Further Additional Continuing Appropriations and Other Extensions Act, 2024
PL 118-35 (H.R.2872), enacted 01/19/2024

[118th Congress Public Law 35]
[From the U.S. Government Publishing Office]



[[Page 138 STAT. 3]]

Public Law 118-35
118th Congress

                                 An Act


 
  Making further continuing appropriations for the fiscal year ending 
      September 30, 2024, and for other purposes. <<NOTE: Jan. 19, 
                         2024 -  [H.R. 2872]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, <<NOTE: Further 
Additional Continuing Appropriations and Other Extensions Act, 2024.>> 
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Further Additional Continuing 
Appropriations and Other Extensions Act, 2024''.
SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short Title.
Sec. 2. Table of Contents.
Sec. 3. References.


   DIVISION A--FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2024


                        DIVISION B--OTHER MATTERS

Title I--Health and Human Services
Title lI--Compacts
Title lII--Counter-UAS Authorities
Title IV--Budgetary Effects

SEC. 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.

 DIVISION A-- <<NOTE: Further Additional Continuing Appropriations Act, 
2024. Apportionment.>> FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 
2024

    Sec. 101.  The Continuing Appropriations Act, 2024 (division A of 
Public Law 118-15) is further amended--
            (1) <<NOTE: 137 Stat. 112.>>  by striking the date specified 
        in section 106(3) and inserting ``March 8, 2024'';
            (2) <<NOTE: 137 Stat. 112.>>  by striking the date specified 
        in section 106(4) and inserting ``March 1, 2024'';
            (3) <<NOTE: 18 USC 3551 note.>>  in section 123, by striking 
        ``94 days'' and inserting ``129 days'' and by striking ``94-
        day'' and inserting ``129-day'';
            (4) <<NOTE: 137 Stat. 113.>>  in section 124, by striking 
        ``$663,070,000'' and inserting ``$2,199,260,000''; and
            (5) <<NOTE: 137 Stat. 114.>>  by adding after section 146 
        the following new sections:

    ``Sec. 147. (a) Amounts made available by section 101 for 
`Department of Energy--Atomic Energy Defense Activities--National 
Nuclear Security Administration--Weapons Activities' may be apportioned 
up to the rate for operations necessary to

[[Page 138 STAT. 4]]

mitigate issuing WARN notices for `06-D-141 Uranium Processing Facility, 
Y-12' in an amount not to exceed $760,000,000.
    ``(b) <<NOTE: Notification. Reports.>>  The Director of the Office 
of Management and Budget shall notify the Committees on Appropriations 
of the House of Representatives and the Senate not later than 3 days 
after each use of the authority provided in this section, and the 
Secretary of Energy shall provide a weekly report to the Committees 
specifying the obligations incurred for the purposes specified in 
subsection (a) with amounts made available in this Act.

    ``Sec. 148.  Amounts made available by section 101 for `Department 
of Transportation--Federal Aviation Administration--Operations' may be 
apportioned up to the rate for operations necessary to fund mandatory 
pay increases and other inflationary adjustments, to maintain and 
improve air traffic services, to hire and train air traffic controllers, 
and to continue aviation safety oversight, while avoiding service 
reductions.''.
     This division may be cited as the ``Further Additional Continuing 
Appropriations Act, 2024''.

                        DIVISION B--OTHER MATTERS

                   TITLE I--HEALTH AND HUMAN SERVICES

Subtitle A-- <<NOTE: Time periods.>> Public Health Extenders
SEC. 101. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH 
                        SERVICE CORPS, AND TEACHING HEALTH CENTERS 
                        THAT OPERATE GME PROGRAMS.

    (a) Teaching Health Centers That Operate Graduate Medical Education 
Programs.--Section 340H(g)(1) of the Public Health Service Act (42 
U.S.C. 256h(g)) is amended by striking ``and $21,834,247 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$21,834,247 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $16,982,192 for the period beginning 
on January 20, 2024, and ending on March 8, 2024''.
    (b) Extension for Community Health Centers.--Section 10503(b)(1)(F) 
of the Patient Protection and Affordable Care Act (42 U.S.C. 254b-
2(b)(1)(F)) is amended by striking ``and $690,410,959 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$690,410,959 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $536,986,301 for the period 
beginning on January 20, 2024, and ending on March 8, 2024''.
    (c) Extension for the National Health Service Corps.--Section 
10503(b)(2)(I) of the Patient Protection and Affordable Care Act (42 
U.S.C. 254b-2(b)(2)(I)) is amended by striking ``and $53,506,849 for the 
period beginning on November 18, 2023, and ending on January 19, 2024'' 
and inserting ``$53,506,849 for the period beginning on November 18, 
2023, and ending on January 19, 2024, and $41,616,438 for the period 
beginning on January 20, 2024, and ending on March 8, 2024''.
    (d) <<NOTE: Requirements.>>  Application of Provisions.--Amounts 
appropriated pursuant to the amendments made by this section shall be 
subject to

[[Page 138 STAT. 5]]

the requirements contained in Public Law 117-328 for funds for programs 
authorized under sections 330 through 340 of the Public Health Service 
Act (42 U.S.C. 254b et seq.).

    (e) Conforming Amendment.--Section 3014(h)(4) of title 18, United 
States Code, is amended by striking ``and section 201(d) of the Further 
Continuing Appropriations and Other Extensions Act, 2024'' and inserting 
``section 201(d) of the Further Continuing Appropriations and Other 
Extensions Act, 2024, and section 101(d) of the Further Additional 
Continuing Appropriations and Other Extensions Act, 2024''.
SEC. 102. EXTENSION OF SPECIAL DIABETES PROGRAMS.

    (a) Extension of Special Diabetes Programs for Type I Diabetes.--
Section 330B(b)(2)(E) of the Public Health Service Act (42 U.S.C. 254c-
2(b)(2)(E)) is amended by striking ``and $25,890,411 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$25,890,411 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $20,136,986 for the period beginning 
on January 20, 2024, and ending on March 8, 2024''.
    (b) Extending Funding for Special Diabetes Programs for Indians.--
Section 330C(c)(2)(E) of the Public Health Service Act (42 U.S.C. 254c-
3(c)(2)(E)) is amended by striking ``and $25,890,411 for the period 
beginning on November 18, 2023, and ending on January 19, 2024'' and 
inserting ``$25,890,411 for the period beginning on November 18, 2023, 
and ending on January 19, 2024, and $20,136,986 for the period beginning 
on January 20, 2024, and ending on March 8, 2024''.
SEC. 103. 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 ``January 19, 2024'' and inserting 
``March 8, 2024''.
    (b) Section 319L(e)(1)(D) of the Public Health Service Act (42 
U.S.C. 247d-7e(e)(1)(D)) is amended by striking ``January 19, 2024'' and 
inserting ``March 8, 2024''.
    (c) Section 319L-1(b) of the Public Health Service Act (42 U.S.C. 
247d-7f(b)) is amended by striking ``January 19, 2024'' and inserting 
``March 8, 2024''.
    (d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 
300hh-10b(g)) is amended by striking ``January 19, 2024'' and inserting 
``March 8, 2024''.
    (2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh-10c(g)(1)) is amended by striking ``January 19, 2024'' and 
inserting ``March 8, 2024''.
    (3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 
300hh-10d(g)(1)) is amended by striking ``January 19, 2024'' and 
inserting ``March 8, 2024''.
    (e) Section 2812(c)(4)(B) of the Public Health Service Act (42 
U.S.C. 300hh-11(c)(4)(B)) is amended by striking ``January 19, 2024'' 
and inserting ``March 8, 2024''.

[[Page 138 STAT. 6]]

                          Subtitle B--Medicaid

SEC. 121. DELAYING CERTAIN DISPROPORTIONATE SHARE PAYMENT CUTS.

    Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended by striking ``January 20, 2024'' each place it 
appears and inserting ``March 9, 2024''.
SEC. 122. MEDICAID IMPROVEMENT FUND REDUCTION.

    Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w-
1(b)(3)(A)) is amended by striking ``$5,796,117,810'' and inserting 
``$5,140,428,729''.

                          Subtitle C--Medicare

SEC. 131. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR UNDER THE 
                        MEDICARE PROGRAM.

    Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``January 20, 2024'' and inserting 
``March 9, 2024''.
SEC. 132. MEDICARE IMPROVEMENT FUND.

    Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ``$2,250,795,056'' and inserting 
``$2,197,795,056''.

Subtitle D-- <<NOTE: Time periods.>> Human Services
SEC. 141. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.

    Activities authorized by part B of title IV of the Social Security 
Act shall continue through March 8, 2024, in the manner authorized for 
fiscal year 2023, and out of any money in the Treasury of the United 
States not otherwise appropriated, there are hereby appropriated such 
sums as may be necessary for such purpose.
SEC. 142. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.

    Section 510 of the Social Security Act (42 U.S.C. 710) is amended--
            (1) in subsection (a)(1)--
                    (A) by striking ``and'' after ``November 17, 
                2023,''; and
                    (B) by inserting ``and for the period beginning on 
                January 20, 2024, and ending on March 8, 2024,'' after 
                ``January 19, 2024,''; and
            (2) in subsection (f)(1)--
                    (A) by striking ``and'' before ``for the period 
                beginning on November 18, 2023,''; and
                    (B) by striking the period at the end and inserting 
                ``, and for the period beginning on January 20, 2024, 
                and ending on March 8, 2024, an amount equal to the pro 
                rata portion of the amount appropriated for the 
                corresponding period for fiscal year 2023.''.
SEC. 143. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.

    Section 513 of the Social Security Act (42 U.S.C. 713) is amended--

[[Page 138 STAT. 7]]

            (1) in subsection (a)(1)--
                    (A) in subparagraph (A), in the matter preceding 
                clause (i)--
                          (i) by striking ``and'' after ``November 17, 
                      2023,''; and
                          (ii) by inserting ``and for the period 
                      beginning on January 20, 2024, and ending on March 
                      8, 2024,'' after ``January 19, 2024,''; and
                    (B) in subparagraph (B)(i)--
                          (i) by striking ``and'' after ``November 17, 
                      2023,''; and
                          (ii) by inserting ``, and for the period 
                      beginning on January 20, 2024, and ending on March 
                      8, 2024'' after ``January 19, 2024''; and
            (2) in subsection (f)--
                    (A) by striking ``and'' before ``for the period 
                beginning on November 18, 2023,''; and
                    (B) by striking ``fiscal year 2023.'' and inserting 
                ``fiscal year 2023, and for the period beginning on 
                January 20, 2024, and ending on March 8, 2024, an amount 
                equal to the pro rata portion of the amount appropriated 
                for the corresponding period for fiscal year 2023.''.

                           TITLE II--COMPACTS

SEC. 201. EXTENSION OF CERTAIN PROVISIONS OF THE COMPACTS OF FREE 
                        ASSOCIATION WITH THE FEDERATED STATES OF 
                        MICRONESIA AND THE REPUBLIC OF THE 
                        MARSHALL ISLANDS.

    Section 2101(a)(1) of the Continuing Appropriations Act, 2024 and 
Other Extensions Act (Public Law 118-15; 137 Stat. 81; 137 Stat. 114) is 
amended by striking ``February 2, 2024'' and inserting ``March 8, 
2024''.

                   TITLE III--COUNTER-UAS AUTHORITIES

SEC. 301. COUNTER-UAS AUTHORITIES.

    Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 
124n(i)) is amended by striking ``February 3, 2024'' and inserting 
``March 9, 2024''.

                       TITLE IV--BUDGETARY EFFECTS

SEC. 401. 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

[[Page 138 STAT. 8]]

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.

    Approved January 19, 2024.

LEGISLATIVE HISTORY--H.R. 2872:
---------------------------------------------------------------------------

HOUSE REPORTS: No. 118-198 (Comm. on Natural Resources).
CONGRESSIONAL RECORD:
                                                        Vol. 169 (2023):
                                    Sept. 18, 20, considered and passed 
                                        House.
                                                        Vol. 170 (2024):
                                    Jan. 17, 18, considered and passed 
                                        Senate, amended.
                                    Jan. 18, House concurred in Senate 
                                        amendment.

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