Further Continuing Appropriations Act, 2021, and Other Extensions Act

Bill: 116-hr-8900
Sponsor: full_name: Rep. Lowey, Nita M. [D-NY-17]
Introduced: 2020-12-08
Policy area: Economics and Public Finance
Subjects: Administrative law and regulatory procedures

Aging

Appropriations

Child health

Department of Health and Human Services

Department of Justice

Digestive and metabolic diseases

Drug therapy

Drug trafficking and controlled substances

Drug, alcohol, tobacco use

Education programs funding

Executive agency funding and structure

Food and Drug Administration (FDA)

Health care coverage and access

Health care quality

Health facilities and institutions

Health personnel

Health programs administration and funding

Health promotion and preventive care

Hospital care

Indian social and development programs

Marriage and family status

Medicaid

Medical education

Medicare

Mental health

Minority health

Prescription drugs

Sex and reproductive health
Latest action: action_date: 2020-12-11
text: Became Public Law No: 116-215.

Summaries:
action_date: 2020-12-08
action_desc: Introduced in House
text: <p><b>Further Continuing Appropriations Act, 2021, and Other Extensions Act </b></p> <p>This bill provides continuing FY2021 appropriations to federal agencies through December 18, 2020, and extends several expiring health programs. </p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2021 appropriations bills have not been enacted when the existing CR expires on December 11, 2020. </p> <p>The bill includes provisions that </p> <ul> <li>extend several public health, Medicare, Medicaid, and Food and Drug Administration authorities and programs;</li> <li> require the Centers for Medicare &amp; Medicaid Services to share Medicare Advantage and Medicare prescription drug benefit enrollment information with liability insurers in response to Medicare secondary payer inquiries; and</li> <li>require the Drug Enforcement Administration to revise regulations so as to allow a practitioner to dispense up to a three-day supply of narcotic drugs to one person or for one person's use at one time for the purpose of initiating maintenance treatment or detoxification treatment, or both. </ul> <p>

action_date: 2020-12-09
action_desc: Passed House
text: <p><b>Further Continuing Appropriations Act, 2021, and Other Extensions Act </b></p> <p>This bill provides continuing FY2021 appropriations to federal agencies through December 18, 2020, and extends several expiring health programs. </p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2021 appropriations bills have not been enacted when the existing CR expires on December 11, 2020. </p> <p>The bill includes provisions that </p> <ul> <li>extend several public health, Medicare, Medicaid, and Food and Drug Administration authorities and programs;</li> <li> require the Centers for Medicare &amp; Medicaid Services to share Medicare Advantage and Medicare prescription drug benefit enrollment information with liability insurers in response to Medicare secondary payer inquiries; and</li> <li>require the Drug Enforcement Administration to revise regulations so as to allow a practitioner to dispense up to a three-day supply of narcotic drugs to one person or for one person's use at one time for the purpose of initiating maintenance treatment or detoxification treatment, or both. </ul> <p>

action_date: 2020-12-11
action_desc: Passed Senate
text: <p><b>Further Continuing Appropriations Act, 2021, and Other Extensions Act </b></p> <p>This bill provides continuing FY2021 appropriations to federal agencies through December 18, 2020, and extends several expiring health programs. </p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2021 appropriations bills have not been enacted when the existing CR expires on December 11, 2020. </p> <p>The bill includes provisions that </p> <ul> <li>extend several public health, Medicare, Medicaid, and Food and Drug Administration authorities and programs;</li> <li> require the Centers for Medicare &amp; Medicaid Services to share Medicare Advantage and Medicare prescription drug benefit enrollment information with liability insurers in response to Medicare secondary payer inquiries; and</li> <li>require the Drug Enforcement Administration to revise regulations so as to allow a practitioner to dispense up to a three-day supply of narcotic drugs to one person or for one person's use at one time for the purpose of initiating maintenance treatment or detoxification treatment, or both. </ul> <p>

action_date: 2020-12-11
action_desc: Public Law
text: <p><b>Further Continuing Appropriations Act, 2021, and Other Extensions Act </b></p> <p>This bill provides continuing FY2021 appropriations to federal agencies through December 18, 2020, and extends several expiring health programs. </p> <p>DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2021</p> <p><i>Further Continuing Appropriations Act, 2021</i></p> <p>This division provides continuing FY2021 appropriations to federal agencies through December 18, 2020.</p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2021 appropriations bills have not been enacted when the existing CR expires on December 11, 2020. </p> <p>DIVISION B--HEALTH EXTENDERS <p>TITLE I--MEDICARE AND MEDICAID EXTENDERS <p>(Sec. 1101) This section extends certain minimum adjustments to the work geographic index with respect to the payment of physician services under Medicare. <p>(Sec. 1102) This section extends funding for state health insurance programs, area agencies on aging, aging and disability resource centers, and technical assistance related to outreach and enrollment with respect to Medicare and other programs. <p>(Sec. 1103) This section extends funding for certain Medicare quality-measurement activities. <p>(Sec. 1104) This section extends the Medicaid demonstration program for certified community behavioral health clinics. <p>(Sec. 1105) This section extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home- and community-based services. <p>(Sec. 1106) This section delays certain reductions to Medicaid disproportionate-share hospital allotments.</p> <p>(Sec. 1107) This section extends the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare &amp; Medicaid Services (CMS) may award grants to state Medicaid programs to assist states in increasing the use of home and community care for long-term care and decreasing the use of institutional care.)</p> <p>TITLE II--PUBLIC HEALTH EXTENDERS AND FOOD AND DRUG ADMINISTRATION PROVISIONS</p> <p>Subtitle A--Public Health Extenders</p> <p>(Sec. 1201) This section extends funding for specified programs for community health centers; teaching health centers that operate graduate medical education programs; and the National Health Service Corps, which provides scholarships and student loan repayment programs for health care workers.</p> <p>(Sec. 1202) This section extends funding for research grants to prevent and cure Type I diabetes and grants for services to prevent and treat diabetes among Native Americans.</p> <p>(Sec. 1203) This section extends funding for certain grants for states to educate adolescents on the prevention of pregnancy and sexually transmitted infections.</p> <p>Subtitle B--Food and Drug Administration Provisions</p> <p>(Sec. 1211) This section extends the authority of the Food and Drug Administration to designate a rare pediatric disease drug application as eligible for a priority review voucher.</p> <p>TITLE III--OFFSETS</p> <p>(Sec. 1301) This section requires the CMS to share Medicare Advantage (MA) and Medicare prescription drug benefit enrollment information with liability insurers in response to Medicare secondary payer inquiries. Specifically, the CMS must share whether the claimant who is the subject of the inquiry was entitled to Medicare benefits during the preceding three-year period on any basis, and must also share the plan name and address of any MA or prescription drug benefit plan in which the claimant was enrolled.</p> <p>(Sec. 1302) This section requires the Drug Enforcement Administration (DEA) to revise regulations that allow a practitioner to administer narcotic drugs to a person for purposes of relieving acute withdrawal symptoms while the person awaits arrangements for narcotic treatment. The regulations currently authorize up to a one-day supply of narcotic drugs at one time, for a total of up to three days.</p> <p> The DEA must revise these regulations so as to allow a practitioner to dispense up to a three-day supply of narcotic drugs to one person or for one person's use at one time for the purpose of initiating maintenance treatment or detoxification treatment, or both.</p> <p>(Sec. 1303) This section increases the funds available to the Medicaid Improvement Fund for state activities relating to mechanized claims systems beginning in FY2025.</p> <p>TITLE IV--BUDGETARY EFFECTS </p> <p>(Sec. 1401) This section exempts the budgetary effects of this division from (1) the Statutory Pay-As-You-Go Act of 2010 (PAYGO), (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.</p>

tv_txt: I One Hundred Sixteenth Congress of the United States of America At the Second Session Begun and held at the City of Washington on Friday, the third day of January, two thousand and twenty H. R. 8900 AN ACT Making further continuing appropriations for fiscal year 2021, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 2. Table of contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2021 Division B—Health Extenders Title I—Medicare and Medicaid Extenders Title II—Public Health Extenders and Food and Drug Administration Provisions Title III—Offsets Title IV—Budgetary Effects 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, 2021 101. The Continuing Appropriations Act, 2021 (division A of Public Law 116–159 ) is amended by striking the date specified in section 106(3) and inserting December 18, 2020 . This division may be cited as the Further Continuing Appropriations Act, 2021 . B Health Extenders I Medicare and Medicaid Extenders 1101. Extension of the work geographic index floor under the medicare program Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ), as amended by section 3801 of the CARES Act ( Public Law 116–136 ) and section 2201 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 12, 2020 and inserting December 19, 2020 . 1102. Extension of funding outreach and assistance for low-income programs (a) State health insurance programs Subsection (a)(1)(B)(xi) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 ( 42 U.S.C. 1395b–3 note), as amended by section 3306 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), section 610 of the American Taxpayer Relief Act of 2012 ( Public Law 112–240 ), section 1110 of the Pathway for SGR Reform Act of 2013 ( Public Law 113–67 ), section 110 of the Protecting Access to Medicare Act of 2014 ( Public Law 113–93 ), section 208 of the Medicare Access and CHIP Reauthorization Act of 2015 ( Public Law 114–10 ), section 50207 of division E of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), section 1402 of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 ( Public Law 116–59 ), section 1402 of division B of the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 ( Public Law 116–69 ), section 103 of division N of the Further Consolidated Appropriations Act, 2020 ( Public Law 116–94 ), section 3803 of the CARES Act ( Public Law 116–136 ), and section 2203 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 11 and inserting December 18 . (b) Area agencies on aging Subsection (b)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (c) Aging and disability resource centers Subsection (c)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (d) Contract with the national center for benefits and outreach enrollment Subsection (d)(2)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . 1103. Extension of funding for quality measure endorsement, input, and selection Section 1890(d)(2) of the Social Security Act ( 42 U.S.C. 1395aaa(d)(2) ) is amended by striking December 11 each place such phrase appears and inserting December 18 in each such place. 1104. Extension of community mental health services demonstration program Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . 1105. Extension of spousal impoverishment protections (a) In general Section 2404 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1396r–5 note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . (b) Rule of construction Nothing in section 2404 of Public Law 111–148 ( 42 U.S.C. 1396r–5 note) or section 1902(a)(17) or 1924 of the Social Security Act ( 42 U.S.C. 1396a(a)(17) , 1396r–5) shall be construed as prohibiting a State from— (1) applying an income or resource disregard under a methodology authorized under section 1902(r)(2) of such Act ( 42 U.S.C. 1396a(r)(2) )— (A) to the income or resources of an individual described in section 1902(a)(10)(A)(ii)(VI) of such Act ( 42 U.S.C. 1396a(a)(10)(A)(ii)(VI) ) (including a disregard of the income or resources of such individual's spouse); or (B) on the basis of an individual's need for home and community-based services authorized under subsection (c), (d), (i), or (k) of section 1915 of such Act ( 42 U.S.C. 1396n ) or under section 1115 of such Act ( 42 U.S.C. 1315 ); or (2) disregarding an individual's spousal income and assets under a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section 1902(a)(10)(C) of such Act ( 42 U.S.C. 1396a(a)(10)(C) ) or by reason of section 1902(f) of such Act ( 42 U.S.C. 1396a(f) ) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the State disregarded the income and assets of the individual's spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act ( 42 U.S.C. 1396r–5 ). 1106. Extension of delay of DSH reductions Section 1923(f)(7) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended by striking December 12 each place such phrase appears and inserting December 19 in each such place. 1107. Extension of Money Follows the Person Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 ( 42 U.S.C. 1396a note) is amended by striking December 11 and inserting December 18 . II Public Health Extenders and Food and Drug Administration Provisions A Public Health Extenders 1201. Extending funding for community health centers, National Health Service Corps, and Teaching Health Center GME (a) Community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ) is amended— (1) by striking $789,041,096 and inserting $865,753,425 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) National health service corps Section 10503(b)(2)(H) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(H) ) is amended— (1) by striking $61,150,685 and inserting $67,095,890 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (c) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g)(1) ) is amended— (1) by striking $24,953,425 and inserting $27,379,452 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section for the period beginning on December 11, 2020, and ending on December 18, 2020, shall be subject to the requirements contained in Public Law 116–94 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act. (e) Conforming amendments Paragraph (4) of section 3014(h) of title 18, United States Code, as amended by section 3831(e) of the CARES Act ( Public Law 116–136 ), is amended— (1) by striking Social Services Act,, and inserting Social Services Act, ; and (2) by striking and section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act and inserting section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act, and section 1201(d) of the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 1202. Diabetes programs (a) Special diabetes programs for type I diabetes Section 330B(b)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) Special diabetes programs for Indians Section 330C(c)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . 1203. Personal responsibility education; sexual risk avoidance education (a) Sexual risk avoidance education Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . (b) Personal responsibility education Section 513 of the Social Security Act ( 42 U.S.C. 713 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . B Food and Drug Administration Provisions 1211. Rare pediatric disease priority review voucher extension Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 360ff(b)(5) ) is amended— (1) by striking December 11, 2020 each place it appears and inserting December 18, 2020 ; and (2) in subparagraph (B), by striking December 11, 2022 and inserting December 18, 2022 . III Offsets 1301. Transparency of medicare secondary payer reporting information Section 1862(b)(8)(G) of the Social Security Act ( 42 U.S.C. 395y(b)(8)(G) ) is amended— (1) by striking information.— The Secretary and inserting information.— (i) In general The Secretary ; and (2) by adding at the end the following new clause: (ii) Specified information In responding to any query made on or after the date that is 1 year after the date of the enactment of this clause from an applicable plan related to a determination described in subparagraph (A)(i), the Secretary, notwithstanding any other provision of law, shall provide to such applicable plan— (I) whether a claimant subject to the query is, or during the preceding 3-year period has been, entitled to benefits under the program under this title on any basis; and (II) to the extent applicable, the plan name and address of any Medicare Advantage plan under part C and any prescription drug plan under part D in which the claimant is enrolled or has been enrolled during such period. . 1302. Dispensation of narcotic drugs for the purpose of relieving acute withdrawal symptoms from opioid use disorder Not later than 180 days after the date of enactment of this Act, the Attorney General shall revise section 1306.07(b) of title 21, Code of Federal Regulations, so that practitioners, in accordance with applicable State, Federal, or local laws relating to controlled substances, are allowed to dispense not more than a three-day supply of narcotic drugs to one person or for one person’s use at one time for the purpose of initiating maintenance treatment or detoxification treatment (or both). 1303. Medicaid Improvement Fund Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C 1396w–1(b)(3)(A)) is amended by striking $3,446,000,000 and inserting $3,464,000,000 . IV Budgetary Effects 1401. Budgetary effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; and (2) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

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

tv_txt: I 116th CONGRESS 2d Session H. R. 8900 IN THE HOUSE OF REPRESENTATIVES December 8, 2020 Mrs. Lowey introduced the following bill; which was referred to the Committee on Appropriations , and in addition to the Committee on the Budget , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL Making further continuing appropriations for fiscal year 2021, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 2. Table of contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2021 Division B—Health Extenders Title I—Medicare and Medicaid Extenders Title II—Public Health Extenders and Food and Drug Administration Provisions Title III—Offsets Title IV—Budgetary Effects 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, 2021 101. The Continuing Appropriations Act, 2021 (division A of Public Law 116–159 ) is amended by striking the date specified in section 106(3) and inserting December 18, 2020 . This division may be cited as the Further Continuing Appropriations Act, 2021 . B Health Extenders I Medicare and Medicaid Extenders 1101. Extension of the work geographic index floor under the medicare program Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ), as amended by section 3801 of the CARES Act ( Public Law 116–136 ) and section 2201 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 12, 2020 and inserting December 19, 2020 . 1102. Extension of funding outreach and assistance for low-income programs (a) State health insurance programs Subsection (a)(1)(B)(xi) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 ( 42 U.S.C. 1395b–3 note), as amended by section 3306 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), section 610 of the American Taxpayer Relief Act of 2012 ( Public Law 112–240 ), section 1110 of the Pathway for SGR Reform Act of 2013 ( Public Law 113–67 ), section 110 of the Protecting Access to Medicare Act of 2014 ( Public Law 113–93 ), section 208 of the Medicare Access and CHIP Reauthorization Act of 2015 ( Public Law 114–10 ), section 50207 of division E of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), section 1402 of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 ( Public Law 116–59 ), section 1402 of division B of the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 ( Public Law 116–69 ), section 103 of division N of the Further Consolidated Appropriations Act, 2020 ( Public Law 116–94 ), section 3803 of the CARES Act ( Public Law 116–136 ), and section 2203 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 11 and inserting December 18 . (b) Area agencies on aging Subsection (b)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (c) Aging and disability resource centers Subsection (c)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (d) Contract with the national center for benefits and outreach enrollment Subsection (d)(2)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . 1103. Extension of funding for quality measure endorsement, input, and selection Section 1890(d)(2) of the Social Security Act ( 42 U.S.C. 1395aaa(d)(2) ) is amended by striking December 11 each place such phrase appears and inserting December 18 in each such place. 1104. Extension of community mental health services demonstration program Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . 1105. Extension of spousal impoverishment protections (a) In general Section 2404 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1396r–5 note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . (b) Rule of construction Nothing in section 2404 of Public Law 111–148 ( 42 U.S.C. 1396r–5 note) or section 1902(a)(17) or 1924 of the Social Security Act ( 42 U.S.C. 1396a(a)(17) , 1396r–5) shall be construed as prohibiting a State from— (1) applying an income or resource disregard under a methodology authorized under section 1902(r)(2) of such Act ( 42 U.S.C. 1396a(r)(2) )— (A) to the income or resources of an individual described in section 1902(a)(10)(A)(ii)(VI) of such Act ( 42 U.S.C. 1396a(a)(10)(A)(ii)(VI) ) (including a disregard of the income or resources of such individual's spouse); or (B) on the basis of an individual's need for home and community-based services authorized under subsection (c), (d), (i), or (k) of section 1915 of such Act ( 42 U.S.C. 1396n ) or under section 1115 of such Act ( 42 U.S.C. 1315 ); or (2) disregarding an individual's spousal income and assets under a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section 1902(a)(10)(C) of such Act ( 42 U.S.C. 1396a(a)(10)(C) ) or by reason of section 1902(f) of such Act ( 42 U.S.C. 1396a(f) ) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the State disregarded the income and assets of the individual's spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act ( 42 U.S.C. 1396r–5 ). 1106. Extension of delay of DSH reductions Section 1923(f)(7) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended by striking December 12 each place such phrase appears and inserting December 19 in each such place. 1107. Extension of Money Follows the Person Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 ( 42 U.S.C. 1396a note) is amended by striking December 11 and inserting December 18 . II Public Health Extenders and Food and Drug Administration Provisions A Public Health Extenders 1201. Extending funding for community health centers, National Health Service Corps, and Teaching Health Center GME (a) Community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ) is amended— (1) by striking $789,041,096 and inserting $865,753,425 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) National health service corps Section 10503(b)(2)(H) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(H) ) is amended— (1) by striking $61,150,685 and inserting $67,095,890 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (c) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g)(1) ) is amended— (1) by striking $24,953,425 and inserting $27,379,452 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section for the period beginning on December 11, 2020, and ending on December 18, 2020, shall be subject to the requirements contained in Public Law 116–94 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act. (e) Conforming amendments Paragraph (4) of section 3014(h) of title 18, United States Code, as amended by section 3831(e) of the CARES Act ( Public Law 116–136 ), is amended— (1) by striking Social Services Act,, and inserting Social Services Act, ; and (2) by striking and section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act and inserting section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act, and section 1201(d) of the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 1202. Diabetes programs (a) Special diabetes programs for type I diabetes Section 330B(b)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) Special diabetes programs for Indians Section 330C(c)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . 1203. Personal responsibility education; sexual risk avoidance education (a) Sexual risk avoidance education Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . (b) Personal responsibility education Section 513 of the Social Security Act ( 42 U.S.C. 713 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . B Food and Drug Administration Provisions 1211. Rare pediatric disease priority review voucher extension Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 360ff(b)(5) ) is amended— (1) by striking December 11, 2020 each place it appears and inserting December 18, 2020 ; and (2) in subparagraph (B), by striking December 11, 2022 and inserting December 18, 2022 . III Offsets 1301. Transparency of medicare secondary payer reporting information Section 1862(b)(8)(G) of the Social Security Act ( 42 U.S.C. 395y(b)(8)(G) ) is amended— (1) by striking information.— The Secretary and inserting information.— (i) In general The Secretary ; and (2) by adding at the end the following new clause: (ii) Specified information In responding to any query made on or after the date that is 1 year after the date of the enactment of this clause from an applicable plan related to a determination described in subparagraph (A)(i), the Secretary, notwithstanding any other provision of law, shall provide to such applicable plan— (I) whether a claimant subject to the query is, or during the preceding 3-year period has been, entitled to benefits under the program under this title on any basis; and (II) to the extent applicable, the plan name and address of any Medicare Advantage plan under part C and any prescription drug plan under part D in which the claimant is enrolled or has been enrolled during such period. . 1302. Dispensation of narcotic drugs for the purpose of relieving acute withdrawal symptoms from opioid use disorder Not later than 180 days after the date of enactment of this Act, the Attorney General shall revise section 1306.07(b) of title 21, Code of Federal Regulations, so that practitioners, in accordance with applicable State, Federal, or local laws relating to controlled substances, are allowed to dispense not more than a three-day supply of narcotic drugs to one person or for one person’s use at one time for the purpose of initiating maintenance treatment or detoxification treatment (or both). 1303. Medicaid Improvement Fund Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C 1396w–1(b)(3)(A)) is amended by striking $3,446,000,000 and inserting $3,464,000,000 . IV Budgetary Effects 1401. Budgetary effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; and (2) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

tv_txt: I 116th CONGRESS 2d Session H. R. 8900 IN THE HOUSE OF REPRESENTATIVES AN ACT Making further continuing appropriations for fiscal year 2021, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 2. Table of contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2021 Division B—Health Extenders Title I—Medicare and Medicaid Extenders Title II—Public Health Extenders and Food and Drug Administration Provisions Title III—Offsets Title IV—Budgetary Effects 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, 2021 101. The Continuing Appropriations Act, 2021 (division A of Public Law 116–159 ) is amended by striking the date specified in section 106(3) and inserting December 18, 2020 . This division may be cited as the Further Continuing Appropriations Act, 2021 . B Health Extenders I Medicare and Medicaid Extenders 1101. Extension of the work geographic index floor under the medicare program Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ), as amended by section 3801 of the CARES Act ( Public Law 116–136 ) and section 2201 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 12, 2020 and inserting December 19, 2020 . 1102. Extension of funding outreach and assistance for low-income programs (a) State health insurance programs Subsection (a)(1)(B)(xi) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 ( 42 U.S.C. 1395b–3 note), as amended by section 3306 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), section 610 of the American Taxpayer Relief Act of 2012 ( Public Law 112–240 ), section 1110 of the Pathway for SGR Reform Act of 2013 ( Public Law 113–67 ), section 110 of the Protecting Access to Medicare Act of 2014 ( Public Law 113–93 ), section 208 of the Medicare Access and CHIP Reauthorization Act of 2015 ( Public Law 114–10 ), section 50207 of division E of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), section 1402 of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 ( Public Law 116–59 ), section 1402 of division B of the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 ( Public Law 116–69 ), section 103 of division N of the Further Consolidated Appropriations Act, 2020 ( Public Law 116–94 ), section 3803 of the CARES Act ( Public Law 116–136 ), and section 2203 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 11 and inserting December 18 . (b) Area agencies on aging Subsection (b)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (c) Aging and disability resource centers Subsection (c)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (d) Contract with the national center for benefits and outreach enrollment Subsection (d)(2)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . 1103. Extension of funding for quality measure endorsement, input, and selection Section 1890(d)(2) of the Social Security Act ( 42 U.S.C. 1395aaa(d)(2) ) is amended by striking December 11 each place such phrase appears and inserting December 18 in each such place. 1104. Extension of community mental health services demonstration program Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . 1105. Extension of spousal impoverishment protections (a) In general Section 2404 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1396r–5 note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . (b) Rule of construction Nothing in section 2404 of Public Law 111–148 ( 42 U.S.C. 1396r–5 note) or section 1902(a)(17) or 1924 of the Social Security Act ( 42 U.S.C. 1396a(a)(17) , 1396r–5) shall be construed as prohibiting a State from— (1) applying an income or resource disregard under a methodology authorized under section 1902(r)(2) of such Act ( 42 U.S.C. 1396a(r)(2) )— (A) to the income or resources of an individual described in section 1902(a)(10)(A)(ii)(VI) of such Act ( 42 U.S.C. 1396a(a)(10)(A)(ii)(VI) ) (including a disregard of the income or resources of such individual's spouse); or (B) on the basis of an individual's need for home and community-based services authorized under subsection (c), (d), (i), or (k) of section 1915 of such Act ( 42 U.S.C. 1396n ) or under section 1115 of such Act ( 42 U.S.C. 1315 ); or (2) disregarding an individual's spousal income and assets under a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section 1902(a)(10)(C) of such Act ( 42 U.S.C. 1396a(a)(10)(C) ) or by reason of section 1902(f) of such Act ( 42 U.S.C. 1396a(f) ) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the State disregarded the income and assets of the individual's spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act ( 42 U.S.C. 1396r–5 ). 1106. Extension of delay of DSH reductions Section 1923(f)(7) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended by striking December 12 each place such phrase appears and inserting December 19 in each such place. 1107. Extension of Money Follows the Person Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 ( 42 U.S.C. 1396a note) is amended by striking December 11 and inserting December 18 . II Public Health Extenders and Food and Drug Administration Provisions A Public Health Extenders 1201. Extending funding for community health centers, National Health Service Corps, and Teaching Health Center GME (a) Community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ) is amended— (1) by striking $789,041,096 and inserting $865,753,425 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) National health service corps Section 10503(b)(2)(H) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(H) ) is amended— (1) by striking $61,150,685 and inserting $67,095,890 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (c) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g)(1) ) is amended— (1) by striking $24,953,425 and inserting $27,379,452 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section for the period beginning on December 11, 2020, and ending on December 18, 2020, shall be subject to the requirements contained in Public Law 116–94 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act. (e) Conforming amendments Paragraph (4) of section 3014(h) of title 18, United States Code, as amended by section 3831(e) of the CARES Act ( Public Law 116–136 ), is amended— (1) by striking Social Services Act,, and inserting Social Services Act, ; and (2) by striking and section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act and inserting section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act, and section 1201(d) of the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 1202. Diabetes programs (a) Special diabetes programs for type I diabetes Section 330B(b)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) Special diabetes programs for Indians Section 330C(c)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . 1203. Personal responsibility education; sexual risk avoidance education (a) Sexual risk avoidance education Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . (b) Personal responsibility education Section 513 of the Social Security Act ( 42 U.S.C. 713 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . B Food and Drug Administration Provisions 1211. Rare pediatric disease priority review voucher extension Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 360ff(b)(5) ) is amended— (1) by striking December 11, 2020 each place it appears and inserting December 18, 2020 ; and (2) in subparagraph (B), by striking December 11, 2022 and inserting December 18, 2022 . III Offsets 1301. Transparency of medicare secondary payer reporting information Section 1862(b)(8)(G) of the Social Security Act ( 42 U.S.C. 395y(b)(8)(G) ) is amended— (1) by striking information.— The Secretary and inserting information.— (i) In general The Secretary ; and (2) by adding at the end the following new clause: (ii) Specified information In responding to any query made on or after the date that is 1 year after the date of the enactment of this clause from an applicable plan related to a determination described in subparagraph (A)(i), the Secretary, notwithstanding any other provision of law, shall provide to such applicable plan— (I) whether a claimant subject to the query is, or during the preceding 3-year period has been, entitled to benefits under the program under this title on any basis; and (II) to the extent applicable, the plan name and address of any Medicare Advantage plan under part C and any prescription drug plan under part D in which the claimant is enrolled or has been enrolled during such period. . 1302. Dispensation of narcotic drugs for the purpose of relieving acute withdrawal symptoms from opioid use disorder Not later than 180 days after the date of enactment of this Act, the Attorney General shall revise section 1306.07(b) of title 21, Code of Federal Regulations, so that practitioners, in accordance with applicable State, Federal, or local laws relating to controlled substances, are allowed to dispense not more than a three-day supply of narcotic drugs to one person or for one person’s use at one time for the purpose of initiating maintenance treatment or detoxification treatment (or both). 1303. Medicaid Improvement Fund Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C 1396w–1(b)(3)(A)) is amended by striking $3,446,000,000 and inserting $3,464,000,000 . IV Budgetary Effects 1401. Budgetary effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; and (2) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

Passed the House of Representatives December 9, 2020. Cheryl L. Johnson, Clerk.

tv_txt: II 116th CONGRESS 2d Session H. R. 8900 IN THE SENATE OF THE UNITED STATES December 9, 2020 Received AN ACT Making further continuing appropriations for fiscal year 2021, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 2. Table of contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2021 Division B—Health Extenders Title I—Medicare and Medicaid Extenders Title II—Public Health Extenders and Food and Drug Administration Provisions Title III—Offsets Title IV—Budgetary Effects 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, 2021 101. The Continuing Appropriations Act, 2021 (division A of Public Law 116–159 ) is amended by striking the date specified in section 106(3) and inserting December 18, 2020 . This division may be cited as the Further Continuing Appropriations Act, 2021 . B Health Extenders I Medicare and Medicaid Extenders 1101. Extension of the work geographic index floor under the medicare program Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ), as amended by section 3801 of the CARES Act ( Public Law 116–136 ) and section 2201 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 12, 2020 and inserting December 19, 2020 . 1102. Extension of funding outreach and assistance for low-income programs (a) State health insurance programs Subsection (a)(1)(B)(xi) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 ( 42 U.S.C. 1395b–3 note), as amended by section 3306 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), section 610 of the American Taxpayer Relief Act of 2012 ( Public Law 112–240 ), section 1110 of the Pathway for SGR Reform Act of 2013 ( Public Law 113–67 ), section 110 of the Protecting Access to Medicare Act of 2014 ( Public Law 113–93 ), section 208 of the Medicare Access and CHIP Reauthorization Act of 2015 ( Public Law 114–10 ), section 50207 of division E of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), section 1402 of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 ( Public Law 116–59 ), section 1402 of division B of the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 ( Public Law 116–69 ), section 103 of division N of the Further Consolidated Appropriations Act, 2020 ( Public Law 116–94 ), section 3803 of the CARES Act ( Public Law 116–136 ), and section 2203 of the Continuing Appropriations Act, 2021 and Other Extensions Act ( Public Law 116–159 ), is amended by striking December 11 and inserting December 18 . (b) Area agencies on aging Subsection (b)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (c) Aging and disability resource centers Subsection (c)(1)(B)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . (d) Contract with the national center for benefits and outreach enrollment Subsection (d)(2)(xi) of such section 119, as so amended, is amended by striking December 11 and inserting December 18 . 1103. Extension of funding for quality measure endorsement, input, and selection Section 1890(d)(2) of the Social Security Act ( 42 U.S.C. 1395aaa(d)(2) ) is amended by striking December 11 each place such phrase appears and inserting December 18 in each such place. 1104. Extension of community mental health services demonstration program Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . 1105. Extension of spousal impoverishment protections (a) In general Section 2404 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1396r–5 note), as amended by Public Law 116–159 , is amended by striking December 11 and inserting December 18 . (b) Rule of construction Nothing in section 2404 of Public Law 111–148 ( 42 U.S.C. 1396r–5 note) or section 1902(a)(17) or 1924 of the Social Security Act ( 42 U.S.C. 1396a(a)(17) , 1396r–5) shall be construed as prohibiting a State from— (1) applying an income or resource disregard under a methodology authorized under section 1902(r)(2) of such Act ( 42 U.S.C. 1396a(r)(2) )— (A) to the income or resources of an individual described in section 1902(a)(10)(A)(ii)(VI) of such Act ( 42 U.S.C. 1396a(a)(10)(A)(ii)(VI) ) (including a disregard of the income or resources of such individual's spouse); or (B) on the basis of an individual's need for home and community-based services authorized under subsection (c), (d), (i), or (k) of section 1915 of such Act ( 42 U.S.C. 1396n ) or under section 1115 of such Act ( 42 U.S.C. 1315 ); or (2) disregarding an individual's spousal income and assets under a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section 1902(a)(10)(C) of such Act ( 42 U.S.C. 1396a(a)(10)(C) ) or by reason of section 1902(f) of such Act ( 42 U.S.C. 1396a(f) ) or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the State disregarded the income and assets of the individual's spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section 1924 of such Act ( 42 U.S.C. 1396r–5 ). 1106. Extension of delay of DSH reductions Section 1923(f)(7) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended by striking December 12 each place such phrase appears and inserting December 19 in each such place. 1107. Extension of Money Follows the Person Section 6071(h)(1)(H) of the Deficit Reduction Act of 2005 ( 42 U.S.C. 1396a note) is amended by striking December 11 and inserting December 18 . II Public Health Extenders and Food and Drug Administration Provisions A Public Health Extenders 1201. Extending funding for community health centers, National Health Service Corps, and Teaching Health Center GME (a) Community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ) is amended— (1) by striking $789,041,096 and inserting $865,753,425 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) National health service corps Section 10503(b)(2)(H) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(H) ) is amended— (1) by striking $61,150,685 and inserting $67,095,890 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (c) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g)(1) ) is amended— (1) by striking $24,953,425 and inserting $27,379,452 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section for the period beginning on December 11, 2020, and ending on December 18, 2020, shall be subject to the requirements contained in Public Law 116–94 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act. (e) Conforming amendments Paragraph (4) of section 3014(h) of title 18, United States Code, as amended by section 3831(e) of the CARES Act ( Public Law 116–136 ), is amended— (1) by striking Social Services Act,, and inserting Social Services Act, ; and (2) by striking and section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act and inserting section 2101 of the Continuing Appropriations Act, 2021 and Other Extensions Act, and section 1201(d) of the Further Continuing Appropriations Act, 2021, and Other Extensions Act . 1202. Diabetes programs (a) Special diabetes programs for type I diabetes Section 330B(b)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . (b) Special diabetes programs for Indians Section 330C(c)(2)(D) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(D) ) is amended— (1) by striking $29,589,042 and inserting $32,465,753 ; and (2) by striking December 11, 2020 and inserting December 18, 2020 . 1203. Personal responsibility education; sexual risk avoidance education (a) Sexual risk avoidance education Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . (b) Personal responsibility education Section 513 of the Social Security Act ( 42 U.S.C. 713 ) is amended by striking December 11, 2020 each place it appears and inserting December 18, 2020 . B Food and Drug Administration Provisions 1211. Rare pediatric disease priority review voucher extension Section 529(b)(5) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 360ff(b)(5) ) is amended— (1) by striking December 11, 2020 each place it appears and inserting December 18, 2020 ; and (2) in subparagraph (B), by striking December 11, 2022 and inserting December 18, 2022 . III Offsets 1301. Transparency of medicare secondary payer reporting information Section 1862(b)(8)(G) of the Social Security Act ( 42 U.S.C. 395y(b)(8)(G) ) is amended— (1) by striking information.— The Secretary and inserting information.— (i) In general The Secretary ; and (2) by adding at the end the following new clause: (ii) Specified information In responding to any query made on or after the date that is 1 year after the date of the enactment of this clause from an applicable plan related to a determination described in subparagraph (A)(i), the Secretary, notwithstanding any other provision of law, shall provide to such applicable plan— (I) whether a claimant subject to the query is, or during the preceding 3-year period has been, entitled to benefits under the program under this title on any basis; and (II) to the extent applicable, the plan name and address of any Medicare Advantage plan under part C and any prescription drug plan under part D in which the claimant is enrolled or has been enrolled during such period. . 1302. Dispensation of narcotic drugs for the purpose of relieving acute withdrawal symptoms from opioid use disorder Not later than 180 days after the date of enactment of this Act, the Attorney General shall revise section 1306.07(b) of title 21, Code of Federal Regulations, so that practitioners, in accordance with applicable State, Federal, or local laws relating to controlled substances, are allowed to dispense not more than a three-day supply of narcotic drugs to one person or for one person’s use at one time for the purpose of initiating maintenance treatment or detoxification treatment (or both). 1303. Medicaid Improvement Fund Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C 1396w–1(b)(3)(A)) is amended by striking $3,446,000,000 and inserting $3,464,000,000 . IV Budgetary Effects 1401. Budgetary effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; and (2) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

Passed the House of Representatives December 9, 2020. Cheryl L. Johnson, Clerk