the Secretary: Provided further , That a portion of the amounts provided under this heading in this Act shall be used to provide additional assistance up to the historical percentage for positively determined disasters announced in calendar year 2024 that were partially funded: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Department of Justice United States Marshals Service Salaries and Expenses For an additional amount for Salaries and Expenses , $12,000,000, to remain available until September 30, 2027, for necessary expenses related to the protection of the residences of the Supreme Court Justices: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Federal Prison System Buildings and Facilities For an additional amount for Buildings and Facilities , $64,795,500, to remain available until expended, for necessary expenses related to the consequences of major disasters: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Science National Aeronautics and Space Administration Construction and Environmental Compliance and Restoration (INCLUDING TRANSFER OF FUNDS) For an additional amount for Construction and Environmental Compliance and Restoration for repair and replacement of National Aeronautics and Space Administration facilities damaged by hurricanes, tropical storms, typhoons, and tornadoes in calendar years 2023 and 2024, $740,200,000, to remain available until expended: Provided , That up to 20 percent of such amount may be transferred to “Space Operations” for necessary expenses related to communications facilities and equipment, required remediation, and alternative operations caused by Typhoon Mawar: Provided further , That except as provided in the preceding proviso, the amounts appropriated under this heading in this Act shall not be available for transfer under any transfer authority provided for the National Aeronautics and Space Administration in an appropriation Act for fiscal year 2025: Provided further, That the National Aeronautics and Space Administration shall submit a spending plan to the Committees on Appropriations of the House of Representatives and the Senate not later than 45 days after the date of enactment of this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. III Department of Defense Operation and Maintenance Operation and Maintenance, Army For an additional amount for Operation and Maintenance, Army , $451,894,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of severe storms, straight-line winds, tornadoes, microbursts, and hurricanes in calendar years 2023 and 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Navy For an additional amount for Operation and Maintenance, Navy , $1,454,153,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Ian, Nicole, Idalia, Helene, and Milton, Typhoon Mawar, and severe storms in calendar year 2023: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Marine Corps For an additional amount for Operation and Maintenance, Marine Corps , $8,900,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Air Force For an additional amount for Operation and Maintenance, Air Force , $912,778,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton and Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Space Force For an additional amount for Operation and Maintenance, Space Force , $90,230,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton and Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Defense-Wide For an additional amount for Operation and Maintenance, Defense-Wide , $1,208,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Army Reserve For an additional amount for Operation and Maintenance, Army Reserve , $19,594,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton and microbursts in calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Air Force Reserve For an additional amount for Operation and Maintenance, Air Force Reserve , $1,319,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton and Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Army National Guard For an additional amount for Operation and Maintenance, Army National Guard , $26,065,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton, Typhoon Mawar, and severe storms in calendar years 2023 and 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Operation and Maintenance, Air National Guard For an additional amount for Operation and Maintenance, Air National Guard , $2,209,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricane Helene and Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Procurement Procurement of Ammunition, Army For an additional amount for Procurement of Ammunition, Army , $125,100,000, to remain available until September 30, 2027, for necessary expenses related to the consequences of Hurricane Helene: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Other Procurement, Air Force For an additional amount for Other Procurement, Air Force , $129,722,000, to remain available until September 30, 2027, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Procurement, Space Force For an additional amount for Procurement, Space Force , $37,994,000, to remain available until September 30, 2027, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Research, Development, Test and Evaluation Research, Development, Test and Evaluation, Army For an additional amount for Research, Development, Test and Evaluation, Army , $41,400,000, to remain available until September 30, 2026, for necessary expenses related to the consequences of severe storms and wave overwash: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Research, Development, Test and Evaluation, Air Force For an additional amount for Research, Development, Test and Evaluation, Air Force , $69,278,000, to remain available until September 30, 2026, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Other Department of Defense Programs Defense Health Program For an additional amount for Defense Health Program , $17,362,000, to remain available until September 30, 2025, for necessary expenses related to the consequences of Hurricanes Helene and Milton: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. IV Corps of Engineers—Civil Department of the Army Corps of Engineers—Civil Investigations For an additional amount for Investigations , $20,000,000, to remain available until expended, for necessary expenses related to the completion, or initiation and completion, of flood and storm damage reduction, including shore protection, studies that are currently authorized, to reduce risks from future floods and hurricanes, at full Federal expense: Provided , That amounts made available under this heading in this Act shall be for high-priority studies of projects in States and insular areas with a major disaster, including for glacial lake outbursts, in calendar year 2022, 2023, or 2024: Provided further, That not later than 60 days after the date of enactment of this Act and not less than three business days prior to public release, the Chief of Engineers shall submit directly to the Committees on Appropriations of the House of Representatives and the Senate a detailed work plan for the funds provided under this heading in this Act, including a list of study locations, new studies selected to be initiated, the total cost for each study selected for funding, the remaining cost for each ongoing study selected for funding, and a schedule by fiscal year of the proposed use of such funds: Provided further , That the Secretary of the Army shall not deviate from the work plan, once the plan has been submitted to such Committees: Provided further, That funds included in a submitted work plan shall be deemed allocated to specific projects and subject to the reprogramming requirements specified in section 101(6) of the Energy and Water Development and Related Agencies Appropriations Act, 2024: Provided further, That beginning not later than 60 days after the date of enactment of this Act and until all amounts provided under this heading in this Act have been expended, the Assistant Secretary of the Army for Civil Works shall provide a quarterly report directly to such Committees detailing the allocation, obligation, and expenditure of the funds provided under this heading in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Construction For an additional amount for Construction , $700,000,000, to remain available until expended, for necessary expenses to address emergency situations at Corps of Engineers projects, construct Corps of Engineers projects, and rehabilitate and repair damages caused by natural disasters to Corps of Engineers projects: Provided, That of the amount provided under this heading in this Act, $100,000,000 shall be used for continuing authorities projects to reduce the risk of flooding and storm damage, notwithstanding project number or program cost limitations: Provided further, That of the amount provided under this heading in this Act, $300,000,000 shall be to complete, or initiate and complete, without regard to new start or new investment decision considerations, a useful increment of work for water-related environmental infrastructure assistance in States and insular areas that were impacted by disasters occurring in or prior to calendar year 2024: Provided further, That of the amount provided under this heading in this Act, $300,000,000 shall be for projects that have previously received funds under this heading in chapter 4 of title X of the Disaster Relief Appropriations Act, 2013 (division A of Public Law 113–2 ), title IV of division B of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), or title IV of the Disaster Relief Supplemental Appropriations Act, 2022 (division B of Public Law 117–43 ), and for which non-Federal interests have entered into binding agreements with the Secretary as of the date of enactment of this Act: Provided further, That each project receiving funds pursuant to the preceding proviso shall be subject to the terms and conditions of such chapter 4 of title X of the Disaster Relief Appropriations Act, 2013 (division A of Public Law 113–2 ), title IV of division B of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), or title IV of the Disaster Relief Supplemental Appropriations Act, 2022 (division B of Public Law 117–43 ), and as specifically modified by section 111 of the Energy and Water Development and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–42 ), as applicable: Provided further, That of the amount provided under this heading in this Act, such sums as are necessary to cover the Federal share of eligible construction costs for coastal harbors and channels, and for inland harbors eligible to be derived from the Harbor Maintenance Trust Fund under section 101 or section 104 of the Water Resources and Development Act of 2020 shall be derived from the general fund of the Treasury: Provided further, That for projects receiving funding under this heading in this Act, the limitation concerning total project costs in section 902 of the Water Resources Development Act of 1986 ( Public Law 99–662 ) shall not apply to funds provided under this heading in this Act: Provided further, That for any projects using funding provided under this heading in this Act, the non-Federal cash contribution for projects shall be financed in accordance with the provisions of section 103(k) of Public Law 99–662 over a period of 30 years from the date of completion of the project, separable element, or useful increment: Provided further, That any projects initiated using funds provided under this heading in this Act shall be initiated only after non-Federal interests have entered into binding agreements with the Secretary requiring, where applicable, the non-Federal interests to pay 100 percent of the operation, maintenance, repair, replacement, and rehabilitation costs of the project and to hold and save the United States free from damages due to the construction or operation and maintenance of the project, except for damages due to the fault or negligence of the United States or its contractors: Provided further, That not later than 60 days after the date of enactment of this Act and not less than three business days prior to public release, the Chief of Engineers shall submit directly to the Committees on Appropriations of the House of Representatives and the Senate a detailed work plan for the funds provided under this heading in this Act, including a list of project locations, the total cost for all projects, and a schedule by fiscal year of proposed use of such funds: Provided further, That the Secretary shall not deviate from the work plan, once the plan has been submitted to such Committees: Provided further, That funds included in a submitted work plan shall be deemed allocated to specific projects and subject to the reprogramming requirements specified in section 101(7) of the Energy and Water Development and Related Agencies Appropriations Act, 2024: Provided further, That beginning not later than 60 days after the date of enactment of this Act and until all amounts provided under this heading in this Act have been expended, the Assistant Secretary of the Army for Civil Works shall provide a quarterly report directly to such Committees detailing the allocation, obligation, and expenditure of the funds provided under this heading in this Act: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Mississippi River and Tributaries For an additional amount for Mississippi River and Tributaries , $50,000,000, to remain available until expended, for necessary expenses to address emergency situations at Corps of Engineers projects, and to construct, and rehabilitate and repair damages to Corps of Engineers projects, caused by natural disasters: Provided , That beginning not later than 60 days after the date of enactment of this Act and until all amounts provided under this heading in this Act have been expended, the Assistant Secretary of the Army for Civil Works shall provide a quarterly report directly to the Committees on Appropriations of the House of Representatives and the Senate detailing the allocation, obligation, and expenditure of the funds provided under this heading in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Flood Control and Coastal Emergencies For an additional amount for Flood Control and Coastal Emergencies , as authorized by section 5 of the Act of August 18, 1941 ( 33 U.S.C. 701n ), $745,000,000, to remain available until expended, for necessary expenses to prepare for flood, hurricane, and other natural disasters and support emergency operations, repairs, and other activities in response to such disasters, as authorized by law: Provided , That funding provided under this heading in this Act utilized to repair authorized shore protection projects shall restore such projects to their full project profile at full Federal expense: Provided further , That beginning not later than 60 days after the date of enactment of this Act and until all amounts provided under this heading in this Act have been expended, the Chief of Engineers shall provide a quarterly report directly to the Committees on Appropriations of the House of Representatives and the Senate detailing the allocation, obligation, and expenditure of the funds provided under this heading in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Department of the Interior Bureau of Reclamation Water and Related Resources For an additional amount for Water and Related Resources , $74,464,000, to remain available until expended, of which $27,930,000 shall be for necessary expenses related to the consequences of natural disasters that occurring in or prior to calendar year 2024: Provided , That $46,534,000 shall be available for deposit into the Aging Infrastructure Account established by section 9603(d)(1) of the Omnibus Public Land Management Act of 2009 ( 43 U.S.C. 510b(d)(1) ), and shall be made available for reserved or transferred works that have suffered a critical failure, in accordance with section 40901(2)(A) of division D of Public Law 117–58 : Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Department of Energy Energy Programs Strategic Petroleum Reserve For an additional amount for Strategic Petroleum Reserve , $60,000,000, to remain available until expended, for necessary expenses related to damages caused by natural disasters: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Atomic Energy Defense Activities National Nuclear Security Administration Weapons Activities For an additional amount for Weapons Activities , $1,884,000, to remain available until expended, for necessary expenses related to damages caused by Hurricanes Helene and Milton: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Environmental and Other Defense Activities Defense Environmental Cleanup For an additional amount for Defense Environmental Cleanup , $2,415,000, to remain available until expended, for necessary expenses related to damages caused by Hurricanes Helene and Milton: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. V The Judiciary Supreme Court of the United States Salaries and Expenses For an additional amount for “Salaries and Expenses”, $13,597,000, to remain available until expended, for protection of the residences of the Supreme Court Justices: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Independent Agencies Small Business Administration Disaster Loans Program Account (INCLUDING TRANSFER OF FUNDS) For an additional amount for Disaster Loans Program Account for the cost of direct loans authorized by section 7(b) of the Small Business Act, $2,249,000,000, to remain available until expended, of which $50,000,000 shall be transferred to Small Business Administration—Office of Inspector General for audits and reviews of disaster loans and the disaster loans programs, and of which $613,000,000 may be transferred to Small Business Administration—Salaries and Expenses for administrative expenses to carry out the disaster loan program authorized by section 7(b) of the Small Business Act: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. VI Department of Homeland Security Security, Enforcement, and Investigations Coast Guard Operations and Support For an additional amount for Operations and Support , $102,500,000, to remain available until September 30, 2027, for necessary expenses related to the consequences of the Francis Scott Key Bridge collapse and other disasters, including for minor repairs, maintenance, and environmental remediation costs: Provided , That the Commandant of the Coast Guard shall provide to the Committees on Appropriations of the House of Representatives and the Senate an expenditure plan and quarterly updates for the expenditure of such funds: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Procurement, Construction, and Improvements For an additional amount for Procurement, Construction, and Improvements , $210,200,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of disasters: Provided , That the Commandant of the Coast Guard shall provide to the Committees on Appropriations of the House of Representatives and the Senate an expenditure plan and quarterly updates for the expenditure of such funds: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Protection, Preparedness, Response, and Recovery Federal Emergency Management Agency Disaster Relief Fund (INCLUDING TRANSFER OF FUNDS) For an additional amount for Disaster Relief Fund , $29,000,000,000, to remain available until expended, of which $28,000,000,000 shall be for major disasters declared pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ): Provided , That $4,000,000 shall be transferred to Office of Inspector General—Operations and Support for audits and investigations funded under Federal Emergency Management Agency—Disaster Relief Fund : Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Hermit’s Peak/Calf Canyon Fire Assistance Account (INCLUDING TRANSFER OF FUNDS) For an additional amount for Hermit’s Peak/Calf Canyon Fire Assistance Account , $1,500,000,000, to remain available until expended: Provided , That $1,000,000 shall be transferred to Office of Inspector General—Operations and Support for oversight of activities authorized by the Hermit’s Peak/Calf Canyon Fire Assistance Act: Provided further , That the amounts provided under this heading in this Act shall be subject to the reporting requirement in the third proviso of section 136 of the Continuing Appropriations Act, 2023 (division A of Public Law 117–180 ): Provided further , That amounts provided under this heading in this Act shall be subject to the same authorities and conditions as if such amounts were provided by title III of the Department of Homeland Security Appropriations Act, 2024 (division C of Public Law 118–47 ): Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Research, Development, Training, and Services Federal Law Enforcement Training Centers Procurement, Construction, and Improvements For an additional amount for Procurement, Construction, and Improvements , $14,020,000, to remain available until September 30, 2029, for necessary expenses relating to the consequences of disasters: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. VII Department of the Interior Bureau of Land Management Management of Lands and Resources For an additional amount for Management of Lands and Resources , $58,115,000, to remain available until expended, for necessary expenses related to the consequences of natural disasters occurring in and prior to calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. United States Fish And Wildlife Service Construction For an additional amount for Construction , $500,000,000, to remain available until expended, for necessary expenses related to the consequences of natural disasters occurring in and prior to calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. National Park Service Historic Preservation Fund For an additional amount for Historic Preservation Fund , $50,000,000, to remain available until expended, for necessary expenses related to the consequences of natural disasters occurring in and prior to calendar year 2024, including costs to States, Tribes, and territories necessary to complete compliance activities required by section 306108 of title 54, United States Code, and costs needed to administer the program: Provided , That funds appropriated under this heading in this Act shall be used for historic and cultural resource preservation work that meets the Secretary of the Interior’s Standards and Guidelines as published in the Federal Register (Vol. 48, No. 190, September 29, 1983), to include Reconstruction of National Register listed or eligible sites: Provided further , That grants using funds appropriated under this heading in this Act shall only be available for areas that have received a major disaster declaration pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ): Provided further , That such grants shall not be subject to a non-Federal matching requirement: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Construction For an additional amount for Construction , $2,262,871,000, to remain available until expended, for necessary expenses related to the consequences of disasters, including hurricanes, tropical storms, tornadoes, and other severe storms, wildfire, fire, and flooding occurring in and prior to calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. United States Geological Survey Surveys, Investigations, and Research For an additional amount for Surveys, Investigations, and Research , $2,743,000, to remain available until expended, for necessary expenses related to the consequences of natural disasters occurring in and prior to calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Indian Affairs Bureau of Indian Affairs Operation of Indian Programs For an additional amount for Operation of Indian Programs , $17,765,000, to remain available until expended, for necessary expenses related to the consequences of natural disasters occurring in and prior to calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Bureau of Indian Education Education Construction For an additional amount for Education Construction , $153,000,000, to remain available until expended, for necessary expenses related to the consequences of natural disasters occurring in and prior to calendar year 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Office of Inspector General Salaries and Expenses For an additional amount for Salaries and Expenses , $8,000,000, to remain available until expended, for oversight of the Department of the Interior activities funded by this Act: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Environmental Protection Agency Leaking Underground Storage Tank Trust Fund Program For an additional amount for Leaking Underground Storage Tank Trust Fund Program , $17,000,000, to remain available until expended, for necessary expenses related to the consequences of Hurricanes Helene and Hilary: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. State and Tribal Assistance Grants For an additional amount for State and Tribal Assistance Grants , $3,000,000,000 to remain available until expended, of which $1,230,000,000 shall be for capitalization grants for the Clean Water State Revolving Funds under title VI of the Federal Water Pollution Control Act, and of which $1,770,000,000 shall be for capitalization grants under section 1452 of the Safe Drinking Water Act: Provided , That notwithstanding section 604(a) of the Federal Water Pollution Control Act and section 1452(a)(1)(D) of the Safe Drinking Water Act, funds appropriated under this paragraph in this Act shall be provided to States or territories in EPA Regions 3, 4, and 9 in amounts determined by the Administrator of the Environmental Protection Agency for wastewater treatment works and drinking water facilities impacted by Hurricanes Helene and Milton and Hawaii wildfires: Provided further , That notwithstanding the requirements of section 603(i) of the Federal Water Pollution Control Act and section 1452(d) of the Safe Drinking Water Act, for the funds appropriated under this paragraph in this Act, each State shall use not less than 30 percent of the amount of its capitalization grants to provide additional subsidization to eligible recipients in the form of forgiveness of principal, negative interest loans or grants, or any combination of these: Provided further , That the funds appropriated under this paragraph in this Act shall be used for eligible projects whose purpose is to reduce flood or fire damage risk and vulnerability or to enhance resiliency to rapid hydrologic change or natural disaster at treatment works, as defined by section 212 of the Federal Water Pollution Control Act, or any eligible facilities under section 1452 of the Safe Drinking Water Act, and for other eligible tasks at such treatment works or facilities necessary to further such purposes: Provided further , That the funds provided under this paragraph in this Act shall not be subject to the matching or cost share requirements of section 1452(e) of the Safe Drinking Water Act: Provided further , That funds provided under this paragraph in this Act shall not be subject to the matching or cost share requirements of sections 602(b)(2), 602(b)(3), or 202 of the Federal Water Pollution Control Act: Provided further , That the Administrator of the Environmental Protection Agency may retain up to $5,000,000 of the funds appropriated under this paragraph in this Act for management and oversight: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. For an additional amount for State and Tribal Assistance Grants , $85,000,000, to remain available until expended, for capitalization grants for the Clean Water State Revolving Funds under title VI of the Federal Water Pollution Control Act: Provided , That notwithstanding section 604(a) of the Federal Water Pollution Control Act, funds appropriated under this paragraph in this Act shall be provided to States or territories in EPA Regions 3 and 4 impacted by Hurricanes Helene and Milton in amounts determined by the Administrator of the Environmental Protection Agency to improve the resilience of decentralized wastewater treatment systems to flooding, to assess the potential to connect homes served by decentralized wastewater treatment systems to centralized wastewater systems, and to fund such connections: Provided further , That notwithstanding the requirements of section 603(i) of the Federal Water Pollution Control Act, for the funds appropriated under this paragraph in this Act, each State shall use 100 percent of the amount of its capitalization grants to provide additional subsidization to eligible recipients in the form of forgiveness of principal, grants, negative interest loans, other loan forgiveness, and through buying, refinancing, or restructuring debt or any combination thereof: Provided further , That funds appropriated under this paragraph in this Act shall not be subject to the matching or cost share requirements of sections 602(b)(2), 602(b)(3), or 202 of the Federal Water Pollution Control Act: Provided further , That the Administrator of the Environmental Protection Agency may retain up to $3,000,000 of the funds appropriated under this paragraph in this Act for management and oversight: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. For an additional amount for State and Tribal Assistance Grants , $60,000,000, to remain available until expended, for necessary expenses to address water emergencies under section 1442(b) of the Safe Drinking Water Act ( 42 U.S.C. 300j–1(b) ) or section 504(a) of the Federal Water Pollution Control Act ( 33 U.S.C. 1364 ) in States or territories in EPA Regions 3 and 4 impacted by Hurricanes Helene and Milton: Provided , That notwithstanding section 1442(b) of the Safe Drinking Water Act, funds appropriated under this paragraph in this Act may be used to provide technical assistance and grants regardless of whether the emergency situation presents a substantial danger to public health: Provided further , That notwithstanding section 1442(b) of the Safe Drinking Water Act, funds appropriated under this paragraph in this Act may be used to provide grants regardless of whether such grants will be used to support actions that would not otherwise be taken without emergency assistance: Provided further , That funds appropriated under this paragraph in this Act may be used to provide technical assistance and grants under section 1442(b) of the Safe Drinking Water Act to any appropriate recipient, as determined by the Administrator of the Environmental Protection Agency, to assist in responding to and alleviating an emergency situation affecting a privately owned water system: Provided further , That funds appropriated under this paragraph in this Act may be used to take actions authorized under section 504(a) of the Federal Water Pollution Control Act that the Administrator of the Environmental Protection Agency deems necessary to protect the health or welfare of persons affected by a water emergency, including other necessary actions and for providing technical assistance and grants to address such water emergency: Provided further , That the Administrator of the Environmental Protection Agency may retain up to $1,000,000 of the funds appropriated under this paragraph in this Act for management and oversight: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. For an additional amount for State and Tribal Assistance Grants , $10,000,000, to remain available until expended, for grants and other activities authorized by subsections (a) through (c) of section 103 of the Clean Air Act ( 42 U.S.C. 7403 ) or section 105 of such Act ( 42 U.S.C. 7405 ) for necessary expenses related to the consequences of Hurricanes Milton and Helene, including repair or replacement of damaged air monitoring equipment: Provided , That funds appropriated under this paragraph in this Act may be awarded noncompetitively: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. For an additional amount for State and Tribal Assistance Grants , $95,000,000, to remain available until expended, for the hazardous waste financial assistance grants program and other solid waste management activities for necessary expenses related to the consequences of Hurricanes Helene and Milton: Provided , That none of the funds appropriated under this paragraph in this Act shall be subject to section 3011(b) of the Solid Waste Disposal Act: Provided further , That the Administrator of the Environmental Protection Agency may retain up to $500,000 of the funds appropriated under this paragraph in this Act for management and oversight: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Department of Agriculture Forest Service Forest Service Operations For an additional amount for Forest Service Operations , $68,100,000, to remain available until expended, for necessary expenses related to the consequences of calendar year 2022, 2023, and 2024 wildfires, hurricanes, and other natural disasters: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Forest and Rangeland Research For an additional amount for Forest and Rangeland Research , $26,000,000, to remain available until expended, for necessary expenses related to the consequences of calendar year 2022, 2023, and 2024 wildfires, hurricanes, and other natural disasters: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. State, Private, and Tribal Forestry For an additional amount for State, Private, and Tribal Forestry , $208,000,000, to remain available until expended, for necessary expenses related to the consequences of calendar year 2022, 2023, and 2024 wildfires, hurricanes, and other natural disasters: Provided , That of the amounts made available under this heading in this Act, $14,000,000 shall be to provide Forest Health Protection assistance to States for an emerging eastern spruce budworm outbreak approaching the northeastern U.S. border: Provided further , That with respect to the preceding proviso, an award of financial assistance from the Forest Service will not be subject to a non-Federal cost-share requirement: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. National Forest System For an additional amount for National Forest System , $2,523,000,000, to remain available until expended: Provided , That of the amounts made available under this heading in this Act, $2,448,000,000 shall be for necessary expenses related to the consequences of calendar year 2022, 2023, and 2024 wildfires, hurricanes, and other natural disasters: Provided further , That of the amounts made available under this heading in this Act, $75,000,000 shall be for the construction or maintenance of shaded fuel breaks in the Pacific Regions: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Capital Improvement and Maintenance For an additional amount for Capital Improvement and Maintenance , $3,525,000,000, to remain available until expended, for necessary expenses related to the consequences of calendar year 2022, 2023, and 2024 wildfires, hurricanes, and other natural disasters: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provisions—This Title 2701. Notwithstanding section 3304 of title 5, United States Code, and without regard to the provisions of sections 3309 through 3318 of such title 5, the Secretary of the Interior and the Secretary of Agriculture, acting through the Chief of the Forest Service, may recruit and directly appoint highly qualified individuals into the competitive service to address critical hiring needs for the planning and execution of the projects and activities funded in this title: Provided , That such authority shall not apply to positions in the Excepted Service or the Senior Executive Service: Provided further , That any action authorized herein shall be consistent with the merit principles of section 2301 of such title 5, and the Department of the Interior and the Department of Agriculture shall comply with the public notice requirements of section 3327 of such title 5: Provided further , That the authority under this section shall terminate on September 30, 2029: Provided further , That amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. 2702. Not later than 45 days after the date of enactment of this Act, the agencies receiving funds appropriated by this title shall provide a detailed operating plan of anticipated uses of funds made available in this title by State and Territory, and by program, project, and activity, to the Committees on Appropriations of the House of Representatives and the Senate: Provided , That no such funds shall be obligated before the operating plans are provided to such Committees: Provided further , That such plans shall be updated, including obligations and expenditures to date, and submitted to such Committees on Appropriations every 60 days until all such funds are expended. VIII Department of Health and Human Services Administration for Children and Families Payments to States for the Child Care and Development Block Grant For an additional amount for Payments to States for the Child Care and Development Block Grant , $250,000,000, to remain available through September 30, 2026, for necessary expenses directly related to the consequences of major disasters and emergencies declared pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ) occurring in 2023 and 2024 (referred to under this heading in this Act as covered disaster or emergency ), including activities authorized under section 319(a) of the Public Health Service Act: Provided , That the Secretary of Health and Human Services shall allocate such funds to States, territories, and Tribes based on assessed need notwithstanding sections 658J and 658O of the Child Care and Development Block Grant Act of 1990: Provided further , That not to exceed 2 percent of funds appropriated in this paragraph may be reserved, to remain available until expended, for Federal administration costs: Provided further , That such funds may be used for alteration, renovation, construction, equipment, and other capital improvement costs, including for child care facilities without regard to section 658F(b) of such Act, and for other expenditures related to child care, as necessary to meet the needs of areas affected by a covered disaster or emergency: Provided further , That funds made available in this paragraph may be used without regard to section 658G of such Act and with amounts allocated for such purposes excluded from the calculation of percentages under subsection 658E(c)(3) of such Act: Provided further , That notwithstanding section 658J(c) of such Act, funds allotted to a State may be obligated by the State in that fiscal year or the succeeding three fiscal years: Provided further , That Federal interest provisions will not apply to the renovation or construction of privately-owned family child care homes, and the Secretary of Health and Human Services shall develop parameters on the use of funds for family child care homes: Provided further , That the Secretary shall not retain Federal interest after a period of 10 years (from the date on which the funds are made available to purchase or improve the property) in any facility renovated or constructed with funds made available in this paragraph: Provided further , That funds made available in this paragraph shall not be available for costs that are reimbursed by the Federal Emergency Management Agency, under a contract for insurance, or by self-insurance: Provided further , That funds appropriated in this paragraph may be made available to restore amounts, either directly or through reimbursement, for obligations incurred for such purposes, prior to the date of enactment of this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. For an additional amount for Payments to States for the Child Care and Development Block Grant , $250,000,000, to remain available until September 30, 2025: Provided , That amounts made available in this paragraph shall be available without regard to requirements in sections 658E(c)(3)(E) or 658G of the Child Care and Development Block Grant Act: Provided further , That payments made to States, territories, Indian Tribes, and Tribal organizations from amounts made available in this paragraph shall be obligated in this fiscal year or the succeeding two fiscal years: Provided further , That amounts made available in this paragraph shall be used to supplement and not supplant other Federal, State, and local public funds expended to provide child care services for eligible individuals: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. General Provision—This Title 2801. Not later than 45 days after the date of enactment of this Act, the agencies receiving funds appropriated by this title in this Act shall provide a detailed operating plan of anticipated uses of funds made available in this title in this Act by State and territory, and by program, project, and activity, to the Committees on Appropriations of the House of Representatives and the Senate: Provided , That no such funds shall be obligated before the operating plans are provided to such Committees: Provided further , That such plans shall be updated, including obligations to date and anticipated use of funds made available in this title in this Act, and submitted to such Committees quarterly until all such funds expire. IX Legislative Branch GOVERNMENT ACCOUNTABILITY OFFICE Salaries and Expenses For an additional amount for Salaries and Expenses , $10,000,000, to remain available until expended, for audits and investigations related to Hurricanes Helene and Milton, and other disasters declared pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ) in calendar years 2023 and 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. X Department of Defense Military Construction, Navy and Marine Corps For an additional amount for Military Construction, Navy and Marine Corps , $1,127,281,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That not later than 60 days after enactment of this Act, the Secretary of the Navy, or their designee, shall submit to the Committees on Appropriations of the House of Representatives and the Senate form 1391 for each specific project and an expenditure plan for funds provided under this heading in this Act: Provided further , That such funds may be obligated or expended for design and military construction projects not otherwise authorized by law: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Military Construction, Air Force For an additional amount for Military Construction, Air Force , $487,300,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That not later than 60 days after enactment of this Act, the Secretary of the Air Force, or their designee, shall submit to the Committees on Appropriations of the House of Representatives and the Senate form 1391 for each specific project and an expenditure plan for funds provided under this heading in this Act: Provided further , That such funds may be obligated or expended for design and military construction projects not otherwise authorized by law: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Military Construction, Army National Guard For an additional amount for Military Construction, Army National Guard , $21,000,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Typhoon Mawar and severe storms in calendar year 2023: Provided , That not later than 60 days after enactment of this Act, the Director of the Army National Guard, or their designee, shall submit to the Committees on Appropriations of the House of Representatives and the Senate form 1391 for each specific project and an expenditure plan for funds provided under this heading in this Act: Provided further , That such funds may be obligated or expended for design and military construction projects not otherwise authorized by law: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Family Housing Construction, Navy and Marine Corps For an additional amount for Family Housing Construction, Navy and Marine Corps , $27,399,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That not later than 60 days after enactment of this Act, the Secretary of the Navy, or their designee, shall submit to the Committees on Appropriations of the House of Representatives and the Senate an expenditure plan for funds provided under this heading in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Family Housing Operation and Maintenance, Navy and Marine Corps For an additional amount for Family Housing Operation and Maintenance, Navy and Marine Corps , $102,168,000, to remain available until September 30, 2026, for necessary expenses related to the consequences of Typhoon Mawar: Provided , That not later than 60 days after enactment of this Act, the Secretary of the Navy, or their designee, shall submit to the Committees on Appropriations of the House of Representatives and the Senate an expenditure plan for funds provided under this heading in this Act: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Department of Veterans Affairs Veterans Health Administration Medical Services For an additional amount for Medical Services , $19,258,000, to remain available until September 30, 2027, for necessary expenses related to the consequences of Hurricanes Milton and Helene: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Medical Support and Compliance For an additional amount for Medical Support and Compliance , $330,000, to remain available until September 30, 2027, for necessary expenses related to the consequences of Hurricanes Milton and Helene: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Medical Facilities For an additional amount for Medical Facilities , $41,660,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Hurricanes Milton and Helene and other Federally declared disasters occurring in 2023 and 2024: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. National Cemetery Administration For an additional amount for National Cemetery Administration for necessary expenses related to the consequences of Hurricanes Milton and Helene, $693,000, to remain available until September 30, 2029: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Departmental Administration Construction, Major Projects For an additional amount for Construction, Major Projects , $4,000,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Hurricanes Milton and Helene: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Construction, Minor Projects For an additional amount for Construction, Minor Projects , $2,020,000, to remain available until September 30, 2029, for necessary expenses related to the consequences of Hurricanes Milton and Helene: Provided , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. XI Department of State and Related Agency Department of State International Commissions International Boundary and Water Commission, United States and Mexico Construction For an additional amount for Construction , $250,000,000, to remain available until expended: Provided , That funds provided under this heading in this Act shall be subject to prior consultation with, and the regular notification procedures of, the Committees on Appropriations of the House of Representatives and the Senate: Provided further , That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. XII Department of Transportation Federal Highway Administration Emergency Relief Program For an additional amount for the Emergency Relief Program as authorized under section 125 of title 23, United States Code, $8,086,020,000, to remain available until expended: Provided , That notwithstanding subsection (e) of section 120 of title 23, United States Code, for any obligations made on or after March 26, 2024, for fiscal year 2024, this fiscal year, and hereafter, the Federal share for Emergency Relief funds made available under section 125 of such title to respond to damage caused by the cargo ship Dali to the Francis Scott Key Bridge located in Baltimore City and Baltimore and Anne Arundel Counties, Maryland, including reconstruction of that bridge and its approaches, shall be 100 percent: Provided further , That consistent with section 668.105(e) of title 23, Code of Federal Regulations (or a successor regulation), any insurance proceeds, judgments, settlements, penalties, fines, or other compensation for damages, including interest, from whatever source derived, recovered by a State, a political subdivision of a State, or a toll authority for repair, including reconstruction, of the Francis Scott Key Bridge located in Baltimore City and Baltimore and Anne Arundel Counties, Maryland, in response to, or as a result of, the damage caused by the cargo ship Dali to that bridge and its approaches, shall be used upon receipt to reduce liability on the repair, including reconstruction, of such bridge and its approaches from the emergency fund authorized under section 125 of title 23, United States Code: Provided further, That any funds recovered and used to reduce liability pursuant to the preceding proviso shall not exceed the total amount of liability on the repair, including reconstruction, of the Francis Scott Key Bridge located in Baltimore City and Baltimore and Anne Arundel Counties, Maryland, and its approaches, from the emergency fund authorized under section 125 of title 23, United States Code: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. Department of Housing and Urban Development Community Planning and Development Community Development Fund (INCLUDING TRANSFERS OF FUNDS) For an additional amount for Community Development Fund , $12,039,000,000, to remain available until expended, for the same purposes and under the same terms and conditions as funds appropriated under such heading in title VIII of the Disaster Relief Supplemental Appropriations Act, 2022 ( Public Law 117–43 ), except that such amounts shall be for major disasters that occurred in 2023 or 2024 and the fourth, tenth, 15th, 16th, 20th, and 21st provisos under such heading in such Act shall not apply: Provided , That the Secretary of Housing and Urban Development shall allocate all funds provided under this heading in this Act for the total estimate for unmet needs including additional mitigation for qualifying disasters and publish such allocations in the Federal Register no later than January 15, 2025: Provided further , That the amount obligated for each qualifying disaster area shall be no less than the amounts specified in such Federal Register publication, unless such allocation is rejected by the grantee: Provided further , That a grantee shall submit a plan to the Secretary for approval detailing the proposed use of all funds, including criteria for eligibility and how the use of these funds will address long-term recovery and restoration of infrastructure and housing, economic revitalization, and mitigation in the most impacted and distressed areas: Provided further , That unobligated balances remaining as of the date of enactment of this Act included under Treasury Appropriation Fund Symbol 86 X 0162 from Public Laws 108–324, 109–148, 109–234, 110–252, 110–329, 111–212, 112–55, and 113–2 shall also be available for the purposes authorized under this heading in this Act (except that the amount for each set-aside provided herein shall not be exceeded), notwithstanding the purposes for which such amounts were appropriated: Provided further , That of the amounts made available under this heading in this Act, $45,000,000 shall be transferred to Department of Housing and Urban Development—Management and Administration—Program Offices for salaries and expenses of the Office of Community Planning and Development for necessary costs, including information technology costs, of administering and overseeing the obligation and expenditure of amounts made available for activities authorized under title I of the Housing and Community Development Act of 1974 ( 42 U.S.C. 5301 et seq. ) related to disaster relief, long-term recovery, restoration of infrastructure and housing, economic revitalization, and mitigation in the most impacted and distressed areas resulting from a major disaster in this, prior, or future Acts (“this, prior, or future disaster Acts”): Provided further , That of the amounts made available under this heading in this Act, $1,850,000 shall be transferred to Department of Housing and Urban Development—Information Technology Fund for the disaster recovery data portal: Provided further , That of the amounts made available under this heading in this Act, $7,000,000 shall be transferred to Department of Housing and Urban Development—Office of Inspector General for necessary costs of overseeing and auditing amounts made available in this, prior, or future disaster Acts: Provided further , That of the amounts made available under this heading in this Act, $25,000,000 shall be made available for capacity building and technical assistance, including assistance on contracting and procurement processes, to support recipients of allocations from this, prior, or future disaster Acts: Provided further , That amounts made available under this heading in this Act may be used by a grantee to assist utilities as part of a disaster-related eligible activity under section 105(a) of the Housing and Community Development Act of 1974 ( 42 U.S.C. 5305(a) ): Provided further , That recipients of funds made available in this, prior, or future disaster Acts that use such funds to supplement other Federal assistance may adopt, without review or public comment, any environmental review, approval, or permit performed by a Federal agency, and such adoption shall satisfy the responsibilities of the recipient with respect to such environmental review, approval or permit, so long as the actions covered by the existing environmental review, approval, or permit and the actions proposed for these supplemental funds are substantially the same: Provided further , That the Secretary or a State may, upon receipt of a request for release of funds and certification, immediately approve the release of funds for any activity or project if the recipient has adopted an environmental review, approval or permit under the previous proviso or if the activity or project is categorically excluded from review under the National Environmental Policy Act of 1969 ( 42 U.S.C. 4321 et seq. ), notwithstanding section 104(g)(2) of the Housing and Community Development Act of 1974 ( 42 U.S.C. 5304(g)(2) ): Provided further , That such amount and amounts repurposed under this heading that were previously designated by the Congress as an emergency requirement pursuant to a concurrent resolution on the budget or the Balanced Budget and Emergency Deficit Control Act of 1985 are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. XIII General Provisions 21301. Each amount appropriated or made available by this Act is in addition to amounts otherwise appropriated for the fiscal year involved. 21302. No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless expressly so provided herein. 21303. Unless otherwise provided for by this Act, the additional amounts appropriated by this Act to appropriations accounts shall be available under the authorities and conditions applicable to such appropriations accounts for fiscal year 2025. 21304. Each amount designated in divisions A or B by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available (or repurposed, rescinded, or transferred, if applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress. 21305. Any amount appropriated by divisions A or B, designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985, and subsequently so designated by the President, and transferred pursuant to transfer authorities provided by this division shall retain such designation. 21306. Budgetary Effects.— (1) Statutory paygo scorecards The budgetary effects of division C 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. (2) Senate paygo scorecards The budgetary effects of division C 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). (3) 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 division C and each succeeding division shall not be estimated— (A) for purposes of section 251 of such Act; (B) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and (C) 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. (4) Balances on the paygo scorecards Effective on the date of the adjournment of the second session of the 118th Congress, and for the purposes of the annual report issued pursuant to section 5 of the Statutory Pay-As-You-Go Act of 2010 ( 2 U.S.C. 934 ) after such adjournment and for determining whether a sequestration order is necessary under such section, the balances on the PAYGO scorecards established pursuant to paragraphs (4) and (5) of section 4(d) of such Act shall be zero. This division may be cited as the Disaster Relief Supplemental Appropriations Act, 2025 . C Health 3001. Short title; table of contents (a) Short title This division may be cited as the Health Extensions and Other Matters Act, 2025 . (b) Table of contents The table of contents for this division is as follows: Sec. 3001. Short title; table of contents. Title I—Public health extenders Sec. 3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs. Sec. 3102. Extension of special diabetes programs. Sec. 3103. National health security extensions. Title II—Medicare Sec. 3201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals. Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program. Sec. 3203. Extension of add-on payments for ambulance services. Sec. 3204. Extension of funding for quality measure endorsement, input, and selection. Sec. 3205. Extension of funding outreach and assistance for low-income programs. Sec. 3206. Extension of the work geographic index floor. Sec. 3207. Extension of certain telehealth flexibilities. Sec. 3208. Extending acute hospital care at home waiver authorities. Sec. 3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs. Sec. 3210. Medicare improvement fund. Title III—Human services Sec. 3301. Sexual risk avoidance education extension. Sec. 3302. Personal responsibility education extension. Sec. 3303. Extension of funding for family-to-family health information centers. Title IV—Medicaid Sec. 3401. Eliminating certain disproportionate share hospital payment cuts. I Public health extenders 3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) Extension for community health centers Section 10503(b)(1) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1) ) is amended— (1) in subparagraph (E), by striking and at the end; (2) in subparagraph (F), by striking , $4,000,000,000 for each of fiscal years 2019 through 2023 and all that follows through and ending on December 31, 2024; and and inserting a semicolon; and (3) by adding at the end the following: (G) $4,000,000,000 for each of fiscal years 2019 through 2023; (H) $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024; and (I) $1,050,410,959 for the period beginning on January 1, 2025, and ending on March 31, 2025. . (b) Extension for the National Health Service Corps Section 10503(b)(2) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2) ) is amended— (1) in subparagraph (H), by striking and at the end; (2) in subparagraph (I), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (J) $85,068,493 for the period beginning on January 1, 2025, and ending on March 31, 2025. . (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 not to exceed $230,000,000 and all that follows through and ending on December 31, 2024, ; and (2) by striking the period at the end and inserting the following: , not to exceed— (A) $230,000,000, for the period of fiscal years 2011 through 2015; (B) $60,000,000 for each of fiscal years 2016 and 2017; (C) $126,500,000 for each of fiscal years 2018 through 2023; (D) $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024, $16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $164,136,986 for the period beginning on October 1, 2023, and ending on December 31, 2024; and (E) $43,150,685 for the period beginning on January 1, 2025, and ending on March 31, 2025. . (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 amendments Section 3014(h) of title 18, United States Code, is amended— (1) in paragraph (1), by striking under subparagraphs (E) and (F) of section 10503(b)(1) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1) ) and inserting under section 10503(b)(1) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1) ) for fiscal year 2015 and each subsequent fiscal year (or period thereof) ; and (2) in paragraph (4), by striking and section 101(d) of the Consolidated Appropriations Act, 2024 and inserting section 101(d) of division G of the Consolidated Appropriations Act, 2024, and section 3101(d) of the Health Extensions and Other Matters Act, 2025 . 3102. Extension of special diabetes programs (a) Extension of special diabetes programs for type I diabetes Section 330B(b)(2) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2) ) is amended— (1) in subparagraph (D), by striking and at the end; (2) in subparagraph (E), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended. . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2) ) is amended— (1) in subparagraph (D), by striking and at the end; (2) in subparagraph (E), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended. . 3103. 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 December 31, 2024 and inserting March 31, 2025 . (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 December 31, 2024 and inserting March 31, 2025 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking December 31, 2024 and inserting March 31, 2025 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking December 31, 2024 and inserting March 31, 2025 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking December 31, 2024 and inserting March 31, 2025 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking December 31, 2024 and inserting March 31, 2025 . (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 December 31, 2024 and inserting March 31, 2025 . II Medicare 3201. 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 January 1, 2025 and inserting April 1, 2025 ; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I), by striking December 31, 2024 and inserting March 31, 2025 ; (B) in subclause (III), by striking December 31, 2024 and inserting March 31, 2025 ; and (C) in subclause (IV), by striking January 1, 2025 and inserting April 1, 2025 ; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by striking December 31, 2024 and inserting March 31, 2025 ; and (B) in clause (ii), by striking December 31, 2024 and inserting March 31, 2025 . (b) Implementation Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise. 3202. 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— (1) in clause (i), by striking January 1, 2025 and inserting April 1, 2025 ; and (2) in clause (ii)(II), by striking January 1, 2025 and inserting April 1, 2025 . (b) Conforming amendments (1) In general Section 1886(b)(3)(D) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(D) ) is amended— (A) in the matter preceding clause (i), by striking January 1, 2025 and inserting April 1, 2025 ; and (B) in clause (iv), by striking December 31, 2024 and inserting March 31, 2025 . (2) Permitting hospitals to decline reclassification Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 ( 42 U.S.C. 1395ww note) is amended by striking December 31, 2024 and inserting March 31, 2025 . 3203. Extension of add-on payments for ambulance services Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ) is amended— (1) in paragraph (12)(A), by striking January 1, 2025 and inserting April 1, 2025 ; and (2) in paragraph (13), by striking January 1, 2025 each place it appears and inserting April 1, 2025 in each such place. 3204. 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— (1) in the first sentence— (A) by striking $9,000,000 and inserting $11,030,000 ; and (B) by striking December 31, 2024 and inserting March 31, 2025 ; and (2) in the third sentence, by striking December 31, 2024 and inserting March 31, 2025 . 3205. Extension of funding outreach and assistance for low-income programs (a) State health insurance assistance programs Subsection (a)(1)(B)(xiv) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 ( 42 U.S.C. 1395b–3 note) is amended by striking December 31, 2024, $18,750,000 and inserting March 31, 2025, $22,500,000 . (b) Area agencies on aging Subsection (b)(1)(B)(xiv) of such section 119 is amended by striking December 31, 2024, $18,750,000 and inserting March 31, 2025, $22,500,000 . (c) Aging and disability resource centers Subsection (c)(1)(B)(xiv) of such section 119 is amended by striking December 31, 2024, $6,250,000 and inserting March 31, 2025, $8,500,000 . (d) Coordination of efforts to inform older Americans about benefits available under Federal and State programs Subsection (d)(2)(xiv) of such section 119 is amended by striking December 31, 2024, $18,750,000 and inserting March 31, 2025, $22,500,000 . 3206. Extension of the work geographic index floor Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ) is amended by striking January 1, 2025 and inserting April 1, 2025 . 3207. Extension of certain telehealth flexibilities (a) Removing geographic requirements and expanding originating sites for telehealth services Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended— (1) in paragraph (2)(B)(iii), by striking ending December 31, 2024 and inserting ending March 31, 2025 ; and (2) in paragraph (4)(C)(iii), by striking ending on December 31, 2024 and inserting ending on March 31, 2025 . (b) Expanding practitioners eligible to furnish telehealth services Section 1834(m)(4)(E) of the Social Security Act ( 42 U.S.C. 1395m(m)(4)(E) ) is amended by striking ending on December 31, 2024 and inserting ending on March 31, 2025 . (c) Extending telehealth services for federally qualified health centers and rural health clinics Section 1834(m)(8)(A) of the Social Security Act ( 42 U.S.C. 1395m(m)(8)(A) ) is amended by striking ending on December 31, 2024 and inserting ending on March 31, 2025 . (d) Delaying the in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology (1) Delay in requirements for mental health services furnished through telehealth Section 1834(m)(7)(B)(i) of the Social Security Act ( 42 U.S.C. 1395m(m)(7)(B)(i) ) is amended, in the matter preceding subclause (I), by striking on or after and all that follows through described in section 1135(g)(1)(B)) and inserting on or after April 1, 2025 . (2) Mental health visits furnished by rural health clinics Section 1834(y)(2) of the Social Security Act ( 42 U.S.C. 1395m(y)(2) ) is amended by striking January 1, 2025 and all that follows through the period at the end and inserting April 1, 2025. . (3) Mental health visits furnished by Federally qualified health centers Section 1834(o)(4)(B) of the Social Security Act ( 42 U.S.C. 1395m(o)(4)(B) ) is amended by striking January 1, 2025 and all that follows through the period at the end and inserting April 1, 2025. . (e) Allowing for the furnishing of audio-only telehealth services Section 1834(m)(9) of the Social Security Act ( 42 U.S.C. 1395m(m)(9) ) is amended by striking ending on December 31, 2024 and inserting ending on March 31, 2025 . (f) Extending use of telehealth to conduct face-to-face encounter prior to recertification of eligibility for hospice care Section 1814(a)(7)(D)(i)(II) of the Social Security Act ( 42 U.S.C. 1395f(a)(7)(D)(i)(II) ) is amended by striking ending on December 31, 2024 and inserting ending on March 31, 2025 . (g) Program instruction authority The Secretary of Health and Human Services may implement the amendments made by this section through program instruction or otherwise. 3208. Extending acute hospital care at home waiver authorities Section 1866G(a)(1) of the Social Security Act ( 42 U.S.C. 1395cc–7(a)(1) ) is amended by striking December 31, 2024 and inserting March 31, 2025 . 3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs Section 1860D–2(e)(1)(C) of the Social Security Act ( 42 U.S.C. 1395w–102(e)(1)(C) ) is amended by striking December 31, 2024 and inserting March 31, 2025 . 3210. Medicare improvement fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) ) is amended by striking $3,197,000,000 and inserting $1,251,000,000 . III Human services 3301. Sexual risk avoidance education extension Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended— (1) in subsection (a)(1), by striking December 31, 2024 and inserting March 31, 2025 ; and (2) in subsection (f)(1), by striking December 31, 2024 and inserting March 31, 2025 . 3302. 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), by striking December 31, 2024 and inserting March 31, 2025 ; and (B) in subparagraph (B)(i), by striking December 31, 2024 and inserting March 31, 2025 ; and (2) in subsection (f), by striking December 31, 2024 and inserting March 31, 2025 . 3303. Extension of funding for family-to-family health information centers Section 501(c)(1)(A)(viii) of the Social Security Act ( 42 U.S.C. 701(c)(1)(A)(viii) ) is amended— (1) by striking $1,500,000 and inserting $3,000,000 ; and (2) by striking January 1, 2025 and inserting April 1, 2025 . IV Medicaid 3401. Eliminating certain disproportionate share hospital 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 January 1 and inserting April 1 ; and (2) in clause (ii), by striking January 1 and inserting April 1 . D Extension of Agricultural Programs 4101. Extension of agricultural programs (a) Extension (1) In general Except as otherwise provided in this section and the amendments made by this section, notwithstanding any other provision of law, the authorities (including any limitations on such authorities) provided by each provision of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4490) and each provision of law amended by that Act (and for mandatory programs at such funding levels) as in effect (including pursuant to section 102 of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 ( Public Law 118–22 )) on September 30, 2024, shall continue and be carried out until the date specified in paragraph (2). (2) Date specified With respect to an authority described in paragraph (1), the date specified in this paragraph is the later of— (A) September 30, 2025; (B) the date specified with respect to such authority in the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4490) or a provision of law amended by that Act ( Public Law 115–334 ; 132 Stat. 4490); or (C) the date in effect with respect to such authority pursuant to section 102 of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 ( Public Law 118–22 )). (b) Discretionary programs Programs carried out using the authorities described in subsection (a)(1) that are funded by discretionary appropriations (as defined in section 250(c) of the Balanced Budget and Emergency Deficit Control Act of 1985 ( 2 U.S.C. 900(c) )) shall be subject to the availability of appropriations. (c) Commodity programs (1) In general The provisions of law applicable to a covered commodity (as defined in section 1111 of the Agricultural Act of 2014 ( 7 U.S.C. 9011 )), a loan commodity (as defined in section 1201 of that Act ( 7 U.S.C. 9031 )), sugarcane, or sugar beets for the 2024 crop year pursuant to title I of that Act ( 7 U.S.C. 9011 et seq. ), each amendment made by subtitle C of title I of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4511), and section 102 of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 ( Public Law 118–22 ) shall be applicable to the 2025 crop year for that covered commodity, loan commodity, sugarcane, or sugar beets. (2) Extra long staple cotton Section 1208(a) of the Agricultural Act of 2014 (7 U.S.C. 9038 (a)) is amended by striking 2024 and inserting 2026 . (3) Extension of payment amount Section 1116(d) of the Agricultural Act of 2014 ( 7 U.S.C. 9016(d) ) is amended, in the matter preceding paragraph (1), by striking 2024 and inserting 2025 . (4) Dairy (A) Dairy margin coverage (i) Duration Section 1409 of the Agricultural Act of 2014 ( 7 U.S.C. 9059 ) is amended by striking December 31, 2024 and inserting December 31, 2025 . (ii) Availability of premium discount With respect to coverage for calendar year 2025, section 1407(g) of the Agricultural Act of 2014 ( 7 U.S.C. 9057(g) ) shall only apply to a participating dairy operation with respect to which the premium was reduced in accordance with that section (as applied to such participating dairy operation pursuant to section 102(c)(2)(B)(ii) of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 ( Public Law 118–22 )) for calendar year 2024. (B) Dairy forward pricing program Section 1502(e)(2) of the Food, Conservation, and Energy Act of 2008 ( 7 U.S.C. 8772(e)(2) ) is amended by striking 2027 and inserting 2028 . (5) Suspension of permanent price support authorities The provisions of law specified in— (A) subsections (a) and (b) of section 1602 of the Agricultural Act of 2014 ( 7 U.S.C. 9092 )— (i) shall not be applicable to the 2025 crops of covered commodities (as defined in section 1111 of that Act ( 7 U.S.C. 9011 )), cotton, and sugar; and (ii) shall not be applicable to milk through December 31, 2025; and (B) section 1602(c) of that Act ( 7 U.S.C. 9092(c) ) shall not be applicable to the crops of wheat planted for harvest in calendar year 2025. (d) Other programs (1) Trade Section 302(h)(2) of the Bill Emerson Humanitarian Trust Act ( 7 U.S.C. 1736f–1(h)(2) ) is amended by striking September 30, 2024 and inserting September 30, 2025 . (2) Grazinglands research laboratory Section 7502 of the Food, Conservation, and Energy Act of 2008 ( Public Law 110–246 ; 122 Stat. 2019; 132 Stat. 4817) is amended to read as follows: 7502. Grazinglands research laboratory Except as otherwise specifically authorized by law and notwithstanding any other provision of law, the Federal land and facilities at El Reno, Oklahoma, administered by the Secretary (as of the date of enactment of this Act) as the Grazinglands Research Laboratory, shall not at any time, in whole or in part, be declared to be excess or surplus Federal property under chapter 5 of subtitle I of title 40, United States Code, or otherwise be conveyed or transferred in whole or in part, for the period beginning on the date of the enactment of this Act and ending on September 30, 2025. . (3) Energy Section 9010(b) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8110(b) ) is amended in paragraphs (1)(A) and (2)(A) by striking 2024 each place it appears and inserting 2025 . (e) Exceptions (1) Commodities Subsection (a) does not apply with respect to mandatory funding under the following provisions of law: (A) Section 1614(c)(4) of the Agricultural Act of 2014 ( 7 U.S.C. 9097(c)(4) ). (B) Section 12314(h) of the Agricultural Act of 2014 ( 7 U.S.C. 2101 note; Public Law 113–79 ). (C) Section 12315(f) of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ). (D) Section 12316(a) of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ). (2) Conservation (A) Mandatory funding Subsection (a) does not apply with respect to mandatory funding under the following provisions of law for fiscal years 2024 and 2025: (i) Section 1240O(b)(3) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–2(b)(3) ). (ii) Section 1240R(f)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–5(f)(1) ). (iii) Subparagraphs (A) and (B) of section 1241(a)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3841(a)(1) ). (iv) Section 2408(g)(1) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 8351 note). (B) Limitations Subsection (a) does not apply with respect to limitations under the following provisions of law: (i) Section 1240G of the Food Security Act of 1985 ( 16 U.S.C. 3839aa–7 ). (ii) Section 1240L(f) of the Food Security Act of 1985 ( 16 U.S.C. 3839aa–24(f) ). (3) Nutrition Subsection (a) does not apply with respect to the mandatory funding in section 203D(d)(5) of the Emergency Food Assistance Act of 1983 ( 7 U.S.C. 7507(d)(5) ). (4) Rural development Subsection (a) does not apply with respect to the mandatory funding in section 313B(e)(2) of the Rural Electrification Act of 1936 ( 7 U.S.C. 940c–2(e)(2) ). (5) Research Subsection (a) does not apply with respect to mandatory funding under the following provisions of law: (A) Section 1446(b)(1) of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 ( 7 U.S.C. 3222a(b)(1) ). (B) Section 1672E(d)(1) of the Food, Agriculture, Conservation, and Trade Act of 1990 ( 7 U.S.C. 5925g(d)(1) ). (C) Section 7601(g)(1)(A) of the Agricultural Act of 2014 ( 7 U.S.C. 5939(g)(1)(A) ). (6) Energy Subsection (a) does not apply with respect to mandatory funding under the following provisions of law: (A) Section 9002(k)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8102(k)(1) ). (B) Section 9003(g)(1)(A) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8103(g)(1)(A) ). (C) Section 9005(g)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8105(g)(1) ). (7) Horticulture Subsection (a) does not apply with respect to mandatory funding under the following provisions of law: (A) Section 7407(d)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 5925c(d)(1) ). (B) Section 2123(c)(4) of the Organic Foods Production Act of 1990 ( 7 U.S.C. 6522(c)(4) ). (C) Section 10606(d)(1)(C) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 6523(d)(1)(C) ). (D) Section 10109(c)(1) of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ). (8) Miscellaneous Subsection (a) does not apply with respect to mandatory funding under the following provisions of law: (A) Section 209(c) of the Agricultural Marketing Act of 1946 ( 7 U.S.C. 1627a(c) ). (B) Section 12605(d) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 7632 note). (f) Reports (1) In general Subject to paragraph (2), any requirement under a provision of law described in paragraph (1) of subsection (a) to submit a report on a recurring basis, and the final report under which was required to be submitted during fiscal year 2024, shall continue, and the requirement shall be carried out, on the same recurring basis, until the later of the dates specified in paragraph (2) of that subsection. (2) Appropriations required If discretionary appropriations (as defined in section 250(c) of the Balanced Budget and Emergency Deficit Control Act of 1985 ( 2 U.S.C. 900(c) )) are required to carry out a reporting requirement described in paragraph (1), the application of that paragraph to that reporting requirement shall be subject to the availability of appropriations. (g) Effective date This section and the amendments made by this section shall be applied and administered as if this section and those amendments had been enacted on September 30, 2024. E Other matters 5101. Commodity futures trading commission whistleblower program (a) In general Section 1(b) of Public Law 117–25 (135 Stat. 297; 136 Stat. 2133; 136 Stat. 5984) is amended, in paragraphs (3) and (4), by striking October 1, 2024 each place it appears and inserting March 14, 2025 . (b) Effective date The amendments made by subsection (a) shall take effect as if enacted on September 30, 2024. 5102. Protection of certain facilities and assets from unmanned aircraft Section 210G(i) of the Homeland Security Act of 2002 ( 6 U.S.C. 124n(i) ) is amended by striking December 20, 2024 and inserting March 14, 2025 . 5103. Additional special assessment Section 3014 of title 18, United States Code, is amended by striking December 23, 2024 and inserting March 14, 2025 . 5104. National cybersecurity protection system authorization Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015 ( 6 U.S.C. 1525(a) ) is amended by striking December 20, 2024 and inserting March 14, 2025 . 5105. Extension of temporary order for fentanyl-related substances Effective as if included in the enactment of the Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act ( Public Law 116–114 ), section 2 of such Act is amended by striking December 31, 2024 and inserting March 31, 2025 .

Passed the House of Representatives December 20, 2024. Kevin F. McCumber, Clerk.