Continuing Appropriations and Extensions and Other Matters Act, 2026

Bill: 119-hr-5450
Sponsor: full_name: Rep. DeLauro, Rosa L. [D-CT-3]
Introduced: 2025-09-18
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

Administrative remedies

Adoption and foster care

Adult education and literacy

Advanced technology and technological innovations

Advisory bodies

Afghanistan

Africa

African Development Foundation

Aging

Agricultural conservation and pollution

Agricultural education

Agricultural equipment and machinery

Agricultural insurance

Agricultural marketing and promotion

Agricultural prices, subsidies, credit

Agricultural research

Agricultural trade

Air quality

Alabama

Alaska

Alaska Natives and Hawaiians

Alcoholic beverages

Allergies

Alliances

Alternative and renewable resources

Alternative dispute resolution, mediation, arbitration

American Battle Monuments Commission

American Samoa

Animal and plant health

Animal protection and human-animal relationships

Appalachian Regional Commission

Appropriations

Aquatic ecology

Arab-Israeli relations

Architect of the Capitol

Arizona

Arkansas

Armed Forces Retirement Home

Arms control and nonproliferation

Army Corps of Engineers

Asia

Assault and harassment offenses

Athletes

Atmospheric science and weather

Aviation and airports

Bahrain

Banking and financial institutions regulation

Birds

Birth defects

Blood and blood diseases

Border security and unlawful immigration

Broadcasting, cable, digital technologies

Budget process

Building construction

Burma

Business investment and capital

Buy American requirements

California

Cambodia

Canada

Cancer

Cardiovascular and respiratory health

Caribbean area

Cell biology and embryology

Cemeteries and funerals

Census and government statistics

Centers for Disease Control and Prevention (CDC)

Central African Republic

Central America

Central Intelligence Agency (CIA)

Chemical and biological weapons

Child care and development

Child health

Child safety and welfare

China

Civil actions and liability

Climate change and greenhouse gases

Coal

Coast guard

Collective security

Colombia

Colorado

Commission of Fine Arts

Commission on Civil Rights

Committee for Purchase from People Who Are Blind or Severely Disabled

Commodities markets

Commodity Credit Corporation

Commodity Futures Trading Commission

Community life and organization

Competition and antitrust

Competitiveness, trade promotion, trade deficits

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 operations and organization

Congressional oversight

Congressional-executive branch relations

Connecticut

Consumer Product Safety Commission

Corporation for National and Community Service

Corporation for Public Broadcasting

Correctional facilities and imprisonment

Credit and credit markets

Crime prevention

Crime victims

Crimes against children

Crimes against women

Criminal investigation, prosecution, interrogation

Criminal justice information and records

Criminal procedure and sentencing

Cuba

Cultural exchanges and relations

Currency

Customs enforcement

Dams and canals

Defense Nuclear Facilities Safety Board

Defense spending

Delta Regional Authority

Democratic Republic of the Congo

Denali Commission

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

Detention of persons

Digestive and metabolic diseases

Digital media

Diplomacy, foreign officials, Americans abroad

Disability and paralysis

Disability assistance

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

Educational technology and distance education

Egypt

El Salvador

Election Assistance Commission

Elections, voting, political campaign regulation

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

Environmental Protection Agency (EPA)

Environmental assessment, monitoring, research

Environmental health

Environmental regulatory procedures

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 relationships

Family services

Farm Credit Administration

Farmland

Federal Bureau of Investigation (FBI)

Federal Communications Commission (FCC)

Federal Crop Insurance Corporation

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 Trade Commission (FTC)

Federal appellate courts

Federal district courts

Federal officials

Federal-Indian relations

Fiji

Firearms and explosives

Fires

First Amendment rights

First responders and emergency personnel

Fishes

Floods and storm protection

Florida

Food and Drug Administration (FDA)

Food assistance and relief

Food industry and services

Food supply, safety, and labeling

Foreign aid and international relief

Foreign and international banking

Foreign labor

Foreign language and bilingual programs

Foreign loans and debt

Forests, forestry, trees

Fraud offenses and financial crimes

Gaza Strip

General Services Administration

Genetics

Geography and mapping

Georgia

Georgia (Republic)

Government Accountability Office (GAO)

Government National Mortgage Association (Ginnie Mae)

Government Publishing Office (GPO)

Government buildings, facilities, and property

Government employee pay, benefits, personnel management

Government ethics and transparency, public corruption

Government information and archives

Government lending and loan guarantees

Government studies and investigations

Government trust funds
Latest action: action_date: 2025-09-18
text: Referred to the Committee on Appropriations, and in addition to the Committees on Ways and Means, and 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.

Summaries:
action_date: 2025-09-18
action_desc: Introduced in House
text: <p><strong>Continuing Appropriations and Extensions and Other Matters Act, 2026</strong></p><p>This bill provides continuing FY2026 appropriations for federal agencies, permanently extends the expanded premium tax credit for purchasing health insurance, provides additional funding for Medicaid and security for federal officials, and extends various expiring programs.</p><p>Specifically, the bill provides continuing FY2026 appropriations to federal agencies through the earlier of October 31, 2025, or the enactment of the applicable appropriations act. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2026 appropriations bills have not been enacted when FY2026 begins on October 1, 2025.</p><p>The&nbsp;CR funds most programs and activities at the FY2025 levels with several exceptions that provide funding flexibility and additional appropriations for various programs. For example, the CR provides additional funding for the Corporation for Public Broadcasting and security for federal officials.</p><p>In addition, the CR</p><ul><li>permanently extends provisions that expanded the premium tax credit, which generally reduces premiums for health insurance purchased through a health insurance exchange;</li><li>repeals health care provisions that were included in the One Big Beautiful Bill Act, including&nbsp;provisions that reduced Medicaid funding;&nbsp;</li><li>authorizes the District of Columbia to spend local funds at the rates included in its FY2026 local budget;</li><li>extends the availability of certain funds that are being withheld by the Office of Management and&nbsp;Budget (OMB); and</li><li>limits the authority of&nbsp;OMB to withhold appropriations.</li></ul><p>Finally, the bill extends several expiring programs and authorities, including programs related to health care, veterans, homeland security, and agriculture. &nbsp;</p>

tv_txt: I 119th CONGRESS 1st Session H. R. 5450 IN THE HOUSE OF REPRESENTATIVES September 18, 2025 Ms. DeLauro introduced the following bill; which was referred to the Committee on Appropriations , and in addition to the Committees on Ways and Means , and 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 continuing appropriations for the fiscal year ending September 30, 2026, and for other purposes.

1. Short title This Act may be cited as the Continuing Appropriations and Extensions and Other Matters Act, 2026 . 2. Table of contents Sec. 1. Short Title. Sec. 2. Table of Contents. Sec. 3. References. Division A—Continuing Appropriations Act, 2026 Division B—Extensions and Other Matters 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 CONTINUING APPROPRIATIONS ACT, 2026 The following sums are hereby appropriated, out of any money in the Treasury not otherwise appropriated, and out of applicable corporate or other revenues, receipts, and funds, for the several departments, agencies, corporations, and other organizational units of Government for fiscal year 2026, and for other purposes, namely: 101. Such amounts as may be necessary, at a rate for operations as provided for fiscal year 2025 and under the authority and conditions provided, for continuing projects or activities (including the costs of direct loans and loan guarantees) that are not otherwise specifically provided for in this Act, that were conducted in fiscal year 2025, and for which appropriations, funds, or other authority were made available in the Full Year Continuing Appropriations Act, 2025 (division A of Public Law 119–4 ), except sections 1110, 1113, and 1114, and the proviso in paragraph (4) of section 1602. 102. (a) No appropriation or funds made available or authority granted pursuant to section 101 for the Department of Defense shall be used for: (1) the new production of items not funded for production in fiscal year 2025 or prior years; (2) the increase in production rates above those sustained with fiscal year 2025 funds; or (3) the initiation, resumption, or continuation of any project, activity, operation, or organization (defined as any project, subproject, activity, budget activity, program element, and subprogram within a program element, and for any investment items defined as a P–1 line item in a budget activity within an appropriation account and an R–1 line item that includes a program element and subprogram element within an appropriation account) for which appropriations, funds, or other authority were not available during fiscal year 2025. (b) No appropriation or funds made available or authority granted pursuant to section 101 for the Department of Defense shall be used to initiate multi-year procurements utilizing advance procurement funding for economic order quantity procurement unless specifically appropriated later. 103. Appropriations made by section 101 shall be available to the extent and in the manner that would be provided by the pertinent appropriations Act. 104. Except as otherwise provided in section 102, no appropriation or funds made available or authority granted pursuant to section 101 shall be used to initiate or resume any project or activity for which appropriations, funds, or other authority were not available during fiscal year 2025. 105. Appropriations made and authority granted pursuant to this Act shall cover all obligations or expenditures incurred for any project or activity during the period for which funds or authority for such project or activity are available under this Act. 106. Unless otherwise provided for in this Act or in the applicable appropriations Act for fiscal year 2026, appropriations and funds made available and authority granted pursuant to this Act shall be available until whichever of the following first occurs: (1) The enactment into law of an appropriation for any project or activity provided for in this Act. (2) The enactment into law of the applicable appropriations Act for fiscal year 2026 without any provision for such project or activity. (3) October 31, 2025. 107. Expenditures made pursuant to this Act shall be charged to the applicable appropriation, fund, or authorization whenever a bill in which such applicable appropriation, fund, or authorization is contained is enacted into law. 108. Appropriations made and funds made available by or authority granted pursuant to this Act may be used without regard to the time limitations for submission and approval of apportionments set forth in section 1513 of title 31, United States Code, but nothing in this Act may be construed to waive any other provision of law governing the apportionment of funds. 109. Notwithstanding any other provision of this Act, except section 106, for those programs that would otherwise have high initial rates of operation or complete distribution of appropriations at the beginning of fiscal year 2026 because of distributions of funding to States, foreign countries, grantees, or others, such high initial rates of operation or complete distribution shall not be made, and no grants shall be awarded for such programs funded by this Act that would impinge on final funding prerogatives. 110. This Act shall be implemented so that only the most limited funding actions of that permitted in the Act shall be taken in order to provide for continuation of projects and activities. 111. Notwithstanding section 101, section 739 of title VII of division B of Public Law 118–47 , as continued in effect by division A of Public Law 119–4 , shall be applied as if it read as follows: 739. None of the funds made available in this or any other appropriations Act may be used to increase, eliminate, or reduce funding for a program, project, or activity as proposed in the President’s budget request for a fiscal year until such proposed change is subsequently enacted in an appropriation Act. . 112. (a) For entitlements and other mandatory payments whose budget authority was provided in appropriations Acts specified in section 101, for expenses authorized under section 324 of title 38, United States Code, and for activities under the Food and Nutrition Act of 2008, activities shall be continued at the rate to maintain program levels under current law, under the authority and conditions provided in the applicable appropriations Act, to be continued through the date specified in section 106(3). (b) Notwithstanding section 106, obligations for mandatory payments due on or about the first day of any month that begins after October 2025 but not later than 30 days after the date specified in section 106(3) may continue to be made, and funds shall be available for such payments. 113. Amounts made available under section 101 for civilian personnel compensation and benefits in each department and agency may be apportioned up to the rate for operations necessary to avoid furloughs within such department or agency, consistent with the applicable appropriations Act for fiscal year 2025, except that such authority provided under this section shall not be used until after the department or agency has taken all necessary actions to reduce or defer non-personnel-related administrative expenses. 114. Funds appropriated by this Act may be obligated and expended notwithstanding section 10 of Public Law 91–672 ( 22 U.S.C. 2412 ), section 15 of the State Department Basic Authorities Act of 1956 ( 22 U.S.C. 2680 ), section 313 of the Foreign Relations Authorization Act, Fiscal Years 1994 and 1995 ( 22 U.S.C. 6212 ), and section 504(a)(1) of the National Security Act of 1947 ( 50 U.S.C. 3094(a)(1) ). 115. (a) (1) For each amount incorporated by reference in this Act that was previously designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985, each provision of law designating each such amount as an emergency requirement pursuant to such section shall not apply. (2) Each amount incorporated by reference in this Act that was designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 in the following provisions of law are designated by the Congress as an emergency requirement pursuant to pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concurrent resolution on the budget for fiscal year 2022, and to legislation establishing fiscal year 2026 budget enforcement in the House of Representatives: (A) Sections 1808 and 11206(4) of division A of Public Law 119–4 ; and (B) Sections 110 and 112 of division D of Public Law 118–42 , and sections 7068(b) and 7069 of division F Public Law 118–47 , as continued in effect by section 1101 of division A of Public Law 119–4 . (b) Each amount incorporated by reference in this Act that was previously designated by the Congress as being for disaster relief pursuant to section 251(b)(2)(D) of the Balanced Budget and Emergency Deficit Control Act of 1985 is designated by the Congress as being for disaster relief pursuant to a concurrent resolution on the budget. (c) Each amount incorporated by reference in this Act that was previously designated in division B of Public Law 117–159 , division J of Public Law 117–58 , or in section 443(b) of division G of Public Law 117–328 by the Congress as an emergency requirement pursuant to a concurrent resolution on the budget shall continue to be treated as an amount specified in section 103(b) of division A of Public Law 118–5 . (d) This section shall become effective immediately upon enactment of this Act, and shall remain in effect through the date in section 106(3). 116. (a) Notwithstanding subsection (b) of section 1110 of division A of Public Law 119–4 , each amount designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 by subsection (a) of such section 1110 shall be available (or repurposed, rescinded, or transferred, if applicable) as if all such amounts had been so-designated by the President in accordance with subsection (b) of such section 1110 and such designations had been transmitted to the Congress: Provided, That obligations incurred in anticipation of the appropriations made and authority granted by this paragraph are hereby ratified and approved if otherwise in accord with the authorities and conditions applicable to the amounts designated as an emergency requirement by subsection (a) of such section 1110. (b) Section 251(b)(2)(A) of the Balanced Budget and Emergency Deficit Control Act of 1985 is amended by striking and the President subsequently so designates each place it appears. (c) Section 103(a) of division A of Public Law 118–5 shall also apply to the budgetary effects of this section. (d) (1) Subject to paragraph (2), this section shall become effective immediately upon enactment of this Act. (2) If this Act is enacted after September 30, 2025, this section shall be applied as if it were in effect on September 30, 2025. 117. (a) Rescissions or cancellations of discretionary budget authority that continue pursuant to section 101 in Treasury Appropriations Fund Symbols (TAFS)— (1) to which other appropriations are not provided by this Act, but for which there is a current applicable TAFS that does receive an appropriation in this Act; or (2) which are no-year TAFS and receive other appropriations in this Act, may be continued instead by reducing the rate for operations otherwise provided by section 101 for such current applicable TAFS, as long as doing so does not impinge on the final funding prerogatives of the Congress. (b) Rescissions or cancellations described in subsection (a) shall continue in an amount equal to the lesser of— (1) the amount specified for rescission or cancellation in the applicable appropriations Act referenced in section 101 of this Act; or (2) the amount of balances available, as of October 1, 2025, from the funds specified for rescission or cancellation in the applicable appropriations Act referenced in section 101 of this Act. (c) No later than October 31, 2025, the Director of the Office of Management and Budget shall provide to the Committees on Appropriations of the House of Representatives and the Senate a comprehensive list of the rescissions or cancellations that will continue pursuant to section 101: Provided, That the information in such comprehensive list shall be periodically updated to reflect any subsequent changes in the amount of balances available, as of October 1, 2025, from the funds specified for rescission or cancellation in the applicable appropriations Act referenced in section 101, and such updates shall be transmitted to the Committees on Appropriations of the House of Representatives and the Senate upon request. 118. (a) The remaining unobligated balances, as of September 30, 2025, from amounts appropriated by this or any other Act, including prior Acts and laws other than appropriations Acts (including, but not limited to, balances proposed for rescission in the President’s special message, presented to the U.S. Senate as EC–1680 on September 8, 2025), that— (1) are subject to apportionment pursuant to section 1513(b) of title 31, United States Code; (2) were not, at least 90 days prior to the expiration of the period of availability of such amount, made available in an apportionment for immediate obligation, without precondition (including by footnote), and thereafter continuously available for immediate obligation during such 90-day period; and (3) were not available for obligation after September 30, 2025 prior to the enactment of this Act, shall remain available until September 30, 2026, for the same purposes and under the same authorities and conditions for which each such amount was provided, and shall hereafter be exempt from apportionment, notwithstanding subchapter II of chapter 15 of title 31, United States Code: Provided, That section 103(a) of division A of Public Law 118–5 shall also apply to the budgetary effects of this provision. (b) Not later than November 17, 2025, the Director of the Office of Management and Budget shall provide to the Committees on Appropriations of the House of Representatives and the Senate a comprehensive list of amounts extended until September 30, 2026 by this section. (c) Not later than January 15, 2026, the Comptroller General of the United States shall perform an audit for compliance with this section and report its findings to the Committees on Appropriations of the House of Representatives and the Senate and shall perform any subsequent periodic audit for compliance with this section determined by the Comptroller General to be appropriate and promptly report any findings to the Committees. (d) (1) Subject to paragraph (2), this section shall become effective immediately upon enactment of this Act. (2) If this Act is enacted after September 30, 2025, this section shall be applied as if it were in effect on September 30, 2025. 119. In this fiscal year and thereafter— (1) Subsection (d) of section 1017 of the Congressional Budget and Impoundment Control Act of 1974 shall have no force or effect. (2) With respect to budget authority proposed to be rescinded or that is set to be reserved or proposed to be deferred in a special message transmitted under section 1012 or 1013 of the Congressional Budget and Impoundment Control Act of 1974, such budget authority— (A) shall be made available for obligation in sufficient time to be prudently obligated as required under section 1012(b) or 1013 of such Act; and (B) may not be deferred or otherwise withheld from obligation during the 90-day period before the expiration of the period of availability of such budget authority, including, if applicable, the 90-day period before the expiration of an initial period of availability for which such budget authority was provided. (3) With respect to an apportionment of an appropriation made pursuant to section 1513(b) of title 31, United States Code, an appropriation (as that term is defined in section 1511 of title 31, United States Code) shall be apportioned— (A) to make available all amounts for obligation in sufficient time to be prudently obligated; and (B) to make available all amounts for immediate obligation, without precondition (including by footnote), not later than 90 days before the expiration of the period of availability of such appropriation, and thereafter continuously available for immediate obligation during such 90-day period. (4) As used in this section, the term budget authority includes budget authority made available by this or any other Act, by prior or subsequent appropriations Acts, or by any law other than an appropriations Act. 120. Notwithstanding section 101, amounts are provided for Domestic Food Programs—Food and Nutrition Service—Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) at a rate for operations of $8,200,000,000. 121. Section 260 of the Agricultural Marketing Act of 1946 ( 7 U.S.C. 1636i ) and section 942 of the Livestock Mandatory Reporting Act of 1999 ( 7 U.S.C. 1635 note; Public Law 106–78 ) shall be applied by substituting the date specified in section 106(3) of this Act for September 30, 2025 . 122. (a) For the closeout of all Space Shuttle contracts and associated programs, amounts that have expired but have not been cancelled in the Exploration, Space Operations, Human Space Flight, Space Flight Capabilities, and Exploration Capabilities appropriations accounts shall remain available through fiscal year 2030 for the liquidation of valid obligations incurred during the period of fiscal year 2001 through fiscal year 2013. (b) (1) Subject to paragraph (2), this section shall become effective immediately upon enactment of this Act. (2) If this Act is enacted after September 30, 2025, this section shall be applied as if it were in effect on September 30, 2025. 123. During the period covered by this Act, any mission in operation, including extended operations, or under development or formulation by the Science Mission Directorate of the National Aeronautics and Space Administration as of September 1, 2025, shall be continued in such operations, development, or formulation. 124. Amounts made available by section 101 for the National Science Foundation—Research and Related Activities , National Science Foundation—Major Research Equipment and Facilities Construction , National Science Foundation—STEM Education , and National Science Foundation—Agency Operations and Award Management shall be apportioned at a rate for operations necessary to maintain research facilities and scientific awards at the current level. 125. Amounts made available by section 101 for National Oceanic and Atmospheric Administration—Operations, Research, and Facilities shall be apportioned at a rate for operations necessary to maintain the Office of Oceanic and Atmospheric Research at the current level, including for research laboratories, cooperative institutes, and scientific awards. 126. During the period covered by this Act, the Secretary of Commerce shall renew all cooperative agreements authorized by section 278k of title 15, United States Code, for eligible entities in each State and Puerto Rico and each such renewal shall be under the same terms and conditions as the previous agreement, unless requested otherwise by the eligible entity. 127. Amounts made available by section 101 for Department of Justice—United States Marshals Service—Salaries and Expenses may be apportioned up to the rate for operations necessary to maintain program operations. 128. In addition to amounts otherwise provided by section 101 for Department of Justice—United States Marshals Service—Salaries and Expenses , there is appropriated $30,000,000, for an additional amount for fiscal year 2026, to remain available until September 30, 2027, of which $7,000,000 shall be used to carry out protective operations, and of which $23,000,000 shall be used to enhance the Federal judicial security mission: Provided, That the United States Marshals Service shall provide to the Committees on Appropriations of the House of Representatives and the Senate quarterly reports, beginning 30 days after the date of enactment of this Act, detailing the current United States Marshals Service protective details, the associated cost of those protective details, and the threat assessments or other information used as the basis for providing the protective details: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concurrent resolution on the budget for fiscal year 2022, and to legislation establishing fiscal year 2026 budget enforcement in the House of Representatives. 129. In addition to amounts otherwise provided by section 101 for Department of Justice—United States Marshals Service—Construction , there is appropriated $30,000,000, for an additional amount for fiscal year 2026, to remain available until expended, to support critical courthouse security renovations and upgrades in space that is controlled, occupied, or utilized by the United States Marshals Service, and to secure prisoner movement areas: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concurrent resolution on the budget for fiscal year 2022, and to legislation establishing fiscal year 2026 budget enforcement in the House of Representatives. 130. During the period covered by this Act, section 235(b) of the Sentencing Reform Act of 1984 ( 18 U.S.C. 3551 note; Public Law 98–473 ; 98 Stat. 2032), as such section relates to chapter 311 of title 18, United States Code, and the United States Parole Commission, shall be applied by substituting 38 for 37 each place it appears. 131. Notwithstanding sections 102 and 104, amounts made available by section 101 of this Act to the Department of Defense for Shipbuilding and Conversion, Navy may be apportioned up to the rate for operations necessary to fund completion of prior year shipbuilding programs for the fiscal year 2016 and fiscal year 2018 Virginia Class Submarine Programs, in an amount not to exceed $154,000,000. 132. (a) Notwithstanding sections 102 and 104, amounts made available by section 101 to the Department of Defense for Research, Development, Test and Evaluation, Air Force shall be apportioned up to the rate for operations necessary for the E–7 Wedgetail program, in an amount not to exceed $199,676,000, only for the purpose of continued rapid prototyping activities, to maintain program schedule and transition to production for the E–7 Wedgetail program: Provided, That the Secretary of the Air Force shall obligate such funds without reserving the full estimated cancellation liability for the effort: Provided further, That none of the funds appropriated or otherwise made available by this or any other Act, including prior Acts and laws other than appropriations Acts, may be used to pause, cancel, or terminate the E–7 Wedgetail aircraft program or to prepare to pause, cancel, or terminate such program. (b) Of the unobligated balance of funds made available to the Department of Defense for the E–7 program under the heading Aircraft Procurement, Air Force in Public Law 119–4 , $200,000,000 is hereby transferred to and merged with amounts available for the E–7 program under the heading Research, Development, Test and Evaluation, Air Force only for the purpose of continued rapid prototyping activities, to maintain program schedule and transition to production for the E–7 Wedgetail program. 133. Notwithstanding section 101, the first proviso under the heading Department of Energy—Atomic Energy Defense Activities—National Nuclear Security Administration—Weapons Activities in division D of Public Law 118–42 shall be applied by substituting $149,244,000 for $118,056,000 . 134. (a) During the period covered by this Act, title I of Public Law 108–361 (the Calfed Bay-Delta Authorization Act) (118 Stat. 1681), as amended by section 204 of division D of Public Law 117–103 , shall be applied by substituting 2026 for 2022 each place it appears. (b) During the period covered by this Act, section 103(f)(4)(A) of title I of Public Law 108–361 (the Calfed Bay-Delta Authorization Act) (118 Stat. 1696) shall be applied by substituting $32,600,000 for $30,000,000 . 135. Notwithstanding section 101, the amounts made available to the Department for Energy Efficiency and Renewable Energy , Electricity , Fossil Energy and Carbon Management , and Cybersecurity, Energy Security, and Emergency Response , shall be obligated and expended for the programs, projects, and activities, and in the amounts, specified in the Final Bill column in the Department of Energy table included under the heading Title III—Department of Energy in the explanatory statement described in section 4 in the matter preceding division A of Public Law Public Law 118–42 and subsection (e), (f), and (g) of section 301 of Public Law 118–42 shall not apply to such amounts. 136. Not later than October 15, 2025, the Secretary of Energy shall complete hot commissioning of the Direct-Feed Low Activity Waste facility at the Hanford Site in Richland, Washington unless the Department of Ecology of the State of Washington agrees to a different date for such completion. Thereafter, the Secretary shall operate the Direct-Feed Low Activity Waste facility at the Hanford Site at an average melter throughput rate of radioactive tank waste consistent with completion of milestone A–22 in the Washington v. Wright consent decree. 137. Amounts made available by section 101 for Small Business Administration—Business Loans Program Account may be apportioned up to the rate for operations necessary to accommodate increased demand for commitments for general business loans authorized under paragraphs (1) through (35) of section 7(a) of the Small Business Act ( 15 U.S.C. 636(a) ), for commitments to guarantee trust certificates authorized by section 5(g) of the Small Business Act ( 15 U.S.C. 634(g) ), for commitments to guarantee loans under section 503 of the Small Business Investment Act of 1958 ( 15 U.S.C. 697 ), and for commitments to guarantee debentures under section 303(b) of the Small Business Investment Act of 1958 ( 15 U.S.C. 683(b) ). 138. Notwithstanding any other provision of this Act, except section 106, the District of Columbia may expend local funds made available under the heading District of Columbia—District of Columbia Funds for such programs and activities under the District of Columbia Appropriations Act, 2024 (title IV of division B of Public Law 118–47 ) at the rate set forth in the Fiscal Year 2026 Local Budget Act of 2025 (D.C. Bill No. 26–260), as modified as of the date of the enactment of this Act. 139. Notwithstanding section 101, amounts are provided for The Judiciary—Courts of Appeals, District Courts, and Other Judicial Services—Defender Services at a rate for operations of $1,534,910,000: Provided, That such amounts may be apportioned up to the rate for operations necessary to make payments due under section 3006A of title 18, United States Code. 140. Notwithstanding section 101, amounts are provided for Department of the Treasury—Office of Terrorism and Financial Intelligence—Salaries and Expenses at a rate for operations of $237,662,000. 141. Notwithstanding section 101, the matter preceding the first proviso under the heading Office of Personnel Management—Salaries and Expenses in title V of division B of Public Law 118–47 shall be applied by substituting $197,446,000 for $219,076,000 , and the second proviso under such heading in such title of such division of such Act shall be applied by substituting $214,605,000 for $192,975,000 . 142. (a) Notwithstanding sections 101 and 106, section 1605 of title VI of division A of Public Law 119–4 shall be applied through the end of the last applicable pay period that commences in calendar year 2025 by substituting through the end of the last applicable pay period that commences in calendar year 2025 for through the date specified in section 1106 of this Act . (b) Notwithstanding section 101, beginning on the first day of the applicable pay period beginning on or after January 1, 2026, section 1605 of title VI of division A of Public Law 119–4 shall be applied through the date specified in section 106(3) of this Act by— (1) substituting the date specified in section 106(3) of this Act for the date specified in section 1106 of this Act ; (2) not applying paragraph (1); (3) substituting 2026 for 2025 in paragraph (2); (4) substituting 2027 for 2026 in paragraph (3); and (5) not applying paragraph (4). 143. Notwithstanding section 106— (1) Hereafter, there is established an Office of Inspector General of the Office of Management and Budget: Provided, That not later than 45 days after the date of enactment of this Act, the President shall appoint an individual to serve as the Inspector General of the Office of Management and Budget in accordance with section 403(a) of title 5, United States Code: Provided further, That such Office of Inspector General shall have jurisdiction over those matters that have been specifically assigned to the Office of Management and Budget under law and any matter that has been delegated to the Office of Management and Budget: Provided further, That the provisions of chapter 4 of title 5, United States Code shall apply to such Office of Inspector General. (2) In addition to amounts otherwise provided by this Act, there is appropriated to the Office of Inspector General of the Office of Management and Budget, established pursuant to subsection (a), for fiscal year 2026, $20,000,000, to remain available until September 30, 2027, for necessary expenses of the Office of Inspector General: Provided, That, hereafter, amounts appropriated to the Office of Inspector General of the Office of Management and Budget in this or any other Act, including subsequent Acts and laws other than appropriations Acts, shall be exempt from apportionment, notwithstanding subchapter II of chapter 15 of title 31, United States Code: Provided further, That amounts provided by this section shall be subject to the same authorities and conditions as if such amounts were provided by title II of division B of Public Law 118–47 . 144. For an additional amount for The Judiciary—Supreme Court of the United States—Salaries and Expenses , $28,000,000 to remain available until expended for protection of the residences of the Supreme Court Justices: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concurrent resolution on the budget for fiscal year 2022, and to legislation establishing fiscal year 2026 budget enforcement in the House of Representatives. 145. For an additional amount for The Judiciary—Court of Appeals, District Courts, and Other Judicial Services—Court Security , $52,000,000, to remain available until expended, for security improvements at United States courthouses and Federal court facilities: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concurrent resolution on the budget for fiscal year 2022, and to legislation establishing fiscal year 2026 budget enforcement in the House of Representatives. 146. Amounts made available by section 101 to the Department of Homeland Security under the heading Federal Emergency Management Agency—Disaster Relief Fund may be apportioned up to the rate for operations necessary to carry out response and recovery activities under the Robert T. Stafford Disaster Relief and Emergency Assistance Act ( 42 U.S.C. 5121 et seq. ). 147. Section 225(e) of division A of Public Law 116–6 ( 49 U.S.C. 44901 note) shall be applied by substituting the date specified in section 106(3) of this Act for 2025 . 148. During the period covered by this Act, section 1701 of title VII of division B of Public Law 117–43 , as amended, shall be applied by substituting calendar years 2021 through 2026 for 2021 or 2022 or 2023 or 2024 each place it appears. 149. Amounts made available by section 101 for Department of Agriculture—Forest Service—Wildland Fire Management may be apportioned up to the rate for operations necessary for wildfire suppression activities. 150. During the period covered by this Act, section 113 of division G of Public Law 113–76 , as amended by Public Law 116–6 , shall be applied by substituting 2026 for 2025 . 151. (a) In addition to amounts otherwise provided by section 101, amounts are provided for Department of Health and Human Services—Indian Health Service—Indian Health Services at a rate for operations of $72,265,000, for an additional amount for costs of staffing and operating facilities that were opened, renovated, or expanded in fiscal years 2025 and 2026, and such amounts may be apportioned up to the rate for operations necessary to staff and operate such facilities. (b) In addition to amounts otherwise provided by section 101, amounts are provided for Department of Health and Human Services—Indian Health Service—Indian Health Facilities at a rate for operations of $8,050,000, for an additional amount for costs of staffing and operating facilities that were opened, renovated, or expanded in fiscal years 2025 and 2026, and such amounts may be apportioned up to the rate for operations necessary to staff and operate such facilities. 152. The 19th unnumbered paragraph under the heading Administrative Provisions, Forest Service in title III of Public Law 109–54 , as amended, shall be further amended in the first sentence by striking the phrases in this Act and prior to the date of enactment of this Act . 153. During the period covered by this Act, section 3(b)(2)(C) of the Pittman-Robertson Wildlife Restoration Act ( 16 U.S.C. 669b(b)(2)(C) ) shall be applied by substituting 2027 for 2026 . 154. In addition to amounts otherwise provided by section 101, for Corporation for Public Broadcasting , there is appropriated $490,960,000 for an additional amount for fiscal year 2026, to remain available until September 30, 2026, for payment to the Corporation for Public Broadcasting: Provided, That such payment shall be made not later than 3 days after the date of enactment of this Act: Provided further, That such funds shall be available under the terms and conditions of the first paragraph under such heading in division D of the Further Consolidated Appropriations Act, 2024 ( Public Law 118–47 ) except the formula allocation described in section 396(k)(3) of the Communications Act of 1934 shall be applied as if $535,000,000 were available and no funds shall be available pursuant to the allocations in subclauses (II) and (III) of subparagraph (A)(iii) of such section 396(k)(3). 155. Notwithstanding section 101, the matter under the heading Department for Health and Human Services—Administration for Children and Families—Children and Families Services Programs in title II of division D of Public Law 118–47 shall be applied by adding the following after the second proviso: Provided further, That for purposes of section 640(a)(2)(B)(v) of such Act, the base grant for each of the Federated States of Micronesia and the Republic of the Marshall Islands shall be $8,000,000, and shall be considered equal to the amount provided for base grants for such jurisdictions under such Act for the prior fiscal year: . 156. Notwithstanding any other provision of this Act, for payment to Ashley Paige Turner, heir of Sylvester Turner, late a Representative from the State of Texas, $174,000. 157. Notwithstanding any other provision of this Act, for payment to Ramona Grijalva, widow of Raúl M. Grijalva, late a Representative from the State of Arizona, $174,000. 158. Notwithstanding any other provision of this Act, for payment to Catherine M. Smith, widow of Gerald E. Connolly, late a Representative from the Commonwealth of Virginia, $174,000. 159. Notwithstanding any other provision of law, no adjustment shall be made under section 601(a) of the Legislative Reorganization Act of 1946 ( 2 U.S.C. 4501 ) (relating to cost of living adjustments for Members of Congress) during the period covered by this Act. 160. (a) In addition to amounts otherwise provided by section 101, there is appropriated, for an additional amount for fiscal year 2026— (1) for House of Representatives—Salaries, Officers and Employees , $90,000,000, to remain available until expended, for salaries and expenses of the Office of the Sergeant at Arms for enhanced Member security programs; (2) for Senate—Contingent Expenses of the Senate—Sergeant at Arms and Doorkeeper of the Senate , $66,500,000, of which $53,000,000, to remain available until expended, shall be for the Sergeant at Arms Business Continuity and Disaster Recovery Fund for enhanced Member security, $3,500,000, to remain available until September 30, 2030, shall be for the residential security system program, and $10,000,000, to remain available until September 30, 2030, shall be for State office security related activities; and (3) for Capitol Police—United States Capitol Police Mutual Aid Reimbursements , $30,000,000, to remain available until expended, for reimbursements for mutual aid and related training described in section 7302 of the Intelligence Reform and Terrorism Prevention Act of 2004 ( 42 U.S.C. 5196 note). (b) The obligation of the funds appropriated by this section shall be subject to notification within 15 days of obligation of the amount and purpose of the obligation to the chairs and ranking minority members of the Committees on Appropriations of the House of Representatives and Senate, the Committee on House Administration of the House of Representatives, and the Committee on Rules and Administration of the Senate, as appropriate. (c) Amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 4001(a)(1) of S. Con. Res. 14 (117th Congress), the concurrent resolution on the budget for fiscal year 2022, and to legislation establishing fiscal year 2026 budget enforcement in the House of Representatives. 161. Notwithstanding section 101, the matter under the heading Veterans Benefit Administration—Native American Veteran Housing Loan Program Account in title II of division A of Public Law 118–42 shall be applied by adding the following new paragraph: In addition, for the cost of direct loans, $6,865,235, as authorized by subchapter V of chapter 37 of title 38, United States Code: Provided, That such costs, including the cost of modifying such loans, shall be as defined in section 502 of the Congressional Budget Act of 1974: Provided further, That funds made available under this heading are available to subsidize gross obligations for the principal amount of direct loans not to exceed $75,000,000. . 162. Section 562(c) of the European Bank for Reconstruction and Development Act, as amended ( 22 U.S.C. 290l et seq. ), is further amended by adding the following new paragraph at the end: (13) Capital increase (A) Subscription authorized (i) The United States Governor of the Bank may subscribe on behalf of the United States up to 40,000 additional shares of the paid-in capital stock of the Bank. (ii) Any subscription by the United States to additional paid-in capital stock of the Bank shall be effective only to such extent and in such amounts as are provided in advance in appropriations Acts. (B) Authorization of Appropriations. In order to pay for the increase in the United States subscription to the Bank under paragraph (A), there are authorized to be appropriated, without fiscal year limitation, $437,457,804, for payment by the Secretary of the Treasury. . 163. Amounts made available by section 101 for Department of Transportation—Office of the Secretary—Payments to Air Carriers may be apportioned up to the rate for operations necessary to maintain Essential Air Service program operations. 164. The remaining unobligated balances, as of September 30, 2025, from amounts made available for Department of Transportation—Federal Highway Administration—Highway Infrastructure Programs in division L of Public Law 117–103 for competitive awards for activities eligible under section 176(d)(4)(A) and 176(d)(4)(C) of title 23, United States Code, for fiscal year 2022 are hereby permanently rescinded, and in addition to amounts otherwise made available by section 101, an amount of additional new budget authority equivalent to the amount rescinded pursuant to this section is hereby appropriated on September 30, 2025, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, and shall be available, without additional competition, for completing the funding of awards made pursuant to section 176 of title 23, United States Code, for fiscal year 2022 funding, in addition to other funds as may be available for such purposes: Provided, That this section shall become effective immediately upon enactment of this Act: Provided further, That if this Act is enacted after September 30, 2025, this section shall be applied as if it were in effect on September 30, 2025. 165. During the period covered by this Act, any amounts made available by this Act under the heading Department of Housing and Urban Development—Public and Indian Housing—Tenant-Based Rental Assistance for fiscal year 2026 may be used to support additional allocations under subparagraph (D) of paragraph (1) and subparagraph (B) of paragraph (4) of such heading to prevent the termination of rental assistance for families as a result of insufficient funding in the calendar year 2025 funding cycle: Provided, That the Secretary shall notify the House and Senate Committees on Appropriations not less than 3 business days before funds are allotted for the additional purposes provided under this section. 166. Not later than December 15, 2025, the Secretary of Housing and Urban Development ( the Secretary ) shall noncompetitively renew all existing continuum of care grants and youth homelessness demonstration projects expiring during calendar year 2026 for one 12-month period, notwithstanding any inconsistent provisions in subtitle C of title IV of the McKinney-Vento Homeless Assistance Act, as amended: Provided, That the Secretary shall make reasonable adjustments for cost-of-living adjustments for supportive services and use fiscal year 2025 fair market rents for determining eligible renewal amounts. 167. The remaining unobligated balances of funds, as of September 30, 2025, from amounts made available to Department of Housing and Urban Development—Fair Housing and Equal Opportunity—Fair Housing Activities in title II of division F of the Consolidated Appropriations Act, 2024 ( Public Law 118–42 ) are hereby permanently rescinded, and in addition to amounts otherwise provided by section 101, an amount of additional new budget authority equivalent to the amount rescinded pursuant to this section is hereby appropriated on September 30, 2025, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, in addition to other funds as may be available for such purposes, and shall be available for completing the funding of awards made pursuant to the fiscal year 2024 fair housing initiatives program under section 561 of the Housing and Community Development Act of 1987 ( 42 U.S.C. 3616a ), in addition to amounts otherwise available for such purposes: Provided, That this section shall become effective immediately upon enactment of this Act: Provided further, That if this Act is enacted after September 30, 2025, this section shall be applied as if it were in effect on September 30, 2025. This division may be cited as the Continuing Appropriations Act, 2026 . B Extensions and other matters I Health A Public health extenders 2101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs (a) Extension for community health centers Section 10503(b)(1) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1) ) is amended— (1) in subparagraph (I), by striking ; and and inserting a semicolon; and (2) by adding at the end the following: (K) $373,698,630 for the period beginning on October 1, 2025, and ending on October 31, 2025; and . (b) Extension for the National Health Service Corps Section 10503(b)(2) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2) ) is amended— (1) in subparagraph (J), by striking ; and and inserting a semicolon; (2) in subparagraph (K), by striking the period and inserting ; and ; and (3) by adding at the end the following: (L) $30,897,398 for the period beginning on October 1, 2025, and ending on October 31, 2025. . (c) Teaching health centers that operate graduate medical education programs Section 340H(g)(1) of the Public Health Service Act ( 42 U.S.C. 256h(g)(1) ) is amended— (1) in subparagraph (E), by striking ; and and inserting a semicolon; (2) in subparagraph (F), by striking the period and inserting ; and ; and (3) by adding at the end the following: (G) $17,074,653 for the period beginning on October 1, 2025, and ending on October 31, 2025. . (d) Application of provisions Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 118–47 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act ( 42 U.S.C. 254b et seq. ). (e) Conforming amendments Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 2101(d) of division B of the Full-Year Continuing Appropriations and Extensions Act, 2025 and inserting section 2101(d) of division B of the Full-Year Continuing Appropriations and Extensions Act, 2025, and section 2101(d) of the Continuing Appropriations and Extensions and Other Matters Act, 2026 . 2102. Extension of special diabetes programs (a) Extension of special diabetes programs for type I diabetes Section 330B(b)(2) of the Public Health Service Act ( 42 U.S.C. 254c–2(b)(2) ) is amended— (1) in subparagraph (F), by striking ; and and inserting a semicolon; (2) in subparagraph (G), by striking the period and inserting ; and ; and (3) by adding at the end the following: (H) $13,523,490 for the period beginning on October 1, 2025, and ending on October 31, 2025, to remain available until expended. . (b) Extending funding for special diabetes programs for Indians Section 330C(c)(2) of the Public Health Service Act ( 42 U.S.C. 254c–3(c)(2) ) is amended— (1) in subparagraph (F), by striking ; and and inserting a semicolon; (2) in subparagraph (G), by striking the period and inserting ; and ; and (3) by adding at the end the following: (H) $13,523,490 for the period beginning on October 1, 2025, and ending on October 31, 2025, to remain available until expended. . 2103. 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 September 30, 2025 and inserting October 31, 2025 . (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking September 30, 2025 and inserting October 31, 2025 . (c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking September 30, 2025 and inserting October 31, 2025 . (d) (1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking September 30, 2025 and inserting October 31, 2025 . (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking September 30, 2025 and inserting October 31, 2025 . (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking September 30, 2025 and inserting October 31, 2025 . (e) Section 2812(c)(4)(B) of the Public Health Service Act ( 42 U.S.C. 300hh–11(c)(4)(B) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2104. Additional programs (a) No Surprises Act implementation funding Section 118(a) of the No Surprises Act ( Public Law 116–260 ) is amended by inserting , and an additional $67,000,000 for fiscal year 2026, to remain available until expended before the period at the end. (b) National technical assistance center on grandfamilies and kinship families Section 2922(a) of the American Rescue Plan Act of 2021 ( 42 U.S.C. 3020g(a) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . B Medicare 2111. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals (a) In general Section 1886(d)(12) of the Social Security Act ( 42 U.S.C. 1395ww(d)(12) ) is amended— (1) in subparagraph (B), in the matter preceding clause (i), by striking in fiscal year 2026 and subsequent fiscal years and inserting during the portion of fiscal year 2026 beginning on November 1, 2025, and ending on September 30, 2026, and in fiscal year 2027 and subsequent fiscal years ; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I)— (i) by inserting or portion of a fiscal year after for a fiscal year ; and (ii) by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025 after through 2025 ; (B) in subclause (III), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025 after through 2025 ; and (C) in subclause (IV), by striking fiscal year 2026 and inserting the portion of fiscal year 2026 beginning on November 1, 2025, and ending on September 30, 2026, and fiscal year 2027 ; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by inserting or during the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025 after through 2025 ; and (B) in clause (ii), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025 after through 2025 . (b) Implementation Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise. 2112. Extension of the Medicare-dependent hospital (MDH) program (a) In general Section 1886(d)(5)(G) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(G) ) is amended— (1) in clause (i), by striking October 1, 2025 and inserting November 1, 2025 ; and (2) in clause (ii)(II), by striking October 1, 2025 and inserting November 1, 2025 . (b) Conforming amendments (1) Extension of target amount Section 1886(b)(3)(D) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(D) ) is amended— (A) in the matter preceding clause (i), by striking October 1, 2025 and inserting November 1, 2025 ; and (B) in clause (iv), by inserting and the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025, after through fiscal year 2025 . (2) Permitting hospitals to decline reclassification Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 ( 42 U.S.C. 1395ww note) is amended by inserting or the portion of fiscal year 2026 beginning on October 1, 2025, and ending on October 31, 2025, after through fiscal year 2025 . 2113. Extension of add-on payments for ambulance services Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ) is amended— (1) in paragraph (12)(A), by striking October 1, 2025 and inserting November 1, 2025 ; and (2) in paragraph (13), by striking October 1, 2025 each place it appears and inserting November 1, 2025 in each such place. 2114. Extension of funding for quality measure endorsement, input, and selection Section 1890(d)(2) of the Social Security Act ( 42 U.S.C. 1395aaa(d)(2) ) is amended— (1) in the first sentence— (A) by striking and $14,030,000 and inserting $14,030,000 ; and (B) by inserting the following before the period at the end: , and $416,666 for the period beginning on October 1, 2025, and ending on October 31, 2025 ; and (2) in the third sentence, by striking September 30, 2025 and inserting October 31, 2025 . 2115. Extension of funding outreach and assistance for low-income programs (a) State health insurance assistance programs Subsection (a)(1)(B) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 ( 42 U.S.C. 1395b–3 note) is amended— (1) in clause (xiii), by striking and at the end; (2) in clause (xiv), by striking the period at the end and inserting ; and ; and (3) by inserting after clause (xiv) the following new clause: (xv) for the period beginning on October 1, 2025, and ending on October 31, 2025, $1,250,000. . (b) Area agencies on aging Subsection (b)(1)(B) of such section 119 is amended— (1) in clause (xiii), by striking and at the end; (2) in clause (xiv), by striking the period at the end and inserting ; and ; and (3) by inserting after clause (xiv) the following new clause: (xv) for the period beginning on October 1, 2025, and ending on October 31, 2025, $1,250,000. . (c) Aging and disability resource centers Subsection (c)(1)(B) of such section 119 is amended— (1) in clause (xiii), by striking and at the end; (2) in clause (xiv), by striking the period at the end and inserting ; and ; and (3) by inserting after clause (xiv) the following new clause: (xv) for the period beginning on October 1, 2025, and ending on October 31, 2025, $416,667. . (d) Coordination of efforts To inform older Americans about benefits available under Federal and State programs Subsection (d)(2) of such section 119 is amended— (1) in clause (xiii), by striking and at the end; (2) in clause (xiv), by striking the period at the end and inserting ; and ; and (3) by inserting after clause (xiv) the following new clause: (xv) for the period beginning on October 1, 2025, and ending on October 31, 2025, $1,250,000. . 2116. Extension of the work geographic index floor Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ) is amended by striking October 1, 2025 and inserting November 1, 2025 . 2117. Extension of certain telehealth flexibilities (a) Removing geographic requirements and expanding originating sites for telehealth services Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended— (1) in paragraph (2)(B)(iii), by striking ending September 30, 2025 and inserting ending October 31, 2025 ; and (2) in paragraph (4)(C)(iii), by striking ending on September 30, 2025 and inserting ending on October 31, 2025 . (b) Expanding practitioners eligible To furnish telehealth services Section 1834(m)(4)(E) of the Social Security Act ( 42 U.S.C. 1395m(m)(4)(E) ) is amended by striking ending on September 30, 2025 and inserting ending on October 31, 2025 . (c) Extending telehealth services for federally qualified health centers and rural health clinics Section 1834(m)(8)(A) of the Social Security Act ( 42 U.S.C. 1395m(m)(8)(A) ) is amended by striking ending on September 30, 2025 and inserting ending on October 31, 2025 . (d) Delaying the in-Person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology (1) Delay in requirements for mental health services furnished through telehealth Section 1834(m)(7)(B)(i) of the Social Security Act ( 42 U.S.C. 1395m(m)(7)(B)(i) ) is amended, in the matter preceding subclause (I), by striking on or after October 1, 2025 and inserting on or after November 1, 2025, . (2) Mental health visits furnished by rural health clinics Section 1834(y)(2) of the Social Security Act ( 42 U.S.C. 1395m(y)(2) ) is amended by striking October 1, 2025 and inserting November 1, 2025 . (3) Mental health visits furnished by Federally qualified health centers Section 1834(o)(4)(B) of the Social Security Act ( 42 U.S.C. 1395m(o)(4)(B) ) is amended by striking October 1, 2025 and inserting November 1, 2025 . (e) Allowing for the furnishing of audio-only telehealth services Section 1834(m)(9) of the Social Security Act ( 42 U.S.C. 1395m(m)(9) ) is amended by striking ending on September 30, 2025 and inserting ending on October 31, 2025 . (f) Extending use of telehealth To conduct face-to-Face encounter prior to recertification of eligibility for hospice care Section 1814(a)(7)(D)(i)(II) of the Social Security Act ( 42 U.S.C. 1395f(a)(7)(D)(i)(II) ) is amended by striking ending on September 30, 2025 and inserting ending on October 31, 2025 . (g) Program instruction authority The Secretary of Health and Human Services may implement the amendments made by this section through program instruction or otherwise. 2118. Extending acute hospital care at home waiver authorities Section 1866G(a)(1) of the Social Security Act ( 42 U.S.C. 1395cc–7(a)(1) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2119. Extension of temporary inclusion of authorized oral antiviral drugs as covered part d drugs Section 1860D–2(e)(1)(C) of the Social Security Act ( 42 U.S.C. 1395w–102(e)(1)(C) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2120. Medicare improvement fund Section 1898(b)(1) of the Social Security Act ( 42 U.S.C. 1395iii(b)(1) ) is amended by striking $1,804,000,000 and inserting $1,033,000,000 . C Human services 2121. Sexual risk avoidance education extension Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended— (1) in subsection (a)(1), by striking and for fiscal year 2025 and inserting for fiscal year 2025, and for the period beginning on October 1, 2025, and ending on October 31, 2025 ; and (2) in subsection (f)(1)— (A) by striking and for for fiscal year 2025 and inserting for fiscal year 2025 ; and (B) by inserting before the period at the end the following: , and for the period beginning on October 1, 2025, and ending on October 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2024 . 2122. Personal responsibility education extension Section 513 of the Social Security Act ( 42 U.S.C. 713 ) is amended— (1) in subsection (a)(1)— (A) in subparagraph (A), in the matter preceding clause (i), by striking and for fiscal year 2025 and inserting for fiscal year 2025, and for the period beginning on October 1, 2025, and ending on October 31, 2025 ; and (B) in subparagraph (B)(i), by striking and for fiscal year 2025 and inserting for fiscal year 2025, and for the period beginning on October 1, 2025, and ending on October 31, 2025 ; and (2) in subsection (f), by striking and for fiscal year 2025, an amount equal to the amount appropriated for fiscal year 2024 for fiscal year 2024 and inserting for fiscal year 2025, an amount equal to the amount appropriated for fiscal year 2024, and for the period beginning on October 1, 2025, and ending on October 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2024 . 2123. Extension of funding for family-to-family health information centers Section 501(c)(1)(A) of the Social Security Act ( 42 U.S.C. 701(c)(1)(A) ) is amended by striking and at the end of clause (vii), by inserting ; and at the end of clause (viii), and by adding at the end the following new clause: (ix) for the period beginning on October 1, 2025, and ending on October 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for fiscal year 2025. . D Medicaid 2131. Modifying certain disproportionate share hospital allotments (a) Extending Tennessee DSH allotments Section 1923(f)(6)(A)(vi) of the Social Security Act ( 42 U.S.C. 1396r–4(f)(6)(A)(vi) ) is amended— (1) in the heading, by inserting and for a portion of fiscal year 2026 after 2025 ; and (2) by inserting , and the DSH allotment for Tennessee for the period beginning on October 1, 2025, and ending on October 31, 2025, shall be $4,509,863 before the period at the end. (b) Delaying Medicaid DSH reductions Section 1923(f) of the Social Security Act ( 42 U.S.C. 1396r–4(f) ) is amended— (1) in paragraph (7)(A)— (A) in clause (i)— (i) in the matter preceding subclause (I), by striking each of fiscal years 2026 through 2028 and inserting the period beginning November 1, 2025, and ending September 30, 2026, and for each of fiscal years 2027 and 2028 ; (ii) in subclause (I), by striking fiscal year. and inserting fiscal year or period. ; and (iii) in subclause (II), by inserting or period after fiscal year the first place it appears; and (B) in clause (ii), by striking each of fiscal years 2026 through 2028 and inserting the period beginning November 1, 2025, and ending September 30, 2026, and for each of fiscal years 2027 and 2028 ; and (2) in paragraph (8), by striking 2027 and inserting 2028 . 2132. Extension of certified community behavioral health clinic demonstration programs Section 223(d) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended— (1) in paragraph (3), by striking September 30, 2025 and inserting October 31, 2025 ; and (2) in paragraph (5)(C)(iii)(I), by striking September 30, 2025 and inserting October 31, 2025 . E Other health provisions 2141. Repeal of health subtitle changes Subtitle B of title VII of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 ( Public Law 119–21 ) is repealed and any law or regulation referred to in such subtitle shall be applied as if such subtitle and the amendments made by such subtitle had not been enacted. 2142. Permanent extension of enhanced tax credit (a) In general Subparagraph (A) of section 36B(c)(1) of the Internal Revenue Code of 1986 is amended by striking but does not exceed 400 percent . (b) Applicable percentages (1) In general Subparagraph (A) of section 36B(b)(3) of the Internal Revenue Code of 1986 is amended to read as follows: (A) Applicable percentage The applicable percentage for any taxable year shall be the percentage such that the applicable percentage for any taxpayer whose household income is within an income tier specified in the following table shall increase, on a sliding scale in a linear manner, from the initial premium percentage to the final premium percentage specified in such table for such income tier: In the case of household income (expressed as a percent of poverty line) within the following income tier: The initial premium percentage is— The final premium percentage is— Up to 150 percent 0 0 150 percent up to 200 percent 0 2.0 200 percent up to 250 percent 2.0 4.0 250 percent up to 300 percent 4.0 6.0 300 percent up to 400 percent 6.0 8.5 400 percent and higher 8.5 8.5. . (2) Conforming amendments relating to affordability of coverage (A) Paragraph (1) of section 36B(c) of such Code is amended by striking subparagraph (E). (B) Subparagraph (C) of section 36B(c)(2) of such Code is amended by striking clause (iv). (C) Paragraph (4) of section 36B(c) of such Code is amended by striking subparagraph (F). (c) Effective date The amendments made by this section shall apply to taxable years beginning after December 31, 2025. II Veterans affairs 2201. Extension of requirement to provide nursing home care to certain veterans with service-connected disabilities Section 1710A(d) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2202. Extension of authority for Secretary of Veterans Affairs to transport individuals to and from facilities of Department of Veterans Affairs Section 111A(a)(2) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2203. Extension of funding for financial assistance for supportive services for very low-income veteran families in permanent housing Section 2044(e) of title 38, United States Code, is amended by adding at the end the following new paragraph: (9) $35,000,000 for October 1 through October 31, 2025. . 2204. Extension of Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program Section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 ( Public Law 116–171 ; 38 U.S.C. 1720F note) is amended— (1) in subsection (j), by striking the date that is three years after the date on which the first grant is awarded under this section and inserting October 31, 2025 ; and (2) in subsection (p), by inserting before the period at the end the following: and, for the period beginning on October 1, 2025, and ending on October 31, 2025, such sums as may be necessary . 2205. Extension of authority to maintain regional office in Republic of Philippines Section 315(b) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2206. Extension of requirement relating to restoration of entitlement to educational assistance in cases of closure or disapproval of educational institutions Section 3699(c)(2)(C) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2207. Extension of authority for treatment and rehabilitation for seriously mentally ill and homeless veterans (a) General treatment Section 2031(b) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . (b) Additional services at certain locations Section 2033(d) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2208. Extension of funding for grant program for homeless veterans with special needs Section 2061(d) of title 38, United States Code, is amended— (1) by redesignating paragraph (2) as paragraph (3); and (2) by inserting after paragraph (1) the following new paragraph (2): (2) From amounts appropriated to the Department for Medical Services for October 1 through October 31, 2025, $416,667 shall be available for the purposes of the program under this section. . 2209. Extension of authority for collection of copayments for hospital care and nursing home care Section 1710(f)(2)(B) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2210. Extension of funding for expansion of rural access network for growth enhancement program Section 2(d) of the Sgt. Ketchum Rural Veterans Mental Health Act of 2021 ( Public Law 117–21 ; 38 U.S.C. 1712A note) is amended by inserting before the period at the end the following: and, for the period beginning on October 1, 2025, and ending on October 31, 2025, $100,000 . 2211. Extension of authority to provide assistance for specially adapted housing for disabled veterans residing temporarily in housing owned by a family member Section 2102A(e) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2212. Extension of authority for specially adapted housing assistive technology grant program Section 2108(g) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2213. Extension of authorization of appropriations for homeless women veterans and homeless veteran with children reintegration grant program Section 2021A(f)(1) of title 38, United States Code, is amended by inserting before the period at the end the following: and, for the period beginning on October 1, 2025, and ending on October 31, 2025, $83,334 . 2214. Extension of authority relating to vendee loan program Section 3733(a)(8) of title 38, United States Code, is amended— (1) in the matter preceding subparagraph (A), by striking September 30, 2025 and inserting October 31, 2025 ; and (2) in subparagraph (C), by striking September 30, 2025 and inserting October 31, 2025 . 2215. Extension of subpoena authority of Inspector General of Department of Veterans Affairs Section 312(d)(7)(A) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . 2216. Extension of authority for transfer of real property Section 8118(a)(5) of title 38, United States Code, is amended by striking September 30, 2025 and inserting October 31, 2025 . III Miscellaneous extensions 2301. Commodity Futures Trading Commission whistleblower program Section 1(b) of Public Law 117–25 (135 Stat. 297; 136 Stat. 2133; 136 Stat. 5984; 138 Stat. 1771; 139 Stat. 46) is amended in each of paragraphs (3) and (4) by striking September 30, 2025 each place it appears and inserting October 31, 2025 . 2302. Forest Service participation in ACES program Section 8302(b) of the Agricultural Act of 2014 ( 16 U.S.C. 3851a(b) ) shall be applied by substituting 1 day after October 31, 2025 for October 1, 2023 . 2303. Food for Peace Act The authorities provided by each provision of the Food for Peace Act ( 7 U.S.C. 1691 et seq. ), as in effect on September 30, 2025, shall remain in effect through October 31, 2025. 2304. United States Grain Standards Act (a) In general Sections 7(j)(5), 7A(l)(4), and 21(e) of the United States Grain Standards Act ( 7 U.S.C. 79(j)(5) , 79a(l)(4), 87j(e)) shall be applied by substituting October 31, 2025 for September 30, 2025 each place it appears. (b) Limitation on administrative and supervisory costs The limitation described in section 7D of the United States Grain Standards Act ( 7 U.S.C. 79d ) shall apply to the period beginning on October 1, 2025, and ending on October 31, 2025. 2305. Extension of Defense Production Act of 1950 Section 717(a) of the Defense Production Act of 1950 ( 50 U.S.C. 4564(a) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2306. Alternative fuel vehicles in HOV lanes Section 166(b)(5)(A) of title 23, United States Code, is amended, in the matter preceding clause (i), by striking September 30, 2025 and inserting October 31, 2025 . 2307. Eligibility of certain projects under the TIFIA program Section 601(a)(12)(G) of title 23, United States Code, is amended, in the matter preceding clause (i), by striking September 30, 2025 and inserting October 31, 2025 . 2308. Protection of certain facilities and assets from unmanned aircraft Section 210G(i) of the Homeland Security Act of 2002 ( 6 U.S.C. 124n(i) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2309. National Cybersecurity Protection System authorization Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015 ( 6 U.S.C. 1525(a) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2310. State and local cybersecurity grant program Section 2220A(s)(2) of the Homeland Security Act of 2002 ( 6 U.S.C. 665g(s)(2) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2311. Cybersecurity information sharing Section 111(a) of the Cybersecurity Information Sharing Act of 2015 ( 6 U.S.C. 1510(a) ) is amended by striking September 30, 2025 and inserting October 31, 2025 . 2312. Additional special assessment Section 3014(a) of title 18, United States Code, is amended, in the matter preceding paragraph (1), by striking September 30, 2025 and inserting October 31, 2025 . 2313. Short-term reauthorization of the United States International Development Finance Corporation Section 1424(a) of the BUILD Act of 2018 ( 22 U.S.C. 9624(a) ) is amended by striking the date that is 7 years after the date of the enactment of this Act and inserting October 31, 2025 . IV Budgetary effects 2401. 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.