Further Continuing Appropriations and Other Extensions Act, 2024

Bill: 118-hr-6363
Sponsor: full_name: Rep. Granger, Kay [R-TX-12]
Introduced: 2023-11-13
Policy area: Economics and Public Finance
Subjects: ASEAN countries

Abortion

Access Board

Accounting and auditing

Administrative Conference of the U.S.

Administrative law and regulatory procedures

Adoption and foster care

Advanced technology and technological innovations

Advisory bodies

Afghanistan

Africa

African Development Foundation

Aging

Agricultural conservation and pollution

Agricultural education

Agricultural insurance

Agricultural marketing and promotion

Agricultural prices, subsidies, credit

Agricultural research

Agricultural trade

Alabama

Alaska

Alaska Natives and Hawaiians

Allergies

Alliances

Alternative and renewable resources

Alternative dispute resolution, mediation, arbitration

Alternative treatments

American Battle Monuments Commission

Animal and plant health

Appalachian Regional Commission

Appropriations

Aquatic ecology

Arab-Israeli relations

Architect of the Capitol

Area studies and international education

Arizona

Arkansas

Armed Forces Retirement Home

Arms control and nonproliferation

Army Corps of Engineers

Asia

Atmospheric science and weather

Australia

Aviation and airports

Azerbaijan

Bangladesh

Birth defects

Blood and blood diseases

Border security and unlawful immigration

Broadcasting, cable, digital technologies

Budget process

Building construction

Burma

Buy American requirements

California

Cambodia

Canada

Cancer

Cardiovascular and respiratory health

Caribbean area

Cemeteries and funerals

Census and government statistics

Centers for Disease Control and Prevention (CDC)

Central African Republic

Central America

Central Europe

Central Intelligence Agency (CIA)

Child care and development

Child health

Child safety and welfare

China

Citizenship and naturalization

Civics education

Climate change and greenhouse gases

Coal

Coast guard

Collective security

Colombia

Commission on Civil Rights

Committee for Purchase from People Who Are Blind or Severely Disabled

Commodities markets

Commodity Credit Corporation

Commodity Futures Trading Commission

Commuting

Computer security and identity theft

Computers and information technology

Conflicts and wars

Congressional Budget Office (CBO)

Congressional Research Service (CRS)

Congressional agencies

Congressional committees

Congressional leadership

Congressional officers and employees

Congressional oversight

Consumer Product Safety Commission

Corporation for Public Broadcasting

Correctional facilities and imprisonment

Crime victims

Criminal justice information and records

Criminal procedure and sentencing

Cuba

Cultural exchanges and relations

Defense Nuclear Facilities Safety Board

Defense spending

Delta Regional Authority

Democratic Republic of the Congo

Denali Commission

Dental care

Department of Agriculture

Department of Commerce

Department of Defense

Department of Education

Department of Energy

Department of Health and Human Services

Department of Homeland Security

Department of Housing and Urban Development

Department of Justice

Department of Labor

Department of State

Department of Transportation

Department of Veterans Affairs

Department of the Interior

Department of the Treasury

Digestive and metabolic diseases

Diplomacy, foreign officials, Americans abroad

Disability and health-based discrimination

Disability and paralysis

Disaster relief and insurance

District of Columbia

Domestic violence and child abuse

Drug Enforcement Administration (DEA)

Drug safety, medical device, and laboratory regulation

Drug therapy

Drug trafficking and controlled substances

Drug, alcohol, tobacco use

Economic development

Education of the disadvantaged

Education programs funding

Educational facilities and institutions

Egypt

Election Assistance Commission

Electric power generation and transmission

Elementary and secondary education

Emergency communications systems

Emergency medical services and trauma care

Emergency planning and evacuation

Employee benefits and pensions

Employee hiring

Employment and training programs

Employment discrimination and employee rights

Endangered and threatened species

Energy assistance for the poor and aged

Energy efficiency and conservation

Energy research

Environmental Protection Agency (EPA)

Environmental assessment, monitoring, research

Environmental health

Environmental technology

Equal Employment Opportunity Commission (EEOC)

Ethiopia

Europe

Evidence and witnesses

Executive Office of the President

Executive agency funding and structure

Export-Import Bank of the United States

Family planning and birth control

Family services

Farm Credit Administration

Farmland

Federal Bureau of Investigation (FBI)

Federal Communications Commission (FCC)

Federal Deposit Insurance Corporation (FDIC)

Federal Election Commission (FEC)

Federal Emergency Management Agency (FEMA)

Federal Energy Regulatory Commission (FERC)

Federal Labor Relations Authority

Federal Maritime Commission

Federal Mediation and Conciliation Service

Federal Mine Safety and Health Review Commission

Federal Prison Industries, Inc.

Federal Trade Commission (FTC)

Federal appellate courts

Federal district courts

Federal officials

Federal-Indian relations

Firearms and explosives

Fires

First responders and emergency personnel

Fishes

Floods and storm protection

Florida

Food assistance and relief

Food supply, safety, and labeling

Foreign aid and international relief

Foreign labor

Foreign language and bilingual programs

Forests, forestry, trees

Fraud offenses and financial crimes

Free trade and trade barriers

Gaza Strip

General Services Administration

Genetics

Georgia

Georgia (Republic)

Government Accountability Office (GAO)

Government National Mortgage Association (Ginnie Mae)

Government Publishing Office (GPO)

Government buildings, facilities, and property

Government corporations and government-sponsored enterprises

Government employee pay, benefits, personnel management

Government information and archives

Government lending and loan guarantees

Government trust funds

Great Lakes

Guam

HIV/AIDS

Haiti

Hawaii

Hazardous wastes and toxic substances

Health care coverage and access

Health facilities and institutions

Health personnel

Health programs administration and funding

Health promotion and preventive care

Health technology, devices, supplies

Hearing, speech, and vision care

Hereditary and development disorders

Higher education

Historic sites and heritage areas

Historical and cultural resources

Homelessness and emergency shelter

Horticulture and plants

House of Representatives

Housing and community development funding

Housing finance and home ownership

Housing for the elderly and disabled

Housing industry and standards

Human rights

Human trafficking

Humanities programs funding

Hybrid, electric, and advanced technology vehicles

Illinois

Immigrant health and welfare

Immigration status and procedures

Immunology and vaccination

Indian claims

Indian lands and resources rights

Indian social and development programs
Latest action: action_date: 2023-11-17
text: Became Public Law No: 118-22.

Summaries:
action_date: 2023-11-13
action_desc: Introduced in House
text: <p><b>Further Continuing Appropriations and Other Extensions Act, 2024</b></p> <p>This bill provides continuing FY2024 appropriations for federal agencies and extends several expiring programs and authorities.</p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2024 appropriations bills have not been enacted when the existing CR expires on November 17, 2023. The CR generally funds most programs and activities at the FY2023 levels with several exceptions that provide funding flexibility and additional appropriations for various programs.</p> <p>The CR provides funding through January 19, 2024, for agencies and programs that were funded in the following four FY2023 appropriations acts:</p> <ul> <li>the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2023; </li> <li>the Energy and Water Development and Related Agencies Appropriations Act, 2023; </li> <li>the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023; and </li> <li>the Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.</li> </ul> <p>For most other federal agencies and programs, the CR provides funding through February 2, 2024.</p> <p>The CR also extends several programs and authorities, including </p> <ul> <li>programs authorized by the Agriculture Improvement Act of 2018 (commonly known as the 2018 farm bill),</li> <li>several public health programs and authorities,</li> <li>the U.S. Parole Commission, and </li> <li>the Department of Homeland Security's Countering Weapons of Mass Destruction Office. </li> </ul>

action_date: 2023-11-14
action_desc: Passed House
text: <p><b><b>Further Continuing Appropriations and Other Extensions Act, 2024</b></b></p> <p>This bill provides continuing FY2024 appropriations for federal agencies. The bill also extends several expiring programs and authorities, including programs authorized by the 2018 farm bill and several public health programs. </p> <p>DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2024</p> <p><i>Further Continuing Appropriations Act, 2024</i></p> <p>(Sec. 101) This section provides continuing FY2024 appropriations for federal agencies and extends several expiring programs and authorities.</p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2024 appropriations bills have not been enacted when the existing CR expires on November 17, 2023.</p> <p>The CR provides funding through January 19, 2024, for agencies and programs that were funded in the following four FY2023 appropriations acts:</p> <ul> <li>the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2023;</li> <li>the Energy and Water Development and Related Agencies Appropriations Act, 2023;</li> <li>the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023; and</li> <li>the Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.</li> </ul> <p>For most other federal agencies and programs, the CR provides funding through February 2, 2024.</p> <p>The CR generally funds most programs and activities at the FY2023 levels with several exceptions that provide funding flexibility and additional appropriations for various programs. For example, the CR includes exceptions for:</p> <ul> <li>the Navy's procurement of one Columbia Class Submarine, </li> <li>activities of the U.S. Secret Service that are related to National Special Security Events and the 2024 Presidential Campaign, and </li> <li>activities of the Department of Education that are necessary to ensure the continuation of student loan servicing activities.</li> </ul> <p>This section also extends several expiring programs and authorities, including</p> <ul> <li>the U.S. Parole Commission,</li> <li>the authority for the Department of Defense (DOD) to provide physical protection and personal security for certain former or retired DOD officials who face serious and credible threats arising from duties performed while employed by DOD,</li> <li>restrictions on firearms that are undetectable by walk-through metal detectors and X-ray machines commonly used at airports, </li> <li> limits on pay increases for the Vice President and certain senior political appointees, </li> <li> the exemption from the Antideficiency Act for the Federal Communications Commission's Universal Service Fund, and </li> <li>the Department of Homeland Security's Countering Weapons of Mass Destruction Office. </li> </ul> <p>This section provides appropriations for a payment to Katherine Anne Feinstein, the beneficiary of the late Senator Dianne Feinstein.</p> <p>DIVISION B--OTHER MATTERS</p> <p>TITLE I--EXTENSIONS AND OTHER MATTERS</p> <p>(Sec. 101) This section extends provisions that provide grants and other financial assistance to the Federated States of Micronesia and the Republic of the Marshall Islands. </p> <p>(Sec. 102) This section extends programs authorized by the Agriculture Improvement Act of 2018 (commonly known as the 2018 farm bill) until the later of (1) September 30, 2024, or (2) the date specified in the provision of the act. </p> <p>This section extends and amends Department of Agriculture (USDA) commodity programs, including by </p> <ul> <li> extending various programs for covered commodities, a loan commodity, sugarcane, or sugar beets for the 2024 crop year; </li> <li> extending the Dairy Margin Coverage (DMC) program through December 31, 2024; </li> <li> limiting the 25% premium discount for the DMC program in 2024 to participating dairy operations that received the discount in 2023; </li> <li>allowing Dairy Forward Pricing Program contracts to be extended through September 30, 2027 (currently September 30, 2026); </li> <li> extending the Price Loss Coverage (PLC) payments through the 2024 crop year for a covered commodity; </li> <li> extending the suspension of permanent price support authorities for the 2024 crop year for covered commodities, cotton, and sugar and through December 31, 2024, for milk; and </li> <li> extending the suspension of provisions related to corn and wheat marketing quotas for wheat planted for harvest in calendar year 2024. </li> </ul> <p>This section reauthorizes, and extends funding for, the Grassroots Source Water Protection Program (SWPP) for FY2024. The SWPP is a joint project with the Farm Service Agency and the National Rural Water Association (a nonprofit water and wastewater utility membership organization), which is designed to help prevent pollution of surface and ground water that is used as the primary source of drinking water by rural residents. </p> <p>This section reauthorizes, and extends funding for, the Voluntary Public Access and Habitat Incentive Program through FY2024. The program provides funding to help state and tribal governments encourage landowners to allow public access to their land for hunting, fishing, and other wildlife-dependent recreation. </p> <p>This section reauthorizes, and extends funding for, the Feral Swine Eradication and Control Pilot Program through FY2024. The program responds to the threat feral swine pose to agriculture, native ecosystems, and human and animal health. </p> <p>This section extends the Bill Emerson Humanitarian Trust through FY2024 to allow for eligible commodities to remain in the trust until September 30, 2024. The program makes funds available to provide emergency food assistance to developing countries.</p> <p>This section extends the Emergency Food Assistance Program (TEFAP) through FY2024. TEFAP provides food commodities (and cash support for storage and distribution costs) through states to local emergency feeding organizations (e.g., food banks).</p> <p>This section reauthorizes, and extends funding for, the Rural Economic Development Loan &amp; Grant Program through FY2024 to provide funding for rural projects through local utility organizations. </p> <p>This section provides specified funds for scholarships for students at 1890 Institutions and extends the annual grant limitation by one year. This National Institute of Food and Agriculture (NIFA) program provides grants to 1890 Institutions (i.e., historically Black colleges and universities that belong to the U.S. land-grant university system) for awarding scholarships to students who intend to pursue a career in the food and agricultural sciences. </p> <p>This section also </p> <ul> <li> reauthorizes, and extends funding for, the Urban, Indoor, and other Emerging Agricultural Production Research, Education, and Extension Initiative for FY2024, a NIFA competitive grant program; </li> <li>provides specified funds for the Foundation for Food and Agriculture Research, a nonprofit corporation established to advance the research mission of USDA by supporting research activities focused on key problems of national and international significance; and </li> <li>extends through FY2024 a provision that prohibits USDA from declaring the Grazinglands Research Laboratory in El Reno, Oklahoma, to be excess or surplus federal property, or otherwise conveying or transferring the property. </li> </ul> <p>This section reauthorizes, and extends funding for, the biobased markets program (i.e., BioPreferred Program) through FY2024 to promote biobased products through (1) mandatory purchasing requirements for federal agencies and their contractors, and (2) a voluntary labeling initiative for biobased products. </p> <p>This section reauthorizes, and extends funding for, the bioenergy program for advanced biofuels (i.e., Advanced Biofuel Payment Program) through FY2024. The program provides payments to fuel producers to support and expand production of advanced biofuels (i.e., not derived from corn starch). </p> <p>This section extends through the 2024 crop the Feedstock Flexibility Program (FFP) for Bioenergy Producers, which allows the Commodity Credit Corporation to purchase surplus sugar from processors for resale to ethanol producers for ethanol fuel. Further, this section extends through September 1, 2024, requirements for USDA to provide notice to eligible entities and bioenergy producers of the quantity of eligible commodities that must be made available for purchase and sale for the crop year. </p> <p>This section extends the authority and funding through FY2024 for USDA to collect and report data on the production and marketing of organic agricultural products. </p> <p>This section reauthorizes, and extends funding through FY2024 for, modernization and improvement of international trade technology systems and data collection for imports of organically produced agricultural products. </p> <p>This section reauthorizes, and extends funding for, the Organic Certification Cost Share Program for FY2024. The program provides cost-share assistance to producers and handlers of agricultural products who are obtaining or renewing their certification under the National Organic Program. </p> <p>This section reauthorizes, and extends funding for, the multiple crop and pesticide use survey of farmers through FY2024. The USDA Office of Pest Management Policy conducts this survey to collect data for risk assessment modeling and mitigation for an active ingredient.</p> <p>This section also extends </p> <ul> <li> the Pima Agriculture Cotton Trust Fund through December 31, 2024, which provides assistance to reduce the economic injury to domestic manufacturers resulting from tariffs on cotton fabric that are higher than tariffs on certain apparel articles made of cotton fabric; </li> <li> the Agriculture Wool Apparel Manufacturers Trust Fund through December 31, 2024, which provides assistance to reduce the economic injury to domestic manufacturers resulting from tariffs on wool fabric that are higher than tariffs on certain apparel articles made of wool fabric; </li> <li> the Wool Research and Promotion Program through FY2024, which provides grants to assist U.S. wool producers with improving the quality of wool and with developing and promoting the wool market; </li> <li> the Emergency Citrus Disease Research and Development Trust Fund through FY2024, which funds a program that aims to bring together scientists to find scientifically sound and financially sustainable solutions to Huanglongbing (i.e., citrus greening, a bacterial disease spread by an insect that feeds on citrus); and </li> <li> the Sheep Production &amp; Marketing Grant Program through FY2024, which seeks to strengthen and enhance the production and marketing of sheep and sheep products in the United States. </li> </ul> <p>This section specifies that the extension of farm bill programs does not apply to certain mandatory funding that was provided for (1) the Farm Service Agency to implement USDA commodity programs, and (2) certain payments under the Conservation Reserve Program for forest management thinning and transition contracts. </p> <p>This section extends various reporting requirements authorized by the Agriculture Improvement Act of 2018. </p> <p>This section rescinds specified funds that were provided to USDA for the Biorefinery, Renewable Chemical, and Biobased Product Manufacturing Assistance Program, which provides loan guarantees to assist in the development of new and emerging technologies for the development of advanced biofuels, renewable chemicals, and biobased product manufacturing. </p> <p>This section, with limited exceptions, must be applied and administered as if it had been enacted on September 30, 2023. </p> <p>TITLE II--HEALTH AND HUMAN SERVICES</p> <p>Subtitle A--Public Health Extenders</p> <p>(Sec. 201) This section extends through January 19, 2024, funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Services Corps. (The program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) the National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.) </p> <p>(Sec. 202) This section extends funding through January 19, 2024, for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians. (The Special Diabetes Program for Type I Diabetes supports research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations.) </p> <p>(Sec. 203) This section extends through January 19, 2024, the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency. </p> <p>It also extends through January 19, 2024, provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats).</p> <p>The section extends provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development. </p> <p>Additionally, the section extends through January 19, 2024, the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters. </p> <p>It also extends through January 19, 2024, the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. </p> <p>(The National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams.) </p> <p>Subtitle B--Medicaid</p> <p>(Sec. 301) This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until January 20, 2024. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.) </p> <p>(Sec. 302) This section reduces the amount of funding available to the Medicaid Improvement Fund for activities relating to mechanized claims systems beginning in FY2028. </p> <p>Subtitle C--Human Services</p> <p>(Sec. 401) This section funds through January 19, 2024, programs that support child welfare services and activities. Specifically, it funds the (1) Stephanie Tubbs Jones Child Welfare Service Program, which provides grants to states and Indian tribes to support preventive interventions and other activities to keep families together; and (2) the MaryLee Allen Promoting Safe and Stable Families Program, which supports efforts to prevent the unnecessary separation of children from their families, improve quality of care and services to children and their families, and ensure permanent living arrangements for children (e.g., parental reunification or adoption). </p> <p>(Sec. 402) This section extends funding through January 19, 2024, for the Sexual Risk Avoidance Education Program. This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities. </p> <p>(Sec. 403) This section extends funding through January 19, 2024, for the Personal Responsibility Education Program. This program provides grants to states to educate young people about abstinence and contraception for prevention of pregnancy and sexually transmitted infections. The program also supports pregnant and parenting youth. </p> <p>Subtitle D--Medicare</p> <p>(Sec. 501) This section extends through January 19, 2024, certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare. </p> <p>(Sec. 502) This section delays until 2025 certain laboratory reporting requirements that are used to determine payment rates for clinical diagnostic laboratory tests under Medicare, as well as related payment reductions.</p> <p>(Sec. 503) This section increases funding for the Medicare Improvement Fund. </p> <p>TITLE III--MISCELLANEOUS EXTENSIONS</p> <p>(Sec. 601) This section extends through February 3, 2024, the authority of the Department of Homeland Security and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS). These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity.</p> <p>TITLE IV--BUDGETARY EFFECTS</p> <p>(Sec. 701) This section exempts the budgetary effects of this division from (1) the Statutory Pay-As-You-Go Act of 2010 (PAYGO Act), (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.</p>

action_date: 2023-11-15
action_desc: Passed Senate
text: <p><b><b>Further Continuing Appropriations and Other Extensions Act, 2024</b></b></p> <p>This bill provides continuing FY2024 appropriations for federal agencies. The bill also extends several expiring programs and authorities, including programs authorized by the 2018 farm bill and several public health programs. </p> <p>DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2024</p> <p><i>Further Continuing Appropriations Act, 2024</i></p> <p>(Sec. 101) This section provides continuing FY2024 appropriations for federal agencies and extends several expiring programs and authorities.</p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2024 appropriations bills have not been enacted when the existing CR expires on November 17, 2023.</p> <p>The CR provides funding through January 19, 2024, for agencies and programs that were funded in the following four FY2023 appropriations acts:</p> <ul> <li>the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2023;</li> <li>the Energy and Water Development and Related Agencies Appropriations Act, 2023;</li> <li>the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023; and</li> <li>the Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.</li> </ul> <p>For most other federal agencies and programs, the CR provides funding through February 2, 2024.</p> <p>The CR generally funds most programs and activities at the FY2023 levels with several exceptions that provide funding flexibility and additional appropriations for various programs. For example, the CR includes exceptions for:</p> <ul> <li>the Navy's procurement of one Columbia Class Submarine, </li> <li>activities of the U.S. Secret Service that are related to National Special Security Events and the 2024 Presidential Campaign, and </li> <li>activities of the Department of Education that are necessary to ensure the continuation of student loan servicing activities.</li> </ul> <p>This section also extends several expiring programs and authorities, including</p> <ul> <li>the U.S. Parole Commission,</li> <li>the authority for the Department of Defense (DOD) to provide physical protection and personal security for certain former or retired DOD officials who face serious and credible threats arising from duties performed while employed by DOD,</li> <li>restrictions on firearms that are undetectable by walk-through metal detectors and X-ray machines commonly used at airports, </li> <li> limits on pay increases for the Vice President and certain senior political appointees, </li> <li> the exemption from the Antideficiency Act for the Federal Communications Commission's Universal Service Fund, and </li> <li>the Department of Homeland Security's Countering Weapons of Mass Destruction Office. </li> </ul> <p>This section provides appropriations for a payment to Katherine Anne Feinstein, the beneficiary of the late Senator Dianne Feinstein.</p> <p>DIVISION B--OTHER MATTERS</p> <p>TITLE I--EXTENSIONS AND OTHER MATTERS</p> <p>(Sec. 101) This section extends provisions that provide grants and other financial assistance to the Federated States of Micronesia and the Republic of the Marshall Islands. </p> <p>(Sec. 102) This section extends programs authorized by the Agriculture Improvement Act of 2018 (commonly known as the 2018 farm bill) until the later of (1) September 30, 2024, or (2) the date specified in the provision of the act. </p> <p>This section extends and amends Department of Agriculture (USDA) commodity programs, including by </p> <ul> <li> extending various programs for covered commodities, a loan commodity, sugarcane, or sugar beets for the 2024 crop year; </li> <li> extending the Dairy Margin Coverage (DMC) program through December 31, 2024; </li> <li> limiting the 25% premium discount for the DMC program in 2024 to participating dairy operations that received the discount in 2023; </li> <li>allowing Dairy Forward Pricing Program contracts to be extended through September 30, 2027 (currently September 30, 2026); </li> <li> extending the Price Loss Coverage (PLC) payments through the 2024 crop year for a covered commodity; </li> <li> extending the suspension of permanent price support authorities for the 2024 crop year for covered commodities, cotton, and sugar and through December 31, 2024, for milk; and </li> <li> extending the suspension of provisions related to corn and wheat marketing quotas for wheat planted for harvest in calendar year 2024. </li> </ul> <p>This section reauthorizes, and extends funding for, the Grassroots Source Water Protection Program (SWPP) for FY2024. The SWPP is a joint project with the Farm Service Agency and the National Rural Water Association (a nonprofit water and wastewater utility membership organization), which is designed to help prevent pollution of surface and ground water that is used as the primary source of drinking water by rural residents. </p> <p>This section reauthorizes, and extends funding for, the Voluntary Public Access and Habitat Incentive Program through FY2024. The program provides funding to help state and tribal governments encourage landowners to allow public access to their land for hunting, fishing, and other wildlife-dependent recreation. </p> <p>This section reauthorizes, and extends funding for, the Feral Swine Eradication and Control Pilot Program through FY2024. The program responds to the threat feral swine pose to agriculture, native ecosystems, and human and animal health. </p> <p>This section extends the Bill Emerson Humanitarian Trust through FY2024 to allow for eligible commodities to remain in the trust until September 30, 2024. The program makes funds available to provide emergency food assistance to developing countries.</p> <p>This section extends the Emergency Food Assistance Program (TEFAP) through FY2024. TEFAP provides food commodities (and cash support for storage and distribution costs) through states to local emergency feeding organizations (e.g., food banks).</p> <p>This section reauthorizes, and extends funding for, the Rural Economic Development Loan &amp; Grant Program through FY2024 to provide funding for rural projects through local utility organizations. </p> <p>This section provides specified funds for scholarships for students at 1890 Institutions and extends the annual grant limitation by one year. This National Institute of Food and Agriculture (NIFA) program provides grants to 1890 Institutions (i.e., historically Black colleges and universities that belong to the U.S. land-grant university system) for awarding scholarships to students who intend to pursue a career in the food and agricultural sciences. </p> <p>This section also </p> <ul> <li> reauthorizes, and extends funding for, the Urban, Indoor, and other Emerging Agricultural Production Research, Education, and Extension Initiative for FY2024, a NIFA competitive grant program; </li> <li>provides specified funds for the Foundation for Food and Agriculture Research, a nonprofit corporation established to advance the research mission of USDA by supporting research activities focused on key problems of national and international significance; and </li> <li>extends through FY2024 a provision that prohibits USDA from declaring the Grazinglands Research Laboratory in El Reno, Oklahoma, to be excess or surplus federal property, or otherwise conveying or transferring the property. </li> </ul> <p>This section reauthorizes, and extends funding for, the biobased markets program (i.e., BioPreferred Program) through FY2024 to promote biobased products through (1) mandatory purchasing requirements for federal agencies and their contractors, and (2) a voluntary labeling initiative for biobased products. </p> <p>This section reauthorizes, and extends funding for, the bioenergy program for advanced biofuels (i.e., Advanced Biofuel Payment Program) through FY2024. The program provides payments to fuel producers to support and expand production of advanced biofuels (i.e., not derived from corn starch). </p> <p>This section extends through the 2024 crop the Feedstock Flexibility Program (FFP) for Bioenergy Producers, which allows the Commodity Credit Corporation to purchase surplus sugar from processors for resale to ethanol producers for ethanol fuel. Further, this section extends through September 1, 2024, requirements for USDA to provide notice to eligible entities and bioenergy producers of the quantity of eligible commodities that must be made available for purchase and sale for the crop year. </p> <p>This section extends the authority and funding through FY2024 for USDA to collect and report data on the production and marketing of organic agricultural products. </p> <p>This section reauthorizes, and extends funding through FY2024 for, modernization and improvement of international trade technology systems and data collection for imports of organically produced agricultural products. </p> <p>This section reauthorizes, and extends funding for, the Organic Certification Cost Share Program for FY2024. The program provides cost-share assistance to producers and handlers of agricultural products who are obtaining or renewing their certification under the National Organic Program. </p> <p>This section reauthorizes, and extends funding for, the multiple crop and pesticide use survey of farmers through FY2024. The USDA Office of Pest Management Policy conducts this survey to collect data for risk assessment modeling and mitigation for an active ingredient.</p> <p>This section also extends </p> <ul> <li> the Pima Agriculture Cotton Trust Fund through December 31, 2024, which provides assistance to reduce the economic injury to domestic manufacturers resulting from tariffs on cotton fabric that are higher than tariffs on certain apparel articles made of cotton fabric; </li> <li> the Agriculture Wool Apparel Manufacturers Trust Fund through December 31, 2024, which provides assistance to reduce the economic injury to domestic manufacturers resulting from tariffs on wool fabric that are higher than tariffs on certain apparel articles made of wool fabric; </li> <li> the Wool Research and Promotion Program through FY2024, which provides grants to assist U.S. wool producers with improving the quality of wool and with developing and promoting the wool market; </li> <li> the Emergency Citrus Disease Research and Development Trust Fund through FY2024, which funds a program that aims to bring together scientists to find scientifically sound and financially sustainable solutions to Huanglongbing (i.e., citrus greening, a bacterial disease spread by an insect that feeds on citrus); and </li> <li> the Sheep Production &amp; Marketing Grant Program through FY2024, which seeks to strengthen and enhance the production and marketing of sheep and sheep products in the United States. </li> </ul> <p>This section specifies that the extension of farm bill programs does not apply to certain mandatory funding that was provided for (1) the Farm Service Agency to implement USDA commodity programs, and (2) certain payments under the Conservation Reserve Program for forest management thinning and transition contracts. </p> <p>This section extends various reporting requirements authorized by the Agriculture Improvement Act of 2018. </p> <p>This section rescinds specified funds that were provided to USDA for the Biorefinery, Renewable Chemical, and Biobased Product Manufacturing Assistance Program, which provides loan guarantees to assist in the development of new and emerging technologies for the development of advanced biofuels, renewable chemicals, and biobased product manufacturing. </p> <p>This section, with limited exceptions, must be applied and administered as if it had been enacted on September 30, 2023. </p> <p>TITLE II--HEALTH AND HUMAN SERVICES</p> <p>Subtitle A--Public Health Extenders</p> <p>(Sec. 201) This section extends through January 19, 2024, funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Services Corps. (The program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) the National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.) </p> <p>(Sec. 202) This section extends funding through January 19, 2024, for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians. (The Special Diabetes Program for Type I Diabetes supports research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations.) </p> <p>(Sec. 203) This section extends through January 19, 2024, the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency. </p> <p>It also extends through January 19, 2024, provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats).</p> <p>The section extends provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development. </p> <p>Additionally, the section extends through January 19, 2024, the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters. </p> <p>It also extends through January 19, 2024, the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. </p> <p>(The National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams.) </p> <p>Subtitle B--Medicaid</p> <p>(Sec. 301) This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until January 20, 2024. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.) </p> <p>(Sec. 302) This section reduces the amount of funding available to the Medicaid Improvement Fund for activities relating to mechanized claims systems beginning in FY2028. </p> <p>Subtitle C--Human Services</p> <p>(Sec. 401) This section funds through January 19, 2024, programs that support child welfare services and activities. Specifically, it funds the (1) Stephanie Tubbs Jones Child Welfare Service Program, which provides grants to states and Indian tribes to support preventive interventions and other activities to keep families together; and (2) the MaryLee Allen Promoting Safe and Stable Families Program, which supports efforts to prevent the unnecessary separation of children from their families, improve quality of care and services to children and their families, and ensure permanent living arrangements for children (e.g., parental reunification or adoption). </p> <p>(Sec. 402) This section extends funding through January 19, 2024, for the Sexual Risk Avoidance Education Program. This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities. </p> <p>(Sec. 403) This section extends funding through January 19, 2024, for the Personal Responsibility Education Program. This program provides grants to states to educate young people about abstinence and contraception for prevention of pregnancy and sexually transmitted infections. The program also supports pregnant and parenting youth. </p> <p>Subtitle D--Medicare</p> <p>(Sec. 501) This section extends through January 19, 2024, certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare. </p> <p>(Sec. 502) This section delays until 2025 certain laboratory reporting requirements that are used to determine payment rates for clinical diagnostic laboratory tests under Medicare, as well as related payment reductions.</p> <p>(Sec. 503) This section increases funding for the Medicare Improvement Fund. </p> <p>TITLE III--MISCELLANEOUS EXTENSIONS</p> <p>(Sec. 601) This section extends through February 3, 2024, the authority of the Department of Homeland Security and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS). These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity.</p> <p>TITLE IV--BUDGETARY EFFECTS</p> <p>(Sec. 701) This section exempts the budgetary effects of this division from (1) the Statutory Pay-As-You-Go Act of 2010 (PAYGO Act), (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.</p>

action_date: 2023-11-16
action_desc: Public Law
text: <p><b><b>Further Continuing Appropriations and Other Extensions Act, 2024</b></b></p> <p>This act provides continuing FY2024 appropriations for federal agencies. The act also extends several expiring programs and authorities, including programs authorized by the 2018 farm bill and several public health programs. </p> <p>DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2024</p> <p><i>Further Continuing Appropriations Act, 2024</i></p> <p>(Sec. 101) This section provides continuing FY2024 appropriations for federal agencies and extends several expiring programs and authorities.</p> <p>It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2024 appropriations bills have not been enacted when the existing CR expires on November 17, 2023.</p> <p>The CR provides funding through January 19, 2024, for agencies and programs that were funded in the following four FY2023 appropriations acts:</p> <ul> <li>the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2023;</li> <li>the Energy and Water Development and Related Agencies Appropriations Act, 2023;</li> <li>the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023; and</li> <li>the Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.</li> </ul> <p>For most other federal agencies and programs, the CR provides funding through February 2, 2024.</p> <p>The CR generally funds most programs and activities at the FY2023 levels with several exceptions that provide funding flexibility and additional appropriations for various programs. For example, the CR includes exceptions for:</p> <ul> <li>the Navy's procurement of one Columbia Class Submarine, </li> <li>activities of the U.S. Secret Service that are related to National Special Security Events and the 2024 Presidential Campaign, and </li> <li>activities of the Department of Education that are necessary to ensure the continuation of student loan servicing activities.</li> </ul> <p>This section also extends several expiring programs and authorities, including</p> <ul> <li>the U.S. Parole Commission,</li> <li>the authority for the Department of Defense (DOD) to provide physical protection and personal security for certain former or retired DOD officials who face serious and credible threats arising from duties performed while employed by DOD,</li> <li>restrictions on firearms that are undetectable by walk-through metal detectors and X-ray machines commonly used at airports, </li> <li> limits on pay increases for the Vice President and certain senior political appointees, </li> <li> the exemption from the Antideficiency Act for the Federal Communications Commission's Universal Service Fund, and </li> <li>the Department of Homeland Security's Countering Weapons of Mass Destruction Office. </li> </ul> <p>This section provides appropriations for a payment to Katherine Anne Feinstein, the beneficiary of the late Senator Dianne Feinstein.</p> <p>DIVISION B--OTHER MATTERS</p> <p>TITLE I--EXTENSIONS AND OTHER MATTERS</p> <p>(Sec. 101) This section extends provisions that provide grants and other financial assistance to the Federated States of Micronesia and the Republic of the Marshall Islands. </p> <p>(Sec. 102) This section extends programs authorized by the Agriculture Improvement Act of 2018 (commonly known as the 2018 farm bill) until the later of (1) September 30, 2024, or (2) the date specified in the provision of the act. </p> <p>This section extends and amends Department of Agriculture (USDA) commodity programs, including by </p> <ul> <li> extending various programs for covered commodities, a loan commodity, sugarcane, or sugar beets for the 2024 crop year; </li> <li> extending the Dairy Margin Coverage (DMC) program through December 31, 2024; </li> <li> limiting the 25% premium discount for the DMC program in 2024 to participating dairy operations that received the discount in 2023; </li> <li>allowing Dairy Forward Pricing Program contracts to be extended through September 30, 2027 (currently September 30, 2026); </li> <li> extending the Price Loss Coverage (PLC) payments through the 2024 crop year for a covered commodity; </li> <li> extending the suspension of permanent price support authorities for the 2024 crop year for covered commodities, cotton, and sugar and through December 31, 2024, for milk; and </li> <li> extending the suspension of provisions related to corn and wheat marketing quotas for wheat planted for harvest in calendar year 2024. </li> </ul> <p>This section reauthorizes, and extends funding for, the Grassroots Source Water Protection Program (SWPP) for FY2024. The SWPP is a joint project with the Farm Service Agency and the National Rural Water Association (a nonprofit water and wastewater utility membership organization), which is designed to help prevent pollution of surface and ground water that is used as the primary source of drinking water by rural residents. </p> <p>This section reauthorizes, and extends funding for, the Voluntary Public Access and Habitat Incentive Program through FY2024. The program provides funding to help state and tribal governments encourage landowners to allow public access to their land for hunting, fishing, and other wildlife-dependent recreation. </p> <p>This section reauthorizes, and extends funding for, the Feral Swine Eradication and Control Pilot Program through FY2024. The program responds to the threat feral swine pose to agriculture, native ecosystems, and human and animal health. </p> <p>This section extends the Bill Emerson Humanitarian Trust through FY2024 to allow for eligible commodities to remain in the trust until September 30, 2024. The program makes funds available to provide emergency food assistance to developing countries.</p> <p>This section extends the Emergency Food Assistance Program (TEFAP) through FY2024. TEFAP provides food commodities (and cash support for storage and distribution costs) through states to local emergency feeding organizations (e.g., food banks).</p> <p>This section reauthorizes, and extends funding for, the Rural Economic Development Loan &amp; Grant Program through FY2024 to provide funding for rural projects through local utility organizations. </p> <p>This section provides specified funds for scholarships for students at 1890 Institutions and extends the annual grant limitation by one year. This National Institute of Food and Agriculture (NIFA) program provides grants to 1890 Institutions (i.e., historically Black colleges and universities that belong to the U.S. land-grant university system) for awarding scholarships to students who intend to pursue a career in the food and agricultural sciences. </p> <p>This section also </p> <ul> <li> reauthorizes, and extends funding for, the Urban, Indoor, and other Emerging Agricultural Production Research, Education, and Extension Initiative for FY2024, a NIFA competitive grant program; </li> <li>provides specified funds for the Foundation for Food and Agriculture Research, a nonprofit corporation established to advance the research mission of USDA by supporting research activities focused on key problems of national and international significance; and </li> <li>extends through FY2024 a provision that prohibits USDA from declaring the Grazinglands Research Laboratory in El Reno, Oklahoma, to be excess or surplus federal property, or otherwise conveying or transferring the property. </li> </ul> <p>This section reauthorizes, and extends funding for, the biobased markets program (i.e., BioPreferred Program) through FY2024 to promote biobased products through (1) mandatory purchasing requirements for federal agencies and their contractors, and (2) a voluntary labeling initiative for biobased products. </p> <p>This section reauthorizes, and extends funding for, the bioenergy program for advanced biofuels (i.e., Advanced Biofuel Payment Program) through FY2024. The program provides payments to fuel producers to support and expand production of advanced biofuels (i.e., not derived from corn starch). </p> <p>This section extends through the 2024 crop the Feedstock Flexibility Program (FFP) for Bioenergy Producers, which allows the Commodity Credit Corporation to purchase surplus sugar from processors for resale to ethanol producers for ethanol fuel. Further, this section extends through September 1, 2024, requirements for USDA to provide notice to eligible entities and bioenergy producers of the quantity of eligible commodities that must be made available for purchase and sale for the crop year. </p> <p>This section extends the authority and funding through FY2024 for USDA to collect and report data on the production and marketing of organic agricultural products. </p> <p>This section reauthorizes, and extends funding through FY2024 for, modernization and improvement of international trade technology systems and data collection for imports of organically produced agricultural products. </p> <p>This section reauthorizes, and extends funding for, the Organic Certification Cost Share Program for FY2024. The program provides cost-share assistance to producers and handlers of agricultural products who are obtaining or renewing their certification under the National Organic Program. </p> <p>This section reauthorizes, and extends funding for, the multiple crop and pesticide use survey of farmers through FY2024. The USDA Office of Pest Management Policy conducts this survey to collect data for risk assessment modeling and mitigation for an active ingredient.</p> <p>This section also extends </p> <ul> <li> the Pima Agriculture Cotton Trust Fund through December 31, 2024, which provides assistance to reduce the economic injury to domestic manufacturers resulting from tariffs on cotton fabric that are higher than tariffs on certain apparel articles made of cotton fabric; </li> <li> the Agriculture Wool Apparel Manufacturers Trust Fund through December 31, 2024, which provides assistance to reduce the economic injury to domestic manufacturers resulting from tariffs on wool fabric that are higher than tariffs on certain apparel articles made of wool fabric; </li> <li> the Wool Research and Promotion Program through FY2024, which provides grants to assist U.S. wool producers with improving the quality of wool and with developing and promoting the wool market; </li> <li> the Emergency Citrus Disease Research and Development Trust Fund through FY2024, which funds a program that aims to bring together scientists to find scientifically sound and financially sustainable solutions to Huanglongbing (i.e., citrus greening, a bacterial disease spread by an insect that feeds on citrus); and </li> <li> the Sheep Production &amp; Marketing Grant Program through FY2024, which seeks to strengthen and enhance the production and marketing of sheep and sheep products in the United States. </li> </ul> <p>This section specifies that the extension of farm bill programs does not apply to certain mandatory funding that was provided for (1) the Farm Service Agency to implement USDA commodity programs, and (2) certain payments under the Conservation Reserve Program for forest management thinning and transition contracts. </p> <p>This section extends various reporting requirements authorized by the Agriculture Improvement Act of 2018. </p> <p>This section rescinds specified funds that were provided to USDA for the Biorefinery, Renewable Chemical, and Biobased Product Manufacturing Assistance Program, which provides loan guarantees to assist in the development of new and emerging technologies for the development of advanced biofuels, renewable chemicals, and biobased product manufacturing. </p> <p>This section, with limited exceptions, must be applied and administered as if it had been enacted on September 30, 2023. </p> <p>TITLE II--HEALTH AND HUMAN SERVICES</p> <p>Subtitle A--Public Health Extenders</p> <p>(Sec. 201) This section extends through January 19, 2024, funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Services Corps. (The program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) the National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.) </p> <p>(Sec. 202) This section extends funding through January 19, 2024, for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians. (The Special Diabetes Program for Type I Diabetes supports research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations.) </p> <p>(Sec. 203) This section extends through January 19, 2024, the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency. </p> <p>It also extends through January 19, 2024, provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats).</p> <p>The section extends provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development. </p> <p>Additionally, the section extends through January 19, 2024, the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters. </p> <p>It also extends through January 19, 2024, the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. </p> <p>(The National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams.) </p> <p>Subtitle B--Medicaid</p> <p>(Sec. 301) This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until January 20, 2024. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.) </p> <p>(Sec. 302) This section reduces the amount of funding available to the Medicaid Improvement Fund for activities relating to mechanized claims systems beginning in FY2028. </p> <p>Subtitle C--Human Services</p> <p>(Sec. 401) This section funds through January 19, 2024, programs that support child welfare services and activities. Specifically, it funds the (1) Stephanie Tubbs Jones Child Welfare Service Program, which provides grants to states and Indian tribes to support preventive interventions and other activities to keep families together; and (2) the MaryLee Allen Promoting Safe and Stable Families Program, which supports efforts to prevent the unnecessary separation of children from their families, improve quality of care and services to children and their families, and ensure permanent living arrangements for children (e.g., parental reunification or adoption). </p> <p>(Sec. 402) This section extends funding through January 19, 2024, for the Sexual Risk Avoidance Education Program. This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities. </p> <p>(Sec. 403) This section extends funding through January 19, 2024, for the Personal Responsibility Education Program. This program provides grants to states to educate young people about abstinence and contraception for prevention of pregnancy and sexually transmitted infections. The program also supports pregnant and parenting youth. </p> <p>Subtitle D--Medicare</p> <p>(Sec. 501) This section extends through January 19, 2024, certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare. </p> <p>(Sec. 502) This section delays until 2025 certain laboratory reporting requirements that are used to determine payment rates for clinical diagnostic laboratory tests under Medicare, as well as related payment reductions.</p> <p>(Sec. 503) This section increases funding for the Medicare Improvement Fund. </p> <p>TITLE III--MISCELLANEOUS EXTENSIONS</p> <p>(Sec. 601) This section extends through February 3, 2024, the authority of the Department of Homeland Security and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS). These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity.</p> <p>TITLE IV--BUDGETARY EFFECTS</p> <p>(Sec. 701) This section exempts the budgetary effects of this division from (1) the Statutory Pay-As-You-Go Act of 2010 (PAYGO Act), (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.</p>

tv_txt: I One Hundred Eighteenth Congress of the United States of America At the First Session Begun and held at the City of Washington on Tuesday, the third day of January, two thousand and twenty-three H. R. 6363 AN ACT Making further continuing appropriations for fiscal year 2024, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations and Other Extensions Act, 2024 . 2. Table of Contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of Contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2024 Division B—Other Matters Title I—Extensions and Other Matters Title II—Health and Human Services Title III—Miscellaneous Extensions 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, 2024 101. Division A of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ) is amended— (1) by striking the date specified in section 106(3) and inserting February 2, 2024, except as provided in paragraph (4) ; (2) by inserting after paragraph (3) of section 106 the following: (4) In the case of appropriations and funds made available and authority granted pursuant to sections 101(1), 101(4), 101(10), 101(12), 134, and 137, January 19, 2024. ; (3) in section 101(1) by inserting after except section 729, the following: and except that the language under the heading ‘Rural Utilities Service—Rural Water and Waste Disposal Program Account’ in title III shall be applied by inserting ‘direct loans and,’ before ‘loan guarantees’ at the beginning of the first sentence of the second paragraph, ; (4) in section 101(10), by inserting before the period , except section 123 as well as the provisions carrying the same restriction in prior Acts ; (5) in section 123, by striking 17 days and inserting 94 days and by striking 17-day and inserting 94-day ; (6) in section 124, by striking $621,270,000 and inserting $663,070,000 ; (7) in section 125, by striking During the period covered by this Act and inserting Through the date specified in section 106(3) of this Act ; and (8) by adding after section 137 the following new sections: 138. Section 2(f)(2) of the Undetectable Firearms Act of 1988 ( 18 U.S.C. 922 note) shall be applied through the date specified in section 106(3) of this Act by substituting 36 for 35 . 139. Through the date specified in section 106(3) of this Act, amounts appropriated in section 124 of the Continuing Appropriations Act, 2023 (division A of Public Law 117–180 ) may be charged for any proper expense pursuant to section 1553(b)(1) of title 31, United States Code, notwithstanding the limitation in section 1553(b)(2) of such title. 140. Notwithstanding sections 102 and 104, 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 $3,338,413,000. 141. (a) Notwithstanding section 101, section 747 of title VII of division E of Public Law 117–328 shall be applied through the date specified in section 106(3) of this Act by— (1) substituting 2025 for 2024 ; (2) substituting 2024 for 2023 each place it appears; (3) substituting 2023 for 2022 each place it appears; and (4) substituting section 747 of division E of Public Law 117–328 , as in effect on September 30, 2023 for section 747 of division E of Public Law 117–103 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, 2024. 142. 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, 2023’ each place it appears. 143. Amounts made available by section 101 to the Department of Homeland Security under the heading United States Secret Service—Operations and Support may be apportioned up to the rate for operations necessary to carry out activities related to National Special Security Events and the 2024 Presidential Campaign. 144. Section 1901(e) of the Homeland Security Act of 2002 ( 6 U.S.C. 591(e) ) shall be applied by substituting the date that is 1 day after the date specified in section 106(3) of this Act for the date that is 5 years after the date of the enactment of the Countering Weapons of Mass Destruction Act of 2018 . 145. (a) 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, including supporting borrowers reentering repayment. (b) The limitation in section 302 of division H of Public Law 117–328 regarding transfers increasing any appropriation shall be applied to transfers to appropriations under the heading Department of Education—Student Aid Administration through the date specified in section 106(3) of this Act by substituting 10 percent for 3 percent for the purposes of the continuation of basic operations, including student loan servicing, business process operations, digital customer care, common origination and disbursement, cybersecurity activities, and information technology systems. 146. Notwithstanding any other provision of this Act, there is hereby appropriated for fiscal year 2024, out of any money in the Treasury not otherwise appropriated, for payment to Katherine Anne Feinstein, beneficiary of Dianne Feinstein, late a Senator from the State of California, $174,000. This division may be cited as the Continuing Appropriations Act, 2024 . . This division may be cited as the Further Continuing Appropriations Act, 2024 . B Other Matters I Extensions and Other Matters 101. Extension of certain provisions of the Compacts of Free Association with the Federated States of Micronesia and the Republic of the Marshall Islands Section 2101 of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ; 137 Stat. 81) is amended— (1) in the section heading, by striking compact of free association with the federated states of micronesia and inserting compacts of free association with the federated states of micronesia and the republic of the marshall islands ; and (2) in subsection (a)(1)— (A) by striking November 17, 2023 and inserting February 2, 2024 ; (B) by inserting , section 103(f)(2) of the Compact of Free Association Amendments Act of 2003 ( 48 U.S.C. 1921b(f)(2) ), and sections 211, 213, and 216 of the Compact of Free Association between the Government of the United States of America and the Government of the Republic of the Marshall Islands set forth in section 201(b) of that Act ( 48 U.S.C. 1921 note; Public Law 108–188 ) before shall, ; (C) by inserting or the Republic of the Marshall Islands, as applicable before , continue ; and (D) by striking of that Compact and inserting of the applicable Compact . 102. Extension of agricultural programs (a) Extension 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 the 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 on September 30, 2023, shall continue, and the authorities shall be carried out, until the later of— (1) September 30, 2024; or (2) the date specified in the provision of that Act or the provision of law amended by that Act. (b) Discretionary programs Programs carried out using the authorities described in subsection (a) 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 2023 crop year pursuant to title I of that Act ( 7 U.S.C. 9011 et seq. ) and each amendment made by subtitle C of title I of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4511) shall be applicable to the 2024 crop year for that covered commodity, loan commodity, sugarcane, or sugar beets. (2) Dairy (A) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds Section 1405(a) of the Agricultural Act of 2014 ( 7 U.S.C. 9055(a) ) is amended— (i) in paragraph (1), by inserting paragraph (4) and before subsection (b) ; and (ii) by adding at the end the following: (4) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds (A) In general If the amount determined under paragraph (1) is less than 5,000,000 pounds, the production history of the dairy operation for dairy margin coverage shall be equal to— (i) the amount determined under paragraph (1); plus (ii) 75 percent of the amount described in subparagraph (B). (B) Amount The amount referred to in subparagraph (A)(ii) is, with respect to a dairy operation, the amount equal to— (i) the production volume of such dairy operation for the 2019 milk marketing year; minus (ii) the amount determined under paragraph (1). . (B) Dairy margin coverage (i) Duration Section 1409 of the Agricultural Act of 2014 ( 7 U.S.C. 9059 ) is amended by striking 2023 and inserting 2024 . (ii) Availability of premium discount With respect to coverage for calendar year 2024, 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 for calendar year 2023. (C) 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 2026 and inserting 2027 . (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 2018 and inserting 2024 . (4) 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 2024 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, 2024; 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 2024. (d) Other programs (1) Conservation (A) Grassroots source water protection program Section 1240O(b)(3) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–2(b)(3) ) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking use $5,000,000 and inserting the following: use— (A) $5,000,000 ; and (iii) by adding at the end the following: (B) $1,000,000 beginning in fiscal year 2024, to remain available until expended. . (B) Voluntary public access and habitat incentive program Section 1240R(f)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–5(f)(1) ) is amended— (i) by striking and after 2018, ; and (ii) by inserting , and $10,000,000 for fiscal year 2024 before the period at the end. (C) Feral swine eradication and control pilot program Section 2408(g)(1) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 8351 note; Public Law 115–334 ) is amended by inserting and $15,000,000 for fiscal year 2024 before the period at the end. (2) Trade Section 302(h)(2) of the Bill Emerson Humanitarian Trust Act ( 7 U.S.C. 1736f–1(h)(2) ) is amended by striking 2023 and inserting 2024 . (3) Nutrition Section 203D(d)(5) of the Emergency Food Assistance Act of 1983 ( 7 U.S.C. 7507(d)(5) ) is amended by striking 2023 and inserting 2024 . (4) Rural economic development program Section 313B(e)(2) of the Rural Electrification Act of 1936 ( 7 U.S.C. 940c–2(e)(2) ) is amended by striking and 2023 and inserting through 2024 . (5) Research (A) Scholarships for students Section 1446 of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 ( 7 U.S.C. 3222a ) is amended— (i) in subsection (a)(3), by striking three and inserting 4 ; and (ii) in subsection (b)(1)— (I) by striking Of and inserting the following: (A) Funding Of ; and (II) by adding at the end the following: (B) Additional funding Not later than 30 days after the date of enactment of this subparagraph, of the funds of the Commodity Credit Corporation, the Secretary shall make available to carry out this section $10,000,000, to remain available until expended. . (B) Urban, indoor, and other emerging agricultural production research, education, and extension initiative Section 1672E(d)(1) of the Food, Agriculture, Conservation, and Trade Act of 1990 ( 7 U.S.C. 5925g(d)(1) ) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking section $10,000,000 and inserting the following: section— (A) $10,000,000 ; and (iii) by adding at the end the following: (B) $2,000,000 for fiscal year 2024, to remain available until expended. . (C) Foundation for food and agriculture research Section 7601(g)(1)(A) of the Agricultural Act of 2014 ( 7 U.S.C. 5939(g)(1)(A) ) is amended by adding at the end the following: (iii) Additional funding Not later than 30 days after the date of enactment of this clause, of the funds of the Commodity Credit Corporation, the Secretary shall transfer to the Foundation to carry out this section $37,000,000, to remain available until expended. . (D) Grazinglands research laboratory Section 7502 of the Food, Conservation, and Energy Act of 2008 ( Public Law 110–246 ; 122 Stat. 2019; 132 Stat. 4817) shall be applied by substituting the period beginning on the date of enactment of this Act and ending on September 30, 2024 for the 15-year period beginning on the date of enactment of this Act . (6) Energy (A) Biobased markets program Section 9002(k)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8102(k)(1) ) is amended by striking 2023 and inserting 2024 . (B) Bioenergy program for advanced biofuels Section 9005(g)(1)(F) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8105(g)(1)(F) ) is amended by striking 2023 and inserting 2024 . (C) Feedstock flexibility program 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 2023 each place it appears and inserting 2024 . (7) Horticulture (A) Organic production and market data initiatives Section 7407(d)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 5925c(d)(1) ) is amended— (i) in subparagraph (A), by striking and at the end; (ii) in subparagraph (B), by striking the period at the end and inserting ; and ; and (iii) by adding at the end the following: (C) $1,000,000 for fiscal year 2024. . (B) Modernization and improvement of international trade technology systems and data collection Section 2123(c)(4) of the Organic Foods Production Act of 1990 ( 7 U.S.C. 6522(c)(4) ) is amended, in the matter preceding subparagraph (A), by inserting and $1,000,000 for fiscal year 2024 after 2019 . (C) National organic certification cost-share program Section 10606(d)(1)(C) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 6523(d)(1)(C) ) is amended by striking and 2023 and inserting through 2024 . (D) Multiple crop and pesticide use survey Section 10109(c)(1) of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4906) is amended by inserting and $100,000 for fiscal year 2024 after 2019 . (8) Miscellaneous (A) Pima agriculture cotton trust fund Section 12314 of the Agricultural Act of 2014 ( 7 U.S.C. 2101 note; Public Law 113–79 ) is amended— (i) in subsection (b), in the matter preceding paragraph (1), by striking 2023 and inserting 2024 ; and (ii) in subsection (h), by striking 2023 and inserting 2024 . (B) Agriculture wool apparel manufacturers trust fund Section 12315 of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ) is amended by striking 2023 each place it appears and inserting 2024 . (C) Wool research and promotion Section 12316(a) of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ) is amended by striking 2023 and inserting 2024 . (D) Emergency citrus disease research and development trust fund Section 12605(d) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 7632 note; Public Law 115–334 ) is amended by striking 2023 and inserting 2024 . (E) Sheep production and marketing grant program Section 209(c) of the Agricultural Marketing Act of 1946 ( 7 U.S.C. 1627a(c) ) is amended by inserting and $400,000 for fiscal year 2024, after 2019, . (9) Exceptions Subsection (a) shall 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) Subparagraphs (A) and (B) of section 1241(a)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3841(a)(1) ). (e) Reports (1) In general Subject to paragraph (2), any requirement under a provision of law described in subsection (a) to submit a report on a recurring basis, and the final report under which was required to be submitted during fiscal year 2023, shall continue, and the requirement shall be carried out, on the same recurring basis, until the later of the dates specified in paragraphs (1) and (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. (f) Rescission Of the unobligated balances of amounts made available under section 9003(g)(1)(A) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8103(g)(1)(A) ), $177,350,000 is rescinded. (g) Effective date This section and the amendments made by this section (except subsection (f) and the amendments made by subparagraphs (A) and (C) of subsection (d)(5)) shall be applied and administered as if this section and those amendments had been enacted on September 30, 2023. II Health and Human Services A Public Health Extenders 201. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g) ) is amended by striking and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extension for community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (c) Extension for the National Health Service Corps Section 10503(b)(2)(I) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(I) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act ( 42 U.S.C. 254b et seq. ). (e) Conforming amendment Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act and inserting section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act, and section 201(d) of the Further Continuing Appropriations and Other Extensions Act, 2024 . 202. Extension of special diabetes programs (a) Extension of special diabetes programs for Type I diabetes Section 330B(b)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(E) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(E) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . 203. 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 November 17, 2023 and inserting January 19, 2024 . (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking on the date that is 17 years after the date of enactment of the Pandemic and All-Hazards Preparedness Act and inserting after January 19, 2024 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking at the end of the 17-year period that begins on the date of enactment of this Act and inserting after January 19, 2024 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (e) Section 2812(c)(4)(B) of the Public Health Service Act ( 42 U.S.C. 300hh–11(c)(4)(B) ) is amended by striking November 17, 2023 and inserting January 19, 2024 . B Medicaid 301. Delaying certain disproportionate share payment cuts Section 1923(f)(7)(A) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended— (1) in clause (i), by striking November 18, 2023 and inserting January 20, 2024 ; and (2) in clause (ii), by striking November 18, 2023 and inserting January 20, 2024 . 302. Medicaid Improvement Fund reduction Section 1941(b)(3)(A) of the Social Security Act ( 42 U.S.C. 1396w–1(b)(3)(A) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $6,357,117,810 and inserting $5,796,117,810 . C Human Services 401. Extension of child and family services programs Activities authorized by part B of title IV of the Social Security Act shall continue through January 19, 2024, in the manner authorized for fiscal year 2023, and out of any money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary for such purpose. 402. Sexual risk avoidance education extension Section 510 of the Social Security Act ( 42 U.S.C. 710 ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; and (ii) by striking with respect to such period and inserting with respect to the applicable period ; (B) in paragraphs (2)(A), by striking for the period and inserting for the applicable period ; and (C) in paragraphs (2)(B), by striking for the period and inserting for the applicable period ; and (2) in subsection (f)— (A) in paragraph (1), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 ; and (B) in paragraph (2), by striking for the period and inserting for the applicable period . 403. Personal responsibility education extension Section 513 of the Social Security Act ( 42 U.S.C. 713 ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) in subparagraph (A), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, ; and (ii) in subparagraph (B)(i), by inserting after November 17, 2023 the following: , and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; (iii) in subparagraph (C)(i), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (B) in paragraph (3), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (C) in paragraph (4)(A)— (i) by striking for the period each place it appears and inserting for each period ; and (ii) by striking for a fiscal year or the period and inserting for a fiscal year or period ; (D) in paragraph (4)(B)(i), by striking the period described in paragraph (1)(A) and inserting each period described in paragraph (1)(A) ; (2) in subsection (c), by striking for the period described in subsection (a)(1)(A) and inserting for a period described in subsection (a)(1)(A) for fiscal year 2024 ; and (3) in subsection (f)(1), by striking 2023, and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting 2023, for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 . D Medicare 501. Extending floor for work geographic index 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, 2024 and inserting January 20, 2024 . 502. Revising phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-in of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ) is amended— (1) in subparagraph (A), by striking 2026 and inserting 2027 ; and (2) in subparagraph (B)— (A) in clause (ii), by striking 2023 and inserting 2024 ; and (B) in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027 . (b) Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates Section 1834A(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(1)(B) ) is amended— (1) in clause (i), by striking 2023 and inserting 2024 ; and (2) in clause (ii), by striking 2024 each place it appears and inserting 2025 . 503. Medicare improvement fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) ) is amended by striking $180,000,000 and inserting $466,795,056 . III Miscellaneous Extensions 601. Counter-UAS Authorities Section 210G(i) of the Homeland Security Act of 2002 ( 6 U.S.C. 124n(i) ) is amended by striking November 18, 2023 and inserting February 3, 2024 . IV Budgetary Effects 701. Budgetary Effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; (2) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and (3) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

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

tv_txt: II Calendar No. 248 118th CONGRESS 1st Session H. R. 6363 IN THE SENATE OF THE UNITED STATES November 14 (legislative day, November 13), 2023 Received; read the first time November 14, 2023 Read the second time and placed on the calendar AN ACT Making further continuing appropriations for fiscal year 2024, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations and Other Extensions Act, 2024 . 2. Table of Contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of Contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2024 Division B—Other Matters Title I—Extensions and Other Matters Title II—Health and Human Services Title III—Miscellaneous Extensions 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, 2024 101. Division A of the Continuing Appropriations Act, 2024 and Other Extensions Act (Public Law 118–15) is amended— (1) by striking the date specified in section 106(3) and inserting February 2, 2024, except as provided in paragraph (4) ; (2) by inserting after paragraph (3) of section 106 the following: (4) In the case of appropriations and funds made available and authority granted pursuant to sections 101(1), 101(4), 101(10), 101(12), 134, and 137, January 19, 2024. ; (3) in section 101(1) by inserting after except section 729, the following: and except that the language under the heading ‘Rural Utilities Service—Rural Water and Waste Disposal Program Account’ in title III shall be applied by inserting ‘direct loans and,’ before ‘loan guarantees’ at the beginning of the first sentence of the second paragraph, ; (4) in section 101(10), by inserting before the period , except section 123 as well as the provisions carrying the same restriction in prior Acts ; (5) in section 123, by striking 17 days and inserting 94 days and by striking 17-day and inserting 94-day ; (6) in section 124, by striking $621,270,000 and inserting $663,070,000 ; (7) in section 125, by striking During the period covered by this Act and inserting Through the date specified in section 106(3) of this Act ; and (8) by adding after section 137 the following new sections: 138. Section 2(f)(2) of the Undetectable Firearms Act of 1988 (18 U.S.C. 922 note) shall be applied through the date specified in section 106(3) of this Act by substituting 36 for 35 . 139. Through the date specified in section 106(3) of this Act, amounts appropriated in section 124 of the Continuing Appropriations Act, 2023 (division A of Public Law 117–180) may be charged for any proper expense pursuant to section 1553(b)(1) of title 31, United States Code, notwithstanding the limitation in section 1553(b)(2) of such title. 140. Notwithstanding sections 102 and 104, 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 $3,338,413,000. 141. (a) Notwithstanding section 101, section 747 of title VII of division E of Public Law 117–328 shall be applied through the date specified in section 106(3) of this Act by— (1) substituting 2025 for 2024 ; (2) substituting 2024 for 2023 each place it appears; (3) substituting 2023 for 2022 each place it appears; and (4) substituting section 747 of division E of Public Law 117–328, as in effect on September 30, 2023 for section 747 of division E of Public Law 117–103 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, 2024. 142. 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, 2023’ each place it appears. 143. Amounts made available by section 101 to the Department of Homeland Security under the heading United States Secret Service—Operations and Support may be apportioned up to the rate for operations necessary to carry out activities related to National Special Security Events and the 2024 Presidential Campaign. 144. Section 1901(e) of the Homeland Security Act of 2002 (6 U.S.C. 591(e)) shall be applied by substituting the date that is 1 day after the date specified in section 106(3) of this Act for the date that is 5 years after the date of the enactment of the Countering Weapons of Mass Destruction Act of 2018 . 145. (a) 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, including supporting borrowers reentering repayment. (b) The limitation in section 302 of division H of Public Law 117–328 regarding transfers increasing any appropriation shall be applied to transfers to appropriations under the heading Department of Education—Student Aid Administration through the date specified in section 106(3) of this Act by substituting 10 percent for 3 percent for the purposes of the continuation of basic operations, including student loan servicing, business process operations, digital customer care, common origination and disbursement, cybersecurity activities, and information technology systems. 146. Notwithstanding any other provision of this Act, there is hereby appropriated for fiscal year 2024, out of any money in the Treasury not otherwise appropriated, for payment to Katherine Anne Feinstein, beneficiary of Dianne Feinstein, late a Senator from the State of California, $174,000. This division may be cited as the Continuing Appropriations Act, 2024 . . This division may be cited as the Further Continuing Appropriations Act, 2024 . B Other Matters I Extensions and Other Matters 101. Extension of certain provisions of the Compacts of Free Association with the Federated States of Micronesia and the Republic of the Marshall Islands Section 2101 of the Continuing Appropriations Act, 2024 and Other Extensions Act (Public Law 118–15; 137 Stat. 81) is amended— (1) in the section heading, by striking compact of free association with the federated states of micronesia and inserting compacts of free association with the federated states of micronesia and the republic of the marshall islands ; and (2) in subsection (a)(1)— (A) by striking November 17, 2023 and inserting February 2, 2024 ; (B) by inserting , section 103(f)(2) of the Compact of Free Association Amendments Act of 2003 (48 U.S.C. 1921b(f)(2)), and sections 211, 213, and 216 of the Compact of Free Association between the Government of the United States of America and the Government of the Republic of the Marshall Islands set forth in section 201(b) of that Act (48 U.S.C. 1921 note; Public Law 108–188) before shall, ; (C) by inserting or the Republic of the Marshall Islands, as applicable before , continue ; and (D) by striking of that Compact and inserting of the applicable Compact . 102. Extension of agricultural programs (a) Extension 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 the 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 on September 30, 2023, shall continue, and the authorities shall be carried out, until the later of— (1) September 30, 2024; or (2) the date specified in the provision of that Act or the provision of law amended by that Act. (b) Discretionary programs Programs carried out using the authorities described in subsection (a) 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 2023 crop year pursuant to title I of that Act (7 U.S.C. 9011 et seq.) and each amendment made by subtitle C of title I of the Agriculture Improvement Act of 2018 (Public Law 115–334; 132 Stat. 4511) shall be applicable to the 2024 crop year for that covered commodity, loan commodity, sugarcane, or sugar beets. (2) Dairy (A) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds Section 1405(a) of the Agricultural Act of 2014 (7 U.S.C. 9055(a)) is amended— (i) in paragraph (1), by inserting paragraph (4) and before subsection (b) ; and (ii) by adding at the end the following: (4) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds (A) In general If the amount determined under paragraph (1) is less than 5,000,000 pounds, the production history of the dairy operation for dairy margin coverage shall be equal to— (i) the amount determined under paragraph (1); plus (ii) 75 percent of the amount described in subparagraph (B). (B) Amount The amount referred to in subparagraph (A)(ii) is, with respect to a dairy operation, the amount equal to— (i) the production volume of such dairy operation for the 2019 milk marketing year; minus (ii) the amount determined under paragraph (1). . (B) Dairy margin coverage (i) Duration Section 1409 of the Agricultural Act of 2014 (7 U.S.C. 9059) is amended by striking 2023 and inserting 2024 . (ii) Availability of premium discount With respect to coverage for calendar year 2024, 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 for calendar year 2023. (C) 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 2026 and inserting 2027 . (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 2018 and inserting 2024 . (4) 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 2024 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, 2024; 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 2024. (d) Other programs (1) Conservation (A) Grassroots source water protection program Section 1240O(b)(3) of the Food Security Act of 1985 (16 U.S.C. 3839bb–2(b)(3)) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking use $5,000,000 and inserting the following: use— (A) $5,000,000 ; and (iii) by adding at the end the following: (B) $1,000,000 beginning in fiscal year 2024, to remain available until expended. . (B) Voluntary public access and habitat incentive program Section 1240R(f)(1) of the Food Security Act of 1985 (16 U.S.C. 3839bb–5(f)(1)) is amended— (i) by striking and after 2018, ; and (ii) by inserting , and $10,000,000 for fiscal year 2024 before the period at the end. (C) Feral swine eradication and control pilot program Section 2408(g)(1) of the Agriculture Improvement Act of 2018 (7 U.S.C. 8351 note; Public Law 115–334) is amended by inserting and $15,000,000 for fiscal year 2024 before the period at the end. (2) Trade Section 302(h)(2) of the Bill Emerson Humanitarian Trust Act (7 U.S.C. 1736f–1(h)(2)) is amended by striking 2023 and inserting 2024 . (3) Nutrition Section 203D(d)(5) of the Emergency Food Assistance Act of 1983 (7 U.S.C. 7507(d)(5)) is amended by striking 2023 and inserting 2024 . (4) Rural economic development program Section 313B(e)(2) of the Rural Electrification Act of 1936 (7 U.S.C. 940c–2(e)(2)) is amended by striking and 2023 and inserting through 2024 . (5) Research (A) Scholarships for students Section 1446 of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 (7 U.S.C. 3222a) is amended— (i) in subsection (a)(3), by striking three and inserting 4 ; and (ii) in subsection (b)(1)— (I) by striking Of and inserting the following: (A) Funding Of ; and (II) by adding at the end the following: (B) Additional funding Not later than 30 days after the date of enactment of this subparagraph, of the funds of the Commodity Credit Corporation, the Secretary shall make available to carry out this section $10,000,000, to remain available until expended. . (B) Urban, indoor, and other emerging agricultural production research, education, and extension initiative Section 1672E(d)(1) of the Food, Agriculture, Conservation, and Trade Act of 1990 (7 U.S.C. 5925g(d)(1)) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking section $10,000,000 and inserting the following: section— (A) $10,000,000 ; and (iii) by adding at the end the following: (B) $2,000,000 for fiscal year 2024, to remain available until expended. . (C) Foundation for food and agriculture research Section 7601(g)(1)(A) of the Agricultural Act of 2014 (7 U.S.C. 5939(g)(1)(A)) is amended by adding at the end the following: (iii) Additional funding Not later than 30 days after the date of enactment of this clause, of the funds of the Commodity Credit Corporation, the Secretary shall transfer to the Foundation to carry out this section $37,000,000, to remain available until expended. . (D) Grazinglands research laboratory Section 7502 of the Food, Conservation, and Energy Act of 2008 (Public Law 110–246; 122 Stat. 2019; 132 Stat. 4817) shall be applied by substituting the period beginning on the date of enactment of this Act and ending on September 30, 2024 for the 15-year period beginning on the date of enactment of this Act . (6) Energy (A) Biobased markets program Section 9002(k)(1) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8102(k)(1)) is amended by striking 2023 and inserting 2024 . (B) Bioenergy program for advanced biofuels Section 9005(g)(1)(F) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8105(g)(1)(F)) is amended by striking 2023 and inserting 2024 . (C) Feedstock flexibility program 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 2023 each place it appears and inserting 2024 . (7) Horticulture (A) Organic production and market data initiatives Section 7407(d)(1) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 5925c(d)(1)) is amended— (i) in subparagraph (A), by striking and at the end; (ii) in subparagraph (B), by striking the period at the end and inserting ; and ; and (iii) by adding at the end the following: (C) $1,000,000 for fiscal year 2024. . (B) Modernization and improvement of international trade technology systems and data collection Section 2123(c)(4) of the Organic Foods Production Act of 1990 (7 U.S.C. 6522(c)(4)) is amended, in the matter preceding subparagraph (A), by inserting and $1,000,000 for fiscal year 2024 after 2019 . (C) National organic certification cost-share program Section 10606(d)(1)(C) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 6523(d)(1)(C)) is amended by striking and 2023 and inserting through 2024 . (D) Multiple crop and pesticide use survey Section 10109(c)(1) of the Agriculture Improvement Act of 2018 (Public Law 115–334; 132 Stat. 4906) is amended by inserting and $100,000 for fiscal year 2024 after 2019 . (8) Miscellaneous (A) Pima agriculture cotton trust fund Section 12314 of the Agricultural Act of 2014 (7 U.S.C. 2101 note; Public Law 113–79) is amended— (i) in subsection (b), in the matter preceding paragraph (1), by striking 2023 and inserting 2024 ; and (ii) in subsection (h), by striking 2023 and inserting 2024 . (B) Agriculture wool apparel manufacturers trust fund Section 12315 of the Agricultural Act of 2014 (7 U.S.C. 7101 note; Public Law 113–79) is amended by striking 2023 each place it appears and inserting 2024 . (C) Wool research and promotion Section 12316(a) of the Agricultural Act of 2014 (7 U.S.C. 7101 note; Public Law 113–79) is amended by striking 2023 and inserting 2024 . (D) Emergency citrus disease research and development trust fund Section 12605(d) of the Agriculture Improvement Act of 2018 (7 U.S.C. 7632 note; Public Law 115–334) is amended by striking 2023 and inserting 2024 . (E) Sheep production and marketing grant program Section 209(c) of the Agricultural Marketing Act of 1946 (7 U.S.C. 1627a(c)) is amended by inserting and $400,000 for fiscal year 2024, after 2019, . (9) Exceptions Subsection (a) shall 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) Subparagraphs (A) and (B) of section 1241(a)(1) of the Food Security Act of 1985 (16 U.S.C. 3841(a)(1)). (e) Reports (1) In general Subject to paragraph (2), any requirement under a provision of law described in subsection (a) to submit a report on a recurring basis, and the final report under which was required to be submitted during fiscal year 2023, shall continue, and the requirement shall be carried out, on the same recurring basis, until the later of the dates specified in paragraphs (1) and (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. (f) Rescission Of the unobligated balances of amounts made available under section 9003(g)(1)(A) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)), $177,350,000 is rescinded. (g) Effective date This section and the amendments made by this section (except subsection (f) and the amendments made by subparagraphs (A) and (C) of subsection (d)(5)) shall be applied and administered as if this section and those amendments had been enacted on September 30, 2023. II Health and Human Services A Public Health Extenders 201. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act (42 U.S.C. 256h(g)) is amended by striking and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extension for community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(F)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (c) Extension for the National Health Service Corps Section 10503(b)(2)(I) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)(I)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254b et seq.). (e) Conforming amendment Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act and inserting section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act, and section 201(d) of the Further Continuing Appropriations and Other Extensions Act, 2024 . 202. Extension of special diabetes programs (a) Extension of special diabetes programs for Type I diabetes Section 330B(b)(2)(E) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2)(E) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)(E)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . 203. 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 November 17, 2023 and inserting January 19, 2024 . (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking on the date that is 17 years after the date of enactment of the Pandemic and All-Hazards Preparedness Act and inserting after January 19, 2024 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking at the end of the 17-year period that begins on the date of enactment of this Act and inserting after January 19, 2024 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (e) Section 2812(c)(4)(B) of the Public Health Service Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by striking November 17, 2023 and inserting January 19, 2024 . B Medicaid 301. Delaying certain disproportionate share payment cuts Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r–4(f)(7)(A)) is amended— (1) in clause (i), by striking November 18, 2023 and inserting January 20, 2024 ; and (2) in clause (ii), by striking November 18, 2023 and inserting January 20, 2024 . 302. Medicaid Improvement Fund reduction Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w–1(b)(3)(A)), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $6,357,117,810 and inserting 5,796,117,810 . C Human Services 401. Extension of child and family services programs Activities authorized by part B of title IV of the Social Security Act shall continue through January 19, 2024, in the manner authorized for fiscal year 2023, and out of any money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary for such purpose. 402. Sexual risk avoidance education extension Section 510 of the Social Security Act (42 U.S.C. 710), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; and (ii) by striking with respect to such period and inserting with respect to the applicable period ; (B) in paragraphs (2)(A), by striking for the period and inserting for the applicable period ; and (C) in paragraphs (2)(B), by striking for the period and inserting for the applicable period ; and (2) in subsection (f)— (A) in paragraph (1), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 ; and (B) in paragraph (2), by striking for the period and inserting for the applicable period . 403. Personal responsibility education extension Section 513 of the Social Security Act (42 U.S.C. 713), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) in subparagraph (A), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, ; and (ii) in subparagraph (B)(i), by inserting after November 17, 2023 the following: , and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; (iii) in subparagraph (C)(i), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (B) in paragraph (3), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (C) in paragraph (4)(A)— (i) by striking for the period each place it appears and inserting for each period ; and (ii) by striking for a fiscal year or the period and inserting for a fiscal year or period ; (D) in paragraph (4)(B)(i), by striking the period described in paragraph (1)(A) and inserting each period described in paragraph (1)(A) ; (2) in subsection (c), by striking for the period described in subsection (a)(1)(A) and inserting for a period described in subsection (a)(1)(A) for fiscal year 2024 ; and (3) in subsection (f)(1), by striking 2023, and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting 2023, for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 . D Medicare 501. Extending floor for work geographic index 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, 2024 and inserting January 20, 2024 . 502. Revising phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-in of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act (42 U.S.C. 1395m–1(b)(3)) is amended— (1) in subparagraph (A), by striking 2026 and inserting 2027 ; and (2) in subparagraph (B)— (A) in clause (ii), by striking 2023 and inserting 2024 ; and (B) in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027 . (b) Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates Section 1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m–1(a)(1)(B)) is amended— (1) in clause (i), by striking 2023 and inserting 2024 ; and (2) in clause (ii), by striking 2024 each place it appears and inserting 2025 . 503. Medicare improvement fund Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking $180,000,000 and inserting $466,795,056 . III Miscellaneous Extensions 601. Counter-UAS Authorities Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 124n(i)) is amended by striking November 18, 2023 and inserting February 3, 2024 . IV Budgetary Effects 701. Budgetary Effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; (2) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and (3) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

Passed the House of Representatives November 14, 2023. Kevin F. McCumber, Clerk.

November 14, 2023 Read the second time and placed on the calendar

tv_txt: I 118th CONGRESS 1st Session H. R. 6363 IN THE HOUSE OF REPRESENTATIVES AN ACT Making further continuing appropriations for fiscal year 2024, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations and Other Extensions Act, 2024 . 2. Table of Contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of Contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2024 Division B—Other Matters Title I—Extensions and Other Matters Title II—Health and Human Services Title III—Miscellaneous Extensions 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, 2024 101. Division A of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ) is amended— (1) by striking the date specified in section 106(3) and inserting February 2, 2024, except as provided in paragraph (4) ; (2) by inserting after paragraph (3) of section 106 the following: (4) In the case of appropriations and funds made available and authority granted pursuant to sections 101(1), 101(4), 101(10), 101(12), 134, and 137, January 19, 2024. ; (3) in section 101(1) by inserting after except section 729, the following: and except that the language under the heading ‘Rural Utilities Service—Rural Water and Waste Disposal Program Account’ in title III shall be applied by inserting ‘direct loans and,’ before ‘loan guarantees’ at the beginning of the first sentence of the second paragraph, ; (4) in section 101(10), by inserting before the period , except section 123 as well as the provisions carrying the same restriction in prior Acts ; (5) in section 123, by striking 17 days and inserting 94 days and by striking 17-day and inserting 94-day ; (6) in section 124, by striking $621,270,000 and inserting $663,070,000 ; (7) in section 125, by striking During the period covered by this Act and inserting Through the date specified in section 106(3) of this Act ; and (8) by adding after section 137 the following new sections: 138. Section 2(f)(2) of the Undetectable Firearms Act of 1988 ( 18 U.S.C. 922 note) shall be applied through the date specified in section 106(3) of this Act by substituting 36 for 35 . 139. Through the date specified in section 106(3) of this Act, amounts appropriated in section 124 of the Continuing Appropriations Act, 2023 (division A of Public Law 117–180 ) may be charged for any proper expense pursuant to section 1553(b)(1) of title 31, United States Code, notwithstanding the limitation in section 1553(b)(2) of such title. 140. Notwithstanding sections 102 and 104, 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 $3,338,413,000. 141. (a) Notwithstanding section 101, section 747 of title VII of division E of Public Law 117–328 shall be applied through the date specified in section 106(3) of this Act by— (1) substituting 2025 for 2024 ; (2) substituting 2024 for 2023 each place it appears; (3) substituting 2023 for 2022 each place it appears; and (4) substituting section 747 of division E of Public Law 117–328 , as in effect on September 30, 2023 for section 747 of division E of Public Law 117–103 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, 2024. 142. 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, 2023’ each place it appears. 143. Amounts made available by section 101 to the Department of Homeland Security under the heading United States Secret Service—Operations and Support may be apportioned up to the rate for operations necessary to carry out activities related to National Special Security Events and the 2024 Presidential Campaign. 144. Section 1901(e) of the Homeland Security Act of 2002 ( 6 U.S.C. 591(e) ) shall be applied by substituting the date that is 1 day after the date specified in section 106(3) of this Act for the date that is 5 years after the date of the enactment of the Countering Weapons of Mass Destruction Act of 2018 . 145. (a) 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, including supporting borrowers reentering repayment. (b) The limitation in section 302 of division H of Public Law 117–328 regarding transfers increasing any appropriation shall be applied to transfers to appropriations under the heading Department of Education—Student Aid Administration through the date specified in section 106(3) of this Act by substituting 10 percent for 3 percent for the purposes of the continuation of basic operations, including student loan servicing, business process operations, digital customer care, common origination and disbursement, cybersecurity activities, and information technology systems. 146. Notwithstanding any other provision of this Act, there is hereby appropriated for fiscal year 2024, out of any money in the Treasury not otherwise appropriated, for payment to Katherine Anne Feinstein, beneficiary of Dianne Feinstein, late a Senator from the State of California, $174,000. This division may be cited as the Continuing Appropriations Act, 2024 . . This division may be cited as the Further Continuing Appropriations Act, 2024 . B Other Matters I Extensions and Other Matters 101. Extension of certain provisions of the Compacts of Free Association with the Federated States of Micronesia and the Republic of the Marshall Islands Section 2101 of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ; 137 Stat. 81) is amended— (1) in the section heading, by striking compact of free association with the federated states of micronesia and inserting compacts of free association with the federated states of micronesia and the republic of the marshall islands ; and (2) in subsection (a)(1)— (A) by striking November 17, 2023 and inserting February 2, 2024 ; (B) by inserting , section 103(f)(2) of the Compact of Free Association Amendments Act of 2003 ( 48 U.S.C. 1921b(f)(2) ), and sections 211, 213, and 216 of the Compact of Free Association between the Government of the United States of America and the Government of the Republic of the Marshall Islands set forth in section 201(b) of that Act ( 48 U.S.C. 1921 note; Public Law 108–188 ) before shall, ; (C) by inserting or the Republic of the Marshall Islands, as applicable before , continue ; and (D) by striking of that Compact and inserting of the applicable Compact . 102. Extension of agricultural programs (a) Extension 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 the 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 on September 30, 2023, shall continue, and the authorities shall be carried out, until the later of— (1) September 30, 2024; or (2) the date specified in the provision of that Act or the provision of law amended by that Act. (b) Discretionary programs Programs carried out using the authorities described in subsection (a) 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 2023 crop year pursuant to title I of that Act ( 7 U.S.C. 9011 et seq. ) and each amendment made by subtitle C of title I of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4511) shall be applicable to the 2024 crop year for that covered commodity, loan commodity, sugarcane, or sugar beets. (2) Dairy (A) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds Section 1405(a) of the Agricultural Act of 2014 ( 7 U.S.C. 9055(a) ) is amended— (i) in paragraph (1), by inserting paragraph (4) and before subsection (b) ; and (ii) by adding at the end the following: (4) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds (A) In general If the amount determined under paragraph (1) is less than 5,000,000 pounds, the production history of the dairy operation for dairy margin coverage shall be equal to— (i) the amount determined under paragraph (1); plus (ii) 75 percent of the amount described in subparagraph (B). (B) Amount The amount referred to in subparagraph (A)(ii) is, with respect to a dairy operation, the amount equal to— (i) the production volume of such dairy operation for the 2019 milk marketing year; minus (ii) the amount determined under paragraph (1). . (B) Dairy margin coverage (i) Duration Section 1409 of the Agricultural Act of 2014 ( 7 U.S.C. 9059 ) is amended by striking 2023 and inserting 2024 . (ii) Availability of premium discount With respect to coverage for calendar year 2024, 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 for calendar year 2023. (C) 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 2026 and inserting 2027 . (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 2018 and inserting 2024 . (4) 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 2024 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, 2024; 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 2024. (d) Other programs (1) Conservation (A) Grassroots source water protection program Section 1240O(b)(3) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–2(b)(3) ) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking use $5,000,000 and inserting the following: use— (A) $5,000,000 ; and (iii) by adding at the end the following: (B) $1,000,000 beginning in fiscal year 2024, to remain available until expended. . (B) Voluntary public access and habitat incentive program Section 1240R(f)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–5(f)(1) ) is amended— (i) by striking and after 2018, ; and (ii) by inserting , and $10,000,000 for fiscal year 2024 before the period at the end. (C) Feral swine eradication and control pilot program Section 2408(g)(1) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 8351 note; Public Law 115–334 ) is amended by inserting and $15,000,000 for fiscal year 2024 before the period at the end. (2) Trade Section 302(h)(2) of the Bill Emerson Humanitarian Trust Act ( 7 U.S.C. 1736f–1(h)(2) ) is amended by striking 2023 and inserting 2024 . (3) Nutrition Section 203D(d)(5) of the Emergency Food Assistance Act of 1983 ( 7 U.S.C. 7507(d)(5) ) is amended by striking 2023 and inserting 2024 . (4) Rural economic development program Section 313B(e)(2) of the Rural Electrification Act of 1936 ( 7 U.S.C. 940c–2(e)(2) ) is amended by striking and 2023 and inserting through 2024 . (5) Research (A) Scholarships for students Section 1446 of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 ( 7 U.S.C. 3222a ) is amended— (i) in subsection (a)(3), by striking three and inserting 4 ; and (ii) in subsection (b)(1)— (I) by striking Of and inserting the following: (A) Funding Of ; and (II) by adding at the end the following: (B) Additional funding Not later than 30 days after the date of enactment of this subparagraph, of the funds of the Commodity Credit Corporation, the Secretary shall make available to carry out this section $10,000,000, to remain available until expended. . (B) Urban, indoor, and other emerging agricultural production research, education, and extension initiative Section 1672E(d)(1) of the Food, Agriculture, Conservation, and Trade Act of 1990 ( 7 U.S.C. 5925g(d)(1) ) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking section $10,000,000 and inserting the following: section— (A) $10,000,000 ; and (iii) by adding at the end the following: (B) $2,000,000 for fiscal year 2024, to remain available until expended. . (C) Foundation for food and agriculture research Section 7601(g)(1)(A) of the Agricultural Act of 2014 ( 7 U.S.C. 5939(g)(1)(A) ) is amended by adding at the end the following: (iii) Additional funding Not later than 30 days after the date of enactment of this clause, of the funds of the Commodity Credit Corporation, the Secretary shall transfer to the Foundation to carry out this section $37,000,000, to remain available until expended. . (D) Grazinglands research laboratory Section 7502 of the Food, Conservation, and Energy Act of 2008 ( Public Law 110–246 ; 122 Stat. 2019; 132 Stat. 4817) shall be applied by substituting the period beginning on the date of enactment of this Act and ending on September 30, 2024 for the 15-year period beginning on the date of enactment of this Act . (6) Energy (A) Biobased markets program Section 9002(k)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8102(k)(1) ) is amended by striking 2023 and inserting 2024 . (B) Bioenergy program for advanced biofuels Section 9005(g)(1)(F) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8105(g)(1)(F) ) is amended by striking 2023 and inserting 2024 . (C) Feedstock flexibility program 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 2023 each place it appears and inserting 2024 . (7) Horticulture (A) Organic production and market data initiatives Section 7407(d)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 5925c(d)(1) ) is amended— (i) in subparagraph (A), by striking and at the end; (ii) in subparagraph (B), by striking the period at the end and inserting ; and ; and (iii) by adding at the end the following: (C) $1,000,000 for fiscal year 2024. . (B) Modernization and improvement of international trade technology systems and data collection Section 2123(c)(4) of the Organic Foods Production Act of 1990 ( 7 U.S.C. 6522(c)(4) ) is amended, in the matter preceding subparagraph (A), by inserting and $1,000,000 for fiscal year 2024 after 2019 . (C) National organic certification cost-share program Section 10606(d)(1)(C) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 6523(d)(1)(C) ) is amended by striking and 2023 and inserting through 2024 . (D) Multiple crop and pesticide use survey Section 10109(c)(1) of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4906) is amended by inserting and $100,000 for fiscal year 2024 after 2019 . (8) Miscellaneous (A) Pima agriculture cotton trust fund Section 12314 of the Agricultural Act of 2014 ( 7 U.S.C. 2101 note; Public Law 113–79 ) is amended— (i) in subsection (b), in the matter preceding paragraph (1), by striking 2023 and inserting 2024 ; and (ii) in subsection (h), by striking 2023 and inserting 2024 . (B) Agriculture wool apparel manufacturers trust fund Section 12315 of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ) is amended by striking 2023 each place it appears and inserting 2024 . (C) Wool research and promotion Section 12316(a) of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ) is amended by striking 2023 and inserting 2024 . (D) Emergency citrus disease research and development trust fund Section 12605(d) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 7632 note; Public Law 115–334 ) is amended by striking 2023 and inserting 2024 . (E) Sheep production and marketing grant program Section 209(c) of the Agricultural Marketing Act of 1946 ( 7 U.S.C. 1627a(c) ) is amended by inserting and $400,000 for fiscal year 2024, after 2019, . (9) Exceptions Subsection (a) shall 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) Subparagraphs (A) and (B) of section 1241(a)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3841(a)(1) ). (e) Reports (1) In general Subject to paragraph (2), any requirement under a provision of law described in subsection (a) to submit a report on a recurring basis, and the final report under which was required to be submitted during fiscal year 2023, shall continue, and the requirement shall be carried out, on the same recurring basis, until the later of the dates specified in paragraphs (1) and (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. (f) Rescission Of the unobligated balances of amounts made available under section 9003(g)(1)(A) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8103(g)(1)(A) ), $177,350,000 is rescinded. (g) Effective date This section and the amendments made by this section (except subsection (f) and the amendments made by subparagraphs (A) and (C) of subsection (d)(5)) shall be applied and administered as if this section and those amendments had been enacted on September 30, 2023. II Health and Human Services A Public Health Extenders 201. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g) ) is amended by striking and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extension for community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (c) Extension for the National Health Service Corps Section 10503(b)(2)(I) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(I) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act ( 42 U.S.C. 254b et seq. ). (e) Conforming amendment Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act and inserting section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act, and section 201(d) of the Further Continuing Appropriations and Other Extensions Act, 2024 . 202. Extension of special diabetes programs (a) Extension of special diabetes programs for Type I diabetes Section 330B(b)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(E) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(E) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . 203. 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 November 17, 2023 and inserting January 19, 2024 . (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking on the date that is 17 years after the date of enactment of the Pandemic and All-Hazards Preparedness Act and inserting after January 19, 2024 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking at the end of the 17-year period that begins on the date of enactment of this Act and inserting after January 19, 2024 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (e) Section 2812(c)(4)(B) of the Public Health Service Act ( 42 U.S.C. 300hh–11(c)(4)(B) ) is amended by striking November 17, 2023 and inserting January 19, 2024 . B Medicaid 301. Delaying certain disproportionate share payment cuts Section 1923(f)(7)(A) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended— (1) in clause (i), by striking November 18, 2023 and inserting January 20, 2024 ; and (2) in clause (ii), by striking November 18, 2023 and inserting January 20, 2024 . 302. Medicaid Improvement Fund reduction Section 1941(b)(3)(A) of the Social Security Act ( 42 U.S.C. 1396w–1(b)(3)(A) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $6,357,117,810 and inserting 5,796,117,810 . C Human Services 401. Extension of child and family services programs Activities authorized by part B of title IV of the Social Security Act shall continue through January 19, 2024, in the manner authorized for fiscal year 2023, and out of any money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary for such purpose. 402. Sexual risk avoidance education extension Section 510 of the Social Security Act ( 42 U.S.C. 710 ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; and (ii) by striking with respect to such period and inserting with respect to the applicable period ; (B) in paragraphs (2)(A), by striking for the period and inserting for the applicable period ; and (C) in paragraphs (2)(B), by striking for the period and inserting for the applicable period ; and (2) in subsection (f)— (A) in paragraph (1), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 ; and (B) in paragraph (2), by striking for the period and inserting for the applicable period . 403. Personal responsibility education extension Section 513 of the Social Security Act ( 42 U.S.C. 713 ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) in subparagraph (A), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, ; and (ii) in subparagraph (B)(i), by inserting after November 17, 2023 the following: , and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; (iii) in subparagraph (C)(i), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (B) in paragraph (3), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (C) in paragraph (4)(A)— (i) by striking for the period each place it appears and inserting for each period ; and (ii) by striking for a fiscal year or the period and inserting for a fiscal year or period ; (D) in paragraph (4)(B)(i), by striking the period described in paragraph (1)(A) and inserting each period described in paragraph (1)(A) ; (2) in subsection (c), by striking for the period described in subsection (a)(1)(A) and inserting for a period described in subsection (a)(1)(A) for fiscal year 2024 ; and (3) in subsection (f)(1), by striking 2023, and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting 2023, for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 . D Medicare 501. Extending floor for work geographic index 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, 2024 and inserting January 20, 2024 . 502. Revising phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-in of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ) is amended— (1) in subparagraph (A), by striking 2026 and inserting 2027 ; and (2) in subparagraph (B)— (A) in clause (ii), by striking 2023 and inserting 2024 ; and (B) in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027 . (b) Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates Section 1834A(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(1)(B) ) is amended— (1) in clause (i), by striking 2023 and inserting 2024 ; and (2) in clause (ii), by striking 2024 each place it appears and inserting 2025 . 503. Medicare improvement fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) ) is amended by striking $180,000,000 and inserting $466,795,056 . III Miscellaneous Extensions 601. Counter-UAS Authorities Section 210G(i) of the Homeland Security Act of 2002 ( 6 U.S.C. 124n(i) ) is amended by striking November 18, 2023 and inserting February 3, 2024 . IV Budgetary Effects 701. Budgetary Effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; (2) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and (3) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

Passed the House of Representatives November 14, 2023. Cheryl L. Johnson, Clerk.

tv_txt: I 118th CONGRESS 1st Session H. R. 6363 IN THE HOUSE OF REPRESENTATIVES November 13, 2023 Ms. Granger 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 2024, and for other purposes.

1. Short title This Act may be cited as the Further Continuing Appropriations and Other Extensions Act, 2024 . 2. Table of Contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of Contents. Sec. 3. References. Division A—Further Continuing Appropriations Act, 2024 Division B—Other Matters Title I—Extensions and Other Matters Title II—Health and Human Services Title III—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, 2024 101. Division A of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ) is amended— (1) by striking the date specified in section 106(3) and inserting February 2, 2024, except as provided in paragraph (4) ; (2) by inserting after paragraph (3) of section 106 the following: (4) In the case of appropriations and funds made available and authority granted pursuant to sections 101(1), 101(4), 101(10), 101(12), 134, and 137, January 19, 2024. ; (3) in section 101(1) by inserting after except section 729, the following: and except that the language under the heading ‘Rural Utilities Service—Rural Water and Waste Disposal Program Account’ in title III shall be applied by inserting ‘direct loans and,’ before ‘loan guarantees’ at the beginning of the first sentence of the second paragraph, ; (4) in section 101(10), by inserting before the period , except section 123 as well as the provisions carrying the same restriction in prior Acts ; (5) in section 123, by striking 17 days and inserting 94 days and by striking 17-day and inserting 94-day ; (6) in section 124, by striking $621,270,000 and inserting $663,070,000 ; (7) in section 125, by striking During the period covered by this Act and inserting Through the date specified in section 106(3) of this Act ; and (8) by adding after section 137 the following new sections: 138. Section 2(f)(2) of the Undetectable Firearms Act of 1988 ( 18 U.S.C. 922 note) shall be applied through the date specified in section 106(3) of this Act by substituting 36 for 35 . 139. Through the date specified in section 106(3) of this Act, amounts appropriated in section 124 of the Continuing Appropriations Act, 2023 (division A of Public Law 117–180 ) may be charged for any proper expense pursuant to section 1553(b)(1) of title 31, United States Code, notwithstanding the limitation in section 1553(b)(2) of such title. 140. Notwithstanding sections 102 and 104, 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 $3,338,413,000. 141. (a) Notwithstanding section 101, section 747 of title VII of division E of Public Law 117–328 shall be applied through the date specified in section 106(3) of this Act by— (1) substituting 2025 for 2024 ; (2) substituting 2024 for 2023 each place it appears; (3) substituting 2023 for 2022 each place it appears; and (4) substituting section 747 of division E of Public Law 117–328 , as in effect on September 30, 2023 for section 747 of division E of Public Law 117–103 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, 2024. 142. 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, 2023’ each place it appears. 143. Amounts made available by section 101 to the Department of Homeland Security under the heading United States Secret Service—Operations and Support may be apportioned up to the rate for operations necessary to carry out activities related to National Special Security Events and the 2024 Presidential Campaign. 144. Section 1901(e) of the Homeland Security Act of 2002 ( 6 U.S.C. 591(e) ) shall be applied by substituting the date that is 1 day after the date specified in section 106(3) of this Act for the date that is 5 years after the date of the enactment of the Countering Weapons of Mass Destruction Act of 2018 . 145. (a) 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, including supporting borrowers reentering repayment. (b) The limitation in section 302 of division H of Public Law 117–328 regarding transfers increasing any appropriation shall be applied to transfers to appropriations under the heading Department of Education—Student Aid Administration through the date specified in section 106(3) of this Act by substituting 10 percent for 3 percent for the purposes of the continuation of basic operations, including student loan servicing, business process operations, digital customer care, common origination and disbursement, cybersecurity activities, and information technology systems. 146. Notwithstanding any other provision of this Act, there is hereby appropriated for fiscal year 2024, out of any money in the Treasury not otherwise appropriated, for payment to Katherine Anne Feinstein, beneficiary of Dianne Feinstein, late a Senator from the State of California, $174,000. This division may be cited as the Continuing Appropriations Act, 2024 . . This division may be cited as the Further Continuing Appropriations Act, 2024 . B Other Matters I Extensions and Other Matters 101. Extension of certain provisions of the Compacts of Free Association with the Federated States of Micronesia and the Republic of the Marshall Islands Section 2101 of the Continuing Appropriations Act, 2024 and Other Extensions Act ( Public Law 118–15 ; 137 Stat. 81) is amended— (1) in the section heading, by striking compact of free association with the federated states of micronesia and inserting compacts of free association with the federated states of micronesia and the republic of the marshall islands ; and (2) in subsection (a)(1)— (A) by striking November 17, 2023 and inserting February 2, 2024 ; (B) by inserting , section 103(f)(2) of the Compact of Free Association Amendments Act of 2003 ( 48 U.S.C. 1921b(f)(2) ), and sections 211, 213, and 216 of the Compact of Free Association between the Government of the United States of America and the Government of the Republic of the Marshall Islands set forth in section 201(b) of that Act ( 48 U.S.C. 1921 note; Public Law 108–188 ) before shall, ; (C) by inserting or the Republic of the Marshall Islands, as applicable before , continue ; and (D) by striking of that Compact and inserting of the applicable Compact . 102. Extension of agricultural programs (a) Extension 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 the 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 on September 30, 2023, shall continue, and the authorities shall be carried out, until the later of— (1) September 30, 2024; or (2) the date specified in the provision of that Act or the provision of law amended by that Act. (b) Discretionary programs Programs carried out using the authorities described in subsection (a) 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 2023 crop year pursuant to title I of that Act ( 7 U.S.C. 9011 et seq. ) and each amendment made by subtitle C of title I of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4511) shall be applicable to the 2024 crop year for that covered commodity, loan commodity, sugarcane, or sugar beets. (2) Dairy (A) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds Section 1405(a) of the Agricultural Act of 2014 ( 7 U.S.C. 9055(a) ) is amended— (i) in paragraph (1), by inserting paragraph (4) and before subsection (b) ; and (ii) by adding at the end the following: (4) Base production history adjustment for participating dairy operations with production of less than 5,000,000 pounds (A) In general If the amount determined under paragraph (1) is less than 5,000,000 pounds, the production history of the dairy operation for dairy margin coverage shall be equal to— (i) the amount determined under paragraph (1); plus (ii) 75 percent of the amount described in subparagraph (B). (B) Amount The amount referred to in subparagraph (A)(ii) is, with respect to a dairy operation, the amount equal to— (i) the production volume of such dairy operation for the 2019 milk marketing year; minus (ii) the amount determined under paragraph (1). . (B) Dairy margin coverage (i) Duration Section 1409 of the Agricultural Act of 2014 ( 7 U.S.C. 9059 ) is amended by striking 2023 and inserting 2024 . (ii) Availability of premium discount With respect to coverage for calendar year 2024, 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 for calendar year 2023. (C) 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 2026 and inserting 2027 . (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 2018 and inserting 2024 . (4) 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 2024 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, 2024; 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 2024. (d) Other programs (1) Conservation (A) Grassroots source water protection program Section 1240O(b)(3) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–2(b)(3) ) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking use $5,000,000 and inserting the following: use— (A) $5,000,000 ; and (iii) by adding at the end the following: (B) $1,000,000 beginning in fiscal year 2024, to remain available until expended. . (B) Voluntary public access and habitat incentive program Section 1240R(f)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3839bb–5(f)(1) ) is amended— (i) by striking and after 2018, ; and (ii) by inserting , and $10,000,000 for fiscal year 2024 before the period at the end. (C) Feral swine eradication and control pilot program Section 2408(g)(1) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 8351 note; Public Law 115–334 ) is amended by inserting and $15,000,000 for fiscal year 2024 before the period at the end. (2) Trade Section 302(h)(2) of the Bill Emerson Humanitarian Trust Act ( 7 U.S.C. 1736f–1(h)(2) ) is amended by striking 2023 and inserting 2024 . (3) Nutrition Section 203D(d)(5) of the Emergency Food Assistance Act of 1983 ( 7 U.S.C. 7507(d)(5) ) is amended by striking 2023 and inserting 2024 . (4) Rural economic development program Section 313B(e)(2) of the Rural Electrification Act of 1936 ( 7 U.S.C. 940c–2(e)(2) ) is amended by striking and 2023 and inserting through 2024 . (5) Research (A) Scholarships for students Section 1446 of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 ( 7 U.S.C. 3222a ) is amended— (i) in subsection (a)(3), by striking three and inserting 4 ; and (ii) in subsection (b)(1)— (I) by striking Of and inserting the following: (A) Funding Of ; and (II) by adding at the end the following: (B) Additional funding Not later than 30 days after the date of enactment of this subparagraph, of the funds of the Commodity Credit Corporation, the Secretary shall make available to carry out this section $10,000,000, to remain available until expended. . (B) Urban, indoor, and other emerging agricultural production research, education, and extension initiative Section 1672E(d)(1) of the Food, Agriculture, Conservation, and Trade Act of 1990 ( 7 U.S.C. 5925g(d)(1) ) is amended— (i) by striking the period at the end and inserting ; and ; (ii) by striking section $10,000,000 and inserting the following: section— (A) $10,000,000 ; and (iii) by adding at the end the following: (B) $2,000,000 for fiscal year 2024, to remain available until expended. . (C) Foundation for food and agriculture research Section 7601(g)(1)(A) of the Agricultural Act of 2014 ( 7 U.S.C. 5939(g)(1)(A) ) is amended by adding at the end the following: (iii) Additional funding Not later than 30 days after the date of enactment of this clause, of the funds of the Commodity Credit Corporation, the Secretary shall transfer to the Foundation to carry out this section $37,000,000, to remain available until expended. . (D) Grazinglands research laboratory Section 7502 of the Food, Conservation, and Energy Act of 2008 ( Public Law 110–246 ; 122 Stat. 2019; 132 Stat. 4817) shall be applied by substituting the period beginning on the date of enactment of this Act and ending on September 30, 2024 for the 15-year period beginning on the date of enactment of this Act . (6) Energy (A) Biobased markets program Section 9002(k)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8102(k)(1) ) is amended by striking 2023 and inserting 2024 . (B) Bioenergy program for advanced biofuels Section 9005(g)(1)(F) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8105(g)(1)(F) ) is amended by striking 2023 and inserting 2024 . (C) Feedstock flexibility program 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 2023 each place it appears and inserting 2024 . (7) Horticulture (A) Organic production and market data initiatives Section 7407(d)(1) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 5925c(d)(1) ) is amended— (i) in subparagraph (A), by striking and at the end; (ii) in subparagraph (B), by striking the period at the end and inserting ; and ; and (iii) by adding at the end the following: (C) $1,000,000 for fiscal year 2024. . (B) Modernization and improvement of international trade technology systems and data collection Section 2123(c)(4) of the Organic Foods Production Act of 1990 ( 7 U.S.C. 6522(c)(4) ) is amended, in the matter preceding subparagraph (A), by inserting and $1,000,000 for fiscal year 2024 after 2019 . (C) National organic certification cost-share program Section 10606(d)(1)(C) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 6523(d)(1)(C) ) is amended by striking and 2023 and inserting through 2024 . (D) Multilple crop and pesticide use survey Section 10109(c)(1) of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4906) is amended by inserting and $100,000 for fiscal year 2024 after 2019 . (8) Miscellaneous (A) Pima agriculture cotton trust fund Section 12314 of the Agricultural Act of 2014 ( 7 U.S.C. 2101 note; Public Law 113–79 ) is amended— (i) in subsection (b), in the matter preceding paragraph (1), by striking 2023 and inserting 2024 ; and (ii) in subsection (h), by striking 2023 and inserting 2024 . (B) Agriculture wool apparel manufacturers trust fund Section 12315 of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ) is amended by striking 2023 each place it appears and inserting 2024 . (C) Wool research and promotion Section 12316(a) of the Agricultural Act of 2014 ( 7 U.S.C. 7101 note; Public Law 113–79 ) is amended by striking 2023 and inserting 2024 . (D) Emergency citrus disease research and development trust fund Section 12605(d) of the Agriculture Improvement Act of 2018 ( 7 U.S.C. 7632 note; Public Law 115–334 ) is amended by striking 2023 and inserting 2024 . (E) Sheep production and marketing grant program Section 209(c) of the Agricultural Marketing Act of 1946 ( 7 U.S.C. 1627a(c) ) is amended by inserting and $400,000 for fiscal year 2024, after 2019, . (9) Exceptions Subsection (a) shall 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) Subparagraphs (A) and (B) of section 1241(a)(1) of the Food Security Act of 1985 ( 16 U.S.C. 3841(a)(1) ). (e) Reports (1) In general Subject to paragraph (2), any requirement under a provision of law described in subsection (a) to submit a report on a recurring basis, and the final report under which was required to be submitted during fiscal year 2023, shall continue, and the requirement shall be carried out, on the same recurring basis, until the later of the dates specified in paragraphs (1) and (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. (f) Rescission Of the unobligated balances of amounts made available under section 9003(g)(1)(A) of the Farm Security and Rural Investment Act of 2002 ( 7 U.S.C. 8103(g)(1)(A) ), $177,350,000 is rescinded. (g) Effective date This section and the amendments made by this section (except subsection (f) and the amendments made by subparagraphs (A) and (C) of subsection (d)(5)) shall be applied and administered as if this section and those amendments had been enacted on September 30, 2023. II Health and Human Services A Public Health Extenders 201. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g) ) is amended by striking and $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extension for community health centers Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking and $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (c) Extension for the National Health Service Corps Section 10503(b)(2)(I) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(I) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $40,767,123 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act ( 42 U.S.C. 254b et seq. ). (e) Conforming amendment Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act and inserting section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act, and section 201(d) of the Further Continuing Appropriations and Other Extensions Act, 2024 . 202. Extension of special diabetes programs (a) Extension of special diabetes programs for Type I diabetes Section 330B(b)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2)(E) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2)(E) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2)(E) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting $19,726,027 for the period beginning on October 1, 2023, and ending on November 17, 2023, and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024 . 203. 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 November 17, 2023 and inserting January 19, 2024 . (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking the date that is 17 years after the date of enactment of the Pandemic and All-Hazards Preparedness Act and inserting January 19, 2024 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking at the end of the 17-year period that begins on the date of enactment of this Act and inserting January 19, 2024 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking November 17, 2023 and inserting January 19, 2024 . (e) Section 2812(c)(4)(B) of the Public Health Service Act ( 42 U.S.C. 300hh–11(c)(4)(B) ) is amended by striking November 17, 2023 and inserting January 19, 2024 . B Medicaid 301. Delaying certain disproportionate share payment cuts Section 1923(f)(7)(A) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(7)(A) ) is amended— (1) in clause (i), by striking November 18, 2023 and inserting January 19, 2024 ; and (2) in clause (ii), by striking November 18, 2023 and inserting January 19, 2024 . 302. Medicaid Improvement Fund reduction Section 1941(b)(3)(A) of the Social Security Act ( 42 U.S.C. 1396w–1(b)(3)(A) ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended by striking $6,357,117,810 and inserting 5,796,117,810 . C Human Services 401. Extension of child and family services programs Activities authorized by part B of title IV of the Social Security Act shall continue through January 19, 2024, in the manner authorized for fiscal year 2023, and out of any money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary for such purpose. 402. Sexual risk avoidance education extension Section 510 of the Social Security Act ( 42 U.S.C. 710 ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023 and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; and (ii) by striking with respect to such period and inserting with respect to the applicable period ; (B) in paragraphs (2)(A), by striking for the period and inserting for the applicable period ; and (C) in paragraphs (2)(B), by striking for the period and inserting for the applicable period ; and (2) in subsection (f)— (A) in paragraph (1), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 ; and (B) in paragraph (2), by striking for the period and inserting for the applicable period . 403. Personal responsibility education extension Section 513 of the Social Security Act ( 42 U.S.C. 713 ), as amended by the Continuing Appropriations Act, 2024 and Other Extensions Act, is further amended— (1) in subsection (a)— (A) in paragraph (1)— (i) in subparagraph (A), by striking and for the period beginning on October 1, 2023, and ending on November 17, 2023, and inserting , for the period beginning on October 1, 2023, and ending on November 17, 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, ; and (ii) in subparagraph (B)(i), by inserting after November 17, 2023 the following: , and for the period beginning on November 18, 2023, and ending on January 19, 2024 ; (iii) in subparagraph (C)(i), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (B) in paragraph (3), by striking for a fiscal year or the period and inserting for a fiscal year or period ; and (C) in paragraph (4)(A)— (i) by striking for the period each place it appears and inserting for each period ; and (ii) by striking for a fiscal year or the period and inserting for a fiscal year or period ; (D) in paragraph (4)(B)(i), by striking the period described in paragraph (1)(A) and inserting each period described in paragraph (1)(A) ; (2) in subsection (c), by striking for the period described in subsection (a)(1)(A) and inserting for a period described in subsection (a)(1)(A) for fiscal year 2024 ; and (3) in subsection (f)(1), by striking 2023, and for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 and inserting 2023, for the period beginning on October 1, 2023, and ending on November 17, 2023, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023, and for the period beginning on November 18, 2023, and ending on January 19, 2024, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2023 . D Medicare 501. Extending floor for work geographic index 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, 2024 and inserting January 19, 2024 . 502. Revising phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-In of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ) is amended— (1) in subparagraph (A), by striking 2026 and inserting 2027 ; and (2) in subparagraph (B)— (A) in clause (ii), by striking 2023 and inserting 2024 ; and (B) in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027 . (b) Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates Section 1834A(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(1)(B) ) is amended— (1) in clause (i), by striking 2023 and inserting 2024 ; and (2) in clause (ii), by striking 2024 each place it appears and inserting 2025 . 503. Medicare improvement fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) ) is amended by striking $180,000,000 and inserting $466,795,056 . III Budgetary Effects 601. Budgetary Effects (a) Statutory PAYGO Scorecards The budgetary effects of this division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010. (b) Senate PAYGO Scorecards The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress). (c) Classification of Budgetary Effects Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of this division shall not be estimated— (1) for purposes of section 251 of such Act; (2) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and (3) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.