An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes.
PL 115-96 (H.R.1370), enacted 12/22/2017

131 STAT. 2044 
PUBLIC LAW 115–96—DEC. 22, 2017 
Public Law 115–96 
115th Congress 
An Act 
To amend the Homeland Security Act of 2002 to require the Secretary of Homeland 
Security to issue Department of Homeland Security-wide guidance and develop 
training programs as part of the Department of Homeland Security Blue Cam-
paign, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
DIVISION A—FURTHER ADDITIONAL CONTINUING 
APPROPRIATIONS ACT, 2018 
SECTION 1001. The Continuing Appropriations Act, 2018 (division 
D of Public Law 115–56) is further amended— 
(1) by striking the date specified in section 106(3) and 
inserting ‘‘January 19, 2018’’; and 
(2) by adding after section 142 the following: 
‘‘SEC. 143. Notwithstanding section 104, amounts made avail-
able by section 111 for ‘Department of Homeland Security—Coast 
Guard—Retired Pay’ may be obligated to carry out Retired Pay 
Reform, as authorized by part 1 of subtitle D of title VI of the 
National Defense Authorization Act for Fiscal Year 2016 (Public 
Law 114–92, as amended), and the matter under such heading 
in division F of the Consolidated Appropriations Act, 2017 (Public 
Law 115–31; 131 Stat. 409) shall be applied during the period 
covered by this Act by inserting ‘payment of continuation pay under 
section 356 of title 37, United States Code,’ after ‘payment for 
career status bonuses,’. 
‘‘SEC. 144. In addition to amounts provided by section 101, 
amounts are provided for ‘Department of Health and Human Serv-
ices—Indian Health Service—Indian Health Services’ at a rate for 
operations of $11,761,000 and amounts are provided for ‘Depart-
ment of Health and Human Services—Indian Health Service— 
Indian Health Facilities’ at a rate for operations of $1,104,000, 
for an additional amount for costs of staffing and operating newly 
constructed facilities; and such amounts may be apportioned up 
to the rate for operations necessary to staff and operate newly 
constructed facilities. 
‘‘SEC. 145. Amounts made available by section 101 for ‘Depart-
ment of Health and Human Services—Administration for Children 
and Families—Refugee and Entrant Assistance’ may be apportioned 
up to the rate for operations necessary to maintain program oper-
ations for carrying out section 235 of the William Wilberforce Traf-
ficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 
1232) and section 462 of the Homeland Security Act of 2002 (6 
U.S.C. 279) at the level provided in fiscal year 2017. 
Applicability. 
Ante, pp. 1141, 
1280. 
Expiration date. 
Further 
Additional 
Continuing 
Appropriations 
Act, 2018. 
Dec. 22, 2017 
[H.R. 1370] 
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131 STAT. 2045 
PUBLIC LAW 115–96—DEC. 22, 2017 
‘‘SEC. 146. Notwithstanding section 101, amounts are provided 
for the purposes described in the third paragraph under the heading 
‘Department of Health and Human Services—Office of the Sec-
retary—Public Health and Social Services Emergency Fund’ at a 
rate for operations of $112,000,000; and such amounts may be 
apportioned up to the rate for operations necessary to prepare 
for or respond to an influenza pandemic. 
‘‘SEC. 147. Notwithstanding section 251(a)(1) of the Balanced 
Budget and Emergency Deficit Control Act of 1985 and the time-
table in section 254(a) of such Act, the final sequestration report 
for fiscal year 2018 pursuant to section 254(f)(1) of such Act and 
any order for fiscal year 2018 pursuant to section 254(f)(5) of 
such Act shall be issued, for the Congressional Budget Office, 10 
days after the date specified in section 106(3), and for the Office 
of Management and Budget, 15 days after the date specified in 
section 106(3).’’. 
SEC. 1002. (a) Notwithstanding the dates specified in section 
403(b) of the FISA Amendments Act of 2008 (Public Law 110– 
261; 122 Stat. 2474), the amendments made by such section shall 
not take effect until the date specified in section 106(3) of the 
Continuing Appropriations Act, 2018 (division D of Public Law 
115–56), as amended. 
(b) If during the period beginning on the date of the enactment 
of this Act and ending on the date specified in section 106(3) 
of the Continuing Appropriations Act, 2018 (division D of Public 
Law 115–56), as amended, any Act amending the dates specified 
in section 403(b) of the FISA Amendments Act of 2008 (Public 
Law 110–261; 122 Stat. 2474) is enacted, this section shall be 
repealed. 
This division may be cited as the ‘‘Further Additional Con-
tinuing Appropriations Act, 2018’’. 
DIVISION B—MISSILE DEFENSE 
The following sums are appropriated, out of any money in 
the Treasury not otherwise appropriated, for the fiscal year ending 
September 30, 2018, and for other purposes, namely: 
TITLE I—MISSILE DEFEAT AND DEFENSE ENHANCEMENTS 
DEPARTMENT OF DEFENSE 
OPERATION AND MAINTENANCE 
OPERATION AND MAINTENANCE, NAVY 
For an additional amount for ‘‘Operation and Maintenance, 
Navy’’ for necessary costs to repair damage to the U.S.S. John 
S. McCain and the U.S.S. Fitzgerald, $673,500,000: Provided, That 
such amount is 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. 
OPERATION AND MAINTENANCE, AIR FORCE 
For an additional amount for ‘‘Operation and Maintenance, 
Air Force’’ for necessary costs to detect, defeat, and defend against 
Department of 
Defense Missile 
Defeat and 
Defense 
Enhancements 
Appropriations 
Act, 2018. 
Time period. 
Effective date. 
50 USC 1881 
note. 
Reports. 
Time periods. 
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131 STAT. 2046 
PUBLIC LAW 115–96—DEC. 22, 2017 
the use of ballistic missiles, $18,750,000: Provided, That such 
amount is 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. 
OPERATION AND MAINTENANCE, DEFENSE-WIDE 
For an additional amount for ‘‘Operation and Maintenance, 
Defense-Wide’’ for necessary costs to detect, defeat, and defend 
against the use of ballistic missiles, $23,735,000: Provided, That 
such amount is 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. 
PROCUREMENT 
MISSILE PROCUREMENT, ARMY 
For an additional amount for ‘‘Missile Procurement, Army’’ 
for necessary costs to detect, defeat, and defend against the use 
of ballistic missiles, $884,000,000, to remain available until Sep-
tember 30, 2020: Provided, That such amount is designated by 
the Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985. 
MISSILE PROCUREMENT, AIR FORCE 
For an additional amount for ‘‘Missile Procurement, Air Force’’ 
for necessary costs to detect, defeat, and defend against the use 
of ballistic missiles, $12,000,000 to remain available until Sep-
tember 30, 2020: Provided, That such amount is designated by 
the Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985. 
OTHER PROCUREMENT, AIR FORCE 
For an additional amount for ‘‘Other Procurement, Air Force’’ 
for necessary costs to detect, defeat, and defend against the use 
of ballistic missiles, $288,055,000 to remain available until Sep-
tember 30, 2020: Provided, That such amount is designated by 
the Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985. 
PROCUREMENT, DEFENSE-WIDE 
For an additional amount for ‘‘Procurement, Defense-Wide’’ for 
necessary costs to detect, defeat, and defend against the use of 
ballistic missiles, $1,239,140,000 to remain available until Sep-
tember 30, 2020: Provided, That such amount is designated by 
the Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985. 
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131 STAT. 2047 
PUBLIC LAW 115–96—DEC. 22, 2017 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, ARMY 
For an additional amount for ‘‘Research, Development, Test 
and Evaluation, Army’’ for necessary costs to detect, defeat, and 
defend against the use of ballistic missiles, $20,700,000 to remain 
available until September 30, 2019: Provided, That such amount 
is designated by the Congress as an emergency requirement pursu-
ant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, NAVY 
For an additional amount for ‘‘Research, Development, Test 
and Evaluation, Navy’’ for necessary costs to detect, defeat, and 
defend against the use of ballistic missiles, $60,000,000 to remain 
available until September 30, 2019: Provided, That such amount 
is designated by the Congress as an emergency requirement pursu-
ant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency 
Deficit Control Act of 1985. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, AIR FORCE 
For an additional amount for ‘‘Research, Development, Test 
and Evaluation, Air Force’’ for necessary costs to detect, defeat, 
and defend against the use of ballistic missiles, $255,744,000 to 
remain available until September 30, 2019: Provided, That such 
amount is 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. 
RESEARCH, DEVELOPMENT, TEST AND EVALUATION, DEFENSE-WIDE 
For an additional amount for ‘‘Research, Development, Test 
and Evaluation, Defense-Wide’’ for necessary costs to detect, defeat, 
and defend against the use of ballistic missiles, $1,010,220,000 
to remain available until September 30, 2019: Provided, That such 
amount is 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. 
TITLE II—MISSILE CONSTRUCTION ENHANCEMENTS 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, DEFENSE-WIDE 
For an additional amount for ‘‘Military Construction, Defense- 
Wide’’, $200,000,000, to remain available until September 30, 2022, 
to carry out construction of a missile field in Alaska: Provided, 
That such funds may be obligated or expended for planning and 
design and military construction projects not otherwise authorized 
by law: Provided further, That such amount is designated by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985. 
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131 STAT. 2048 
PUBLIC LAW 115–96—DEC. 22, 2017 
TITLE III—GENERAL PROVISIONS 
SEC. 2001. Notwithstanding any other provision of law, funds 
made available in this division are in addition to amounts appro-
priated or otherwise made available for the Department of Defense 
for fiscal year 2018. 
SEC. 2002. (a) Funds made available in title I of this division 
shall be allocated to programs, projects, and activities in accordance 
with the detailed congressional budget justifications submitted by 
the Department of Defense to accompany the Fiscal Year 2018 
Budget Amendments requested by the President on November 6, 
2017: Provided, That changes to the allocation of such funds shall 
be subject to the reprogramming requirements set forth in the 
annual appropriations Act. 
(b) Funds made available in this division may be obligated 
and expended notwithstanding sections 102 and 104 of division 
D of Public Law 115–56. 
SEC. 2003. Each amount designated in this division by the 
Congress as an emergency requirement pursuant to section 
251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Con-
trol Act of 1985 shall be available only if the President subsequently 
so designates all such amounts and transmits such designations 
to the Congress. 
This division may be cited as the ‘‘Department of Defense 
Missile Defeat and Defense Enhancements Appropriations Act, 
2018’’. 
DIVISION C—HEALTH PROVISIONS 
TITLE I—PUBLIC HEALTH EXTENDERS 
SEC. 3101. EXTENSION FOR COMMUNITY HEALTH CENTERS, THE 
NATIONAL HEALTH SERVICE CORPS, AND TEACHING 
HEALTH CENTERS THAT OPERATE GME PROGRAMS. 
(a) 
COMMUNITY
HEALTH
CENTERS
FUNDING.—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 (D), by striking ‘‘and’’ at the end; 
and 
(2) by inserting after subparagraph (E) the following: 
‘‘(F) $550,000,000 for the period of the first and second 
quarters of fiscal year 2018; and’’. 
(b) 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 (D), by striking ‘‘and’’ at the end; 
(2) in subparagraph (E), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after subparagraph (E) the following: 
‘‘(F) $65,000,000 for period of the first and second 
quarters of fiscal year 2018.’’. 
(c) TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MED-
ICAL EDUCATION PROGRAMS.—Subsection (g) of section 340H of the 
Public Health Service Act (42 U.S.C. 256h) is amended— 
(1) by striking ‘‘To carry out’’ and inserting the following: 
‘‘(1) IN GENERAL.—To carry out’’; 
CHIP and Public 
Health Funding 
Extension Act. 
President. 
Designations. 
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131 STAT. 2049 
PUBLIC LAW 115–96—DEC. 22, 2017 
(2) by striking ‘‘and $15,000,000 for the first quarter of 
fiscal year 2018’’ and inserting ‘‘and $30,000,000 for the period 
of the first and second quarters of fiscal year 2018, to remain 
available until expended’’; and 
(3) by adding at the end the following: 
‘‘(2) ADMINISTRATIVE
EXPENSES.—Of the amount made 
available to carry out this section for any fiscal year, the 
Secretary may not use more than 5 percent of such amount 
for the expenses of administering this section.’’. 
(d) APPLICATION.—Amounts appropriated pursuant to this sec-
tion are subject to the requirements contained in Public Law 115– 
31 for funds for programs authorized under sections 330 through 
340 of the Public Health Service Act (42 U.S.C. 254b–256). 
(e) CONFORMING AMENDMENTS.—Section 3014(h) of title 18, 
United States Code, is amended— 
(1) in paragraph (1), by striking ‘‘section 10503(b)(1)(E) 
of the Patient Protection and Affordable Care Act (42 U.S.C. 
254b-2(b)(1)(E)), as amended by section 221 of the Medicare 
Access and CHIP Reauthorization Act of 2015’’ and inserting 
‘‘subparagraphs (E) and (F) of section 10503(b)(1) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(1))’’; 
and 
(2) in paragraph (4), by inserting ‘‘and section 3101(d) 
of the CHIP and Public Health Funding Extension Act’’ after 
‘‘section 221(c) of the Medicare Access and CHIP Reauthoriza-
tion Act of 2015’’. 
SEC. 3102. EXTENSION FOR SPECIAL DIABETES PROGRAMS. 
(a) SPECIAL DIABETES PROGRAM 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 (B), by striking ‘‘and’’ at the end; 
(2) in subparagraph (C), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after subparagraph (C) the following: 
‘‘(D) $37,500,000 for the period of the first and second 
quarters of fiscal year 2018, to remain available until 
expended.’’. 
(b) SPECIAL DIABETES PROGRAM FOR INDIANS.—Subparagraph 
(D) of section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 
254c–3(c)(2)) is amended by inserting ‘‘and $37,500,000 for the 
second quarter of fiscal year 2018’’ before the period at the end. 
SEC. 3103. PREVENTION AND PUBLIC HEALTH FUND. 
Section 4002(b) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 300u–11(b)) is amended— 
(1) in paragraph (3), by striking ‘‘each of fiscal years 2018 
and 2019’’ and inserting ‘‘fiscal year 2018’’; 
(2) by redesignating paragraphs (4) through (8) as para-
graphs (5) through (9); 
(3) by inserting after paragraph (3) the following new para-
graph: 
‘‘(4) for fiscal year 2019, $800,000,000;’’; 
(4) in paragraph (5), as so redesignated, by striking 
‘‘$1,000,000,000’’ and inserting ‘‘$800,000,000’’; and 
(5) in paragraph (6), as so redesignated, by striking 
‘‘$1,500,000,000’’ and inserting ‘‘$1,250,000,000’’. 
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131 STAT. 2050 
PUBLIC LAW 115–96—DEC. 22, 2017 
TITLE II—CHILDREN’S HEALTH 
INSURANCE PROGRAM (CHIP) 
SEC. 3201. FUNDING EXTENSION OF THE CHILDREN’S HEALTH INSUR-
ANCE PROGRAM. 
(a) APPROPRIATION; TOTAL ALLOTMENT.—Section 2104(a) of the 
Social Security Act (42 U.S.C. 1397dd(a)) is amended— 
(1) in paragraph (19), by striking ‘‘and’’; 
(2) in paragraph (20), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following new paragraph: 
‘‘(21) for fiscal year 2018, for purposes of making 1 semi- 
annual allotment— 
‘‘(A) $2,850,000,000 for the period beginning on October 
1, 2017, and ending on March 31, 2018.’’. 
(b) ALLOTMENTS.— 
(1) IN GENERAL.—Section 2104(m) of the Social Security 
Act (42 U.S.C. 1397dd(m)) is amended— 
(A) in paragraph (2)(B)(ii), in the matter preceding 
subclause (I), by inserting ‘‘and paragraph (10)’’ after 
‘‘clauses (iii) and (iv)’’; 
(B) in paragraph (5)— 
(i) by striking ‘‘or (4)’’ and inserting ‘‘(4), or (10)’’; 
and 
(ii) by striking ‘‘or 2017’’ and inserting ‘‘, 2017, 
or 2018’’; 
(C) in paragraph (9)— 
(i) in the heading, by striking ‘‘FISCAL YEARS 2015 
AND 2017’’ and inserting ‘‘CERTAIN FISCAL YEARS’’; 
(ii) by striking ‘‘or (4)’’ and inserting ‘‘, (4), or 
(10)’’; and 
(iii) by striking ‘‘or fiscal year 2017’’ and inserting 
‘‘, 2017, or 2018’’; and 
(D) by adding at the end the following new paragraph: 
‘‘(10) FOR FISCAL YEAR 2018.— 
‘‘(A) FIRST HALF.— 
‘‘(i) IN GENERAL.—Subject to paragraphs (5) and 
(7), from the amount made available under subpara-
graph (A) of paragraph (21) of subsection (a) for the 
semi-annual period described in such subparagraph, 
the Secretary shall compute a State allotment for each 
State (including the District of Columbia and each 
commonwealth and territory) for such semi-annual 
period in an amount equal to 1⁄2 of the amount 
described in clause (ii) for the State. 
‘‘(ii) FULL YEAR AMOUNT BASED ON GROWTH FACTOR 
UPDATED
AMOUNT.—The amount described in this 
clause for a State is equal to the sum of— 
‘‘(I) the sum of the 2 semi-annual allotments 
made to the State under paragraph (4) for fiscal 
year 2017; and 
‘‘(II) the amount of any payments made to 
the State under subsection (n) for fiscal year 2017, 
multiplied by the allotment increase factor under para-
graph (6) for fiscal year 2018.’’. 
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131 STAT. 2051 
PUBLIC LAW 115–96—DEC. 22, 2017 
(2) CONFORMING AMENDMENTS.—Section 2104(m)(2) of such 
Act (42 U.S.C. 1397dd(m)(2)) is amended— 
(A) in the paragraph heading, by striking ‘‘2010 
THROUGH 2016’’ and inserting ‘‘BEGINNING WITH FISCAL YEAR 
2010’’; and 
(B) by striking ‘‘the allotment increase factor under 
paragraph (5)’’ each place it appears and inserting ‘‘the 
allotment increase factor under paragraph (6)’’. 
(3) APPLICATION
OF
REGULAR
EXPENDITURE
RULES.— 
Amounts allotted to a State under section 2104(m)(10)(A) of 
the Social Security Act (42 U.S.C. 1397dd(m)(10)(A)) (as added 
by paragraph (1)) shall be subject to the same requirements 
of title XXI of such Act and applicable regulations of the Sec-
retary of Health and Human Services as apply to other allot-
ments made to States for a fiscal year under section 2104 
of such Act. 
(c) EXTENSION OF CHIP ALLOCATION REDISTRIBUTION SPECIAL 
RULE FOR CERTAIN SHORTFALL STATES.— 
(1) IN GENERAL.—Section 2104(f)(2)(B)(ii) of the Social Secu-
rity Act (42 U.S.C. 1397dd(f)(2)(B)), as amended by section 
201 of Public Law 115–90, is amended— 
(A) in the clause heading, by striking ‘‘FIRST QUARTER’’ 
and inserting ‘‘FIRST HALF’’; 
(B) by redesignating subclause (III) as subclause (VI); 
and 
(C) by striking subclauses (I) and (II) and inserting 
the following: 
‘‘(I) IN GENERAL.—For each month beginning 
during the period beginning on October 1, 2017, 
and ending March 31, 2018, subject to the suc-
ceeding subclauses of this clause, the Secretary 
shall redistribute any amounts available for redis-
tribution under paragraph (1) for fiscal year 2018, 
to each State that is an emergency shortfall State 
for the month (as defined in subclause (II)) such 
amount as the Secretary determines will eliminate 
the estimated shortfall described in subclause (II) 
for such State for the month (as may be adjusted 
under subparagraph (C)) before the Secretary may 
redistribute such amounts to any shortfall State 
that is not an emergency shortfall State. In the 
case of any amounts redistributed under this sub-
clause to a State that is not an emergency shortfall 
State, such amounts shall be determined in accord-
ance with clause (i). 
‘‘(II) EMERGENCY SHORTFALL STATE DEFINED.— 
For purposes of this clause, the term ‘emergency 
shortfall State’ means, with respect to a month 
beginning during the period beginning October 1, 
2017, and ending March 31, 2018, a shortfall State 
for which the Secretary estimates, in accordance 
with subparagraph (A) (unless otherwise specified 
in this subclause) and on a monthly basis using 
the most recent data available to the Secretary 
as of such month, that the projected expenditures 
under the State child health plan and under sec-
tion 2105(g) (calculated as if the reference under 
Time period. 
Determination. 
42 USC 1397dd 
note. 
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131 STAT. 2052 
PUBLIC LAW 115–96—DEC. 22, 2017 
section 2105(g)(4)(A) to ‘2017’ were a reference to 
‘2018’ and insofar as the allotments are available 
to the State under this subsection or subsection 
(e) or (m)) for such month will exceed the sum 
of the amounts described in clauses (i) through 
(iii) of subparagraph (A) for such month, including 
after application of any amount redistributed 
under paragraph (1) for a previous month for fiscal 
year 2018 in accordance with this clause, to such 
State. A shortfall State may be an emergency 
shortfall State under the previous sentence with-
out regard to whether any amounts were redistrib-
uted to such State under paragraph (1) for a pre-
vious month in fiscal year 2018. 
‘‘(III) FUNDS REDISTRIBUTED IN THE ORDER IN 
WHICH STATES REALIZE FUNDING SHORTFALLS.—The 
Secretary shall redistribute the amounts available 
for redistribution under paragraph (1) to emer-
gency shortfall States described in subclause (II) 
in the order in which such States realize monthly 
funding shortfalls under this title for fiscal year 
2018. The Secretary shall only make redistribu-
tions under this clause to the extent that such 
amounts are available for such redistributions. 
‘‘(IV) PRORATION RULE.—If the amounts avail-
able for redistribution under paragraph (1) for a 
month during the period described in subclause 
(I) are less than the total amounts of the estimated 
shortfalls determined for the month for emergency 
shortfall States described in subclause (II), the 
amount computed under subclause (I) for each 
emergency shortfall State shall be reduced propor-
tionally. 
‘‘(V) UNOBLIGATED
REDISTRIBUTED
FUNDS.— 
The Secretary shall withhold any funds redistrib-
uted under paragraph (1) for fiscal year 2018 
before January 1, 2018, but which have not been 
obligated for amounts expended by a State as of 
that date, and shall redistribute such funds in 
accordance with the preceding subclauses of this 
clause.’’. 
(2) RULE OF CONSTRUCTION.—Nothing in the amendments 
made by paragraph (1) shall be construed as authorizing the 
Secretary of Health and Human Services to de-obligate any 
funds redistributed under clause (ii) of section 2104(f)(2)(B) 
of the Social Security Act (42 U.S.C. 1397dd(f)(2)(B)) that have 
been obligated for amounts expended by an emergency shortfall 
State described in such clause as of January 1, 2018. 
This division may be cited as the ‘‘CHIP and Public Health 
Funding Extension Act’’. 
DIVISION D—OTHER MATTERS 
SEC. 4001. VA CHOICE. 
There is appropriated, out of any funds in the Treasury not 
otherwise appropriated, $2,100,000,000, to remain available until 
42 USC 201 note. 
42 USC 1397dd 
note. 
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131 STAT. 2053 
PUBLIC LAW 115–96—DEC. 22, 2017 
LEGISLATIVE HISTORY—H.R. 1370: 
HOUSE REPORTS: No. 115–143, Pt. 1 (Comm. on Homeland Security). 
CONGRESSIONAL RECORD, Vol. 163 (2017): 
May 23, considered and passed House. 
Nov. 6, considered and passed Senate, amended. 
Dec. 21, House concurred in Senate amendment with an amendment. Senate 
concurred in House amendment. 
DAILY COMPILATION OF PRESIDENTIAL DOCUMENTS (2017): 
Dec. 22, Presidential remarks. 
expended, to be deposited in the Veterans Choice Fund under 
section 802 of the Veterans Access, Choice, and Accountability 
Act of 2014 (Public Law 113–146; 38 U.S.C. 1701 note). 
DIVISION E—BUDGETARY EFFECTS 
SEC. 5001. BUDGETARY EFFECTS. 
(a) IN GENERAL.—The budgetary effects of division C and each 
succeeding division shall not be entered on either PAYGO scorecard 
maintained pursuant to section 4(d) of the Statutory Pay-As-You- 
Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary effects of 
division C and each succeeding division shall not be entered on 
any PAYGO scorecard maintained for purposes of section 4106 
of H. Con. Res. 71 (115th Congress). 
(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 accom-
panying Conference Report 105–217 and section 250(c)(8) of the 
Balanced Budget and Emergency Deficit Control Act of 1985, the 
budgetary effects of division C and each succeeding division shall 
not be estimated— 
(1) for purposes of section 251 of such Act; and 
(2) for purposes of paragraph (4)(C) of section 3 of the 
Statutory Pay-As-You-Go Act of 2010 as being included in an 
appropriation Act. 
SEC. 5002. BUDGETARY EFFECTS OF RECONCILIATION ACT. 
(a) DEFINITION OF RECONCILIATION ACT.—In this section, the 
term ‘‘reconciliation Act’’ means an Act enacted into law before, 
on, or after the date of enactment of this Act that was considered 
pursuant to the reconciliation instructions in H. Con. Res. 71 (115th 
Congress), the concurrent resolution on the budget for fiscal year 
2018. 
(b) PAYGO SCORECARD.—The budgetary effects of the reconcili-
ation Act shall not be entered on either PAYGO scorecard main-
tained pursuant to section 4(d) of the Statutory Pay-As-You-Go 
Act of 2010 (2 U.S.C. 933(d)). 
Approved December 22, 2017. 
VerDate Sep 11 2014 
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